933 Emergency cardiopulmonary bypass
"The suicide rate of doctors does not seem to be very high," Yuan Qingyao said in confusion, "I have never seen anyone commit suicide in Cleveland. Interns have a lot of financial pressure, and some people are depressed.
Their school tuition is really expensive. A senior sister has been working for five years and has not paid off the loan from school.”
"Think about it again." Zhou Congwen smiled. Yuan Qingyao was really honest and did not gossip about anything with people abroad.
The hospital with the highest suicide rate of doctors, but he was dewy in this problem that almost everyone knows.
"Uh... it seems that some people who have not obtained a doctor's license cannot afford to pay the bank loan to commit suicide, but this should not belong to a doctor. If they do not have a license, they should be considered an intern or an intern doctor." Yuan Qingyao tried hard to figure out Zhou Congwen's problem, but he still couldn't enter.
"It's not about doing the questions, you're far away." Zhou Congwen smiled, "Have you been to the Royal Melbourne Hospital in Australia?"
"No."
"It is adjacent to the Victoria Cancer Treatment Centre, and there is a bridge in the middle. The Royal Melbourne Hospital is very strange, with 600 beds in small size, and only 6-7 doctors come to work at night."
"..." Yuan Qingyao was stunned.
“On average, one doctor in the Royal Melbourne Hospital commits suicide every year.”
"..." Yuan Qingyao hesitated for a while, "Brother Zhou, who did you hear?"
"Director Deng." Zhou Congwen said, "More than ten years ago, Director Deng studied in Royal Melbourne for half a year, and almost died of exhaustion when he came back. Once, while drinking, he heard Director Deng chatting about this."
"Director Deng went out to study?"
"Well, at that time, 912 was about to enter the external circulation machine and was preparing to carry out coronary artery bypass surgery. Everything was difficult at the beginning. The boss had retired. The use and maintenance of the machine must be learned by professionals."
"So that's how it is."
"Director Deng took Yibiao to Real Melbourne, and in his words he almost died of exhaustion in Australia."
“I heard that Australia’s health insurance is particularly good.”
"Of course, the resource country is maintained well under the existing system. In addition, the land is vast and sparsely populated, and there is no barrier to exchanges with other countries with Ansas as the main body, and the medical technology level is very high." Zhou Congwen said a lot lightly.
"Director Deng is going to study and participate in night shifts?" Yuan Qingyao asked.
"To help his teacher in Melbourne," Zhou Congwen said, "In fact, why bother? Director Deng is purely responsible for helping him how much it costs a month."
Zhou Congwen Zhan smiled and immediately said, "Director Deng drinks less now, and he used to drink more..."
As he said that, he paused.
"How about it when you drink a lot?" Yuan Qingyao honestly followed Zhou Congwen's thoughts, and he did not have the habit of picking on Liu Xiaobie, and he did not expect that Zhou Congwen and Deng Minggang had only known each other for a few months.
"I heard from the boss that when Director Deng first came back, he was used to having heart bypass surgery on both of them. Because it was like that in Australia. At that time, in 912, he and his boss had almost all the bypass surgery."
"By the way!" Zhou Congwen seemed to remember something big, and he asked with a smile, "Qingyao, how long have you been in surgery?"
“8 years.”
"What kind of heavy bleeding have you seen?" Zhou Congwen asked, but immediately changed his method, "What is the most serious bleeding you have ever seen."
"The patient with coagulation disorder has a myocardial infarction and has stopped and must go on stage. After opening it, hemorrhages are everywhere, and his eyes are red. I was very scared and confused at the time." Yuan Qingyao said.
Zhou Congwen smiled slightly.
"Brother Zhou, you've seen it."
"Once one time I had a meal with my boss, and someone was fighting next to me." Zhou Congwen said.
He looked at Yuan Qingyao's face carefully and felt that chatting with him was much easier than chatting with Liu Xiaobi. At least Yuan Qingyao would not ask the bottom line and ask when he would have encountered any trauma when he had dinner with his boss.
This child is so honest, Zhou Congwen especially likes honest children.
"A single stab was stabbed into the aorta, and there was not much blood coming out at that time, but the person could not do it directly."
"F***..." Yuan Qingyao subconsciously said a swear word.
"At that time, the injured person's face and skin were painted pale and the boss and I ran over to open the patient's chest with the knife that the injured person fell to the ground."
"Is the pericardial stuffing?"
"Pericardial tamponade + aortic rupture."
“!!!”
"The situation was very critical at that time, without needlework. After cutting the pericardium, blood was sprayed out. Then the boss blocked the aortic cleft with his hands. He didn't dare to move it away at all. With his hand moving, the blood gushed out like a fountain and went straight to the room."
"What happened to me later?" Yuan Qingyao asked.
"The 120 ambulance is here, I will press the wound. After all, is the boss old?" Zhou Congwen said, "After getting in the car, the boss asked to push all the colloids into it no matter what they are."
"Fortunately, the 120 ambulance car has a brain and there is liquid in the car."
"Uh...and there are still times when you don't have brains?" Yuan Qingyao was stunned.
Zhou Congwen smiled slightly, of course he had encountered this situation.
120 The ambulance was disinfected and liquid was cleaned, and it happened to be time for the visit. Zhou Congwen had only encountered similar accidents once.
"Then I sat on the flat car and pressed the opening of the patient's aorta and went to the operating room. The boss and I stared at each other with big eyes, and we couldn't get a sew. You know that feeling."
Yuan Qingyao shook his head first, then nodded again.
"If you move your fingers away, you have no vision. If you press your fingers and you can't sew them yet. In short, it's very fucking."
"Later, the boss thought of a trick, and directly had deep and low temperature extracorporeal circulation. The patient's life was good, and there was a lot of blood in the blood bank, and the blood pressure could barely be maintained. In the end, he insisted on establishing extracorporeal circulation and then sutured the aorta."
Yuan Qingyao thought about Zhou Congwen's journey from the hotel to the hospital to press the aorta, and then insisted on establishing an extracorporeal circulation...
I have never seen the extracorporeal circulation of emergency surgery before, and this is really an extremely awesome emergency rescue.
"Brother Zhou, your waist was fine at that time." Yuan Qingyao asked.
Zhou Congwen was stunned, then lowered his voice and smiled, "I'm almost exhausted. Think about it, I bent down and pressed the aorta until my boss and the hospital established an extracorporeal circulation, at least 2 hours."
"sharp."
The two chatted while observing the patient's vital signs.
After two hours of blood gas analysis, all the patient's indicators were normal, and Zhou Congwen decided to extubate the tube.
The patient was extubated for 4 hours and a painkiller was given, which made the patient fall asleep.
Yuan Qingyao carefully recorded all the values. Zhou Congwen looked at Yuan Qingyao seriously and heard that when he had a system plug-in.
Chapter completed!