Looking at Zhao Heng and Jiang Rui looking at each other, especially Jiang Rui's vaguely considerate eyes towards Zhao Heng, Huang Jincheng couldn't help but smile slightly.

Zhao Heng and Jiang Rui are both young people he is optimistic about, what sparks can these excellent young people collide with each other, which is what Huang Jincheng is looking forward to.

However, speaking of excellence, although Jiang Rui was recommended by Song Chen and was also recognized by Huang Jincheng, in Huang Jincheng's heart, Zhao Heng is still the first, which is unshakable.

Zhao Heng couldn't help but feel a little strange when he saw Jiang Rui when he saw him for the first time, but he didn't care too much about this.

"Xiao Zhao, there is a patient here, the situation is more complicated, and you and Xiao Jiang need to work together."

Huang Jincheng briefly talked about the patient's condition, and then said to Zhao Heng.

Obviously, the doctor in charge of the surgery this time is Jiang Rui, and the anesthesiologist is Zhao Heng.

Thinking about it, I also know that although aortic valve replacement is a difficult major operation in other hospitals, in the cardiac surgery department of Dongfang Hospital, it is not the turn of the chief doctor of this level and difficulty to go out in person.

But Huang Jincheng was able to hand over this operation to Jiang Rui, who had just arrived, which also showed that he still recognized Jiang Rui's level very much.

"Doctor Zhao, please advise."

Jiang Rui stretched out his hand to Zhao Heng and said very formulaically, but there was a hint of competition in his eyes when he looked at Zhao Heng.

"Hmm."

Zhao Heng nodded.

"Xiao Zhao, Xiao Jiang, this operation will be handed over to you."

Huang Jincheng saw the two shaking hands, smiled slightly, and then went out.

In the future, it will be a world of young people, and among all the department directors of Dongfang Hospital, Huang Jincheng pays attention to the training of young doctors.

After Huang Jincheng left, Jiang Rui spoke first and said very directly: "Doctor Zhao, I heard my senior sister talk about you. ”

"Senior sister?"

Jiang Rui said this, and Zhao Heng was a little puzzled.

"You're talking about Song Chen?"

After a pause, Zhao Heng remembered that when Huang Jincheng introduced it just now, he said that this Jiang Rui was a doctor who graduated from Hopkins Medical School, isn't that the school where Song Chen graduated? !

Looking at Jiang Rui's eyes looking at him with some competition, Zhao Heng instantly understood.

"Yes, the person that Senior Sister mentions the most is you."

Jiang Rui said meaninglessly.

"Is she alright?"

Zhao Heng asked casually.

"My sister is working on a project, and if she succeeds, she will become the youngest associate professor at Hopkins."

Speaking of Song Chen, Jiang Rui felt very proud and proud.

Hearing Jiang Rui's words, Zhao Heng felt a little strange, this is Song Chen and not you, what are you proud of?

"Well, let's talk about the patient."

Zhao Heng nodded, he knew Song Chen's recent situation, he and Song Chen would often exchange emails now, and he didn't want Jiang Rui to introduce Song Chen's current situation at all.

"The patient, a 73-year-old male, was admitted to the hospital with recurrent tropherymawhippleii infection with endocarditis and had previously undergone aortic valve replacement. Due to persistent atrial fibrillation and complete transmission block after previous cardiac surgery, the patient has had a permanent pacemaker placed. ”

Jiang Rui opened his mouth to introduce the patient's condition, but he deliberately only said half of it, that is, the patient's situation, and he didn't mention the last half of the surgery that the patient needed.

He wanted to test what Zhao Heng's level was, which was worthy of the attention of senior sister Song Chen and Director Huang Jincheng of cardiac surgery.

"Tropheria whipplei? This is a rare condition-causing bacteria. ”

Hearing Jiang Rui's introduction to the patient's condition, Zhao Heng was a little surprised.

This tropherymawhippleii, abbreviated as TW, Chinese translated as Whipple dystrophy, is a condition cure bacteria, very rare, ordinary doctors, may not have heard of it.

"If the patient is already infected with endocarditis, then the original pacemaker leads need to be removed, and epicardial pacing electrodes need to be implanted, and then the pulse generator pouch will be placed under the skin of the chest wall under the xiphoid process and set to VVI mode."

After thinking about it for a while, Zhao Heng said the key points of the follow-up surgery for this patient.

Hearing that Zhao Heng was not at all unfamiliar with Whipple dystrophy, that is, tropherymawhippleii, Jiang Rui nodded slightly, such a rare disease is known, which shows that the foundation is very solid.

But when Zhao Heng talked about the subsequent surgical operations that the patient needed to do little by little, Jiang Rui's face changed, because the surgical process for this patient that Zhao Heng talked about can be said to be textbook-like, and even more scientific and perfect than the surgical plan he originally envisioned.

Didn't he say he was an anesthesiologist?

How do you know so much about cardiac surgery?

This patient had just been admitted to the hospital, and the patient's condition was only known to him and Director Huang Jincheng before Zhao Heng came in, so there was no situation where Zhao Heng did his homework in advance.

Moreover, Huang Jincheng asked Zhao Heng to come for a consultation, which was also a temporary idea.

Therefore, Zhao Heng is completely playing on the spot.

Thinking of this, Jiang Rui's face changed instantly.

"Doctor Zhao, I didn't expect you to know so much about cardiac surgery."

Jiang Rui finally politely called Zhao Heng Doctor Zhao, and before, he still had a feeling of comparison with Zhao Heng.

But as soon as Zhao Heng's words came out, he knew that Zhao Heng's level outside the heart was definitely not lower than him.

As soon as the connoisseur makes a move, he will know if there is one!

And, God knows, he, an anesthesiologist, knows so much about cardiac surgery.

"I often follow Director Huang for surgery, so I know a little bit."

Zhao Heng said.

He is also telling the truth, the reason why he knows so much about heart surgery is that when he followed Huang Jincheng for surgery, he picked up the skills and experience that fell from Huang Jincheng's body, and after fusion, he could have this level.

"Ugh.

Dr. Zhao smiled. ”

Hearing Zhao Heng say this, Jiang Rui was slightly embarrassed, with a look of complete disbelief on his face, and only thought that Zhao Heng was joking.

If you really follow a few surgeries and just look at them and become an expert, then a cardiac surgery master like Huang Jincheng will not be so rare.

"Dr. Zhao, what do you think about this patient's preoperative anesthesia plan?"

After a pause, Jiang Rui said again.

He didn't dare to have any more thoughts about Zhao Heng now, maybe in some aspects, Zhao Heng's level was even higher than him.

"For this patient, it is especially important to note that after the end of cardiopulmonary bypass, there is a high probability of low cardiac output syndrome, and for this aspect, dobutamine and aortic balloon need to be prepared before surgery. In addition, if the patient has a large amount of bleeding after surgery, causing hypovolemic shock, then a large amount of blood transfusion is required. ”

"In this way, the risk of bleeding in patients will increase, and monopolar electrocoagulation must be used, so the risk of electromagnetic interference is also very high, and when the time comes, the parameters of the pacemaker must be reset."

Zhao Heng thought for a while and said.

In these words, he not only talked about the anesthesia plan, but also the possible risks and corresponding countermeasures for this patient after surgery.

“。

。 ”

Hearing what Zhao Heng said, Jiang Rui's expression instantly became sluggish.

At this moment, he had no doubt that if he got on the operating table and let Zhao Heng be the chief surgeon, he would be competent.

As an anesthesiologist, I have already considered everything that the surgeon should consider.

Doctor: I'm picking up properties at the hospital.

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