Doctor: I picked up attributes in the hospital

Chapter 66 Attitude Issues
"what happened?"

Bai Ming asked with some doubts.

"Look, the patient's right leg trembled slightly, and his heart rate also increased compared to just now."

Zhao Heng said.

"It's nothing..."

The resident doctor Li Ziming frowned and said, Zhao Heng is younger than him, he can only follow the attending doctor as a small follower, and Zhao Heng can already call the attending doctor Bai Ming a brother and brother, which naturally makes Li Ziming very happy Dissatisfied.

But now, Zhao Heng, in Li Ziming's view, felt a little unreasonable.

You must know that except for the removal of the internal fixation which was done by the attending doctor Bai Ming, all the rest of the operations were done by him.

Zhao Heng said that, isn't it equivalent to saying that there is a problem with his operation?

Most importantly, all he did was the simplest sutures and finishing touches after surgery.

Hearing Li Ziming's words, Zhao Heng shook his head slightly, picked up a pair of vascular forceps from the workbench, and with the forceps, gently tapped on the quadriceps tendon body surface mark below the kneecap of the patient's right knee .

Something strange happened!
The calf that was supposed to be raised slightly and naturally did not respond at all at this moment.

This shows that the knee tendon reflex of the patient at this moment is weakened or even disappeared.

"It doesn't mean anything, does it? The patient has not yet passed anesthesia, and it is normal for the knee tendon reflex to weaken."

Li Ziming, the resident doctor, saw Zhao Heng's operation and said disapprovingly.

However, after seeing this scene, especially after the knee tendon reflex did not appear, Bai Ming frowned and his face changed a little.

The knee tendon reflex is weakened or even disappeared, which is a manifestation of femoral nerve damage.

But how could the femoral nerve be damaged by such a simple routine operation of removing the internal fixation plate of the femur?
Bai Ming couldn't help but fell into deep thought.

"Xiao Zhao, what do you think the problem will be?"

After thinking about it, Bai Ming decided to listen to Zhao Heng's opinion. After all, he was the one who discovered the patient's symptoms.

"I suggest reopening it."

Zhao Heng said slowly.

"what?!"

Hearing Zhao Heng's words, the resident doctor Li Ziming said with an ugly face.

Zhao Heng's words were tantamount to saying that there was a serious problem with his operation!
This kind of accusation is very serious for a resident doctor who has not yet become the attending doctor.

"If you open it and find nothing, do you take the responsibility?"

Li Ziming said to Zhao Heng with an embarrassed face.

He has survived for so many years and is at the critical moment of being admitted to the hospital. If he makes such a low-level mistake, in a place like the Eastern Hospital where the competition is so fierce that it is exaggerated, he may lose the opportunity to be admitted to the hospital.

Zhao Heng shook his head slightly, didn't say anything, and glanced at Bai Ming.

At this moment, the pressure is on Bai Ming, after all, he is the chief surgeon.

"Reopen it."

Bai Ming said with a gloomy face and frowning.

"Teacher Bai..."

Hearing what Bai Ming said, Li Ziming's face became extremely ugly, and he froze in place.

Bai Ming is a senior attending doctor. Based on his experience, whenever any suspicious point is found on a patient during the clinical treatment, the possibility must be ruled out.

Be careful sailing for thousands of years. As a surgeon, this is the minimum and most basic clinical thinking.

Without this kind of thinking, you don't know when you will make irreparable mistakes because of small mistakes.

This is not the first time that Bai Ming has seen such a small loss that makes a big difference in his career of more than ten years.

Soon, Bai Ming personally reopened the sutured surgical incision.

With the opening of the surgical incision, Li Ziming, the resident doctor standing beside him, suddenly became pale.

Because he discovered that when he was suturing the fascia just now, he had accidentally sutured the femoral nerve and the fascia together.

If it is not reopened, it will take up to two hours for the femoral nerve to be ligated with sutures and irreversible damage will occur.

Nerve cells are one of the few cells in the human body that cannot regenerate, that is to say, once nerve damage occurs, it is generally permanent.

