Gou is practicing medicine in the clinic

The process of peeling off this tumor can be described as meticulous.

It needs to be completely peeled off, which requires extremely high skills. Various clever uses of separation techniques, clamping, fine operation of the endoscope, control of force, and various predictions when peeling off the lesion all determine whether it can be completely peeled off.

Only complete dissection can ensure a clean cut for the patient in one go.

Cancer cells are much scarier than sparks. They are more like malignant weeds. Even if they are cut into pieces, as long as there is still a living cancer cell, it can reappear again.

Many cancer patients relapse after surgery, mostly because the surgery was not clean.

No doctor can guarantee that they will be completely removed.

Even a little residue on the scalpel may cause recurrence.

What Li Jingsheng had to do was to completely peel off the entire tumor without breaking it, thereby avoiding most of the risk of recurrence.

Strive to achieve the best surgical results.

New surgical techniques such as electrocoagulation to mark the edges and saline injection from multiple points under the mucosa to raise the edge of the lesion made this operation possible from impossible.

After nearly two hours, a complete tumor was successfully removed.

He impressed everyone with his superb skills.

The status of team captain has also been completely consolidated.

Including post-operative hemostasis and other operations, he did everything very well.

"Yani, how is the patient's condition?"

"There was a large blood pressure fluctuation during the process, and the heart rate also increased by 14 times. According to my experience, as long as the heart rate increases by about 19 times in that situation, the patient will be very prone to cardiac arrest.

I was very nervous at that time.

But you are concentrating on the operation, and I dare not disturb you.

Fortunately, after a small amount of administration, the patient's blood pressure slowly rose back up. "

The patient's blood pressure suddenly dropped during the operation, which is a very bad sign.

It often occurs when a large blood vessel ruptures or is caused by other serious problems.

"With you, a top anesthetist, escorting this operation, I feel relieved. Even if there is an accident, you can handle it."

Li Jingsheng smiled and praised her.

The operation was a success, and a great success, and everyone was happy.

The atmosphere in the operating room also changed from tense and depressing to relaxed and joyful. At the moment when the operation was successful, smiles appeared on the faces of everyone in the team.

"Thank you for trusting me so much. But can the title of anesthesiologist be changed to anesthesiologist? I hate the word anesthesiologist."

Yani corrected Li Jingsheng's address to her.

Anesthesiologists have never hated the word anesthesiologist so much before.

It should be that since the proliferation of medical beauty institutions, some people who have only participated in skills training have acted as anesthesiologists in cosmetic surgeries.

Gradually, anesthesiologist became a derogatory term.

"Haha, I'm sorry, I didn't mean to belittle Teacher Yani."

Li Jingsheng apologized to her on the spot.

I thought that since she had been abroad for many years, she would be particularly open-minded and would not care about these so-called titles.

"Yani, anesthesiologist was actually a very noble title in the early days. The earliest anesthesiologists would only be called anesthesiologists by their colleagues after they reached a very high level. And our People's Hospital's earliest critical care medicine doctor The department was built under the leadership of an anesthesiologist. You anesthesiologists should be the ones who understand life best.

One of my classmates studying abroad in a beautiful country is also working as an anesthesiologist.

He said that the patient's blood pressure, heart rate, and breathing are like three musical notes, and the brain waves are a more advanced baton. As long as these four physical signs do not fluctuate much, the patient will leave the operating room safely. "

Lian Tao chatted with Yani beside him.

It is interesting to say that Mu Yin, a senior nutrition nurse, is also a talented student who returned from studying abroad. She admires Lian Tao extremely and has always been secretly in love with Lian Tao.

But Yani seems to be very cold towards Lian Tao.

"It's true that blood pressure, heart rate, respiration, blood oxygen, and brain waves are the five-line spectrum of anesthesiologists."

Yanni responded calmly.

Lian Tao saw that she was not very interested in chatting, so he stopped using his warm face to rub her cold butt.

Turning to look at Li Jingsheng, "Jingsheng, now I like to do surgery with you more and more. Today is an eye-opener and I have seen many new techniques of endoscopic surgery. As long as you maintain this development momentum, I guess we can The country’s endoscopic technology will surpass that of Western developed countries.”

This evaluation given by Lian Tao is very high.

If Li Jingsheng didn't know his character, he would really think that he was flattering.

"Brother Lian Tao is good at everything, he just likes to put a tall hat on me every once in a while! I'm just at an average level, let alone reaching the top level in the world. Even in Jiangli City, there are many more powerful endoscopists than me. .I am self-aware of this."

Li Jingsheng never thought he was so powerful.

"I'm not flattering you, I'm telling the truth. If you don't believe me, we can make a small bet. If your endoscopic surgery level reaches the top in the world in the near future, you can help my girlfriend cure intestinal diseases. If you don't reach the level The world's top level, if I lose, I will be your medical assistant for the rest of my life."

