Gou is practicing medicine in the clinic

Chapter 316: No kidding, strength speaks for itself

"Teacher, please don't scold me! I have learned my lesson and decided to go back and read my notes carefully. Dr. Yang and I actually took notes on what you taught us these days. It's just that he is the top student in our school, so I did His ability to take notes is not as strong as his. His ability to understand is also a little worse than his."

She is able to face up to her shortcomings.

"It's a good thing to know what the problem is. You two have to work hard! And Dr. Chen, you have to work harder. By then, their abilities will surpass yours. Don't say I'm partial. There's actually more to teach you. More, but your progress is a little slow."

Li Jingsheng had already saved face for him.

Dr. Chen's progress is not a little slow, but very slow.

Poor understanding and poor practical talent.

Dr. Xu was right in not wanting to teach him at first.

Because having no talent means that you need to work many times more than others to achieve that effect.

"Well, I have obviously worked hard, but my progress has been very slow. But don't worry, I will keep persisting. Even if I can't be a good manual osteopath, it is still an honor to be a good assistant for you. Put on a plaster. I can do all the work like putting on a splint, pulling on a tow, etc.”

Dr. Chen sighed, there is no harm without comparison.

Seeing that Ye Hui, after only a few days here, was already able to reset the patient's dislocated shoulder joint under the guidance of Li Jingsheng, he felt a strong sense of inferiority and crisis in his heart.

I also recognized the reality.

Poor talent, this must be admitted.

"Can you still work as an assistant for the rest of your life? With that salary, can you buy a house and support your wife and children? You have to have some ambition, do you understand?"

Li Jingsheng is about the same age as Dr. Chen.

It's really not about teaching him a lesson as an elder, but using your own life experience to help him develop better.

What a man fears most is not making money.

"clear."

Dr. Chen nodded heavily. Although he was scolded by Li Jingsheng, he was very happy.

Because he could feel Li Jingsheng's good intentions for him.

"Okay, I'm done eating. You eat slowly. If I'm a little late returning to the clinic later, you should try your best to comfort the patient and don't make others complain."

Li Jingsheng said to several people.

Dr. Xu is not here, so he is the boss of the manual reduction clinic.

All affairs are presided over by him.

If something goes wrong, the higher ups will definitely look for him.

However, given his current status, even if he was really complained, it would probably be the same as Dr. Xu's previous attitude.

In terms of status, he is now much higher than Dr. Xu in the hospital.

Even Dr. Xu is not afraid of being complained, and he has no reason to be.

After coming out of the cafeteria, he went straight to the cardiothoracic surgery department.

"Beauty, may I ask Director Zhang..."

"Is this Dr. Li Jingsheng? Our director, Zhang, is in operating room 3. After asking you to come, just go in directly."

Before Li Jingsheng could finish asking, the nurse pointed him in a direction.

It seems that Director Zhang has already made it clear to the nurse.

"Thank you!"

Li Jingsheng didn't know the other person, but the nurse definitely knew him.

Now he has become half a celebrity in the Second Hospital, and quite a few medical staff know him.

He brought great glory to the Second Hospital, so everyone has a good impression of him.

The entire surgical condensation building is actually interconnected.

It is very convenient to transport patients and perform combined operations.

There are only a few top-notch medical resources in the surgical department of the Second Hospital.The Department of Cardiothoracic Surgery and the Department of Surgery have been on par with each other in the past two years, and they are secretly competing with each other.

On the surface, the two departments are joining forces to fight against the general surgery department.

Because general surgery is too strong.

If cardiothoracic surgery only competes for resources with general surgery alone, it will never be able to do so.

You must join forces with Shenwai to compete with it.

Regarding the competition for interests between departments, Li Jingsheng has always just sat back and watched the storm unfold, regardless of the worldly affairs.

He never got involved in the competition for interests between these departments, but devoted himself to studying and improving medical skills.It is also true that he has some friendship with the directors of the general surgery department and the cardiothoracic surgery department.

At least I can talk to these two.

Pressing open the door of operating room 3, a female nurse about 30 years old opened the door.

"The operation is about to start, come in quickly!"

