Chapter 208 Fake Anesthesiologist

A curious test for Dr. Ji. Xu Ze pursed his lips in disdain, and muttered to himself: "Is it necessary? You are the teaching teacher, or the deputy director. Do you have to make fun of us all the time?"

But muttering is still just muttering after all, he wouldn't just say this out for fun, so he had to go forward and give the patient a detailed physical examination from head to toe.

Xu Ze has figured it out now, and feels that there is no taboo. If he is asked to pretend that he knows nothing, he will not pretend. Anyway, there is nothing too taboo for him in this hospital now. Since he is going to come here now If he is an intern in another department, he will inevitably go to other departments, and he may meet an acquaintance at some point and be exposed.

So, now he doesn't care. Anyway, most of these classmates know that he used to work in the clinic, and many people know that he is good at medicine. No one will find it strange to show off a little here.

As for Teacher Ji, Dr. Ji, in front of him, Xu Ze didn't even bother to care about his feelings. If you tell me to do it, I will just do it... Let you also experience our methods, so as to save you from being ineffective in teaching us in front of us.

Seeing Xu Ze's skillful technique and neat movements, almost following the most standard technique, the deputy chief physician Ji Xueping's eyes widened even more, and she looked at the student in front of her in surprise, She couldn't understand why there was such a big gap between people.

This group of students must be in the same class, but why is the kid in front of him so neat before he has taught himself anything, while the other students look like idiots, and then look at the kid in front of him as if it is a matter of course.

"When I first came to work, I'm afraid I couldn't compare to this kid in front of me... Why is there such a big gap between people... Unless this kid has done this before..." Dr. Ji's mind was full of mixed thoughts, But after thinking about it, I feel wrong. Although the kid in front of me looks more mature than his students, he is only 21 or 2 at most, and he is currently in his senior year. Could it be possible that he can work in the hospital as a sophomore and junior? ? This is impossible.

So although Dr. Ji was full of astonishment, he could only be amazed. Seeing Xu Ze's skillful technique, he saved himself trouble, praised Xu Ze's technique from the sidelines, and at the same time followed Xu Ze's technique , to teach other students how to perform physical examinations on patients as well.

Seeing Dr. Ji's behavior, Xu Ze couldn't help showing a hint of contempt in his eyes. How could he be so lazy even as the deputy chief physician. No wonder it keeps grabbing me to do things...

Xu Ze angrily finished the whole set of physical examinations, Dr. Ji also finished the explanation smoothly at this time, nodded and smiled at Xu Ze: "Xu Ze, you are a very good team leader, much better than us back then... "

Although my heart is not angry,

But facing his teacher, Xu Ze still pretended to be submissive, nodded modestly and said with a smile, "Mr. Ji is a big compliment..."

The curious Dr. Ji was about to ask Xu Ze how he was so familiar with these things, when suddenly he heard a voice from the radio: "Dr. Ji... Please go to the emergency room, please go to the emergency room..."

Hearing the voice on the radio, Dr. Ji's face turned pale, and he hurriedly said to Xu Ze: "Xu Ze... you take them to the office for a while, I'll come over later..."

Xu Ze naturally heard the voice on the radio, and naturally knew what Dr. Ji was going to do, so he nodded immediately. After Dr. Ji trotted out, he took everyone in his team to sit in the office and waited. Doctor Ji is back.

The dozen or so members of Xu Ze's team, both male and female, and all of them are classmates, sat in the office and didn't feel bored. Everyone was laughing and chatting, discussing the new things that came to the hospital for the past few days.

Everyone has lived a fresh and comfortable life these past few days. They used to stay at the school every day, but now they have changed places and went to the hospital to experience something new. Naturally, it is very fresh.

I heard the students talking about the University of Starry One, discussing the various benefits of the First School of Starry University, and some people thought that it would be great if they could come to work here in the future.

Xu Ze sat on the chair and yawned very boringly. If it was him a year ago, maybe now he would be like these classmates, feeling excited and fresh to be an intern in the hospital.

But for him now, his field of vision is completely different from that of these students. What is new in the eyes of these students is already familiar to him, but now he has to listen to these students again. Things are easy to explain, so I feel extremely boring.

Seeing the excitement of the students talking, Xu Ze smiled. Feeling a little stuffy in the office, he walked out of the office by himself and took a stroll outside.

The ward of the Department of Respiratory Medicine was already fully occupied at this time. Xu Ze wandered around the corridor and found it extremely boring, but slowly but inadvertently walked to the front of the emergency room.

Seeing Dr. Ji Xueping guiding the doctors and nurses to rescue several patients with a serious face inside, Xu Ze became interested and leaned against the door to watch.

As the chief resident physician who is second only to the department director, he has great powers and responsibilities in the department, especially when rescuing patients. If the director is not present, then she is the highest ranking physician, and she will direct the rescue work.

Looking at the several patients in the emergency room who were being rescued at the same time, Xu Ze couldn't help frowning. There were several patients who needed to be rescued. It seemed that these patients should have a collective disease caused by a certain reason.

But now the situation inside is not very good. There are four or five patients, but now only Dr. Ji Xueping and another doctor are there. As for the nurses, there are four or five, but they are also very busy.

