After being separated from my family, I became a darling of the military region thanks to my medical
Chapter 387 The Guardian in the Dead of Night
In the afternoon, the main venue of the Beicheng Military Region General Hospital was packed to capacity.
After the dramatic neonatal surgery that morning, the 160 international cardiac surgeons returned to their seats, their gazes towards Ye Zhen now filled with a newfound respect.
The conference then moved into the academic exchange session.
The director of the Claude Heart Center in France, Lefebvre, was the first to take the stage.
He was holding several color-printed blueprints.
"This is our powerful aortic clamp, developed at a cost of one million francs."
Lefebvre spoke with pride.
"It can reduce the time required to block blood vessels by half."
Ye Zhen, sitting in the first row, twirled a red and blue pencil.
"Professor Lefebvre."
Ye Zhen interrupted.
"Your device uses a healthy vascular model of adult European men for force measurement, right?"
Lefebvre nodded.
"Yes."
Lefebvre added.
"But this also applies to pediatrics."
Ye Zhen stood up and walked towards the podium.
"Children with severe congenital heart disease often suffer from malnutrition, and their blood vessel walls are very fragile. Pressing on with your clamp could very likely cause tearing of the vascular intima."
A gasp rippled through the hall.
The simultaneous interpreter was sweating profusely as he struggled to translate the technical terms.
"You don't actually need to spend that much money to lower your blood pressure."
Ye Zhen picked up the chalk and drew a cross section on the blackboard. She then used the chalk to mark up the diagram.
"Find two ordinary domestic cotton medical gauze pads and soak them in saline solution."
Ye Zhen looked at the experts below the stage.
"Fold the gauze and place it under the jaws of the regular hemostat."
Ye Zhen listed the data on the blackboard.
"Thickening the pad changes the stress cross-section, which can reduce the pressure at the time of blockage by at least three percentage points, and can also lock blood flow without damaging the endothelium."
Ye Zhen patted the chalk dust off her hands.
"The cost is less than two cents."
Lefebvre's cheeks flushed as he checked the data on the blackboard.
"Since Dr. Ye said to use medical gauze..."
Lefebvre was somewhat unconvinced.
"So, can this method of aseptic processing meet the standards?"
"The operating rooms at the main hospital have strict disinfection procedures."
Ye Zhen looked at him.
"Gauze sterilized by high temperature and high pressure poses no risk of infection under aseptic conditions."
Lefebvre carefully examined the logic and found that this simple physical pad method was indeed impeccable.
Lefebvre bowed and withdrew.
"Been taught a lesson."
For the next three hours or so, this world-class medical summit became Ye Zhen's instructional session.
Williams, a surgeon from the Royal College of Surgeons in the UK, shared his deep cryogenic shock arrest technique.
Sir Williams.
Ye Zhen pointed out the data flaws on the screen.
"There is a potential problem with your potassium ion control during the rewarming process."
"Dr. Ye."
Williams pushed up his glasses.
"We have brought the potassium ion concentration within the normal range."
"But you've overlooked the difference in how quickly a child's body temperature rises compared to an adult's."
Ye Zhen wrote a formula on the blackboard.
"This rapid rewarming can cause a large amount of potassium ions to escape from the cells, which can easily trigger irreversible ventricular fibrillation."
Williams looked at the formula carefully, then took out his notebook and began to write it down quickly.
"you're right."
Harrison from the Mayo Clinic in the United States explained the latest formulation of coronary perfusion fluid.
"Professor Harrison."
Ye Zhen reported the milligram values for the two minor adjustments.
"Adjusting these two values can effectively reduce the risk of postoperative arrhythmias."
Harrison quickly jotted down notes in his notebook.
Harrison closed his notebook.
"Mayo Clinic will immediately begin clinical controlled trials of these two combinations upon returning."
Throughout the afternoon, the foreign guests spoke on stage, while Ye Zhen pointed out problems from below the stage, and these foreign medical giants took careful notes.
The meeting ended in the evening.
Ye Zhen put on her white coat and headed straight for the intensive care unit.
The iron-gray double doors of the intensive care unit made a muffled thud.
The electrocardiogram monitor beeped regularly, and the blood oxygen curve on the screen fluctuated between 78 and 81.
"Dr. Ye."
The on-duty nurse, Xiao Liu, came over carrying an enamel tray.
"The blood and qi results are in."
Xiao Liu handed over two lab reports.
Ye Zhen took the order.
"Serious potassium level is 3.7."
Ye Zhen flipped through the second sheet and pointed to a line of numbers.
"Lactate levels have dropped to 2.1."
Xiao Liu took a closer look.
"Dr. Ye."
Xiao Liu asked cautiously.
"Does this mean we're out of danger?"
"The preoperative value was 6.8."
Ye Zhen tucked the lab report into her medical record book.
"This proves that the child's tissue perfusion is recovering and the heart's pumping function is gradually adapting to the new blood flow channels."
Ye Zhen unscrewed the pen cap.
"Reduce dopamine dosage."
"Should we reduce it directly to three?"
Xiao Liu asked.
"right."
Ye Zhen made a note on the doctor's order page.
