Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 119 On-site surgery teaching, forced to accept red envelopes!

“It’s not that we can’t perform aortic reversal surgery, but it’s the first time a newborn has encountered it.”

Cao Ke, deputy director of the heart, took the lead to speak.

“This is too difficult, I’m afraid the success rate…”

The voice fell,

Everyone was silent.

Zhang Fan did not speak either. Although he had seen such a case not long ago and listened to the systematic explanation, he was still shocked when he saw the ultrasound and CT films.

This baby’s condition is a complete transposition of the great arteries, plus just born, it is basically impossible to use corrective transposition, that is, atrial switch surgery.

At present, the best way is to switch the arterial level, and now there are three choices in front of them!

Glenn operation: cut off the bifurcation of the right pulmonary artery and the main pulmonary artery, and establish an artificial tube to connect the vein.

Senning operation: The level of the atrium is switched, but postoperative arrhythmia is prone to occur.

Switch operation: Arterial conversion of neonatal large blood vessels misaligned.

“Director Zhang, do you think this operation can be done?”

Wang Yue, director of the obstetrics and gynecology department, looked at Zhang Fan, frowning.

“Let me talk about it first. We also have cases and surgical experience outside of our hearts with this type of aortic reversal operation, but this is the first time for a newborn.”

Zhang Fan thought for a while and said,

“Although the surgical procedures are the same, there are currently two most difficult points.

First, the newborn baby has just been born for two hours. Everyone knows how thin and fragile the baby’s heart aorta is. This requires extremely high surgeries!

Second, according to the current situation, what surgical plan should we use? This needs to be discussed. Is it to switch the ventricle or switch the artery? These two risks are different, and the postoperative recovery is also different, which needs to be determined by the child’s parents. ”

The voice fell, and everyone nodded.

This is indeed a big challenge!

“Well, let’s discuss the surgery plan first, and I will discuss it with my family members and clarify the situation.”

Wang Yue stood up and said to Zhang Fan and Cao Ke,

“I’ll talk about the rest, but I still hope it can be done in our hospital, please.”

“Well, we think so too.”

Zhang Fan and Cao Ke looked at each other and nodded.

Immediately, Director Wang Yue took Xu Yingying out of the meeting room and went to the ward.

However, Zhang Fan and Cao Ke began to study the feasibility of this operation and what surgical plan should be used.

……

Transplant center,

Qin Feng has just finished patrolling the ward, and he hasn’t been on the operating table much recently.

The work of stem cell transplantation has begun to be gradually decentralized, with Deputy Director Tang Dandan as the main person in charge of the operation, leading several attending doctors to take turns to perform the operation.

Bell Bell Bell~

When he was looking at the case, suddenly his cell phone rang.

“Hey, Brother Joe.”

“Brother Qin! I have good news for you!”

On the phone, Qiao Changping’s cheerful voice came.

“I brought Yiyi to Jiangcheng to send you a report.”

“What? Are you back to Jiangcheng?”

Qin Feng was shocked when he heard the words, and then said in surprise.

“Well, Yiyifei is arguing to see you. The Phase III clinical report and the production documents also need your signature, so I brought her.”

“Where are you?”

“Just after getting off the plane, I know you are in the hospital. I will take Yiyi to the playground and wait for you to come back at night after get off work.”

“Okay! Tell Yiyi, Uncle Qin will take him to eat delicious food in the evening.”

Qin Feng said with a smile.

While chatting, suddenly the landline next to him also rang.

“Okay, I won’t bother you, hang up, see you tonight.”

Qiao Changping on the phone also heard the voice and interrupted the conversation between the two.

“Okay, let’s hang up first.”

Qin Feng immediately picked up the landline.

“Hello, I’m Qin Feng.”

“This is Zhang Fan, Qin Feng, are you free now?”The voice on the phone stunned him, and then glanced at the caller ID.

“Director Zhang, how do you use the inside line of the obstetrics and gynecology department to call me?”

