Doctor: I picked up attributes in the hospital

Chapter 14
"Old Gao, yes, where did you find such a good assistant?"

To be honest, Zhao Heng's performance exceeded Song Chen's expectations, and she couldn't help being a little envious. She was also a senior attending doctor, but none of the residents under her command had such a solid foundation as Zhao Heng.

As the attending doctor of Dongfang Hospital, it is necessary to teach, that is, to guide residents and interns.

This process is actually quite tiring, not only to do my own work, but also to be responsible for teaching.

If there is an excellent resident doctor under his staff, it will be much easier to be the attending doctor.

"Good luck, no way."

Gao Jun smiled slightly and said with some complacency.

He is a native of Beishi. To be honest, he is not short of money. With Zhao Heng as his assistant, his work will be much easier.

"Xiao Zhao, right? I'm also short of an assistant whether I'm considering going to the Department of Cardiac Surgery or not. Don't worry, if Lao Gao can give it to you, so can I."

Song Chen looked at Zhao Heng and said seriously.

"Doctor Song, it's not in the interest of robbing people."

When Gao Jun heard Song Chen's words, he was a little anxious. He finally found such an assistant, and he was targeted after only a few days of working.

"How can this be intercepting and robbing people? Besides, our Cardiac Surgery Department is the signboard of Dongfang Hospital. There are many doctors lining up outside who want to come in."

Song Chen said indifferently.

What she said is indeed the truth. In the field of heart surgery, Dongfang Hospital can be said to be at the top 3 level in the country.

"Xiao Zhao, what do you think?"

After a pause, Song Chen said to Zhao Heng again.

"Ms. Song, for now, I think anesthesia is more suitable for me."

Zhao Heng said to Song Chen very politely, no matter whether he was following Song Siming or some kind of cardiac surgery, for Zhao Heng now, eating is the most important thing.

Besides, I am an undergraduate, and I am a doctor's heart at the beginning, I am afraid that I can't even get on the operating table.

Unlike now, not only can he do anesthesia with Gao Jun and earn money for meals, but he can also perform various operations and gain experience from various surgical masters.

For now, in Zhao Heng's view, improving oneself is the most important thing!
"That's right, that's right!"

Hearing that Zhao Heng declined Song Chen for himself, Gao Jun felt as comfortable as drinking ice soda in the dog days.

No way, although anesthesia is important, in the operating room, the sense of presence is indeed not very high.

Gao Jun was in front of Song Chen today, but he had a good sense of presence.

This kid is good, reliable!
At this moment, Gao Jun was very satisfied with Zhao Heng.

Seeing that Zhao Heng refused without even thinking about it, Song Chen became more interested in Zhao Heng.

In the hospital, it was rare for someone like Zhao Heng to appear.

The hospital is a place where qualifications are required. All attending doctors have survived step by step from intern to resident doctor.

Looking at Zhao Heng, Song Chen thought for a while, and suddenly asked, "Do you know anything about extracorporeal circulation? In this operation, what is the point of extracorporeal circulation?"

Song Chen intends to take the exam on Zhao Heng again.

Extracorporeal circulation, as the name suggests, is to recreate a circulation outside the body, which is generally used for heart surgery.

Because it involves operations such as cardiac arrest, repulsation, and extracorporeal blood circulation, it is very high-end and complicated.

"Doctor Song, you are embarrassing Xiao Zhao. Extracorporeal circulation, at least, can only be accessed by the attending doctor. Xiao Zhao still needs to learn."

Gao Jun also felt that Zhao Heng couldn't answer, so he rescued him in advance.

Zhao Heng thought for a while and said confidently: "First, the patient needs to be heparinized before extracorporeal circulation. For this elderly patient, I think the dose of heparin should be 3mg/kg, and the ACT should be greater than 480 seconds. Second, Analgesics and muscle relaxants should be added at the same time to compensate for the increase in drug distribution volume after extracorporeal circulation and the decrease in drug concentration caused by the adhesion of extracorporeal circulation machines. Third, before aortic cannulation, TEE must be used to evaluate the ascending aorta or aortic arch The presence or absence of calcified or free atheromatous plaque, and their specific location to guide the placement of cannula."

"Yeah, yes, that's right."

Hearing Zhao Heng's answer, Song Chen nodded again and again. What Zhao Heng said was completely correct and organized. It's hard to imagine where he learned these things. These experiential things can't be learned from textbooks. of.

"In addition, due to the expansion of drug distribution volume during extracorporeal circulation, the adhesion of the tube wall of the extracorporeal circulation machine to the drug, and the slowing down of drug metabolism due to the decrease in body temperature, the pharmacokinetics of anesthetic drugs cannot be performed according to conventional methods. Therefore, it is necessary to strengthen the monitoring of the depth of anesthesia during the operation, which is extremely important to avoid shallow anesthesia."

Zhao Heng said again.

"Xiao Zhao, you came up with all these yourself?"

Hearing this, Gao Jun couldn't help asking.

He didn't have time to teach him these things.

What he and Zhao Heng said just now were just some basic things.

"Well, these are what I came up with based on the patient's actual situation and pharmacokinetics."

Zhao Heng nodded. He couldn't say that all these experiences came from you.

"When I was young, I didn't have your ability to draw inferences from one instance to another. It seems that you are naturally suitable to be a doctor."

Gao Jun sighed and said.

After practicing medicine for so many years, Gao Jun believes that in the profession of doctors, there is no such thing as a genius.

All great doctors have to go through a long accumulation of knowledge and experience.

For an empirical discipline such as medicine, it is not enough just to have extraordinary memory ability or thinking ability.

The human body is complex, and the patient's condition is changing rapidly. If you always rely on textbooks, you may pay a very painful price.

Besides, most of the things in the textbooks are accumulated from experience, and when they are put on patients, it does not mean that they are [-]% correct.

"Your knowledge of our cardiac surgery is indeed a bit beyond my imagination."

Even Song Chen couldn't help but say.

It is impossible for Zhao Heng to answer the answer just now, if he is not a senior attending doctor of cardiac surgery, or an anesthesiologist like Gao Jun who has cooperated with many cardiac surgeries for many years.

"Heart bypass surgery is very common now, but Director Huang's surgery is something most doctors can't even see. It's good for you to learn more later."

After a pause, Song Chen kindly reminded.

Anyone who has reached the top level in the country in a field is not an ordinary person. From such a person, you can indeed learn a lot.

This kind of opportunity can only be provided by Dongfang Hospital.

This is why so many young doctors want to go to big hospitals.

Some things, in a small hospital, may not be seen in a lifetime.

(End of this chapter)