Back in 2002 as a doctor

"What about the death rate?"

"3.2%." Zhou Congwen gave an accurate figure.

"Congwen, do you think anesthesia can pass?" Li Qinghua asked.

"I don't know." Zhou Congwen said truthfully, "but the main problem is not with the patients, but with the family members of the patients. Their attitude is very strange, and I feel that someone is behind the scenes."

Li Qinghua woke up in an instant.

It's Zhu Jun, Zhu Jun! !

The logic is simple, a large thoracotomy is definitely not possible, the patient is too weak, and the mortality rate will definitely not be 3.2% as Zhou Congwen said, but 32% or even 320%!

Director Zhu Junzhu explained the situation to the patient in a logical manner, and gave a very "intimate" suggestion - thoracoscopic surgery has little damage, so you can try it.

If something goes wrong, will there be a follow-up...

Li Qinghua has seen many similar things. For example, the competition among several orthopedic departments in the People's Hospital is very fierce, and there are too many things to disrupt each other.

These things are said to be tears, so it doesn't matter if you don't mention them.

Next, Director Zhu Junzhu, he doesn't even need to think about what his master is doing.

This is the upright "Yangmou", I wish the helpless patients of the Military People's Hospital to join the army.

The most important thing is that Zhu Jun didn't lie a single word, and didn't have a bad heart.

Zhu Jun was upright, he just gave the patient's family a normal medical suggestion, and Li Qinghua would be disgusted whether to perform this operation or not.

Thinking of this, Li Qinghua was a little irritable.

"Director, what do you want to do?" Zhou Congwen asked seriously, his eyes were deep, as if he could see the deepest part of Li Qinghua's heart.

"I..." Li Qinghua hesitated.

The failure of the operation is likely to deal a major blow to the thoracoscopic surgery that has just started to improve.

But if he didn't do it, Li Qinghua felt a little regretful.

"Congwen, what do you think?" Li Qinghua asked Zhou Congwen for his opinion.

"Congxin." Zhou Congwen said, "I don't want to do it when I don't see the patient. Whether it's the patient's surgical contraindications or the strange behavior of the patient's family, it proves that there may be problems after surgery."

"But what?" Li Qinghua heard the hidden words in Zhou Congwen's words.

"The patient has a strong desire to survive, and she doesn't want to die. It's just right, we can try it." Zhou Congwen said, "The rest is up to you, the director. I am only the attending doctor in charge. If a medical accident occurs, the patient's family will sue the hospital. , Report to the Health Bureau, the trouble is all yours."

What Zhou Congwen said was very ruthless, but this is what happened.

Zhu Jun used the moral shackles to force Li Qinghua a step, and the patient was about to be suffocated to death, and his desire to survive was extremely strong, so Li Qinghua was in a trance.

"The death rate is definitely higher than what I said. I hope we can have good luck if we do surgery."

"The patient's family is the patient's family, and the patient is the patient." Zhou Congwen added another heavy sentence.

Li Qinghua was silent.

Surgery with a mortality rate of 1% is considered a high-risk operation, and according to the information Zhou Congwen just mentioned, the mortality rate of similar patients is as high as 3.2%!

But what Zhou Congwen said inside and outside the meaning is that the death rate is higher than 3.2%.

In fact, Li Qinghua is very clear in his heart that patients with severe heart disease, such as coronary heart disease, pulmonary heart disease, and cardiac insufficiency; those with severe respiratory diseases, active chronic bronchitis, and asthma attacks are contraindicated for surgery.

Count with your fingers, how many surgical contraindications does the patient have?

To do, or not to do, that is the big question.

It's not the college entrance examination, but it's better than the college entrance examination.

The answer to this question is uncertain, the main question is still a series of consequences after making a choice.

Li Qinghua sat down silently, staring at his right hand in a daze.

Chapter 0302 Deviating to Tiger Mountain

"Do it!" Li Qinghua said in a deep voice after being silent for nearly 5 minutes

Zhou Congwen nodded.

Li Qinghua was more concerned about the illness. He didn't know the troubles of the patient's family, but Zhou Congwen knew.

The system alarm, isn't that obvious enough?

