Doctor: I picked up attributes in the hospital

Chapter 385 Two swords combined are invincible in the world!
"Doctor, I'm just here to understand the situation."

Seeing Liu Ziang's indifferent attitude, the middle-aged man with gold-rimmed glasses couldn't help but speak.

He is also consciously unlucky, and was launched by the platform to deal with this matter. From the perspective of the platform, no matter how it is handled, it will always lose money, and the reputation of the platform will also be affected. It can be said that No matter which management it is, they don't want to deal with such things.

Seeing the appearance of the middle-aged man with gold-rimmed glasses, Liu Ziang didn't say anything more. Although he had a lot of opinions on the middle-aged man with gold-rimmed glasses, he couldn't say anything more, otherwise, he would cause trouble for the patient's family. When it comes to compensation and other matters, it is necessary to deal with this middle-aged man with gold-rimmed glasses.

After coming out of the ward, Zhao Heng saw Liu Ziang's appearance, and couldn't help saying: "Senior, this kind of thing is also very common, but this time it was encountered by this patient."

"I know, you don't need to comfort me, I just feel a little blocked."

Liu Ziang waved his hand and said, he couldn't understand the truth of the matter very well, he just felt that everyone in the world is suffering from what happened to this delivery boy!
Liu Ziang's appearance is not at all like the free and easy Liu Ziang that Zhao Heng knew before, but everyone has their own softness in their hearts. Maybe Liu Ziang, who looks very free and easy, has experienced something before?
"But speaking of it, this patient is considered very lucky."

Zhao Heng said again.

If you are unlucky, you will not meet doctors like Zhao Heng and Liu Ziang. To be honest, if there is no media involved by Zhao Heng, there is a high probability that the platform will not give the delivery guy any extra compensation. .

The tendency of capital is independent of human will. Anything controlled by capital will inevitably develop enough to be hung on a street lamp. This is a principle that human sociology has long put forward. China has also been developing in this way.

After half an hour.

operating room.

At this moment, the operation was ready. Zhao Heng performed the anesthesia first. The instrument nurse was Sun Li, and there were two residents led by Liu Ziang from the brain surgery department.

Liu Ziang, a strong man, is also very affordable. Zhao Heng not only has to give the patient anesthesia, but also has to perform surgery later on. This is a specialty with multiple skills.

Ruan Liuzheng saw that Zhao Heng was very familiar with anesthesia, and then he remembered that Zhao Heng was the deputy director of the anesthesia and perioperative center, and anesthesia was his job, only because of other aspects It was too prominent, so people unconsciously ignored Zhao Heng's job.

However, even with anesthesia, to Zhao Heng's level, it would be enough for a lifetime.

"What should be paid attention to in the anesthesia of patients with severe traumatic brain injury?"

While operating, Zhao Heng casually asked Ruan Liuzheng, who was standing by and observing carefully.

As a doctor in the anesthesia center, anesthesia is a basic skill, and it is the ability to eat. Naturally, one must master it proficiently. As for the other skills of seeing a doctor, it depends on the individual's level and pursuit.

But at the very least, in the anesthesia center, it is a very basic requirement to be able to perform anesthesia and to be able to perform anesthesia well.

"The first is to induce quickly, give anesthesia drugs with a short half-life, and have a strong sedative and analgesic effect. Second, do not increase intracranial pressure and brain metabolism, do not affect cerebral blood flow, ensure cerebral perfusion pressure, and do not affect blood-brain barrier function. No neurotoxicity. Finally, it should be noted that the drug dose is relatively mild to respiratory depression, and recovery should be as rapid as possible after drug withdrawal.”

To Zhao Heng's surprise, Ruan Liuzheng spoke fluently after thinking for a while.

"That's right, I worked hard."

Zhao Heng nodded, very satisfied. Even if a professional anesthetist can answer these anesthesia points, he may not be able to answer such complete and comprehensive answers.

This shows that since Ruan Liuzheng came to the anesthesia center, he has devoted himself to studying the basic skills of doctors in the anesthesia center - anesthesia. This attitude of serious study is still very good.

Seeing Zhao Heng's satisfied look, Ruan Liuzheng also heaved a sigh of relief. Since he came to the anesthesia center, in fact, many doctors in training, regular training and interns have seen Zhao Heng treat many difficult and miscellaneous diseases. Patients do not realize that the anesthesia center's job is to do anesthesia, and anesthesia and intensive postoperative care are the most important and core business of the anesthesia center.

