Back in 2002 as a doctor

"Is there? I've always been kind." Zhou Congwen smiled.

"That's Commissar Xu from the branch office next door. Didn't you see that our leader has been with you all the time?"

"Is the patient's family members allowed to enter the operating room?" Zhou Congwen asked a very sharp question, and the anesthetist was speechless.

This is true, but there are so many things to do to run a hospital, such as electricity, water, public security, inspection, and law, where do you not need human relations?A few years later, there is still such a saying as Nanshan Pizza Hut.

People, can not be exempt from vulgarity.

It would be a mistake to come in and take a look, the anesthesiologist felt that Zhou Congwen was too bookish to be angry.

"That's all I'm going to say." Zhou Congwen narrowed his eyes and smiled, "This political commissar Xu is a nice person, he didn't come up and haha."

"Oh." The anesthesiologist was speechless.

Soon, the roving nurse mixed hot salt water and ordinary salt water, adjusted the temperature and sent them up.

Zhou Congwen tried it, the temperature was satisfactory, and he began to flush the chest cavity.

The knife pierced through the intercostal space without hurting the lungs, and went straight to the heart.Those who use knives are either blind or a master.

The intercostal space sounds very wide, but it can accurately hit the heart in a strenuous exercise, which shows that the person who uses the knife is Pharaoh.If he wasn't so lucky, it wouldn't be the first time he did this kind of thing.

After flushing, there was no active bleeding. Zhou Congwen thought about it, but he didn't pay attention to pericardial drainage, and began to close the chest cavity.

"Doctor Zhou, pericardial drainage!" the anesthesiologist reminded.

"No, I cut off a large piece of the pericardium. Even if there is a little bleeding, there will be no more pericardial tamponade. It's okay." Zhou Congwen explained briefly, and continued to close his chest.

That's right.

An old director over 50 years old, or even a 40- to 2-year-old attending doctor would agree, but Zhou Congwen, a young doctor who has just been in the clinic for [-] years...

"I am the surgeon, and I am in charge of the operation." Zhou Congwen naturally knew the meaning contained in the anesthetist's silence, and he said lightly, "Brother Wenbo, don't worry."

"You...I...he...ah..." The anesthesiologist was helpless, and finally sighed deeply.

"Prepare to wake up." Zhou Congwen began to use the automatic chest closer to close his ribs to prepare to close his chest, and explained to the anesthesiologist.

"So early?" The anesthetist was suddenly upset.

It will take at least half an hour to close the chest, so wake up now, and the patient wakes up 10 minutes later, but the chest cavity begins to move agitated before the stitching is completed.

What should I do in this situation?Can only be given again.After the stitches were finished, the medicine was not over yet, and everyone sat in the operating room and waited foolishly.

This is the most unreliable approach.

What's more, now that Zhou Congwen doesn't even have an assistant, he actually asked himself to stop taking the medicine now to prepare for the patient's recovery?

"Xiao Zhou, I know this is the first time you've performed the operation alone, and it's such a major operation."

Speaking of this, the anesthetist was a little dazed.

Is it such a major operation?It seems that after Zhou Congwen came to power, the time for isothermal saline is longer than the time for surgery.

"Do you know how long it will take to wake up?"

"I've checked the dosage, and it will take 12-13 minutes." Zhou Congwen said lightly.

"..." The anesthesiologist was stunned for a moment, "Ten minutes, are you sure you can finish the stitches?"

"Close your chest? Soon." Zhou Congwen said lightly.

"Well, don't blame me if you delay stepping down."

"Don't worry." Zhou Congwen looked up and gave the anesthesiologist a smile.

The anesthesiologist was careful, although what he said was angry, Zhou Congwen couldn't be allowed to make such a fuss.

Observing the operation area, he saw the needle thread flying up and down in Zhou Congwen's hand, and he was stunned suddenly.

This is too fast.

Although the action is fast, all the details are neat and clean, not for the pursuit of speed and speed.

Moreover, not only did Zhou Congwen have no assistants, he didn't even have equipment nurses, and he put in the sutures by himself.

The equipment nurse is counting with the roving nurse, which must be done before the chest is closed.If the number of something is wrong, you have to open it and look for it.

There are no assistants, no equipment nurses, all the work is done by one person, how could he be so fast.

