Gou is practicing medicine in the clinic

Chapter 344 Daily life in the operating room, equal discussion with the director

The owner of this Limin Clinic obviously treated a gentleman with a villain's heart.

Although Li Jingsheng hated what he had done, he did not speak ill of Limin Clinic in front of the patients.

As for the trouble Xie Junjie's brother went to find at Limin Clinic, that is the family's own business.

The boss of Limin Clinic may have taken it for granted that his colleagues were enemies and that it was Li Jingsheng who exposed his scandal in front of the patients.

Li Jingsheng was really speechless about this.

Fortunately, the other party only called to threaten and insult me, and just treated it like a mad dog barking.He had nothing to lose.

If you really want to confront Li Jingsheng, you are asking for death.

Today, Li Jingsheng is already a key doctor of the Second Hospital and is related to the important interests of the Second Hospital. Anyone who touches Li Jingsheng will also touch the Second Hospital.Director Hua would not agree, and Dean Fu would not agree even more.

Limin Clinic is located in the south of the city, which is the territory of the Second Hospital.

Li Jingsheng ignored the matter and took a taxi straight to the Second Hospital.Director Zhang invited him to perform another cardiothoracic surgery today, which was extremely difficult and required corrective treatment of the patient's right ventricular double outlet.

Double outlet right ventricle is a rare congenital heart disease.

Both the pulmonary artery and the aorta originate from the right ventricle.

For top tertiary hospitals such as People's Hospital and Qiaobang Hospital, it may not be a big deal.After all, these two hospitals are very skilled in cardiothoracic surgery and have very professional cardiac surgery teams.

People's Hospital has at least two such teams, and Qiao Bang is stronger. It seems there are already four such teams.

It also reflects from the side that the number of patients in Qiaobang Hospital is more sufficient.

After all, to support a professional surgical team, you must have enough patients.

Why can't small hospitals perform larger surgeries?

Mainly because there are usually no patients.

Doctors lack training opportunities, and the technical team will naturally become weaker and weaker.

Any strong surgical team is tempered through a lot of actual combat.

The number of emergency outpatient registrations at the Second Hospital has been growing rapidly in the past two months.This also gives multiple departments the opportunity to develop and grow.

Just say that the two departments that Li Jingsheng is familiar with, one is orthopedic surgery and the other is cardiothoracic surgery, have been recruiting recently and have added many low-level doctors.

The double-outlet right ventricular surgery performed tonight should also be a huge challenge for Director Zhang’s team.

It was deliberately chosen to be carried out at night, probably because Li Jingsheng, a powerful medical assistant, could participate.

After all, challenging such a difficult cardiac surgery will face many unknown risks.

With one more powerful medical assistant, some technical difficulties can be overcome at critical moments, greatly improving the patient's survival probability and surgical success rate.

After eating in the hospital's staff canteen, Li Jingsheng went straight to Operating Room 4 in the surgical building.

As his surgical skills continued to improve and his experience in cardiothoracic surgery continued to increase, he gradually became a key member of Director Zhang's team from a person who was supported.

In the operating room, team members were already in place in advance.

Director Zhang hasn't come yet.

Lao Yu, his assistants and nurses are preparing the patient for general anesthesia and establishing an extracorporeal circulation channel.

"Dr. Li, the risk of this operation today is very high. You can be the second assistant!"

Dr. He discussed with him.

In the team, Dr. He has always been Director Zhang's right-hand man. At the age of 40, he is already the deputy chief physician.

The surgical experience, surgical skills and medical knowledge are all very good.

Before Li Jingsheng joined the team, Dr. He was an absolute helper, and no one could shake his status.

Now as Li Jingsheng continues to grow, Dr. He's status has gradually changed.

At the beginning, Li Jingsheng could only occasionally stand in the position of Yishu under the appointment of Director Zhang and get some training opportunities.More often than not, he plays the role of fourth assistant.

Later, as his surgical skills continued to improve, his surgical experience became more and more abundant, and his status gradually rose.

