Back in 2002 as a doctor

Page 171

Watching the film carefully, Zhu Jun asked, "Do you know why I let you in at the end?"

The patient was taken aback for a moment, he didn't know at all, and thought that Director Zhu was playing big cards.After all, I didn't register, and I entrusted someone to see a doctor, so it's normal to be last in the queue.

"There are usually queues behind the doctor, so I can't explain it too carefully." Zhu Jun said lightly, showing a sense of empathy and concern, "I was off work when I finally came in, so I don't think about other patients. Here's to you." Breaking this disease into pieces and explaining it clearly will save you from worrying."

Hearing what Zhu Jun said, the patient almost didn't cry.

Director Zhu is simply too kind, this is a doctor, so caring.

"The small nodules in the lungs are here." Zhu Jun pointed the film with his hand and explained it to the patient.

He hasn't explained his condition in detail for many years. In his perception, this is what junior doctors should do.

But the patient in front of him was different. He was supposed to be Li Qinghua's patient. Zhu Jun devoted his whole life to explaining the patient's condition and observing the patient's emotional changes.

The sword is not old. Under Zhu Jun's explanation, the patient understood clearly and could feel the sincerity of Director Zhu.

Zhu Jun did not say that he must use a big knife and uncover the cover.

There happened to be a patient, who knows how to cut wedges, he and the patient talked about from "The Lancet" to "New England", from their own surgical experience to the use of thoracoscopy.

It took a full hour, and when Zhu Jun's stomach started to growl, he stopped talking.

"That's it, you understand." Zhu Jun put on the film with a smile, "If you want to ask me for surgery, call Lu Tiancheng."

As he spoke, Zhu Jun wrote Lu Tiancheng's phone number on the blank prescription and handed it to the patient.

"If you want to go to the Third Hospital to listen to what Li Qinghua has to say, that's fine, it's all right. The specific choice is up to you, I think I've made it very clear." Zhu Jun didn't say anything dead, but left the patient with empathy. left room.

"Yes, yes." The patient nodded repeatedly.

Or should we say that Jiang is old and hot? The patient thought to himself that he had been convinced by Zhu Jun's profound knowledge, and said directly, "Director Zhu, I'll go back and take a shower to clean up my housework. I'll come to the hospital tomorrow. Your side Do you use a row of beds?"

"Lao Luan called, there is no need for anything." Zhu Jun sold a favor, "Look for Lu Tiancheng to come to the hospital directly, and I will come to the stage to perform surgery on you."

……

……

The next day, the patient arrived as scheduled without any trouble.

Zhu Jun was also quite satisfied with this, and he didn't spend so long explaining his condition in vain.

The preoperative examination was also very good. The patient can be said to be a healthy and normal person, which is completely different from the patients with 5-10cm tumors. He is young and strong. Zhu Jun followed all the way and lamented that similar operations are really easy to do.

The most important thing is that the patient is young and strong, and there will certainly not be a bunch of complications like the elderly after the operation.

Li Qinghua was really cunning and chose a particularly suitable direction.

But are you sure you can beat me?Thinking of Li Qinghua, Zhu Jun felt very motivated.

There were no surgical contraindications in the preoperative examination. Zhu Jun immediately arranged for the operation and postponed other operations.

Is it just thoracoscopic surgery? What's the difficulty? !Zhu Jun thought to himself.

With all kinds of psychology mixed together, Zhu Jun is looking forward to the operation.

On the night before the operation, Zhu Jun hosted a few banquets, and returned home to calmly recall the process of virtual thoracoscopic surgery over and over again.In addition to Li Qinghua's surgery video, he watched it countless times, and he already knew it by heart.

The operation process was very simple, so simple that Zhu Jun couldn't believe it.

But no matter what, we must maintain our state, and we must be a hit.

I can do what Li Qinghua can do, and even better than him!Zhu Jun thought so in his heart.

Zhu Jun got up at dawn, and he went out for a walk first to warm up.

Zhu Jun definitely doesn't attach so much importance to general surgery. He doesn't seem to notice that he attaches far more importance to this operation than usual.

When he came to the hospital and finished his shift, Zhu Jun almost came to the operating room with the patient. He sat in the corner of the operating room and watched the anesthetist anesthetize the patient.

"Director Zhu, shall we also perform thoracoscopy in the future?" the anesthesiologist asked.

The recent changes in thoracic surgery have spread widely in the hospital, and everyone has discussed a lot behind their backs.Director Zhu Junzhu performed a similar operation today, and the anesthesiologist was very interested in it.

