"Are you nervous?" Before entering the operating room, while cleaning in the sink outside the operating room, Cruise asked Shang Wenxiu, who entered the operating room for the first time after coming to the United States.
Shang Wenxiu was indeed a little nervous and nodded slightly: "I will adjust it."
Cruise nodded: "Don't worry. I'm the attending physician who needs to worry. Take a deep breath and relax, and you won't be nervous."
After hearing this, Shang Wenxiu tried it, and as expected, the nervousness was relieved a lot. In fact, this was not the first time Shang Wenxiu entered the operating room, but it was a new environment after all.
Shang Wenxiu had already gone through this patient's medical records. The patient was from China, which may be why Cruise chose Shang Wenxiu as his first assistant. The baby, who was less than seven months old, suffered from a serious heart disease.
When the child's mother went to the hospital for examination, the condition of the fetus was already very serious. The doctor found that the seven-month-old fetus had very severe pericardial effusion, the heart was severely compressed, and was one size smaller than a normal fetus. This directly caused the fetal heart rate to slow down.
A large amount of pericardial effusion also compresses the fetal lungs, affecting the growth and development of the fetal lungs. Such symptoms are very likely to persist at home, and may eventually cause fatal atelectasis, severe dysplasia, heart failure, and even lead to
Cardiac arrest, intrauterine fetal death and other serious consequences. In China, this situation is likely to force parents to give up the fetus.
But this parent's situation is quite special, because he has never wanted a child before, he had many dilations and curettages, and his wall was very thin. When he wanted to have a child, it was extremely difficult to get pregnant. This time, after a lot of effort, he was lucky enough to get pregnant. If this
If you give up your fetus once, you will have less chance of getting pregnant in the future. I heard that fetal heart surgery can be done abroad, so I went abroad specifically.
After receiving the patient, Cruise decided to use a contrast-enhanced auxiliary system to insert the puncture needle into the fetal heart cavity to drain the fluid.
When Shang Wenxiu entered the operating room, the pregnant woman was already lying on the operating table, and the anesthesiologist had already started making preparations.
Cruise made a mark on the lower part of the pregnant woman's belly as the puncture site. But when preparing to do the puncture, Cruise's hands shook slightly.
"Damn it." Cruise cursed in a low voice. While playing golf yesterday, he accidentally twisted his hand. He thought it was fine. But he didn't expect that when the surgery was about to begin, he found that he couldn't control it stably.
"What's wrong?" Shang Wenxiu saw that something was wrong with Cruise.
"You do it. Do as I say." Cruise handed the puncture needle to Shang Wenxiu's hand. Others in the operating room also looked at Cruise in surprise.
"Don't be nervous. We have performed this kind of surgery many times. There will be no problem. It works the same for everyone." Cruz was very calm.
Shang Wenxiu was a little nervous, but also very excited. This kind of surgery may be ordinary in Cruise's eyes, but for Shang Wenxiu, this is a difficult operation. It will greatly help improve his operation ability.
.
With his energy concentrated, Shang Wenxiu forgot about his nervousness. To reach the heart of the fetus, the puncture needle needs to pass through the umbilical cord, placenta and surrounding organs. Any deviation may cause danger.
On the large imaging screen, the puncture needle became very thick and penetrated through the lower part of the pregnant woman's abdomen and between the fetal ribs. The fifteen centimeter puncture needle penetrated about seven or eight centimeters into the pregnant woman's belly. I watched the puncture needle avoid it little by little.
Umbilical cord, placenta.
Shang Wenxiu's forehead was already covered with beads of sweat.
"Wipe the sweat." Shang Wenxiu whispered.
The nurse on the side quickly wiped the sweat off Naofumi's forehead.
The puncture needle did not pause and finally reached the fetal heart cavity smoothly.
"Huh." Shang Wenxiu let out a long breath. The most difficult stage was finally over.
Cruise extended his thumb to Shang Wenxiu and said, "Start sucking the liquid."
It took several minutes to extract a total of 20 ml of fluid from the heart cavity, and watched the fetal heart structure slowly return to its normal shape. At the same time, through the fetal heart monitor, you could hear the fetal heartbeat changing from almost silent to slow.
Slowly become stronger.
"Dong dong, dong dong..."
The operation was successfully completed and the fetus was out of danger. Of course, whether this operation can completely free the fetus from the disease depends on subsequent treatment.
When he took off his gloves and surgical gown, Naofumi felt like he was losing his strength. At the same time, he was very excited. He personally completed a very difficult operation in China. When he entered the operating room for the first time, he was able to get hands-on experience.
Opportunity. This is a very good start.
The emergency department of Tamshan Central Hospital is not as comfortable as the Indiana University Health Center. It is not because the building of the Central Hospital is not as high-rise as the building of the health center. It is because there are too many patients in Tamshan Central Hospital.
