Back to 1999: From operating surgeons to becoming a top doctor

On the way, Xiao Chenguang contacted Xu Guoqiang again. After confirming the patient's condition and the specific time to arrive at the Provincial Capital Second Hospital, the other side also called the person to the hospital.

The car quickly got off the highway, and the Provincial Capital Second Hospital's inpatient building, which stood out from the crowd, came into view.

Because it was midnight, the whole hospital was quiet, and compared with the bustling and endless stream of patients during the day, it was more peaceful.

"I'm going to the emergency department to get a flatbed."

Xiao Chenguang got off the co-pilot. Because of the long journey, the patient who was half lying in the back car was out of breath.

Two empty oxygen cylinders were placed at his feet, thanks to Gu Ting from the emergency department who took an extra oxygen cylinder before leaving.

Otherwise, it would be difficult to get through this road.

As soon as I entered the emergency department, I found that Xu Guoqiang had made a call in advance, and the flatbed and oxygen cylinders were ready.

Even Xu Guoqiang himself had pushed the flatbed over.

"Teacher Xu..."

Xiao Chenguang expressed his gratitude again. After all, he asked someone to do something for him. He did not rest at night, waited in the emergency room, and came to help in person.

These are all favors.

"Reporter Liao, this is Director Xu from the Second Hospital of the Provincial Capital."

After a brief introduction, Liao Changgong hurriedly stepped forward and bowed, and then everyone lifted the old man onto the flatbed.

"I will lead the way, follow me."

Seeing that the old man's condition was indeed a bit bad, Xu Guoqiang took the patient directly to the endoscopy room without saying anything.

"Director Huang, this is the Director Xiao from Yingcheng I told you about."

"He helped with the last operation."

In front of the endoscopy room, a middle-aged man of about 40 years old stood there with his eyes closed.

After hearing Xu Guoqiang's introduction, he glanced at Xiao Chenguang, and a hint of surprise flashed in his expression.

This is the legendary Director Xiao who came from Yingcheng to the provincial capital to guide the work. So young?

The last hepatobiliary surgery caused quite a stir in the hospital, and even the deputy director of the imaging department went there to learn in person.

This shocked Huang Shi. He didn't want to come tonight. After all, for patients transferred from lower-level hospitals, he could just arrange his subordinates to come and help.

But when Xu Guoqiang said that it was Xiao Chenguang from Yingcheng who brought the patient, he immediately changed his mind.

He really wanted to know what kind of person could cause a sensation in the Second Hospital of the Provincial Capital.

But soon his attention was attracted by the patient lying on the stretcher.

The lips were cyanotic and he was panting. The old man's condition was not good.

Huang Shi was a doctor in the respiratory department before. He went out to study bronchial fiberoptic bronchoscopy and then transferred to the endoscopy room.

He usually encounters many patients, but it is rare to see patients with breathing patterns like the old man now.

"I heard from Director Xu before that the old man choked on a peanut while eating. Looking at the current situation, it may not be possible to remove the tube even if the tube is inserted."

Huang Shi has his own judgment. After all, he has seen many patients and can basically draw a conclusion at first glance.

This patient is not easy to treat. Even if a tracheal tube is inserted into the mouth and a metal guide wire is inserted to clamp it, it may not be able to be removed.

After hearing Huang Shi's words, Liao Changgong felt a chill in his heart, and even a chill rushed up from his back, making him shiver.

If there is no way to treat it in the provincial capital, then surgery is the only option.

But can his father withstand the risks of surgery in his current physical condition?

Xu Guoqiang on the side was also silent. He didn't know much about endoscopic technology, but he knew Huang Shi.

If even Director Huang said it was difficult to remove, it is estimated that others would not have any good solutions.

If it really comes to the stage of surgery, it is estimated that it will be difficult for the old man to survive in his condition.

But there was nothing that could be done. The old man had a cerebral infarction, and now his lungs were like this. Xu Guoqiang felt a little sad. He didn't expect that sometimes a peanut could kill someone.

Just when the atmosphere was low and quiet, Xiao Chenguang spoke.

"Director Huang, the patient is here, let's give it a try."

"Although he has a history of cerebral infarction, because of this, the patient's choking reflex is not good, and tracheal intubation may cause airway spasm, leading to pulmonary edema, and foreign bodies cannot be removed."

"But if you don't intubate, do nasotracheal fiberoptic bronchoscopy, as long as the direction is right, use lidocaine to anesthetize the nasotrachea and airway, it may be easier to do."

Xiao Chenguang's words, like a wisp of spring breeze, blew directly into Huang Shi's heart.

"Where did you learn to do nasotracheoscopy?"

Huang Shi raised his head suddenly and looked at Xiao Chenguang. Although the latter was young, he stood there, giving people a sense of confidence and stability.

