Back in 2002 as a doctor
Page 285
Alas, it is true.
After the angle change, the child's endotracheal tube is moved down away from the fistula, so oxygen saturation increases.
It seems that I have little research on this kind of surgery, Deng Ming sighed.
At 12′56″, the abdominal operation was over, the closed intestinal tube was reopened, no active bleeding was found after flushing, and Mr. Huang began to tidy up the laparoscopic equipment.
"Boss, you can rest." Zhou Congwen said meekly.
"Come together, it's good to be a few seconds earlier." Huang Lao said lightly.
During the whole operation, Mr. Huang hardly said a word.
But the operation was over, and Mr. Huang also relaxed a lot. While packing up the laparoscopic equipment, he said to Zhou Congwen, "Xiao Liu's anesthetist nurse is very skilled. Did you teach it on the road?"
"Well, I originally wanted him to be in charge of all the things off stage, but I said all the way, there are too many things, he hasn't touched it yet, so I have to do it myself. But Lao Liu's understanding is good, and he is stern, and there are no mistakes .”
Hearing what Zhou Congwen said, Deng Ming's eyes were filled with tears, but they turned into rivers of tears.
Liu Wei has never been in contact with it, and he speaks as if you have.
There is surgery for newborns who are 1-2 days old, but the major surgery of congenital esophageal atresia + congenital intestinal atresia is still blank in China.
What Zhou Congwen said...
Deng Ming felt that he had received too much unacceptable information today, so that he was a little dizzy.
But he dared not sit down.
There was only one stool in the 912 operating room, which was for the anesthetist to sit on.
This is why the boss said that the most lacking thing in the operating room is the chair.
Now even Director Zou of the anesthesiology department is standing all the time, the operation will be over soon, even if he passes out, the stool belongs to the boss.
Deng Ming just felt dizzy, and he didn't faint. He looked at Zhou Congwen's back helplessly, thinking about the scene of communicating with the boss for the first time in his heart.
The boss looked casual, but in fact, he had already confirmed the excellence of this young man in Pan Cheng's demonstration operation.
That "temporary idea", the boss went to Jianghai City for the operation of the patient and also to meet this excellent junior.
But the boss probably didn't expect this little junior to be so agreeable...
The operation ended soon, and Zhou Congwen directed the visiting nurses, anesthesiologists, and professors from the Department of Thoracic Surgery to send the child back to the neonatal intensive care unit.
Before leaving, Zhou Congwen came to Mr. Huang, his eyes squinted, and the corners of his eyes were a little tired.
"Boss, I'm going to take care of the children."
"Well, it's been hard work." Huang Lao looked into Zhou Congwen's eyes and said.
"It's okay. I'm afraid they won't be able to handle some small things. After all, similar operations are rarely performed in China."
Huang Lao nodded, Zhou Congwen turned and left.Mr. Huang did not follow the patient back to the ward as usual, he seemed very relieved of Zhou Congwen.
Everyone left, and the operating room calmed down, but the smell of dopamine and adrenaline still lingered in the air.
"Boss Huang, change clothes?" Director Zou asked in a low voice.
"Take a break." Huang Lao didn't leave, but whispered to himself.
Although the operation time is not long, Mr. Huang has always maintained a top-level output, which is a great burden for an elderly man who is nearly eighty years old.
Director Zou brought the stool to Mr. Huang, and after helping Mr. Huang to sit down, he asked, "Boss Huang, the operation is too delicate. Your body can handle it."
"Why can't I bear it, I just take a breath." Huang Lao said leisurely, "Xiao Zou, what do you think of me, a closed disciple?"
When asking this sentence, Huang Lao could no longer hide the pride in his words.
Like a child, he showed off his favorite toy with Director Zou.
"Amazing!" Director Zou said honestly, "Boss Huang, where did you find such a powerful kid?"
"Dig? Hey." Huang Lao leaned against the wall of the operating room, smiling, "It was snatched."
grab……
"Some time ago, Olida organized a thoracoscopic demonstration operation. I was not interested in it at first, so I didn't even watch it. You also know about Pan Cheng's operation."
"Hey, it's definitely not comparable to you."
"The point is that I don't like that person. He has too much temper and makes a fuss during surgery. He's not as good as you stinky hooligans."
"..." Director Zou chuckled.
