Back in 2002 as a doctor

Page 174

The system panel can only be seen here.

And after a brief alarm sound, the system returned to silence, as if it had warned that a medical incident had exhausted all its energy.

"Do you think I'm dreaming?" Seeing that Zhou Congwen didn't speak, Li Qinghua sneered, "I'm a salted fish now, and the period of ten or eight years is also to cheer myself up. Actually, I still feel a little bit uneasy."

The gap between the two hospitals is so great that it is okay to say that there is a difference between clouds and mud. Li Qinghua smiled, anyway, he worked hard.

By the way, Li Qinghua wrote down another thing as he was urged to turn on the electric burner.

"Dong Dong Dong~"

"Please come in."

Yuan Xiaoli pushed the door in wearing a hospital gown, with a hint of anger on his face.

"Xiaoli, come and sit." Li Qinghua said with a smile.

"Qinghua, Dr. Zhou, can you use laparoscopic surgery for disappearing lungs?" Yuan Xiaoli asked straight to the point after closing the door.

In fact, everyone understands the principle, but Yuan Xiaoli still asks such a question.

Yuan Xiaoli didn't know about this disease, but Li Qinghua did.Hearing what Yuan Xiaoli said, he suddenly understood what Zhou Congwen's expression meant just now.

"It can be done." Li Qinghua thought about it carefully, "If the patient's condition allows."

Yuan Xiaoli sat down and began to talk about the patient's past.

The patient is a rural person in a nearby county. He was admitted to the hospital for the first time ten years ago because of pneumothorax.In addition to bullae, the patient also had severe asthma, bronchitis, and chronic obstructive pulmonary disease.

Five years ago, he was diagnosed as type II respiratory failure in the People's Hospital.

Therefore, the people's hospital used conservative treatment before. Yuan Xiaoli guessed that it was because the patients were more difficult, so Director Zhu Junzhu looked up the information, and finally found the diagnosis of disappearing lung and showed it off.

He came to Li Qinghua mainly to tell him that this patient cannot undergo surgery, even the less traumatic thoracoscopic surgery.

Chapter 0300

"Congwen, what do you think?" Li Qinghua didn't rush to a conclusion, although he already had a conclusion.

"Surgery is really difficult, I tend not to do it." Zhou Congwen said.

After a consensus was reached, there was nothing left to say. The three chatted casually for a while before Yuan Xiaoli went back to the ward to prepare for discharge.

He thought that Zhou Congwen would have to undergo this operation if he was dead or alive, and it would be a bit embarrassing if that happened.

The operation is difficult, and most anesthetists dare not anesthetize patients with respiratory failure.

Besides, there was another problem - Li Qinghua thought it was like performing an operation on himself. This patient had been hospitalized intermittently for ten years in the People's Hospital, but he was cured in the Third Hospital...

Similar cases illustrate one point - the technical level of the Third Hospital is stronger than that of the People's Hospital.

The operation is difficult and the possibility of failure is high.Even if the operation is successful, the master will feel uncomfortable, and Li Qinghua tends to give up the operation.And he really felt that the risk of surgery was too high, and the chest department of the Third Hospital could not withstand such a big storm.

Yuan Xiaoli originally thought that Zhou Congwen would not let go of this opportunity, no matter what the patient's condition was, he would try it.

How can you do it without walking a tightrope?

The accumulation of the People's Hospital over the years is not a joke. The Third Hospital doesn't even have electric heating, so why should it surpass the People's Hospital.

But hearing Zhou Congwen's reply, Yuan Xiaoli was a little confused.

It seems that this young doctor is not that radical, he knows it well.

……

……

Two twenty in the afternoon.

There was the rumbling sound of the flat truck crushing the ground, and the middle-aged man knocked on the door of the doctor's office with a film in his hand.

Zhou Congwen looked at him, slightly taken aback.

It's time to come.

"Hello." With a professional smile on Zhou Congwen's face, he stood up and greeted, "Who are you looking for?"

"You are the doctor in the morning." The middle-aged man recognized Zhou Congwen, "This is my mother's film, please take a look."

