Chapter 2094 Is he fooling me? Come, leave it to you

As he spoke, Zhang Fan smiled slightly: "After I read the surgical plan, I was very inspired and also had some new ideas, now that I have opened the chest!"

The officers outside the system nodded slightly and looked at each other. Who said Zhang Fan was difficult to deal with, and who said Dean Chasu was domineering? What he said was so rhythmic.

But colleagues and even physicians all opened their mouths. This is so shameless. For such a mature surgery, you have a new inspiration, and you are doing it as if it is the first time you have seen this kind of surgery.

If you don’t agree, you don’t agree. To put it nicely, it sounds like a group of us are bullying you, but we, a group of us, had a good discussion.

After I came here, I not only sat in the C seat without saying anything, but also took away the right to speak. One person held a group of us under our butts without saying anything, and he even got an advantage and acted like a good boy.

Oops, some physicians' faces are a little pale because they are angry.

"Zhang Yuan, you said, you said, you are here just to let you speak. We are all ears." A person in charge of diplomacy immediately said to Zhang Fan with a smile.

 These are all recorded with meeting minutes. For surgeries of this level, there are meeting minutes recorded by a dedicated person from the moment you enter the office. This is not a summary of the meeting, but a record of the meeting.

 At that time, whether it is to reward merits or to hold people accountable for accidents, we must look back. Don't think that it's easy to make money when pawns, just depends on whether people take it seriously or not.

“Well, let me say a few words.” Zhang Fan smiled and nodded.

A group of doctors who were not paying attention looked at Zhang Fan, looking at Zhang Fan's smiling face like a sunflower, and they felt a sense of powerlessness.

 Surgery, such as orthopedics, urology and other doctors, will produce great doctors, but there will not be a great doctor who will rule an era.

 However, in these two disciplines, brain surgery and heart science, great masters often emerge who dominate an era. Some experts have even exaggerated to the extent that there will be no major technological leap forward. Almost all doctors of this generation must perform surgeries according to other people's surgical techniques.

 A little more or a little less will not work. For example, the originator of surgery once said that the heart is inoperable. If anyone wants to perform surgery on the heart, then he is either a devil or an angel. The result was the first generation of masters of open-chest manual massage and cardiopulmonary resuscitation.

“Establish extracorporeal circulation, block the ascending aorta, incise the right atrium, fold the ventricle along the longitudinal axis, close the atrial ventricle, and add Carpentier ring on the basis of DeVega ring contraction...”

While Zhang Fan was talking, he took an electronic pen and directly drew the surgical process on a large professional graphics tablet, and it was also an exploded diagram. While I was drawing, I thought to myself: "This thing works pretty well. Damn Capital Hospital is rich. Let them give away a batch of tea ingredients after this is done."

 There are other people who are not experts in the field of diplomacy, and they also became serious this time, like students who are about to take the college entrance examination watching the teacher talk about the questions.

 It’s not that they are pretending, but this time people really understand.

 In the previous discussion, no matter how enthusiastic and professional the experts were, they just waited for the results, then looked at the degree of public support, and then reported the results.

 For the rest, nothing can be done. Even the doctors don’t know what they want to do.

 But this time it was different. Under Zhang Yuan’s hands and the anatomy diagram, they knew what was wrong with the patient and what to do now.

 Some even couldn’t help but put their right hand on their left breast. This was not an expression of respect, she felt like she had a heart problem, because she understood.

As for the people in the industry, not only physicians and surgeons, when Zhang Fan drew the exploded diagrams, each one was more solemn than the other.

 At this level of doctor, anyone can draw this drawing, but they clearly saw that Zhang Fan's drawing was different and the decomposition was too detailed.

Even the muscle cords of the tricuspid valve are drawn. How many pig hearts and how many gross teacher specimens must be cut to achieve this level?

 At this time, none of this mattered. What they couldn't understand was the surgery.

 Zhang Hospital seems to be using tricuspid valve reconstruction, but the surgical method is obviously different.

 The heart is the size of a fist. Everyone’s heart is the size of someone’s fist. There is not much difference.

 In this kind of place, once the surgical method is determined, it is difficult to change the surgical method.

 Because the place is too small. How to describe this thing? To put it simply, other surgeries, such as most orthopedics and general urology surgeries, are performed by you and your wife on a big bed of eight meters by eight meters in your home. As long as you have the physical strength, you can perform it. Flowers come, as long as they are still young. Of course, if you are old and can only lie down, you can also lie down horizontally or vertically.

And heart surgery is to give you a QQ car, or the first-generation small QQ, and then let you do a hundred kilograms for men and a hundred kilograms for women. If you can spread your legs, you are already an expert. !

 But now, the surgical method on the digital tablet is obviously different, and it is also a composite modified surgery.

Before Zhang Fan came, their surgery was just a deformity repair.

It sounds simple. In fact, to be honest, the younger you are, the easier it is to perform heart surgery. The older you are, the more difficult it is to perform major surgery.

Many congenital heart diseases can be treated, but many posterior heart diseases cannot be treated, and even conservative treatment is very laborious.

 This is the special nature of the heart.

