Yu Zhiming went straight into the operating room without changing his clothes or washing his hands for disinfection.
He first glanced at the patient lying on the operating chair, already unconscious from anesthesia, and then, meeting the gazes of Dr. Zhao Ge, the anesthesiologist, and the two operating nurses, he said, "The patient's family suddenly changed their mind and do not want to have the surgery."
Zhao Ge made a gesture to the anesthesiologist, took off the mask strap hanging on his left ear, revealing a square face.
"It's not uncommon for patients and their families to suddenly change their minds and abandon brain surgery, given the high risks involved."
Zhao Ge sighed again, "However, I actually don't believe in your ability, Doctor Yu. I'm really being too cautious and worried."
Yu Zhiming chuckled and said, "Doctor Zhao, my ability to perform surgery is also limited."
After a pause, he apologized again, "I'm sorry for making you all busy for most of the day."
Zhao Ge laughed and said, "Doctor Yu, there's no need to apologize. This is not your fault."
While the two were talking, the anesthesiologist injected the patient with a wake-up agent and transferred the patient to a gurney with the nurse.
Yu Zhiming, Dr. Zhao and the anesthesiologist gathered around the gurney, waiting for the patient to wake up.
"After I settle this patient, I'll treat everyone to dinner. Thank you for your hard work today."
Zhao Ge laughed and said, "Doctor Yu, you're welcome. We've already had dinner."
Yu Zhiming continued to invite, "I know that medical staff who have surgical missions will control their diet before entering the operating room."
"The little you had for dinner should have been almost consumed by now."
"To be honest, I haven't had dinner yet, so you guys should just keep me company."
Zhao Ge glanced at the anesthesiologist and the two nurses, then said with a smile, "Then we're sorry to bother you, Doctor Yu."
He noticed that Yu Zhiming's hands were groping back and forth on the patient's chest.
Zhao Ge thought Yu Zhiming was worried about the patient's recovery, so he explained, "The patient's mood was a little unstable. After entering the operating room, we gave him anesthesia."
"It's superficial inhalation anesthesia. Now I've given him a wake-up agent. He'll be awake in a minute or two at most."
Yu Zhiming nodded lightly, but his hands still did not leave the patient's chest.
He was not worried about this guy waking up, but was trying to figure out why this guy fell to the ground and became unconscious after hitting his chest that day.
The initial guess at the time was that it was a reflex coma, similar to the kind that causes fainting due to needles or blood.
Now that he finally had the chance, Yu Zhiming couldn't suppress his curiosity and quickly started to investigate.
I have to say that in the soundproof operating room, without a lot of noise interference, the sound coming from the arm is particularly clear.
This also greatly improved Yu Zhiming's exploration efficiency. It only took him about ten seconds to fully explore the patient's heart.
No issues of concern were found.
Yu Zhiming then explored the large blood vessels in the patient's chest.
Soon, he discovered a suspicious point.
A section of the right subclavian artery, about two centimeters long, was slightly dilated.
Yu Zhiming focused his attention on exploring this location and found that the wall of this section of blood vessels was much thinner.
Moreover, the lumen is slightly dilated.
This is?
Yu Zhiming suddenly realized that this looked a bit like the carotid sinus?
The carotid sinus is located at the beginning of the internal carotid artery. Its blood vessel wall is slightly thin and its lumen is slightly enlarged.
Deep in the adventitia of the carotid sinus wall, there are abundant pressure-sensitive nerve endings, namely the carotid sinus pressure receptors; there are also chemoreceptor nerve endings on the ventral side of the sinus cavity, namely the carotid chemoreceptors.
The carotid sinus can transmit blood pressure impulses to the vasomotor center of the medulla oblongata, regulating blood pressure and heart rate.
It is particularly sensitive to pressure, and even a small amount of pressure can cause a slow heartbeat, a drop in blood pressure, or even loss of consciousness.
Yu Zhiming also knew that the pressure receptors throughout the body are not limited to the carotid sinus, but also have similar functions in the right subclavian artery and aortic arch.
Perhaps, the slightly deformed right subclavian artery is also rich in pressure-sensitive nerve endings, turning it into another carotid sinus?
When the chest is slapped hard, the "carotid sinus" here feels the impact and pressure changes, and then adjusts the blood pressure and heart rate, causing the patient to fall to the ground and lose consciousness?
The next moment, Yu Zhiming keenly noticed that the patient's heartbeat had quickened and his blood pressure had increased. Knowing that he was about to wake up, he withdrew his hand.
Sure enough, within three seconds, the patient opened his eyes.
The anesthesiologist performed a basic examination on the patient and asked two simple cognitive questions, and concluded that there were no problems.
Next, the patient was handed over to his family.
Yu Zhiming and the others cleaned up the operating room a bit, then turned off the equipment, closed the door, turned off the lights, and left...
At this time, it was already past 8:30 in the evening.
Since they had to arrange a dinner at the last minute and there was no particularly good place to go, Yu Zhiming took Dr. Zhao, Zhou Mo and others to a small casserole restaurant not far from the hospital.
The restaurant served the food very quickly. A few minutes after ordering, the whole table of people started eating and drinking.
Yu Zhiming first buried his head in his food and ate for a while to relieve some of his hunger and discomfort.
While he was drinking water, Zhao Ge's voice rang in his ears.
"Doctor Yu, your center previously only had one operating room. Now, as far as I know, the old specimen building has been renovated into four operating rooms?"
