Back in 2002 as a doctor

Page 245

"It will be fine after you become proficient. Appendectomy only has no wounds. If you have a cholecystectomy, the recovery is fast. Let me tell you a joke, Brother Yuan from the People's Hospital was able to remove the chest tube on the first day after the operation. , but he refused to do it."

"Scared?" the anesthesiologist asked.

"Yes, it takes at least 3-7 days for the thoracotomy to be removed. If the thoracoscopic surgery is done steadily, it doesn't make much sense if the chest tube can't be removed. The next chest tube can be removed as soon as 12-24 hours. "

"The trauma is really so small?" The anesthesiologist was taken aback.

"Of course." Zhou Congwen took out the swollen appendix and said with a smile, "After the operation, the patient won't be able to see anything when he wears a swimsuit, and he won't have to go for a beauty treatment. What a great thing."

Dr. Gao was silent. He listened to Zhou Congwen talking about himself and the benefits of laparoscopic surgery sentence by sentence, and he felt uncomfortable.

"Xiao Zhou, thank you." Dr. Gao said, "Go down and rest first, it's been hard work."

"I'll finish with you." Zhou Congwen said, "Don't rush down."

"In the middle of the night, the appendix was cut off, so there's no need to use it." Dr. Gao said politely quickly.

"Don't mention it. After the lung twist operation, I received 3 more patients with pneumothorax and 2 patients with multiple rib fractures. Shen Lang was going crazy. When I received the call, I hurried up to hide for a while." Zhou Congwen was also very helpless Explain the situation.

"Knowing that the higher-ups are busy, the pneumothorax is removed from the chest bottle, and the director will make a ward round tomorrow morning to see if there is a need for emergency surgery."

"..."

The doctors and nurses in the operating room looked at each other, they didn't expect to be so busy today.

"Besides general, are you busy with other subjects?" Zhou Congwen saw panic and fear in their eyes.

"Oh, don't mention it, I really have all kinds of jobs today. Even the urology department is here to join in the fun, so there's nothing wrong with it."

Zhou Congwen was taken aback for a moment. Generally speaking, the urology department seldom came to the stage in the middle of the night.Their emergency department is usually full of stones, and the third hospital does not have a machine for crushing stones.

"A foreign body in the urethra?" Zhou Congwen asked.

"Well, an old man in his 40s stabbed a tree branch into his urethra, and the blood came out profusely, so he had to go up for anesthesia and cut it open before taking it out."

"..."

"If you say that some people are sick, don't have nothing to do. Use a tree branch to bucket yourself." The equipment nurse said very unhappy.

Zhou Congwen was speechless. He had seen similar cases, such as a tree branch poking into the bladder.But bleeding in the emergency room is rare. What happened tonight?

Looking up, the sun is slowly rising in the sky, and the tiredness in my heart is getting stronger and stronger.

Chapter 0427 The end of a mysterious emergency night

"The emergency department is even busier." The anesthesiologist said, "The emergency department called me three hours ago to go down for intubation. Guess which patient it is?"

There was no beginning or end to this matter, and there was no speculation at all, and everyone knew it well, waiting for the anesthesiologist to reveal the answer himself.

"A diabetic patient wanted to commit suicide. He gulped down a large bottle of Coke, preparing to sweeten himself to death. It was so refreshing. He felt that life was fun again, and he didn't want to die."

"A large bottle of Coke won't cause coma and intubation." Zhou Congwen was puzzled.

"Uh... the intubation was another patient in a car accident..." the anesthesiologist smiled, "After I was intubated, I was tortured by this suicidal patient for a long time. He was worried that he was going to die. Let me go."

"How much blood sugar?" Zhou Congwen asked.

"12, not high."

Suicide by drinking Coke?Zhou Congwen smiled, this kind of death is really rare.Moreover, the patient was moved to tears by the happy fat house water, and felt that life was quite interesting.

After the operation was done, it was dawn, and everyone chatted happily.

Washing, closing the abdomen, and waking up, everything is very smooth.

Let this night pass like this, Zhou Congwen thought in his heart, hoping that there will be no such magical and mysterious night in the future.

bell bell~~~

The phone rang, and the voice came from behind Dr. Gao, and it sounded like his ass was making noise.

The cheerful atmosphere in the operating room was suddenly broken, and everyone was staring at Dr. Gao.

