Back in 2002 as a doctor

Page 484

It is not uncommon for a hospital to have a power outage of a few seconds or more than ten seconds and then restore the power supply. It happens once or twice a year.

But what happened to the patient.

The retina had not yet adapted to the "dazzling" light, so Zhou Congwen observed it carefully.

At the same time, the right hand is raised to block the heart, ready to fight like a dog jumping over a wall and a trapped beast.

But after taking a closer look, Zhou Congwen was dumbfounded.

The bed in the intensive care unit is a new electric device. After the power was cut off, something went wrong with the bed. The bed under the upper body of the patient automatically "rocked up" and "sit" up with the patient.

When the light is good, it can be seen clearly, but between the sudden darkness and fluorescence just now, it looks ghostly.

It turned out that I was scaring myself...

"It's okay." Zhou Congwen restrained the beating of his heart that was similar to ventricular fibrillation, and said steadily, then walked to the side of the bed, adjusted the bed position, and slowly returned the upper part to its original position.

What the hell...Zhou Congwen sighed and straightened the quilt covering the patient.

There must be dignity before leaving, and Zhou Congwen didn't think that the patient had already left, so he smiled slightly, "I'm sorry, the power is rarely cut off in the hospital, please forgive me."

The hospital always saw clearly what happened, with tears still hanging from the corners of his eyes, and he was really scared out of his wits at that moment.

She heard that Zhou Congwen was communicating with the patient, and walked up to Zhou Congwen with mixed feelings, "Professor Zhou, this..."

"It's okay, what did the patient's family say?" Zhou Congwen asked.

"We won't do cardiopulmonary resuscitation anymore." The chief resident of the ICU said in a harsh voice, "They agreed with my suggestion, stop the infusion, and pull it out when the heart stops."

"Okay." Zhou Congwen nodded, "Then let's do this."

Looking at the patient who was already breathing in the lower jaw, the ICU resident wiped away the frightened tears from the corners of his eyes, and said helplessly, "Professor Zhou, I was really scared just now."

Zhou Congwen smiled slightly, but did not comfort her.

Because Zhou Congwen didn't know how to comfort him.

The best way at this time is to laugh, and use laughter to dissolve the fear and panic in the hearts of everyone who stayed in the intensive care unit before.

But Zhou Congwen was not familiar with them after all, and he didn't want to joke too much. He glanced at the patient's monitor, and the ECG had basically straightened out.

"Prepare the corpse, talk to the patient's family, and see how other people's machines are running." Zhou Congwen confessed, "Don't panic, why don't you drink some water first?"

"Uh... No need, Professor Zhou." The head of the ICU hospital smiled wryly, "My hands are cold from being frightened, and now I just want to lie in bed and be a patient."

"Hahaha, don't make trouble, go to work quickly." Zhou Congwen turned and returned to the hospital bed.

The patient who had undergone coronary artery bypass grafting held a dark green sterile sheet in his hand and looked at Zhou Congwen curiously.

Zhou Congwen felt that he really had a big heart.

At that moment just now, Zhou Congwen didn't think about what he would do if the ghost appeared.His first thought was that this old man must not be frightened. If the bypass operation just completed, if he got ventricular fibrillation or atrial fibrillation or something, he would be fucking fucked up.

"Professor Zhou, your hospital will also have a power outage?" the patient asked, "I saw it ten years ago, but now my house has no power outage. How can this happen in the hospital?"

"Old man, circuit failures happen occasionally." Zhou Congwen smiled, trying to make his expression gentler, so as not to scare the patient with ferociousness, "You are not afraid, are you?"

"There's nothing to be afraid of." The patient smiled, "You think too much."

"That's good." Zhou Congwen smiled, and saw a nurse nearby turned pale, his face was as white as a piece of paper, the tray fell to the ground, and the floor was in a mess.

He talked to the patient and walked over to help the nurse pack things.

"Are you scared just now?"

"Hmm...um..." The little nurse continued to make meaningless voices intermittently.

"I read a saying - if you feel lonely, turn off all the lights, turn on the TV and play a ghost movie. After a while, you will feel that there are people around you, in the kitchen, in the bathroom, and even There are people behind the sofa."

"..." The little nurse shuddered.

"The joke is too cold?" Zhou Congwen squatted on the ground to pack his things with a smile, "Don't be afraid, isn't this a call?"

Chapter 0832

After an accident, the ICU was busy for another half an hour.

The ICU finally quieted down as the dead patients were sent away after finishing their corpse preparations.

Zhou Congwen looked at Yuan Qingyao who was sleeping on the side with envy. It was so messy just now, but this guy was sleeping so sweetly, and he didn't know what happened. It was really enviable.

He should be thrown in the emergency department to practice, Zhou Congwen thought enviously.

Time passed, at 02:30 in the morning, the time set by Yuan Qingyao arrived, and he got up to replace Zhou Congwen.

Early the next morning, Zhou Congwen regained some energy after squinting for a few hours.

"Brother Zhou, I'm going to make breakfast, what do you eat?"

"Let's have porridge." Zhou Congwen said, "Calculate the number of people in the ICU, don't miss it."

"I know." Yuan Qingyao squinted his eyes while wearing a mask, and gave Zhou Congwen a smile.

"By the way, bring another morning paper back."

"Huh? Brother Zhou, do you still like to watch this?"

"Didn't you see the morning newspaper on the old man's bedside table during the ward round? I guess it's a habit to read the newspaper every day." Zhou Congwen asked.

Yuan Qingyao scratched his head.

