"It's not that we can't do surgery for aortic inversion, but this is the first time a newborn has encountered it."
Cao Ke, deputy director of the Cardiac Surgery Department, was the first to speak.
"This is too difficult, the success rate is probably..."
The voice fell, and everyone was silent.
Zhang Fan didn't speak either. Although he had seen such a case not long ago and listened to the system's explanation, he was still frightened when he saw the ultrasound and CT films.
This baby's condition belongs to complete transposition of the great arteries, and since he was just born, it is basically impossible to use corrective transposition, that is, atrial switch surgery.
At present, the best way is to perform an arterial level switch, and now there are three options in front of them!
Glenn operation: the right pulmonary artery is cut off from the bifurcation of the main pulmonary artery, and an artificial tube is established to connect the vein.
Senning operation: atrial level is reversed, but arrhythmia and other conditions are prone to occur after operation.
Switch surgery: arterial switching of malpositioned great vessels in neonates.
"Director Zhang, do you think this operation can be done?"
Wang Yue, director of the obstetrics and gynecology department, looked at Zhang Fan who was facing him, and frowned.
"Let me say it first. We also have cases and experience in the operation of aortic inversion, but this is the first time for a newborn."
Zhang Fan thought about it and said.
"Although the surgical procedures are the same, there are two most difficult points at the moment.
First, the newborn has just been born for two hours. Everyone knows how thin and fragile the aorta of the baby's heart is. This requires extremely high requirements for the main surgeon!
Second, according to the current situation, what surgical plan should we adopt? This needs to be discussed. Is it to switch the ventricle or switch the artery? These two risks are different, and the postoperative recovery is also different, which needs to be determined by the parents of the child. "
The voice fell, and everyone nodded.
This is indeed a great challenge!
"Well, let's discuss the surgical plan first, and I'll go to the family to discuss it and clarify the situation."
Wang Yue stood up and said to Zhang Fan and Cao Ke.
"Let's talk about the rest, but I still hope it can be done in our hospital, please."
"Okay, we think so too."
Zhang Fan and Cao Ke looked at each other and nodded.
Immediately, Director Wang Yue took Xu Yingying out of the conference room and went to the ward.
Zhang Fan and Cao Ke began to study how feasible this operation was and what surgical plan should be used.
...
In the transplant center, Qin Feng has just finished visiting the ward, and he hasn't been on the operating table much recently.
The stem cell transplantation work has been gradually devolved, and the deputy director Tang Dandan, as the main operation director, leads several attending doctors to take turns to operate.
Ring Ring Ring!
While he was looking at the case, suddenly the phone rang.
"Hey, Brother Qiao."
"Brother Qin! I have good news for you!"
On the phone, Qiao Changping's cheerful voice came,
"I brought Yiyi to Jiangcheng to send you a report."
"What? Have you returned to Jiangcheng?"
Qin Feng was stunned when he heard the words, and then said in surprise.
"Well, Yiyifei is clamoring to see you. The Phase III clinical report and the production documents also need your signature, so I brought her along."
"Where have you been?"
"I just got off the plane. I know you're in the hospital. I'll take Yiyi to the playground first, and I'll wait until you get off work at night."
"Okay! Tell Yiyi that Uncle Qin will take him to eat something delicious tonight."
Qin Feng said with a smile.
While chatting, suddenly the landline next to him also rang.
"Okay, I won't bother you anymore, hang up, see you tonight."
Qiao Changping on the phone also heard the voice and interrupted the conversation between the two.
"Okay, then hang up first."
Qin Feng immediately picked up the landline.
"Hello, I'm Qin Feng."
"I'm Zhang Fan, Qin Feng, are you free now?"
The voice on the phone made him stunned for a moment, and he glanced at the caller ID again.
"Director Zhang, why did you call me from the obstetrics and gynecology department?"
"Don't mention it, there is a tricky situation here. The newborn is born with congenital transposition of the great arteries. It has just been born for 2 hours. Can you come and take a look?"
