Wu Hai is not only the dean, but also the anchor of the sea in the business field.

Over the years, Wu Hai has carried the hospital with the strength of one person.

When encountering difficult problems, Wu Hai will personally go out.

Wu Hai rushed to the emergency department, where the patient was lying on the operating table, and two doctors were taking turns to perform chest compressions on the patient.

When the director of the emergency department saw Wu Hai coming, he hurriedly stepped forward and reported the situation to Wu Hai.

"The patient, a 69-year-old male, was diagnosed with severe aortic stenosis at a local hospital four years ago and did not agree to the recommendation for surgical treatment. 1 week ago, the symptoms were significantly worsened, and the chest tightness and wheezing were felt in the resting state.

He has been transferred to many hospitals, but the treatment effect is not good, and the symptoms of breath-holding gradually worsen.

Yesterday, he was admitted to our hospital, and his condition suddenly worsened. ”

Wu Hai introduced Zhao Yuan to the emergency director, "This is my junior brother Zhao Yuan. Just flew over from the white clouds. ”

Wu Hai looked at Zhao Yuan.

Zhao Yuan understood and took the initiative to say, "Can you let me see the case?" ”

Wu Hai trusted Zhao Yuan's level. But he invited Zhao Yuan over, on the one hand, he wanted to get acquainted with Zhao Yuan, and on the other hand, he also wanted the doctors in the hospital to know the gap.

The emergency director knew Zhao Yuan's details, and handed Zhao Yuan the patient's medical records and the imaging data made by admission.

The people who can get to the position of the director of the Yanjing tertiary hospital are all human spirits.

Although Zhao Yuan is young, he has no vain under his fame, and he can't despise others because of his appearance.

Even if there is doubt, he will hide it, he will not jump up, point to Zhao Yuan's nose and say, just rely on this waste?

Zhao Yuan quickly read the information, returned it to the emergency director, and stepped forward to examine the patient.

Because there are doctors who are still doing cardioversion to keep the patient in

Blood pressure around 90/50mmHg.

Therefore, Zhao Yuan should consider not affecting the first aid when he is examined.

After a while, Zhao Yuan knew in his heart.

"The patient is in a semi-recumbent position, with tachypnea, low breath sounds in the right lung on auscultation, and wet rales can be heard in both lower lungs.

The heart rhythm is absolutely irregular, and the heart sounds are low and dull.

A grade 3/6 systolic murmur can be heard in the auscultation area of the aortic valve. ”

He frowned and said seriously, "Senior brother, you have to operate quickly, there is a possibility of sudden death at any time." ”

Wu Hai bowed slightly, "Well, why don't you do this operation?" ”

Zhao Yuan saw that Wu Hai's eyes were full of expectation, but he didn't twist, "Okay!" I listen to my brother. ”

Wu Hai glanced at Xue Lin behind him, "Hurry up and make preoperative preparations and notify the patient's family to sign the agreement." Later, Director Zhao will talk to the patient's family. I will be a help to Director Zhao. ”

Zhao Yuan said lightly, "With my senior brother standing on the platform next to me, I feel at ease!" ”

Everyone was amazed.

Who has ever seen Wu Yuan take the initiative to be an assistant to others?

Even if Qin Lao was invited to the hospital before, Wu Hai did not become an assistant.

The doctors who can stay in Yanjing Grade III Hospital are all proud of the sky, usually they can have surgery with Wu Hospital, and they can be happy for several days, who would have thought that Wu Hai would voluntarily lower his rank.

There were many doctors on the spot, all of whom were doctors, and they looked at Zhao Yuan and almost breathed fire.

Despite Zhao Yuan's record, they have all heard of it.

But Zhao Yuan is too young to inevitably question his level.

Then Wu Hai's words surprised everyone.