"Help me hold the phone." Dr. Gao said pretending to be calm.

After answering the phone, the anesthetist put the phone close to Dr. Gao's ear.

"Brother Gao, are you done with the surgery? You're in the emergency department!" The nurse in the ward lowered her voice and said furtively.

"What patient?"

"Rectal foreign body."

"..."

There was silence in the operating room.

"What foreign body, have you taken a film yet?" Dr. Gao sighed softly, it turned out that the night was not over yet.

"It's a football, I guess... the intestines are necrotic!" The nurse's voice was very low, and she couldn't understand why there was a football in the rectum.

"I rely on!"

Although he has experienced many battles, Dr. Gao still blurted out a dirty word.

"I'll go down right away, there's a film, right? Ask the patient how he got in, so he can't be more honest, put a football in this early in the morning and dry the wool!"

Dr. Gao's mood has broken down a bit, and he rarely cussed, Zhou Congwen sympathized with him.

"Brother Gao, go down, I'll take the patient back." Zhou Congwen looked at Doctor Gao with pity, and said gently.

Rectal foreign bodies are very common, and there are always people who are willing to insert messy things into the rectum, just like the branches cut on the operating table of urology today.

But football...

Zhou Congwen didn't know how such an outrageous thing got in.

Even if it is not inflated and stuffed in and then pumped in... You can't even think about it, the more you think about it, the more evil it becomes.

Really bored.

And unlike other foreign bodies, the football is stuffed in. If it takes a little longer, the rectum will die due to ischemia, and the operation will become abnormally large.

If this happens, the patient's anus cannot be preserved, which is equivalent to an emergency surgery for rectal cancer.

No wonder Dr. Gao scolded people directly.

Dr. Gao left his subordinate doctors behind, and hurriedly stepped off the stage to watch the football in the rectum. Now he can only hope that the gas is not too much and the patient's intestines are not dead.

But he also knew that there must be too much air in the football that entered the rectum, otherwise the shape of the football could not be seen at all.

Zhou Congwen could sense the despair of the doctors and nurses in the operating room, and his idea of ​​taking a break after dawn and before the shift was over.

He didn't dare to speak, even said bluntly, he didn't even dare to fart.

At this time, no matter what you say, you will be attacked by the crowd. The only feasible way is to complete the operation honestly and send the patient back.

I hope that Corey will be quiet and his cell phone will not ring, Zhou Congwen prayed silently in his heart.

Because it was a single-port laparoscopic surgery, the suture was very fast after washing, and the patient woke up, and everything seemed normal.

Lifting the patient onto the flat car, Zhou Congwen followed him to the general surgery ward. Dr. Gao was holding a blank preoperative informed consent form to explain the condition to the patient's family.

The family members of the patient cried so much that they couldn't even utter a complete sentence, and Dr. Gao's face was also very ugly.

Zhou Congwen glanced at the film by the way, even the well-informed he was stunned.

The oval shadow in the rectum looks like something like a football.It was about 80% inflated... Zhou Congwen could even imagine the patient's rectal ischemia and paleness.

It’s okay if it can be taken out, but if it’s plugged in for too long and the rectum becomes necrotic, the consequences will be disastrous.

But there is another possibility. After taking the stage, the patient’s rectum is opened and found... at the junction of necrosis and non-necrosis. Whether to cut it or not is a question that people can’t think about and make a decision.

Fortunately, he was not a chest patient, so Zhou Congwen let out a long sigh.

This kind of operation is better to call the director from home and go on stage together to deal with it. The director must make the decision, and the director must take the blame.

After watching the film, Zhou Congwen slipped away without saying hello.

Patients in general surgery, why should a chest doctor get involved.

Back in the ward, Shen Lang was busy. In the early morning, he took in another old man who fell into a pit while walking. He suffered multiple rib fractures on his left side and was in a stable condition. Fortunately, he didn't have pneumothorax and no emergency surgery was needed.

Zhou Congwen also had a tendency to collapse, but after thinking about it, he still pulled Shen Lang into the duty room.

"Shen Lang, you go to the general surgery department to take a look, I'll take care of the house." Zhou Congwen said.

"Congwen, I still have six first trips, major medical records, and doctor's orders." Shen Lang said weakly with a mournful face.

