18 the day before, I was the attending physician of Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run A Finnish Nokia engineer was sent to the intensive care unit for heart failure. He suddenly had a sharp pain in his left leg in the morning. The doctor found that the patient's back artery pulse disappeared and his lower limbs were cold and blue, and immediately sent me an emergency consultation notice. I arrived at the scene in five minutes. The patient groaned in pain and his heart condition was deteriorating. I quickly checked the patient's pulse and found that the rhythm of atrial fibrillation and the pulse of the left leg artery disappeared. This is a typical case of lower extremity arterial embolism caused by cardiogenic embolus falling. Thrombotomy must be performed as soon as possible. At that time, there was no intracavitary catheter thrombolysis technology, and the best treatment method was to use balloon catheter to remove thrombus. Besides, the sooner the better. If the delay exceeds 6 hours, more than half of the patients will be at risk of amputation. Because patients are international friends, there are also serious differences within the hospital. Some leaders believe that the risk is too great, and if failure will lead to "international influence", it should be transferred to Hong Kong immediately. Anesthesiologists also believe that the patient's heart function is too poor and the operation risk is high. As the only vascular surgeon at that time, I insisted on early operation. First, the patient's condition does not allow long-distance transportation, and second, the pain caused by embolism will aggravate heart failure. Third, I have the ability to quickly remove the thrombus under local anesthesia, saving my life and my legs. In the end, my opinion was supported by Professor Xian Jianmin (then the business director of Run Run Run Shaw Hospital). He patted me on the shoulder before I entered the operating room and said, "Just do it, don't have a psychological burden. I will be responsible for others! " Things have changed dramatically: I dissected the free femoral artery after subcutaneous injection of local anesthetic into the patient's left groin, cut it open, inserted a balloon catheter, and quickly pulled out a thrombus nearly one meter long. A one-meter-long thrombus means that the thrombus has sometimes spread. A few seconds after the thrombus was removed, the patient burst out laughing. The patient's pain was instantly relieved and his heart function miraculously recovered. I recorded all this with my camera. Including embolus (unfortunately, this precious photo can't be found after the original blog was closed). On the same day, the patient strongly urged me to send the photos of the operation to his sister who is a doctor in Finland. A week later, Nokia headquarters sent a thank-you letter, and the company executives rushed to China with local doctors. Two weeks later, the American clinical director of the hospital recommended me to make a clinical report in the big ward round every Wednesday morning. For the first time, a young doctor boarded the large circular platform of the hospital. For the first time in my life, I gave a 1 hour academic speech in English. The day after I finished writing the report, the dean called me into the office and told me the good news: the hospital decided to send me to study in the United States. Since then, another window of career has finally been opened. You know, as early as a year ago, American doctors had put me on the list of studying abroad.