Chen Jue

The operating room with the uppercase "three" on the door plate is often reserved for general surgery, and of course it is also an operating room that Chen Jue is more familiar with.In the space of more than [-] square meters, the operating bed that can be adjusted up and down is placed in the center.There are three closed windows facing the door of the operating room. On the left side of the door is a medicine cabinet nearly two meters high. Various emergency medicines in the operating room are arranged one by one. Breathing anesthesia machines for surgery, oxygen cylinders and other necessary supplies for anesthesiologists.There are two small doors on the right leading directly to another hand washing and disinfection room and the adjacent operating room. There are two semi-curved surgical medical carts placed against the wall, and an ozone disinfection machine is hung on the wall. It looks a bit like an air conditioner, this is what Chen Jue thought when he saw the ozone machine for the first time.

The floor is covered with ceramic tiles, and the walls are also covered with the same style of tiles. This kind of laying and decoration is for the convenience of cleaning and disinfection on weekdays.Everyone who enters the operating room must change their clothes and shoes, and surgical patients are no exception.Therefore, when Chen Jue entered, there were already two nurses in light green short-sleeved, trousers, cap, and mask in the operating room, and a slightly chunky anesthesiologist in the same attire.

Coming out of the disinfection room, Chen Jue greeted softly, took the disinfection bowl handed by the nurse, and began to partially disinfect the patient lying on the operating bed.The patient, a female, suddenly felt dull pain in the right lower abdomen after a meal two hours ago, which was slightly relieved after resting for half an hour, so she came to the hospital for treatment.Past history of chronic appendicitis for three years.On physical examination, the rebound pain in the right lower abdomen was obvious, the patient was short of breath, pale and painful, and the blood routine showed: the number of white blood cells was higher than normal, the amount of red blood cells decreased, the hemoglobin decreased, and the platelets were normal...

His hands were being disinfected, and all he was thinking about was the patient's condition information lying on the operating bed waiting for the operation.The more I think about it, the more worried Chen Jue is. There is no consultation with a gynecologist, no further differential examination, in case it is other diseases...

Despite the worries in his heart, Chen Jue didn't show anything on his face.The last thing patients in pain need and worry about is the unfavorable look on the attending doctor's face.Patients are always sensitive when it is a matter of their own health or even life or death.Chen Jue didn't dare to show the worry in his heart to the patient's eyes. At this juncture, Chen Jue didn't dare, and couldn't.

The diagnosis and treatment of diseases is based on the establishment of mutual trust between doctors and patients, and the patient cooperates with the doctor's treatment to achieve the purpose of clinical cure.However, the increasingly tense relationship between doctors and patients can no longer reach the level of trust. The number of patients who come to see a doctor with disbelief or even wariness is gradually increasing. When doctors are physically and mentally tired, they are often perfunctory.Under the vicious circle, not only there is no impartial third-party mediation, but also some public opinion reports that add fuel to the fire, the work of doctors becomes more and more difficult, and the minds of patients become more and more cautious. , It turned into a tug-of-war between the two classes without fireworks-either you bow your head, or I bow your head.

Calmly, comforting the nervous patient with a little indifference, Chen Jue and the surgical nurse began to make preparations.The small square sheet was clamped with towel pliers to form a rectangle, exposing the area of ​​the surgical site in the right lower abdomen.The two-meter-long large sheet covered the entire operating bed, and the rest hung down. The diagonally lower right side was [-] centimeters long, and the [-]-centimeter-wide hollow steadily exposed the skin.After all this was done, Chen Jue signaled to the anesthesiologist that the anesthesia could be started, and he went to the disinfection room for secondary disinfection.

Take some disinfectant and scrub it on your hands. Clean and disinfect the crevices of your fingers, skin folds, wrists, and even the elbow joints of your arms. The time should not be less than 5 minutes. This is common sense, and every surgeon should Hard and fast rules to keep in mind.

He is not here... With the index and middle fingers of his right hand, he took out a sterile cloth towel to dry the water on his hands and arms.Chen Jue squinted his eyes. As a resident doctor, he didn't do any pre-operation preparations. This clearly meant that I was the one to perform the surgery. Should I say that he trusts me with high skills or that he is bold enough... Chen Jue sneered , even if I really want to be the chief surgeon to practice surgery, but this kind of inexplicable opportunity is really thankful.

May and June of each year are the peak seasons for students of various medical colleges to go down to clinical study and practice, and it is also the season that doctors in every hospital look forward to most.All the departments assigned to interns, and doctors who can take students, are thinking about how to maximize the labor force, writing medical records, physical examinations, surgical preparations, ward rounds, night vigils, serving tea, pouring water, running errands... capable, Do more; if you don’t do it, then I’m sorry, as much as you do less, you will lose as many words as you hoped to appear on your internship appraisal, and what the teachers who come to the school to assess will not hear what you hoped for discourse.

