Chapter 272: That thing practiced boxing
The directors of the two major belt groups are all senior titles, and one of them is also the acting department director, and he can't handle the operation, so he goes to ask for help from a little doctor with no professional title, no education, and no seniority?
Are you kidding!
The person who makes such a suggestion is underwhelmed.
Oh, forget it, that thing has practiced boxing, so we literate people can't think of relying on force to solve problems at every turn.
"Doctor Yin, I don't blame you, after all, you have never been on stage to perform surgery, and you have no experience in this area. The problem now is not in the surgical technique, but in the solution. Qin Gewei took out the posture of the department director, and explained to Yin Wei in a serious tone: "The bleeding point should be a small vein in the presacral venous plexus, after it is broken, it shrinks into the bone suture, and this bone suture is facing the deep side, and the specific location of the bleeding point cannot be seen from the front, so it is impossible to stop the bleeding accurately, and the method of packing and compressing to stop the bleeding can only be adopted." ”
Yin Wei is so uninteresting, Qin Gewei has talked about this, but he still shouldn't have the original intention, and insists on lowering his moral bottom line again and again.
"I, Yin Wei, have never eaten pork, but I have seen more pigs than anyone else, I suggest that Yang Xi take a look, not that his surgical level exceeds that of the two of you, but I want to say that he is young and has a flexible brain, and he may be able to come up with a solution to the problem." ”
On the stage, Guo Keyuan's face was like that of Bao Zhengbao, only missing a moon-shaped mark on his forehead.
Offstage, Qin Gewei tried his best to control his emotions, and kept warning himself to pay attention to his image and maintain his demeanor.
He really can't beat people, otherwise, Lao Tzu would have been slapped out a long time ago.
Is it still human talk?
What has never eaten pork but seen a pig run, comparing us surgeons to pigs, right?
No, this is supposed to be a pig to a surgeon who can't get off the stage.
I also said that I didn't mean that Yang Xi's level surpassed that of the two chief physicians of us...... Grass, this kind of rhetoric is the trick of saying the right thing and saying the opposite, who can't hear it!
It's so infuriating.
"Now the amount of blood is three or four milliliters a minute, it's not a big problem, second, fill in more gelatin sponges, close your stomach and step down!" Qin Gewei really couldn't stand this stimulation, and issued an order to Guo Keyuan to withdraw his troops.
In the process of packing and compressing to stop bleeding for four and a half hours, Guo Keyuan and the others were not idle, and they separated two people to complete the remaining steps of the operation in the upper and lower directions.
Guo Keyuan was obviously stunned.
It's not because of Qin Gewei's instructions, but because of what Qin Gewei calls him.
Before this, Qin Gewei called him the second brother the eldest and the second brother short, why did he suddenly become the second brother?
Alas, being a section director is different from not being a section director, this little Qin Tong shoes...... It's a little swollen!
In front of major events, it is necessary to be informal, and after being stunned, Guo Keyuan immediately carried out Qin Gewei's instructions.
It has been four and a half hours in this operating room, and he has long been tired of enough, if he can do it again, he will definitely say to the patient lying on the operating table, no, I, Guo Keyuan, will never operate on you, you better ask Gao Ming to go.
It stands to reason that the patient is a general surgeon, and the director of the department of general surgery has given clear instructions, so Yin Wei, as the attending doctor of the anesthesiology department, should keep his mouth shut.
He doesn't need to share the responsibility, then, he doesn't have the right to speak.
It's the rule.
However, the rules always restrict those who are moral and follow the rules, and at this moment, Yin Wei is like taking the wrong medicine and causing delirium.
"Three or four milliliters a minute, two hundred milliliters in an hour, the patient's blood has to be changed all over the day, Director Qin, Director Guo, I'm sorry, I can't accept such a patient in the PACU, and I don't dare to accept it, Wang Bin is not at home, and I Yin Wei in the anesthesiology department has the final say. ”
The patient is under general anesthesia, and the process from abdominal shutdown to anesthesia resuscitation also needs the assistance of a ventilator, although there is also a ventilator in the emergency room of general surgery, but ...... These doctors in our general surgery department are not professionals in this area, and they are not very good at fiddling.
Here is still in the midst of contradictions and hesitation, but over there, Yin Wei actually did not give up, and gave them an ideological and moral education class to the two expert-level chief physicians.
"Two directors, the patient's preoperative coagulation mechanism is not very good, if it weren't for Director Guo's personal appearance, I wouldn't have signed the anesthesia consent form, you just stepped down like this, and you can only rely on supplementing whole blood to maintain the patient's blood volume after surgery, so that the patient's coagulation function will decline, and it can last for seven or eight hours if it is long, and if it is short, I won't have time to eat dinner before I have to enter the palace twice, why is it so painful?"
"For those of us who are doctors, the world is big, not as big as the patient's life, I know, in this case, it is really unbearable for the two of you to let Yang Xi come to see it, but what can be done? In case Yang Xi really thinks of some good way to help the patient stop the bleeding point, isn't it a good thing for the patient, for the two directors of you, for the entire general surgery, including our hospital?"
Yin Wei has really been spoiled by the old horse! Do you still have respect in your eyes? Do you still have rules in your heart? Can you still figure out the division of responsibilities between the anesthesiology department and the operating department?
Don't say that you are just a senior attending doctor, even if you are promoted to deputy chief physician or even chief physician, you are not qualified to criticize my general surgery!
However, that thing has practiced boxing, and it really can't beat others!
Besides, there is indeed some truth in what the goods said, this time he forcibly stepped down, although he saved face for a while, but he couldn't save his dignity when he entered the palace for the second time.
"Okay, then follow your advice, second, I still have to use more gelatin sponges and adjust the downward pressure, I see that the signs of bleeding have slowed down, maybe it will take another half an hour to stop the bleeding." Qin Gewei explained helplessly, and then retreated to the corner of the operating room and sat down.
On the stage, Guo Keyuan smiled bitterly.
This bleeding point really has a character, how it was at the beginning, how it is now, how can there be any signs of slowing down.
There is also the gelatin sponge, which will expand when it encounters liquid, which is indeed a sharp weapon to stop bleeding, but the small vein with the severed head is shrunk in the bone crack, where can you allow the gelatin sponge to compress it?
Alas, count, count, Director Qin can do whatever he says, anyway, Lao Tzu is completely planted today.