856 Morning News
After an accident, ICU was busy for another half an hour.
As the dead patient was sent away after finishing the body cooking, the icu finally calmed down.
Zhou Congwen looked at Yuan Qingyao who was sitting on the side sleeping enviously. He was so messy just now that this guy actually slept so sweetly, and he had no idea what was going on. It was really enviable.
He should be thrown into the emergency department for training, Zhou Congwen thought enviously.
Time passed, at 2:30 in the morning, Yuan Qingyao's time was set, so he got up to replace Zhou Congwen.
The next morning, Zhou Congwen became a little more energetic after a few hours.
"Brother Zhou, I'll go and make breakfast, what are you eating?"
"Drink porridge." Zhou Congwen said, "You calculate how many people IICU people, don't miss it."
"I know." Yuan Qingyao narrowed his eyes while wearing a mask and gave Zhou Congwen a smile.
"By the way, bring another morning report back."
"Ah? Brother Zhou, do you still like to watch this?"
"Didn't you see the old man's bedside table putting morning newspapers on his bedside table during the rounds? I guess he has developed a habit of reading newspapers every day." Zhou Congwen asked.
Yuan Qingyao scratched his head.
"The ward is so boring, and it's good to read newspapers, so it won't be too busy watching us eat." Zhou Congwen said.
"Okay Brother Zhou."
Yuan Qingyao turned around and left, savoring what Zhou Congwengang said in his heart.
This is a detail, but not a technical detail, but a kind of observation and consideration that is deeply rooted in the bone marrow.
I just had a heart bridge yesterday. Can I get up to read the newspaper in less than 24 hours?
After breakfast, it was already 7:30 in the morning.
Zhou Congwen and Yuan Qingyao sorted out the patient's vital signs last night, the 24-hour inlet and exit amount, urine volume, drainage fluid, various test results, urgent examination of the results this morning and other trivial matters.
The boss has to ask about these things, but it doesn’t work at all. The boss is unhappy, and Zhou Congwen is very clear about it.
More than ten minutes later, Mr. Huang walked in.
"Boss." Zhou Congwen stood up immediately and ran to his boss in a row.
“It’s going to be stable.”
"I didn't call you, it must be stable." Zhou Congwen said with a smile, but he felt a little relieved.
If the patient is scared after all, what would I say early in the morning?
Although it can be dealt with, it has nothing to do with me, how should I report this condition?
The course of the disease was written - at 1:12 am, the intensive care unit was "haunted", causing the patient's condition to worsen...
"I took a look at the record sheet and the laboratory tests that happened early this morning." Huang Lao said lightly.
Yuan Qingyao handed the sorted order to Mr. Huang immediately.
Mr. Huang was not in a hurry and walked to the patient's bed with the list. He saw the patient sitting half-sitting against the head of the bed, wearing reading glasses and smiling at him.
And there was a morning newspaper in front of him.
"Good morning, I'm up and read the newspaper." Mr. Huang said hello as if he asked if he had eaten.
At this moment, it was not like being in the intensive care unit, but like being in the breakfast shop downstairs of home, full of human fireworks.
"Professor Huang...Director..." the patient said stutteringly. He didn't know what to call Mr. Huang.
"Call Dr. Huang or Dr. Huang." Huang said with a smile, "How do you feel?"
"Nothing happens, how can you recover so quickly?"
"Where are you breathing?"
The patient took a deep breath, "It's okay."
Mr. Huang took out a stethoscope and gave the patient auscultation.
Both the respiratory and heart sounds of both lungs are a little better than expected.
Mr. Huang then looked at various data, "Change the dressing, remove the pericardial drainage, and return to the ordinary ward."
Zhou Congwen smiled and was very happy.
"What are you doing today?" asked Mr. Huang.
“There are 12 surgeries today.”
"I'll take a look, it's all thoracoscopy."
"What I prepared today are wedge-cutting nodules. I plan to start doing single-hole laminoscopes from today. And if it is not necessary, there will be no drainage."
Deng Ming held his hands in vain and looked at his cheap junior brother.
So radical?
What can I do with the next closed chest drainage? At worst, I can just unplug tomorrow.
Moreover, closed drainage can prevent the emergence of pneumothorax and cause the patient's critical state. At least the doctor on duty will feel relieved.
But Zhou Congwen didn't even want to stop the closed-term drainage.
"Well, thoracic surgery should also have a closed drainage procedure." Huang Laoyouyou said, "You can't be anxious next step. The acceptance of patients and doctors is limited. What era should do what era do."
"I know, boss." Zhou Congwen knew that this was a heart-breaking sentence.
Doing things is not about doing the right thing, but about this era.
In fact, Zhou Congwen was not in a hurry in the day ward, so it was at least after 2005.
Now, it is enough to be shocking to avoid closed drainage, and all the doctors under his jurisdiction must recognize this and get used to it.
"Boss, are you doing the surgery?"
"I'm not going up anymore, what's the best thing to do with wedge cutting?" Huang Lao said, "How much is the single hole surgery?"
"First time." Zhou Congwendao.
"Then I'll stand down and watch."
After saying that, Mr. Huang bowed his hands and slowly left the ichi.
Deng Ming looked back at Zhou Congwen and went out with the boss.
Zhou Congwen and Yuan Qingyao changed the dressings to the patient.
The patient's chest incision is not large, and there is very little pericardial drainage, so the drainage is pulled out by the way. However, the incision in which the large saphenous vein is taken from the leg is the longest, but it does not affect anything.
After changing the medicine, Zhou Congwen helped the patient get off the bed.
Not only the patient was a little dazed, but even the medical staff in the intensive care unit looked at this scene with inexplicably surprised eyes.
Coronary artery bypass surgery!
The patient had coronary artery bypass surgery!
Even if the operation is successful, it is normal to use a ventilator for 1-3 days to reduce the cardiopulmonary load.
But the patient who was Huang Lao and Zhou Congwen went down the next day...
The gap between the surgical results is so big that even the "informed" medical staff in the intensive care unit cannot believe it.
"Don't worry, the sutures on the legs will not break." Zhou Congwen held the patient's chest vial in one hand and comforted the patient.
"I'll go by myself?" the patient asked.
"Yes." Zhou Congwen said, "It's nothing more, just walk out by yourself."
It is still in 2003, and the postoperative philosophy is not good, and Zhou Congwen is very clear about this.
More than ten or twenty years later, it has become the norm for patients with major surgery to do rehabilitation exercises 24-48 hours after surgery.
However, now, I wish I could hold the patient in my palm and not even let the patient get out of bed without even urinating or defecating.
In fact, many patients with postoperative thrombosis are lying out.
The patient took a tentative step forward, as if nothing was wrong. He felt that his steps were stronger and more stable than before the operation.
"Is it okay?" Zhou Congwen asked with a smile.
"It's pretty good, why do I feel like I can run away?"
"That won't work. Now you can go to the bathroom by yourself at most."
Zhou Congwen and the patient were having a casual chat, and suddenly a voice came.
"Why did you get into the ground?"
...
...
Note: The morning newspaper is the first patient who is in charge of heart bypass. I brought him a 3-day morning newspaper to souvenir.
Chapter completed!