Chapter 323: A Bad Start, Zhang, Face, Tianyang (2-in-1 Chapter)
It is well known that the majesty of the god of the night shift is inviolable.
Although it is daytime, the principle is the same.
Zhang Tianyang glanced at the time helplessly.
It's four o'clock in the afternoon.
The patients on the third station are still waking up, and the patients on the fourth station are still on the way.
There is still an hour and a half before the normal end time.
It stands to reason that this time should be more than enough.
After all, the process of the next operation is very simple, which is to poke a cystoscope into it, and then break the big stone in the bladder little by little, and finally wash out the gravel with water.
The whole process is similar to the cystoscopy done in the ward on Monday afternoon, and it is a "stone-tying" operation.
There is no need for general anesthesia, and there is no need to wait for the patient to wake up after the operation, and can be sent away directly.
If it's fast, maybe even half an hour will be counted together with the spinal anesthesia in front and the time to send the patient back at the end.
From four to half past five, an hour and a half is definitely enough for them to send patients back to the ward, and even find time to write a few more medical records.
But, this is only theoretical.
When Sun Yu said, "I can leave work on time today!", the time after the end of the fourth operation has become a mystery.
"Ho-ho-ho"
Beside him, the patient who operated on the third operation suddenly began to tremble all over.
"The patient is awake!"
The doctors in the anesthesia wake room behaved calmly, rushed over as soon as possible, pressed the patient who wanted to struggle, and shouted loudly in his ear.
"Don't move, don't pull out the endotracheal tube! You're in the operating room, just had surgery!"
The two anesthesiologists worked together to quickly calm the patient and begin to let him breathe on his own.
The two little white cats hid to the side and gave way to the anesthesiologist.
Soon, at the beckoning of the anesthesiologist, he signed his name on the back of the anesthesia record.
Now the two of them are also "advanced newcomers" who have picked up two surgical patients, and they are "clear" for the later process.
The rest is just to follow the car and send the patient back to the ward with the nurse aunt.
Sun Yu looked very happy.
Although she was technically just here to observe today, she basically didn't get started.
But after a day of surgery, I have been standing and watching, the preoperative preparation and postoperative delivery of patients are also very cumbersome, I haven't slept at noon, and the surgical meal has a bit of pig food, which still feels very hard.
At the thought of being able to get off work soon, Sun Yu felt cheered.
Even in the spare time when she was waiting for the elevator with the nurse aunt in the exchange area, she took out her mobile phone, clicked on Meituan, and chose dinner with great interest.
Zhang Tianyang stood next to her, watching her die, and it was too late to stop her.
"Alas. ”
He sighed softly, took out his mobile phone, and flipped to Xiao Linlin's chat box.
"There is another operation, I guess I can't eat with you. ”
Soon, there was a reply from the other side.
"Is it a complicated operation?"
Zhang Tianyang thought about it and didn't know how to answer for a while.
In the end, we can only tell the truth.
"Actually, it was a very easy operation, but the doctors in the same group just set up a flag, and I feel a little bad now. ”
The other side was silent for a while, and sent four words.
"Mourning and Change"
Setting up a flag in the hospital is really a pain in the heart of every doctor and nurse......
"When is the time to deliver the food...... Half past five?six o'clock?"
Next to him, Sun Yu had already chosen dinner and began to struggle with the issue of delivery time.
Zhang Tianyang finally couldn't hold back and kindly reminded her.
"I'd suggest you'd better not order takeout yet. ”
"Why?"
Sun Yu's face was puzzled, "Wait for a dinner?"
"Not really. ”
Zhang Tianyang sighed, "If you order takeout so early, aren't you afraid that you won't be able to get off the operating table later, and then pigeon takeaway brother?"
"Not really, right?"
Sun Yu instinctively retorted, "The last operation is very simple, it won't take that long." ”
Zhang Tianyang shrugged his shoulders and stopped persuading.
Although he couldn't figure out what kind of problems would go with the surgery that seemed so simple, but was actually so simple.
But the sixth sense in the dark seems to be already bouncing.
Sun Yu hesitated for a while, and finally ordered takeout.
Then set the arrival time for 6 p.m.
"It's delivered at six o'clock, it's two hours, why should I go back to the ward after the operation?"
With a few whispers, she happily clicked "payment".
......
At 4:15 p.m., the two little white cats returned to the operating room after seeing off the patient.
"Doctor!"
As soon as he entered the door, a voice came from the right, and Sun Yu was startled.
Zhang Tianyang felt that this voice was a little familiar, and when he turned his head, it was Li Yueban who was smiling and squinting.
"Hey, doctor, you're a little handsome in this outfit! I recognize you at a glance!"
Li Yue greeted Zhang Tianyang with a half-smile, and there was a hint of "inviting merit" in her tone.
After all, everyone in the operating room wears the same surgical gown, as well as hats and masks.
