Gou is practicing medicine in the clinic

Chapter 183 Scared out of my soul, proficient in everything

In the No. [-] Hospital, not to mention the high-risk work of separating blood vessels and nerves, he was not even used for retractors.

"Oh, have you ever done this kind of work?"

Professor Wu's eyes brightened slightly, as if a drowning man saw a savior.

"I've done some work, so I have some experience."

Li Jingsheng lied without batting an eyelid.

He did do separation work, but it was in his small clinic instead of the No. [-] Hospital.

"Because the adhesion is relatively serious, and it is a vascular plexus, it is quite difficult to separate, and the risk is also high. How sure are you?"

Although Professor Wu really wanted someone to help solve the problem, he still didn't dare to take it lightly.

The main concern is safety accidents.

"If you say it's [-]% sure, it's definitely not. About [-]%! One thing I can assure you is that I will be cautious. If you think there is a risk, you can stop at any time."

Li Jingsheng naturally didn't dare to speak too much.

The anesthesiologist Lao Yu looked at him with astonished eyes.

Even though Dr. Qin was wearing a mask, he probably opened his mouth uncontrollably.

The most exaggerated one was Ruan Xiaoqin, whose eyeballs almost fell out of shock.

Ou Qinglan's bright eyes narrowed. She had seen Li Jingsheng undergo surgery.That time in the clinic, she also played a guest role as an equipment nurse.

I have a certain understanding of Li Jingsheng's surgical ability.

Although Li Jingsheng successfully separated the patient's mandibular abscess that time, the difficulty of separation is not at the same level as the current operation!

He is so brave.

Ou Qinglan didn't say anything, she could understand Li Jingsheng's desire to make progress.

Everyone is the same, which young doctor does not want to fight for more opportunities to get started?
But everyone will do what they can.

Because in case of a mess up, an accident, the superior doctor may not use you for life.

"Then try it! I've been busy with work recently and lacked exercise, so my physical strength is really not as good as before."

Professor Wu also borrowed the donkey from the slope.

Li Jingsheng gave him an excuse that he was seriously exhausted, and he really used it.

Shameless enough.

But sometimes people just have to be shameless.

The most humble people are invincible in the world.

"Okay! Thank you for trusting me."

Li Jingsheng was very happy and was about to go on stage.

He was stopped by the itinerant nurse.

"Hey, hey, do you understand the rules of asepsis? Just rush to the stage like this!"

"Sorry, I was so excited that I forgot."

Li Jingsheng hurriedly followed strict aseptic procedures, took off his gloves, washed his hands again, put on new ones, and then put on a disposable isolation gown for surgery.

The cost of this consumable will be included in the patient's treatment fee.

Therefore, it is not so easy to get on stage.

Once you enter the operating room, you enter the territory of the itinerant nurse.They have a strong sense of sterility, and if doctors do not do well, they will definitely be scolded.

Li Jingsheng was scolded miserably in the First Hospital before.

It's also a good thing. Now, whether washing hands, wearing gloves, or dressing, they are all very professional. This also makes the eyes of the roving nurses much softer.

At the same time, it also made Professor Wu believe that he was a person who had exercised in the operating room of a large hospital.

The experience of washing hands and dressing has not been practiced in the operating room of a large hospital. It is easy to fumble with hands, or to tie the belts of clothes in the wrong order, resulting in a piece of clothing being scrapped.

"Come on, you stand here."

Professor Wu took the initiative to get out of the way, but he did not step down, but stood on the opposite side to watch.

In case Li Jingsheng brags about his lack of strength, he will stop him immediately.

Doctor Qin looked at Li Jingsheng who was standing on the chief surgeon's seat, and couldn't help feeling jealous.His eyes couldn't help showing a look of gloating, hoping that something would happen to Li Jing, and then he would sit on the bench.

I saw Li Jingsheng standing on the chief knife position calmly.

"Tweezers."

This is for the equipment nurse.

When setting up a stage with a new equipment nurse, it is best for the chief surgeon to be able to inform in advance that equipment or appliances are needed.

Only surgical nurses who have cooperated for a long time can be familiar with the habits of the chief surgeon and provide surgical instruments accurately and in time.

The tweezers caught in his hand.

In some major operations, there will be two hand-washing nurses, and they will work together to pass instruments to the chief surgeon or medical assistant.

There are a lot of particulars in this, the tip of the knife and the sharp can not be pointed at the person, needless to say this.

