Chapter 80 The Nanny's Niece's Counterattack
This is also a patient with atrial fibrillation. It's quite a coincidence. Lin Wei breathed a sigh of relief after seeing this. She was really afraid that it was another patient with supraventricular tachycardia or atrial flutter. Although the treatment principles are the same, the differences are still quite big, at least the location is different.
Since it was her first time doing it, she naturally wanted to play it safe.
However, before that, she still checked the patient's medical records and his electrocardiogram. After confirming that everything was correct, she also took charge of the anesthesia work.
There was no other way; she was the only one here, so she had to take on multiple roles.
Fortunately, the equipment can be moved around as needed, otherwise one person would really not be able to keep up.
The initial positioning and disinfection are quite simple; the difficulty lies in how to puncture blood vessels and insert electrode catheters into the heart under the monitoring of an X-ray angiography machine, while also locating the abnormal structures causing atrial fibrillation.
Unlike Director Zheng, who found it with ease, Lin Wei was a novice. Although she knew the steps, it was difficult to succeed on the first try without a teacher's guidance. Therefore, she was stumped by the catheter insertion, and after a while, even sweat broke out on her forehead.
calm.
She knew it was because she wasn't familiar with the angle and her hands, which was a common problem for beginners and nothing to worry about. So even though the surgery was slow to progress, she didn't panic, and at least she didn't operate haphazardly. Instead, she treated this procedure as a real operation.
After realizing she was stuck at this step, Lin Wei stopped administering the fluids and stepped back to prioritize ensuring the patient's vital signs.
Clearly, it was another F, but an F+. Someone who would normally be dissatisfied with a B was actually pleased to see an F+. In her view, even if the surgery couldn't succeed, at least the patient shouldn't die on the operating table.
To assume that patients in a simulation room are robots that can be manipulated arbitrarily is a desecration of medicine and of life. It's highly improbable that such manipulation would be applied carelessly to intractable patients in real life. This is unacceptable.
Because of this, Lin Wei carefully tried several more times, and finally succeeded in sending it in on the fourth try.
"Four times? Not bad." She said reluctantly, but a hint of joy still appeared on her lips. She never thought of herself as a particularly talented person, so she never intended to succeed on the first try.
Of course, if Director Zheng had been there to guide her, she thought she wouldn't have needed so many tries to get in.
But isn't it because he wasn't there? I had to figure it out on my own, and four attempts was already pretty good.
However, Lin Wei remained vigilant, as the main event was yet to come, and the success of the surgery was crucial.
Therefore, she proceeded with extreme caution, not daring to make the slightest mistake. It would be a lie to say that misjudging the position or performing any unnecessary steps would not damage her heart. In fact, this step was arguably even more crucial than the previous ones.
However, the fourth experiment ultimately failed because she calculated that the anesthesia time was about to wear off. She couldn't continue the surgery without anesthesia, that would be a disaster, so she withdrew in the end.
"Ultimately, it's because I'm not familiar with it." She had wasted too much time in the early stages, so she still needed to practice the first step.
From initially being unfamiliar with the process and having to search around aimlessly, to later feeling like she could find the way with her eyes closed, Lin Wei couldn't say exactly how many times she had experimented. She only knew that the simulation lab rating had improved from F+ to F+, although the catheter delivery time had become much shorter.
Once she's mastered the first step, she'll start practicing the second.
That is, releasing an electric current at a local location, using high temperature to evaporate the water in the local diseased tissue, causing it to dry and die, thus achieving the therapeutic goal.
Anyway, by the time Lin Wei came out of the system space, a year had passed inside. During that year, she had been performing radiofrequency ablation almost without interruption in this simulation room. It can only be said that she had mastered it both mentally and physically.
In that year, she performed more surgeries than the patients in real life, so it was quite normal for her to get an A grade in the simulation. However, it was still an A- grade, which meant there was room for improvement, something Lin Wei was already used to.
This potential for improvement likely requires a technological breakthrough or a breakthrough in time and speed, but that's all she can do for now.
The next day, when Director Zheng called her over, she wasn't flustered at all, because the time to test herself had come.
Indeed, Director Zheng simply wanted to hear their opinions on yesterday's surgery. It's a very subjective question with no definitive answer, which makes it even more difficult.
Upon hearing his question, Lin Wei pondered for a moment and said, "I think yesterday's surgery looked simple, but it actually required a lot of skill." No one knows this better than someone who has failed many times.
"Compared to the final step, catheter insertion is obviously more difficult, but the most dangerous part is when it reaches the heart." She was just sharing her opinion. What he thought upon hearing this answer is anyone's guess.
