Chapter 21 Inherent Thinking
Looking at the back of Tang Yi and Vice President Wang leaving, Li Yumeng felt both loss and loss, both loss and worry.
"You are so good, why do you fall in love with me as a poor girl." Li Yumeng stood in place and muttered to herself.
More than 20 minutes later, the two came to the office of the cardiology department of the affiliated hospital.
Tang Yi looked at the cardiogram on the computer, his fingers lightly tapped on the table, sometimes fast and sometimes slow, "Please open another computer." ”
Chen Zhou, who was sitting on the side, didn't say much, logged in to the system, found Wang Qin's information, and gave up his position.
As soon as the chair turned, Tang Yi glanced sideways at the heart color ultrasound, and his body relaxed, "Inform Wang Qin to start fasting and have surgery tomorrow afternoon." ”
Wang Fang took a sip of tea and raised her head, "Tang Yi, how sure are you?" ”
Tang Yi leaned back in his chair and stretched, "Fifty percent!" ”
The cardiologist, who had been observing from the sidelines, was inevitably a little disappointed when he heard Tang Yi's answer.
"I thought the experts at the Mayo Clinic had a lot of skills, and the success rate was only half as good."
The sound is not loud, but in the quiet office, it reaches everyone's ears.
At the same time, this voice also reflects the voice of the vast majority of people present.
Wang Fang glanced at the doctor who was speaking, then turned his head and glared at Chen Zhou, who was the head of the department.
Chen Zhou coughed dryly, "Tang Yi, weren't you fifty percent yesterday?" This imaging has also been redone, why is it still 50 percent? ”
Regarding the doubts of the people on the scene, Tang Yi didn't say much, "There are only two possibilities for surgery, one is successful and the other is failure." The so-called almost certain percent is a kind of estimation of the doctor's own condition and his own technology? No matter how good it is said now, what is the use of the patient not being able to get off the operating table. ”
Any disease, even a small cold, who can say that it is not fatal? Not fatal, why did so many people die of typhoid fever in ancient times.
On the one hand, the doctor's confidence is based on the patient's condition and his own decades of medical experience.
Wang Fang smiled bitterly and shook his head, "Tang Yi, I didn't mean anything. ”
Tang Yi turned his head and took a sip of water, "Based on my experience, if you enter the body from the right femoral artery, gradually send it into the guidewire and catheter, reach the iliac artery, abdominal aorta, thoracic aorta, until the opening of the aorta, and then to the coronary artery, the chance of success is about seventy percent." ”
"Isn't that a common method for newcomers?"
"Yes, femoral artery puncture is usually a technique used by some doctors who are new to interventional surgery."
"Hey, I wanted to learn advanced technology, but I didn't expect it to be like this, a waste of time."
Chen Zhou listened to the discussions of the people below, he had seen Tang Yi's surgery, and the miraculous treatment method completely broke his cognition of heart surgery.
Wang Fang glared back at a group of doctors, "Shut up, let you come here to learn, not to let you come and express your opinions." ”
Seeing that the following was quiet, Chen Zhou bent down, and his fingers kept tapping the mouse, "Tang Yi, what do you say about this treatment?" ”
Tang Yi's fingers clicked a few times on the heart color ultrasound and the film, "If you study these places carefully, you will find that the radius is punctured, because the difficulty coefficient of these places has greatly increased." ”
Except for Wang Fang, both the chief doctor and the deputy chief doctor of the Department of Cardiology gathered in front of the computer and carefully studied the several positions that Tang Yi had just ordered.
But no matter how you look at it, you can't see the crux of the problem.
Wang Fang looked at a group of doctors frowning and thinking, and secretly scolded a group of uncompetitive guys, if you can come up with it, you would have become a world-renowned expert and professor a long time ago. I've invited people to you, won't you open your mouth to ask?
"Tang Yi, is there any problem with these places?" Seeing Tang Yi get up and prepare to leave, Wang Fang hurriedly stopped, "You will also be a doctor in the hospital in a few days, don't hide your secrets!" ”
Pulled back to his seat by Wang Fang, Tang Yi held the mouse, clicked on a photo of the image, and pointed to the top point, "In this place, you can clearly see that the artery is narrow." ”
Everyone looked at the place Tang Yi pointed to, but there were some differences compared to the arteries in several other places.
"The reason why arterial circumference is preferred for cardiac stent surgery is nothing more than that it does not affect the patient's life and does not require bed rest after surgery." Tang Yi leaned back in his chair, "But there are many problems with this interventional method, first of all, the radial artery is relatively small and easy to spasm, and the patient's original artery is relatively narrow and has many branches, which greatly increases the difficulty of successful surgery." ”
"After local infiltration anesthesia, excessive subcutaneous injection of anesthetic will cause swelling at the puncture site, which will affect the judgment of circumventing the artery." Tang Yi looked at the group of doctors and shook his head, "They are all experts and professors who are doing it, and they think that their surgical level is high, and they disdain to use the femoral artery puncture method, which is a novice method." But sometimes, we have to combine the patient's condition, and we can't blindly be confident. ”
Tang Yi sighed in his heart, in fact, Wang Qin's condition is not complicated, as long as the puncture point is selected, the chance of successful surgery will be greatly improved.
Wang Fang looked at the group of doctors within Chen Zhou with a gloomy face, "What Tang Yi said, is it true?" ”
No one said a word, and they all bowed their heads.
