Chapter 71 Can I try?
"Why did you wait until now to see a doctor? Your condition is very dangerous. You may lose your life at any time." Dr. Fu was very angry.
Doctors feel very sad every time they see patients dying due to delay.
"Doctor Lu, go push the laryngoscope over here."
Dr. Fu ordered expressionlessly.
It can be clearly felt that Dr. Lu's status in the operating room is no longer as high as Zhou Can's.
Strength speaks for itself wherever you are .
This is especially true in the operating room.
No matter how well you flatter someone, if he or she becomes a wimp once he or she gets on the operating table, then he or she will always be a wimp.
Doctor Lu looked at Zhou Can resentfully like a bullied young wife, then obediently fixed the laryngoscope and pushed it over.
"We are going to perform a laryngoscopy on you now to see where the fishbone is inserted, how deep it is, and whether there is suppuration. You must cooperate, understand?"
"Uh-huh!"
The patient nodded repeatedly.
After having the patient lie on the operating table, teach him to open his mouth wide and then insert a laryngoscope for examination.
Irritation to the throat can easily lead to swallowing and vomiting.
This requires the patient's cooperation.
Fortunately, this is an adult male and he can endure it.
Dr. Fu told him to relax, so he relaxed and cooperated with the examination throughout.
"Oh, this fish bone is very thick! And it is stuck very deep, only a small part is exposed outside."
After the laryngoscopy, Dr. Fu's face looked quite serious.
"You can only try to clamp it. If you can't pull it out, you can only send it to the surgery department for removal."
The emergency department has limited surgical capacity.
If this patient wants to undergo invasive surgery to remove the needle, he must ask a surgical specialist to evaluate the surgical plan, because the operation requires surgery on the neck, which is extremely risky.
If surgeons assess and feel that the risk of surgery is too high, the patient may not be able to leave the operating table.
Then there is no way to have surgery.
The patient will most likely die.
It’s not that the doctors don’t save people, but that they can’t save them.
With their professional knowledge and experience, doctors can predict that even if they perform surgery, the patient will die on the operating table.
Therefore, it is better to let the patient adopt some conservative treatment, perhaps there is still a glimmer of hope.
“Mmm…”
The patient seemed to realize the seriousness of his illness and kept bowing to Dr. Fu and Zhou Can.
Ask the doctor to save him.
Because he was too anxious and his throat was so swollen, he couldn't even speak.
"Don't worry, we will definitely try our best."
Doctor Fu comforted the patient in a gentle voice.
Stabilize the patient's mood.
This is also why experienced doctors are usually reluctant to tell patients directly when they find out that they have a terminal illness, but instead tell the family members secretly.
Because once the patient's emotions collapse, it will be very detrimental to treatment.
Tell a little story.
Once upon a time, two patients, A and B, went to the hospital for a physical examination at the same time. The doctor who was in charge of recording the computer was a sloppy intern, and he got the results of the two patients mixed up.
Patient A thought that he might have a serious illness this time because he occasionally vomited blood.
A look at the test results showed that it was just mild gastritis.
That's no big deal.
Just take some medicine.
Patient A lives a happy life every day, and after the last scare, he pays more attention to his health.
Patient B didn't have any serious illness, he just felt a little bloated.
Get the test results and take a look.
I almost fainted on the spot.
It turned out to be a terminal illness, advanced gastric cancer.
Patient B stumbled back home and locked himself in his room crying for a long time.
The doctor told him that he had no more than three months to live.
After grieving, he began to arrange his funeral affairs, and then waited for death to come.
I live a very depressed life every day, filled with fear.
He felt worse and worse, and death seemed to be getting closer.
Until one day, the hospital discovered that the results of patients A and B were entered into the computer incorrectly.
Immediately notify the two patients to have a re-examination.
As a result, the doctor was surprised to find that Patient A, who was originally suffering from cancer, had improved dramatically and even showed signs of recovery.
Patient B, who originally only had gastritis, developed gastritis into gastric cancer because he lived in depression, fear, and sadness every day.
Six months later, patient B died of cancer, while patient A's stomach cancer was cured.
This story is a true story that happened in France.
After following up and investigating many patients, doctors found that patients with a happy mood were more likely to recover, while patients with a depressed mood were more likely to deteriorate.
To this day, doctors have attached great importance to the influencing factor of patients' mood.
After Dr. Fu calmed the patient down, he began to use a laryngoscope and tweezers to remove the fish bone for the patient.
Once, twice...
Dr. Fu tried many times but failed every time.
I was so tired that I was sweating all over.
"No, the fishbone is stuck too deep. The part left outside is very short, and it's difficult to exert force deep in the throat, so it's impossible to pull it out." Dr. Fu said helplessly.
Zhou Can has been acting as an assistant beside him.
The laryngoscope clearly displayed the condition of the fishbone on the screen.
Including the process of Dr. Fu removing the fish bone.
"It seems Dr. Fu is a bit unskilled at controlling the long-pole instrument!"
He only dared to think of this idea for a few moments.
I dare not show any of it on my face.
To remove a fish bone stuck deep in the throat, the grasping technique should be used.
Zhou Can instinctively felt that his third-level grasping technique seemed to be able to pull out the fishbone.
"Doctor Fu, can you let me try?"
There is a certain risk in pulling out this fish bone.
Zhou Can could only try his best.
Dr. Fu glanced at him, hesitated, and did not dare to agree immediately.
"These long-arm forceps are difficult to operate. Try using them to pick up that surgical hook!"
Out of trust in Zhou Can's previous excellent performance, Dr. Fu did not refuse immediately.
Instead, he decided to see Zhou Can's grasping technique first.
The corner of Dr. Lu's mouth next to him raised, revealing a barely perceptible sneer.
As a senior doctor, although his medical skills are not very good, he knows clearly which operations are difficult and which are easy.
Grasping has always been regarded as a chief medical skill.
It is often used in various high-tech minimally invasive surgeries or major surgeries above level three.
For some advanced minimally invasive surgeries, the attending physician may just be an entry-level physician, qualified only to be an assistant. The chief surgeon is at least an associate chief physician.
Grasping is the most basic medical skill in minimally invasive surgery, and it is also the most difficult medical skill to improve.
Zhou Can, a mere intern, actually dared to challenge the director-level grasping technique. He was so arrogant.
Dr. Lu waited to see how he would humiliate himself.
Nurse Liu Xia had already cleverly handed a pair of long tweezers to Zhou Can.
The arm of this type of tweezers is over 25cm long, more than twice as long as ordinary straight tweezers.
You can imagine how difficult it is to manipulate it to clamp a tiny suture needle.
Zhou Can was seen calmly holding the long tweezers and picking up the crochet hook from the plate.
The movements are as smooth as flowing water, and the crochet hook can be easily and steadily picked up.
This is the clamping ability at the resident level.
