Chapter 1398: 【1398】Divergent Effects
Keep both ears pricked, ensuring you can hear the senior brother’s reminders and directions at any time.
Slowly, slowly, the muscle power from the fingertips concentrates on the guidewire, pushing it into the patient’s artery. Avoiding using the larger forces of the arms and wrists, this ensures the pressure is as gentle as possible, not injuring the patient’s fragile blood vessels.
The guidewire advances, and advances further.
Advancing inch by inch, the speed isn’t fast, nor is it sluggish to be called inching forward; one could say it advances steadily and methodically.
Jin Tianyu’s eyes gradually shrank into two small circles, watching the delicate and skillful movements of his junior sister Xiuxiu’s hands, feeling as if her hands had turned into a river god, gently yet resiliently propelling the guidewire downstream through the patient’s vessel. The guidewire floated along in utter delight, exceptionally comfortable.
Sigh. Internally, he felt like taking a deep breath.
The smooth and mesmerizing surgical operation in front of him made him realize she had achieved the tactile goals that many cardiovascular doctors aspire to when performing PCI procedures.
Perhaps she was born to perform this surgery. Jin Tianyu thought, recalling the first time he saw her percussing a patient’s heart; he already had a similar thought back then: she seems very suited for cardiology.
Someone in the control room seemed to notice Jin Tianyu’s thoughts.
What the hell is this person thinking? Li Chengyuan’s eyebrows furrowed into two big iron lumps: it’s unethical for an internal medicine doctor to poach a surgical student! How can he be as thick-skinned as Xin Yan-jun?
Jin Tianyu didn’t think his intent was wrong. Training a surgeon is hard; training a cardiologist who can perform PCI surgery is equally difficult, or don’t you think so? Many cardiologists claim they can perform PCI, but as Doctor Seo said, they only hang a sign saying they can, while they can only handle the simplest cases, and tougher ones are a total mess, necessitating a surgical backup.
The difficulty of PCI surgery is unknown to those who haven’t tried it.
Look, aren’t the surgeons just standing by and watching right now?
Tap tap, Doctor Fang, in surgical clogs, ran over from the corner to check the situation.
Seeing Xie Wanying guiding the wire seemingly past the point where he previously got stuck, Doctor Fang exclaimed with surprise: "Strange, she doesn’t seem to encounter the resistance I met."
Saying this, Doctor Fang scanned the length of the guidewire in Xie Wanying’s hand, calculating in his mind, it should be correct, roughly the same as the leftover length from his previous attempt. So he murmured skeptically again: "I clearly got stuck at this spot."
Without fluoroscopy, it was unclear why he got stuck there while she didn’t.
He previously speculated he might have mistakenly entered a branch at that spot, indicating the guidewire could easily veer into a branch on its own. Without fluoroscopy in blind insertion, it’s hard to differentiate between branch and trunk bifurcations, and thus, controlling the guidewire to avoid entering a branch by mere touch sensitivity is challenging. Back to the point, if the patient has many small vessel branches, it would truly be a headache; checking from one angle and then switching to another exhaustively. That’s why he mentioned the need for full perspective analysis.
Without a machine, relying on the doctor’s brain for calculation, judgment, and estimation is extremely taxing on the doctor’s mind.
It can only be said that the guidewire in Xie Wanying’s hands seemed entirely different from the one he used before, and the patient appeared as if changed to a different case, with outcomes utterly inconsistent with his own.