I am practicing in Tokyo
Chapter 222
Chapter 222
"Lister pliers."
Professor Dong used another surgical instrument, and the cold tip of the forceps penetrated into the cavity and clamped the patient's neck blood vessels.
"Attractor."
After the blood vessels were fixed, the free blood was sucked. The time on the electronic screen passed quickly, and the operation was carried out in an orderly manner.
"Hey, the tumor has spread to the aorta."
Professor Dong was a little surprised. This was an unexpected event. Various preoperative examinations did not find this dangerous situation in the patient's body.
"Should I call the professor of cardiac surgery? Isn't he also a famous doctor in Kansai?"
Komatsu Tosuke's timely suggestion is the safest way to let more professionals deal with the problem.
Professor Dong looked up at the observation room outside. The glass was one-way transparent from the outside to the inside. Although he couldn't see the identity of the figure behind him, he could guess the general idea. How could he share the opportunity of showing his face with the heart surgery department? , and the esophageal cancer itself was snatched from the Cardiac Surgery Department by the First Surgery Department. When the Cardiac Surgery Professor comes in, he will definitely talk nonsense. This is a key surgery that hundreds of hospitals across the country will watch live.
"No, I can handle it."
The authority of the superior physician cannot be questioned, so Professor Dong can only proceed with the operation at a greater risk.
"Bite clip, give me."
He stretched out his hand and shouted, the curved metal clip clapped in the palm of his hand, turned the direction, and lowered a little bit.
"Xiaosong, come on, clamp the aorta at this angle."
Professor Dong adjusted the inclination angle of the occlusal clamp, and ordered Komatsu Tasuke next to him.
"clear."
Komatsu Tasuke didn't think much, and instinctively took the tail end of the bite clip, applying pressure to seal the blood vessels near the aorta.
At this time, the already brittle blood vessels burst suddenly, and blood gushed out, splashed out of the sterile field, and sprinkled sporadically on the surgical gowns of the surrounding doctors.
"Xiao Song, what are you doing!"
Professor Dong sternly reprimanded Xiang Komatsu, turned his head to take the suction device, and inhaled the blood to obtain the precious surgical field.
"The amount of bleeding is huge, ready for blood transfusion."
"The blood pressure dropped to the dangerous line, only less than [-]."
The director of anesthesia injected drugs one by one to continue life. The blood transfusion had already started, but it still couldn't keep up with the patient's blood loss rate. If the human body lost too much blood, the result would needless to say.
"Hemostatic forceps!"
Sweat dripped from Professor Dong's forehead. With the last glimmer of hope, he inserted the hemostat into the blurred body of the patient. The blood obstructed his vision. He had to find the spot of bleeding as soon as possible to stop the loss of blood.
"Dudududu!"
The physiological alarm on the monitor kept beeping, and Tatsusuke Komatsu, whose hands were covered in blood, hurried to change into a new pair of gloves, and came to the side of the still Professor Dong.
"drop--!"
A long blind sound came from the monitor's horn. At 2007:6 on June 6, 16, the patient completely lost his vital signs and died after rescue failed.
"It's all you, Doctor Xiaosong, your mistake caused this medical accident."
The second assistant in the operating room reacted and spoke up, accusing Komatsu Tasuke who was holding the occlusal clip at the time. Someone must be responsible for this accident, and it is impossible for Professor Dong, the chief surgeon, to admit his mistake.
"Xiao Song, it's not your fault."
Professor Dong sighed, it was entirely because he forcibly carried out an unplanned operation, which led to this result, although on the surface, the person who made the mistake was Komatsu Tasuke.
"Teacher, the reputation of the First Surgery Department cannot be damaged. If my assistant neglects his duties, the impact will be relatively small."
Komatsu Tasuke thought a lot for a moment, and finally took the responsibility for the accident on his own initiative.
Then, there were long hearings, review meetings, and the patient’s family appealed to the court. Although he lost the unreasonable lawsuit, it still affected Tatsusuke Komatsu. He did not perform a few operations properly in the past six months, which caused his technique to decline sharply. My mentality was also unknowingly out of balance, and I gradually became afraid of the main operation.
Zaizen Goro defeated him without any suspense and became an assistant professor. The disheartened Komatsu Tatsusuke was self-assigned to the Second Department of Surgery, downgraded to a member of the Medical Bureau, and never again involved in difficult and high-risk operations.
……
In Zaizen Goro's eyes, the precious diamond-encrusted lighter and the jet of flame are no different from a cheap one hundred yen lighter, but in the eyes of the world, people who can use this kind of lighter worth hundreds of thousands of yen are often It's the powerful, the kind of person he strives to be.
Lying on the assistant professor's independent office chair, he lit a cigarette and coughed a few times, feeling a little uncomfortable in his lungs.
Are you too busy recently?
