White armor

Chapter 497 Don’t poke around!

Done!

Fang Xiao just yelled, but the expressions of the patient's family confirmed his guess.

The patient did have a family history of the disease, and what Professor Luo said was absolutely correct.

"Why didn't you tell me when you came? I'll ask you twice!" Fang Xiao was extremely aggressive and glared at the patient's family fiercely.

“……”The patient’s father wiped his tears, his eyes were red.

Why not say anything? Everyone has their own guesses and reasons.

Fang Xiao suppressed the anger in his heart, and he had almost finished his acting, too much is as bad as too little.

"Let me put it this way, the patient's condition is extremely dangerous, just like her mother's," Fang Xiao said.

"what?!"

Fang Xiao's words shattered the patient's father's last bit of fantasy.

"Come with me." Fang Xiao brought the patient's father to the doctor's office, found the location directly facing the video surveillance, and explained to the other party, turned on the surgical video, and began to talk about the condition.

"They have Ehlers-Danlos syndrome, also known as hyperelastic skin syndrome. When you looked at the skin on her limbs, I noticed something was wrong. When I asked you a few more questions, you thought I was not serious."

"This disease can cause blood vessels to become brittle. Do you think our Changnan People's Hospital is not up to standard? In fact, the patient's blood vessels are too fragile to be operated on. Not to mention surgery, it's even difficult to insert an IV. If you insert an IV, the blood vessel will break and you have to rely on luck. It's not that our technical level is not up to standard, but that the blood vessel conditions are too poor."

Fang Xiao reinterpreted what Luo Hao said in his own way.

After hearing this, the patient's father fell into despair.

"You can see the current situation. If we don't save him, he will definitely die within an hour, at most."

"Save him. Go to the operating table. There is a high probability that he will die on it."

Fang Xiao stopped here, looked at the patient's father, and carefully distinguished his expression and emotions.

I was quite right, it was almost a certain death.

What Mr. Xing said just now is right. Doctors are still willing to perform some difficult operations, but generally two conditions need to be met: one is that there is still hope and I cannot retreat; the other is that the patient’s family members do not make a fuss and I can do it.

Fang Xiao did not lie. What he usually told the patient's family before the operation was that if the patient did not have the operation, there would be a 100% chance of death, while if the patient did have the operation, there would be a 99% chance of death. These two things are two different concepts.

The patient before him has a 100 percent chance of dying even if he undergoes surgery, and his only chance of survival may be in the provincial capital.

but!

Not only would it cause trouble for himself, but it would also drag down Professor Luo. Fang Xiao couldn't do such a thing.

As long as the patient's family members show any sign of abnormality, Fang Xiao will make a decision.

A few seconds seemed like years.

The patient's father wiped his tears, and Fang Xiao's eyes fell on his knees. As soon as his knees softened, Fang Xiao was ready to kowtow to him three times, and the couple would bow to each other.

Next, there was nothing.

"Director Fang, I'm so sorry, wuwuwuwu~~~" The patient's father did not kneel down to beg Fang Xiao, but cried sadly.

Fang Xiao looked at him calmly without saying anything.

"I really don't want to think about what happened at that time. She passed away very suddenly. I would prepare an extra set of bowls and chopsticks every day when I ate. I always felt that she could open the door and come in at any time to eat with us."

Fang Xiao's expression changed slightly.

"What a pity! My daughter is leaving too." The man wiped away his tears with his rough hands and tried to open his eyes so as not to be affected by the swaying sight.

"I dare not face it. I'm sorry, I'm sorry. It's my fault, it's my fault." The man stood up and bowed deeply.

Fang Xiao quickly moved out of the way.

"Director Fang, is it true that I can't have surgery? At that time, an old doctor in the provincial hospital told me a lot, but I don't remember what the disease was. I'm really useless."

"What did he say?" Fang Xiao asked.

"He said that this disease cannot be cured and that we can only rest and avoid external injuries. As for how long we can live, it depends on our luck. If we are lucky, we will be no different from ordinary people. If we are unlucky, we will die before we reach adulthood. My wife's situation is considered to be relatively lucky."

"..."

"He said that if there is bleeding, you can't perform surgery, and you can only treat it conservatively. Once the hemostatic forceps are clamped, the blood vessels will break. I had forgotten all these words, but when I saw you giving me the injection just now, I suddenly remembered them all."

