The road to the rise of great doctors

Chapter 3
Noon, operating room.

The little nurse in the ward sent the patient down, and went back immediately after the handover. Liu Dong, who had been waiting at the door of the operating room for a long time, was responsible for taking the patient to the specific operating room.

"Being a doctor starts with picking up and dropping off patients." Zhu Guoliang, who temporarily called another intern to assist in the outpatient surgery, walked over, glanced at the patient first, and then began to think about it, saying: "To be a doctor, you have to be serious." , Be careful, and remember the specific situation of the patient, a bad memory is not a good doctor."

Zhu Guoliang also worked his way up from an intern and did a variety of chores. In the past, he was always the one being preached to.

Now his daughter-in-law has finally become a mother-in-law, and he has finally become a junior teacher teaching interns.Nagging, maybe "becoming a teacher" is really a common preference of human beings.

Liu Dong pushed the cart and sent the patient to the operating room for anesthesia first.

He walked up to Zhu Guoliang and asked curiously: "Teacher Zhu, will you be the surgeon later? This kind of surgery is not common, right?"

"It's not only uncommon, it's a rare type." Zhu Guoliang shook his head and said, "This is the second time I have encountered this kind of surgery. Although we are a large hospital, not all patients go to the hospital immediately after being injured. We deliver it here. Emergency surgeries are usually done nearby. If nearby hospitals cannot perform the surgery, or the patient requests to go to a larger hospital, they will come to us."

"In that case, it will be quite difficult to become proficient in emergency surgery."

"Hehe, that's not the case. After doing a few cases of this kind of surgery, you will become familiar with it." Zhu Guoliang said with a smile and said: "Anyway, we don't worry about the cause of the disease, and we will always become familiar with it."

Liu Dong glanced towards the operating room. The patient was lying on his side, half-bent. This operation still uses combined spinal and epidural anesthesia. The patient can be awake or sleep with some sedatives, but he will wake up easily once the medication is stopped.

"What is the difference between big hospitals and small hospitals? Small hospitals do more for some patients, and the doctors there come to us for further study. Why?" Zhu Guoliang stood next to him and whispered to Liu Dong: "Because through Repeated operations are just low-level learning. Advanced learning is to combine anatomy with surgery. Watch the teaching videos and surgical atlas several times before the surgery. Operate according to the anatomical structure during the surgery. Think about the profound meaning of the sentence in the book and what you don’t understand. , review the operation after the operation, and summarize the gains and losses. In this way, you can quickly master the key points of the operation for this disease, and you can continue to improve. So although there are few, it is enough to teach other doctors who do not think. "

"One minute on stage, ten years off stage, it's the same truth." Liu Dong couldn't help but murmured in a low voice, and when Zhu Guoliang looked over, he immediately gave a thumbs up.

After saying that, the two walked into the operating room.

The room is well-lit and has a modern standard operating room style. There is an operating bed in the middle, and the patient has already been anesthetized and lies flat on the bed.Seeing the two doctors coming in, I couldn't help saying: "I'll leave the sexual blessings of my younger brother to the two doctors. I will thank you in person when I can move around. What a lot of trouble."

Zhu Guoliang responded, then walked to the operating bed and said: "The operation will still take a while, please relax, we will try our best. During awake surgery, it may be uncomfortable to lie down for too long and not be able to move. Anesthesiologist, let The patient should get some sleep."

The anesthesiologist pushed the sedative a little more, and the patient slowly closed his eyes.

A fat and muscular man was lying on the bed, his belly bulging high.Liu Dong picked up the skin preparation knife and gently shaved all the hair within 15cm of the surgical area. It was refreshing and refreshing, without any residue.

At this time, Zhu Guoliang had finished washing his hands, and Liu Dong moved the clothes covering the patient's body away to ensure that there was no obstruction within the disinfection range.Then I went out to brush my hands and get ready to go on stage.

Before the operation, the risks are fully informed to the patient or the patient's authorized family member, and everyone signs the informed consent form.However, in practice, patients have very different understandings of what they hear, so it is usually necessary for doctors to have high professional ethics and high professional quality.

"Here we go." Zhu Guoliang saw Liu Dong put on the surgical gown and stood on the other side of the hospital bed. He conducted a three-party verification with the anesthesiologist and instrument nurse to confirm that the patient's personal information and surgical information were correct.

Zhu Guoliang looked at Liu Dong and asked: "You said you have done this surgery before. Have you ever had an operation before? If you have, you can try it; if you don't want to, it's normal. Not everyone has to undergo emergency surgery for the first time. Dare to take action."

"I can." Liu Dong was already doing some mental construction before he came in.Now, all kinds of voices in his heart are confused, but he will never retreat.

Zhu Guoliang confirmed again and nodded: "You come first." He also wanted to see Liu Dong's ability. If Liu Dong couldn't do it or performed poorly, he could give him lessons.

Zhu Guoliang was taught this way before. It is a common problem for novices to have high ambitions and low ambitions.Only a few can remain calm, and a few have trembling hands when they pick up a knife.

Liu Dong's expression was serious, slightly nervous and hesitant.

Liu Dong doesn't have much experience with surgery.But during several animal experiments at school, his performance was praised by the teacher, who thought he had "a talent for surgery."

I have only been in the Department of Urology for a week. When I was working as the second or third assistant, I also observed the operations of the professors.Every time I step down, I will think about it and review it again.

Liu Dong took a deep breath, calmed himself down, and recalled the steps he memorized yesterday.

"First use 2 instruments to lift the bag symmetrically, and follow the pre-circumcision steps to perform incision and stop bleeding." Liu Dong was busy with his work, while Zhu Guoliang acted as an "escort" beside him.

First tell me how to do it, and then proceed in an orderly manner.This approach made Zhu Guoliang quite satisfied.He nodded and said, "It's okay. Have you done incision and suturing before?"

Liu Dong said: "I have practiced on the model several times."

"That's good. Nowadays, there are many people in school practice and time is limited. In many cases, there are very few opportunities for everyone."

"Well, I participated in the external training organized by the hospital department and practiced it several times."

"Oh, have you ever used a knife on someone? Really cut, stitched, knotted?"

Liu Dong said: "No, I've only seen it a few times. It doesn't seem difficult."

"You're doing well. I'll give you a few stitches later." Zhu Guoliang said, taking over the initiative of the operation. Based on the incision similar to that of a circumcision, he further degloved the skin to the root and asked Liu Dong to use normal saline. Clean the bleeding point, then wipe it dry with gauze to stop the bleeding.

The rupture point of the tunica albuginea was quickly discovered. After suturing and checking that there were no other tears, the bleeding was stopped. Then, the nurse and the nurse checked that no gauze, instruments, etc. were missing.

"I'll show you one stitch, and you do the rest." Zhu Guoliang then gave Liu Dong the needle holder and absorbable thread.He added: "Insert the needle vertically, don't slip the knot, don't prick yourself."

Liu Dong nodded, then took the instrument, sutured symmetrically, then flattened it with two small pliers, and handed it to Zhu Guoliang to pose.

Then, sew the middle and both sides symmetrically.

The limbs are still a little swollen, but they have been cleaned and the angles have been corrected.It seems to have some initial beauty.

　Newbies and new books, please recommend, collect and support.
　　Newbies are still figuring out which words or phrases can and cannot be used when writing a book. Please forgive me for any inappropriate words.

　　


(End of this chapter)