Back in 2002 as a doctor
Page 307
After incision and hemostasis layer by layer, Zhou Congwen, who had electric burns, was even more powerful, and he began to need an automatic chest opener almost in the blink of an eye.
The chest cavity was opened, and a pool of bright red blood was visible to the naked eye in the patient's chest cavity.
Shen Lang stretched out the suction device subconsciously, Zhou Congwen raised his hand and hit the suction device with hemostatic forceps.
"Don't insert it casually, take it back." Zhou Congwen reprimanded, "Go in without a condom, do you know what safety is?"
Uh……
Shen Lang was startled.
It's really not good to stay up late and read books, and I can't keep up with my energy.He quickly put on the cover of the suction device and inserted it into the chest cavity.
Zhou Congwen didn't mean to say Shen Lang, let alone cared.
This should be one of the few times Shen Lang has been a helper. It is normal for him to be unskilled in any process. He is not himself, the king of cheating kings who turned on cheating and was reborn.
Zhou Congwen investigated and found that the intercostal artery was broken, and a 2cm hole was poked out in the lung.
Suture, suction, flush, inflate, examine.
The surgery was done quickly.
"By the way!" Zhou Congwen raised his head suddenly, "Is there any sterilized steel wire?"
"what?"
"Fix the ribs."
The itinerant nurse was a little lazy, "Use the memory alloy clip you just bought, how useful it is."
"The patient has no money, and each of those gadgets costs more than 2000. If you use more than a dozen at once, the patient probably won't be able to get numb after all the anesthesia. Now if you have to get up, you will have to scold the street."
"Impossible!" The anesthesiologist said decisively, "With me here, it is impossible for him to wake up."
A joke is a joke, work still has to be done.The patient's ribs were severely broken, and multiple ribs were fractured. It is best to fix them.
Already under general anesthesia, fixing the ribs is a matter of passing by. Zhou Congwen did not slack off, but "by the way" fixed the patient's ribs.
In this way, you can recover faster when you go back.
The itinerant nurse went to disinfect, and Zhou Congwen asked for a hand drill again.
The ribs were immobilized, flushed again, no active bleeding, air leaks, and the chest was closed.
"Shen Lang, tell the patient to be more honest after going down." Zhou Congwen said, "You also watch, don't let him move around casually, don't you know that you are a patient?"
"I've said it many times, but he always said that he is in good health and doesn't care at all." Shen Lang was also a little aggrieved.
"Want to tie a knot?" Zhou Congwen asked.
"Tired, don't want to."
Zhou Congwen was also very casual. The needle holder tied the instrument knot, and Shen Lang was in charge of cutting the thread. The operation was over in the blink of an eye.
"Xiao Zhou, after Lao Wang left, we all said that thoracic surgery would be gone. But now you are doing more and more surgeries. Is Director Li so good?" the anesthesiologist asked.
"Hehe." Zhou Congwen smiled perfunctorily.
Who is Wang Chengfa?Zhou Congwen had already forgotten about this person.
In less than 10 minutes, the suture was completed layer by layer, the chest tube was fixed, and the anesthesiologist inflated the lungs. Zhou Congwen squatted in front of the chest bottle and observed for 3 minutes, stood up, took off the sterile suit, turned around and left.
Seeing Zhou Congwen leave, the anesthesiologist said with a smile, "Shen Lang, Xiao Zhou looks more and more like an old doctor now."
"Well, Congwen's surgery is good, and he can understand it when he sees a doctor." Shen Lang was not jealous, but said something.
"see a doctor?"
Shen Lang began to tell about his cousin's trip to the imperial capital, his eyes were beaming, and there was no sign of fatigue at all.
Chapter 0535 Heart Medicine
"Shen Lang, when will you be so awesome." The anesthetist asked while administering medicine to wake him up.
His level is average, and he dare not play the game where the patient wakes up after the last stitch.
If it's too much fun, and the patient wakes up before the operation is completed, that thing is raw and inhumane.It doesn't matter if you slow down, chatting to pass the time, anyway, I'm not in a hurry.
"Me? Hehe." Shen Lang stood looking at the chest bottle, not caring that the anesthesiologist said that he was not as good as Zhou Congwen.