Zhou Congwen carefully looked at the middle-aged man, trying to find out what he felt was wrong.

But it doesn't matter if you can see the problem or not, the system has already given a clear hint... No, express, there is nothing to guess.

"Okay." Zhou Congwen didn't directly refuse, but walked over to take the film.

Li Qinghua also heard the voice, came out of the director's office, and saw Pingche and the middle-aged man head-on.

"It's Aunt Bai, why did you come to the Third Hospital?" Li Qinghua asked knowingly.

The patient had been hospitalized too many times, and both the patient and his family were familiar with the doctors in the Thoracic Surgery Department of the People's Hospital.The patient was lying on the flat car, his face turned eggplant-colored, panting hard like a fish thrown on the shore, but no matter how hard he tried, he couldn't get fresh air.

Li Qinghua stepped forward to hold the patient's hand, and stretched his other arm behind the patient's back to help her up and sat on the flat car in a semi-recumbent position.

"Aunt Bai, why didn't you go to the People's Hospital?" Li Qinghua asked.

"Doctor Li, why are you here?" The middle-aged man was startled.

"I've been transferred here to be the director." Li Qinghua said, "Why are you here?"

Of course he asked knowingly.

The patient has respiratory failure, chronic obstructive pulmonary disease...these are contraindications to surgery, and surgery is no longer possible. All the words are spoken to the living, and every old clinician is good at this.

The patient's family recounted what happened in the morning, and Li Qinghua shook his head, "I'm sorry, my doctor doesn't know about Aunt Bai.

By the way, let Auntie Bai lean on something, it's better to have someone support her on the flat car, so that she can breathe better. "

When more than a dozen family members of the patient heard Li Qinghua's words, they all stood aside, and only a girl who seemed to be underage came to help the patient up.

Li Qinghua sighed inwardly, the family members of the patient had already expressed their attitude with practical actions.

"Come with me."

Li Qinghua greeted Zhou Congwen and the middle-aged man, glanced at the family members who followed, and turned back to the director's office.

After inserting the film into the film reader, Zhou Congwen and Li Qinghua started to read the film.

The X-ray showed a huge bullae in the middle lobe of the right lung with insufficiency of part of the lung tissue, which is a typical giant bullae.

The lung tissue in the middle lobe of the right lung "disappeared" because the bullae were too large and compressed the lungs.

In Li Qinghua's memory, the patient was not so serious before, and it seemed to be a progressive disease.

"Doctor Li...no, Director Li, if you can perform surgery...save my mother." The middle-aged man said, "Director Zhu said that there is no way but to go home and die. My mother can't breathe. , I can't watch her suffocate to death."

The voice of the middle-aged man was a little rough, and it was especially difficult to say the words "suffocate to death".

Although it was true, Li Qinghua couldn't bear it, but the state of the patient was there.

Due to emotion and reason, no surgery can be done.

"Oh, it's not that I don't help." Li Qinghua sighed, "Aunt Bai has respiratory failure, and she didn't even dare to use anesthesia after she came on stage, so she couldn't do surgery."

The middle-aged man looked at Li Qinghua with some disappointment, but Li Qinghua shook his head, ready to take the film down.But when he was about to take the film, he paused.

Zhou Congwen, with his flat head crossed in his right hand, squinted his eyes and was looking at the CT scan of the patient's lungs frame by frame.

Li Qinghua did not bother Zhou Congwen to read the film, but said to the patient's family, "There is nothing good for me, really."

The middle-aged man's hands trembled a little, but the next second he knelt down in front of Li Qinghua with a "plop", and said in a mournful voice, "Director Li, please save my mother."

"Don't do this, don't do this." Li Qinghua quickly helped the middle-aged man up, "Look at what you are doing."

"Director Li, I beg you, my mother really can't take it anymore." The middle-aged man burst into tears, his nose burst into tears.

Li Qinghua sighed, "I told you that it's not that I won't help you, it's that the operation really can't be done. You see, we have known each other for ten years, can I tell you a lie? Besides, Director Zhu of the People's Hospital is my master, he Everyone said it couldn't be done."