"Newborn's congenital aorta offside?"
When Qin Feng heard the words, why did he feel so familiar?
He seems to have heard it somewhere!
Isn't this one of the classic cases outside the heart of the seminar that Zhang Fan discussed with himself on the plane?
It wouldn't be such a coincidence, it really happened in just a few days.
"Okay, I know, I'll go right away."
Qin Feng agreed immediately and hung up the phone.
"What's the matter, Director Qin, the obstetrics and gynecology department has encountered a difficult situation?"
Tang Dandan, who was behind him, also heard it, and immediately cast a curious look.
"Yeah, the newborn has a problem with the aorta of the heart, and the congenital artery is reversed."
Qin Feng frowned slightly, couldn't help sighing, put on a white coat and opened the door,
"Director Tang, I'll leave it to you here. If you have anything, I'll find Director Ji or Vice President Liu. It's hard for you."
"It's alright, hurry up and go, you are the busiest in the whole hospital."
Tang Dandan couldn't help shaking his head when he heard the words, and smiled helplessly,
"Our chief director is busy performing operations on other departments every day. If the training plan hadn't stopped, I probably wouldn't be able to continue, hehe~"
"What did Deputy Director Tang say? I heard everything."
As soon as he finished speaking, Ji Zhonghe opened the door and walked in with a smile.
"Aren't you afraid that I will sue you in front of Qin Feng?"
Snapped!
"Ji, I'll watch you go. If you have the ability, you come to pick up my class. How long can you last?"
When Tang Dandan heard this, Liu eyebrows twitched, and the pen in his hand slapped on the table in a bad mood.
"Hahaha! Just kidding, you take it seriously. Without your support in the transplant center, how could Qin Feng be so relaxed? Right?"
Seeing this, Ji Zhonghe quickly stepped forward with a smile on his face and comforted him.
"Humph!"
Tang Dandan gave him a white look, and continued to pick up the pen and busy.
...
"What! How could my son have this disease? Could it be a misdiagnosis?"
In the obstetrics and gynecology office, the child's father was struck by lightning when he heard Director Wang Yue's words.
He was completely stunned!
He never imagined that his child would have congenital heart disease.
"Mr. Zhao, don't worry, the incidence of this disease in newborns is about 2/1,000. Although it is very sad, as long as the surgery is done in time, the possibility of cure is very high."
Seeing this, Wang Yue quickly persuaded her.
"Right now, we are just talking to you about the necessary circumstances and risks of the operation. After all, the child has just been born for two hours."
"What about now? Can you do it?"
The man's tears were about to come out, and he looked at the two with shortness of breath.
"The director of our cardiac surgery is studying this operation. Whether it can be successfully operated will take a while."
"Okay! As long as you can cure my child, I'm willing to spend any money!"
Hearing this, the man shook his head quickly, as if he was stupid.
Suddenly he took out his wallet from his arms, took out three or four thousand cash from it, and shoved it into Director Wang Yue's arms.
"I beg your doctor, you must save the child, but we waited three years to get pregnant, please!"
Saying that, the man knelt on the ground, trying hard to put the money into Wang Yue's coat pocket.
"Mr. Zhao, don't do this. You can rest assured. We will do our best. We are still discussing the specific situation."
Wang Yue also explained while saying that the man pulled up and pushed the money back.
"I know I know, this money is a little bit of my heart, as long as the child can be cured, I can give red envelopes to all your doctors, really!"
The man looked very anxious and flustered, his movements were a little stiff, his speech was intermittent, and his eyes were full of sadness.
"Don't worry, you can calm down for a while now. I'll go and communicate with the directors of the cardiac surgery department. Well, don't worry."
Wang Yue was also a little bit overwhelmed. She had seen people who stuffed money, but she had never seen someone who stuffed money like this. She really struggled.
