Back in 2002 as a doctor
Page 35
But just now the halo of the successful rescue of the air embolism possessed him, Wang Cheng didn't fart a single fart, trembling and lowering his head for the operation.
The next thing is relatively simple, iodophor is used to disinfect, 4 tubes of gentamicin are sprinkled in the chest cavity, and the chest is closed layer by layer.
Until the end of the operation, the numbers on the ECG monitoring were still stable without huge fluctuations.
The anesthetist glanced at Zhou Congwen, then at Wang Chengfa.
Zhou Congwen was no longer as domineering as when he was directing the emergency rescue, but stood in the corner with his head down, not knowing what he was thinking.
"Director Wang, should we extubate or take the tube back?" the anesthesiologist asked in a low voice.
Wang Chengfa hesitated for a moment, raised his slightly edematous eyelids, looked at Zhou Congwen like a toad, and said in a muffled voice, "Take the tube back and use the ventilator for a day."
"Okay." The anesthesiologist began to help pack things, carry the patient, and sat on the flat car holding the airbag to send the patient to the small intensive care unit of the thoracic surgery department.
The operating room became quiet, Zhou Congwen did not follow the patient, he waited for Wang Chengfa and others to leave, and then turned and walked out of the operating room.
"Xiao Zhou...doctor!" The equipment nurse suddenly called out.
Zhou Congwen turned his head.
The equipment nurse squinted at him and raised her right thumb, "Excellent."
"It's okay." Zhou Congwen smiled lightly.
Chapter 0058 Calm, Indifferent, Cold Emergency Rescue
When he came to the dressing room, Zhou Congwen didn't change directly, he raised his arm and smelled himself.
The taste of adrenaline mixed with dopamine made Zhou Congwen a little disgusted.
What the hell, Zhou Congwen cursed inwardly, opened the locker, took out the ganoderma lucidum and shook his hand, a cigarette jumped out like an elf.
Holding the filter of Bai Lingzhi, Zhou Congwen took out the lighter and lit the cigarette.
The disposable lighter was twirling between his fingers, as if it had come to life dexterously.
The smoke was really strong, and after taking a sip, it rushed straight to the forehead, the nerves in the frontal lobe of the brain began to pulsate, and the pain in Zhou Congwen's right hip joint was relieved a lot in just a split second.
It's comfortable, but it's a pity that Ganoderma lucidum and Cosmos cigarettes are no longer produced, Zhou Congwen misses it very much.
Before this rescue, Zhou Congwen didn't feel such a strong feeling when he smoked. He estimated that it might have something to do with the fact that he entered a state of stress after discovering the air embolism.
The smell of adrenaline and dopamine is really unpleasant, and it will be fine to do emergency surgery every day in the future, Zhou Congwen comforted himself.
"Xiao Zhou, you...give me one." The anesthesiologist opened the door curtain and came in. Seeing Zhou Congwen sitting on a chair smoking, he said a little seriously.
"Brother Sun, Bai Lingzhi, can you get used to it?" Zhou Congwen asked the anesthetist with a smile after blowing on the cigarette.
"Let me try. Tell me, what's wrong with you today? You seem to have changed." The anesthesiologist asked cautiously.
"Worry, there's nothing you can do. Air embolism, you know."
"How did you get here?" The anesthetist sat across from Zhou Congwen, lit the white ganoderma and took a sip, coughing from choking.
"Slow down, the smoke is choking." Zhou Congwen smiled. "Looking back now, I highly suspect that it was because hydrogen peroxide was used to disinfect and seep into the closed surgical wound that had been sutured. Because the gas produced had difficulty escaping, and then along the subcutaneous Go up and form subcutaneous emphysema."
"Uh... this only exists in theory."
"Indeed, a small probability event, but once it occurs, it is [-]%."
What I said before the operation and the family members of the patient is really appropriate here.
"That's what you said." The anesthetist had a cigarette in his mouth, but he didn't dare to smoke indiscriminately. It was too aggressive, and he was not blessed to enjoy it. "Xiao Zhou, it's not that my brother said you, even if it was to save patients, you did too much."
"Hehe." Zhou Congwen smiled, "What else? The patient will be gone a few minutes later."
The anesthesiologist concluded that although Zhou Congwen was right, he always felt that something was weird.
Because of the rescue, he offended his immediate boss and risked his life's future... No, that's not it.
After thinking for more than ten seconds, the anesthesiologist slapped his thigh suddenly.
With a "pop", the anesthesiologist jumped up.