From the fourth assistant to the third assistant, he quickly became the third assistant.

Growing along the way, the second assistant was also pushed to the back.

Now, Li Jingsheng has the ability to compete with Dr. He, the first assistant.Even in more and more surgical tasks, Director Zhang has asked him to serve as first assistant more times than Dr. He.

In the operating room, everyone speaks with strength.

The capable are at the top and the mediocre are at the bottom. There is nothing to say.

Dr. He was afraid that Li Jingsheng would take Yisuke's spot, so he said hello in advance.

"I have no opinion."

Li Jingsheng really didn't care.

When participating in cardiothoracic surgery, the first thing I wanted to do was to find more opportunities to improve my surgical skills and earn some health points by the way.

He didn't disappoint, and the health points he earned during cardiothoracic surgery were considerable.

From time to time you can get some big rewards.

In addition, the proficiency of each surgical skill naturally improves very quickly.

In addition, the increase in surgical experience and rescue experience is also very good.

He is now capable of performing some simple cardiothoracic surgeries.This is something I never dared to think about before.

However, because his level is not high enough, even though he has this ability, he is still unable to host it.

At most, Director Zhang deliberately delegated power and asked him to exercise.

It is still different from him setting the patient's bones alone in the outpatient clinic.

"Dr. Li, Teacher's Day is coming soon. I want to buy some health medicine from your clinic to give to the teacher. I will give you a preferential price then!"

The equipment nurse smiled and winked at him, and spoke with a hint of coquettishness.

These nurse girls are all extremely smart.

Cheating Li Jingsheng to drink milk tea, or going to his clinic to buy medicine, hoping for a discounted price, this is basically the attitude that is second only to the 'girlfriend' now.They are very good at using their own advantages.

"Okay, Teacher Chang said, this discount must be given!"

Li Jingsheng smiled and agreed.

"When Dr. Ou finds out, he won't quarrel with Chang Yueyue, right?"

Another handwashing nurse quipped with a smile.

She is younger than Chang Yueyue, the equipment nurse, about 25 or [-] years old.She is of medium height. In addition to her good looks, she is also the most talkative nurse in the operating room.

Normally, there are three female nurses in Director Zhang's group that performs surgeries.

Chang Yueyue directly faced the surgeon and passed the instruments.

The female nurse who interrupted was named Chen Meilian. She had the least qualifications and did some preparation work, assisting team members in dressing up for surgery, etc.During complex surgeries, she assists Chang Yueyue in passing instruments to the doctor.

Normally, Chang Yueyue sits opposite the chief surgeon.

Chen Meilian spends most of her time standing or running around to get things.

Whether it's the operating room or the inpatient department, the one with the most junior qualifications is basically the one who does the most work.Being called upon in various ways.

"Don't worry, as long as you don't act coquettish or flirtatious with me in front of Dr. Ou, she won't be angry." Li Jingsheng responded with a smile, and then looked at the little nurse who interrupted. "Chen Meilian, don't you want to buy some gifts for the teacher?"

"The school I graduated from is in another province, so forget it! I can just send you a text message saying hello."

Chen Meilian has only been working for a short time, her salary is not very high, and her savings are limited. She saves whatever she can.

In fact, everyone is very frugal.

It seems that every girl these days has seen through love and marriage.

Before getting married, I was working hard to earn more money and try to collect enough down payment to buy a house of my own.

They don't want the house to be big, as long as it has a small nest where they can stay.

The advantage of doing this is that you don't have to look at the man's face, and you don't have to worry about being kicked out one day.

In marriage, they have more dignity and higher status.

"You are the most affordable. If your teacher only meets students like you, then he will probably only receive a bunch of blessing text messages. Seeing other teachers carrying piles of gifts home, he will So sad!”

Li Jingsheng said with a smile. "It's okay, it's okay. Those rich senior brothers and sisters will definitely give you gifts in kind. I'm not worried about this at all." Chen Meilian waved her hands, not caring about this.

