Different from the tombstone that Li Min drew on his work notes, the cemetery in Chen Wenqiang's heart has added a tombstone that is nearly finished.Today, Li Minqiang completed most of the operation, although the rest of the part he took Dr.
Deng and Lu Kaiwen who came to the stage later did extremely difficult, which did not prevent him from going back to the 11th floor for rounds without rest after the operation, and then immediately went to the ICU to write postoperative records.In that day's work, no link could be neglected, which was the summary of his experience gained from 30 years of medical practice.Fortunately, his old classmate and director of the Department of Anesthesiology, Mr.
Zhou, can sympathize with his difficulties.Director Zhou not only accompanied Xiao Liu (deputy director of the anesthesiology department) after sending the patient to the ICU, but then he did not leave.Because he understands too well the changes in this operation, Chen Wenqiang is under extra pressure.He understands the difference between a patient dying on the operating table, dying on the same day after surgery, and not waking up for a few days after surgery.After Director Zhou came to the ICU with Chen Wenqiang, he didn't need Chen Wenqiang to speak, he went to talk to the family members of the patients waiting outside the ICU.The director of the anesthesiology department and the deputy chief physician were hung on his badge, which made it easy for him to win the trust of the patient's family."
There are some patients who have undergone a craniotomy and will not wake up after anesthesia."
Before surgery, the anesthesiologist must visit the neurosurgery department to see the patient.Director Zhou believes that Xiao Liu will definitely explain this to the patients and their families."
Is there too much anesthetic?"
It was probably the patient's brother who asked the question.After the man asked this sentence abruptly, when Director Zhou looked at him and everyone else looked at him, he shrank his shoulders back slightly timidly.Stumbling added, "I thought it was about the same as drinking." ”Director Zhou nodded very slowly in a calm voice and gentle tone that could soothe him: "There is a common truth.When our anesthesiologists give drugs to patients for anesthesia, they do not give all the drugs at one time, but according to the reaction of the patient's body and the depth of anesthesia required for the operation, a small amount of drugs are administered each time. ”The patient's family members seemed to listen to Director Zhou's explanation in understanding.But the anxiety and worry on their faces stimulated Director Zhou all the time."
Therefore, during the operation, the anesthesiologist never leaves the operating table, and we have to monitor the basic condition of the patient's body at all times.Like your family, after this patient is under general anesthesia, we use a ventilator to control the rate of his breathing to ensure that the oxygen entering his lungs can meet his body's needs.We have to monitor his heart rhythm, which is the rhythm of the heartbeat, like he had many times in this operation, and the heart rhythm was disturbed, which caused the operation to be stopped.In addition, he also had high blood pressure during the operation. ”The patient's mother tugged at the clothes on her chest and asked, "Director Zhou, what you said is telling us that the operation is difficult, right?"
”"Yes."
Director Zhou looked at her and nodded heavily."
Dr.
Chen is the best neurosurgeon in our province.I believe you have inquired about this before coming to the provincial hospital for medical treatment. ”The patient's family members all nodded.They have asked a lot of people to understand that the success rate of surgery in the provincial hospital is higher than that of the affiliated hospital of the Medical University, and they understand that the provincial hospital seems to be more serious and responsible for patients, so they came to the provincial hospital to queue up.The patient's daughter-in-law asked, "Is Dean Chen's assistant the big-bellied Director Li?"
”Director Zhou nodded."
Yes.Director Li graduated from the University of Medicine.She is a graduate student of Dean Chen and the deputy director of the Department of Neurosurgery. ”"She's so young and still pregnant with a child, can she do the surgery?"
Director Zhou replied confidently: "Don't underestimate her, she has already done hundreds of craniotomys."
She is an assistant to every operation performed by Dean Chen.After the Spring Festival this year, our provincial hospital did two cases of broken arm replantation, which are the two cases that are on TV.The most important blood vessel connection is what she does.Her surgical skills are not inferior to Dean Chen, and even slightly better than Dean Chen.After all, women's needlework is usually better than that of old men. ”Director Zhou's calm attitude and easy-to-understand metaphors made the patient's family nod frequently."
