This doctor has a system

Chapter 499 563. Come and see the gods
Before the operation began, Qin Mengying said a solemn farewell to her parents and cried her heart out.

"What are you doing?" Gao Feng felt speechless. I have simulated it several times in the system space. Even if it means spending so many skill points, I will not let you die easily.

He had made sufficient preparations for this operation and was confident that he could give a perfect result.

And this time is different from the past. In the past, he could complete difficult operations with the help of the system, but others couldn't do it.

But this time, from beginning to end, even without a system, the surgeon can theoretically perform the procedure as long as he strictly follows the existing operating procedures.

"Okay, the live broadcast room has been set up." Wang, the secretary of the Information Department, breathed a sigh of relief. "I've sent the link to the group, you can forward it to others."

Their information department suffered a lot for this live broadcast.

There were problems when the lines in the operating room were first built. In order to make it match the new equipment, everyone in the Information Department had to come to work at night.

Why not do it during the day?
Because the operating room is fully booked for surgeries during the day.

There are actually surgeries at night, but they can be relatively scheduled, at least freeing up several operating rooms that need circuit modifications.

Many departments have complaints about this and feel that it delays their work.

However, everyone just complained in their hearts, and no one raised any opinions in person.

When the operation started, Secretary Wang looked at the backstage data and saw that the number of viewers was 168.

"Check in!"

"Sign in!"

“Check in together.”

There aren’t that many people, he thought, but this number is quite auspicious.

"She's really pretty." The anesthesiologist said with a smile, "Director Gao, please be careful when you sew her skin to avoid leaving scars."

As he spoke, he pushed the medicine into the mouth. Qin Mengying was nervous, and soon she closed her eyes and fell asleep.

Director Chai stood next to Gao Feng, looking eager to try.

"Director Gao, can I go ahead?"

"Okay." Gao Feng appreciated his positive attitude. Although Director Chai is old, he has a lot of experience and is a top-level expert in the province.

"Hello everyone, our surgery has officially started. Today's procedure is an interventional descending Potts shunt." Gao Feng's voice rang out on the live broadcast screen. "The one who is currently operating is Director Chai from the Provincial Hospital Intervention Department. He will..."

The entire interventional department of a tertiary hospital was watching the live broadcast.

"Director Chai has very strong basic skills." someone said.

"H Nan has a lot of patients, so my junior fellow student's skills have been nurtured." Director Ji Mingda said in the department, "I used to take care of him."

He is Director Chai's senior classmate and stayed in Shanghai after graduation.

A week ago, the other party suddenly contacted him and said that they would perform a Potts shunt surgery under intervention. "There will be a live broadcast at that time, you must watch it on time."

Ji Mingda was stunned for a moment. He naturally knew about the Potts shunt technique, so he doubted what his junior brother said.

"When can the Potts shunt be performed? Aren't you afraid of spraining your tongue in the wind?"

"We are going to do this for adult patients with idiopathic pulmonary hypertension," Director Chai told him. "It's the first case in China!"

Ji Mingda quickly looked up the relevant literature and called several familiar experts to inquire. They all said that they had never seen this surgical procedure.

"That's why I called you." Director Chai said as a matter of course, "Junior brother, I'm going to show off my reputation in the medical field."

Ji Mingda really wanted to complain about him, but he felt it was not auspicious, so he held it back.

Director Chai quickly finished all the dirty and tiring work, and then he quickly exchanged positions with Gao Feng.

Several cameras were pointed at the operating area, and one was directly facing the surgeon's face.

This guy is so handsome, the doctors thought before the live broadcast.

Gao Feng wanted to make this operation into a teaching video, so he deliberately slowed down the speed after taking over so that the camera could clearly capture every detail.

"See? This step is critical. The guide wire's angle is very important. This is a prerequisite for our subsequent laser drilling."

Under his operation, the guide wire in his hand seemed to have life and entered the designated position smoothly.

Everyone before the live broadcast had different expressions. Some had strange eyes, some had calm expressions, and some were a little confused.

"It looks simple." A doctor couldn't help but say.

"You know nothing! You can't even understand me!" The department director scolded, "Just this step of inserting the guidewire can't be done without 10 years of practice."

"You can't get it in even if I let you poke it for a whole day!"

"Everyone must think this is easy." Gao Feng said to the camera with a smile, "In fact, it is not difficult. Every surgeon should master this skill, otherwise the subsequent operations will not be able to proceed."

He then pulled out the guide wire and said, "Director Chai, you try it too."

Director Chai took the guide wire with some surprise and started the operation.

