Yu Zhiming did not change his clothes, nor did he brush his hands to disinfect, and went directly into the operating room.

He first glanced at the patient who was already in a coma under anesthesia sitting on the operating chair, met the eyes of Dr. Zhao Ge, the anesthesiologist, and two surgical nurses, and said, "The patient's family suddenly changed their minds and stopped operating. ”

Zhao Ge made a gesture towards the anesthesiologist and took off the mask strap hanging from his left ear, revealing a square face.

"It is not uncommon for patients and their families to temporarily change their minds and give up the surgery, after all, the risk is high."

Zhao Ge sighed lightly again: "However, I don't even believe in Dr. Yu's ability, it's really too cautious and worried." ”

Yu Zhiming chuckled and said, "Doctor Zhao, I also have limited ability in the part of surgery. ”

After a pause, he apologized again: "I'm sorry that you have been busy for most of the day. ”

Zhao Ge smiled and said, "Doctor Yu, there is no need to apologize, it's not your fault. ”

While the two were talking, the anesthesiologist injected the patient with a wakefulness stimulant and, together with the nurse, transferred the patient to the gurney.

Yu Zhiming, Dr. Zhao, and anesthesiologist gathered around the gurney, waiting for the patient to wake up.

"After settling this patient, I invite everyone to dinner and thank everyone for their hard work today."

Zhao Ge smiled and said, "Doctor Yu, you don't need to be polite, we have already had dinner. ”

Yu Zhiming continued to invite: "I know that doctors and nurses with surgical tasks will control their diet before entering the operating room. ”

"The little you ate for dinner should have been consumed almost by now."

"To tell you the truth, I haven't had dinner yet, so you should be right to stay with me."

Zhao Ge used his gaze to solicit the attention of the anesthesiologist and the two nurses, and said with a smile: "Then we will be embarrassed to disturb Dr. Yu." ”

He noticed that Yu Zhiming's hands were groping back and forth on the patient's chest.

Zhao Ge thought that Yu Zhiming was worried about the patient's awakening, and explained: "The patient's mood is a little unstable, and after entering the operating room, we anesthetized him. ”

"It's an inhalation superficial anesthesia, and now I have a wake-up booster, and I can wake up in a minute or two at most."

Yu Zhiming hummed lightly, but his hands still did not leave the patient's chest.

He wasn't worried about this guy's awakening, but he was exploring the reason why this guy was able to fall to the ground and fall unconscious when he slapped his chest that day.

At that time, the initial speculation was that it was a reflex coma, similar to the kind of fainting needle and blood.

Now that he finally has a chance, Yu Zhiming couldn't hold back his curiosity and hurriedly started to investigate.

I have to say that in the soundproof operating room, there are not many noises to interfere, and the sound from the arm is exceptionally clear.

This also greatly improved Yu Zhiming's exploration efficiency, and it only took about ten seconds to explore the patient's heart.

No issues of concern were identified.

Yu Zhiming then explored the large blood vessels in the patient's chest.

Soon, he discovered a suspicious spot.

The right subclavian artery, a section of blood vessels about two centimeters long, is slightly inflated.

Yu Zhiming concentrated on exploring this location, and found that the wall of this section of blood vessels was much thinner.

Also, the lumen is slightly enlarged.

This is?

Yu Zhiming suddenly realized that this is a bit like a carotid sinus?

The carotid sinus is located at the beginning of the internal carotid artery and is also a slightly thinner vessel wall with a slightly enlarged lumen.

In the deep adventitial layer of the carotid sinus vessel wall, there are abundant baroreceptor nerve terminal devices, i.e., carotid sinus baroreceptors; There are also chemoreceptor nerve terminal apparatus on the ventral surface of the sinus cavity, known as carotid artery chemoreceptors.

The carotid sinus transmits blood pressure impulses to the vasomotor center of the medulla oblongata, regulating blood pressure and heart rhythm.

It is particularly sensitive to stress, and with little stress, it can cause a slow heartbeat, a drop in blood pressure, and even loss of sensation.

Yu Zhiming also knows that the baroreceptors throughout the body are not limited to the carotid sinus, and the right subclavian artery and the aortic arch also have similar functions.

Perhaps, the somewhat distorted blood vessels of the right subclavian artery are also enriched with baroreceptor nerve endings, thus turning it into another carotid sinus?

Vigorously slapping the chest, where the "carotid sinus" feels the impact and pressure changes, which in turn regulates blood pressure and heart rhythm, causing the patient to fall to the ground and fall into a coma?

The next moment, Yu Zhiming keenly noticed that the patient's heartbeat was a little faster, and his blood pressure had also increased, and he knew that he was about to wake up, so he withdrew his hand.

Sure enough, within three seconds, the patient opened his eyes.

The anesthesiologist did a basic examination of the patient and asked two simple cognitive questions, indicating that there were no more problems.

Next, the patient was handed over to the family.

Yu Zhiming and the others cleaned up the operating room a little, then turned off the machine, closed the door, turned off the lights, and left......

At this time, it was already half past eight in the evening.

The dinner was arranged temporarily, and there was no particularly good place to go, so Yu Zhiming took Dr. Zhao and Zhou Mo to the casserole restaurant not too far from the hospital.

The small shop served the food very quickly, and a few minutes after ordering, they ate and drank at the table.

Yu Zhiming first buried his head in eating for a while to relieve some of his body's hunger and discomfort.

As he drank water, Zhao Ge's voice sounded in his ears.

