medical treatment

Yu Zhiming didn't change his clothes, didn't wash his hands to disinfect, and went directly into the operating room.

He first glanced at the patient lying on the operating chair who was in a coma after anesthesia, met the gazes of Dr. Zhao Ge, the anesthetist, and two surgical nurses, and said: "The patient's family suddenly changed their mind and will not perform the operation. .”

Zhao Ge gestured to the anesthesiologist, took off the mask strap hanging on his left ear, and revealed a square face.

"Craniocerebral surgery, it is not uncommon for patients and their families to temporarily change their minds and give up surgery, after all, the risks are high."

Zhao Ge sighed softly again: "However, you don't believe in Dr. Yu's ability. You are really too cautious and worried."

Yu Zhiming smiled lightly and said, "Doctor Zhao, I am also limited in my abilities when it comes to performing surgery."

After a pause, he apologized again: "I'm sorry for making you all busy for most of the day."

Zhao Ge laughed and said, "Doctor Yu, there is no need to apologize, this is not your fault."

While the two were talking, the anesthetist injected the patient with a wake-up agent and transferred the patient to a gurney with the nurse.

Yu Zhiming, Dr. Zhao, and the anesthetist surrounded the gurney, waiting for the patient to wake up.

"After the patient is settled, I invite everyone to have dinner, thank you for your hard work today."

Zhao Ge laughed and said, "Doctor Yu, you're welcome, we've already had dinner."

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

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

"To be honest, I haven't had dinner yet, so you have the right to accompany me."

Zhao Ge asked the anesthesiologist and the two nurses with his eyes, and said with a smile: "Then we are sorry to bother 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 was a little unstable. After entering the operating room, we gave him anesthesia."

"It's an inhalation-type shallow anesthesia. Now that I've been given a wake-up agent, 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 waking up, but was exploring the reason why this guy could fall to the ground and pass out that day with a slap on his chest.

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

Now that he finally had the chance, Yu Zhiming couldn't hold back his curiosity, so he hurried to investigate.

It has to be said that in the soundproof operating room, there is no interference from many noises, and the voice from the arm is extremely clear.

This also greatly improved Yu Zhiming's detection efficiency. It only took about ten seconds to detect the patient's heart.

No issues of concern were found.

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

Soon, he discovered a suspicious point.

The right subclavian artery, a section about two centimeters long, was slightly dilated.

Yu Zhiming concentrated his attention on investigating this location, and found that the wall of this section of blood vessel was much thinner.

Moreover, the lumen is slightly dilated.

This is?

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

The carotid sinus is located at the beginning of the internal carotid artery, and the wall of the vessel is slightly thinner, while the lumen is slightly dilated.

In the deep adventitia of the carotid sinus vessel wall, there are abundant pressure-sensitive nerve endings, that is, carotid sinus baroreceptors; there are also chemosensitive nerve endings, that is, carotid chemoreceptors on the ventral side of the sinus cavity.

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

It is particularly sensitive to stress, and very little pressure can cause slow heartbeat, drop in blood pressure, and even loss of consciousness.

Yu Zhiming also knows that the baroreceptors in the whole 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 vessel, the right subclavian artery, is also enriched with baroreceptor nerve endings, making it another carotid sinus?
Vigorously slapping the chest, where the "carotid sinus" felt the impact and pressure changes, and then adjusted blood pressure and heart rhythm, causing the patient to fall to the ground and become unconscious?

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

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

The anesthetist did a basic examination on the patient, and asked two simple cognitive questions, saying that there was no problem.

The patient was then handed over to family members.

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

At this time, it was already past 08:30 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 small casserole restaurant not too far from the hospital.

The small shop serves food very quickly, and within a few minutes of ordering, all the people at the table started eating and drinking.

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

When he was drinking water, Zhao Ge's voice sounded in his ear.

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

Yu Zhiming nodded and hummed.

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 again: "Four operating rooms, according to the average utilization rate of our hospital's operating rooms, we have to arrange twelve operations in one working day."

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

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

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

Zhao Ge let out a sigh and said, "Two surgeons are in charge of three operating rooms. It's really hard work."

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

Zhao Ge smiled and said, "In this case, the operating rooms in the center will not be used efficiently, so they will be wasted?"

"The medical department and the financial department will not sit back and watch this happen in consideration of economic benefits."

After a pause, he turned to say: "Director Qi was born in the Department of Neurology. Every year, many patients from your center come to our Neurosurgery Department for surgery."

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

Yu Zhiming was slightly taken aback, 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 someone to your center."

"Who?" Yu Zhiming asked!

Zhao Ge sighed softly and said, "He is my student. I was very optimistic about his future. If he develops well, he will not be much worse than Dr. You today."

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

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

Zhao Ge explained: "It is relatively easy for young doctors with excellent skills to enter Huashan Hospital."

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

"But for a chief physician who has already made a name for himself, unless you are the top one in the industry, it will be extremely difficult to enter Huashan. Because Huashan has no shortage of chief physicians of similar level."

Yu Zhiming nodded.

As a well-known comprehensive hospital in the country, Huashan Hospital has its own heritage and arrogance.

The introduction of talents only needs two ends.

Either a top medical expert in the field, or an outstanding young doctor with great training potential.

Don't want those at the middle level, because there is no shortage.

I heard Zhao Ge introduce again: "His ability is quite good. Compared with Dr. You, he is slightly inferior. He can handle most neurosurgery operations."

"It's perfect for your center to introduce him."

Hearing this, Yu Zhiming understood.

For the development of the center, the hospital takes extra care, not only has no limit on staffing, but also has the right to recruit independently.

Dr. Zhao Ge is trying to save the country with a curve, 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 my teacher has to consider."

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

Zhao Ge said hello...

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 respectively.

Dr. Zhao and the anesthetist each cost [-] yuan.

Two nurses cost two thousand each.

Although the operation failed, Dr. Zhao and others have been busy in the soundproof operating room since the afternoon.

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

Yu Zhiming wants to express this hard work and dedication.

For Yu Zhiming, being able to express gratitude with money is more cost-effective than using favors.

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

After [-]:[-] in the evening, Yu Zhiming and Zhou Mo, who were full of food and drink, drove back to Junshan Mansion.

Yu Zhiming transferred 1 yuan to Zhou Mo through WeChat.

"Damn it, besides the ten thousand, I also owe Dr. You a favor."

"This time, I lost a lot of money."

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

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

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

"I prepared so much, but suddenly stopped, and it became useless."

"Think about it, it's really annoying."

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

It's Third Sister's call.

"Fifth, just now I received a call from Yang Shuang's parents asking me for your opinion on surgery."

"I told them directly, Old Five, you have done what you should do for them. Whether to have an operation or not, they can only make their own decisions, and there is no need to ask for other people's opinions."

"In the end, they said, do the surgery."

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

"They want to take their daughter to play around Binhai in the past few days, so as not to have any accidents during the operation..."

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