Back in 2002 as a doctor

Page 177

"..."

"..."

Everyone in the operating room was stunned.

How did Zhou Congwen do it!

"Here, that's it." Zhou Congwen said lightly, then loosened the remaining bullae, began to pick up the lung lobes, changed the angle and continued to explore with Li Qinghua.

Li Qinghua was speechless, he hated thoracoscopic surgery.

Because just now I only saw how Zhou Congwen's hands were operating, but I didn't see the action of the grasping forceps and linear cutting stapler on the TV screen.

When I look back, I must ask carefully, Li Qinghua thought to himself.But he also knew that even if Zhou Congwen explained it in detail, he would definitely not be able to do it.

Not to mention anything else, just the dexterous movements of his fingers just now can't be imitated by myself.

Zhou Congwen did not explain on the operating table. He and Li Qinghua continued to explore and clamped the clusters of bullae with a diameter of less than 1cm on the edge of the lung lobe with titanium clips.

"Iodophor, warm saline, ready to rinse."

The anesthesiologist glanced at the time, 34′22″, and estimated that the operation would only take 50 minutes when he stepped down.

Awesome!

This surgery went beyond anyone's imagination.

Straight line cutting stapler cuts arcs, is there anything Zhou Congwen can't do!

Chapter 0305 surgery, success!

Flush with warm saline, and the anesthetist inflates the lungs.

There is no air leakage from the position of the bullae sutured in the "U" shape.

I'll go, awesome, the anesthetist sighed again.

It's one thing to cut it off, it's quite another to be airtight.Facts have proved that Zhou Congwen's technique is top-notch, and he does it very steadily, not just a fancy operation.

"Director Li, Xiao Zhou, can't we just cut off all the bullae?" The roving nurse asked from behind.

The anesthetist gave her a contemptuous look, "Huge bullae, the diameter of the root is at least 10cm, unless it is a lung lobe, it can't be done."

It was the first time for the itinerant nurse to see this kind of operation. She gestured with her hand, but she didn't expect the bullae to be so big.

"Sister Wang, look at the screen." Zhou Congwen said easily.

On the screen, the claws are grabbing the lung lobes and showing the remaining bullae to the itinerant nurse.

On the lung lobe, the root of the bullae stretched very long, almost covering one side of the lung lobe.

"Huge bullae are just like this. It's good to be able to do volume reduction surgery. There is also surgery for lung lobectomy, but the patient in front of me is not suitable. Her lung function is too poor. It is good to save some." Zhou Congwen said lightly.

"What will happen to the patient after surgery?" the circulating nurse asked.

"She had difficulty breathing, and the lungs disappeared because the bullae squeezed the lungs, causing difficulty in blood oxygen exchange." Zhou Congwen let go of the grasping forceps, sucked the warm salt water away with a suction device, "cut off 30% of the bullae, After the operation, the lungs will expand and the blood oxygen saturation will reach more than 90%.”

"Oh oh oh." The roving nurse responded repeatedly.

"If the anesthesia is over, the patient should be able to live after the operation!" the anesthesiologist said excitedly.

"It should be. I hope there won't be too much air leakage after the operation." Zhou Congwen said with a little joy in his tone.

Rinse twice with warm saline and povidone iodine, and re-examine and close the chest.

The operation is over.

The anesthetist did not wake up in a hurry, but came slowly and cautiously.

After stepping off the stage, Li Qinghua didn't take off his gloves, but took the cut bullae and looked at it repeatedly.

"Congwen, how did you cut off the arc with a straight line cutter?" Li Qinghua was puzzled.

"To cut window grilles, the scissors are straight, so they can also cut arcs." Zhou Congwen also relaxed after stepping off the stage, and said with a smile, "When you cut the bullae and the gas inside overflows, I will use the forceps Put it in the shape I need, and cut the stapler clip in a straight line."

"..." Li Qinghua was silent.

Even if Zhou Congwen told him, he still didn't understand.

In other words, he knew the basic principle, but if he was on stage to do it, he couldn't do it at all.

