“Boss Zheng, you’re amazing!” Director Qiu wasn’t flattering him this time. He was telling the truth.
The free Kirschner needle was removed yesterday, but the case was a little strange, and no one could tell if the surgery was done well. Er … The Kirschner needle used for free adhesion was indeed a good technique, but it was only good.
But today, boss Zheng had stopped him from closing his chest, and they had almost gotten into an argument. Now that director Qiu had calmed down and thought back to everything that had just happened, the more he thought about it, the more he admired him.
No one would deny the fact that electrocardiography was related to the wave of radial artery pressure. However, there were not many people who could tell. Even those who knew a little about it could be considered pretty good anesthetists.
All of this was not important. What was important was that boss Zheng had seen it a few minutes in advance, and he was still full of confidence and unswervingly stopped the surgery from continuing.
If he didn’t know, he would have asked the surgeon to reopen the sternum that had been twisted with steel wires.
Once the patient’s chest was fine after the chest cavity was opened, this kind of news would spread like wildfire and affect boss Zheng’s academic status.
“He must be confident,” director Qiu thought.”This is the difference in realm.” Boss Zheng was able to win the Nobel Prize at such a young age, so there was indeed a reason for his reputation.
“Boss Zheng, how did kapan’s situation happen?” Director Xu asked doubtfully,”I’ve noticed everything that I should have noticed. I didn’t expect it to crack.”
“It’s fine. There will definitely be all kinds of abnormalities during the surgery. I also saw that you paid attention to some key points when you performed surgery. For example, you’re worried that the suture might be stuck. You’ve looked at it twice and observed the 3 ′ 12 “again. You’re really being very cautious.”
Zheng Ren said with a smile.
Director Xu was grateful, but a sense of awe rose in the depths of his heart.
Did boss Zheng even notice that he had observed 3 ′ 12 “? He only remembered that he had been observing for two to three minutes, but if director Xu were to say how long he had been observing, he would not know.
“The biological valve itself or the tissues or foreign objects that affect the activity of the biological valve can also cause it to become stuck. I see that you’ve noticed it too, so we’ll exclude that as well. “
“As for the case of thrombosis after cardiopulmonary bypass, I’ve paid attention to the dosage of the medicine. There’s no problem.” Zheng Ren said casually as he looked at the values of each machine.
“Then …” Director Xu asked in confusion.
“It’s a problem with the patient’s physiology and anatomical structure. It can’t be avoided. If not for the high risk in our job, it might not have been avoided even if everyone noticed. When I was in the 912 operating theater, the Department of Urology performed an electroscope for the prostate. Our director was very careful, but an explosion still occurred during the operation, which caused the bladder to rupture. “
At this point, everyone was extremely emotional.
No matter how careful they were, they could only reduce the possibility of side injuries. They could not avoid it 100%. Humans did not even have a thorough understanding of their own bodies, so it would be a fool’s dream to avoid all complications.
Boss Zheng discovered the problem and avoided it, but he was not arrogant. He simply pointed out various points and even mentioned many details about director Xu. This person was really not simple.
“Boss Zheng, doctor su, how did you find out?” Director Qiu expressed his interest after lamenting that boss Zheng was not simple.
“Department Director Qiu, if you were on the operating table, how would you make the judgment?” Su Yun asked.
“The sudden or continuous waves of electrocardiography are separated from the pressure curve of the arteries. There is only one pressure curve wave after several electrocardiogram cycles, and the pressure wave is gradually flat. It is a reliable basis for the diagnosis of acute mechanical valve dysfunction.” Director Qiu said.
“Yes, the initial fluctuation was not obvious, but if you look closely, there was 0.8 wave separation in one minute. Maybe it’s due to machine interference or measurement errors, but we still need to observe more. ” Su Yun laughed.
Each time, it took less than a minute. Director Qiu sighed. He couldn’t have noticed this situation. Even if they found out about it, it was impossible for them to be firm in asking the director of the surgery department to redo the work.
At the end of the day, boss Zheng was still the awesome one!
“In the beginning, it’s definitely impossible to determine that the ruptured valve is caused by the rupture of the flexor tendon. At this time, the anesthetist must make a judgment quickly.” Zheng Ren said with a smile.
“Rule out factors such as whether the pressure of the radial artery is unobstructed, whether the patient has serious left heart dysfunction, whether the volume is insufficient, whether the amount of vasodilizer used is appropriate, whether the anesthesia is too deep, and factors such as fish essence allergy.”
