Gou is practicing medicine in the clinic

Chapter 230 The Best Surgical Room

"Why do you only eat two side dishes?"

Li Jingsheng took out his card and wanted to swipe it, but the aunt who took the meal told him that the payment had already been made.

"I keep asking, I told you to lose weight! Sit over there and eat!"

She said with some dissatisfaction.

"Give me so much food, I can't finish it! Doctor Ou help me share some!"

"I've eaten it all, hurry up and eat it!"

Li Jingsheng was mainly worried that she was not full.

If he is hungry and thin, he will feel distressed.

And I feel that a rich girl like her shouldn't have suffered much.I don't know what happened to her recently?Ever since she returned to her mother's house, she behaved a little strangely.

But she is such a person, she has very strong self-esteem, and she refuses to say anything about it.

He kept it from Li Jingsheng.

"By the way, Director Hua invited me to participate in a joint operation at 07:30. Are you going back to your residence or what?"

"How about I wait for you outside the operating room! I also want to go back to your clinic with you, and then let you teach me suturing. After practicing yesterday, Professor Wu praised me today, saying that I have made great progress. "

Like all surgeons, she wants to improve her surgical skills.

"Hehe, have you tasted the sweetness? After we get married, I can teach you every night. Of course, if you are not afraid of being gossiped, you can also live in my clinic. Anyway, there are many vacant rooms. It's just that the conditions are a bit crude , can’t compare with the high-end neighborhood you live in.”

Li Jingsheng offered her money, but she refused to accept it.

Now that her finances are in trouble, it is estimated that even if she is paid, she will not be able to withstand it.

The second hospital’s master degree trainees have the lowest salary of about 3 yuan, and the higher salary is [-] yuan. In addition to the state subsidy of [-] yuan per year, it is really only enough to barely live in a big city.

If she is willing to move to Li Jingsheng's clinic, she can really save a lot of rent.

For migrant workers who do not have housing, rent is a major item in their monthly expenses.

"Don't go!"

She refused directly, without hesitation at all.

"It's not that you think your clinic is shabby. We're not married, so what's the matter if I live with you?"

Sure enough, with her personality, it was impossible to accept cohabitation before marriage.

Even if he just lived with the man, he would not agree.

"I really can't do anything about you! Let me ask Director Hua first, if I can take you into the operating room together."

Li Jingsheng stopped trying to persuade her.

His girlfriend is so kind to him, he still has a little status in the department, so he naturally wants to help her.

It's not easy to call and talk about it, it's somewhat embarrassing.

In case Director Hua is in a difficult situation, there is not much room to evade, which will cause embarrassment for both parties.

And it is very impolite to call someone while eating.

He sent a message to Director Hua.

"Director Hua, my girlfriend has been waiting for me to get off work, and she has no place to go, can I let her follow me to study surgery?"

It took about five or six minutes before Director Hua wrote back to him.

"Yes! Be careful, I'm too old to watch you show your affection, my heart can't bear it."

Director Hua's last sentence should be a joke.

It also reminds Li Jingsheng that there are medical staff from other departments present, so pay attention to the impact.

Although it was just a small matter, it still made Li Jingsheng very happy.

With value comes status, and this feeling is particularly good.

"Ok, thank you!"

After replying a thank you message, he turned to look at Ou Qinglan beside him.

"Director Hua agreed, and we will go into the operating room together later. If you have a chance, you can take the initiative to help pull the hook, be a third assistant, etc."

"Really!"

She was very happy to hear that she could enter the operating room to observe and study.

For her, it is a very rare opportunity to observe this kind of multi-department joint operation.

Not to mention her, even Li Jingsheng didn't participate in many joint surgeries.

The main reason is that he didn't do well in the No. [-] Hospital before. The superior doctors in the department didn't even use him for surgery. How could he be taken to embarrass himself in front of doctors in other departments?
Later, he was directly transferred to the department of internal medicine, and it was even more impossible to participate in the operation.

Ou Qinglan propped her chin, turned her head to watch him eat, with little stars shining in her eyes.

