Back in 2002 as a doctor

It seems useless, but this experience may save a life or two in the future.

But experience is just experience. Mr. Huang has no ability to change the sanitary conditions at the grassroots level in China. Similar things will still happen in the future.

Although he is much better now than when he was young, Mr. Huang is not satisfied and wants to be better.

Zhou Congwen thought for a while, and seeing that the boss was not in a very high mood, he changed the topic and said, "Boss, when I was in the Third Hospital of Jianghai City, I met a patient, a young man, aged 24 or [-], who came to the hospital because of a toothache. See a doctor."

"Toothache is not a disease. It hurts like hell." Huang Lao said, "When I have a toothache, I wish I could pick up a stone and chisel it out."

Hearing his boss's simple and direct description, Zhou Congwen smiled, "Boss, was it when you were young?"

"You're not considered young anymore." Mr. Huang obviously didn't want to continue. Zhou Congwen understood what the boss meant, and he continued, "The young man had a toothache and half of his face was swollen. If you have a toothache, go home and take antibiotics for a few days by yourself."

"When he couldn't bear it and wanted to be hospitalized, the situation changed extremely badly, and he had bacteremia and everything. Our third hospital didn't have an ICU at that time, so we had to send him to the People's Hospital."

"I heard that the patient lay in the ICU of the People's Hospital for 20 days, and even one of the few dialysis machines was brought over for him to use."

"Is it alive?" Elder Huang asked.

"Well, I'm alive." Zhou Congwen said, "Near death, let's talk about infection... Speaking of the boss, you know that the chance of incision infection after appendicitis surgery is very small."

"I know. First, it has something to do with the conditions of the operating room and the doctor's awareness of asepsis. In the past, there was no aseptic condition for cutting appendixes on the Kang head. The room was full of dust, and it couldn't be aseptic even if you wanted to."

Zhou Congwen was a little curious, and wanted to ask the boss how many appendectomy operations he had done, but the boss kept talking on his own.

"What's more, it is the application of antibiotics. Look at the current antibiotics and how they are used."

Zhou Congwen chuckled, he knows about antibiotics.Although the boss was dissatisfied, he didn't say much about it, and Zhou Congwen understood.

"By the way." Huang Lao didn't seem to want to say anything more about antibiotics. Even Huang Lao found it a bit tricky in a similar situation, so he changed the topic immediately.

"What's the matter, boss."

"I went there for a consultation. When I was diagnosing hair enzymes, I saw a young patient in the next bed. He was under 30 years old." Chatted for a while."

"The hospital always said that this young man is a model of death."

"You were admitted to the ICU at such a young age, did you drink?" Zhou Congwen asked.

"As for him, it was cardia cancer. The surgery was performed at the Affiliated Hospital of Imperial Medical University. The doctor who performed the surgery before the surgery personally explained the condition to the patient's family. He said that the younger the cancer, the higher the degree of malignancy."

"Because it was discovered early, the operation was very successful. There was no postoperative radiation or chemotherapy. The physical examination was once every three months. After five years of suffering, no other diffuse or new lesions were found. It can basically be said that he was cured."

"It's really lucky." Zhou Congwen nodded.

"The patient himself was also frightened, and he has always been obedient. In today's words, he is very obedient to the doctor. After five years and knowing that he is cured, the whole person is happy, and he eats and drinks with his friends. The first One hospitalization was due to eating too much, which led to pancreatitis."

"..." Zhou Congwen clicked his tongue twice. It is not uncommon for patients to escape from death but return to the tiger's mouth by themselves.

"But the man's luck was indeed good. Within a few days, the fulminant pancreatitis was cured. ICU hospitalization always told me that the patient seemed to think that he was born with a good life and could not die at all; or maybe he was on the verge of life and death. It doesn’t matter if you go too much.”

"Before he was discharged from the hospital, he started going to nightclubs with his friends every day. He didn't even wait until the next day. On the night he was discharged from the hospital, he went to have fun."

"That night?" Zhou Congwen was surprised, "Just finished the antibiotics?"

"Well, disulfiram reaction, I almost died." Huang Lao nodded, "But he was rescued."

Zhou Congwen was a little surprised, "Is there a next time?"

"In a few days, the patient went to the nightclub again, and he drank too much and fell asleep in the corner. His friends didn't care. When he was about to leave, he was found vomiting, aspiration, and he was out of breath. .”

"..." Zhou Congwen sighed.

Just like what the boss said, this is committing suicide, or committing suicide in a different way.

"Sent to the hospital, people rescued him, but although he was still breathing with a ventilator, he was already brain dead, and no matter what the existing science and technology could save him."

