medical road high rise
Chapter 53 Unreliable Doctor, Unreliable Nurse
Chapter 53 Unreliable Doctor, Unreliable Nurse
Chapter 53 Unreliable doctors, unreliable nurses
"The patient is left liver cystic tumor combined with choledochal cyst?" Qin Feng took the patient's case sheet and flipped through it.
"Female, BMI 23.2, intermittent skin and sclera yellow for more than a month, no history of hepatitis, no history of abdominal surgery, no abnormalities in physical examination." The emergency doctor said.
Qin Feng nodded and checked the three blood routine tests again, but there were no abnormalities.
"Has the patient's upper abdomen enhanced CT, chest CT, and electrocardiogram been done?" Qin Feng raised his head and asked.
"I did it a few days ago. I was under observation for the past two days. The operation was originally scheduled for tomorrow morning, but the patient's condition suddenly deteriorated. The patient's choledochal cyst has affected the normal circulation of the liver. In addition, the cystic tumor in the left liver If the tumor is not treated in time, the liver will be damaged and deteriorated." The emergency doctor said.
Qin Feng also partially understood the patient's situation through the film, and said directly: "Then prepare for the operation."
"Well, I'm going to contact the operating room." The emergency doctor hurried to make a call.
Qin Feng received his reward for the operation task just now, which happened to be of great help to this patient. Today's operation is destined to be a hybrid operation.
"Complete the hidden mission and treat patients with myocardial infarction. Mission reward: Interventional surgery for liver cancer."
Without further ado, Qin Feng went directly into the training room and started training fifty times. When he came out, there was a trace of fatigue in his eyes, but more surprise.
After completing the training in interventional surgery for liver cancer, Qin Feng gained a new understanding of intervention, whether it was interventional embolization or interventional perfusion.
More than half of liver cancer operations are performed with the help of three-dimensional reconstruction CT, on which iodized oil is floated, and then interventional embolization is performed, and then drugs are infused, and resection is performed after it shrinks to a certain extent.
The new surgical procedure provided by the system is laparoscopic liver resection, which is very suitable for this patient.
This is also the most reliable method in interventional surgery for liver cancer at present, and other methods may also cause tumor rupture.
"Has the patient had interventional infusion of drugs before?" Qin Feng asked.
The patient's tumor is a bit too large, and it is not realistic to directly remove it.
"No, a doctor from the interventional department came before and said that the patient must first remove the cyst of the common bile duct before perfusion, otherwise the medicine will leak out." The emergency doctor said.
Qin Feng hummed, "Today I mainly intervene in the perfusion, right?"
"The main thing is to stop the bleeding from the common bile duct. I'm afraid of heavy bleeding during the operation." The emergency doctor said.
"Row."
Qin Feng didn't have any objections, instead, he could just be a participant, and there was no need to do it himself.
Although choledochal cyst resection is easy for Qin Feng, it is better not to take this opportunity from others.
The medical staff pushed the flat cart and sent the patient into the ward.
The anesthetist wearing a mask is already standing in the operating room. Qin Feng and the emergency doctor have already discussed the operation plan, and it is enough for him to be an assistant to the emergency doctor.
"Doctor Qin, I'm a little nervous." After the emergency doctor entered the operating room, Qin Feng realized that something was wrong with him.
His face was a little flustered, and his calves were still shaking inadvertently.
"Have you not had common bile duct surgery before?"
The emergency doctor shook his head crazily and said, "I'm the chief resident of the emergency department. I've never been in contact with common bile duct surgery, and I'm just trying to get the ducks on the shelves today."
"Then have you notified the attending doctor in your emergency department?" Qin Feng frowned and said. The emergency doctor's sudden retreat was a bit troublesome. The anesthesiologists below were all ready to push medicine.
"No, I thought I could do it, but..."
"Okay, I understand, you can be my assistant." Qin Feng sighed helplessly, he had no choice but to do it by himself.
People panic when faced with the unknown. If Qin Feng didn't have a system, he would be blind when faced with a surgery that he didn't know how to do, and forcefully rush the ducks to the shelves, he would be similar to an emergency doctor.
Qin Feng can also understand him. This is a process that every magician has to go through. Not everyone is a genius, everyone is an ordinary person. Although they are used to seeing blood, they are also afraid of the loss of life.
"Doctor Qin, do you know how to do common bile duct surgery?" The emergency doctor didn't expect that he was so useless, and he lost the chain at such a critical time.
"Know it a little bit, I can only try it." Qin Feng said.
"Then please," the emergency doctor said.
At this time, the two of them had already put on airs, and it was not easy to think about it. The family members of other people had signed. If the emergency doctor dared to give up the operation now and go out with Qin Feng, he would be sprayed to death by the family members.