If the femoral nerve is injured, there will be sensory disturbance in the front of the thigh and inner calf, weakened or lost tendon reflexes, and even inability to straighten the knee joint and atrophy of the quadriceps femoris.

Once these conditions occur, they are permanent.

It can be said that this is completely a medical malpractice.

It’s just that it’s okay now. It’s only been more than ten minutes since the femoral nerve was ligated, and the nerve damage has not yet reached an irreversible state. As long as some neurotrophic drugs are used after the operation to restore the damaged nerve, the problem is not big.

Bai Ming ignored Li Ziming directly. With a gloomy face, he cut open the suture on the femoral nerve, and then re-sutured the fascia and skin.

Until the end of the operation, Bai Ming didn't say a word.

"Send the patient back to the ward."

Bai Ming took off his rubber gloves and said to Xiao Song, another resident doctor.

"Okay, Teacher Bai."

The resident doctor Xiao Song felt the solemn atmosphere at the scene. Hearing what Bai Ming said, he nodded quickly, pushed the patient, and the nurse out of the operating room as if fleeing.

"Xiao Zhao, thank you, if it wasn't for you, there might be a medical accident in my hands."

Bai Ming first expressed his gratitude to Zhao Heng.

At this moment, he had another layer of recognition for Zhao Heng's professional quality.

Ordinary anesthesiologists would not bother with such nosy matters at all.

Originally, anesthesia is performed, as long as the patient has no problems with anesthesia, as for the operation, that is the responsibility of the chief surgeon.

To put it bluntly, each is performing its duties, and to put it bluntly, it is each sweeping the door.

Originally, surgeons and anesthesiologists should cooperate sincerely, regardless of each other.

But now, many surgeons and anesthesiologists do not have the atmosphere of harmony and cooperation that they used to have.

"Sure, Doctor Bai, then I'll go to work first."

Zhao Heng nodded and said humbly.

As for what would happen to the pale and ugly Li Ziming, that was out of his consideration.

If the patient had a femoral nerve injury complication after the operation and reopened the wound, the patient might become a cripple forever. This kind of consequence will only be borne by the chief surgeon, Bai Ming.

"Well, next week's operation, I will trouble you, Xiao Zhao, to talk to Mr. Gao."

Bai Ming said.

After doing everything that should be done, Zhao Heng followed him out of the operating room.

When Zhao Heng left the operating room, there were only Bai Ming and Li Ziming in the operating room.

"Teacher Bai... I was wrong, I'm sorry."

Li Ziming's face was ugly, and he said anxiously.

"Where did you go wrong?"

Bai Ming said with a gloomy face.

"I accidentally ligated the patient's femoral nerve, so careless."

Li Ziming said in self-defense.

"This is one of them, what else?"

Bai Ming asked with a very bad expression on his face.

"and also?"

Li Ziming said a little at a loss.

"Think about it again."

Bai Ming suppressed the anger of hating iron but not steel, and asked again.

"I... I shouldn't easily let go of a doubt that may lead to medical accidents..."

Li Ziming thought for a long time, and finally stammered.

"anything else?"

Bai Ming was still not satisfied with Li Ziming's answer.

"and also?"

Li Ziming's mind exploded with thoughts, but he still didn't think of it.

"The anesthesiologists are helping us with the operation, not coming to trouble us or embarrass us. They, like us, want the patients to be well. I hope you will always remember this."

Bai Ming looked at Li Ziming disappointed, shook his head and said.

Doctors are not gods. Negligence and mistakes, no matter how good a doctor is, cannot be completely avoided.

Others have pointed out the doubts, but they still turn a blind eye because of their arrogance, and choose to ignore the possibility of medical accidents. This is entirely a matter of attitude.

"Tomorrow I will find the director and reassign you a superior doctor."

Bai Ming said with a sigh.

Skills can be practiced, lack of experience can be accumulated, but the mentality in the bones cannot be changed.

Hearing Bai Ming's words, Li Ziming's face suddenly turned pale.

"Okay, I won't say anything about today's matter, you can do it yourself."

Bai Ming shook his head again and said to Li Ziming.

After finishing speaking, he left the operating room on his own.

(End of this chapter)