Back in 2002 as a doctor
Page 13
"Excuse me, can the gastroscopy room open now?"
Zhou Congwen also asked with the mentality of giving it a try.
The gastroscopy room of the Third Hospital is not an independent department. The gastroenteroscopy project, which has just started, belongs to the Department of Gastroenterology, whether it is personnel or equipment.
Gastroscopy and colonoscopy items are chronic examinations, and they have not yet reached the stage of treatment.They didn't do it at night, Zhou Congwen didn't have much hope.
In 2002, in primary hospitals like the No. [-] Hospital of Jianghai City, gastrointestinal endoscopy was still a "high-tech", not to mention painless examinations, and ordinary ones were not fully spread.
Zhou Congwen didn't care about a small foreign body in the esophagus. Even with the low-end and outdated gastroscope in 2002, he had full confidence in taking out the foreign body.
But Zhou Congwen is not a god, and the prerequisite for taking out foreign objects is the most basic equipment.
You can't pick your throat with your hands, stretch your arms in and pick out the Coke bottle cap, right?
If it doesn't work, the patient can only go to the provincial capital.
It can't be said whether Zhou Congwen was lucky or the patient was lucky. The chief physician on duty today is the responsible attending physician of the Department of Gastroenterology.Not long after the machine was bought, she was still in the learning state, and she felt itchy in her heart, so she agreed when she heard that Zhou Congwen wanted to use the endoscope.
Zhou Congwen let out a long breath.
It seems that the patient's luck seems to be good. After experiencing the Coke bottle cap being stuck in the nozzle, he finally ushered in good luck.
It is best to solve it by yourself, and it will save the patient from suffering.
The patient took a film, and the serrated end of the bottle cap pressed tightly against the mucous membrane at the upper end of the esophagus. It was very difficult to remove it with simple gastroscope forceps.In fact, looking at it from another angle, the idea of handling is simple and simple. Use a condom to cover the bottle cap, and then take it out.
But condoms...
He picked up his phone, and his first thought was to find a pharmacy that delivered food.
But Zhou Congwen immediately realized that he was in 2002, and now, not to mention the takeaway system, even mobile phones cannot access the Internet.Not even talking about mobile terminals, there are very few desktop computers at home, and Internet cafes are still a popular option for making money.
The Lan Jisu incident eliminated a group of Internet cafe owners, and the rest began to eat bonuses. There will be about 8-10 years of violence... No, what am I thinking.
Zhou Congwen sighed deeply, and took his mobile phone to call his relatives and friends.
but……
Who can send condoms to relatives and friends?The dormitory was probably playing mahjong, and Shen Lang, a colleague in the chest department except Wang Qiang, should have gone home. His house was far away, and the cucumber dishes were cold when they were delivered.
Looking for a big night nurse to buy?
As soon as this idea appeared, it was instantly killed by Zhou Congwen.
Don't bring such a provocative one, the old saying goes well - the rabbit doesn't eat the grass beside the nest, and I can't hug the grass beside the nest to eat delicious.
Although there is an old saying that if you are close to the water, you get the moon first, but Zhou Congwen is not interested in this, and he doesn't want to spread any scandals.
This is how to do? !
For a while, Zhou Congwen felt that it was so difficult to be reborn, and there were no nine doctors around him, and they could send whatever he needed at the first time.
There are very few people when they use it!
Zhou Congwen was a little depressed.
"Ringlingling~~~" The monotonous ringtone of the mobile phone startled Zhou Congwen.In a daze, he thought that the system had issued tasks to him.
In 2002, there was no CRBT, and a Nokia was considered a "high-end" person.Zhou Congwen wouldn't even buy a Nokia if Wang Chengfa hadn't asked to be on call 24 hours a day. After all, it doesn't feel good to be able to find himself for surgery anytime, anywhere.
"Hello?" Zhou Congwen answered the phone.
"Doctor Zhou, I, Liu Xiaobie. It's okay, just make sure it's your phone number, and don't forget to call me when you have surgery training next time."
"Don't hang up!" Zhou Congwen felt that Liu Xiaobie was going to hang up the phone, so he stopped him immediately.
"Huh? Are you okay?"
"..." Zhou Congwen hesitated.
Will Liu Xiaobie misunderstand?
It doesn't seem very good, but the patient is ready to start the examination, there is no other way.It is an even more outrageous idea to let the patient's family members buy it, after all, it is a little girl.
If the patient's family members were to treat themselves as perverts...would they be ashamed? !
