Back in 2002 as a doctor
Page 309
"In the future, we will check the image data before the operation and mark the affected side of each patient." Zhou Congwen said.
"Are you suffering from obsessive-compulsive disorder?" Shen Lang complained, "We are only a few patients, how can we be wrong. You are not yet seventy or eighty, why are you demented?"
"What if." Zhou Congwen held a cigarette in his mouth, turning the lighter back and forth between his fingers, spewing out a ball of flame from time to time.But he did not light a cigarette, leaving Bai Lingzhi in a Schrödinger state.
"Check it when you pick up the patient, check it again before anesthesia, check it again before opening the stage, and you have to mark it. If the obsessive-compulsive disorder is too serious, you should go for treatment, or you won't suffer too much." Shen Lang complained.
"We have fewer patients now, but if there are more patients in the future, we will be so busy that we want to omit a detail, thinking that others have checked it and then miss it. There's nowhere to cry."
"Congwen." Shen Lang was wrapped in a quilt and was more than half awake, "I really don't know where your inexplicable confidence comes from."
"Get up." Zhou Congwen was too lazy to reason with Shen Lang, so he firmly woke up this guy and went from room to room.
Zhou Congwen watched the film and checked the patient's information. After checking, Shen Lang used methylene blue to draw a mark of about 6 cm between the 7 and 5 intercostals on the affected side of the patient.
The remaining 4 patients walked all over, and Shen Lang woke up completely.
Li Ran has come to take the patient to the CT room.
"Where's the director?" Shen Lang glanced at the time and scratched his head.
"Maybe the car broke down, and the director took a taxi to pick up Professor Chen. It was a bit late. It's not very convenient to take a taxi in the early morning." Zhou Congwen missed the era when online car-hailing was everywhere.
"just wait."
"Pack up your things first, and they will come to the stage in a while." Zhou Congwen patted Shen Lang on the shoulder, "Don't be lazy, work hard. You call the director and prepare things. Li Ran and I will go and locate them."
Shen Lang frowned and called Li Qinghua.
"Director, the operating room has already picked up the patient, where are you?"
"I just picked up Professor Chen, and I couldn't get a taxi early in the morning." Li Qinghua explained, "Shen Lang, take the big key to open my office, and bring your guns. Four guns, count them carefully."
"Director, please don't hang it up yet." Shen Lang went to the nurse's station to get a large board key, on which were the keys to open the doors of all the rooms in the department, including the director's office.
Opening the door, Shen Lang asked cautiously, "Director, where are you?"
"On the cabinet, be careful, see the four guns clearly." Li Qinghua warned again.
Shen Lang felt that Li Qinghua and Zhou Congwen were somewhat similar, they were too cautious, so cautious that it was unnecessary, so cautious that they seemed to have obsessive-compulsive disorder.
"Four, I know."
"There are magazines next to it, see how many there are, and take them all."
"it is good."
Shen Lang hung up the phone, carefully took four straight incision staplers, loaded the staple cartridges, and went straight to the operating room.
……
Zhou Congwen and Li Ran brought today's first patient to the CT room. He didn't go in, but stood aside and watched Li Ran's movements.
Li Ran's expression was serious, as if puncture positioning under CT is the most difficult operation in the world, and the patient will die if he is not careful.
However, it was obvious that Li Ran had already entered the door, and the operation was not fast, but Zhou Congwen was very relieved to see it carefully.
He has mastered all the things he told Li Ran so quickly, and his comprehension is second to none.
In front of the patient, Zhou Congwen didn't speak, and Li Ran didn't ask.After positioning, scan again to see the position of the positioning pin.
Standing in the operating room, Li Ran asked in a low voice, "Congwen, what did I do wrong?"
"It's all right, some small details are not important." Zhou Congwen said lightly.
Li Ran was very happy, but no matter how happy he was, the expression on his face was exactly the same, serious and weird, so that people who didn't know it couldn't tell the depth.
The image of the CT scan appeared on the screen a little bit, and the position was a little far away, about 6.5MM away from the small nodule.
