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Chapter five hundred and two less inspection

"Director Qi, the doctor involved is here."

The oncology doctor brought Wang Yang over.

Director Qi glanced at Wang Yang and asked, "What's going on?

Didn’t I ask you to find a doctor?”

Wang Yang's age really has nothing to do with the attending doctor, and Director Qi doesn't know Wang Yang, which leads to the birth of this scene.

The doctor on duty explained: "Director Qi, this is Wang Yang, a new attending physician in the interventional department. He has a very high level of intervention and has a Nobel project under his command."

"He is Wang Yang?"

Although Director Qi had never met Wang Yang, when chatting with other directors of the hospital, other directors had more or less mentioned Wang Yang's name, so Director Qi was still a little sensitive to Wang Yang's name.

"Hello, Director Qi, I am Wang Yang, the interventional department."

Wang Yang stretched out his hand and introduced himself.

Director Qi shook his hands briefly and said, "I will briefly introduce the situation of this patient. The patient is 35 years old and has stage 1 breast cancer and requires breast conservation surgery, so you can come for intubation and chemotherapy. You should be able to intubate the saphenous vein, right?"

“Yes.”

Wang Yangdao.

Even Wang Yang can say that a coronary artery bypass intervention is not a problem.

"Xiao Wu, take Dr. Wang to the operating room."

Director Qi said.

Xiao Wu was the doctor on duty. Hearing Director Qi's words, he took Wang Yang to the operating room.

"Doctor Wang, do you need an assistant?"

Xiao Wu asked.

"No, just watch it in the operating room. Just prepare the guidewire and catheter model for the radial artery."

Wang Yangdao.

Xiao Wu nodded and left, and at the same time arranged for the patient to go to the operating room.

Director Qi, who was sitting in the office, was calling the director of the vascular department, and the director of the thoracic surgery department, asking them to come for consultation and see how to perform the surgery.

In the external chest and blood vessels, the two department directors still have the right to speak, and Director Qi also shares the responsibility. When something happens, it is better for three people to share the burden than one person.

Surgery depends on skills and character.

Wang Yang took a look at the patient's film and the lump was still quite obvious. Wang Yang did not pause too much in his hand. He looked at the patient's examination report and started the operation.

A contrast examination is required before intubation. The catheter enters the subclavian artery and the contrast agent is injected into it to observe the blood supply artery and blood supply volume of the tissues around breast cancer.

The contrast agent begins to spread at the patient's thorax, and it can be clearly found that the lateral artery occupies one-half of the position at the thorax, and the lesion area is between the thorax and the subscapular artery. As long as there is no problem with this artery, there is no blood supply or abnormal hyperplasia of the blood supply artery, perfusion surgery can be performed normally.

As the contrast agent gradually spread, Wang Yang was also observing the changes in the image. The changes frame by frame are like the ripples spreading on the lake surface, with a kind of silence.

The doctor on duty watched Wang Yang's operation in the operating room. He admired Wang Yang's speed of precise injection of contrast agent by inserting the catheter into the catheter, and felt that he was well-deserved.

"The radial artery seems to have symptoms of small-scale bleeding."

Wang Yang found that the images were unusual.

This is not a good phenomenon. Small-scale bleeding proves that the patient's artery has bleeding, and there may be hematomas around the tissue, which require surgical removal.

Only bleeding in the radial artery was found. Wang Yang took the catheter and began to puncture the femoral artery to perform radial artery embolization and stop bleeding. As for the perfusion of chemotherapy, the radial artery path cannot be completed, so Wang Yang followed the internal mammary artery path.

Wang Yang performed the operation in an orderly manner, but there was a fierce discussion about consultation in the oncology department.

Inside the office of the attending physician of the oncology department.

Qi Ping lit a cigarette and looked at Professor Qin from the Department of Cardiology and Thoracic Surgery and Director Zhao from the Department of Cardiology and Vascular Science, with a serious expression.

Just now, when he watched Professor Qin and Director Zhao, Professor Qin saw the problem with the film at a glance, and the patient's examination was not comprehensive, and there were missing bleeding points.

For breast cancer, the examination requires complete examination. If there are omissions in the examination, not to mention consultation, even interventional perfusion and radiotherapy cannot be performed. After all, if someone intervenes, the doctor performs surgery according to your examination. If you miss the bleeding point, the infused medicine will flow along the bleeding point, which will greatly reduce the efficacy of the medicine.

Moreover, human organs have different abilities to accept different drugs, just like when we are sick, we cannot take medicine in a mixed manner. If you treat liver disease, you will play the piano against a cow.

Once resistance occurs, the human organs are prone to pathological changes. Pathological changes will be troublesome, and the entire organ may need to be removed.

"The patient needs to continue to do the test."

Professor Qin directly put forward his own opinions.

"But the interventional doctor has already come on stage."

Flush face showed a difficult expression.

"What?"

Professor Qin and Director Zhao both looked at Qi Ping in surprise.

Director Zhao roared directly: "You are taking human life aside. How can you let the interventionist doctor come on stage before the examination is completed? Now stop the interventionist doctor quickly, hoping that his operation has not been completed."

Qi Ping nodded. This matter is indeed a loss. He has been busy all this time. There are still many cancer patients in large hospitals. Not to mention doing less examinations, even if the examination between the two patients is wrong, it is possible.

"The interventional doctor probably hasn't started stepping on the line. It's only twenty minutes passed now. Maybe he had an interventional angiography just now."

Flush Road.

"Then why don't you go over and take a look."

Professor Qin stood up first.

Qi Ping hurriedly led the way to the operating room, pushed open the door of the operating room, and saw Wang Yang standing aside and chatting with the doctor on duty, he breathed a sigh of relief.

"Dr. Wang, interventional surgery is not needed for the time being. The patient's examination is not perfect and hematoma may occur. We need to complete further examination before we can continue the operation."

Flush Road.

Wang Yang stopped chatting with the doctor on duty and looked at Qi Ping in confusion, not knowing what he was thinking.

The hematoma has been solved by myself.

"Director Qi, patient..." "Doctor Wang, you go back first, leave it to us."

Flush Road.

"Xiao Wang, you go back first, it's okay."

Professor Qin knew Wang Yang, and was afraid that Wang Yang would think wrongly, so he turned his attention to the operating table after saying that.

.

"Xiao Wang, the oncology department has not done a complete examination. If you want to go to the stage to operate blindly, the consequences will be very serious. We will call you if you need it."

Director Zhao explained.

Wang Yang opened his mouth and wanted to say something, but when he heard them say this, he could only nod and leave directly. Anyway, the operation had been completed and his task was completed.

"Professor Qin and Director Zhao, let's go and see the patients first."

Qi Ping suggested.

Professor Qin stood there motionless and said, "Wait!"
Chapter completed!
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