Yu Zhiming nodded and said "hmm".
In addition to the soundproof operating room on the third underground floor, there is also a standard operating room, a teaching operating room, and an interventional operating room on the second above ground floor.
Zhao Ge continued, "With four operating rooms, according to the average utilization rate of our hospital's operating rooms, we have to arrange twelve surgeries on a weekday."
"Of course, your center focuses on internal medicine, so the number of surgeries is relatively low. You should have performed eight surgeries that day."
"I wonder, besides Dr. Han Shuo, are there any other full-time surgeons joining your center?"
Yu Zhiming thought for a moment and said, "What I know is that an associate chief physician will come from the Department of Urology."
Zhao Ge uttered a sigh and said, "Two surgeons, responsible for three operating rooms, it's really hard work."
Yu Zhiming smiled and said, "For major and difficult surgeries, we mainly seek external assistance. We either send the patient to a surgical center or to the corresponding department."
Zhao Ge smiled and said, "If that's the case, then the center's operating rooms won't be used efficiently. Isn't that a waste?"
"The Medical Department and the Finance Department, considering the economic benefits, will not sit idly by and allow this to happen."
After a pause, he turned and said, "Director Qi is from the Department of Neurology. Every year, many patients from your center come to our neurosurgery department for surgery."
"Doctor Yu, I think your center should also recruit a neurosurgeon."
Yu Zhiming was slightly startled and asked, "Doctor Zhao, do you want to come to our center?"
Zhao Ge waved his hand and replied, "Not me, not me. I want to recommend someone to your center."
"Who is it?" Yu Zhiming asked!
Zhao Ge sighed softly and said, "He is my student. I was very optimistic about his future. If he continues to develop well, he will not be much worse than Dr. You today."
"It was just that for the so-called love, I resolutely returned to my hometown in the provincial capital."
"He has now become a chief physician and wants to come back, but it's not that easy."
Zhao Ge explained: "If a young doctor with outstanding skills wants to be admitted to Huashan Hospital, it is relatively easy."
"We can train them to become excellent chief physicians."
"But for a successful chief physician, unless you're one of the best in the field, it's incredibly difficult to get into Huashan. But at Huashan, we have no shortage of chief physicians of similar caliber."
Yu Zhiming nodded.
As a nationally renowned comprehensive hospital, Huashan Hospital has its own heritage and pride.
To introduce talents, only two ends are needed.
They are either top medical experts in the field or outstanding young doctors with great training potential.
Don’t take the middle level ones because there is no shortage of them.
Then Zhao Ge continued, "His abilities are quite good. Compared to Dr. You, he's only slightly inferior. He can handle most neurosurgery procedures."
"It's a perfect fit for your center to bring him in."
After hearing this, Yu Zhiming finally understood.
In order to develop the center, the hospital takes special care of it. Not only is there no limit on the establishment, but it also has the right to recruit independently.
Dr. Zhao Ge is trying to save the country in a roundabout way by trying to recruit the student back through the center.
Yu Zhiming said cautiously, "Doctor Zhao, whether the center still needs to hire a surgeon is something my teacher needs to consider."
"I suggest you send that person's information to my teacher, or I can pass it on to you."
Zhao Ge responded with a "OK"...
At the end of the dinner, Yu Zhiming took four envelopes containing cash from Zhou Mo and handed them to Dr. Zhao Ge, the anesthesiologist, and two operating nurses respectively.
Dr. Zhao and the anesthesiologist, 3,000 each.
Two nurses, two thousand each.
Although the operation was not completed, Dr. Zhao and his colleagues had been busy in the soundproof operating room since the afternoon.
Such as debugging the instruments and equipment in the operating room, preparing the medical supplies needed for the operation, disinfection and sterilization, etc.
Yu Zhiming wants to express his gratitude for this hard work and dedication.
For Yu Zhiming, expressing gratitude with money is always more cost-effective than using favors.
After some arguing, Zhao Ge and others accepted Yu Zhiming's kindness with a smile.
After 9:40 in the evening, Yu Zhiming and Zhou Mo, who had eaten and drunk their fill, took a car back to Junshan Mansion.
Yu Zhiming transferred 10,000 yuan to Zhou Mo via WeChat.
"Hey, besides this ten thousand, I also owe Dr. You a favor."
"This time, I lost a lot."
Zhou Mo asked, "Doctor Yu, even though the surgery wasn't successful, the patient still has to pay for some of the expenses, right?"
Yu Zhiming said gloomily, "It's just the cost of some medicines and medical supplies. If they are combined into the cost of surgery, it will be difficult to settle the bill for them."
Zhou Mo nodded and said, "Doctor Yu, for this operation, you asked the logistics department to prepare the operating room in advance, asked Doctor You to design the puncture route, and contacted Doctor Zhao just in case, plus you invested your own time and energy."
"I prepared so much, but it suddenly came to a halt and became a waste of effort."
"Think about it, it's really infuriating."
At this time, Yu Zhiming's cell phone rang.
It’s my third sister calling.
"Old Five, I just received a call from Yang Shuang's parents, asking me to ask for your opinion on the surgery."
"I told them directly, 'Old Five, you've already done what you need to do for them. Whether or not to have the surgery is a decision they can only make themselves, and there's no need to seek anyone else's opinion.'"
"Finally, they said, do the surgery."
"However, they hope to postpone it for a few days."
"They wanted to take their daughter on a nice trip to Binhai these few days, just in case something unexpected happens during the surgery..."
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