Chapter 755: Chapter 674: The Patriarch’s Reward al Chapter 755: Chapter 674: The Patriarch’s Reward al Outside the door of the intervention surgery room, several relatives were besieging Dr. Yu.
“Why is the door closed during surgery? What are you hiding from us?”
“I think I heard a scream just now, is it because we didn’t give a red envelope, you didn’t use anesthesia?”
“We can’t see anything, you could be stealing organs without us knowing.”
Seven or eight relatives, speaking in turns, completely drowned out Dr. Yu’s explanations. Dr. Yu had no choice but to raise his voice and continue to explain.
“There are aseptic requirents in the operating room, and relatives are prohibited from entering. This is a rule in operating rooms all over the world—”
“In the United States, relatives can enter the operating room as they please!”
The patient’s son-in-law, a middle-aged man with glasses, said loudly, as if he had just returned from the United States, pointing around authoritatively.
Luckily, Dr. Yu had been to the United States, otherwise, he would have been intimidated by such a confident appearance.
“Yeah, why aren’t we allowed to watch the surgery?”
“Why are there screams inside?”
The patient’s wife’s index finger already pointed at Dr. Yu’s nose.
Probably soone had noticed the commotion here, a few security guards were already standing by the side. One of them stepped forward to separate Dr. Yu and the relatives: “Discuss matters calmly, everyone be civilized.”
“A rescue is in progress inside. The patient has local anesthesia, there have been several instances of cardiac arrest, and the patient was rescued by defibrillation. The patient scread in discomfort because the rescue was urgent, and there was no ti for any other anesthesia.” Dr. Yu continued to explain patiently.
“What? He had a cardiac arrest because of you?”
“If you can’t handle it, don’t take the job.”
The relatives beca excited again at the ntion of cardiac arrest.
“It wasn’t us who caused the cardiac arrest, the patient has acute myocardial infarction, his heartbeat could stop at any ti—”
Dr. Yu could hardly explain any further. Protected by security, he had no choice but to return to the operating room through a side door, closing it securely as well.
—
The right coronary artery is blocked by ninety percent with severe calcification; the left coronary artery is completely blocked, and the bifurcations of the anterior descending branch and the circumflex branch are completely closed along with severe calcification.
On the fluoroscopy screen, the first blockage, right coronary artery obstruction, was successfully opened. The artery was wide and transitioned smoothly from front to back. The blood imdiately circulated through this channel, irrigating the myocardial cells in its path, saving them from a death sentence.
Quickly saving the myocardium is the key to the success of such surgery.
Director Guan took a deep breath, he specialized in performing minimally invasive cardiovascular procedures, and never dared to operate so boldly within the tiny coronary arteries as Professor Yang did.
In just a few minutes, Professor Yang successfully drilled through the hard calcification. The young man indeed had a set of skilled hands. The grinding head of the over 100cm long guidewire was controlled with precision, carrying out accurate drilling without causing any damage to the blood vessel wall.
Professor Yang continued with the left coronary artery obstruction. Each movent during the surgery was extrely proficient, and there was no sign that he was rely an amateur interventional doctor.
Outside, the pounding and kicking on the door hadn’t stopped. No matter how the door was battered, everyone inside ignored it.
“When will it end?” Director Guan furrowed his brow.
“Old Ji, stay with Professor Yang, I’ll go out and take a look.” Director Guan decided to take it upon himself to investigate.
At this ti, Dr. Yu had already returned to the operating room, looking defeated. Director Guan asked, “What happened? Wasn’t the situation handled well? Why is there still knocking at the door?”
“These people can’t be reasoned with, let’s just perform the surgery first!” Dr. Yu looked helpless.
Seeing this, Director Guan dropped the idea of going out, deciding to focus on finishing the surgery first.
The drilling head in Professor Yang’s hand was invincible, like a piercing arrow, leaving everything in its wake in disarray. Director Guan had barely prepared himself when the left main coronary artery blockage was quickly penetrated, followed imdiately by the two bifurcations. These two sites were particularly difficult to handle.
However, the grinding head in Professor Yang’s hand didn’t slow down in the slightest. It was obedient and went wherever it was directed, working with extre precision. Director Guan watched in awe and with racing heart.
Director Guan couldn’t help but feel awe. This young surgeon really had a knack for it. Although he had never formally studied interventional surgery, he had only assisted Old Ji in performing a few interventional surgeries. His manual skills were really amazing.
This level of skill in coronary artery drilling, in the entire field of intervention dicine in the country, was simply unparalleled.
No matter how much he practiced, he would probably never reach this level even after twenty more years.
As Director Guan expressed his amazent, two branch points were secured.
