525 Form Transformation
This young man is really confident. Director Jiang was not angry, but glanced at Zhou Congwen and thought to himself.
He and Zhou Congwen once had a table, and they were in this perspective room, with a big airframe underneath. After more than an hour, he and Director Gou failed to complete the first step, but Zhou Congwen succeeded twice in a row.
If it was once, it might be a coincidence, but twice in a row, Director Jiang admitted that Zhou Congwen's level was very high.
In addition, the Second Hospital of Medical University is now going to cooperate with Huang Lao to establish an academician workstation, but Huang Lao was handed over to Zhou Congwen to preside over the work.
A series of things prove that the young man in front of him is really not simple, and it cannot even be described as not simple, but has a very high level, otherwise how could he catch the eye of Mr. Huang?
"Then I do it, you can help me with a look." Director Jiang said gently.
Although he said so, he felt a little dissatisfied.
Director Jiang knew how to do the surgery for the third type of Bugat syndrome, but some details were still very vague. I hope he could do it easily, which scared Zhou Congwen! Director Jiang thought to himself.
Local anesthesia, incision, insertion of the blood vessel sheath, the guidewire is penetrated, and the beginning to follow the blood vessels.
The hand movement was smooth, and Director Jiang was a little happy.
I looked at the screen twice under the perspective machine. Today, the guide wire was so obedient that it was like my wife when I was just in love.
At that time, my wife was as gentle as a little sheep, and she said whatever she said.
The same is true for today's guide wire. Everything I want is done, and it goes smoothly through the inferior vena cava to the membrane that proliferates at the upper end of the inferior vena cava.
After taking another look, Director Jiang calmed down and prepared to use a balloon to spread the hyperplasia membrane.
"Director Jiang, his level is good." Zhou Congwen took a look at the image and praised him after he came back.
Director Jiang wanted to laugh, but suddenly a ridiculous feeling emerged.
Zhou Congwen praised himself very sincerely. But it is precisely this sincerity that seems to have a different meaning.
If Mr. Huang said this, Director Jiang would be very happy to reply; but Zhou Congwen... Why!
"I'll try it. I spent more than two hours on patients with type 3 Bugat syndrome last time." Director Jiang said, "I have Xiao Zhou who is equipped with a platform today, and the hand wind in front is very smooth."
"Do it, be careful and forceful." Zhou Congwen said lightly, as casual and calm as the doctoral student who guided him in his previous life.
Director Jiang sent the balloon in, determined the position under the fluoroscopic machine, and started to slowly inflate it after coming back.
But the feel is not good, and the imagined resistance does not appear. Director Jiang worked hard to capture the slight changes transmitted from the front.
It seemed that the balloon had slipped off, so Director Jiang had no choice but to hand the syringe to Zhou Congwen, "I'll take a look."
"Sliding away?" Zhou Congwen asked.
"It seems."
Director Jiang stepped on the line and went out to take a look. Sure enough, the balloon slipped and did not exert force on the hyperplasia membrane.
Alas, I just looked like my wife when I was in a relationship, so why should I get married all of a sudden when I was doing serious business?
Director Jiang sighed deeply in his heart.
After marriage, my wife "exposed her true colors", and became the head of the family fiercely, and the true nature of a tigress was revealed.
Just like a balloon, the wind that had just passed away disappeared. It was quietly "lying" under the membrane like mocking itself in the inferior vena cava.
Come again!
Director Jiang also knew that he couldn't be in a hurry at this time. Anyway, under normal circumstances, he had to do it 3-5 times before he could find a position to spread the membrane part a little bit.
Back in the perspective room again, Zhou Congwen suddenly said, "Director Jiang, how many times did you have type 3 Buga syndrome?"
"The fourth time." Director Jiang was stunned for a moment, "Although the previous few times were a little unsuccessful, they all succeeded."
"Oh, that's it. There are some differences according to the different techniques of hyperplasia in each patient." Zhou Congwen explained, "The patient's membrane slightly bulges to the upper part, so the technique here..."
As he said that, Zhou Congwen moved his wrist and the guide wire was as honest and well-behaved as when he was in love, turning it into an angle.
"Well, this can increase the resistance between the balloon and the membrane and reduce the possibility of disengagement."
Director Jiang carefully looked at Zhou Congwen's hand shape and the curve of the guidewire.
He has had hundreds of vascular interventional surgery and has already started, but because this is a "new technology", everything is exploring and accumulating.
What Director Jiang lacks the most? What he lacks is guidance.
What Zhou Congwen said is the accumulation of years of experience and the repeated polishing of countless failures.
However... Director Jiang was stunned. He did not believe it completely or deny it directly. Instead, he did what Zhou Congwen said.
The angle of the wrist was a bit awkward, and Director Jiang almost made it several times.
"That's it." Zhou Congwen reached out to help Director Jiang adjust the angle, "I'll pressurize the airbag, this time you can feel the angle first."
Is this OK?
Director Jiang’s mind shows an image of the patient’s inferior vena cava. If the balloon should be slightly lowered according to the existing position, and the resistance may increase due to the angle after pressurization.
It seems that this is the case, but everything will be discussed after seeing the image.
Zhou Congwen started to pressurize the balloon, and Director Jiang could vaguely feel the slight tremor from the guide wire in his hand, and the force of the balloon spreading was transmitted back along the guide wire.
However, this strength is extremely subtle and cannot be noticed without feeling it carefully.
Director Jiang was holding the catheter while observing Zhou Congwen's movements.
He pressurized his movements very slowly and tried to test, for fear that excessive force would lead to accidents in the tearing of the membrane.
After 1′22″, Zhou Congwen said lightly, "Okay, give me a look."
After stepping on the line and leaving the image, Director Jiang was not polite, and handed the catheter in his hand to Zhou Congwen and hurriedly ran out to see the image.
really!
The balloon remained quietly on the hyperplasia membrane like a first love girlfriend, and had already spread a part of the membrane that lies in the inferior vena cava.
Director Jiang stared at the image in a daze.
The old branch secretary was a little worried, so he asked carefully, "Expert, has the operation gone smoothly?"
"..." Director Jiang did not answer, but tried hard to capture the fleeting details in his memory.
Every step, every operation, even the catheter, and every little force uploaded to the back, Director Jiang tried hard to recall.
For him, this is the most precious thing.
If you explore by yourself, not to mention whether you can find it, even if you have the opportunity to understand it, it will be a matter of ten years later. At that time, I was old and weak and could not do it like an operation.
But now a golden treasure mountain appears in front of me!
Director Jiang felt all this hungrily and tried to recall all the details.
Chapter completed!