Chapter 1389: [1389] What to do if no one helps
Compared to the doubts just raised by Senior Brother Yu, Teacher Fu’s questioning was undeniably sharper. He knew what she could and couldn’t do, targeting the center of her technical shortcomings, making it almost impossible for her to answer.
Such operations are best done by a duo. Just like that evening when she and Doctor Song did it together — both were indispensable. Doctor Song managed the drainage tube, responsible for irrigating and draining, while she adjusted the patient’s position in real-time; together, they could explore the specific situation within the patient while adapting on the fly. The results were good because both had the ability and talent, their minds interconnected cooperatively, achieving miraculous results with half the effort. Imagine if only one of them had done such an operation, it would have been extremely difficult. They would have to set the body position, turn back to manage the drainage tube, fail, and then do it all over again repeatedly, not knowing how long it would take to match the position and drainage.
Similarly, for the current PCI surgery, the doctor advancing the guidewire also needs to rely on tactile feedback to explore the patient’s vascular status and judge the position of the guidewire, as the position cannot be determined solely through the X-ray system’s fluoroscopic images. Doctor Fang’s previous comments about his operational situation confirmed this point, so it’s estimated that additional methods are needed.
She said she could try based on her previous collaboration experience with Doctor Song. Relying not entirely on fluoroscopy but on tactile feedback and positional adjustments to proceed.
X-rays themselves have significant ionizing radiation, and doctors should use fluoroscopy sparingly. Ideally, before the guidewire reaches the heart, if everything goes smoothly, fluoroscopy is not needed at all. Fluoroscopy should be reserved for the crucial moment of coronary angiography, which is the purpose of this surgery.
However, this patient, like that female patient, belongs to a special and complex case, and past experiences of veteran doctors might be irrelevant. At this time, someone like Doctor Song is needed to cooperate as before.
If one person were to operate, achieving the purpose slowly on their own might be possible, but the speed would undoubtedly be extremely slow.
Slow exactly does not meet the current patient treatment strategy requirements and could be fatal.
When it needs to be fast, it must be fast.
Should she look for Doctor Song?
Doctor Song is not present, and Doctor Song, being a neurosurgery resident, is unlikely to come to the interventional room to help her with this. Teacher Fu was right, she can only think about the problem first without considering Doctor Song.
Without Doctor Song, who can help her adjust? Or should she adjust, and someone else advance the guidewire? Should she cooperate with Doctor Fang? Or with Senior Jin and other cardiovascular physicians?
In fact, Teacher Fu’s words implied that other teachers had already seen through this, and finding someone to replace Doctor Song was unrealistic.
Doctor Song’s talent is not something Doctor Fang possesses, and probably not Senior Jin either.
Xie Wanying internally needed to take a breath and adjust her mood, preparing to change her thinking.
Her brain couldn’t have failed to consider trying the issues raised by Teacher Fu; her calculated brain told her that there might be someone right in front of her who could substitute for Doctor Song to help her. Only, with Teacher Fu’s mention, she became concerned about another issue.
She volunteered to enter the operation room to try; the interventional operating room has radiation, and she is willing to take on that occupational risk, but it does not mean she can selfishly drag someone else into it. Just like Senior Jin would never take the initiative to drag her into it, she first needs to consider the other’s health.