Why don't you tell Liu Xiao, a bold idea appeared in Zhou Congwen's mind.
"Liu Xiaobie, I have something to do, see if you can do me a favor." Zhou Congwen's tone softened a lot, even a little humble.
"Hey, you seem to be a very dutiful person, how can you pick up little girls?" Liu Xiaobie's tone was tinged with sarcasm.
Bubble?Hey!
Zhou Congwen's thoughts flashed, and he used strong willpower to control the embarrassment and distracting thoughts deep in his heart, and said lightly, "What are you thinking, I am rescuing patients here, can you help me buy some condoms?"
There was silence on the phone.
Zhou Congwen was also a little embarrassed, he explained, "It's really for surgery, don't..."
"Doctor Zhou Congwen, I'll send it to you right away. If you lie to me, prepare the cemetery in advance. The grass on your grave will be three feet high next year."
After Liu Xiaobie finished speaking, she didn't listen to Zhou Congwen's explanation at all, and hung up the phone directly.
Zhou Congwen shrugged his shoulders, it is really inconvenient without a doctor.And Liu Xiaobie's temper is too hot, even threatening himself.
As for what.
Taking the patient to the endoscopy room, Xia Ming, the chief physician in charge of gastroenterology, has already prepared the gastroscope equipment.Zhou Congwen was amused when he saw her eagerness to try. Young and middle-aged doctors wanted to master every new technology.
The reason why he is proactive has something to do with those high-level claims, but it has little to do with it.
The main reason is that the old directors suppressed them too hard. If they want to climb half a level, they must have something strong in their hands that can be used to talk about things.
With this premise, there is only a slight possibility.Otherwise, the backing is strong enough, the kind of blood relationship.
But in my memory, Xia Ming's luck was not very good. A few years later, when he started painless gastroscopy, a patient died for unknown reasons.And Xia Ming was immediately suppressed by the old director like a storm, and finally ended badly.
But in 2002, Xia Ming had just been exposed to gastrointestinal endoscopy, and she couldn't hold back her excitement, and she was unwilling to let go of any case.
Growing up, mostly like this.Even if there is no accident, ten or twenty years later, there will be a day when she will feel sick when she sees the gastroenteroscopy machine.
"Xiao Zhou, what patient?" Xia Ming asked.
"Sister Xia, a patient swallowed a Coke cap, which is in the upper part of the esophagus." Zhou Congwen said.
"I really dare to eat anything."
"I saw it when I was eating barbecue. He lifted the bottle cap with his mouth and was sprayed by Coke. There is no way."
"Excellent, this is fine." Xia Ming inserted the film into the film reader and took a look.
The bottle cap is obviously in the upper part of the esophagus, 5 cm away from the throat.
Xia Ming said casually, "It's okay, I'll take it out."
"..." Zhou Congwen was speechless.
It is obvious that Xia Ming is still in the state of fearlessness of the ignorant.
This operation looks simple, but it is actually very difficult.The bottom of the bottle cap has serrations, and if it is taken out raw, it is easy to cut the lining of the esophagus.
It's okay if it's slightly scratched, but once it's slightly scratched... the consequences will be disastrous.
Chapter 0022 Smelly hooligan
Due to the special elasticity and blood supply of the esophagus, it is difficult to heal itself after a traumatic rupture, and surgery must be performed like esophageal cancer.
Based on the analysis of the position of the bottle cap of the existing patient, if the operation is performed, three incisions, neck anastomosis, daily dressing changes, and a strong smell of pus are all over the corridor.
Zhou Congwen has a headache when he thinks of patients with anastomotic leakage after esophageal cancer surgery. This kind of patients is very difficult.
"Sister Xia, it's amazing." Zhou Congwen thought about the difficulty in his heart, but smiled on his face, "I knew you could do it."
"Try it, I'm new to it too." Xia Ming is eager to try.
"The bottle cap doesn't seem to be in a good position, don't scratch the lining of the esophagus." Zhou Congwen reminded in a low voice.
Xia Ming was taken aback for a moment, she hadn't thought about this question.
Even Xia Ming couldn't even imagine the specific process of cutting the esophagus. After all, she is a newcomer in endoscopy technology. Like this country, she has just started after laying a good foundation.
In the following ten or twenty years, Xia Ming's technology will advance by leaps and bounds before he can become a real expert. There are still countless hidden reefs and dangerous shoals in the middle, so he has to get by.
Now she is only good at fiddling, not even proficient.