Zhou Congwen experienced similar incidents in his previous life, and most of them were difficult, so Zhou Congwen had to hide when he encountered related patients.

The so-called gentleman does not stand under a dangerous wall.

But Zhou Congwen could feel the patient's depression and strong desire to survive before dying. She held Li Qinghua's hand so hard that Zhou Congwen's heart ached.

At that moment, Zhou Congwen's old gun actually felt empathy.

Doctors generally don’t have empathy. They are used to life and death in clinical practice. If you empathize with each patient, whether it’s bringing yourself into the emotions of the patient or the emotions of the family members of the patient who are heartbroken, you may go crazy in less than half a year.

Zhou Congwen has always been indifferent, calm, and ruthless in the face of various clinical patients. Everything is just a medical procedure.

But this time, he thought of the white light before his rebirth, thought of his unfinished business, and thought of himself not wanting to die.

The system prompts that the problem should not come from the patient, so why should the patient accept the final outcome?So Zhou Congwen changed his mind at that moment and was inclined to do surgery.

Seeing that Li Qinghua's masseter muscles bulged and he made a decision with all his strength, Zhou Congwen was very pleased.

"Director Li, I suggest that you do the preoperative communication and explanation for this patient yourself." Zhou Congwen said calmly and indifferently, "I guess it will be tricky."

Li Qinghua nodded, "I'll talk to the patient's family first and contact the medical department."

This is a relatively safe way. With the court to testify, it is easier to say if it can help Kang Yi.

After making a decision, Zhou Congwen and Li Qinghua got busy.

Various procedures, communication, explanations, contacting the anesthesiology department, and delivery of emergency orders were urgent, but Zhou Congwen carefully helped Li Qinghua to check for gaps and make up for leaks, and strive to make sure that nothing leaked.

In fact, Zhou Congwen thought he was ridiculous.

The clinical old fritters have system alarm prompts, but they have to "bias towards the Tiger Mountain", which was unbelievable to him in the past.

However, dying once will eventually bring about a little change that even Zhou Congwen himself can't detect.

The operation notice was handed over to the operating room, and the anesthetist in charge of the emergency department smiled and asked, "Xiao Zhou, what kind of patient is it? It seems that the operation has been a little bit more since you changed the new director. Good thing, good thing."

"It's okay, I think there will be more surgeries in the future." Zhou Congwen said

The anesthesiologist glanced at the operating sheet, feeling his eyes were blurred, rubbed them vigorously, and took another look.

After confirming, the anesthetist frowned and asked, "Xiao Zhou, did you write the wrong diagnosis? Or did I read it wrong?"

"Emergency surgery, the patient does have respiratory failure."

"..." The anesthesiologist was dumbfounded for a moment, holding the surgery notice in his hand, his nail bed was pale.

"Brother Wenbo, we don't want to do it either, but patients can't live for 24 hours without it." Zhou Congwen explained.

"Are you crazy! How do you anesthetize patients with respiratory failure?!" The anesthesiologist was a little angry.

If there is a medical accident, the anesthetist will inevitably be troubled for a long time, and will even bear the brunt of the anger of the patient's family.

Patients with respiratory failure still need chest surgery. Zhou Congwen doesn't understand, so doesn't Li Qinghua understand?Are they all crazy!

Zhou Congwen said, "Brother Wenbo, Director Li called the people from the medical department down below, and they are explaining the condition to the patient's family."

"Crazy, I can't take this order." The anesthesiologist said firmly.

Zhou Congwen is very clear that this is a big trouble, even if the patient's family has no bad intentions, it is an extremely troublesome kind, and no one wants to touch it.

To put it bluntly, patients with respiratory failure may fall asleep in a single sleep, let alone require anesthesia and surgery.

All invasive and non-invasive operations are a blow to patients, and there is a certain probability that they will not survive.

No one wants trouble at work.

However, Zhou Congwen did not persuade the anesthetist, but reminded, "Emergency surgery."

The anesthesiologist was dumbfounded.

Regardless of any surgical contraindications, emergency surgery can be ignored.But chest... He glanced at Zhou Congwen helplessly.

"Brother Wenbo, we will take care of the accident. Director Li is already prepared and will not let you take the blame."

