medical simulator
Page 148
Huang Shinan immediately smiled wryly, looked at Bu Chaodong and said, "I'm afraid this is inappropriate. Now that Professor Shu is on the operating table, if he interrupts you repeatedly, the other party will lose his temper."
Bu Chaodong was annoyed and said, "Can losing your temper be more important than saving lives?"
"Professor Shu's life is lying on the operating table right now." Huang Shinan murmured to Bu Chaodong, feeling that it was really bad luck for eight lifetimes to meet such two patients.
If Yang Yifeng's teacher really went to fight with Professor Jin Kaishi from the Affiliated Hospital of Shonan University, Professor Jin would definitely hate Huang Shinan with him. After all, it was because you encountered difficulties, and I will try to solve them for you It was only because of the method that Ding Changle got into trouble.
He might have offended someone secretly, so how could he do something that would offend Professor Shu.
Although Huang Shinan said that he is not proficient in vascular surgery, after all, there is this brand in the department, and he will still be in the circle more or less in the future. The bosses on both sides are offended, so you are still an ass.
"Buju, the only quickest way to solve the problem now is to amputate the limb first to save life."
While Huang Shinan was still talking, Chen Liwei came out and whispered something in Huang Shinan's ear.
Huang Shinan's expression changed immediately, and he asked back in astonishment, "What?"
"The patient has a ruptured liver and may need partial liver resection and liver repair. The bowel is also ruptured. The situation is very complicated now."
"The thoracic surgery department said that the few knives on the chest didn't penetrate very deep because of the cover of the ribs..." Chen Liwei said bravely.
In this way, basically, this patient is left to them for hepatobiliary and pancreatic surgery and gastrointestinal surgery. Can the patient survive?
Just look at Huang Shinan's decision alone.
This caused Huang Shinan's pressure to suddenly increase, and the fine sweat on his head kept oozing——
Huang Shinan immediately said to Bu Chaodong: "Bu Ju, there is no time to waste now, the amputation must be done immediately!"
"The patient's condition is changing now, and his vital signs are not stable. If it continues to be delayed."
"It may be too late to amputate the limb. If we can't save our lives, what can we do? Now that the amputation has to deal with trauma elsewhere, there is only a glimmer of hope." Huang Shinan said anxiously, wanting to go back to the operating room very much. See patients early.
Otherwise, the patient may die at any time.
Although Bu Chaodong was extremely reluctant at this moment, he could only sigh helplessly.
He slammed his fist hard on the table in the family communication room in the operating room, knocked the table so hard that it jumped, and his fist was red.
Then You scratched his hair fiercely and said, "Save your life first, then talk about it."
Obviously, it was extremely difficult for him to make such a decision, and he made a lot of determination!
Limbs!
Life.
These are two aspects that are extremely difficult to choose, but he is required to make the choice.
Fang Yu is the name of the patient who is currently lying on the operating table. He is the descendant of his comrade-in-arms who died. Now he has logically inherited the alarm number sealed by his father.
Now Huang Shinan wished he could beat that Yang Yifeng to death, he would be really crazy.
However, the Eighth Hospital where Huang Shinan is located is also...
Just after Huang Shinan and Li Changhong got Bu Chaodong's informed consent, they rushed directly to the direction of the operating room, and saw that Yan Haihan was meeting Dong Qiansheng who was hurriedly coming out of the operating room at this moment.
Then Dong Qiansheng came to Yan Hanhan and asked anxiously: "Director Yan, how did the family members decide?"
In fact, I have the answer in my heart.
Yan Haihan sighed: "The family members decided to amputate their limbs. Have Huang Yu and Xu Yanlin arrived? If they arrive, let's prepare immediately. We will start the stage at the same time."
Huang Yu was a regular trainee from another department of orthopedics this month, and was assigned to Yan Hanhan's group.
Min Chaoshuo was on duty, which meant that both of them had to be ready to go on stage to participate in emergency surgery at any time.
