super anesthesiologist

Chapter 98 Appendicitis is just a minor problem
At noon, it was rare that there was no surgery in the emergency department. Lin Xiaobei was lying on the sofa in his office, resting with his eyes closed, when he suddenly heard a noise outside.

Are you in the ER again?

Lin Xiaobei got up and came out. In the emergency room, there was no crowd of family members, but a few workers in uniforms busy there.Several cardboard boxes were piled up on the floor of the emergency room.

"What are you doing?" Lin Xiaobei asked Xu Zhenzhen, who was also watching.

"I don't know."

At this time, Li Aiguo and Bian Wen had just come out of their respective offices. When they saw Lin Xiaobei, Li Aiguo walked over and said, "Xiaobei, we will start live broadcasting soon."

"live streaming?"

"Yes, in the future we can connect with the national emergency department online platform, and then live broadcast the treatment of our emergency department on the platform." Li Aiguo's face lit up as he spoke, and his excitement was palpable.

Lin Xiaobei remembered Li Aiguo's purpose of bringing him to the emergency department, and couldn't help but secretly frowned. He felt as if he was slowly being pushed into the cusp of the storm.

Or opportunity, or cannon fodder.

But now that we have come to this point, we have to bite the bullet and go on.

Live CCTV is mainly installed in the two operating rooms and the observation room, while the emergency hall does not have any equipment.

Think about it, too. When the emergency department hall is busy, it is inevitable that it will be messy. Who wants to show the ugly side to others?The major hospitals across the country dare not do this live broadcast, right?

It didn't take much time to install these devices, and the so-called money is in place without worrying about getting things done.It seems that one of them is the team leader or person in charge. After the installation and commissioning, he took out a stack of invoices for Li Aiguo to sign.

Lin Xiaobei leaned over to look, and stuck out his tongue in surprise. Just a few cameras and a few display screens cost more than 5 yuan.

It is true that public money is easy to make.Tian Peng said that his uncle was a curtain maker, specializing in making custom curtains for government departments at all levels, earning more than 50 yuan a year.Lin Xiaobei always suspected that he was bragging, his uncle was so profitable, why didn't he learn how to make curtains from his uncle?

The annual salary is 50, which is a data that students who study medicine can't even imagine.But once Tian Peng drove a BMW X6 to the school to show off. Lin Xiaobei kept silent because he said he borrowed it from his uncle.

The technicians waited for Director Li Aiguo to sign and left happily, taking away the rubbish cardboard boxes on the ground.

"It would be great to have some surgery at this time!"

I hope I don’t come when I come for surgery, and I want to be busy when I want to be quiet. This is probably a common phenomenon in all large hospitals.

Just when everyone was a little disappointed, a private car stopped at the entrance of the emergency department, and a middle-aged man helped an elderly woman get off.

Generally, in this case, the medical staff wait and see inside, waiting for the family members of the patient to help the patient in.It's not that the medical staff are cold-blooded or indifferent, but that the current medical environment is not very good, and if you are not careful, you will get angry.

And this day may be that director Li Aiguo was eagerly looking forward to the patient, he stepped out of his status and took the initiative to help the old woman with the middle-aged man.

When Bian Wengang and Lin Xiaobei saw that the director had gone up, how could they stay inside?So several doctors came out to help.

The middle-aged man was probably the first time he met a doctor who was so enthusiastic. He was flattered and nodded his head, "Thank you! Thank you!" incessantly.

Director Li Aiguo helped the old man to the diagnosis room. The middle-aged man was the old man's son. Through the man's dictation, Lin Xiaobei had a general understanding of the old woman's condition.

The grandma started to have a stomachache last night, and she didn't pay much attention at first, because she also had this kind of situation before, and it will gradually improve after taking painkillers.So last night she also took a pain reliever as usual.

At the beginning, the stomach pain did get better, so I didn't take it to heart.But at night, my stomach has been aching. Although it is not severe, it persists. In the morning, the pain becomes more and more obvious, and it gradually becomes unbearable.

Director Li Aiguo asked the old man to lie down and give her a detailed physical examination after listening to the old man's son's brief recount of his condition.

The old man had obvious signs of peritonitis, and his abdominal muscles were tense like a stretched skin. The diagnosis of appendicitis was almost indistinguishable.

Lin Xiaobei was a little surprised that the grandmother looked 60 to 70 years old, and asked her son, the actual age was almost 90, and the middle-aged man who looked about 40 in front of him was also almost 60 years old.

It's unbelievable!

Lin Xiaobei sighed, how do these people take care of themselves?

Please come to the bedside ultrasound to confirm that the grandmother is indeed acutely inflamed with appendix, not only inflammation, but also gangrene and perforation.

A bedside electrocardiogram revealed sinus tachycardia with a heart rate of 120 beats/min.

The heart rate of normal elderly people is generally around 50-60 beats per minute, often accompanied by sinus irregularities.Therefore, the electrocardiogram of this elderly grandma suggested that the heart function of the elderly is much better than that of ordinary elderly people, and the 120 beats/min should be caused by painful stimulation.

"Doctor Lin, what do you think?" Director Li Aiguo asked Lin Xiaobei.

This old lady is really a bit old, otherwise he would have to have an operation immediately.

Of course, Lin Xiaobei could hear the implication of Li Aiguo's words. Now that all the equipment has just been adjusted, how happy and yearning it is to be able to live broadcast the operation process of this old lady.

But Lin Xiaobei was not overwhelmed by the enthusiasm, on the contrary, he became more and more calm at this time.

Perhaps this is the nature of anesthesiologists.

Some professions are getting bolder and bolder, while doctors are becoming more and more timid, cautious, and even, to put it harshly, as timid as a mouse.The same is true for anesthesiologists.

Be careful sailing for thousands of years!

Director Li Aiguo was examining the patients just now, while Lin Xiaobei just watched from the sidelines.At this time, Li Aiguo came to ask for his opinion again, so before expressing his opinion, he had to conduct a comprehensive inspection on the old lady himself.

"Let me take a look first." Lin Xiaobei walked to the bedside, and listened carefully with the stethoscope on the old woman's lungs and heart.

"This old lady can't have an operation now." After listening to it, he said firmly.

The faces of Li Aiguo and Bian Wengang were dark at the time, you have to express your opinion before making a diagnosis after the examination.

"Director Li, this old lady has to be transferred to the Department of Cardiac Surgery."

Li Aiguo and Bian Wengang were suspicious again, "Switch to cardiology surgery? If you want to switch to cardiology, right? This old lady doesn't look like she has an acute myocardial infarction at the moment, and when she asked about her past history just now, the old man's son affirmed that she Mom doesn’t have heart disease.”

The middle-aged man was also at a loss: "Transfer to cardiac surgery? No, are you kidding me? My mother's heart is fine!"

Lin Xiaobei said very seriously: "Who are you kidding? Your mother used to have a heart problem, and she is fine now, but now she is very dangerous."

Middle-aged man: "..."

He looked at Li Aiguo questioningly, you low-level doctor seems to be talking nonsense!

Li Aiguo was also a little surprised, but seeing Lin Xiaobei's expression was so tense and serious, he wondered if he could see that there was something wrong with the old lady.

"Xiaobei, what do you think is wrong with the old lady?" He tentatively asked. The old lady was diagnosed with appendicitis, but he didn't understand why she needed to be transferred to the cardiac surgery department. Just a little bit.

There was no indication for cardiac surgery.

Lin Xiaobei was shocked: "Appendicitis is only a small problem. The fatal thing for the old lady is aortic dissection, and I suspect that her dissection has ruptured."

(End of this chapter)