super anesthesiologist

Chapter 84 Li Xiumei vs Bian Wengang

When she got off work in the afternoon, Li Xiumei was waiting at the door of the emergency department as scheduled.

To Lin Xiaobei's surprise, she only invited two people, besides herself, the other was Director Li Aiguo.

Bian Wengang is now the second-in-command in the emergency department. He always goes in and out with Li Aiguo, so he should be included in the list!
But he is the boss, who she chooses is her own business.Lin Xiaobei didn't ask any further questions, but followed them with doubts.

The three of them went out in Li Aiguo's car.

Lin Xiaobei was staggered and dragged to a restaurant called "Fuchu" and entered the box reserved by Li Xiumei.After sitting down, Li Xiumei handed him the menu, "You order."

This is not Lin Xiaobei's forte. He casually ordered a torn bag, and handed the menu to Li Aiguo, "Director Li, order."

Li Aiguo looked at the menu one by one, and Li Xiumei took it over and checked it a few times, "You men are ink marks."

While waiting for the food to be served, Lin Xiaobei asked, "Director Li, what happened to Sun Ruolan's patient?"

Li Xiumei was startled, she didn't expect Lin Xiaobei to bring up this topic on her own initiative.

She laughed loudly: "Doctor Lin, who did you listen to?"

Lin Xiaobei smiled and said nothing, do you still need to hide it at this time?

In the afternoon, Liu Xu sent the patient's bed number information, and he has been checking the electronic medical records.As Liu Xu said, it was a 26-week-old fetus with spina bifida in the uterus. Color Doppler ultrasound showed that there was an atrial septal defect. Spina bifida repair was planned to be performed in the uterus.

Spina bifida is a birth defect that occurs when the fetal neural tube does not fully close.It mainly occurs at the lowest end of the spine, so that the spine that protects the spinal cord cannot be formed normally, resulting in damage to the spinal cord and nerves, and may cause fetal brain damage in severe cases.

But I don’t know why, the medical records of such an important patient are incomplete, and many items related to this examination are blank.

With someone as meticulous as Li Xiumei, she would not be so negligent.

"That's right. This patient was transferred from Qi'an County, mainly because of the special situation of this pregnant woman."

"What's special?"

"Before she was pregnant, she had a car accident, and her lumbar spine was seriously injured. Moreover, due to the burns she suffered when she was a child, her mouth opening was very small. I asked your Director Lin for consultation, and he suggested either to do it under local anesthesia, or to do a tracheotomy first." Operate."

Director Lin's suggestion is correct. Anyone with a little general knowledge of anesthesiology knows that spinal anesthesia has been contraindicated for this pregnant woman because of a serious waist injury; for general anesthesia, it is difficult for her to insert a tracheal tube through her mouth. Do a tracheotomy.

The problem is that when she was scalded when she was a child, not only the facial scars appeared, but also whether there was any damage in the airway to form scars was more critical.

"Didn't you do other tests?" he asked.

Li Xiumei shook her head: "This pregnant woman can't do all the X-ray examinations because she wants to protect the fetus."

"Are there any other diseases?" Lin Xiaobei continued to ask, "I mean pregnant women."

"I don't know the details."

Lin Xiaobei: "..."

Li Xiumei explained: "This pregnant woman lived in the county hospital below for a while, and she hesitated for a long time whether to protect the fetus. She has only been in our department for a few days. Since many tests cannot be done, we can only judge based on her previous medical records. , so some diagnoses are not yet conclusive.”

She indirectly explained why such an important patient's medical records are not complete.

"Then what are you going to do?"

This is a key issue, as different surgeries require different anesthesia requirements.

"We have already contacted Director Li Haishan of the Department of Orthopedics, and we are planning to repair the fetus with minimal trauma outside the body."

Li Xiumei paused and said, "Also, this case is the first in our province, so it will be publicized as a department business."

"Huh?" Lin Xiaobei was a little surprised.

There is no doubt that such cases are indeed rare, and it is definitely a super promotional material if it is done well.But this pregnant woman is very bad just judging from the current situation. I haven't seen her yet, so I don't know how bad it will be.

I still don't know how the final operation will be. Why is Director Li so optimistic?
Li Xiumei nodded and said: "The biggest difficulty for this patient is actually the anesthesia. Director Lin and I have discussed and discussed, but we can't reach an agreement."

Lin Xiaobei smiled wryly, "I can't help it either."

The director was helpless, how could he, a junior doctor, have the nerve to be the first bird?
"You can do it." Li Xiumei said affirmatively, "The girl I worked in your emergency department this morning, your local anesthesia works very well."