It's common sense.

Generally, it is not handed over gently, but directly patted into the hands of the chief surgeon.

For example, when Li Jingsheng asked for equipment, he fixed his eyes on the patient's lesion, raised his right hand, and spread it out, with the palm facing upwards.

The nurse accurately patted the equipment he wanted into his hand.

When performing an operation, the doctor must concentrate on it, and sometimes his eyes cannot leave the operation site.Couldn't even turn my head, turn around, etc.

"Scalpel No. 15!"

After Li Jingsheng got the tweezers, he held the tweezers in his left hand and took a look at the blood vessels, nerves and other tissues that Professor Wu had separated.

I shook my head in my heart.

After all, he is a chief physician, so can't he improve his level of separation?

Lose your share!
The separation is like a dog biting. The parts that can be separated with a single knife must be divided into dozens of knifes in a deadly manner. Isn't this looking for guilt?

Like the branching position of the blood vessel, it is enough to separate it with a single knife, but it is thankless to make more than ten knifes.

It would be an accident for a surgeon who has achieved a small level of sharp dissection, let alone a proficient level like Professor Wu.

"Are you sure you want a No. 15 scalpel?"

The equipment nurse is about 30 years old, which is relatively old.

Should have extensive experience with surgery.

For such a young doctor as Li Jingsheng to come on stage, she must have had some contempt in her heart.

This is also human nature.

"determine."

Li Jingsheng's tone was very affirmative.

The No. 15 scalpel is relatively small and flexible, and is often used for cutting deep tissues and tissues such as ophthalmology and coronary artery bypass grafting.

She may feel that the separated tissue is larger and a larger scalpel is more appropriate.

Although there were doubts about Li Jingsheng's use of such a small scalpel, after being confirmed, she cooperated and slapped the knife in Li Jingsheng's hand.

Professor Wu did not speak, thinking that Li Jingsheng used a smaller scalpel out of "caution" and safety considerations.

After Li Jingsheng took the scalpel, he clamped the upper part of the blood vessel with the forceps, lifted it up, and then the scalpel went straight across.

Fast and hard.

Seeing this posture, Professor Wu was almost scared out of his wits.

Careless, careless, such a high risk should not be used by a young doctor who does not know the basics.

What if this breaks a blood vessel?
Qin Fei was also terrified.

Is this man surnamed Li a lunatic?Such a large arterial plexus, dare to cut it so violently, really thought it was an anatomy practice in the laboratory?
"Stop, stop, stop!"

After Professor Wu regained his senses, he hurriedly called to stop.

But when he looked at the separated blood vessels, he couldn't help being stunned.

Subconsciously, I have to push the glasses with my hands.

"Director Wu, you can't touch your glasses with your hands."

The itinerant nurse hurriedly stopped him.

"Oh, sorry, I forgot this is in the operating room."

Professor Wu sincerely accepts opinions.

He opened his eyes wide and stared at the part where Li Jingsheng separated just now.

"Wow, this technique is amazing! It separated such a large section with one knife, and the incision was neat and close to the blood vessel, but it didn't hurt the blood vessel wall. The knife was closed just right. It's not bad. Just be gentle. Look at you My heart can't resist this fast and violent movement."

After Professor Wu saw the results of Li Jingsheng's separation, he was really shocked.

This separation technology leverages.

At least one level better than the chief physician like him.

The tissue part that had troubled him for a long time had already been solved by Li Jingsheng with a single knife.

"No mistake, right? There's nothing wrong with being so fierce?"

Qin Fei muttered to himself, his face full of disbelief.

"Xiao Qin, what nonsense are you talking about there? If you dare to talk nonsense again, get out immediately."

It is very taboo to say dead words in the operating room, or negative words like cursing the accident in the operation.

It's okay for the chief surgeon who doesn't believe in this, but if he meets a superstitious one, he will be kicked out of the operating room on the spot.

If the patient did not receive general anesthesia, he would feel even more frightened and unlucky after hearing this.

"I mean, Dr. Li is too good. I learned something today. It turns out that separation can still be done like this."

Doctor Qin quickly corrected him.

If you don't even have this ability to adapt, wouldn't the hospitalization of the past year be in vain?
The general inpatient has to live in the hospital throughout the year to handle all affairs, big and small.

It can exercise people.

Those with wives and children hate doing this the most.

It's hard to go home several times a year.

