I'm a god of medicine

Chapter 166 Your patient is in charge (please subscribe for more updates)
At noon, Lian Xiangdong was on duty.

Before I had time to eat, a patient with appendicitis was sent to the front clinic.

Xiao Lian didn't bother to go to eat, so he immediately called Jiang Yubei and said that he would take her to the stage for surgery.

There was no choice, it was almost 12 o'clock, and all the interns in my group, including other groups, had gone to eat, and Jiang Yubei was the only one left in the office.In fact, Lian Xiangdong had two other choices, one was to go on stage with his doctor Lu Haoming, and the other was to call Yang Xi.

It is unacceptable to Lian Xiangdong to have an appendix opened and follow the senior attending doctor's ass.At this time, Yang Xi, although he is his subordinate doctor in terms of status, in the minds of the nurses in the operating room, Yang Xi has already become his superior doctor to Xiangdong, so call Yang Xi It would be even more humiliating to call him on stage with him.

Lian Xiangdong, who had no choice, could only choose Jiang Yubei as the first assistant.

The interns only had four weeks to rotate in the general surgery department, and it had been a week and a half since Jiang Yubei entered the general surgery department. During this period, she only went to the operating table once with Director Ma and Zhang Yao respectively. hands-on opportunity.In this way, she would definitely not be able to satisfy the queen, so Jiang Yubei was also very excited about Lian Xiangdong's arrangement.

After preparing the patient for the operation, the nurses in the operating room also pushed the trolley to pick up the patient, and Lian Xiangdong led Jiang Yubei to the elevator entrance talking and laughing.

At the top, I met Yang Xi who had just returned to the 8th floor.

"Are you going? Are you going to eat? Wait for me, let's go together."

Jiang Yubei was about to reply, but Lian Xiangdong took the lead: "Well, hurry up, we'll wait for you here."

After Yang Xi entered the office, Lian Xiangdong hurriedly led Jiang Yubei down the stairs of the fire escape.

Jiang Yubei asked curiously, "Teacher Lian, why did you lie to Teacher Yang?"

Lian Xiangdong was quite serious, and replied: "Your doctor Yang is a knife demon, if you want him to know that we have an operation to be done, he will definitely intervene. At that time, it will be a trivial matter for Mr. Lian to be in the position of first assistant. The key is that you may not even be able to make it to the stage.”

After hearing this, Jiang Yubei shrank her neck and stuck out her tongue.

Yang Xi entered the office, put down his belongings, and immediately took off his white coat.At this moment, he seemed to realize something.

Those two guys said they were going to eat, so why are they still wearing work clothes?

Just about to chase him out to find out, he heard Yin Wei's voice from outside the office.

"You can't even sign. If the patient's data is not properly adjusted, even if Director Ma asks, I, Yin Wei, will not agree!" As the voice became clearer, Yin Wei and Ling Ran entered the office one after another. Come.

Seeing Yang Xi, Ling Ran was a little embarrassed, but didn't care too much, and then discussed with Yin Wei: "Can't you stay on my bed and adjust?"

Yin Wei smiled faintly, and said with a slightly sullen expression, "Your patient is in charge, and I have nothing to do with it."

Ling Ran quickly explained, "Doctor Yin, don't get me wrong, I mean that you will guide the adjustment plan."

Yin Wei took out his cigarette, but couldn't find the lighter for a while.

Yang Xi hurriedly stepped forward, lit a fire for Yin Wei, and left the lighter to Yin Wei, smiled faintly, and drifted away.Brother Yin is so awesome, there is no need to ask, he must be here for the anesthesia consultation for Grandma Xu Jiahan.

In recent years, the status of anesthesia in clinical surgery has been rising.More than ten years ago, anesthesiologists had very little voice in surgery, and it was up to the surgeon to decide whether to anesthetize and how to use it.However, with the continuous development of medicine and the continuous improvement of the professional level of anesthesia in China, the role of anesthesiologists in the perioperative period has become more and more important. Today, for a surgery, the right to decide whether it can be anesthetized or not has been controlled by the doctor. in the hands of the anesthesiologist.

This is not to say that the anesthesia profession has economically taken power away from surgeons.

Just as anesthesiologists see operations every day but do not know how to perform them, surgeons also deal with anesthesia every day but do not understand anesthesia.Surgeons mentioned the risk of anesthesia in the preoperative talk with patients, which can only be mentioned as an anesthesia accident. As for what kind of accident and why it happened, they basically know it but don’t know why.

The fact is also true. When the anesthesiologist regains the right to perform anesthesia, statistically, the accidental risk of surgery is indeed reduced a lot.Medicine pays attention to evidence-based. When the data on the sharp reduction of surgical accidents was presented at the academic conference, the importance of the anesthesia profession has been raised again.

For example, in municipal hospitals, unless it is an emergency operation, you must submit a preoperative anesthesia consultation to the anesthesiology department before the operation. Whether you can be anesthetized, or how to anesthetize, it is up to the anesthesiologist to decide.

In the anesthesiology department, although Yin Wei is only a senior doctor in charge, he is an absolute backbone of the business, and even the director of the department, Xing Rui, has to be courteous.Therefore, the decision made by the patients consulted by Yin Wei is almost the final verdict, and there is little chance to change it.

After Xu Jiahan's grandma was admitted to the hospital, Ling Ran also gave treatment to reduce blood sugar and blood pressure. However, the two days were short, and Ling Ran's skills in this field were limited. The treatment plan given cannot be said to be ineffective, but the obtained The effect is not enough.

Ling Ran thought that an epidural anesthesia would be enough for the great saphenous vein stripping operation, and this kind of anesthesia does not have too high requirements on the general condition of the patient, so after seeing the changes in blood sugar and blood pressure, she made an appointment Director You was going to perform surgery on Thursday, but Yin Wei voted him down.

Moreover, Yin Wei insisted on asking Ling Ran to transfer the patient to the Department of Endocrinology immediately, the reason is very simple, the patient's blood sugar fluctuations are not small, and you can't adjust it with the level of general surgery.

Ling Ran is very proud. In the city hospital, he also has the capital of pride. His supervisor, Professor Su, is a top-notch expert in Nanjiang Province, and his team director, Qin Gewei, is also slightly inferior to Director Ma in the general surgery department. And these two people admired Ling Ran very much.

But in front of Yin Wei, Ling Ran lost the qualification to be proud.

It's just because that Yin Wei is not arrogant, but he is domineering, and he is a pissed person with that Director Ma. If he disagrees with him, he must be blowing his beard and staring. Not to mention Ling Ran, even if it is Qin Gewei, Yin Wei is also saying to turn his face Faster than flipping a book.

There is no other way but to transfer Xu Jiahan's grandmother to endocrinology, otherwise, with Yin Wei's temper, if he does not follow his advice and leave the patient in the general surgery department to adjust blood sugar and blood pressure, then wait until the second anesthesia consultation At this time, this guy will definitely find fault.

(End of this chapter)