"..." Fang Xiao remained silent.

"Is it curable? Why not give it a try? I know doctors don't want patients to die on the operating table, wuwuwuwu~~~"

As he was talking, an old man started to sob.

He couldn't continue speaking, the grief had completely shattered his words.

But men know that time is limited.

Crying also counts as time.

"Wuwuwu, Director Fang, please perform the operation. I know it's 100% fatal, but I don't want to have any regrets. Just try it, wuwuwu~~"

Fang Xiao looked at the man silently and sighed, "Do you know that the surgery will also result in 100% death?"

"Back then~~wuwuwu~~~that old expert told me that this disease was weird, and everything he said came true in the end. I understand. This is fate, wuwuwu."

The man tried to suppress his crying, but it was this desperate suppression that made his crying heart-wrenching.

What was heartbroken was Fang Xiao's heart.

"Then give it a try. You probably can't come down, so go and take a last look at your girl. If you are lucky enough to come down, it will be smoke coming out of your ancestral grave." Fang Xiao said seriously.

"Director Fang, thank you." The man did not express much thanks, nor did he get too emotional. He was already numb.

Fang Xiao glanced at the video surveillance, then looked at the phone that was recording the video, and repeated his words carefully.

The man's crying made his heart beat faster, and even if it meant taking a huge risk, Fang Xiao wanted to give it a try.

As for people, not all patients' families are troublemakers. Only a small part of them are unreasonable.

In fact, if he went on stage, Fang Xiao also felt that the patient would definitely die, but treatment or giving up were two different things psychologically for the patient's family.

Sending the patient to the catheterization room, Fang Xiao felt heavy-hearted and his steps were heavier, already feeling a little regretful.

It's a dead end, why should I do this?

The cell phone suddenly rang, startling Fang Xiao.

"Director Fang, the patient's condition is stable, right? Oh, you know I have obsessive-compulsive disorder, and when I hear him, I want to know if he's stable or not." Luo Hao's voice was bright and sunny. Fang Xiao could even see Luo Hao raising his hand and touching the back of his head, looking embarrassed.

Woo woo woo, Fang Xiao almost cried.

A dead end,

Professor Luo, save me!
"Professor Luo, the patient's liver capsule is ruptured and his blood pressure is very low."

"Depend on!"

"Professor Luo, is there any other solution? Surgery is definitely not an option. I want to go on stage and stop the patient's bleeding."

"You? I guess the more you do, the more you bleed."

After a brief silence, Luo Hao's comments came, full of ridicule.

Fang Xiao sighed deeply. Professor Luo must have been anxious as well, as he didn't usually speak like that.

"Well, you do it first. Move slowly, as slowly as possible. It's best not to let the guidewire or catheter touch the inner wall of the blood vessel. Try to see if you can stop the bleeding. I'll drive over now and have your medical department contact Director Feng to go through the procedures for inviting an external expert."

"!!!"

Only Professor Luo is willing to take on this kind of shitty job.

He does have obsessive compulsive disorder, and a very severe one at that.

"Did you hear that?"

The brief silence made Luo Hao's tone heavier, with a hint of the severity of a senior doctor.

"I heard you, Professor Luo, please drive slower."

"Give me two and a half hours to do everything you can to keep the patient alive. Do it!"

Luo Hao's tone became more serious.

Fang Xiao subconsciously stopped, stood at attention, and looked serious.

"Don't fucking poke around. The more you poke, the more you bleed!"

"..."

What kind of words are you talking about?

Fang Xiao didn't understand, but Luo Hao had already hung up the phone.

Let’s have surgery.

Twenty minutes later, Fang Xiao understood what Luo Hao meant by "messing around".

He went on stage and carefully operated the guide wire for superselection.

You can't just embolize the hepatic artery, you still have to do superselection.

But Fang Xiao could have been careful not to touch the wall of the large artery in front. Once it entered the liver, Fang Xiao moved slightly and the blood vessel would have ruptured.

It scared him to death.

Fortunately, the area was surrounded by liver parenchyma and there was not much bleeding.

You can't talk nonsense, you absolutely can't talk nonsense, Fang Xiao warned himself in his heart.

He performed superselection cautiously and managed to embolize a bleeding artery an hour later.

