Yu Zhiming went directly into the operating room without changing clothes or sanitizing his hands.
He first glanced at the patient who was lying on the operating chair and was unconscious under anesthesia. He met the eyes of Dr. Zhao Ge, the anesthesiologist, and the two surgical nurses, and said: "The patient's family suddenly changed their mind and did not want to undergo surgery."
."
Zhao Ge made a gesture to the anesthetist, took off the mask strap hanging on his left ear, revealing a square face.
"It is not uncommon for patients and their families to temporarily change their minds and give up the surgery during brain surgery. After all, the risks are high."
Zhao Ge sighed again: "However, you don't believe in Dr. Yu's ability. You are really too cautious and worried."
Yu Zhiming chuckled and said, "Dr. Zhao, my ability is limited when it comes to surgery."
After a pause, he apologized again: "I've made you busy for most of the day in vain. I'm sorry."
Zhao Ge chuckled and said, "Dr. Yu, there is no need to apologize. This is not your fault."
While the two were talking, the anesthesiologist injected the patient with an awakening agent and moved the patient to the gurney together with the nurse.
Yu Zhiming, Dr. Zhao, and the anesthesiologist gathered around the gurney, waiting for the patient to wake up.
"After settling this patient, I'll invite everyone to dinner to thank everyone for their hard work today."
Zhao Ge chuckled and said, "Doctor Yu, there is no need to be polite, we have already had dinner."
Yu Zhiming continued the invitation: "I know that doctors and nurses who have surgical tasks will control their diet before entering the operating room."
"The little you had for dinner should have been almost consumed by now."
"To be honest, I haven't had dinner yet, so you can just spend some time with me."
Zhao Ge looked at the anesthetist and two nurses with his eyes, and said with a smile: "Then we are embarrassed to bother you, Dr. Yu."
He noticed that Yu Zhiming's hands were groping back and forth on the patient's chest.
Zhao Ge thought that Yu Zhiming was worried about the patient's recovery, so he explained: "The patient's mood was a bit unstable. After entering the operating room, we gave him anesthesia."
"It's a superficial inhalation anesthesia. Now that I'm taking an awakening agent, I can wake up in a minute or two at most."
Yu Zhiming hummed slightly, but his hands still did not leave the patient's chest.
He was not worried about this guy's awakening, but was exploring the reason why this guy fell to the ground and fell into a coma that day by tapping his chest.
The initial guess at the time was that it was a reflex coma, similar to the kind that causes fainting from a needle.
Now that he finally had the opportunity, Yu Zhiming couldn't restrain his curiosity and quickly started to investigate.
It has to be said that in the soundproof operating room, there is no interference from many noises, and the sound coming from the arm is exceptionally clear.
This also greatly improved Yu Zhiming's exploration efficiency. It only took about ten seconds to fully explore the patient's heart.
No issues of concern were found.
Yu Zhiming then explored the large blood vessels in the patient's chest.
Soon, he discovered something suspicious.
The right subclavian artery, a section of blood vessel about two centimeters long, was slightly dilated.
Yu Zhiming concentrated on exploring this location and found that the wall of this section of blood vessel was much thinner.
Moreover, the lumen is slightly enlarged.
This is?
Yu Zhiming suddenly realized that this looked a bit like the carotid sinus?
The carotid sinus is located at the beginning of the internal carotid artery. The blood vessel wall is slightly thinner and the lumen is slightly enlarged.
The deep adventitial layer of the carotid sinus blood vessel wall is rich in baroreceptive nerve ending devices, namely carotid sinus baroreceptors; there are also chemoreceptive nerve ending devices on the ventral side of the sinus cavity, namely carotid artery chemoreceptors.
The carotid sinus can transmit blood pressure impulses to the vasomotor center of the medulla oblongata to regulate blood pressure and heart rhythm.
It is particularly sensitive to pressure. A small amount of pressure can cause slow heartbeat, drop in blood pressure, and even loss of consciousness.
Yu Zhiming also knew that the baroreceptors throughout the body are not limited to the carotid sinus, but also have similar functions in the right subclavian artery and aortic arch.
Perhaps the somewhat distorted blood vessel in the right subclavian artery is also enriched with baroreceptive nerve endings, turning it into another carotid sinus?
Beat the chest vigorously, and the "carotid sinus" here will feel the impact and pressure changes, thereby regulating blood pressure and heart rhythm, causing the patient to fall to the ground and become comatose?
The next moment, Yu Zhiming was keenly aware that the patient's heartbeat had accelerated and his blood pressure had also increased. Knowing that he was about to wake up, he withdrew his hand.
Sure enough, within three seconds, the patient opened his eyes.
The anesthesiologist did a basic examination of the patient and asked two simple cognitive questions, indicating that there was no problem.
Next, the patient was handed over to his family.
Yu Zhiming and others tidied up the operating room, then turned off the phone, closed the door, turned off the lights, and left...
By this time, it was already past eight-thirty in the evening.
There was a temporary dinner party and there was no particularly good place to go, so Yu Zhiming took Dr. Zhao, Zhou Mo and the others to a small casserole restaurant not far from the hospital.
The restaurant serves food very quickly, and within a few minutes of ordering, the whole table started eating and drinking.
Yu Zhiming ate for a while to relieve some of his body's hunger and discomfort.
While he was drinking water, Zhao Ge's voice sounded in his ears.
"Dr. Yu, there was only one operating room in your center before. Now, as far as I know, the old specimen building has been renovated with a total of four operating rooms?"