The temperature in Tanshan has changed slightly in the past few days. The temperature dropped suddenly. Many people did not put on more clothes in time. Or due to physical reasons, many people suddenly caught a cold.
There is a long queue in the emergency department rescue hall. People nowadays are afraid of small hospitals and small clinics. Even if they have a cold, they have to go to the best hospital in Tanshan City and go to the emergency room.
As for the doctors and nurses in the emergency department, they have all become humanoid robots.
Smog covers the city, and boredom covers the soul. Doctors who are like robots are not in a good mood, and patients who are always waiting in a long queue and dare not even go to the toilet are not in a good mood. Often trivial things can cause
It may trigger an anxious atmosphere.
Patients who are dismissed by doctors in a few words will be unhappy, and patients who stand behind for a long time without moving a step in front of them will also be unhappy.
"What's wrong with the doctors today? They have no medical ethics at all. They just prescribed a lot of various tests for me without even looking carefully. Damn, isn't this a rule-out method? All diseases were ruled out, and in the end
Then I was sure it was a cold. I opened a box of Sanjiu Cold Cold Spirit and the problem was solved. If I had known this was the case, I might as well have gone to the drugstore to buy it myself."
"Today's doctors have no medical ethics at all. Even though there is such a long queue here, they don't arrange for a few more doctors to come and see the doctor. A queue has been waiting all morning. If you have an emergency illness, is the delay in the treatment considered a medical accident?
"
Qin Chuan has been busy all the time. In the emergency department, usually mild patients are given some medicine and the nurses can wait in the hall for water. The beds in the emergency department are limited. Naturally, they can only be reserved for critically ill patients.
When it was the turn of a woman in her fifties, instead of telling Qin Chuan his condition, she asked Qin Chuan for his autograph.
"Hello, Doctor Qin, I'm a loyal fan of yours. You were on the Xinwen Network and the Sanxiang Metropolis Channel. The last time you rescued someone on the Xingsha Ring Expressway was so cool.
I've been in love with you since then." This old fan in his fifties held Qin Chuan's hand as soon as he came up and was very excited.
Qin Chuan was shocked all of a sudden, and Jiang Lingling next to her also covered her mouth and kept laughing. The tense atmosphere in the rescue hall, which was originally tense, suddenly relaxed because of this shocking scene. Many people took out their mobile phones from their pockets,
Prepare to share this picture with yourself on your scarf.
"Sister, I'm working now. If you're not sick, you'd better not disturb my work." Qin Chuan couldn't help but said seriously.
"I'm sick, I'm sick. I'm lovesick. I'll be fine if I see you. If I can't see you, I'll definitely get sick." The woman seemed to be talking nonsense.
"Sister, please don't do this, otherwise I will call security." Qin Chuan was a little unhappy. There are so many patients queuing up in the emergency hall, and this person's making such a fuss has actually delayed many people's medical treatment.
The woman felt a little aggrieved and pouted: "Okay, then I'll wait until you finish your work before I come back."
The woman stood up and walked, but Qin Chuan found that her left leg was a little lame. He remembered that when he heard the woman speak just now, her language was a little vague, and she seemed to sit and stand, mainly leaning on her right limb.
"Wait." Qin Chuan quickly stopped the woman.
"What's the matter? Doctor Qin, are you free?" The woman was very happy. Although when she spoke, her speech was a little awkward, as if her tongue could not move.
"Have you always walked like this?" Qin Chuan asked.
The woman shook her head: "I don't know what's going on these days. My left foot is always numb and I can't walk very well."
"Then have you always spoken like this?" Qin Chuan asked again.
"No. In the past, I was the host of events held in the unit! Don't underestimate me, I am also a cadre in the unit." The woman said.
The woman's words made the surrounding patients and their family members laugh, but Qin Chuan's expression was very serious, and he secretly blamed himself for almost, almost making the wrong call. The patient walked up to him, but he almost hit the doctor.
She drove away. If something happened, it would be big or small.
"Have you brought your medical records?" Qin Chuan asked.
"I just told you that I'm not sick. I'm not here to see a doctor. I'm here to see you. Doctor Qin, I'm your fan." The woman smiled.
Qin Chuan said seriously: "Since you are my fan, do you want to listen to what I say?"
"Yes, yes, of course I want to listen to what Dr. Qin says." The woman smiled.
Jiang Lingling handed Qin Chuan a medical record, and Qin Chuan asked: "What's your name?"
"Doctor Qin, please ask for my name. My name is Hao Meili. The word Hao is written like this, beauty means very beautiful beauty." Hao Meili's answer made the people next to her laugh.
"How old are you?" Qin Chuan asked again.
"I'm 56 and retired last year," Hao Meili said.
"Okay, tell me, have you ever suffered from any disease before?" Qin Chuan asked.
"No, I've always been in good health," the woman said.
Qin Chuan wrote in the medical record: No past medical history.
