Auto chess in the operating room

Chapter 296

After Tang Lou came to the Department of Cardiovascular Medicine, another resident doctor, Wu Changlin, was in charge of Tang Lou's various arrangements.

"Doctor Tang, we will be a team from now on."

Wu Changlin is in his thirties, wears a pair of tortoiseshell glasses, and has a somewhat weak temperament. Although Tang Lou is much younger than him, Tang Lou is still very famous in the city's first hospital, so Wu Changlin is still very polite .

The office seats of two people are also divided into one area, when two people are chatting.

Another man in his thirties walked into the office. He had a round head and was less than 1.7 meters tall.

Seeing Sun Danfeng, Wu Changlin stepped forward to greet him directly. In terms of rank, Sun Danfeng will be the superior doctor of Wu Changlin and others from now on.

So for Sun Danfeng, Wu Changlin was obviously more attentive than Tang Lou, and he licked louder.

I don't know whether it was intentional or a coincidence, but Sun Danfeng's office is located opposite to Tanglou.

After sitting down, Sun Danfeng briefly introduced himself to Tang Lou and Wu Changlin.

"Wow, Dr. Sun, you were in the Department of Cardiovascular Medicine of the Third Hospital of Shanghai before, and that was top-notch in the entire Shanghai. It is really an honor for our department to be able to come to the First Hospital of our city this time. In the future, I will invite you again." A lot of guidance."

Of course Wu Changlin understands that this kind of parachuting is an attending physician from Shanghai. After getting familiar with the department's personnel relations, he may climb to the position of deputy chief physician immediately.

So, now, before the sky is straight up, hug your thighs tightly.

Wu Changlin eloquently introduced to Sun Danfeng all kinds of information and gossip about cardiovascular medicine, as well as some unwritten hidden rules of the department, which were used as a certificate of approval.

Sun Danfeng had just arrived at the First City Hospital, and of course he was happy to have such a resident doctor turn to him, which also showed enough goodwill.

Of course, it's just the kind of politeness in the workplace. After all, such an attending physician from Shanghai is still very proud in his heart and looks down on these residents in the first hospital listed.

Especially after a brief chat with Tang Lou, knowing that Tang Lou is young and has just joined the Department of Cardiovascular Medicine, his enthusiasm immediately faded away. Physicians like Tang Lou who have just become residents are not on the same level as him at all. If he is a doctor, he may be his younger brother in the future, so he must maintain the seriousness of the superior doctor.

Sun Danfeng directly gave up talking with Tang Lou, and continued chatting with Wu Changlin.

"Doctor Sun, have you really participated in a heart transplant operation?"

Wu Changlin looked at Sun Danfeng very enviously. The latter's eyes were lost in memory, he nodded, and he described it vividly. It was obviously just soy sauce after the second assistant, as if he was the main knife.

"We, the Third Hospital of Shanghai, as you know, the level is there, and there are all kinds of rare cases from all over the country every day. In the past few years, don't tell me, I have encountered many diseases that are completely incomprehensible. As for difficult operations, I have participated in a lot, such as heart transplants, heart bypasses, and congenital heart and great vessel disease operations. However, President Yang’s kindness is hard to resist, and I will have the opportunity to communicate on the operating table in the future.”

After Sun Danfeng finished talking about some of his experiences, Wu Changlin was both admiring and envious: "Doctor Sun, you have too much experience, and you are worthy of being an attending physician from the Devil's City. This knowledge and experience are comparable to those of ours. The Chief Physician of the City Hospital."

"No, no, Doctor Wu is too polite."

While the two were talking, Sheng Dongling, another attending physician in the Department of Cardiology, came over.

When he saw Sun Danfeng, his eyes lit up: "You are the Dr. Sun Danfeng who came from the Third Hospital of Shanghai, as Director Qian said?"

"This is Sheng Dongling, the attending physician of our department."