She obviously also knew Li Jingsheng.

"OK, thanks!"

Li Jingsheng was a little embarrassed because he didn't know the other party.He could only nod and smile at the nurse.

After changing into surgical clothes and slippers, he entered the operating room inside.

Director Zhang and several doctors and nurses from the cardiothoracic surgery department were already inside.

The anesthesiologist Lao Yu is also there.

"Director Zhang, I'm sorry, I'm a little late."

Li Jingsheng apologized.

"Why are you so late? You just clicked in. It's just right. Lao Yu, don't you think so?"

"What I want to say is, why is this kid everywhere?"

Lao Yu raised his head and glanced at Li Jingsheng.

"Haha, this shows that Dr. Li is excellent, and capable people often work harder." Director Zhang smiled and helped him.

Other doctors and nurses were a little envious that Li Jingsheng could be appreciated by Director Zhang.

This is not an easy task.

"There are so many outstanding seniors here. I would never dare to assume the role of a capable person. It's fine to be a hard-working scalper." Li Jingsheng didn't dare to raise his tail here.

"Dr. Yu, I didn't thank you for what happened last time!"

Li Jingsheng was referring to calling Dr. Yu after get off work to ask him to do a tracheotomy on the patient.

Although it didn't work out in the end, I still have to thank Lao Yu for his help.

"It's such a big deal, why are you thankful? It's the fate of that person. We have made preparations for his rescue, but he still has to be transferred to the hospital."

Lao Yu's tone was understatement.

Hun didn't care about helping.

"Hey! I can't tell you two are familiar with each other! Are you almost done with the anesthesia?"

Director Zhang is the chief surgeon and is at the helm of the entire process.

Lao Yu looked at the dial of the monitoring instrument, then checked the patient's status, and even opened the patient's eyelids to look at his pupils.

"It's time to work."

With the anesthesiologist's permission, the doctors and nurses immediately took action.

It can be seen that this is a highly professional team and they work well with each other.

Including the positioning, everything is done silently.

"The patient underwent a comprehensive physical examination before the operation. My assessment of his tolerance for surgery is good. The surgical plan has been sent to Dr. Li for review. Young man, are you confident in coming and opening his chest?"

Director Zhang's words shocked all the doctors and nurses present.

"Lord, director, you won't really let him do the surgery, will you?"

Only Isuke dared to raise any objection.

Although other doctors were worried, they did not dare to easily oppose Director Zhang's decision.

In the operating room, the surgeon got angry, and even the coaxing circulating nurse had to keep her tail between her legs.

"If it's not true, can it still be cooked?"

Director Zhang glanced at Isuke.

Issuke, who was over forty years old, was instantly intimidated by this powerful look.

"Director Zhang, I think this is a bit risky! He is still so young, and he is just a new attending doctor in the orthopedic surgery department. It is hard to say whether he has any surgical experience. The risk of thoracotomy is extremely high, so we should be cautious. A little safer.”

The circulating nurse spoke anyway.

As part of her responsibilities, issues that may affect the safety of the operation must be raised.

Maybe he is worried that he does not have enough weight. After all, Director Zhang is not only the subject leader of cardiothoracic surgery, but also the director of the department. The dual status is as overwhelming as a mountain.

"Doctor Yu, you are the head coach regarding safety issues! You cannot agree to this!"

Doctors and nurses who can survive in the hospital and do well have very strong communication skills and a certain degree of emotional intelligence.

She also pulled Dr. Yu in.

And put the safety responsibility on Dr. Yu.

This time, as long as Lao Yu persuades Director Zhang, he can immediately stop Director Zhang's reckless behavior.

Unexpectedly, Lao Yu didn't even raise his head. "As long as Li Jingsheng dares to agree, it means he is sure. There is no need for you and me to just sit back and worry about it, just do your job well."

The traveling nurse collapsed instantly.

She originally wanted to recruit an ally to help her, but instead turned against her.

"Thank you, Director Zhang, for giving me this opportunity to exercise. Although thoracotomy has certain risks, I think I should be able to do it just by opening the chest. If there is any improper operation, the teachers can stop it in time or help me correct it."