But Zhou Congwen's technique is really good, the needle and thread can move between square inches with ease.

Moreover, Zhou Congwen sewed a stitch without opening and closing, pulled the thread out of the round needle, and tied the knot with his hands.For each needle, he used the needle holder in his right hand and the hemostatic forceps in his left hand to make the instrument joint.

A surgical thread was used to the extreme by Zhou Congwen. Although there was no equipment nurse to help, the suture was still completed quickly.

In addition to the sutures, the hemostatic forceps in Zhou Congwen's hands seemed to have eyes.The anesthesiologist looked at it and felt that he was dreaming.

The hemostatic forceps suddenly reached under the latissimus dorsi, and then clamped out a severed arteriole for ligation.

Zhou Congwen didn't seem to think about such actions at all, and he did it overnight, and the operation went smoothly.

I go……

The more the anesthesiologist looked at it, the more surprised he became. Is this Zhou Congwen?How did he practice his craft!

The Department of Mashou knew that Director Wang of the Department of Chest had carefully cultivated Wang Qiang, neither Zhou Congwen nor Shen Lang had any chance.

If he didn't know this, the anesthesiologist would have thought that he was watching the big cow in the imperial capital performing an operation.This level is more than 01:30 points higher than Wang Chengfa.

No... At this speed, Zhou Congwen's patient will definitely not be able to wake up after sewing the skin!

The anesthesiologist began to stop the drug urgently.

A good anesthesiologist will have a sense of overall control. Generally speaking, the moment the doctor finishes suturing the skin, the patient will wake up within 20 seconds at most.

However, there are very few anesthesiologists who can do this. Not only must the technical level be in place, but they must also understand the level of the surgeon and make the most reasonable assessment.

Although Li Wenbo's level is good, he misjudged Zhou Congwen's level. When Zhou Congwen finished the last stitch, the patient was still under anesthesia, and it would take at least 2 minutes before he woke up.

"Zhou, you're going too fast." The anesthetist said in a sly voice.

"Normal speed." Zhou Congwen raised his hand. The equipment nurse had already counted the equipment and handed him a large piece of gauze.

Zhou Congwen was taken aback for a moment, and then a sense of powerlessness lingered all over his body again.

It's 2002 now, and it hasn't been applied yet.

Chapter 0080 Nurses are always old

"Are you sure you don't need a ventilator for two days?" the anesthetist asked kindly.

"No, my judgment is that the patient can sit up early tomorrow morning."

"..." The anesthesiologist didn't know how to describe Zhou Congwen's words.

When pushed into the operating room, the patient's chest opened wide.Among other things, just one infection problem is enough to cause headaches.But he said that the patient could sit up early in the morning, this is not...

If it weren't for Zhou Congwen's extraordinary performance today, waiting for the patient to wake up with nothing to do, we must say a few words about him.

"Brother Zhou, you are amazing. I usually see Director Wang stepping down, and Wang Qiang even tied his sutures, so you can only cut the thread. I didn't expect that your surgery is so good. How did you practice?"

"Danni, you don't understand. Thread cutting is a technical job. If you can cut the thread well, the operation is effortless. Do you think Director Wang is devoted to cultivating Wang Qiang? Let me tell you, he leaves the most training work to me."

The operation went well, the patient's condition was stable, Zhou Congwen was also slightly happy, and started talking nonsense.

"Tch, you're the only one who talks poorly." Of course the equipment nurse knew that what Zhou Congwen said was a joke.This kind of talk is not serious when you hear it, and you can't think about it with your brain at all, otherwise it will lower your IQ.

"How about you give me a reasonable explanation?"

"Zhou, are you secretly practicing at home?" the anesthetist asked with a smile after having seen many surgeons.

"Well, our teacher gave me a general teacher when I graduated, and I have the opportunity to practice every day."

"..."

There was a general teacher at home. Although the anesthesiologist knew that Zhou Congwen was joking, his hair was almost standing on end.

This week, I really can't communicate with him.

It didn't matter what he was driving or anything, every word he said flew into the sky, and there was no trace to be found, even if I wanted to joke with him, I couldn't do it.

And Zhou Congwen didn't even think about joking, he squatted down to observe the chest bottle after dressing the incision.

"Zhou, are you worried too?"

