Gou is practicing medicine in the clinic

Chapter 182 It's All Shrimp Soldiers and Crab Generals, Here Comes the Opportunity to Exercise
Under normal circumstances, surgery is usually performed during the day.

If there are few operations, it is more likely to be scheduled in the morning.

During the operation at [-]:[-] in the morning, the nurse usually tells the patient and family members not to eat or drink the night before.The purpose is to prevent the risk of anesthesia for patients during surgery.

After anesthesia, the muscles relax and food regurgitates into the airway, making it easy to suffocate.

Then, some patients may experience fecal incontinence during the operation, which will definitely pollute the environment of the operating room and make the medical staff feel bad.

The patient's operation plan was discussed after twelve o'clock in the noon, and the operation was arranged at night, which shows that the patient and his family members may be in a hurry.

It is also possible that the chief surgeon has other arrangements tomorrow and will work overtime at night to complete the operation.

On the way to the orthopedic surgery inpatient department, two messages sounded in succession.

He took out his phone and glanced at it, and there was a message from 'Little Huihui of the Valley'.

"Is the outpatient clinic finished?"

"The operation is about to start here, on the third floor of the surgical building, operating room No. 3."

It is likely that Professor Wu asked Ou Qinglan to ask.

This Professor Wu is a rather interesting person, and he forced Li Jingsheng to participate in this operation, not because he expected Li Jingsheng to be of any help during the operation.It's about repairing the relationship between the two, and at the same time, there is still an intention to win over.

Any team leader hopes that the strength of this group will become stronger and stronger.

The most important of these is talent.

Li Jingsheng has shown strong skills in severe disease diagnosis, first aid, and extraskeletal diagnosis, coupled with his unique skills and advanced bone setting techniques, he is indeed a rare and important talent in orthopedic surgery.

If they can be recruited into the second group, the strength of the second group will be greatly enhanced immediately.

"almost there!"

Li Jingsheng only replied three words.

Then he turned his phone to silent and quickened his pace.

Now because most of them are laminar flow operating rooms, the requirements for asepsis have been reduced.Doctors can bring mobile phones into the operating room, but in most cases they need to be left in the storage compartment of the locker room.

If the management is a little looser, it will be allowed to be carried on the body.

The main reason is that the itinerary teacher is not easy to pass.

If you have a mobile phone with you, be sure to put it on silent.Otherwise, if the chief surgeon is concentrating on the operation, and the mobile phone of the doctor under him rings, the chief surgeon will stare at the lightest one.

If the operation does not go well, then congratulations, it is not trivial to be scolded by the surgeon until the end of the operation.

He quickly came to the third floor of the surgery building.

"Doctor Li, this way!"

An intern from the second team waited for him in the corridor.

Seeing Li Jingsheng coming, he waved at him happily.

Seeing the brother's happy face, Li Jingsheng secretly guessed that Professor Wu might have given him an order not to enter the operating room until Li Jingsheng waited.In that way, he will miss another valuable internship opportunity.

For interns, it is a very rare opportunity to improve in the operating room and follow the director to perform an operation.

"It's not too late, is it?"

"It's not too late. Professor Wu and the others have only been in for about ten minutes."

"How many operations are you going to do tonight?"

"There seem to be two sets. One is for the ulnar stump with osteophytes, and the other is for the excision of the ganglion cyst."

Pushing open the door of the operating room, the two walked in together.

After entering the locker room to change into the surgical gown and slippers, Li Jingsheng entered the operating room inside.

Before entering the operating room, the doctor will ask you to take off your shoes and socks and put on special slippers inside.Mainly for the sake of preventing infection, strive to create a sterile surgical environment.

Don't look at just a pair of small slippers, they must be strictly disinfected every day.

Washing hands, wearing gloves, wearing isolation gowns, changing slippers and other measures are just to try to control the number of bacteria in the operating room within the acceptable range.

A truly absolutely sterile environment is difficult to achieve.

The patient has been on the operating table and given anesthesia.

Under normal circumstances, the intern or the doctor following the operation will send the patient to the pre-anesthesia room in advance to prepare for the operation.For example, to open the vein channel and the like.

Then wait for the nurse teacher to spread the sheet, pull the patient into the operating room, and carry it onto the stage.

Those who can walk on their own usually let themselves lie down.

The anesthetist usually arrives early, and the surgeon is often the last to arrive.

Some interns have poor communication with family members or patients, procrastinate in doing things, and send patients to the operating room later than scheduled.At this time, it is easy to be scolded by the anesthesiologist.

