Page 488
Page 488
Huang Lao's explanation is even more unbelievable.
"Director Jiang, isn't it?" Elder Huang asked directly after explaining.
"Huang Lao, you can call me Xiao Jiang." Director Jiang bent down and said politely.
"Shut up the operation, don't be in a daze." Huang Lao said, "Can we do vertebral artery suture?"
Director Jiang said quickly, "It can be done!"
"Hurry up, the boss is holding it down." Zhou Congwen said, "Boss, why don't you change me?"
Huang Lao glanced at Zhou Congwen and shook his head.
Zhou Congwen knew that when a human life was involved, the boss was more cautious than expected.
There may be a brief compression gap during the hand-changing process, and the patient can't stand any tossing now.
If you can't find the vertebral artery during the change of hands because of low blood pressure, it's even more fucked up.Although I am with my boss, this possibility is not high.
At critical moments, the boss is as stable as old... as stable as Mount Tai, absolutely unwilling to take any risk.
"Director Jiang, hurry up and brush your hands." Zhou Congwen urged, "Can you do it? Can you use me?"
"can!"
Director Jiang is still sure about the anastomosis of the vertebral artery, but he just does it slowly.
But just after he finished speaking, he trotted to brush his hands, then turned around and said, "Professor Zhou, don't go down, I will have to torment you if I encounter any problems."
Zhou Congwen didn't want to leave either. Seeing the boss standing by the operating table with his right hand inserted into the patient's neck, moving slightly with the anesthesiologist's tracheal intubation, he felt inexplicable admiration.
This kind of hemostasis with bare hands, or the hemostasis of the large blood vessels under the pressure of a huge hematoma, I may not be able to do it as cleanly as the boss.
As for the absence of the contralateral internal jugular vein, Zhou Congwen did not doubt it at all.
It must be that the boss has encountered similar patients before.
This is a wealth of clinical experience. Others saw that the patient immediately changed from hemorrhagic shock to a "hanging ghost" after taking muscle relaxants, but the boss had various deeper judgments.
The superb medical skills are vividly reflected.
Chapter 0838 is fortunately negative
Director Jiang came back after brushing his hands and quickly disinfected himself.
Because Huang Lao couldn't move his hands, we had to disinfect Huang Lao up to the upper arm.
After laying the sterile sheet, Director Jiang took a long time to follow Mr. Huang's fingers to find the severed vertebral artery hidden under the layers of muscles.
But Mr. Huang lightly suppressed the bleeding with only two fingers, which became the key to rescue.
The more Director Jiang thinks about it, the more he admires it. This kind of manual operation requires rich clinical experience.
However, clinical experience alone is not enough, and patients who are like hanged ghosts have to be calm and composed.
This is not the key point, if I stood here at that time, I am afraid that even if the patients died, I would not be able to find the bleeding point.
If you can react, the only thing you can do is to directly press the patient's neck from the outside, no matter where the bleeding is, press it all.
And this extremely rough operation is a big problem, whether it can be compressed to stop bleeding is still between the two.
There is a high probability...it cannot be suppressed.
It was very difficult for him to find the blood spots along Mr. Huang's fingers. He couldn't imagine how Mr. Huang used his fingers to "blindly fuck" the bleeding spots.
This is simply amazing!
Director Jiang clamped both ends of the broken vertebral artery with blood vessel clips, then turned slightly, and said in a respectful and admiring tone, "Old Huang, you have worked hard, you should rest."
"Director Jiang, if the patient agrees after the operation, the internal jugular vein should be checked. Whether the contralateral internal jugular vein is missing is still a guess. It would be best if we can confirm it."
"Yes yes yes." Director Jiang replied repeatedly.
"Has the patient AIDS and syphilis come back?" Zhou Congwen asked.
"Let me remind you." The itinerant nurse said.
"No need, I'll call the laboratory." Zhou Congwen knew that the matter was of great importance, so he turned around to make a call to avoid any omissions or mistakes.
Similar emergency rescues can't wait for the results of infectious disease laboratory tests to be reported, and they must race against time for surgery.
