There is no need to be too normal to be a doctor.
Chapter 113 System upgrade, settlement rewards
Chapter 113 System upgrade, settlement rewards (asking for monthly votes)
Zhao Lei heard Han Shifeng's words and did not refuse.
In the operating room, Zhao Lei is in charge of surgery-related matters, and Han Shifeng is the first assistant!
the most important is……
At this moment, if there is no way to solve the visual field problem of perihepatic ligament treatment, Zhao Lei will not let everyone take the risk.
Therefore, at this time, although he glanced at Chen Gong in surprise, he was unwilling to change the surgical plan if the vision problem could be solved.
For every operation, the surgeon needs to make multiple complete surgical plans to avoid accidents.
However, no matter how many sets of preparations are made, plan A is still the best!
What's more, according to what Chen Gong said, adjusting the distance between the operating bed and the light is just a trivial matter and does not consume much time.
The nurse heard the sound and came over quickly.
The head nurse was also the first to walk to the bed, ready to adjust the angle.
The head nurse looked at Chen Gong with some surprise. This new face, who came here for the first time, looked a bit like a student, but... why was Director Han willing to try it without any hesitation?
Xiao Caixia said to the two nurses: "Come, cooperate with me!"
"Hold the bed steady and adjust slowly!"
"First bring the light closer to 10 centimeters."
"Okay, yes... come little by little."
As a head nurse, Xiao Caixia has experienced a lot of large and small surgeries. Han Shifeng and others don't need to talk about these details at all, and they can be done with confidence.
only……
Adjust the bed and lights.
Everyone next to the operating bed looked at Chen Gong with doubts.
Including Zhao Xi!
Compared to everyone else, Zhao Xi looked at Chen Gong with eyes that were so calm and as deep as the sea, which made it clearer.
Chen Gong is not joking, he is confident.
but……
Zhao Xi didn't know, how could Chen Gong know so much?
As a doctor, what are you going to do about optical physics and refraction principles?
It’s not just Zhao Xi.
At this moment, others thought so too.
Deputy chief physician Ye Aiguo swallowed. Although he was the second assistant, he had never dared to confront Thor head-on and come up with such an idea.
In comparison, Chen Gong can be said to be very courageous.
but……
The most important thing is that Director Han is willing to believe him.
This made Ye Aiguo a little confused. Xiao Chen was obviously a student, and it was probably his first time to perform such an anatomy of the porta hepatis.
But how did he come up with such a solution?
Ye Aiguo knows very well that Chen Gong is by no means the kind of experienced, skilled expert who has self-awareness and understanding of surgery.
When encountering this kind of problem, it cannot be solved by relying on experience.
Damn... maybe he's really capable!
However, when you encounter difficulties just now, it only takes less than a minute or two to ask questions, right?
What can you do during this time?
Therefore, Ye Aiguo has a guess.
That is, it actually took Chen Gong less than 2 minutes from discovering the problem to solving it.
And in these 2 minutes, how could Chen Gong calculate the light and angle problems?
Everyone has studied physics, mechanics and optics...
But standing next to the bed at this time, relying only on eyes and brain, even if it is a computer... it will take some analysis time, right?
If Chen Gong could really do it...this would be too evil.
actually!
Not only Ye Aiguo thought so, Han Shifeng and Zhao Lei, although they didn't speak, were still a little shocked by Chen Gong's words just now.
On the operating table, there is no joking about surgery.
Although Zhao Lei admired Chen Gong's thinking and courage to solve problems on the spot, but... what this little bastard said really made him unhappy.
What is... This question is actually very simple?
Hey?
Why don't you win the Nobel Prize in Physics if you are so awesome?
You are pretending to be next to me.
Old Zhao's eyes at this moment inadvertently glanced at Zhao Xi.
Looking at the other person's calm expression, you knew something was wrong.
Now...just wait for the angle to be adjusted and see if the surgery can continue.
With the help of Han Shifeng, the operating bed and lighting adjustments were quickly completed.
Ye Aiguo is the person in charge of perihepatic ligament treatment.
Therefore, he immediately observed it at this time.
When he saw the round ligament of the liver, the falciform ligament, the right triangular ligament, the coronary ligament, the hepatorenal ligament... these were clearly visible.
He suddenly said excitedly: "Ouch!"
"Really!"
"I really saw it!"
"Director, Xiao Chen has really solved the vision problem!"
"so amazing."
Ye Aiguo's words are equivalent to giving Chen Gong's words just now a 100-point mark with a red pen!
Then he drew two lines.
When Han Shifeng heard this, he smiled slightly, raised his hand and gave a thumbs up: "Well done!"
It's still in surgery at this time.
Although Zhao Lei glanced at Chen Gong in surprise, he originally wanted to praise him, but after seeing how this kid behaved from beginning to end, he didn't even worry at all. He seemed... full of confidence and a sure victory.
Suddenly he snorted angrily.
"Have a good surgery!"
"A fuss."
"What does it look like!?"
"Why are you still the deputy chief physician? Look at Xiao Zhu, he is much calmer than you!"
"Hurry up and separate!"
The God of Thunder couldn't find the presence he deserved in Chen Gong, so he could only say a few words angrily at Ye Aiguo.
Ye Aiguo doesn't mind either, there's nothing he can do... If he's with Thor every day, he'll feel uncomfortable if he doesn't get scolded a few times a day.
Ye Aiguo smiled and gave Chen Gong a thumbs up: "Thank you, Xiao Chen!"
After finishing speaking, Ye Aiguo quickly started his work.
The handling of ligaments is also delicate work.
Need to be very careful.
Especially for the coronary ligament, it must be done in the bare area.
The bare area is all loose tissue, which means that too much pressure cannot be applied, but careful handling is required.
Ye Aiguo gently pushed it open with his fingers and separated it to the right side of the spine.
"Xiao Chen, watch carefully. This is a tumor. You need to be careful when separating it. Therefore, avoid using vascular clamps to avoid causing greater tearing."
"Here, the tumor has already undergone fibrosis, which means the hardness has increased, and sutures can be used to stop bleeding.
But here, it is different. The degree of fibrosis is relatively high. It must be covered with a saline pad and compressed with hands to free the liver and remove the tumor as soon as possible.
......"
Ye Aiguo explained to Chen Gong while doing it.
It can be seen that Ye Aiguo appreciates and likes Chen Gong very much.
Compared with Han Shifeng, Ye Aiguo's hands are slender and delicate, somewhat similar to a girl's hands.
However, it was these hands that made Ye Aiguo successful.
Although it is not as good as Han Shifeng's technique, the light and gentle separation method gives people a sense of solidity.
When Han Shifeng saw Ye Aiguo's detailed explanation, he couldn't help but smile and said:
"Okay, Xiao Chen doesn't have access to this type of surgery yet, just do it well."
Ye Aiguo also smiled: "Master, you can't say that..."
"Separation is a basic skill, and one method can be used to master a hundred methods. The earlier he understands these, the better it will be for his improvement."
"This is what you told me."
Hearing Ye Aiguo's words, Han Shifeng couldn't help but smile.
Ye Aiguo is Lao Han's apprentice.
Although it is not a master-disciple relationship like a graduate student,... this master-disciple relationship is actually stronger than that of a graduate student.
Han Shifeng was also very satisfied with this apprentice.
Ye Aiguo is young, 35 years old, and has a doctorate degree. The reason why he was quickly hired as deputy chief physician was because of his professional title.
It would also be inseparable from Director Han’s support.
However, Han Shifeng naturally knew what his disciples were like.
Surgery is really about talent.
Ye Aiguo's fingers are slender, highly sensitive, and flexible.
Therefore, this complex separation and processing of the liver area has excellent talents.
Today, Han Shifeng is getting older day by day. Although his eyesight is improving, his finger flexibility and reaction speed are declining.
Now that I can see how good my apprentice is, I estimate that the handover will be smooth in three to five years.
By then, Lao Han was approaching retirement.
And Ye Aiguo will also become a leader among the middle-aged group.
Han Shifeng knew his apprentice's temperament very well, and he was not the one to be the one to take charge.
But a character similar to himself.
