Back in 2002 as a doctor
Page 193
But what about dead people? You can't stop treating them just because you're curious.Their luck is really good, Zhou Congwen thought to himself.
Zhou Congwen immediately turned into a little transparent, watching the two deans warmly greet Director Jiang, flattering and saying sorry all the way to the perspective operation room.
"Little Jiang, you're finally here. Swipe your hands and go on stage." Director Gou had been waiting for a long time, and when he saw Director Jiang enter the room, he said hastily.
"En." Director Jiang was taciturn and didn't say much, and immediately went to brush his hands.
There is no standard washroom in the radiology department. A nurse opened a bottle of salt water, but Xiao Qiang immediately grabbed it.
He personally poured water for Director Jiang to wash his hands.
This time it was Director Jiang's turn to feel a little embarrassed. He brushed his hands and put on his clothes and went on stage. The two directors almost represented the strongest force in vascular intervention in the province and began to perform surgery.
Zhou Congwen stood in the corner of the operating room and looked at the screen. The fluoroscopy machine was much better than the one he had used in the frontier in his previous life. The resolution was very clear. Although he could not adjust his body position and had no intraoperative CT assistance, it was still sufficient.
The pigtail tube goes in, but there is a problem with the position.
Because there is no C-arm, it cannot be rotated, but the position can be estimated.
Both Director Gou and Director Jiang obviously lacked experience in this area, and there were big problems in the first step alone.
Chapter 0334 The legendary help
Even with the highest level in the province, even the assistant is the director of the Second Hospital of the Medical University, but the operation is still stumbling, no matter how hard they try, the operation is not progressing at all.
Nearly an hour later, Director Gou walked out of the X-ray room weakly with his tired legs shaking.
"No." Director Gou sat down on the chair, his legs trembling unconsciously.
Anyone can tell that Director Gou is exhausted and has reached his limit.
Dean Li and Dean Xiao's faces were pale and pale. Although they had been prepared for a long time, after all, the people who were busy inside were the people with the strongest technical strength in the whole province, so they still had some hope.
Hearing what Director Gou said, all hopes were shattered.
Dean Li almost didn't cry, he wanted to say something, but when he saw Director Gou sitting on the chair, his legs trembling uncountably, he also knew that Director Gou tried his best to perform this operation.
Wearing a lead suit for surgery is like a soldier marching in full armor.I don't have enough physical strength to hold on at all.
Director Gou is not young anymore, and the 3-4 hours of surgery in the hospital today is really close to the limit.
Director Gou's condition is extremely bad now, let alone undergoing surgery, Dean Li even doubts whether he can stand up.
"Director Gou, what should we do then?" Xiao Qiang asked in a low voice.
"Dean Xiao, go talk to the patient's family and give it a try. If you can get to the first year of the medical university, you will win. The equipment here is too poor, we don't even have a DSA machine, and the operation is impossible."
After Director Gou finished speaking in one breath, he collapsed on the chair, as if dead.
Dean Xiao had no choice but to glance at the Grand Dean.
Dean Li didn't look at Xiao Qiang at all, he had already put all the responsibility on Xiao Qiang.
He dragged Wei Ju to the hospital and didn't report to himself, and only remembered himself after the accident.He must let him do what he explained to the patient's family after he died, so that he will not take the blame.
Dean Xiao was helpless, "That side..."
"Go in and remove the tube with Xiao Jiang." Director Gou said weakly, "Prepare the 120 ambulance, Dean Xiao, you must explain to the patient's family that the chance of an accident in the car is greater than 90%... no , greater than 99%."
Dean Xiao lowered his head, his face was cloudy and uncertain.
"I'll help." Zhou Congwen said lightly.
Li Qinghua's eyes lit up, Chen Houkun was sleepy at first, but suddenly hearing Zhou Congwen's words, he suddenly became refreshed.
Help me, it turned out to be this sentence again.
Zhou Congwen walked up to Director Gou and said gently, "Director Gou, please take off the lead jacket. You can't rest in it. Drink some water, it's hard work."
Director Gou waved his hand feebly, not paying attention to which little doctor was talking to him.
All little doctors are ants and don't deserve names at all, just knowing that they are little doctors is enough.
As for flattering words, Director Gou didn't take it to heart, he listened too much, and he didn't care at all.
