Back in 2002 as a doctor

Chapter 0014 Creak~Creak~~Creak~~~

Wang Chengfa tapped the big retractor in Zhou Congwen's hand with the hemostatic forceps, "The back hand is higher, and I have no vision at all during surgery. I can't even pull the retractor well, what the hell."

The disdainful tone was so strong that even the anesthetist turned his head to look elsewhere to avoid Zhou Congwen's embarrassment.

Zhou Congwen didn't have any idea, he knew that Wang Chengfa was nitpicking.

There is no change in the field of surgery, Wang Chengfa no longer PUA Zhou Congwen, but began to teach Wang Qiang surgery.

After all, the biggest PUA is not to allow Zhou Congwen to take a scalpel. As an old doctor, Wang Chengfa has a clear door here.

Thoracic surgeon?What is a surgeon without a knife? Chest medicine.

One rib was removed, "8" suture was sutured to stop the bleeding, and the chest wall was opened for exploration with a chest opener.

This procedure is very old. In a few years, no one will perform rib surgery even if there is a large thoracotomy. However, in 2002, thoracotomy and rib removal became a routine procedure.

The chest cavity was inspected, and there was a 2cm long incision in the middle lobe of the right lung, and blood was gurgling out.

Wang Chengfa stretched out his right index finger and stabbed his finger along the edge of the knife.If it weren't for the sterile concept accumulated over the years of surgery, Zhou Congwen almost covered his eyes with his hands helplessly.

This operation... is really rough.

"It's okay, let's sew it." Wang Chengfa said in a deep voice.

Wang Qiang asked for thick needles and thread, and figure eight stitches.

"Take it as deep as possible." Wang Chengfa taught carefully.

"Warm salt water, rinse."

Zhou Congwen sucked up all the overflowing water with a suction device. Wang Qiang rinsed his chest repeatedly. Seeing that the warm salt water was getting lighter and lighter, he looked up at Wang Chengfa.

"Close." Wang Chengfa said in a deep voice.

"Director." Zhou Congwen said immediately, "The mediastinum has not been explored yet."

The anesthetist lowered his waist and wanted to tuck his head between his legs. He couldn't bear to watch Zhou Congwen about to be scolded by Wang Chengfa.

Is Zhou Congwen crazy?It must be, he wants to go crazy for surgery.

On the operating table, he didn't have a place to speak at all, so didn't he have any compulsion in his heart?

Wang Chengfa was also taken aback for a moment, and then he glanced at Zhou Congwen with his signature squinting gaze, full of murderous intent.

When Zhou Congwen said that he was so awe-inspiring, Wang Chengfa held a grudge in his heart, and he would probably be cremated with him. His ashes were full of hatred for Zhou Congwen.

"Are you teaching me how to do things? Are you the director or am I the director?" Wang Chengfa said disdainfully.

"It's not my teaching, it's written in surgery." Zhou Congwen said calmly, "Clinical surgical standards are standardized, otherwise I won't be able to write my surgical records."

"You don't need to write it. In principle, the surgery record is written by the surgeon, or the first assistant. What qualifications do you have to write the surgery record as a second assistant!" Wang Chengfa said coldly.

"I know, but I wrote the postoperative records." Zhou Congwen narrowed his eyes, and he could guess that he was smiling.

Wang Chengfa frowned.

"I will describe the current situation in the postoperative record. As the treating physician, I reminded the surgeon and the first assistant to explore the mediastinum, but they were rejected. As for the sentence that the search for no active bleeding will definitely be written in the surgical record..."

Zhou Congwen's words made the operating room quiet, not only the anesthetist and the operating room nurses, but even the sound of the ventilators and monitors was much quieter.

Even the cold machine felt Wang Chengfa's anger, and tried to keep it as quiet as possible.If possible, the ventilator would jump to the corner at once to avoid Wang Chengfa's monstrous anger.

"Crack~" Wang Chengfa gritted his molars.

Zhou Congwen ignored Wang Chengfa's displeasure, and said calmly, "I recommend using pliers instead of fingers to detect the knife edge. After all, we didn't see the murder weapon, and finger detection may miss the penetrating wound that is wide at the top and narrow at the bottom."

"Crack~Crack~" Wang Chengfa continued to grit his back teeth.

"As a treating physician, I am only responsible for putting forward my opinions. If I close my chest and step down now, I will record it in detail in the course record and communicate with the patient's family."