"Dr. Li can operate in this way. If you don't have that ability, don't imitate it. Otherwise, you will become a copycat, and accidents will easily happen."

Professor Wu stopped his crazy idea on the spot.

"understand."

Doctor Qin was hit hard.

I don't even have the qualifications to learn and imitate, which is too damaging to people's self-confidence.

This guy surnamed Li has excellent diagnostic skills, but why is his surgical skills better than his diagnostic skills?How can you play against such a monstrous opponent?
He subconsciously glanced at Ou Qinglan, who was as beautiful as a fairy, and howled in his heart. It seemed that the number one beauty in the department was about to be snatched away by Li.

"Professor Wu, can I continue?"

Li Jingsheng was doing a good job, but he was suddenly stopped, very depressed.

"Yes, of course! Doctor Li, be careful!"

Professor Wu told him.

Want to see but some dare not.

Mainly worried about being frightened to have a heart attack.

Li Jingsheng returned the scalpel to the equipment nurse this time.

"Tweezers!"

What does he want two tweezers for?
The equipment nurse knew that she might meet a master, so this time without any hesitation, she directly patted the tweezers into Li Jingsheng's hands.

Everyone was staring at Li Jingsheng's movements.

I saw him using two tweezers for blunt dissection.

The movements are dexterous and skillful, and the grasp of strength is just right.

As soon as the expert makes a move, he will know if there is any.

Seeing this, Professor Wu already understood that the young doctor in front of him had a very high level of separation technique.

At least it is at the attending level.

Seeing his familiar and relaxed appearance, it is obvious that he still has more energy.

This is easy!
"No. 20 knife!"

After Li Jingsheng bluntly dissected a part, he again sharply dissected it, and changed the scalpel.

……

The separation of blood vessels, nerves and other tissues for nearly 10 minutes almost turned into his personal performance show.

Everyone has increased their knowledge.

It turned out that Dr. Li, who worked in the manipulative reset clinic, had such strong surgical skills.

It's amazing.

"Okay, the separation is over."

Li Jingsheng stepped aside after successfully completing this 'difficult' task.

I secretly checked the harvest of the attribute panel.

In addition to the proficiency of sharp separation and blunt separation increased by 10 points each, his life value even earned 101 points, which made him very satisfied.

The way everyone looked at him was completely different.

Some are worship, shock, admiration, envy, and so on.

"Dr. Li has worked hard. I will give you some opportunities to practice surgery in the future. You performed very well today."

Professor Wu kept praising him.

For the second group, many difficult operations require foreign aid.

Professor Wu dreams of training his doctors so that they can solve problems by themselves in the future.

His family knows his own affairs, and he is allowed to do academics and perform surgeries. This is basically how he has been in his life.

It is almost impossible to reach a high level.

The most difficult separation of blood vessels and nerves has been completed, and the subsequent resection is not strenuous.

Li Jingsheng knew very little about orthopedic surgery, which can be regarded as an eye-opener.

How to cut periosteum and bone, and what precautions, Professor Wu patiently taught his doctors.

He naturally learned from the side.

"Professor Wu, can you leave the skin sewing to me?"

Li Jingsheng volunteered.

"Such a long arm wound cannot be sutured by simple intermittent sutures or continuous sutures, can you do it?"

Seeing Li Jingsheng robbing him of the opportunity to exercise, Dr. Qin immediately felt a little dissatisfied.

This stitching opportunity was what he wanted.

Sutures are also divided into parts, and the difficulty of suturing the limbs is actually the least.The suturing requirements of the head and face are much higher, not to mention the suturing of organs or tissues in the cavity.

"I don't know which suture method to use? If it is too difficult, I may not."

Li Jingsheng asked Professor Wu.

"Horizontal mattress suture and intradermal suture are both possible. This suture is not particularly difficult, but it requires a high level of suture. If Dr. Li sews less, let Qin Fei handle it!"

After seeing Li Jingsheng's monstrous separation ability, Professor Wu paid more attention to him.

It wasn't that he didn't want to give this opportunity to exercise, but that he was worried that Li Jingsheng wouldn't be able to handle it.

"Considering that the patient is a male and over 40 years old, he should usually do hard work to make money. It may be more appropriate to choose horizontal mattress suture. Moreover, horizontal mattress suture has a certain effect of compression and hemostasis, which is also beneficial to this patient. If you If you trust me, I can try."

Li Jingsheng gave a suture plan according to the comprehensive condition of the patient.