Especially the method he just mentioned, Huang Shi thought more and more that it was feasible, and even opened a new door for him in endoscopic technology.

"I followed the teacher to learn before, and I saw him do"Xiao Chenguang, as usual, passed the blame to his mysterious teacher. Then he handed the CT film in his hand to Huang Shi and said quickly: "I have seen the patient's film. The nasal cavity structure is intact, which provides conditions for transnasal fiberoptic bronchoscopy. I have also observed the patient's cough reflex on the way. There should be no problem in the operation." In the future, transnasal bronchoscopy has become a routine operation, but now it is still in its infancy. Many operating details and precautions can only be explored bit by bit. "Then try it?" Huang Shi was a little eager to move. If he could do the transnasal bronchoscopy, he could also develop a new business in the future. He looked up at the family member beside him. As long as he agreed, he would start preparing. "Director Xiao?" Liao Changgong had no idea at this moment. Originally, this examination was a suggestion made by Xiao Chenguang to him, otherwise he would not have gone to the provincial capital with so much trouble. But now even the director of the provincial capital has backed down, which makes him not know what to do. "It's okay, I'll watch it. "

This faint response gave Liao Changgong great encouragement. Since he chose to listen to Xiao Chenguang, he must trust him 100% and should not have any doubts.

"Director Huang, let's do it."

"Okay, then I'll start preparing. "

Huang Shi said, moving his eyes away from the patient, and silently glanced at Xiao Chenguang.

Even he was not completely sure about the nasobronchoscope, so why was this young man so confident?

It seemed as if he had done this kind of examination before.

Huang Shi shook his head, cleared the messy thoughts in his head, and concentrated on performing bronchial fiberoptic bronchoscopy on the patient in front of him.

Seeing Director Huang start to prepare the equipment, Xu Guoqiang also breathed a sigh of relief. At least they promised to do it, and it was worth inviting him from home to perform the operation so late.

The patient was carried to the bed in the endoscopy room, and the oxygen cylinder was replaced with the hospital's unique oxygen supply system.

As the flow was turned on, the patient's nasal catheter made a hissing sound of airflow, and the breathlessness was obviously much better than before.

At this time, Liao Changgong's nervous heart relaxed a little.

"I'll take care of the old man, you go to handle the procedures first. ”

Before removing the foreign body, the various procedures of the hospital should be completed.

Otherwise, without the patient information, it is impossible to get lidocaine and anesthetics from the pharmacy.

“Okay, I know, I’m sorry to bother you directors.”

Liao Changgong bowed deeply to everyone present, and asked his sister to stay here to accompany the old man, while he took his father’s ID and began to handle various procedures.

After waiting for a while, Liao Changgong brought in the prescribed medicine, and then left consciously, not to disturb the people who were preparing to start the examination.

“This person has a high quality. Most people would see my father like this, relying on their relationship in the hospital, and would like to stay by the bed and not go anywhere.”

Huang Shi, who was about to put on isolation clothing, had a better impression of this family when Liao Changgong withdrew.

“Indeed, it is not difficult to find out from their conversation and behavior. "

Xu Guoqiang also nodded in agreement.

It seems that birds of a feather flock together, and those who can be friends with Xiao Chenguang are not too bad in quality.

"Then let's start, Director Xiao, you help me keep an eye on it."

With Xiao Chenguang's previous guidance, Huang Shi instinctively regarded him as a director of the same level.

Huang Shi simulated the angle of entering the mirror in his mind, and then carefully took the bronchoscope out of the thick iron box.

"No problem. ”

For Xiao Chenguang, nasal bronchoscope is really not a very technical thing, it just needs a hand.

If it weren’t for the bronchoscope needed this time, Yingcheng didn’t have it, there would be no need to go through so much trouble.

He even wanted to wait until the operation was over and ask Qin Yong of Great Wall Medical if he had such equipment, so that he could borrow two and keep them in the department in case of emergency.

Thinking of this, Xiao Chenguang suddenly remembered that Qin Yong was still busy with his 300,000 electric grinding and drilling system.

I don’t know how things are going. I can call and ask about the situation tomorrow. If It was too difficult, so he thought of another way.

At this time, the patient suddenly choked and coughed, disrupting Xiao Chenguang's thoughts.

Huang Shi, who was holding the mirror, looked a little ugly, because he found that no matter how he adjusted the angle, he could not smoothly enter the patient's airway from the nasal cavity.

This was equivalent to not even opening the door, let alone removing the foreign body deep inside.

Just as Huang Shi was getting more and more anxious, Xiao Chenguang's voice rang out in the endoscopy room.

"Director Huang, try to lift the front end of the bronchoscope 30° and insert the mirror at an oblique angle, which may have a better effect."