My Medical Skills Give Me Experiences

"Why did you wait until now to find a doctor? You are in a very dangerous situation, and you may lose your life at any time." Doctor Fu was very angry.

Doctors feel very sad every time they see such patients who die due to delay.

"Doctor Lu to push the laryngoscope over."

Doctor Fu ordered with a blank face.

It can be clearly felt that Dr. Lu's status in the operating room is no longer as good as that of Zhou Can.

Everywhere speaks with strength.

Even more so in the operating room.

No matter how good the flattery is, if he is soft as soon as he is on the operating table, he can only be a softie.

Dr. Lu looked like an angry little daughter-in-law. She gave Zhou Can a resentful look, and after finishing the laryngoscope obediently, pushed her over.

"We are now going to do a laryngoscopy for you to see where the fishbone is inserted, how deep it is, and whether there is any suppuration. You must cooperate, understand?"

"Uh-huh!"

The patient nodded repeatedly.

After laying the patient down on the operating table, teach him to open his mouth wide and insert the laryngoscope for examination.

Irritation to the throat is easy to swallow and vomit.

This requires the cooperation of the patient.

Fortunately, this is an adult male, and his endurance is not bad.

Doctor Fu told him to relax, and he relaxed. Cooperate with inspection throughout.

"Oh, this fishbone is very thick! And it's so deep that only a small section is exposed."

After passing the laryngoscopy, Dr. Fu's face was quite serious.

"This can only be tried by pinching it. If it can't be pulled out, it can only be sent to surgery for removal."

Emergency departments have limited surgical capacity.

If this patient is going to undergo an invasive surgery to take the thorn, he must only let the surgical specialist evaluate the surgical plan. Because of the need to operate from the neck, the surgical risk is extremely high.

If the surgeons feel that the risk of surgery is too high after assessment, the patient may not be able to get off the operating table.

Then there is no way to operate.

The patient will most likely die.

It's not that the doctor refuses to save him, but that he can't.

With professional knowledge and experience, doctors can predict that even if an operation is performed, the patient will die on the operating table.

So it is better to let the patient adopt some conservative treatment, maybe there is still a chance of survival.

"Ugh..."

The patient seemed to be aware of the seriousness of his condition, and kept bowing to Dr. Fu and Zhou Can.

Ask the doctor to save him.

He was too anxious and his throat was so swollen that he couldn't even speak.

"Don't worry, we will definitely try our best."

Doctor Fu comforted the patient with a gentle voice.

Stabilize the patient's emotions.

This is why experienced doctors are usually reluctant to tell patients directly when they find out that a patient is terminally ill. Instead, he secretly told his family members.

Because once the patient's emotions break down, it is very unfavorable to the treatment.

Tell a little story.

Once, two patients, A and B, went to the hospital for physical examination at the same time. It turned out that the doctor who was in charge of recording the computer was a sloppy intern. Inverted the results of the two patients.

Patient A thought that what he had this time was likely to be seriously ill, because he occasionally vomited blood.

A look at the test results, it is only mild gastritis.

That's all right.

Just take some medicine.

Patient A lives happily every day, and pays more attention to health after the last scare.

Patient B had no major problems at first, but just felt a little bloated.

Take a look at the test results.

Almost fainted on the spot.

What I got was terminally ill, gastric cancer in the late stage.

Patient B stumbled back home, locked himself in the room and cried for a long time.

The doctor told him that he only had three months to live at most.

After his grief, he began to arrange funeral affairs. Then wait for death to come.

Every day is very depressed, full of fear.

He felt that his health was getting worse and worse, and death seemed to be getting closer.

Until one day, the hospital discovered that the results of patients A and B were entered into the computer incorrectly.

Immediately notify the two patients to re-examine.

As a result, the doctor was surprised to find that patient A, who was originally suffering from cancer, unexpectedly improved dramatically. There are even signs of recovery.

The patient B who was originally only gastritis, because he lived in depression, fear, and sadness every day, gastritis turned into gastric cancer.

Six months later, patient B died of cancer. Patient A's gastric cancer was cured.

This story is a true story that happened in France.

Later, after follow-up visits and investigations of many patients, doctors found that patients who are in a happy mood are more likely to recover. Patients who are depressed are more likely to get worse.

To this day, doctors have attached great importance to the influencing factor of the patient's mood.

After comforting the patient, Dr. Fu began to use the laryngoscope to pull out the fish bone from the patient with tweezers.

once, twice...

After Dr. Fu tried many times, they all ended in failure.

Tired and sweating profusely.

"No, the fishbone is too deep. The part left outside is very short, and it's hard to pull it out deep in the throat." Dr. Fu said helplessly.

Zhou Can has been acting as an assistant by the side.

The laryngoscope clearly displayed the condition of the fishbone on the screen.

Including the process of Dr. Fu pulling out the fishbone.

"Doctor Fu's long pole instrument control seems to be a bit of a dish!"

He only dared to twitch this thought in his heart.

Never dare to show half of the face.

To pull out the fishbone stuck deep in the throat, the grasping technique should be used.

Zhou Can instinctively felt that his third-level grasping technique seemed to be able to pull out this fishbone~www.wuxiax.com~Doctor Fu, can I try it? "

Pulling out this fishbone is dangerous.

Zhou Can can only try his best to fight for it.

Doctor Fu glanced at him, pondered and didn't dare to agree immediately.

"The operation of this kind of long-arm tweezers is very difficult, try using it to pick up the surgical crochet needle!"

Out of trust in Zhou Can's previous excellent performances, Dr. Fu did not immediately refuse.

Instead, I decided to take a look at Zhou Can's grasping skills first.

The corner of Dr. Lu's mouth twitched, revealing an imperceptible sneer.

As a senior doctor, although his medical skills are not very good, he still knows exactly which operations are difficult and which are easy.

Grasping has always been regarded as a director-level medical skill.

It is often used in various high-precision minimally invasive surgeries or major surgeries above grade 3.

To do some high-end minimally invasive techniques, the attending level may be just the beginning, and it is only qualified to be an assistant. The chief surgeon is at least the deputy chief physician.

Grasping is the most basic medical technique of minimally invasive surgery, and it is also the most difficult medical technique to improve.

Zhou Can, a little Gui Peisheng, dared to challenge the director-level grasping technique, it was too arrogant.

Doctor Lu waited to see how he could humiliate himself.

Nurse Liu Xia has cleverly handed Zhou Can a pair of long tweezers.

The arms of this tweezers are more than 25cm, which is more than twice as long as ordinary straight tweezers.

One can imagine the difficulty of manipulating it to pick up a tiny suture needle.

I saw Zhou Can unhurriedly holding the long tweezers to pick up the crochet needles on the plate.

The movements are like flowing clouds and flowing water, and the crochet hook can be easily and firmly clamped.

This is the gripping ability at the resident level.