Saizengoro thought to himself, on the table in front of him, there is a CT scan of a patient who was diagnosed with early pancreatic cancer and gastric cancer in the follow-up visit. The left hand holds a cigarette, and the right palm turns and changes involuntarily, simulating the hand posture of surgical resection.
Such an opportunity, an extremely rare case, should I just give up?
He was a little unwilling, and opened the staff schedule of the department.
"Professor Dong, I am on a business trip to Tokyo next Friday."
Can this operation be treated as an emergency operation that has not been recorded?If Professor Dong didn't know about it, then Minister Ukai would not have noticed this 'accidental' emergency operation.
Caizengoro's obsession with medical skills made him forget everything and decided to take a risk.
"Hey, it's me before Caiqian. The patient hasn't notified me yet? I've decided to operate on her next Friday and let the patient prepare in advance."
He called Shuji Satomi's cell phone and changed his mind.
"What? Why did you change your mind? In Naniwa Medical University, no one except me is sure that I can handle such a complicated operation. I just want to save the patient's life."
He stood up, opened the blinds of the office, and the sun shone unreservedly on his body, illuminating the white doctor's uniform.
The third week of the internship, Friday, Fujii's medical skills, LV3/11%.
During the 20-day internship period, Fujii won the trust of Miyaba's treatment team through his increasingly superb medical skills. Today, he was finally allowed to perform a minor operation with Dr. Komatsu as the first assistant, just in case something happened. Problems can be dealt with promptly.
"The patient's right thumb was cut by an angle grinder, and the flexor tendon was severely damaged, but he was transferred to the operating room within two hours. If the operation is successful, it will not affect his daily life much later."
"I decided to suture the tendon rupture using a 3-0 looped tendon suture using Tsushika sutures."
When Fujii was preparing for the operation, he told Komatsu Takasuke his idea of the first major surgery. Komatsu Taksuke, who has always pursued safety, couldn't help frowning. He thought Fujii would use the Kessler suture with strong tensile strength. It's also safer.
On the other side, at the same moment, Zaizen Goro, who had put on his surgical gown, stepped into the operating room of the First Surgery Department. The assistants inside were all his confidantes trained over the years. The patient on the hospital bed, Xiaoxilu, had already entered a coma after anesthesia.
"This is an emergency operation that does not leave a record, I hope you will remember it."
After Zaizen Goro reminded him, he held the scalpel and cut it with a pen-like technique, and the time on the wall of the operating room began to beat.
(End of this chapter)
"Lister pliers."
Professor Dong used another surgical instrument, and the cold tip of the forceps penetrated into the cavity and clamped the patient's neck blood vessels.
"Attractor."
After the blood vessels were fixed, the free blood was sucked. The time on the electronic screen passed quickly, and the operation was carried out in an orderly manner.
"Hey, the tumor has spread to the aorta."
Professor Dong was a little surprised. This was an unexpected event. Various preoperative examinations did not find this dangerous situation in the patient's body.
"Should I call the professor of cardiac surgery? Isn't he also a famous doctor in Kansai?"
Komatsu Tosuke's timely suggestion is the safest way to let more professionals deal with the problem.
Professor Dong looked up at the observation room outside. The glass was one-way transparent from the outside to the inside. Although he couldn't see the identity of the figure behind him, he could guess the general idea. How could he share the opportunity of showing his face with the heart surgery department? , and the esophageal cancer itself was snatched from the Cardiac Surgery Department by the First Surgery Department. When the Cardiac Surgery Professor comes in, he will definitely talk nonsense. This is a key surgery that hundreds of hospitals across the country will watch live.
"No, I can handle it."
The authority of the superior physician cannot be questioned, so Professor Dong can only proceed with the operation at a greater risk.
"Bite clip, give me."
He stretched out his hand and shouted, the curved metal clip clapped in the palm of his hand, turned the direction, and lowered a little bit.
"Xiaosong, come on, clamp the aorta at this angle."
Professor Dong adjusted the inclination angle of the occlusal clamp, and ordered Komatsu Tasuke next to him.
"clear."
Komatsu Tasuke didn't think much, and instinctively took the tail end of the bite clip, applying pressure to seal the blood vessels near the aorta.
At this time, the already brittle blood vessels burst suddenly, and blood gushed out, splashed out of the sterile field, and sprinkled sporadically on the surgical gowns of the surrounding doctors.
"Xiao Song, what are you doing!"
Professor Dong sternly reprimanded Xiang Komatsu, turned his head to take the suction device, and inhaled the blood to obtain the precious surgical field.
"The amount of bleeding is huge, ready for blood transfusion."
"The blood pressure dropped to the dangerous line, only less than [-]."
The director of anesthesia injected drugs one by one to continue life. The blood transfusion had already started, but it still couldn't keep up with the patient's blood loss rate. If the human body lost too much blood, the result would needless to say.