This is just like Yu Qian of Deyun Society.
His character, ability and talent, as well as his background, destined that he would not be the leader who could stand up and start from scratch like Guo Degang.
However, they are excellent second-in-commands.
Some people may say that in our system, the top leader has the final say. All benefits, interests, etc. are decided by the boss, and no one feels good about the second boss.
But the operating room is an exception.
One person is destined to be unable to complete those top-level surgeries, which requires an excellent, down-to-earth, and reliable second-in-command.
In many cases, the first boss is even chosen by the second boss.
For example, in general surgery, when Lei Shen and Ren were competing, the old director asked Han Shifeng, who do you choose?
Han Shifeng's choice was Thor.
Han Shifeng is 56 years old this year. He has passed his peak period and is now completely on the tail end of his peak. However, this stage will not be too long, only one or two years.
By the time two years pass, his energy, physical strength, and overall quality will surely decline.
This is determined by career longevity.
Don’t think that surgical experts become more popular as they get older.
When one day your hand-eye speed seriously declines, you will understand that many things are no longer within your capabilities.
Mr. Wu, the father of hepatobiliary surgery (I made a mistake before because I was worried that the real name would not be allowed in the photo. Everyone understands, but I didn't notice that Wu Mengda is a famous actor and it is easy to feel wrong, so I changed it to Mr. Wu).
The reason why Mr. Wu calls it a legend is because he can really have surgery when he is 80 or [-] years old.
But there are really not many such industry cases.
Otherwise, the hospital attaches great importance to the handover and training of the three generations of old, middle and young people?Why not just let the old director work until he is 80 or [-] years old?
I really can’t do it anymore…
……
Now, Han Shifeng couldn't help but smile when he saw Ye Aiguo suddenly showing special meaning to Chen Gong.
Because of my beloved disciple, how can I not be clear about it?
In the past, he was also a bit arrogant.
It must have been what Chen Gong did just now, which caught his eye.
Indeed, Ye Aiguo is a very delicate person. From the moment he analyzed Chen Gong's operations, he realized that Chen Gong was extraordinary.
Such strong eyesight and analytical skills are extremely valuable.
Ye Aiguo handled it very carefully, and there was no need to worry that what he said would affect the effect of what he did.
And Chen Gong also listened very seriously.
He clearly felt that his local anatomy was improving at a speed visible to the naked eye.
When [Local Anatomy] reached the lv3 professional level, it quickly stopped.
No matter how Chen Gong studied and analyzed the drawings, it would be difficult to make progress.
But at this time, when he personally experienced this operation, his proficiency began to improve again.
Moreover, when Ye Aiguo started talking, Chen Gong's progress bar became even faster.
This made him a little overjoyed!
It seems...
Participating in more surgeries is definitely the key to improving yourself.
Anatomy is definitely not a purely academic subject, but can only be advanced through practice.
……
Surgery, go ahead.
Not long after, the perihepatic ligament was successfully treated.
Next is the porta hepatis treatment.
It was the “no man’s land” decades ago.
The third porta hepatis.
The anatomy of the third porta hepatis is the top priority and key point of this operation.
How to dissect the third porta hepatis is also an important aspect of Chen Gong’s surgery today.
His dissection skills have not been upgraded for a long time because it is difficult to encounter such high-quality dissection work.
At this time, Zhao Lei picked up the scissors slowly.
This is a key to opening the third portal of liver.
However, as for the third porta hepatis, it is not enough to have a key, because it is a combination lock.
The difficulty lies in how to open the door with the key.
Chen Gong couldn't help but become nervous while breathing.
Seeing several blood vessels passing by, and seeing the tumor even faintly oozing blood, Chen Gong couldn't help but be nervous.
How can it be done?
At this time, Zhao Lei stared at the tumor with both eyes, then took a deep breath and started his operation.
As usual, he slowly pushed the tumor and moved it as far to the upper left as possible.
At this time, the infrahepatic vena cava was exposed.
Upon seeing this, Zhao Lei quickly cut open the retroperitoneum on the surface of the vena cava, and then along the tumor body... step by step, gradually and sharply separated.
When it comes to things that require blunt separation, Han Shifeng can cooperate perfectly with a look from Lei Shen.
Because this process must be performed under direct vision, it is necessary to constantly change the perspective to prevent damage to the short hepatic veins, vena cava, and tumor body.
This requires Lei Shen and Han Shifeng to constantly change their positions and angles.
At this moment……
Chen Gong saw the subtlety of surgery.
The transformation between the two, the angle, the change, the succession, the transformation, the handover...
All the cooperation shows the exquisite compatibility of the two people at all times.
Ye Aiguo on the side couldn't help but glance at Chen Gong and motioned for him to observe carefully.
No wonder it is said that every operation is art!
It is a tacit performance of human cooperation.
Chen Gong now also understands why those top surgical experts need their own royal assistants.
Soon, after the first process is completed.
When you reach the second level, deal with the blood vessels!
There are 4-8 blood vessels on the left and right sides of the vena cava, which are short hepatic veins.
Why is it said 4-8?
Because it can only be said that people have their own ambitions, and their blood vessels have their own opinions. There is no way, people are really different.
Otherwise, an appendix surgery would not be able to perform tricks.
Some people even have their appendix grow next to their gallbladder, and they live together...
The right back of the short hepatic vein is relatively thick, with a diameter of about 1.5 centimeters. Han Shifeng pushed away the surrounding loose tissue, and Zhao Lei began to ligate it.
This requires a clear view of the direction and diameter of the blood vessels.
The most common mistakes in surgery lie in these aspects.
Zhao Lei skillfully used the No. 4 thread to ligate the end of the vena cava with a Miller clamp, then clamped both ends, cut and ligated it, and sutured the thicker vein with the No. 4 thread.
Short hepatic vein...
After all eight blood vessels have been processed.
This door is only half open.
At this time, Chen Gong's eyes were staring at Zhao Lei's hands all the time.
The whole set of movements is smooth and flowing.
Chen Gong was really shocked.
He discovered for the first time, could such an operation be charming?
The suturing of blood vessels is an advanced treatment.
It often requires the cooperation of two people to complete.
But Zhao Lei... completed it alone, and the degree of completion was very high.
Just when Chen Gong was stunned.
suddenly!
Zhao Lei's left hand reached behind the tumor to support it. At this time, the tumor was located on the palm side and the vena cava was located on the dorsal side. The tumor and vena cava were completely separated!
At this point, the third portal of liver opens!
This is the third porta hepatis anatomy that has troubled domestic surgery for decades.
【Ding!Trigger classic teaching, do you want to spend 1 points to learn the anatomy of the third porta hepatis? 】
Chen Gong was overjoyed first.
But...I immediately chose to accept it.
Really good deal.
The third porta hepatis can’t help but be found in humans and animals as well.
The technique of dissecting the third porta hepatis is not something ordinary people can learn.
This does not have enough strength and cannot be seen at all.
It’s worth spending [-] yuan to study!
Although it is said that after spending 3 points to learn this skill, this system is only entry-level. If you want clinical surgery, it is difficult to apply it independently without level [-].
but……
At least in the animal field, Chen Gong has certain talents and abilities.
When handling some animals, Chen Gong had a certain foundation.
Very good.
As long as you practice more in the future, you will definitely improve.
The key is the basic model.
Many experts have nowhere to turn to.
Chen Gong is already very lucky.
After processing of the third porta hepatis.
To perform gallbladder separation.
Because the tumor is very large and often invades the gallbladder bed, the gallbladder should be removed together. After the cystic duct is cut and sutured, the gallbladder neck should be properly separated. It is not necessary to cut off the gallbladder temporarily. It can be done while removing the tumor. and resection to reduce the possibility of tumor damage.
Next, the tumor is removed.
Tumor resection is difficult.
However, this kind of surgery is no longer available to Chen Gong.
to be frank……
So far, Chen Gong understands that he has reached the limit of what he can contact and learn.
To resect the tumor, the relationship between the various blood vessels must be properly handled, and the liver parenchyma must be bluntly separated.
These technologies…
To be honest, it is too difficult for Chen Gong now!
