Chapter 29: Surgery
"Doctor Lu is back, have you had a meal?"
"I've eaten, thank you!"
When he returned to the surgical office of Guangci Hospital, Lu Xiyan was still thinking about what Tan Si said. Tan Si said a lot to him, but I am afraid that he still had some concealment.
This is human nature.
He is the chief physician. The hospital has freed a single room for him as an office. There is no job assigned at present. He is mainly familiar with the working environment of the hospital.
"Doctor Lu, there is a patient consultation at 2:30, in the small conference room." A figure greeted at the door.
"I understand, thank you."
...
Surgery, small conference room.
"Have everyone arrived?" Sheng Xiyuan did it after coming in.
"Director Sheng, the new Dr. Lu hasn't arrived yet. Should I wait?" A doctor looked up slightly, looked at the person in the meeting and reminded him.
"I won't wait anymore. Doctor Lu just came and was not familiar with the patient's condition." Sheng Xiyuan said directly.
"Director Sheng, isn't that great?"
"What's wrong with it? The patient is about to have surgery. Could it be that we have to delay the patient's surgery in order to wait for someone?" Sheng Xiyuan said a little unhappy.
Sheng Xiyuan is the director of surgery. Who dares to have a different opinion after he said this?
"I'm sorry, I just delayed it a little while when I went to the bathroom. I wasn't late, right?" Lu Xiyan came in from the door and saw that the conference room was full of doctors attending the consultation. He shook his hand awkwardly.
"Since Doctor Lu is here, then sit down and listen together." Sheng Xiyuan's face was not very good-looking, but he couldn't drive people away.
Lu Xiyan walked over and sat down at the last place.
"Patient: Saul, 55 years old, developed symptoms of dysphagia and coughing up blood half a month ago. After preliminary diagnosis of esophageal obstruction, it was suspected to be a malignant tumor. It requires surgery immediately. Please see an X-ray..." Sheng Xiyuan ordered his assistant Luo Huimin.
The surgery is not complicated, but it is not so easy to operate. Any surgery involving the removal of internal organs in the human body has considerable risks.
Therefore, every surgical thoracic surgery is very cautious, especially when choosing the surgical plan, which requires a surgeon to accumulate a lot of time and experience.
"From the X-ray, there is a clear shadow area between the esophagus and the stomach, with a length of between seven and eight centimeters..."
When Lu Xiyan participated in such a consultation for the first time, he knew that he had come in through "relationships", so he should not speak more, and he mainly listened.
Although Sheng Xiyuan was a little disliked by him, his medical skills were beyond words. His experience and experience were at the critical point of the disease.
There is no major problem with the surgical plan.
"Director Sheng, can such a big chest opening surgery give me a chance to learn?" After the meeting, Lu Xiyan stood up and said.
"Doctor Lu also needs to observe the operation?"
"Yes, Director Sheng is a senior, with rich experience in surgery. If you have the opportunity to learn, of course you can't miss it." Lu Xiyan said modestly.
"Doctor Lu is coming, of course I welcome you." Sheng Xiyuan thought for a while, and he couldn't help but give young people the opportunity to learn, so he didn't seem too conservative, so he nodded in agreement.
"Thank you, Director Sheng, I'll prepare now."
The surgery plan was determined, and the operation began. Today's meeting was just the last confirmation of the plan before the surgery.
In addition to Lu Xiyan, there are four students from Sheng Xiyuan, all of whom are interns. They all come to observe the surgery. There are fewer such difficult surgeries. How can new doctors be absent such a good learning opportunity?
“New?”
"Yes." Lu Xiyan nodded.
"Stand there." A slightly taller male classmate in the lead, wearing a pair of glasses, shone with light and scolded, "Do you understand the rules, who are you with?"
Lu Xiyan was stunned. He regarded him as a student of a professor. He didn't care about it now and smiled embarrassedly. Anyway, he stood there the same way, as long as it didn't affect the observation.
"Hello, this classmate, don't talk while watching, as it will affect Professor Sheng and others' surgery on the patient." Maybe the female classmate is kind. When Lu Xiyan reached the end, the only female classmate covered her mouth and whispered a reminder.
Lu Xiyan nodded. Anyway, they were misunderstood, and the explanation would be effective if it was missing.
"Okay, start anesthesia." On the operating table, the anesthesiologist had entered and began to perform general anesthesia on the patient.
"You guys come here." Sheng Xiyuan waved his hand. The on-site teaching was the most profound. "You have a general understanding of the patient's situation. Now, who will review the next surgical plan?"
"Professor Sheng, I'll do it!"
"Okay, classmate Mo Rong, come." Sheng Xiyuan showed an encouraging smile on his face.
“…”
"Very good, are there any details that need to be added?"
