Chapter 165: Your Patients, Your Decisions (Wan Geng Subscription)

At noon, the company was on duty to the east.

Before I had time to eat, an appendicitis patient was sent to the outpatient clinic in front.

Xiaolian's classmates couldn't care about going to dinner, so they immediately found Jiang Yubei and said that they would take her to the stage for surgery.

I don't have a choice, it's almost 12 o'clock, my group, including the interns from other groups, have gone to dinner, and Jiang Yubei is the only one left in the office. In fact, Lian Xiangdong has two other choices, one is to go on stage with the doctor on duty, Lu Haoming, and the other is to call Yang Xi.

Opening an appendix has to follow the butt of a senior attending doctor, which is unacceptable to Lian Xiangdong. At this time, although Yang Xi was his junior doctor in name, in the minds of the nurses in the operating room, Yang Xi had already become his senior doctor in Xiangdong, so it was even more embarrassing to call Yang Xi to call him to come to the stage together.

Lian Xiangdong, who had no choice, could only select the person who helped Jiang Yubei.

The interns have only been rotated in the Department of General Surgery for four weeks, and Jiang Yubei has been in the Department of General Surgery for a week and a half, during which time she has only followed Director Ma and Zhang Yao to the operating table once, and they are all watching, and there is no chance to do it at all. In this way, it will definitely not be able to satisfy the general, so Jiang Yubei is also very excited about Lian Xiangdong's arrangement.

After preparing the patient for the operation, the nurse in the operating room also pushed the cart to pick up the patient, and even Xiangdong walked to the elevator with Jiang Yubei talking and laughing.

At the top, I met Yang Xi, who had just returned to the 8th floor.

"Are you going? Are you going to dinner? Wait for me, let's go together." ”

Jiang Yubei just wanted to reply, but was preempted by Lian Xiangdong: "Well, then you hurry up, we are waiting for you here." ”

When Yang Xi entered the office, Lian Xiangdong hurriedly took Jiang Yubei up the stairs of the fire escape.

Jiang Yubei asked curiously, "Teacher Lian, why did you lie to Teacher Yang?"

Lian Xiangdong was quite serious and replied: "Your Doctor Yang is a sword demon, if you want him to know that we have an operation to do, he will definitely intervene sideways, and when the time comes, it is a trivial matter for even the teacher to fall into the position of a helper, the key is that you may not even be able to go up to the stage." ”

Jiang Yubei listened, shrunk her neck and stuck out her tongue.

Yang Xi entered the office, put down the things in his hand, and then took off his white coat. At this moment, he seemed to realize something.

The two said they were going to eat, so why did they wear their work clothes?

Just as he was about to chase him out to find out, he heard Yin Wei's voice outside the office.

"You can't sign it, if these data of this patient are not adjusted well, even if Director Ma speaks, I, Yin Wei, will not agree!" As the voice became clearer and clearer, Yin Wei and Ling Ran entered the office back and forth.

Seeing Yang Xi, Ling Ran was a little embarrassed, but he didn't care too much, and then discussed with Yin Wei: "Can't you live in my bed and adjust?"

Yin Wei smiled faintly and said with a slight sorrow: "You are in charge of your patients, I can't control it." ”

Ling Ran hurriedly explained, "Doctor Yin, don't get me wrong, I mean that you will guide the adjustment plan. ”

Yin Wei took out a cigarette, but he couldn't find the lighter for a while.

Yang Xi hurriedly stepped forward, lit a fire for Yin Wei, and left the lighter to Yin Wei, smiled faintly, and left. Brother Yin is really powerful, he doesn't need to ask more at all, he must be doing the anesthesia consultation for Grandma Xu Jiahan.

In recent years, the status of anesthesia in surgical practice has been rising. More than 10 years ago, anesthesiologists had very little say in surgery, and it was up to the surgeon to decide whether or not they could be anesthetized and how to use anesthesia. However, with the continuous development of medicine and the continuous improvement of the professional level of anesthesia in China, the role of anesthesiologists in the perioperative period has become more and more important.

This is not an economic loss of power from surgeons in the anesthesia profession.

Just as an anesthesiologist sees an operation every day but does not perform surgery, a surgeon also deals with anesthesia every day but does not know how to do it. When the surgeon talks to the patient before the operation, he mentions that the anesthesia risk can only be mentioned as an anesthesia accident, and as for what kind of accident and why the accident occurs, he basically knows what it is but does not know why.

In fact, when the anesthesiologist took back the right to administer anesthesia, the risk of surgical surprises was statistically much lower. Medicine is evidence-based, and the importance of anesthesiology has been raised again when the data on the drastic reduction of surgical accidents is presented to academic conferences.

For example, in municipal hospitals, unless it is an emergency operation, a preoperative anesthesia consultation must be submitted to the anesthesiology department before the operation, and the anesthesiologist must decide whether or not to anesthetize or how to anesthesia.

In the anesthesiology department, although Yin Wei is only a senior attending doctor, he is the absolute backbone of the business, and even the department director Xing Rui has to give three points. Therefore, the decision made by the patients consulted by Yin Wei is almost the final verdict, and it is difficult to have a chance to change it.

After Xu Jiahan's grandmother was admitted to the hospital, Ling Ran also gave him blood sugar and blood pressure lowering treatment, but two days was still short, Ling Ran's skills in this field were limited, and the treatment plan given could not be said to be ineffective, but the effect obtained was not enough.

Ling Ran thought that an epidural anesthesia for saphenous vein decortication would be enough, and this anesthesia did not require too much for the general condition of the patient, so after seeing the change in blood sugar and blood pressure, he made an appointment with Director You to prepare for the operation on Thursday.

Moreover, Yin Wei also insisted on asking Ling Ran to transfer the patient to the endocrinology department immediately, the reason is very simple, the patient's blood sugar fluctuations are not small, and you can't adjust it with your general surgery level [txt fo].

Ling Ran is quite proud, in the city hospital, he also has proud capital, his mentor Professor Su is a first-class bull in Nanjiang Province, and his director Qin Gewei is also slightly inferior to Director Ma in the Department of General Surgery, and these two people are very appreciative of him Ling Ran.

But in front of Yin Wei, Ling Ran lost his qualification to be proud.

Just because, although Yin Wei is not arrogant, he is domineering, and Director Ma is simply a urine, if he doesn't agree with him, he will blow his beard and stare at him, don't say that he is Ling Ran, even if it is Qin Gewei, then Yin Wei also said that turning his face is faster than turning a book.

There is no way, I can only transfer Xu Jiahan's grandmother to endocrine, otherwise, with Yin Wei's temper, if he does not follow his advice and leaves the patient in the general surgery department to adjust blood sugar and blood pressure, then when the second anesthesia consultation is held, this product will inevitably find fault.