 A digital drawing board the size of a normal blackboard was filled with both drawings and writings by Zhang Fan. After Zhang Fan finished explaining, he gently threw the electronic pen on the table.

 Then he looked at a group of experts.

 A brief silence appeared. Although it was not long, it lasted about half a minute.

Non-professionals turned their heads, sometimes looking at Zhang Fan and sometimes at other experts.

As for the professional people, the internal medicine people have already taken out their pens and started calculating, while the surgical people are scratching their heads and holding their chins.

When Zhang Fan was about to speak, the director of Zhongyong Internal Medicine raised his hand first. Raise his hand! Although I am a physician, the number of times I am invited to the operating room for consultation every year may not be less than the number of visits to the operating room by cardiac surgeons in some medium-sized hospitals.

 Although he does not know how to perform extracardiac surgery, he has met many well-known people.

Just like a young man who has watched mosaic movies from Maruko-Kuni. Although he has never done it himself, he also knows that some things are impossible, such as stopping time.

 Zhang Fan nodded, "Director Fan, please tell me!"

 After Zhang Fan finished speaking, Director Fan started to speak. Director Fan, not to mention other things, occupies half of the wall in the hospital's introduction column. He is a director of the World Medical Association, an executive director of the Chinese Medical Association, a deputy director of the Internal Medicine Branch of the Chinese Medical Association, and a rare disease director of the National Health Commission. Deputy Chairman of the Diagnosis and Treatment Guarantee Expert Committee and Director of the Office….

˜Long and long, short and short.

"Zhang Yuan, your surgical method is very groundbreaking. According to my calculations, if you follow your surgical method, the patient's heart power after surgery can reach more than 98% of that of a normal heart. The most important thing is that maybe Not dependent on drugs.

but…"

 Having said this, Director Fan paused and glanced at Zhang Fan.

Physicians are more delicate than surgeons. Zhang Fan still smiled and continued to let Director Fan talk.

"However, your operation is being carried out on an old man with a long-term heart disease. I think the heart and lung capacity needs to be reached to the extreme, and there will also be an imbalance in the input and output, and even blood dilution leading to a decrease in blood viscosity. There are also The perfusion flow may be insufficient. According to the calculation of circulation flow, at 2.4/(min.M2), during this operation, the patient's blood oxygen, urine output, and BE values ​​were hovering at the warning line or even lower.

 Mixed venous blood oxygen may be less than 60%…”

When Zhang Fan heard this, he couldn't help but sigh in his heart, there are so many talented people in the capital. If this had happened in Chasu, it would have been impossible for the cardiology doctors, including Ren Li, to give Zhang Fan an intracardiac evaluation within a few hours after drawing the breakdown diagram of the operation.

 Zhang Fan began to answer.

"When repairing the junction between the flap and the non-flap, I can keep an extra 2-4mm of width to avoid turbulence in the blood. Where the fibrous membrane is narrowed, I will not form an oval but a direct circle to achieve a surgical fit. point…"

Since it was hard to explain clearly, Zhang Fan started explaining it in detail directly from the exploded diagram.

This time, outsiders can’t understand it at all.

  Hmm, there is a hammer difference between round and elliptical ones. 2mm and 3mm also look the same.

 But surgeons, your eyes are bright at this time.

  But there are also those who are confused.

"Why don't you use an oval for such a big place? How do you suture it? There are no strong points. How do you pull and sew such a thin heart wall? Doctoral textbooks clearly state that a heart wall of such a thickness is brittle and thin. Yes, aren’t you afraid of heart rupture?”

Those who think this way are almost always at the deputy director level.

 To be honest, it is not easy to live in the medical industry, especially at the top level.

 The technology industry is estimated to be similar.

For example, the Laoliu Hospital in Modu has developed a new surgical procedure that can obviously improve the prognosis of patients. If Zhongyong in the capital does not immediately replicate it in the operating room, then the position of the corresponding department director will begin to be shaky.

Even if this mediocre director goes to learn from others, his status in the industry will plummet. When it comes to special and urgent surgeries, superiors will not choose a mediocre director! This requires that you may not be the first, but you must know it as soon as you hear it!

Most surgical experts understand this, but the risks are also there.

 After Zhang Fan’s explanation, Director Zhongyong Fan frowned and looked at the other experts.

  She was not confused but more confused.

Her eyes seemed to be asking other experts: Is this okay? Is Zhang Heizi fooling me? I am a layman after all!

 The pressure has been handed over to the digital director!

Others, such as the deputy director of the hospital outside the city, are no longer holding their arms. Now they are taking photos with one hand and recording frantically with the other hand. This is to write down their experiences.

These people are extremely smart people. Not only did they understand, they also heard their own thoughts or insights.

 At this time, you must record it, maybe there will be nothing later.

 Even if he still can't perform Zhang Fan's surgery after this discussion, it will definitely not affect his surgical skills, which can be greatly improved.

"Zhang Yuan, this method is a bit dangerous. I think we can be a little more conservative. After all, this kind of surgery requires surgical skills. Once an accident occurs, it will be catastrophic!"

 (End of this chapter)