Start with an emergency physician

"I'll do this surgery!"

Zhou Yuan's words stunned the two chief physicians present.

"Nonsense!"

"Why are you asked to do this? Do you know what cerebral infarction is? Do you know how serious the patient's condition is?"

Even the two experts in neurology and neurosurgery could only sigh. An intern actually said that he could do it?

"I am very skeptical. Do you know what carotid endarterectomy is?"

Zhou Yuan frowned.

It was nothing to be doubted about his surgical skills, as his status as an intern was there.

However, his theoretical level was also questioned!

Zhou Yuan glanced at the old man lying on the emergency bed, and then quickly said:"Carotid endarterectomy is a method of removing thickened atherosclerotic plaques in the carotid intima to prevent cerebral infarction caused by plaque shedding. It has been proven to be an effective method for preventing and treating ischemic cerebrovascular diseases."

"This surgery has been performed in Europe and the United States for 60 years and has been proven to be a very safe and effective surgery. It is the gold standard for treating moderate to severe carotid artery stenosis. Currently, about 150,000 cases are performed each year in the United States alone. In contrast, carotid artery stent implantation is not the first choice of treatment due to its high cost, high incidence of perioperative stroke, and high rate of postoperative restenosis."

"The patient's carotid artery stenosis is now greater than 50%, and carotid endarterectomy is the best treatment option."

When I said this, Jiang Xiaoqi had already arrived.

Jiang Xiaoqi had taken neurology as an elective and had a certain understanding of cerebral infarction. She had also come into contact with similar patients, so she was called over.

"I said, I will do the surgery, let's not delay any longer, okay?" Zhou Yuan was a little impatient.

If we wait any longer, the old man's life would be in danger!

"No, it can't be done. The carotid artery is too narrow, and the scope of cerebral infarction is very large, exceeding 60%, and it is accompanied by bleeding, forming a large number of masses, and the cerebral blood vessels are also blocked. I have never seen a patient with such a serious cerebral infarction!"After watching for a while, Jiang Xiaoqi said seriously

"What nonsense! Look! Even the PhD students from Harvard are helpless. The two of us who have been studying the brain for more than 40 years have to give up. Why are you, an intern, joining in the fun?"The director of neurosurgery was furious.

"Shut up, I'll be in charge of this operation, let Zhou Yuan do it!"

Suddenly, He Jianyi spoke up, interrupting everyone.

Jiang Xiaoqi and others immediately widened their eyes.

""He Jianyi, are you also fooling around?" the director of the Department of Neurology asked.

He Jianyi quickly looked through the old man's test results and said,"I am the person in charge of the emergency department, and I have the final say here. You are just here for a consultation, and you can't do anything, so let us in the emergency department do it!"

After all, He Jianyi was the person in charge here, and as soon as he finished speaking, Zhang Ling and other nurses immediately started pushing the emergency bed.

"Operating Room No. 1." Zhou Yuan said skillfully.

"What should I do if the patient's family members sign?"Master, the patient's family members haven't come yet!" Haiyang came in anxiously.

"I'll sign it!" Zhou Yuan no longer allowed time to be wasted on such meaningless things.

""Why are you, an intern, signing? I'll sign it!" He Jianyi looked at Zhou Yuan deeply and scolded him with a hint of reproach.

The family signature thing is really too complicated. When a doctor signs on behalf of others, if there is a medical accident during the operation, the doctor's career may be ruined.

Moreover, the family members of the patients who did not sign may sue the court and compensate for huge losses.

Zhou Yuan is a good doctor with a bright future. He will become a leader in the medical field one day, and he, He Jianyi, is almost at the end of his career.

If someone must sacrifice for this, He Jianyi chooses to sacrifice himself to save his disciples!

"teacher……"Zhou Yuan was stunned and couldn't help but feel touched.

""Hurry up, let's go for the surgery!"

He Jian quickly signed his name on the informed consent form.

"Haiyang, the second assistant. Wang Kai, the third assistant."

As they walked towards the operating room, He Jianyi had already made arrangements.

Haiyang, who was standing by, had a bitter face.

"From what I heard, Master, you are going to be the first assistant again?"

He Jian nodded:"What else? I will feel uneasy if I don't participate in such a big operation!"

Haiyang joked:"I am so worried that I have to be the first assistant!"

He Jianyi patted Haiyang's head:"You are the only one who talks too much! Look how honest Liu Kai is!"

Liu Kai smiled honestly:"Haha, it is enough to watch Junior Brother Zhou Yuan and Master perform the operation!"

A few minutes later, the chief surgeon, the first assistant to the third assistant, the instrument nurse, the anesthesiologist, etc. were all in place.

Zhou Yuan put on a heavy lead suit and stood in front of the operating table. The steps of carotid endarterectomy flashed through his mind.

First, make an incision at the front edge of the sternocleidomastoid muscle in the anterior neck, separate the common carotid, internal carotid and external carotid arteries, temporarily block the above blood vessels, cut the bifurcation of the common carotid artery, remove the thickened plaques in the arterial intima, and suture the blood vessel wall again.

Before the operation, He Jianyi nervously touched his chest and glanced at Zhou Yuan:"Are you sure? I'm not sure, but I subconsciously think you might be able to"

"Because you have brought us so many surprises."

Zhou Yuan smiled and said,"Teacher, believe me!"

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