Sleepless Doctor
Chapter 104
When they came to the hotel, they were polite and Wu Mian sat in the center.
Wu Mian was very used to this sitting method. Like the stars holding the moon, everyone took their seats.
"Mr. Wu, your technical level is really high. The patient had intraoperative shock, and my heart was almost broken at that time." Xue said with a smile.
"Burn patients are special. In fact, what I said on the operating table is not complete." Wu Mian nodded and said calmly, "it is not pure septic toxic shock, but a mixture of hemorrhagic shock and septic toxic shock."
"The rehydration of burn escharectomy patients is% of the escharectomy area × 4 times of the blood volume%, the rehydration volume of the patient should be 80% of the blood volume, that is, about 4000ml. I did it slowly because I was worried that the hemorrhagic shock was very heavy and difficult to recover. "
"During the operation, I estimated the operation speed according to the blood loss and did it slowly. It''s not the Olympic Games. I have to grab those minutes," Wu Mian said with a smile.
Estimate the operation speed according to the blood loss
We all understand this sentence, but how to predict, how to control the operation speed, and what will happen during the operation have not been mentioned in any book.
If you sort out what Wu Mian said and write a paper, you should be able to send it to top journals.
"Mr. Wu, if this kind of paper is written, can it be sent to the top journals?" director Li thought and asked directly.
Sitting in the private room of the hotel, everyone is relaxed and speaks casually.
"Well, if I send the lancet, I should ask a few more questions. It is very likely to be published."
"Ah? Don''t you have to study all the published papers? How can you ask questions?" director Li was stunned and asked.
"Because I am one of the chief reviewers of the lancet magazine. When I see this article, I must ask some relevant questions. Otherwise..."
Wu Mian didn''t hear director Li''s next words. In his ears, he burst into tears.
What I think is how to make every effort to publish a paper in the lancet, and teacher Wu Mian... Especially the judges... Not only the judges, but also one of the presiding judges with greater power than the judges.
This gap is simply too big. Director Li immediately looked at Wu Mian with eager eyes. That''s the lancet, one of the top medical journals! Mr. Wu has a loose hand. If he publishes several papers, his position in China will certainly be improved.
Even if they don''t need it, their proud graduate students don''t need it.
The same idea flashed in other people''s hearts.
The lancet... If there is anything more exciting for doctors than money, it must be one of the top SCI journals.
"I know a lot of doctors. I have published numerous articles in top journals, but the operation is very ordinary." Wu Mian said faintly. "There is a professor in Karolinska School of medicine of Stockholm Medical University. He looks very bright just by looking at his resume."
Everyone listened.
"Last year, his doctor performed an operation to remove the plate of humeral fracture."
Er... Such a simple operation, once linked to the Karolinska School of medicine of Stockholm Medical University, gives people a completely different feeling. That''s the place where the Nobel Prize in biology and medicine is evaluated. The professors who can call their names should all be big cattle.
"He won''t have such an operation. But that day he went to see me for an operation. I finished it. His doctors also took out the steel plate, sewed the skin and prepared to step down."
What''s the story? Everyone was curious.
After the operation, the professor of Karolinska School of medicine at Stockholm Medical University seems to have nothing to do with it.
"He happened to pass by and went in to tell the patient that after the last operation, the patient was afraid of pain and the amount of shoulder joint activity was not large enough, resulting in adhesion and affected function." Wu Mian told a story very plainly.
That''s right. Most orthopedic doctors will explain similar problems to patients. The Karolinska School of medicine of Stockholm Medical University may have a special rehabilitation center.
It is understandable that the second hospital of Medical University specially purchased a small community hospital and transformed it into an orthopaedic postoperative rehabilitation center.
"The goods said and went up to teach the patient how to recover." Wu Mian smiled and shook his head, "and then broke the patient''s arm."
"Later? Shoulder dislocation?" President Xue asked curiously.
"No." Wu Mian said, "then there was another humeral fracture. I was 23 meters away from the operating room, and I heard a ''PA'' sound, followed by the scream of the patient."
“……”
The crowd was stunned.
On the operating table, he broke the patient''s arm... What a hatred!
That''s a bone. It''s hard to break a fracture deliberately. After all, people''s joints are the first point of stress. Unless it is a sudden critical damage, it will... It''s wrong. It''s impossible to think about it!
Everyone was crying and laughing. It was the Karolinska School of medicine of Stockholm Medical University, where the Nobel Prize was selected. Such a ridiculous thing happened in the holy hospital. The contrast is so great that everyone doesn''t know how to comment.
Chuzhixi smiled and said, "Professor Ludwig did more than one funny thing."
"Ah? And?"
"Emmm, I think the most outrageous thing is that once he had a joint replacement." Chu Zhixi said with a smile.
In prefectural and municipal hospitals, joint replacement may be a major operation. But if it is changed to Karolinska Medical School of Stockholm Medical University, it should be the most common minor operation. Everyone thinks so.
"When it''s almost finished, we usually hit the bone cement while withdrawing the needle, and then wait a few minutes. After the bone cement is fixed, we can wash and suture." Chu Zhixi said. "I don''t know what Professor Ludwig thinks. He pestles the syringe to the end with a needle and hits all the bone cement at once."
President Xue was stunned.
That''s it?
That''s it!
Isn''t this a fool?
In his imagination, at least bone cement should enter the vein and finally cause rare complications such as pulmonary embolism, which is in line with the identity of the professor.
But there is an example of breaking the humerus above. Professor Chu also said that one needle to the end
Is the Karolinska Medical School of Stockholm Medical University so unreliable? President Xue is in a trance.
"Then, Professor Chu?" Ren Haitao asked curiously.
"Then, the needle was fixed in the bone cement and couldn''t be pulled out." Chu Zhixi smiled as he said.
This kind of thing is so incredible. Even after a long time, it''s still hard to believe that it''s really happening.
……
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Note: the cases of chatting are from the same doctor, shrugging and sighing.