“Don’t mention it, here is a tricky situation. The newborn’s congenital aorta is transposed. It has just been born for 2 hours. Can you come and take a look?”

“Newborn’s congenital aorta offside?”

Qin Feng heard this, how could he suddenly feel so familiar?

I seem to have heard it somewhere!

and many more!

Isn’t this one of the classic cases in the seminar that Zhang Fan and himself discussed on the plane?

Wouldn’t it be so coincidental, I really ran into it in just a few days.

“Okay, I get it, I’ll go over at once.”

Qin Feng immediately agreed, and then hung up.

“What’s the matter, Director Qin, has the obstetrics and gynecology department encountered a difficult problem?”

Tang Dandan behind him also heard it, and immediately cast a curious look.

“Yes, the newborn baby has a problem with the large arteries of the heart, and the congenital arteries are reversed.”

Qin Feng frowned slightly, couldn’t help but sigh, put on a white coat and opened the door.

“Director Tang, I leave it to you here. If you have anything to do, I can ask Lao Ji or Deputy Dean Liu for your hard work.”

“It’s okay, you go quickly, you are the busiest in the whole hospital.”

Tang Dandan couldn’t help shaking his head when he heard the words, and smiled helplessly.

“Our chief director is busy performing operations in other departments every day. If the training plan hadn’t stopped, I guess I wouldn’t be able to do it anymore, ha ha ha~”

“What did Deputy Director Tang say? I heard everything.”

As soon as the voice fell, Ji Zhonghe opened the door and walked in with a smile.

“Aren’t you afraid of what I told you in front of Qin Feng?”

Snapped!

“Lao Ji, I will watch you go. If you have the ability, you will come to pick up my class. How long do I think you can last?”

Tang Dandan raised his eyebrows when he heard this.

“Hahaha! Just kidding, you take it seriously, the transplant center is not supported by you, how can Qin Feng be so relaxed? Right?”

Upon seeing this, Ji Zhonghe hurried forward with a smile on his face and calmed down.

“Humph!”

Tang Dandan gave him a blank look, and continued to pick up his pen and be busy.

…….

“What! How could my son get this disease? Could it be a misdiagnosis?”

In the office of the obstetrics and gynecology department, the father of the child was struck by lightning when he heard Director Wang Yue’s words.

The whole person is dumbfounded!

Never thought that my child would have congenital heart disease.

“Mr. Zhao, don’t worry. The incidence of this disease in newborns is about two per thousand. Although it is very sad, the possibility of a timely surgical cure is very high.”

Upon seeing this, Wang Yue hurriedly persuaded.

“Now I’m just telling you about the necessary conditions and risks of the operation. After all, the child has just been born for two hours.”

“Then what do you do now? Can you do it?”

The man’s anxious tears were about to come out, and he looked at the two men short of breath.

“The director outside of our heart is studying this operation. It will take a while to see whether the operation can be carried out successfully.”

“Good, good! As long as my child can be cured, I’m willing to spend as much money!”

Hearing this, the man nodded trembling quickly, as if he was stupid.

Suddenly he took out his wallet from his arms, drew three or four thousand yuan in cash from it, and stuffed it into Director Wang Yue’s arms.

“I beg you doctor, you must save the child, but we waited for three years and finally got pregnant with him, please!”

With that, the man knelt on the ground, trying to put the money in Wang Yue’s coat.

“Mr. Zhao, don’t do this. Don’t worry, we will do our best. We are still discussing the specific situation.”

Wang Yue also pushed the money back while talking about the man pulling up, and explained.

“I know I know that this money is a little bit of my heart. As long as the child can be cured, I can give red envelopes to all of your doctors. It’s true!”

The man looked very anxious and panicked, his movements were a little stiff, his speech was intermittent, and his eyes were full of sadness.

“Don’t worry, you can calm down for a while, I will go to communicate with the directors outside my heart now, well, don’t worry.”

Wang Yue was also a little bit overwhelmed. He had seen someone who stuffed money, and had never seen one who stuffed money like this. It really fought.