Not to mention laparoscopic surgery, he couldn't even do thoracotomy.

Not to mention Li Qinghua himself, it would be impossible for any surgeon he knew to do it.

Really strong, strong enough to break through the sky.

Li Qinghua thought of the drill in a daze. It seemed that he still needed to practice more.

Too much business recently, resulting in not enough time.When the physical examination is on the right track, I have to spend most of my time grinding eggs to improve my business ability.

Although Li Qinghua did not expect to be able to cut out arcs with a straight line cutter, Zhou Congwen should not be left behind by the most basic operations.

He held the severed bullae in his hand and looked carefully. Li Qinghua once again confirmed that although the arc was not perfect, it could be seen that it was indeed an arc.

Zhou Congwen felt a little regretful that he still hadn't recovered to his peak state.But for the patients in front of me, it is enough.

The anesthesiologist woke up, he didn't look at the bullae, he didn't chat with Zhou Congwen, Li Qinghua and the others, he just stared at the ECG monitor.

After the lungs were inflated, the blood oxygen saturation began to rise linearly. From the pure oxygen supplied by the ventilator to the oxygen supplied by the nasal cannula, the blood oxygen saturation remained at 94-95% and did not drop.

The oxygen flow rate is 4L/min, the oxygen concentration is 40%, and the blood oxygen saturation is still stable.

"The operation seems to be completed." The anesthesiologist whispered in disbelief.

Zhou Congwen was squatting on the ground looking at the chest bottle, he raised his head and squinted his eyes and smiled, "Brother Wenbo, let me have a look at my bloated lungs."

"Oh."

The anesthesiologist started pinching the ball.

The water column of the chest bottle fluctuates well, and there are bubbles coming out of the gurgling.

However, the amount of air bubbles is not much, part of which is the gas accumulated in the chest cavity, and part of it is the gas overflowing from the patient's lungs.

No matter how high the level of surgery is, the patient's physical condition is here, and emphysema is a fatal factor.

The lungs are a mess and it's impossible not to get gas, at least not in 2002 without the gel.

Zhou Congwen has tried his best to make up for it with technology, and the rest can only be left to fate.

He glanced at it, and the color of the alarm on the system panel at the top right of his field of vision did not change, and the emergency task was not completed either.

When encountering similar tasks in the previous life, the rewards given by the system were very generous, and Zhou Congwen sometimes wanted to take risks to complete them.

But every time he thinks of people dying for money and birds dying for food, Zhou Congwen holds back his "greed".

He never expected that when he was reborn, the system would not reward him, but he would have to risk medical disputes to complete the operation.

Man, Zhou Congwen smiled.

Looking at the patient's stable vital signs, Zhou Congwen's many small bumps in his heart disappeared into nothingness.

The patient woke up quickly, oxygen was inhaled through the nasal cannula, the blood oxygen saturation was maintained at 94%, and the symptoms of respiratory failure were relieved.

surgery

success!

"Leave the stage." Li Qinghua waved his hand, beckoning his doctors to carry the patient.

Zhou Congwen didn't follow along, he stood with his back straight and watched silently.But he was not in a hurry to change clothes, but went out with the flat car to observe the patient's family members along the way.

Li Qinghua and the patient's family members "announced the good news". Although Zhou Congwen didn't hear what he said specifically, what else could he say.

The operation was successful, but the risk of continuous gas overflow after the operation cannot be ruled out.

Doctors talk like this, Zhou Congwen knows this profession too well, and he is better at this kind of vague speech than Li Qinghua.

The expressions of the family members of the patients were a little strange. Some were relieved, while others were a little disappointed. Some pushed the cart with concern, and some watched calmly.

The real challenge has just begun, and Zhou Congwen feels very tired.

It would be great if the clinical treatment was simpler.

However, his waist did not bow down, but straightened, patrolling the patient's family like a falcon.

What is the problem?Zhou Congwen had a bird's-eye view of the audience, squinting his eyes and followed the flat car back to the ward.

