Back in 2002 as a doctor

But I never expected that Zhou Congwen was so simple and direct that he would ask himself so directly in front of so many people whether he should be ashamed.

"Xiao Zhou, Xiao Zhou, don't say a few words." The anesthesiologist Liu Wei quickly smoothed things over.

But when the words came to his lips, he didn't dare to say more.

Veteran clinicians can tell the height of eyebrows and eyes, and it is clear at a glance who has the upper hand between Zhou Congwen and Wang Chengfa.

It doesn't involve disputes within the department, but lies in the deep, heavy and unambiguous aura that Zhou Congwen exudes when directing the rescue.

Zhou Congwen's rescue was orderly, his diagnosis was clear and clear, and there was no place where he was vague or evasive.Anesthetist Liu Wei has met many surgeons, including the directors of Imperial Capital and Modu during his training.

He knows exactly what level of existence there are people who can do this.

Although it is difficult to understand why Zhou Congwen puts such clear pressure on himself, he understands that it is real.

Wang Cheng wanted to leave with a dark face, but in the end he stayed. He was worried about a lot of things, so he just left without worrying.

Bite the bullet and thick-skinned, Wang Chengfa felt his face was scorching hot, as if it was burning.

Thirty minutes later, Zhou Congwen took the patient off the stage and returned to the small intensive care unit of the Chest Department.

Zhou Congwen did not arrange for Liu Di to take care of the patient, but pulled a chair over and sat beside the bed to take care of the patient.

At this time, Zhou Congwen lost his usual docile expression, his eyes were narrowed into slits, he was indifferent and calm, and only cared about the patient's vital signs.

Even when Li Qinghua came in, he just briefly talked about the patient's condition, and stopped talking nonsense.

Li Qinghua was also a little surprised, he didn't expect that Wang Chengfa could even have accidents with a spontaneous pneumothorax.And it is not a matter of surgery, but a very rare reexpansion pulmonary edema.

Reexpansion pulmonary edema is caused by pneumothorax, pleural effusion, and huge intrapleural tumors causing lung collapse on the affected side. Closed thoracic drainage or tumor resection relieves the compression on the lung and allows the collapsed lung to re-expand.

Acute pulmonary edema occurs within a short period of time (minutes to hours) on the affected side or both lungs, which is called reexpansion pulmonary edema, and the fatality rate is about 20%.

It looks scary, but this is just a statement in the textbook, and it is not explained in detail in the textbook. There is only a related description in the corner.

Because this situation is rare, it can even be said to be rare.

At least Li Qinghua has seen thousands of patients with pneumothorax in his life, and he has never encountered a single case of reexpansion pulmonary edema.

He looked at Zhou Congwen's focused and serious side face, slightly in a trance.

Judging from Zhou Congwen's expression, Li Qinghua didn't feel how nervous he was.Although careful care, but relatively relaxed.

The reason why he didn't speak was that Li Qinghua thought that Zhou Congwen was too lazy to speak...

Alas, why is this person like this, Li Qinghua sighed in his heart.

"Ho Ho Ho ~~~" The sound of bubbles breaking came from the patient's throat.

Zhou Congwen stood up and put on film gloves, opened the suction tube and sucked in the salt water twice, and then sucked the patient's sputum.

"Congwen, my name is a nurse." Li Qinghua said.

"No, the nurses are too young, and I'm worried about the damage to the patient's respiratory mucosa after repeated suctioning. Let me do it, and worry about it later." Zhou Congwen said lightly.

Li Qinghua was startled, Zhou Congwen was worried about such a thing? !

Looking down, he saw Zhou Congwen's medical record paper on the side, densely written on it.Li Qinghua picked it up and looked at it carefully. It clearly recorded every medication, time and urine output after it was recorded, and even the estimated value of sputum suction.

Logging is horribly detailed.

Li Qinghua let out a sigh of relief. He saw that the patient's blood oxygen saturation dropped temporarily after suctioning, and then increased immediately. He turned around and went out without disturbing Zhou Congwen.

After gently closing the door of the ward, Li Qinghua saw Wang Chengfa's anxious figure wandering in the corridor.

He should be embarrassed to come in, Li Qinghua smiled.

"Director Wang, the patient's problem is not serious."

"Really?" Wang Chengfa replied immediately, without time to conceal his real intention.

"Well, I guess it will be almost the same tomorrow morning." Li Qinghua gave a relatively conservative estimate, "When did the problem occur during the operation?"

Although Wang Chengfa was reluctant to answer, he still explained the matter clearly in the face of medical accidents and the director's inquiries from a righteous perspective.

Li Qinghua knew that this was the anesthesiologist in the operating room and Wang Chengfa was in a daze, and no one knew what to do.How about changing yourself?

I guess I didn't know how to deal with it.

What is written in the book is what is written in the book, and clinical encounters are clinical encounters. These are two completely different concepts.

but!