Seeing Zhou Congwen's blunt words, the anesthetist's face changed again and again, and finally heaved a long sigh, "I'll go and have a look, I have something to say to the patient's family."

Zhou Congwen nodded silently.

This kind of patient must be confessed to death if he confesses before the operation. If he does not have an operation, he will die 90.00% of the time, and if he has an operation, he will die [-]% of the time.

The fight is the one percent probability.

Most of the family members of patients understand that the trouble is not as big as imagined.But the system gave an alarm...

Zhou Congwen glanced at the system interface with clear alarm colors in the upper right corner of his field of vision, and straightened his bowed waist.

The word "responsibility" is usually just a word, but when encountering things, it is not easy to carry countless things on your shoulders.

"Xiao Zhou? Let's go." The anesthesiologist was a little surprised to see Zhou Congwen's waist straighten up, but now he doesn't have the heart to mind other people's affairs, and the patient in front of him is a big trouble.

He was in a complicated mood, and Zhou Congwen suddenly said, "Brother Wenbo, it's better to call your director, and if something happens, you can explain it."

"..." The anesthetist was taken aback for a moment, "Xiao Zhou, don't you guys want to do it too?"

"No, we want to do it." Zhou Congwen denied the anesthetist's statement, "Patients really can't see the sun of tomorrow without surgery, and surgery is still possible. We just can't guarantee that patients can leave the stage alive."

The anesthesiologist burst into tears.

Can't guarantee that the patient will step down alive?

The thoracic surgeons are crazy!

When I contacted the director of the anesthesiology department, he rushed downstairs angrily, and after hearing the situation, he pointed his nose and scolded Li Qinghua.

What surgery do patients with respiratory failure do?

Everyone had the same idea. Zhou Congwen didn't listen to Li Qinghua and the director of the anesthesiology department's explanation, but came to the fire exit alone in silence, and took out the cigarette case from the pocket of his white suit.

With a flick of the wrist, a white Ganoderma lucidum jumped out.

Zhou Congwen held the cigarette in his mouth and turned the lighter with his left hand, but he didn't light it. Instead, he went through the operation process again.

Surgery is difficult.

What I just said to Li Qinghua is true or false, and the data is true, but thoracoscopic lung volume reduction surgery requires a 45mm rotatable endoscopic cutting stapler for inverted "u" cutting and suturing.

It is 2002 and there is no 45mm rotatable endoscopic cutter.

Can only rely on their own technology.

"click~"

The flames rose, and the flames reflected on Zhou Congwen's face.

He smiled slightly. Since his rebirth, after meeting his boss again, there seemed to be some interesting changes.

Chapter 0303 Unknowingly Changed

Even Zhou Congwen was still not completely sure about such a difficult operation with the existing equipment.

The color of the alarm on the system panel in the upper right corner of the field of vision, the patient's desire to survive, the difficulty of the operation, and the unknown crisis were mixed together, converging into an infinite and heavy pressure on Zhou Congwen's body.

He didn't bow his waist, but sat upright on the steps, looking at the flames with playful eyes.

Zhou Congwen is not a Xinnen doctor, he is passionate and doesn't care.

Jianshan is the back of the mountain. Zhou Congwen has seen too many accidents. For example, the girl with advanced kidney cancer who no one would accept died on the operating table during the operation.

For example, the patient with severe coronary artery blockage risked his life to come on stage, and after staying in CCU for 3 days, he still died. The family members of the patient blocked the entire ward with banners, including an 8-month pregnant woman. doctor.

For example...

Zhou Congwen has seen too many similar examples. He avoided similar risks in the past when he could, and would never touch them.

But every time he succeeds in evading, there will always be small bumps in his heart. Even if Zhou Congwen doesn't look at it or think about it, these small bumps really exist.

He occasionally wondered what it would be like if he had surgery at that time, but there are no ifs in life.

Coincidentally, when Zhou Congwen faced what if again, he didn't notice a slight "insignificant" change in himself.

Perhaps it was because of seeing the boss again, or perhaps because of his understanding after kicking Wang Chengfa to the outpatient clinic after his rebirth, Zhou Congwen had some changes.