Director Mao, you have to help me. "A middle-aged man stood in front of Mao Chi's house, bowing and begging.
His posture was very low and even a little humble. It was even more so than when he worked at the Imperial Capital many years ago.
His exquisite, well-ironed suit was even as wrinkled as him, looking humble to the point of being covered in dust.
"Little Zhang, you …" Mao Chi, the director of the Vascular Department, was in a difficult position. However, this professor who used to lead a group under him was now begging him, so it was very difficult for him to say that it was not difficult.
Professor Zhang had worked in the 912 for many years. After he turned from the military to the civilian population, he was poached by a private hospital and became the chief of the vascular surgery department there.
Over the past few years, Professor Zhang's work had been quite standard. He was a cautious person and never launched risky new projects. He only did what he was good at.
The biggest taboo of working in a private enterprise was the high risk.
Capitalists don't care about technological advancements. Stable, risk-free returns are what they pursue.
It was enough if he could perform the surgery that he was most confident in. Any more would be left to the top Class Three Grade A hospitals.
Yesterday, Professor Zhang performed an operation for external iliac vein stenosis.
Under interventional radiography, the condition of the external iliac vein was confirmed, and then a stent was placed at the narrowed segment. The surgery was not difficult.
It was just local anesthesia for inferior vena cava and right lower limb deep venography, balloon dilation, and stent implantation. The process was smooth.
However, at the 22-hour mark, the patient suddenly had supraventricular tachycardia and frequent ventricular premature beats.
After using the corresponding medication, the treatment effect was very poor, and the patient's symptoms did not change.
Professor Zhang had no choice but to ask for a bedside echocardiogram.
Echocardiographic examination of the right atrium of the heart with a diameter of approximately 23
1mm tubular strong echo, stent shadow in inferior vena cava about 48.
Mm, consider the bracket falling off.
When he saw the image of the echocardiogram, he was petrified.
A stent falling off and getting stuck in the heart was the most serious complication in the vascular department!
Professor Zhang's hand went numb. What should he do next?
In an instant, he thought of Chief Mao Chi.
When he was at the 912, no matter what happened, he was not so flustered. Although a phone call to Director Mao would result in a scolding, Director Mao could still solve the problem.
After all, his skills were there.
Those who could become the chief director of the Imperial Capital were all elites among elites in the medical field in the country. Whether it was their professional skills or their interpersonal skills, they were all outstanding.
Most importantly, Director Mao was very protective of his subordinates.
Beating and scolding was one thing, but in the end, the other party could bear the consequences.
When he was a professor at the 912, Professor Zhang did not realize how precious this was. However, after he left the 912, every time he encountered a situation, he would always think of Chief Mao Chi.
Therefore, Professor Zhang had always been very careful to protect his relationship with Mao Chi. During Chinese New Year, he would bring gifts to Director Mao's house for a chat.
Firstly, he didn't want others to criticize him for forgetting his roots. Secondly, if there were any problems in the future, he could ask Director Mao to save him.
There was a saying that one should not be arrogant. There was a huge difference between Professor Zhang and Mao Chi's department head.
After Professor Zhang determined that something was wrong, he called Chief Mao, but he felt that it was not enough. He went straight to Chief Mao's house.
It would be too frivolous to talk about such things over the phone.
If they spoke face to face, the chances of success would be higher.
Mao Chi was placed in a difficult position. "If the stent falls into the heart, there's a 50% chance of the patient dying. Little Zhang, this matter … "
"Chief, you have to help me." Professor Zhang bent down and refused to lift up no matter what.
He was almost fifty years old. It was quite difficult for him to maintain this posture.
But today, Professor Zhang had encountered a threshold that he could not overcome. No matter what, he had to invite Chief Mao over.
Mao Chi looked at Professor Zhang with a complicated gaze. In the end, his heart softened.
No matter what, he was still his subordinate. In the end, he left because there were two deputy chief physicians above him. He had no hope of becoming a chief physician, so he had to find a way out.
Over the years, their old friendship made it difficult for Mao Chi to refuse forcefully and watch Professor Zhang fall into the abyss.
However, if he went to the rescue table … the stent would fall off, and it would fall into the heart from the large shelf of the inferior vena cava. In such a situation, it was not 100% possible to remove it with interventional surgery.
Mao Chi pondered.
For more than ten seconds, it was so awkward and suffocating.
It was very difficult for Professor Zhang to maintain this posture. His body had already begun to tremble slightly.
However, he still persisted. He also knew what Mao Chi was thinking. This was also the reason why he did not try to remove the stent.
Once the stent hooked onto the valve of the heart or the foramen ovale, if it was removed forcefully, the heart would directly rupture. With a cardiac tamponade, the patient would die on the stage.
Even if there was no cardiac tamponade, there was a high probability of atrial fibrillation, ventricular fibrillation, and other complications.
In short, no matter what, it would be difficult for the patient to leave the stage alive.
The evening breeze blew gently, but neither of them felt the gentleness of the best weather.
"Little Zhang, get up." Mao Chi finally shook his head and smiled bitterly. "Is the strength of your heart strong on your side?"
Professor Zhang's face revealed a look of relief.
Chief Mao's question meant that he had already agreed. It was as if he had returned to the past. Even if the sky fell, Chief Mao would still be there!
"Chief, you also know that private hospitals basically don't keep people who are broad-minded," Professor Zhang said in distress.
"Is there a machine for extracorporeal circulation?"
"Let me ask," Professor Zhang replied cautiously. He was afraid that if he said there was no such thing and no such thing, Chief Mao would change his mind again.
Little Zhang, look, there's nothing on your side. What should we do? Once Chief Mao said that, he would be dumbfounded.
Of course, Professor Zhang still had one last way — to transfer the patient to the 912 for surgery.
However, once he did this, it meant that he had to admit to the patient's family that the surgery had failed and that he could not solve it in his own hospital.
If he did this, it would definitely bring about unpredictable changes to things.
He vaguely remembered that the hospital seemed to have a set of extracorporeal circulation equipment. It was eliminated by a certain hospital in the past. He did not know if it could still be used after so many years.
After calling to ask and confirming this, Professor Zhang's mood was much better.
He could beg his grandfather and grandmother to borrow people. However, there was no machine. He could not borrow one from the 912, right?
That was a fixed asset. Even if he could borrow it, Deputy Director Yuan's approval was not useful. Director Yan had to speak.
"Chief, there's a machine."
"Okay, let's get it first. Do you have any familiar and high-level friends in the Department of Circulatory Medicine? Let's keep an eye on them. Once there's a problem with the heart rate, we can immediately rescue them. "
"I've already arranged this, Chief," Professor Zhang quickly said.
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