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91 A black cauldron

Zhang You sat in a corner with a frown, his eyes flashed, his right hand was snatching his left fingernail, not knowing what he was thinking.

There are not many people sitting in the office, including more than a dozen directors, deputy directors, directors of relevant departments, deputy directors in charge of clinical practice, directors of the medical department, and the patients' families and... family secretaries.

Everyone had serious expressions.

"Director Teng, your consideration is that there is an adjunct injury during the chest puncture, a rupture of the intercostal artery, causing major bleeding, that's what it means." The secretary's surname is Yin. He summarized the words of Teng Fei, director of the circulatory department, and finally asked.

Director Fujifei's face turned pale and nodded.

"Director Zhang, the thoracic surgery department, your opinion is that the elderly are old and have heart failure and hemorrhagic shock. It is so rare to open the chest and stop bleeding?" Secretary Yin continued to ask.

Zhang You was stunned for a moment, and then he sighed deeply, but instead of sitting and talking, he stood up and bowed respectfully.

"I sent the old man's information to my teacher in the imperial capital, Academician Mei. Teacher Mei said... the saying is... the saying is..."

Secretary Yin frowned. He glanced at the time and silently told Zhang You to speed up.

"Teacher Mei said that it is unlikely that the elderly can be safe after thoracic surgery. If possible, it is recommended to undergo minimally invasive treatment."

“Minimally invasive?!”

The eyes of the person sitting in the chair in front of Secretary Yin suddenly lit up.

Zhang You gritted his teeth and decided to do it. "It's just a thoracoscopy treatment for TV. Simply put, a large thoracic surgery requires a 30cm-long incision on the chest wall. Opening the chest itself is a huge trauma, and the elderly may not... they will definitely not be able to bear it."

"But thoracoscopy is to cut three 1.5cm incisions on the chest wall, and use high-tech instruments to enter the chest cavity to complete the operation."

"This is a new technology. Our hospital has taken the lead in developing it nationwide, and it is led by Professor Chen Houkun, deputy director of our department..."

"Can you do it? Is the danger high?" The sitting face was as heavy as water and as solemn as a mountain. He gently tapped the table with his fingers, interrupting Zhang You's report like a speech at the meeting, and asked in a deep voice.

"Can do it!" Zhang You said immediately, "The risk of thoracoscopy is reduced geometrically. But you can imagine that the 30cm traditional wound and 3 1.5cm incisions are completely different from the blows that the elderly suffer."

The situation was urgent, and no one present seemed to notice Zhang You's words. The wounds, incisions, clear numbers were all followed by his thoughts.

"Then you'll do a thoracoscopy, is Professor Chen?"

"I have notified him, but it hasn't arrived yet." Zhang You said seriously, "I'll urge you again."

"You said before that you can open the chest surgery to treat pericardial cysts. Can thoracoscopy be cured? Anyway, it will be opened once. If it is just a symptom and not the root cause, it will probably be other problems soon."

Zhang You seemed to have eaten bitter melon.

Dean Bao was afraid that Zhang You would be confused and said something that should not be said. He hurriedly said, "Thoracoscopy is just starting in China, and it is already very high-level to be used to stop bleeding. It is impossible to cut a heart cyst."

The person nodded.

"I'll urge Deputy Director Chen again, why is it so slow?" Zhang You whispered, picked up his cell phone and slowly exited the conference room.

...

...

"How old is the patient?"

"88 years old."

Zhou Congwen sighed.

He knew very well why Director Zhang You called Professor Chen, and he also understood the final direction of Professor Chen calling relatives and friends to inquire about the patient's condition.

Let Chen Houkun take the blame.

An 88-year-old man, closed chest drainage, 1100ml of non-coagulant blood was induced, and the chest tube was subsequently blocked, proving that there was large blood vessel bleeding.

As for what blood vessels... Although Zhou Congwen did not see the patient and the image data, he also had his own considerations - the possibility of intercostal artery is relatively high.

Director Zhang certainly dared not open his chest, for fear that the patient would not be able to get out of the stage. Not to mention him, he would not have a thoracic surgery even when he changed his handwriting at his peak. Whether it is a laparoscopy or a da Vinci robot, it is more suitable than a laparoscopy.

It would be fine if it was an ordinary patient, but I could try it. It was amazing to communicate well with the patient's family. The possibility of not being able to come to Taiwan is 99%. But if you don't do it, you will die 100%!

Can you say this to the person in the province?

What a joke.

People with power often receive treatment that makes people laugh and cry. They are afraid of being implicated when they say something, so why bother?

Zhou Congwen worked in the General's Mansion, and he knew all the tricks there.

Director Zhang You did not dare to undergo surgery, thinking that the patient was dead and was unwilling to take the blame for the circulatory department, so he threw the dark blame directly on Chen Houkun.

Even Zhou Congwen could think of how Zhang You explained to the patient's family - if you open your chest, it would be a good idea, but we have a new technology, just use three 1.5cm eyes and use a laminoscope to enter.

If the mortality rate of large chest opening is too high, then the advantages of thoracoscopy are fully demonstrated.

As long as the patient's family can still think calmly, they will definitely follow Zhang You's ideas.

Did he say it wrong? No, he didn't say a single wrong thing.

But why did he do this?

The dark and shiny pot was thrown directly on Chen Houkun. Zhang You didn't ask for merit but wanted nothing wrong. Moreover, with the patient's condition, if Chen Houkun's current level, it would take at least 2 hours to complete the operation.

It is hard to say whether the patient with 2-hour anesthesia can withstand it.

Zhou Congwen remembered the work process in the coach's mansion. In order to avoid these things, as long as there are problems, it is collective decision-making and has nothing to do with everyone.

The process of the Shuaifu is more scientific, but I don’t know how many times this science has gone through, quarrels, open and secret struggles, and finally everyone compromised.

I don’t want to see the coach’s mansion, Chen Houkun in front of me...is really pitiful. Not only was he kicked out of the thoracoscopy group, but he had to bear the thunder when he encountered something.

Seeing that Chen Houkun was so sad that he didn't say anything, Zhou Congwen felt pity. Thinking of Professor Chen's kindness to him in his previous life, he patted him on the shoulder, "Professor Chen, I guess you can't push it away."

"I know." Chen Houkun knew it. He looked at the ground with a sad face and vaguely saw his future.

"Or what if I go up and help you?"

When I was working, I heard the word "working" again. Chen Houkun's eyes suddenly lit up, but it immediately became darker.

In his opinion, this is no longer something that can be done with his hands.

The operation itself is not difficult, but the patient's age and condition. Handling can only solve the problem of the surgery. Can he make the elderly ten years younger in the blink of an eye, or can he make the elderly have better cardiopulmonary function?

"Xiao Zhou, the patient is 88 years old, and the recent test results of hemoglobin are only over 50 g. The operation... is difficult."

The age and numbers are not ideal, and Chen Houkun has no confidence.

No, he has confidence, but this confidence is the opposite - the patient cannot get out of Taiwan at all.
Chapter completed!
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