Back in 2002 as a doctor

It is estimated that the boss thought that he would not be able to clean the lymph nodes, so he proposed to do it himself.

"Send off the patient." Mr. Huang said to Zhu Jun seeing that Zhou Congwen had watched the film.

"Good old Huang."

Zhu Jun walked out, Huang Lao leaned back on the chair, "Doctor Zhou, yesterday's chicken feet were delicious."

"Sure, our specialty here, it is said that the cooking time is very long, if the teeth are good, the bones can be chewed."

"That's right. If you have time to visit the Imperial Capital, please help me take some there."

Zhou Congwen glanced at his boss with a smile, and smiled without saying a word.

You can eat two bites when you go out, but if you take it to the imperial capital, the boss may not be able to eat a single bite.

The boss's tutoring is very strict, especially the old people of the same age are getting sick one after another, so the teacher's wife began to strictly control the boss's diet.

I really don't know, Zhou Congwen slandered.

Mr. Huang is obviously more interested in the food in Jianghai City. He is confident about things like surgery, so he doesn't think about it anymore. When Zhu Jun called, he asked a lot of delicious things in Jianghai City.

After half an hour, there was still no call. Mr. Huang glanced at the time, "Let's go up."

"Is there something wrong with the anesthesia?" Deng Ming also felt a little weird.

"Maybe." Huang Lao didn't care, "It's probably because the doctors in Jianghai City haven't done anesthesia for tracheal fistula, so they dare not move."

After changing clothes and entering the operating room, Zhu Jun just walked out and walked across.

"Old Huang, there seems to be something wrong with the anesthesia." Zhu Jun was obviously nervous, and the sterile cap could vaguely see traces of being wet with sweat.

"Don't worry, tell me what's going on." Elder Huang asked very gently.

"The intubation went well, and I didn't want any accidents, so I asked the anesthesiologist to clamp the right bronchial tube in advance and perform left lung one-lung ventilation.

Heart rate 62 beats/min, respiration 10 beats/min, blood pressure 81/45mmHg, blood oxygen concentration 100%.I just wanted to call you and found that the VT decreased progressively. Later, I switched to double-lung ventilation and found that there was still an air leak. "

"Did you suck the phlegm?" Zhou Congwen asked.

Zhu Jun didn't even look at Zhou Congwen, as if there was a transparent person standing beside him.

"Suck up the phlegm." Huang Lao smiled and glanced at Zhou Congwen, "If the light green liquid can be sucked out, consider the possibility of thoracic gastro-tracheal fistula.

But don't worry, you can switch to low tidal volume ventilation on the right side and complete the operation on the right side with one lung ventilation. "

"Ah?!" Zhu Jun was stunned.

"Don't worry, you have never done a similar operation before. The film is a film, and the anesthesia during the operation needs to be analyzed in detail. People are separated from the belly, and the film is not accurate." After Huang Lao finished speaking, he walked into the operating room with his hands behind his back. Zhou Congwen The same posture and Huang Lao walked in front and back, as if it was an afterimage brought out by Huang Lao walking too fast.

Chapter 0269 Accident!

Zhu Jun was a little dazed, not because of Huang Lao's words, but...he secretly glanced at Zhou Congwen.

I have never had an operation for esophageal-tracheal fistula myself, how could Zhou Congwen, a junior doctor from the Third Hospital, have contact with it.

And the problem now is not surgery, but anesthesia.

Taught by Wang Chengfa?Less likely!

Wang Chengfa of the Third Hospital was kicked to the newly established health center because of his poor level. Later, the health center continued to expand, and it took a few years to become the Third Hospital of Jianghai City. In charge of the department.

Zhu Jun knew exactly what surgery he would do.

Patients with esophageal-tracheal fistula are afraid to take it themselves, and they are all sent to the provincial capital, so the anesthesiologists at the People's Hospital have no experience.

It was so strange, Zhu Jun couldn't figure it out. He led the way ahead, thinking about Zhou Congwen's weirdness.

Entering the operating room, the anesthetist was worried.Seeing Mr. Huang coming in, everyone respectfully called Mr. Huang.

