There are two main pathways for percutaneous intervention of coronary arteries, one is transfemoral artery and the other is transradial artery.

The femoral artery of the thigh is thick, and the success rate of puncture is high.

However, its disadvantages are the long postoperative bed rest and the high incidence of puncture-related complications, such as hemorrhage, hematoma, pseudoaneurysm, arteriovenous fistula, retroperitoneal hematoma, etc.

Nowadays, the first route of coronary intervention is the trans-radial artery, which has relatively few side effects.

As for the interventional treatment of bile duct stone removal, it is necessary to make a small hole in the waist and abdomen, and puncture the bile duct with the help of a laparoscopic field of vision......

When Yu Zhiming held the guide wire in his hand and slowly passed through the radial artery and bile duct, he had a clear feeling.

This guide wire is an extension of his limbs and senses.

Yu Zhiming can clearly perceive the scene encountered by the guidewire head in the narrow passage.

This perception is vivid, so that he does not need the guidance of medical imaging equipment, and can also control the guide wire to choose the right direction to break through and swim against the current.

Yu Zhiming's immersive perception and manipulation enabled him to complete the dilation treatment of the patient's coronary artery stenosis and the removal of another patient's common bile duct stones without much effort.

Wang Chunyuan and Han Shuo, who were the guiding and supervising doctors, invariably sighed in the face of Yu Zhiming's handy, such as the operation of the arm and fingers.

Yu Zhiming, this guy is naturally suitable for interventional treatment......

Yu Zhiming was busy with all the work in the afternoon, it was past the end of work, and as soon as he returned to the big office to clean up and go home, he was called to the director's office.

"Zhiming, your diagnosis of the young Yu Qiao is right, I have monitored that his brain blood transfusion accounts for 28% of the whole body."

Qi Yue handed a copy of the test data to Yu Zhiming.

"This is not the premise of the teenager's full effort, I did a simple test, when he thinks with all his strength, the proportion of blood in the brain can be as high as 32 percent."

Qi Yue sighed again: "Psychological counseling also confirmed your judgment, that young man's psychological pressure is quite large." ”

The teenager revealed that one day a few years ago, he overheard a conversation with his parents.

"I know that my parents dislike him for being stupid, resent him for losing the face of the family, and say that they can't wait for the kidnappers to abduct him."

Yu Zhi knew that it should be this extremely hurtful word that made the young man deeply stimulated and awakened the BUFF.

Teacher Qi continued: "From that day on, the teenager began to study hard, and he did not dare to slack off in the slightest. ”

Yu Zhiming put the checklist on the desk and said slowly: "The achievements of this young man today have proved at least a little ...... for the students of Guangzhou."

"Diligence can really make up for clumsiness; Persistent efforts can indeed make up for the lack of talent. ”

Qi Yue cut lightly.

"The price is stunted growth and longevity."

"Painstakingly exhausted, the oil ran out, Zhuge Liang died of exhaustion, these statements and allusions still have a lot of scientific basis, and it is really possible."

Yu Zhiming smiled and asked, "Teacher, since it has been diagnosed now, how should this situation of the teenager be treated and adjusted?" ”

Qi Yue groaned and said: "The diligence and hard work of the young man are now habitual and natural, let him stop and be willing to be mediocre, it is estimated that it is not very likely." ”

"The first thing is psychological counseling, to relieve obsession, so that he doesn't have so much psychological pressure."

"This heavy psychological pressure is also one of the important factors affecting his physical development."

"In addition, parents of teenagers also need to receive psychological counseling to learn how to communicate with their children."

"In addition, absorbing daily nutrients from ordinary foods is not very suitable for the physical development needs of teenagers."

"He's going to take a high-energy nutrient solution or something."

"Finally, proper physical exercise is also a must."

Qi Yue said with regret: "It's just that these measures can't be completed overnight. ”

"Besides, he is already seventeen years old, even if these measures are effective, and he gets a chance to compensate for rapid physical development, and in the next two or three years, his height will increase by another fifteen centimeters, which is considered to be the sky."

Yu Zhiming imagined what Yu Qiao would look like in the future, and said with a smile: "One meter six five, and then wear four or five centimeter height shoes, but there will be one meter seven." ”

"Dress up a little more upright, and keep a sky-high hairstyle, it will look like 1.75 meters."

"One meter seventy-five is enough for a man."

Qi Yue was amused all of a sudden, and laughed: "Your inflated increase is too outrageous." ”

"False, fake."

"In fact, for men, height and appearance are not the most important thing, what matters is interior, ability and wealth."

"If you own a castle, it's a beast, and the beauty will fall in love with you."

After a pause, Qi Yue turned to ask, "You went to the medical office at noon, did the new Director Yang say anything?" ”

"Teacher, he punished me for writing a review book......

Yu Zhiming briefly and clearly described his experience of going to the medical office.

Qi Yue's brows furrowed slightly.

"This guy's intentions are unknown!"

"Do you want to take your prestige?"

Qi Yue shook his head and said, "Although the punishment decision he made to you is reasonable and well-founded, the punishment is slight, and it is better than nothing, and it will not achieve the effect of Liwei." ”

"It's not like it."

"He can take this as if it happened during his previous reign and just let it go."

Yu Zhiming had a casual attitude of being a soldier, and said: "Teacher, this review, he asked me to write it, and I will write it." ”

"There was a lot of trouble in that incident, and I was really at fault, and it was not good for the hospital to ignore it and let it pass."

"This review, for me, is equivalent to an attitude of the hospital, and it also draws an end to that incident."

Qi Yue nodded lightly and said, "It's not bad that you can think like this." ”

He exhaled again, "Let's see...... That Director Yang will be a person and do things in the future. ”

"Even if you know how important you are now, the director of a mere medical department can't move you."

After talking about the work matter, Qi Yue told Yu Zhiming another good news.

His paper on extracorporeal bypass surgery has been accepted by the Chinese Journal of Surgery and will be published in November.

This news made Yu Zhiming very happy.

Back then, when he was in the county hospital, in order to promote the attending physician, he published a title paper in a provincial journal, entrusted his relationship, and sent money and treats, but it took a lot of effort.

How can it be as easy as now, I handed over the paper to the teacher for review on Sunday, and in the blink of an eye on Tuesday, I got the exact news that I was accepted by a national core medical journal.

"Teacher, are you out of the relationship?"

Qi Yue chuckled: "I just sent the paper to a familiar editorial board, and after he read it, he thought that the paper had a lot of reference and inspiration value, so he accepted it." ”

"At the end of the day, it's the quality of the paper itself."

Yu Zhiming just listened to this, so that he would not be naïve and naïve to believe it.

Just imagine, a little-known little doctor and a well-known medical expert, even if the quality of the little doctor's paper is better than that of a medical expert, if you choose one of the two, the paper that is brushed down must be the paper of the little doctor.

This is the current state of our country.

When Yu Zhiming left the director's office, he also took a thick medical record with him.

This is a new patient that Mr. Qi has taken over.

He was only nine years old and had been frail and sickly since he was a child.

Over the years, the young patient has been treated by no less than 10 medical experts and old Chinese medicine practitioners, but the weak body has not only not improved, but has a tendency to become more serious.

Today, young patients spend most of the month either recuperating in bed or traveling in wheelchairs.

Teacher Qi also told Yu Zhiming that the little patient's home was in the capital, and finding him here was considered a random doctor.

They rushed to Binhai around Thursday and Friday, and Yu Zhiming first familiarized himself with the physical information of the little patient in the past two days......

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