Wu Changlin immediately introduced it to Sun Danfeng.

"Master Sheng is cured. I am Sun Danfeng. I am here for the first time today. I will take care of you in the future."

Sheng Dongling nodded, and said very directly: "Doctor Sun, you came just in time. The department admitted two new patients today, both of whom needed surgery, and one of them was surgery for heart and great vessel trauma. I will do it later. , Dr. Wu, come and be my assistant. There is also a pericardiotomy and drainage, I wonder if Dr. Sun can do it?"

Sun Danfeng nodded lightly and said easily: "I have done a lot of pericardiotomy and drainage. It's okay."

Today is the first day here, and of course Sun Danfeng has to do a good job of this first operation, so he agreed immediately.

"Doctor Sun, this patient's condition is a little complicated, so you should check the patient's condition first, and perform surgery on time if there is no problem." Sheng Dongling looked at Tang Lou again. Knowing something about Lou's situation, he directly arranged, "Dr. Tang, then you will follow Dr. Sun to perform this operation."

Tang Lou nodded, he would not refuse surgery, especially this kind of pericardiotomy and drainage for the first time.

Sun Danfeng frowned slightly when Sheng Dongling arranged the tenement building for him, but he didn't say much, after all, he was just here.

"Xiao Tang, I will make a surgical plan first, and then I will discuss the general operation with you. On the operating table, don't panic, just follow my arrangement."

Sun Danfeng said to Tang Lou in an old-fashioned way, in his opinion, since he can become a resident doctor, even if he is a little younger, it is not a big problem to complete a pericardiotomy and drainage under his own arrangement and guidance.

After arranging the two surgeries, Sheng Dongling took Wu Changlin and walked away first.

Sun Danfeng was going to check the patient's condition first and then start designing the operation plan. As for Tang Lou, he directly arranged to contact the nurse's station to make preoperative preparations for the routine pericardial drainage operation.

Soon, Sun Danfeng obtained the patient's case information:

Patient: Zhao Quan, male, 47 years old, with a history of angina pectoris.

Symptoms: non-specific pericardial effusion, cardiac tamponade, rule out connective tissue disease, hypothyroidism, myocardial infarction, uremia, heart failure, malignancy, tuberculosis, liver cirrhosis, and hypoalbuminemia
After Sun Danfeng looked at the rest of the medical examination data, he was going to use the conventional xiphoid-process descending pericardiotomy and drainage.

Soon, a nurse's station has been arranged in the tenement building, all kinds of preparations have been made, and an anesthesiologist has been arranged at the same time.

After Tang Lou came back, Sun Danfeng had already designed the operation plan. Tang Lou wanted to go to the ward to see the patient's condition, but he was not allowed. After thinking about it, Dr. Sun is also a doctor from the Third Hospital of Shanghai, so his level is naturally very high Yes, Tang Lou didn't think too much, just listened to Sun Danfeng's operation plan.

Seeing that his gold coin balance is only 4, Tang Lou just exchanged for a one-star pericardiotomy and drainage, which is more than enough for a first aid.

After Sun Danfeng took care of and inspected Tang Lou before the operation, he started the preoperative preparation together.

Five minutes later, the two entered the operating room together.

Of course, Sun Danfeng attached great importance to the first operation in the Department of Cardiovascular Medicine of the First Hospital of Hecheng City.

"Scalpel marker."

After Sun Danfeng took the marker pen from the equipment nurse, he marked a 2cm incision on the patient's upper abdomen 5cm below the xiphoid process.

"Xiao Tang, look carefully. This is the incision design of the conventional subxiphoid pericardiotomy. Of course, in addition to this traditional method, when we were in the Third Hospital of Shanghai, the director of our hospital also tried the less harmful sternal pericardiotomy. Parapericardiotomy and drainage. However, this method has relatively high requirements for the surgeon, and it is best to wait until you have performed no less than a hundred cases of traditional surgery before trying it.”