Her boyfriend has such a status in the department, which makes her feel very proud.

Ten women, nine vanity, and one in varying degrees.

She is also a woman who eats whole grains, so naturally she is similar.

What kind of woman would be upset when she sees that her boyfriend has status and face?
Li Jingsheng didn't think it was a big deal, it was just a trivial matter to him.

Sometimes this is really the case. With that strength, many things can be done easily.

For ordinary people, it is extremely difficult.

After dinner, he took Ou Qinglan to the general surgery operating room.

"Do you know which department the strongest surgeon in our hospital is in?"

Ou Qinglan asked him.

Li Jingsheng shook his head, he really didn't know about this.

Under normal circumstances, Shenwai and Xinwai should be places where masters gather.

"It's general surgery!"

She broke the big news.

Li Jingsheng's eyes widened instantly, and he looked at her in surprise.

"Isn't that a mistake? Isn't general surgery a hodgepodge department of surgery? They do basic work, and very few high-level talents are willing to stay in this kind of department!"

At any rate, he has several years of working experience as a doctor in the compound, so he naturally knows some of the tricks.

"It's true! I also heard what Professor Wu said by chance. He told us that he entered the general surgery department during the regular training rotation. We must find a way to go to the operating room more and ask the superior doctors for advice. He said that the general surgery department It represents the most cutting-edge surgical level of the Second Hospital."

Ou Qinglan said seriously.

This subverts Li Jingsheng's perception of general surgery.

"Later, we can see the real level of general surgery. I don't know what kind of operation is performed? Listening to Director Hua's tone, the patient should be anxious to have this operation."

Operations performed at night are basically urgent ones.

Either the chief surgeon has no time during the day, or the patient's condition deteriorates rapidly, and if the operation is not performed that night, it will seriously endanger life.

Another option is to invite doctors from other hospitals to perform the surgery.

Also known as 'flying knife'.

Li Jingsheng should be able to develop in this direction in the future.

His small clinic has just started. After a few years of solid development, he has a little foundation and can slowly form his own surgical team.At that time, you can take the hard work with the team throwing knife.

That income would be very inflated.

Probably much higher than what the clinic is earning now.

The two soon came to the operating room of the general surgery department.

"This is one of the two best operating rooms in our hospital, laminar flow clean operating room."

Ou Qinglan whispered.

It can be seen that the appearance of the operating room looks a little different, with a more technological sense.

Materials are also more upscale.

Including the door of the operating room.

"Tsk tsk, it looks awesome, it's all piled up with banknotes!" Li Jingsheng was envious from the bottom of his heart, his clinic has now built an ordinary operating room.

But even the equipment is not ready yet.

Shadowless lamp, electrocoagulation knife, high-frequency electrosurgical knife, bipolar coagulation forceps, etc., basically you don’t need anything.

There are only some basic 'cold weapons'.

Traditional scalpels, tweezers, needle holders, scissors, etc.

In this era of rapid development of medical technology, his operating room only has the most crude tools, basically still in the 'Stone Age'.

But there is no need to worry about this matter, Lian Tao already has good news, so let him wait patiently.

At that time, it would be quite good to go to the People's Hospital to move an 'operating room'.

The fee is usually one to two percent off the original price.

For example, the operating table, which is slightly better, is basically above 3000.If the price is discounted by one to two, you can buy it for only two to three thousand yuan.

It won't break for 30 years.

If Li Jingsheng made money, he probably wouldn't have to wait 30 years to replace it with better new equipment.

"The price should be quite expensive! I only heard that the hospital only built this laminar flow clean operating room at the beginning. At that time, any major surgery in cardiac surgery, neurosurgery, and thoracic surgery had to be queued here. Later, These departments were not happy, so the hospital built another one."

If the general surgery is given such a good treatment, other surgical departments will have to hold their breath, so they will definitely not agree!

Although a hairless phoenix is ​​not as good as a chicken.

However, Shenwai and Xinwai are high-tech surgical rooms, no matter how poor the technology is, they will not be so bad.

Even so, it can be seen that the hospital attaches great importance to general surgery.

