"Director, which department are we going to consult?"

Ruan Liuzheng, who was following Zhao Heng, asked with some curiosity.

Her current job is to follow Zhao Heng, and then learn while watching, as for how much she can learn, it depends on Ruan Liuzheng's personal understanding.

As long as you can learn fifty percent of Zhao Heng, Ruan Liuzheng can be used for a lifetime.

However, Zhao Heng can now be said to be the pinnacle of the collection of doctors from the East Hospital, and fifty percent is already an exaggeration.

"Obstetrics."

Zhao Heng said briefly.

"Huh? Obstetric? ”

Ruan Liuzheng was a little confused, although the patients in the ward are all incurable diseases, but there will be no consultation from obstetrics.

"It's a joint consultation, and we're going as an anesthesia center."

Zhao Heng explained a little and said.

"It turned out to be a joint consultation."

Ruan Liuzheng nodded knowingly.

This joint consultation, also known as the hospital-wide multidisciplinary joint expert consultation, is the highest level of consultation in the East Hospital, and it is necessary to invite the deputy director or director-level doctor of each department to sit together and discuss the condition.

In general, there are very few patients who can meet this standard of consultation.

"What kind of patients need a hospital-wide consultation?"

Ruan Liuzheng said with some doubts.

"You'll find out when you go."

Zhao Heng didn't explain too much, Tian Zhen, as the head nurse, only listened to a rough idea when he received the call.

However, patients who can start a hospital-wide multidisciplinary consultation cannot be a minor illness or a disaster, or something that has never been dealt with before.

"Hmm."

Ruan Liuzheng nodded.

This follows the director, and he sees the world every day.

Now what can make Zhao Heng out of the horse are all incurable diseases, and doctors in some small places may not have seen this kind of patient in their lives, let alone treat.

Therefore, in a hospital, especially in a big hospital, it is extremely important to have a good teacher!

There must be a world of difference between a circle of resident doctors and a circle of chief doctors.

With a good teacher, you can not only learn a lot of knowledge and skills, but more importantly, you can meet more amazing people.

For example, an old man like Liu Ziang, under normal circumstances, Ruan Liuzheng as a further doctor, would not even be able to speak, let alone drink hand-ground coffee in his office, which can be said to be stained with Zhao Heng's light.

It's good to enjoy the shade under the big tree, that's the reason.

However, it was Zhao Heng who was looking for a big tree before, and now he himself is about to become a towering tree.

After a while, Zhao Heng and Ruan Liuzheng came to the conference room of the obstetrics department.

When he entered the conference room, Zhao Heng saw that Director Huang Jincheng of the Department of Cardiac Surgery was already sitting inside, and sitting next to him was the attending doctor of Cardiac Surgery, Jiang Rui, who had just returned from studying at Hopkins Medical School.

This Jiang Rui mentioned earlier, he belongs to Song Chen's little fan brother.

"Director Zhao, you're here."

Seeing Zhao Heng coming in, Jin Cheng smiled and said with a kind smile.

"Director Huang, don't call me Director, just call me Xiao Zhao."

As soon as Zhao Heng heard this, he immediately said.

If other people call him director, he thinks it's acceptable, but if Huang Jincheng calls him director, he feels a little weird.

"Your deputy director was appointed by the hospital, who dares to disagree, and with your level, you will become the director in a few years."

Huang Jincheng smiled disappreciatively and said.

"This job title is just for people to call, otherwise what to do."

After a pause, Huang Jincheng said again.

And Jiang Rui, the attending doctor sitting next to Huang Jincheng, when he saw Zhao Heng and heard Huang Jincheng call Zhao Heng [director] in the same capacity, the feeling in his heart was even more mixed.

His senior sister, Song Chen, who was abroad, mentioned Zhao Heng in front of him more than once after going abroad.

It seems that the senior sister's vision is indeed very powerful, the twenty-five-year-old deputy director can be said to be the only one in the country, and what is even more powerful is that Zhao Heng hired this deputy director, and the gossip of others is just envy, jealousy and hatred, and no one jumped out to say that Zhao Heng's level is not enough.

This shows that no matter what, Zhao Heng's level is now recognized by the whole hospital.

And he, Jiang Rui, MD from Hopkins School of Medicine and the attending physician of the Department of Cardiac Surgery at Dongfang Hospital, it stands to reason that no matter where he puts it, he can be regarded as a dazzling figure.

