What Does an Intern Know About Anesthesia?

Observation Room.

Shepherd said this.

Adam had already heard it.

Although he felt somewhat moved by George's impulsive sense of justice, he immediately got up and ran towards the Operating Room.

To borrow a phrase from Sheldon: Who told him to be so weak!

Clean, disinfect, and put on clothes.

Silky smooth.

So much so that when Adam walked into the Operating Room, Dr. Shepherd was somewhat taken aback.

Nothing more!

That's too fast.

However, Dr. Shepherd didn't say anything. It was a good thing that his orders were carried out so efficiently, and the unpleasantness from George and Taylor had dissipated somewhat.

"Alright, let's begin."

Dr. Shepherd nodded to Adam and, as the chief surgeon, announced the official start of the operation.

The drill bit is started.

Second floor Observation Room.

George, who had been kicked out, stood in the corner, arms crossed, leaning against the wall, staring blankly at the Operating Room.

Does he regret it?

Of course I regret it!

Especially after leaving the Operating Room and walking alone into the Observation Room, once the initial excitement subsided, he was filled with deep regret.

What did he do?

For a risk that is unlikely to occur, I offended the hospital's best anesthesiologist!

It wasn't just anesthesiologist Dr. Tyler.

Other doctors all have their flaws, more or less. Would they like an intern who dares to confront them to their face?

The answer is self-evident.

George felt that his future was bleak.

Although it was somewhat dark and immoral, a thought kept popping into his mind at that moment.

It would be great if the surgery went wrong because of the anesthesiologist, Dr. Tyler.

However, the little girl's adorable smile made George suppress the thought and feel deeply ashamed of his dark idea.

Adam had no time to focus on George's complex inner conflict.

He is currently focusing his energy on two aspects.

One of them was naturally to be Dr. Shepherd's assistant, helping out and watching Dr. Shepherd explain as he performed the surgery.

Another focus is on the monitors and anesthesiologist Dr. Tyler.

That's right!

Although George got a bit carried away and his approach wasn't very tactful.

But his concerns were not entirely unfounded.

Even the best anesthesiologists make mistakes, let alone when they've been drinking.

Now that Adam has entered the Operating Room, he should naturally leverage his strengths, eliminate unnecessary risks, and demonstrate his abilities time and time again.

Imagine, if Adam hadn't performed exceptionally well in the past, why would Dr. Burke have assigned him to take charge of his friend?

How did this surgery end up falling to him?

United States don't care about moderation; winner-takes-all is the norm.

Two hours later.

"During a frontal lobectomy, we encounter the anterior cerebral artery..."

Dr. Shepherd was teaching while performing surgery when he realized something was wrong and exclaimed in surprise, "Dr. Duncan, what are you doing?"

"There was an abnormal fluctuation in blood pressure and heart rate on the monitor just now."

Adam placed his hand on the patient's radial artery, directly sensing the changes in blood pressure through touch, and explained, "High blood pressure, fast heart rate, Dr. Shepherd, the anesthesia is a bit too weak."

Sometimes, you shouldn't rely too much on monitors.

After all, it is just an instrument for sampling body condition data.

Since it's a sampling process, errors are to be expected.

Data obtained by doctors through direct physical observation is more accurate and reliable.

"You even know about anesthesia?"

Dr. Shepherd almost laughed in exasperation, "This is Dr. Tyler's job. Your job is to assist with the surgery and study diligently."

"Dr. Tyler seems to be asleep."

Adam advised, "We'd better wake him up and check the patient's anesthesia status."

"How is this possible..."

Dr. Shepherd had barely uttered a sentence when he suddenly realized that it was indeed possible.

Because Dr. Tyler, who was sitting with his back to them, did not respond to their conversation.

"Dr. Tyler!"

"Dr. Tyler!!"

"Dr. Tyler!!!"

It shouted three times in a row, each shout louder and more furious than the last.

"Ah! I'm sorry, I'm sorry, I'm here."

Dr. Tyler suddenly woke up and said, "I just took a nap."

"Dr. Duncan said your anesthesia was too weak, you should get checked out quickly."

Dr. Shepherd barely suppressed his anger and said expressionlessly.

"Impossible!"

Dr. Tyler instinctively retorted.

As the top anesthesiologist at the Medical Center, he has always been extremely confident in his professional skills.

"What do you, an intern, know about anesthesia?!"

Dr. Tyler then realized that the person questioning him was another intern, which immediately enraged him.

Are interns really that amazing now?

One or two of them dared to humiliate him in public.

"I actually know a little about it."

Adam said seriously, "At least I know that anesthesia is a field where even the principles of pharmacology are not yet fully understood. The effectiveness of anesthesia depends entirely on the doctor's experience and continuous observation of the patient's clinical response, making timely adjustments."

"Dr. Tyler, I suggest you check the patient's anesthesia status immediately. If the patient wakes up, the consequences could be dire."

The thought of a two-year-old girl whose skull has been drilled through and half of her brain is being removed, waking up prematurely from general anesthesia, is chilling.

"You only know a little bit and you dare to teach me how to do things..."

Dr. Tyler was a little tipsy.

Normally, he would have gone for a checkup without hesitation.

But now, after glancing at the monitor, he was convinced that there was no problem with his anesthesia.

Adam stopped speaking and looked at Dr. Shepherd.

"Dr. Tyler!"

This time, Dr. Shepherd didn't give Taylor any face and said sternly, "Examine him immediately!"

Seeing the surgeon's anger, Taylor feared the surgery might actually go wrong, so she could only begin a thorough examination.

The investigation revealed that he had indeed been under-anesthetized.

When he picked up the anesthetic needle to inject again, he clearly saw the little girl's eyelid twitch, which startled him so much that he quickly injected the anesthetic.

"It's my fault, Shepherd. I promise this won't happen again."

Taylor tried to cover it up. "Nurse Stafe, get me some coffee."

"Yes! That will absolutely not happen here."

Dr. Shepherd said expressionlessly, "Nurse Stafe, call Dr. Pellington. Hopkins, you take over until Dr. Pellington arrives."

Dr. Pellington is another anesthesiologist at the hospital.

"Yes, doctor."

The two nurses immediately agreed.

In the Operating Room, the surgeon is the absolute master!

"George is right."

Dr. Shepherd glanced at the shocked Taylor: "Go outside and clear your head."

Taylor walked out of the Operating Room with a dark expression.

Being kicked out of the Operating Room is an absolute disgrace for a doctor.

Not to mention he has always been the best anesthesiologist in the Medical Center.

Second floor Observation Room.

George, who witnessed all of this, had a complicated expression.

Adam not only prevented a potential accident, but was also able to remain in the Operating Room to learn about this advanced Neurosurgery procedure.

This was simply the perfect ending in his mind.

But why Adam, and not him?