But even so, he was content.
From this surgery, I can learn so many skills and see such high-level surgeries. What else is there to be dissatisfied about?
Next...
This is the special treatment that truly reflects the VIP viewing seats.
After losing the motivation to study, Chen Gong freed up his mind and completely immersed himself in the world of appreciation.
He saw Thor's skills again.
Quick ligation!
Precise cutting!
Separate quickly!
Gentle handling!
……
Chen Gong watched every step with gusto.
The progress bar also increases unconsciously.
soon……
Just four hours after the operation, the tumor was finally successfully removed.
Next, is the finishing stage.
Four hours of fierce fighting made even Chen Gong, who was watching the battle, feel a little tired, but... Looking back at Lei Shen and Director Han.
However, the two of them were still lively and energetic, with no signs of boredom or fatigue at all.
Chen Gong suddenly realized.
Surgery may not only test your manual skills.
It is still a very challenging thing for the spirit, the will, and even the physical strength.
There was no major bleeding at any point during the entire operation.
This is already very rare.
In layman's terms, this was a very successful operation.
Chen Gong did the simulation last night.
He realized that both the first step of exploration, the separation of the ligaments, and the subsequent treatment of the hepatic veins were enough to cause massive bleeding.
Chen Gong did not see these things during this operation.
All were smoothed by exquisite and skilled skills.
At this moment.
Thor, who had been tense for more than four hours, finally relaxed.
She said to the head nurse Xiao Caixia: "Prepare a hard meal for lunch." When the head nurse heard this, she immediately knew that the operation should be fine.
He smiled and said: "Director, today is the winter solstice?"
Thor smiled slightly: "Really?"
"Not bad!"
"Then... order dumplings."
"We eat in the office."
"Sorry for the trouble, head nurse."
The head nurse immediately smiled: "No problem, do you want some hard food?"
Before Thor could speak, a sound suddenly rang out.
Suddenly everyone became nervous.
"Cuckoo..."
Everyone originally thought that there was an accident during the operation, but... when they looked for fame, they found that Chen Gong said awkwardly:
"Sorry, I'm hungry..."
"I can't control it!"
As soon as these words came out, everyone couldn't help laughing.
Thor even had a smile in his eyes and said: "Hehehe..."
"We were busy for four or five hours and didn't say anything."
"How many hours have some people watched and become so hungry?"
"Are you just focusing on eating?"
Although it was a disservice to Chen Gong, it could be seen that Lei Shen was in a good mood.
after all……
The operation was successful, and Chen Gong also helped a lot.
He wouldn't be angry about this.
He simply smiled and said, "It's a tough job."
"Ha ha……"
"Otherwise, young people will go out and gossip about us, saying that we are only allowed to work but not fed."
Han Shifeng couldn't help but laugh.
Only Zhao Xi looked at Chen Gong with a little more concern and distress.
My students are starving!
You old man, are you still hurting others?
What about your parents’ health? Can it be the same as yours?
While speaking, Zhao Xi glanced at Chen Gong with concern, but...the cooing sound still made Teacher Zhao want to laugh.
Chen Gong is also helpless!
He suddenly remembered a joke in the operating room.
Originally, a group of directors were performing an abdominal surgery on a patient, and suddenly a doctor farted.
Very smelly.
for a while...
The face of the surgeon changed: "Check the intestines!"
"Seriously!"
"Is it broken? Is it leaking?"
At this time, the student who had been silent said: "Director, this is fart!"
The director also looked shocked: "Isn't it right?"
"Are you totally numb? You can still fart..."
"Anesthesiologist, quickly...check, is there something wrong with the anesthesia?"
The student couldn't help but say again: "I farted!"
The director frowned: "Speak carefully!"
"I really farted!" The student emphasized again at this time.
Suddenly, the director was ashamed.
……
……
Thor's sense of accomplishment doubled at this time!
The successful completion of such an operation without any setbacks is definitely a reflection of his superb skills.
He couldn't help but glance at Chen Gong: "How is this operation?"
Chen Gong said quickly: "I have benefited a lot!"
"Really amazing!"
Seeing Lei Shen looking so useless, Han Shifeng couldn't help but roll his eyes.
good guy...
He really holds a grudge!
Fortunately, the operation is completed, which gives you a chance to show off.
There is no one else to care about with a child.
Thor didn't mind either, on the contrary he was very happy.
He whispered softly: "Haha, young people, don't dare to be complacent!"
"Be humble!"
“Lay a good foundation.”
"do you understand?"
Chen Gong nodded repeatedly.
At this time, Thor glanced at Zhao Xi. Although he said nothing, the show off between his eyebrows was vividly displayed.
Zhao Xi just glanced at Thor and turned his head away.
This hit Thor hard!
How come this little girl doesn’t know what she’s doing in movies?
I'm a darling!
Thor couldn't help but sigh.
Your dad, this is what I call strength, okay?
Both the blunt and sharp separations of your doll can be regarded as treasures.
Why don’t you girl understand this film?
Thinking of this, Lei Shen couldn't help but say something to Ye Aiguo and the two who were finishing the finishing work.
"Do it well! Study hard!"
"Don't be like some young people who master a little bit of technology and then get carried away with it."
"This surgery, although it cannot be said that it is so unprecedented."
"But, let me tell you, this is definitely the most beautiful and excellent hemangioma resection with the third hepatic portal opening in the entire Shanhe Province, and also has the highest success rate so far!"
"When you leave this door, you may never be seen again."
"So, we must be humble, keep learning, and always maintain the heart of an apprentice!"
While speaking, Lei Shen deliberately glanced at Chen Gong.
Chen Gong: "Ah, yes, yes!"
Thor: "???"
Han Shifeng pretended not to see it and turned his head away.
Zhao Xi could hardly help laughing.
This Xiao Chen is still so naughty.
The surgery, along with the loosening of blood vessels one by one, is gradually coming to an end.
But Thor felt a little lonely and empty...
Why do I feel uncomfortable even though I installed a bunch of big ones?
Thor was a little confused.
Suddenly, Thor thought of something.
Correct!
There is definitely no comparison.
Without comparison, there is no gap, and without gap, there is no way to show your strength.
and!
He had to let his daughter open her eyes.
But don’t be fooled by the flashy ways of young people.
then……
Lei Shen couldn't help but look at Chen Gong and asked, "Are you learning to sew?"
"How is the effect now?"
Chen Gong nodded: "It's just so so, I guess it won't catch the eye of the director."
At this moment……
Lei Shen suddenly asked: "What is the best way to suture the liver section?"
Chen Gong: "Bunnell suture method."
When Thor heard this, he thought, "That's not right... This question is out of line. This kid can actually do it?"
"What should I pay attention to when sewing?"
Chen Gong: "The liver sections should be sutured together, and the porta hepatis should not be sutured too tightly, so as not to affect the preservation of liver blood circulation."
As soon as these words came out, Thor was unhappy again!
Whoops?
Why did you do it again?
You know how to do this, can you make me look bad?
Compared to Thor's helpless face, Han Shifeng was a little happy.
"That's a great answer!"
As he spoke, Han Shifeng looked at Chen Gong with eyes full of appreciation.
Although he didn't have much contact with Chen Gong, Han Shifeng found that this child was very good and could surprise him every time.
At this time, Thor was still a little emo.
There is no need for Chen Gong to participate in the finishing work.
Zhao Xi looked at Chen Gong at this time and gave a thumbs up to express excellence.
Lao Zhao expressed that he was a little tired.
The operation was over soon.
When everyone was about to leave, Chen Gong suddenly heard a notification sound.
[Ding, it has been detected that you have officially participated in an operation, and the settlement system has been officially activated! 】
【Ding!The operation is completed and settlement is in progress... Please wait! 】
【Ding!Settlement completed. 】
[Surgery difficulty: five stars (reward bonus 300%). 】
[Surgery contribution: 8% (warm reminder, if it is less than 5.00%, no settlement will be made). 】
[Surgical impact degree: D]
[Final rating: D+]
[Reward: Green treasure chest. 】
After Chen Gong saw the news, he was stunned.
Good guy!