A laminar flow clean operating room is assigned to the general surgery department, and other departments share one.

Of course, there is a special person responsible for coordinating the use of the operating room.

There is only one basic principle, the operating room for general surgery must give priority to ensuring the use of general surgery.

While talking, Director Hua came over with someone.

Ou Qinglan still stood nervously beside Li Jingsheng.

"Director Hua!"

She shouted timidly.

"Xiao Ou, be more courageous. If you have any problems at work in the future, you can respond to me at any time. Let's go, let's go in."

Director Hua is really in love with the house.

Li Jingsheng performed so well that Director Hua had a high opinion of Dr. Ou.

It can also be regarded as a win over Li Jingsheng.

Behind Director Hua are all orthopedic surgeons.

It can be seen that Hu Jia has a very high status in orthopedic surgery.The department clearly regards him as a key target for training.

Director Hua only brought two people with him, among them Hu Jia.

In addition, there is Director Chen Anchen.

Director Chen Anchen's surgical skills should be very strong. After all, he has all kinds of contempt for Professor Wu, and it's all written on his face, the kind that doesn't hide it.

If you don't have any strength, isn't it just a hundred steps to laugh at fifty steps?
"Be confident, don't underestimate the momentum of our orthopedic surgery department, or you will be looked down upon."

Chen Anchen exhorted Li Jingsheng and Ou Qinglan.

He rang the doorbell, and the door of the operating room opened quickly.

A nurse looked at the five people with a smile on her face, "Director Hua, Director Chen, I'll be waiting for you."

"How is the patient's condition?"

Director Hua seemed to be a little more serious when he was outside.

It is still mild in orthopedic surgery.

"It's not life-threatening for the time being, and the injury is considered to be under control. There is a lot of blood loss. Our Director Bi is a little worried that the amount of bleeding will be too large during the limb salvage operation, and the blood bank is not enough blood."

The blood bank center is not under the management of the hospital, and you can only apply in advance if you want to use blood.

And from the perspective of weight, the Second Hospital's status in Jiangli City is not very high.Whether it is the volume of operations or the authority of medicine, they all belong to the bottom of the list.

Even though the second hospital has a strong backstage and dominates the area in the south of the city, it is not alone in the allocation of many medical resources.

Compared with People's Hospital and Qiaobang Hospital, it is the difference between a chicken and an eagle.

The five changed into surgical gowns and slippers, and entered the operating room after disinfection.

The space inside is much larger than imagined. There are special storage rooms, rest rooms, and sewage treatment rooms. There are also pre-anesthesia rooms and recovery rooms outside.

This is the most upscale operating room that Li Jingsheng has ever entered.

He is like Grandma Liu who has entered the Grand View Garden, and everything she sees is shocking and novel.

As soon as he entered it, he could feel the powerful technological strength.

"Director Bi, are we not late?"

Director Hua walked in and greeted with a smile.

"What's the delay? It's just in time. I wonder if you came here at the right time. Can you see if he can keep his leg?"

Director Bi's age cannot be discerned, he is quite thin, about 1.7 meters tall.

There are deep wrinkles at the corners of the eyes. It is estimated that there must be more than 50 years old, and it may even be over 60 years old.

When speaking, the voice is slightly high-pitched.

The whole person seems very easy-going, and I feel that he is a relatively easy-going person.

However, it is also possible that he is only easygoing with Director Hua. After all, Director Hua is the director of orthopedic surgery, and he is also the leader of the orthopedic surgery department.

Surgery is even more powerful.

This kind of chief physician who combines academic, surgical ability, and administrative positions can't be found in the entire Second Hospital.

The status is naturally extremely high.

It can be seen that there are seven or eight medical staff busy around the operating table, including Director Bi.

The patient on the stage was a middle-aged man in his 40s with a rather strong figure.

Only long wounds can be seen on the stomach, waist, arms, and legs.It certainly wasn't the doctor's fault.

If doctors need to operate on multiple parts of the patient, they generally do not perform operations at the same time, but separately.

Deal with the most urgent and most important first, and then deal with other lesions.