"You're welcome, put the patient flat first, and don't rush to adjust the position." Huang Lao squinted and said, "Do you have a fiberoptic bronchoscope?"

"Yes." The director of the anesthesiology department said quickly.

"Fix the position. If the position is good and you can see light green liquid inside, don't panic. It's normal. Ventilate the right side with a small tidal volume, and the operation will be quick." Huang Lao said with a smile.

Everyone didn't expect the legendary Huang Lao to be so kind. They were all nervous to death, but they relaxed after hearing what Huang Lao said.

"Take your time, don't rush. Do as I said. This is an esophageal-tracheal fistula. It's normal if you don't understand it when you undergo similar anesthesia for the first time. It will be fine next time."

Mr. Huang stood by the side of the patient's head with his hands behind his back, watching the director of the anesthesiology department use a fiberoptic bronchoscope to look inside, and giving pointers.

The problem was quickly identified, and according to what Mr. Huang said, the small tidal volume was maintained, and the operation began.

After Zhou Congwen adjusted his position, he quickly brushed his hands, disinfected them, and went on stage.

"Anesthesiologist, please stop the ventilator when I am cutting the lung." Deng Ming followed up, and he said to the director of the anesthesiology department.

"Director Deng, is it okay?" The anesthesiologist suspected that he had heard wrong, and asked.

"It's okay, it will be resolved within 2 minutes, it won't affect anything." Deng Ming narrowed his eyes.

Sure enough, he was the top surgeon in the country. The director of the anesthesiology department did not doubt Deng Ming's statement, but felt that Deng Ming's level was so high that the doctors in the basic hospitals in Jianghai City could not figure it out.

Cut open, electric burn to stop bleeding, poke the card, and the camera pokes in.

Zhou Congwen found the location very well, and he saw the small nodules in the lungs at a glance when the camera went in.

"Doctor Xiao Zhou, the mirror is well supported." Deng Ming praised lightly.

For thoracoscopic surgery, the surgeon has high requirements on the position of the lens. Zhou Congwen's mirror position is just right, which makes Deng Ming feel comfortable.

"Should be."

Zhu Jun stood behind and was taken aback.

should be... of...

In his opinion, Zhou Congwen's operations belonged to the level of a blind cat encountering a dead mouse. How could the camera go in and see the small nodules directly.

It should be blowing!Zhu Jun glanced at Zhou Congwen's back with contempt.

Zhou Congwen stood on the operating table with full firepower and was in excellent condition. He completely forgot about the princess hug and Mengpo soup, and didn't even say a word of nonsense. He devoted himself to the operation and showed everything to himself The boss looks.

Although there were not many operations and the operator was Deng Ming, Zhou Congwen knew that the boss's eyes were fixed on the TV screen, and every detail could not escape his discernment.

The camera lightly turned to the side, and landed on the position where Deng Ming poked the card to come in.

With a good assistant, Deng Ming performed the operation very comfortably. The remaining two poke cards were poked down smoothly, and the lung lobes were clamped with long forceps to expose the position of the esophagus-trachea fistula.

"Boss, it's alright." Deng Ming glanced at Huang Lao and said.

"Yes." Mr. Huang began to brush his hands, put on his clothes and gloves, and prepared to lower the esophageal stent.

Zhu Jun's eyes were round and round. The stent with membrane was very unfamiliar to him, and it was an advanced "weapon" that could solve esophageal-tracheal fistula.

"Look, tell me the location." Mr. Huang was not in a hurry. Although he was over 70 years old, his hands were extremely steady and did not have the usual hand tremors of the elderly.

That is to say, Mr. Huang kept his eyes on the screen when he was lowering the guide wire, and he refused to miss a single frame, rigorous and serious.

Just like heart compressions, heart compressions after chest opening and heart compressions under direct vision are two completely different concepts.

The same is true for lower esophageal stent grafts.

Normally, one needs to wear a lead suit under X-rays for surgery, stepping on the thread constantly to see where the guide wire is and whether it can "patch" all the broken parts of the esophagus.

With a thoracoscope in front of him, Zhou Congwenfu's lens has an unbelievably good field of vision, and he has been "staring" at the location of the esophagus-trachea rupture.