And when will my subject be out of the ICU?"
The patient's daughter-in-law asked.This is the most difficult question to answer.But Director Zhou said with the same expression: "We will use drugs and machines to help him get through the most dangerous and difficult time after surgery."
The rest is up to him.The desire to survive in his heart is the key to whether he can wake up.But today's surgery was very beautiful and successful. ”"But we're worried about him, he's only 43."
Director Zhou nodded in understanding.Having said everything that had to be said, he began to persuade the patient's family to leave."
Go back and rest.I can't look at him even if I stand outside.I will watch him for you in the ICU tonight, and it will be Dean Chen's turn to be on the night shift tonight, and Director Li's turn to be on the day shift tomorrow.If there is any change in his condition and needs, we will be able to deal with it in time. ”"And when can we go in and have a look?""
Tomorrow at three o'clock in the afternoon is visitation time, you can go in and see him alone.""
Okay, thank you, Director Zhou."
After reassuring the patient's family, Director Zhou and Director Hong discussed postoperative treatment together.These discussions and discussions were not necessary for Director Zhou and Director Hong, who used their words to dilute the stiff atmosphere in the office and appease Chen Wenqiang in a slightly anxious and impatient state.
*Chen Wenqiang is in a bad mood at the moment.For no other reason, there are too many patients in the neurosurgery department who have not been able to wake up this year.It seems to be going to make up for last year's, the year before that, and even the previous 10 years.But in the face of Director Zhou and Director Hong's concerned and worried eyes, he tried his best to restrain his emotions and accepted Director Zhou and Director Hong's disguised appeasement.Comprehendingly, they accepted the signal they conveyed to themselves in silent words: this troublesome patient has fallen into a predicament where it is impossible to wake up, and is in a dangerous state that needs to be declared dead.But for various reasons, it can't be announced now.The pressure of the specialist business, the cumbersomeness of administrative affairs, and the blow of his mother's death have carved the marks of vicissitudes on his face in just a week.Chen Wenqiang's body is tired, but his head is clear.He understands that the more times like this, the more he can't lose his temper and can't have the slightest inappropriate behavior.Because he understands that he is not only the pillar of neurosurgery in the provincial hospital, but also the support of Li Minneng to bravely challenge the difficulty of surgery without distractions.Because he understands that he has passed the best years of his surgical career, whether it is the delicacy of surgical skills or the application of those microscopic instruments, it is difficult to go to the next level, and it is difficult to improve with Li Minbi, who is 26 years younger than him.Therefore, he is willing to be a ladder and is willing to let Li Min stand on his shoulders and push the level of neurosurgery in the provincial hospital to a higher level.Every bit of progress and achievements of Li Min in clinical surgery will make him feel a sense of pride.This achievement is even more proud of him than the fact that he personally relieved a patient's illness.Therefore, he can objectively look at the achievements of neurosurgery in the past two years.Therefore, he is willing to calmly bear all the consequences of this glioma patient not being able to wake up after surgery.He was able to calmly weigh this patient even on the operating table, and this patient who could not escape the doom allowed Li Min to increase his understanding of the variables of neurosurgery through his reaction on the operating table.So through his casual chat with Director Zhou in the operating room, he just reminded Li Min: This kind of thing is not uncommon, and he has encountered such a thing.Because Li Min needs these comforts.Because he felt that he needed to help Li Min, a young man who was talented, daring, and willing to work hard.Because this is not only the work that he should do as a neurosurgeon and director of neurosurgery in the provincial hospital to pass on the torch, but also the responsibility that he must shoulder as a medical director to train young doctors.…… Chen Wenqiang put the written surgical record into the medical record, rang the bell and called the nurse to come in, and asked her to send the medical record folder to the doctor on duty.Then he calmly told Director Zhou and Director Hong about the work arrangement for next week."