“I took a look just now, and they’re all fine. We can only wait or open up the chest again to see the situation.” “Because I’m in the field of surgery, so I’m more radical,” Zheng Ren said. Instead of chit-chatting on the operating table, it was better to open the operating table and look at the heart directly. This is the most powerful evidence. If there’s a problem, then it’s confirmed. “
“What if there’s no problem?” Director Qiu asked.
“Close her chest. Do we have to leave it open like we’re watching a movie?” Su Yun said.
“……”
Director Qiu was speechless. Indeed, after opening up his chest for the second time, depending on the situation, he would definitely have to close his chest if he was fine. However, at this time, the anesthetist had to face the anger of the surgeon!
He was furious!
If he interfered with the surgery but could not give a reason, he would not be able to keep his face in the future.
Seeing director Qiu’s expression, Zheng Ren knew what he was thinking. He said gently,””Department Director Qiu, as a medical practitioner, we can’t take risks just because of our pride, right?”
Director Qiu took a deep breath. Boss Zheng’s words …
“Boss, you’re the only one who dares to say that. It wasn’t about face, it was about credibility. What would the surgeon think if he made a wrong judgment this time? What if something happens again next time? The wolf is here, the wolf is here, who will believe you if you shout too many times. ” Su Yun directly retorted.
Director Qiu was deeply touched by this.
He could not make such a mistake when he assigned a surgery table to old Bao in the past. Even now, he could not make a mistake when he assigned a surgery table to a director of the Department of Surgery with the same qualifications. Once he lost his credibility, no one would listen to him in the future.
“Don’t mind him, director Qiu,” Su Yun continued,”he saved the entire universe in his past life, and his judgment was right every time. What’s the big deal about having a good life? this can’t be replicated. It would be great if we could copy and paste it directly. Everyone’s so lucky. “
“This is a result of his rich clinical experience.” Zheng Ren thought about the system operating theater and emphasized.
“Clinical experience my ass. I saw the inconsistent wave patterns just now. I’ll be the first to express my dissatisfaction if you say that you can eliminate the machine power interference directly.” Su Yun said.
Zheng Ren laughed. This guy was skilled enough to dare to question himself. No matter how many times he was hit, his persistence could not be extinguished.
If it was someone with a slightly lower standard, they would have started to doubt their life, just like director Qiu.
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“Boss Zheng, you’re amazing!” Director Qiu wasn’t flattering him this time. He was telling the truth.
The free Kirschner needle was removed yesterday, but the case was a little strange, and no one could tell if the surgery was done well. Er … The Kirschner needle used for free adhesion was indeed a good technique, but it was only good.
But today, boss Zheng had stopped him from closing his chest, and they had almost gotten into an argument. Now that director Qiu had calmed down and thought back to everything that had just happened, the more he thought about it, the more he admired him.
No one would deny the fact that electrocardiography was related to the wave of radial artery pressure. However, there were not many people who could tell. Even those who knew a little about it could be considered pretty good anesthetists.
All of this was not important. What was important was that boss Zheng had seen it a few minutes in advance, and he was still full of confidence and unswervingly stopped the surgery from continuing.
If he didn’t know, he would have asked the surgeon to reopen the sternum that had been twisted with steel wires.
Once the patient’s chest was fine after the chest cavity was opened, this kind of news would spread like wildfire and affect boss Zheng’s academic status.
“He must be confident,” director Qiu thought.”This is the difference in realm.” Boss Zheng was able to win the Nobel Prize at such a young age, so there was indeed a reason for his reputation.
“Boss Zheng, how did kapan’s situation happen?” Director Xu asked doubtfully,”I’ve noticed everything that I should have noticed. I didn’t expect it to crack.”
“It’s fine. There will definitely be all kinds of abnormalities during the surgery. I also saw that you paid attention to some key points when you performed surgery. For example, you’re worried that the suture might be stuck. You’ve looked at it twice and observed the 3 ′ 12 “again. You’re really being very cautious.”
Zheng Ren said with a smile.
Director Xu was grateful, but a sense of awe rose in the depths of his heart.
Did boss Zheng even notice that he had observed 3 ′ 12 “? He only remembered that he had been observing for two to three minutes, but if director Xu were to say how long he had been observing, he would not know.
“The biological valve itself or the tissues or foreign objects that affect the activity of the biological valve can also cause it to become stuck. I see that you’ve noticed it too, so we’ll exclude that as well. “
“As for the case of thrombosis after cardiopulmonary bypass, I’ve paid attention to the dosage of the medicine. There’s no problem.” Zheng Ren said casually as he looked at the values of each machine.
