Start as an Emergency Physician

"Textbook Editorial Board?"

Zhou Yuan remembered that the previous double lung transplant was sent to the editorial board by Dean Fang as a teaching material.

It's just that there hasn't been much news this month.

Dean Fang nodded: "The editorial board attaches great importance to this operation, and it is very likely that it will really be selected into the next edition of the textbook." "

"Ph.D. textbooks?"

Dean Fang guessed Zhou Yuan's thoughts, and said: "The new textbooks will not be your turn, the textbooks of the university are changed every few years or ten years, and when your double lung transplantation is selected into the textbooks, you may have children." "

Zhou Yuan sighed.

Dean Fang smiled and said, "After the textbook editorial committee said that I would like to confirm some details of the operation with you, some of your operations are not mentioned in the current textbook, and you need to explain professionally." "

Zhou Yuan nodded.

It does need to be explained.

For example, why is connective tissue used for bronchial anastomosis, and why is the lung transplanted directly after the right lung is completed, and the right lung is used to support the breathing activity, and the left lung is transplanted at the same time.

These are not just textbooks, which contain the experience of master-level double lung transplantation.

If it is a normal operation, it may take a talented doctor decades and thousands of surgeries to acquire these skills.

Zhou Yuan hesitated for a moment and said, "I don't have much time... I'm busy with surgery. "

The doctors in the anorectal department and urology department have been asking Zhou Yuan to go to their side for a few surgeries recently.

I heard that the chief physician of the anorectal department also had some problems because he had been sitting in the clinic for a long time, and his own skills were good, but he couldn't do it himself...

And the hand surgery side is also busy, and I sometimes go there for surgery.

Really speaking, among the busiest people in the entire hospital, Zhou Yuan has one.

Dean Fang was stunned for a moment and said, "Since that's the case... Then I'll contact the textbook editorial board and ask them to come to you. "

Zhou Yuan nodded.

It's a good solution.

Dean Fang was a little helpless, and said, "You are also the first doctor to ask the experts of the Textbook Editing Committee to come to the door... None of the others are looking forward to their own surgery being taught in the textbook!"

Dean Fang can be sure that it is impossible for the textbook editorial committee to let go of this double lung transplant, and Zhou Yuan's face will really be big at that time.

"Dean Fang, is there anything else?" Zhou Yuan asked.

Dean Fang shook his head: "No, but... Isn't it Sunday, why do you go to work? I specially checked your duty schedule, and you are on vacation today. "

Zhou Yuan was stunned.

"I was on duty for the day this morning, why didn't anyone come to remind me..."

"You put Director Liu's sitting class on duty. Ren took a leave of absence today. Dean Fang glanced at the schedule and said.

Zhou Yuan: ...

"Dean, do I get paid for half a day?"

Dean Fang smiled: "No"

Zhou Yuan: ...

With a sad heart, Zhou Yuan left the dean's office.

Yesterday night, I drank a bottle of energy potion and experimented with mice all night, only to forget that the next day was Sunday...

One of the disadvantages of the energy potion is that because it can keep Zhou Yuan's energy in the best condition, it feels like the day before after the all-nighter...

Back in the dormitory, Zhou Yuan fed the three mice some potato chips and prepared to go out to see the house.

Before I could go out, I heard a knock on the door.

Lu Chenxi and Chu Chu stood at the door, and the two stared at Zhou Yuan with curious expressions.

"Zhou Yuan, what are you doing in the morning, Chu Chu and I have been looking for you for most of the day. Lu Chenxi said.

Chu Chu said: "I must be going to see the house! My brother said that I am going to see the house today!"

Lu Chenxi furrowed her eyebrows and looked at Zhou Yuan, "You went to see the house in the morning?"

Zhou Yuan didn't want to tell the truth, "That's right." "

The corners of Lu Chenxi's mouth hooked up a smile: "How did I hear the little nurses say, I saw you this morning, and you still gave someone else Director Liu a shift?"

Zhou Yuan's face changed: "Colleagues, care about each other. "

"Did you forget?"

With that, Lu Chenxi took Chu Chu into the house.

Speaking of Director Liu, she has recently completed the bone marrow matching with her daughter. "

"Is it done? When will the surgery begin?"

Zhou Yuan has mastered the master-level hematopoietic stem cell transplantation, although the difficulty of this operation is not very high, and many doctors in the hospital can do it, but... It's really hard to find a master.

If possible, Zhou Yuan would like to help Director Liu and her daughter have a bone marrow transplant.

"One-time total body irradiation is already underway. "

Zhou Yuan was stunned: "So fast?"

Before hematopoietic stem cell transplantation, patients receive high-dose chemotherapy and radiotherapy and immunosuppressive pretreatment to remove tumor cells and abnormal clonal cells in the body and block the pathogenesis. This is to remove the bad cells from the body.

After that, the donor's hematopoietic stem cells can be transplanted to the patient to re-establish normal hematopoiesis and immune systems.

These chemotherapy or radiation treatments kill the bad cells as well as the patient's own hematopoietic stem cells, during which time the patient has little immune capacity and requires strict sterile care.

The specific steps are:

Ten days before the surgery, you start taking the medicine to sterilize the intestines.

Eight days before the operation, a haircut is performed, and after a medicated bath, a sterile room is entered, and a sterile diet is started.

An indwelling intravenous catheter is placed seven days before surgery, and six to three days before surgery, during which intensive chemotherapy is administered, along with water infusion, intravenous sodium bicarbonate, and oral allopurinol until the day of bone marrow infusion.

Finally, a one-time total body irradiation is given the day before surgery.

Director Liu's daughter has reached the final step, and tomorrow is the time for a bone marrow transplant.

"What kind of transplant are they doing?"

"The most commonly used peripheral blood stem cell transplantation. Lu Chenxi said.

"Zhou Yuan, you say, what would Director Liu and her family think, she is forty or fifty years old, and her husband has lived with her for a year or two, but she suddenly knew that Director Liu was pregnant when she was in college and gave birth to a child..."

Zhou Yuan shook his head: "Don't worry about other people's family affairs. "

After changing his shoes, Zhou Yuan walked to the door, "I went out to see the house, do you want to stay in my dormitory?"

Lu Chenxi stood up, "Let's go together." "

Zhou Yuan hesitated for a moment and said, "You are with me, and you are still with Chu Chu, which is easy to misunderstand." "

Lu Chenxi looked at Zhou Yuan and said, "What is the misunderstanding, misunderstanding that we are husband and wife, and we also gave birth to a cute little girl?"

Zhou Yuan nodded.

Lu Chenxi pushed Zhou Yuan and said, "I'm not afraid, what are you afraid of as a big man, go." "_

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