"You have such a good temper." The equipment nurse glared at the anesthetist, and asked for fear of Shen Lang's embarrassment, "Shen Lang, how did the patient get injured? Did he fall?"
"I made it myself." Shen Lang sighed.
"Huh? I think he's fine. When he came in, he comforted me by telling me that the needle was fine. Don't be too careful. He won't feel it. It's like a mosquito bite." The itinerant nurse interjected.
"Yeah, he's just not very sensitive to pain. You can see how his ribs are broken, and he can't feel the pain." Shen Lang said, "Normally, when you're injured like this, you just lie on the bed honestly. What we worry about is breathing, He didn’t even dare to cough up sputum, and the patient developed a secondary lung infection.”
"I'll go, what did he do?" The anesthesiologist was surprised.
"I saw him doing chest expansion exercises with my own eyes, and told the patient in the next bed that he needs to exercise more to get better." Shen Lang's eyes lit up when he talked about gossip, and he talked about some details of the patient in the ward.
Although this matter is not gossip to him, it is certainly to the anesthesiologist and the nurse in the operating room.
"Already breathing abnormally, he still does chest expansion exercises?!" The anesthetist was really surprised this time.
"I told him not to do it and lie down honestly. He said I was a white-faced scholar. I can feel no malice, but he is just disobedient. Look, make it like this."
"It's a big trouble not to feel pain."
"Pain is an instinct that humans have evolved to protect themselves, otherwise..." Shen Lang was gossiping happily, when suddenly Zhou Congwen's voice came from behind him.
"What are you talking about so much fun?"
"Huh? Why are you back?" Shen Lang was surprised.
"Let me listen to the breathing sound on the patient's left side." Zhou Congwen said, "Don't hurt the left side too."
The patient has already woken up from anesthesia and is struggling on the operating table.
Zhou Congwen listened carefully to the breathing sound on his left side with a stethoscope. After 20 seconds, he stood up straight and returned the stethoscope to the anesthetist.
"How?" Shen Lang asked.
"It's okay." Zhou Congwen narrowed his eyes, "Go back and tell the patient to stop messing around."
Shen Lang also sighed, is this something he can listen to if he wants to tell him?
But whether he listens or not, he must make it clear to the patient. If the patient has a thoracotomy under general anesthesia, he should be able to learn a lesson.
Zhou Congwen was relieved after listening, and turned to leave again.
What he was worried about was that the task was not completed, and the system lingered in his heart like a curse.
Although Zhou Congwen also knows that the system has no emotions, it just describes some things objectively. He even guesses that no matter whether he can do it or not, the timeline will move forward, but it may go in two different directions.
But now that I know it, let me remind you that if the patient insists on dying...he won't die, it's just a traumatic pneumothorax.
After changing clothes, leaving the operating room and returning to the ward, Zhou Congwen went directly to Li Qinghua's office.
Chen Houkun was sitting on Li Qinghua's bed, and Li Qinghua was talking to the family members of the patients who were also familiar with him.
"Director Li, thank you, thank you." The patient's family members burst into tears and kept thanking Li Qinghua's hand.
"You're being polite, aren't you?" Li Qinghua said with a smile, "Since the diagnoses given by the affiliated hospitals of the Medical University are the same, then it's fine."
Zhou Congwen smiled, it was the child who was misdiagnosed with myocarditis.
The level of diagnosis and treatment in grass-roots hospitals is the same. Their own quality is different, and the number of patients they encounter is also different, and there are many reasons.At that time, I told my boss that peace is the most important thing for doctors in grassroots hospitals, and I was not joking.
It is enough to be optimistic about the underlying diseases, but the mistake of the People's Hospital was a bit too much, and it almost caused a serious mental illness in a child.
Simply put, the child was almost scared to death.
"Here is a special medicine, where is the child?" Li Qinghua took out the medicine that had been prepared from the drawer, but did not give it to the patient's family.
"Outside, I heard it's all right, it's a little better."
"Oh, let him come in." Li Qinghua said with a smile, "I have something to say, and then go home and take medicine."
The patient's family members bowed again and again, turned and went out.
