Start as an Emergency Physician

"I'll do this surgery!"

Zhou Yuan's words made the two chief physicians present confused.

"Nonsense!".

"Do you know what a cerebral infarction is, and how dangerous the patient's condition is?!"

Even the two great experts in neurology and brain surgery can only sigh that an intern actually said that he could do it

"I'm skeptical, do you know what carotid endarterectomy is?".

Zhou Yuan frowned.

It was nothing to be suspected of the level of surgery, and his identity as an intern was there.

However, the theoretical level is also questioned!

Zhou Yuan glanced at the old man lying on the emergency bed, and then said quickly: "Carotid endarterectomy is a method to remove thickened carotid intimal atherosclerotic plaques and prevent cerebral infarction caused by plaque shedding, which has been proven to be an effective method for the prevention and treatment of ischemic cerebrovascular diseases. "

"This surgery has been performed in Europe and the United States for 60 years, and has been proven to be a very safe and effective operation, and is the gold standard for the treatment of moderate to severe carotid artery stenosis, with about 150,000 cases performed annually in country M alone. Carotid artery stenting is not the first choice due to its high cost, high incidence of perioperative stroke, and high rate of postoperative restenosis. "

"Now patients with carotid artery stenosis greater than 50%, carotid endarterectomy is the best treatment option. "

When he said this, Jiang Xiaoqi had already arrived.

Jiang Xiaoqi once studied neurology, has a certain understanding of cerebral infarction, and has also been in contact with similar patients, so she was called over.

"I said, I'll do this operation, let's not continue to delay, okay?" Zhou Yuan was a little impatient.

Wait any longer, this old man's life is in danger!

"No, it can't be done. The carotid artery is too narrow, the extent of cerebral infarction is very large, more than 60%, and it is accompanied by hemorrhage, a large number of masses are formed, and the cerebral blood vessels are also blocked. I have never seen a patient with such a serious cerebral infarction!" Jiang Xiaoqi said seriously after looking at it for a while.

"What are you messing around! Look at it! The doctoral students who have come back from Harvard are helpless, and the two directors of us who have been studying in our heads for more than 40 years can only stop.

"Shut up, I'll be responsible for this operation, let Zhou Yuan do it!".

Suddenly, He Jianyi spoke up and interrupted everyone's words.

Jiang Xiaoqi and the others immediately widened their eyes.

"He Jianyi, are you even messing around?" asked the director of the neurology department.

He Jianyi quickly looked at the old man's examination results and said, "I am the person in charge of the emergency department, and I have the final say here." You're just here for a consultation, you can't do anything about it, so we'll do it in the emergency department!".

He Jianyi is the person in charge here, and when the words fell, Zhang Ling and the other little nurses immediately began to push the emergency bed.

"Operating Room One. Zhou Yuan said skillfully.

"What should I do if the patient's family members sign their signatures?" Master, the patient's family members haven't come yet!" Haiyang walked in eagerly.

"I'll sign it!" Zhou Yuan didn't allow time to be wasted on such meaningless things.

"What is your name for an intern, I'll sign it!" He Jianyi glanced at Zhou Yuan deeply and scolded with a little reproach.

The family member's signature is too deep, and when the doctor signs on behalf of the doctor, if there is a medical accident during the operation, then the doctor's career may be ruined.

In addition, there is a possibility that the family of the patient who did not sign may sue the court for a huge amount of damages, etc.

Zhou Yuan is a good doctor with a bright future, and one day he will become a leading figure in the medical field, and he He Jianyi is about to come to the end of his career.

If someone must sacrifice for this, He Jianyi chooses to sacrifice himself to protect his disciples!

"Teacher..." Zhou Yuan was stunned for a moment, and couldn't help but be a little moved.

"Slippery, go for surgery!".

As he spoke, He Jian signed his name on the informed consent form for the operation.

"Ocean, Nisuke. Wang Kai, three assistants. "

In the process of walking to the operating room, He Jianyi had already made arrangements.

The ocean on the side had a bitter face.

"Listen to this, master, are you going to be a helper again?"

He Jian nodded: "Otherwise, I don't feel at ease if I don't participate in such a major operation!"

Ocean joked, "I'm not worried about going to help!".

He Jianyi patted Haiyang's head: "You kid talks a lot! You see how honest Liu Kai is!".

Liu Kai smiled innocently: "Haha, it's enough to see Senior Brother Zhou Yuan and Master Zhou Yuan doing your surgery!"

After a few minutes, the chief surgeon, one assistant to three assistants, instrument nurses, anesthesiologists, and so on were all in place.

Zhou Yuan put on a heavy lead suit and stood in front of the operating table, the steps of carotid endarterectomy flashed in his mind.

First of all, the anterior edge of the sternocleidomastoid muscle in the anterior neck makes all the incisions, separates the common carotid arteries, internal carotid arteries, and external carotid arteries, temporarily blocks the above-mentioned blood vessels, and then cuts the bifurcation of the common carotid artery, peels off the thickened plaque of the arterial intima, and re-sutures the blood vessel wall.

Before the operation, He Jianyi nervously touched his chest and glanced at Zhou Yuan: "Are you sure? "

"Because you've surprised us so much. "

Zhou Yuan smiled and said, "Teacher, believe me!"

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