"Old Gao, not bad, where did you find such a good assistant?"
Zhao Heng's performance honestly exceeded Song Chen's expectations. She couldn't help but feel a bit envious. She was also a seasoned attending physician, but none of the residents under her had such solid skills as Zhao Heng.
As an attending physician at Eastern Hospital, teaching is a requirement, which means guiding both resident doctors and interns.
This process is actually quite tiring. You have to handle your own tasks while being responsible for teaching.
If you have an excellent resident under you, then as an attending physician, things can be much easier.
"Just got lucky, nothing can be done about it."
Gao Jun smiled slightly, speaking with a hint of smugness.
He was a native of North City, and honestly, he wasn't short on money. With Zhao Heng as his assistant, his work was much lighter.
"Xiao Zhao, right? Have you considered joining the cardiac surgery department? I also need an assistant. Rest assured, what Old Gao can offer, I can as well."
Song Chen looked at Zhao Heng and spoke seriously.
"Dr. Song, isn't it against the rules to poach people like this?"
Gao Jun was a bit anxious upon hearing Song Chen's words. After all, it wasn't easy to find such a great assistant, and he had barely started working before being targeted.
"How is this poaching? Besides, our cardiac surgery department is the flagship of Eastern Hospital. There are numerous PhDs lining up outside wanting to join."
Song Chen replied with indifference.
What she said was indeed true. In the field of cardiac surgery, Eastern Hospital could be considered among the top three nationwide.
"Xiao Zhao, what do you think?"
After a pause, Song Chen spoke to Zhao Heng again.
"Teacher Song, at present, I think anesthesiology is more suitable for me."
Zhao Heng said politely to Song Chen. Whether following Song Siming or anything related to cardiac surgery, right now for Zhao Heng, earning a living was most important.
Besides, as a bachelor's degree holder, going to a department where the starting point is a PhD, he probably wouldn't be able to even get on the operating table.
Unlike now, not only could he perform anesthesia with Gao Jun and earn money for meals but also observe various surgeries and gain experience from experts.
For now, in Zhao Heng's view, enhancing himself was the most important!
"Exactly, exactly!"
Upon hearing Zhao Heng's refusal for his sake, Gao Jun felt as comfortable as drinking iced soda on a hot summer day.
It couldn't be helped. Although anesthesiology is important, in the operating room, its sense of presence isn't very high.
Today, Gao Jun certainly managed to make a presence in front of Song Chen.
This kid is good, reliable!
At this moment, Gao Jun was very satisfied with Zhao Heng.
Seeing Zhao Heng's immediate refusal, Song Chen became even more interested in him.
In a hospital, it's rare to find someone like Zhao Heng.
Hospitals are places where one needs to endure to gain experience. All attending physicians have come up step-by-step from intern to resident.
After observing Zhao Heng, Song Chen thought for a while and suddenly asked, "Do you understand extracorporeal circulation? In this surgery, what are the key points of extracorporeal circulation?"
Song Chen intentionally wanted to further test Zhao Heng.
Extracorporeal circulation, as the name suggests, involves creating another circulation outside the human body, usually used in heart surgeries.
Because it involves heart stoppage, resuscitation, and external blood circulation, it's very advanced and complex.
"Dr. Song, you're putting Xiao Zhao in a difficult position, extracorporeal circulation is something at least an attending physician should be familiar with, Xiao Zhao still needs to learn."
Gao Jun also felt that Zhao Heng might not be able to answer, so he preemptively stepped in to help.
After thinking for a moment, Zhao Heng confidently said, "First, before extracorporeal circulation, the patient needs to be heparinized. For this elderly patient, I believe the dosage should be 3 mg/kg, and the ACT should exceed 480 seconds. Second, analgesic and muscle relaxant drugs need to be additionally administered to compensate for the increased drug distribution volume and the reduced drug concentration caused by adherence to the extracorporeal circulation machine. Third, before the aortic cannulation, TEE must be used to evaluate whether there is calcification or free atheromatous plaque in the ascending aorta or aortic arch, and their precise locations should be determined to guide the cannulation position."
"Hmm, not bad, that's correct."
Song Chen nodded repeatedly upon hearing Zhao Heng's response. Zhao Heng's answer was entirely correct and well-organized. It was hard to imagine from where he had learned these. Such experiential knowledge cannot be acquired from textbooks.
"Additionally, during extracorporeal circulation, due to increased drug distribution volume, adherence of drugs to the machine walls, and slowed drug metabolism due to reduced body temperature, the pharmacokinetics of anesthetics cannot be calculated using conventional methods. Therefore, intraoperative depth of anesthesia monitoring must be strengthened, which is crucial to avoid overly shallow anesthesia."
Zhao Heng added.
"Xiao Zhao, did you come up with all this yourself?"
After hearing this, Gao Jun couldn't help but ask.
These things, he hadn't had the chance to teach him.
He had only talked about some basic stuff with Zhao Heng earlier.
"Yes, these are my thoughts based on the patient's actual situation and pharmacokinetics,"
Zhao Heng nodded. He couldn't very well say that these experiences came off of him.
"When I was young, I didn't have such abilities to deduce and infer. It seems you were born to be a doctor."
Gao Jun sighed, saying.
Having practiced medicine for so many years, Gao Jun believed that in the medical profession, the concept of geniuses doesn't exist.
All outstanding doctors must undergo a long process of knowledge and experience accumulation.
For medicine, a discipline based on experience, simply possessing extraordinary memory or cognitive abilities is not enough.
The human body is complicated, and patients' conditions are ever-changing. Simply relying on textbooks could lead to very painful consequences.
Moreover, the content in textbooks largely stems from accumulated experience. It's not entirely accurate when applied to patients.
"Your understanding of our cardiac surgery indeed exceeds my expectations."
Even Song Chen couldn't help but remark.
Zhao Heng's response just now couldn't have been answered by anyone other than a seasoned cardiac surgery attending physician or an experienced anesthesiologist like Gao Jun who has cooperated on numerous cardiac surgeries.
"Although coronary artery bypass surgeries are now quite common, Director Huang's surgeries are not something an average doctor can observe. Watch and learn as much as you can later; it'll greatly benefit your improvement,"
Song Chen paused and kindly reminded.
In any field, reaching a top national level means dealing with extraordinary talent. There's indeed a lot to be learned from such individuals.
This opportunity is only provided by Eastern Hospital.
This is why so many young doctors aspire to work at major hospitals.
Some things may never be seen in small hospitals.