Neither she nor Xu Yingying had a hard time, so they could only get out first, leaving a nurse to watch him.
When the man saw the doctor leave, he sat down on the chair as if deflated, covering his face and crying bitterly.
"My child...my child..."
He cried for about ten seconds, suddenly raised his head suddenly, and a strange look broke out in his eyes.
"Yes, yes, money! I have to get the money!"
Muttering in his mouth, he suddenly got up and rushed out of the office.
"Oh, Mr. Zhao! Where are you going, Mr. Zhao?"
The little nurse didn't have time to react, and watched the man disappear at the end of the corridor.
...
In the conference room, Qin Feng had already arrived. After listening to Zhang Fan and Cao Ke's brief description and inspection report, he couldn't help but look at Zhang Fan.
"Director Zhang, I remember seeing this case in our seminar. It was from Xiehe Hospital."
"Well, yes, I didn't expect to meet so soon."
Zhang Fan nodded.
"Then you can do it?"
Qin Feng looked at him curiously.
Zhang Fan's expression froze when he heard the words, and he was a little embarrassed.
"Qin Feng, if I'm sure, I won't call you. Although there is a case, the risk is still very high. It's the first time I've met such a small baby, and I'm not sure."
I see!
The corner of Qin Feng's mouth raised a wise smile.
"Just tell me if Director Zhang needs anything. How can I help?"
"There are three solutions in front of you now, which one do you think is better?"
Zhang Fan immediately regained his composure and asked with a frown.
At this time, Director Wang Yue and Dr. Xu Yingying also came back, and they all sat down after nodding to say hello.
Seeing this posture, Qin Feng found that the positions on both sides were just equal, and the tail seat was gone, so he had to sit forward.
In this way, it seems that somehow, he has become the central character again.
But now he can't care about humility, he looked at everyone and pointed to the CT angiography on the projector.
"In that case, let me tell you my opinion first, and then you can make a decision.
The patient is a neonatal inversion of the aorta, two hours after birth, the left and right atria are still in good condition, so we do not need corrective surgery.
I suggest, go straight to radical switch surgery! "
When the voice fell, everyone fell into contemplation, he looked around, smiled lightly,
"I believe there is no need for me to repeat the advantages of this surgery. The recovery of the systemic circulation pumping by the left ventricle and the mitral valve is absolutely superior to the other two surgical options."
"Qin Feng, you are right, but this operation is more difficult than the other two!
After all, the child has just been born, are you waiting to choose? "
Cao Ke, who was on the side, frowned when he heard the words and raised doubts.
Qin Feng looked at him and shook his head lightly.
"Director Cao, I know what you're worried about, but last time at the hospital in the capital, they completed the neonatal artery inversion operation that was almost the same as ours, so the feasibility is completely fine."
"This...."
Hearing this, Cao Ke was powerless to refute.
"Director Zhang, do you want to take a look?"
"Um!"
Seeing the sight that Qin Feng had stolen, Zhang Fan's eyes lit up, and he nodded vigorously.
"Okay, Director Wang, I'll sign this operation. Director Zhang will be the first assistant, and Director Cao will be the second assistant. Please be the third assistant, and Dr. Xu Yingying will observe it."
Hearing this, everyone was stunned, and then they were overjoyed. Qin Feng continued to look at Cao Ke,
"Trouble Director Cao, and inform the attending physicians of cardiac surgery to come and observe. This will be the first case of neonatal aortic inversion surgery outside the heart, which is very meaningful."
"Okay! I'll make arrangements right away."
Cao Ke got up immediately.
"Director Wang, your obstetrics and gynecology department..."
"Xu Yingying, immediately notify all the attending doctors and above, and prepare to observe the operation!"
Before he finished speaking, Director Wang Yue immediately looked at Xu Yingying and said.
Xu Yingying nodded and ran out happily.
Subsequently,
Waiting for the child's father to come back with a bulging kraft paper bag soaked all over. Qin Feng and Wang Yuecai discussed the operation plan and operation time with him.
