Chapter 948 Anger (Leader ROMATOTTI Adds 1)
The airtight lead door had been closed long ago, and the screen lit up after Zheng Ren's blind selection ended.
The micro-guide wire has already blindly selected a very deep position, and Zhu Liangchen knew that if he did the blind selection himself, he would definitely not be able to reach here.
Inadvertently, he had already recognized Zheng Ren's surgical standard. If you can't even do the super selection, can you be recommended as a Nobel Prize project?
Then the super selection depends on the technical level.
The micro guide wire entered the next hepatic artery without any haste, no matter how weird the angle was, no matter how thin the lumen was, it did not hinder the entry of the micro guide wire.
The level is really high, Zhu Liangchen was stunned watching the super-selection process of the micro-guide wire.
Boss Zheng really not only did the TIPS surgery well, but also the overall level of intervention is much higher than his own level.
Maybe he can stop the bleeding smoothly, Zhu Liangchen is not sure, he can only hope that Zheng Ren will succeed.
Every doctor, under normal circumstances, never wants the operation to fail. No matter from which point of view, no one would think so.
It's just that Zhu Liangchen secretly thought in his heart that the risk of the second-stage operation is too high, and he should just install a stent. Anyway, I have already mastered the selection of the first stage of TIPS surgery, and I will not make such risky attempts in the future, it will be okay.
Although it is necessary to face the risk of elevated blood ammonia and hepatic encephalopathy, it is always better than the second-stage operation bleeding.
While watching, Zhu Liangchen suddenly saw the micro-guide wire stopped at a certain point, and the micro-catheter went in.
here……
The location seems a little shallow.
Although for the vast majority of interventional doctors, including myself, it is very lucky to be super-selected here, you have to feel great.
However, Zheng Ren did not have any difficulty in the super selection before, and Zhu Liangchen felt that he would definitely be able to make further super selections.
After hesitating for a while, seeing that the microcatheter had already arrived at its position, if no doubts were raised, embolization would be imminent.
Although Zhu Liangchen didn't want to talk to Zheng Ren, he was like a child who made a mistake and didn't want to face it directly, but he still had a heart and pressed the button on the intercom.
"Boss Zheng, please come out." Zhu Liangchen said in a deep voice.
Zheng Ren knew what Zhu Liangchen meant, and there was no way to say such words out loud. The patient is under local anesthesia and can hear everything clearly.
Although the state has not changed, the bleeding point of the liver is pressed by the stent, and there is not much bleeding, which is still far away from hemorrhagic shock. It was just lying down for a few hours, but the patient was obviously a little impatient.
Especially with the replacement of the operator.
Local anesthesia is the worst.
Zheng Ren stopped stepping on the line, glanced at Director Kong, and whispered, "I'll explain the situation to Teacher Zhu."
Director Kong nodded.
Opening the airtight lead door with his foot, Zheng Ren raised his hands in front of his chest and came to the operating room.
"Boss Zheng, the super-selected position is a bit shallow."
"Mr. Zhu, we can't go down any further." Zheng Ren said.
"Why?" Zhu Liangchen blurted out his question.
"Because the operation you just performed caused a large area of contusion to the liver parenchyma, and blood leaked from the capillaries." Zheng Ren's voice was very calm, and he simply stated a fact.
No anger, no blame.
But even so, every sentence, every word, was like an invisible hand, slapping Zhu Liangchen's face one after another.
Zhu Liangchen's face turned red and white alternately, and he clenched his hands into fists, wanting to refute, but couldn't find what to say.
What the hell! Why learn TIPS surgery? ! He roared in his heart, but he couldn't yell at Zheng Ren.
"If there's nothing wrong, I'll go for surgery." Zheng Ren said safely.
Zhu Liangchen didn't say anything, but turned around and looked at the screen.
Zheng Ren returned to the operating room, closed the airtight lead door, and the operation continued.
Director Kong didn't question Zheng Ren's operation. With years of rich clinical experience, he had vaguely guessed what Zheng Ren meant. In particular, he has a kind of trust in Zheng Ren. Zheng Ren's actions are all reasonable, as long as they are not too outrageous, let him do it.
Forty-two minutes, the detailed embolization of the six small arteries finally ended.
After Zheng Ren finished the second-stage TIPS operation, he waited for ten minutes and had another radiography.
In the liver parenchyma, there was no sign of massive bleeding, and the operation was declared over.
"It's hard work." Director Kong said.
"It should." Zheng Ren smiled, tore off the sterile surgical gown, threw it into the medical waste trash can, and turned to take off the lead clothes.
The two took off their lead clothes and returned to the operating room.
At this time, Zhu Liangchen's little doctor was doing compressions to stop the bleeding, and Zheng Ren didn't have to worry about sending the patient afterwards.
"Thank you." Zhu Liangchen looked at Director Kong and said, "It's dinner time, let's go out and have a meal."
Director Kong didn't speak, but glanced at Zheng Ren.
"You go, I need to take a look at the absorbable splenic omentum when I go back. There will be a live broadcast surgery tomorrow, so be careful." Zheng Ren smiled and rejected Zhu Liangchen's invitation.
Although Zhu Liangchen held his nose for this invitation, he was very tired of eating with Zheng Ren, but after all, he came to fight the fire, and it was too shameful to go back without even eating a meal.
Hearing Zheng Ren's refusal, Zhu Liangchen felt mixed feelings.
Angry at a young doctor rejecting his invitation,
It's easier not to have to face this person, not to have to face your own mistakes.
Zheng Ren turned around and said, "Director Kong, I'm going to change clothes."
Director Kong nodded, and said: "Boss Zheng, you can call a car to go home yourself. I have a little hypoglycemia, so I have to eat before leaving."
"Okay." Zheng Ren went straight to the locker room and changed.
When Zheng Ren left, Director Kong looked at Zhu Liangchen, speechless for a long time. Hypoglycemia or something is just an excuse, everyone knows that.
Zhu Liangchen was bewildered by Director Kong.
After a long time, when the patient was sent back, Director Kong sighed, patted Zhu Liangchen on the shoulder, and said, "Go see the patient."
"Yeah." Zhu Liangchen nodded and said.
"Old fifth, alas." The endless words were all in a long sigh.
...
Zheng Ren changed his clothes and walked briskly out of the gate of the Imperial Hepatobiliary Hospital.
Director Zhou Chunyong has already sent an invitation to himself. He has been out of the clinic for the past few days, focusing on patients with liver cirrhosis and portal hypertension.
It is said that some patients have been admitted. Zheng Ren did not take the initiative to contact Zhou Chunyong, so he does not know the exact number.
If this kind of top three specialized hospital in the imperial capital opened its doors, it would perform ten or twenty surgeries a day, just like playing.
But Zheng Ren didn't go to Zhou Chunyong. After all, he came to save Taiwan, so he couldn't explain it to Zhou Chunyong.
Although he thought Zhu Liangchen was average, Zheng Ren wasn't the kind of person who would make trouble.
After walking out of the hospital, Zheng Ren picked up his phone.
Originally, I was going to send a message to Xiao Yiren, asking what to eat for dinner, whether I should take the subway home or wait for Yiren to pick me up.
Unexpectedly, there were seven or eight missed calls displayed on the phone.