Keep your ears open to ensure you can hear your seniors' reminders and instructions at any time.
Slowly, slowly, the muscle strength of the fingertips is concentrated on the guide wire, pushing the guide wire into the patient's artery. No greater force such as the arm or wrist is used to attach it, so that the force can be as gentle as possible and not hurt the patient's fragile blood vessels.
The guide wire advances, and then advances again.
It is advancing inch by inch, not fast, but not slow either. It can be said that it is advancing very steadily and step by step.
Jin Tianyu's eyes gradually shrank into two small circles. Looking at the delicate hands of the junior sister, he felt that the junior sister's hands had turned into a river god, with a gentle and tenacious protective force pushing the guidewire down the patient's blood vessels. The guidewire floated so comfortably and happily.
Huh. Inwardly, he wanted to take a deep breath.
The smooth and moving surgical operation scene in front of him made him realize that she had achieved the touch feeling goal that many cardiovascular physicians had when performing PCI surgery.
Maybe she was born to do this surgery. Jin Tianyu thought, recalling the first time he saw her hammering a patient's heart. At that time, he had already had a similar thought: She seemed very suitable for the cardiovascular department.
Someone in the control room seemed to see what Jin Tianyu was thinking.
...
...
Damn, what is this person thinking? Li Chengyuan's brows were furrowed into two big iron lumps: It is unethical for an internist to want to poach surgical students! How can this person be as shameless as Xin Yanjun?
Jin Tianyu didn't think his intention was wrong. It's difficult to train a surgeon, and it's equally difficult to train a cardiovascular physician who can perform PCI surgery. The extent to which many cardiovascular physicians can perform PCI, as Dr. Xu said, is that they put up a sign saying they can do it, but in fact they can only do the simplest cases, and they are terrible at the more difficult ones, so there must be a surgeon to help cover the bottom line.
The difficulty of PCI surgery is unknown to those who have not done it.
Look, aren’t surgeons now just able to stand by and watch?
With a click, Dr. Fang, who was standing in the corner, ran over in surgical slippers to check the situation.
Seeing Xie Wanying's hand delivering the guidewire to the spot where he had been stuck before, Doctor Fang sighed in surprise: "Strange, she didn't seem to encounter the resistance I did."
As he spoke, Doctor Fang scanned the length of the guidewire in Xie Wanying's hand again and calculated in his mind that it should be correct, about the same length as the one left after he inserted it into the blood vessel. So he said suspiciously again, "It's clearly stuck here."
Without perspective, it's unclear why she wasn't stuck where he was.
Previously, it was speculated that he entered the branch by mistake, which means that the guidewire can easily go to the branch by itself. In the case of blind insertion without fluoroscopy, she did not know the difference between the bifurcation of the branch and the main trunk. How to control the guidewire to prevent it from entering the branch by mistake is difficult to do by feel alone. In other words, if the patient has many small blood vessels, it would be really fatal. After fluoroscopy, change the angle again and again, it will never end. So he just said that full-range fluoroscopy is needed for this reason.
Without machines, doctors have to rely on their own brains to calculate, judge and estimate, which is too demanding.
All I can say is that the guide wire in Xie Wanying's hand didn't seem to be the same one he had held before, and the patient she was treating seemed to be a different case, and the results she produced were completely inconsistent with his.
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