Of course, not every intern has to work hard, and there are still a few privileged people who can hold it.This kind of family background is strong, there are backers, or there are still a small number of people who have direct or indirect kinship with a certain leader. There are at most two or three out of ten. Quality problems can be completely replaced by quantity, and there are too many people. An advantage, isn't it?

Kicking open the door leading to the operating room, Chen Jue crossed his disinfected hands in front of his chest, took advantage of the moment the door opened, walked into the operating room with his back turned, turned around and stopped a step away from the operating cart.Picking up the dark green surgical gown on the surgical bag that had been opened, Chen Jue shook it off neatly, put her hands into the sleeves, stretched out her hands from the cuffs, crossed her hands from her abdomen, and handed them to the waiting nurse behind her.The surgical gown just on the upper body is thick and airtight. Every time I put it on for surgery, I will feel stuffy, and I can only get rid of it by taking it off after the operation.

It was a rainy night in June, and it was cold and cloudy. The air conditioner was not turned on in the operating room to cool and blow the air. Just wearing a pair of sterile gloves, I could already feel the hot and stuffy feeling, as if there was liquid sliding.

After cleaning off the talcum powder on the surface of the gloves with the help of the itinerant nurse, Chen Jue walked to the operating table and stood on the right side of the patient.Nodding to the anesthesiologist, Chen Jue took the gauze handed over by the equipment nurse and wiped off the salt water remaining on the surface of the glove.

A few minutes later, feeling that the patient's body was relaxed under the effect of anesthesia, and his mind was blurred, the operating room swept away the dull and silent words before, and started a routine laughing and chatting.

"Why are you alone? Where did Zhang Lianyou go?" The one who spoke was an anesthesiologist, surnamed Cai. Although he was a bit short and fat, he was very funny, and he often made everyone laugh during the operation.

"I don't know. He was in the locker room just now. I didn't see him when he was washing his hands." Chen Jue took a scalpel and cut a two centimeter long surgical wound on the skin.

The instrument nurse who handed Chen Jue a few hemostats said angrily: "Isn't it like this every time... As long as it is not a troublesome operation, he will let the intern come. I don't know where I went. If something goes wrong Who to turn to for anything... Really... Ah, Xiao Chen didn't say that you are not good at technology..."

"Well, I know what Sister Liu means." The index fingers of both hands tore open the skin and clamped several bleeding blood vessels, wiped the blood with gauze little by little, and pressed.

"Who made our Xiao Chen capable?" The itinerant nurse also laughed and joked, "Among the ten or so interns in general surgery, Xiao Chen's surgery is the best. Those lazy doctors don't let you do it every time." Big head... it's just practice."

"En." Chen Jue replied lightly, washing his hands in the medicine bowl filled with salt water handed over by the equipment nurse surnamed Liu. "Sister Song, please come and do me a favor." There was no surgical assistant with the stage, and Zhang did not know when he would come. Chen Jue could only ask the visiting nurse surnamed Song to temporarily replace the assistant for help.

"okay."

Time waits for no one, the patient is lying on the operating bed, and the absence of the attending doctor Zhang does not mean that the operation can be terminated.What Chen Jue can do is to try to be as perfect as every operation he has done before, and heal the disease with his hands.

At one o'clock in the morning, Chen Jue came out of the gynecological ward tiredly, and walked slowly on the way back to the general surgery ward.

Covering his tired and sore eyes with one hand, Chen Jue just wants to lie on the bed and sleep soundly. There are no patients who need to watch the night, and there are no medical records that have not been written yet. Unfortunately, this is just wishful thinking of Chen Jue extravagant hope.Oh, and there is also the routine department shift at eight o'clock every morning... Chen Jue felt that his head was hurting more, and it was still the same throbbing pain after another.

In the early hours of the morning, this is the most sleepy time in life.In the dark and somewhat gloomy corridor, there are only slight footsteps echoing. Only the sensor lights controlled by the sound can dispel the silence for a short time. Occasionally, the family members of the patients who accompany the bed open the door and walk around lightly.

The hospital is a cold and infiltrating place.If it was daytime, with the sun shining, the terrifying feeling would immediately be reduced by seven points.But if it is after the sunset, after being shrouded in darkness, the feeling of silence and coldness and death does not have a strong psychological construction. Scenes seen in the novel.To put it bluntly, it is because of the horror of the environment that people are afraid for the first time, and at the same time, the psychological defense line retreats again and again until they are defeated.

Should I be glad that I discovered it early... After a short break, Chen Jue retracted his out-of-focus eyes, and opened the medical records while recalling the details of the operation, while writing neatly.

When Chen Jue poked open the peritoneum, he already felt something was wrong there.The feeling of the appendix should not be like this, this greasy feeling...