And once the patient had AIDS and syphilis, Director Deng was sprayed half of his face with blood.
Zhou Congwen tried his best to think about it, but he couldn't remember the year when the AIDS-blocking drug was launched.
Emergency rescue is like walking a tightrope. It is good luck for the patient to meet this patient today, but it may not be so for the medical staff.
If the patient is HIV-positive, Director Deng will have to worry about it for a year even if he is not infected.
I hope it's okay, Zhou Congwen prayed silently in his heart.
Walking quickly to the landline at the nurse's station in the operating room, Zhou Congwen called the Laboratory Department.
The result hadn't come out yet, Zhou Congwen urged the laboratory department to call back after waiting for 10 minutes.
Fortunately, laboratory tests were negative.
Zhou Congwen didn't have any idea of joking, for example, to scare Deng Ming by saying that he was positive for AIDS and syphilis.
This is a major event, Zhou Congwen knows the importance.
After making a joke about a small matter, he laughed it off, but if he made a joke about such a big matter without knowing the severity, Deng Ming would very likely turn his face.Even if you hold back forcibly, you will leave a very bad impression in your heart.
Zhou Congwen didn't want to provoke his seemingly honest senior brother.
When he came to the dressing room, the sound of the shower in the bathing area came. Zhou Congwen knew very well that the elder brother would not rest until such a thing happened without washing off a layer of skin.
"Director Deng, I have good news for you." Zhou Congwen went straight to the point, "The patient is negative for hepatitis B, syphilis, and AIDS. Others, such as hepatitis C, have not been checked yet."
"Understood." Deng Mingweng said in a low voice, obviously not very emotional.
"Director Deng, the boss has come down and is watching our vascular surgery." Zhou Congwen changed the topic, "Your reaction was really fast!"
"Don't talk nonsense, go smoke honestly." Deng Ming's irritable mood was fully revealed.
Zhou Congwen smiled, at this moment, he must not talk back to the elder brother.
He took out the ganoderma lucidum from the cabinet, sat on a chair in the locker room, and looked up at the "No Smoking" sign.
The no-smoking sign in the hospital is basically a decoration, and it will not be done until many years later when the smoke-free hospital is established.
As for now?
Zhou Congwen smiled slightly, and a ball of fire burst out between his fingers, igniting the white ganoderma.
Taking a deep breath, a burst of cool air rushed directly from the tailbone to the back of the head.
The feeling of being drunk after each emergency rescue is the most comfortable.
"Director Deng, it's been a long time since there was an emergency call." Zhou Congwen asked.
"It's okay, Cory was also in the emergency room at 912."
"With so many professors under your command, you need to be on stage for an emergency rescue? Don't talk nonsense."
"That's true." Deng Ming said, "I asked the nurse for a piece of soap just now, remember to buy it for me and return it to her."
"You still care about this little thing." Zhou Congwen said, "I rescued a patient some time ago, and I didn't have time to check before the operation. I asked the patient many times if he had any infectious diseases."
"Didn't the patient's family say anything?"
"Of course." Zhou Congwen said habitually, "The patient's family members always think that the doctor will not perform the operation after talking about it."
"Oh, it's normal." Deng Ming's temper gradually calmed down, and he washed himself inside.
"However, I have long been used to wearing two layers of sterile gloves in emergency operations, and I am very careful. Our old director Wang Chengfa was once stuck in his finger by a large round needle when suturing a lung, and the patient was positive for syphilis."
"Just take long-acting penicillin, it's fine."
"Hahaha, Director Wang was so angry that he wanted to go straight down and throw the patient on the stage."
"Not really."
"Director Deng, what was the most dangerous situation you encountered in the hospital?" Zhou Congwen asked leisurely, exhaling a smoke ring.
Talk to senior brother more to calm his emotions.
Being sprayed on the face by the blood of the emergency patient, I don't know if it was sprayed into the mouth, this is an extremely dangerous thing, Zhou Congwen knows it all.
At this time, gossip with the elder brother, and his mood will be calmer.
