My Medical Skills Give Me Experience Points-Chapter 278 - 144: Why Isn’t the Magazine Behaving? Done in Six Seconds, Stunning the Audience
Chapter 278 -144: Why Isn’t the Magazine Behaving? Done in Six Seconds, Stunning the Audience
At this moment, even a fool would understand that Director Wen, the strongest in their eyes, was facing a tough problem.
The neck of the patient’s arterial aneurysm was too narrow. Precision in placing the coil in the target location was greatly compromised due to the flexibility of the catheter.
In front of the students and doctors from other groups, Director Wen was already in a difficult situation he couldn’t get out of.
People need face, just as trees need bark.
Sometimes, burdened by undue praise, one would do many unthinkable things just to save face and authority.
Director Wen gritted his teeth and decided to take a bold risk.
He released the coil from inside the catheter.
Once this special coil is placed in the target blood vessel, direct current is passed through, and the coil attracts blood components with a negative charge—red blood cells, white blood cells, platelets, etc.—causing electrocoagulation.
Ultimately, a thrombus is formed inside the aneurysm.
Meanwhile, the part connecting the coil to the stainless steel guide wire dissolves due to electrolysis, leaving the coil detached inside the aneurysm.
The coil wasn’t delivered to the ideal target position and was placed misalignedly by force.
The consequence was that the coil did not serve its intended purpose.
Keep in mind, the patient’s aneurysm has ruptured and is bleeding.
It needs to be completely blocked off.
This requires the placement of multiple coils.
But if the first one isn’t placed correctly, how about the rest?
Director Wen’s idea was simple: if it wasn’t placed well, they would just adjust the coil position again.
The GDC coil is extremely flexible and can advance, retract, and negotiate well inside an aneurysm; if the position is unsatisfactory, it can be readjusted.
Generally speaking, it is unlikely to cause occlusion of the artery carrying the tumor.
So just adjust it slowly.
It’s just a pity that the more adjustments are made, the less ideal it becomes, and Director Wen was getting a headache.
“Today is really weird. Why isn’t this coil cooperating at all?”
Director Wen still managed to speak quite professionally.
If it were a surgeon with a bad temper, they might have started cursing already.
“Director Wen, please take a rest. Let me take over the battle for a while.”
That attending physician surnamed Zou volunteered.
Taking the burden off of Director Wen.
“Perhaps I am indeed a bit tired from the two surgeries today. You take over for a while; I’ll step aside to catch my breath.”
Director Wen took the opportunity to graciously step aside.
After Dr. Zou took over, the situation didn’t improve much.
After all, this was about real skill.
And now, with the coil released from the catheter, the procedure was even more difficult.
In just a few minutes, Dr. Zou was already sweating profusely.
Half from exhaustion, half from urgency.
Constantly mishandling it, while the patient’s intracranial bleeding continued, how could he not be anxious?
Just then, the patient’s body suddenly began to tremble.
Following that, the life-monitoring equipment emitted a piercing alarm.
“Not good, the patient’s blood pressure is rapidly declining, heart rate is accelerating, and there are abnormalities in the brain waves!”
The anesthetist, who was sitting by the wall resting, glanced at the monitor screen from time to time.
Under normal circumstances, an interventional surgery for a cerebral aneurysm would hardly have any risk.
Who knew that Director Wen and his students would end up putting the patient in such a state.
“What happened?”
Director Wen also ran over anxiously to check.
“It seems that the coil wasn’t placed properly; repeated adjustments have actually exacerbated the bleeding.”
The anesthetist, with his rich experience, gave the reason after checking.
“I, I didn’t really mess with it much!”
Dr. Zou felt quite wronged.
Isn’t interventional surgery supposed to be minimal risk?
The most dangerous part—the catheter puncture—had already been completed.
Placing the coil was almost risk-free; he hadn’t been at it for a few minutes, how could it have gone so wrong for the patient?
This was just really bad luck.
“If we can’t successfully place the coil in time to stop the bleeding, I’m afraid the patient won’t make it off the operating table.”
The anesthetist was more frustrated than anyone.
In this situation, he had no way to rescue.
The patient was suffering from intracranial hemorrhage, and the only way to help was to stop the bleeding.
“Things that do more harm than good. Get out!”
Director Wen’s eyes had turned extremely icy.
His face hidden behind the mask must have also become incredibly displeased.
His words to Dr. Zou were extremely harsh.
His heart was truly anxious.
The difference between a botched surgery and the death of a patient was enormous.
The consequences were more than he could bear.
“Before the patient entered the operating room, the bleeding had already lasted over an hour. Now, due to Dr. Zou’s operational error, the bleeding has worsened. Opening the skull for emergency surgery is now pointless. The only way is to place all the coils in the shortest amount of time to cut off the blood supply to the aneurysm.”
Zhou Can couldn’t bear to watch this patient die or become a vegetable.
To save this patient, he had already given a lot of his modest efforts.
Wu Baihe can’t make it, and Director Wen’s skill level was just so-so.
It seemed that indeed, only he, an insignificant trainee, could turn the tide and bring the dead back to life.
“You don’t have a say here. Everyone understands the principle.”
Dr. Zou said coldly, rebuking him.
Zhou Can had directly pointed out that it was because of his operational error that the patient’s bleeding worsened.
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But it was very harsh to his ears, making him very uncomfortable.
“I’ve done the implantation technique before; could Director Wen let me try? It won’t need much time, thirty seconds will be enough.”
Zhou Can truly was one to speak sensational words.
Director Wen operated the coil for nearly half an hour without progress, Dr. Zou for seven or eight minutes, not only without progress but also made the patient’s bleeding worse.
This young trainee, still new and inexperienced, dared to say that he only needed thirty seconds.