When Yang Mingjie saw Director Zheng looking at him, he really didn't know what to say. What opinion could he possibly have? He had been handing out instruments the whole time. If he had to say something, it was that the surgery had taken quite a long time, and his legs were aching from standing. However, he knew he couldn't say that, so he looked at Lin Wei and said, "I have the same thought as her." He simply stole her answer.
Now Director Zheng could completely ignore him and turned her gaze back to Lin Wei. "How much did you remember from yesterday's surgery?" She didn't say whether she was satisfied with her previous answer and directly asked a different question.
I wasn't expecting any outstanding answers anyway.
Unexpectedly, Lin Wei directly replied, "I've remembered everything." Previously, she always liked to hold back, but now she just wanted to be high-profile, even more high-profile. In the medical field, especially in the talent development program, the more you demonstrate your genius, the more attention you'll receive and the more opportunities you'll have.
Director Zheng was clearly surprised by her confidence. "So confident? In that case, let me ask you a few questions."
What triggers atrial fibrillation?
What is the principle behind radiofrequency ablation for atrial fibrillation?
...
These are all important aspects of the surgery and common problems encountered during the procedure.
It's just that those problems didn't occur because of the surgery he had.
Lin Wei answered all the questions one by one. She had encountered these questions before, so how could she not know them? It was precisely because of this that Director Zheng's gaze towards her gradually became more serious.
Could there really be geniuses in this world? Even he couldn't help but start to doubt it.
However, Lin Wei's actions were all based on facts. The medical videos she watched weren't for nothing. It's just that watching them doesn't change the fact that when it comes to actual practice, she still encounters the same problems.
Watching the two of them asking and answering questions, Yang Mingjie felt superfluous as he stood idly by. He knew that Director Zheng had given up on him. Although he didn't know why he hadn't sent him back, he was no longer as nervous as before.
There's a saying that's true: if you can learn even a little bit here, the trip won't be in vain.
But when I heard Lin Wei say she wanted to have surgery, I was still shocked.
Seriously? You're that brave? You're just an intern, and you don't even have a medical license yet, and you want to perform surgery? You only watched a few videos and observed one procedure, and you think you can do it?
It's not that he doesn't believe it, it's that nobody believes it.
Moreover, it was obvious that this request would be rejected; I've never heard of any hospital daring to let an intern perform surgery, and it would also violate the rules.
Although Director Zheng admired her courage, he couldn't possibly disregard the patient's life. However, he didn't refuse. "If you want to perform the surgery yourself, that's fine, but you still have to assist once more. This time, you'll be the first assistant." He wouldn't let someone he knew nothing about perform the surgery just because of a few words. Although he was confident that with the old guys watching over them and the medical team sent by the government, nothing would go wrong, he needed a high enough chance of success.
Otherwise, he would rather she just stay and be a regular intern.
Because of this, Lin Wei readily agreed, "I promise."
She made the right bet. Participants in the Talent Strengthening Program are a special group. As long as you have the ability and are willing to fight for it, all the rules will make way for you. It can only be said that this is a paradise for medical professionals.
Of course, this also applies to capable people.
Yang Mingjie stared at the two of them in disbelief, thinking to himself, "They're crazy, they're crazy. Even if he admitted that Lin Wei was very capable, how could someone watch one surgery and then be able to perform the surgery themselves? Even if they watched the surgery again, it would be the same."
Even when he walked out of the demonstration room, he still seemed dazed.
"Are you really sure?" This was not the time for her to show off. Although Yang Mingjie had his shortcomings, he was a qualified doctor because he would not joke around with a patient's life.
But wasn't Lin Wei the same?
"I never do anything I'm not sure I can do." So he doesn't know her well enough.
Just when no one else dared to make this request, she was the first to do so.
After Lin Wei left, Director Zheng, who had been serious just moments before, smiled slightly. "A University has indeed sent a decent student this time."
He's smart enough, and he's also brave enough.
Even if other students guessed it, they wouldn't dare to say it. In comparison, isn't she courageous?
"However, whether or not you can have the surgery depends on your ability." You should know that he won't be the only one being examined; there will be other people as well, although the final decision rests with him.
"I just hope she's not all show and no substance," Director Zheng sighed, a sliver of hope lingering in his heart.
In fact, ordinary interns certainly don't have this qualification, but who cares that she is a participant in the Talent Strengthening Program? With the country paving the way, any rule can become an exception.
So if surgery is to be performed, patients who are too poor to afford treatment will be recruited from the community. It's a two-way selection process. As for the possibility of surgery failure, with these old folks watching over him and so many rescuers on duty, how could anything go wrong? Even if something does go wrong, the government can provide him with an artificial heart free of charge, with a lifetime warranty.
In short, it's hard to die even if you want to.
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