We have five surgeries in our department next week.Lao Zhao added one to me, and Xiao Li added one to me. ”Director Zhou asked with some concern: "Lao Chen, are you okay?"
If not, arrange a little less.Don't believe their claim that what work occupies the mind is a panacea. ”"I'm only 52 years old, why can't I do it!"
Chen Wenqiang joked.But he sighed and said, "At the end of this year, I'm afraid I'm going to be attacked by those old guys in the Affiliated Hospital of the Medical University." ”"The!
Who made you too reckless last year. ”Director Zhou said a word to him, and then sighed: "In the field of neurosurgery in the provincial capital, you and Xiao Li have done a very good job.I think in your professional society, this year I dare to say that I am better than you and Xiao Li's partner, and the surgery is better than you two, no one has such a big face. ”"Yes, Dean Chen.We are not immortals, and we can't do rejuvenation.We can only heal the disease, but we can't save lives. ”Director Hong also comforted Chen Wenqiang.Chen Wenqiang smiled back at the two of them, indicating that he had received their hearts.Director Zhou watched Li Min pass by outside the office window, sighed and said, "I often say that there is no gender difference in the work in the hospital.But where are we going to say that?
If Li Min were a man, he would be able to persevere in this operation today.Lao Chen, you won't be so tired.You say, don't you?
”Chen Wenqiang picked his nails and said, "What's wrong with Xiao Li being a woman?"
It's just that these months are special times.Do you dare to dislike her?
I dare to show a little disgust, believe it or not, Lao Liang will leave immediately. ”Director Hong smiled and said, "Liu Hong is also a woman.Lao Zhou, you will know when she goes to work in September.That's definitely a woman who doesn't let her eyebrows go.By the way, Dean Chen, Liu Hong told me that she took the English test of the associate high school this year, and she still has the scientific research results of the patient's major, and she wants to apply for an associate professor, do you say is it possible?
”"Patient majors, ......"
Chen Wenqiang hesitated.Director Hong immediately argued for Liu Hong: "Not to mention that medical and surgical detachment is inseparable from the basic theory of patients to support clinical treatment, ICU is even more inseparable.That's the truth, right?
”Chen Wenqiang finally realized why Liu Hong came to work on August 31.This is clearly the last day of registration for the title.But can this matter be punctured and provoked?
Director Zhou saw that Chen Wenqiang was stuck, so he reminded Chen Wenqiang and said, "Dean Chen, Xiao Li is here."
Let's take a look at yesterday's moyamoya disease and today's this. ”"It should be."
Chen Wenqiang saw Li Min go straight to the moyamoya disease after surgery.At this moment, he clarified how he should answer Director Hong."
Lao Hong, this year's deputy high school is different from last year, our hospital has passed, and we have to report to the provincial department for approval."
Director Hong grinned: "We are a teaching hospital, and we need professional and technical talents like Liu Hong in the medical and surgical departments and ICU, right?"
Don't look at the medical university, it is difficult to promote so many people, if Liu Hong does not come to our provincial hospital, he will be promoted to associate professor next year at the latest. ”Chen Wenqiang had no choice but to say: "Lao Hong, I have no objection to Liu Hong's promotion to deputy high school.I also hope that the young people in our provincial hospital are like Liu Hong and Li Min. ”Director Hong got Chen Wenqiang's assurance and smiled."
You're too greedy."
Director Zhou laughed at Chen Wenqiang."
There is a Xiao Liu for anesthesia, and in the past few years, I feel that my ancestors have burned high incense.You still want all the young people in the provincial court to be like this, how much virtue you have accumulated in your last life. ”Chen Wenqiang didn't know how much virtue he had accumulated in his previous life, but he knew that he should have accumulated enough yin virtue in his life.He waited for Li Min to go back to the ward after seeing the patient, and then fell into a deep sleep in the duty room that had just been cleaned and smelled of disinfectant water.The sheets were clean, like his stomach, clean.※※※※※※※※※※※※※※※※※※※※ file article "Big Hands Holding Small Hands", please collect!
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