Yu Zhiming nodded and said yes.
In addition to the soundproof operating rooms on the three underground floors, there is also a standard operating room, a teaching operating room, and an interventional operating room on the second floor above ground.
Zhao Ge added: "There are four operating rooms. According to the average usage efficiency of our hospital's operating rooms, twelve operations have to be arranged in one working day."
"Of course, your center specializes in internal medicine and has a relatively small volume of surgeries. There would be eight surgeries that day."
"I wonder, besides Dr. Han Shuo, are there any other full-time surgeons joining your center?"
Yu Zhiming thought for a while and said, "What I know is that there will be a deputy chief physician from the Department of Urology."
Zhao Ge chuckled and said, "It's really hard for two surgeons to be responsible for three operating rooms."
Yu Zhiming said with a smile: "For major surgeries and difficult surgeries, the main thing is to call in foreign aid. Either send the patient to the surgical center or the corresponding department."
Zhao Ge smiled and said: "In this case, the utilization efficiency of several operating rooms in the center is not high, so wouldn't it be wasted?"
"The Medical Office and the Finance Office consider economic benefits and will not sit back and let this happen."
After a pause, he turned to say: "Director Qi is from the Department of Neurology. Many patients in your center come to our Neurosurgery Department for surgery every year."
"Dr. Yu, I think your center should also recruit a neurosurgeon."
Yu Zhiming was slightly startled and asked: "Dr. Zhao, do you want to come to our center?"
Zhao Ge waved his hand and replied: "It's not me, it's not me. I want to recommend someone to your center."
"Who?" Yu Zhiming asked!
Zhao Ge sighed softly and said: "He is my student. I was very optimistic about his future. If he continues to develop well, he will not be much worse than Dr. You today."
"It was just because of the so-called love that I resolutely returned to my hometown in the provincial capital."
"Now he has become a chief physician and wants to come back, but it's not that easy."
Zhao Ge explained: “It is relatively easy for an outstanding young doctor to enter Huashan Hospital.”
"We can train them to become excellent chief physicians."
"But as a chief physician who has already achieved great success, unless you are the top one in the industry, it will be extremely difficult to get into Huashan. Because we in Huashan have no shortage of chief physicians of similar level."
Yu Zhiming nodded.
As a well-known comprehensive hospital in the country, Huashan Hospital has its own heritage and pride.
To introduce talents, we only need two ends.
Either they are top medical experts in the field, or they are outstanding young doctors with great potential for training.
For the middle level, don’t use it because there is no shortage of it.
I heard Zhao Ge introduce again: "His ability is quite good. Compared with Dr. You, he is slightly inferior. He can handle most neurosurgery operations."
"It's perfect for your center to introduce him."
After hearing this, Yu Zhiming finally understood.
For the development of the center, the hospital takes special care. Not only does it not limit the number of staff, it also has the right to recruit independently.
Dr. Zhao Ge is trying to save the country by going through a curve and wants to recruit that student again through the center.
Yu Zhiming said cautiously: "Dr. Zhao, whether the center still needs to hire a surgeon is something my teacher needs to consider."
"I suggest you send that person's information to my teacher, or I can forward it to you."
Zhao Ge responded with a "Hello"...
At the end of the dinner, Yu Zhiming took four envelopes containing cash from Zhou Mo and handed them to Dr. Zhao Ge, the anesthesiologist, and two surgical nurses respectively.
Dr. Zhao and the anesthesiologist cost three thousand each.
Two nurses cost 2,000 each.
Although the operation failed, Dr. Zhao and others have been busy in the soundproof operating room since the afternoon.
Such as debugging the instruments and equipment in the operating room, preparing medical supplies needed for surgery, disinfection and sterilization, etc.
Yu Zhiming must show his hard work and dedication.
For Yu Zhiming, expressing gratitude with money is always more cost-effective than using favors.
After some negotiation, Zhao Ge and others accepted Yu Zhiming's wishes with smiles.
After nine forty in the evening, Yu Zhiming and Zhou Mo, who had eaten and drank enough, took the bus back to Junshan Mansion.
Yu Zhiming transferred 10,000 yuan to Zhou Mo through WeChat.
"Yaya, in addition to these ten thousand, I also owe Dr. You a favor."
"This time, I'll make a big loss."
Zhou Mo asked: "Doctor Yu, although the operation was not completed, the patient still has to pay some fees, right?"
Yu Zhiming said depressedly: "It's just the cost of some medicines and medical supplies. It's hard to settle the expenses for the operation fees when all the expenses are combined."
Zhou Mo nodded and said: "Dr. Yu, for this operation, you asked the logistics department to prepare the operating room in advance, asked Dr. You to design the puncture path, and also contacted Dr. Zhao just in case, plus you invested your own time and energy
."
"I prepared so much, but it suddenly came to an abrupt end and became a waste of effort."
"Think about it, it's really annoying."
At this time, Yu Zhiming's cell phone rang.
It's a call from the third sister.
"Lao Wu, I just received a call from Yang Shuang's parents, asking me to ask your opinion on the surgery."
"I told them directly, Lao Wu, you have done what you should do for them. They can only make their own decision whether to have surgery or not, and there is no need to ask for other people's opinions."
"Finally, they said, do the surgery."
"However, they hope to postpone it for a few days."
"They want to take their daughter to have a good time in the coastal area in the past few days, so as not to have an unexpected surgery..."
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