Chapter 1317： Twist

Intraoperative evaluation of ultrasound is more and more widely used in the operating room.

Ling Ran had frequently used intraoperative ultrasound during surgery before, but now he has performed heart surgery and 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 regurgitation, the speed of blood flow, the location and severity of the disease and so on.

Watching Ling Ran do it, Zuo Cidian stretched his neck to look, without hiding the attention on his face.

"Acknowledge?" The visiting nurse walked over and stopped Zuo Cidian a bit, lest he stay too close and affect Ling Ran's operation.

"Just my patient." Zuo Cidian closed his neck, a little slow, like a farmed turtle.

"The doctors who have been to the United States are not the same. Humanities care about leverage." The itinerant nurse smiled twice, not too long.

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

When I looked up at the screen again, I saw a patch of blue.

In the ultrasound image, the systole of the heart presents this state, indicating that the negative blood flow has been quite serious.

"Sure enough, the mitral valve insufficiency." Zuo Cidian used the results to determine the cause of the regression, and it was easy to determine.

Ling Ran nodded, confirming Zuo Cidian's judgment.

Although he could use virtual humans to directly determine the patient's heart state, as a consumable, Ling Ran actually didn't like to do it in the initial judgment.

After all, the initial judgment can be guessed at 9:8 with an instrument, so why waste the time of precious virtual humans.

If necessary, using the same length of time in the judgment of amphibious surgery will bring much greater benefits.

Huo Congjun looked at Zuo Cidian more, and asked a little unexpectedly: "Doctor Zuo has talent in cardiac surgery?"

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

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

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

"Suppose..." Huo Congjun shrugged unsurprisingly, then laughed, and helped Zuo Cidian to relieve his embarrassment by the way: "It seems that Lao 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 completely awake, and he laughed: "I am at this age. Even if I am involved in cardiac surgery, I am afraid that it will not be easy to use for a few years. It's better to be stable."

"It won't take long to learn cardiac bypass alone, but the cost performance is not as good as orthopedics." Ling Ran gave his own judgment, and also his plan for Zuo Cidian in clinical medicine.

If it is said that Zuo Cidian had a little regret just now, when Ling Ran said it, his mind immediately turned.

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

In a place where the competition among departments like Yunyi is fierce, the orthopedics department can even outsmart the operation and scientific research through better operating rooms and more experimental funds.

Zuo Cidian was naturally more interested in orthopedics, and immediately followed Ling Ran's words and said, "I listen to you, Doctor Ling."

Ling Ran nodded and continued his operation.

Wu Lei, a young nurse standing next to Zuo Cidian, listened to the conversation among several people, and decided to give Zuo Cidian a good face. She turned her body slightly and touched Zuo Cidian with a soft sister-like elbow, as if inadvertently.

Although a bit older and a bit ugly, if you are an orthopedic doctor, at least you have money.

Moreover, if you eat radiation regularly, you can die earlier than the average.

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

"Can you?" Zuo Cidian straightened up and said hurriedly, "Then I will inform the patient's family, and you will continue."

The pre-operation notice had already been signed, and it was said that Ling Ran would continue to do it whether it was plastic surgery or replacement surgery. But from the general process, the hospital and doctors are willing to sign a notice to avoid liability when making a decision.

This is just like the critical illness notice. It is supposed to be done next time, but some hospitals still tend to keep issuing the critical illness notice, keep going, keep going...

Little nurse Wu Lei stomped her foot, and then followed Zuo Cidian's footsteps and quickly left the operating room.

"What are you doing with you?" Zuo Cidian went up the corridor and walked fast, but Wu Lei, who was trotting, almost kept pace with him.

Wu Lei glanced at Zuo Cidian, biting her lip without making a sound.

Zuo Cidian squinted his eyes, he was ready to curse. This is not an operating room. Zuo Cidian is confident. As long as the 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 can I do for you?"

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

Zuo Cidian nodded slowly: "I don't usually help. When people have surgery, they don't work. They jump out one by one to brush up on their sense of existence. I said relatives."

"I'm pretty good at dealing with this kind of things, let me go." Little nurse Wu Lei swore.

Zuo Cidian looked at him suspiciously and asked, "There is no proof for this thing. Where did you learn to deal with it?"

"What about my two or three boyfriends, if the relationship is not good, can I go to work with peace of mind?" Wu Lei's answer is serious!

...

Zuo Cidian took Wu Lei and saw the family of the patient's old driver.

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

A group of people sat in the waiting area and kept talking:

"The people I know all do heart stents. How can anyone do surgery now? Why are you so stupid? Surgery is not only slow to recover, but also dangerous!"

"Moreover, a valve was added. This is what the hospital discussed."

"That is, things that originally cost tens of thousands of dollars make you think too much."

Relatives chattered and kept talking to the patient's daughter.

They do not necessarily have any thoughts, many times, they are simply boring.

"The patient's family member of bed 102." Zuo Cidian coughed twice before entering the room.

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

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

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

"This is not easy to sign because there is something wrong with it before signing."

"What about the patient? Let's take a look at the patient before signing."

Everyone shouted again.

The patient’s family pushed me, and I squeezed you, taking almost all the position in front of Zuo Cidian.

Wu Lei looked at Zuo Cidian anxiously. In other words, he could be regarded as a man who likes him. Can he not eat the loss of outsiders or not.

Can't afford to lose.

At this time, Zuo Cidian took out another list that he had prepared long ago, and said, "There is one more thing, the renewal of the surgery. You'd better ask your relatives and friends to borrow it again. How much can you pay... …"

Before I finished speaking, the relatives you pushed me were obviously softer, and the direction of force seemed to be reversed.

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