This doctor has a system

Chapter 315 304. Physically and mentally healthy LSP
"Why are you calling at this hour?" Director Liu came back after a few minutes.

"We have a special patient." Gao Feng described the patient's condition to him in detail, "Do you think this plan is feasible?"

"I think..." Director Liu said, "The feasibility is not very high."

"Why do you say that?"

"There are many blood vessels around it, so we can't embolize them all, right?" Director Liu explained, "Unless you can tell me which ones to embolize, this is just a fantasy."

After saying this, Director Liu was ready to go back to the department and have a good sleep.

At this time, he still didn't know what consequences he would face in the future. The consequences of evading public food would be doubly punishable.

"Director Liu, don't leave yet, I'll think about it some more." Gao Feng stopped him.

Director Liu was stunned for a moment.

Think about it some more?
What's there to think about?Are you thinking about coming here?
I admit that you are really stupid in some aspects, but regarding today's matter, he didn't think Gao Feng would have any good ideas.

Vascular surgery is his specialty. He may not be able to perform some operations, but he can tell at a glance whether he can perform them or not.

Gao Feng turned around and entered the system space again and began repeated experiments.

After more than 20 minutes, his consciousness returned to its original state, and he felt dizzy.

"Director Liu, is it difficult to plug these three blood vessels?"

"No, this is a pediatrician." Director Liu was very confident, "Are you in a hurry? If you are in a hurry, you can do it later."

This is not necessary. Gao Feng still needs to communicate with his family members. After all, the risks are very high and he must obtain their family members' understanding and cooperation.

In fact, it's not difficult.

Zou Fengshan was already suffering from difficulty breathing, and his family members had lost confidence after traveling to so many places.

If there is any hope at this time, they must hold on tightly.

"We still have to agree with us in advance. The risk is still very high." Gao Feng said seriously to his family, "We will definitely do our best when we do it, but just in case..."

"It's acceptable, we can accept it." Xiao Zou's mother said quickly. She was telling the truth. She came here with the idea of ​​treating a dead horse as a live doctor.

It would be best if the problem can be solved. If a special situation occurs, they can accept it psychologically.

The family's conditions are average. After years of hard work, they are already heavily in debt, and everyone feels exhausted.

Sometimes Mother Zou would think that if her son wasn't in such pain, it wouldn't be a bad thing if he died quietly.

A family is not limited to just such a patient. Other people also have to live. Zou Fengshan also has a younger brother and younger sister.

Of course, this may be a bit cruel to say.

Perfection is the privilege of the rich. The poor do not have so many choices. Everyone has their own value. When the price is too high, they can only choose to give up.

Now that the family members have expressed their consent straightforwardly, the next thing will be easier to handle.

Xiao Zou was quickly pushed into the operating room. Embolization of specific blood vessels was not too easy for the experienced Director Liu.

"6 or 6?"

"Six is ​​turned over." The nurse on the side rolled her eyes. Director Liu likes to be praised.

Soon he completed the assigned task, and the baton was handed back to Gao Feng's hands.

"This is a high-end game." Liang Congyue was prepared early.

After he returned from abroad, his work went very smoothly. His hard mirror work was booming and he had already gained quite a reputation.

He just looks a little haggard, with a dark circle under his eye every day.

There is no way, foreign girls are not something ordinary people can control.

Anesthesiologist Wu Xingfeng was sitting on the side watching a video. In the video, a long-legged beauty was explaining something.

"Lao Maozi's girl is so beautiful! Her voice is so nice too!"

"What, Doctor Wu, do you understand Russian too?" the nurse asked.

"I can't understand Russian, but I can understand foreign girls."

"Irregular!"

"Not all men are like this." Wu Xingfeng said nonchalantly, "I just want to see, I have a red heart."

Being lustful is due to mental health, and having a red heart is mental health, so Wu Xingfeng is a physically and mentally healthy LSP.

LSP felt a lot of pressure from today's anesthesia, so he had already brought in Director Yao who would take care of him in advance.

"You can't be like this every time, you have to grow up." Director Yao said from the side.

"I'm growing very fast," Wu Xingfeng said. "Actually, I'm 99% sure about today's surgery."

"Then you still let me come?"

"Isn't there still a 1% chance?" Wu Xingfeng said matter-of-factly, "If anything happens, Master, you will be there to take care of me, so I won't have any responsibility."