Based on Li Jingsheng's previous work experience in the emergency department, the injury on this patient's body should have been cut out by a sharp weapon.

The murderer was very cruel.

I don't know what kind of deep hatred is there to cut so many knives.Judging from the intestines being joined together in the abdomen, the man's stomach must have been cut and the intestines in the abdominal cavity were injured.

The contents of the intestines, especially the large intestine, are basically feces and feces.

After the intestines are broken, the contents inside will definitely flow out into the abdominal cavity.

Even after professional treatment by doctors, there is still the possibility of infection.

Since ancient times, 'golden soup' has been regarded as a dirt that makes wounds difficult to heal and prone to infection.

In ancient times, when the royal family seized the throne, someone used the "golden soup" to destroy a powerful competitor.

Taking advantage of the injury on the excellent prince's body, while he was admiring the lantern, he ordered the eunuch to take feces and splash them into the air.That prince was poured a lot of dung water on his body, so he was naturally very angry.

The little eunuch knew that he would die, so he committed suicide on the spot.

It can also be seen that the lower-level people in ancient times had no freedom at all.If that little eunuch didn't think about his family, how could he be a dead soldier?
The little eunuch's life is worthless, the excellent prince started to have a fever the next day after being drenched in the 'golden soup'.

Since then, the wound festered and rotted, and the imperial doctors tried many methods but were helpless.

The prince eventually died of wound infection.

Regardless of whether the throne finally fell into the hands of the perpetrators, the power of excrement polluted wounds made doctors extremely worried.

Even in modern times, with antibiotics and advanced medical technology, many wound infections can still easily kill patients.

For example, for the patient in front of him, in addition to considering whether the abdominal wound will heal, he must also be careful of fatal diseases such as peritonitis.

The patient's left leg was a little below the knee, almost in a broken state.

And it wasn't hacked.

At least three cuts were made.

Temporary use of bundles to stop bleeding.

"With such a serious injury, there must be a lot of blood loss."

Director Hua glanced at the monitor screen.

Blood pressure is low, heart rate and breathing aren't normal, just steady.

According to the nurse, there is no life-threatening condition for the time being.

"I have transfused 400 milliliters of blood. The blood station even scolded our nurse teacher. They said what kind of operation we are doing? Why do we need so much blood at one time? When the patient was sent here, he was already in In a state of shock, [-]ml of blood was transfused, which had almost no effect. We were really wronged.”

There was grievance in Director Bi's tone.

It is so hard to save people, but people still have to be questioned that the medical skills are poor, and so much blood is used for the operation.

Conscience, it's not that his technique is bad, it's that the patient was injured too badly.

It's pretty good to be able to take your life back.

"The people at the blood bank are like misers who value blood plasma more than their lives. But I can understand their difficulty. Every hospital asks them for blood, and they wish they could get more. Donors will suffer a lot. The influence of negative news is gradually decreasing, and the blood bank is indeed not easy."

Director Hua began to put on gloves and protective clothing while chatting.

"Did the patient go directly to the emergency room?"

"That's right! I was pulled back by our hospital's ambulance at around six o'clock. The emergency department directly asked us to go to rescue people. There was no choice but to pull people over for rescue! At that time, I will send you a message. I asked for help, and the family members came to me and begged me to save the patient’s life and his legs. I said I could only do my best. If you say something that doesn’t please you, this person should suffer.”

Director Bi is quite talkative.

There are also a lot of complaints.

Some doctors are more talkative.

"How's that?"

Director Hua is about to put on the gown.

"Originally we doctors shouldn't talk about the right and wrong of patients, but this person is really annoying. He made a lot of money by opening KTV and teahouses in the mixed society, married his wife, and had children. You said you still have to worry about other people's wives, It is said that they lured people with a high salary first, and then used force. After the woman was bullied, she was worried that her family would be retaliated, so she did not report the crime.

The man then got worse.

The latter was even more daring, and ran to the woman's house.The woman's husband couldn't take it anymore, so he killed him directly, and ended up beheading her like this. "

Director Bi briefly described the whole story of what he didn't know where he heard it.