"Crack~Crack~Crack~"

"Okay, that's Director Wang, you have a high level, you don't need to investigate. If there is something wrong with the left chest... it will be clearly written in the original document." Zhou Congwen stopped here, his eyes were starry, "I After finishing speaking, please let the surgeon and Yisuke decide how to do the operation according to the situation during the operation."

Although Zhou Congwen was laughing all the time, whether it was Wang Chengfa, Wang Qiang, the anesthesiologist, the equipment nurse, or the itinerant nurse, they all felt a strong aura.

This is not an aura that a young doctor can possess. Even Wang Chengfa does not have such an oppressive but not fierce aura that makes him unable to breathe.

The anesthesiologist looked up at Zhou Congwen in surprise, where did this guy have the courage to question Wang Chengfa?And what is that momentum?My own feelings are wrong.

Zhou Congwen made his words very clear - detailed records in the medical records and communication with the patient's family members.

This is equivalent to putting two 50-meter-long knives on Wang Chengfa's neck.

Wang Chengfa's face suddenly darkened.

"Zhou Congwen, do you know how to perform surgery? Just wait here."

Wang Qiang looked at Zhou Congwen who was using a strange and awkward pull hook, and said loudly with contempt.

Zhou Congwen's position is not the standard second aid position, but simply requires him to use the shoulder hook to expose his vision, which is equivalent to orthopedic anti-thigh work.

The work in this position is hard work, and I can't see the field of surgery. What's worse is that even the standing posture is awkward.

Wang Qiang looked down on Zhou Congwen very much, especially in the past two days Zhou Congwen repeatedly "provoked" the director, which made his teeth itch with hatred.

"I'm just telling the truth, the second assistant has no right to decide how to do the surgery, but no one is allowed to give opinions. If you want to close your chest, you can feel free, as I just said." Zhou Congwen said lightly.

Wang Chengfa hesitated for a moment, in a dilemma.

Zhou Congwen was like having a chicken bone stuffed in his throat, making him uncomfortable, wanting to vomit but unable to vomit.

What a surprise!

Check the mediastinum now? !What's the difference between that and bowing to Zhou Congwen.

Do not check?What should I do if something goes wrong?

This guy also threatened himself that he would record it in detail in the course record.

It is estimated that this little bastard will hide the medical records in his cabinet, and maybe even take them home.

But in a flash, Wang Chengfa suddenly figured it out—this is Zhou Congwen talking nonsense!

His position can't even be seen by the surgeon, so why tell me about the mediastinum?

It is difficult to see the mediastinum even from the position of the surgeon, so he alone?Nonsense.

Wang Chengfa squinted at Zhou Congwen, "Both of you close your chest."

After speaking, he turned and stepped down.

"Master told you to close your chest." Wang Qiang looked into Zhou Congwen's eyes and said mockingly.

Zhou Congwen shrugged his shoulders and stood in the operator's position, holding the shoulder hook with his left hand, and stretching his right hand into the chest cavity to press down the lungs.

Normally, thoracic surgery should be performed with single-chamber ventilation, and the lung lobes in the surgical area are deflated.

But one is that the patient’s condition is special, Zhou Congwen didn’t ask the anesthetist to perform single-chamber ventilation; the other is that the anesthesiology department of the Third Hospital’s technical level is average, and there is only one anesthesiologist who can do single-chamber ventilation, but he is not the one on duty.

The most important point is not to do thoracoscopic surgery, there is no need in principle.

"Sewing, what are you doing!" Seeing Zhou Congwen probing his chest, Wang Qiang yelled outrageously.

"Check it out." Zhou Congwen gently touched the patient's mediastinum with his fingers, "Otherwise, how can I write the postoperative records when I go back, I couldn't see the operative field just now."

"..." Wang Qiang was speechless.

The postoperative record is to rewrite the surgical record. Does he really want to write a new one?

"There is a breach in the mediastinum close to the main chest, luck is really good, if it is 1cm away, people will die without being able to reach the hospital." Zhou Congwen said leisurely while probing.

Chapter 0015 A big aunt almost spit out

"..." Wang Chengfa was walking away. He paused when he heard Zhou Congwen's words, and stood in mid-air with one foot as if he had been hit by a spell.

"What nonsense, you know nothing about surgery." Wang Qiang scolded contemptuously, "Prepare to close your chest, Zhou Congwen, let me tell you this is what Master said!"

"I just said something casually, so I can put it in the medical record when I go back. Otherwise, if something really happened, I'm the doctor in charge of the bed, and I will always be jointly and severally responsible." Zhou Congwen said nonchalantly.