Therefore, Ruan Liuzheng has worked hard in anesthesia, and now he can answer Zhao Heng's question so fluently.

After a while, Zhao Heng looked at the life monitor, which showed that the patient's breathing, heartbeat and carbon dioxide levels had reached the standard for the operation, so he stood up, and was greeted by the equipment nurse Sun Li, and the operation was completed. Clothes.

"Student, what do you think about the surgical incision of this patient?"

Liu Ziang, who had already put on the surgical gown, asked Zhao Heng for his opinion.

If it were someone else, Liu Ziang would naturally not ask for opinions so deliberately, after all, his own opinions are already the most professional.

But Zhao Heng is here, so Liu Ziang wants to ask Zhao Heng's opinion, and verify it with each other. If the two sides agree, it means that the operation plan should be able to achieve the best state.

This also fully demonstrated that in Liu Ziang's heart, Zhao Heng was an existence on the same level as him. This recognition, in the entire Dongfang Hospital, probably only Zhao Heng could get it.

"Let's go through the retrosigmoid sinus supracondylar and brainstem safety zone olivary approach, and make a C-type incision behind the left ear, and perform intraoperative MEP, SEP and sublingual EMG monitoring."

Zhao Heng thought for a while and expressed his own opinion, which is a comprehensive opinion based on the combination of brain surgery and anesthesiology.

The retrosigmoid approach craniotomy is to expose the sigmoid sinus and the foramen magnum after the supracondylar approach through the retrosigmoid sinus, and to grind away the lateral edge of the foramen magnum, including the condylar fossa, and to make the olivary nucleus The surrounding cerebellar cisterns are widely exposed, and the dura is incised along the sigmoid sinus, extending down through the foramen magnum.

This type of operation can be regarded as a relatively difficult craniotomy in brain surgery, because such an incision directly exposes the brainstem and medulla oblongata, and if one is not careful, it will cause very serious consequences.

With this method of craniotomy, care must be taken to protect the important cranial nerves and blood vessels. After the cerebrospinal fluid is released from the cerebellum magna, it is necessary to carefully dissect the cranial nerves, choroid plexus, PICA and vertebral artery, and carefully observe the medulla oblongata. In the lateral part, pay attention to protecting the posterior cranial nerve, PICA and the perforation leading to the medulla.

"Well, that's what I thought too."

Liu Ziang nodded appreciatively. Zhao Heng's opinion was highly consistent with what he thought, which can be regarded as a hero's opinion.

"Then let's get started."

Liu Ziang looked at Sun Li, the equipment nurse, and said slowly.

The operation has officially started. At the beginning of the operation, the atmosphere in the operating room has become very dignified and quiet, as if a needle can be clearly heard when a needle is dropped. In the operating room, there is only the "Didi" from the life monitor. " sound, and the sound of "chacha" when the skull was opened with an electric skull drill.

After the skull was opened, Zhao Heng and Liu Ziang concentrated their attention on sorting out the anatomical structure bit by bit. It can be said that the space available for operation in the brainstem area is basically on the millimeter level, that is to say , During the surgical operation, the hands should not have an error of more than a millimeter, otherwise the important cranial nerves will be damaged.

Moreover, such a precise and tiny operation has to last until the end of the operation. The fastest time for this operation is estimated to be about three hours.

It is very tiring to maintain a state of full concentration. Many surgeons are sweating profusely after one operation, which is very tiring. Sometimes, after a major operation, it is no less difficult for the chief surgeon. in a marathon run.

Zhao Heng and Liu Ziang are undergoing surgery. Other people in the operating room are basically in a state of shock watching their operations. This kind of precise, light, fast and accurate surgical operation looks very artistic and mechanical In terms of aesthetics, it can be said that as long as it is a very high-level surgeon, its operations will look beautiful and smooth.

To describe it in one word, it is smooth, very smooth.

This is what surgery should be like, and whether it is smooth or not is the biggest indicator to test the level of a surgeon.

Only with a high degree of understanding of the anatomical position and a high degree of confidence in the operation can the level of smoothness be achieved.

Ruan Liuzheng, who stood watching from the sidelines, was even more shocked. If he could achieve half of the surgery level of the two people in front of him, it would be enough for a lifetime.