The system actually has a settlement system?
Got a treasure chest?
And it's green!
The reward is not low.
You know, my evaluation is only D+. It seems...this five-star difficulty surgery has given me a lot of bonuses.
Three hundred percent bonus.
However, he actually contributed [-]%?
It seems that adjusting the surgical field of vision today will be of great help to the success of the surgery.
Otherwise, there will be no sense of participation.
Suddenly, Chen Gong discovered a channel to improve his level.
That's... mixed surgery!
……
……
Nearly ten people, including anesthesiologists and nurses, also came for lunch.
This is equivalent to a small team.
Ten people, ten dumplings, ten dishes, and ten soups.
Not too much, not too little, just right.
The key is that there are more hard dishes.
Everyone has been exhausted all morning. Sitting in the office, they also have different shapes. Some are reclining, some are sitting, some are stretching...
Wait until the anesthesiologist returns after sending the patient back to the ward.
Then he couldn't wait to say: "Quick, let's start dinner!"
"Don't wait for me."
Thor suddenly frowned: "This is not possible, one person cannot be missing."
"Okay, let's eat."
The hospital doesn't reimburse for this kind of meal, so it has to be paid for out of pocket. Basically, Thor pays for the meal out of his own pocket.
Of course...it's rare for everyone to eat such a sumptuous meal. Today is the winter solstice after all, so it's convenient for Director Zhao to treat us.
Basically, you use the room card money to order food in the hospital cafeteria, which is pretty much the same.
However, Thor is really generous and often treats guests.
Although I earn more, I really spend a lot.
Moreover, there was a time when Lei Shen really only made money in the hospital, and he never took the money home.
After all, he was about to end up in the hospital!
That was when he was the hospital chief.
At this time, everyone sat around.
Zhao Xi also sat next to Chen Gong: "Do you have enough to eat?"
Chen Gong was stunned for a moment: "It's okay!"
Zhao Xi smiled and looked at Chen Gong, knowing that he was embarrassed: "I can't eat so many dumplings, can I give you half?"
While talking, Chen Gong couldn't help but tell her the difference.
Other nurses also behaved like this. After all, not everyone can eat a plate of dumplings.
Chen Gong ate too much to take care of himself. He found that concentrating on something was really draining his energy.
In one meal, Chen Gong ate cleanly.
Braised pork, pork ribs, roast chicken...
I really ate a lot. At the end of the meal, Chen Gong was too embarrassed to pick up the food. Zhao Xi secretly pretended to eat it by himself...
This scene was naturally seen by Thor!
After Zhao Lei saw it, he gritted his teeth, what a hatred!
After dinner, everyone was resting, and the nurse had already started to pack things.
Zhao Xi and Chen Gong started talking about the morning's surgery.
"There's something I don't quite understand."
"Just tell me and I can explain it to you."
"Well, how to judge the hepatobiliary vein..."
……
Watching Chen Gong tell Zhao Xi, Old Zhao felt extremely aggrieved.
He had never had such a waterloo moment.
good guy...
You are so cruel!
Zhao Lei couldn't help but take a deep breath and looked at Chen Gong with a smile on his face.
When Chen Gong saw this, he couldn't help but shudder. This was the first time he saw the God of Thunder smile.
And it’s to yourself!
Zhao Lei asked with a smile: "Xiao Chen, you have a good talent. You performed very well today."
"By the way, do you understand this operation?"
Chen Gong nodded honestly this time: "I understand part of it."
"I can't see clearly after the tumor was removed, but the front is fine."
Upon hearing this, Lao Zhao became even more angry.
Installed!
Continue to install!
The third portal of liver is opened in front, do you understand?
"Then I have a question. If you answer it correctly, I will reward you and you can make requests. How about it?" Thor asked with a smile.
As soon as these words came out, they immediately attracted the attention of everyone around him.
From everyone's point of view, this was obviously a reward given by the God of Thunder to show Chen Gong's contribution today.
Han Shifeng couldn't help but smile.
but……
He suddenly saw Thor smiling and talking to Chen Gong.
For a moment, Han Shifeng was a little confused.
This……
What operation?
Something is wrong?
When Chen Gong heard this, he was also happy!
Who cares about 21 [-].
Now he just wants to have surgery.
Agree to any conditions.
"Okay!" Chen Gong said decisively.
"Let me ask you, if you encounter obstruction of the portal blood vessels, what do you think is the cause? How to deal with it?"
After this question was raised, the surrounding area suddenly became quiet.
Everyone looked at Zhao Lei in disbelief.
Han Shifeng couldn't help but say: "Isn't this question a bit too difficult?"
"It's too over the top!"
Zhao Xi even pouted, a little unhappy.
Chen Gong couldn't help but think deeply at this time.
After hearing what Han Shifeng said, Zhao Lei shook his head and said: "The bigger the wind and waves, the more expensive the fish!"
“The harder the problem, the greater the reward!”
"Xiao Chen, you can change to something simple."
Chen Gong suddenly laughed: "No, that's it!"
“I think there are two most common reasons:
First: hilar blood vessel damage;
Second: The liver sections are sutured together and the portal blood vessels are compressed. "
"However, I don't know much about the solution, so I can only tell you my own method."
“First, I think we must pay attention to the anatomical relationship when resecting the tumor, and we must not inadvertently injure the main ducts in the porta hepatis.
As for the second one...the latter, because the liver is preserved after tumor resection and all the portal hepatic vessels are exposed, the liver sections are easily compressed after suturing together, especially the hepatic veins. In addition to paying attention to the color of the liver, the liver parenchyma should also be checked after suturing. If the tension is high, it indicates that the hepatic vein outflow tract is blocked, and the sutures at the corresponding parts should be removed. After complete hemostasis, the area should be covered with omentum or gelatin sponge. "
After Chen Gong finished speaking, the surroundings became completely quiet.
Even Han Shifeng couldn't help but stare at Chen Gong with his eyes wide open in disbelief! .
After a moment, he clapped his hands and applauded:
"it is good!"
"Great!"
"Really amazing!"
"This answer can be said to be the standard answer!"
"Boy, really good!"
Zhao Xi also widened his eyes and gave a thumbs up.
Chen Gong smiled, theoretical knowledge... He has never been afraid of anyone.
Getting your hands dirty is one thing.
In theory, he is at the king level.
Chen Gong couldn't help but said: "It's all because of Teacher Zhao's good teaching!"
When Zhao Xi heard this, he felt happy.
Thor's heart was completely fried.
Although Chen Gong's performance also amazed him, he had to admit that this boy's ability was really good!
but……
What do you mean by the next sentence?
My own daughter, don’t I know what her strength is?
You bastard!
It's obviously...flattery and flattery.
And can my daughter eat this?
Zhao Xi suddenly blushed and smiled from ear to ear.
Ok!
Zhao Lei had to admit that he really ate...
For a moment, Lao Zhao really wanted to cry without tears.
Tesco!
Today is really Tesco Day!
Stealing chickens will not lose rice.
Can this day pass...
However, you have to live up to your boasts, right?
Zhao Lei had to grit his teeth and said: "Okay!"
"What reward do you want?"
After Chen Gong hesitated for a moment, he said, "I want Teacher Zhao to participate in some basic surgeries."
"I think Teacher Zhao has such strength."
"Instead of doing first-level surgery in the day ward every day."
As soon as these words came out, Zhao Lei was confused again.
it is good!it is good!it is good!
you boy...
Are you sincerely against me?
it is good!
However, now that the words have been spoken, if he refuses, he will definitely appear to be a bit narrow-minded.
Zhao Xi was also happy after hearing what Chen Gong said.
This student is really good!
A hundred times better!
Zhao Lei closed his eyes, took a sip of water, looked at Zhao Xi, and said something.
"Zhao Xi, during this time, follow Director Ye and do some routine surgeries!"
"When will we leave? I'll let you do it independently."
"Is it alright?"
Upon hearing this, Chen Gong thought this was the best plan!
"Ok!"
"Thank you, Director!"
Today’s wave is full of rewards!
……
ps: Thanks to the boss "The Last, The Last, The Last" for the 10500 reward. The boss is mighty and domineering, thank you boss!
