I, Tomoya Aki, am not a bootlicker
Page 292
At that time, it will directly cause pulmonary artery embolism, and in severe cases even death, which will be a huge trouble.
"You've even considered this, Amai-kun. Please take good care of the patient tonight."
Yoshida Aoba who was in the same department smiled at this time and looked at Aki Tomoya with appreciation and teasing.
He gradually felt that Akitomo had a bit of sophistication.
This was a very detailed consideration and sounded very good to him.
"Doctor Yoshida, why don't you stay with me and check things out?"
"Do you still need me to check? I think Dr. Aki can do it alone, hahaha!"
"..."
He didn't know how to respond to Yoshida's joke.
But he does have to make a few more trips tonight.
Chapter 436 This is not a polite remark
When Dr. Sagara, who was in charge of pediatrics, arrived in the morning, Akitomo told him what happened last night.
About the patient's condition and treatment options.
"I had a blood clot after the operation... It's such a headache. I really hope the child's parents won't blame me for being careless..."
Dr. Sagara, who serves as the medical advisor for Tomoya Aki and his friends, is 39 years old this year. He is kind and considerate to others.
After hearing what happened last night, he was very upset.
He had clearly taken preventive measures, but just two days after being discharged from the hospital, the little boy on whom he had surgery developed blood clots.
"Your treatment is correct. You will need to stay in the hospital for a while and take low molecular weight heparin sodium and aspirin every day to see if the blood clot will shrink. I will explain this in detail to the child's parents."
The doctor forced a smile.
Thinking that the child's parents would be full of worry and even anger, he began to prepare himself mentally.
He said I could be discharged from the hospital. In the few days after the operation, I was taking sodium heparin and aspirin for prevention. After the examination, there were no major problems, so he arranged it.
Who could have imagined that it would still be concurrent?
Just because something is uncommon doesn’t mean it won’t happen, and if it does happen there is a certain danger.
As a doctor, Sagara is well aware of the dangers of deep femoral vein thrombosis.
But fortunately, it was discovered in time and handled properly, so it is still under control.
"Doctor Sagara doesn't need to blame himself too much. The whole process of the operation was recorded, and there was no mistake. The occlusion position was also normal, which shows that the operation was successful. After the postoperative prevention, the thrombus still formed, which was also unpredictable."
At this time, Aki Tomoya also expressed his true thoughts.
Young and low-weight children have a certain chance of developing thrombotic complications because their blood vessels are thinner and their walls are thinner. The delivery sheath and catheter can easily damage the vascular endothelium, which can stimulate the coagulation system and promote thrombosis. Therefore, taking these into consideration, prevention measures are taken after surgery.
Postoperative thrombosis is uncommon with prevention, but it does occur, as it did this time.
Dr. Sagara had taken preventive measures, but blood clots still formed, which was very frustrating.
"Let's not talk about it. You did a good job."
Dr. Sagara shook his head and didn't intend to say more on this topic.
The problem has already occurred, so we must solve it now and treat the child's blood clot so that his parents can rest assured.
"When I was with Dr. Nakagawa, he said you were good. I thought it was just a compliment, but now it seems that you are really good."
Dr. Sagara felt it necessary to praise Tomoya Aki, who was on duty last night, for calmly handling the emergency.
Last night, Aki Tomoya did not panic, but skillfully followed the procedures and checked step by step, thus confirming the problem and knowing how to deal with it.
Although this incident made Dr. Sagara a little upset, he was still very pleased with Tomoya Aki's performance.
"Doctor Sagara, you'd better forget it. Amami-kun doesn't like people praising him. You have to spur him on."
At the same time, Yoshida Aoba, who was packing up and preparing to go to the ward for rounds, said something.
Then, Nakagawa, who had led Amami Tomoya, also said at this time: "Amami-kun is still quite shy!"
Faced with their teasing, Aki Tomoya felt helpless.
"Okay, it's time to do the rounds. Once you're done, go get some rest."
Dr. Sagara patted Aki Tomoya on the shoulder and gave him instructions.
The routine morning rounds began immediately. After arriving at the private hospital, the director of the logistics department did not do the usual professorial rounds like in university hospitals.
But he was still very strict in his management of cardiac surgery, and the morning rounds had to be done very strictly.
Aki Tomoya went to prepare the things needed for the morning rounds, and as soon as he returned, Nishikino said to him: "Aki-kun is really popular."
"Even Nishikino-san, you've started it?"
"Hehehe, I just said it out of inspiration. You should feel the same way, right, Mashima-kun?"
"Yes, compared to us who are unknown, Aki Tomoya is more popular."
"Enough!"
Aki Tomoya rolled his eyes and looked at them helplessly.
It has been three months since I joined the Department of Cardiac Surgery at Kanto General Hospital, and I have become familiar with the seniors in the department.
In addition, most of them graduated from the University of Tokyo, so there is a sense of familiarity when communicating, and the relationship between seniors and juniors is closer.
At the same time, among the medical trainees, in addition to his relationship with Majima remaining as good as ever, Nishikino's banter with them also gradually increased.
This is what like-minded comrades should say.
……
After checking the rooms in the morning, An Yilun returned to the lounge. He sat on the bed and did not intend to go to sleep immediately. Instead, he picked up his laptop and looked up some things.
The door of the lounge was gently pushed open, and a figure walked in, then looked at him curiously.
"Aki-kun, aren't you going to rest yet?"