But now compared with Zhao Hengyi, that is the difference between pheasant and phoenix!

"Director Zhao, you're here."

Zhou Hong, the director of the obstetrics department, who was sitting at the top of the desk, also smiled very kindly and looked at Zhao Heng and said.

It doesn't matter what other people think of these elders, but in the eyes of elders like Huang Jincheng and Zhou Hong, it is a good thing for the entire hospital and even the entire industry that a young genius like Zhao Heng has been born in the hospital.

This means that there are successors to the medical career, not like some people say, they are not in a good position and are about to die.

】

Zhao Heng naturally greeted Huang Jincheng and Zhou Hong, and chatted casually, after all, these two have been chief doctors for many years, and they can be said to be the elders who have gone through ups and downs in the industry!

Although in terms of medical treatment, Zhao Heng thinks that his level has surpassed them, but in other aspects, he still has a lot to learn.

One after another, the directors of various departments arrived, and when they saw Zhao Heng, they all greeted each other very kindly.

This somewhat made Zhao Heng feel a little flattered, there is a saying that does not mean, only if you have money, or have an identity, then all the people around you are good people.

"Now that all the directors have arrived, let me first introduce the patient, no, I should talk about the situation of the child."

Zhou Hong, director of the obstetrics department, said slowly.

As soon as Zhou Hong's words came out, the directors present all frowned, if it was a child, shouldn't it be transferred to the neonatology department?

What kind of consultation will I see in the obstetrics?

"I know the doubts of the directors, since it is a patient, why not transfer to the neonatal department."

It seemed that he saw the doubts of the directors present, Zhou Hong said.

"That's because the baby is still in the mother's body, in other words, the baby is a 32-week gestation."

After a pause, Zhou Hong didn't sell anything, and continued to explain.

Ha?

Fetus?

The directors present listened to all the question marks on their faces.

As the saying goes, pregnancy is ten months, and under normal circumstances, the pregnancy cycle is about 28~49 weeks.

If you are pregnant enough for 37 weeks, you can give birth, and if you are born before 37 weeks of pregnancy, it is called preterm birth, between 28-37 weeks belongs to the range of preterm birth, and if you are pregnant more than 37 weeks, it is a normal full-term birth.

"During the physical examination of the pregnant woman, we found that the fetus has a very severe aortic stenosis through 3D imaging color ultrasound, and according to the current development situation, it may not last for a week and will be stillborn."

Zhou Hong continued to introduce the situation.

"Director Zhou, in this case, you can give birth to the child first, and then operate on the newborn."

Li Hongyu, director of the neonatology department, said.

In the neonatology department, every day is faced with a newborn baby, this birth, because of various congenital diseases to do surgery, to be honest, Li Hongyu has also encountered.

"This point is for Director Huang to explain."

Zhou Hong nodded to Li Hongyu, his question was also the confusion of the directors of the departments present.

If there is a problem with the fetus, why not wait until the fetus is born before surgery?

Although it is extremely difficult to perform surgery on a newborn baby, it has been tried and successful for the directors of East China Hospital.

"It's very simple, because according to the development of fetal aortic stenosis, once delivered, the heart does not have enough blood pressure to beat, and once born, the fetus will develop rapid heart failure, resulting in its rapid death, and there is no time and room for rescue."

Huang Jincheng said slowly and seriously.

As soon as he said this, the directors of the various departments present realized that this was definitely not a simple consultation.

In general, if the fetus develops aortic stenosis during the first trimester, as the pregnancy prolongs, the filling of the left ventricle will be affected, and the blood volume will continue to decline, leading to severe dysplasia and heart failure.

Especially during childbirth, in the fetus, the placenta is the child's "artificial heart-lung machine", which can provide blood and oxygen, but once delivered, the child's heart and lungs must circulate independently.

"Since you will die at birth, then you can only perform interventional surgery for aortic stenosis on the fetus before you are born and when you are still in the mother's womb."

Li Hongyu, director of the neonatology department, said with a solemn face.

As the director of the neonatal department, the most difficult operation was to perform interventional surgery for newborn babies with arterial stenosis combined with cardiac surgery, which was already very difficult.