"It will help me grow faster and better in the future."

"What the hell." Director Yao was so angry that he almost blew up his mask, "Don't call me if you have anything to do in the future!"

The higher the level, the greater the probability of an accident. There is nothing you can do about it. Only those who do things will make mistakes, and those who don’t will never make mistakes.

Director Yao has also been involved in several medical disputes in the past two years, but the anesthesiology department is okay. After all, they are only an auxiliary department and cooperate with the doctors. The responsibility may not escape every time, but the problems assigned to them are not big.

But this is enough to make people anxious.

He is usually very kind to Wu Xingfeng and dares to take responsibility. He is a very qualified superior doctor. Wu Xingfeng now regards him as his master, in a real sense.

There are regulations in the hospital that the parties involved will be held accountable for medical accidents. The most common ones are fines and late job titles. Wu Xingfeng is about to be promoted to deputy senior officer, and he doesn't want to make any mistakes at this time.

But it was impossible not to do the work, so when he encountered these more difficult tasks, he would call his master over to support him.

Director Yao is also very self-conscious and will take the initiative to sign his name when he encounters trouble. Anyway, he is already in high school and will retire in two years, so there is nothing to worry about.

"Are you all ready?" Gao Feng asked. As soon as he walked in, everyone stood up.

"It's all ready, I'm just waiting for your order." Liang Congyue hurriedly replied.

"Well."

Zou Fengshan was pushed in by Li Xun and Hu Gong, his face was very calm.

"Don't be afraid, I'll wait for you," Wu Xingfeng explained. "I'm not afraid, I've been in the operating room more than 10 times." Zou Fengshan said with a wry smile, "The dose of medicine can be larger after a while. I seem to have developed a bit of drug resistance. I knew what happened last time. "

Being aware of the technique is no small matter. Wu Xingfeng glanced at his master, Director Yao, who nodded solemnly.

Since the three-layer stent in the bronchus of the left lung has been covered with granulation, the ventilation function of the left lung has basically been lost. Zou Fengshan is currently undergoing one-lung ventilation.

As soon as the anesthesia was strong, Director Yao quickly directed Wu Xingfeng to fasten the mask, while he adjusted the parameters of the anesthesia machine according to the vital signs.

"His oxygen saturation is not very good." Director Yao frowned and adjusted the oxygen concentration upward.

Excessive oxygen concentration will bring about a series of adverse reactions, especially oxygen concentrations above 60%, which may cause an increase in oxygen free radicals in the lungs. Oxygen free radicals have a strong oxidizing effect and can cause lung damage. That is, high oxygen concentration causes lung damage;

Excessively high oxygen concentration makes patients dependent on oxygen concentration and makes it difficult to wean off the ventilator when reducing ventilator parameters;
For some special diseases, such as coronary heart disease, myocardial infarction or cerebral infarction, if the oxygen concentration is too high afterwards, the production of oxygen free radicals will increase. If the blood vessels are recanalized, ischemia-reperfusion injury will also be aggravated.

Therefore, oxygen inhalation needs to give the patient an appropriate oxygen concentration based on the patient's actual situation, needs, and condition. It does not mean that the higher the oxygen, the better.

Zou Fengshan's current situation would not work without high-concentration oxygen inhalation. Low-concentration oxygen cannot maintain blood oxygen saturation.

"Try to do it as quickly as possible." Director Yao said.

Of course, this is definitely nonsense. No surgeon would deliberately waste time while operating on a patient under general anesthesia.

Liang Congyue successfully inserted the hard lens. People who see this scene for the first time may feel a little uncomfortable.

The hollow cannula made of metal is inserted directly into the airway through the mouth, which looks quite violent.

More than 10 years ago, this operation was performed while the patient was awake. This situation is unimaginable now.

Advances in anesthesia technology have truly benefited patients, and the slogan "painless" has been shouted loudly in recent years.

Among them, the Department of Gastroenterology may have gained the most. The development of painless gastrointestinal endoscopy has directly increased the department's business volume by 5-10 times.

Gao Feng first used a bronchoscope to check the specific situation. The numerous granulation hyperplasia made people feel very uncomfortable, and most of the onlookers frowned.

This is a subconscious reaction when people see something ugly.

This is also the reason why people who are ugly will be discriminated against. It will indeed affect the perception of others, and most people like beautiful things.