Then there was a swapping of various instrunts, six stents were implanted into the blocked coronary artery, two branch points used a double stent technique. The stents were implanted in a proximal to distal order, with each stent fitting perfectly into its position. In particular, the placent of the double stents at the branch points were flawless, they lined up neatly without interfering with each other at all.
As Yang Ping saw the clear imaging of the stents and the smooth blood flow in the coronary artery on the fluoroscopy, he withdrew the guide wire and applied pressure to the puncture point with a gauze.
Director Guan and Director Ji looked at the fluoroscopy screen, then at the electrocardiogram monitor, and took a long breath simultaneously. The patient was extrely complicated, it was difficult to rescue him.
But today, Professor Yang brought him back from the brink.
Rescue was a matter of seconds, a matter of life and death.
“Open the door, I’ll go out and explain to the patient.”
Director Guan breathed a sigh of relief, no doctor wants his patient to slip away, sotis it’s just unavoidable, and there’s nothing he can do.
Dr. Yu went out to call the family mbers, while Director Guan went to the doctor’s office to wait for them.
“What are you doing?”
“Why are you closing the door?”
“How is my husband?”
“Dad, Dad!”
“—”
“Shut up, everyone, are you here for treatnt or not?” Director Guan shouted.
At Sanbo Hospital, because Dean Xia is tough, the doctors have a strong backbone in whatever they do, so called righteousness.
Under Director Guan’s roar, the family mbers who had crowded in stopped in their tracks.
“Patient has been rescued, co over, I’ll tell you about his condition.”
Director Guan pointed to the angiogram of the heart on the electronic screen, and the family mbers gathered around.
“What relation are you to the patient?” Director Guan asked the family mber who was standing in front.
The patient’s son responded in a displeased tone, “I am his eldest son.”
Director Guan said to the patient’s son, “Your father has chronic total occlusion of the coronary arteries, complete occlusion of the left main coronary artery, two branch points complete occlusion and severe calcification, right main coronary artery 90% occlusion and severe calcification. This kind of occlusion caused an acute myocardial infarction and the condition is extrely critical. It was basically a one in a million chance for him to survive. When he was brought to the hospital, he was already hanging by a thread. We just perford an ergency rescue operation to save his life. He had several cardiac arrests during the operation, yet we managed to rescue him. The screaming you heard was because the patient was under local anesthesia. After being rescued, he felt discomfort and started to cry out. In such a situation, saving lives is the top priority and is a matter of seconds. We didn’t have ti to use general anesthesia. We were trying to save him while you all were pounding and kicking the door. Family mbers are not allowed in the operating room, every operating room in the world is like that, not just ours. If you all had rushed in without understanding the situation how are we supposed to operate? How are we supposed to rescue him? If we had let you in to make a commotion, your father wouldn’t be saved.”
The patient’s son lowered his head and listened to Director Guan’s explanation in silence.
“In the United States, it’s much more humane. They wouldn’t be this brutal, they’d let family mbers see the operation — ” The patient’s son-in-law tried to bring up the United States.
Director Guan was really a bit angry: “I spent three years studying in the United States, and you’re going to tell about the United States? Please, tell which hospital in the United States allows family mbers to enter the operating room. Tell !”
Afterwards, Director Guan repeated this sentence in English.
The patient’s son-in-law’s face turned red, he didn’t have anything to say. He had never been to the United States, he didn’t know anything about hospitals in the United States, he was just blabbering about what he had heard on the internet.
“Anyway, we don’t understand, whatever you say goes.” The patient’s wife threw in a sentence out of nowhere.
Although these words were slightly offensive, Director Guan was used to such scenes and didn’t take it to heart. As long as the patient was fine, everything was fine.
“Doctors and patients are comrades in the sa trench, we are not enemies, our common enemy is disease, understand? No doctor intentionally performs a bad surgery, we are more anxious than you, understand? You have to trust us. If the door wasn’t sturdy enough, given your montum just now and if you all had rushed in, can you tell how are we going to save people?” Director Guan suppressed his anger and patiently said.
The patient’s son felt guilty and since his father was rescued, he didn’t say anything.
The other family mbers seed to have sothing to say, but didn’t know what to say.
“A total of six stents were implanted, the blood flow is now smooth, but he is not out of the woods yet. After the operation, he will be transferred to our Cardiovascular Departnt’s ICU for further treatnt. Now that the surgery is over, please make up the fees,” Director Guan said in a gentle tone.
Since it was an ergency surgery, not a single penny was required, the surgery was perford regardless.
“How much is it going to cost?” The patient’s wife imdiately raised her voice.
“The mont you open your mouth, it’s about money!” The patient’s wife added another sentence.
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