Zhou Congwen solved the problem in the operating room with ease.

That's not counting, if it was just like this, Li Qinghua wouldn't have too many thoughts.

It is said that the patients with reexpansion pulmonary edema should be relatively stable after stepping down in a timely manner, as long as they are optimistic about sucking out the secretions in the lungs.

But Zhou Congwen took it lightly, moved a chair and sat on the bedside, and did everything by himself, and he didn't even trust the nurse to suction the sputum.

This person is really interesting... Li Qinghua sighed softly.

You should rest assured.

"Director Wang, it's not about your technical level, it's about your bad luck, and you happened to meet a patient with reexpansion pulmonary edema." Li Qinghua comforted, "It's okay, Zhou Congwen is watching, and he will recover soon .”

Hearing what Li Qinghua said, Wang Chengfa was a little relieved.

He said embarrassingly, "Director Li, the operation... the operation is an emergency, and I..."

"It's okay, we understand the rules." Li Qinghua smiled slightly, noncommittal, "I went back to rest, and when it was said that I would have an operation, I became anxious all over. Don't worry, there is nothing wrong here."

After speaking, Li Qinghua turned and left.

Although he said so, Wang Chengfa was still worried.He called Liu Di to come over, let the little doctor go in to see the situation, and report to himself.

Four hours after the endotracheal tube was removed, the pale yellow foamy liquid disappeared, and the blood oxygen saturation was 4%.

Arterial blood gas analysis results showed: pH value 7.21, PaCO257mmHg, PaO281mmHg, BE-5.9mmol/L, total urine output at this time was 1600ml.

Zhou Congwen asked for a bedside X-ray, and the film showed that the right lung collapsed by 30%, with patchy blurred shadows, and right lung edema; the transparency of the left lower lung decreased, and the left lower lung edema.

The diagnosis was correct and the treatment was timely. Although there were still abnormalities in the imaging studies, the disappearance of the light yellow foamy secretion meant that the reexpansion pulmonary edema had recovered.

Another hour later, Zhou Congwen came out of the intensive care unit with a thick medical record.

"Liu Di, take a look. I'll check the rescue records and nursing records with the nurse." Zhou Congwen said lightly.

Chapter 0219 you must help me

Wang Chengfa didn't even dare to go home. Although Li Qinghua said it easily, Zhou Congwen also came out of the small intensive care unit and went with the nurse to proofread the written materials.

From the experience of an old doctor, although Wang Chengfa is unwilling to admit it, he still knows that as long as Zhou Congwen comes out of the intensive care unit, the patient should have no serious problems.

But he was still worried, and stayed up all night, often going to the small intensive care unit to see the patient's condition.It wasn't until the next morning that he inhaled pure oxygen through the nasal cannula, the oxygen flow rate was 2L/min, and the blood oxygen saturation reached 99%, before he squinted in the office.

Not long after sleeping, Wang Chengfa was awakened by knocking on the door.

"Who is it?" Wang Chengfa said angrily.

"It's me, Li Qinghua."

Wang Chengfa was stunned for a moment, and immediately got up from the bed, wiped the gum from the corner of his eyes indiscriminately, and opened the office door.

"Qinghua, what's the matter?" Wang Chengfa tried hard to force a smile.

"Director Wang, you didn't go home last night?" Li Qinghua walked in with a smile, looked around the office, and asked while sitting on the chair beside the desk.

"Don't worry, stay and take a look." Wang Chengfa said wearily.

"It's been hard work." Li Qinghua smiled lightly.

Wang Chengfa noticed that Li Qinghua was not wearing a hospital gown like yesterday, but a formal suit.

The young man really couldn't sit still, he was about to go home, Wang Chengfa thought to himself.Maybe it was because I was worried about Corey's affairs, so I asked myself to help me keep an eye on it.

"Qinghua, go home and take a shower before the operation. Although it is a single room after the operation, it is very aggrieved to live in it." Wang Chengfa sat down on the director's seat and said.

"Oh, there is a shower in the private room, I can just take a shower." Li Qinghua looked at Wang Chengfa indifferently, and said with a smile, "Director Wang, there is an old man in the family, if there is a treasure, your health is important, you must take care of yourself."

Wang Chengfa was taken aback for a moment, he didn't know what Li Qinghua meant by that.

"The hospital and I applied to open an expert clinic for you. It's quiet inside the surgery clinic." Li Qinghua looked into Wang Chengfa's eyes and said word by word.

"Om~~~"

There was a humming sound in Wang Chengfa's ear.

In the outpatient clinic, Li Qinghua actually wanted to kick himself into the outpatient clinic.

What about expert consultation, what about being quiet, all of them are talking beautiful words. Not only would he not be able to perform the operation, he even didn't want to see himself.