"Boss, how is the level of chest surgery?" Zhou Congwen asked.

……

……

Just as he was chatting with his boss, "that side" happened to encounter a big problem.

The director of the Department of Thoracic Surgery at Imperial Medical University looked at the family member of the patient who was crying and almost fainted, helpless.

The last time a family member of a patient cried like this was a few years ago, when I was still a professor leading a group.

The same situation appeared in front of my eyes, as if the past had come back again, which made the director of the chest department a little dazed, as if nothing had changed.

The patient's family had a pair of twin sons. A few years ago, his elder brother discovered a chest tumor. The tumor progressed very quickly, and the effect of the operation was not satisfactory. He died soon after the operation.

It was judged that this is a SZ-derived tumor with a high degree of malignancy.

This kind of tumor is very sensitive to radiotherapy and chemotherapy, and it can be cured normally.However, the patient was discovered relatively late, and the possibility of cure has been lost.

After that, the parents were very careful to take the remaining younger brother for examination every few months, so as to avoid any abnormalities and lose the chance of treatment.

They were cautious, walking on thin ice, hoping that nothing would happen, but bad luck still came.

One month ago, during the physical examination of the young patient, a pulmonary nodule of about 1×0.8cm was found in the upper lobe of the left lung. Because it was too small, the director of the chest department asked the patient to observe and re-examine after three months.

But the little patient didn't survive even one month, let alone three months.

After returning home, he kept coughing, and half a month later, he had symptoms of being unable to lie down. When he came back for a follow-up examination, the small nodules had grown to 23×18.6cm!

Chapter 1535 40cm Large Tumor

23×18.6cm!

A tumor of this size is extremely rare, and it took less than a month.

The Cardiothoracic Surgery Department of the Affiliated Hospital of Imperial University of Medical Sciences consulted with relevant departments to conduct preoperative examinations and prepare for surgery as soon as possible.

Because it was considered to be a tumor of SZ origin, radiotherapy and chemotherapy were given within a few days of preoperative examination, and the director of thoracic surgery also hoped that the tumor would be smaller.

Unfortunately, no.

Under the action of chemotherapy drugs, the tumor still grew wildly.

In just a few days, the largest diameter has grown from 23cm to 35.5cm. The lung function test showed that due to the heavy pressure of the tumor on the heart and lungs, it was only one step away from "breathing".

The little patient was pushed into the operating room while sitting on the hospital bed.

At this time, in the operating room of the small patient, elites from various departments of the Affiliated Hospital of Imperial Medical University gathered into an elite team for on-stage consultation.

No one has ever seen such a large and rapidly growing tumor.After some discussion, as if there was no discussion, we can only take one step at a time, hoping that the operation will be successful, and postoperative radiotherapy and chemotherapy will be effective.

But who knows, if such a large tumor is cut off, can the patient's body still allow radiotherapy and chemotherapy?

There was no sound in the operating room, everyone was doing their own work.

Old clinicians know it all, but when no one is driving during the operation, and even the footsteps of the itinerant nurses are quiet, it must be a problem.

In the several rounds of discussions before the operation, the director of the Thoracic Surgery Department thought that all conceivable situations had been thought of and made corresponding plans.The operation itself should be able to remove 60-70% of the tumor, and then undergo radiotherapy and chemotherapy to observe the changes in the condition.

Hope everything turns out well.

But when the anesthesiologists started preparing for the anesthesia, the last thing they wanted to see happened.

It may be that the heart and lungs have been overwhelmed, or it may be that the mental stress has caused tracheal spasm. The little patient just sat on the operating table, before the anesthetist helped him lie down, and before the endotracheal intubation, the little patient suddenly fell down. Momentary respiratory arrest!

Although the doctors had been prepared for possible accidents during the operation, no one expected that the patient would suddenly "stop breathing" before the anesthesia had started and the circulation had not been established.

Director Ding of the Department of Thoracic Surgery had no choice but to start emergency rescue.

After all, the patient died suddenly in the operating room, and the level of rescue here is comparable to that of the ICU. As long as there is a chance, it can always be "fished" back.

At that time, Director Ding had two big heads, and there were buzzing sounds in his ears.

It is certainly not that he has never done cardiopulmonary resuscitation, but no one has ever done cardiopulmonary resuscitation under such extremely special conditions.

A small patient has such a large tumor on his chest, and conventional cardiopulmonary resuscitation cannot be carried out at all. How should he be rescued?

Director Ding bit the bullet and asked the assistant to help the little patient up, and sat upright at 90 degrees, like leaning on the left side of the wall, so as to reduce the pressure of the tumor on the heart, while grasping the strength and implementing cardiopulmonary resuscitation .

