Chapter 4206 【295】Kneel Down Completely
Nie Jiamin naturally wanted to see Xie's technological progress.
On weekdays, it is difficult for doctors to find time to see their colleagues perform surgeries even if they are in the same hospital.
With his hands folded across his chest, Nie Jiamin first listened to the medical students describe the patient's condition.
Mi Siran didn't expect to suddenly meet his cousin: "When did you come to the National Association?"
Mi Wenlin said: "I came to the National Association of Chinese Medicine to help the teacher with some errands this afternoon. When I was leaving, I heard that Senior Sister Xie had an operation and came to the operating room to learn from Senior Sister."
"Aren't you planning to stay in Guozhi?" Mi Siran wanted to say that his cousin was shameless, and by doing so he was blatantly acting as a spy for Guozhi.
Then the two of them looked at Senior Sister Xie and waited for Senior Sister's decision.
Learning is a two-way street, and probing is a two-way street. Who says that only students spy on teachers? Seniors should always be wary of those behind them.
Doctor Xie Wanying said to Junior Brother Mi cheerfully: "Didn't you take the exam for your practicing certificate? Try being my assistant before Senior Brother Pan comes back to the operating room."
Mi Wenlin was frightened.
"Have you ever performed thoracoscopic surgery?"
"Been on——"
"Have you ever been a mirror holder?"
"The teacher gave me a chance to try, just once or twice -" Mi Wenlin answered tremblingly.
"How much do you know about today's surgical case?" Professor Nie Jiamin took the opportunity to take an additional test on these students.
Misran's nervousness followed.
The nervousness of the top students will not be due to the presence of the teacher, but because there is something wrong with the answers in their minds.
Mi Siran suddenly found that the answer he was thinking of was wrong again.
She was horrified by the two mistakes she made tonight. She looked back at Senior Brother Wei: It seemed that Senior Brother Wei would mislead her every time!
From what she understood, Senior Brother Wei was a cardiopulmonary bypass specialist.
When she first arrived in the department, Senior Brother Wei said that he was on standby, which made her think that Senior Sister Xie's surgery did not require extracorporeal circulation technology and did not require an extracorporeal bypass specialist.
Fortunately, Mi Siran didn't spit out these words directly, otherwise she would have been hit hard on the head by Senior Sister Xie: What did you say? !
In patients with mitral stenosis, preoperative examinations of the tricuspid valve reveal problems. Regardless of whether the surgeon is operating on the tricuspid valve, surgery on the mitral valve must involve extracorporeal circulation, whether it is traditional surgery or total thoracoscopic surgery.
You may find it strange when you hear this. Some doctors say that this operation can be performed without stopping the heartbeat.
Here we talk about medical details.
For example, many surgeries are advertised as minimally invasive, but when the doctor explains it in detail, the patients and their families are shocked: Can this be called minimally invasive? !
However, in the eyes of doctors, a small breakthrough in technology can be called minimally invasive compared to the previous large-scale surgery.
Extracorporeal circulation and beating heart technology are not in conflict. Cases have been introduced before. Let’s boil it down: the human vascular channel used in medical interventional surgery does not require perforation in the heart and does not require extracorporeal circulation.
By analogy, small-incision coronary artery bypass grafting surgery by cardiac surgery can be attempted in the same way because it does not require drilling.
Surgical mitral valve surgery requires drilling but the heart can continue to beat. When extracorporeal circulation is required, the superior and inferior vena cava are blocked. Cardioplegic solution is not injected and the aorta is not blocked. The advantage is that the myocardium is protected.
Doctors praise a certain technique as being very good.
Is Dr. Wei on call?
After the operation, Dr. Fan Yunyun came over to care about her boyfriend's work. When she and Mi Siran saw a doctor preparing a cardiopulmonary bypass machine in the operating room, they asked, "Your student?"
Wei Shangquan was so anxious that he covered his girlfriend's mouth: How could he instruct Dr. Guang, the senior extracorporeal circulation specialist in the department.
His classmate Wei is not classmate Xie. He has just worked for less than a year and is not qualified to work independently in the operating room.
His on-call function is that if the patient needs to continue to have extracorporeal circulation after surgery, he has to take over the entire doctor's shift to guard the patient in the department.
Mi Siran completely knelt down: Senior Brother Wei, you~
Thank you for your support, good night, dear friends~