Chapter 30 What to do if there are too many patients

As soon as he came to the scientific research building in the morning, Liu Quan hurried to find Zhang Gu.

"Team Leader Zhang, it's broken!"

"The work of the Medical Association and the Propaganda Department is so good, there are too many patients in the first batch!"

Liu Quan said worriedly: "Originally, we planned to have the first batch of three or four patients to do three or four surgeries, hone the surgical team, and also hone our own gastroscopic dilatation surgery skills." ”

"What's more important is that the first batch of achievements can be made to win the project funds. ”

"As a result, there were 10 patients who came straight in! Several of them were emergencies and needed to be operated on. ”

For the first time, Liu Quan felt that the work of the Propaganda Department and the Medical Association was too powerful, and it was not a good thing.

Zhang Gu pondered for a moment and said, "It's okay, just do more." ”

Liu Quan said worriedly: "Ten patients! According to our expectations, each operation will take about 4 to 5 hours, who can have so much energy to do ten surgeries urgently?"

"Especially a few of us are just cooperating with your deputy, the energy consumption is not large, and we can barely keep up, but you are the main knife, and your pressure is too great!"

Liu Quan complained in his heart, don't the colleagues in the Propaganda Department know how to restrain a little?

Zhang Gu checked the surgical durability card he had.

After saving for so long, now he has 3 persistent cards, not to mention ten more surgeries, it is not a big problem!

By the morning, ten patients had begun to arrive one after another.

Xiang Jianhua, director of the Department of General Surgery, also called to inquire about this.

"Zhang Gu, can you and Liu Quan take down so many patients?"

"If it doesn't work, I'll communicate with the medical association and ask them to transfer a few more. ”

Zhang Gu: "Don't, that's too much to discourage the enthusiasm of the colleagues of the Municipal Medical Association and the Propaganda Department, if you do this, people won't help us coordinate and publicize it in the future." ”

Xiang Jianhua frowned: "Are you sure you can eat it?" ”

Xiang Jianhua was worried about Zhang Gutuo. He was sure of this young man's strength, but he was afraid that he would be too young and swell with a little strength, overestimating his ability.

Zhang Gu said: "Director Xiang, I assure you that I will definitely be able to place these ten patients properly!"

Xiang Jianhua snorted and said, "Okay, you need other people to cooperate, mention it to me early, and I'll arrange it for you." ”

Hanging up the phone, Xiang Jianhua smiled slightly: "Young people, they are very motivated." ”

He thought about it for a moment and called an old friend of the Municipal Medical Association.

It can be regarded as a bottom for Zhang Gu.

In case a grain cannot be taken by then, the emergency plan can also be activated and the patient can be transferred away urgently.

Xiang Jianhua didn't want this young man's good future to be ruined by the consequences of a reckless attack.

......

Research Building, Surgical Laboratory.

Zhang Gu, Shen Wenting, Liu Quan, and Lu Dongdong were fully armed and preparing for surgery.

Liu Quan told the two: "Originally, I was going to start the first operation tomorrow." Because there are so many patients, we have to expand in advance, and you have written down all the points I told you, right?"

Shen Wenting and Lu Dongdong were under a lot of pressure, and nodded a little nervously.

This time it was a bit too rushed.

The three surgical nurses next to him also hurriedly recalled the coordination sequence and key points of the operation. Strive not to make mistakes when it comes to formal surgery.

Zhang Gu saw that the whole team was very nervous, and comforted everyone: "Everyone relax, this first operation, everyone is inexperienced, I will slow down a little, so that you can have a skilled process." ”

Liu Quan, Shen Wenting, and Lu Dongdong all nodded.

The three surgical nurses were a little confused......

What is this deputy team leader talking about?

Does he mean that he is going to be the main sword?

Isn't the chief surgeon Director Liu Quan of the endoscopy room?

Deputy Team Leader Zhang is the main knife, so what does Team Leader Liu do?

Soon, they knew. Liu Quan stood firmly in the position of deputy.

The patient pushes in.

Zhang Gu intends to develop the team's capabilities.

He said: "For this first surgical patient, I chose a patient with severe stenosis, according to the Stooler grading method, which belongs to grade 4 and has difficulty in fluid inflow. ”

He chose this case with high difficulty, as long as this regular meeting is held, everyone will be able to follow suit.

Liu Quan and Lu Dongdong were ready to be deputies.

Shen Wenting records various surgical data, and her part is an indispensable part of the project. Only by keeping and recording various data, making comparisons, and making achievements can this topic be meaningful and apply for project funds.

Zhang Gu said: "Team Leader Liu, you and Doctor Lu are responsible for entering the gastroscopy. ”

This is Liu Quan's best job, and he is more familiar than Zhang Gu.

Lu Dongdong also serves as Liu Quan's deputy all the year round, and it is most appropriate to do this step.

Wait for the gastroscope to be inserted.

Zhang Gu said: "No. 3 guidewire." ”

The itinerant nurse perked up and hurriedly handed it over.

Zhang Gu gradually inserted the guidewire from the biopsy hole of the gastroscope, and Lu Dongdong had been staring nervously at the gastroscope monitor.

"It's distal to the narrow!"

Zhang Gu listened slowly, looked at the monitor, and little by little the soft part of the guidewire entered about 2 cm below the narrow hole.

"I'll fix the guidewire, Team Leader Liu, you slowly withdraw the gastroscope. ”

Liu Quan nodded, and he carefully pulled out the gastroscope. After so many gastroscopic surgeries, this is the first time he has taken a gastroscope with a guidewire, so he can't help but be more careful.

After freeing his hand, change Liu Quan to fix the guide wire.

Zhang Gu picked up the modified bougie dilator, selected the narrowest bougie diameter, inserted the guidewire, and slowly sent the lower part of the bougie dilator into the patient's upper gastrointestinal tract along the guidewire. until the apex passes through the narrow opening.

The key to this operation is to use this bougie dilator modified by Zhang Gu to continuously expand the stenosis, this process cannot be rushed, and it requires a little patience and gradual progress.

At the same time, it is necessary to prevent various accidents that may occur during the operation, and not to panic.

After 5 minutes of expansion, Zhang Gu withdrew the bougie along the guidewire, and then replaced the bougie with a larger diameter, entered the upper gastrointestinal tract, and stretched the stricture.

Suddenly, Lu Dongdong was a little nervous and said: "There is a mucosal tear in the patient's stricture, and there is bleeding. ”

Liu Quan hurriedly checked the monitor image, for fear that the operation would fail.

"Don't panic. ”

Zhang Gu calmly glanced at the gastroscope monitor: "The amount of bleeding is not large, local spraying of norepinephrine to stop bleeding." ”

Liu Quan hurriedly followed the operation, and soon, the patient's bleeding was reduced.

Liu Quan sweated in his heart.

Whether this first operation can be successful or not is related to the fate of this subject, and he is afraid that he will mess up the subject project.

Zhang Gu was much calmer and operated in an orderly manner.

Liu Quan saw Zhang Gu's determination, and sighed in his heart: "It is also the first time to do this surgery, and Dr. Zhang's confidence is obviously better than mine, and I am ashamed of myself!"

At this time, Liu Quan's eyes glanced at the gastroscope monitor, and he chuckled in his heart!