Chapter 5 Surgery
He Wanqian didn't understand the meaning of Fu Sihe's words, but she didn't bother to delve into it. The 60s voices in WeChat were one after another. He Wanqian thought it was a research report problem, but when she opened it, it was In the endless silence, He Wanqian thought at first that the phone was broken, and turned up the volume of the phone to the maximum, but there was no sound at all.
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Professor Bo, what did you send?I can't hear anything from here.

He Wanqian replied politely. Director Li clearly said that Professor Bo was abroad, but He Wanqian checked his WeChat reply time and found that he replied during the day in China.
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Wrong order, sorry.

This time, Professor Bo's reply was a bit longer, finally exceeding three words.

"If you make a wrong order, you can order three 60s." He Wanqian muttered, but since everyone said they made a wrong order, there was no need for her to continue asking.
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It's ok.

After He Wanqian replied, she put away her phone and prepared to take a shower and go to work in the hospital. There were two surgeries in the afternoon, so she had to adjust her condition.

"Old He." He Wanqian was dragged away by Tang Cheng just as he stepped into the hospital.

"Why?" When He Wanqian came, there was a racing car on the road, and she was going to be late.

"Old He, you should be the deputy director of the courtyard this year, remember to treat you then." Tang Cheng congratulated.

"It hasn't been decided yet." He Wanqian replied, she didn't dare to be 100% sure about the evaluation title. It was originally rumored that she could be selected in the academy last year, but in the end she was stuck and lost in the end. This time She is also not sure who will get stuck once.

"It was supposed to be you last year, and it was An Ruoli who took over your selection by being a director." Tang Cheng said unfairly on behalf of He Wanqian.

Last year was the seven years since He Wanqian came to the hospital, and it has been 12 years since she was an undergraduate. Li has no qualifications and background, and can only watch others take her opportunities away time and time again.

He Wanqian covered Tang Cheng's mouth and whispered, "If it wasn't me this time, I would rush into the dean's office with a knife and ask him why."

"Come to me if you need help." Tang Cheng also understood He Wanqian's meaning.

"OK." He Wanqian made an OK gesture and looked at Tang Cheng: "Can you let me go now? I'm too late for surgery."

"Ah, of course, Lao He, thank you for your hard work." Tang Cheng immediately let go of He Wanqian's hand and smiled.

Everyone in the operating room was present. Originally, the operation was performed by attending doctor He Wanqian and another resident doctor Li Ruofeng, but after entering the operating room, it was discovered that the other resident doctor had been replaced by deputy chief doctor An Ruoli. .

"Where's Li Ruofeng?" He Wanqian came in ready to ask.

An Ruoli glanced at He Wanqian, "I changed it."

"Why?" Li Ruofeng is a junior, and he was admitted to the hospital for a relatively short time. After entering the hospital, He Wanqian took it with him all the time. An Ruoli temporarily replaced He Wanqian's partner, and He Wanqian realized that today's operation would be difficult. do something.

"No reason, do you need an attending physician to ask you about the decision made by the deputy chief physician?" An Ruoli looked at He Wanqian sharply.

He Wanqian closed her mouth. This is an implantable central venous catheter operation. The patient is a 50-year-old fat middle-aged man. He had an operation on his abdomen a week ago, and his gastrointestinal function is still not very good until now. , unable to eat, so a catheter needs to be inserted into the chest cavity to provide nutrition through the veins.

This is not a relatively complicated operation. The anesthetist injects lidocaine to anesthetize the patient locally, and then the attending doctor pokes the needle into the patient's chest near the vein below the clavicle, inserts the needle vertically just below the clavicle, and withdraws the needle , if the blood drawn out is dark red, it indicates that the insertion position of the needle tube is correct. Take out the needle, reinsert the vasodilator, and then push the central venous catheter towards the heart. The whole process should not damage blood vessels, lungs, etc. Finally, the catheter was cleaned with heparin solution, and the catheter was sewed on the patient's chest, and the operation was successful.

In the operating room, generally, for doctors with older qualifications, the chief surgeon will be given to the partner doctor to give the new doctor a chance to practice, provided that the partner doctor is qualified to perform the operation.

Partnering with An Ruoli, He Wanqian is fully qualified to perform this operation, but An Ruoli did not give He Wanqian the chief surgeon, but asked He Wanqian to do some assistant work.

The early stage was also relatively smooth. The needle tube was successfully inserted into the patient's vein below the clavicle. The next step is to remove the needle tube and leave the needle, and use a thin gold thread to penetrate through the needle hole until the entire metal thread is completely It is a delicate job to enter the veins. The metal wire must be inserted by itself. Brute force is not allowed, and the heart must not be touched during the process. Once the metal wire touches the heart, the heart detection instrument will emit a series of pulses. Short beeps, this kind of situation usually happens to new doctors, and doctors like Xianghe Wanqian who have been practicing clinically for more than ten years will not make this kind of mistake.

Just when An Ruoli put the wire halfway in, the heart detection instrument beeped shortly. He Wanqian immediately took her hand and pulled it back two or three centimeters, and the beeping stopped.

"Doctor He, you can't learn much after doing these second-level minor operations all year round. Next time I have a third-level operation, I will arrange for you to study?" An Ruoli chatted while performing the operation.

Each operation is also divided into different grades, from grades [-] to [-]. An attending physician at He Wanqian's level can only perform some grade [-] surgeries, or perform grade [-] surgeries under the guidance of the deputy chief physician, while An Ruoli's A deputy chief physician can start presiding over tertiary operations.

"Doctor An should first learn how to insert metal wires into veins." He Wanqian stared at An Ruoli from the side, and if there was any mistake, she believed that An Ruoli would blame her for all the mistakes, and left the bottle The job title has only been held for a few months, and if there are some medical problems, she may not be able to get the title in her entire life.

After the operation, An Ruoli followed He Wanqian, entered the locker room, grabbed He Wanqian and slapped her, "He Wanqian, don't be shameless."

He Wanqian was slapped and still a little dazed, there were only the two of them in the dressing room, An Ruoli must be angry at her for saying on the operating table that she practiced more during surgery.

"Offend me, believe it or not, I won't let you stay here any longer." An Ruoli pushed He Wanqian, pushed him against the wall and scolded.

He Wanqian raised her head and glanced at the locker room. There was no camera, so she slapped An Ruoli back and said, "No more."

"He Wanqian, you are doomed, I want to tell my dad." In the end, An Ruoli was left standing there crying after being slapped.

(End of this chapter)

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