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’ surgeries even if they are in the same institution.
Holding his arms, Nie Jiamin first listened to the medical students describe the patient's condition.
Mi Siran didn’t expect to meet his cousin suddenly: “When did you come to the National Association?”
Mi Wenlin said: "I came to the Chinese Association for help 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 said that his cousin was shameless, and by doing so he was blatantly acting as a spy for Guozhi.
Then the two 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.
Dr. 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?”
“Have you ever been a mirror holder?”
“The teacher gave me a chance to try it out, just once or twice—” Mi Wenlin answered tremblingly.
“How much do you know about today’s surgical case?” Professor Nie Jiamin asked the students to take a test.
Misilan's nervousness ensued.
The nervousness of top students is not caused by the presence of the teacher, but because of the problems 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 mistakes she made twice tonight. She looked back at Senior Brother Wei: It seemed that Senior Brother Wei would mislead her every time!
From her understanding, Senior Brother Wei is a cardiopulmonary bypass specialist. When she was first in the department, Senior Brother Wei said that he was on standby, which made her think that Senior Sister Xie did not need extracorporeal circulation technology for this operation and did not need an extracorporeal bypass specialist.
Fortunately, Mi Silan did not spit out these words directly, otherwise she would have been hit **** the head by Senior Sister Xie: What did you say? !
In patients with mitral stenosis, preoperative examinations of the tricuspid valve revealed problems. Regardless of whether the surgeon is going to operate on the tricuspid valve, surgery on the mitral valve, whether it is traditional surgery or total thoracoscopic surgery, must require extracorporeal circulation.
You may find it strange to hear this, but some doctors say that this operation can be performed while the heart is beating continuously.
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 with 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 surgery can be performed by cardiac surgery since no drilling is required.
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.
The doctor praises how good a certain technique is.
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 standby is to take over the doctor's shift and guard the patient in the department if the patient needs to continue to have extracorporeal circulation after surgery.
Mi Siran completely knelt down: Senior Brother Wei, you~
Thank you for your support, good night, dear friends~
