Capítulo 1394: [1394] The reason lies here
Student Xie said again, trust both of them and not just her alone, stating once again that she acknowledges his capability.
Feng Yicong waved his hand in front of his eyes, forbidding him from looking at the classroom’s top female student like that.
“Tell me, how do you know he’s capable?” Jin Tianyu asked. As the attending physician of the patient, he can’t just rely on one word and be done with it.
“He can understand and comprehend my technique. This is something that’s hard to explain, once the two of us get started, Senior, you can take a look and you’ll know whether it’s possible or not. If it doesn’t work, your sharp eyes will definitely spot it, and you can call a halt,” Xie Wanying said.
Her words are futile; doubters will always doubt. It’s better for him to witness it himself to make a judgment.
Hmm, her words are quite rational and timely. Jin Tianyu hesitated over one question: “Have you entered the PCI operating room before?”
Knowing that the seniors have concerns and considerations about them entering the room, Xie Wanying said, “I assure you, Senior, there’s no need to easily turn on the machine. We’ll only activate it after achieving the goal to see the final result, to avoid harming our classmates, ourselves, and the patient.”
Others listening to her: What? No need for fluoroscopy anymore? Blind delivery?
Choosing the puncture point is crucial; it’s best done under fluoroscopy to ensure entry into the radial artery, which Doctor Fang has already done. Next, if the guidewire insertion goes smoothly, frequent fluoroscopy isn’t necessary. The problem is that this patient isn’t a typical case. Even Doctor Fang couldn’t deliver it under fluoroscopy; can you?
Sure, just now she was staring at the operating room, continuously reviewing the fluoroscopy images while Senior Jin and Doctor Fang discussed, she made her own assessment of the patient’s vascular condition. If it weren’t for the lack of help, she would have been up already.
“Do you think you can do it and still need someone to assist you?” Jin Tianyu was unsure if there was any contradiction in her words.
“Yes.” She alone can’t do it; when delivering the guidewire, it’s necessary to simultaneously adjust the patient’s upper limb; otherwise, the guidewire might mistakenly enter a branch even under fluoroscopy, just like Doctor Fang did.
“You mean I just delivered to a branch?” Doctor Fang heard her implication and questioned why the branch wasn’t visible under fluoroscopy.
“The vascular imaging might be overlapping,” Xie Wanying said.
If two vascular segments happen to present a parallel section under this fluoroscopy angle, the flat fluoroscopic images might overlap, blocking one segment’s outline. At this point, the position must be changed for fluoroscopy from another angle to discover the problem.
“That’s why I asked about your tactile sensation,” Jin Tianyu turned back to talk to Doctor Fang.
When encountering such issues during guidewire insertion, the operating doctor can’t multitask to change the patient’s position, and overwhelmed, they might not think of which other angle to perform fluoroscopy to see the problem clearly. At this time, the doctor’s own tactile sensation can play a crucial role in determining the next step.
This statement shows that Jin Tianyu had already considered the same possibility, and he assumed Doctor Fang had thought it through, but it turned out he hadn’t.
Doctor Fang sighed, admitting they were right, saying, “If I really did mistakenly enter a branch, next time, we must perform full-angle fluoroscopy.”
Full-angle fluoroscopy? Is the doctor’s brain not working? Instead of treating patients, just continue exposing them to excessive radiation.
Jin Tianyu finally realized his mind was indeed muddled and wanted to kick him out to clear his head outside.
In the control room, some people were about to burst into laughter.
Yu Xuexian: “Whew.” A bit speechless, fearing most to encounter such a pig teammate at critical moments.
Fu Xinheng remained expressionless.