"We still need to see, no matter how sure we are, there is a problem of probability in our medical industry." Zhou Congwen said casually, focusing on the drainage fluid in the chest tube.

After 2 minutes, the patient woke up.

"Let's go!" the anesthetist said happily, pulling out the endotracheal tube and suction tube together.

A "huge" operation ended in less than an hour, which is a good thing for front-line anesthesiologists.

Wouldn't it be nice to lie down and read a book?If possible, who would like to squat in the operating room to see patients.

When sending the patient out of the operating room, the anesthetist was startled by the crowd outside.

Dozens of people stood outside the operating room, but they were silent, and a sense of solemnity emerged spontaneously.

"Excuse me, someone will help you ask for an elevator." Zhou Congwen commanded the patient's family as usual.

"Doctor, how are you?"

"Is Xiao Liao okay?"

"Can you live? Do you still want to go to the provincial capital?"

Zhou Congwen glanced at the waiting crowd. Seeing that most of them were wearing uniforms, he knew they were colleagues from the patient unit. He said in a deep voice, "I won't explain them one by one. I'll talk to your leaders and the patient's family members. I'll talk about it once I get off stage."

The anesthesiologist felt sincerely that Dr. Zhou was usually dull and didn't say a word.Unexpectedly, he is a talent. Once given the opportunity, he is full of majesty like an old doctor for many years.

The elevator opened, and the crowd parted like a tide.

Zhou Congwen sent the patient back to the small intensive care unit of the chest department. Instead of communicating with the patient's family members in a hurry, he turned on the ventilator, adjusted various parameters, and asked the anesthetist for a set of endotracheal intubation equipment.

"Zhou, I thought you knew it well." The anesthesiologist said with a smile.

"Be prepared."

"Will these things be used?"

"It probably won't be used, but it's better to be cautious." Zhou Congwen said steadily like an old dog.

Don't be afraid of too much preparation, after all, there is a very small probability that he will be intubated again, so he doesn't care if others say that he is being brave, and prepares in advance.

After dealing with all this, Zhou Congwen didn't go back to the duty room, but pulled a chair and sat beside the patient's bed.

This is Zhou Congwen's habit. Whenever he encounters a serious patient, Zhou Congwen will ask one of his doctors to sit on the bedside to take care of him.In case of an emergency, deal with it if you can, and call yourself as soon as you can't.

Now there is no doctor available, so I can only do it myself.

Zhou Congwen had long forgotten the matter of praying for the blessing of the god of the night shift, and concentrated on watching the electrocardiogram waves on the monitor and various parameters of the ventilator.

In addition, the monitoring of the nervous system is also very important.

Severe traumatic heart and great vessel rupture and extracorporeal circulation can cause cerebral ischemia and hypoxia and damage to the central nervous system, resulting in disturbance of consciousness and convulsions of limbs.

Observe the patient's pupil size, left-right symmetry, light reflex, and eye-opening to calls every 1-2 hours after the operation, and make records.

There is only one nurse on the night shift in the chest department, and it is simply too busy.

Moreover, they have just graduated from the medical school for about a year, and they are all 18 or 9 years old. Zhou Congwen dare not entrust such a big job to the little nurse.

I really miss those old nurses leading the team in Shanghai, especially the middle-aged male nurses, who are so convenient to use.

Nurses are always good old, and they will never forget the vicissitudes of life.

If there was an old nurse leading the team, Zhou Congwen felt that he would not have worked so hard.

Although the patient came down, and according to Zhou Congwen's judgment, there was nothing serious, but countless complications still echoed in his mind.

A large amount of effective blood volume loss, myocardial injury, ischemia, hypoxia, hypovolemia, and electrolyte disturbance can all lead to increased heart rate, arrhythmia, decreased blood pressure, and even low cardiac output syndrome.

It is difficult to make people happy as a doctor, especially an experienced and responsible old doctor.

Knowing that the patient is likely to be fine, but if everything is less than [-]%, Zhou Congwen will not be at ease.

Without a micropump, Zhou Congwen directly calculated the speed of intravenous drip with paper and pen.

2002... Forget it, stop complaining, at least there are still three links.If it was 20 years earlier, Jianghai City might not even have a CT machine.

Zhou Congwen comforted himself directly.

"Dong Dong Dong~"