"Doctor Yu, there was only one operating room in your center before, but now in the old specimen building, as far as I know, a total of four operating rooms have been renovated?"

Yu Zhiming nodded.

In addition to the soundproof operating room on the third basement floor, there is also a standard operating room, a teaching operating room, and an interventional operating room on the second floor above ground.

Zhao Ge said: "Four operating rooms, according to the average utilization efficiency of our hospital's operating rooms, we have to arrange twelve surgeries a day on weekdays. ”

"Of course, your center is mainly internal medicine, and the number of surgeries is relatively small, and there must be eight surgeries that day."

"I don't know, besides Dr. Han Shuo, there are other full-time surgeons joining your center?"

Yu Zhiming thought for a while and said, "What I know is that there will be a deputy chief physician from the Department of Urology. ”

Zhao Ge sighed lightly and said, "Two surgeons, in charge of three operating rooms, are really difficult. ”

Yu Zhiming said with a smile: "Major surgery, difficult surgery, the main thing is to ask for foreign aid. Either the patient is sent to a surgical center or a corresponding department. ”

Zhao Ge smiled and said, "In this case, the utilization efficiency of several operating rooms in the center is not high, so it will be wasted?" ”

"The Medical Service and the Finance Service will not sit idly by and watch this happen, considering the economic benefits."

After a pause, he turned to say, "Director Qi came from the Department of Neurology, and many patients in your center come to our neurosurgery department for surgery every year. ”

"Dr. Yu, I think your center should also recruit a neurosurgeon."

Yu Zhiming was slightly stunned and asked, "Doctor Zhao, do you want to come to our center?" ”

Zhao Ge waved his hand and replied: "It's not me, it's not me, I want to recommend one to your center." ”

"Who?" Yu Zhiming asked!

Zhao Ge sighed lightly and said, "He is my student, I was originally very optimistic about his future, and if he continues to develop well, he will not be much worse than the current Dr. You." ”

"It's just that for the so-called love, I resolutely returned to my hometown and provincial capital."

"He has now become the chief physician, and he also wants to come back, but it is not so easy."

Zhao Ge explained: "If you are an excellent young doctor, it is relatively easy to enter Huashan Hospital. ”

"We can train them to be excellent chief physicians."

"But the chief physician who has already achieved fame, unless you are the top one in the industry, it is extremely difficult to enter Huashan. Because we have Huashan, there is no shortage of chief physicians of similar level. ”

Yu Zhiming nodded.

As a well-known comprehensive hospital in China, Huashan Hospital has its own heritage and pride.

The introduction of talents, as long as two ends.

Either they are top medical experts in the field, or they are excellent young doctors with great training potential.

The middle level, don't, because there is no shortage.

I heard Zhao Ge introduce again: "His ability is quite good, compared with Dr. You, that is, slightly inferior, he can handle most neurosurgical operations." ”

"It's only fitting for your center to bring him in."

Hearing this, Yu Zhiming also understood.

For the development of the center, the hospital takes special care of it, not only does not limit the number of staff, but also has the right to recruit independently.

Doctor Zhao Ge is saving the country by curves, and wants to recruit that student again through the center.

Yu Zhiming said cautiously: "Doctor Zhao, whether the center still needs to hire a surgeon is something that my teacher has to consider. ”

"I suggest you send that person's information to my teacher, or I can pass it on."

Zhao Ge responded with a good ......

At the end of this dinner, Yu Zhiming took four envelopes containing cash from Zhou Mo and handed them to Dr. Zhao Ge, the anesthesiologist, and two surgical nurses.

Dr. Zhao and anesthesiologist, 3,000 each.

Two nurses are two thousand each.

Although the operation was not completed, Dr. Zhao and his colleagues have been busy in the soundproof operating room since the afternoon.

Such as debugging the instruments and equipment in the operating room, preparing the medical supplies required during the operation, disinfection and sterilization, etc.

This hard work and dedication, Yu Zhiming wants to express it.

For Yu Zhiming, it is more cost-effective to be able to express gratitude with money than to use favors.

After some pushing, Zhao Ge and the others accepted Yu Zhiming's mind with a smile.

After 9:40 in the evening, Yu Zhiming and Zhou Mo, who were full of food and drink, returned to Junshan Mansion by car.

Yu Zhiming transferred 10,000 yuan to Zhou Mo through WeChat.

"Yaya, in addition to this 10,000 yuan, I also owe Dr. You a favor."

"This time, I'm losing a lot of money."

Zhou Mo asked: "Doctor Yu, although the operation was not completed, the patient still has to pay some expenses, right?" ”

Yu Zhiming said depressedly: "It's just the cost of some medicines and medical supplies, and the investment in the operation fee is not easy to settle for them." ”

Zhou Mo nodded and said, "Doctor Yu, for this operation, you asked the logistics department to prepare the operating room in advance, let Dr. You design the puncture path, and also contacted Dr. Zhao in case of emergency, plus your own time and energy investment." ”

"I prepared so much, but it suddenly came to an abrupt halt and became useless."

"Come to think of it, it's really infuriating."

At this time, Yu Zhiming's mobile phone rang.

It's a call from the third sister.

"Old Five, I just received a call from Yang Shuang's parents, asking me to ask you for your opinion on surgery."

"I told them directly, Old Five, that you have done what you have to do for them. Whether or not to have surgery is a decision for them and they don't need to ask for advice. ”

"Finally, they say, do surgery."

"However, they want to postpone it for a few days."

"They want to take their daughter to have a good tour of the beach in the next few days, so as not to have a ...... in case of surgery."

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