After the door closed, Professor Chen asked, "Misdiagnosis?"
"Well, I guess there was interference in the first ECG, and the first hospital directly diagnosed myocarditis, which almost scared the child to death." Li Qinghua shook his head.
He didn't say too much, and he didn't even mention the word People's Hospital, he just said the first hospital.
"Oh, it shouldn't be." Chen Houkun has seen countless misdiagnoses, he smiled, "The child is frightened, are you vitamins or something?"
"starch."
Heart disease needs to be treated with heart medicine, and Li Qinghua is well prepared.
Soon, the man came in with the child. The little boy looked sick, pale and weak, and had to be supported when he walked.
"Sit down." Li Qinghua stood up with a smile, and reached out to touch the child's head, "I haven't seen him for several years, and he is so old. The last time we met, he came to visit him in the ward."
"Yeah, it's been so many years in a flash."
"You know your illness, right now it's not myocarditis." Li Qinghua looked into the child's eyes and said.
"Uncle, but I'm tired..." the little boy looked at Li Qinghua and said weakly.
"Here, your situation is quite special. It is a very rare condition. However, there is a special medicine, so you don't have to worry." Li Qinghua said seriously, word by word.
Hearing the word special medicine, the child's eyes lit up.
"The advantage is that it can be taken orally for three days, but the disadvantage is that it is expensive."
"..." The little boy looked at Li Qinghua timidly.
"I happen to have leftovers from the last patient here. These medicines are useless for other diseases. I have antibodies in my body once, and I won't do it again, so he left the medicine for me. You are lucky, Here."
With that said, Li Qinghua gave the medicine to the child.
The little boy's hands trembled a little.
He had just entered high school and was a little ignorant of many things, but he could understand what Li Qinghua meant.
"Uncle, thank you." The little boy stood up tremblingly, and bowed to Li Qinghua.
"However, there is one thing I want to tell you. Just take it for three days. Although there are no side effects, this medicine is very precious, and we can't buy it in the Northeast. After taking it, return the remaining medicine to me. If other people need it, It can also help others.”
"Yeah!" The child nodded vigorously.
Chapter 0536 Wang Zai
After seeing off the child, Chen Houkun looked at Li Qinghua, "Director Li, you really put your heart into it."
"I am familiar with the doctors who circulate, so I should help them take care of it. And I am also familiar with the patients..." Li Qinghua said, sighing.
It's hard to say these things, and there's no need to say them. What Li Qinghua did was not pleasing to both sides, but he did it very seriously.
Chen Houkun sat up straight, "Director Li, you are really good."
"Hehe, I don't think about doing heart surgery now, but the old relationship in the past can't be turned around."
Zhou Congwen glanced at the time, "Let's go, let's eat."
"Let's go!" Li Qinghua was also in a good mood. No matter who was to blame for the matter, at least he didn't blame himself, and it was good that he could solve it properly in the end.
Zhou Congwen first took a look at the patient sent back by Shen Lang, and told him to use ECG monitoring for at least two days. There is no need to charge, but it must not be used.
Shen Lang felt that Zhou Congwen was making a fuss out of a molehill, but he still did it seriously.
I rushed to the restaurant for dinner and asked for a small private room, the three of them chatted casually.
The Thoracic Surgery Department of the Third Hospital has already taken shape, and the rest is to do one operation after another.
Chen Houkun was also very surprised by the current situation of the Third Hospital. No one expected that the Third Hospital would undergo earth-shaking changes in just a few months.
But apart from that, what surprised Chen Houkun even more was Zhou Congwen.
After talking about it, Zhou Congwen was going to the Second Hospital of Medical University, and Li Qinghua felt a lot of pressure.At this point, Li Qinghua didn't know that Zhou Congwen was going to take 1-2 people away.
Halfway through eating, Zhou Congwen's cell phone rang.
"Shen Lang, what's the oxygen saturation of the patient's blood?" Zhou Congwen answered the phone with phantom hands and asked directly.
"100%..." Shen Lang was taken aback and immediately replied.
"Oh, then why are you looking for me?" Zhou Congwen glanced at the system tasks on the upper right of his field of vision, which had not yet been completed, and felt a little worried.
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