When the patient was carried to the hospital bed, the patient was already awake, but his consciousness was hazy, and he kept saying that he felt uncomfortable.

There was a small amount of gas overflowing from the chest bottle, and a family member of the patient who had never seen it before glanced at it and asked, "Director Li, when will the gas go away? It's been gasping all the time, so there shouldn't be a problem."

Li Qinghua smiled slightly, "You are..."

Chapter 0306

"I'm her nephew. I heard that you won't be angry after the operation. Why are you still there?" The patient's family gave Li Qinghua a sideways look and said in a low voice.

"It's not nice to talk like that. A dead person is dead." Zhou Congwen said coldly, rolling his eyes until the man choked.

"you……"

"It's because you didn't express it clearly enough. Let me explain." Li Qinghua said with a smile, "The situation is like this, the patient's emphysema is very serious, and you have seen the previous situation. By the way, you are just here What about the patient's son?"

"I went home to get my things." The man said arrogantly.

Li Qinghua knew these routines.

Although there were not many medical disputes in 2002, both doctors and family members of patients were considered "simple", but he has worked for more than ten years and encountered many negative examples.

The family members of the patient who came at the beginning and the family members of the patient who had the accident were two groups, and the people behind the initial account can directly say that they don't know.

Anyway, I didn't lie, and doctors can't do anything to patients and their families.

Li Qinghua is not yet aware of many future cases, but the core and principles are mostly similar.

He smiled and began to explain patiently to the patient's family.

Shen Lang was a little surprised, Zhou Congwen patted him on the shoulder, and the two walked out of the ward.

"Congwen, what's going on? The surgery was done so well, why didn't the patient's family members approve?" Shen Lang sighed and asked in a low voice.

For young doctors, this is a matter of changing their views.

Moreover, the effect of force is mutual, and the relationship between doctors and patients will go down all the way, bottomless.

Zhou Congwen smiled, "Go, go smoke a cigarette."

"Yeah." Shen Lang followed behind Zhou Congwen, "Congwen, your surgery is really good. I saw it from beginning to end, but I didn't understand it."

"Want to learn? I'll teach you." It wasn't the first time Zhou Congwen said this to Shen Lang, but the answer he got was the same.

"I don't want to." Shen Lang said firmly.

Zhou Congwen rarely heard such resolute words from doctors.And I'm not talking empty talk, Zhou Congwen believes that there are at most three people in the country who can do it with the technology he just demonstrated, including himself.

But Shen Lang's answer was completely thoughtless, it was natural.

When they came to the fire escape, each of them lit a cigarette, Zhou Congwen looked at Shen Lang curiously.

"Hey, didn't you see that the son of the patient who communicated with us before has left, leaving others behind. I didn't understand it when I saw it just now, but I figured it out when I came here."

"Tell me."

"Does it need to be said, what a simple matter." Shen Lang took a puff of smoke, "The patient's family is going to trouble us, they treat the patient as a cash cow. What the hell, when they are dying, they still have to get it from the bone dregs. Squeeze out the oil, are there any of them like this?"

"Shen Lang, pay attention these few days and see if you can hear anything." Zhou Congwen smiled.

"It's useless. The patient's family members must be very careful when they appear in white clothes, and they will never say anything."

"I didn't ask you to inquire. Is there any relationship between the patients you manage? You don't need to tell them directly. You can just ask them during the ward rounds. They understand everything. If they hear something, they will talk to you. Say a little bit."

Shen Lang thought about it, and it seemed to be the reason.

But Shen Lang still couldn't catch his breath in his heart, he said contemptuously, "Who are you, how well we performed the operation, the blood oxygen saturation has also increased, and the patient can lie down even if there is a leakage What about anger?"

"It's all complications, and it was clearly stated before the operation. You should know the virtue of the patient's family members, and you really shouldn't have this operation."

Zhou Congwen smiled slightly, straightened his back, "Shen Lang, why should the fault of the patient's family be placed on the patient?"

"..." Shen Lang concluded for a while.

Does it matter?