With Zhou Congwen's help, Director Gou took off the lead coat.
"Xiao Zhou, go and brush your hands." Chen Houkun took the lead clothes and said to Zhou Congwen.
"Ah."
Seeing him brushing his hands, Teng Fei asked curiously, "Old Chen, do you think Xiao Zhou is really good?"
"I don't know." Chen Houkun lowered his voice and whispered to Teng Fei, "But Xiao Zhou always said to help me when he assisted me."
"Interventional surgery is different from your surgery. The operation is more delicate. You can see how thin the guide wire is, which is more difficult than thoracoscopic surgery. And the conditions are not good. I feel very conflicted." Teng Fei said.
Chen Houkun knew what Director Teng Feiteng meant by the contradiction, and rationally thought that the operation would not be possible at all, but he just felt that Zhou Congwen could.
He smiled sheepishly.
When Zhou Congwen brushed his hands, Chen Houkun helped him put on the lead clothes, and then Zhou Congwen sterilized and put on the sterile clothes.
This treatment is comparable to that of a great professor in God's Capital. Teng Fei thought it was funny.So did Lao Chen, why did he take it seriously?
Zhou Congwen walked into the operating room, put on his gloves, "Director Jiang, let me help you and try again?"
Director Jiang shook his head, "Impossible."
He was very depressed. The patient was transferred to the medical university. The journey was bumpy and the probability of death was too high.
What a doctor hates the most is watching a patient die while he is helpless due to certain objective conditions.
"Impossible, that's a pity." Zhou Congwen stood at the operator's position, twisting the pigtail tube in his hand, and asked calmly, "Director Jiang, I think the pigtail tube still can't get into the ascending aorta."
"Yes, the patient's blood vessels are abnormal, and the local thoracic aortic aneurysm is too large, so it is difficult to operate... Sigh." Director Jiang was a little frustrated.
"Oh, I think the operation is a bit questionable. The fluoroscopy machine does not have a C-arm, and the angle of fluoroscopy is somewhat different from the angle of surgery with a dsa machine. For example, when the pigtail tube is inserted, the wrist needs to be pressed down by 15-20°. The control of the momentary attention span."
"..." Director Jiang was taken aback, is this giving himself a lecture?
"Here, it's like this." Zhou Congwen said to Director Jiang while operating the pigtail tube, "Without the dsa screen, we can only rely on blind manipulation. It doesn't matter if you master this technique."
After speaking, Zhou Congwen made a gesture, indicating that the line should be given outside.
The fluoroscopy machine is different from the DSA machine, and the DSA machine operator who is doing interventional surgery steps on the line at any time.And the see-through machine...it's really hard to describe.
Director Jiang was a little unhappy, but when he saw that Professor Chen and Director Teng Feiteng were very polite to the little doctor during the meal, he didn't want to get angry, but said in a deep voice, "Give me back the thread, put the pigtail pipe Just pull it out."
"Go in, ready for imaging. By the way, please help me, I'll go out and have a look at the image."
"..." Director Jiang was dumbfounded.
in? !help? !
Are you sure Dr. Zhou didn't tell you pornographic jokes?What the hell time is this, and I'm still thinking about dirty jokes.
Director Jiang was extremely unhappy.
But he had a faint feeling that something was wrong.
This Doctor Zhou from the Third Hospital brushed his hands in, stood in the position of the surgeon, beeped for a while, and then went out after saying two nasty jokes, which was really embarrassing.
The level of doctors now is too uneven.
Director Jiang didn't understand why Chen Houkun and Teng Fei were so fond of this young doctor. Seeing Zhou Congwen turn around and go out, he thought a lot of thoughts in his mind, and pulled out the pigtail tube casually.
At this moment, countless screams came from outside.
Director Jiang was stunned for a moment. Could it be that there was an earthquake, or that the patient was dying?He glanced at the ECG monitor, and his vital signs were still stable.
what happened?
"Little Jiang, what are you doing!" Director Gou rushed in without any regard for face and yelled at Director Jiang.
"Be quiet, the operation is going on." Zhou Congwen said lightly.
Chapter 0335 God's Operation
"Me? What's wrong with me?" Director Jiang asked stupidly, not knowing what mistake he had made.
"Pig tail tube..." Director Gou said four words loudly, and then remembered that this is the operating room, and the patient was still lying in it, holding back his anger, "Didn't you send it in just now, why did you drag it out!"