Because no matter lying on your back, lying on your stomach, lying on your side or sitting upright, it will not help; you can only use this position and this angle, which is the only compression position that can effectively relieve tumors.

Director Ding knew that the operation had failed, and it was doomed to fail before it even started.

He was struggling to do cardiopulmonary resuscitation, not to "get" the little patient back, but an unwritten rule - the patient should take a breath, and take this time to explain to the patient's family.

If the patient is pushed into the operating room and dies, everyone will be cold, and explaining to the patient's family is two completely different concepts from taking a breath.

Director Ding's cardiopulmonary resuscitation in a weird position worked, the little patient's heartbeat barely recovered, the anesthesiologist intubated the trachea, and assisted breathing with a ventilator, barely maintaining his vital signs.

Although the person "lived", Director Ding knew that it was only temporary.Not to mention the thoracic cavity, even if there is a large tumor of nearly 40 cm in the abdominal cavity, the patient will not survive.

He had no choice but to hurry up, and when the little patient was still breathing, he hurried out of the operating room and explained the condition to the patient's family before he even had time to change the surgical gown.

The patient's family members became agitated. Director Ding only said a few words, and the patient's mother passed out before he could explain the serious consequences.

Before Director Ding could find someone to rescue him, the patient's father seemed to have all the bones taken out of his body, and he sat slowly on the ground, his eyes dull and lifeless.

After the frantic rescue, Director Ding returned to the operating room in distress.

He didn't go to the operating room, and the patient's family members were both in a daze and were still being rescued, so they couldn't accept the news of the second son's death.

But do you have the ability?

When Director Ding thought of the scene where the patient's mother fainted and his father's bones were taken away by an inexplicable force, and his face was as pale as paper sitting on the ground, his eyes were moist.

Director Ding has seen countless dead people clinically, and rarely empathizes with the emotions of the patients' family members.

But this time, Director Ding couldn't take it anymore, and his mood collapsed.

He sat in the locker room, seemingly hiding from what he was about to face.

After being dazed for less than a minute, Director Ding still made a decision. He picked up his cell phone and made a call.

"Old Huang." Director Ding hissed.

"Xiao Ding, what's the matter." Mr. Huang's voice came over. Director Ding's eyes were originally white, but at this moment there was a glimmer of light.

Director Ding reported the patient's condition concisely in the simplest words.

Mr. Huang has been found, if he can't help it, then there is really nothing he can do, and he has tried his best, Director Ding thought to himself.

Looking for Mr. Huang is not to have a clear treatment, but to seek a psychological comfort.

Although Director Ding is not a family member of the patient and has no relationship with the young patient, at such a special point in time, his heart has been seriously traumatized and needs to be comforted.

Huang Lao is the only person in China who has this ability.

"Rescue first, and I'll go there right away." Huang Lao said without hesitation.

"Old Huang, it's hard work."

Before Director Ding could finish his sentence, Mr. Huang had already hung up the phone.

After being stunned for a few seconds, Director Ding sighed deeply, turned and went back to the operating room.

"Director Ding, what should we do?" the anesthesiologist asked.

Director Ding saw that the anesthesiologist was supporting the endotracheal tube, and the professors and doctors under him were supporting the patient. The position was so weird that even he had never seen it before.

"Call Huang Lao, he will be here soon."

"Old Huang from 912?" the anesthesiologist asked.

Director Ding nodded.

The anesthesiologist hesitated for a moment, and suggested in a low voice, "Director Ding, I should say something that should not be said. Even Mr. Huang may not be able to do anything about the patient's condition. With this position, how can the chest be opened? Besides, what can be done even if the chest is opened?" Sample?"

Director Ding understood everything he said, but Director Ding could only sigh.

Chapter 1536 Huang Lao, you should go there first

"Director Ding, do you think Mr. Huang can perform surgery?" the anesthesiologist asked.

Director Ding shook his head.

"Oh." The anesthesiologist also sighed, he knew exactly what Director Ding meant.

He also heard the noisy voices outside the operating room just now, and he also knew the basic situation of the little patient. The family members of the patient could not accept the cruel facts and could only do their best.

In the imperial capital, when it comes to cardiothoracic surgery, when it comes to doing your best, no one can forget Huang Lao.

Let's rescue him, no matter what you say, you have to wait for Huang Lao to come.

You have to do your best, and since Mr. Huang didn't come, it can't be said that you did your best anyway.Although everyone knew that even if Huang Lao came, it would probably be useless.

Soon, the little patient suffered another cardiac arrest, and the doctors and nurses in the operating room gave him CPR again.