So the question is, is being ugly a disease?
Yes.

If it weren't for plastic surgery, it wouldn't be called a hospital.

"I will use a hard scope to remove the granulation in the patient's stent later." Gao Feng said, "It will probably take more than an hour. Cong Yue, you will assist me later."

After an hour and a half, the granulation was basically removed, and the originally wrapped stent gradually revealed its original shape.

Director Yao of the anesthesia department could no longer sit still. He and his apprentice Wu Xingfeng were walking around anxiously, with sweat pouring from their foreheads.

"I'm going to start taking it." Gao Feng took a deep breath. The nurse setting up the stage had already prepared pituitaryin, thrombin, ice saline, and pillows. A director of the cardiothoracic surgery department was also waiting at the scene.

If there is a serious bleeding situation, the first step must be on-site rescue, and the next step is surgical intervention.

However, this is generally useless.

As Gao Feng pulled the pliers hard, the three-layer matryoshka stent slowly moved its position, but then bright red blood seeped out.

Now everyone is tense.

But Gao Feng breathed a sigh of relief in his heart. The amount of bleeding was not too much and it should be stable.

What followed was as he expected. After the stent was completely removed, the amount of bleeding was only 5-10ml. After the nurse rinsed it with ice-cold saline, only a small amount of blood continued to seep out, very slowly.

"All right!"

The most delighted people at this time were Director Yao and Wu Xingfeng. Director Yao quickly lowered the oxygen concentration.

Since the airway obstruction factors have been resolved, the patient's oxygen saturation is still at normal levels even if the oxygen concentration drops.

"Hey!" Wu Xingfeng breathed a sigh of relief. He quickly moved a round stool for his master, and Director Yao sat down.

"Fuck, I'm so exhausted!"

In any case, today's task is completed, and everyone, including the patient's family, feels very satisfied.

"Strengthen his atomization and increase the amount of phlegm-reducing drugs." Gao Feng told Li Xun. During the bronchoscopy, he found a lot of purulent secretions in Xiao Zou's trachea, and some of them had dried to the tracheal wall. superior.

"Okay." Li Xun nodded quickly.

A week later, a chest CT scan showed that Xiao Zou's left main bronchus, which was originally blocked by a stent and granulation hyperplasia, had opened, and the original atelectatic lower lobe of the left lung had also completely opened. The patient's lung function had significantly improved.

There is also good news. The pathological results of Xiao Zou's tracheoscopy showed: granulomatous inflammation.

This means that the patient's tumor is not recurring, but granulation hyperplasia caused by long-term stimulation of the stent; that is to say, if treated aggressively, the patient's prognosis should be very good.

After repeated communication with the patient and his family, Gao Feng decided to place a small Y-shaped stent on his left main bronchus to completely solve his problem.

Taking into account Xiao Zou's family economic conditions, Liang Congyue specifically contacted the silicone stent equipment manufacturer, and he wanted to lower the price today.

"This one of yours is too expensive. It costs tens of thousands per piece. No one can afford it."

"Okay, let me tell you a number." He held out three fingers.

"Thirty thousand?"

"Three thousand!"

"Brother, the price of [-] yuan is already very suitable. In fact, it is not profitable." A middle-aged man wearing glasses said with a smile, "Wouldn't [-] yuan cost my life?"

"Then since it's not making money, don't come so often in the future." Liang Congyue accompanied him and laughed, "Someone contacted me yesterday, saying that their products are of better quality and cheaper."

"Who is it!" The middle-aged equipment dealer was anxious. He had won the Provincial People's Hospital with great difficulty, and he would never allow anyone to come out to make trouble.

"Tiancheng's old Zhou, do you know him?"

"It turns out it's him! Director Liang, let me tell you, this old Zhou is not a good guy." The middle-aged equipment dealer said excitedly, "This guy likes to do one thing in front of others and do another behind his back. He is not as honest as I am!"

"He used to be from our company, but now he has gone out to work alone. This person is not very good."

"I don't know if he is real or not." Liang Congyue said, "But I don't think you are very real."

"How long have we been working together? Have I opened my mouth to you?"

"Your behavior today hurts me very much."

"Director Liang, we can discuss it further." The middle-aged equipment dealer was also a little embarrassed, but what he said was the truth.

In fact, it doesn’t matter if it’s free this time. It’s just a bracket. How much does it cost?

(End of this chapter)