He still felt that Li Qinghua, who had gone to the Third Hospital, could not compete with Director Zhu, Jiang was still old and hot, and the platform was different.

Doctors, especially eat platforms.The people's hospital must hold a lot more weight in the hearts of ordinary people than the third hospital. No matter how hard Li Qinghua struggles, Director Zhu will definitely come first.

"Let's do it first. I think the indications for this kind of surgery are relatively small." Zhu Jun replied calmly.

The anesthesiologist didn't ask much questions, and concentrated on intubation and anesthesia.

He could already smell the thick smoke of gunpowder, and he didn't want Director Zhu to be furious because of any mistakes on his side.

After anesthesia, hand brushing, and draping, the operation began.

Zhu Jun started the operation himself, and did not wait for the doctor under him to go in before doing it himself.

Opening the skin, removing the lungs, poking the card, inserting the thoracoscope lens, everything was done step by step, Zhu Jun did it in an orderly manner.

Although he did few thoracoscopic surgeries, he was the chief director after all, and his experience was much richer than that of ordinary doctors. In addition, he had enough homework before the surgery, everything seemed so smooth.

however.

After entering the chest, Zhu Jun was dumbfounded.

The lungs collapsed, and the small nodules in the lungs that were not very close to the side... suddenly disappeared.

His thinking is still solidified in the thoracotomy. If there is a major operation, Zhu Jun will definitely touch it with his hands to find out the location of the small nodule little by little.

As far as the feel is concerned, Zhu Jun doesn't feel that he is inferior to the professors in the provincial capital. This is his unique secret.

Besides, most of Zhu Jun's large-scale surgery will cut the lung lobes, and it doesn't matter where the small nodules are.

But laparoscopic surgery feels useless at all, and can't cut the lung lobes. Zhu Jun stared at the screen dumbfounded.

Chapter 0295

"Director Zhu, you're so good." The itinerant nurse didn't know what happened, and praised her from behind.

Few people will take the initiative to drive when the chief director is performing surgery on the operating table, but will flatter them.The big directors have different preferences, and they are quite majestic, flattering is the best choice.

Zhu Jun didn't seem to hear this compliment. He clamped the lung lobes with long pliers, and searched carefully up, down, left, and right.

Pulmonary nodules are inside the lungs, only about half a centimeter in size, and there is no trace at all from the outside.Usually, the lung lobes are cut directly, and there are very few opportunities to touch them with hands. The more Zhu Jun looked at it, the more at a loss.

Watching people perform surgery is completely different from performing surgery on his own. At this time, Zhu Jun is like a little doctor who has just had an appendectomy performed by the director. His hands and feet are cold and he is at a loss.

Lu Tiancheng, who was supporting the station, was also a little confused. He found that he couldn't find the location of the small lung nodules.

But why did Chen Houkun's surgery go so smoothly?According to the video of the operation, the linear cutting stapler should be lowered now, and then two clicks to end the operation.

But where are the pulmonary nodules? !

Anyone who has undergone surgery understands the truth that a surgery that others have performed smoothly may not be able to perform it on stage.

This is because I have always been someone else before, and the surgery has always been envied by others. Now... Both Zhu Jun and Lu Tiancheng stared blankly at the TV screen, constantly flipping the lung lobes to find small lung nodules.

After about 3 minutes, Zhu Jun said in a deep voice, "Gun."

The instrument nurse didn't know what happened on the operating table, and she quickly handed over the linear cutting stapler.

Lu Tiancheng didn't dare to speak. At this time, questioning the director was equivalent to provocation. He was not that stupid.And in Lu Tiancheng's heart, the director must have found the location of the pulmonary nodules... I hope.

Ka Ka Ka, one or two shots, the severed lung lobe was put in a bag and pulled out.

Zhu Jun did not communicate with Lu Tiancheng, but raised his hands in front of him, turned around and back to back with Lu Tiancheng, and then came to the equipment table.

"Knife." Zhu Jun said in a calm tone as much as possible to hide his panic.

He has rich experience and has heard or experienced all kinds of bad things in medical treatment. Now Zhu Jun finally understands that the difficulty of thoracoscopic surgery for small pulmonary nodules lies in positioning.

Zhu Jun was praying to Mantian gods and Buddhas in his heart, and he must cut off the small lung nodules at one time.

The instrument nurse installed the blade on the handle, and Zhu Jun had already touched the cut lung lobe at this time.

