"Okay, everyone, be quiet. Dr. Tang was invited by me, and I will be responsible for all his actions. When the consultation is normal, I will connect Dr. Tang's video connection, and everyone will treat it as a regular joint meeting of experts from other hospitals.

consultation."

Professor Liu is the person in charge of this operation. Now that he has spoken, the doctors on the expert team have stopped talking.

However, there is always some resistance in my heart. After all, Tanglou is too young. For such a young doctor to not even come to the scene for a video consultation, it is a bit contemptuous for them.

Before the consultation started, Professor Liu also pondered for a while and told Chen Minjie: "In a moment, you will be responsible for Dr. Tang's video connection. If Dr. Tang really cannot arrive in time after the consultation, this operation will be difficult."

It’s up to you to cooperate with me.”

"Hey, okay."

A trace of joy flashed in Chen Minjie's eyes, but his face was still very calm: "Professor Liu, don't worry, I will cooperate with Dr. Tang well, and I will also be ready to step in at any time."

"Well, go ahead."

Professor Liu looked at Chen Minjie and was slightly pleased, but he also hoped in his heart that Tanglou could come to the Second Hospital of Harbin Medical University. After all, Chen Minjie's level was still far behind compared with Tanglou. It was the choice when there was really no one around.

.

Commonly known as a jack, it is not even as good as a spare tire.

In the independent office of the Jin Group, Tanglou opened the remote video on time and joined the Second Hospital of Harbin Medical University for the third general consultation on Ye Jian's second heart transplant, which was also the last consultation before the operation.

Tanglou could clearly see the situation in the consultation room through the screen.

The entire consultation was chaired by Professor Liu. Before the meeting, Professor Liu first introduced to the expert group Tanglou who participated in the remote consultation.

Regarding the greetings on the screen in the tenement building, the expert team smiled politely and did not look at him.

Under the control of Professor Liu, the consultation began.

The content of the meeting began with Professor Liu summarizing the contents of the previous two consultations, and then Director Chen reported on the progress of the latest equipment, instruments and special drugs.

"Professor Liu, with the cooperation of various departments in our hospital, all the equipment and medicines required for Ye Jian's surgery have been prepared."

After that, each department reported their latest progress one by one. Generally speaking, everything was ready.

Ten minutes later, Professor Liu began to enter the second part of the consultation, which was the most critical study of the surgical procedure before the operation, the allocation of personnel during the operation, and the role that each person needs to play.

As one of Professor Liu's valued candidates, Tanglou has a huge responsibility.

Although I had seen Tanglou surgery once before, it was a routine heart transplant surgery after all. In addition, this time some big names in Tanglou chose video consultation, which made some doctors on the expert team a little unhappy.

One of the chief doctors asked without hesitation: "Dr. Tang, as the first assistant in this operation, you have a very heavy responsibility. Taking advantage of this consultation, we also want to know more about Dr. Tang's thoughts on Ye Jian."

Understanding heart transplant surgery.”

On the screen, Tang Lou didn't care at all about the aggressiveness of the expert team. After all, with his current three-star heart transplant skills, he could deal with any tricky problems calmly.

Tanglou smiled slightly, and he would be very happy if he could give these doctors some help.

He said very honestly: "Experts, I am very confident about this technique."

In the consultation room, Professor Liu also looked at Tanglou with some surprise. This young doctor was really not low-key at all.

"Let's start with the preparation of the receptor first. What does Dr. Tang think of the preparation of the receptor?"

A chief physician looked up at the screen and said coldly.

Tanglou did not even think about it and responded very easily: "In addition to a comprehensive medical history before surgery, a detailed physical examination is also required, including blood, urine and stool routine; blood biochemistry, liver and kidney function, lung function, gastrointestinal tract

Barium fluoroscopy, bacterial culture of throat swabs, sputum, and urine. Tuberculin test, serum E-cell inclusion virus, Toxoplasma gondii, HIV, EB are required.

Virus and hepatitis virus examination. Blood type identification, lymphocyte toxicity cross-test and HLA typing are also required... Especially for patients with severe heart failure like Ye Jian who cannot be controlled by drugs, intra-aortic balloon reaction should be performed.

or consider using mechanical assistive devices to temporarily improve organ function and create conditions for heart transplantation..."

Hearing Tanglou's talk, the director nodded, feeling horrified in his heart.

Dr. Tang was not prepared at all for these questions and answered them all impromptu. In other words, he was really knowledgeable about heart transplantation.

In the consultation room, Chen Minjie was also a little unbelievable. Of course, he could answer these questions in detail, but for someone as comprehensive and rigorous as Tanglou, he still needed to do his homework in advance.

“Very solid basic skills.”

The expert team members who originally wanted to wait until Tanglou got stuck, and then educate him on the need for humility in doing things, were all choked up.

Such a difficult little guy.

Another director of the Department of Urology next to him couldn't sit still. Originally he was just watching the show, but now he had to earn some face for the doctors of the Second Hospital of Harbin Medical University, and asked another question: "Doctor Tang's opinion on heart transplantation?"

As expected, the surgery is well-researched, and the preparation for the recipient is very comprehensive. So, how does Dr. Tang view the selection of the donor heart?"

Since heart donation requires the cooperation of multi-disciplinary organ doctors and the cooperation of urologists, it is a very comprehensive process. I asked this question just to suppress Tanglou's momentum and let him know,

This is a very comprehensive operation, and individual abilities are very limited.

Regarding this question, Tang Lou frowned slightly. No matter how stupid he was, he could still feel the targeting of these expert team members from thousands of miles away.

Tanglou chuckled lightly, but he was not afraid. Since he wanted to test himself, he would take this opportunity to demonstrate well and impress all these experts.

This will also help with subsequent surgeries.

After straightening his sleeves, Tang Lou looked sharply at the director of the Department of Urology, and replied calmly: "I am really familiar with donor heart retrieval. Do you have any questions about the donor heart retrieval surgery?"

You can bring it up and I will answer your questions."

"What a loud tone."

Medical consultation is like this. It is easy to get angry during the exchange.

Of course, most of this is academic tit-for-tat.

"Excuse me, how does Dr. Tang deal with thrombosis in the small blood vessels of the donor heart?"

A chief physician first raised the question. He really couldn't stand it any longer. Tanglou sounded like an old expert.

"It's very simple, lie in a supine position, disinfect the skin of the chest and abdomen with routine iodine tincture, and heparinize the whole body at 3 mg/kg..."

Another chief physician flipped through the information and asked: "How does Dr. Tang ensure that the donor heart is stopped in the diastolic state, and how is the perfusion volume and perfusion pressure designed?"

"Ensure that the donor heart is in a diastolic state, the perfusion volume is generally 1,000ml, and the perfusion pressure is maintained at 40-80mmHg."

Tanglou's expression remained unchanged, his expression remained unchanged, and he returned calmly.

"Dr. Tang, how do you prevent the heart from expanding when infusing cardioplegia?"

One of the chief doctors asked about a very detailed operation. If you are not familiar with this surgery, you will definitely get stuck.

Tanglou didn't pause at all and said smoothly:

"When starting to infuse cardioplegia, the right superior pulmonary vein and inferior vena cava should be incised immediately to prevent the heart from expanding. At the same time, ice-cold saline should be placed in the pericardial cavity for local cooling..."

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Chapter completed!