(End of this chapter)
Zhao Lei heard Han Shifeng's words and did not refuse.
In the operating room, Zhao Lei is in charge of surgery-related matters, and Han Shifeng is the first assistant!
the most important is……
At this moment, if there is no way to solve the visual field problem of perihepatic ligament treatment, Zhao Lei will not let everyone take the risk.
Therefore, at this time, although he glanced at Chen Gong in surprise, he was unwilling to change the surgical plan if the vision problem could be solved.
For every operation, the surgeon needs to make multiple complete surgical plans to avoid accidents.
However, no matter how many sets of preparations are made, plan A is still the best!
What's more, according to what Chen Gong said, adjusting the distance between the operating bed and the light is just a trivial matter and does not consume much time.
The nurse heard the sound and came over quickly.
The head nurse was also the first to walk to the bed, ready to adjust the angle.
The head nurse looked at Chen Gong with some surprise. This new face, who came here for the first time, looked a bit like a student, but... why was Director Han willing to try it without any hesitation?
Xiao Caixia said to the two nurses: "Come, cooperate with me!"
"Hold the bed steady and adjust slowly!"
"First bring the light closer to 10 centimeters."
"Okay, yes... come little by little."
As a head nurse, Xiao Caixia has experienced a lot of large and small surgeries. Han Shifeng and others don't need to talk about these details at all, and they can be done with confidence.
only……
Adjust the bed and lights.
Everyone next to the operating bed looked at Chen Gong with doubts.
Including Zhao Xi!
Compared to everyone else, Zhao Xi looked at Chen Gong with eyes that were so calm and as deep as the sea, which made it clearer.
Chen Gong is not joking, he is confident.
but……
Zhao Xi didn't know, how could Chen Gong know so much?
As a doctor, what are you going to do about optical physics and refraction principles?
It’s not just Zhao Xi.
At this moment, others thought so too.
Deputy chief physician Ye Aiguo swallowed. Although he was the second assistant, he had never dared to confront Thor head-on and come up with such an idea.
In comparison, Chen Gong can be said to be very courageous.
but……
The most important thing is that Director Han is willing to believe him.
This made Ye Aiguo a little confused. Xiao Chen was obviously a student, and it was probably his first time to perform such an anatomy of the porta hepatis.
But how did he come up with such a solution?
Ye Aiguo knows very well that Chen Gong is by no means the kind of experienced, skilled expert who has self-awareness and understanding of surgery.
When encountering this kind of problem, it cannot be solved by relying on experience.
Damn... maybe he's really capable!
However, when you encounter difficulties just now, it only takes less than a minute or two to ask questions, right?
What can you do during this time?
Therefore, Ye Aiguo has a guess.
That is, it actually took Chen Gong less than 2 minutes from discovering the problem to solving it.
And in these 2 minutes, how could Chen Gong calculate the light and angle problems?
Everyone has studied physics, mechanics and optics...
But standing next to the bed at this time, relying only on eyes and brain, even if it is a computer... it will take some analysis time, right?
If Chen Gong could really do it...this would be too evil.
actually!
Not only Ye Aiguo thought so, Han Shifeng and Zhao Lei, although they didn't speak, were still a little shocked by Chen Gong's words just now.
On the operating table, there is no joking about surgery.
Although Zhao Lei admired Chen Gong's thinking and courage to solve problems on the spot, but... what this little bastard said really made him unhappy.
What is... This question is actually very simple?
Hey?
Why don't you win the Nobel Prize in Physics if you are so awesome?
You are pretending to be next to me.
Old Zhao's eyes at this moment inadvertently glanced at Zhao Xi.
Looking at the other person's calm expression, you knew something was wrong.
Now...just wait for the angle to be adjusted and see if the surgery can continue.
With the help of Han Shifeng, the operating bed and lighting adjustments were quickly completed.
Ye Aiguo is the person in charge of perihepatic ligament treatment.
Therefore, he immediately observed it at this time.
When he saw the round ligament of the liver, the falciform ligament, the right triangular ligament, the coronary ligament, the hepatorenal ligament... these were clearly visible.
He suddenly said excitedly: "Ouch!"
"Really!"
"I really saw it!"
"Director, Xiao Chen has really solved the vision problem!"
"so amazing."
Ye Aiguo's words are equivalent to giving Chen Gong's words just now a 100-point mark with a red pen!
Then he drew two lines.
When Han Shifeng heard this, he smiled slightly, raised his hand and gave a thumbs up: "Well done!"
It's still in surgery at this time.
Although Zhao Lei glanced at Chen Gong in surprise, he originally wanted to praise him, but after seeing how this kid behaved from beginning to end, he didn't even worry at all. He seemed... full of confidence and a sure victory.
Suddenly he snorted angrily.
"Have a good surgery!"
"A fuss."
"What does it look like!?"
"Why are you still the deputy chief physician? Look at Xiao Zhu, he is much calmer than you!"
"Hurry up and separate!"
The God of Thunder couldn't find the presence he deserved in Chen Gong, so he could only say a few words angrily at Ye Aiguo.
Ye Aiguo doesn't mind either, there's nothing he can do... If he's with Thor every day, he'll feel uncomfortable if he doesn't get scolded a few times a day.
Ye Aiguo smiled and gave Chen Gong a thumbs up: "Thank you, Xiao Chen!"
After finishing speaking, Ye Aiguo quickly started his work.
The handling of ligaments is also delicate work.
Need to be very careful.
Especially for the coronary ligament, it must be done in the bare area.
The bare area is all loose tissue, which means that too much pressure cannot be applied, but careful handling is required.
Ye Aiguo gently pushed it open with his fingers and separated it to the right side of the spine.
"Xiao Chen, watch carefully. This is a tumor. You need to be careful when separating it. Therefore, avoid using vascular clamps to avoid causing greater tearing."
"Here, the tumor has already undergone fibrosis, which means the hardness has increased, and sutures can be used to stop bleeding.
But here, it is different. The degree of fibrosis is relatively high. It must be covered with a saline pad and compressed with hands to free the liver and remove the tumor as soon as possible.
......"
Ye Aiguo explained to Chen Gong while doing it.
It can be seen that Ye Aiguo appreciates and likes Chen Gong very much.
Compared with Han Shifeng, Ye Aiguo's hands are slender and delicate, somewhat similar to a girl's hands.
However, it was these hands that made Ye Aiguo successful.
Although it is not as good as Han Shifeng's technique, the light and gentle separation method gives people a sense of solidity.
When Han Shifeng saw Ye Aiguo's detailed explanation, he couldn't help but smile and said:
"Okay, Xiao Chen doesn't have access to this type of surgery yet, just do it well."
Ye Aiguo also smiled: "Master, you can't say that..."
"Separation is a basic skill, and one method can be used to master a hundred methods. The earlier he understands these, the better it will be for his improvement."
"This is what you told me."
Hearing Ye Aiguo's words, Han Shifeng couldn't help but smile.
Ye Aiguo is Lao Han's apprentice.
Although it is not a master-disciple relationship like a graduate student,... this master-disciple relationship is actually stronger than that of a graduate student.
Han Shifeng was also very satisfied with this apprentice.
Ye Aiguo is young, 35 years old, and has a doctorate degree. The reason why he was quickly hired as deputy chief physician was because of his professional title.
It would also be inseparable from Director Han’s support.
However, Han Shifeng naturally knew what his disciples were like.
Surgery is really about talent.
Ye Aiguo's fingers are slender, highly sensitive, and flexible.
Therefore, this complex separation and processing of the liver area has excellent talents.
Today, Han Shifeng is getting older day by day. Although his eyesight is improving, his finger flexibility and reaction speed are declining.
Now that I can see how good my apprentice is, I estimate that the handover will be smooth in three to five years.
By then, Lao Han was approaching retirement.
And Ye Aiguo will also become a leader among the middle-aged group.
Han Shifeng knew his apprentice's temperament very well, and he was not the one to be the one to take charge.
But a character similar to himself.
This is just like Yu Qian of Deyun Society.