Lian Tao's bet was a bit big.

Being a medical assistant to Li Jingsheng is the same as being a younger brother.

He is the chief physician of both specialties in a major tertiary hospital and has a bright future. Being Li Jingsheng's little brother is a bit scary.

"Just bet, no matter whether you win or lose, I hope you will be my medical assistant. My team needs you, the top experts in the industry, to join me."

The operation was completed and Yani had begun to wake the patient up from anesthesia.

It's actually very simple, just stop the medication and call the patient's name.

If there is no response to the call, the patient will be tapped on the shoulder if circumstances warrant. Not long after, Mr. Ruan woke up leisurely.

For the patient, it's like a good night's sleep.

I have no idea what happened in the middle.

"Mr. Ruan, the surgery has been completed. You cannot eat for the time being. We will have a dedicated nutritional nurse to provide you with nutritional support. We will also guide you on your postoperative nutrition plan to help you recover faster."

Li Jingsheng said to the patient.

Muyin is a nurse at the People's Hospital. In order to bring her into the team, Li Jingsheng will ask her for help whenever he needs it.

And she never refuses.

After interacting with her, Li Jingsheng felt that Muyin was a very enthusiastic and righteous person with a kind heart.

I really don't understand why Lian Tao didn't choose her as his girlfriend, but instead chose a female patient with "pinchang" as his girlfriend.

Sometimes, fate is particularly wonderful.

Especially between men and women, a handsome guy finds an ordinary-looking girlfriend, or a beautiful girl finds a short, poor girl. The key is whether the person is willing or willing to do it.

It should be true that beauty is in the eye of the beholder.

……

In the general inpatient ward, Mr. Ruan and his family were all extremely excited.

They were very happy that the old man completed the operation safely, and now they are looking forward to his speedy recovery.

Originally, according to Mr. Ruan's situation, it was okay to stay in the intensive care unit for a day or two.

Considering that the patient's family was not particularly wealthy and could only be considered ordinary, and that the patient's postoperative indicators were pretty good, Li Jingsheng did not let the patient stay in the intensive care unit.

After all, the cost of staying there for a day is quite staggering.

He will try his best to save whatever he can for his patients.

The removed tumor has been sent for pathology.

This time, Li Jingsheng directly gave 1000 yuan to Ya Ni, 600 yuan to Meng Luo, and 800 yuan to Lian Tao. This is to pay them according to their merit in the operation.

The remaining expenses, in addition to the consumables and drugs for the surgery, include the rent of the People's Hospital venue of 400 yuan.

In addition, this patient was introduced by Director Tian and relied on Director Tian for help in many aspects. Li Jingsheng sent a separate red envelope of 1000 yuan to Director Tian.

After all, the profit from this operation was at least 13,000 yuan.

It’s pretty good to make money with technology.

If Li Jingsheng had a darker heart and quoted 70,000 yuan, I believe the patient's family would still agree.

Even higher may agree.

For family members, it is worth spending no matter how much money they spend to cure their loved ones.

The lung cancer surgery was successful today.

The colon cancer patient’s surgery should be similar.

This time, Li Jingsheng will definitely charge 70,000 yuan.

He is considering adding another nurse and doctor to the team.

It is also to prepare patients for major surgery in the future.

Under normal circumstances, three nurses are often required to perform a major surgery of level 3 or above.

One circulating nurse and two equipment nurses.

There should be at least three to four medical assistants, and there should be experts who can take over the work of the chief surgeon at critical moments.

For many major surgeries, the chief surgeon only performs the most critical and core parts, leaving all the rest to his subordinates.

When he returned to the clinic from the People's Hospital, it was already eleven o'clock in the night.

There is nothing we can do about it.

For today's operation, he even postponed two colonoscopies until tomorrow.

Things have improved in severity, and those patients who undergo colonoscopy will be fine even if they are postponed for a week or two. Unless serious emergencies such as intestinal obstruction, intestinal hernia, or intestinal necrosis occur, colonoscopy needs to be arranged immediately.

After taking a shower, he opened his laptop and carefully wrote down the surgical experience he accumulated today.

This brand-new technique can be considered to write a related paper when the technology becomes more mature.

It can not only make certain contributions to the development of human medicine, but also prepare for the next promotion to deputy chief physician.

After writing down the surgical experience and the patient's medical history, he lay in bed without feeling sleepy.

I was thinking about the surgical plan for the colon cancer patient.

After a coagulation test, the patient indeed had a problem with his coagulation. Moreover, the patient probably knew that he had a blood coagulation problem but did not tell Li Jingsheng.

Such high-end customers often like to test the doctor's level through some unique methods.

Naturally, Li Jingsheng would not care too much about the patient.

There is a problem with coagulation, which can easily lead to unstoppable bleeding during surgery.

In addition, there are many difficulties in using the new surgical method to remove the colon tumor.

This 70,000 yuan is really hard to earn! (End of chapter)