After graduation, it would be nice to remember the teacher.

Many students will soon forget their teachers more than ten years after graduation and then forget about them.

Because everyone is busy with work, getting married, having children, and various other affairs, they gradually put aside those less important social interactions.

"When are you going to buy it Yueyue? Let me go with you! Recently, I keep hearing people say how good the Sunshine Clinic is. The health medicines of the Sunshine Clinic are regarded as treasures by many elders and friends around me. I want to go and see them. Look. Also buy some gifts for my teacher."

The always serious and cold itinerant teacher took over.

This surprised everyone.

"Teacher Ji has been working for so many years, and he still remembers his kindness! It's really admirable."

Chang Yueyue said sincerely.

The traveling nurse is 37 years old, much older than Li Jingsheng.

"Teacher is the most respectable profession and is also my professional guide. When I first became a nurse, I didn't understand anything. It was Director Song who taught me little by little and constantly encouraged me, so that I finally persisted. . I still remember one time when I worked overtime until about ten o'clock in the evening. I was cold, hungry and exhausted. Then a patient rang the bell. I went a little slower and was scolded severely.

At that time, I held back tears and ran outside to cry.

I thought at that time that being a nurse was too hard.After studying for so many years, I only earn a monthly salary of more than 2000 yuan. I still work overtime every day and am extremely tired. I am often scolded by patients and their families.I can't stand this kind of job, so I don't want to do it anymore.

Director Song called me to the office and gave me a candy.

She told me that every doctor or nurse who ultimately stays is because he loves his job.Giving up easily when encountering some setbacks is not love.He also told me that when it really tastes bitter, just eat the candy.

Later, every time when I felt miserable and wanted to give up the job, I would take out that candy.

But in the end I was reluctant to eat it.

To this day I still keep it in the refrigerator.Without Director Song's encouragement and that candy, I think I would have changed my job long ago.So every Teacher’s Day, I go to Director Song’s house to sit there. "

Teacher Ji took the opportunity to share his growth experience.

She turned to look at the youngest hand-washing nurse, "Xiao Chen, if one day you feel that this industry is particularly hard, just think about what I said today. You chose to be a nurse because you love this profession."

"I know! Thank you, Teacher Ji, for comforting me!"

Chen Meilian shrank her neck with some guilt.

This made Li Jingsheng very surprised.

"Next time if you feel sad or tired, you can go to the small room next to the treatment room. The staircase corridor is too cold and unsafe."

"Uh-huh!"

She nods again.

Although Teacher Ji did not say what happened, it is certain that Teacher Ji saw Chen Meilian when she was hiding alone in the stairway and feeling sad.

Every doctor or nurse has his own growth story.

Li Jingsheng is no exception.

Listening to the three nurses and teachers chatting, he felt that there was a bit more fireworks in the operating room.

Normally, the nurses are very cruel.

Especially the traveling teacher, who scolded Li Jingsheng several times.Sterility management is very strict, and Li Jingsheng does a good job, but sometimes he does ignore some rules when he is busy or encounters rescue operations.

Then he was criticized by Teacher Ji.

"What are we talking about? Are you ready?"

Director Zhang walked in at this time.

"I'm just waiting for you to host it." Chang Yueyue replied with a smile.

Director Zhang nodded and looked at Li Jingsheng.

"Xiao Li, do you understand this patient's condition clearly?"

"I have read all the surgical plans, examination reports, and diagnostic results. Transposition of the great arteries and double right ventricular outlet is quite challenging. Anyway, I am ready to charge into battle. I will fight wherever you point me. .”

Li Jingsheng replied.

"Hey, I just like your attitude. You and Dr. He will work together as first aid later. Your skills in hemostasis, separation, and incision are very strong, and your diagnostic thinking is also flexible. This operation is our team's first. Once you do it, you will lead the work and Dr. He will assist you."