With a flash of silver light, the guide wire went through the esophagus and passed through the fistula. Mr. Huang saw it clearly, and continued to feed the guide wire down.

The level of the boss is high, others can't see the difficulty here, but Zhou Congwen understands it very well.

Slightly inferior surgeons may accidentally pass the guide wire out of the fistula instead of staying in the esophagus.

But the guide wire controlled by Mr. Huang was like a living thing, slowly but firmly ignoring the existence of the fistula, and went straight down.

This step of surgery is much simpler.

The esophageal stent-graft also went in without any hesitation, and he didn't even need to correct the position. Huang Lao's technique was extremely ingenious, the stent-graft completely covered the upper and lower parts.

The stent-graft is opened, and the esophagus can be seen gradually expanding from the lens.

The membrane-covered stent blocked the position of the esophagotracheal fistula, Huang Lao nodded, and then pulled out the guide wire.

"Old Huang, is this all right?" Zhu Jun thought it was too simple, and he should be able to do it himself, so he asked enthusiastically.

"Well, that's enough." Huang Lao said, "The operation is actually not difficult, but it should be done by the interventional department. I don't know when you will have it."

"If not, can I try it?"

"Yes, the difficulty is not high, but I suggest that you should ask someone from the interventional department to look at it for the first time or two. After all, there are many operations that seem simple, but in fact there are still explanations. Many details can only be understood when you do it yourself. "

As Huang Lao talked, he took off his clothes and gloves, and disinfected again.

"Iodophor." Huang Lao said.

"Okay." The itinerant nurse responded crisply.

suddenly!

As if a haze had enveloped the bright operating room, it suddenly went dark.The bright shadowless lamp disappeared, and everyone saw darkness.

At the same time, the ventilator and monitor on the patient's head began to alarm frantically.

Chapter 0270 countdown surgery

wrong!

The alarm sounds of various machines did not echo repeatedly in the operating room. Mr. Huang was startled. He also suspected that it was psychological projection that caused all the sounds to disappear.

The sound of the ventilator hula hula blowing, the faint hum of the monitor, and even the breathing sounds of doctors and nurses disappeared inexplicably.

Disappearing with them is the light of the shadowless lamp.

sometimes,

Silence is more terrifying than noise.

Just like now.

sometimes,

Darkness enveloped the operating room like boundless despair.

Just like now.

It seemed like less than half a second, half a century seemed to have passed.

Huang Lao felt as if a powerful person was pointing at him, and he was fixed like a body-fixing method, and the passage of time was abruptly blocked.

"Drip drip~~~"

The silence of the operating room was broken immediately.

The shadowless lamp flickered for a while, and other lights in the operating room also turned on at the same time.

Many voices appeared at the same time, and after a brief restart, the previous "hustle and bustle" returned to the operating room.

It's just that this kind of noise has a strange atmosphere, which Mr. Huang rarely encounters.

Zhou Congwen has been a doctor for two lifetimes, but he has never met him.Even he was taken aback, a little dazed.

The image reappeared on the thoracoscope screen opposite, and Zhou Congwen immediately remembered the task given by the system, an almost impossible task-the patient left the stage alive.

Before that, he still wondered how a "ordinary" minor operation could be of such a high level with the boss around, the senior brother around, and himself around.

Zhou Congwen now knows why - the unexpected power outage, the power department did not notify the hospital, these coincidences coincided, so the system issued such an "unexpected" task.

"The power went out?" Huang Lao turned around intently, narrowing his eyes and looking at Zhu Jun.

Zhu Jun was also in a daze, he didn't realize what happened until Mr. Huang reminded him.

power failure?

power failure!

There was a power outage! !

Impossible, the hospital is an important unit that consumes electricity. If it is necessary to stop for circuit maintenance, the power supply company will notify in advance, and the medical department will also issue documents to make arrangements after the power outage.

Moreover, the hospital has backup power supply and backup circuits, because the hospital uses too many places for electricity, which is related to human life.

At that moment just now, Zhu Jun had never met him before, and he was at a loss.

"Old Huang, I'll ask." The director of the anesthesiology department sensed something was wrong, he immediately stood up from the ventilator, and said in a deep voice.