medical road high rise

Chapter 14
Chapter 14 Responsibility
"Director Lu, if there's nothing else to do, I'll go back to the department first." The urology doctor retreated.

"Wait a minute." Qin Feng said suddenly.

The urologist looked at Qin Feng in confusion. He didn't care about this little doctor who was always by Director Lu's side. He felt that a regular trainee in the emergency department was not worth mentioning.

"What? This little doctor has a different opinion?" The urologist said angrily.

"I think we can continue the operation." Qin Feng said.

"Continue with the operation?" The urologist sneered, "Director Zhao from the circulatory department has done three punctures, but he failed to intervene. Why do you, a small doctor, let us continue the operation?"

Qin Feng looked at the patient on the operating bed. On the ECG monitor beside him, the patient's blood pressure was continuously dropping.

"I can stop the patient's bleeding."

"Hehe, you are a young doctor, and your tone is not small. Other Dr. Zhao has not been able to stop it. Could it be that your method of hemostasis is more advanced than interventional surgery? Or will you also intervene?" the urologist said.

"I won't intervene in surgery." Qin Feng shook his head and said.

The urologist sneered even more, and was about to continue mocking, but was interrupted directly by Lu Ming.

"Qin Feng, tell me what you think."

"How capable is an intern doctor." The urologist did not lower his voice at all, and the entire operating room could hear it clearly.

The anesthesiologist stood quietly beside the ECG monitor, silently raised his head and glanced at Qin Feng, with a trace of pity in his eyes.

An intern dared to talk to a doctor in charge like this, he was brave enough, and he was not afraid of being put on small shoes in the future.

Qin Feng was not affected at all, and said: "We can use the method of section hemostasis to perform this nephrectomy."

"Cross-section hemostasis?" Lu Ming frowned and thought about it. You must know that the cross-section of the kidney is related to the blood vessels in the kidney parenchyma, and the requirements for the surgeon's sutures are particularly high. Once the force is too deep or too shallow, it will cause renal pelvis or calices The formation of foreign bodies in the lumen causes blockage of blood vessels and affects the basic functions of the kidneys.

Thinking of Qin Feng's previous microsurgery, Lu Ming's eyes suddenly brightened. The main test of hemostasis in a section is the suture technique of the surgeon. Since Qin Feng can perform two fixed-point intermittent sutures under the microvascular, the section of the kidney can be sutured. The renal parenchymal blood vessels above are nothing to Qin Feng.

"You're right, we can use the method of section hemostasis to perform nephrectomy on the patient." Lu Ming nodded.

The urologist looked at Lu Ming in surprise, what does it mean that this little doctor is right?
Where is he right?Is it possible that this little doctor can do it by himself?

Listening to Lu Ming and Qin Feng discussing about vascular access and suturing techniques, the urologist felt that his brain was a little insufficient. Is this still the submissive intern he thought of?

When will an intern be able to talk to his peers and criticize the chief physician? This is just like an intern who has just joined the company blaming his superior manager and teaching his manager how to do things.

The contrast was too strong, and Director Lu sincerely accepted the intern's opinion. If it were another director, the urologist might still think that Qin Feng had a stronger background.

But Director Lu Minglu, this is the Taoshi No. [-] hospital’s recognition that oil and salt do not enter. There used to be a nephew of a provincial hospital leader who came to Taoshi as an intern. The provincial hospital leaders greeted him well, but Lu Ming didn’t give any face As long as that intern makes a mistake, he will never be soft when he turns his face, and he will not make extra minor mistakes when teaching.

"Drip!"

The ear-piercing sound of the ECG monitor sounded, and Qin Feng and Lu Ming stared in the direction of the ECG monitor with wide-eyed eyes.

"The patient's blood pressure can no longer be measured and he is about to go into shock." the anesthesiologist shouted.

"Director Lu, we need to operate immediately, and we can't wait any longer." Qin Feng said.

Lu Ming nodded, pulled the urologist over and said, "Nephrectomy, you should be fine. I'll let Qin Feng help you."

"What? An intern will help me? Director Lu, let me tell you clearly that I can do nephrectomy without any problem, but I'm not sure about hemostasis surgery." The urologist said truthfully.

This is no longer the time to pretend to be aggressive. Doctors will have an internal audit process for their own abilities.

"You don't need to do hemostasis surgery on the section, just Qin Feng can do it." Lu Ming said.

"Director Lu, don't be joking." The urologist is unwilling to set up a stage with Qin Feng. Kidney section operation is not a minor operation, and the requirements for assistants are also particularly high. An intern may make a fuss What a moth.

Seeing the urologist procrastinating, Lu Ming said impatiently: "If you don't want to do it, you can go and prepare the surgical equipment with the itinerant nurse. I will do this surgery."

The urologist muttered and left the operating table, and took the itinerant nurse to prepare the surgical equipment, while Lu Ming brushed his hands and prepared for the operation.

"The patient is lying on the healthy side at 45°, with the affected side facing up, and the patient's waist is supported." As soon as Lu Ming said this, he found that Qin Feng had already done everything.

Lu Ming suppressed the doubts in his heart, and began to insert a trocar into the patient's retroperitoneal cavity, while Qin Feng watched Lu Ming's operation and learned.

"Insert the catheter..." Lu Ming turned his head and saw Qin Feng looking at him with a smile on his face. Qin Feng seemed to know what he needed to do next, and he had already done it before he even opened his mouth. Prepare for the next step.

For example, just now Lu Ming made a 1cm1 transverse incision on the iliac crest of the mid-axillary line. As soon as the fascia was separated, Qin Feng handed over the Veress needle.

After the catheterization was completed, the urologist also came with a laparoscope and other instruments, and after handing them over to the instrument nurse, he stood in the position of the second assistant and watched how Lu Ming solved the renal bleeding.

Lu Ming's separation method is still one of the best. He opened the adrenal gland and took out the patient's remaining one-third of the kidney. He could clearly see the obvious hemorrhage around the kidney, and the patient's kidney cavity was already full of blood.

"Qin Feng, come on, I'll help you." Lu Ming pinned his hopes on Qin Feng.

Qin Feng walked carefully to the operator's position, took the hemostatic clip, and clamped the broken end of the blood vessel around the kidney to stop the bleeding, then used the suction device to suck it, and used normal saline to check whether there were bleeding points that were missed.

The urologist watched from the side, these are appetizers, the real difficulty is still to come, that is, the moment when Qin Feng starts to stop the bleeding, that is the real test of skills.

Once the technique is not reliable, when Lu Ming comes to the stage to perform the resection again, the hemostatic clip and suture will fall off, and the patient's kidney will bleed profusely. In addition, it is an open operation, even with the delivery of plasma, the patient will undoubtedly die.

(End of this chapter)