Although the patient's blood pressure was in danger, Fang Xiao was still not in a hurry. He remembered Professor Luo's words, don't be impatient, don't poke around, the slightest movement will cause it to break.

What the hell!

If Fang Xiao were given another chance to choose, he believed that he would never be kind.

He stayed far away and let Old Xing do the operation himself.

If that were the case, Old Xing would have gone crazy at this moment, seeing the patient bleeding profusely and unable to stop the bleeding.

He brought trouble upon himself, but I still succeeded. Fang Xiao was very proud of himself, and at the same time, he despised himself for what he had experienced more than an hour ago.

As for the operation he performed, there were probably not many professional interventional doctors in the medical university who could perform it. Fang Xiao was quite proud of it.

"This letter arrived at the right time." Fang Xiao began to hum a tune.

What happened to Boss Chai.

This time, I can be considered as Professor Luo's direct subordinate. When he comes and sees that I have finished it, will his eyes pop out of his head in shock?
Hahaha.

Fang Xiao laughed out loud in his heart, feeling very proud.

Professor Luo has 7 practicing certificates and I have 2. It seems that I am Professor Luo’s best assistant!

From now on, I will be the second boss under Professor Luo... No, the third boss, and I can perform any surgery.

Beautiful!
"Director Fang, your interventional surgery is much better than that performed at Jianhua Factory," the assistant praised.

"There are only a few of them busying around at Jianhua Factory. How could the management allow them to earn so much money? You're kidding. They're just rubbing their hands after crossing the river and pulling the ladder out of the house. If it were you, I'd just die of old age in a public hospital. I wouldn't dare go to a private hospital."

"Yeah, they said they arrested people across provinces, it's a big deal."

The assistant said with a smile.

In fact, Fang Xiao was somewhat reluctant to perform this operation. His skills were barely enough, and his qualifications were even less than enough.

Fang Xiao did the whole thing by himself, bringing the director of the interventional department to the scene as a mascot. Fang Xiao chatted for a while, then turned his head to look at the director of the interventional department outside through the leaded glass.

He didn't seem to think that he was stealing his job.

This person knew what was going on, and Fang Xiao was even more proud.

"Director Fang, why are you so good at interventional surgery?"

"I only work on livers and don't touch anything else. Don't worry, I won't take away your jobs." Fang Xiao said.

The assistant frowned and said, "Director Fang, the only interventional unit we have left is the liver. You see, there are interventions on blood vessels, interventions on the heart, and interventions on nerves. Now you've taken the liver away, and our interventional unit is going to fail."

"How could that be? I only perform surgeries. We are sister departments. Let me tell you, your director knows how dangerous this operation is." Fang Xiao said with a smile, "I won't do it myself if there is no benefit. If I encounter difficulties, I will push your interventional department to do it." What he said made sense, and the assistant had nothing to say.

"Director Fang, what kind of disease is this? Why do I feel that the patient's blood vessels are like tofu... like blood tofu just out of the pot, which breaks at the slightest touch."

"Ehlers-Danlos syndrome, you don't know? Go back and read a book yourself." Fang Xiao showed off.

He didn't continue talking. The more the other person doesn't understand some pretentious words, the more awesome he feels.

Here, just like now.

Fang Xiao hesitated for a moment. Should he wait for Professor Luo to come, or just leave it as it is?

After repeated consideration, Fang Xiao decided to end the operation. It was already done, there was no need to wait here for Professor Luo.

When he came, he took a look at the image and found that the operation went smoothly, so he took Professor Luo to eat Longjiang Wagyu.

Professor Luo has taken the trouble to come here, but I guess he wouldn't want to come to Changnan City in the middle of the night and perform surgery wearing a lead suit.

The guidewire catheter was removed and the operation was ready to end.

Suddenly, Fang Xiao was stunned.

The blood pressure monitor, which had been relatively stable on the ECG monitor, began to alarm wildly.

What's wrong? !

During angiography, Fang Xiao saw that a branch of the external iliac artery was ruptured and bleeding.

Oh shit!

Fang Xiao cursed in his heart.

How did the bleeding occur? Did the catheter touch the wall of the external iliac artery when I was pulling it out, causing one of its branches to rupture and bleed?
"Fang... Fang..." The assistant was also stunned and couldn't even utter a complete sentence.

"Fang shit!" Fang Xiao cursed, "What a big shot!"

