Back in 2002 as a doctor

"nonsense."

"Sister Song said, she said that she was very afraid of meeting with you, as long as she had a meal, she would come to the patient."

"Shh..."

As soon as Zhou Congwen put his fingers to his mouth, there was only a slight hiss, and a hurried voice came from outside, "Doctor!"

Damn, what are you afraid of?

It's all the little nurses who are talkative, and the duty is most afraid of saying this, Zhou Congwen glared at the little nurse.The two dropped their chopsticks at the same time, and ran out of the duty room at a trot.

The familiar flat car, the familiar smell of blood, and even the familiar nurses in the emergency department.

"Doctor Zhou, a knife wound!"

Zhou Congwen walked over silently and quickly. The patient was a young man with a pale face. He should have hemorrhagic shock, but he was not sweating profusely. The shock should not be severe.

There was a cotton pad at the fifth intercostal space on the anterior axillary line of the right chest wall to stop the bleeding, which seemed to be the place where the knife was entered.

Zhou Congwen took out his stethoscope and began to auscultate.

The patient's breath sounds were weak bilaterally, predominantly on the right side.Heart rate is fast, around 120 beats/min.

"Ding dong~"

The task prompt sounded, and Zhou Congwen heard it clearly this time.

Although the system panel on the upper right of the field of vision was still blurry, and even the content of the task could not be clearly seen, the notification sound was much clearer.

It seems that I guessed right, the system really absorbs energy through the law of causality.The little guy hasn't crashed yet, it's still alive.

During Zhou Congwen's physical examination, the nurse has quickly measured blood pressure and is placing an intravenous infusion channel.

"Blood pressure 85/45MMHg."

"Prepare closed chest drainage, call the operating room, emergency department."

Zhou Congwen pulled the flat car to the disposal room, and suddenly remembered something, "Call Director Wang again."

Because his subordinates are all young doctors, Wang Chengfa is afraid of medical accidents, so as long as there are patients who are slightly heavier, Wang Chengfa will rush over from home in the middle of the night.

Many times Zhou Congwen was woken up by patients in the early morning and saw Wang Chengfa sitting in the office reviewing medical records.

There is one thing to say, as a director, Wang Chengfa is still qualified, except for his lower technical level.But this is also more in line with the medical level of Jianghai City in 02. It cannot be said to be low, but it can only be said to be passable.

In the future, with the rise of large-scale infrastructure, high-speed rail and airplanes everywhere, shortening the distance between cities, surgeons will gradually rise.Improving the national medical level subjectively and objectively is something that will not be mentioned later.

But whether Wang Chengfa is a good director has nothing to do with Zhou Congwen, whether he should be punished to death.

Zhou Congwen led the patient into the emergency room, put on sterile gloves as quickly as possible, and opened the incision bag.He picked up a hemostatic pliers with his fingers, moved his little finger slightly, and the hemostatic pliers seemed to be alive in his palm.

The nurse had already cut open the patient's clothes, Zhou Congwen sterilized it, and used hemostatic forceps to hold a blade in the disinfection tank.

Really not used to it, Zhou Congwen let out a sigh of relief.

More than ten years later, although only some hospitals can automatically sterilize, individually packaged sterile blades have become standard.The thing about scooping up blades out of a sterilizing tank...is really hard to describe.

No way, this was the condition in 2002.

In a year or two, it will be replaced with sterile blades, which are individually packaged, but now they can only make do with it.

Local infiltration anesthesia, the blade was a little blunt, the skin was cut, and Zhou Congwen pierced it with the hemostatic forceps in his hand.

If the young doctor cut the knife more harshly, he would bleed a lot at this time. Zhou Congwen's knife can be severe... wait, what is that?

In Zhou Congwen's consciousness, there was a flaw in the knife technique that should be perfect. A small capillary was cut off, and the incision site was instantly bloody.

In the eyes of others, this is not a mistake, it is a normal thing, after all, it is just a capillary the thickness of a hair.But in Zhou Congwen's eyes, the pool of bloody liquid was so dazzling.

Zhou Congwen knew where the problem was, it should be that he exerted a little more force.After rebirth, my eyesight is still there, but my technique is much worse than that of my previous life, and I still belong to the level of a small doctor.

It's the same as turning a lighter with your fingers, and the lighter will fall to the ground if you don't pay attention. Now Zhou Congwen's hand can't keep up with his eyes, which is reflected in every detail.

He remained calm, dipped the blood with sterile gauze, and poked in the hemostatic forceps along the gauze.

