MTL - My Medical Skills Give Me Experiences-Chapter 4 Director, I found the cause of the shock

The red light and lightning all the way pushed the patient into the operating room.

"Good morning, Director Liu! Good morning, senior doctors!"

Zhou Can saw that people number 17 and 18 were already standing inside, each in surgical protective clothing, masks and hoods. To be honest, if you don't identify carefully, it's easy to mistake people.

Say hello, he now has experience.

The highest-ranking Director Liu greeted alone, and the other doctors replaced it with a superior doctor.

In the past, Director Liu usually went to the outpatient clinic in the morning.

Today's operation is ahead of schedule, it is estimated that there is a temporary itinerary.

"I'm going to the Provincial Medical Association to attend a symposium in the afternoon, and I'll leave after the operation on this patient. Hurry up and start!"

Director Liu's qualifications are actually quite old, but his academic achievements are a bit poor, and he has been stuck at the level of deputy chief physician. Getting rid of that adverb was what he wanted most before retirement.

From his recent frequent participation in various academic conferences, we can see how urgent he is.

The patient was lifted onto the operating table together.

The patrolling nurse asked the patient to take off his shirt and did a skin cleanse again. Then the anesthesiologist came to check the patient before anesthesia, and after confirming that the indicators were met, he began to install various life monitoring probes on the patient, wear a breathing mask, and so on.

For a major operation, the anesthesiologist is as important as the chief surgeon.

He is responsible for monitoring the patient's vital signs throughout the process and giving advice in a timely manner.

This is a cervical lymph node tuberculosis resection operation, which belongs to the third-level general surgery.

This level of major surgery is at least performed by surgeons at the deputy director level.

Even the attending doctor with rich surgical experience can only mix in one or two assistants.

The dangers of surgery are self-evident.

Zhou Can is just an intern, so he has a momentary highlight moment when sending patients into the ward. Now that the patient is on the operating table, he doesn't even have a chance to pull the hook.

You can only stand behind and observe and study.

In fact, this kind of large-scale operation is still a novelty to observe once or twice. If you watch it a few times and don't try it yourself, you will learn very little.

Interns often use the phrase 'flying around' to laugh at themselves.

I can't remember what tools are used in which part of the operation, and how to operate it.

Only in some sudden emergencies, the use of rescue drugs is impressive.

"Mr. Gao, can you hear me?"

The anesthetist administers anesthesia to the patient through respiratory anesthesia. The patient's eyes were closed feebly.

Calling out to the patient is intended to test the patient's response.

The patient seemed to be in a deep sleep and was unresponsive.

The anesthesiologist checked the patient's limbs again, and turned to look at the various indicators on the life monitoring screen.

"The anesthesia is successful, the patient's vital signs are stable, and the operation can begin."

These words were obviously addressed to the Chief Surgeon.

Director Liu asked the equipment nurse to help put on the gloves, and the first, second, and third assistants all took their positions.

This formation is very similar to the charge before the battle on the battlefield.

It's just that the enemy the warriors want to destroy is disease.

"Open skin!"

The chief swordsman said to Kazusuke.

For such an important operation, the chief surgeon generally only performs the most critical part of the operation.

It is also the most difficult part.

I saw an assistant holding a knife land on the marked knife position, calmly and slowly cutting the patient's neck cortex.

There are dense blood vessels and numerous lymph nodes, which made Zhou Can's scalp tingle.

If it was him who opened the skin, he didn't dare to use the knife at all.

With the work of opening the skin and dissociation in place, the second and third assistants also worked hard to use hooks to enlarge the surgical wound, increase the surgical field of view for the main surgeon, and create favorable surgical conditions.

A lymph node the size of an egg can be seen, surrounded by multiple lymph nodes of various sizes. The carotid artery was throbbing.

It is extremely difficult to remove these diseased tissues in areas densely populated with blood vessels and nerves.

The chief surgeon concentrated on peeling off the largest lymph node.

Concentrated expression, calm, delicate and dexterous movements.

The cooperation of the first aid is also in place.

As long as there is a bleeding point anywhere, the bleeding will be stopped immediately by electrocoagulation. As precise and quick as whack-a-mole.

Zhou Can watched with admiration.

Just in the middle of the operation, the patient suddenly convulsed and his vital signs dropped sharply.

Immediately afterwards, the monitoring instrument beeped an alarm.

"Not good, the patient's blood pressure dropped below 60, his breathing was abnormal, and his heartbeat was 160... Mr. Liu, did you hurt the patient's carotid artery?"

the anesthesiologist asked nervously.

"No!"

After all, Director Liu has seen all kinds of dangerous scenes, and he remained calm in the face of danger.

"There is also a very small chance of injury to a vital nerve. There are no respiratory nerves in this area."

Kazuke continued.

The resident doctors behind were all at a loss. The performance of the interns was even worse, with panic and confusion.

In this very short period of time, the anesthesiologist once again told everyone the bad news that the patient's condition deteriorated sharply and he had entered a state of shock.

Shock is very close to death.

The sweat on Liu Lao's forehead broke out immediately.

"Wipe the sweat!"

The hand washing nurse hurried forward to wipe Director Liu's sweat.

Panic spread rapidly in the operating room.

If the patient died on the operating table due to unknown reasons, Liu Lao I's reputation would be ruined, and those who participated in the operation would also be ashamed.

Zhou Can took a deep breath and let it out to adjust his nervousness.

Force yourself to be calm.

At this moment, UU Reading www.uukanshu.com actually felt an invisible responsibility on his shoulders.

It is the mission of every doctor to protect the life and health of patients.

Even though I know my abilities are small, I still want to contribute.

This patient happened to be in charge of bed follow-up and surgery, so he knew the patient's condition, symptoms, and various examination results very well.

He began to ponder over the patient's medical records, medical history, and various examinations.

At this time, he inadvertently caught a glimpse of red rashes appearing on the surface of the patient's skin.

He seemed to think of something.

"Yes, it must be so!"

Zhou Can suddenly said a word without thinking at this time, which surprised everyone.

"Xiao Zhou, don't make a sound. Didn't you see that Director Liu and the attending doctors are thinking?" The chief resident reprimanded him in a cold voice.

"Director Liu, I found the reason for the patient's sudden shock."

Zhou Can ignored the general's warning, but looked at Director Liu excitedly.

This time, everyone was shocked.

They all turned to look at the intern standing in the back row.

Even the experienced Director Liu and the attending physicians couldn't find the reason. Can he, an ordinary intern, find the reason for the patient's shock?

They don't believe it.

"What do you think!"

After the initial surprise, Director Liu decided to listen to the intern's opinion.

But I didn't hold out much hope.

He has taught for many years, and what he has seen most is the kind of young junior whose heart is higher than the sky and whose life is thinner than paper. I thought I had read books for a few days and learned some medical knowledge, so I was pretentious, thinking that I was so awesome.

The analysis of various diseases is also very impractical, and it is only based on personal subjective assumptions. In the end, it was ridiculous.