Back in 2002 as a doctor
Page 76
He sighed, "Is the patient okay."
"It's okay, Yun County can't do closed thoracic drainage, so I made a clear judgment and turned it over directly. It's nothing serious."
Zhou Congwen knew very well what the little nurse meant when she said not much.
Some doctors are always willing to do things beyond their ability to cover up after making a mistake.
For example, if this pregnant woman really met that kind of doctor, she would go on stage again without even diagnosing pneumothorax...
As soon as the ventilator was blown, the patient died directly on the operating table.
It's fine.
"What did you save?" Zhou Congwen asked.
"The patient is in hemorrhagic shock. The obstetrics department will go up with us. The obstetrics department will stop the bleeding first, and then we will repair the lungs."
Alas, Zhou Congwen sighed.
It is estimated that the obstetrics department will do it first, and then Wang Chengfa will do it later.
The good luck of the past few days seems to have been used up completely, and he even has to take over the stage for surgery.
There is no way, he always has to go, he bowed his hands behind his back, and slowly changed into a white suit and went directly to the operating room.
There was a smell of disinfectant in the operating room. The operating room in 2002 was under such conditions. Zhou Congwen didn't feel strange, but felt a little weird.
I really don't want to have surgery at night, it's simply too inhumane.But the patient in front of him still needs surgery, there is no way.
After changing clothes and going in, the patient has been anesthetized, and the obstetrics department began to disinfect.
The obstetrician complained while disinfecting, complaining that the doctors in the lower-level hospital couldn't even do an ordinary caesarean section.
But complaining can't solve the problem, and everyone still restrains themselves from speaking ill of other doctors, instead of talking fragrantly, they just chatter.
Disinfect and spread sterile drapes, and the obstetrics department will perform the surgery first.
Zhou Congwen glanced at it, it was caused by scar pregnancy.
The best solution to this situation is interventional embolization. Of course, the possibility of unfavorable surgery by doctors in lower-level hospitals must be ruled out.
After watching half of the operation, Zhou Congwen dragged Shen Lang to smoke.
Wang Chengfa only drinks and doesn't smoke, so he is the person who doesn't like smoking the most.Zhou Congwen didn't care, Shen Lang hesitated.
But whoever smokes is a virtue.
Shen Lang quietly ran to the locker room with Zhou Congwen to smoke.
"Congwen, have you ever been to a primary hospital? Why can't you even have closed chest drainage?" Shen Lang asked with a cigarette in his mouth.
"I don't even have a chest tube, so I can't do it even if I know how to do it." Zhou Congwen said with a smile, "Our chest department is a big department just like neurosurgery."
Shen Lang glanced at Zhou Congwen embarrassingly, big department?He wouldn't even believe this sentence to kill Shen Lang.
"You want to say that our economy is backward, right? The same is true in the south. In the future... ahem, only hospitals with chest and neurosurgery will be confident."
Zhou Congwen almost didn't say anything about the selection of the cardiothoracic surgery department in the top three hospitals as the key standard department in the future.
"Hey, I don't think it's a small job to be able to put on a chest bottle. Shen Lang, if you want to, you can resign now and go to the southern township hospital, and they will definitely give you a staff. After more than ten years, the construction will get better and better. You only need to study a few times, and you can ask a professor to perform an operation to be the director."
Zhou Congwen suggested to Shen Lang as if joking.
It sounds particularly unreliable, but a graduate who was taught by Zhou Congwen students in the previous life did just that.Later, Zhou Congwen was invited to fly the knife, and it took only 3 years to turn the thoracic surgery department of the township hospital into the largest thoracic surgery department in a prefecture-level city.
I don't want to mention this, but Shen Lang only thought that Zhou Congwen was joking.
Shen Lang didn't ridicule Zhou Congwen's "whimsical ideas", nonsense among colleagues and friends is the norm, who would take it seriously?
However, Shen Lang was not as calm as Zhou Congwen, he was very afraid of Wang Chengfa, so he took a few puffs of cigarettes and chatted for a few minutes, then threw the cigarette butt into the toilet, opened the window to let the smell go, and went back to see the operation.
More than an hour later, after the obstetric surgery was completed, Shen Lang and Zhou Congwen began to get busy with the chest department.
