"Before that, you performed pericardiocentesis. All the signs are very similar to common cardiac tamponade. I think you performed the puncture based on the judgment of the patient's condition."
"It's not very important that pressure changes cause small left ventricular damage." Zheng Rendao, "It's just bad luck that we encountered this rare situation. Director Lang, don't be too depressed."
Zheng Ren comforted him repeatedly.
Director Lang was in a depressed mood. It was no longer necessary to look at him. He seemed to be surrounded by a black aura and a black line on his forehead.
“All your subsequent treatment measures are rooted in experience, and they are correct in my opinion.” Zheng Rendao, “If you encounter this situation during surgery, I believe that most people will choose pericardiocentesis and IABP. "
"Yeah." Director Lang nodded. He didn't really care about Boss Zheng's words, and his mind was a little wandering.
"Boss Zheng, to what extent can the patient's cardiac function recover after surgery?" Director Zhang Lin asked.
"Extensive anterior wall myocardial infarction, take your time and look at it, long-term observation is needed." Zheng Ren said vaguely.
"Boss, Director Zhang is asking whether the chest can be closed in five days and whether the patient can be discharged from the hospital in one week." Su Yun took off his sterile gloves and walked over and said.
"It should be fine," Zheng Ren said. "The chest can be closed once the myocardial edema subsides. As long as there are no complications of chest tightness and chest pain, it will be fine to be discharged."
"Director Lang, don't worry."
"I'm not worried, Boss Zheng, Director Zhang." Director Lang bowed slightly, bowed politely, and said, "Excuse me, please."
Next it was Che Lulu's turn to talk, and Zheng Ren didn't bother to say anything. It was already time to go to work, and he was going to change clothes and then go back to shift, ward rounds, and surgery. The most important thing is to continue to simulate surgery!
Not to mention anything else, after you learn how to operate it, the task will reward you with 500 experience points, which is almost 40% of your current energy level. This is a huge improvement.
"That's it, I'm going to change clothes first," Zheng Ren said.
"Okay, Boss Zheng." Director Lang said, "I'm going to take a look at the patient's family."
"Director Lang, the family members of the new patients are quite agitated. How about I call the security office first?" Director Zhang Lin said.
Director Lang shook his head and sighed, "It's okay."
"The patient's family almost took action just now. Don't be careless." Director Zhang Lin saw that Director Lang was not in a good state and comforted her: "Director Lang, Boss Zheng has already told me about the patient's condition. Don't be depressed. It will get better."
"Yes." Director Lang looked languid, reluctantly cheering up, and smiled at Director Zhang Lin.
Zheng Ren was just about to walk through the passage in the operating room to change clothes upstairs. When Director Lang said this, he suddenly felt something in his heart and stopped.
If the patient goes out well, the patient's family may be less angry. As long as people are alive and spend less money, there is nothing that cannot be solved.
However, the patient delayed chest closure, which was a big problem. Although the patient's family could not see the large hole in the delayed chest closure, they could not look directly at the heart. This kind of scene is absolutely unacceptable to ordinary people.
Even so, after the operation, the patient is directly intubated and sent to the ICU. The patient does not know whether he is alive or dead, and his mood swings may be extremely severe.
And just now I saw that the patient's family members were already showing signs of emotional outburst. Director Lang's little body must not be broken by others.
"Director Lang, why are you so sad?" Su Yun asked, "Someone in the family doesn't understand. This is not the first time, and it will definitely not be the last time. You look like an old doctor, why are you so shitty? Can’t get through big storms?”
Although what Su Yun said was a bit harsh, it was also true.
As medical staff, especially doctors, work longer and longer hours in clinical practice, their responsibilities become more and more important, and it is impossible for them to avoid accidents.
Even if your mind is thinner than the tip of a needle and you prevent all known risks, there are definitely more unknowns than known ones.
The older the director, the more he has a way to resolve disputes. Otherwise, he would have resigned early and would not have survived into his fifties or sixties.
Some people use the method of touching people with affection. From the time the patient is admitted to the hospital, they get along with each other like a family member. Even if something goes wrong, or even if there is a mistake in diagnosis and treatment, the patient and the patient's family will think that he has done his best.
This kind of doctor is the best at preventing problems before they happen. But the disadvantage is that the technical level of such people is generally only average. After all, communication takes a lot of time.
And... There are various ways to solve the problem. If it doesn't work, just give up and let the medical office resolve the dispute. Even if you are scolded for being a bully in the end, things will eventually pass.
Director Lang seems to be in his fifties and should be an experienced doctor. Why is his psychological quality so poor
Zheng Ren stopped, looked at Director Lang's somewhat red system panel, sighed softly, and said, "Director Lang, are you ready to quit?"
"..." Su Yun and Director Zhang Lin were both startled.
Quit? Hasn't the matter been resolved? Even if the chest closure is delayed, as long as the patient is fine and discharged well, there will be room for maneuver.
Director Lang nodded in confusion. He didn't know how the little boss Zheng knew what he was thinking.
"I took a look when I was changing clothes in the locker room. Your skin disease is very serious." Zheng Ren said, "Our 912 dermatology department is pretty good. It can be treated with Chinese and Western medicine. Although I don't know whether it will be cured, it will always be cured." Gotta give it a try.”
"Radiation dermatitis?" Su Yun asked, "That doesn't mean I'll quit."
Zheng Ren patted Director Lang on the shoulder, smiled and said, "It's okay."
"Well, Boss Zheng, Professor Su, Director Zhang, to be honest with you." Director Lang said, "I will resign after preparing this matter. A hospital in the south asked me to do outpatient services."
Zheng Ren sighed, do you want to persuade him? It seems that this is not necessary.
How to choose between outpatient service and surgery? Everyone has a weighing scale in mind. If the income is about the same, it is definitely better to go to the outpatient clinic than to wear lead clothing, eat threads and perform surgery.
It seems that Director Lang must have been struggling with this matter for a long time. Today, the patient with inexplicable pericardial tamponade and the patient's family members were the last straw, which directly crushed his mentality.
"I really can't do it anymore." Director Lang said with a wry smile, "I was one of the first doctors to do interventional surgery at home. I originally thought that when I was fifty, I would be able to sit in the operating room and watch the surgery. Who could have imagined? One by one, one was poached by the South. I am already fifty-two years old, and I had more than ten operations performed today."
"I've been standing in the lead suit until now, and I really can't hold on any longer." Director Lang's voice was a little rough, as cold as the cold wind outside the window tired of snowflakes.