Sleepless Doctor

Latest website: "During my internship, I was assigned to give people painless gastroscopy anesthesia in the gastroscopy room. It is actually very simple. The diluted propofol is injected into the patient's blood vessels, one for ordinary people and two for fatter ones."

Everyone knows this most basic anesthesia.

"At that time, I was young and energetic. I followed the anesthesiologist in the operating room on duty at night, no matter what the operation was. I went back to the gastrointestinal endoscopy room during the day for painless anesthesia. The teacher at that time also trusted me very much. Let go, just sit and watch. There is something wrong, Teacher Zhou just reminded me."

"Looking back now, I was really young and courageous at that time. No matter how many times we have done medical treatment, we must be careful. I also learned a lot during the internship."

Everyone listened carefully to Teacher Wu's gossip, and was curious. When it comes to genius, no one can say that he is better than Teacher Wu; but at his age, when it comes to experience, he is really no better than other directors.

"One day there was an accident in the operating room next door."

"That was an elderly male patient, 62 years old and 30 years of smoking age. So before the operation, the anesthesiologist explained to him that smoking would make his throat more sensitive than normal, and it would be prone to complications. The patient said he was afraid of pain. , It must be painless. The teacher next door informed him of the risk and asked him to sign."

"Everyone is a connoisseur. Smoking is not an absolute contraindication for painless gastroscopy, and the amount of cigarettes smoked by the patient is also very small, and the body is very strong, which is not a contraindication."

"The teacher Ou next door pushed him a propofol, and then the patient developed an upper respiratory tract obstruction. The laryngospasm...it doesn't seem like a big deal now, but I took a look at it and was frightened."

Everyone knows that mild laryngospasm can manifest as mild inspiratory stridor, and severe cases can have complete upper airway obstruction. Laryngeal spasm is also one of the complications of anesthesia, which can cause serious consequences if it is not handled properly.

Everyone smiled knowingly when they heard Teacher Wu frankly said that he was frightened.

An intern, a patient with laryngospasm must be at a loss. Especially for small anesthesiologists who have just been in the clinic and have successfully done a few, a dozen, or dozens of anesthesias, they will inevitably be frightened when they don't know how much clinical risk is.

Teacher Wu said that, using an example from his own personal experience, and he did not shy away from the dumbfounded thing at the time, and his affinity immediately jumped up with +1 or +1.

"Ms. Ou immediately stopped injecting the medicine and yelled my teacher for help while buckling the mask and lifting his upper jaw."

"At the time of the rescue, the patient's family members heard the sound in the endoscopy room outside, followed the crack of the door to see the rescue, and suddenly became anxious."

"The gates back then were not like they are now, they were all big iron gates, and they were not closed tightly. After all, the sterility requirements of the endoscopy room were not high. Concord hadn't rebuilt it back then, and it was very old."

"The family was anxious and kept kicking the door, trying to rush in."

"I had nothing to do, and I couldn't help with the rescue, so I found an iron pipe to shut the door."

"Every time the patient’s family kicks the door, the door bangs, and my heart jumps to my throat." Wu Mian said, sighing, "Dear directors and deans, don’t laugh. I was really young at the time. I don’t know what to do if the patient’s family rushes in."

What Wu Mian said was the truth. In that situation, no one knew what to do, even the old clinical doctors had seen similar things countless times.

The patient's family is emotional, which is inevitable. No matter who it was, the family was lying in the operating room, and suddenly one by one upper-level doctors hurried in to participate in the rescue, panicking.

If it is true that the patient’s immediate family members may still have some remaining sanity, after all, in their opinion, the patient’s life is more important. Even complaints and lawsuits are matters after the rescue has succeeded or failed.

At this time, the people who are not the immediate family members of the patient are the ones who are most afraid of.

In order to highlight their importance, they behave more like relatives than their immediate family members, and they are absolutely not soft when they kick the door.

It's like... kicking the widow's door.

There is no man in the family who goes out with a knife to "reasonably", so it's not enough to bully?

It's hard for Teacher Wu. Everyone thought in their hearts that an intern had to face this kind of thing.

"Later, the patient was successfully rescued, and the gastroscope was not performed, and I observed the condition in the lounge." Wu Mian continued, "I didn't leave. I carefully observed the patient's condition by the bed and wondered what was going on."

"Ms. Wu, why don't you leave?" Gao Boxiang asked.

"I recall that patients with laryngospasm may have 17 relatively rare complications, each of which is confirmed by the patient's condition. I have to be careful when encountering similar patients in the future."

"..."

Everyone concluded.

In particular, Mr. Wu has a deep-skinned face when talking about experience. Now the directors of the anesthesiology department in front of them picked up and asked about the possible complications of laryngospasm. I am afraid that there are not 17 possible causes of laryngospasm in the book.

And this, Teacher Wu knew when he was in school.

No one asked what the complications were. Just now, Mr. Wu could talk about this rare case one, two, three, four or five for half an hour. Once you talk about laryngospasm, you can't talk about it until tomorrow morning?

Ren Haitao wanted to ask, but he hadn't spoken yet.

Wu Mian said afterwards, “The patient’s family members saw me wearing a white suit and chatted with other people. They told my dad to sign the consent form before, saying that there was a history of smoking that would be dangerous. Then my uncle also smoked last time. Why is it okay to do a painless gastroscope? The consent form is obviously just to shirk responsibility after something happened!"

“I was very uncomfortable when I heard it~www.wuxiaspot.com~ Wu Mian said and sighed, “I understand the psychology of the patient’s family, and I can’t accept it if something happens to my dad. But this is not something that can be expected in advance, it is all a matter of probability. "

"What happened later? Teacher Wu, don't you think it's boring to study medicine?" Gao Boxiang asked.

"No, I was with the patient that day. It was impossible for me to have only 17 possible triggers. I went back the next day and didn’t rest. I started looking for various rare cases of anesthesia. Including...Old Ren, before Patients with silent lungs seen in Bajingzi Hospital of Traditional Chinese Medicine."

Ren Haitao nodded repeatedly, and the bottle of aerosol like a flying fairy appeared in his mind.

"So, what I said about having experience does not mean how many special patients I really met, but that similar situations have been rehearsed many times." Wu Mian said with a smile, "I guess the old man has also thought about it. I have accumulated a lot. In this case, I subconsciously think that there is a problem, but I can't tell what went wrong."

Hearing Wu Mian's words, Ren Haitao felt very impressed.

Teacher Wu is not only high-level, and acting steadily like an old dog, this is a real doctor!