It was a surgery many years ago: Dr. W was just a junior anesthesiologist. Therefore, only the role of a good young doctor can be played.
Although young, he still did not give in to key issues.
During the anesthesia intubation phase of the operation, he found that the patient's throat was not normal. Based on the knowledge he had, he thought that this mass, which seemed to bleed easily when touched, should not be a good thing.
So he immediately asked the surgeon who was holding his arm in the corner of the wall and waiting for the anesthesia to be completed to see the patient's throat.
The surgeon said with that look: What's wrong? Can't plug the tube? Hurry up and call your director over!"
Dr. W said: This thing in the pear-shaped nest is not like a good thing, so come and see it.
With a look of reluctance, the surgeon looked inwards along the angle of the laryngoscope.
Soon, the surgeon's face changed. He whispered: Don't be anesthetized, wait for the director to come.
The anesthetics have been pushed forward, the patient has no breathing, can you say stop and stop? Dr. W muttered in his heart.
On the hand, he did not stop moving. Dodging the red, lumpy mass that seemed to bleed at the touch of a touch, he inserted the tracheal catheter.
The chief surgeon soon came in. Instead of the cows in the past, they hurried to the patient's head. Try to look into the patient's mouth, how does that work? So, turning to Dr. W, he said, "Help me pick up my tongue, and I'll look at my throat."
When the laryngoscope went in, he immediately noticed the problem.
Immediately, he asked the doctor to call the family in.
Usually, it is not allowed to call the patient's family into the operating room, unless there is a major situation of last resort.
After the patient's family members changed their clothes, they came to the operating room.
At first, the family thought it was gone. His own patients lay motionless on the operating table, who is not afraid.
After everyone comforted her not to be nervous, the chief of surgery explained to her: During the implementation of anesthesia, we found a lump, considering ...
In short, it means that the surgical plan has to be changed. The lymph node removal biopsy that was decided before going to power is not working and may require laryngeal tumor surgery. Whether it is malignant or not also needs to be determined according to the pathological situation during surgery.
The sudden change has overwhelmed the family. Standing there, he nodded vigorously in agreement.
Subsequently, the surgeon asked the family to add a signature.
After the operation, the chief of surgery finally spoke. With a smile on his face, he said to Dr. W: Thanks to you today, otherwise there might be a real problem.
Although he said it lightly, Dr. W knew the consequences of the incident. However, at this time, everyone can only tacitly agree.
In the small talk that followed, the surgeon general asked Dr. W a little puzzled: Are you so familiar with anatomy?
Dr. W said, "It's just that you think we're only anesthetizing." In fact, when we go to school, we must first complete many courses such as internal and external gynecology and pediatrics, anatomy, physiology, and biochemistry before we can learn the professional content of anesthesia.
The surgeon listened, remained silent, and continued the operation. Perhaps, they also only think of anesthesiology when they encounter problems.
Afterwards, it was learned that this was another acquaintance who came to see the patient. Because they are acquaintances, the surgeon avoids preoperative laryngoscopy. I thought: As soon as the postoperative pathology comes out, I can figure out the nature of the tumor in the neck that seems to have a good degree of motion. Unexpectedly, almost a big problem.
In the years since, with the joint efforts of everyone, the vast majority of surgeons have learned the importance of mutual support with the department of anesthesiology.
【Warm tips】Point to pay attention, here is a lot of professional medical science, for you to decipher those things about surgical anesthesia ~