"Try it first, if it doesn't work, transfer to the provincial capital." Zhou Congwen reminded.
Xia Ming listened to Zhou Congwen's words, thought about it carefully, frowned and nodded.The impatience just now had calmed down, and the more she thought about it, the more frightened she became.
The difficulty seems to be a bit high, just like what Zhou Congwen said, if it doesn't work, just go to the provincial capital.
Zhou Congwen quickly completed the pre-operative signing and other procedures, and communicated with the little girl, asking her to find her family to come and explain the possibility of transferring to the provincial capital.
No matter how high his technical level is, Zhou Congwen will always follow the rules and will never behave in the slightest.
This is a habit developed over the years, although the conflict between doctors and patients in 2002 was so small that it was almost non-existent.But as long as you have experienced the era of sharp doctor-patient disputes, you will always leave a psychological shadow.
"Xiao Zhou, what's wrong with your walking?" Xia Ming was also getting ready for a gastroscopy. She was a little nervous and started to distract herself to avoid problems during the operation.
"I sprained a few days ago." Zhou Congwen said helplessly.
"I didn't see anything wrong with your foot, where did you sprain?"
"Sister, let's do an examination. By the way, we can leave video data."
"Yes." Doctor Xia's attention was turned back again.
"That's good, try it, don't use brute force." Zhou Congwen warned carefully, as if he was bringing a doctoral student to the stage for the first time.
It's just that now he has to try his best to make his words believed, instead of being regarded as a golden rule if he farts casually.
"Well, be careful. You must be careful when doing it for the first time." Xia Ming said to himself a little loudly, Zhou Congwen was very helpless.
Sister, don't let the patient hear!
It's like that old old joke -- Doctor, I'm having surgery for the first time.Don't worry, it's my first time too.
However, Xia Ming has clearly studied the technology of gastroenteroscopy carefully, at least he can stably send the gastroscope into the patient's esophagus.
In the red background on the screen, a red Coke bottle cap got stuck in the esophagus.And just like Zhou Congwen reminded, the serrated teeth of the bottle cap pressed on the esophageal lining, and the lining was partially white, showing faint signs of ischemia.
Xia Ming tried to grab the bottle cap with gastroscope forceps, but as soon as he moved, the serrated teeth of the bottle cap would press down, causing damage to the esophageal lining.
She tried twice, but she couldn't solve the problem at all if she didn't dare to use force.
"No." Xia Ming shook his head at Zhou Congwen.
Zhou Congwen frowned, "Sister, wait a minute."
"I don't seem to be able to do it. You have seen it too. The position of the bottle cap is very strange." Xia Ming admitted.
She has already realized that she is incapable of taking out the bottle cap, and she does not dare to take it out forcefully. If she really wants to make a big hole of a few centimeters out of her esophagus, it will be over.
Zhou Congwen picked up the phone, "Hey, here's what I want!"
"Come out, I'm here."
Zhou Congwen opened the door, and saw Liu Xiaobie's cold face, tender onion-like fingers twisting... four condoms standing in front of him.
The four condoms fanned out like playing cards, very ostentatious.Coupled with Liu Xiaobie's expression, Zhou Congwen felt a chill in his heart.
"What are you doing?" Zhou Congwen asked in a low voice, his tone a little weak.
"Doctor Zhou, I hope you are telling the truth." Liu Xiaobie said indifferently.
"Of course, I'm really useful. The hospital doesn't have a spare, and there's no one around, so you just called in." Zhou Congwen snatched the condom from Liu Xiaobie while talking.
The girl seemed really angry and thought she was molesting her.Twirling a condom so ostentatiously, alas.
"No one else?" Liu Xiaobie sneered, "Where's the patient's family?"
"Here." Zhou Congwen pouted at the girl, "Do you think it would be more inappropriate for me to ask her to buy it? It's fine if I don't receive your call. I have no choice but to talk to the patient's family, but we this is not……"
"Who is with you?" Seeing that there was only one family member of the patient, Liu Xiaobie felt a little bit less angry when she saw a girl about her own age.
"I'll go to work, and I'll show you how to use it later." Zhou Congwen turned around and left.
"Stinky rascal!" Liu Xiaobie cursed bitterly in a low voice.
After closing the door and returning to the operating room, Xia Ming was talking to the patient, telling the patient that he couldn't get it out by himself and suggested going to the provincial capital to try.
"Sister Xia, try this." Zhou Congwen handed the condom to Xia Ming.
Xia Ming blushed, but he didn't reach out to take it.
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