"..."
Director Jiang was also dumbfounded.
Go in, give me a hand, what Zhou Congwen said is what he thinks is a regular raunchy joke in the operating room.
But Director Jiang never expected that what Zhou Congwen said... was true? !
He put the pigtail tube in place, and strode into the next-door operating room with his hands together on his chest.
"Go in? Are you kidding me?"
"That's right." Director Gou didn't see the slightest fatigue, and said sadly, "I happened to go in. I thought the patient had hope, but I didn't expect you...you...you...how could you pull it out."
"I didn't do it." Director Jiang looked at Zhou Congwen blankly.
"Ah?" Director Gou was also stunned.
"The position looks good, it's okay, pull it out and throw it in again, cheer up!" Zhou Congwen said lightly, turned around and entered the perspective room again.
It's really simple to say, Director Gou was already furious by the angry three corpses, sitting in front of the screen and breathing heavily in his nose.
Why is my luck not as good as Director Jiang? He happened to send the pigtail tube in when he came down by himself.
The key is that he was so lucky that he didn't know how to cherish it, so he pulled it out casually.
The more he thought about it, the angrier he became, Director Gou felt his temples throbbing wildly.
The operation has been done for so long, and one good luck was wasted. Director Gou became angry when he thought of this.
What the hell!Director Gou wished he could rush in and kick Director Jiang hard.
Director Jiang returned to the X-ray room and asked in surprise, "Xiao Zhou, did you send the pigtail tube in just now?"
"Yeah, didn't you say help me, I'll come back after a quick look." Zhou Congwen said lightly, "But it's okay, let's do it again, don't make mistakes this time."
Mistake... Director Jiang couldn't laugh or cry at this word.
Can happen to send the pig tail tube to the position, it is simply burning high incense, want to do it again?
Director Jiang was a little stunned by the incident just now, he didn't need Director Gou to kick him, he wanted to bang his head against the wall.
"Cheer up!" Zhou Congwen threw the second half of the pigtail tube to Director Jiang, and started to operate again.
After 32 seconds, Zhou Congwen squinted his eyes and said, "Go in, hold it up this time, don't come out, I'll take a look at the image."
"..." Director Jiang burst into tears.
He didn't even know if what Zhou Congwen said was true or not, whether it was a pornographic joke or it was true...he went in.
It took more than 30 seconds to complete the operation that I and Director Gou hadn't completed for nearly an hour. Isn't this a joke?
If this is a joke, Director Jiang would rather it be true.
Soon, Zhou Congwen came back.
"The position is okay, ready to push the medicine. Director Jiang, do you have experience in pushing the medicine without the high-pressure syringe of DSA?" Zhou Congwen asked.
Go in, the location is okay, the high pressure injector...
Director Jiang looked at Zhou Congwen blankly.
"Director Jiang? What are you doing? You're doing surgery, concentrate on it." Zhou Congwen said, "I asked if you pushed the contrast agent with your hands."
"Push it, our high-pressure injector is often broken, and we always push it by hand." Director Jiang said in a daze.
"Well, contrast imaging." Zhou Congwen began to pump the contrast agent in the role of a nurse supporting the stage.
The Third Hospital was not formal, not even a nurse supporting the station. Fortunately, Zhou Congwen got used to it by himself. He seemed to be happily pumping contrast medium when he returned to aid Xinjiang.
……
In the operating room, several directors sat in a circle.
"Did Xiao Zhou do it blindly just now? It's not difficult to look at." Chen Houkun was more straightforward, and he had never been in contact with it before. In addition, the performer was Director Gou of the First Hospital of the Medical University, so he told the truth.
"The puncture of the brachial artery into the 5F pigtail marker catheter needs to be placed at the level of the aortic arch through the opening of the left subclavian artery. This step alone is very difficult, but it is not difficult for you to look at it." Teng Fei explained.
Director Gou's face was a bit ugly, but Teng Fei's explanation was right to the point, and he thought contemptuously in his heart that surgery is so rough that he really can't understand the true meaning of interventional surgery.
"The machine here is not good. If it is in the first hospital, I can turn the C-arm to the left anterior oblique to the maximum angle of the aortic arch, which is 45°~60°, and I can see clearly."
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