Back in 2002 as a doctor
Page 178
Is it okay?
This is a muddled account.
Zhou Congwen seemed to be sophistrying, but Shen Lang couldn't find a better argument to refute him.
"Actually, some things are very troublesome." Zhou Congwen said, "I don't want to do such things as speculation. Doctors are there to cure diseases and save people. Surgery can be done. Although you have to look at these ugly faces, you can't put it into practice. The operation performed was rejected."
"Just pretend, do you still remember the patient I met?" Shen Lang asked.
Zhou Congwen froze for a moment, carefully searching for information in his mind.
Shen Lang didn't make Zhou Congwen too tired, he nagged, "The lung cancer patient I took care of last year, when we met at home, he asked if he could go to the operating room for surgery."
"I told them of course not, and they just said that if they don't look at it, how will they know if you did something wrong? What if all the lungs cut off the good lungs?" (Note)
Thinking of this incident, Zhou Congwen laughed, "They're just pretending, if they really want to go in and see the bloody operating table, they'll be scared to pee early in the morning."
"It has nothing to do with this, it's heartbreaking." Shen Lang said, "What should you do when you encounter this kind of patient's family members?"
Zhou Congwen smiled and said nothing.
"There is another patient. I don't believe us. I said we can invite Professor Chen from the Medical University to perform the operation. The patient's lover directly said, "You can find any old man here, how do I know who he is?"
"Tell me, what is it all about?"
"Let's analyze the specific situation in detail, so what should I do?" Zhou Congwen said indifferently, "Let's close this one first."
"Congwen, do you think the patient has a serious problem?" Shen Lang asked worriedly.
"It's not big." Zhou Congwen said, "After all, I performed the operation myself, and the air leakage time is within 2-5 days, not very long."
"..."
Shen Lang felt that Zhou Congwen was getting more and more crazy now, more and more bragging.
But when I thought of Zhou Congwen's brave and heroic posture with both hands during the operation, and the miracle of arc resection with a straight line cutter, I felt a little confused.
Maybe you need talent in everything, and if you don't have talent in this area, you don't want to think so much.
……
……
The patient's family did not entangle too much. Li Qinghua walked out of the ward after explaining that the patient was in a stable condition.
On the first day after the operation, the patient was in good condition and could already inhale oxygen without a nasal catheter, and the blood oxygen saturation was still maintained at about 95%.
The effect of the operation is obvious, but the expressions of the patient's family members are getting more and more gloomy.
Zhou Congwen felt that something was wrong, but the patient's condition was gradually improving. He was just cautiously on guard and didn't know what to do.
While the risk warning on the system panel is still there, Zhou Congwen knows that the risk has not been lifted.
……
People's Hospital, Lu Tiancheng stood in the director's office and reported to work.
"Master, the family members of the patient said that the blood oxygen saturation is maintained at around 95% without oxygen inhalation."
Zhu Jun's face seemed to be covered with a layer of black veil, and he was obviously unhappy with the naked eye.
"Where's the breast bottle?" Zhu Jun asked in a deep voice.
……
……
Note: These two questions were asked by the family members of the patient. The one who wanted to go to the operating room for surgery was automatically discharged that night.
Chapter 0307 "I" "fuck"!
"I heard from Yuan Xiaoli that there is not much gas in the chest bottle after the operation, and it will be gone in about three days." Lu Tiancheng told the truth.
Zhu Jun frowned.
"Master, we all know the patient's condition. The emphysema is very severe. How did they cut it? There is no air leakage."
"Nonsense!" Zhu Jun glared at Lu Tiancheng, "What is airtightness? Don't you say that there is gas in the chest bottle? It's confusing. If it's not leaking, what is coming out of the chest tube?!"
"Yes, yes." Lu Tiancheng lowered his head.
He is very aware of the grievances between master and elder brother, especially as Yuan Xiaoli and the others also undergo surgery, Zhu Jun's mood is getting more and more out of order.
