Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Zheng Ren thought to himself but his hands did not stop moving.
After taking out the embolic catheter, he sent the guide wire to the second segment of the right coronary artery near the stenosis. Then, he sent the guide wire into the 2.5mm to 20mm Crosssail balloon catheter to the lesion of the left anterior descending artery. The balloon was filled with about six to eight atmospheric pressure for five to eight seconds to dilate the stenosis.
“Do you have a drug-eluting stent?” Zheng Ren asked when the thought crossed his mind.
At this moment, placing a drug-eluting stent in Chief Jiang’s coronary artery was the best choice.
Zheng Ren’s circulatory interventional surgery was practiced in the intensive care unit of Karolinska Medical College in Stockholm, Sweden, when he was preparing to perform surgery on Dr. Mehar.
Based on the situation, the System had provided Zheng Ren with all the necessary medical supplies.
However, the problem was that he was currently in Pengxi Village Hospital, the only township hospital in the country.
It was already very good for a hospital of this level to have a circulatory interventional surgery room. Zheng Ren felt that it was impossible to have drug-eluting stents.
Sure enough, the scrub nurse immediately said, “Doctor Zheng, there are no drug-eluting stents.”
“What do you guys have?”
“There is only the Boko Express stent.”
“I’ll use that then.” Zheng Ren looked at the screen and began to think about the surgery process in his mind.
Soon, Su Yun had everything ready.
Zheng Ren immediately sent the 2.75mm to 12mm Express stent to the lesion and filled the stent balloon with 6 to 12 atmospheric pressure to open the stent.
After repeated angiography, the blood flow in the distal end of the lesion reached the TIMI III.
Zheng Ren was satisfied with the surgery results and smiled.
“Chief Jiang, you must regularly take your medicine after the surgery. There is no drug to wash off the stent. Remember to take the medicine regularly,” Zheng Ren reminded him yet again.
Chief Jiang was dumbfounded.
He did not know how to remove the embolus, but he knew that the speed at which he had inserted the stent was too fast. The position was standard. The narrow section was completely covered. There was not a single flaw to be found.
Chief Jiang had performed hundreds to thousands of such surgeries but was not a particularly skilled doctor. He knew the difficulties very well.
Because of his own skill, Chief Jiang was unable to improve even an inch.
What exactly was he stuck at? Chief Jiang knew that it was because his understanding of 3D imaging was not enough. There was also the problem of technique.
To put it simply, it was just difficult to understand.
While it was mostly theory. but the fact was that there was a discrepancy between the imaging examination and the actual situation. This was something that he could not comprehend for the time being.
At least for Chief Jiang, it was a difficult problem that could not be solved.
The position that he saw was slightly different from the actual position. Moreover, he would also need to know how much strength to be used at each stage.
It was very easy to see Doctor Zheng’s operation, but Chief Jiang knew that if he were to lower the stent and inflate the balloon, there was no way to completely cover the plaque on his own.
Otherwise, the process of putting up the stent might lead to severe arterial sclerosis and tear the intima.
There was a chance it would not happen but the risks were still high.
The blood vessels of patients with coronary heart disease were relatively hard and brittle. If a force was applied on the intima of the blood vessel and one did not have proper control, it would definitely tear.
However, there was not a trace of contrast agent left when he looked at the imaging after Doctor Zheng had put down the stent.
This meant that there was no problem had occurred during the surgery itself and the intima tear had not occurred.
This feeling and level of skill were really amazing!
Chief Jiang lay on the operating table and watched the contrast process. He gradually became engrossed in it.
This was also the first time Zheng Ren saw a patient focused on looking at the image there. He had a strange expression on his face.
He smiled, pulled out the guide wire and catheter, and applied pressure.
“Chief Jiang, don’t go to the ward. Just do the drip in the duty room,” Zheng Ren said.
Chief Jiang was still staring at the radiographic films in a daze and didn’t hear Zheng Ren.
“Hey, Old Jiang! Wake up, you need to get off the stage!” Su Yun pushed Chief Jiang.
“Huh? What’s wrong?” Chief Jiang woke up from a dream.
“You’re really eager to learn.” Su Yun smiled and said, “Both coronary arteries have been opened. Go back and use your medicine. I won’t say what to use. Have a good rest over the next few days and don’t worry about this.”
“I…” Chief Jiang hesitated.
Don’t worry? How could that be possible!
What should he do if the frontline sent the wounded down one after another? It was the peak period. How could he not endure it?
Countless negative emotions were about to gather, but Su Yun immediately said, “Old Jiang, stop! Let me tell you, your current situation is just a little better than before. Don’t court death yourself.”
Speechless, Chief Jiang felt helpless.
“You’re acting as if the world will end without you,” Su Yun scolded. “Even my boss doesn’t dare to say such a thing. What kind of pretense are you putting on?”
“Then the situation on this side…”
“Don’t you still have Uncle Ning?” Su Yun said, “When Uncle Ning works, he won’t be like you, busy to the point of having a heart attack.”
Su Yun didn’t feel any burden when he said this kind of harsh truth.
Chief Jiang was speechless again.
“Uncle Ning is methodical. Don’t worry, we’re here.” Su Yun’s tone changed slightly as he said, “I really envy you. You can go home and sleep. Boss, when do you plan to rest?”
“When you’re done, quickly carry him down and bring the next patient up.” Zheng Ren used his own words to express his dissatisfaction toward Su Yun.
Why was this guy becoming naggier and naggier?
Zheng Ren was very tired. If not for the energy conversion lead apron which converted x-ray radiation into ‘energy’, coupled with the energy drinks provided by the System, Zheng Ren would not have been able to hold on until now.
But even so, Zheng Ren had reached his limit.
He felt that the rib fracture on his left chest wall was particularly painful. Zheng Ren even began to wonder if he had a heart attack too, but the pain from the rib fracture covered up the symptoms.
The System was still not considerate enough. He could not even see his system interface.
If he could see it, the system interface would probably be a bright red.
A broken rib was not a serious injury. As for the bruises, they were nothing. However, did he have a heart attack?
The more he thought about it, the more Zheng Ren felt that his chest was stuffy and he was short of breath. He felt a radiating pain in his shoulder and back…
This was a classic case of paranoia. Zheng Ren quickly dismissed all his thoughts and took a few steps back. He leaned against the wall and took the opportunity to rest while transporting Chief Jiang.
It was only a few minutes but to Zheng Ren, it was still very precious.
Chief Jiang would not leave the battlefield unless he was seriously injured. Even if he wanted to persist, no one would agree to it.
Xie Ning arrived soon after. He divided some of his energy and began to preside over the overall situation regarding interventional surgery.
Everything continued. It did not stop because of Chief Jiang’s departure.
The operating theater was brightly lit. One after another, the injured were carried onto the operating table for surgery. They were then sent to various hospitals in Chengdu in an orderly manner.
The only difference was that Chief Jiang was lying in the duty room, snoring loudly.
He could finally sleep at ease. He had no choice but to sleep.