Qin Feng put on surgical clothes, approached the operating table, and heard the sweet voice of the anesthesiologist.
"Full hemp or half hemp?"
Qin Feng raised his head and took a look. Usually the anesthesiologist's voice is male, but today he was surprised to hear a female voice.
"It's you?"
"Why are you here?"
Qin Feng found out that this anesthesiologist had actually met him in the anesthesiology department.
"You are not..." Qin Feng almost blurted out.
"If you dare to speak out, you will be finished!" Lu Shan threatened.
Today, she managed to seize a chance to be on stage. If Qin Feng reported her, she would have even fewer chances to be on stage in the future, and she would even be able to dispense medicine in the anesthesiology department.
After hearing that an anesthesiologist was needed in the emergency department, she sneaked over by herself without waking up the anesthesiologist on duty, and signed the name of the sleeping doctor.
Otherwise, when the director of the anesthesiology department sees her name tomorrow, he can give her another meal.
Qin Feng was silent for a while, and suddenly felt sorry for this patient. The emergency doctor was a fool, and the anesthesiologist was also a fool. Without him, tonight's surgery would have been a narrow escape.
"General anesthesia, the dose is within two hours, and I will have interventional surgery later." Qin Feng estimated the speed of his surgery.
"Ok."
Lu Shan started the operation, injecting the prepared medicine into the patient's body, while Qin Feng waited for the medicine to take effect, and watched the patient's CT twice more.
"I didn't expect that you are still the chief surgeon. Remember to go to the anesthesiology department and call me in the future, and say that I am your ace anesthesiologist, you know?" Lu Shan stared at Qin Feng with a pair of bright and big eyes.
"Well, aren't you afraid that my surgical skills are not good? That this surgery will go bad?" Qin Fengxiao looked at Lu Shan and said.
"How dare you!" Lu Shan stomped his feet.
If Qin Feng really ruined the operation, the medical office will definitely be held accountable, and the punishment will be even stricter when he sees that he signed someone else's name.
The more Lu Shan thought about it, the more he felt aggrieved. He shouldn't rush over here. This little doctor doesn't seem so reliable.
"Don't cry, I can do the surgery." Qin Feng understood Lu Shan's appearance, and almost pinched her to cry. When Qin Feng didn't want to have an operation, there was a girl beside him crying.
(End of this chapter)
Chapter 53 Unreliable doctors, unreliable nurses
"The patient is left liver cystic tumor combined with choledochal cyst?" Qin Feng took the patient's case sheet and flipped through it.
"Female, BMI 23.2, intermittent skin and sclera yellow for more than a month, no history of hepatitis, no history of abdominal surgery, no abnormalities in physical examination." The emergency doctor said.
Qin Feng nodded and checked the three blood routine tests again, but there were no abnormalities.
"Has the patient's upper abdomen enhanced CT, chest CT, and electrocardiogram been done?" Qin Feng raised his head and asked.
"I did it a few days ago. I was under observation for the past two days. The operation was originally scheduled for tomorrow morning, but the patient's condition suddenly deteriorated. The patient's choledochal cyst has affected the normal circulation of the liver. In addition, the cystic tumor in the left liver If the tumor is not treated in time, the liver will be damaged and deteriorated." The emergency doctor said.
Qin Feng also partially understood the patient's situation through the film, and said directly: "Then prepare for the operation."
"Well, I'm going to contact the operating room." The emergency doctor hurried to make a call.
Qin Feng received his reward for the operation task just now, which happened to be of great help to this patient. Today's operation is destined to be a hybrid operation.
"Complete the hidden mission and treat patients with myocardial infarction. Mission reward: Interventional surgery for liver cancer."
Without further ado, Qin Feng went directly into the training room and started training fifty times. When he came out, there was a trace of fatigue in his eyes, but more surprise.
After completing the training in interventional surgery for liver cancer, Qin Feng gained a new understanding of intervention, whether it was interventional embolization or interventional perfusion.
More than half of liver cancer operations are performed with the help of three-dimensional reconstruction CT, on which iodized oil is floated, and then interventional embolization is performed, and then drugs are infused, and resection is performed after it shrinks to a certain extent.
The new surgical procedure provided by the system is laparoscopic liver resection, which is very suitable for this patient.
This is also the most reliable method in interventional surgery for liver cancer at present, and other methods may also cause tumor rupture.
"Has the patient had interventional infusion of drugs before?" Qin Feng asked.
The patient's tumor is a bit too large, and it is not realistic to directly remove it.