No one expected Li Qinghua's "revenge" to come so quickly.
It is a humiliation for Zhu Jun that the colleagues around him do not perform surgery in the People's Hospital but go to the Third Hospital to look for Li Qinghua.
Lu Tiancheng is also very clear about this matter.
Zhu Jun didn't say much, but called the patient's family to the office to explain his condition, explaining that he couldn't perform the operation and the patient couldn't get off the stage.
But there is a kind of technique.
At that time, Lu Tiancheng thought that his master was going to do it himself, and recognized the advantages of thoracoscopic surgery, and then vigorously carried out laparoscopic surgery.
But when Zhu Jun sent the patient's family members out of the director's office, he whispered behind his back that if the operation failed, he didn't know how much he would pay, so how dare he do it.
Hearing this sentence, the footsteps of the patient's family members obviously paused.
Only then did Lu Tiancheng know what Master really meant.
Sometimes there is no need to provoke, just say a word in a neutral way, and it is enough to stir up the greedy thoughts in people's hearts.
In this regard, Zhu Jun is obviously very sophisticated.
This is the control of the heart.
Lu Tiancheng also knows very well that human nature cannot be tested casually, and there are not many people who can stand the test, or even very few.
When he knew that Li Qinghua was going to have an operation, Lu Tiancheng endured it and did not call Li Qinghua.Instead, Yuan Xiaoli and the other two learned about the situation there and got enough information.
In Lu Tiancheng's opinion, the operation cannot be successful, and the patient is doomed.
The difference is whether you die at home or in the ward.
The difference lies in whether the doctor handling the treatment is in trouble or not.
The difference lies in whether the family is violent or not after the death of the patient.
But what surprised him was that the operation was successful, and the patient's blood oxygen saturation could be maintained at about 95% without oxygen inhalation.
This seemed impossible to him.
It should be known that the patient is senile, whether it is emphysema or respiratory failure, it is purely contraindicated for surgery.
Dare to do surgery is already daring, but dare to do surgery and do well at the same time!
Senior Brother Li Qinghua... There should be Zhou Congwen, who is as stable as an old dog, who turned the impossible into possible.
Lu Tiancheng recalled the day when he was asked to go to the "chief surgeon" for surgery, and he remembered that young and clean young man with deep eyes.
No wonder Master's face is so ugly.
Lu Tiancheng lowered his head, he didn't dare to say a single unnecessary word, and he couldn't say it.He stood quietly, this is the best way.
Zhu Jun cursed vaguely, although standing in front of him, Lu Tiancheng couldn't hear what the master was cursing.
"Go ahead, tell Yuan Xiaoli not to leave the hospital in a hurry, and wait for two more days." Zhu Jun finally said coldly.
"Okay, Master."
"Go, go, don't say I let you go." Zhu Jun waved Lu Tiancheng out in disgust, like a fly.
……
……
"Qinghua, the operation is really good. I don't think there is much gas in the patient's chest bottle. You are really courageous. I guess no one would dare to perform this kind of operation even if you go to the provincial capital." Yuan Xiaoli sat in Li Qinghua's seat. Communicating in the office.
"What's the use of a good operation? The family members of the patient still don't agree." Although Li Qinghua said so, there was still a smile on his face.
The smile was sincere, and Yuan Xiaoli knew very well the mentality of a normal doctor. Even though the patient's family members were picky in every possible way, and even harbored evil intentions, Li Qinghua was still happy for the successful completion of a difficult operation.
As for the remaining troubles, we will solve them later, and the boat will naturally go straight to the bridge.
"Qinghua, the operation is so difficult, how did you do it?" Yuan Xiaoli asked curiously.
"You may not believe it when you say it."
"Say it, you can still go to heaven." Yuan Xiaoli laughed, his pathological results were benign, so he is in a good mood recently.