"It's okay, that's about it. You can think about the distance when you go back." Zhou Congwen said, "I told you."
"I was afraid of getting stuck on a small nodule during the puncture, so I didn't dare to get too close." Li Ran explained.
Zhou Congwen smiled, he was really meticulous, and there were only three or five people in the whole country.
Li Ran was able to achieve this level, to put it bluntly, he was outstanding, beyond Zhou Congwen's expectations.
Taking the patient to the operating room, Li Ran was silent all the way, as if he was thinking about the gains and losses of the operation just now, and kept replaying.
Just this eagerness to learn is countless times stronger than Shen Lang.
Chapter 0538 The operator was sent to the branch office
Zhou Congwen and Li Ran handed the patient over to the itinerant nurse and began to change clothes.
Li Ran still had a serious expression with a bit of weirdness, obviously pondering the connection between the practice just now and what Zhou Congwen said.
Zhou Congwen didn't bother him either. He changed into his isolation suit, put on a hat and a mask, and went inside.
Chen Houkun and Li Qinghua are almost here, so they will anesthetize the patient first, and then start the stage immediately after they arrive.
These are all established procedures, and the Thoracic Surgery Department of the Third Hospital is already quite proficient.
Walking to the corridor of the operating room, Zhou Congwen heard voices coming from the emergency operating room.
The conditions of the operating room in the third hospital are average, not to mention laminar flow, and even the airtightness is poor.
This is a historical limitation. Zhou Congwen has long been used to it. As long as there is electric heating, other things are not important.
"Exposed, how many times have I told you, exposed!"
"I want to see inside."
"Keep your butt up a little, don't move, that's it."
Zhou Congwen smiled slightly when he heard Dr. Gao's voice.After a glance, Li Qinghua and Chen Houkun were not seen, so he went straight into the emergency room.
"Raise your butt again, and I can't see."
"I told you not to move, why don't you act like you didn't hear me?"
While performing the operation, Dr. Gao was muttering, more like talking to himself.
Is this the rhythm of overnight surgery?Zhou Congwen knows that people are willing to talk to refresh themselves when they are extremely tired.
Otherwise, you can imagine how serious the consequences would be if you dozed off on the operating table.
The assistant standing opposite Dr. Gao was so sleepy that he couldn't open his eyes. He pulled the big retractor with all his strength. The tail of the retractor was tilted upwards, exposing the surgical field.
"Why can't even pull the retractor well." Dr. Gao simply put down the hemostatic forceps in his hand, "Don't move, I will show you a position. Yes, it is said that the buttocks are higher, which is taller. If you do that, how can I?" See inside."
"Old Gao, you can't even scold Xiao Wu." The anesthesiologist has just changed shifts and is an emergency doctor today, full of energy, "If you just look up, Xiao Wu will know what to do... Ha Ha ha."
The anesthesiologist was younger and less thick-skinned to make dirtier jokes.
"It's Lao Gao who is getting old. His eyesight is good but his body is not good. He really cares about his posture. He will kill seven in and seven out." The itinerant nurse said.
"Don't talk nonsense, hurry up and do it, I'm almost falling asleep." Dr. Gao reprimanded weakly.
"Brother Gao, are you still in the emergency room?" Zhou Congwen greeted.
"Xiao Zhou, have you opened the emergency clinic today?" Doctor Gao cheered up and glanced at Zhou Congwen after hearing Zhou Congwen's voice.
"Well, I'm waiting for the director to come." Zhou Congwen said with a smile, "By the way, which station is this for you?"
"Six stab wounds came yesterday..." Dr. Gao sighed, "It's not some foreign festival like Christmas or carnival night, it's weird yesterday."
Zhou Congwen was suddenly full of happiness.
It seems that there were not those rash guys who fought yesterday. As long as they didn't stab the abdominal aorta with a knife, they would be fine if they were sent to the hospital.
The chest is different, a tension pneumothorax will kill.
Happiness, or to compare.