Considering that it was just a rupture of the diaphragm, Wang Chengfa planned to complete the operation with thoracoscopic surgery.
Brushing hands, disinfecting, and laying out sheets, Wang Chengfa stood in the position of the surgeon, and Shen Lang was his assistant, standing beside him.And Zhou Congwen still stood where he couldn't see the screen, he could only see Wang Chengfa with his back to the TV.
To repair the diaphragm with thoracoscopic surgery, you only need to make a few titanium clips, and then check whether the lungs are damaged. The operation is very simple, and the choice of operation method is not a problem.
Zhou Congwen didn't think about arguing with Wang Chengfa about everything, so he was fishing on the operating table with peace of mind.
In his position, he couldn't do without fishing.
Even the best surgeon can't do blind exercises without looking at the screen.
Zhou Congwen saw Wang Chengfa had a small 2cm incision, and thought of Wang Zhiquan in his mind.I don't know if Wang Zhiquan has been arrested, if not, I have to start the next step.
I hope Wang Zhiquan is a bit stupid.
Chapter 0131 Going smoothly?
The German team in 2002 wore the coat of a strong team, but it was actually very weak. It was called the weakest German team in history.
In 1998, they were defeated by Croatia with 3 goals, and did not qualify for the European Cup group in 2000.
They suffered a severe talent gap in those years. Their offensive methods were too single, and it was extremely difficult to organize and advance in the midfield. On the offensive end, there was only one Ballack to rely on.
Although the defense is not bad, the goalkeeper Kahn even played the representative battle of his career in the World Cup.
Relying on a good grouping and the weakness of a certain Asian team, they basically did not encounter any strong opponents, and they made it to the semi-finals all the way.
Regarding the match between the German team and the South Korean team, someone "predicted" early on that since the Korean team could beat Portugal, Italy, and Spain at their peak, why couldn't they just send the Germans home?
The handicap given by the outside also confirmed this guess, Germany only allowed the hemisphere.
Boss Chunxiao was sitting outside watching the game. Ten minutes ago, he watched Wang Zhiquan hurried into the back room.
He knew very well that Wang Zhiquan had already taken the lead, Wang Zhiquan got carried away with one victory, and was going to find an unpopular blogger.
When Wang Zhiquan came in the afternoon, besides the money, he also carried a file bag.Needless to say, Boss Chunxiao also knew that the file should contain the real estate certificate.
Alas, I haven't reached the level of selling houses and land, so why are you so greedy?
Because he has seen too many dilapidated households, the more Boss Chunxiao looks at Wang Zhiquan, the more he looks like those people in the past.
Coupled with Zhou Congwen's previous performance, he is very curious about the final outcome of this game.
……
……
The operation went smoothly, and the endoscopic light source was sent in along the poking card, and Wang Chengfa saw the point where the diaphragm ruptured on the screen.
This operation was performed, a caesarean section can actually damage the diaphragm, what are the doctors in the township hospital thinking!Although Wang Chengfa didn't say anything, he kept slandering him in his heart.
Indeed, the caesarean section is really rough.
A long time ago, maternal dystocia leading to death was very common, so that the question of whether to keep the big or the young has been handed down and become a meme in TV dramas.
But after the caesarean section, this kind of stalking seems ridiculous... Forget it, I don’t want to think about it so much, Wang Chengfa is going to use titanium clips to clamp the damaged point after investigating clearly.
According to his habit, it is best to sew two stitches.
Wang Chengfa actually doesn't like thoracoscopic surgery at all, but this is "high technology".
The reason why he reluctantly underwent laparoscopic surgery was because it was a gimmick whether it was promotion or the director of selection.
People, can't just work honestly, but also occasionally look up at the road.
Therefore, after getting thoracoscopy equipment in the hospital, Wang Chengfa was quite active in using it, even if the operation was very unfamiliar.Anyway, the operations performed are all minor operations such as pneumothorax, and there is no need to do so delicately.
The long pliers were inserted into the chest cavity along the way, and it was far less convenient to look directly at the TV than to look directly at it with the naked eye. Wang Chengfa slid the long pliers and hit the diaphragm all at once.
Misoperation... Wang Chengfa immediately lifted the pliers and subconsciously glanced at Zhou Congwen.
Zhou Congwen was fishing, as if he didn't notice his operation error, Wang Chengfa curled his lips.