"Haha, I'm not worried, but I want to see you up close." Wu Hai looked around, "Don't look at my junior brother's youth, everyone doesn't add up."

is his opponent. Including me. ”

Zhao Yuan hurriedly humbled himself, "Senior brother, don't say that." Let's learn from each other, this patient's problem is related to valves, as well as underlying diseases such as diabetes, which is very complicated to deal with. If I do it alone, I'm not sure. ”

Wu Hai waved his hand to interrupt Zhao Yuan and continued, "I heard Master say that your biggest problem is that you are not confident enough and do not have an accurate understanding of your own strength. Don't be fooled by him. He is polite and ruthless. ”

Zhao Yuan was stunned and speechless.

didn't react for a long time, whether the fifth senior brother was praising himself or burying himself.

Zhao Yuan quickly dispelled the complicated emotions in his heart, and a series of surgical patterns appeared in his mind, thinking about how the operation should be done.

Wu Hai knew that Zhao Yuan was thinking of a way, so he didn't disturb his thoughts.

After about ten minutes, Zhao Yuan found a pen and paper and drew out the idea of surgery.

"The patient's heart function was severely impaired, and the lesion was detected four years ago, which was the best time for surgery. Myocardial contractility is now weakened, manifesting as severe aortic stenosis with classic low flow rate and low differential pressure. Patients with recurrent episodes of heart failure accompanied by ventricular tachycardia, who may die suddenly at any time if not intervened in time; With an STS score of 20.3%, the risk of surgery is extremely high! ”

The Cardiac STS Scoring Criteria is a set of cardiac surgery risk criteria developed by the National Association of Thoracic Surgery, including the basic situation of the patient, the complexity of the operation and the prognosis, which are used to evaluate the risk of cardiac surgery in adults.

This score is usually filled in online, and then the system will give a score.

A Ph.D. is responsible for the STS score

。

A colleague asked him, "Did you get the results here?" ”

"Nope!" The doctor was a little anxious, "I guess it'll be a few minutes." ”

"And how did he know?"

"Most likely, it's nonsense."

It didn't take long for the ratings to come out.

20.3%, which is exactly the same as the data reported by Zhao Yuan!

The doctor and the colleague were shocked.

Zhao Yuan actually calculated it with his brain.

At this moment, Zhao Yuan has already finalized the plan: "Do TAVR surgery!" Addressing hemodynamic disorders. ”

Wu Hai knew that the method provided by Zhao Yuan was the best solution.

TAVR is an acronym for transcatheter aortic valve implantation that minimizes harm to the patient.

However, this surgery is a more avant-garde technique.

Although in the chest hospital, there are not many doctors who can perform this procedure.

"Then hurry up and prepare for surgery!"

Zhao Yuan and Wu Hai met the patient's family and explained the danger of the condition.

The family was instantly silent.

Obviously, they had always thought that if they got someone to the hospital, they would be fine.

The patient's wife couldn't help but cry.

When the daughter-in-law saw her mother-in-law crying, she cried with her.

The rest of them were red-eyed.

"Doctor, please, you must cure my dad." The patient's son clenched his fists, gritted his teeth, and held back tears.

He needs to be strong now.

's father fell, he was the pillar of the family, and as the backbone of the family, he must not be messed up.

"Don't worry, I will do this operation with Director Zhao. We're going to do our best. Wu Hai said seriously.

Wu Hai has no shelf in the face of patients.

The patient's son had heard of Wu Hai's name.

A simple sentence built up the confidence of the family, and the son immediately signed

Under his own name.

Wu Hai was observing Zhao Yuan.

Zhao Yuan is also studying Wu Hai.

Wu Hai's generation has encountered the best period of Huaguo Medical, and at the same time, they have also experienced very difficult times.

When I first entered the hospital, there was nothing in the hospital, and I had to write all the documents by hand.

In recent years, when the country has become stronger and the equipment has been upgraded, they have to come into contact with new things.

In the ever-changing situation, they have developed excellent basic skills.

What's more, they are more flexible than the previous generation, and they know how to adapt their mindset to the new competitive situation.