A 16×70mm GORE EXCLUDER peritoneal stent was gently placed in the left external iliac artery.

After the big shelf was opened, Fang Xiao felt that there should be no problem.

But as expected, an accident happened. Fang Xiao immediately saw that the blood pressure on the ECG monitor had dropped to 50/30 mmHg.

After being put under a large rack, the arterial blood pressure not only did not improve, but instead became even lower.

Angiography!

The bleeding in the area covered by the stent was stopped, but in the process of expanding the stent, another artery at the distal end was torn.

What a broken blood vessel!
The next covered stent can tear the blood vessel, and it is still that deep.

Fang Xiao suddenly felt something dangerous.

Don't poke around!

Luo Hao's voice echoed in his ears, and Fang Xiao felt a chill in his heart.

The previous elation had vanished, and all that remained was fear.

The external iliac artery is different from the intrahepatic artery. The intrahepatic blood vessels are wrapped by liver parenchyma, so the tear of small arteries is not serious and they can be blocked and the bleeding can be stopped quickly.

But there is a cavity around the external iliac artery. If you want to fill it up... all the blood in your body is not enough. I'm afraid that by the time Professor Luo arrives, the person will have died.

Here, the bleeding cannot be stopped.

Out of the corner of Fang Xiao's eye, he saw the director of the interventional department stand up and lean over the operating table with a serious look on his face.

He also knew that something had gone wrong with the surgery.

Don't talk nonsense, Professor Luo Haoluo's voice appeared again.

Fang Xiao even looked around. He hoped that it was not just his hallucination, but that Professor Luo really fell from the sky.

Unfortunately, the operating room was empty, and only the director of the interventional department was in the operating room, staring at the screen stupidly.

continue.

The airtight lead door opened and Director Xing walked in.

He understood and walked to Fang Xiao with a serious expression.

"Director Fang, I'm sorry."

"Director Xing, now is not the time to say this." Fang Xiao sighed.

"If anything goes wrong, I'll be there for you," Director Xing said seriously. "Just do your job. If the patient's family complains, I'll take care of it."

"..." Fang Xiao turned his head to glance at Director Xing. This old dog didn't even hide.

Alas, Director Xing is a doctor with passion, but his level is a bit lacking.

"I'll try again. Director Xing, please leave first."

Director Xing looked at Fang Xiao deeply, said nothing more, and turned and left.

Fang Xiao took a deep breath, concentrated, made his hands steadier, and put the other bracket in.

A 12×100mm GORE EXCLUDER peritoneal stent was gently placed at the distal end of the left external iliac artery.

Fang Xiao was very careful when opening the stent. He was not afraid of the patient bleeding and was not in a hurry.

He's been bleeding for so long, a few seconds won't make a difference.

It would be best if I could open this stent and stop the bleeding. Otherwise... Fang Xiao didn't even dare to think about it any further.

When opening the stent graft, Fang Xiao prayed in his heart, praying to all the gods in the sky.

This time I was meddling, I got emotional, and I was willing to take the risk.

Next time, if there is a next time, I must not be so nosy!
for sure!
The pride he had just felt had long since vanished, and Fang Xiao even began to regret why he had taken on this crappy job.

Now I am the one who is in trouble. If I don’t answer it, Director Xing will be the one who is in trouble.

How can it be the same!

Unfortunately, blood pressure still did not rise after the covered stent was opened.

The arterial blood pressure continued to drop to 39/27 mmHg on the ECG monitor.

Fang Xiao was dumbfounded.

He must have ruptured other blood vessels after he inflated the stent, so the bleeding is still continuing and may be even greater.

"Director Fang, why does the blood pressure get lower the more stents are placed? How about we... just try blood transfusion to see if the bleeding can be stopped on its own?" The assistant was scared and suggested in a low voice.

Fang Xiao didn't want to either, Professor Luo Haoluo's voice echoed in his ears again, don't mess around...

The key is that I didn't make any random comments.

Fang Xiao was about to cry. He decided in his heart that if there was a next time, whoever was willing to do it could do it! He would definitely not do this crappy operation.

Originally, the patient’s family could just send the patient away peacefully, but now not only do they have to send the patient away, they also have to pay tens of thousands of dollars for surgery and consumables.

In order to ensure a successful operation, I used expensive imported consumables. The cheap ones purchased in bulk were not easy to use, so I didn't dare to use them at all.