Neither she nor Xu Yingying had been embarrassed, so they had to get out first, leaving a nurse to look at him.

When the man saw that the doctor was gone, he sat down on the chair as if discouraged, hiding his face and crying bitterly.

“My child…my child…”

After crying for about ten seconds, he suddenly raised his head suddenly, with strange gazes in his eyes.

“Yes, yes, money! I have to get the money!”

Muttering in his mouth, he suddenly got up and rushed out of the office.

“Hey, Mr. Zhao! Where are you going, Mr. Zhao?”

Before the little nurse could react, she watched the man disappear at the end of the corridor.

……

Meeting room,

Qin Feng has already arrived. After listening to Zhang Fan and Cao Ke’s brief description and the inspection report, he couldn’t help but look at Zhang Fan.

“Director Zhang, I remember seeing this case in our seminar, it’s from Beijing Concord.”

“Well, yes, I didn’t expect to meet it so soon.”

Zhang Fan nodded.

“Then you can do it?”

Qin Feng looked at him curiously.

Zhang Fan’s expression suddenly stagnated when he heard the words, a little embarrassed.

“Qin Feng, I won’t call you if I’m sure. Although there are cases, the risk is still high. It’s the first time I have met such a small baby.

Oh~~~

I see!

A Mingwu smile was raised from the corner of Qin Feng’s mouth.

“Director Zhang just talk about what you need, how can I help?”

“There are three plans in front of you now. Which one do you think is better?”

Zhang Fan immediately recovered his composure and asked with a slightly frowned brow.

At this time, Director Wang Yue and Doctor Xu Yingying also returned, and they both sat down after nodding their heads to say hello.

Seeing this posture, Qin Feng found that the positions on both sides were just average, and the tailstock was gone, so he had to take one forward.

In this way, it seems that he has become the central figure again.

But now, despite the modesty, he looked at the crowd and pointed to the CT image on the projector.

“In this case, let me talk about my opinion first, and then you can make a decision.

The patient is a newborn with aorta reversal. Two hours after birth, the left and right atria are still in good condition, so there is no need for corrective surgery.

I recommend that you directly perform radical Switch surgery! ”

When the voice fell, everyone was lost in thought. He looked around and smiled faintly.

“I believe the advantages of this kind of surgery don’t need to be repeated. For patients to recover from the left ventricle and mitral valve to complete the systemic circulation pumping blood after surgery, it definitely exceeds the other two surgical options.”

“Qin Feng, you are right, but this operation is more difficult than the other two!

After all, the child has just been born, are you waiting to choose? ”

Cao Ke frowned when he heard the words and questioned.

Qin Feng looked at him and shook his head lightly.

“Director Cao, I know what you are worried about, but the last time Beijing Harmony completed the neonatal arterial inversion surgery which was almost the same as ours, so the feasibility is completely fine.”

“this…….”

Hearing this, Cao Ke was unable to refute.

“Director Zhang, do you want to see it?”

“Um!”

Seeing Qin Feng’s stolen gaze, Zhang Fan’s eyes lit up and nodded vigorously.

“Okay, Director Wang, I’ll sign this operation. Director Zhang will help me, and Director Cao will help me. Please help me, Dr. Xu Yingying will watch it.”

Hearing this, everyone was taken aback, and then they were overjoyed. Qin Feng continued to look at Cao Ke.

“Trouble, Director Cao, tell the doctors outside the heart to come over and observe. This will be the first case of neonatal aortic reversal surgery outside of the heart. It is very meaningful.”

“Okay! I’ll make arrangements right away.”

Cao Ke got up immediately.

“Director Wang, your obstetrics and gynecology…”

“Xu Yingying, immediately notify all the doctors in charge and above, ready to observe the operation!”

Before he finished speaking, Director Wang Yue immediately looked at Xu Yingying and said.

Xu Yingying nodded and ran out happily.

