The surgeon opens a cheat

Chapter 30 What to do if there are too many patients

As soon as he came to the scientific research building in the morning, Liu Quan hurried to find Zhang Gu.

"Team Leader Zhang, it's broken!"

"The medical association and the publicity department have done a great job. There are too many patients in the first batch!"

Liu Quan said worriedly: "Originally, we planned to come to the first batch of three to four patients and perform three or four operations to hone the surgical team and our own gastroscopic dilation surgery skills."

"More importantly, the first batch of results will help us win project funding."

"As a result, ten patients came directly! Several of them were emergencies and urgently needed surgery."

For the first time, Liu Quan felt that the work of the Publicity Department and the Medical Association was too powerful, which was not a good thing.

Zhang Gu thought about it, and said: "It's okay, just do more."

Liu Quan worried: "Ten patients! According to our expectation, each operation will take about [-] to [-] hours. Who can have such energy to perform ten operations in an emergency?"

"Especially the few of us who are only cooperating with your assistants. The energy consumption is not high, and we can barely keep up. But you are the main surgeon, and you are under too much pressure!"

Liu Quan complained in his heart, don't the colleagues in the publicity department know how to restrain themselves?

Zhang Gu checked the long-term surgery card he owns.

After saving for so long, now he has 3 long-lasting cards, not to mention ten surgeries, even if there are ten more, it will not be a big problem!

In the morning, ten patients began to arrive one after another.

Director of the Department of Surgery, Xiang Jianhua, also called to inquire about this matter.

"Zhang Gu, can you and Liu Quan take down so many patients?"

"If it doesn't work, I'll communicate with the Medical Association and ask them to transfer a few more."

Zhang Gu: "Don't, that's too much of a blow to the work enthusiasm of colleagues in the Municipal Medical Association and the Propaganda Department. If you really do this, people won't help us coordinate and publicize properly in the future."

Xiang Jianhua frowned: "Are you sure you can eat it? Don't try to be brave."

Xiang Jianhua was worried about Zhang Gu's carelessness.He is sure of this young man's strength, but he is afraid that he is too young, and his strength will swell if he is too young, and he will overestimate his own ability.

Zhang Gu said: "Director Xiang, I assure you that I can arrange all these ten patients properly!"

Xiang Jianhua hummed and said, "Okay, you need other people's cooperation, please mention it to me earlier, and I will arrange it for you."

After hanging up the phone, Xiang Jianhua smiled slightly: "Young man, he has great drive."

He thought for a while, and called an old friend of the Municipal Medical Association.

It can be regarded as a bottom line for Zhang Gu.

In case a piece of grain cannot be taken down at that time, the emergency plan can also be activated to transfer the patient away urgently.

Xiang Jianhua didn't want this young man's promising future to be ruined by the consequences of being brave.

……

Scientific research building, surgical laboratory.

Zhang Gu, Shen Wenting, Liu Quan, and Lu Dongdong are fully armed and ready for surgery.

Liu Quan told the two of them: "The first operation was originally planned to start tomorrow. Because too many patients came, we had to start it in advance. Have you all remembered the points I told you?"

Shen Wenting and Lu Dongdong were under a lot of pressure, so they nodded nervously.

This time it was indeed a little too rushed.

The three surgical nurses next to them also hurriedly recalled the order and key points of the operation in their hearts.Don't make mistakes when fighting for a formal operation.

Seeing that the whole team was very nervous, Zhang Gu comforted everyone, "Relax everyone, everyone is inexperienced in this first operation, I will slow down the speed a little so that you can become proficient in the process."

Liu Quan, Shen Wenting, and Lu Dongdong all nodded.

The three surgical nurses were a little dazed...

What is the deputy head talking about?

Did he mean that he was going to be the chief surgeon?

Isn't the chief surgeon Liu Quan, director of the endoscopy room?
Deputy team leader Zhang is the chief surgeon, so what does team leader Liu do?
Soon, they will know.Liu Quan stood firmly in the deputy position.

The patient pushes in.

Zhang Gu intends to cultivate the ability of the team.

He said: "For the first surgical patient, I chose a case with severe stenosis. According to the stooler classification method, it belongs to grade 4, and it is difficult to enter fluid. This patient is suitable for expansion bougies."

In this case, he chose the one with high difficulty. As long as this meeting is held, everyone in the future will be able to follow suit.

Liu Quan and Lu Dongdong are ready to be their assistants.

Shen Wenting records various surgical data, and her part is an indispensable part of the project.Only by keeping and recording all kinds of data, making comparisons and making achievements, can this topic be meaningful and can apply for project funds.

Zhang Gu said: "Group Leader Liu, you and Dr. Lu are responsible for the gastroscopy."

This is Liu Quan's best job, even more familiar than Zhang Gu.

Lu Dongdong also served as Liu Quan's deputy all year round, so it was most suitable to do this step.

After the gastroscope is inserted.

Zhang Gu said: "No. 3 guide wire."

The roving nurse cheered up and handed it over quickly.

Zhang Gu gradually inserted the guide wire through the biopsy hole of the gastroscope, while Lu Dongdong was staring nervously at the gastroscope monitor.

"To the far side of the narrow place!"

Hearing the sound, Zhang Gu was slow, looking at the monitor, and bit by bit the soft part of the guide wire was inserted about 2 cm below the narrow hole.

"I'll fix the guide wire, Team Leader Liu, you can withdraw the gastroscope slowly."

Liu Quan nodded, and he carefully pulled out the gastroscope.Having done so many gastroscopy operations, this is the first time he has taken a gastroscopy with a guide wire, so he can't help but be more careful.

After freeing his hand, Liu Quan was replaced to fix the guide wire.

Zhang Gu picked up the improved bougie expander, selected the narrowest diameter of the bougie, inserted the guide wire, and slowly sent the conical part of the lower half of the bougie expander into the upper gastrointestinal tract of the patient along the guide wire.until the tip passes through the narrow opening.

The key to this operation is to use Zhang Gu's improved bougie dilator to continuously dilate the stenosis. This process should not be rushed, and requires a little patience and a step-by-step process.

At the same time, it is necessary to prevent various accidents that may occur during the operation, and not to panic.

After 5 minutes of dilation, Zhang Gu withdrew from the bougie along the guide wire, then changed to a bougie with a larger diameter, entered the upper gastrointestinal tract, and propped up the stricture.

Suddenly, Lu Dongdong was a little nervous and said: "The patient's mucous membrane was torn in the narrow part, and there was bleeding."

Liu Quan hurriedly checked the images on the monitor, fearing that the operation would fail.

"Don't panic."

Zhang Gu glanced at the gastroscope monitor calmly: "The amount of bleeding is not large, and norepinephrine was sprayed locally to stop the bleeding."

Liu Quan quickly followed up with the operation, and soon, the patient's blood oozing lessened.

Liu Quan was sweating in his heart.

The success of this first operation is related to the fate of this subject, and he is afraid that he will mess up the subject project.

Zhang Gu was much calmer, operating in an orderly manner.

Seeing Zhang Gu's certainty, Liu Quan sighed in his heart: "It's also the first time to do this operation, Dr. Zhang's confidence is obviously stronger than mine, I feel ashamed!"

At this time, Liu Quan glanced at the monitor of the gastroscope, and his heart skipped a beat!
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(End of this chapter)