“Then …” Director Xu asked in confusion.
“It’s a problem with the patient’s physiology and anatomical structure. It can’t be avoided. If not for the high risk in our job, it might not have been avoided even if everyone noticed. When I was in the 912 operating theater, the Department of Urology performed an electroscope for the prostate. Our director was very careful, but an explosion still occurred during the operation, which caused the bladder to rupture. “
At this point, everyone was extremely emotional.
No matter how careful they were, they could only reduce the possibility of side injuries. They could not avoid it 100%. Humans did not even have a thorough understanding of their own bodies, so it would be a fool’s dream to avoid all complications.
Boss Zheng discovered the problem and avoided it, but he was not arrogant. He simply pointed out various points and even mentioned many details about director Xu. This person was really not simple.
“Boss Zheng, doctor su, how did you find out?” Director Qiu expressed his interest after lamenting that boss Zheng was not simple.
“Department Director Qiu, if you were on the operating table, how would you make the judgment?” Su Yun asked.
“The sudden or continuous waves of electrocardiography are separated from the pressure curve of the arteries. There is only one pressure curve wave after several electrocardiogram cycles, and the pressure wave is gradually flat. It is a reliable basis for the diagnosis of acute mechanical valve dysfunction.” Director Qiu said.
“Yes, the initial fluctuation was not obvious, but if you look closely, there was 0.8 wave separation in one minute. Maybe it’s due to machine interference or measurement errors, but we still need to observe more. ” Su Yun laughed.
Each time, it took less than a minute. Director Qiu sighed. He couldn’t have noticed this situation. Even if they found out about it, it was impossible for them to be firm in asking the director of the surgery department to redo the work.
At the end of the day, boss Zheng was still the awesome one!
“In the beginning, it’s definitely impossible to determine that the ruptured valve is caused by the rupture of the flexor tendon. At this time, the anesthetist must make a judgment quickly.” Zheng Ren said with a smile.
“Rule out factors such as whether the pressure of the radial artery is unobstructed, whether the patient has serious left heart dysfunction, whether the volume is insufficient, whether the amount of vasodilizer used is appropriate, whether the anesthesia is too deep, and factors such as fish essence allergy.”
“I took a look just now, and they’re all fine. We can only wait or open up the chest again to see the situation.” “Because I’m in the field of surgery, so I’m more radical,” Zheng Ren said. Instead of chit-chatting on the operating table, it was better to open the operating table and look at the heart directly. This is the most powerful evidence. If there’s a problem, then it’s confirmed. “
“What if there’s no problem?” Director Qiu asked.
“Close her chest. Do we have to leave it open like we’re watching a movie?” Su Yun said.
“……”
Director Qiu was speechless. Indeed, after opening up his chest for the second time, depending on the situation, he would definitely have to close his chest if he was fine. However, at this time, the anesthetist had to face the anger of the surgeon!
He was furious!
If he interfered with the surgery but could not give a reason, he would not be able to keep his face in the future.
Seeing director Qiu’s expression, Zheng Ren knew what he was thinking. He said gently,””Department Director Qiu, as a medical practitioner, we can’t take risks just because of our pride, right?”
Director Qiu took a deep breath. Boss Zheng’s words …
“Boss, you’re the only one who dares to say that. It wasn’t about face, it was about credibility. What would the surgeon think if he made a wrong judgment this time? What if something happens again next time? The wolf is here, the wolf is here, who will believe you if you shout too many times. ” Su Yun directly retorted.
Director Qiu was deeply touched by this.
He could not make such a mistake when he assigned a surgery table to old Bao in the past. Even now, he could not make a mistake when he assigned a surgery table to a director of the Department of Surgery with the same qualifications. Once he lost his credibility, no one would listen to him in the future.
“Don’t mind him, director Qiu,” Su Yun continued,”he saved the entire universe in his past life, and his judgment was right every time. What’s the big deal about having a good life? this can’t be replicated. It would be great if we could copy and paste it directly. Everyone’s so lucky. “
“This is a result of his rich clinical experience.” Zheng Ren thought about the system operating theater and emphasized.
“Clinical experience my ass. I saw the inconsistent wave patterns just now. I’ll be the first to express my dissatisfaction if you say that you can eliminate the machine power interference directly.” Su Yun said.
Zheng Ren laughed. This guy was skilled enough to dare to question himself. No matter how many times he was hit, his persistence could not be extinguished.
If it was someone with a slightly lower standard, they would have started to doubt their life, just like director Qiu.
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
