Chapter 2967: 2767 A Cold That Triggered……

2 hours later, the patient woke up from general anesthesia, total urine output about 1950mL, color clear, spontaneous breathing stable, able to open eyes when called, cleared airway and removed laryngeal mask.

Kept under observation for 10 Minute, no obvious abnormality observed.

At this time, the patient's blood pressure was 130～108 mmHg/76～55 mmHg, heart rate 74～89 times/min, blood oxygen saturation 97～100%.

Auscultation: breath sounds clear and symmetrical in both lungs, responsive to call, muscle strength satisfactorily recovered, able to move limbs and lift head as commanded, then sent back to the ward, with strengthened monitoring.

The patient is fine; it's just that he was sent away before even undergoing surgery, and at home there's no way to avoid constant questioning. Director Xu doesn't have to face the patient's family; the trouble is the surgeons' responsibility, and it has nothing to do with him.

He has a meeting because there are other matters.

The anesthesiology department's demonstration room is large, because here several times a year there are on-stage case discussions.

But no matter how large the demonstration room, it cannot accommodate all 912 anesthesiologists.

Director Xu wore a stern face, the projection showed the scene from the Apricot Grove Garden Surgery Live Broadcast Room, and Zheng Lao Ban directed the rescue like a mountain.

The anesthesiologists were tactful, no one dared to speak when Director Xu was in a bad mood; they tiptoed to find seats. Those who came late stood in the corners, and as more people arrived, the later one came, the further forward they had to stand.

Those who arrived late were also helpless; the further forward they stood, the more likely they were to be scolded, but who made their homes far away, causing them to arrive late?

When the time came, Director Xu said in a deep voice, "Roll call!"

……

Many anesthesiologists secretly felt fortunate they had not taken chances; this time Director Xu meant business. Upon entering and seeing the background screen showing the live broadcast of the emergency rescue, those who felt a chill guessed this.

Those absent from roll call certainly won't provoke an immediate outburst from Director Xu, but later there will be all kinds of small shoes to wear.

What's going on? They didn't even dare to ask, and no one dared to whisper when Director Xu was in a bad mood.

After roll call, Director Xu held the list, and through the light and shadow one could faintly see several circles drawn on it, ruthlessly marking those who were absent.

"You Changyou, explain today's matter." Director Xu sat on the stage and said coldly.

As soon as these words were spoken, everyone felt that their already heavy hearts were weighed down by an additional large stone.

You Changyou is a senior team-leading professor in the anesthesiology department; usually Director Xu gives him full respect and does not deliberately suppress him. This shows the demeanor of a veteran chief that Director Xu still possesses, but today… directly addressing Professor You by name, one can imagine what Director Xu intends to do.

"Director Xu…" You Changyou's voice hoarse, he repeatedly reflected: although the anesthesia for the surgery was his responsibility, if such a problem arose, what could he do? It was an accident, an accident!

"Tell me, what's your opinion on this matter?" Director Xu said, suppressing his anger, coldly.

Lao He sat in the seat by the window, quietly watching.

He didn't worry about being implicated himself; Lao You was unlucky this time. Earlier, when sending Zheng Lao Ban's gallbladder cancer patient to the ICU, he saw Director Xu inquiring something of the patient's family, with Zheng Lao Ban and Yun Ge'er standing to the side.

Although he didn't know exactly what was going on, Lao He understood Director Xu's character.

He belongs to the type who, if he doesn't act, does nothing; but once he decides to act, he leaves people speechless. Director Xu basically doesn't bother with trivial matters; those are the head nurse's usual nagging duties.

Lao He was curious; seeing You Changyou haltingly recount the patient's condition, he furtively took out his phone set to silent and sent a message to Su Yun.

【Yun Ge'er, what exactly is the matter with Lao You's patient?】

Less than 3 seconds later, Su Yun's reply arrived.

【The patient had a cold 12 hours before surgery; the anesthesiologist failed to ask about it.】

……

Lao He immediately understood what had happened; such incidents aren't common, Lao You probably had a student examine the patient, and this time Director Xu caught him red‑handed, but it's terrible.

Just after clarifying the matter, Director Xu's case history slammed into You Changyou's head with a "pa" sound, and white papers scattered everywhere.

You Changyou stared for a moment; is Director Xu slapping himself in front of everyone?

"Did you know the patient had a cold before surgery?" Director Xu gave him no time to think, roaring in a low voice.

……

You Changyou stared.

"You still have the face to say you examined the patient before surgery? Who examined the patient! Do you have any sense of responsibility! Why did you go see the patient before surgery! What should you pay attention to!" Director Xu fired off these questions in rapid succession, "pa pa pa".

Watching the dazed You Changyou, Lao He put away his phone; he had no time to marvel at how fast Yun Ge'er replied on WeChat, only a feeling of "rabbit dies, fox grieves" lingering in his heart.

Usually it's the anesthesiologist's assistant who checks the patient; this has become an unwritten rule. Although Director Xu has said many times in big and small meetings that the team‑leading anesthesiologist should go see the patient, the back‑and‑forth trips usually involve nothing, so over time everyone grew lax.

If it weren't for the fact that he frequently administers anesthesia to Zheng Lao Ban's patients, Lao He wouldn't dare be the slightest bit negligent, and he probably wouldn't personally go check the patient each time.

"Even if the pre‑anesthesia evaluation didn't detect a difficult airway, one cannot rule out its occurrence, and an unexpected difficult airway is even more hazardous after general anesthesia induction!" Director Xu said, "Do you know about this or not?!"

"I know…" You Changyou said, head lowered, in a low voice.

"You know nothing!" Director Xu dumped all his anger on him; since he had nothing else in his hand, otherwise it would have been another case history slammed down.

"The medical history was insufficiently taken; you didn't learn of the upper‑respiratory‑tract infection from 12 hours before admission—did you write that in the preoperative consent form? Did you mention it during the emergency rescue?"

You Changyou lowered his head in silence, adopting the posture of one who neither strikes back nor talks back.

When something goes wrong, being drenched in abuse is normal; if you talk back now you'll surely get even more scolding. The crucial point is that you're in the wrong. Arguing without justification is just stirring up trouble, and in the end you'll still lose face.

The more you say, the more you lose. Moreover, it's like pouring oil on the fire; if you annoy Director Xu, you can forget about having decent days ahead.

"It's just because your history taking was inadequate, oxygenation insufficient during anesthesia, depth of anesthesia inadequate, after induction a routine endotracheal intubation revealed an unexpected difficult airway; multiple attempts at intubation provoked bronchial spasms, causing a postoperative airway‑management crisis, and the unexpected difficult airway combined with bronchial spasm delayed awakening after induction."

Director Xu's words came out like a rapid‑fire cannon, echoing in the demonstration room and striking every doctor's heart.

"Checking the patient before surgery—are you all just playing around?!"