At this time, Dr. Ji was frowning tightly inside, and while rescuing a patient, he asked the nurse beside him angrily: "What's the matter, is there anyone from the anesthesiology department... these patients need to have a tracheotomy , how are we so busy..."

The nurse was yelled at by Dr. Ji, but her face was shocked, and she hurriedly said: "Dr. Ji, I'll make another phone call to ask..."

The nurse quickly took out her mobile phone and made a call. After talking to the other side for a few words, she hung up the phone, looked at Dr. Ji with embarrassment, and said, "Dr. Ji...the anesthesiology department is also very busy now. I have to wait..."

"Wait a little longer..." Dr. Ji nearly gritted his teeth when he heard this, and snorted angrily, "Wait a little longer. They will come to collect the corpse..."

Xu Ze looked at Ji Xueping's angry and flustered appearance from the outside, and looked at the patients on the bed, and sighed involuntarily, but the love began to overflow again.

"Originally it was none of my business, but human life is at stake..." He took out the hat and mask in his pocket, put it on for himself, then sighed softly, and walked towards the emergency room calmly.

Walking into a patient's bed, Xu Ze glanced at the patient who was obviously having difficulty breathing, and even his face was turning cyanotic. Then, he said in a low voice to the nurse who was frantically administering oxygen to the patient, "Give me the tracheostomy kit..."

Hearing this voice, the nurse was overjoyed, then looked at Xu Ze with dissatisfaction and said, "Why didn't you even bring your bag when you came here..."

"We're too busy. I rushed over just after finishing one below. I don't have time to go back to get the bag..." Seeing that the nurse really thought she was from the anesthesiology department, Xu Ze hurriedly said with a smile.

The nurse didn't hesitate now, and quickly took out a tracheotomy kit from a side cabinet and handed it to Xu Ze, then snorted, "Fortunately, we are in the Department of Respiratory Medicine, and other departments may not have so many spare kits." ..."

Xu Ze smiled, but he didn't say anything more. Now Dr. Ji Xueping is next to another patient. If she finds out that it is him, then he will never have the chance to save others by himself. If this patient It would be a pity if something went wrong because of a delay.

Immediately, he took the tracheotomy package, conveniently landed on the treatment table beside him and opened it, and then began to perform tracheotomy on the patient.

Xu Ze stretched out his hand to grab the patient who was about to suffocate, pulled his shoulders up, then grabbed a pillow at the head of the bed and placed it under the patient's shoulders, letting the patient's head fall back, exposing the trachea in the neck. Then he said to the nurse, "Help me fix his head!"

"Okay..." Hearing Xu Ze's words, the nurse didn't dare to be negligent, and quickly stretched out her hand to hold the patient's head, preventing him from moving freely, so that he could wait for Xu Ze to do it.

Seeing that the patient's head had been fixed, Xu Ze didn't dare to be negligent. After opening all the tracheotomy bags, he folded two more lidocaine, opened them and put them aside for later use.

After neatly putting on the sterile gloves, Xu Ze picked up the tweezers in the tracheotomy bag, clamped the complexed iodine cotton ball inside, quickly sterilized the patient's neck trachea, and then carefully spread the sterile towel. Ready to start surgery.

At this time, Dr. Ji Xueping, who was at the bedside, was relieved to see that the patient who had no one to take care of had finally had a tracheotomy. Otherwise, if something happened to this patient, he would have to make a fuss with their anesthesiology department tomorrow.

Although he breathed a sigh of relief, Dr. Ji still operated on the patient himself, while explaining to Xu Ze: "These patients all suffered from tracheal burns, which is a bit more troublesome. Be careful when you incision." .”

Hearing Dr. Ji's words, Xu Ze didn't dare to answer. He just lowered his head and nodded in response, fearing that Dr. Ji would see his flaws.

Immediately, he took a syringe in his bag and carefully extracted a few milliliters of lidocaine from the lidocaine bottle next to him, then Xu Ze began to anesthetize the patient before the operation.

Xu Ze carefully infiltrated the patient with 2% lidocaine along the upper middle of the neck from the lower border of the thyroid cartilage to the suprasternal fossa.

He is very familiar with this, after all, these are all done in the virtual space and have gone through many virtual internships, so it is naturally not a problem to do it.

The so-called tracheal burns, of course, would not have any effect on him. In the virtual space, most of the tracheotomy patients he performed were war wounds. Naturally, there were many tracheal burns, so it can be said that he is very familiar with it.

Holding a scalpel, gently use a straight incision to incise the skin and subcutaneous tissue along the anterior midline of the neck from the lower edge of the thyroid cartilage to close to the suprasternal fossa.

After the skin and the cut tissue had been successfully cut open under his scalpel, small streams of blood began to flow out along the wound. Xu Ze picked up a small piece of gauze in the bag and gently wiped off the blood, and then carefully separated the sternohyoid and sternothyroid muscles along the midline with vascular forceps to expose the thyroid isthmus.

Seeing that Xu Ze successfully peeled off the patient's neck skin with just a few simple strokes, exposing the milky white trachea inside, the nurse next to him who fixed the patient's head couldn't help but look at Xu Ze a few more times.