The middle-aged man still did not give up, as if grasping at a life-saving straw, he refused to let go no matter what.

Although he couldn't bear it in his heart, Li Qinghua still refused to say anything.

After a stalemate for about 5 minutes, seeing Zhou Congwen take down the film and put it in the film bag, Li Qinghua supported the middle-aged man and pushed it out forcefully, "You know the situation, we really can't do it."

After pushing the middle-aged man out of the office, Li Qinghua heaved a sigh of relief.

Doctors are not gods, some diseases cannot be cured, and he feels very helpless, but there is only one correct option-refusal.

Coming to the side of the flat car again, Li Qinghua held the patient's hand and smiled gently, "Aunt Bai, I watched your film, it's nothing serious, it's the same as before. Go home and recuperate with peace of mind, and you'll get better soon."

After speaking, Li Qinghua let go, wanting the patient's family to push the patient away.

But his hand tightened and was tightly held.

Chapter 0301

The patient held Li Qinghua's hand firmly with the last ounce of strength, and did not let go of anything.

"Aunt Bai, you..." Li Qinghua wanted to persuade the patient.

But the four eyes met, and Li Qinghua saw the light of survival from the patient's eyes.

It's faint, but it's there.

Originally, the patient was already dying due to lack of oxygen in the brain due to respiratory failure.But the moment she held Li Qinghua's hand, she seemed to have foreseen her own ending, and desperately grabbed Li Qinghua's hand, refusing to let go no matter what.

Li Qinghua's heart trembled.

"I...I...save..." The patient wanted to say something, but he only said two words in a hoarse voice, and he had no strength left, so he could only grab Li Qinghua's hand with all his strength.

It's just that her strength is getting weaker and weaker, instead of holding her hand tightly, she gradually loosens it up.

Li Qinghua knew that the patient's life span would never exceed 24 hours.

So what to do.

I can't help myself.

"Director Li." Zhou Congwen called softly behind Li Qinghua.

"Well, Congwen, what's the matter?"

Zhou Congwen didn't speak, but squinted at the patient.

Li Qinghua was a little surprised. He talked to the patient's family, turned around and patted Zhou Congwen on the shoulder, and returned to the director's office.

"Congwen, you don't want to have an operation, do you?" Li Qinghua asked after entering the door.

"If you don't have surgery, you can only stay up for 24 hours at most." Zhou Congwen stated a fact indifferently.

"Oh." Li Qinghua sighed.

We all know that the patient has surgical contraindications and cannot be treated surgically.

I'm afraid I won't be able to survive the anesthesia, and then I will die on the operating table.

"Contraindications to lung volume reduction surgery are relative, and there is no uniform clinical standard yet." Zhou Congwen looked at Li Qinghua and said, "Anyway, he is dead. If you think you can survive a medical dispute, we can give it a try."

"..." Li Qinghua was startled for a moment.

Zhou Congwen said this, as if he insisted on surgery.

But I don't want to do surgery at all, and the patient's condition does not allow it.

After working for so many years, how many times have you seen doctors helpless?Li Qinghua can't remember it anymore, but he knows that doctors are not gods and cannot cure all diseases.

Just as he was about to explain his attitude, Li Qinghua felt his hand tighten, as if the patient was trying his best to grab his hand.

He raised his hand subconsciously, and he could vaguely see the fingerprints left by the patient on his hand.

It was just left by the patient holding his hand with all his strength. An old lady in her 60s left marks on her hand.

How uncomfortable is she?

How much did she want to die?

Li Qinghua didn't know.

Thinking of the situation just now, Li Qinghua felt very uncomfortable.

If it was in the past, I had no choice but to endure it.But now... thoracoscopic lung volume reduction surgery... seems to be feasible.

Zhou Congwen seemed to understand Li Qinghua's mind, he said in a deep voice, "Mayo Clinic has a related statistical data."

“胸腔镜手术治疗消失肺综合征手术耗时50.6±12.3分钟，术后胸腔引流管留置时间为12.4±4.8天，术后住院时间13.8±5.6天。”