There is no need for a second assistant in thoracoscopic surgery, just stand like this for a lifetime, Wang Chengfa thought to himself.
After a lot of effort, Wang Chengfa managed to use two long pliers to grab the damaged point of the diaphragm.
Alignment, the lower titanium clip clamps the damaged point.
Tired and sweating, it took half an hour to complete such a simple operation. Wang Chengfa felt that thoracoscopic surgery was really superficial.It is said that the damage is small, but that is because the damage looks small on the outside.
Wang Chengfa knows the tricks here.
For example, Wang Chengfa often did this when he was operating on the appendix in major surgery. The small incision was 2cm-4cm. After the skin was opened, he pulled it hard with a retractor to extend the peritoneum. The peritoneal incision was at least 6-8cm, and the damage was actually not small.
But patients and their family members don't know, they can only see the incision on the outside.
The smaller the incision, the higher the doctor's level. This is a "fact" recognized by patients and their families.
The thoracoscopic surgery is also similar. It looks like the damage is small, so why not count the time wasted in the chest cavity due to unskilled operation.
After clamping the ruptured diaphragm, Wang Chengfa relaxed, and the operation was basically over, and the rest was to explore whether there was active bleeding or air leakage in the thoracic cavity.
If not, rinse, close chest, step off stage.
"Director Wang, the operation went well?"
Just when Wang Chengfa was most relaxed, the anesthesiologist Liu Wei suddenly asked such a question.
Wang Chengfa was stunned for a moment, "It went well, the damaged diaphragm has been repaired. What's wrong?"
"Oh, nothing." The anesthesiologist said softly.
Wang Chengfa didn't take it seriously, he thought it was just casual chatting on the stage of the anesthesiologist.
However, out of the caution of an old doctor, Wang Chengfa subconsciously looked up at the monitor.
Blood pressure 85/55 mm Hg, a little low.
But this is also normal. After all, the patient is under anesthesia, and with so much bleeding before, it is considered good to be able to maintain a blood pressure slightly lower than the lower limit of the normal value. Wang Chengfa is not dissatisfied.
After flushing with warm saline, the anesthetist inflated the lungs and clamped the damaged lungs.There was no bleeding or air leakage, Wang Chengfa checked carefully and straightened his waist, "Close!"
When he looked up, he saw Zhou Congwen staring at the monitor with an extremely awkward posture.
Wang Chengfa felt a "thump" in his heart.
Zhou Congwen wants to "find fault" again? !
Since that day, Wang Chengfa had a faint fear of this little doctor under him.
Originally, this kind of emotion should not have appeared in the heart of a director at all.
Would the head of the department be afraid of a little doctor?Isn't this nonsense.
But after Wang Chengfa was mercilessly scolded several times by Zhou Congwen, and even after he was forced to review his mistakes in front of the general practitioner, a shadow had already left in his heart.
Even if Wang Chengfa doesn't want to admit it anymore, he has to face this fact.
Zhou Congwen, who has been fishing on the operating table, stared at the monitor intently. Did something happen?Wang Chengfa immediately turned to look at the monitor.
The patient's blood pressure ratio just dropped slightly, 82/50 mm Hg.
For an ordinary patient, this blood pressure is low, but for a patient with hemorrhagic shock, the blood pressure is not bad.
In addition, after anesthesia, the patient's blood pressure will definitely drop, so Wang Chengfa doesn't think there is anything wrong.
Although he thought so in his heart, Wang Chengfa cautiously did not close his chest immediately, and checked the patient's chest cavity again.
The operation area was clean, no bleeding, no air leakage, nothing!
Wang Chengfa frowned and looked sideways at Zhou Congwen.
And Zhou Congwen was still in that awkward posture, his eyes fixed on the monitor.
……
……
Time passed by every minute and every second, the German team scored a goal in the 75th minute, and the score was 1:0.
Chapter 0132
Wang Zhiquan's eyes were fixed on the live TV, his face was red with white, and white with red.
There are still a few minutes to the end of the game, and the score is now in the lead of the German team.
There must be a chance, for sure!
The South Korean team has created too many miracles in this World Cup. Didn't the match against Italy also equalize the score in the last few minutes, and then eliminate Italy with the help of the referee?
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