727 Thoracic surgery, who will take the hand
If it were in the first courtyard of Haicheng, Zheng Ren would definitely not ...... Try not to go beyond the normal medical process and take the patient directly to the stage. If you violate the medical process, if you are criticized and sued to the medical commission, the doctor's career may be terminated.
But after experiencing the baptism of blood and fire on the front line, he seems to have changed somewhat. And now is an extraordinary time, and things are urgent.
"Director Chen, I am confident in this patient's diagnosis, please believe me. Zheng Ren said to Director Chen very seriously.
His tone was still gentle, and although there were bruises on his face and he looked a little embarrassed, there was a feeling of trust between his eyebrows and eyes.
Director Chen recalled that in Pengxi Township Hospital, he saw Zheng Ren undergoing interventional surgery.
It's just that he looks young, and his level is not low.
Not only is it not low, but it is also high, and you can't see the top when you look up.
Although Director Chen is old, he is not confused. Especially when he was young, at that time, the process and procedures for seeing a doctor were not as rigorous as they are now. Procedural justice simply does not exist.
Many years ago, there were not enough auxiliary examination equipment. A good doctor will give a diagnosis after taking a look at the patient, examining the body, and watching the film, and then proceed with the treatment. It can be said that everything is very rough and even a little rudimentary.
But Director Chen is used to this mode of diagnosis and treatment.
If you change to a younger doctor, you won't be as hesitant as Director Chen. Isn't it a joke that you have to have surgery if you don't have a 64-slice CT scan of your blood vessels?
But after thinking about the possibility of this matter, Director Chen waved his hand and said, "I will contact the operating room, blood pressure drop by 10 mm Hg, and go directly." ”
Zheng Ren nodded, while Su Yun looked at the old man with interest.
Still waiting for Xin'er, Zheng Ren and Su Yun saw that Director Chen was busy, so Su Yun asked, "Don't do the inspection, go directly?"
"When you meet a patient with cardiac tamponade, don't you also open your chest in the emergency department? ”
"Can that be the same?" I ...... fingers" Su Yun paused, the expression on his face was a little strange.
He had already guessed what Zheng Ren was going to say later.
Fingers touching the cardiac tamponade is a huge difference from watching a film from your own point of view. But from Zheng Ren's point of view, there is no difference at all.
This ...... Su Yun shook his head and didn't spray Zheng Ren.
"If you are tired, you will take a break, and this time on stage, you may have to have a long operation. "Zheng Ren is paralyzed, and he is about to lie flat.
"Boss, as for being so desperate? Director Jiang's precedent can be set there. Su Yun said.
"It's okay, I'm still young, cardiovascular and cerebrovascular ......," he said, his voice getting quieter and quieter until it disappeared.
Su Yun was completely sleepy at this time, he stared at the CT film, looking at it seriously, his eyes narrowed into a slit, and the light of the reader was faintly reflected in the gap, like a jewel.
More than ten minutes later, Director Chen brought someone to pick up the patient on stage.
He repeatedly told him to move gently, and the movements should not be violent.
In patients with aortic dissection, once there is a change in body position, it will lead to a sudden increase in blood pressure, and then tear the intima and adventitia of the blood vessels, resulting in sudden death.
Su Yun has seen at least ten patients in the First Hospital of Haicheng City, and is ready to be referred because he cannot do interventional surgery in the First Hospital of Haicheng.
The patient also does not feel that it is a serious illness and thinks that the doctor is scaring people. He even refused to lie still and carried it carefully. As soon as I sat up, a position changed, and I died directly.
A person whose vital signs were quite normal one second ago died in the blink of an eye, and the death was simply called.
This disease is really dangerous.
It is rare that Director Chen believes in Zheng Ren so much, this product has no female popularity, but it is quite popular with the elderly.
In Haicheng, there was Director Pan under his cover; when he went to the imperial capital, Director Kong treated him quite well; and when he came to the front line to support, he was favored by Director Chen.
It's not useful, but ...... Su Yun squinted at Zheng Ren and saw that he was sleeping in Zhengxiang. There are bruises on his face, and his face, which should have been embarrassed, has an indescribable sense of trust.
Su Yun let out a long breath and subconsciously blew the black hair on his forehead. But the operation took too long, and the strand of black hair had been pressed and couldn't fly.
He put the film into a film bag, rushed to Director Chen to take the patient to the stage, and put it on the flat car.
"Where's Dr. Zheng?" asked Director Chen.
"When I'm asleep, I'll go up first and start disinfecting, and I'll just call him here. Su Yun said casually.
Director Chen knew that this was too long, let alone sitting, and he could fall asleep even while standing.
He didn't have any opinion either, and brought the patient to the stage.
"Director Chen, is this kind of surgery done here by the vascular department or the interventional department, and what brand of membrane stent is used?" Zheng Ren's voice came from behind.
When did you wake up?Su Yun frowned slightly, turned his head sideways, and said, "Why did you get up?"
"It's pretty much fine, and I can't sleep well. When I return to the imperial capital, find a place to sleep for a few days and nights. "Zheng Ren is very unenergetic, and he walks shakingly.
Su Yun didn't stop him, listened to Director Chen's nagging words, and then came to the door of the operating room.
In large tertiary hospitals, there are several hybrid operating tables in the large operating room.
With the increasing clinical application of interventional surgery, doctors in large tertiary hospitals are also accustomed to hybrid surgery.
But the number of surgeries is still not much, and the most used are orthopedic surgeons.
The fracture is cut and reduced, and a film is taken after it is fixed, which makes people feel at ease. After joint replacement, taking a film is also very comfortable.
It's just a bit of a waste to use a hybrid operating room like this.
"Dr. Zheng, the doctor in the vascular department is doing surgery, and he can't come down for the time being, so I've worked hard for you. Director Chen said.
Zheng Ren nodded, he had already expected this situation.
It's strange to have a doctor idle. can free up an operating table for himself, or a hybrid operating table, this is already Director Chen's hands and eyes.
Being able to operate in the large operating room is also more in line with Zheng Ren's psychological expectations.
Director Chen took the doctor to carry the patient, while Zheng Ren and Su Yun went to change clothes.
As soon as I put on my isolation suit, a voice came from the hallway: "Who's free!
After waiting for a few seconds, no one spoke.
"Thoracic surgery, Mr. Shao will do it, who will take the hand!" shouted the itinerant nurse at the top of her voice.
Zheng Ren smiled bitterly.
It is estimated that all the doctors are exhausted, and they can't even find anyone with a desk. It would be nice to have a doctor who is in charge of surgery. As for the assistant, just find an intern or advanced study person to help.
But after a few days and nights, I couldn't even find the person who took the handle.
I really can't do it, so I can only ask the instrument nurse to help. But in that case, the surgery will be done quite slowly.
Su Yun raised his eyebrows and said, "Boss, you can go to the lower peritoneal frame by yourself, and I'll have a thoracic surgery?"
used a question, asking for Zheng Ren's opinion.
Zheng Ren smiled and said, "Go ahead." ”
Su Yun came to life completely, poked his head out, and roared, "How many hands?"
"Three hands. "The itinerant nurse was very happy, although I don't know who took the stubble, but it is always good that someone follows the operation.
"Boss, I'm going!" Su Yun hurriedly put on a sterile cap and said while tying the strap of the mask: "You don't have chest surgery, but you can suffocate me." ”