For ordinary emergency surgery, one person is enough to come to the operating room, but today is special.
Double lower extremity amputation, also known as double lower limb amputation, is not a difficult operation. It is not a problem that Yan Hanhan and Dong Qiansheng need to perform at the same time, but each of them must need an assistant to help.
Because amputation is not simply amputation of the legs, but also the storage of blood vessels, nerves, muscles and other tissues, which cannot be done by one person.
Dong Qiansheng rolled his eyes as if he had expected it, and explained to Yan Hanhan: "Director Yan, the situation is like this. Just now Luo Yun called and said that there was another open fracture in the emergency department. patient."
"Need to go on stage, Chao Shuo is now having a preoperative talk with the patient."
"I don't know when the operation will end. I will do it in the past? Call Luo Yun down to perform the amputation operation? Or let Luo Yun start the operation first, and I will replace him after the amputation here?"
If the family members decided to undergo limb salvage surgery, then Dong Qiansheng would not dare to say so and change people halfway.
But limb amputation surgery is just a simple level II surgery. Luo Yun can do it, and even Zhou Cheng and Min Chaoshuo can do it. It doesn't have much technical content.
However, the open fracture operation that just arrived in the department needs someone to do it, and we don't know what's going on.
"Call Luo Yun to come down and amputate. The amputation doesn't take a lot of time. He is already tired enough to be on duty."
"You take Xu Yanlin there, and let Luo Yun call someone down by the way."
"Open fracture surgery is not possible without an assistant." Yan Haihan made arrangements, and then walked towards the operating room, presumably because he didn't want to waste time.
The emergency surgery of each group should be arranged and planned in advance in the group, and the people in the group should be selected first to do the work.
Today, there were only two surgeries, and there were enough people in Yan Haihan's team. Yan Haihan took one, and Dong Qiansheng took one, forming two sets of preparation teams, which is usually enough.
Today I can only borrow Luo Yun, and let Luo Yun borrow another subordinate.
Min Chaoshuo is on duty and cannot move!
Dong Qiansheng nodded and called Luo Yun, and also called Xu Yanlin and said: "Yanlin, please help Luo Yun and Director Yan with some chores first, and I will call you over after I am ready to open the stage. .”
Xu Yanlin naturally praised it.
Finally, Min Chaoshuo was on duty and couldn't leave. Pang Dingkun went to the orthopedic department. The newcomer Huang Yu couldn't grab the opportunity.
Because it is an amputation, because the distal end of the limb does not need to be strictly sterilized.
Xu Yanlin therefore took the initiative to ask for help in disinfection.
Huang Yu was new here, so he didn't know the scope of disinfection in the orthopedics department. Yan Hanhan planned to disinfect himself and asked Huang Yu to lift his leg, but after seeing Xu Yanlin come in, he asked Xu Yanlin to complete the disinfection.
……
At the same time, in the locker room of the operating room, Yang Yifeng was talking on the phone with Ding Changle.
Yang Yifeng first explained to Ding Changle what happened in detail.
Ding Changle said: "Yi Feng, come back."
"The eighth hospital is not suitable for you now. They are all old foxes who have been in the workplace for many years."
"It's too early for no profit."
Yang Yifeng replied in a low voice: "It's okay, Master, I think it's actually okay."
"I just wanted to go in, but I couldn't help my parents in my mind. Their expressions and expressions kept spinning in my mind."
"I may really never be able to hold a scalpel anymore."
"That's my father and mother!"
"That's my parents."
"I could have saved my dad. My dad wouldn't have died." Yang Yifeng said this to Ding Changle who was on the other end of the phone.
To be honest, Ding Changle felt extremely distressed when he heard this!
But after all, it is impossible to fully understand that Yang Yifeng watched his mother die on the operating table where he was the chief surgeon, and at the same time, his father was unable to save him because of his own choice.
What will happen in my heart, but it must be very uncomfortable, very uncomfortable.
Don't persuade others to be kind without other people's affairs!