Li Jingsheng finally came to participate in such an important operation. As long as he had the opportunity, he would definitely try his best to get it.risk?

If it were just a technical risk, it would be almost non-existent to him.

There are probably only one or two people present who can achieve the level of proficiency in incision.

There might even be no one at all.

"Did you hear that? He said he is qualified. We must give young people more opportunities so that they can have a future."

Director Zhang made the decision immediately.

"Xiao Li, don't be stunned. You have to race against time for the operation. Hurry up! I believe you won't mess it up!"

Li Jingsheng did not hesitate anymore. After cleaning his hands, he put on gloves and sterile clothes and stood on the stage.

And he was standing at the main knife position.

"But, this, this is too risky!"

Both the circulating nurse and Ichisuke were worried.

If something goes wrong, Director Zhang will not be the only one to bear the responsibility.

"You are so worried! Do you really think Lao Zhang is confused? Even the judges praised Li Jingsheng's level of incision in the skill competition privately. Just keep your heart in your stomach!"

Lao Yu couldn't bear to see the visiting nurse who was as anxious as an ant on a hot pot, with an expression of imminent disaster.

The secret was revealed on the spot.

Not everyone can be praised by the judges.

"We really don't know about this! Let's take a look first!" The traveling nurse's eyes softened a lot.

They don't have access to some information, so they naturally don't know Li Jingsheng's level.

"Use a traditional lancet!"

Li Jingsheng still prefers cold weapons.

However, no doctor would use an electric knife to cut the epidermis.Because it comes with burns and hemostasis, it actually comes at the expense of burning small blood vessels.

This is detrimental to wound healing.

It may even cause tissue necrosis.

Li Jingsheng's original intention was to give the equipment nurse a thorough understanding and try to use the lancet throughout the process.

Because it was also the first time for the two of them to collaborate.

The knife position has been marked.

Dotted line, posterolateral right chest.

As surgical experience becomes more and more abundant, and the technology becomes more mature, diversified, and flexible, the practice of extensive surgery has long ceased to be popular.

The sternum must be sawed open, the ribs broken, or a long wound of more than 40 centimeters in length must be made in the leg. These backward surgical methods have long been replaced by various more advanced surgical methods.

The purpose of surgery is not to obtain the maximum surgical field of view, nor to create a big show, but to remove the lesions and solve the problem.

If you can minimize the harm to the patient, try to minimize the harm.

"Do I need to cut off the back end of the patient's fifth or sixth rib?"

Li Jingsheng asked Director Zhang.

"Don't cut it off yet! If the operation doesn't go well, you need to consider it again."

"Okay, then I will enter the chest from the fifth rib space!"

After Li Jingsheng finished asking, he immediately opened the patient's chest with a knife.

I saw that he was very calm and calm when cutting the knife easily and quickly, and his movements were also very skillful and full of strong confidence.

The whole process is extremely smooth.

"Please help me pull the cut cortex."

Li Jingsheng looked at Yisuke who was still stunned.

"Oh, alright!"

After being reminded by him, Ichisuke came back to his senses.

The first time I saw Li Jingsheng operating, I was amazed.

Isuke secretly compared his own skills with Li Jingsheng's, and instantly felt the huge gap.

He was very curious, how could Li Jingsheng master the incision technique so well when he was still so young and worked in a relatively violent orthopedic surgery department?

While he was curious, Li Jingsheng finished the second cut.

After the cortex is incised, the underlying subcutaneous tissue layer is also incised.

Then the third knife, the fourth knife, the fifth knife.

Li Jingsheng showed the first, second and third assistants what it means to be fast and good.

After incising the pleural layer, the hilum has been exposed.

Before the operation, Li Jingsheng not only carefully read the surgical method sent by Director Zhang, but also carefully studied the size and location of the tumor.

He never fought an uncertain battle.

Especially after the clinic has been open for more than a year, after going through devilish training, I have become more careful, cautious and thoughtful in everything I do.

This is also reflected in this operation.

The comprehensive qualities displayed are completely advanced qualities that can only be possessed by deputy directors and chief physicians with decades of work experience.