"No, a doctor from the interventional department came before and said that the patient must first remove the cyst of the common bile duct before perfusion, otherwise the medicine will leak out." The emergency doctor said.
Qin Feng hummed, "Today I mainly intervene in the perfusion, right?"
"The main thing is to stop the bleeding from the common bile duct. I'm afraid of heavy bleeding during the operation." The emergency doctor said.
"Row."
Qin Feng didn't have any objections, instead, he could just be a participant, and there was no need to do it himself.
Although choledochal cyst resection is easy for Qin Feng, it is better not to take this opportunity from others.
The medical staff pushed the flat cart and sent the patient into the ward.
The anesthetist wearing a mask is already standing in the operating room. Qin Feng and the emergency doctor have already discussed the operation plan, and it is enough for him to be an assistant to the emergency doctor.
"Doctor Qin, I'm a little nervous." After the emergency doctor entered the operating room, Qin Feng realized that something was wrong with him.
His face was a little flustered, and his calves were still shaking inadvertently.
"Have you not had common bile duct surgery before?"
The emergency doctor shook his head crazily and said, "I'm the chief resident of the emergency department. I've never been in contact with common bile duct surgery, and I'm just trying to get the ducks on the shelves today."
"Then have you notified the attending doctor in your emergency department?" Qin Feng frowned and said. The emergency doctor's sudden retreat was a bit troublesome. The anesthesiologists below were all ready to push medicine.
"No, I thought I could do it, but..."
"Okay, I understand, you can be my assistant." Qin Feng sighed helplessly, he had no choice but to do it by himself.
People panic when faced with the unknown. If Qin Feng didn't have a system, he would be blind when faced with a surgery that he didn't know how to do, and forcefully rush the ducks to the shelves, he would be similar to an emergency doctor.
Qin Feng can also understand him. This is a process that every magician has to go through. Not everyone is a genius, everyone is an ordinary person. Although they are used to seeing blood, they are also afraid of the loss of life.
"Doctor Qin, do you know how to do common bile duct surgery?" The emergency doctor didn't expect that he was so useless, and he lost the chain at such a critical time.
"Know it a little bit, I can only try it." Qin Feng said.
"Then please," the emergency doctor said.
At this time, the two of them had already put on airs, and it was not easy to think about it. The family members of other people had signed. If the emergency doctor dared to give up the operation now and go out with Qin Feng, he would be sprayed to death by the family members.
Qin Feng put on surgical clothes, approached the operating table, and heard the sweet voice of the anesthesiologist.
"Full hemp or half hemp?"
Qin Feng raised his head and took a look. Usually the anesthesiologist's voice is male, but today he was surprised to hear a female voice.
"It's you?"
"Why are you here?"
Qin Feng found out that this anesthesiologist had actually met him in the anesthesiology department.
"You are not..." Qin Feng almost blurted out.
"If you dare to speak out, you will be finished!" Lu Shan threatened.
Today, she managed to seize a chance to be on stage. If Qin Feng reported her, she would have even fewer chances to be on stage in the future, and she would even be able to dispense medicine in the anesthesiology department.
After hearing that an anesthesiologist was needed in the emergency department, she sneaked over by herself without waking up the anesthesiologist on duty, and signed the name of the sleeping doctor.
Otherwise, when the director of the anesthesiology department sees her name tomorrow, he can give her another meal.
Qin Feng was silent for a while, and suddenly felt sorry for this patient. The emergency doctor was a fool, and the anesthesiologist was also a fool. Without him, tonight's surgery would have been a narrow escape.
"General anesthesia, the dose is within two hours, and I will have interventional surgery later." Qin Feng estimated the speed of his surgery.
"Ok."
Lu Shan started the operation, injecting the prepared medicine into the patient's body, while Qin Feng waited for the medicine to take effect, and watched the patient's CT twice more.
"I didn't expect that you are still the chief surgeon. Remember to go to the anesthesiology department and call me in the future, and say that I am your ace anesthesiologist, you know?" Lu Shan stared at Qin Feng with a pair of bright and big eyes.
"Well, aren't you afraid that my surgical skills are not good? That this surgery will go bad?" Qin Fengxiao looked at Lu Shan and said.
"How dare you!" Lu Shan stomped his feet.
If Qin Feng really ruined the operation, the medical office will definitely be held accountable, and the punishment will be even stricter when he sees that he signed someone else's name.
The more Lu Shan thought about it, the more he felt aggrieved. He shouldn't rush over here. This little doctor doesn't seem so reliable.
"Don't cry, I can do the surgery." Qin Feng understood Lu Shan's appearance, and almost pinched her to cry. When Qin Feng didn't want to have an operation, there was a girl beside him crying.
(End of this chapter)
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