Excellent hand and heart doctor

Chapter 627 is not within the scope of consideration (for subscription)

At 09:30 on Tuesday morning, Lin Jie walked into the operating room. Zeng Yang, Gao Yanhong, the two attending doctors, and the anesthetist Xing Yue were all ready.

Xing Yue first reported: "Expert Lin, the patient also had a preoperative examination of the fetus in the abdomen, and there was no new abnormality. The anesthesia test also found no allergies or other rejection reactions, and the operation can be performed."

Lin Jie nodded slightly, and said, "Dr. Xing, this surgery has worked hard for you."

Xing Yue is nearly 50 years old this year. He is a senior anesthesiologist at the affiliated hospital, and was specially invited by Lin Jie to escort the operation.

In surgery, there is a saying that "the surgeon takes care of the disease, and the anesthesiologist takes care of the life".

For a major operation, the surgeon and the anesthesiologist will work together to ensure the smooth progress of the operation.

Their division of labor is different, each has its own emphasis.

Before the operation, the anesthetist needs to evaluate the patient's physical condition, such as disease history, operation history and drug history, etc., determine the anesthesia plan, perform an anesthesia test on the patient, and perform the last preoperative physical examination.

Whether the patient can finally undergo surgery is the final decision made by the anesthetist.

During the operation, the anesthetist should use various instruments to continuously monitor the patient's vital signs, such as electrocardiogram, blood pressure, pulse, blood oxygen saturation, etc., so that the surgeon can only concentrate on the operation.

Once hypotension, massive bleeding and other accidents occur during the operation, the anesthesiologist should quickly replenish blood volume, provide sufficient oxygen supply, maintain stable circulation and respiratory function while the surgeon actively stops the bleeding, so as to ensure that the patient can safely pass through the operation.

The anesthetist who is responsible for monitoring the patient's vital signs has the right to stop the operation at any time when the patient's data is found to be abnormal.

Therefore, it is said in the industry that the job of an anesthesiologist is to ensure that the patient can leave the operating room alive.

Anesthesia is both a technology and an art, and becoming an excellent anesthesiologist is not an easy task.

After anesthesia, the patient's requirement is "no pain", and the surgeon's requirement is "muscle relaxation". A smooth and successful operation must first have a good anesthesia basis.

This requires that the anesthesia drugs should be given just right.

The control of the dosage of this medicine requires long-term study and accumulation of experience.

The dosage of anesthesia often needs to be calculated according to body weight, and the dosage should be considered comprehensively in combination with factors such as the age of the patient, the function of important organs, and the depth of surgical stimulation.

However, this is not as simple as a uniform and fixed dose.

For patients with a history of heart disease, severe bronchitis, asthma, liver cirrhosis, obesity, hypoglycemia, hypotension, alcoholism, infants, elderly and other diseases, individualized drug administration is required, which depends on the accumulation of experience .

Moreover, individual differences in people vary widely, and tolerance to anesthetics is also different.

The anesthetist also needs to observe the patient's physiological characteristics while administering the drug during the operation, and increase or decrease the amount of anesthetic as appropriate!

The operation that Lin Jie is going to perform today is a high-risk pregnant woman, and the fetus is only six months old. It is quite a test for the anesthesia work.

In order to avoid accidents as much as possible, Lin Jie personally invited Xing Yue to participate in this operation, to ensure that Ge Qiuzhi could wake up after the operation.

Xing Yue smiled lightly, and said politely: "It is also my honor to be able to work with Expert Lin."

"I've heard from Dr. Wang and Dr. Fu in our anesthesiology department that working with you, Expert Lin, is the most relaxing thing, and it can even be said to be enjoyable."

"It's not like some doctors, who make some accidents from time to time, which makes people worry."

Lin Jie just smiled lightly, not paying attention to this little flattery.

However, anesthesiologists work with many doctors in the hospital, and it can be said that they are the group that knows the surgeon's ability best.

If you want to know which surgeon in the hospital has the best surgical skills and which doctor is best at performing certain operations, it is most appropriate to ask an anesthesiologist.

Lin Jie came to the operating table and said to Ge Qiuzhi who was still awake: "Doctor Ge, you can sleep peacefully, after you wake up, all worries will be gone."

Ge Qiuzhi looked into Lin Jie's eyes and said softly, "Expert Lin, I leave everything to you."

Lin Jie motioned to Xing Yue, and he took an inhalation anesthesia mask and put it over Ge Qiuzhi's mouth and nose.

A few seconds later, Ge Qiuzhi fell into a coma.

Xing Yue began to adjust the amount of anesthesia drip.

Two or three minutes later, he performed a small test on Ge Qiuzhi, glanced at the various monitoring data, and said, "Expert Lin, the operation can begin."

As soon as Lin Jie stretched out his hand, he took the scalpel from the nurse, and cut it down under Ge Qiuzhi's swollen belly...

Two to three minutes later, Lin Jie took out a baby the size of a palm from Ge Qiuzhi's womb.