Wang Fang patted the table, "Chen Zhou, come on!" ”
Chen Zhou saw Wang Fang angry, "Compared with radial artery puncture, femoral artery puncture not only requires long-term bed rest as Tang Yi said, but also has the problem of difficulty in stopping bleeding. So in the past few years, our department has mainly done radial artery puncture, so ......"
Chen Zhou didn't say the latter words, Wang Fang already understood what it was.
Seeing Wang Fangxun speak, Tang Yi knew that he was not a doctor in the hospital, so he stood up and quietly left the office.
Not long after walking, Tang Yi's phone rang, looking at the local phone number, and he answered it casually, "Hey, which one?" ”
"Tang Yi, it's me Zhao Yu! The film of the film is out, when will you come and take a look. ”
Tang Yi looked at the intensive care ward at the end of the corridor and thought for a moment, "I have already seen it just now, and the doctor will inform your mother to fast and operate tomorrow." ”
"Surgery? Are you sure? Can it be delayed for a few days! Zhao Yu's tone was full of surprise and a little pleading.
Standing at the elevator door, Tang Yi sighed, "I'll tell you when we meet!" ”
I knocked on the door of the intensive care unit and saw that there were many people sitting inside.
Wang Qin sat up straight, "Doctor Tang, you're here." ”
Allen Wang looked at a young doctor who came in, and there were a few more wrinkles on his wrinkled face.
"Sister, this is what you said about Tang Yi, Doctor Tang?" A middle-aged man with eyes stroked his eyes, "Are you too hasty?" ”
The woman looked Tang Yi up and down, and after cutting it, she didn't look at it, "Sister-in-law, I didn't say you, we don't have no money, and we can't invite any experts." ”
The old woman looked at her daughter lying on the bed, "Girl, why don't we wait?" This surgery is not rushed. ”
Wang Qin looked at the three people who were talking, and snorted lightly, "Is enough to say?" Say enough and go out, I don't want to see you. ”
"Sister, how do you talk!" Wang Tianci looked at Wang Qin, "Aren't we good for you?" ”
Wang Qin sneered, "Good for me? Have I ever enjoyed the warmth of home for a day since I was a child? For my own good, I was sick and hospitalized, have you come to see me? I came early this morning with a lawyer and asked me to sign the will. ”
The more Wang Qin spoke, the more angry he became, pointing at Wang Tianci, "You are idle all day long, not doing your job, and you are in your thirties, and you still have to rely on me to support you." ”
The old woman pointed at Wang Qin angrily, "You are such a younger brother, what's wrong with you giving him some money?" ”
"What's wrong?" Wang Qin sneered, and the tears of laughter fell drop by drop, "He is your son, I am not your daughter?" I have asked Mr. Li to draft the documents, and if I have an accident, all the property in my name will be inherited by Zhao Yu. ”
Seeing that the quarrel in the ward was getting more and more intense, Tang Yi wanted to leave.
"Sister-in-law, what you said is wrong!" Yang Miao's face was gloomy, "According to the law, we have the right to inherit your inheritance, how can we give it all to your daughter." ”
Wang Allen looked at his son and daughter-in-law, who were not angry, and sighed, "Xiaoqin, we also have the right to inherit, so let's leave us some coffin books!" ”
Seeing that his father, who was usually not very noisy, spoke, Wang Qin's heart was like ashes, and he smiled sadly, "Yes, you all have the right to inherit, but Xiaoyu is the first heir." ”
Wang Tianci saw that Wang Qin was iron-hearted, and pulled the old woman down in front of Wang Qin, "Sister, it's not easy for your parents to give birth to you and raise you, how can you be so ruthless." ”
"Enough!" Zhao Yu slapped the table and stood up from the stool, "You all get out, get out." You all want my mom to die, I don't want to. ”
Yang Miao walked up to Zhao Yu, "Don't interject when adults talk and children, there is no tutor at all." As an elder, I want to teach you what rules are. ”
Zhao Yu reached out and grabbed Yang Miao and slapped him in the face, and slapped the other party in the face with his other hand.
"Smack"
The crisp slap sound made the entire noisy ward fall silent.
Zhao Yu shook off Yang Miao's hand, "What are you?" Elders, where is the appearance of elders! ”
Looking at the clear five finger prints on Yang Miao's face, Tang Yi only felt that the sour saliva on his cheeks was excessively secreted.
When Wang Tianci saw his wife being beaten, he wanted to beat someone.
Facing Wang Tianci, who was more than one meter and eight meters, Zhao Yu did not flinch in the slightest, "You want to hit me?" Hit! I'm going to put that aside for today, and you'd better pray that my mother is safe. In that way, every year my mother will read for the sake of relatives, and she will give you some money every year. ”
As he spoke, Zhao Yu's tears also fell unhappily, "If my mother really didn't get off the operating table, you don't want to get a penny from me from now on." ”
Wang Qin looked at her daughter, distressed at the same time, but also relieved, the child has grown up, and she is willing to stand up and speak for her mother.
Tang Yi sighed, some words should not be said by an outsider, but seeing a mother and daughter being bullied, he couldn't bear it, "The four of you go out, if you continue to make trouble like this, the patient's emotional agitation is likely to aggravate the condition." When the time comes, there will be no way to return to heaven, and you will regret it. ”