He rubbed his legs and asked with a wry smile, "Xiao Zhou, I have never heard of a successful rescue case of air embolism. Three months ago, there was a case of air embolism in the Department of Obstetrics and Gynecology of the People's Hospital. Although the patient survived, both pupils Sanda became a vegetable. I lived in the ICU for a while, and it is said that I have given up now."
"Just in time." Zhou Congwen said lightly, "It's not difficult to find out at the first time and solve it at the first time."
This is the legend that it is not difficult for those who meet, but not for those who are difficult?The anesthesiologist looked at Zhou Congwen in a daze.
A young doctor with less than two years of clinical work in thoracic surgery gave him the confidence to say that air embolism is not difficult.
"Zhou, where did you learn it?" the anesthesiologist asked cautiously.
"It's written in the book, and it's clearly written in the clinical guidelines for emergency first aid."
The anesthesiologist knew that Zhou Congwen was trying to put himself off, but he didn't know what to answer.
How great it would be if you could become a master by memorizing what was written in the book.There is a thing called clinical experience, I don't know how Zhou Congwen wants to explain it.
And the most important thing is-the anesthetist was also a witness at that time.
The moment the ECG monitoring started to alarm, his mind went blank, and his hands and feet were numb.Later, Zhou Congwen's ridicule that Wang Cheng had urinated was not necessarily all false. There were indeed cases where practitioners were scared to urinate in special situations.
In the event of an air embolism, he could remain calm, and judged that Director Wang Chengfa could not direct the rescue, so he did not consider the stakes at the first time and squeezed away Wang Chengfa's viciousness.
This is something that ordinary people can do.
The four words "reckless" cannot describe Zhou Congwen's state at that time. Wang Chengfa can be squeezed away just by his enthusiasm, but what happens after he is squeezed out?
Zhou Congwen was determined to direct, and someone interfered and threw the hemostatic forceps directly. His brutal and domineering energy had nothing to do with the little doctor, and he looked like an old director who said nothing.
"Zhou, your eyes were too scary when you directed the rescue." The anesthesiologist recalled the situation at that time with lingering fear.
"Hehe, worry, if there is something wrong, please forgive me."
"Excuse me, I can't tell. I'm worried that Wang Chengfa will give you small shoes to wear after I go back."
"It's okay, I've worn enough small shoes. I grew up with bound feet, so I'm not afraid." Zhou Congwen said indifferently, "Have you ever seen me as the surgeon?"
"Hey."
The anesthesiologists and nurses in the operating room know what's going on in each department, but they just don't tell the truth.
Offending the director for complaining about a small doctor, who has the time to do such a stupid thing.
But now Zhou Congwen is different, the anesthesiologist knows the goods.From the calmness at the beginning to every doctor's order for rescue, to the deep vein puncture, the guide wire was directly driven into the right atrium to pump out the gas.
Every step is clear and clean.
Medication before and after, including the rare ice cap, body position and other details, all show his comprehensive quality.
"Zhou, don't leave yet, help me to smooth out the first-aid medicine on the anesthesia sheet."
"Row."
"At that time, my mind went blank, and I couldn't remember at all. I guess Wang Chengfa didn't know, and Wang Qiang was even more fucking nonsense. What the hell, this side of the rescue, he will send the patient down to wait for death."
Zhou Congwen smiled slightly.
"You can write it for me, or else what Wang Chengfa wrote doesn't match him, so he should file a complaint with our director again."
"No problem." Zhou Congwen said vaguely with a cigarette in his mouth.
Wang Chengfa may find trouble after the fact because of face, but the anesthetist doesn't care about it. He has nothing to do with Zhou Congwen, and after this emergency rescue, he wants to make friends.
Helping the anesthesiologist to recall the time of rescue medication, the anesthetist was surprised to find that Zhou Congwen's thinking was clear and clear. It seemed that his nerves were made of iron, and the emergency rescue of air embolism could not touch his heart at all.
Calm, indifferent, and ruthless rescue, so fucking awesome!
Chapter 0059
After helping the anesthetist to complete the anesthesia records, Zhou Congwen returned to the ward with the record sheet and put the anesthesia record sheet in the medical record.
Wang Qiang was pulling down strands of his hair worryingly.
Seeing that Zhou Congwen came down with the anesthesia record, he quickly opened the folder of the medical record and began to read what the anesthetist had written.
There were three full pages, and the rescue process was densely written in chronological order.
The records were detailed and detailed, and Wang Qiang stared at the record sheet in a daze.
Writing medical records has always been a big problem for surgery, as for the anesthesiology department... that's it, no better than surgery.
