Back in 2002 as a doctor

Page 482

"I know, but Brother Zhou, your level is so high, it seems that you can do any surgery without even seeing it. I am very surprised about this." Yuan Qingyao said seriously with a pen in his hand.

His mask moved slightly, and Zhou Congwen guessed that Yuan Qingyao was smiling habitually, showing eight small white teeth.

"It's nothing strange. For example, the boss, who is [-] this year, can still improve the classic crush technique." Zhou Congwen said lightly, "For example, Mr. Yu Min, who can use his brain to simulate nuclear explosions and collect data. There are many similar people. Yes, I'm just a very ordinary person in comparison."

Zhou Congwen did not lie.

In his last life, he thought he was invincible after being possessed by a system, but after a lot of experience, he realized that even with the plug-in, he was not as good as many outstanding heroes.

The republic is so big, hidden dragons and crouching tigers, I really can't see enough.

Although Zhou Congwen once suspected that these people were also hacking, his boss was the only one he had contact with. Obviously, the boss didn't hang up, but just tapped his own potential.

The boss means a lot to Zhou Congwen. In addition to the role of a guide, he is also like a ballast to suppress Zhou Congwen's heart, allowing him to work steadily and recognize himself.

"Brother Zhou, are you born with it?" Yuan Qingyao continued to ask.

"It's hard to know how difficult it is to be born." Zhou Congwen replied vaguely, and then changed the subject, "Qingyao, you have time to sort out the case records of thoracoscopic surgery."

"Huh? So fast?"

"The next wave of patients will start. We will perform single-port thoracoscopic surgery on patients with small nodule wedge resection, which is an advanced version. If it can be sorted out, it should be sorted out. In this way, the arguments will be more sufficient when publishing articles in the future."

"Brother Zhou, is day surgery true or not? I've thought about it for a long time, and the possibility does exist, but I'm always worried."

"It's okay, patients with a little difficulty are admitted to the hospital." Zhou Congwen said, "For example, patients with emphysema, it is better to be cautious. Ordinary patients, just have a wedge cut. Is there any need to be hospitalized?"

"Emmm." Yuan Qingyao pondered.

"For example, interventional embolization surgery for liver cancer is now a day surgery in the United States." Zhou Congwen asked.

"Yes." Yuan Qingyao nodded, "After the operation, pressurize and bandage, observe for 6 hours, and the patient can go home after analgesic drugs are prescribed."

"Look at domestic hospitals, there are not many hospitals that carry out interventional surgery for liver cancer, and no one dares to do day surgery. There are many, rich experience, and there are always some thresholds to pass. , without admission to the hospital for treatment."

"I always feel dangerous." No matter what Zhou Congwen said, Yuan Qingyao was still a little worried.

Zhou Congwen scanned the data on the machine first, then looked at Yuan Qingyao and asked, "Qingyao, what do you think is the most dangerous thing I have ever experienced?"

"Medical?"

Zhou Congwen nodded.

"Emergency room patient with AIDS?"

"I am very careful in the operation, and I wear double gloves in the emergency department."

Zhou Congwen's stable character like an old dog will definitely not put himself under a dangerous wall.

Yuan Qingyao shook his head.

Chapter 0828 The most dangerous experience

"Let me tell you a story." Zhou Congwen was in a super good mood today, and he talked more.

To complete the system tasks, the equipment brought by the surgery boss of the World Surgery Competition is very handy, no matter which one can make people very happy.

Yuan Qingyao lightly tapped the medical record book with a pen in his hand, and looked carefully at Zhou Congwen's eyes.

What Zhou Congwen wanted to talk about was clinical experience, definitely clinical experience, Yuan Qingyao's ears almost pricked up, turning into antennas just like Shen Lang.

"Once... during my internship, I took a patient for a cardiac MRI."

Because of Liu Xiaobie's constant questioning, Zhou Congwen was a little more cautious when talking about clinical cases.

If he was so cautious, and Yuan Qingyao still asked the bottom line, Zhou Congwen would definitely break up with him.

"I am very familiar with the patient, he is an old patient, so I followed into the computer room and helped the patient to the bed."

"At this time, I suddenly felt something was wrong." Zhou Congwen said seriously, "There was a sense of crisis rising from the bottom of my heart. I immediately looked back and saw the next patient's family member pushing a flat cart and preparing to line up."

"..." Yuan Qingyao was suddenly dumbfounded.

Nuclear magnetic chamber, flat car, metal objects...these words are full of danger.

Yuan Qingyao knew very well that if the flat car entered the magnetic range, it would definitely go straight to Zhou Congwen like a car.