The subcutaneous tissue, fascia, and muscle were separated layer by layer, all the way to the pleura.

The patient is young and strong, and belongs to the most difficult kind of closed chest drainage.

The intense pain and the sense of dying caused by the pneumothorax made the muscles of the patient's whole body tense, especially the intercostal muscles.

Zhou Congwen had no other choice but to poke the hemostatic pliers in like a big iron stick stabbing the director.

"Bang~~~"

The pleura was pierced, and a muffled sound could be heard vaguely.

"sssssssssssssssssssssssssssssssssss~~~"

Gas from tension pneumothorax overflows through the gap opened by the hemostatic forceps.

"Ow~~~"

Even the near-death patient screamed and stiffened at the moment when the pleura was pierced, which shocked the family members.

Zhou Congwen ignored the patient, and used one hemostatic pliers to open the mouth to briefly expand the pleura, and the other hemostatic pliers to hold the thick, flexible but relatively hard chest drainage tube directly into it.

The simpler and rougher the process, the better, even if the gods come, there is no other way.

The faster, the less pain the patient suffers.

The flat car moved a little sideways with Zhou Congwen's strength, and some family members were dumbfounded.The little doctor in front of him looked at Wen Wen's weakness, and he was really merciless in his actions.

The process went smoothly. The first time the chest tube was inserted, the night shift nurse caught the other side of the chest tube and connected it to the chest bottle.

Zhou Congwen opened the pliers holding the chest tube, and saw that the liquid level fluctuated well, bubbles were gurgling out of the chest bottle, and black-red blood flowed out along the chest tube, he was relieved.

Chapter 0013 You Are in the Emergency Department

The sutures were fixed, Zhou Congwen didn't even cover the incision, and looked at the chest bottle again.

In addition to the gas, at least 300ml of dark red blood came out during the suturing process.

Picking up the stethoscope, Zhou Congwen paused the lung on the affected side, and the breathing sound became stronger.But to my surprise, there was a problem with the breathing sound on the opposite side, Zhou Congwen frowned slightly.

This is just the first step in emergency first aid.Zhou Congwen took off his gloves and glanced at them, "Families of patients who can sign!"

A crying woman with teary eyes came out.

"Who are you as a patient?"

"It's my son, doctor, please save him." The woman wailed.

"Emergency rescue, I don't have time to explain to you before the operation, maybe the operation will be delayed and the patient will die." Zhou Congwen walked out of the emergency room as he said.

Taking off the sterile gloves not stained with a drop of blood, Zhou Congwen came to the office while talking.

He directly took a blank preoperative confession document and put it in front of the patient's family, "sign it."

Domineering, beyond doubt.

But the more this kind of time, the more trustworthy the domineering person.Emergency first aid, do not believe in tears.

The patient's family picked up a pen and signed their names tremblingly.At the same time, Zhou Congwen had called Wang Chengfa to report the patient's condition.

Although it is difficult to deal with Wang Chengfa, it is precisely because of this that we must be more cautious.

If he came back from rebirth and the big boss who stood at the top of medical treatment was played to death by a department director of a basic hospital who became a monk halfway through, Zhou Congwen would probably commit suicide in shame.

"Director Wang, a patient with stab wounds in the right chest, hemorrhagic shock, and tension pneumothorax. The breath sounds are weak on both sides. I will take the patient to the operating room for a CT scan."

Zhou Congwen briefly reported the situation to Wang Chengfa.

"Go to the CT room! Hurry up and go to the operating room, are you dazed! If you are in hemorrhagic shock, open your chest for exploration without taking a film."

Wang Chengfa on the phone shouted directly.

Zhou Congwen took a deep breath and repeatedly told himself his current identity.As a young doctor, it is necessary to obey the instructions of the superior doctor.

Otherwise, you can argue in front of the patient?Even fight first?

Isn't that nonsense?

Zhou Congwen is not worried about the patient, after all, he has his own checks, so there will be no major problems.

Pushing the patient to the operating room, Zhou Congwen hadn't had an emergency operation for a long time, and it felt... a bit fresh.

Since he went to Shanghai in his last life, Zhou Congwen no longer had contact with low-level emergency surgery. At most, he came to the stage to fight the fire if others couldn't do it.But the level of medical treatment in Modu is very high, and this kind of thing doesn't happen once a year.

"Zhou Congwen, you are very busy."

The door of the operating room was called open, and the nurse was joking with Zhou Congwen while pulling the flat trolley in.