"Reduce the speed from five to three, but keep the micro-pump speed unchanged."
"Okay, Dr. Ye."
Xiao Liu took the medical record book.
"I'll have another blood gas analysis in four hours."
"It is important to observe the child's peripheral circulation, especially the temperature changes in the hands and feet."
Ye Zhen gave instructions.
"Notify me immediately if there are any signs of coldness or cyanosis."
"clear."
Xiao Liu turned around to adjust the micro-infusion pump.
Ye Zhen walked to the bedside and tucked the blanket around the child.
The child was too thin, with his ribs clearly visible. After the surgery, he was wrapped in thick sterile gauze, and the color of his lips on his little face had improved.
The child's lips were no longer the dark, bluish-gray color they had before the surgery; instead, they now had a healthy, light rosy hue.
Ye Zhen placed her fingers on the child's thin radial artery and silently counted to fifteen.
"Heart rate 112".
Ye Zhen looked at Xiao Liu.
"It's down eight from half an hour ago."
Xiao Liu recorded the data in the nursing record.
"His body temperature has stabilized."
Xiao Liu looked at the thermometer.
"The current temperature is 37.2 degrees Celsius."
The sound of leather shoes walking could be heard from the other end of the corridor.
His voice was deep and steady.
Gu Zheng's tall and imposing figure blocked most of the light from outside the door as he leaned against the doorframe.
"I got some food and rice from the cafeteria, I'll come eat in a bit."
"Okay, let's put it outside for now."
Ye Zhen closed her notebook.
"What's wrong with this little brat?"
Gu Zheng glanced at the child on the hospital bed.
"For now, we've managed to keep our lives afloat, but tonight is the crucial night."
Ye Zhen looked up at him.
"You can go back now. I'll have to keep watch here tonight."
"How late do you plan to keep watch?"
Gu Zheng did not move.
"Blood oxygen levels are consistently above 85."
Ye Zhen stared at the monitor.
"I can rest if I can keep going for four hours straight."
Gu Zheng looked at her face.
"If you get sick here, who will save these children?"
I know what I'm doing.
Ye Zhen responded.
Gu Zheng turned and walked deeper into the corridor.
Xiao Liu peeked out from the medicine cabinet.
"Dr. Ye."
Xiao Liu lowered his voice.
"Did Commander Gu leave in anger?"
"He just couldn't do anything about it."
Ye Zhen's gaze never left the screen.
Less than two minutes later.
Gu Zheng's footsteps sounded again.
He was carrying a heavy green woolen overcoat in one hand and a military green folding chair in the other.
Folding chairs were set up in the hallway outside the door.
Gu Zheng sat down.
He draped his coat over the back of the chair.
Ye Zhen frowned slightly.
What are you doing sitting there?
Ye Zhen asked.
"I'll stay with you and keep watch."
Gu Zheng looked at her.
Ye Zhen looked down at the medical records and didn't chase them away anymore.
12:30 a.m.
Xiao Liu brought in the latest blood gas results.
"Lactic acid one point eight."
Xiao Liu reports to the supervisor.
"It's still going down."
Ye Zhen flipped through the monitoring records.
The lowest blood oxygen level in the past two hours was 82, and the highest was 86.
"The momentum is good."
Ye Zhen tucked the sheet away and rubbed her sore neck.
"Keep guarding it."
Xiao Liu walked to the door.
She glanced at Gu Zheng in the corridor.
"Commander."
Xiao Liu asked softly.
"Would you like a cup of hot water to warm yourself up?"
"Need not."
Gu Zheng looked at Ye Zhen in the ward.
Xiao Liu lowered his voice.
"She's been working non-stop for almost twenty hours."
1:20 a.m.
After checking all the vital signs data, Ye Zhen signed her name at the bottom of the nursing record.
Ye Zhen stood up and felt the child's pulse.
"My heart rate is 103."
Ye Zhen breathed a sigh of relief.
"Her blood oxygen level exceeded the red line of 85, and she held on for four consecutive hours."
Ye Zhen explained to Xiao Liu.
"Dr. Ye."
Xiao Liu looked at the data.
"Can we say that the most dangerous phase is over?"
"Let's stabilize things using the current plan."
Ye Zhen walked towards the door.
"If there's any disturbance, go to the duty room and wake me up."
"You can go to sleep now."
Xiao Liu nodded vigorously.
"Leave this to me."
Ye Zhen dragged her tired legs out of the intensive care unit through the iron door, and tripped on the threshold.
The folding chair in the hallway is still in the same place.
Gu Zheng stretched out his two long legs and crossed them, the top button of his military uniform collar still fastened tightly.
Hearing the muffled thud from the iron gate, Gu Zheng opened his eyes.
He stood up and unfolded his coat, the thick coat covering Ye Zhen from the collar to her feet.
Gu Zheng looked at her exposed right hand in the dim light.
There were still yellow stains from iodine on his fingers, and two marks from holding the scalpel and needle holder for a long time. The tender web of his hand and the edge of his nail were pressed into his fingernails.
Ye Zhen smiled at him: "Don't blame me, otherwise I won't feel at ease and won't be able to sleep."
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