Although Sun Danfeng is not experienced enough, he thinks that his knowledge has far surpassed that of an ordinary chief physician in the First Hospital of Hecheng City, so he talks about various techniques.

I especially like to bring the prefix when I was in the Third Hospital of Shanghai, in a small place like Hecheng, it has been tried and tested!

If it is an ordinary resident doctor, of course he should show admiration and shout 666 at this time.

But Tang Lou, who had diagnostic skills, glanced at the patient, and then frowned slightly. This patient may not be as simple as Sun Danfeng thought.

So Tang Lou unfortunately missed being a qualified licking dog.

Tang Lou was still thinking about the rescue plan. Seeing Tang Lou being so ignorant, Sun Danfeng on the side was a little dissatisfied. Not only did this young doctor not learn humbly about his science popularization, but he even lost his mind on his operating table.

If the resident doctor dared to sneak away like this in the Third Hospital of Shanghai, he would have kicked him out long ago.

However, he has just arrived now, and he has no other assistants, so he can only endure it, but his tone is already a little cold: "Xiao Tang, concentrate on it! Next, I want to cut off the anterior sheath of the rectus abdominis, and take a good look at my cut method."

"Okay, Dr. Sun."

Talking perfunctorily, Tang Lou had already made a decision in the blink of an eye, selling one of the massage techniques directly, and directly krypton gold coins.

【Pericardiotomy and drainage (one star, 3), pericardiotomy and drainage (one star, 3), pericardiotomy and drainage (one star, 3) automatically synthesized pericardiotomy and drainage (two stars, 9)! 】

Tang Lou's eyes lit up, an improved and optimized plan based on subxiphoid pericardiotomy and drainage has been completed.

At this time, Sun Danfeng also completed the incision of the anterior sheath of the rectus abdominis muscle. At first, he was quite calm, but seeing the flow of pericardial effusion, he was stunned.

This steady stream of pericardial effusion was actually different from what he had imagined. Sun Danfeng panicked all of a sudden. There was negligence in the preoperative examination, and he secretly said:
"No, the volume of pericardial effusion in this patient has exceeded 800ml. Even if drainage can temporarily relieve cardiac tamponade, after drainage, the pericardial effusion will increase rapidly again. However, serious complications may occur if repeated puncture and drainage , does not rule out pericardial reaction, heart and blood vessel damage, arrhythmia, pneumothorax, abdominal organs and even death."

"Little Tang, some unexpected situations have occurred in this operation, and my experience is no longer enough to deal with them. Now you cooperate first, and I can only complete a drainage first, and then go directly to Director Qian to rescue the situation."

However, Sun Danfeng was quite decisive, knowing that he couldn't handle it, he directly came up with the second plan, which was to ask the superior doctor for help.

[Ding, new mission, rescue.The patient was operated on using a modified pericardiotomy and drainage technique.Mission reward: 3 gold coins, the card library is refreshed once. 】

Just as Sun Danfeng completed the first puncture of the pericardium to draw out the pus, and was about to call for help, Tang Lou's voice sounded calmly:

"Doctor Sun, I can continue this operation. I have a modified method of pericardiotomy and drainage, which can solve it."

It’s just that before Tang Lou finished speaking, he was stopped by Sun Danfeng. He was already upset about Tang Lou’s distraction before, and he was so angry because of his first operation that he was devastated, so he ignited:
"Nonsense! Who do you think you are? Find out the situation, you are just a resident doctor? How many surgeries have you done, boasting, and improving surgical procedures? Do you think surgery is eating and drinking? Improve if you want to improve, be honest Just wait for me, I'll go find Director Qian right now."

After all, Sun Danfeng is an attending physician, and his aura is still very strong. After spraying, he glared at the rest of the equipment nurses: "Wait, I'll go find Director Qian right away."

Sun Danfeng shook his head as he walked, the young people nowadays are really outrageous.

(End of this chapter)