On the chest of this fetus, there was a swelling the size of a ping-pong ball visible to the naked eye.

Connected to the umbilical cord, Lin Jie put the fetus in a special sink next to Ge Qiuzhi's inner thigh.

This tank is filled with artificial amniotic fluid circulating at a constant temperature, which just covers half of the fetal body.

This sink is Lin Jie's carefully prepared operating table for the fetus.

He tried his best to simulate an environment similar to the mother's womb, so that the fetus could maintain its maximum comfort.

After Lin Jie fixed the fetus's head and limbs with straps, Xing Yue began to connect some monitoring instruments to the fetus and perform anesthesia injections.

This is the first time that Xing Yue has given such a small baby anesthesia.

For such a small baby, although the nerve development is not yet complete, and the pain perception is slow, but what needs to be done is thoracotomy to take out the parasitic fetus, as well as major operations such as heart repair, anesthesia is necessary.

He also searched for information in the past two days before deciding on the final anesthesia plan.

The anesthetic was injected into the fragile baby's body through the tiny infusion tube and the umbilical cord. Xing Yue kept staring at the data changes on the monitor, not letting go of even a small value change.

After several main values ​​gradually stabilized, Xing Yue breathed a sigh of relief, and said slowly: "Expert Lin, you can start..."

There were only three people waiting outside the operating room.

Yan Yuesi, Ge Qiuzhi's younger brother, a generous-looking man with glasses, and An Kexin.

Yan Yuesi, who stopped and walked, looked at the clock hanging on the wall, and murmured: "At this time, the fetus should be taken out, and the chest is ready to be opened..."

She turned to look at An Kexin, who seemed to be working with a laptop, frowned, and said, "Mr. An, although you have signed a work agreement with Qiuzhi, it doesn't mean that I will definitely join Anlin Hospital."

"It all depends on the final result of this operation and how much you agree to my conditions."

After An Kexin looked up at her, she continued to stare at the computer screen and said, "Doctor Yan, you are overthinking, you are no longer in our consideration."

"If you want to stay and work in Binhai, I suggest you contact Tongren Hospital and Limin Hospital."

Yan Yuesi was startled, holding back her anger and said, "Mr. An, are you playing hard to get?"

"I'm telling you, I don't lack a family!"

"It's not impossible for me to come to a special hospital like Binhai University Affiliated Hospital."

An Kexin closed the laptop, stood up, looked into Yan Yuesi's eyes, and said, "What I told you is the truth, but I didn't mean to trick you."

"Lin Jie told me clearly that you do not meet the introduction standards of Anlin Hospital."

"You understand that Lin Jie is the soul of Anlin Hospital, and his decision is the final decision of Anlin Hospital."

She couldn't hold back her anger any longer, and questioned, "I don't meet the standards? What are you kidding? My strength in obstetrics and gynecology, let alone the top five in the country, definitely has my place in the top ten."

"I don't even meet the standards? How high-level doctors do you want to introduce to Anlin Hospital?"

An Kexin looked at Yan Yuesi whose anger had increased by [-], and suddenly felt that Lin Jie's decision was wise.

She stroked a few strands of hair that ran mischievously to her forehead, and said calmly: "The hospital mainly recruits young and middle-aged doctors. It depends not only on their current level, but also on their development potential."

"As for you, Doctor Yan, Lin Jie's evaluation is..."

Having cut off the possibility of recruiting this person, An Kexin said bluntly, "Although he is talented, he is conceited and has poor emotional control. He belongs to the chicken head type of talent."

"If you come to Anlin Hospital, without the privileges and superhuman status bestowed by your unit, and facing colleagues who are not much worse than yourself and have great potential for development, you may lose your emotional balance."

"I can only be a chicken head?"

Yan Yuesi's chest heaved in anger at these words, hehe sneered and said, "Even if it's a chicken head, I'm also a chicken head from a well-known tertiary hospital in the whole province? Lin Jie doesn't even think so much of me."

"I don't know, what is the development goal of Anlin Hospital? In your introduction to Anlin Hospital, it seems that the planned number of beds is less than [-]?"

She said mockingly: "Isn't this not even up to the standards of the top three hospitals?"

An Kexin said calmly: "The goal of Anlin Hospital is not a third-class hospital, nor a special-grade hospital."

"Our goal……"

She said proudly: "Our goal is to make Anlin Hospital an internationally renowned hospital and medical research institution."

"That's all", Yan Yuesi subconsciously felt that An Kexin's bullshit was blown to the sky.

She couldn't help teasing: "I don't deny that Lin Jie's medical skills are superb, but he wants to develop Anlin Hospital to such a degree alone, are you living in a dream?"

"Of course it won't be Lin Jie alone!"

An Kexin said confidently: "Jie Lin will personally teach a group of people to achieve this goal together. Therefore, we have very high requirements for the future plasticity of the introduced talents."

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(End of this chapter)