"Speaking of danger... I was scared out of my wits only once." Deng Ming's voice was not as muffled as before, and almost returned to the tone of a generous elder before.
"So scary?"
"Don't mention it. The orthopedic department performed amputation. The amputated thigh was somehow sent to the garbage station. Then the people at the garbage station were frightened to death and called the police. At that time, the city was full of storms, saying that there was a perverted murderer, dismembered corpses and so on."
"and after?"
"The hospital is running a patriotic health campaign. It's just pretending. The boss isn't interested in this, and I don't dare to bother the boss. I took someone to check, and when I entered the female duty room, I saw a leg under the bed at a glance."
"..." Zhou Congwen was startled, then laughed, "When it's colder?"
"how do you know."
"The boots do look good, but if you throw them under the bed and the boots are crooked, they really look like a thigh." Zhou Congwen laughed.
Chapter 0839 talk about feelings, talk about interests, talk about the grand narrative
"That day I heard my wife talk about a lot of perverted murderers at home, and I had this impression in my mind. You also know that people say what is evil in their mouths." Deng Ming said while washing, "Seeing the long tube I was literally terrified to death when I was in the boots."
"It's probably because you've thought about a lot of similar scenarios in your heart, and you're also afraid that someone will really sneak into our 912."
"It should be, who knows." Deng Ming said, "Xiao Zhou, you gave the boss and me a lot of surprises."
"It should." Zhou Congwen replied with a smile.
"If you are not humble, you will definitely not be happy to change to another boss. But he has a different view of you, which is very strange."
"I'm different."
"To be honest, I suggested to my boss before the establishment of the Academician Workstation." Deng Ming said, "I admit that your surgical and medical skills are high, but a high level does not necessarily make a good manager."
"Like who from Huaxi?"
"Well, I was pushed to Jinmen by Lao Shi later. It was quite depressing. Surgery is surgery, and management is management. These are two different things." Deng Ming said, "You are only in your 20s. I don't believe you can support the academician workstation if you die. stand up."
"What did the boss say?"
"The boss said that you are different. Although he logically thinks that you can't do it, he always thinks that you can. This is a very contradictory idea. If you really can't pick up this mess, let you come to 912 next year, boss. Take you with me for the last few years."
"It's unlucky to say that." Zhou Congwen said contemptuously.
"The boss said it himself, I dare not say that."
"It's just a medical team, with thousands of surgeries a year, what's the problem?" Zhou Congwen said.
"Heh." Deng Ming smiled dryly, "Don't talk about thousands of surgeries a year, if you do more than 300 surgeries a year, some people will be too busy. Xiao Zhou, tell me how you manage it."
"Me, Shen Lang, Li Ran...you know these two people, right?"
"I know, you brought them from the Third Hospital of Jianghai City. If you are the same, you brought two people from the same class to the class, and you know the basics and have a sense of awe? When I heard that you brought these two people, I thought you No. But looking at it now, I was wrong and you did a good job.
Not only the two of them, but even Dean Xiao of Baishui City is upright, you did a good job. "
"I talked about feelings and morals with them." Zhou Congwen said lightly, "The little doctor at the bottom is still very ignorant. Moreover, he was irritated before, and was punished by the old director for two years, especially Li Ran, who has fallen into trouble."
"Smelly face syndrome is indeed rare, what else?"
"Dean Xiao, who is in the name of advanced studies, I will talk about logic and interests with him. Dean Xiao is an old man, and he is not good at talking about relationships, or he is too tired. Let's talk directly with money." Zhou Congwen smiled.
"What else?"
"With you, Director Deng, and your boss, it's natural to talk about ideals and the future."
Deng Ming fell silent.
The sound of water sprayed from the shower became the only sound, but the rushing was not boring.
Zhou Congwen classified the people around him very simply and easily, and gave corresponding countermeasures.
Just like seeing a doctor, he simplifies the complex and distinguishes several types of people, which is simple, clear and clear.
"To put it bluntly, it is to treat the little doctor as a buddy, help Dean Xiao make money, build contacts, and the boss, it must be a grand narrative."
noveltune