1986: Old Stories in Northeast China

"Xiao Chen, is it really Meckel's diverticulum?" Ma Guoming asked hurriedly.

"Comrade Xiao Chen, this matter is not a joke." The white coat on the right of Ma Guoming said.

"Well, add about one centimeter to the existing incision, and it can be handled. But we have to wait for Lao Fang to come back and ask him to see what his operating habits are." Chen Tiezhu glanced at him and said.

"The opening of the normal base is usually on the opposite edge of the mesentery, but this one is more urine, on the edge of the mesentery, so I didn't touch it the first time."

"Mr. He is really amazing. If I didn't accidentally remember that there was a similar record in Mr. He's book, I really couldn't remember it. Young man, don't worry, it's nothing if you find it."

He had no choice. After all, he was insignificant and could only bring up Mr. He again.

Otherwise, judging from what he meant today, even with Ma Guoming, he would not be able to control the situation.

"Teacher Chen, I have obtained the consent of the patient's family and can do further exploration."

As soon as he finished speaking, Fang Zhiyong also ran back from outside.

"Xiao Chen, how sure are you?" Ma Guoming asked in a deep voice.

Chen Tiezhu smiled and nodded, "You can feel it out once you find the place. Old Fang, come here and touch it along my finger. You should be able to feel it."

Fang Zhiyong quickly put on his gloves, came to the side of the operating table, and reached in along the direction of Chen Tiezhu's finger.

"You touched my finger, right? This is the location of the diverticulum, which is a little hard." Chen Tiezhu continued.

"Go out and tell the patient's family again, and explain the new surgical plan. It's not a serious matter. It's lucky to have been discovered now. Young man, you are really lucky."

The patient lying on the bed grinned, and he didn't know whether to cry or laugh.

"Director Fang, go." Ma Guoming said.

"Vice President Zhou, it seems that Mr. He has so many skills. We have been doctors for so long, but I am afraid we haven't even learned the basics of the old man."

"Well, Mr. He is really amazing." Even though he was very reluctant, Vice President Zhou had to nod his head in agreement.

Chen Tiezhu, who was standing below, wanted to laugh when he heard this. Comrade Ma Guoming also knew how to pull tiger skins.

"Young man, I have to give you general anesthesia this time. After all, it's not like appendectomy. Once you close your eyes and open them, we are all done." Chen Tiezhu looked at the patient again.

"Okay, give me anesthesia quickly. I am so scared now." The patient said hurriedly.

"When you recover, you can brag about it when you drink with your friends. When the doctor poked and poked in your stomach, you didn't even frown." Chen Tiezhu said happily.

His words made the patients laugh, and their nervous mood was really relaxed.

After Fang Zhiyong notified the patient's family, the anesthesia for this patient was also completed.

"Old Fang, is there any problem with extending the incision by one centimeter? It feels like it can be seen clearly, but there will be some obstacles when freeing and ligating blood vessels, and suturing, so your hands must be steady." Chen Tiezhu said.

"Teacher Chen, let me take a look and think about it." Fang Zhiyong said.

He also felt a little numb on his scalp.

Compared with the diverticulum resection, the current incision position is a bit biased. Teacher Chen meant that this incision should be used and it cannot be cut larger.

"Brother, come on. When it's done, I'll call the teacher to inform him." Han Zhenwen said with a smile.

As soon as this sentence was said, the white coats above were all confused.

I haven't heard that Fang Zhiyong has any other teachers? How did his junior brother come out?

"Teacher Chen, can it really only be expanded one centimeter? Can it be expanded two centimeters?" Fang Zhiyong asked guiltily after observing for a while.

"It depends on you. How do you think you can complete this operation? Just do it." Chen Tiezhu said indifferently, putting pressure on Fang Zhiyong again.

"I haven't done such an operation, but I see that many of Mr. He's operations are to ligate blood vessels and then cut and suture them. It's not difficult, right?"

Fang Zhiyong didn't know what to say.

In principle, this is correct, but the surgical field is not so perfect, which increases the difficulty of this operation a lot.

"Then I'll try it, but this operation will be slower. Thank you for your cooperation." Fang Zhiyong said seriously.

After all, everyone in the entire operating room is crucial in an operation. It doesn't mean that he is the main surgeon, and everyone has to listen to him.

Just listen to him in the operation during the operation, and other links must be assisted by other people..

Chen Tiezhu was very satisfied with Fang Zhiyong's humble attitude.

The operation officially began, and Fang Zhiyong performed it very carefully.

Although this operation would not have the same significance as a small incision appendectomy, if Fang Zhiyong could really do it in such a special situation, it would be a great achievement.

"Brother Chen, I have seen this Meckel's diverticulitis in a book." Han Zhenwen said.

"Well, this is a disease that is very easy to be confused with appendicitis. Unless there are more advanced detection instruments, it is impossible to completely separate them by B-ultrasound and manual diagnosis alone." Chen Tiezhu said.

"And many of these are congenital, and there may be nothing wrong with them for a lifetime. But if something goes wrong, it may become a big deal."

It can be regarded as an explanation of today's situation. After all, in the hearts of many people, Fang Zhiyong's misdiagnosis is still on their mind.

"Then under normal circumstances, if there are similar symptoms, if pressing the McBurney point does not respond, is it only possible to open the abdomen for exploration?" Han Zhenwen asked.

"Silly boy, you have to have a rough judgment, or you can only do laparotomy when you have no tricks." Chen Tiezhu said.

"After all, there are many abdominal pains of unknown causes, and many of them are diffuse. The place where you press the pain may not be the location of the lesion."

"So, it depends on experience. Among so many possibilities, guess the one you think is possible. If you guess it right, you are great, and if you guess it wrong, it's just bad luck."

It was interesting to hear him say that even the other white coats who were watching Fang Zhiyong's operation laughed.

It should be said that Chen Tiezhu said the truth.

Many times, treatment really depends on guessing. No one can guarantee that you can accurately diagnose the symptoms after seeing the patient.

There are some very experienced doctors here, but even if they encounter the situation today, they will not be much better than Fang Zhiyong.

Today, they have a clearer understanding of Chen Tiezhu. His hands are really amazing.

Now, just watch Director Fang perform the operation peacefully, which is also quite difficult.

"Teacher Chen, Dean Ma, thank you for fulfilling your mission."

Time passed by minute by minute, and Fang Zhiyong, who had just finished the operation, breathed a sigh of relief.

"Sure enough, people have to live with pressure. Congratulations, Mr. Fang."

Chen Tiezhu said happily, and then began to applaud. His basic skills are indeed solid enough.

The other white coats watching, whether they are willing or not, must give this applause.

On the contrary, Fang Zhiyong was a little embarrassed.