There is no harm without comparison. The guide wire that was full of life in Gao Feng's hands became somewhat uncontrollable in Director Chai's hands.

It can be clearly seen in the live broadcast that he kept changing the angle of his hands and even adjusted his body posture.

But the guide wire just couldn't reach the designated position.

"this."

"Don't be anxious, adjust slowly." Gao Feng said softly.

"Because the opening is small and the selected site is the brachial artery, the insertion of the guidewire is more difficult than the ordinary procedure."

“A bit tight”

"It's normal to not be able to get in once, just try more."

Director Chai's back was wet. He finally got the guide wire to the right position. He looked up at the time and it took 15 minutes.

In the past, he thought this was normal, but compared with Gao Feng's smooth operation, it was simply weak.

"It's too slow." A doctor commented below the live broadcast room.

"15 minutes is still too slow! Are you out of your mind?" someone responded rudely.

The doctor was a little unhappy and was about to have a battle with the other party, but suddenly he found out that this was a big shot in the interventional field in his area.

At this time, the number of people in the live broadcast room reached 322, and Secretary Wang felt that his work was still meaningful.

"Okay, after the guidewire enters the appropriate position, we can proceed to the next operation." Gao Feng's voice sounded again, "The next step is to complete the puncture from the descending aorta to the pulmonary artery."

As she was talking, the nurse pushed in a peculiarly shaped instrument.

"Aren't we going to use a transseptal needle?" Someone felt confused. "What is this thing that's being pushed up?"

Director Chai’s senior brother Ji Mingda was also a little confused. If he hadn’t seen his junior brother on the stage, he would have wanted to call and ask.

"This thing is a laser punch specially developed for this operation." Gao Feng motioned the camera to move forward. "The principle is very simple. It uses the energy of the laser to instantly open the passage between the descending aorta and the pulmonary artery."

"Compared with previous transseptal puncture and radiofrequency perforation, laser perforation has two main advantages."

"First, the success rate is high. As long as you get the angle right, you can basically succeed."

"Secondly, the risk is greatly reduced. If the energy output is well controlled, even if the shot is off target, the risk of bleeding is very low."

Gao Feng operated the machine to start positioning, selected the appropriate angle, and the camera immediately switched to the screen.

"We can do some guidance before firing, so the success rate is higher."

He clicked the button, the laser puncher flashed immediately, the image in the camera shook, and soon returned to normal.

"Okay." Gao Feng said.

“Already?!!!” Many directors in front of the live broadcast were stunned.

"Everyone, I didn't understand what you saw just now. Can anyone explain it to me?" someone said in the live broadcast room. "What does 'finished' mean? Is the drilling completed?"

"It seems to be done." A director said uncertainly, "The guidewire has entered the pulmonary artery along the hole." "Fuck!"

"Fuck!"

"What is going on?" Director Ji Mingda felt that his inherent ideas had been greatly impacted. How could this be possible?

What the hell are you doing?
He has always been proud of his unique and sophisticated operating experience in septal puncture needles, but the laser drilling performed by the other party today shattered everything he was proud of.

"Isn't this cheating?" Director Ji muttered to himself.

There were many other people who had the same reaction as him. They stared blankly at the strange instrument on the screen, not knowing what to say.

The number of people in the live broadcast room has reached 746, and many people have begun to speak frantically below.

"What is this thing? Why have I never seen it before?"

"Laser punch? Where can I buy one? Is it made by a foreign company?"

"Why did it heal so quickly? The septal puncture will take at least an hour!"

"Our director has gone crazy, everyone please tell me where I can buy it!"

"Director Gao, please introduce this laser puncher to us." Director Chai's voice came from the live broadcast screen, "I think everyone must be very interested in this."

More than just interest, many directors were so anxious that they were scratching their heads and wished they could dive into the live broadcast screen to grab the equipment.

"There's nothing much to say about the instrument, and the cost is not very high." Gao Feng said casually, "Such a product will be launched on the market soon. Anyone interested can contact Fengxin Technology."

After he finished speaking, he started the next step, which was to insert a covered stent to connect the descending aorta and the pulmonary artery.

This step is the most difficult in the entire operation. For patients with idiopathic pulmonary hypertension, the pressure in the pulmonary artery is very high, and various complex situations will be faced when the covered stent is implanted.

In conventional Potts shunt surgery, the heart needs to be stopped for this step, and the patient's life depends entirely on extracorporeal circulation.

The assistant will then drain the blood from the descending aorta and pulmonary artery, and the surgeon will quickly anastomose the two blood vessels.

However, there is no way to stop the patient's heart during interventional surgery, and draining the blood from two blood vessels is simply nonsense.