"Our thoracic department has too much work. Director Wang pays more attention to the body. Outpatient clinics are also important. I also pointed out that the old director should support him and admit a few patients with chronic diseases every week. Otherwise, I would not even have to do surgery."

Li Qinghua said, with a sincere smile on his face, "Director Wang, you should support my work more. I did not come to the Third Hospital to provide for the elderly, but I issued a military order in front of the president. Overtake the People's Hospital. This task is too difficult, you must help me."

Wang Chengfa squinted at Li Qinghua, but then felt powerless.Not only was his heart weak, but he didn't even have any strength in his body.

It is a normal work process for the director to arrange who goes out to the clinic, even if he talks about it, he can't make any sense.

But... He really kicked himself away before the operation? !What if there is an emergency after surgery?

Wang Chengfa completely forgot that he had lived in the hospital twice, and he looked at Li Qinghua in a daze.

"Director Wang, I have already greeted the hospital, you will be out of the clinic today." Li Qinghua said softly, "Whether the department can develop depends on how many patients you can accept, you must help me more. "

Li Qinghua repeated it again.

Help you...help you a wool!Wang Chengfa cursed in his heart.

"Not today, I didn't sleep last night, I'm too tired!" Wang Chengfa flatly refused.

"Oh, that's fine, no problem, it's not a day away." Li Qinghua said with a smile, "Director Wang, you should go home and have a good rest today, so don't get tired. By the way, just tidy up your things. I'll send someone to a specialist."

Wang Cheng felt bitter, stood up suddenly, put on his clothes and went out without saying a word.

Li Qinghua smiled slightly, "Shen Lang, Liu Di, pack up Director Wang's things and send them to a specialist."

Shen Lang and Liu Di were standing at the door, and Wang Chengfa almost bumped into them.

"Director Wang, I don't have any valuables. Hahaha, speaking of it, the People's Hospital picked up a patient a while ago. He was a thief. He opened the door and opened an office, only to find that the drawers were full of cash. He was shocked. Jump off the building and run."

Wang Chengfa staggered and snorted coldly.

Although he didn't say a word, Li Qinghua still respectfully sent Wang Chengfa to the elevator.The elevator door closed slowly, their eyes met, and Li Qinghua's smile remained unchanged.

The two little doctors, Shen Lang and Liu Di, trembled. They did whatever the director asked them to do, and they were very discerning and didn't pull Zhou Congwen to work together.

"Congwen, you may need any medicine after wedge resection, please make a list for me." Li Qinghua returned to the office and said to Zhou Congwen.

Zhou Congwen glanced at Li Qinghua, smiled knowingly, "Okay."

"Director Wang has gone to the outpatient clinic. I asked Shen Lang and Liu Di to help move things. You can take care of the family." Li Qinghua said with a smile.

For Wang Chengfa, Zhou Congwen was not interested in knowing when he would go to the outpatient clinic, but this road is inevitable, it's just a matter of time.

The new director must eliminate all hidden dangers, and the outpatient clinic is an extremely important place to go.

Neither in the inpatient department nor out of the sequence of the chest department, the director can arrange it according to his wishes, which is perfect.

These are all trivial matters, and Li Qinghua will be operated on next.

According to his request, Zhou Congwen made a list of medicines. Li Qinghua asked the director of the pharmacy to borrow all the medicines, and then carefully handed them over to Zhou Congwen.

Although his behavior was a bit petty, Zhou Congwen understood it very well.

The next day, Wang Chengfa didn't show up in the department at all, and Zhou Congwen didn't bother to inquire, so he probably went to the outpatient clinic by himself.

The Third Hospital has no special specialist consultations yet, and the Department of Thoracic Surgery did not even open general consultations because of the small number of people.

Wang Chengfa went to the outpatient clinic to find a job, and he can think that the future will be quietly waiting for retirement.Li Qinghua was younger than him, and Wang Chengfa absolutely had no chance to survive this young director.

The patient with reexpansion pulmonary edema is also getting better day by day. On the fifth day after the operation, she checked the chest X-ray again. The shadow of the lungs disappeared, and there was no distress when breathing spontaneously. The breathing rate was 18 times/min, and the SpO2 was 99 when inhaling air. %.

Arterial blood gas analysis results showed: PH value 7.4, PaO2163.7mmHg, PaCO237.7mmHg.

The patient was moved out of the small intensive care unit, and the timing was just right. Li Qinghua will have surgery tomorrow, Saturday.Professor Chen came by train tonight, and Zhou Congwen was ready to pick him up.

Chapter 0220 The heartache, embarrassment and shame of the son-in-law

Chen Houkun hadn't been to Jianghai City for a long time, especially since he hadn't seen Zhou Congwen for a long time. After meeting him, he enthusiastically patted Zhou Congwen's shoulder vigorously.

"Professor Chen, are you happy or are you breaking my bones on purpose? Be careful, I'll just lie down." Zhou Congwen said with a smile, avoiding Chen Houkun's hand.