Moreover, he really didn't believe what Li Qinghua said. Surgery was just a small thing. Thoracic surgery for emphysema had always been a minefield, and it was extremely difficult to get it off.But apart from suturing, Yuan Xiaoli couldn't think of any possibility.
"I did not do the key steps of the operation." Li Qinghua said frankly, "Zhou Congwen did it."
"..." Yuan Xiaoli was taken aback.
Is the newly mentioned responsibility attending the doctor?How powerful is he?
"I was dumbfounded watching the operation. He used a straight cutter and stapler to cut out an arc, U-shaped resection."
"I!"
"Hold!"
In Yuan Xiaoli's sentence, the two words were separated abruptly, with completely different tones, as if two people were talking.
What Li Qinghua said was very simple, but Yuan Xiaoli, who had used a straight-line cutter and knew about "U" sutures, fully understood what he was talking about.
Is it a myth? !
Are you still joking? !
Yuan Xiaoli looked at Li Qinghua in a daze.
Li Qinghua shrugged, "I don't believe it either, and I still don't believe it, but Zhou Congwen did it right in front of my eyes."
"Qinghua, are you sure you're not joking?" Yuan Xiaoli asked in a shy voice.
"Of course not. Using a linear cutter to cut out arcs is incredible even to me." Li Qinghua smiled wryly, "But it's true."
"The arc can indeed solve part of it..." Yuan Xiaoli also tried to use the "U" suture to explain the principle of less postoperative air leakage, but just after half a sentence, his thoughts were dragged back.
Straight cutting stapler, his eyes are full of them.
Straight and straight consumables, if there is an arc, the consumable supplier will probably be scolded to death, the district manager directly packs up and goes home to farm, and the regional manager has to come to the door to apologize.
Otherwise, no matter how favorable the policy on consumables is, don't even think about selling one.
Yuan Xiaoli was puzzled and looked at Li Qinghua in a daze.The two adults stared at each other, and Li Qinghua didn't know how to explain it, so he could only remain silent.
After a while, Li Qinghua said, "Xiao Li, I didn't believe it before, but now I really feel that thoracoscopic surgery can do sleeve resection, not only sleeve resection, but also esophageal cancer, and the speed is faster than thoracotomy with less damage. "
Yuan Xiaoli was taken aback for a moment, then smiled wryly.
How do you refute it yourself?
When it's about yourself, choosing where to do surgery has exposed your bottom line.
Chapter 0308
"What?" Zhu Jun received a call from Yuan Xiaoli, his eyes popped out, "Say it again!"
"Master, Qinghua said that he didn't do the surgery, but his little doctor named Zhou Congwen did it."
"It's not that sentence, what do you mean by linear cutting stapler?"
"He said that the operation was done with a U-shaped suture with a straight-line cutter." Yuan Xiaoli said with certainty, and then added, "Qinghua told me so, but I don't really believe it."
"I still don't believe it, are you a surgeon! Even if you haven't studied medicine, nine years of compulsory education have been fed to dogs!" Zhu Jun opened his mouth and scolded, "I can't distinguish straight lines and arcs. What does Li Qinghua, a white-eyed wolf, say? You believe it, but the brain, the dog eats such a good thing as the brain!"
"..." Yuan Xiaoli concluded.
Originally, he just guessed that Lu Tiancheng would tell Director Zhu about the Third Hospital, but he didn't expect Director Zhu to call directly.
That's right, this matter is too incredible, and I have been wondering if Li Qinghua is fooling himself.
Zhu Jun angrily hung up the phone.
What the hell, Yuan Xiaoli actually believed this kind of lie, did he have an operation in the Third Hospital, and his brain was paralyzed during the anesthesia!Zhu Jun cursed a few words in his heart.
But he knew that the operation process might be Li Qinghua's jokes, but the result was there.
Whether it was Yuan Xiaoli or himself who called the patient's family to express concern, the answer they got was the same. On the first day after the operation, only a very small amount of gas escaped from the chest bottle.
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