"..." Wang Chengfa's heart began to beat wildly.

"Being a doctor, especially a surgeon, one foot is in the door and the other is out. I remember Director Wang said that the medical records should be written well, and no one can find faults. This is also a kind of protection for oneself."

Zhou Congwen took out his hand, the forearm of the sterile gloves and surgical gown was full of blood.

Wang Chengfa hesitated again and again, his heart had been shaken by Zhou Congwen's words, he wanted to leave but was worried, after all, he really didn't check the position of the mediastinum just now.

What should I do if there is a problem with the mediastinum as Zhou Congwen said?

"Close your chest." Wang Qiang said directly.

"Wait a minute." Wang Chengfa turned around and looked at Zhou Congwen's back, "Zhou Congwen, if you talk nonsense, report to the medical department by yourself tomorrow."

Zhou Congwen's eyes turned into crescent moons.

Wang Chengfa reappeared on the stage, and the atmosphere in the operating room froze when Wang Chengfa saw that there was really a 2cm wound on the mediastinum.

Although helpless, Wang Chengfa still chose to remain silent and continued to investigate.Indistinctly, there was a loud slap and crackling sound in the operating room.

The anesthesiologist was also dumbfounded. He had the best perspective and almost violated the principle of asepsis by sticking his head into the operation area for a closer look.

Really!

Director Wang really missed a hole.

The murder weapon seemed to be a 50-meter long knife, which entered the patient's right chest, penetrated the mediastinum, and entered the left chest.

What the hell, Wang Chengfa's face became darker the more he underwent surgery.

Who would have thought that the blade would penetrate the mediastinum, and even leave a trace on the adventitia of the thoracic aorta, almost not releasing a fountain.

Who would have thought that the left chest was also affected by the knife stabbing on the right chest!

Who would have thought...

It’s okay if everyone didn’t think of it, the key is that someone thought of it!

Recalling Zhou Congwen's threats to him just now, Wang Chengfa's operation was extremely awkward.

Facts proved that Zhou Congwen was right, but the more correct he said, the more disgusted Wang Chengfa was.

Even though Zhou Congwen eliminated a medical accident at the root, Wang Chengfa still found Zhou Congwen more and more disliked, even though Zhou Congwen was only standing by his side as an assistant.

One thoracotomy became two, and after the right thoracotomy was performed, the left thoracotomy was performed.

Unexpectedly, the injury on the patient's left chest was even more serious, with three incisions, not the kind of penetrating injury.

"I'll go..." The anesthetist saw clearly that there were three wounds on the upper and lower lobes of the left lung, and he said in surprise, "Isn't it a stab wound on the right side? How come there are three wounds on the left lung?"

"I don't know." Zhou Congwen chatted with the anesthetist while watching Wang Chengfa suturing the wound on his lung, "Maybe the other party is a martial arts master? A flick of the blade or something."

"Don't talk nonsense, I really don't understand it, it's weird." The anesthetist seemed to have forgotten the previous dispute between Zhou Congwen and Wang Chengfa. After watching the operation carefully, he confirmed that there were three wounds in the upper and lower lobes of the left lung, and he began to think hard.

But no matter how you think about it, you can't explain the situation in front of you.

"Zhou Congwen, is it possible that the person who hurt someone is really Wulin..."

"Surgery, what are you talking about!" Wang Cheng shouted in a muffled voice.

He was upset, so he found an excuse and began to scold.

"..."

The anesthesiologist immediately shut up.

He knew very well that Zhou Congwen caught Wang Chengfa's mistake in this operation... He must have entered a state of rage.

As for what to do with Zhou Congwen when he goes back... the anesthetist glanced at Zhou Congwen's calm face, then lowered his head and pretended to be busy writing anesthesia records.

Zhou Congwen was still too young to respect the old director at all.

It's not right, you can't see the wound in the mediastinum, so let's step down to respect the old director, this is a matter of life and death.

However, he suffered a lot after returning. Based on the anesthesiologist's understanding of Wang Chengfa, Zhou Congwen might be expelled from the cardiothoracic surgery department after a short time.

It's a pity, this young man is usually gentle and kind, but who made him encounter today's unlucky thing.It's wrong to do this kind of thing, Zhou Congwen is really unlucky.

The anesthesiologist pretended to be writing materials while thinking wildly.

The operation continued, Zhou Congwen pulled the hook calmly, but Wang Chengfa became more and more angry, and resisted to complete the operation.

Finally, when Wang Chengfa stepped down, his whole body exuded a moldy black air.