Mr. Huang couldn't understand driving with a yellow accent in the operating room. In their time, it was a crime of hooliganism, so he always called driving on the operating table a stinky hooligan.
This is a heavy sense of the times, rigid and boring, and there is no way.
However, although Mr. Huang didn't like it, he didn't care about it. As long as the operation went well, the old man didn't care about other things.
"Boss Huang, how did you find out later? With his qualifications, he wouldn't be able to get on stage."
"Deng Ming came to my office mysteriously one day and said that Pan Cheng's operation failed that day. When he was performing one operation, a professor named Chen Houkun from the Second Hospital of Medical University performed three operations."
"I thought at the time, I have been to the Second Hospital of Medical University twice, and my level is average, so it is impossible to be higher than Pan Cheng. I asked for a video tape to watch carefully, and it turned out that it was not that the surgeon was of a high level, but that the assistant had been leading the surgeon away. .”
"The assistant brought..." Director Zou was taken aback.
"One of the characteristics of thoracoscopic surgery is the guidance of the mirror. No matter how the mirror is placed, the surgeon will naturally see it. I was interested at the time. As an assistant, just bring a doctor to the operation and you can crush Pan Cheng. Or as an assistant, this level It's interesting."
"Hahaha." Director Zou laughed.
What Huang Lao said was even more interesting, and if he hadn't experienced the operation just now, he would never have believed that someone would be able to crush Pan Cheng as an assistant "casually" with a chief surgeon.
Pan Cheng's level can't be compared with Huang Lao's, but he is also a top-tier domestic celebrity.
Especially in thoracoscopic surgery, the level is relatively strong in the first line, otherwise Olida would not have chosen Pan Cheng to perform the demonstration surgery.
Thinking back to Zhou Congwen's time, Director Zou longed for it, and really wanted to see it with his own eyes.
Chapter 0496 The fist is afraid of the young, the stick is afraid of the old wolf
"What happened next?" Director Zou asked curiously.
"An old patient of mine more than 20 years ago had a new problem. It happened to be from Jianghai City. I went to see this child in person."
"It's strange to say that I fell in love with him at first sight. If it had been 20 years earlier, there would have been no such thing as Deng Ming."
"Hahaha." Director Zou laughed, he knew that Mr. Huang was half joking and half serious.
"This child is giving me more and more surprises. I am going to set up an academician workstation in the Second Hospital of Medical University, and let this child preside over the work."
Director Zou was taken aback. He said he was too young, but then smiled wryly.
So what about old age?
Let Pan Chenglai, can he do the surgery just now?
Don't talk about surgery, just talk about anesthesia.What about yourself?Even if you have your own anesthesia, you have to try 3-4 times to get it done in the first level.
Zhou Congwen came up and solved it directly with an unimaginable method.
And it was just anesthesia. Zhou Congwen "anticipated" the countless tedious details afterwards, and dealt with them accordingly.
The more thoughtful and thoughtful it is, the more Director Zou thinks about it, the more frightened he becomes.
"Boss Huang, to be honest, I didn't think so at first." Director Zou said frankly, looking at the various things on the operating table.
The operating table surface is not an ordinary bed surface, but a resilient cushion.
It took 7 hours to prepare the mattress in the operating room, and it was Director Zou who called the manufacturer and beat and scolded them to deliver it as scheduled.
That's not to mention, the reboundable soft pad is wrapped with a cleaning cloth sheet, and then a maternity series of medical nursing pads are placed on it to ensure that it is smooth and wrinkle-free.
In addition, gel head ring, Mepilex, and cotton pads are also prepared.
The body position required for thoracoscopic surgery is the left decubitus position, and the pressure points are mainly on the skin of the head and face and the auricle, in order to avoid crushing the skin of the head and face, the corners of the eyes, and the auricle.
Not only that, Mr. Huang also instructed to put Mepilex flat on the headband, and the child's head, face and auricle skin did not directly contact with the headband, but rested on the headband where Mepilex was placed.
These details were all explained by Mr. Huang. Looking back now, it should be Zhou Congwen's request.
Director Zou had always complained about being so trivial and meticulous, not like a rough surgeon at all, but at this moment he couldn't help admiring.
"Heh, do you know why I asked Xiao Zhou to preside over the operation?"
"Because of meticulousness."
