Chapter 1317: Twist

Ultrasound intraoperative evaluation is more and more widely used in the operating room.

Ling Ran had frequently used intraoperative ultrasound in operations before, but now that he has undergone heart surgery, the intraoperative ultrasound is still smooth.

This is also the current trend. Ultrasound can be used to determine the area of ​​the valve orifice, the degree of activity, the degree of valve regurgitation, the velocity of blood flow, the location and severity of lesions, and so on.

Zuo Cidian watched Ling Ran do it, and stretched his neck to watch, not hiding the concern on his face.

"I know you?" The itinerant nurse came over and stopped Zuo Cidian a little, lest he get too close and affect Ling Ran's operation.

"Just my patient." Zuo Cidian retracted his neck, a little slowly, like a farmed soft-shelled turtle.

"Doctors who have been to the United States are different. They have humanistic care." The itinerant nurse laughed twice, without much fuss.

Zuo Cidian continued to stretch his neck to look, but he could only see Ling Ran using the probe to scan the short axis of the artery, the apex of the heart and the five-chamber section.

Looking up at the screen again, I saw a piece of blue.

In the ultrasound image, the systolic period of the heart shows this state, indicating that the negative blood flow is already quite serious.

"It really is mitral valve insufficiency." Zuo Cidian regressed the cause through the result, and it was easy to determine.

Ling Ran nodded, as if he approved of Zuo Cidian's judgment.

Although he can use the virtual human to directly determine the patient's heart condition, as a consumable, Ling Ran doesn't really like to do it in the initial stage of judgment.

After all, the initial judgment can be guessed with an instrument, so there is no need to waste precious virtual human time.

If necessary, using the same length of time for ambiguous surgical judgments will bring much greater benefits.

Huo Congjun took one more look at Zuo Cidian, and said in surprise, "Doctor Zuo still has talent in heart surgery?"

Because it was the boss's question, everyone obediently waited for the answer from the chief knife, Ling Ran.

Ten seconds later, Ma Yanlin coughed twice and reminded in a low voice, "Doctor Ling?"

Ling Ran raised his head suddenly, looked at Huo Congjun, and said, "I thought it was a question.

"

"Suppose..." Huo Congjun shrugged his shoulders unsurprisingly, then laughed, and helped Zuo Cidian out of his embarrassment by the way: "It seems that old Zuo has no hope of getting ahead in cardiac surgery?"

For a moment, Zuo Cidian was really looking forward to it, but at this moment he was fully awake, and laughed himself: "I am already at this age, even if I devote myself to heart surgery, I am afraid it will not be useful in a few years. It's better to be safe."

"It won't take long to study heart bypass surgery alone, but the price-performance ratio is not as good as orthopedics." Ling Ran gave his own judgment, which is also his plan for Zuo Cidian in clinical medicine.

If Zuo Cidian was a little regretful just now, hearing Ling Ran's words now, his mind immediately changed.

In China, for ordinary doctors, cardiac surgery is just a little bit nicer. Except for the quality, there is no way to compete with orthopedics in all aspects.

In a place like Yunyi where the competition between departments is relatively fierce, the Department of Orthopedics can even win in surgery and scientific research through better operating rooms and more experimental funds.

Zuo Cidian was naturally more interested in orthopedics, so he immediately followed Ling Ran's words and said, "I'll listen to Dr. Ling."

Ling Ran nodded and continued with his operation.

Wu Lei, a little nurse standing beside Zuo Cidian, listened to the conversation of several people, and decided to change her face to Zuo Cidian. She turned her body slightly, and touched Zuo Cidian with a light elbow like a soft girl, as if inadvertently.

Although he is a little older and ugly, but if he is an orthopedic doctor, at least he must be rich.

Moreover, if you eat radiation frequently, you can die a little earlier than the average.

"The arterial valve is thickened by more than 3 mm." Ling Ran judged through ultrasound, and quickly said what Zuo Cidian wanted to hear: "Heart valvuloplasty can be done."

"Is it possible?" Zuo Cidian straightened up and said hastily, "Then I'll inform the patient's family, and you continue to do it."

The pre-operative notice had already been signed, and it was said that no matter if it was plastic surgery or replacement surgery, Ling Ran would continue to do it. But in terms of general procedures, both hospitals and doctors are willing to sign another notice to avoid liability when they make a decision.

This is like a critical illness notice, which is supposed to be done once, but some hospitals still tend to keep issuing critical illness notices, keep downloading, keep downloading...

The little nurse Wu Lei stomped her feet as a gesture, then followed Zuo Cidian's footsteps, and quickly left the operating room.

"What are you following?" Zuo Cidian went up the corridor, walking fast, but Wu Lei, who was trotting, was almost keeping pace with him.

Wu Lei glanced at Zuo Cidian, bit her lips and remained silent.

Zuo Cidian narrowed his eyes, he was ready to curse. This is not an operating room, Zuo Cidian is confident, as long as this little nurse is 20 meters away from him, he can scold her until she wants to resign.

"I can help." Wu Lei lowered her head and whispered.

Zuo Cidian frowned slightly: "What help?"

"The patient you are going to talk to, is the situation at home particularly complicated? There should be several families waiting outside."

Zuo Cidian nodded slowly: "I don't usually help, but when I get surgery, I can't do it anymore, and they jumped out one by one to show their presence. I mean relatives."

"I'm pretty good at handling this kind of thing, let me go." The little nurse Wu Lei vowed.

Zuo Cidian looked at him suspiciously, and asked: "This thing has no certificate, where did you learn to deal with it?"

"What about my two or three boyfriends, if we can't get along well, can I go to work with peace of mind?" Wu Lei's answer was serious!

...

Zuo Cidian took Wu Lei to meet the family members of the patient's old driver.

This time, in addition to the daughter I saw last time, the driver's sister, brother and other family members also crowded over.

A group of people sat in the waiting area, talking non-stop:

"All the people I know do heart stents. How can anyone do surgery now? Why are you so stupid? Surgery is not only a slow recovery, it is also dangerous!"

"And a valve was added, and the hospital is discussing this."

"That's right, you guys think too much about the matter of tens of thousands of dollars."

The relatives chattered and kept talking in the ear of the patient's daughter.

They don't necessarily have any thoughts. Many times, they are just plain boring.

"The family members of patients in bed 102." Zuo Cidian coughed twice before entering the room.

"Ah... I am." The patient's daughter stood up quickly, a little timidly.

"Your father's operation is still going well so far. The valvular disease is relatively serious. Now you are going to have valvuloplasty. Please sign it again." Zuo Cidian took out another notice.

"Oh..." The patient's daughter took the notice and read it.

"This is not easy to sign."

"It's because there is a problem inside that you need to sign."

"What about the patient? Let's see the patient before signing."

Everyone shouted again.

The patient's family members pushed me, and I squeezed yours, almost occupying the entire position in front of Zuo Cidian.

Wu Lei looked at Zuo Cidian worriedly, no matter what, she likes her man, if he can not suffer from outsiders, it's better not to suffer from outsiders.

I can't afford it either.

At this time, Zuo Cidian took out another form that he had prepared long ago, and said, "There is one more thing, for the continued payment of the operation, you'd better ask your relatives and friends to borrow it again, and pay as much as you can... ..."

Before the words fell, the relatives you pushed and shoved became obviously gentler, and the direction of force seemed to be reversed.

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