Although I don't know the model of the nuclear magnetic machine, but at least 500 kilograms of force hit the body, no one knows what will happen.

To put it lightly, it is a contusion, and to a lesser extent, it is a fracture.

Yes, the fracture is only slightly more serious, and the more serious is the contusion of both kidneys, so that nephrectomy is required, or even paralyzed.

No wonder Zhou Congwen said just now that this was the most dangerous experience.

"Later, Brother Zhou!" Yuan Qingyao brought himself in, guessing that if he was in the NMR room, he would have been dumbfounded and didn't know what to do.

"At that time, the flat car had already entered the extremely dangerous zone, and the flat car would fly over if it was pushed half a meter forward." Zhou Congwen said seriously, "I turned around and kicked all the patients on the flat car out."

"..."

It was hard for Yuan Qingyao to imagine such a violent scene.

Moreover, Zhou Congwen's kick was too strong. Although there was still a certain distance from the main machine, and the patient's family had just entered with the flat cart, Yuan Qingyao was still very convinced by this reaction and strength.

"At that time, I was really angry. After going out, I had a big fight with the family members who brought the patients, and I was complained. This was the only time I had a quarrel with the patients and the family members of the patients." Zhou Congwen said.

"What did they complain about you?" Yuan Qingyao was surprised.

The right and wrong of the matter are obvious. Once the flat car is "sucked" by the NMR host, Zhou Congwen will definitely be squeezed inside, and the patient will definitely not get any good.

It can be said that Zhou Congwen saved both his life and the patient's life.

But it's all complained about? !

"Hehe." Zhou Congwen smiled, and did not explain why he was complained for any weird reason, but continued, "There are nuclear magnetic vehicles in the United States, Canada, and Europe. Have you seen them?"

"I have seen."

"There is a case report about a nurse who violated the regulations and was sucked into the MRI machine. Do you know how to deal with this situation?"

"Stop."

"No." Zhou Congwen laughed, "You think it's a power outage?"

Yuan Qingyao nodded.

"That's because you don't understand the principles of nuclear magnetic machines." Zhou Congwen said, "Have you ever taken a course on medical equipment?"

Yuan Qingyao shook his head, he was full of curiosity.

"Emergency degaussing will cause great damage to the machine, and release a large amount of liquid helium... Forget it, let me tell you from the beginning."

"Medical superconducting magnetic resonance, magnetization is simply to slowly increase the current in the main magnet coil to increase the magnetic field generated by the magnet, close the coil after reaching the rated field strength, and turn off the power.

The main magnet coil forms a closed loop, and the current will not decay in the superconducting state, thereby obtaining a stable main magnetic field. "

"The term magnetization is called excitation. Excitation is a machine that provides stator power to the stator of a generator or a synchronous motor, and a magnetic field for a generator. To put it simply, it is called magnetization, but you have to know, so you don't have to say it later and others think I don't know."

Yuan Qingyao smiled wryly, Zhou Congwen simply had obsessive-compulsive disorder.

Such a small matter needs to be specially explained.

"Under normal circumstances, a magnetic resonance imaging device will not be demagnetized after it is installed and debugged, unless there is a major emergency, a fault causes a quench, or it is dismantled and moved.

MRI machines all have emergency demagnetization switches, which are used in emergency situations, such as when something is sucked in and cannot be removed.Demagnetization releases liquid helium, which must be refilled the next time it is remagnetized. "

"Do you know how much liquid helium costs? Tons."

"..." Yuan Qingyao shook his head.

"If it is a relatively small thing, it can be removed directly or with the help of a non-magnetic tool; if it is relatively large, it may take many people to remove it, such as a wheelchair or a flat car.

If it cannot be removed, it needs to be demagnetized to release the liquid helium. "

"The NMR of our second hospital is 1.0, and at least 1500 liters of liquid helium are required for demagnetization. If it is 1.5, at least 2000 liters of liquid helium are required."

"According to the current market price, it should be about 3 US dollars. Converted into RMB, you know how expensive it is."

"Uh..." Yuan Qingyao really didn't know what was going on in Zhou Congwen's mind. He was very good at things like demagnetization and magnetization.

Does this have anything to do with cardiothoracic surgery?

In fact, cardiothoracic surgery has little contact with the MRI room, and there is only one heart MRI at the intersection, and there are not many patients undergoing this kind of examination, and it can even be said to be very few.

But Zhou Congwen knew it, and he knew all kinds of data like the back of his hand.

"I was scared to death at that time. I am not afraid of spending money. The impact force of 500 kilograms... Although I am in good health, at least I have a broken bone." Zhou Congwen said with lingering fear after giving Yuan Qingyao a brief word.

