226 Try hard
"Huh?" Dr. John Smith was stunned for a moment, "Didn't you say that you had less contact with Wu?"
"What the hell is in that goddamn head?" said Dudley scoffingly, "I'm curious to see how that proud Wu failed." You want to see it too, it's hard, isn't it?"
"But dear Stephen, I don't think he's going to fail. Dr. John Smith muttered.
"If that's the case, your work becomes meaningless. The man said, "His first contact with fetal surgery, it was an emergency, there was no preoperative evaluation, no various steps to figure out, no experience, do you think he could succeed the first attempt? John, you underestimate your field." ”
Dr. John Smith shook his head, but he didn't say anything.
"John, pick up your phone and call Wu, we can bet $100, Wu's surgery will definitely fail. Dudley said leisurely.
"It's not that I underestimate my field, it's that you underestimate him too much, Wu is the most genius surgeon I've ever seen. Dr. John Smith held his phone, thought for a few seconds, and finally dialed the phone.
"Wu, did you have surgery?"
"Changing clothes, what's wrong old man?"
"Is it convenient for you to video the procedure...... If there's something wrong, I can warn you directly. Dr. John Smith said with a slight hesitation.
"Yes. Wu Mian said in a hurry, "I'm sorry for you this time, I have a chance to meet, I invite you to drink." ”
Hanging up the phone, Wu Mian changed his clothes, but he did not go directly to the operating room, but sat quietly on the chair in the dressing room.
Fetal surgery, Wu Mian has never done it himself.
But I have attended several conferences on congenital diseases in the world, and I have also seen doctors in Philadelphia and Boston do demonstration surgeries.
A limited number of surgical clips kept flashing in front of me, and the demonstration surgery I saw a few years ago is now vividly recalled.
Wu Mian had never thought about all kinds of technical details before, after all, he was not very interested in pediatrics. But in retrospect, the medical literacy accumulated over the years played a crucial role.
Coupled with the impact of the deflagration after the wildfire, and some unknown changes in the body, Wu Mian captured one technical detail after another in the process of flashbacks in the "redundant" fragments.
The dots are connected into lines, and the lines form a surface, and each surface becomes three-dimensional.
Wu Mian took out a cigarette, lit it and took a puff.
Smoke rises in front of you, as if painting a vivid and realistic picture. Wu Mian simulated surgery over and over again, and the simulated object was a demonstration surgical case that he had seen.
How much strength should be there, how to protect the incision, how much the fetus is pulled out of the uterus, and there should be enough surgical field without affecting the uterus to feed the fetus. How can we ensure that the cystadenoma of the lung is cut cleanly and the fetus can be less damaged......
Countless questions, countless details, Wu Mian found answers from a limited number of demonstration surgeries and journal literature.
Gradually, the ice melted on his face and a smile appeared.
A series of footsteps came, and Wu Mian knew that it was Ren Haitao who was coming. Naming the anesthesiologist, Xue Chunhe did not object.
"Teacher Wu, what patient?" Ren Haitao hurriedly came in, and asked directly without saying a polite word.
"At 26 weeks of pregnancy, the fetus was born with a cystic tumor of the left lung. Wu Mian sat on the chair, not lazily leaning on the back of the chair as in the medical department of Bajingzi Traditional Chinese Medicine Hospital, but sitting straight and straight, like a steel gun.
"Lao Ren, have you done similar anesthesia?"
"Yes. Ren Haitao's face flashed red, "When Teacher Shen from the Imperial Capital Women's and Children's Hospital came to do the operation, I did the anesthesia. ”
"That's good. Wu Mian was very pleased.
"Do you have any special needs, Mr. Wu?" Ren Haitao asked.
"Let's do a B-ultrasound first, and I know the position of the fetus. Wu Mian said.
Ren Haitao had already changed his clothes, and seeing that Wu Mian had no special instructions, he trotted into the operating room.
Wu Mian was not in a hurry, he recalled the operation process again, and then calmly put on his hat and mask and entered the operating room.
B-ultrasound showed that the breech position of a single live fetus was equivalent to 26 weeks, the amniotic fluid volume was not abnormal, the placental maturity was 0+ degrees, the left thoracic triangle was slightly more echogenic mass, the size was about 3.2×2.8×3.1cm, the internal echo was uneven, and several small cystic dark areas could be seen, causing the heart to shift to the right. ”
Ren Haitao was holding a B-ultrasound probe in his hand and was doing the last B-ultrasound before surgery. Wu Mian glanced at the screen, his eyes narrowed.
His eyelashes were long, unblinking, but as if there was an Endless Storm surging between his eyes, the long lashes danced lightly.
Seeing the situation of the fetus, Wu Mian simulated the operation in his brain again as quickly as possible, and he already had a plan in mind about what to do. Even Wu Mian had a corresponding understanding of the shortcomings of several surgeries he had seen during a period of time, and made considerable corrections.
Whether it will work or not, we will have to operate on the stage. And some rare special circumstances, Wu Mian has also dealt with them accordingly.
Wu Mian didn't dare to say that it was definitely OK, even if he found John Smith to do the operation, the chance of success was less than 50%. He has a clear understanding of himself, just try it, this is the way to go.
There is no other way to do your best.
3% isoflurane inhalation, and the anesthesia depth is maintained at F0-F1. Ritodrine hydrochloride injection was pumped into a micropump, 0.05mg/min.
Watching Ren Haitao do anesthesia, Wu Mian did not raise any objections. Ren Haitao's level is very good, and Wu Mian is quite satisfied.
After the anesthesia was over, the hands were disinfected, and the sterile sheet was laid out, and Wu Mian asked a staff member from the medical department to hold a mobile phone and a video of Dr. John Smith, and the mobile phone camera was pointed at the operation area.
The operation area was disinfected again, Wu Mian stretched out his hand, and a scalpel was slapped in the palm of his hand.
The abdominal incision of the pregnant woman is made through the rectus abdominis muscle on the right side, and the hand is cut down, and the surgical incision of 10cm appears immediately.
Xue Chunhe and the others stood nervously behind watching the operation, especially Xue Chunhe, who was very worried.
Although there was no problem with the operation process, Director Ma did not forget to ask himself to sign in his busy schedule, and Mr. Wu went to the hospital to ask for expert procedures.
But after all, he was in a hurry, and Dean Xue couldn't figure out the process of the operation, and he couldn't go to Philadelphia to do it, so he was in a trance.
Many medical malpractice is due to urgency, mistakes, and emotional gaps between patients' families, which lead to unbearable consequences.
There is simply Director Ma here, calm with a hint of indifference in tinkering.
Hopefully, all the best today.
Xue Chunhe watched Wu Mian go under the knife, but it was not a normal incision, and his wrist at the tail end was slightly deviated as if he had lost his strength, which startled him.
The incision is not straight, but somewhat crooked, because the placenta is located in the anterior wall of the uterus. It doesn't matter whether it is beautiful or not, what Wu Mian needs is a smooth operation.