On Monday morning, when I was preparing to do a very gallbladder surgery, the director suddenly pulled Dr. Liu aside.
Dr. Liu was called by the director like this, and he couldn't help but mutter: Shouldn't it be something?
He was relieved to hear that the director said that he had asked him to temporarily replace Dr. Zhang who went to the emergency department to help.
On that day, Dr. Zhang was in charge of a large gastric incision.
Looking at age 78, it was another major operation, and Dr. Liu immediately increased his attention by several levels.
Indeed, such elderly major surgeries are the most prone to problems. Even the elderly, who exercise all year round, are at higher risk than young people. It's like a car that's been running for years, and although there's nothing wrong with it and the parts fit well, it's a chain reaction as long as it's bad.
Thankfully, the patient did not have any major problems, and Dr. Liu began the preparations before the operation.
After the anesthetic was pumped and the anesthesia machine was running, he began to take oxygen to the patient.
Years of behavioral memories drive him to look at the patient's open mouth.
By having the patient open their mouth, the patient's mouth opening and the condition inside the mouth can be observed to assess the intubation condition.
However, when the patient opened his mouth, Dr. Liu also opened his mouth in surprise. It's just the mask cover, and the people next to him didn't notice this detail change. At this moment, his heart was almost ready to utter a sentence: What a broken tooth! However, in front of the patient, it cannot be said.
In his heart, Dr. Liu quickly thought of countermeasures: pull it off? Tied up with a thin thread?
Some people say: Hit your anesthetic well, wonder what people's teeth do?
Dr. Liu didn't want to care. The problem is that this tooth can fall at any time. Even if the intubation process is lucky enough to escape, it may fall at one point during the operation. Most likely, the bite tube falls off during the patient's gradual awakening after surgery.
Some people say: Drop it!
This is easy to say, and now people can't afford it. In case the patient or family does not understand, it is another doctor-patient conflict. This is not the most critical, falling into the stomach, even the trachea is the most terrible!
There is a saying that "the teeth are out, swallow into the stomach". Most of the people who lose their teeth are young people. However, the stomach of the elderly is not as strong as that of the young. In case of gastrointestinal perforation, no one can afford it.
In addition, Dr. Liu's biggest worry is that if this tooth falls into the trachea, it is called a foreign body in the airway! In case it is not found, on the one hand, it may affect respiratory function, and after surgery, it will basically cause an infection in the lungs. Such an old man may not be able to withstand such a toss.
Turning his head, Dr. Liu saw that the informed consent for anesthesia did not describe too much on his teeth. So he said to the patient: Uncle, your teeth are shaking badly. During the operation, I am not sure that it may fall. In case it falls out, it will be a painless tooth extraction, okay?
This half-joke, the old man is not angry.
I squeezed out a few words: Try not to get rid of it, there are few in front of it.
Obviously, the old man is still a very face-loving person.
Although he "informed" the old master, Dr. Liu was still a little worried: if it fell, it would be bad after all. The key point is, how can you make sure that there are no big problems?
When he was intubated, although he still had the urge to help him pull it out, Dr. Liu resisted. After carefully inserting the tube, he also deliberately let the nurse next to him take a look at it: The teeth are still there, give me proof.
After the operation, the tooth remained "intact" in the boss's mouth.
Perhaps, Uncle will never know the real reason why the doctor paid attention to his tooth.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~