Chapter 4 Director, I found the cause of the shock
With red lights and lightning all the way, the patient was pushed into the operating room.
"Good morning, Director Liu! Good morning, all the senior doctors!"
Zhou Can saw that there were already about 17 or 18 people standing inside, all wearing surgical protective clothing, masks, and hoods. To be honest, if you don't look carefully, it's easy to make the wrong person.
Say hello, he now has experience.
Director Liu, who has the highest position, will greet the doctors individually, and the other doctors will be replaced by a senior doctor.
In the past, Director Liu would usually see patients in the outpatient clinic in the morning.
The surgery was performed earlier today, probably due to some temporary travel arrangements.
"I have to attend a symposium at the Provincial Medical Association this afternoon. I will leave after I perform surgery on this patient. Let's get started right away!"
Director Liu actually has quite a long career, but his academic achievements are lacking, and he has always been stuck at the level of associate chief physician. Removing the word "associate" is what he most wants to do before retirement.
We can see how anxious he is from his recent frequent attendance at various academic conferences.
The patient was lifted onto the operating table by everyone.
The nurse asked the patient to take off his shirt and cleaned his skin again. Then the anesthesiologist came to check the patient before anesthesia. After confirming that the patient met the indicators, he began to install various life monitoring probes on the patient, put on a breathing mask, etc.
In a major operation, the anesthesiologist is as important as the surgeon.
He is responsible for monitoring the patient's vital signs throughout the process and giving timely advice.
This is a cervical lymph node tuberculosis resection operation, which is a level 3 general surgery operation.
A major operation of this level would only be performed by a surgeon at the deputy chief level or above.
Even the attending physician with rich surgical experience can only be an assistant.
The risks of surgery are self-evident.
Zhou Can was just an intern, and his only bright moment was when he escorted a patient into the ward. Now that the patient was on the operating table, he didn't even have a chance to pull the hook.
I could only stand behind and watch and learn.
Actually, this kind of large-scale surgery is still a novelty if you observe it once or twice. If you watch it more than once without doing it yourself, you will learn very little.
Interns often use the phrase "cursory tour" to mock themselves.
I can't remember what tools are used in which part of the operation, or how the operation is performed.
Only in some sudden emergencies is the use of rescue drugs impressive.
"Mr. Gao, can you hear me?"
The anesthesiologist anesthetized the patient through breathing anesthesia. The patient's eyes were already closed powerlessly.
The purpose of calling the patient is to test the patient's response.
The patient seemed to be in a deep sleep and showed no response.
The anesthesiologist checked the patient's limbs again and turned to look at the various indicators on the vital signs monitoring screen.
"The anesthesia was successful, the patient's vital signs are stable, and the operation can begin."
These words were obviously directed to the surgeon.
Director Liu asked the equipment nurse to help put on gloves, and the first, second and third assistants all took their positions.
This scene is very much like a charge before a battle.
It’s just that the enemy the warriors want to eliminate is disease.
"Open the skin!"
The surgeon said to the assistant.
For such important operations, the surgeon will usually only perform the most critical part of the operation.
It is also the most difficult part.
I saw an assistant holding the knife at the marked position, and slowly and calmly cut open the skin on the patient's neck.
There are dense blood vessels and numerous lymph nodes here, which made Zhou Can's scalp tingle.
If it were him who was to cut the skin, he wouldn't dare to do it at all.
As the skin incision and freeing work were completed, the second and third assistants also worked hard to use hooks to enlarge the surgical incision, increase the surgical field of view for the main surgeon, and create favorable surgical conditions.
A lymph node as big as an egg can be seen, surrounded by multiple lymph nodes of varying sizes. The carotid artery is throbbing.
It is extremely difficult to remove these diseased tissues in areas with dense blood vessels and nerves.
The surgeon was concentrating on removing the largest lymph node.
His expression is focused and his movements are steady, delicate and dexterous.
The cooperation of the assistant was also very good.
As long as there is bleeding, electrocoagulation will be used to stop the bleeding immediately. It is as precise and fast as playing whack-a-mole.
Zhou Can looked at it with admiration.
When the operation was halfway through, the patient suddenly convulsed and his vital signs dropped sharply.
Immediately afterwards, the monitoring equipment issued a beeping alarm.
"Not good, the patient's blood pressure has dropped below 60, his breathing is abnormal, and his heart rate is 160... Elder Liu, did you injure the patient's carotid artery?"
The anesthesiologist asked nervously.
"No!"
Director Liu has seen all kinds of dangerous situations, and he has always remained calm and composed.
"There's also a small . There are no respiratory nerves in this area."
Ichisuke followed up.
The residents behind were all at a loss. The interns were even worse, panicking and at a loss.
In this extremely short period of time, the anesthesiologist once again told everyone bad news that the patient's condition had deteriorated rapidly and he had entered a state of shock.
Shock and death are very close.
Sweat suddenly broke out on Old Liu's forehead.
"Wipe your sweat!"
The hand-washing nurse quickly stepped forward to wipe the sweat off Director Liu's face.
Panic spread quickly in the operating room.
If the patient died on the operating table due to unknown reasons, Old Liu's reputation would be ruined, and those who participated in the operation would also be disgraced.
Zhou Can took a deep breath, exhaled, and adjusted his nervous mood.
Force yourself to calm down.
At this moment, he actually felt an invisible responsibility on his shoulders.
It is the mission of every doctor to protect the life and health of patients.
Although I know my ability is limited, I still want to contribute.
He happened to be in charge of following the patient's bed and performing the surgery, so he was very familiar with the patient's condition, symptoms, and various test results.
He began to ponder over the patient's medical records, medical history, and various examinations.
At this moment, he accidentally saw red rashes appearing on the patient's skin.
He seemed to have thought of something.
"Yes, that must be it!"
Zhou Can suddenly said something out of context at this time, surprising everyone.
"Xiao Zhou, don't make any noise. Don't you see Director Liu and the attending doctors are thinking about it?" The chief resident scolded him coldly.
"Director Liu, I found the reason why the patient suddenly went into shock."
Zhou Can ignored the resident's warning and looked at Director Liu excitedly.
This time, everyone was shocked.
They all turned their heads to look at the intern standing in the back row.
Even the experienced Director Liu and attending physicians couldn't find the cause. How could he, an intern who performed very ordinary on weekdays, find out the reason why the patient went into shock?
They don't believe it.
"Tell me about it!"
After his initial surprise, Director Liu decided to listen to the intern's opinion.
But I didn't hold out much hope.
He has been teaching for many years, and what he has seen most are those young people who have high aspirations but are weak in life. They think they are great because they have read a few books and learned some medical knowledge.
The analysis of various diseases is also very unrealistic , based only on personal subjective assumptions. In the end, it is ridiculous.