His character, ability and talent, as well as his background, destined that he would not be the leader who could stand up and start from scratch like Guo Degang.
However, they are excellent second-in-commands.
Some people may say that in our system, the top leader has the final say. All benefits, interests, etc. are decided by the boss, and no one feels good about the second boss.
But the operating room is an exception.
One person is destined to be unable to complete those top-level surgeries, which requires an excellent, down-to-earth, and reliable second-in-command.
In many cases, the first boss is even chosen by the second boss.
For example, in general surgery, when Lei Shen and Ren were competing, the old director asked Han Shifeng, who do you choose?
Han Shifeng's choice was Thor.
Han Shifeng is 56 years old this year. He has passed his peak period and is now completely on the tail end of his peak. However, this stage will not be too long, only one or two years.
By the time two years pass, his energy, physical strength, and overall quality will surely decline.
This is determined by career longevity.
Don’t think that surgical experts become more popular as they get older.
When one day your hand-eye speed seriously declines, you will understand that many things are no longer within your capabilities.
Mr. Wu, the father of hepatobiliary surgery (I made a mistake before because I was worried that the real name would not be allowed in the photo. Everyone understands, but I didn't notice that Wu Mengda is a famous actor and it is easy to feel wrong, so I changed it to Mr. Wu).
The reason why Mr. Wu calls it a legend is because he can really have surgery when he is 80 or [-] years old.
But there are really not many such industry cases.
Otherwise, the hospital attaches great importance to the handover and training of the three generations of old, middle and young people?Why not just let the old director work until he is 80 or [-] years old?
I really can’t do it anymore…
……
Now, Han Shifeng couldn't help but smile when he saw Ye Aiguo suddenly showing special meaning to Chen Gong.
Because of my beloved disciple, how can I not be clear about it?
In the past, he was also a bit arrogant.
It must have been what Chen Gong did just now, which caught his eye.
Indeed, Ye Aiguo is a very delicate person. From the moment he analyzed Chen Gong's operations, he realized that Chen Gong was extraordinary.
Such strong eyesight and analytical skills are extremely valuable.
Ye Aiguo handled it very carefully, and there was no need to worry that what he said would affect the effect of what he did.
And Chen Gong also listened very seriously.
He clearly felt that his local anatomy was improving at a speed visible to the naked eye.
When [Local Anatomy] reached the lv3 professional level, it quickly stopped.
No matter how Chen Gong studied and analyzed the drawings, it would be difficult to make progress.
But at this time, when he personally experienced this operation, his proficiency began to improve again.
Moreover, when Ye Aiguo started talking, Chen Gong's progress bar became even faster.
This made him a little overjoyed!
It seems...
Participating in more surgeries is definitely the key to improving yourself.
Anatomy is definitely not a purely academic subject, but can only be advanced through practice.
……
Surgery, go ahead.
Not long after, the perihepatic ligament was successfully treated.
Next is the porta hepatis treatment.
It was the “no man’s land” decades ago.
The third porta hepatis.
The anatomy of the third porta hepatis is the top priority and key point of this operation.
How to dissect the third porta hepatis is also an important aspect of Chen Gong’s surgery today.
His dissection skills have not been upgraded for a long time because it is difficult to encounter such high-quality dissection work.
At this time, Zhao Lei picked up the scissors slowly.
This is a key to opening the third portal of liver.
However, as for the third porta hepatis, it is not enough to have a key, because it is a combination lock.
The difficulty lies in how to open the door with the key.
Chen Gong couldn't help but become nervous while breathing.
Seeing several blood vessels passing by, and seeing the tumor even faintly oozing blood, Chen Gong couldn't help but be nervous.
How can it be done?
At this time, Zhao Lei stared at the tumor with both eyes, then took a deep breath and started his operation.
As usual, he slowly pushed the tumor and moved it as far to the upper left as possible.
At this time, the infrahepatic vena cava was exposed.
Upon seeing this, Zhao Lei quickly cut open the retroperitoneum on the surface of the vena cava, and then along the tumor body... step by step, gradually and sharply separated.
When it comes to things that require blunt separation, Han Shifeng can cooperate perfectly with a look from Lei Shen.
Because this process must be performed under direct vision, it is necessary to constantly change the perspective to prevent damage to the short hepatic veins, vena cava, and tumor body.
This requires Lei Shen and Han Shifeng to constantly change their positions and angles.
At this moment……
Chen Gong saw the subtlety of surgery.
The transformation between the two, the angle, the change, the succession, the transformation, the handover...
All the cooperation shows the exquisite compatibility of the two people at all times.
Ye Aiguo on the side couldn't help but glance at Chen Gong and motioned for him to observe carefully.
No wonder it is said that every operation is art!
It is a tacit performance of human cooperation.
Chen Gong now also understands why those top surgical experts need their own royal assistants.
Soon, after the first process is completed.
When you reach the second level, deal with the blood vessels!
There are 4-8 blood vessels on the left and right sides of the vena cava, which are short hepatic veins.
Why is it said 4-8?
Because it can only be said that people have their own ambitions, and their blood vessels have their own opinions. There is no way, people are really different.
Otherwise, an appendix surgery would not be able to perform tricks.
Some people even have their appendix grow next to their gallbladder, and they live together...
The right back of the short hepatic vein is relatively thick, with a diameter of about 1.5 centimeters. Han Shifeng pushed away the surrounding loose tissue, and Zhao Lei began to ligate it.
This requires a clear view of the direction and diameter of the blood vessels.
The most common mistakes in surgery lie in these aspects.
Zhao Lei skillfully used the No. 4 thread to ligate the end of the vena cava with a Miller clamp, then clamped both ends, cut and ligated it, and sutured the thicker vein with the No. 4 thread.
Short hepatic vein...
After all eight blood vessels have been processed.
This door is only half open.
At this time, Chen Gong's eyes were staring at Zhao Lei's hands all the time.
The whole set of movements is smooth and flowing.
Chen Gong was really shocked.
He discovered for the first time, could such an operation be charming?
The suturing of blood vessels is an advanced treatment.
It often requires the cooperation of two people to complete.
But Zhao Lei... completed it alone, and the degree of completion was very high.
Just when Chen Gong was stunned.
suddenly!
Zhao Lei's left hand reached behind the tumor to support it. At this time, the tumor was located on the palm side and the vena cava was located on the dorsal side. The tumor and vena cava were completely separated!
At this point, the third portal of liver opens!
This is the third porta hepatis anatomy that has troubled domestic surgery for decades.
【Ding!Trigger classic teaching, do you want to spend 1 points to learn the anatomy of the third porta hepatis? 】
Chen Gong was overjoyed first.
But...I immediately chose to accept it.
Really good deal.
The third porta hepatis can’t help but be found in humans and animals as well.
The technique of dissecting the third porta hepatis is not something ordinary people can learn.
This does not have enough strength and cannot be seen at all.
It’s worth spending [-] yuan to study!
Although it is said that after spending 3 points to learn this skill, this system is only entry-level. If you want clinical surgery, it is difficult to apply it independently without level [-].
but……
At least in the animal field, Chen Gong has certain talents and abilities.
When handling some animals, Chen Gong had a certain foundation.
Very good.
As long as you practice more in the future, you will definitely improve.
The key is the basic model.
Many experts have nowhere to turn to.
Chen Gong is already very lucky.
After processing of the third porta hepatis.
To perform gallbladder separation.
Because the tumor is very large and often invades the gallbladder bed, the gallbladder should be removed together. After the cystic duct is cut and sutured, the gallbladder neck should be properly separated. It is not necessary to cut off the gallbladder temporarily. It can be done while removing the tumor. and resection to reduce the possibility of tumor damage.
Next, the tumor is removed.
Tumor resection is difficult.
However, this kind of surgery is no longer available to Chen Gong.
to be frank……
So far, Chen Gong understands that he has reached the limit of what he can contact and learn.
To resect the tumor, the relationship between the various blood vessels must be properly handled, and the liver parenchyma must be bluntly separated.
These technologies…
To be honest, it is too difficult for Chen Gong now!
But even so, he was content.
