1706 Getting to the bottom of it
“Boss, aren’t you being a little too serious?” Su Yun asked.
“Mm …” Zheng Ren’s mind was filled with countless scenarios, and he only intentionally or unintentionally dragged out a long reply to Su Yun’s question.
And then there was no more.
Su Yun felt helpless as well, but Zheng Ren had no choice but to think about this small matter.
Su Yun saw that the patient was fine, so she went to chat with the nurse at the ICU. Zheng Ren had always found it strange that he had so much to say to strangers.
If it were him, he would definitely say a few words in embarrassment and not even know what to say for the third sentence.
However, Su Yun was chatting happily with the two nurses from the ICU, and the girls were smiling brightly. Was this considered a benefit?
At that time, Department Director Qian of Haicheng City first People’s Hospital had even argued with Department Director pan over the matter of Su Yun going to the emergency department.
However, old Department Director pan was an expert when it came to being unreasonable. Chief Qian was simply not enough.
As long as Su Yun was around, the nursing team would not be disbanded. When Zheng Ren thought about the conclusion that old Department Director pan had given him, he also felt that it was ridiculous.
“Boss Zheng, is there any possibility of you being suspicious? I’ll check it out immediately. ” The chief resident of ICU asked.
“No need for now, I’ll think about it.” Zheng Ren stood in front of the hospital bed and did not look at Su Yun. Instead, he started to recall the process of his treatment the day before.
He was not the one receiving the treatment, but he had rushed over when he received a call saying that there was a patient with an emergency pelvic fracture.
When she entered the operating room, she saw …
Wait a minute!
Zheng Ren was stunned. What he was thinking about just now suddenly became clear.
It was a problem with the anesthesia!
He inserted an anesthetic tube into the patient’s esophagus. When he entered the room, he saw that the patient’s stomach was slightly swollen, and cyanosis had begun to appear in his limbs.
Right!
It must be like this.
After general anesthesia, the smooth muscles of the gastrointestinal tract were relaxed. At this time, a large amount of gas pressure caused the stomach to expand extremely, and some small intestines had similar symptoms.
The high tension made the gastrointestinal wall thinner. At a microscopic angle, the endoctotic gap widened, and the permeability strengthened, leading to liquid oozing out.
Seroperitosis was actually the same as seroperitosis in serious intestinal obstruction, but there was no infectious factor.
Therefore, the liquid drawn out of the guide bag was a light yellow color, without any sediment or blood oozing out.
When Zheng Ren thought of this, he immediately picked up his phone and made a hand gesture. He found a slightly quieter corner and called old he.
“Old he, it’s me.” Zheng Ren said.
“Boss Zheng, is there an emergency?” Old he’s voice was filled with excitement.
“No, I didn ‘t,” “Let me ask you something. Have you ever made a tube insertion mistake and inserted the tube into the esophagus?” Zheng Ren asked.
The person on the other end of the phone immediately became serious.
On this topic, Zheng Ren could almost hear old he’s heartbeat accelerating over the phone.
“Boss Zheng, please wait a moment. I’ll find a quiet place to talk to you.” Old he’s voice became cautious.
Zheng Ren did not know whether to laugh or cry. He knew that old he must have misunderstood.
However, he was too lazy to explain to old he. He could not wait long anyway.
After a few seconds, old he’s voice was heard.
“Boss Zheng, was it you who had an accident in the emergency department?” Old he asked in a low voice.
“No.” Zheng Ren replied with a smile.
The person on the other end of the phone heaved a sigh of relief.
“In the early morning the day before yesterday, the General Surgery Department received an emergency patient. When I rushed over, I just happened to see the patient’s stomach bulging. After that, I used a firestraint tracheostomy tube to perform a firestraint. The operation was completed, and the patient was recovering well. I’m currently seeing the patient at the ICU. ” Zheng Ren explained.
“You scared me to death.” Old he said.
“I want to ask you, have you ever seen such a patient?”
“Boss Zheng, this is one of the biggest medical mishaps in the Department of Anesthesiology. It’s the same as waking up during an operation due to an operation error.” “It’s more serious than that,”old he said. I’ve encountered them a few times, but I’ve managed to save them. “
“Did you follow up on the postoperative conditions of these patients?” Zheng Ren asked.
“No, but I can ask in the group. They are all experienced anesthetists in the country.” Old he said.
“Can you help me ask if they have seen a large amount of pale yellow liquid being drained out of the abdominal cavity after surgery?” Zheng Ren said.
“Alright!” Old he responded.
Zheng Ren hung up the phone and saw that there were more and more young ladies around Su Yun. The chief resident’s expression was starting to turn ugly.
This really affected her work. Was what he said about wearing two layers of masks true? Zheng Ren thought about it carefully and felt that it was ridiculous.
This guy was not serious at all.
“Boss Zheng, are you consulting with your teacher?” The chief resident of the ICU asked with a smile after Zheng Ren finished his call.
At boss Zheng’s age, it would only make sense if he had a particularly powerful teacher.
“Er …” Zheng Ren smiled and returned to the head of the bed to look at the patient’s Guide bag.
The pale yellow guiding liquid was very clear, with some turbid things occasionally, but not much. Zheng Ren recalled the process of the surgery and calculated the amount of drainage in his heart. He was more and more convinced of his judgment.
When the chief resident saw that Zheng Ren did not say anything, he thought to himself that his teacher might have already passed away. This was a sad matter, so he should not expose boss Zheng’s scars.
Ten minutes later, old he called.
“Boss Zheng, someone has seen it before. He said that there will be a moderate amount of oozing liquid after the surgery.” Old he said,”I’ll send you the chat history now. Your judgment is correct.”
Zheng Ren took a look at the chat history. The anesthetist had said a lot. It seemed that this patient had left a deep impression on him.
It was a patient with a knife wound. When they realized that the needle had been inserted wrongly, they immediately gave him mouth – to – mouth resuscitation and re – inserted the tube with a firbotomy tube.
The anesthetist was worried that the patient would have symptoms of brain fatigue, so he followed the patient for three days after the operation.
He still had a fresh memory of postoperative drainage.
Light yellow drainage liquid, 500 to 1000ml, reduced gradually every day. There were no symptoms of cerebral hypoxia in the later stage. He was no longer concerned when he was transferred out of the ICU.
What the anesthetist said was the same as what Zheng Ren saw. Zheng Ren laughed.
This was how one’s clinical skills could be improved bit by bit.
This time, he didn’t have any experience and thought for half an hour. However, if he encountered it again in the future, he would no longer be troubled by the high traffic flow.
“Su Yun, let’s go.” Zheng Ren stood up and called out to Su Yun.
“You understand?”
“Yes, it should be. The drainage volume will be about 200ml tomorrow. It will decrease in turn, and it will get better soon. ” Zheng Ren said with certainty.
Su Yun raised her eyebrows, but there were too many people here, so she couldn’t ask for more details.
After informing the nurses, Su Yun followed Zheng Ren and left the ICU.
……
After old he completed the task given to him by Zheng Ren, he felt that something was amiss. He checked the surgical record.
That night, it was Chui Zhiying’s shift. Old he pondered for a moment and ran to the operating room to find him.
……
……
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