Such a villain is not an exaggeration to kill.

"That's right! I think his leg is seriously injured. It should be impossible to save it. Just amputate it."

Director Hua's expression didn't change after hearing this.

But what he said made Li Jingsheng feel that people were against him, that he was fair and at ease.

"Hey, Director Hua, Director Hua, we have been friends for many years, so I will tell you this. One size counts for one size. As doctors, we can save as much as we can. As for what to do later, I will leave it to the law to sanction .”

Director Bi knew that he had made a slip of the tongue, so he quickly stopped Director Hua.

The Second Hospital does not have a separate hand surgery department, and the technical work of connecting severed limbs requires an orthopedics department.

It is no problem for general surgery to deal with severed intestines, wounds in the waist, abdomen and other parts.

"Give him a chance to reform himself! For the sake of his 70-year-old mother, let's not care about the evil deeds committed by this person. Can you do me a favor?"

Director Bi continued to talk to Director Hua.

"Okay, I'll do my best!"

Director Hua turned to look at Li Jingsheng.

"Don't be dazed, put on gloves and gowns quickly, and come on stage to help. Do you see those broken blood vessels and tendons? You will do the anastomosis later."

Upon hearing this, Li Jingsheng had no objection.

I also feel that it is very good to get such a good opportunity.

I just took this opportunity to try to master the anastomosis in one fell swoop.

There is no problem at all in terms of theory, and he has also seen how other doctors anastomose blood vessels.I have also anastomosed the tail blood vessels of mice in the laboratory.

It's just that the technique was not very good in the past, the stitching and knotting were poor, and the effect of the matching can be imagined.

Nine out of ten blood vessels are leaky.

There is also a direct impassability, which is due to improper operation during anastomosis, which then leads to the formation of an anastomotic stoma that is too narrow.

In fact, the blood vessels of mice are already thin.

Need to match under the microscope.

The difficulty is also extremely high.

To anastomose blood vessels to patients, Li Jingsheng never had this kind of training opportunity before.

No superior doctor dared to make fun of the patient's life.

Director Hua also saw that Li Jingsheng's suturing and incision skills were very high, so he took it for granted that Li Jingsheng's anastomosis was not too bad.So I brought him over to prepare for an appropriate opportunity for Li Jingsheng to practice.

When he heard that the patient was not doing human affairs, Director Hua changed his mind.

Originally, Li Jingsheng was only asked to anastomose one or two small blood vessels.

Now I am going to throw it all to Li Jingsheng to operate.

"Director Hua, this young doctor looks very unfamiliar! Could it be the regular training recruited by your orthopedic surgery?"

Director Bi has long noticed the four doctors brought by Director Hua.

He knew Chen Anchen and Hu Jia well.

Although Ou Qinglan hadn't seen her much, Director Bi was very impressed because she was so beautiful.

I also know that she is Gui Peisheng from the orthopedic surgery department.

Only Li Jingsheng had never seen him before.

"Hey, have you ever seen Gui Pei at such an age? This is Li Jingsheng, the chief physician of our orthopedic surgery department. Don't worry, I'll be there to check it out, so I won't lose my medical ethics because of this patient's evil deeds."

At this moment, Director Hua wished he could put a white beard on Li Jingsheng.

The practice in the operating room of the hospital is indeed very unfriendly to young doctors.

Unless it is an excellent young doctor who is trusted by the superior doctor, it is impossible to give some high-risk exercise opportunities.

"It turns out that he is the apprentice that Lao Xu took in! I heard that he has a good talent for bone setting, but if you let him anastomose the blood vessels and tendons of the legs, wouldn't it be a bit risky?"

Director Bi was still a little worried.

Although this operation is a joint operation, Director Bi is mainly responsible for it.

"Keep your heart in your stomach, do I look like such a reckless person? I will stand by and take care of it, and nothing will happen."

Director Hua took care of everything.

Only in this way can Director Bi let go.

"Okay, okay, let him try to anastomose a smaller blood vessel first!"

Director Bi reluctantly agreed.

(End of this chapter)