"Sister Song, please call the doctor on duty in the gynecology department and ask her to go to the operating room for consultation immediately. I also called Dr. Zhang and said that the patient's condition is not right. Come to the operating room immediately..." The hand that reached into the abdomen did not take it immediately. Come out, still groping carefully. "Cai Ma, observe the patient's vital signs at any time... If necessary, notify the laboratory department to test the hemoglobin at any time... Sister Liu, bring the suction device and laparoscope, and prepare the surgical kit..."

"What's the matter, Xiao Chen..." Nurse Song was baffled by Chen Jue's series of words.

"It's likely to be an ectopic pregnancy. It feels like it hasn't ruptured yet. Appendicitis is unlikely..."

"hiss--"

Nurse Song pushed open the door of the operating room and walked out in three steps, only to hear the sound of hurried footsteps.Nurse Liu pushed the cart to the vicinity of Chen Jue, got up and went to another operating room to move the instruments.In the entire operating room, except for the slightly rapid and heavy breathing of the two, there is only the intermittent "beep-beep-beep" sound of the breathing anesthesia machine.

It seemed like a few minutes passed, and it seemed that it took a long time. Anesthesiologist Cai said angrily and resentfully: "Didn't the outpatient clinic do a differential examination?"

"Only the blood test sheet, I didn't see the B-ultrasound Doppler examination." Chen Jue carefully observed the patient's complexion as he pushed aside the large surgical sheet that was spread on the patient with his free hand.Not too bad, no facial signs of hemorrhagic shock.

"He doesn't know about Zhang Lianyou?" How is this possible, Cai Narcotics asked in disbelief and even a little astonishment.As a resident physician, he can act as the attending physician at certain times, such as tonight's situation, when the attending physician is not present, the resident physician can diagnose and treat on his own.However, what is puzzling is that low-level mistakes such as violating the principles of diagnosis for patients can be seen. Should it be said that the person is too confident?Or should I say too stupid?Could it be that the thing on his neck is a vase used as a decoration?Either it's empty, or it's filled with water...

"He picked up the patient from the outpatient clinic, and he also brought the medical records. The nurse on duty at the outpatient clinic said they called for a consultation from the gynecology department. Dr. Zhang asked the operating room to pick him up without waiting for the consultation from the gynecology department." Chen Jue briefly stated At that time, he was no longer angry in the locker room, but more worried. "I mentioned to him at the time that the auxiliary examination for identification was weak and did not conform to the diagnostic logic. Dr. Zhang said that the outpatient clinic has already diagnosed it, and the patient has suffered from chronic appendicitis for three years..." Therefore, it is reasonable to think that it can be diagnosed as Acute exacerbation of chronic appendicitis.

"Two hundred and five straw bags!"

Chen Jue was sure that he heard someone's teeth grinding, the sharp creaking sound of teeth rubbing against each other due to force.

A few minutes later, Nurse Song, who ran out to make a phone call, ran back to the operating room panting, saying intermittently: "Gynecology...doctor...doctor...will be here soon, you...attention...patient... Life... indications... situation, three, three minutes... just fine..."

"Understood, sister Song has worked hard for you..." As long as the fallopian tube at the pregnancy site is not ruptured, the patient's life is not in danger.

"Zhang Lianyou's two hundred and fifty idiot..."

Shouldn't it be said that the family does not enter the house?Chen Jue complained irresponsibly that after staying in the same department for a long time, people began to assimilate, which should have proved the gregarious nature of human beings and the ability to learn from each other.

Hmm, maybe this is the concept of world harmony that the ancestors pursued?

Don't worry about Chen Jue, who is having fun in suffering, and turn your attention to the patient who everyone is worried about.

The speed at which the gynecologist came to the operating room was as she said, arriving immediately.Her arrival not only relieved the tense atmosphere in the operating room, but also relieved the pressure on everyone.Then……

Then, with the cooperation of Chen Jue and the gynecologist, the operation went smoothly, and it was successfully completed.As for Zhang, the attending physician who was originally a patient, after arriving late, he did not make any achievements except for a show of tongue.

The current situation of Zhang Lianyou is the policeman who acts as an afterthought after the criminal is executed on the spot by the heroic protagonist.Then, just like the police in all film and television dramas, after the incident is over, they hold up their guns and shout:  …

is that useful?

Well, it's useless for strong protagonists.

But for Zhuge after the fact, this is really important, one mouth, true or false, while stating the facts, it can also be justified... Then the so-called rhetoric is convincing, and there is a basis for its own reasons .The title of "Uncrowned King" on the reporter's head also has a source, yes, the crown obtained by relying on words.

At midnight, the patient was pushed to the gynecological ward area. After rounds every half an hour, Chen Jue returned to the general surgery office with peace of mind.As for a certain two hundred and five idiots, no one cares about his whereabouts.

Finish writing the medical records, and then seize the few remaining hours and squint for a while.For the rest, wait for this morning's regular meeting...

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