"The ward is so boring, it's good to read the newspaper, so as not to watch us eat." Zhou Congwen said.

"Alright Brother Zhou."

Yuan Qingyao turned and left, tasting what Zhou Congwen had just said in his heart.

This is a detail, but not a technical detail, but a deep observation and consideration.

It's just that I just had a heart bypass yesterday, and in less than 24 hours, can I get up and read the newspaper?

After breakfast, the time has come to 07:30 in the morning.

Zhou Congwen and Yuan Qingyao sorted out trivial matters such as the patient's vital signs last night, 24-hour intake and output, urine output, drainage fluid, various laboratory results, and urgent examination results this morning.

The boss has to ask about these things, if there is nothing missing, the boss will be unhappy, Zhou Congwen knows it very well.

Ten minutes later, Mr. Huang walked in.

"Boss." Zhou Congwen stood up immediately, and ran to his boss in small steps.

"The situation is stable."

"I didn't call you, so it must be stable." Zhou Congwen said with a smile, but he felt a little guilty.

If the "ghost" incident last night scared the patient to a good extent, what would I say in the morning?

Although it can be dealt with, it has nothing to do with me, but how should I report this condition.

The record of the course of the disease stated that at 1:12 in the morning, the intensive care unit was "haunted", which made the patient's condition worse...

"I'll take a look at the record sheet, and the laboratory tests done early this morning." Huang Lao said lightly.

Yuan Qingyao immediately handed over the sorted list to Mr. Huang.

Mr. Huang was not in a hurry, and walked to the patient's bed with the list, and saw the patient sitting on the bed with his reading glasses on, smiling at himself.

And there was a morning newspaper in front of him.

"Morning, get up and read the newspaper." Huang Lao greeted casually as if asking if he had eaten.

At this moment, it was not like being in the intensive care unit, but like being in the breakfast shop downstairs at home, full of human fireworks.

"Professor Huang... Director..." the patient stammered, he didn't know how to address Huang Lao.

"You can call me Doctor Huang or Doctor Huang." Elder Huang said with a smile, "How do you feel?"

"It's okay, how did you recover so quickly?"

"What about breathing?"

The patient took a deep breath, "It's fine."

Mr. Huang took out his stethoscope and auscultated the patient.

Both lung breath sounds and heart sounds were a little bit better than expected.

Mr. Huang then looked at various data, "Change the dressing, remove the pericardial drainage, and go back to the ordinary ward."

Zhou Congwen smiled, very happy.

"What are you doing today?" Elder Huang asked.

"There are 12 surgeries today."

"I'll take a look, it's all thoracoscopy."

"The preparations today are all wedge-cut small nodules. I plan to do single-hole endoscopy from today. And if it is not necessary, no drainage will be performed."

Deng Ming clasped his hands and looked at his cheap little junior.

Is it so radical?

What about the closed thoracic drainage next time, the worst is to pull it out tomorrow.

Moreover, the closed drainage can avoid the critical state of the patient caused by pneumothorax, at least the doctor on duty is at ease.

But Zhou Congwen didn't even want to do closed drainage.

"Well, the thoracic surgery department should have a closed drainage technique." Huang Laoyou said, "Don't worry about the next step. Patients and doctors' acceptance is limited. What era does what era matters."

"I know, boss." Zhou Congwen knew that this was a heartfelt remark.

To do things is not to do the right thing, but to look at the times.

In the day ward, Zhou Congwen was not in a hurry, at least it was after 2005.

Now, it is enough to shock the world without closed drainage, and the doctors under him must all recognize this and get used to it.

"Boss, are you going to have surgery?"

"I'm not going to do it anymore. What's the use of wedge cutting?" Huang Lao said, "How many single-hole surgeries are done?"

"First time." Zhou Congwen said.

"Then I'll stand below and watch."

After finishing speaking, Mr. Huang bowed his hands behind his back and slowly left the ICU.

Deng Ming looked back at Zhou Congwen, and followed the boss out.

Zhou Congwen and Yuan Qingyao changed the patient's dressing.

The patient's chest incision was not large, and there was very little pericardial drainage, so the drainage was pulled out by the way.The incision for the great saphenous vein on the leg is the longest, but it doesn't affect anything.

After changing the medicine, Zhou Congwen helped the patient get off the bed.

Not only was the patient in a trance, but even the medical staff in the intensive care unit looked at this scene with inexplicable astonishment.

Coronary bypass surgery!

The patient underwent coronary artery bypass surgery!

Even if the operation is successful, it is normal to use a ventilator to reduce the cardiopulmonary load for 1-3 days after the operation.

But the patients Huang Lao and Zhou Congwen made went down the next day...

The gap between the effects of the surgery was so great that the "well-informed" medical staff in the intensive care unit couldn't believe it.

"Don't worry, the sutures on the legs won't break apart." Zhou Congwen comforted the patient, holding the patient's chest bottle with one hand.

"I go by myself?" the patient asked.

"That's right." Zhou Congwen said, "There's nothing else to do, just walk out by yourself."

It is still 2003, and the postoperative concept is not good, Zhou Congwen knows this very well.

After more than ten or twenty years, it has become normal for patients with major surgery to do rehabilitation exercises 20-24 hours after surgery.

But now, I can't wait to hold the patient in the palm of my hand, and don't even let the patient get out of bed to defecate.

In fact, many patients with postoperative thrombosis lie down.

The patient took a step forward tentatively, and seemed to be fine. He felt that his footsteps were stronger and more stable than before the operation.

"Are you okay?" Zhou Congwen asked with a smile.