"During my internship, I was assigned to the gastroscope room to give people painless gastroscope anesthesia. In fact, it was very simple. Diluted propofol was injected into the patient''s blood vessels, one for ordinary people and two for fat people."


    We all know the most basic anesthesia.


    "I was young and energetic at that time. I followed the anesthesiologist in the operating room on duty at night. I went up to help with any operation. I went back to the gastroenteroscope room for painless anesthesia during the day. At that time, teacher Zhou trusted me and let go. He just sat and watched. If there was something wrong, teacher Zhou reminded me."


    "In retrospect, I was really young and courageous at that time. No matter how many times we have done medical treatment, we should be careful. I also learned a lot during my internship."


    Everyone listened carefully to teacher Wu''s gossip and was curious. In terms of genius, no one can say that he is better than Mr. Wu; But at his age, speaking of experience, he really can''t compare with other directors.


    "One day there was an accident in the operating room next door."


    "It was an elderly male patient, 62 years old, who had smoked for 30 years. So the anesthesiologist explained to him that smoking would make his throat more sensitive than normal people and prone to complications. The patient said he was afraid of pain and must do painless. The teacher next door told him the risk and asked him to sign."


    "Everyone is an expert. Smoking is not an absolute contraindication to painless gastroscopy. Moreover, the amount of smoking in patients is very small and their body is very strong. It is not a contraindication."


    "Mr. Ou next door gave him a propofol, and then the patient had upper respiratory tract obstruction. Laryngeal spasm... Now I don''t think it''s anything, but I went to have a look and was stunned."


    It is well known that mild laryngeal spasm can be manifested as slight inspiratory wheezing, and severe cases can have complete upper respiratory tract obstruction. Laryngeal spasm is also one of the complications of anesthesia. If it is not handled properly, it will cause serious consequences.


    When they heard Mr. Wu frankly say that he was scared and stupid, they smiled.


    An intern, a patient with laryngeal spasm must be at a loss. In particular, small anesthesiologists who have just come into contact with the clinic and have successfully done anesthesia in several, more than ten or dozens of cases are bound to be scared and stupid when they don''t know the clinical risk.


    Mr. Wu said so, citing the example of his own experience, and did not shy away from what he was stupid at that time. His affinity immediately jumped up + 1 and + 1.


    "Mr. Ou immediately stopped injecting medicine and shouted to my teacher for help while buttoning up his mask and lifting his upper jaw."


    "Just at the time of rescue, the patient''s family heard the sound in the endoscope room outside. They saw the rescue along the crack of the door. They were in a hurry."


    "At that time, the doors were not as big as they are now, and they were not tightly closed. After all, the sterility requirements of the endoscope room were not high, and Xiehe had not been rebuilt in those years, so it was very old."


    "The family is in a hurry. They keep kicking the door and want to rush in."


    "I have nothing on hand. I can''t help with the rescue, so I found an iron pipe to fasten the door."


    "Every time the patient''s family kicked the door, the door rang, and my heart jumped to my throat." Wu Mian said and sighed, "Directors and presidents, don''t laugh. I was really young at that time. I don''t know what to do once the patient''s family rushed in."


    Wu Mian is telling the truth. In that case, no one knows what to do, even if they are old clinical doctors who have seen similar things countless times.


    The patient''s family members are emotional, which is inevitable. No matter who it was, the family was lying in the operating room. Suddenly, one superior doctor hurried in to participate in the rescue. They were very flustered.


    If the patient''s immediate family members still have some remaining sense, after all, in their view, the patient''s life is more important. Even if they complain and file a lawsuit, it is a matter after the rescue is successful or failed.


    What I fear most at this time is the presence of people who are not immediate relatives of the patient.


    In order to highlight their importance, they behave more like relatives than their immediate relatives, and they will never be soft when kicking the door.


    It''s like... Kicking the widow''s door.


    No man in the family goes out with a knife to "reason", so it''s hard to bully?


    It''s hard for Mr. Wu. When an intern has to face this kind of thing, everyone thinks of it.


    "Later, the patient was rescued successfully, and the gastroscope was not done. I observed the patient''s condition in the lounge." Wu Mian continued, "I didn''t go. I carefully observed the patient by the bed and wondered what was going on."


    "Miss Wu, why don''t you go?" Gao Boxiang asked.


    "I recall that patients with laryngeal spasm may have 17 rare complications, each of which is confirmed by the patient''s situation. I have to be careful when I encounter similar patients in the future."


    “……”


    Everyone concluded.


    What''s more, Mr. Wu has a thick skin about his experience. Now the directors of the Department of anesthesiology in front of me pick up and ask what complications may be caused by laryngeal spasm. I''m afraid they can''t find 17 possibilities that may induce laryngeal spasm by turning the book.


    Mr. Wu knew this when he was at school.


    No one asked what the complications were. Just now Mr. Wu said that this rare case could be 12345 for half an hour. Once you talk about laryngospasm, you can''t talk about tomorrow morning?


    Ren Haitao wants to ask, but he hasn''t opened his mouth yet.


    Wu Mian then said, "when the patient''s family saw me wearing white clothes and chatting with others, they said - they asked my father to sign the consent form before, saying that smoking history would be dangerous. How could my uncle be okay last time when he smoked and did painless gastroscopy? The consent form clearly thought of something to shirk responsibility!"


    "I was very uncomfortable when I heard it." Wu Mian said with a sigh. "I understand the psychology of the patient''s family members. I can''t accept if my father had an accident in it. But it''s not predictable in advance. It''s all a matter of probability."


    "What happened later? Mr. Wu, you don''t think studying medicine is boring." Gao Boxiang asked.


    "No, I was with the patient that day, so it was impossible that there were only 17 possible inducing factors. I didn''t rest the next day and began to turn the book to look for all kinds of rare situations of anesthesia, including... Lao Ren, the patient with silent lung I saw in bajingzi traditional Chinese medicine hospital before."


    Ren Haitao nodded repeatedly, and the bottle of aerosol like flying fairy appeared in his mind.


    "So, when I say experienced, I don''t mean how many special patients I really met, but that similar situations have been rehearsed many times." Wu Mian said with a smile. "I guess Lao Ren has thought about it and accumulated more. In that case, he subconsciously thinks there is a problem, but he can''t tell what the problem is."


    Ren Haitao was surprised to hear Wu Mian say so.


    Mr. Wu is not only high-level, but also stable as an old dog. This is a real doctor!