"The doctor told me to do it, but let me tell you first, I won't write the medical records. I asked you to go up and see for a reason, whether you want to go or not." Zhou Congwen looked at Shen Lang with a "kind" expression on his face. said.

"Huh?" Shen Lang was puzzled, and his mental state was obviously better.

"A patient with a rectal foreign body."

"What did he stuff in? Could it be a small dumbbell?" Shen Lang asked.

"Football, I look like I'm 80% full."

As soon as Zhou Congwen finished speaking, Shen Lang turned around and left, behind him the gossip flame rose and burned blazingly.

If only Shen Lang had such a great love for thoracoscopy, Zhou Congwen thought looking at Shen Lang's back.

This night passed just like that, and Zhou Congwen let out a sigh of relief until everyone went to work.

Seeing that there were extra beds in the corridor of the department, the others also asked curiously.No need to know exactly what was done, just listening to the row of disease diagnoses and the numbers behind it, everyone was dumbfounded.

What a busy night shift.

Chapter 0428 The aftermath of that night

"Congwen, you didn't go home last night?" Li Qinghua became distressed when he saw the crowded ward.

"Oh, don't mention it." Zhou Congwen told about Li Qinghua's experience after Li Qinghua left last night, and Li Qinghua was dumbfounded.

Working in the clinic all year round, it is not uncommon to encounter an emergency, but such a wicked night is rarely experienced by anyone.

"Congwen, there are a few chronic patients coming today." Li Qinghua said helplessly.

The patients with chronic diseases were found to have small pulmonary nodules during the physical examination and needed to invite Professor Chen to perform surgery on weekends. The department's work is the top priority.

But the ward was filled with Zhou Congwen and Shen Lang overnight, and extra beds were placed in the corridors, which made Li Qinghua unexpected.

"Director, there is a patient who I stayed in the Department of Respiratory Medicine directly after the operation and was not transferred." Zhou Congwen smiled helplessly, "It would be even worse if he was transferred."

"Is it a patient with torsion?" Li Qinghua asked.

Zhou Congwen nodded.

Li Qinghua pondered for a while, and after finishing his shift, he went to the office of the director of the anorectal department.

"Congwen!" Shen Lang approached Zhou Congwen mysteriously, "I saw that patient."

"Rectal foreign body?"

"Yeah!" Shen Lang's eyes glowed, and he nodded vigorously.

Zhou Congwen was a little strange, he originally thought that Shen Lang would be very interested in this kind of gossip, but seeing his expression was quite strange, he hesitated to speak.

Returning to the duty room with Shen Lang, Zhou Congwen asked, "What did you see?"

"I saw their teacher, and said that a few gangsters were rampant in the school, and this kind of thing happened without knowing the depth." Shen Lang said angrily, "If you mess with me, I will kill them."

"..." Zhou Congwen didn't expect it to be a campus bullying incident.

"What happened later?" Zhou Congwen frowned, his words a little harsh.

"The mother of a child who is making trouble is still saying in the corridor that it was all caused by the child, who is ignorant." Shen Lang frowned, he couldn't see the gossip in his eyes, and there was no flame burning behind him.

Even Shen Lang's voice was a little deep, Zhou Congwen was very uncomfortable.

"How was the operation?" Zhou Congwen asked.

"Fortunately." Shen Lang heaved a sigh, "It was sent in time, and the intestine was not ruptured or necrotic. I went up to take a look, and Director Yu cut the rectum 1cm away, and cut the football little by little with a knife. , and then inserted it with a 50ml syringe needle to release the air inside."

"That's good." Zhou Congwen heaved a sigh of relief.

It would be okay if the needle was inserted through the anus, but no one would feel at ease without opening it to take a look at this kind of injury.What about rectal necrosis?It's better to do it during the operation.

"When I came down, Director Yu said that the problem was not serious, and he was applying hot compresses with warm salt water gauze to see how the blood flow was." Shen Lang depressedly lit a cigarette, and gestured to Zhou Congwen.

Zhou Congwen refused, "Shen Lang, have you ever encountered such a thing?"

"Yeah, but it's not that much. When I was a kid, I had a few thugs who robbed me every day on the way home. Then I got into a fight with them, and I carried two notebooks with me in high school. There are bricks in the middle of the clips."