If I have to describe it, I can use four words: comprehensive.

"The amount of bleeding is so small! This should be the fastest thoracotomy I have seen in my more than ten years of practice. Director Zhang defied all opinions and asked Dr. Li to perform the surgery. He was indeed foresighted."

The circulating nurse was shocked and quickly made up for her previous firm opposition by praising Director Zhang.

Let Li Jingsheng take charge, and she would be the most fiercely opposed.

I would not argue head-on with Director Zhang.

But speaking out, she was full of doubts about Director Zhang's decision. Now that she discovered that Li Jingsheng's surgical skills were beyond imagination, she naturally wanted to repair the relationship with Director Zhang.

This is also the minimum way to survive in the workplace.

"The director is so wise! To be honest, my palms were all sweaty just now because I was afraid that Dr. Li would screw up. After all, he is too young."

Ichisuke also showed an unprecedented smile.

"Otherwise, why would he be our boss? Director Zhang always has such a unique vision and does things that ordinary people dare not do, but the results prove to be right every time. If I learn this skill one day, I will definitely be able to do it too Qualified for the position of department director.”

Sansuke also followed suit and flattered him wildly.

Hindsight is always the most important.

Because hindsight is accurate and there will be no deviation.

The second assistant was a dull man and said nothing, but all the worry and tension in his eyebrows disappeared.

It can be seen that Li Jingsheng's chest opening was successful without any accident, which made everyone very happy.

"Xiao Li's incision level has definitely reached the level of a senior director. If you look carefully, you will find that these slightly larger blood vessels, whether they are arteries or veins, have been perfectly avoided by him. Don't look at his cutting skills. Fast is actually safer than someone who cuts slowly.”

Director Zhang got a lot of flattery from his doctors and nurses, which was very useful.

As soon as I feel good, I will give advice to the doctors under my command.

The two young doctors standing in the audience should be regular training or resident doctors.

Being able to perform surgeries with the director shows that he is a key training target.

They are not even qualified to go on stage and can only observe from the audience, which shows that it is usually difficult to get the opportunity to get started.

Both of them tried their best to crane their necks and get a closer look.

But they didn't dare to cross the line even half a step, otherwise, the traveling nurse would scold them.

Being criticized by a nurse in front of the director and other colleagues must be very damaging to one's self-esteem.

Therefore, after being criticized once, everyone will be cautious to avoid touching the negative scale of the itinerant teacher.

In the operating room, it is also the territory of the traveling nurse.

Even if the surgeon's operation is not standardized, they may be criticized by them.

Of course, scolding the surgeon and scolding the supervisor are two completely different attitudes.

"Dr. Li, after the operation is done later, I have to ask you for advice on how to practice incision. My incision has always been a weakness. Every time I see me holding a knife, Director Zhang says I am prone to heart disease. "

Isuke said half-jokingly.

"Fortunately, I don't have a heart disease, otherwise I wouldn't know how many times I would have been rescued by you. It would be good to communicate more with Xiao Li when you are free."

Director Zhang's words made everyone laugh.

The current atmosphere in the operating room is quite relaxed.In any operation, as long as the patient's condition is stable, the atmosphere will be relaxed.

Directors often even speak obscenely and tell dirty jokes to nurses and doctors.

"In terms of practice, I really haven't practiced much. Maybe it's because I played a lot cutting mud in my hometown in the countryside when I was a kid!"

Li Jingsheng told a lie to cover up the past.

His incision technique is so powerful, it all improves by adding points.

He couldn't create another attribute panel for others.

This is his unique secret skill.

"It turns out that you can practice surgical skills by playing in the mud! Alas, it seems that we lost at the starting line. No wonder Dr. Li is so young and has such a high level of incision surgery."

Several doctors actually believed it.

"Not to mention, there is a person in their general surgery department who has been playing wood carving since he was a child. Now he is the second pillar of the general surgery department."

"You are talking about Director Ru Qingqing, right? She is indeed a role model in our surgical community. Female doctors inherently have some disadvantages in surgical work. She stands out at such a young age, and she is not inferior to women. It is really admirable."

(End of this chapter)