Being able to recognize Zhang Tianyang with just half of his face and a pair of eyes is indeed true love.
Zhang Tianyang also greeted him with a smile, and at the same time looked at him.
This little brother Li Yueban was wearing a large blue and white striped hospital gown that he had just changed, and his whole body was stuck in a wheelchair, filling the space.
Because there is too much meat on the body, it seems a little crowded.
The little brother had a smile on his face that looked a little "exaggerated", and his two eyes, which were not big, narrowed directly into two slits.
It looks "hearty", and it doesn't seem to have the "apprehension" of imminent surgery.
Sun Yu was amazed, and when Zhang Tianyang walked into the operating room, he quietly sighed when he couldn't hear the patient at the door.
"This is your patient? He looks so calm, and the patients in the three previous surgeries today were so scared before they started. ”
Zhang Tianyang silently glanced back at Li Yueban at the door and shook his head slightly.
Actually, he was scared too. ”
After all, it's an old sick number that has been handled for the second time, and it's thorough.
Zhang Tianyang still remembers the experience of receiving Li Yueban in the emergency department very clearly.
This little brother, ureteral stones are so painful that he is in shock, and the first thing he cares about after waking up is "are my kidneys still there".
How can such a little brother not panic when he enters the operating room?
Just by looking at his wheelchair handles and his fists that have not been released, you can see it!
"But it looks really calm......"
Sun Yu, who was bewitched by the appearance of Li Yueban's little brother, still insisted on his judgment.
"Stop chatting, come and help!"
The angry voice of the instrument nurse sounded not far away, Zhang Tianyang shrugged, and flashed under his feet.
The first three surgeries in this operating room are all laparoscopic, and although the left and right sides of the surgical site are different, the position of various instruments does not need to be changed.
The fourth operation was a cystoscope, and the layout of the entire operating room had to be changed, and the instruments used were different.
As a result, the entire operating room was busy.
The operating table was rotated 180 degrees, and the laparoscopic instruments were removed and pushed into the corners of the operating room.
The cystoscope's instruments and display are pushed out and placed on the right side of the operating table, in the direction of the door.
There is also a laser knife that is specially used to break stones, and the half-human-high instrument is also pushed out and placed on the left side of the operating table, in the direction of the operating room.
There are teachers in the audience who have shuttled between different instruments and began to connect the dazzling variety of plug-ins.
After helping to push the instrument to the designated position, Zhang Tianyang had no chance to intervene.
The teachers in the audience have specialized equipment, and it is better to let professionals do it.
Over there, the patient Li Yueban's little brother has been pressed on the operating table by the anesthesiologist, ready to connect the monitor, and then start spinal anesthesia.
Zhang Tianyang looked left and right to see if there was no work, so he simply helped pick up a few.
"Didi! Didi!"
Soon, the monitor began to tickle.
"Buzz—"
The cuff tied to the right arm also began to be measured.
Brother Li Yueban was lying flat on the operating table, the clouds were light and the wind was light, and his face was expressionless.
On the monitor, the heart rate soared to 100-110 beats per minute, and the blood pressure also rose to 14290mmHg.
That's a lot higher than his normal heart rate and blood pressure!
Sun Yu stared at the monitor, and then looked at Li Yueban's little brother's face that seemed to have nothing happening, and was slightly surprised.
"Yo, nervous?"
The anesthesiologist smiled and raised his mouth, but Li Yueban's little brother stiffened his neck, "I don't, isn't it just a gravel, I'm not nervous!"
"Didi! Didi!"
On the monitor, the heart rate instantly exceeded 110.
Several of the doctors laughed.
"It's okay, don't be nervous, you're a minor operation, and it'll be over soon. ”
"Manly man, what are you afraid of about this!"
The anesthesiologist began to be relieved, but Li Yueban's heart rate and blood pressure did not improve, and there seemed to be a tendency to beat faster vaguely.
"Don't be nervous, it's easy. ”
Senior Brother Meng, who came out of nowhere, also participated in the relief, pointing to his face and asking Li Yueban.
"I don't know me, I'm your bedside doctor. We'll do the surgery for you, don't be afraid. ”
"Yes. ”
Li Yue half-stiffened her neck and nodded stiffly.
The calmness on his face showed that he could not maintain it.
The operating room was at a constant temperature, and it was even a little cold, but he felt hot and wanted to sweat.
No way, the first time he entered the operating room, he was panicked!
When he was in a wheelchair just now, he could still look at Zhang Tianyang's busy back and suppress his cranky thoughts.
But now lying in bed, he couldn't help but think, what if something goes wrong when the surgery happens?
What to do if there is a major bleeding?
In case of dystocia......
Eh, wait, why would you substitute the birth of a child into your own surgery?
Things seem a little trickier.
It is common for patients to panic before surgery, and doctors will routinely provide reassurance.