There is no problem, the small nodules should not be cut off!

What the hell, is it true that the small pulmonary nodules were not removed?Zhu Jun felt a chill in his heart.

He found a suspected location and carefully cut it open with a knife.

At this moment, Director Zhu Junzhu is no longer the chief director of the thoracic surgery department, but has transformed into a technician in the pathology department, who is cutting and freezing slices during surgery.

The result disappointed Zhu Jun. There was no pulmonary nodule in the place he suspected most.

Then keep looking!

Even dig three feet to find it!

Zhu Jun understands that on the operating table, one is one, and two is two, and there is no ambiguous middle ground.

If you avoid it, even though you are fine now, everything is certain after getting off the operating table. After the patient has a CT scan after surgery, the small nodules are still there. How should I explain it to the patient and the patient's family?

Gradually, other people also understood what Zhu Jun was doing.

The operation is very simple, but... Director Zhu seems to have not removed the small lung nodules!

I'll go... The anesthetist's eyes are like copper bells, did the operation fail? !How could this kind of thing happen to Director Zhu!

Moreover, part of the lung lobe was cut off, but the small nodules were not cut off.

There was no sound in the operating room, except for the high-frequency hiss of slight currents from various machines.

Zhu Jun's sterile cap was already wet with sweat. He cut it off one by one.

"Wipe your sweat." Zhu Jun tilted his head.

If it is normal, the pungent itinerant nurse will sneer; if it is another director, the itinerant nurse will give a few words of comfort.

But the matter in front of her was a bit embarrassing, she kept silent, and quickly wiped Director Zhu's sweat with sterile gauze, and then tied a piece of dry sterile gauze on the top of Zhu Jun's head.

The clock in the operating room was ticking and walking without emotion. Zhu Jun felt as if he had fallen into an ice cave. It took nearly half an hour before he gave up.

I did not cut the small pulmonary nodules.

"Film." Zhu Jun pretended to be calm, and watched the movie again with his hands in his front pockets.

He has seen the film many times. Why can't he find the small pulmonary nodules about 2 cm inside the outer edge of the lower segment of the right lung middle lobe?Zhu Jun was cursing the damn thoracoscopic surgery in his heart.

Although the trauma is small, the lungs collapse after one-lung ventilation, destroying the previous physiological and anatomical structure. Where can we find small pulmonary nodules? !

Isn't this looking for a needle in a haystack!

Although the approximate location must be there, what if there is an accident, such as the situation I am encountering now?

After watching the film for a few minutes, Zhu Jun was still at a loss, so he could only bite the bullet and return to the operating table to continue the operation.

Let's shoot and destroy part of the lung, this is the only thing Zhu Jun can do.

However, the lung lobe that was destroyed again had a new problem, and the two shots could not be perfectly matched together.Two stitches were needed to avoid postoperative air leakage. Zhu Jun was almost insane due to the torture of the operation.

After the next lobe was cut off, Zhu Jun went to work as a technician in the pathology department and searched for it bit by bit.

But the damn nodules still haven't appeared.

After searching a little bit, Zhu Jun's eyes were already a little blurred, and the lights in the operating room were still on, so he was almost not blurred.

He is not very proficient in the operation of thoracoscopic surgery, and it is more difficult to continue to "cut sausages" to cut lung lobes.

But you can't leave the small nodules here, no.

It's better to open the chest, look with your eyes, there is nothing you can't see, Zhu Jun just turned his head when he encountered difficulties in the first attempt, and then turned his head to return to his most comfortable zone.

It took a full 3 hours before Zhu Jun cut off the small nodules.He looked helplessly at the surgery area and let out a sigh of relief.Although there were twists and turns in the operation, it was still taken down.

However, Zhu Jun really hated thoracoscopic wedge resection, so it would be easier to cut the lung lobes directly.

And it's just a small nodule. Judging from Zhu Jun's experience, the number of such patients is so small that it's not worth mentioning at all.

Li Qinghua just found a crooked way and didn't learn it well!Zhu Jun was very contemptuous.

It was almost 11:30 noon when the surgery came down.

No one thought that a thoracoscopic surgery would take such a long time.

Zhu Jun secretly decided not to do thoracoscopic surgery in the future. Li Qinghua is doing crooked ways, and he can't go astray like him.

Chapter 0296 Knotting

Zhu Jun gave up his plan to develop new surgical methods, and at the same time, Li Qinghua actively pushed forward and went forward without hesitation.

He is very quick in his work and extremely strong in execution.