Chapter 726 Chest Surgery, Who Will Help
If it were in Haicheng No. 1 Hospital, Zheng Ren would never... Try not to go beyond the normal medical procedures and bring patients directly to the stage. Violating the medical procedures, once criticized by others, report to the medical investigation committee, and the doctor's career may be terminated.
But after experiencing the baptism of blood and fire on the front line, he seems to have some changes. And now it is an extraordinary period, and it is urgent to follow the power.
"Director Chen, I am confident in the diagnosis of this patient, please trust me." Zheng Ren said to Director Chen seriously.
His tone was still gentle. 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 seeing Zheng Ren undergoing an interventional operation in Pengxi Township Hospital.
Just looking young, his level is not low.
Not only is it not low, but it is so high that I can't see the top when I look up.
Although Director Chen is old, he is not confused. Especially when he was young, the procedures and procedures for seeing a doctor were not as strict as they are now. Procedural Justice? It simply doesn't exist.
Many years ago, all kinds of auxiliary inspection equipment were not available. A good doctor, after one glance at the patient, physical examination, and X-rays, he will give a diagnosis and then treat him. It can be said that everything is very rough, even a little crude.
But Mr. Chen is used to this mode of diagnosis and treatment.
If it were a younger doctor, he wouldn't be as hesitant as Director Chen. If you don't do 64-slice CT of blood vessels, you will have to go to surgery. Isn't this a joke?
However, after thinking about the possibility of this matter, Director Chen waved his hand and said, "I will contact the operating room, and the blood pressure will drop by 10 mm Hg, so I will go directly."
Zheng Ren nodded, while Su Yun looked at the old man with great interest.
Still waiting for the letter, Zheng Ren and Su Yun saw the old Director Chen go to work, Su Yun asked: "Don't do the inspection, go directly?"
"When you meet a patient with cardiac tamponade, isn't it the same thing where the chest was opened in the emergency department?"
"Can it be the same? My finger..." Su Yun paused for a moment, with a strange expression on his face.
He already guessed what Zheng Ren was going to say next.
There is a huge difference between feeling cardiac tamponade with your fingers and watching a film from your own perspective. But from Zheng Ren's point of view, there is no difference at all.
This guy... Su Yun shook his head, but didn't complain about Zheng Ren.
"Take a break when you're tired. This time you're on stage, you may have to have a long surgery." Zheng Ren was paralyzed and was about to lie flat.
"Boss, why are you so desperate? Director Jiang's precedent is there." Su Yun said.
"It's okay, the follow-up medical team is said to be coming up soon, and we can go down to rest at any time. Before going down, make a few more. And I'm still young, with cardiovascular and cerebrovascular..." As he spoke, his voice became weaker and weaker. , until it disappears.
Su Yun didn't feel sleepy at all at this moment. He stared at the CT scan carefully, his eyes narrowed into slits, and the light of the film reader was vaguely reflected in the slits, shining like jewels.
More than ten minutes later, Mr. Chen brought someone to pick up the patient on stage.
He repeatedly told him to move it gently and not violently.
For patients with aortic dissection, once the body position changes, blood pressure will rise suddenly, and then the intima and adventitia of the blood vessel will be torn, resulting in sudden death.
Su Yun has seen at least ten patients in the No. 1 hospital in Haicheng City. Because he couldn't perform interventional surgery in the No. 1 hospital in the city, he was going to be referred.
The patient didn't think it was a serious illness, thinking that the doctor was scaring people. He even refused to lie still, and handle it carefully. As soon as he sat up, a body position changed, and he died immediately.
A person whose vital signs were quite normal a second ago died in a blink of an eye, and the death was so simple.
This disease is really dangerous.
It's rare that the old director Chen actually believed in Zheng Ren so much. This guy is not popular with women, but he is quite popular with old people.
In Haicheng, he was surrounded by Director Pan; when he went to the imperial capital, Director Kong treated him very well; when he came to the front line to support him, he was favored by Director Chen.
Although it's useless, but... Su Yun squinted at Zheng Ren, seeing him sleeping soundly. There were bruises on his face, but his face, which should have been in a state of embarrassment, showed an indescribable sense of trust.
Su Yun let out a long breath, subconsciously blowing the black hair on his forehead. But the surgery took too long, and the strand of black hair had been suppressed so much that it couldn't fly up.
He put the film into a film bag, and rushed the patient to the stage before the old Director Chen took the patient to the stage, and put it on the flat car.
"Where's Dr. Zheng?" Director Chen asked.
"Asleep, I'll go up first and start disinfecting, just call him here." Su Yun said casually.
Director Chen knew that it was too long, and he could fall asleep while standing, let alone sitting.
He had no objection either, and took the patient to the stage.
"Director Chen, do you perform this kind of surgery in the vascular department or the interventional department? What brand of stent-graft do you use?" Zheng Ren's voice came from behind.
When did you wake up? Su Yun frowned slightly, turned his head and said, "Why are you up?"
"It's almost enough, and I can't sleep well. When I return to the imperial capital, I will find a place to sleep well for a few days and nights." Zheng Ren was very listless and wobbled when he walked.
Su Yun didn't stop him, and after listening to Director Chen's nagging, he came to the door of the operating room.
There are several hybrid operating tables in large tertiary hospitals and large operating rooms.
With the increasing clinical application of interventional surgery, doctors in large tertiary hospitals are also accustomed to hybrid surgery.
However, the amount of surgery is still not much, and orthopedic surgeons are used most.
The fracture was cut open and reduced, and a film was taken after it was fixed, which made people feel at ease. After joint replacement, it is also very comfortable to take a radiograph.
It's just that it's a bit wasteful to use the hybrid operating room like this.
"Doctor Zheng, the doctors in the Department of Vascular Surgery are doing surgery, and they won't come down for the time being. You have to work hard on this side." Old Director Chen said.
Zheng Ren nodded, he had already expected this situation.
It would be strange to have a doctor idle. To be able to spare an operating table for himself, or a hybrid operating table, this is already Director Chen's eyesight.
Being able to perform surgery in a large operating room is 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.
Just putting on the isolation suit, a voice came from the corridor: "Who is free! Come and help!"
After waiting for a few seconds, no one spoke.
"Chest surgery, Mr. Shao will do it, who will help!" the itinerant nurse shouted at the top of her voice.
Zheng Ren smiled wryly.
It is estimated that all the doctors have been exhausted, and there is no one to support the stage. It would be nice to have a doctor who is the chief surgeon. As for the assistant, just find someone who is intern or advanced to help.
But after a few days and nights, I couldn't even find anyone to help me.
If it doesn't work, I can only ask the equipment nurse to help. But then the operation would be rather slow.
Su Yun raised his eyebrows, and said: "Boss, you can go to the peritoneum by yourself, I will perform a chest surgery to refresh you?"
They were asking questions, asking for Zheng Ren's opinion.
Zheng Ren smiled and said, "Go."
Su Yun came back to life completely, poked his head out, and shouted: "How many hands?"
"Three hands." The itinerant nurse was very happy. Although she didn't know who was the one who made the mistake, it was always good if someone followed her to the surgery.
"Boss, I'm going!" Su Yun took the time to put on the sterile cap, and said while fastening the mask strap: "You don't do chest surgery, but I'm so aggrieved."