The road to the rise of great doctors

Chapter 114: The happiest thing is to work to relieve other people’s pain
The next day, Liu Dong returned to the general surgery ward of the hospital early.

He first went to the room where Wang Rong was. This was the hyperparathyroidism patient who had experienced setbacks but was still very optimistic. He was ready to continue today and was about to receive surgical treatment.

As soon as Liu Dong walked in, Wang Rong noticed his arrival and acted very happy.She was about to undergo surgery, although her expression seemed calm and a little nonchalant.However, seeing the familiar Dr. Liu Dong, my anxiety was somewhat relieved.

She sat up from the bed and said, "Dr. Liu, were you there when I did the surgery? You said that I have had so many surgeries, so I said I wasn't nervous, but when the matter comes, especially if this problem can be solved It is possible that there will be less trouble in the future, but in my heart, I am still worried about gains and losses."

Wang Rong frowned, and her husband stretched her brows with his hands and advised her, "We have all gone through this, and the pain will be over soon. You should be happy. Why are you still anxious?"

Then he turned to Liu Dong and said, "Doctor Liu, she didn't sleep well last night. She still asked the nurse for a pill to help her fall asleep, and then she fell asleep. She is still like a child at such an old age."

Liu Dong looked at the two people in front of him. The man loved face and showed off like this in front of his wife. He probably complained again after he left for a while, but it wasn't really a complaint, it was just a release of emotions.Liu Dong said in a deep voice: "Everyone who undergoes an operation will be anxious, some are afraid of pain, and some are dizzy from needles. This is not surprising. Wang Rong, you have experienced surgery and you know that you should sleep after anesthesia. Then you wake up after the operation is completed. Just cooperate. I also told your husband about the situation after the operation yesterday. We all have a response plan, so don’t worry. Today I will check your body temperature, blood pressure and recent The test results are all okay, just wait. If you need anything, ask the nurse to call me."

"Well, thank you Dr. Liu." Wang Rong said with a grateful face, and then looked at her husband, "We have met a good doctor. Director Wang has found the cause of the disease over the years, and Dr. Liu is so enthusiastic and reliable. Thank you so much." As he said this, he felt like crying.

Liu Dong seemed to have evacuated cleanly.

Then, he visited other patients in his group.These patients and family members are very familiar with his arrival and are somewhat enthusiastic.

This is not only due to Liu Dong’s lectures and introductions as soon as the patient is admitted to the hospital, but also to his consistent habit of conducting two rounds of ward rounds every day during working days, with a fixed time and relatively sufficient time to spend with patients and family members. Excellent communication - answering questions and solving doubts, so that new and old patients quickly adapted to his method.Even if some new patients are not familiar with his "rules", the warm introduction from the old patients will make the new patients aware of it.This round of ward rounds in the morning was fast-paced, without too much pleasantries and nonsense.

operating room.

The air is fresh and everything you see is either white or green, which is refreshing.

Chief Physician Wang Jian, Doctor Zhao Gang and Liu Dong have all arrived in the operating room.

The anesthesiologist is preparing drugs and necessary materials but has not come in yet.The circulating nurse goes to the door of the operating room and waits for the nurse in the ward to send the patient to complete the handover.The instrument nurse prepares instruments and dressings.Everyone is busy.

Chief Physician Wang Jian watched the film again, and when he had nothing to do, he began to take the medical record, sign it, and teach Zhao Gang and Liu Dong the instructions.

From diagnosis to treatment of this disease, what should we pay attention to and what should we focus on.

Hyperparathyroidism is a rare disease, and most cases are delayed diagnosis. Wang Rong is a typical example, but it is also a rare example.

Due to long-term large-scale secretion of parathyroid hormone, abnormal elevation of blood calcium can occur.When blood calcium continues to rise, there is a certain chance of hypercalcium crisis, sometimes called parathyroid crisis or parathyroid poisoning, which is a life-threatening emergency.Generally speaking, when blood calcium is above 3.75 mmol/L, patients will have abnormal symptoms of oliguria, anuria, coma and even cardiac arrest, and the mortality rate is high.Therefore, the initial stage of treatment is to lower blood calcium and control blood calcium within the normal range.Hypocalcemia is sometimes accompanied by hypomagnesemia, which also needs to be corrected at the same time.In addition, urine output and heart rate also need to be monitored, evaluated, and controlled to normal levels or close to normal levels!
After the preparation is completed, the surgery can be performed.Today, on the premise that the admission diagnosis is clear and these abnormalities have been controlled before the operation, the surgery is scheduled within a limited time.

The patient came in.

"What's your name?"

"Wang Rong."

"What disease? What kind of surgery?"

"Hyperparathyroidism, do this surgery."

When the nurse is at the border, he or she will check the hospital number, name, surgery method, which side and other information.Anesthesiologists and surgeons will also check before performing operations.This is all to ensure the safety of medical operations. The existence of these systems is to protect the correct implementation of medical operations and the safety of patients.

"Are you Director Wang, Dr. Liu?" Wang Rong looked at so many doctors in the operating room, all wearing masks, hats, and green hand wash clothes.When I felt a little nervous, I shouted out.

Her expression was a little flustered and her face was very pale.

"Ms. Wang, I am Liu Dong, and this is Director Wang." After hearing Wang Rong's words, Liu Dong stood up and comforted her.

Hearing Liu Dong's voice, Wang Rong was shocked and his expression recovered.

She got out of the transport wheelchair and lay on her back on the operating table.

The anesthesiologist talked to her, and then performed general anesthesia, providing oxygen through a mask, and intubating the trachea, all in one go.

Then, Zhao Gang and Liu Dong put a cushion under her shoulders so that her neck could be stretched out and there would be more room for operation during the operation.Chief physician Wang Jian, as the chief surgeon, began to mark the surgical incisions with a marker.Liu Dong was the first to wash his hands and prepare to disinfect the patients.

He picked up the prepared disinfection bowl, centered on the marked surgical incision, and gradually disinfected the surrounding area. After 2 or 3 times, he worked with the nurse to complete the draping.

Then after disinfecting his hands again, he came back and put on surgical gown and went on stage.At this time, Director Wang and Dr. Zhao Gang had already started the operation together.

The surgical incision was selected in the lower third of the neck, and an arc-shaped incision about 4 cm long was made along the direction of the skin lines.The skin, subcutaneous tissue, platysma muscle, and deep fascia in front of the thyroid are sequentially incised, and the sternohyoid muscle and sternothyroid muscle are freed. The thyroid gland is suspended and tracted with silk sutures, the middle and inferior thyroid veins are ligated, and the thyroid gland is pulled upward and upward. Toward the midline to expose the parathyroid glands
(End of this chapter)