249 This is a terrible dose
"Director Liu, the patient is really good, not to mention 60mg of papaverine, he stiffened for 6 days. In the era of the Anti-Japanese War, he must have been a man.
But that thing doesn't look like it's going to work, did you have an arterial pulse when you touched it? Is it going to go up and cut it uproot?
If you want to say that this person, the spirit of death is really strong, 60mg, the old scalper can't bear such a large amount of medicine. I met a similar patient when I was in Yuanliao, but not as good as him......"
"Doctor Zhao, shut up." Director Liu frowned and interrupted Zhao Zhe's words.
Zhao Zhe stretched out his hand to cover his mouth to prevent his words from blurting out.
"I guess I can't keep it, alas, how can I be so bold at a young age."
"Director, go up and cut it directly?" Ji Xiang was stunned and hurriedly asked.
"I can't cut it to the roots, I'll go up and take a look, and I'll keep what I can, as much as I can. Winter shunt, it is really not possible to cut half and then do an extension. ”
Director Liu sighed.
I won't be happy when I encounter this kind of thing.
"Director Liu, when I was in our hospital, someone said that in ancient times, we were the ones who did urology in the clean room, and we went down with a knife, Kacha." Zhao Zheqiang held back his words and only said one sentence.
"Who doesn't want to keep it." Director Liu said, "By the way, Dr. Zhao, Xiao Ji did a very good job of partial resection + extension of Ding cancer, and I have time to take a look." ”
Zhao Zhe let out an "ah" and then covered his mouth.
Ji Xiang, a regular trainee, has he already started surgery for Ding cancer?
But the doubts were fleeting, Zhao Zhe and Ji Xiang went to the magic capital together, and witnessed him standing on the stage and majestically scolding Qin Chu, the elder of the domestic intervention discipline, and treating Ling Tianxun, who was in the year of fighting, like a dog.
It is possible for Dr. Xiao Ji to do anything shocking, Zhao Zhe cast an envious gaze.
"Director, is there a possibility...... Keep it. Ji Xiang asked.
"Let's go up and see." After Director Liu finished speaking, he glanced at Ji Xiang meaningfully, "In this way, if I don't think I can keep it, it depends on your opinion, if you think you can keep it, try to do it." It's cut off anyway, and it's better to try it than not to try. ”
Ji Xiang nodded slightly, pursed his lips, not knowing what he was thinking.
Zhao Zhe was surprised.
What Director Liu said was already invisibly in the position of a dog.
Several people came to the operating room, changed their clothes and prepared to go in.
Zhao Zhe let out a sigh of relief, "I thought that the operating room of the Second Affiliated Hospital was the same as 912, and I was not allowed to enter without mentioning the list."
At that time, Director Liu, you walked on the front foot, and when I went on the back foot, the new 912 building had just been built, and the operating room was new. ”
Thinking of what happened in 912 back then, Director Liu smiled.
"Is the head nurse in the operating room so powerful? The big director won't let the doctor come to the stage? Ji Xiang asked.
"Of course, Xiao Ji, if you have a chance to go to 912, you still have to be careful of the head nurse. Every head nurse is fierce, and I have an arrhythmia when I look at it, especially the head nurse in the operating room.
You say that I have seen the world, but the head nurse is like a kitten under his nose, and he doesn't even dare to breathe. ”
"It's okay, stay in our second hospital and do a good job." Director Liu said meaningfully.
After changing clothes, several people entered the operating room.
The anesthesiologist was giving the patient an epidural, and he asked a few simple questions, but he didn't dare to ask deeply. But after hearing that the patient had injected 60mg of papaverine into the corpora cavernosa himself, the anesthesiologist was surprised and admired inexplicably.
This guy is simply too desperate, or the kind that doesn't want to die.
Papaverine, 60 mg, this fatal dose.
"Director, can you still protect it?" After the anesthesiologist finished the patient, he came to Director Liu's side and asked in a low voice.
"I don't know, try it. Xiaoji, what do you say? Director Liu asked.
"I think it's possible." Ji Xiang Road.
In fact, Ji Xiang has already done the same surgery on the small ten units, and he will definitely be able to protect it, but he still has to be "modest".
"Brush your hands, go on stage." Director Liu said.
Director Liu didn't wait for Ji Xiang to brush his hands and shop the list before he went on by himself, but went with Ji Xiang.
"Xiaoji, it's been too long, cavernous tissue CO2 pig retention, acidosis and hypoxemia, let's discuss it after surgery." Director Liu advised.
"Director, come here, I just said it casually, the main thing to learn from you is to go to surgery." Ji Xiang said helplessly.
Director Liu has seen that he has spoken more and more politely after the operation, which makes Ji Xiang a little uneasy.
"It's all my own people, what are you afraid of. With me, you concentrate on the operation, and if something happens, it's mine. Director Liu said, "I don't look down on the goods of our gynecology, there are five or six people on weekdays, and once something happens, no matter what the problem is, I will smash it on the head of the little doctor." ”
When Ji Xiang heard Director Liu say this, he immediately remembered Professor Li, the leader of the group, whom he met when he was empathetic.
It seems that such people are not uncommon in clinical practice.
"Director, what about what happened to them?" Ji Xiang asked with good letters.
"Later, there was always an accident, and when something happened, there was a big quarrel, and the little doctor was forced to be anxious, and people jumped over the wall in a hurry." Director Liu laughed, "I'm not talking about you, you are really young in the operation of huge hydronephrosis, you have good eyes and steady hands." What else can I show if I have this talent, you do it, and I will escort you. ”
Ji Xiang took a deep breath.
Director Liu is simply too open-minded, although Ji Xiang doesn't know if Director Liu will fight for himself if something really happens, but it is not easy to say this.
After taking the stage, Director Liu did not release Jixiang at the beginning, but cut the skin of the stem first.
Layer by layer, the cavernous body is visible to the naked eye after reaching the position of the corpora cavernosa, which is purple-black and covered with blood clots.
Director Liu squeezed the cavernous body, but there was no movement. He was not reconciled, so he asked for a syringe to stab it and suck it a few times, but there was still no blood.
The cavernous tissue is necrotic.
"Alas, I guess I can't keep it." Director Liu shook his head and looked at Ji Xiang.
Zhao Zhe felt strange after seeing Director Liu's expression and movements, how could it be like a junior doctor asking a senior doctor?
"Director Liu, shall I give it a try?" Ji Xiang whispered.
When Director Liu saw that Ji Xiang took it, he was not hypocritical, and moved to the side of the patient's head, giving up the position of the surgeon to Ji Xiang.
Tang Yan was dumbfounded.
After necrosis, the next step is excision, which is the most basic common sense, the key is that the director gave the diagnosis, but in the end, he even had to spoil Ji Xiang to give it a try.
Tang Yan stared at Ji Xiang with big eyes.
No wonder it's the person his boss wants to chase, and he really has a future!
Although Tang Yan has not worked for a long time, it is the first time she has seen the clinical director so good to the doctors under him, and he is still a regular trainee.
Dean Zhao's son, Zhao Tianjiao, did not have this treatment.