When the child's father heard that the operation could be performed immediately, he was so excited that he signed the notice without hesitation.
Later, Wang Yue left to arrange the operation, and Qin Feng also got up to comfort him and leave.
The man suddenly came over and grabbed his hand.
"Director Qin, I beg you to save the child."
Saying that, he took out a big red envelope from his pocket and stuffed it into his palm.
"Mr. Zhao, our hospital has regulations, it's not good for you to do this."
Qin Feng saw this posture and quickly pushed it back.
"Doctor, please, accept it, the child's life is in your hands, how can I feel at ease if you don't accept it!"
The man looked like he was about to cry and kept begging.
Qin Feng originally wanted to refuse, but seeing the man's humble and powerless expression, his heart softened.
Although he is a doctor, he cannot accept red envelopes, but it is also prohibited.
However, if the patient suspects that the doctor will not try his best because the doctor does not accept the red envelope, will he not trust him?
Therefore, for such patients and their families, they are also very embarrassed.
Qin Feng squeezed the red envelope and started at least 20,000.
"Okay, let's do it, I'll take this red envelope for you first, and we'll talk about it when the operation is over."
He thought for a while, sighed helplessly, took the red envelope and said solemnly.
"Okay, okay! As long as you accept it."
When the man saw this, an ugly smile appeared on his face, and he retracted his hand contentedly.
And this scene,
They were all sharply captured by a man in a peaked cap who was facing the stairs in the distance.
"Dare to accept red envelopes? It turns out that the famous genius doctor is just like this. How can you pretend this time? Humph!"
Now the state is expressly forbidden to receive red envelopes.
In the past few years, many doctors have been exposed to illegally accepting red envelopes. In the end, none of them escaped, and they all fell into disrepute!
The scene of Qin Feng taking the red envelope and putting it in his pocket was clearly photographed by him, and he turned and left instantly.
Qin Feng walked out of the conference room, looked at the back of the child's father leaving, took out his mobile phone and made a call, then reached out and waved to the little nurse at the nurse's desk.
"Xiao Zhao, come here."
"What's the matter, Director Qin?"
When the little nurse saw this, little stars suddenly appeared in her eyes, and she hurried over.
"This is the red envelope that the child's father gave me just now. You can send it to the medical office for me, and ask them to add it directly to the child's expenses after verification, you know?"
"Okay! Director Qin, don't worry! I'll go now."
When Xiao Zhao heard this, she immediately took the red envelope happily and was a little surprised.
"It's so thick! It's about ten thousand or twenty thousand."
"Okay, don't make trouble, let's go."
Qin Feng couldn't help but patted her shoulder and urged.
"I see, I'm going."
After finishing these things, Qin Feng went straight to the operating room, and he was ready at this time.
The attending doctors of cardiac surgery and obstetrics and gynecology also came to the observation room, holding notebooks with anticipation.
In the operating room, Qin Feng walked into the operating room after cleaning and put on sterile clothing and other equipment.
At this time, the young child was stomping his feet in the incubator beside him, his little mouth opened and closed, and he kept chirping.
The corner of Qin Feng's mouth couldn't help but raise a smile, but such a lovely child has a congenital heart disease, which is really distressing.
"Doctor Qiu, anesthesia."
Qin Feng looked at the anesthesiologist beside him and said solemnly.
This operation also has high requirements for anesthesiologists, who need to closely monitor the baby's physiological indicators every second. A little carelessness will cause big problems!
It is said that anesthesiologists are the most difficult of all doctors, because from start to finish, they can't relax in the slightest!
In the face of such a baby, even 0.1 mg of anesthetic can cause harm to the operation and the baby!
"Okay, get ready for surgery."
After the successful anesthesia, Qin Feng glanced at the time and said calmly.
The voice fell, and everyone cheered up instantly!
Director Qin's surgery class starts!