"Hemostatic forceps!"
Sweat dripped from Professor Dong's forehead. With the last glimmer of hope, he inserted the hemostat into the blurred body of the patient. The blood obstructed his vision. He had to find the spot of bleeding as soon as possible to stop the loss of blood.
"Dudududu!"
The physiological alarm on the monitor kept beeping, and Tatsusuke Komatsu, whose hands were covered in blood, hurried to change into a new pair of gloves, and came to the side of the still Professor Dong.
"drop--!"
A long blind sound came from the monitor's horn. At 2007:6 on June 6, 16, the patient completely lost his vital signs and died after rescue failed.
"It's all you, Doctor Xiaosong, your mistake caused this medical accident."
The second assistant in the operating room reacted and spoke up, accusing Komatsu Tasuke who was holding the occlusal clip at the time. Someone must be responsible for this accident, and it is impossible for Professor Dong, the chief surgeon, to admit his mistake.
"Xiao Song, it's not your fault."
Professor Dong sighed, it was entirely because he forcibly carried out an unplanned operation, which led to this result, although on the surface, the person who made the mistake was Komatsu Tasuke.
"Teacher, the reputation of the First Surgery Department cannot be damaged. If my assistant neglects his duties, the impact will be relatively small."
Komatsu Tasuke thought a lot for a moment, and finally took the responsibility for the accident on his own initiative.
Then, there were long hearings, review meetings, and the patient’s family appealed to the court. Although he lost the unreasonable lawsuit, it still affected Tatsusuke Komatsu. He did not perform a few operations properly in the past six months, which caused his technique to decline sharply. My mentality was also unknowingly out of balance, and I gradually became afraid of the main operation.
Zaizen Goro defeated him without any suspense and became an assistant professor. The disheartened Komatsu Tatsusuke was self-assigned to the Second Department of Surgery, downgraded to a member of the Medical Bureau, and never again involved in difficult and high-risk operations.
……
In Zaizen Goro's eyes, the precious diamond-encrusted lighter and the jet of flame are no different from a cheap one hundred yen lighter, but in the eyes of the world, people who can use this kind of lighter worth hundreds of thousands of yen are often It's the powerful, the kind of person he strives to be.
Lying on the assistant professor's independent office chair, he lit a cigarette and coughed a few times, feeling a little uncomfortable in his lungs.
Are you too busy recently?
Saizengoro thought to himself, on the table in front of him, there is a CT scan of a patient who was diagnosed with early pancreatic cancer and gastric cancer in the follow-up visit. The left hand holds a cigarette, and the right palm turns and changes involuntarily, simulating the hand posture of surgical resection.
Such an opportunity, an extremely rare case, should I just give up?
He was a little unwilling, and opened the staff schedule of the department.
"Professor Dong, I am on a business trip to Tokyo next Friday."
Can this operation be treated as an emergency operation that has not been recorded?If Professor Dong didn't know about it, then Minister Ukai would not have noticed this 'accidental' emergency operation.
Caizengoro's obsession with medical skills made him forget everything and decided to take a risk.
"Hey, it's me before Caiqian. The patient hasn't notified me yet? I've decided to operate on her next Friday and let the patient prepare in advance."
He called Shuji Satomi's cell phone and changed his mind.
"What? Why did you change your mind? In Naniwa Medical University, no one except me is sure that I can handle such a complicated operation. I just want to save the patient's life."
He stood up, opened the blinds of the office, and the sun shone unreservedly on his body, illuminating the white doctor's uniform.
The third week of the internship, Friday, Fujii's medical skills, LV3/11%.
During the 20-day internship period, Fujii won the trust of Miyaba's treatment team through his increasingly superb medical skills. Today, he was finally allowed to perform a minor operation with Dr. Komatsu as the first assistant, just in case something happened. Problems can be dealt with promptly.
"The patient's right thumb was cut by an angle grinder, and the flexor tendon was severely damaged, but he was transferred to the operating room within two hours. If the operation is successful, it will not affect his daily life much later."
"I decided to suture the tendon rupture using a 3-0 looped tendon suture using Tsushika sutures."
When Fujii was preparing for the operation, he told Komatsu Takasuke his idea of the first major surgery. Komatsu Taksuke, who has always pursued safety, couldn't help frowning. He thought Fujii would use the Kessler suture with strong tensile strength. It's also safer.
On the other side, at the same moment, Zaizen Goro, who had put on his surgical gown, stepped into the operating room of the First Surgery Department. The assistants inside were all his confidantes trained over the years. The patient on the hospital bed, Xiaoxilu, had already entered a coma after anesthesia.
"This is an emergency operation that does not leave a record, I hope you will remember it."
After Zaizen Goro reminded him, he held the scalpel and cut it with a pen-like technique, and the time on the wall of the operating room began to beat.
(End of this chapter)
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