Subsequently,When the father of the child came back with a swollen kraft paper bag soaked all over, Qin Feng and Wang Yue only talked to him about the operation plan and the operation time.

When the child’s father heard that the operation could be done immediately, he was so excited that he signed the notice without hesitation.

After Wang Yue left to arrange the operation, Qin Feng also got up to comfort him and leave.

Who knew that the man suddenly came over and grabbed his hand.

“Director Qin, I beg you to save the child.”

With that, he took out a big red envelope one or two knuckles thick from his pocket and stuffed it into his palm.

“Mr. Zhao, our hospital has regulations, it’s not good for you to do this.”

Qin Feng saw this posture and quickly pushed back.

“Doctor, please, accept it, the life of the child is in your hands, how can I feel at ease if you don’t accept it!”

The man looked like he was crying, and kept begging.

Qin Feng originally wanted to refuse, but seeing the man’s humble and powerless look made his heart soft.

Although as a doctor, you cannot accept red envelopes, it is also expressly forbidden.

but,

If the patient suspects that the doctor will not try his best and do not trust because the doctor does not accept red envelopes?

Therefore, for such patients and their families, they are also very embarrassed.

Qin Feng squeezed the red envelope and started at least 20,000 yuan.

“Okay, let’s do it, I will take this red envelope for you first, and we will talk about it when the operation is over.”

He thought for a while, sighed helplessly, took the red envelope and said solemnly.

“Fine! As long as you accept it.”

Upon seeing this, the man showed an ugly smile on his face, and withdrew his hand contentedly.

And this scene,

They were all sharply captured by a man in a peaked cap facing the stairs in the distance.

“Dare to accept the red envelope? The original doctor genius who has a reputation is nothing but that. See how you pretend this time? Huh!”

The state now explicitly prohibits the receipt of red envelopes.

In the past few years, many doctors have been exposed to illegally accepting red envelopes. In the end, none of them escaped, and all of them were ruined!

And Qin Feng took the red envelope and put it in his pocket. He clearly filmed the scene, then turned and left in an instant.

Qin Feng walked out of the meeting room, looked at the back of the child’s father leaving, took out his cell phone and made a call, then reached out and waved to the nurse at the nurse’s desk.

“Xiao Zhao, come here.”

“What’s the matter, Director Qin?”

When the little nurse saw this, little stars suddenly appeared in her eyes and ran over.

“This is the red envelope given to me by the father of the child just now. You can send it to the medical office for me and ask them to verify it and add it directly to the child’s expense, you know?”

“Good! Director Qin don’t worry! I will go now.”

When Xiao Zhao heard this, he immediately took the red envelope happily and was a little surprised.

“It’s so thick! It costs ten to twenty thousand.”

“Okay, stop making trouble, go now.”

Qin Feng couldn’t help but patted her shoulder and urged.

“Understood, then I will go.”

After finishing these things, Qin Feng walked straight to the operating room, ready now.

The attending doctors of the heart and obstetrics and gynecology department also came to the observation room, holding small notebooks with a look of expectation.

Operating room,

After cleaning, Qin Feng walked into the operating room and put on sterile gowns and other equipment.

At this time, the young child was kicking his feet in the incubator beside him, and his small mouth opened and closed.

Qin Feng couldn’t help but raise a smile, but such a cute child had congenital heart disease, which was really distressing.

“Dr. Qiu, let’s get anesthetized.”

Qin Feng looked at the anesthesiologist on the side and said solemnly.

This operation also places high demands on anesthesiologists. They need to closely monitor the baby’s physiological indicators every second. Any carelessness will cause big problems!

People say that anesthesiologists are the hardest thing to do among all doctors, because from start to finish, they can’t relax in the slightest!

Faced with such a troublesome baby, even 0.1 mg of anesthetic may cause harm to the operation and the baby!

“Okay, get ready for surgery.”

After successful anesthesia, Qin Feng glanced at the time and said calmly.

When the voice fell, everyone immediately cheered up!

Director Qin’s surgery class has started!