Just now, she could see that Xu Ze was very young from the upper half of Xu Ze's face that was not covered by the mask. She was a little worried about Xu Ze at first, so she thought to herself: "Why did the anesthesiology department send such young doctors out? For patients with burns, it is difficult to perform tracheotomy, and if it is not done well, it will be troublesome."

But now seeing Xu Ze's neat technique, which seemed to be slower than Dr. Ji Xueping's, exposing the patient's trachea, he felt relieved in admiration.

Xu Ze took out two pull hooks, gently hooked one side, and then said to the nurse, "Pull one for me..."

As a nurse in the Department of Respiratory Medicine, he is naturally familiar with this kind of assisting work, so he immediately freed up a hand, and then carefully took the hook, so as not to let himself touch Xu Ze's hand with sterile gloves, and then lightly Pull gently.

It's just that she can only free one hand now, and she can't pull both hooks at all, but now she looks up and looks behind, wanting to find someone to help pull another hook.

But after she looked around, she was disappointed. The other nurses behind her were all assisting Dr. Ji Xueping and other doctors on duty, and there was no one who could help her. She could only look at Xu Ze and said helplessly: " Don't wait any longer..."

"No need...just pull the other side!" Xu Ze raised his eyebrows and said. Originally, these two retractors were indeed pulled by an assistant, but now they are not, and Xu Ze can't wait any longer. If the operation is not completed as soon as possible, the patient may die of suffocation at any time.

Seeing that the nurse had already pulled the other hook, Xu Ze also grabbed the other hook with his left hand, and said to the nurse, "Pull it!"

"Ah... don't you really need someone else?" Seeing that Xu Ze stretched out his left hand to hold the other side, leaving only his right hand for the operation, the nurse couldn't help asking in amazement.

Xu Ze shook his head lightly, and then said: "No need, if we wait any longer, this patient won't need to be treated..."

Hearing Xu Ze's affirmative words, the nurse knew the meaning of Xu Ze's words. If he didn't continue to do it now, the patient wouldn't be able to wait that long, so he could only nod his head now, watching Xu Ze's movements, and hoped that Xu Ze could rely on a little help. It is good to finish it with one hand.

After all, although this operation is somewhat difficult, if it is some very good anesthesiologists, it can still be completed smoothly.

After the two people cooperated to pull the hooks well, the force of the two retractors was even, so that the surgical field was always kept on the midline, Xu Ze stretched out his right hand to touch the cricoid cartilage and trachea, and after confirming that the trachea was kept in the middle position, the formal operation began. Let's do it.

After determining the specific position of the trachea, Xu Ze pulled the hook with his left hand and held the scalpel behind his right hand. From the 2nd to 4th tracheal rings, he carefully opened the 2 tracheal rings from bottom to top with a sharp blade.

Seeing that the two trachea were incised, and the air was poured into the patient's trachea along the gap, Xu Ze still frowned. Some difficulties.

Now I picked up the scalpel, but I swung the knife neatly to cut off part of the cartilage ring on the front wall of the trachea, which made the incision of the trachea much larger and the infusion of air was much more.

Seeing Xu Ze easily and neatly open and expand the patient's trachea with just a knife in one hand, and even cut off part of the cartilage, without using his left hand at all, the pretty eyes of the nurse who was assisting beside him couldn't help but Zhang Da got up, looking at Xu Ze's movements full of admiration.

It was the first time she had seen someone who could remove the cricoid cartilage so easily with only one hand, and the cut was just right, neither too much nor too little.

Xu Ze didn't care so much at this time, so he reached out and put down the scalpel and the retractor, then took out a curved forceps from the surgical bag to open the trachea incision, and then took out a trachea cuff with a tube core of suitable size Insert the tracheal cannula along the tracheal incision that I removed myself.

After the endotracheal cannula was inserted, I took out the core of the endotracheal cannula, put it into the inner tube, and pulled the sputum suction device on the bed tray. After testing that the suction was normal, I sucked up the secretions in the endotracheal cannula and found that there was no obvious bleeding in the trachea. , I was relieved.

Then reach out and pull up the strap on the tracheal tube to tie it to the patient's neck, and tie it into a knot to fix it firmly. Finally, a piece of open gauze is placed between the wound and the cannula.

After finishing all this, Xu Ze was relieved to see that the patient had been intubated through the trachea of ​​the neck and successfully inhaled some air from the outside world, so that the hypoxic cyanosis on his face was obviously relieved.

The operation has been successfully completed. Xu Ze looked at Dr. Ji Xueping who was opposite, and he had also successfully completed the operation on her patient. He didn't dare to stay any longer. Finding out that you are nothing more than a fake is another problem.

Immediately, he took off his gloves, explained to the nurse twice, and planned to turn around and leave, but just as he turned around, he suddenly heard a person striding in from the door.

The man ran in panting, and then asked loudly, "Where is the patient? Which patient needs a tracheotomy... But it drove me to death. I answered the phone and finished one, and I ran over!"

——— Tiannan wishes everyone a happy Mid-Autumn Festival and a happy family—————