He can analyze so well, obviously he has rich experience in the application of horizontal mattress suture.

Professor Wu pondered for two or three seconds, and finally nodded in agreement.

"Okay then, try it. If the stitching is too difficult to do, let Qin Fei do it."

This opportunity to sew skin was given to Li Jingsheng.

"Everyone take a break and prepare for the second operation. I will go to the college tomorrow to attend classes, and I will be in the clinic in the afternoon. I have no time for the operation. I will try to work overtime today to complete the operations of the two patients."

Professor Wu was slightly relieved to have successfully completed the main part of an operation.

"The patrolling teacher laid out the operating table, and let Dr. Li sew it up first, and we will do the second operation over there."

"Ok!"

The traveling nurse agreed.

According to Professor Wu's idea, Li Jingsheng's stitches must take a long time.

Even if it is handed over to Dr. Qin, the general inpatient, it will take more than half an hour to sew it up.

Li Jingsheng's horizontal mattress suture is currently proficient.Intradermal suturing is proficient level.

After getting this job, he didn't hesitate at all, and directly used the life points he just earned to improve his suturing skills.

It is also very good to spend the money immediately to improve medical skills.

With a proficient level of horizontal mattress suture, he immediately shocked everyone again as soon as he got started.

Whether it is the selection of the needle position, or the threading, gathering, and knotting during sewing, they are all remarkable.The efficiency is also amazingly fast.

What kind of novice is this who has never sewed a few times?

He was clearly a veteran surgeon who had sutured patients countless times.

They are already qualified to be teachers and guide newcomers.

It took only eight minutes and 12 seconds to complete the stitching.

Check the wound after suturing, the suture is neat, the incision edge fits tightly, and the elasticity is appropriate.If the score is 100 points, at least it is a high score of 90 points or more.

"Doctor Li's suture skills are very good! It's not that you only know a little bit!"

Professor Wu inspected the stitched wound several times, his eyes full of shock.

The more I looked at it, the more I felt that the suture was really good, even better than his chief physician.

Although the second group has eight or nine doctors, there are very few who can do this kind of technical work.

And their level is not even one star lower than Li Jingsheng.

"That's right, the stitches on this wound are really good. You all have a look and study." While Professor Wu was extremely satisfied, he didn't forget to ask his doctors to observe and study with him. "Dr. Ruan, your suturing is a weakness. If you have a chance, you can discuss it with Dr. Li!"

The number one officer under his command, Professor Wu definitely wants to help him up.

It's just that in addition to the teacher's guidance, surgical operations also require personal efforts and a certain understanding.It's not that you can improve your level by flattering.

"Your suggestion is very good. I will definitely discuss it with Dr. Li in the future."

Ruan Xiaoqin expressed his opinion honestly.

Pay attention to his words, not to ask for advice, but to discuss.

It shows that he is putting on airs.

"Doctor Li, don't say you don't have time then!"

Ruan Xiaoqin looked at Li Jingsheng.

"Okay okay."

Although Li Jingsheng didn't like this person, he would not offend him.

Perfunctory agreed.

Really let him teach Ruan Xiaoqin how to sew?Go dreaming.

It would be no problem for him to teach Ou Qinglan.

"I have never learned the horizontal mattress suture, so you can teach me when you find the opportunity."

Ou Qinglan looked up at him.

There was some coquettish taste in the tone.

"No problem. As long as you have time, come to the clinic to find me anytime."

Now that Li Jingsheng and her are basically officially in an open relationship in the hospital, if she goes to his clinic, she should not run away like last time.

The operation on this patient has been successfully completed.

Push it to the recovery room to wake up from anesthesia.

A second patient was soon brought in.

The operation proceeded normally.

Ganglion cysts are not a major problem, but patients who do not have medical knowledge and know that there are tumors in their bodies will inevitably feel very scared.

Li Jingsheng stood by and watched.

The swelling is not particularly large, in fact, you can try massage and massage.

It's just that Professor Wu didn't agree, and he couldn't help it.

Sometimes, as it is in a boat, there are a lot of things that are beyond your control.

Ask him to persuade patients to receive manual massage first in front of Professor Wu?

That is something that people who have not entered the society can do.

After surgical incision, the tumor was revealed.

"Doctor Li, your separation technique is very good, you come to separate."

Professor Wu directly let him go this time.

Without the slightest hesitation.

(End of this chapter)