"It's not the same as that pregnant woman."

Due to the enlargement of the uterus, target injection is much more difficult for pregnant women. What is even more troublesome is that there are too many worries, which are far beyond the comparison of simple ectopic pregnancy.

Li Xiumei is still a layman in anesthesia, "Why is it different? Isn't it just a local anesthetic? Do you know why I don't approve of the tracheotomy recommended by your director Lin Chaobing?"

Lin Xiaobei would like to hear the details.

"Pregnant women have diabetes, in case of infection after surgery, it will be troublesome."

……

"I can only say to see the patient first before making a conclusion." Lin Xiaobei said very honestly, this kind of thing can't be guaranteed casually.

But Li Xiumei said: "I have already told Director Li, please return to the anesthesiology department to lead the anesthesia work this Friday. Our operation is planned to be performed on Friday morning."

Lin Xiaobei glanced at Li Aiguo, did you agree?

Li Aiguo nodded, he really agreed!
……

When the dishes were served, the three of them began to eat.

Li Aiguo cannot drink while driving, but Li Xiumei is in a good mood and insists on having a few drinks with Lin Xiaobei.

Don't look at the women's generation, this Li Xiumei is really a woman who drinks like a man.In front of Li Aiguo, the two of you come and go, and I drink a few drinks, and the bottle will soon bottom out.

Li Xiumei didn't enjoy herself and called the waiter to get another bottle.

Lin Xiaobei didn't expect that a girl like her could drink so much. At first she said to accompany her for a few drinks, but now it's him.

"Pour me a glass too." Li Aiguo finally couldn't help seeing the two of them enjoying themselves so much.

"Hey, it would be great if Director Bian was here." Lin Xiaobei said while holding a cup.

Bian Wengang is better at enlivening the atmosphere on the court than him.

He said it casually, but Li Xiumei was stunned for a moment.

"Hahaha, Xiao Bei, haven't you noticed that Wen Gang is acting a little strange today?" Li Aiguo laughed.

"Yes, Director Li was undergoing surgery at that time, and he actually went to the bathroom and stayed there for more than half an hour."

"Hey, Xiumei, look, after all these years, you let go of him, but he still has a big heart."

Although Lin Xiaobei drank some wine, his mind was still clear, and he understood that he accidentally poked Li Xiumei's mind.

"I'm sorry, Director Li, I didn't mean to." He raised his glass and apologized.

Li Xiumei was very generous: "It doesn't matter, everyone knew about it back then. It can only be said that Bian Wengang and I were destined to have nothing to do with each other."

Li Aiguo shook his head and sighed, "One of you is too steely, and the other is too proud."

"Let's not talk, let's not talk, it's all about rotten rice. Come on, old man, I'll toast you. You taught me a lot when you first came to the hospital. If it weren't for Director Gu Xin, I would probably be engaged in gastrointestinal surgery. "

Gu Xin is an old senior in the obstetrics and gynecology department. She had already retired when Lin Xiaobei entered the hospital. She had only heard of him but was not familiar with him.

After eating, the three of them drank, and Lin Xiaobei invited Li Aiguo to drive him.

Li Xiumei's home was in another direction, so she took a taxi home by herself.

In the car, Li Aiguo was still sighing, "I watched these two grow up."

Lin Xiaobei smiled and said, "Director Li is much better than Director Bian now."

One is the second-in-command of the department, and the other has long been the leader of the municipal production science department. The difference is not ordinary.

"It's also Wen Gang's failure to live up to expectations. When they first fell in love, Xiumei was still a junior doctor, and Wen Gang was recruiting talents for brain surgery (neurosurgery)."

Lin Xiaobei asked curiously, "Then why did they break up in the end?"

There must have been a misunderstanding between the two.

Li Aiguo sighed and said, "I don't know the details. Xiumei also treated me to a wedding candy, and they were just one step away from getting married. I don't know how they broke up. I asked Wen Gang later, but he didn't say anything."

Lin Xiaobei heard that Li Aiguo didn't know about it, so he didn't ask any more. When he was about to get home, he suddenly remembered something, "Director Li, I want to ask for leave tomorrow."

The portrait of Li Aiguo has long been known in his chest, "I know."

"You know?" Lin Xiaobei was stunned, he didn't speak before.

"Xu Zhenzhen has already said it for you." He said lightly.

Lin Xiaobei was even more surprised, "Xu Zhenzhen? What did she say?"

Li Aiguo gave him a meaningful look, "She said that she will take you out to do some errands tomorrow."

(End of this chapter)