Beijing Anzhen Hospital Anesthesia Center Wang Jianyu
I have several hobbies, reading professional materials, listening to books, watching football, and occasionally playing football with neighbors. In fact, before entering medical school, the biggest dream is to do football commentary or be a team doctor, so that you can sit on the bench to watch the national security team game, that place to watch the ball, the view is wide, close to the stadium, the most important point - no matter how rich you are, the seats in that place can not buy tickets.
Later, into the hospital to work, the professional team doctor is not able to be, professional football commentary is also impossible, occasionally play a "pro evolution soccer game" at home, turn off the sound, their own over the commentary addiction also have to worry about disturbing the people.
But I like to compare a lot of things with football games, such as in the past to give students a lesson, when talking about the combination of hypertension, I told students that the combination of antihypertensive drugs is actually a different arrangement of the forward line in the football lineup, etc. Students who like football listen to it with relish, friends who have not seen football, listen to the clouds and fog.
In my eyes, in peacetime, there are two places where there is no smoke of war, a football field and an operating table. Today's topic, I have been thinking about it for a long time, maybe it is time to start playing in the league, so, should be a scene, just compare the operation to a football game, it is a bo you guys look at the official Yile.
A patient's surgery is usually composed of surgeons, operating room instrument nurses (commonly known as "nurses on stage" or "brushing hands"), operating room circuit nurses (some hospitals call "offstage nurses"), anesthesia main anesthesia doctors, deputy anesthesia, and more complex surgeries also require extracorporeal circulation perfusion doctors, assistants, instrument and equipment operation engineers, manufacturers and taiwan engineers, laboratory test technicians, hospital equipment supply personnel, logistics support personnel, pharmacists, etc. to form a huge surgical core team of an institution.
The patient of the operation is actually equivalent to the chairman of the board of directors of the football club, because at the beginning, the construction of the team, the selection of people, and the formation of the team are all decided by the chairman. Therefore, as a patient, when you get sick, which hospital to go to, and who to find in the hospital, you need to finalize the composition of the board of directors in continuous communication and decision-making. For the treatment of diseases, doctors and patients are more like teams, working together and watching out for each other.
The formulation of surgical plans and anesthesia plans is equivalent to the technical and tactical design on the football field, requiring players with good reading ability and players with strong implementation of technical and tactical concepts to play. The same is true on the operating table, which requires medical personnel with high reading skills, clear thinking, excellent skills, and professional performance to play.
Soccer lineup: I chose the "442" formation that I prefer.
The forward position - surgical assistant doctor, the reason why he can become a first assistant, is usually the surgeon who has worked the longest on the stage, it is very important that he has rich surgical experience, can cooperate well with the main surgeon, and sometimes even has the ability to complete the operation independently.
Shadow Striker, there was a very vivid metaphor for the player in this position in the last century - "No. 9 and a half". Under the cover of the striker, those who can score points and create opportunities for other teammates belong to the absolute core team. The main surgeon is actually the shadow forward on the operating table, not only echoing the work of the assistant, but also coordinating the overall distribution, independently and steadily completing the key steps of the operation, and also needing to fully communicate with other colleagues to teach the operation and diagnosis and treatment ability of the lower doctors.
Attacking forward: Having a wide range of motion on the pitch, it is necessary to be clear-headed at all times to deliver high-quality passes to the forward players. On the operating table, the instrument nurse, none other than him. To always observe the progress of surgery, understand the surgical operation steps of the main knife and assistant, the operation habits of the main knife and the assistant, know it very well, I have seen a team with tacit understanding, the main knife or assistant reaches out, the instrument nurse knows what instrument to pass, and does not need to talk much at all.
Full-back: The two people with the largest range of motion on the left and right sides of the pitch require physical strength and tenacious style. On the operating table, the itinerant nurse and the second assistant can be mirrored into a chapter. Good itinerant nurses and second assistant doctors often belong to the type of "people who don't talk much", saying "fierce" does not mean attitude, but a tenacious state of work, these two are almost the earliest to the operating room every day, the latest to leave, and sometimes need to help other colleagues check and fill in the gaps.