Don't talk back, and don't look down on anesthesiologists and nurses, or you will behave on your knees.

After being scolded, it sounds like I will try to send people there earlier next time.

If there is a grievance, you can also euphemistically explain the reason.

At this moment, almost all the doctors in the second group were present.

After Ou Qinglan put on the slippers, her net height should be above 1.6 meters 1.6, probably around [-] meters [-].

I didn't expect her to be quite tall.

Even wearing a mask and headgear, she still couldn't hide her natural beauty.

From the delicate eyebrows, the exposed smooth forehead, and the tall stature, her beauty has not diminished in the slightest.

"Doctor Yu, is the operation ready?"

Seeing Li Jingsheng present, Professor Wu turned to ask the anesthesiologist.

It's a bit like waiting for important guests to arrive before serving the food.

He tried his best to invite Li Jingsheng over, and he must give Li Jingsheng a good feeling in these details.

Dr. Yu glanced at Li Jingsheng intentionally or unintentionally, and then checked the patient's status and the data on the life monitoring instrument.

Mainly respiratory parameters, blood pressure, heart rate, blood oxygen and so on.

If there is a problem during the operation, the instrument will emit different alarm sounds.

All doctors and nurses do not want to hear the alarm sound.

But all operations have risks, which cannot be fully controlled by doctors and nurses.

What can be done is to make sufficient preoperative preparations and inspections as much as possible to minimize the risk.

"The patient's vital signs are stable, the anesthesia is in good condition, and he can be operated on."

"let's start!"

The nurse has already prepared the skin on the hands and marked the knife position.

Talk about the importance of marking the knife position before surgery.

A patient had surgery for a knee tumor.

Before the operation, he had to mark the location of the knife, but he firmly disagreed, insulted the medical staff in various ways, and was extremely uncooperative.

There was no way, and it was sent to the operating room after final disinfection.

As a result, the surgeon had a very large amount of operations on that day, and he was very busy.After the patient was sent in, he didn't ask. The right knee was supposed to be operated on, but the operation was performed on the left knee.

After searching for a long time, I couldn't find the tumor, so I was very puzzled.

However, this happens occasionally.

Sometimes there is a problem with the inspection equipment, or the doctor makes a wrong diagnosis, and some low-density shadows or high-density shadows may be diagnosed as tumors.

Of course, such mistakes are rare.

Clinically, observation is often recommended for tumors less than 1 cm in size.If you're really worried, you'll be advised to do a needle biopsy.

One of the risk considerations is that the tumor is too small and may not be found after incision.

This patient who refused to mark the position of the knife also paid the price for her coquettishness.

The surgeon couldn't find the tumor, so he could only sew up the incision for her.

As a result, when she got out of the operating room and woke up from general anesthesia, she found out that she had done the wrong surgery and made a fuss in the hospital.

The surgeon was punished following the unlucky situation and performed a new operation on her.

It's just that the extra knife she suffered was helpless.

Therefore, preoperative skin preparation and marking of the knife position must cooperate with medical staff.

Sometimes playing petty temper, the price paid is often particularly painful.

At this moment, the patient is under general anesthesia.

For hand surgery, if it is minor surgery, brachial plexus block is usually used.

If the operation is relatively large and takes a long time, general anesthesia will be given priority.

The specific anesthesia plan is determined by the anesthesiologist.

He will formulate an optimal anesthesia plan for the patient.

"I won't go into details about the selection of the knife position. Choose the most favorable approach. The principle is to quickly expose the lesion after incision, and try to avoid large blood vessels and important nerves. If you are eligible for a second surgery, try to Consider the original incision approach."

Professor Wu patiently taught the surgical experience to his doctors.

Because there are many young novice doctors, it is necessary to teach from the most basic.

"Don't try to save trouble when cutting the knife, cut it layer by layer, and control the angle of the knife edge as much as possible. Qin Fei, you must get rid of your stinky habit of dragging the knife."

"I've been working hard to correct it. Recently, I practice with pigskin at home every day."

Qin Fei quickly replied.

Dragging the knife and shaking hands are the most common mistakes young doctors make.

When the knife is cut on the patient, inner tension is an inevitable phenomenon that cannot be avoided.Only those veteran doctors who have experienced many battles can keep their hands safe and at ease when they cut the knife.

Dragging the knife when cutting the epidermis may not be a big problem, at most it will make the incision a little longer.

If the knife is dragged during the resection of important tissues or thoracic and abdominal lesions, one delay and one accident will not escape.