From this surgery, I can learn so many skills and see such high-level surgeries. What else is there to be dissatisfied about?
Next...
This is the special treatment that truly reflects the VIP viewing seats.
After losing the motivation to study, Chen Gong freed up his mind and completely immersed himself in the world of appreciation.
He saw Thor's skills again.
Quick ligation!
Precise cutting!
Separate quickly!
Gentle handling!
……
Chen Gong watched every step with gusto.
The progress bar also increases unconsciously.
soon……
Just four hours after the operation, the tumor was finally successfully removed.
Next, is the finishing stage.
Four hours of fierce fighting made even Chen Gong, who was watching the battle, feel a little tired, but... Looking back at Lei Shen and Director Han.
However, the two of them were still lively and energetic, with no signs of boredom or fatigue at all.
Chen Gong suddenly realized.
Surgery may not only test your manual skills.
It is still a very challenging thing for the spirit, the will, and even the physical strength.
There was no major bleeding at any point during the entire operation.
This is already very rare.
In layman's terms, this was a very successful operation.
Chen Gong did the simulation last night.
He realized that both the first step of exploration, the separation of the ligaments, and the subsequent treatment of the hepatic veins were enough to cause massive bleeding.
Chen Gong did not see these things during this operation.
All were smoothed by exquisite and skilled skills.
At this moment.
Thor, who had been tense for more than four hours, finally relaxed.
She said to the head nurse Xiao Caixia: "Prepare a hard meal for lunch." When the head nurse heard this, she immediately knew that the operation should be fine.
He smiled and said: "Director, today is the winter solstice?"
Thor smiled slightly: "Really?"
"Not bad!"
"Then... order dumplings."
"We eat in the office."
"Sorry for the trouble, head nurse."
The head nurse immediately smiled: "No problem, do you want some hard food?"
Before Thor could speak, a sound suddenly rang out.
Suddenly everyone became nervous.
"Cuckoo..."
Everyone originally thought that there was an accident during the operation, but... when they looked for fame, they found that Chen Gong said awkwardly:
"Sorry, I'm hungry..."
"I can't control it!"
As soon as these words came out, everyone couldn't help laughing.
Thor even had a smile in his eyes and said: "Hehehe..."
"We were busy for four or five hours and didn't say anything."
"How many hours have some people watched and become so hungry?"
"Are you just focusing on eating?"
Although it was a disservice to Chen Gong, it could be seen that Lei Shen was in a good mood.
after all……
The operation was successful, and Chen Gong also helped a lot.
He wouldn't be angry about this.
He simply smiled and said, "It's a tough job."
"Ha ha……"
"Otherwise, young people will go out and gossip about us, saying that we are only allowed to work but not fed."
Han Shifeng couldn't help but laugh.
Only Zhao Xi looked at Chen Gong with a little more concern and distress.
My students are starving!
You old man, are you still hurting others?
What about your parents’ health? Can it be the same as yours?
While speaking, Zhao Xi glanced at Chen Gong with concern, but...the cooing sound still made Teacher Zhao want to laugh.
Chen Gong is also helpless!
He suddenly remembered a joke in the operating room.
Originally, a group of directors were performing an abdominal surgery on a patient, and suddenly a doctor farted.
Very smelly.
for a while...
The face of the surgeon changed: "Check the intestines!"
"Seriously!"
"Is it broken? Is it leaking?"
At this time, the student who had been silent said: "Director, this is fart!"
The director also looked shocked: "Isn't it right?"
"Are you totally numb? You can still fart..."
"Anesthesiologist, quickly...check, is there something wrong with the anesthesia?"
The student couldn't help but say again: "I farted!"
The director frowned: "Speak carefully!"
"I really farted!" The student emphasized again at this time.
Suddenly, the director was ashamed.
……
……
Thor's sense of accomplishment doubled at this time!
The successful completion of such an operation without any setbacks is definitely a reflection of his superb skills.
He couldn't help but glance at Chen Gong: "How is this operation?"
Chen Gong said quickly: "I have benefited a lot!"
"Really amazing!"
Seeing Lei Shen looking so useless, Han Shifeng couldn't help but roll his eyes.
good guy...
He really holds a grudge!
Fortunately, the operation is completed, which gives you a chance to show off.
There is no one else to care about with a child.
Thor didn't mind either, on the contrary he was very happy.
He whispered softly: "Haha, young people, don't dare to be complacent!"
"Be humble!"
“Lay a good foundation.”
"do you understand?"
Chen Gong nodded repeatedly.
At this time, Thor glanced at Zhao Xi. Although he said nothing, the show off between his eyebrows was vividly displayed.
Zhao Xi just glanced at Thor and turned his head away.
This hit Thor hard!
How come this little girl doesn’t know what she’s doing in movies?
I'm a darling!
Thor couldn't help but sigh.
Your dad, this is what I call strength, okay?
Both the blunt and sharp separations of your doll can be regarded as treasures.
Why don’t you girl understand this film?
Thinking of this, Lei Shen couldn't help but say something to Ye Aiguo and the two who were finishing the finishing work.
"Do it well! Study hard!"
"Don't be like some young people who master a little bit of technology and then get carried away with it."
"This surgery, although it cannot be said that it is so unprecedented."
"But, let me tell you, this is definitely the most beautiful and excellent hemangioma resection with the third hepatic portal opening in the entire Shanhe Province, and also has the highest success rate so far!"
"When you leave this door, you may never be seen again."
"So, we must be humble, keep learning, and always maintain the heart of an apprentice!"
While speaking, Lei Shen deliberately glanced at Chen Gong.
Chen Gong: "Ah, yes, yes!"
Thor: "???"
Han Shifeng pretended not to see it and turned his head away.
Zhao Xi could hardly help laughing.
This Xiao Chen is still so naughty.
The surgery, along with the loosening of blood vessels one by one, is gradually coming to an end.
But Thor felt a little lonely and empty...
Why do I feel uncomfortable even though I installed a bunch of big ones?
Thor was a little confused.
Suddenly, Thor thought of something.
Correct!
There is definitely no comparison.
Without comparison, there is no gap, and without gap, there is no way to show your strength.
and!
He had to let his daughter open her eyes.
But don’t be fooled by the flashy ways of young people.
then……
Lei Shen couldn't help but look at Chen Gong and asked, "Are you learning to sew?"
"How is the effect now?"
Chen Gong nodded: "It's just so so, I guess it won't catch the eye of the director."
At this moment……
Lei Shen suddenly asked: "What is the best way to suture the liver section?"
Chen Gong: "Bunnell suture method."
When Thor heard this, he thought, "That's not right... This question is out of line. This kid can actually do it?"
"What should I pay attention to when sewing?"
Chen Gong: "The liver sections should be sutured together, and the porta hepatis should not be sutured too tightly, so as not to affect the preservation of liver blood circulation."
As soon as these words came out, Thor was unhappy again!
Whoops?
Why did you do it again?
You know how to do this, can you make me look bad?
Compared to Thor's helpless face, Han Shifeng was a little happy.
"That's a great answer!"
As he spoke, Han Shifeng looked at Chen Gong with eyes full of appreciation.
Although he didn't have much contact with Chen Gong, Han Shifeng found that this child was very good and could surprise him every time.
At this time, Thor was still a little emo.
There is no need for Chen Gong to participate in the finishing work.
Zhao Xi looked at Chen Gong at this time and gave a thumbs up to express excellence.
Lao Zhao expressed that he was a little tired.
The operation was over soon.
When everyone was about to leave, Chen Gong suddenly heard a notification sound.
[Ding, it has been detected that you have officially participated in an operation, and the settlement system has been officially activated! 】
【Ding!The operation is completed and settlement is in progress... Please wait! 】
【Ding!Settlement completed. 】
[Surgery difficulty: five stars (reward bonus 300%). 】
[Surgery contribution: 8% (warm reminder, if it is less than 5.00%, no settlement will be made). 】
[Surgical impact degree: D]
[Final rating: D+]
[Reward: Green treasure chest. 】
After Chen Gong saw the news, he was stunned.
Good guy!
The system actually has a settlement system?
Got a treasure chest?
And it's green!