"Patient's family..."

"Don't talk about that." Zhou Congwen didn't want to bring up the matter of his complaint. He smiled, "So I guess my obsessive-compulsive disorder has accumulated little by little. For example, if I take a patient for an examination, I will ask everyone in the corridor People should not enter the computer room, for fear of accidents."

"Hahaha." Yuan Qingyao remembered Zhou Congwen's extremely harsh and seemingly unnecessary measures before the surgery, and finally knew where the obsessive-compulsive disorder came from.

"Obsessive-compulsive disorder, it's actually not ashamed to say it. Do you know which hospital has the highest frequency of doctor suicides in the world?" Zhou Congwen asked.

"..." Yuan Qingyao shook his head in a daze.

He found that as long as Zhou Congwen wanted to gossip, he could only shake his head.

Chapter 0829 Emergency Extracorporeal Circulation

"Doctors don't seem to have a very high suicide rate." Yuan Qingyao said doubtfully, "I haven't seen anyone committing suicide in Cleveland, and it's true that some interns are depressed because of financial pressure.

The tuition fees for their schooling are really expensive. One senior sister has been working for five years, and the school loan has not been repaid. "

"Think about it again." Zhou Congwen smiled, Yuan Qingyao is a really honest kid, and he doesn't gossip about things abroad.

In a hospital with the highest rate of doctor suicides, he is exposed to this kind of problem that almost everyone knows.

"Uh... It seems that someone who has not obtained a doctor's license commits suicide because he can't repay the bank loan, but this kind of person should not be a doctor. Without a license, he should be regarded as an intern or trainee doctor." Yuan Qingyao tried hard to think about Zhou Congwen's problem, but still Do not enter the door.

"It's not a question, you're thinking too far." Zhou Congwen smiled, "Have you been to the Royal Melbourne Hospital in Australia?"

"No."

"It is adjacent to the Victorian Cancer Treatment Center, and there is a corridor bridge in the middle. The Royal Melbourne Hospital is very strange, with 600 small beds, and only 6-7 doctors go to work at night."

"..." Yuan Qingyao was taken aback.

"An average of one doctor at the Royal Melbourne Hospital commits suicide every year due to overwhelm."

"..." Yuan Qingyao hesitated, "Brother Zhou, who did you listen to?"

"Director Deng." Zhou Congwen said, "More than ten years ago, Director Deng studied in Royal Melbourne for half a year, and he almost died of exhaustion when he came back. Once while drinking, I heard Director Deng chatting about this matter."

"Director Deng, go out to study?"

"Well, at that time, 912 was just about to enter the extracorporeal circulation machine and was about to perform coronary artery bypass surgery. Everything is difficult at the beginning, the boss has retired, and the use and maintenance of the machine must be learned by professional people."

"So it is."

"Director Deng took a group of people to Royal Melbourne. In his words, he almost died of exhaustion in Australia."

"I heard that Australia's medical insurance is very good."

"Of course, in the country of resources, everything is maintained well under the current system. In addition, the vast land is sparsely populated, and there is no barrier to communication with other countries where Angsa people are the mainstay, and the level of medical technology is very high." Zhou Congwen said lightly. a lot of.

"Director Deng went to study and also participated in the night shift?" Yuan Qingyao asked.

"To help his teacher in Melbourne." Zhou Congwen said, "Actually, why bother? Director Deng is purely voluntary to help out how much he pays a month."

Zhou Congwen smiled, and then said, "Director Deng drinks less now, but used to drink more..."

Saying that, he paused.

"What about when you drink a lot?" Yuan Qingyao honestly followed Zhou Congwen's train of thought. He didn't have Liu Xiaobie's habit of picking faults at all, and he didn't expect that Zhou Congwen and Deng Minggang "knowledge" only a few times. moon.

"I heard from the boss that when Director Deng first came back, he used to perform heart bypass surgery together. Because it was like that in Australia. At that time, on 912, he and the boss almost arranged all the bypass surgeries."

"By the way!" Zhou Congwen seemed to have remembered something important, and he asked with a smile, "Qingyao, how long have you been in surgery?"

"8."

"What kind of hemorrhage have you seen?" Zhou Congwen asked, but immediately changed his approach, "What is the most serious hemorrhage you have ever seen."

"Patients with blood coagulation disorders have myocardial infarction, which has stopped and must go on stage. After opening it, bleeding everywhere, and my eyes are red. I was very scared and at a loss." Yuan Qingyao said.

Zhou Congwen smiled slightly.

"Brother Zhou, have you seen it before?"

"One time I was having dinner with the boss, and there was a fight nearby." Zhou Congwen said.