"Professor, I think you need to pay attention when opening your chest..."
"Well, what Mengyao said makes sense, very good." Sheng Xiyuan nodded with satisfaction. When he saw Lu Xiyan standing at the end, his eyes deliberately flew over.
"Director Sheng, the patient has entered anesthesia and the operation can begin." The anesthesiologist shouted.
"You can take a closer look, don't make a sound." Sheng Xiyuan pointed, turned around and walked to the operating table, took the scalpel from his assistant's hand, and started the operation.
Sheng Xiyuan has been a surgeon for more than 20 years, has performed no less than a thousand surgeries, and has accumulated a lot of clinical experience. When he sees the relaxed state on the operating table, he knows that this is not a false reputation in surgical operations.
Lu Xiyan also has certain surgical experience, and there are hundreds of them who have personally taken it, but his experience on the other hand is much better than Sheng Xiyuan.
That is dissecting the corpse.
Western medicine is based on the study of the human body, especially surgical operations, which requires a clear understanding of the internal organs in the human body, otherwise there will be no way to perform surgery on people.
Western medicine emphasizes the ability to see and touch, while traditional Chinese medicine is a bit mysterious. In Lu Xiyan's view, one emphasizes local objective diseases, and the other emphasizes the macro system structure of human beings.
The operation went smoothly and the lesion was removed smoothly. Just when all this was expected, the patient who was unconscious on the operating table suddenly twitched all over and vomited blood foam in his mouth!
What's going on?
Everyone in the operating room was shocked and had never seen such an emergency.
"Hold him down, hurry!"
"Director Sheng, the patient's cardiac arrest and blood pressure dropped..." The monitoring instrument issued an alarm.
"Quick, 5 mg of adrenaline static push!" Sheng Xiyuan, an experienced surgeon, ordered immediately.
"Director Sheng, Jing pushes too slowly, you must take medicine directly to the heart!" Lu Xiyan didn't care about offending Sheng Xiyuan. It was important to save people. He rushed up and grabbed the syringe from the nurse.
"Doctor Lu, inject the heart directly..." Sheng Xiyuan was startled. This was something he didn't dare to think about.
"Believe me, it's too late if you slow down!" Lu Xiyan stared at Sheng Xiyuan and said, "I will be responsible if something happens."
As Lu Xiyan stared at him, Sheng Xiyuan gritted his teeth and nodded in agreement.
"Prepare to defibrillation, hurry!"
One needle directly into the heart!
Clean and neat.
"The patient's difficulty breathing should be due to lower respiratory tract secretion retention and surgical bleeding and return, and tracheotomy is needed immediately. Director Sheng, who is good at it?" Lu Xiyan immediately made a judgment after the examination and asked with his head raised.
Sheng Xiyuan and another surgeon were both stunned. Everyone had learned tracheotomy, but this kind of surgery was rarely used and it was not difficult.
"I'll do it, nurse, prepare me a disinfection hose and syringe..."
After the patient's heart resumed beating, the trachea was cut open and the oxygen was directly exposed. After about ten minutes, the vital signs gradually returned to normal.
"Aren't you here for an internship?" Mo Rong asked awkwardly.
"I'll introduce it." Sheng Xiyuan took off his mask and said, "This is the new chief physician in the surgery department of our Guangci Hospital, and one of the chief surgeons of our surgery department, Dr. Lu Xiyan."
"Are you the legendary Dr. Lu recruited by Father Wan himself?" The only female intern doctor screamed.
"Mengyao, how can you speak? In the future, you should respect Doctor Lu as a teacher!" Sheng Xiyuan shouted. If Lu Xiyan made accurate judgments and decisive measures today, there would be an accident on the operating table.
As a doctor, healing diseases and saving lives is the first priority. Sheng Xiyuan is not that narrow-minded. Although he still has some grudges against Lu Xiyan, he has now let go of a lot.
"Yes, Professor Sheng..." Xi Mengyao spitted out her cute tongue.
Mo Rong, who scolded Lu Xiyan just now, was embarrassed, and his face was flushed red. He thought he was a new intern.
The operation was successful and the patient was safe.
"Oh, dear Lu, my good boy, I'm so proud of you!" Father Wanerdian came up excitedly and gave Lu Xiyan a hug.
"Father, in fact, the success of the operation is due to Professor Sheng. Without his superb medical skills, I can't do anything." Lu Xiyan said modestly.
"Child, you are very outstanding!" Father Wanerdian gave Lu Xiyan a thumbs up.
"Thank you, Father."
Father Wanerdian had a great influence in the French Concession. He was not only the president of Guangci Hospital, but also the president of the Jesuits and the president of Pidgin Catholic Church.
Chapter completed!