This is the time to test the surgeon's skills. Gao Feng deftly delivered the stent to the right place. Director Chai on the side had tried his best but could only sigh helplessly.

There is no way to learn such skills.
The people in front of the screen had the same idea.

"If he's like this, it's useless for us to see him," a doctor commented below.

"Yeah, who can learn this?"

"Let's go."

"If such an operating speed is required to ensure the success of the operation, then I really can't think of anyone who can do it." The director of the interventional department of a certain hospital had a look of despair on his face.

This question is too difficult, I don’t know how to do it!
Gao Feng suddenly stopped at this time, and everyone who had focused their attention on him immediately quieted down.

"Why did it stop? Is there something wrong?" Director Chai asked the question on everyone's mind.

"I'm sorry." Gao Feng said to the camera, "I didn't control myself well just now. I did it too quickly. I guess you didn't see it clearly."

“And the location isn’t perfect.”

He hesitated for a moment, "How about I try again?"

After Gao Feng finished speaking, he moved the stent graft back to its starting position.

"You" Director Chai's lips trembled. Oh my God, is there such a cool thing?

In his impression, it was God's blessing that such a complicated operation could be performed perfectly.

Why don't you end it quickly?

One more time?
Crazy!
The people watching the live broadcast were also shocked by Gao Feng's operation.

"That position is already perfect, how can we just back out of it so easily?" someone raised an objection.

"Too conceited!"

"How strong is the confidence in oneself!"

"I was impressed by his ability to put the stent in at first, but now he has taken it out. To be honest, I admire him even more."

"If I can put it in perfectly again, I'll kowtow to Professor Gao."

"Look, everyone, we chose a conventional stent graft." Gao Feng worked very slowly this time. "From the touch of my hand, this stent graft is relatively soft."

"So you must control the strength well when operating, otherwise it is easy to cause the bracket to deform."

The deformation will cause problems with the embedding position, which will make adjustments relatively troublesome later.

"When you reach this corner, you must turn your wrist in time," Gao Feng explained the technique carefully, "You must also be careful when passing the position ahead."

"Let me show you how to adjust the angle when it's not right."

"Please pay attention to how the stent changes angle when the guidewire is rotated."

"Don't be afraid if the stent graft is crooked. Look, I increased the force. Is the stent crooked?"

"Don't worry, you just need to adjust the angle of the guide wire so that it and the stent are in the same position and then flipped over."

If there were discussions and questions when people were watching the live broadcast before, now there is complete silence.

"Record it! Take the camera and record it for me immediately!" a director shouted.

"But I'm watching it, too."

"What the hell are you looking at? Can you learn it just by watching?" The director was furious. "Hurry up!"

The number of people in the live broadcast room exceeded 746 from 2000, and the number was still rising. Secretary Wang began to feel the pressure.

If there are too many people, there might be problems later.

"Old Zhu, come and see the gods!" Zhu Xiangming from the Interventional Department of Fuwai Hospital in Beijing received a call from a friend.

"What gods are you looking at?" Zhu Xiangming was puzzled. "Why are you still practicing feudal superstition?"

"I don't have time to explain it to you in detail. Come quickly." The other party hung up the phone directly and then sent a link.

Director Zhu Xiangming has always been very wary of such unknown links. He hesitated for a moment and did not dare to click on it at the first time.

"Director Dong!" he shouted.

"What's wrong?" Director Dong in the department turned his head.

"I'll send you a link, please click on it and take a look."

"Why don't you click it and see it yourself?" Director Dong expressed his confusion.

"I'm afraid it's a scam link, a virus or something," said Director Zhu Xiangming.

"You are freaking mentally ill!" Director Dong was speechless. "You are afraid, but I am not afraid!"

"Do you have money in your card?" Director Zhu Xiangming asked, "Your pockets are cleaner than your face."

"You...you..." Director Dong's face suddenly turned red after his scar was exposed. "How can you humiliate me like this!"

Director Dong’s wife works in the hospital’s finance department. Since he started working, he has no idea how much money he is paid every month, and he doesn’t even know what his salary card looks like.

This is the eternal pain in his heart, damn old Zhu!

"I'll treat you to a drink." Director Zhu Xiangming said.

"It doesn't matter whether I'm drunk or not. What's important is that I don't want to see my dear colleague being troubled by fraudulent links." Director Dong clicked on the link swiftly.

"It seems to be a live broadcast of a surgery, and they are putting in a stent graft."

"Live broadcast?" Director Zhu leaned forward curiously. "How's the quality?"

(End of this chapter)