In a person's life, there are four words of loyalty, filial piety, benevolence and righteousness.
Who can tell?
Ding Changle persuaded: "Doctors don't heal themselves, and they don't heal family members!"
"Yifeng, it was Jin Kaishi who made a mistake in the procedure. He shouldn't have let you on stage. It's not your fault."
"In this whole world, who would let the patient's own son stand on the operating table and give his parents the fuck?"
"He himself has been suppressed by Shu Changfa of Attached Second for too long. He wants to pull you to push their department up. He is acting out of selfishness!"
"The old man is useless, so he wants to take the edge of the sword!"
Ding Changle cursed.
Shonan University has three affiliated hospitals, one attached to the other and the second attached to the third.
External relations are fine, but in fact, the competition between them is still very fierce.
If it is said that the neurosurgery and neurology departments of Attachment [-] are so overwhelming that Attachment [-] can't breathe, then it is the opposite in terms of cardiovascular surgery.
Shu Changfa ran so fast that he even led his department to the top five in the country, and it would not be too much to go further.
Jin Kaishi moved slowly, seeing that he couldn't catch up, but he didn't find a suitable person, so he grabbed Ding Changle's student to push him up.
Shameless really TN.
In the past, Ding Changle just had an opinion, but he didn't say it out loud, but after that, he and Jin Kaishi did not interfere with each other, and never communicated with each other again.
But today, Jin Kaishi still hasn't given up, and he's going around to harm Yang Yifeng.
It really made Ding Changle angry.
After he settled the matter on Yang Yifeng's side first, he was going to deal with Jin Kaishi over there!
To tear the face is to tear the face.
The reason why Yang Yifeng didn't dare to go to the operating table again, and the reason why his most valued apprentice had to drop out of school, was Jin Kaishi's help!
If he didn't let Yang Yifeng take the stage, no matter how regretful Yang Yifeng was, how could it be that Yang Yifeng would change his career and drop out of school now?
In Ding Changle's heart, he actually hoped that Yang Yifeng would take that step and let go of this knot!
But this knot is too difficult to solve!
At least Ding Changle couldn't solve it.
Yang Yifeng could only solve it slowly by himself. Ding Changle actually hoped that Yang Yifeng could directly overcome the demon just now and walk into the operating room.
But he backed off.
On the opposite side, Yang Yifeng did not reply to Ding Changle's words after listening, but asked: "Master, is mental illness illegal to kill people at any time?"
When Ding Changle heard this, sitting in the car, he felt all the nerves in his body jerk!
It seemed that the many questions in his head suddenly became clear.
Yang Yifeng is Ding Changle's most valued apprentice, and Ding Changle's understanding of Yang Yifeng is beyond anyone's imagination.
Yang Yifeng doesn't smoke or eat betel nuts.
But once in a while, he drank some wine. At the teacher meeting banquet when he first came to the orthopedics department, Yang Yifeng's face flushed from drinking that time, how happy Ding Changle was to see it?
However, Yang Yifeng's parents were hit by drunk driving.
Yang Yifeng vowed never to touch alcohol again.
He did it.
It's just that, at the beginning, it was obviously a drunk driving that killed someone, but it was later proved that he didn't drink much, so I don't know how to create a history of mental illness...
Ding Changle's scalp felt a little numb——
Because since then, Yang Yifeng has always been normal and abnormal, and he often consults with the Psychology Department of the Second Affiliated Hospital of Shonan University...
Ding Changle was very worried for a while.
I chatted with Yang Yifeng countless times, and I also asked someone to explain it to him.
When I was looking for Yang Yifeng, he was always in a normal state.
But if so?
Ding Changle once again thought of a possibility.
Is Yang Yifeng intentionally pretending to be mentally ill in front of other people?
Stress——
It is an objective fact that my parents died on the operating table and I was the chief surgeon.
"Yi Feng, what are you thinking?"
Ding Changle's scalp was tense at the moment: "I tell you, don't go astray!"
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