Director Zhang was hoping that Li Jingsheng would come and be the first assistant, so he deliberately arranged the operation at night.

The fact that he is very busy during the day is also a reason, but if this kind of major surgery is an elective surgery, it is usually performed during the day.

Many major surgeries are performed first in the morning.

Because medical staff are most energetic at this time, if they need rescue or something, they can call doctors from other departments to come and assist.

Many doctors and nurses are off work at night, so asking for help is difficult.

Some emergency examinations, intraoperative pathology tests, etc. can only be performed during the day.

It can be said that this surgery was chosen to be performed at night, largely because Li Jingsheng had no time during the day, so he chose to do it at night.

"Director Zhang, I don't have any objections to your arrangement. It's just that my professional title is low and my qualifications are relatively low. It would be better for Dr. He to take charge of the first aid work, and it would be better for me to assist."

Li Jingsheng glanced at Director He who looked bitter.

He was obviously a deputy chief physician and was strong in all aspects, but he couldn't compete with Li Jingsheng.

Now even a fool can see that Director Zhang relies more on Li Jingsheng.

"Safety in the operating room comes first, and ensuring the success of the operation comes second. As for professional titles and qualifications, as long as they do not violate hospital regulations, there is no need to worry about them. Next time there is another operation, Director He can take charge of the first assistant's work. This operation It would be more advantageous for you to take the lead and help. You are so young and you don't want to be cunning and pull back while pushing your old comrades forward."

Director Zhang rejected Li Jingsheng's humility.

As he said, it was the first time for the surgical team to perform this kind of operation, and priority must be given to ensuring the success of the operation.

Instead of discussing seniority here, consider personal feelings.

"Director Zhang is right. Dr. Li is young and needs to be more responsible. I will assist you and cooperate with you and Director Zhang to successfully complete this operation."

Director He saw that there was nothing he could do, so he took the initiative to express his position.

There are some things that he can't just be a helper if he wants to.

You have to have that strength.

The operation was about to begin. Li Jingsheng looked at the patient and said, "I have seen this patient's detailed examination. According to his symptoms, he should have congestive heart failure. I personally recommend using drugs to control heart failure, and antibiotics may also be needed to treat respiratory infections." "

Such a major surgery carries many risks.

This surgery is quite complex, and some details must be taken into consideration and adequate preparations must be made.

"Your suggestion is very good. The diagnosis and observation are all meticulous. Then tell me, which medicine is better to use to control heart failure?"

Director Zhang looked at Li Jingsheng with appreciative eyes.

Ask him how to take the medicine.

Doctor He looked ashamed.This detail was something he hadn't considered.

Director Zhang had his own reasons for choosing Li Jingsheng as the main assistant instead of him.

At the critical moment, the first assistant should help the surgeon make a joint diagnosis and rescue or overcome the difficulties of the operation.Even when necessary, he should work in place of the chief surgeon.

Without strong strength, you simply cannot be qualified for the job of a first assistant.

"Looking at your expression, I must have made preparations for this. I don't dare to try to do anything for you."

Li Jingsheng originally just reminded him.

He believed that for such an important major surgery, Director Zhang and the anesthesiologist would be fully prepared in advance.

"Hey, what kind of trick is this? You are the first assistant. You have to fully assist me as the surgeon, help me find the flaws, and even help me correct them in time when I misdiagnose and misjudge. This is the qualified first assistant. Don't be too old. I want to hide my clumsiness and keep a low profile. With me, you can use whatever ability you have, and I will give you the fairest treatment."

Director Zhang has admired Li Jingsheng from a very early age.

At that time, I just admired his meticulous and clear thinking in diagnosis of cardiothoracic surgery.

Now that Li Jingsheng has been brought into the surgical team, he has become more and more appreciative of this young doctor.Because Li Jingsheng performed well in all aspects.

"Hurry up and tell me your medication plan. It can also be compared with the plan I am considering. Try to achieve the optimal medication plan."

Director Zhang urged him.

(End of this chapter)