"I can't help it, I haven't eaten the meal yet, I just broke the chopsticks."

"We just started eating, and Xiaohui said something extra, asking if you were on duty today, and I felt something was wrong at that time. You are really good, you never miss the shift, and you are in the emergency department every time. You are in the emergency department!"

"Don't mention it, I'm going to change clothes, let the mathematician puncture under the collarbone quickly, and let the blood go in earlier." Zhou Congwen sent the patient in, and hurriedly went to change clothes.

The dilapidated dressing room, the tattered surgical gowns steamed in the steam pressure cooker, the scene is very nostalgic.

Zhou Congwen didn't have time to miss the past, so he took the time to change into the isolation suit, and limped into the operating room with his slippers on.

"Xiao Zhou, what happened to your leg?" the anesthetist asked in surprise.

Zhou Congwen was also speechless. Can he say that his leg hurts because he saw Wang Chengfa?

No, and no one would believe it even if it was told.

"How is the patient?"

"It's okay, a small problem." The anesthesiologist said very easily, "Let's match the blood."

"It's equipped." Zhou Congwen began to install the special chest surgery equipment.

The right side is stabbed with a knife, and the left side is in the lying position. There needs to be a hand rest on the left side of the operating table, which is manually installed by the doctor.

After the anesthesia was completed, disinfection and sterile drapes were laid, Zhou Congwen brushed his hands and put on his clothes, and habitually stood in the position of the surgeon.

The door of the operating room opened, and Wang Qiang and Wang Chengfa walked in.

Wang Chengfa glanced at Zhou Congwen, then at the patient's vital signs, brushed his hands back and pushed Zhou Congwen to the position of the second assistant.

Although he was wearing a hat and a mask that covered most of his face, the arrogance and domineering energy in Wang Chengfa's expression could be clearly seen.

And Wang Qiang stood in the position of the first assistant, and directly asked the equipment nurse for a knife.

The anesthetist glanced at Zhou Congwen and comforted him with his eyes.

Except for some very talented people, all surgeons cannot escape the curse of the four words "only familiar with hands".Of course, Zhou Congwen's coercion is also excluded.

If you have a good relationship with the director and cultivate your heart, your career as a surgeon will be much easier.If one operation is incompetent, then ten will be installed; if ten operations will not be performed, then one hundred will be installed.

No matter how dull the talent is, he can become a surgeon after hundreds of surgeries.

Back then, Wang Chengfa relied on the skill of expelling all the old directors, but now he focuses on training Wang Qiang.In more than a year, Wang Qiang has practiced more than 70 operations, and there are many colleagues who have surpassed the level of the first class.

Zhou Congwen didn't say anything. Although Wang Chengfa claimed to be fair and said in a meeting that whoever answered the emergency call should be done, as long as his own class came to the emergency call, Wang Chengfa would call Wang Qiang to let his proud disciple practice.

In the last life... Zhou Congwen thought about the past, and it was a little funny to see Wang Qiang's complacent and soaring expression.

He's going to be out of luck, if his return doesn't change the big timeline.

From that incident onwards, Wang Chengfa was getting closer and closer to retirement, and he no longer taught surgical skills, thinking that after retirement, he would be hired again and be the director for a few more years.

The anesthetist adjusted the shadowless lamp, and Wang Qiang took a scalpel and cut it off.

Open skin, different shades, not perfect arc, failure.

Detach, damage too many blood vessels and nerves, fail.

Even Zhou Congwen saw that Wang Qiang didn't avoid the intercostal artery at all, and almost cut the artery.

The technical level in 2002 was really low.

Now that thoracoscopy has appeared, both the imperial capital and the magic capital have a group of cutting-edge forces around 35 years old who have begun to study the use of thoracoscopy.

Even the Third Hospital bought a thoracoscopy equipment.

It's just that thoracoscopy has not been popularized yet, and the technical level is... horrible.Zhou Congwen still remembers a thoracoscopic demonstration operation in Beijing this year, a laparoscopic esophageal cancer resection, which lasted 9 hours.

Therefore, no matter whether it is the imperial capital, the magic capital or the grass-roots hospitals, open-chest surgery is still the main method. Those new doctors have no right to speak and their skills are immature, so they cannot compete with the old directors at all.

The old director will not give up the thoracotomy that he has studied all his life, and think about minimally invasive surgery at the "old age" of 50 years old.

The story of the dragon-slaying boy finally turning into a dragon is happening all the time.