1986: Old Stories in Northeast China
Chapter 366
"Tell me the truth, when did you start thinking about plotting against me? Otherwise, how could this patient be prepared by chance?" Chen Tiezhu asked casually while washing his hands. "Hey, brother-in-law, although you have a sharp eye and are very accurate in predicting things, you really guessed wrong this time." Han Zhenwen said with a smile. "Now our Director Fang has a resounding reputation. I dare not say that he is an appendectomy master. At most, he has performed five appendectomies in one day." "Good guy, the reputation has spread so quickly?" Chen Tiezhu asked in surprise. "Isn't it because the first few patients recovered very well, and the incision was so small." Han Zhenwen said. "This makes many patients with chronic appendicitis decide to permanently relieve their pain. After all, this thing is really painful when it hurts." "That's right." Chen Tiezhu nodded. "Actually, no matter what the disease is, it's tormenting when it strikes. Take toothache for example, it's a minor disease, right? It's really painful when it happens. And rhinitis, you say it doesn't hurt, but it can make you feel like you're dying."
"Be a good doctor, are you really sure you want to go the cardiothoracic surgery route? You have to think it over, you can't just rush in just because you did pericardiocentesis."
"Yeah, I've really thought it over. But this doesn't mean I don't care about other surgeries, it's just that the focus is different." Han Zhenwen nodded.
"Of course, my brother-in-law needs to guide and train me well, so that I can grow up. Hehehe, come on, brother-in-law, you can do it."
Listening to his words, Fang Zhiyong laughed, "Teacher Chen, come on."
It has to be admitted that even he, who has been practicing medicine for many years, now needs Chen Tiezhu's "guidance".
"Old Fang, you've learned bad things. You've been completely led astray by this kid. You guys should do the work of checking patients. Who will be the assistant?" Chen Tiezhu asked.
"Let Zhenwen be the assistant. I think he can perform surgery independently after participating in a few more surgeries." Fang Zhiyong said.
"Zhenwen has the foundation of internship in the provincial hospital. He is bold and careful. What he lacks now is just experience, which needs to be accumulated slowly in daily surgeries."
Chen Tiezhu nodded, "Don't spoil him so much. I guess there will be more people learning with you in a few days. At that time, the allocation of relevant resources must be fair."
"For us doctors, practical experience is very valuable. It's not easy to lead students. We have to evaluate their learning attitude and understand their strength to help them find out their shortcomings and make up for them."
Listening to his words, Fang Zhiyong and Han Zhenwen exchanged a subtle look.
As for what Chen Tiezhu said now, it doesn't sound like what a novice would say. But they would not think too much, after all, they were all very "superstitious" about Chen Tiezhu.
After washing their hands, they came to the teaching operating room with familiarity.
"What the hell? This guy did it, why are there so many people?"
Looking at the people standing in the operating room and the observation table, Chen Tiezhu was somewhat uneasy.
"Tiezhu, don't worry, just pretend we don't exist. Who is the first assistant today? I'll be the second assistant." Ma Guoming, who came in after washing his hands in advance, said with a smile.
"Dean, thank you for your hard work. Zhenwen is the first assistant." Fang Zhiyong said.
"When did it start? I have checked the patient's information." Ma Guoming stood beside the operating table excitedly.
"Is my appendix very powerful? It didn't say that there would be so many people? Do I need the dean to come forward?"
At this time, the patient lying on the operating table spoke.
"Haha, it's not that great, they are just watching the fun. It's over in ten minutes, lie down for a day, and then it's time to work, work." Chen Tiezhu said with a smile.
"Will it really leave a small scar?" the patient asked.
"About one centimeter, maybe a little longer." Chen Tiezhu said.
After he said this, the eyes of the people in the entire operating room changed, and they were very complicated.
If there was no live operation today, everyone would definitely think that Chen Tiezhu had blown several cows to the sky.
But with today's precedent, Chen Tiezhu's words are very credible.
But even Fang Zhiyong's most successful small incision appendectomy surgery did not exceed two centimeters. He said one centimeter right at the beginning?
Even if it was a little more, it would be a bit unrealistic, right?
So everyone felt that Chen Tiezhu was at least blowing a cow to the sky now.
"In fact, even for a small-incision appendectomy, the size of the incision is not based on smallness, but on suitability," Chen Tiezhu said with a smile.said.
"Our patient is thin, so his appendix is not big. And he is not an acute appendicitis patient, and his appendix does not show inflammation or abscess."
"If it is a patient with a big belly, the length of the incision will have to be reconsidered. What are you talking about? Those in the books are dogmatic, and the so-called standards also vary from person to person."
Everyone nodded their heads, and it was indeed the case. It is a very simple truth, why did I ignore it before?
"Teacher Chen, the anesthesia is done." At this time, the anesthesiologist reminded.
"Okay, let's do it now. Adjust the bed, scalpel." Chen Tiezhu said.
Everyone also hurriedly cooperated, and then focused on Chen Tiezhu's operation.
And what about Chen Tiezhu at this time? He closed his eyes, raised his head slightly, and enjoyed the excitement of standing next to the operating table again, and every cell in his body was cheering.
After more than a minute, Chen Tiezhu finally opened his eyes, "Director Ma, Zhenwen, work faster, I still have to see the wounded, and I'm stewing meat at home."
After saying that, the scalpel cut down, and it was estimated to be 1.5 centimeters.
Han Zhenwen did not dare to delay, after all, he was an assistant.
But as Chen Tiezhu continued to cut the lower tissue, he found that his speed seemed to be a little slow.
Because every cut Chen Tiezhu made was so precise, there was absolutely no unnecessary movement.
After the incision was made, Chen Tiezhu's fingers probed into the abdominal cavity, and then the appendix clamp was inserted. When it was brought out again, the patient's appendix had been pulled out.
This move shocked everyone in the operating room.
Because every movement of Chen Tiezhu was so smooth, as if it was flowing like water. But doesn't it take time to find the appendix?
Why do you just put your fingers in and the appendix clamp in, and then you pull it out directly?
Isn't that too unreasonable?
Even if it was Fang Zhiyong, he would have to touch it for a while.
This is really not bragging.
It felt like the appendix was already impatient to be taken out, waiting all the time.
If Chen Tiezhu took out the appendix so quickly, it could be explained by the fact that the appendix looked very standard, then Chen Tiezhu's next operation really overturned their cognition and widened their eyes.
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