The surgery of organ transplantation is quite mature and is not difficult to perform. However, the difficulty lies in finding the lung source and postoperative treatment.
With the lung source in hand, Jia Xiuzhang did not stop and immediately returned to Baiyun to prepare for the operation.
Since Jia Xiuzhang decided to open his own studio in Ruina City People's Hospital, he paid special attention to this operation.
When returning to Baiyun, on the one hand, we must make good arrangements for personnel to ensure that the operation is foolproof.
On the other hand, it is the process related to setting up a studio.
This operation will be performed at the Ruina City People's Hospital. After the operation, experienced doctors will be arranged to provide post-operative treatment to Xiaoqian.
There is a set of norms and standards for how to use medication and how to monitor it.
Jia Xiuzhang has rich experience.
Others can't learn from it, and they can't learn from it.
Zhao Yuan goes to see Xiao Qian every day. Although her body is covered with tubes, it can be seen that her mental condition is much better than before.
The dawn of survival brought significant changes to her.
"Dr. Zhao, thank you." Xiao Qian's mother burst into tears and held Zhao Yuan's hand tightly.
Zhao Yuan comforted her softly, "Things are getting better. As a family member, you must have confidence. You are her pillar of support now."
While the two were talking, someone appeared in the field of vision.
Xiao Qian's mother was very emotional, "What are you doing here?"
The boy looked young, about 1.75 meters tall, and his face was full of guilt.
"Auntie, I'm here to see Xiao Qian."
The mother said angrily, "You and Xiaoqian have broken up, why are you so entangled?"
The boy kept wiping the corners of his eyes, tears rolling down from the corners of his eyes uncontrollably.
"Auntie, let me see her. Please."
Zhao Yuan sighed, "Let him see."
Mother finally nodded in agreement.
Zhao Yuan said to the boy: "She must be put on a ventilator to survive now. You can only see her through the glass. If you have anything to say, you can write it down and I will help you forward it to her if you have the chance."
The boy came to the door of the intensive care unit and stayed there for half an hour. He left a note and asked Zhao Yuan to give it to Xiao Qian when he had the opportunity.
Zhao Yuan kept the note.
Xiaoqian has a knot in her heart that has not been opened. At a critical moment, it may have unexpected effects.
…
Returning to the emergency surgery department, my buttocks were still hot from sitting, when the landline phone rang.
The cardiothoracic surgery department admitted a patient with aortic dissection and tear.
Zhao Yuan rushed over to support him.
After seven or eight hours of continuous fighting, Zhao Yuan was able to save the patient's life.
However, the patient has multiple complications and is very old, so the five-year survival rate will be very low.
Zhao Yuan had explained the situation very clearly before the operation.
The patient's family knew the result, but still insisted on having the operation, and even gave Zhao Yuan a red envelope before the operation.
After the operation, Zhao Yuan went to the financial room and transferred the money to the patient's account.
If you don’t retreat before surgery, I’m afraid you’ll think too much.
Only when you return it after the operation will you have a clear conscience.
Returning to the emergency surgery department, Qin Yi brought a medical record and handed it to Zhao Yuan, "This patient strongly requested surgery. He said he had chest pain, but after taking a picture, there was no problem."
Zhao Yuan took the film and watched it for a while, then said, "Have you checked the intestines?"
Qin Yi shook her head, "Do you think there is something wrong with your intestines?"
Zhao Yuan nodded, "The patient is a driver. He is forty-two years old. He has worked for more than ten years and is prone to occupational diseases. There must be problems with the intestines. The patient is not as professional as us, so it is difficult to distinguish the real location of pain. "
Qin Yi said: "Then I will ask him to do another abdominal examination."
After a while, Qin Yi brought the patient's examination report.
Zhang Qinmo happened to be there too.
Qin Yi's eyes were full of admiration, "Sure enough, there is a problem with the intestines, sinus tract."
Zhao Yuan took the film, watched it for a while, and asked Zhang Qinmo, "How are sinus paths formed?"
Zhang Qinmo was slightly startled and instructed the doctor that he might ask questions to the lower-level residents at any time.
Changing the perspective is also to help it grow.
Zhao Yuan feels that this knowledge point is still worthy of scrutiny.
As an emergency doctor, I often encounter patients with chest pain or abdominal pain.
Sinus tract is a reason that cannot be avoided.
"The formation of sinus tracts is mainly related to infection. After deep tissue necrosis, an opening appears."
Zhao Yuandao: "That's the explanation in the textbook, please give me your own understanding."
Zhang Qinmo suddenly felt dizzy.
Although he has been working for two years, Dou Dao has really not had much contact with it.
Zhao Yuan glanced at Qin Yi and said, "Doctor Qin, please tell me."
Qin Yi said with a smile, "To explain sinus tracts, we need to compare them with diverticula, ulcers, and polyps."
Zhang Qinmo focused his eyes and listened carefully.
Qin Yi glanced at Zhang Qinmo's feet, "Are you wearing stockings today?"
Zhang Qinmo was confused and nodded.
"If the stockings are pushed out in an arc, but the stockings are not torn, then it is a diverticulum; if the stockings are punctured by the toes, then it is an ulcer! If the stockings are not only torn, but the toes also push out of the leather shoes, then it is a sinus tract."
Zhang Qinmo suddenly realized, "It's quite vivid. What's the difference between diverticula and polyps?"
Qin Yi smiled and said, "Then it will be easier to distinguish. The diverticulum looks like a woman, and the polyps look like a man."
Zhang Qinmo's face turned red and his ears turned red.
Dr. Qin is driving habitually again!
Qin Yi's metaphor is quite vivid.
During dissection, using the tube wall as the boundary, diverticula are sunken inward, like a slit, while polyps protrude outward, like diced meat.
Zhao Yuan secretly thought that the female doctors in the clinic either didn't drive, or they drove very hard.
This is a very magical phenomenon.
Male doctors are very coquettish when they are young, but as they get older, they become more and more conservative.
As for female doctors, when they were young, they were as cold as ice and would frown even if they used any curse words. But after a few years of hard work, they began to let themselves go.
Zhao Yuan coughed twice and changed the topic, "Doctor Qin, let's perform sinus surgery on the patient. This patient's condition is quite serious and he has met the surgical standards."
Qin Yi smiled proudly, turned and left.
…
Jia Xiuzhang returned to Ruina three days later, bringing with him three capable men.
Two deputy chief physicians and one senior attending physician.
"This is Chen Xie, deputy chief physician. He is the first knife of our team."
Chen Xie quickly said humbly, "The first sword of our team is of course Professor Jia."
Jia Xiuzhang said with a smile, "This is the deputy chief physician Du Hang, who is responsible for the postoperative treatment of the patient this time. He used to work in Professor Chen's team of West Lake Hospital. He was the talent that I finally persuaded to join our team."
Later, Jia Xiuzhang and team members introduced Zhao Yuan, "This is the youngest treatment team leader since the establishment of Tianhua Hospital, Zhao Yuan. His research achievements in aortic dissection disease are very high, and he is ranked among the top five in the country."
Zhao Yuan did not expect Jia Xiuzhang to introduce himself like this, "Professor Jia, your words make me ashamed."
Jia Xiuzhang said very relaxedly, "I am a thoracic and cardiothoracic surgeon, and I am familiar with the difficulty of pulmonary artery dissection. Apart from you, I have never encountered anyone who can do this surgery in the country!"
After such an introduction, the three people's eyes lit up.