What to do now? !

Fang Xiao was dumbfounded and stared at the angiography images in silence.

The patient is under general anesthesia and is not in a coma, but the arterial blood pressure value is not much better.

There was no place to go under the bracket, and Fang Xiao's hands were numb.

Forget it, step down and explain to the patient's family. I have done my best. If he doesn't want to spend money, these tens of thousands of dollars will be considered as his donation.

Fang Xiao was depressed, not knowing who he had offended.

I had good intentions but ended up with a nasty outcome. If I had known the patient's blood vessels were so fragile, I would have just sent him away. Why would I have made trouble for other people?

If I had known this would happen, I wouldn’t have done it in the first place.

He felt extremely regretful. If time could go back, Fang Xiao was sure that the choice he would make would be completely different.

"I……"

"Huh? Why is your blood pressure so low?"

A familiar voice came into my ears.

Fang Xiao sighed, and vaguely thought that he was going crazy thinking about Professor Luo, and it must be an illusion.

"Director Fang, how many times has the external iliac artery been torn?"

Professor Luo's voice asked.

"Twice, I was very careful, but unfortunately... I was not capable enough."

"Oh, what does it have to do with you? This is the disease. Give me blood and raise the blood pressure. I'll go wash my hands and come back to try."

Fang Xiao felt that the Professor Luo he had imagined seemed to talk a lot this time, unlike before when he always told him not to make irresponsible remarks.

Looking up, Fang Xiao was surprised to see Professor Luo on his way to wash his hands, with a robot dog following him.

I am!

Is it really Professor Luo? How did he get here so quickly? Or was it just a hallucination?

"Professor Luo, is that you? Is it really you?" Fang Xiao asked in a trembling voice.

"Hmm?" Luo Hao turned around and looked at Fang Xiao, "Director Fang, please step down and take a rest. Are you suffering from hypoglycemia?"

After saying that, Luo Hao went to change his clothes and wash his hands.

Soon Fang Xiao saw Luo Hao coming back wearing his own lead suit, putting on his clothes and going on stage.

it is true!
it is true! !

Fang Xiao felt much warmer.

There was a kind of person who gave people a full sense of security, and Fang Xiao knew that it was Professor Luo.

"Oh, so that's the case. No wonder." Luo Hao operated the machine first, then quickly glanced at Fang Xiao's operation and said lightly.

"I operate..."

"Your level is just a little low. But then again, there are no more than twenty surgeons in the entire province who can perform surgery to your level, which is already very strong. What's more, you are a general surgeon, and interventional surgery is just a side job." After Luo Hao finished speaking, he started the operation.

The third 12×100mm GORE EXCLUDER peritoneal stent was placed following the second one, using the same operation. Even when opening the covered stent, Fang Xiao did not see Professor Luo hesitate for even a second.

He really wanted to grab Professor Luo's arm and shout, "Professor Luo, please be careful. If your blood vessels are torn again, it will be really serious."

The covered stent was opened and angiography was performed. No bleeding spots were found. Luo Hao pulled out the guidewire catheter with smooth movements.

The whole process took only 6 minutes.

"We're done, time to call it a day." Luo Hao smiled. "Is your critical care team okay? Do you need me to see you for two days?"

"Ah? Are we done with work?" Fang Xiao felt like he was dreaming.

I just poked around in two places, and the harder I did it, the heavier it got, and the more blood I bled. Finally, Professor Luo came and fixed it in just a few minutes.

Thinking back to his previous pride, Fang Xiao felt like it was just a dream.

"Director Fang? What are you thinking about?" Luo Hao turned around and saw Fang Xiao still in a daze, so he bumped him with his shoulder.

"Ah?!" Fang Xiao woke up from her dream.

"Apply pressure to stop the bleeding. You won't wait for me to do it."

"Oh oh oh." Fang Xiao wanted to cry but had no tears. However, the doctor from the interventional department was sharp-eyed and came up to press the puncture point.

The patient's blood pressure was already extremely low, and there was no bleeding after a delay.

Fang Xiao was speechless, staring blankly at Professor Luo as he tore off the lead cap and threw it away.

Such a familiar action!

The next second, the robot dog stretched out its arm, grabbed the lead cap, and put it in the storage compartment on its back.

I am!

(End of this chapter)