Dr. Qin's family background is good, and he buys pigskin every day to practice hard at home, which will definitely be of great help to improve the level of surgery.

It's just that compared with Li Jingsheng's attribute panel, it's not even a star.

Dr. Qin bought a ton of pigskin and practiced hard at home for a year, which may not be as good as Li Jingsheng directly adding 100 proficiency points to the skin incision method.

Professor Wu invites Li Jingsheng into the operating room, and will soon discover the 'New World'.

"Huang Yanren, pay attention to how I cut the subcutaneous tissue. The wound you cut is like a dog bite. This is caused by the instability when holding the knife and the bad hand when cutting the skin. You can take more when you go home. Pencils learn to draw straight lines and exercise chirality."

"Understood. Since you said it last time, I have been practicing drawing straight lines every day. I believe that after a while, you will definitely see my significant improvement."

The person who answered was a young doctor about 28 or nine years old, with a popular face.

There are potholes on the face left after the acne has healed.

This Dr. Huang doesn't seem to be very talkative, rather dull.

At this moment, he can also stand on the operating table, and his position in the second group should be second only to Qin Fei.

Li Jingsheng basically had a preliminary understanding of the members of the second group.

Bad chirality, which is a big problem, shows poor surgical talent.Not only will it be reflected in the most important basic surgical skills of incision, but it will also appear 'clumsy' in terms of suturing, insertion, and knotting.

However, if you have great perseverance and can persevere in practicing surgical skills, there are many examples of late bloomers.

Li Jingsheng alone knew that Luo Zhenggang, the Chief Physician of the General Surgery Department of the First Hospital, had terrible surgical talent. At the age of 30, he had obviously been promoted to attending surgery, but the level of surgery was not even as good as that of Gui Peisheng.

Disliked by superior doctors in various ways.

After studying hard and practicing hard, he became a very famous surgeon in Lijiang City at the age of 50.

He is often asked to "flying knife" by the top three. I heard that the cost of a "flying knife" is at least 1 to [-] yuan.

It can be said to be a proper winner in life.

It is a successful case of counterattack.

Professor Wu is teaching and operating at the same time.

A wound more than 11cm long has been cut on the patient's hand.

This wound is relatively large.

Dr. Qin and Huang Yanren are responsible for pulling the hook, so that the chief surgeon can have a clearer surgical field of view.

Ruan Xiaoqin was in charge of stopping the bleeding and sucking up the accumulated blood from the wound.

Looking at the electrocoagulation knife in Dr. Ruan's hand, Li Jingsheng was envious for a while, and his hands itched even more.

If only he could try it.

He dreamed of buying an electric coagulation knife and putting it in the clinic.

Professor Wu's incision skills are not bad.

At least the hips are not stretched, and the amount of bleeding is not large.

The slightly larger blood vessels were avoided by him precisely.

Being able to become a chief surgeon does not necessarily have strong surgical ability, but there must be some advantages.

Then no matter how poor the basic ability is, it won't be much worse.

The operation was going on normally, and Li Jingsheng was invited to come over, and he just stood and watched from the audience.

Professor Wu didn't know his abilities well, so naturally he didn't dare to give him a chance to get started easily.

Also, there is a difference between inside and outside.

Exercise opportunities are prioritized by physicians caring for the second group.

After all, Li Jingsheng was just an outsider.

In the middle of the night, he didn't even return to the clinic. He ran over to participate in this operation, and just stood under the stage to watch from a distance. Li Jingsheng must not be reconciled!
He subconsciously looked at the various surgical techniques in the skill column of the attribute panel, as well as a life value of more than 200 points.

His eyes flickered, and he was trying to find opportunities for performance.

This operation requires the resection of the ulna stump and the surrounding periosteum, which is a high-risk and technically demanding operation, and it is impossible to give it to him.

Didn't you see that even Ruan Xiaoqin, the attending physician, only had the chance to be the first assistant?
Then the only chance that can be obtained is stitching.

"Sweat!"

Professor Wu seemed to be in a little trouble at this time.

It can be seen that there is a large arterial vessel at the position of the ulna to be resected, and it spreads out towards the end of the hand in a tree-like manner.

The pale yellow one next to it is probably a nerve.

Before resection, blood vessels, nerves and lesions must be separated.

It seems that the difficulty is not small.

Mainly, a certain degree of adhesion has occurred.

It was not the nurse who was in charge of wiping Professor Wu's sweat, but Ou Qinglan.