The newborn baby is like an incomparably fragile porcelain, and the arteries are very small, and a little bit of a big action may puncture the newborn baby's arteries, causing serious consequences of hemorrhage and death.

This is to do cardiac intervention surgery on the fetus when it is still a fetus, to be honest, even he has never encountered this situation.

"Yes, at the moment, this is the only way to keep the child, and this kind of surgery has no precedent in Asia before."

Zhou Hong nodded and said.

"So is there a surgical option yet?"

Li Hongyu, director of the neonatology department, asked with a frown.

"Director Huang?"

When Zhou Hong heard this question, he gestured to Huang Jincheng.

"At present, on the side of cardiac surgery, we recommend that the cesarean section be followed by the completion of the uterine out-of-uterus treatment, first the mother is given a caesarean section, the fetus is exposed, and then the fetus is subjected to intrauterine cardiac intervention."

Huang Jincheng said slowly.

As soon as he said this, the scene suddenly felt a little uproar.

A 32-week-old fetus with a diameter of 2-3mm in diameter is at most, and the difficulty of puncture in such a small space is, for example, equivalent to throwing a coin into the trash can across a basketball court.

And for fetal surgery, it must be hit with one blow, and there is no second chance at all.

In other words, this is a one-hit life-and-death operation!

"Director Huang, I have no doubt about your level, but to do such cardiac intervention, you need an assistant of the same level, as far as I know, in the hospital, no one has reached the level of cardiac intervention like yours."

Li Hongyu, director of the neonatology department, asked with some confusion.

His doubts are also the doubts of the directors present.

"No, there is one other person who can, besides me being able to perform a cardiac puncture like this."

Huang Jincheng smiled and said in the face of Li Hongyu's doubts.

"And one more?"

"How I don't know."

"How can there be such a powerful person!"

As soon as Huang Jincheng said this, the directors present began to talk a little stumblingly.

"This person is Deputy Director Zhao of the Anesthesiology Center, and I have seen his cardiac interventional operation, and it is more than enough as my assistant."

Huang Jincheng saw the doubtful directors, and he didn't sell it, looked at Zhao Heng and said.

Ha?

Zhao Heng was also thinking about who this person was, but as soon as Huang Jincheng said this, everyone's eyes looked at him.

"Moreover, Deputy Director Zhao's level of anesthesia is also very high, which is another safety guarantee for the mother and the fetus."

After a pause, Huang Jincheng continued.

Hearing this, Zhao Heng came back a little, Huang Jincheng was recommending him!

Could it be that the family of this mother is not ordinary?

Otherwise, what would gold become so strongly recommend him to cooperate with the operation.

Of course, the actual situation is that only Zhao Heng has this level to cooperate with Huang Jincheng for fetal cardiac intervention.

"Deputy Director Zhao, do you think it's okay here?"

After Huang Jincheng finished speaking, Zhou Hong looked at Zhao Heng again and said.

"If it's just anesthesia and cooperative intervention, I don't have a problem."

Zhao Heng nodded, although he couldn't figure out why Gold had become so strongly recommending him, but the boss would not harm him, so Zhao Heng agreed first.

Next, the directors of other departments left, leaving the three directors of cardiac surgery, surgery, and neonatology, as well as Zhao Heng and Zhou Hong, director of obstetrics.

"Okay, now all the directors involved in the operation are here, so I'll give you an explanation."

Zhou Hong looked at the few people present and said slowly.

"This woman is the daughter-in-law who leads the No. 1 ministry directly under our hospital, I say this, you should know why I am so solemn."

Zhou Hong didn't sell it either, and said bluntly.

All of you here are the directors of the Oriental Hospital, and in other hospitals, they are basically the presidents.

Therefore, we can better understand the weight of this patient.

Zhao Heng was stunned when he heard it, No. 1's daughter-in-law?

This may not sound as loud as Ma Xiaochen, the son of the richest man Ma Jianteng, but in fact, the impact on doctors is simply too great.

Thinking of this, Zhao Heng glanced at Huang Jincheng, and then he knew why Huang Jincheng wanted to recommend him.

Although Zhao Heng's teacher Gao Jun's old man is considered the No. 2 person, those who are familiar with it know that there is still no No. 1 bull batch in this No. 2.

The authority of the number one leader is known to those who have experienced it, and there is no need to say more.