In major hospitals, they can definitely become the mainstay in surgery.

Finally, the most critical part of the operation was to remove the brainstem hemorrhage and repair the damaged part of the brainstem.

For this part of the operation, it is very critical. This brainstem area is equivalent to the CPU of the computer. When the CPU does not stop running, it needs to be repaired a little bit. This kind of difficulty can be imagined. .

The precision of surgery required at this moment even exceeds the millimeter level. In the huge Eastern Hospital, there are very few people who can confidently perform surgery with such precision.

It has been an hour and a half since he did this, and Zhao Heng still doesn't feel anything. After all, his physical fitness is extremely strong, but Liu Ziang is already showing some fatigue, and his head is constantly sweating.

"Senior, take a 10-minute break."

Seeing Liu Ziang looking a little tired, Zhao Heng couldn't help saying.

"it is good."

Liu Ziang nodded. Generally speaking, this kind of high-intensity and highly concentrated operation takes about an hour, and it is necessary to take a break to allow the surgeon to recover.

While sitting down to rest, Liu Ziang couldn't help saying to Zhao Heng: "Student, it's good to be young."

Although he was only in his 30s, his physical strength was obviously inferior to Zhao Heng's.

Just look at Zhao Heng. It has been more than an hour since this ultra-high-intensity operation, and he is still calm and relaxed. He looks the same as at the beginning. This kind of physical fitness can be said to be the most suitable for a surgeon. of.

"To become an excellent surgeon, in addition to superb technique, physical strength and body are also very important. When you are free, you must exercise."

Taking advantage of this opportunity, Liu Ziang also educated the two residents outside his head.

"Director, we don't have time to exercise in this job."

A resident doctor said with a bitter face.

The work intensity of surgery in Dongfang Hospital is beyond the imagination of ordinary people. In many cases, it is commonplace to rotate continuously for 12 hours or 24 hours. After such a long time of high-intensity work, when you return home, you may be able to sleep with your pillow on If you are tired, how can there be any extra energy to exercise the difficult ones.

"Then why is Director Zhao in such good health?"

Liu Ziang said with a smile.

"By the way, junior, your physical fitness is indeed a bit too good. Is there any secret recipe?"

After a pause, Liu Ziang asked Zhao Heng again.

"Secret recipe? Yes."

Zhao Heng said with a slight smile.

"Huh? Let's hear it."

Liu Ziang asked with a very interested look.

Several other people also pricked up their ears, wanting to hear what the [Secret Recipe] Zhao Heng was going to say.

"The secret recipe is to go to bed late and get up late, not to exercise, eat more fat and watch girls more."

Zhao Heng smiled and joked.

As soon as these words came out, several young people who usually surf high-intensity laughed.

The atmosphere in the operating room also suddenly relaxed a lot.

"Everything else is fine. Judging from Niu's words, it is indeed useful."

Liu Ziang also said seriously.

As soon as Liu Ziang finished speaking, the air in the operating room became brighter, and several residents were still talking about [surgeon's jokes are also jokes] [I can't say what he said] and other things that were a little incomprehensible.

In fact, in the operating room, surgeons and equipment nurses like to joke. After all, the pressure of surgery is very high. In order to relax and relieve the pressure, it is natural to make some jokes that are not taboo.

Of course, Liu Ziang and Zhao Heng belonged to the kind who could joke around, but not too much, unlike some surgeons who always made serious jokes.

For example, Zhao Heng heard one that was said to be very classic.

Doctor: Help me wipe off my sweat. .

Itinerant Nurse: Where?

Doctor: Wipe the forehead first, and then wipe the rest off the stage.

After a while, the rest time passed, and Zhao Heng and Liu Ziang started the operation again.

It wasn't until an hour passed that Liu Zi'ang breathed a sigh of relief, and said to Zhao Heng, "School brother, I'm lucky to have you this time, otherwise, I might not be able to take it down alone."

"Just treat me to a late-night snack later, and the big meal will be counted separately."

Zhao Heng glanced at Liu Ziang and said.

"Okay, what you say is what."

It was rare for Liu Ziang not to refute, saying that at such a late night, he could let go of his rest time to accompany him to perform such a time-consuming, laborious and extremely difficult operation. It can be said that Zhao Heng, a junior, really had nothing to say to him.

(End of this chapter)