Then wait until the patient's mood is slightly relieved, and then start anesthesia and a series of follow-up measures.
But if the patient is too nervous, it is also a nuisance.
The surgeon frowned slightly, put away his smile, and continued to work hard.
"Don't be afraid, don't be afraid, come and breathe with me, come, inhale-inhale-exhale-"
It can be seen that Li Yueban is taking a deep breath very hard, but his breath is still very heavy and disordered, and his heartbeat has been rapid.
"That's pretty good. ”
Zhang Tianyang heard the anesthesiologist's whispered complaint, and couldn't help but shake his head slightly.
Sure enough, the fourth operation didn't start well.
Before he was anesthetized, he was stuck in the patient's emotions.
He subconsciously came to Li Yueban's side, reached out and pressed the muscles of the other party's limbs.
It's very tight.
You're really nervous......
"Doctor Zhang, is that Dr. Zhang?"
As if sensing something, Li Yueban suddenly turned his head and chased Zhang Tianyang's figure in a very distorted posture.
"It's me. ”
Dr. Zhang could only quickly agree, and then his subordinates tightened.
Li Yueban grabbed Zhang Tianyang's wrist with one hand, his strength was a little great, his arm was a little trembling, and there was sweat in his palm.
"Dr. Zhang, will you be there later?"
"I'm here. ”
Although Zhang Tianyang doesn't like to be touched by men, he didn't shake off the other party's hand at this time.
"Do you know Dr. Zhang?"
Senior Brother Meng was a little surprised when he looked at it from the side.
This patient has been admitted to the hospital for a few days, and he was in charge of it before, and it was only yesterday that the patient was handed over to Zhang Tianyang.
Why do you look at it today, it seems that the other party is a little more familiar with Zhang Tianyang than with himself?
It's just that he was a little curious, but Senior Brother Meng didn't mean to inquire carefully, and casually followed Li Yueban's words.
"Dr. Zhang will be there until you have surgery, and he may even take you back to the ward. ”
"Is that so?"
Li Yueban's eyes seemed to be shining, and he still looked at Zhang Tianyang in that very distorted posture, eager to get a reply from the other party.
"Yes, I will. ”
Zhang Tianyang nodded at Li Yue and tried hard to appease.
"But you're too nervous for the operation to begin, come, take a deep breath, try to calm down, inhale—exhale—"
Li Yue nodded half-stiffly, and took a deep breath with Zhang Tianyang's rhythm.
It is also strange to say that the deep breathing led by the anesthesiologist just now had no effect on him, but with Zhang Tianyang's command, Li Yueban's little brother really gradually relaxed.
The muscles of the limbs were no longer tense, and the hand holding Zhang Tianyang was quietly released, although the closed eyes were still wrinkled, they didn't seem to be as strong as before.
After three minutes, there was a noticeable change in the numbers on the monitor.
"The heart rate is 86 beats per minute, the blood pressure is 13384mmHg, and you can start spinal anesthesia. ”
The anesthesiologist reported the data, and then glanced at Zhang Tianyang in some surprise.
As one of the parties to appease, he knew very well that his comfort was useless at all, and Senior Brother Meng's was useless.
On the contrary, Zhang Tianyang, who didn't do anything all day today and stood by the sidelines, played a key role.
"Is it really an acquaintance?"
That's the only reason that can explain it, right?
Shaking his head, the anesthesiologist didn't say anything, and began to silently sort out the items of spinal anesthesia.
Senior Brother Meng also glanced at Zhang Tianyang in surprise, and then gave him a thumbs up.
Regardless of whether the patient and Brother Zhang know each other or not, it is great to be able to solve the problem.
Sun Yu stood beside him, looking at this, looking at that, thoughtfully.
She watched the scene where Li Yueban's little brother and Zhang Tianyang greeted each other just now, and it didn't look like friends who knew each other at all.
It's more like a nervous patient, the kind of surprise after seeing a doctor he trusts.
She used to feel this feeling a lot when she was rotating in internal medicine.
Generally, when the director rounds the ward, the patients will show emotions after hearing that this is "Director So-and-so".
Thinking about it this way, she came to a conclusion that surprised her.
"In this patient's heart, classmate Zhang is more credible than Senior Brother Meng?"
However, it is clear that Zhang Tianyang has only taken over this patient for one day!
How the hell did he do it?
With full of doubts, Sun Yu looked at Zhang Tianyang silently, and found that the other party was also frowning.
At this moment, Zhang Tianyang's sixth sense began to vaguely jump again.
"At the beginning, the patient is emotionally unstable, and what will happen after that, resulting in a prolonged operation and not being able to leave work on time?"
There seemed to be blood vessels in his temples beating suddenly, and Zhang Tianyang racked his brains, trying to analyze the "accidents" that might happen.
What the?
Do you think there will be an accident?
Hehe.
Zhang, his face is dark, and he looks up at the sky at 45 degrees.