There was no trauma yesterday, and Zhou Congwen thought it was normal to not have to come to rescue him in the middle of the night; but seeing Dr. Gao's haggard face and the exploratory laparotomy the next morning, Zhou Congwen was overwhelmed with happiness.
I took a closer look, and found that the location of the probe was relatively deep, and the assistant opposite Dr. Gao was about to raise his back hand to the sky, which was what Dr. Gao said just now.
The intestinal tract was ruptured, and a small amount of food residue and feces could still be seen in the abdominal cavity.
The infection should be serious, but Zhou Congwen didn't care about it. He just took two sets of antibiotics and it didn't matter.
I heard from the boss that in the early years when only penicillin was available, the conditions of the operating room were not up to standard, and patients after appendectomy had a high chance of incision infection.
Unlike now, when the conditions improve little by little, the complications are much less.
Zhou Congwen was not interested in a simple laparotomy. He glanced at it without disturbing Dr. Gao's operation, turned around and left, and went to his own operating room.
Today is the underworld, so it's more worry-free.
After entering the operating room, Zhou Congwen greeted Liu Wei.
"Congwen, where's Professor Chen? Where's your director? It's time to come up." Liu Wei glanced at the watch on the lintel.
"I don't know." Zhou Congwen inserted the patient's film into the film reader, and checked the patient's information for the last time.
"Call and ask."
"it is good."
Zhou Congwen took out his mobile phone from his butt pocket and called Li Qinghua.
The phone was not answered for a long time, and Zhou Congwen suddenly had a bad idea in his mind—could it be a car accident.
Liu Wei also looked at Zhou Congwen in surprise.
Zhou Congwen made a phone call to the emergency department, "Hello, I am Zhou Congwen from the chest department, have we picked up patients at 120?"
"It's fine if you don't, sorry to bother you."
Zhou Congwen hung up the phone, frowning and concentrating on what happened.
"Congwen, what happened to your director?" Liu Wei asked in a low voice, as if he had a premonition that something bad had happened.
It's just that he didn't talk much, and put all kinds of bad guesses in his stomach.
Zhou Congwen glanced at the anesthetized patient and said helplessly, "I don't know."
"Why don't you drive first?" The roving nurse discussed with Zhou Congwen no matter what happened there.
It's not that Zhou Congwen can't perform this operation. For Zhou Congwen, this operation is too simple.But the family members of the patients didn't know that they had a high level, and they paid for professors from medical universities.
He shook his head, contemplating with the phone in his hand.
What can happen?If it's a serious car accident, it must be sent to the third hospital nearby; if it's all right, why doesn't Li Qinghua answer the phone?
After thinking for a long time, Zhou Congwen still had no idea. He guessed that Li Qinghua had already changed his clothes, but he walked to the door of the locker room while making a call with his mobile phone.
There was no phone ringing from inside.
What happened?Zhou Congwen called Chen Houkun again, but no one answered.
But not long after hanging up the phone, Li Qinghua called back.
When Zhou Congwen answered the phone, it was a bit messy.
"Congwen, Professor Chen and I are at the Public Security Bureau." Li Qinghua said helplessly.
"..."
Zhou Congwen was taken aback, why did he go to the Public Security Bureau?
"Just now in the taxi, I asked Shen Lang to find a linear cutter and stapler. I said to take four guns to the operating room, but the enthusiastic driver took us to the Public Security Bureau." Li Qinghua said without tears .
"..."
Zhou Congwen almost spit out a mouthful of old blood.
What the hell is going on!
He had a good operation early in the morning, but was sent to the branch office.
It's time for Director Li's car to break down... Zhou Congwen thought helplessly.
Chapter 0539 must be completed by Professor Chen
Details, everything is in the details.
Who knew such a thing would happen!Zhou Congwen sighed.
Also, if Dr. Gao said those words just now, he would be a stinky hooligan...
Careless, Zhou Congwen has never experienced similar things in his last life.He frowned and thought for a while, "I'll give Political Commissar Xu a call."
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