Defensive forward: Commonly known as the back on the pitch. Characterized by relatively young age, large defensive range, no physical strength, tough and simple style, mainly as the first barrier at the defensive end, frontal interception, chase and interception need to be completed, modern football also requires the best to have certain offensive attributes. The corresponding position I personally think is - paraesthesia or called anesthesia department line. Colleagues in this position, age and seniority relative to the main anesthesia still have a certain gap, but there are many things that need to be completed, such as checking instruments and equipment every day, extracting rescue drugs, preparing anesthesia-related consumables and drugs, monitoring surgical patients, invasive operations, assisting in completing mechanical assisted ventilation, sampling laboratory tests, blood transfusion, postoperative follow-up, analgesia observation and so on. Excellent auxiliary hemp can also be used as a good partner for the main anesthesia, so that the main anesthesia work is very relaxed and worry-free, and it can also coordinate all the communication of the team in the operating room, help other team members to fill in the gaps, and give the patient the greatest sense of security protection.
Centre-back: As the most important core player in the team involved in the defensive system, this position requirement is very high, and it may lead to the team's loss due to the mistake of the centre-back, so the responsibility is heavy. Corresponds to in vitro perfusion doctors, engineers. These two working positions are actually objectively speaking, two roles that are extremely unfamiliar to surgical patients, with few official introductions and not many positive reports. However, for example, for a surgery that requires extracorporeal circulation support, the level of perfusion doctors not only affects the effect of myocardial protection, but also affects the prognosis of patients. Similarly, a surgery that requires the participation of large equipment engineers is also of a high level of precision, whether it is the three-dimensional reconstruction required for vascular intervention, or the electrode implantation required by neurosurgery, or the work of cardiac electrophysiology departments that need to mark potentials, perhaps because the results of the engineer's business level are somewhat happy, and some will fail.
Full-back: The team's full-back requirements are often to be able to participate in the attack and complete the defense, in short, modern football, the requirements for this position are getting higher and higher. Similar to the work of laboratory inspectors and pharmacists. Not only is it required that the profession be good, when necessary, for the interpretation of the test results of some difficult cases, or the principles of drug use specifications for special cases, the teachers of these two professions will also give enough professional personal insights to assist in the intraoperative management of good patients.
Goalkeeper: The only position on the pitch that requires a lower presence, the better. When I was practicing, the coach said: a good goalkeeper, can't fly around, if you fly around, either you are not fully prepared or you are deliberately performing. So there have always been many compliments about goalkeepers: for example, a good goalkeeper is equal to half a team. There are also weak team go-outers. After all, "the front court is picturesque, the back field tofu scum" is something that no one who supports the team wants to see. The master anesthesia doctor is actually the goalkeeper and the main heart bone on our operating table. An excellent master anesthesia doctor will rarely be busy during the operation, because in the case of adequate preparation for the operation, everything is under control, and there is no need to rely on "busy work" to brush the sense of existence. It is precisely because of the excellent anesthesiologist, the surgeon on the operating table, can fully display their surgical talent and talent, the patient is also in the operation of the crisis. So I often say that the words of my master doctor are "the beauty of the operating table is incomprehensible, and the spring breeze is not as good as the stage with you." ”
Zhou Dong of Beijing Sinobo Guoan Club has permanently treasured the "No. 12" team uniform and dedicated it to the majority of fans who support Guoan, calling it the "eternal 12th person". In fact, under the operating table, logistics support personnel, such as our supply room disinfection teacher, the field master who picks up patients, the big sister who sends surgical gowns at the door, and the cleaning sister who cleans the house for us to dry the ground between each operation, they are the "12th person" who supports our operation, without them, there will be no smooth progress of the operation.
Will the surgery really be a football game? Of course not, because it is more difficult than football matches, football games are also allowed to play a home-and-away double round robin, there can be losses and wins in the league, and surgery? It's a race to win because our patients' families are looking forward to a good outcome, because our patients trust us so much, it's a life-and-death responsibility, because we want and believe that we can do the operation. So, we can't afford to lose.
Wang Jianyu, an indigenous post-80s native of Beijing, comes from a medical family background, studied at Peking Union Medical College in China, and now works at the Anesthesia Center of Anzhen Hospital in Beijing.
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