Surgeons don’t care about poorly written medical records, and some surgeons even laugh at physicians for having nothing to do every day, so why don’t they write medical records.
But once something goes wrong and the medical records are called, the surgeon will be dumbfounded.
In Wang Qiang's consciousness, such a detailed and detailed record like the one in front of him means one thing—a lawsuit.
After going to work, Wang Chengfa kept instilling that being a doctor is a job inside and outside the door, and that medical records must be written well.
But now it is 2002, not 2020, and the relationship between doctors and patients is still relatively harmonious. Wang Qiang has only encountered one moderate medical dispute.Although it was only moderate, revising the medical records was enough to give him a splitting headache, and he couldn't sleep well for a few days and nights.
That's it, no matter how many revisions, as long as you check carefully every time, you can still find the fault.
But the anesthesia record + rescue record in front of him is completely different. Wang Qiang's only thought is - Zhou Congwen wants to do something, he picks himself out and then persuades the patient's family to sue Director Wang and himself.
Otherwise, why write in such detail!
Goosebumps appeared on the back of Wang Qiang's neck, and he gave Zhou Congwen a vicious look.Then he walked out of the office with the paper and went to Wang Chengfa to discuss what to do.
Wang Chengfa has just seen the postoperative patient, and the condition is stable, and the pupils on both sides are sensitive to light, so it should be fine.He was a little apprehensive and in a complicated mood.
Although Zhou Congwen drove him away, he helped him solve a big problem.Wang Chengfa didn't want to accept Zhou Congwen's favor, but the fact was there, and there was no way to escape, which really entangled him.
"Master." Wang Qiang entered the room and whispered while standing behind Wang Chengfa.
"Ok?"
"To your office?"
Wang Chengfa smiled and comforted the patient's family members, then turned and walked out of the small intensive care unit and returned to the director's office.
"What's wrong?" Wang Chengfa asked.
"Master, look at this."
Wang Qiang handed the anesthesia record sheet to Wang Chengfa.
so thick?Wang Chengfa was startled for a moment.The anesthesia record sheet generally only has one page, and sometimes there are two pages for major operations such as esophageal cancer, and the anesthesiologist's records are not very detailed.
As long as the patient is fine and steps down safely, no one is willing to take the effort to complete the medical record, and write down everything big and small.
But the anesthesia record sheet in front of me is different, it has 3 or 4 pages.
Wang Chengfa became cautious all of a sudden, he picked up the record sheets and read them carefully one by one.
The rescue process was meticulous, more accurate than Wang Chengfa's memory.Anesthetist?Impossible, he was already in a daze at that time, it was impossible to remember such details.
Who wrote that?
The answer was ready to come out, if Wang Chengfa didn't even know this, the director's position would not be secure even if he took it.They are all old monsters who have cultivated for thousands of years, and they can understand what Wang Qiang means at a glance.
"Master, Zhou Congwen..."
"I see." Wang Cheng said with a cold face.
"Master, he ordered the rescue without authorization, kick him directly to the medical department." Wang Qiang suggested.
"Then what?" Wang Chengfa felt more and more that his favorite student was really useless, and even came up with a stupid idea for himself.
"Then? No then, let him stay in the medical department for half a year, and then send him to the emergency department for rotation."
"Fart." The muscles on Wang Chengfa's face convulsed. He suppressed the anger in his heart and said in a cold voice, "How about going to the medical department? Although our medical department is not very useful, we are all doctors. I told people Zhou Congwen A case of air embolism was successfully rescued? I can't stand him in my eyes, let him come to the medical department to reflect?"
"..." Wang Qiang was stunned, he didn't fully understand what Wang Chengfa meant.
"If you do what you say, the whole hospital will know about it in a few days." Wang Chengfa closed his eyes and leaned back on the chair, feeling a little tired.
After a few seconds, Wang Chengfa said helplessly, "Air embolism, that's an air embolism."
"He's just a monkey, so what happened to a case of air embolism that was successfully rescued? You can also be rescued successfully!"
Wang Chengfa closed his eyes expressionlessly, that's what Wang Qiang said, but Wang Chengfa knew his level very well.
In his life, he encountered a total of 3 patients with air embolism, all of whom died without doubt.Wang Chengfa didn't know what to do, so he was deeply afraid of air embolism.
Forget it, that's all for today, Wang Chengfa thought to himself.
It must not be publicized, otherwise once Zhou Congwen is assigned to the medical department, he will be asked to leave by other surgical directors in a few days.
At that time, I really can't hold him anymore.
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