"Doctor Yoshida, I'm not sleepy yet. I plan to read something else and lie down when I'm tired."
"You are the same as that Sasaki guy before."
He looked at Aki Tomoya and sighed, his eyes seemed to be recalling something.
Hearing Yoshida Aoba's words, Aki Tomoya raised his head curiously. He asked carefully, "Doctor Yoshida and Doctor Sasaki should have a good relationship, right?"
"We? We always quarrel. We are both disciples of Director Mononobe, but his surgical skills are better than mine, and my theories are better than his."
Yoshida Aoba said this and smiled.
This reminded Aki Tomoya of what Sasaki Ichiru said when he first came to the Department of Cardiac Surgery, that Yoshida Aoba was previously in charge of basic research, while Sasaki Ichiru himself was in charge of clinical research.
Each has their own strengths, but in Tomoya Aki's eyes, both of them are very good surgeons.
Although Sasaki Ichiru has the best surgical skills, it does not mean that his theory is bad. He also has some academic research.
Similarly, Yoshida Aoba's skills have not been neglected, and he often performs surgery in cardiac surgery.
Their strengths are long, but their weaknesses are not obvious.
"Dr. Yoshida, you are married, right?"
At this time, Aki Tomoya suddenly asked a question that made Yoshida Aoba a little embarrassed. He glanced at the ring on the other's finger inconspicuously.
Although he was wearing a wedding ring and was a family man, during the three months that Yoshida Aoba was with him, Aki Tomoya never saw him return home, and he was living in the hospital.
"Will you check my household registration for me today?"
Yoshida Aoba frowned, and then looked as if he didn't know whether to laugh or cry.
“Adults’ worries are not just about work.”
Chapter 437: Troubles of Adults
Adults’ worries are far more than just work. For those who already have a family, there are more things to consider.
It has been almost three months since Tomoya Aki was admitted to Kanto General Hospital.
He was a resident doctor, and from what he saw with his own eyes, Yoshida Aoba never left the hospital for a single day.
It is not actually strange that he lives in the hospital even though he is not an intern. The strange thing is that Yoshida Aoba has been married but has never returned home.
The reason why he didn't go home makes people think a lot, and Aki Tomoya is also a little curious.
And when Yoshida Aoba spoke in a serious tone and said that adults have a lot of worries, two words popped up in Aki Tomoya's mind.
"Separated?"
Could it be that they are separated?
With this thought in mind, Aki Tomoya looked at Yoshida Aoba carefully and didn't dare to ask any more questions at this time.
After all, it's someone else's private matter. If you really ask why they are separating, then you are simply asking for a beating.
At this time, Tomoya Aki was very honest and did not continue talking, so as not to make the other party feel that he still wanted to talk about this topic.
However, perhaps something reminded Yoshida Aoba of something, and at this moment, he had a lot to say.
"Ami-kun, you know, the most unforgettable time for two people to be together is probably before they are officially together."
"Your words suddenly become so heavy..."
Akitomo seemed a little frightened.
Yoshida Aoba suddenly said something that sounded quite painful, which made Aki Tomoya feel a little regretful. Shouldn't he have talked about such a topic in the first place?
This made her feel more and more that the man in front of her was a man with a story.
But at this time, Akitomo didn't want to continue making the connection because he was thinking that it might be the other person's wound.
"Is it a bit heavy? Well, you are still young after all. Look at me, I am fine now."
Yoshida Aoba shook his head. His expression made Akitomo unable to tell how credible what the other party had just said was.
However, seeing Yoshida Aoba's current look, Akitomo was afraid that the other party would say something even more frightening, so he shut his mouth obediently at this time.
"Well, if there's nothing else, you'd better get some rest because I'm going to sleep soon!"
Yoshida Aoba was about to end the topic.
He told Amami Tomoya with his eyes that once he got into bed, lay down and closed his eyes, he shouldn't even think about waking him up.
He worked the night shift last night and had quite a lot to do, so he needed to have a good rest.
In contrast, Aki Tomoya was still in good spirits at this time. At least, he could still open his eyes and was not to the point where he would feel sleepy the moment he blinked.
Looking at Tomoya Aki like this, Yoshida Aoba felt that he was getting old.
Young people have capital!
"Then Dr. Yoshida, you should have a good rest. I won't disturb you."
Aki Tomoya nodded, indicating that Yoshida Aoba could rest assured, and that he would never be so careless as to continue to "waste" his rest time.
"I said you should get some rest soon."
He said casually, then lay down on the bed and slowly changed his clothes, preparing to get into bed and have a good sleep.
After working all night, if I still can't get a good rest, I might as well kill him.
After Yoshida Aoba lay down, there was no movement soon, only steady breathing, and it seemed that he had fallen asleep.
And Tomoya Aki didn't stay up too long. He went to rest when he felt tired as soon as he blinked his eyes.
He slept until dusk before opening his eyes again.
When I got up and looked at the time, it was almost time to get off work.
Staying up late is actually very damaging to your mental state. Even after sleeping for a while, you still feel extremely tired.
After lying in bed in a daze for a while, he pulled himself together, changed into his uniform, tidied himself up, and ran to the ward to see the child who had developed blood clots after the operation.
An Yilun also cares about that patient. After all, he is a patient he has been directly responsible for, and he needs to keep track of his condition.
After the boy was readmitted to the hospital, his pain was relieved a lot with the care of doctors and nurses, and he had received two injections of sodium heparin.
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