The reward is not low.
You know, my evaluation is only D+. It seems...this five-star difficulty surgery has given me a lot of bonuses.
Three hundred percent bonus.
However, he actually contributed [-]%?
It seems that adjusting the surgical field of vision today will be of great help to the success of the surgery.
Otherwise, there will be no sense of participation.
Suddenly, Chen Gong discovered a channel to improve his level.
That's... mixed surgery!
……
……
Nearly ten people, including anesthesiologists and nurses, also came for lunch.
This is equivalent to a small team.
Ten people, ten dumplings, ten dishes, and ten soups.
Not too much, not too little, just right.
The key is that there are more hard dishes.
Everyone has been exhausted all morning. Sitting in the office, they also have different shapes. Some are reclining, some are sitting, some are stretching...
Wait until the anesthesiologist returns after sending the patient back to the ward.
Then he couldn't wait to say: "Quick, let's start dinner!"
"Don't wait for me."
Thor suddenly frowned: "This is not possible, one person cannot be missing."
"Okay, let's eat."
The hospital doesn't reimburse for this kind of meal, so it has to be paid for out of pocket. Basically, Thor pays for the meal out of his own pocket.
Of course...it's rare for everyone to eat such a sumptuous meal. Today is the winter solstice after all, so it's convenient for Director Zhao to treat us.
Basically, you use the room card money to order food in the hospital cafeteria, which is pretty much the same.
However, Thor is really generous and often treats guests.
Although I earn more, I really spend a lot.
Moreover, there was a time when Lei Shen really only made money in the hospital, and he never took the money home.
After all, he was about to end up in the hospital!
That was when he was the hospital chief.
At this time, everyone sat around.
Zhao Xi also sat next to Chen Gong: "Do you have enough to eat?"
Chen Gong was stunned for a moment: "It's okay!"
Zhao Xi smiled and looked at Chen Gong, knowing that he was embarrassed: "I can't eat so many dumplings, can I give you half?"
While talking, Chen Gong couldn't help but tell her the difference.
Other nurses also behaved like this. After all, not everyone can eat a plate of dumplings.
Chen Gong ate too much to take care of himself. He found that concentrating on something was really draining his energy.
In one meal, Chen Gong ate cleanly.
Braised pork, pork ribs, roast chicken...
I really ate a lot. At the end of the meal, Chen Gong was too embarrassed to pick up the food. Zhao Xi secretly pretended to eat it by himself...
This scene was naturally seen by Thor!
After Zhao Lei saw it, he gritted his teeth, what a hatred!
After dinner, everyone was resting, and the nurse had already started to pack things.
Zhao Xi and Chen Gong started talking about the morning's surgery.
"There's something I don't quite understand."
"Just tell me and I can explain it to you."
"Well, how to judge the hepatobiliary vein..."
……
Watching Chen Gong tell Zhao Xi, Old Zhao felt extremely aggrieved.
He had never had such a waterloo moment.
good guy...
You are so cruel!
Zhao Lei couldn't help but take a deep breath and looked at Chen Gong with a smile on his face.
When Chen Gong saw this, he couldn't help but shudder. This was the first time he saw the God of Thunder smile.
And it’s to yourself!
Zhao Lei asked with a smile: "Xiao Chen, you have a good talent. You performed very well today."
"By the way, do you understand this operation?"
Chen Gong nodded honestly this time: "I understand part of it."
"I can't see clearly after the tumor was removed, but the front is fine."
Upon hearing this, Lao Zhao became even more angry.
Installed!
Continue to install!
The third portal of liver is opened in front, do you understand?
"Then I have a question. If you answer it correctly, I will reward you and you can make requests. How about it?" Thor asked with a smile.
As soon as these words came out, they immediately attracted the attention of everyone around him.
From everyone's point of view, this was obviously a reward given by the God of Thunder to show Chen Gong's contribution today.
Han Shifeng couldn't help but smile.
but……
He suddenly saw Thor smiling and talking to Chen Gong.
For a moment, Han Shifeng was a little confused.
This……
What operation?
Something is wrong?
When Chen Gong heard this, he was also happy!
Who cares about 21 [-].
Now he just wants to have surgery.
Agree to any conditions.
"Okay!" Chen Gong said decisively.
"Let me ask you, if you encounter obstruction of the portal blood vessels, what do you think is the cause? How to deal with it?"
After this question was raised, the surrounding area suddenly became quiet.
Everyone looked at Zhao Lei in disbelief.
Han Shifeng couldn't help but say: "Isn't this question a bit too difficult?"
"It's too over the top!"
Zhao Xi even pouted, a little unhappy.
Chen Gong couldn't help but think deeply at this time.
After hearing what Han Shifeng said, Zhao Lei shook his head and said: "The bigger the wind and waves, the more expensive the fish!"
“The harder the problem, the greater the reward!”
"Xiao Chen, you can change to something simple."
Chen Gong suddenly laughed: "No, that's it!"
“I think there are two most common reasons:
First: hilar blood vessel damage;
Second: The liver sections are sutured together and the portal blood vessels are compressed. "
"However, I don't know much about the solution, so I can only tell you my own method."
“First, I think we must pay attention to the anatomical relationship when resecting the tumor, and we must not inadvertently injure the main ducts in the porta hepatis.
As for the second one...the latter, because the liver is preserved after tumor resection and all the portal hepatic vessels are exposed, the liver sections are easily compressed after suturing together, especially the hepatic veins. In addition to paying attention to the color of the liver, the liver parenchyma should also be checked after suturing. If the tension is high, it indicates that the hepatic vein outflow tract is blocked, and the sutures at the corresponding parts should be removed. After complete hemostasis, the area should be covered with omentum or gelatin sponge. "
After Chen Gong finished speaking, the surroundings became completely quiet.
Even Han Shifeng couldn't help but stare at Chen Gong with his eyes wide open in disbelief! .
After a moment, he clapped his hands and applauded:
"it is good!"
"Great!"
"Really amazing!"
"This answer can be said to be the standard answer!"
"Boy, really good!"
Zhao Xi also widened his eyes and gave a thumbs up.
Chen Gong smiled, theoretical knowledge... He has never been afraid of anyone.
Getting your hands dirty is one thing.
In theory, he is at the king level.
Chen Gong couldn't help but said: "It's all because of Teacher Zhao's good teaching!"
When Zhao Xi heard this, he felt happy.
Thor's heart was completely fried.
Although Chen Gong's performance also amazed him, he had to admit that this boy's ability was really good!
but……
What do you mean by the next sentence?
My own daughter, don’t I know what her strength is?
You bastard!
It's obviously...flattery and flattery.
And can my daughter eat this?
Zhao Xi suddenly blushed and smiled from ear to ear.
Ok!
Zhao Lei had to admit that he really ate...
For a moment, Lao Zhao really wanted to cry without tears.
Tesco!
Today is really Tesco Day!
Stealing chickens will not lose rice.
Can this day pass...
However, you have to live up to your boasts, right?
Zhao Lei had to grit his teeth and said: "Okay!"
"What reward do you want?"
After Chen Gong hesitated for a moment, he said, "I want Teacher Zhao to participate in some basic surgeries."
"I think Teacher Zhao has such strength."
"Instead of doing first-level surgery in the day ward every day."
As soon as these words came out, Zhao Lei was confused again.
it is good!it is good!it is good!
you boy...
Are you sincerely against me?
it is good!
However, now that the words have been spoken, if he refuses, he will definitely appear to be a bit narrow-minded.
Zhao Xi was also happy after hearing what Chen Gong said.
This student is really good!
A hundred times better!
Zhao Lei closed his eyes, took a sip of water, looked at Zhao Xi, and said something.
"Zhao Xi, during this time, follow Director Ye and do some routine surgeries!"
"When will we leave? I'll let you do it independently."
"Is it alright?"
Upon hearing this, Chen Gong thought this was the best plan!
"Ok!"
"Thank you, Director!"
Today’s wave is full of rewards!
……
ps: Thanks to the boss "The Last, The Last, The Last" for the 10500 reward. The boss is mighty and domineering, thank you boss!
(End of this chapter)
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