"Yes, and no." Huang Laoyou said, "Meticulousness is only one aspect. The things he wants show that he has a plan before this. For example, he wants two sputum suction devices, two sets of equipment, and two sets of blood. Oxygen saturation meters, I can understand these too."
"..."
Director Zou was speechless and could only sigh.
There are many things that he still can't figure out why, and he has to think about them quietly after returning home.
"Xiao Zhou is very clever, and he is not floating, very stable." Huang Lao said with great comfort.
"Indeed, but I have a question, Boss Huang."
"I also have doubts, but a genius is a genius. Yu Min can simulate a nuclear explosion with his brain, can you imagine?" Huang Lao looked up into Director Zou's eyes.
Director Zou saw that Huang Lao's posture was a bit awkward, bent his knees, squatted down a little bit, and his eyes were even with Huang Lao's.
Looking at each other, Director Zou looked carefully at Elder Huang's eyes.
His eyes were full of relief, Director Zou looked envious.
"Oh, that's what a genius does. I won't think about it in my life. In fact, I was a formidable person when I was in school, but there are mountains beyond mountains, and there are people beyond people. Boss Huang, you have bright eyes."
"That is." Huang Lao said proudly.
"Aren't you going to take a look?"
"In a while." Huang Lao leaned against the wall of the operating room and said softly, "Age is not forgiving. It is said that boxing is afraid of being young, and surgery is also afraid of being young. Zhou Congwen feels a little tired, let alone me, a bad old man .”
"We all say that sticks are afraid of old wolves in private." Director Zou said with a smile, "Boss Huang, you are always strong and strong. That operation took less than three hours."
"If Zhou Congwen did it, it would be faster. I am an old man, and when he comes to 912, I will retire completely. I go for a walk in the park every day, raise a dog, and raise a bird in a cage. How comfortable I am."
Director Zou chuckled, thinking that you must have seen a ghost just because you are a bad old man.
Mr. Huang is the kind of owner who scratches the wall with itchy hands every day without performing an operation. Even if a young man like Zhou Congwen comes to 912, Mr. Huang will definitely not retire.
With a right-hand assistant, he will definitely perform more, more difficult and more complicated operations.
Thinking of this, Director Zou couldn't help feeling sad.
It seems that I have to improve my level, or I will be scolded by Boss Huang...
"Okay, I'm going to change clothes." Huang Lao rested for a few minutes, feeling a little tired, stood up and walked out.
Director Zou straightened up and followed behind.
"Boss Huang, you can see that this child can live."
"After stepping down, there is an 80% chance of surviving, but Zhou Congwen said he went to nurse, so the probability of surviving is 99%."
Director Zou reluctantly followed Mr. Huang, listening to him praising Zhou Congwen without hesitation, he felt a little dazed. Would Mr. Huang spoil this child?
He immediately remembered that Zhou Congwen bowed to himself before taking the stage, and couldn't help but shudder.
The two of them were not in a hurry to change clothes, and Mr. Huang came to the newborn's intensive care unit with his hands behind his back and his waist bowed.
Putting on a sterile suit, a hat and a mask to go in, Zhou Congwen sat beside the child, holding a medical record folder in his hand, and was recording something on it.
"Xiao Zhou, is the patient stable?" Elder Huang asked as he walked over with his hands behind his back.
Zhou Congwen has already stood up, the medical record folder is placed flat on the left forearm, and the right hand is holding a ballpoint pen, which is neat and tidy.
"Boss, it's okay, you go back and rest, I'm here."
"Call me directly if you have any difficulties, no matter what time it is." Huang Lao said.
Difficulties... Director Zou shook his head in his heart when he saw the ambulance beside Zhou Congwen, the director of the nursing department and the director of the neonatal ICU who came over immediately after seeing Huang Lao coming, and there should be no problem.
"Okay, boss." Zhou Congwen said, "I don't care about the communication with the patient's family, I just take care of it."
"I know." Huang Lao said, but he didn't look at Zhou Congwen, but stared at the ECG monitor.
"There is no need to go on a ventilator. The blood oxygen saturation is a little lower now, but it will recover soon." Zhou Congwen explained Huang Lao's question clearly like a roundworm in Huang Lao's stomach.
"Okay." Huang Lao nodded, and took a serious look at Zhou Congwen, "Is there anything else?"
"The doctor Liu I brought, the anesthetist nurse, if it's convenient for the boss..."
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