There are only three nurses in the operating room, one equipment nurse, one itinerant nurse, and the rest is an anesthesia nurse who came with Dr. Yu.

It is unlikely that the anesthetist will wipe the sweat of the surgeon.

Anesthesia nurses and anesthesiologists are partners, and they are only responsible for the patient's anesthesia work and the stability of vital signs during the operation.

It is also impossible for an equipment nurse to do this job.

She wears gloves and needs to be kept clean and sterile.

Let Xun Xun wipe the sweat of the main knife, you can think about it, I am afraid that the main knife must have some status.

Professor Wu should not have this status.

Of course, if there are not enough manpower, it's okay for itinerant nurses to do this job.

But right now, it is almost inevitable for Ou Qinglan to do this job.

Li Jingsheng felt a little uncomfortable watching his girlfriend wipe Professor Wu's sweat, but he also knew that this was work.

Professor Wu continued to try to separate the blood vessels and nerves of the lesion for the patient, with sharp eyes and a serious expression.

Beads of sweat kept coming out of his forehead, but the operation was progressing extremely slowly.

It can be seen that his separation technology is not at home.

It's proficient level even if it's exhausted.

It is equivalent to the level of a senior resident physician.

Separation is an extremely difficult medical skill to improve in surgery. Professor Wu, the chief physician of orthopedic surgery, does not have many opportunities to practice this medical skill.

It's pretty good to be able to reach this level.

Li Jingsheng's heart skipped a beat when he saw it.

He currently has mastered the sharp separation technique and the blunt separation technique. Although they are only entry-level, he has more than 200 health points.

It is completely possible to sharpen the gun in front of the battle and upgrade these two separation techniques in an instant.

"This vascular plexus is a bit difficult to deal with!"

Professor Wu began to find a way out for himself. After all, in front of so many doctors, operating room nurses, and anesthesiologists, he couldn't hold back his face.

"When you encounter this situation, you must remember that you must not be in a hurry. Slow work and careful work must be separated bit by bit. If the arteries are broken, it will be troublesome."

As he was talking, his expression changed.

The hand also stopped.

An overly frightened look.

Li Jingsheng saw it clearly, and almost cut a blood vessel.

It is likely that the outer wall of the blood vessel has been injured.

Fortunately, the work was done carefully and the movements were extremely cautious, otherwise the face would be slapped on the spot.

An accident almost happened, and Professor Wu was obviously a little bit powerless.

It is estimated that there is also some weakness in my heart at the moment.

Li Jingsheng is also a ruthless person, seeing that the opportunity is too late to fail, he simply gritted his teeth.

It directly raised the sharp separation method from entry level to proficiency level.

When he looked at the vascular plexus and nerve again, he felt that he was sure to take it down.

It's just that in some places, blunt separation may be better.

So, he directly upgraded the blunt separation method to the proficient level.

If he has enough health, he definitely wants to upgrade to Xiaocheng level to be safer.Now that the "pocket" is not inflated, we can only do what we can.

With the proficient sharp and blunt separation method, it is completely enough to deal with the operation in front of him.

Professor Wu's doctor, Ruan Xiaoqin, is the most cunning, and this man's flattery skills should be quite powerful.

Anyway, he belongs to the kind of person who knows how to figure out the mind of the superior doctor and can please the superior.

From the first day when Li Jingsheng joined the Orthopedic Surgery Department, Ruan Xiaoqin could see that he was helping Professor Wu deal with Li Jingsheng in all kinds of 'separation'.

Now that Professor Wu intends to recruit Li Jingsheng, Ruan Xiaoqin's attitude towards him has also undergone some obvious changes.

No more tricks.

Li Jingsheng didn't know how strong Ruan Xiaoqin's medical skills were.

According to the law of survival of human nature, people who are good at flattering are generally not good at technical work.

Because they can get a good deal by licking their ass.

There is no need to work hard to practice skills.

The remaining two, Qin Fei and Huang Yanren, held the hook honestly, and no one said anything.

With Dr. Qin's personality, if he was sure of completing the separation, he would have rushed to do it 800 years earlier.He would not miss any chance to show his face in front of Ou Qinglan.

As for the other two resident doctors and three interns and regular trainees, let alone doing such high-tech work, it is still unknown whether they can do a good job even in sewing skin.

"Professor Wu, I think your physical exhaustion is quite serious, can you let me try it? I did this kind of work when I was working in the First Hospital."

In order to get this training opportunity, Li Jingsheng could only tell a white lie.

(End of this chapter)