White armor

Chapter 23: I have the grace of my youth
"University of Exeter?" Luo Hao had never heard of this university.

But it's not as simple and easy to understand as an ordinary pheasant university, and it doesn't seem to be the kind of university that's just for the purpose of making money.

"Xiao Chen is amazing!" the anesthetist exclaimed. "I didn't know this university at all when Xiao Chen told me about it. When I went home and checked, holy shit! It's so awesome!!"

"Brother Guan, stop talking, stop talking." Chen Yong was helpless.

"Which medical major at the University of Exeter is better? Biology? I've never heard of it." Luo Hao asked.

"Occult science! Become a mage after graduation." The anesthesiologist said with a smile.

"Huh?" Luo Hao was startled.

"Hogwarts, written by J.K. Rowling, is a school for cultivating magicians. The University of Exeter has a major dedicated to this." The anesthetist introduced it to Luo Hao with great interest.

"!!!"

Luo Hao was surprised that there was such an unreliable thing.

The point is, how many people would study such an unorthodox major? !

Isn't this a joke.

"Master of Magic and Occult Sciences." Chen Yong was helpless, fearing that the anesthetist's words would become more outrageous, so he had to explain himself, "I was applying for a resume after graduating from university, and by chance I found out that the University of Exeter also has a major in Magic and Occult Sciences, and the requirements are It’s not low, but I met the standard.”

"Submitted my resume, but I didn't expect that I was actually admitted. If I'm curious about mysticism, I'll go through the procedures to study abroad and learn about it."

"You are so careless and you were deceived."

Chen Yong explained helplessly.

Luo Hao was endlessly surprised and emotional.

It seems that Chen Yong is really not a reliable guy. He has a master's degree in magic and mysticism, and finally ended up working as a clinician in Donglian City Mine.

How does he rely on medical treatment?Could it be the priest's healing technique?

After a major treatment, the patient's blood volume increases, which is a perfect match for the system!
Luo Hao felt that Chen Yong should be the one who got the system.

When he thought of modern cities, systematic priests running rampant in hospitals... If there was such a novel, Luo Hao would like to read it. (Yeah, yeah, I’ll write about this in my next book)

"Chen Yong, what do you study in school?" Luo Hao asked curiously.

Chen Yong sighed, with complicated eyes as he stared blankly at the warm salt water gauze.

"I heard that there is a Taoist school with a bachelor's degree. You learn to draw talismans and other things every day. I just don't know how to sign up. Otherwise, I will let my son learn." The anesthesiologist said.

"Do these schools really exist?" the equipment nurse was surprised.

"Of course, after graduation, there is no need to apply for a certified archmage in the workplace. I say Xiao Chen, you just can't figure it out, so you have to become a doctor. Isn't it good to be a priest? Even if you don't know anything, exorcism and the like The... risk is high, can you still go to church and listen to people’s voices?”

"So much gossip, be as happy as you want."

The anesthetist became more and more excited as he talked, and those sleepyheads had long been driven away.

"Even if you graduate from magic and occult studies, you are still not a priest." Chen Yong defended.

"Being a great mage? No, you should be a mage's apprentice. That's fine. It's better than being in the hospital every day."

Luo Hao glanced at Chen Yong with interest. This guy was a veritable archmage from the future.

Just as he was about to ask Chen Yong what he studied while studying for a master's degree in magic and mysticism, Luo Hao heard footsteps and hearty laughter coming from the corridor.

Lin Yuming is here!
The old director of Guohua should be here too! !
Luo Hao's expression straightened, and he glanced at the system panel in the upper right corner of his field of vision with some regret. He probably couldn't do this task.

"How was the surgery? How far did it go?" came a voice.

The sound was like a loud bell, full of energy, and the light of the shadowless lamp seemed to tremble a few times.

The sound of heavy footsteps echoed, as if a tyrannosaurus had traveled from the Cretaceous period.

"Director Guohua!" The anesthesiologist smiled with a smile on his face, his mask couldn't cover it at all, and he came close to him affectionately.

"Xiaoguan, have you been busy lately? Do you have many surgeries?"

Director Guohua said as he walked behind Luo Hao.

Although Luo Hao did not look back at Wang Guohua, the former director of the general surgery department of the mine, he felt him walking in, so he took away the warm saline gauze and handed it to the instrument nurse.

"Director Guohua, after laparotomy, we saw intussusception in the patient's intestines. They have been released and no necrosis of the intestines was seen. The intraoperative examination and imaging data are consistent. The colon..."

Luo Hao began to report the patient's condition concisely.

Wang Guohua looked at the surgical area with his hands behind his back.

After Luo Hao finished his introduction, Wang Guohua came to the film reader and started watching the film.

1′12″ later, Wang Guohua asked, “Ronaldinho, for that patient a few days ago, was it you who went to the medical records room to look through the past medical records and found the surgical records written by me? "

"Yes." Luo Hao didn't expect Wang Guohua to ask this, and couldn't figure out what he meant, so he simply responded.

Wang Guohua was noncommittal and turned around to wash his hands.

When he came back, Luo Hao had already stood in the position of second assistant, giving up the position of the surgeon.

"You do it." Wang Guohua said while wiping his hands.

There was an unquestionable tone in the old director's tone, domineering and powerful.

"he?"

The anesthesiologist was stunned.

"As long as I'm here, will it be okay to perform an intestinal resection and anastomosis?" Wang Guohua asked rhetorically.

"How could it be possible? As soon as Director Guohua came, I felt relieved." The anesthesiologist explained quickly.

Although Wang Guohua has retired, he still retains his power over the years, and the mine managers respect him very much, so no one questions Wang Guohua's decision.

Wang Guohua stood directly at Yisuke's position, while Chen Yong moved to the side and pulled the hook conscientiously.

"Do it." Wang Guohua said.

Luo Hao raised his eyebrows and glanced at the system tasks.

In an instant, his affection for Wang Guohua suddenly increased.

It seemed that the old director of Guohua did not want to favor Wen Youren.

If it were another profession, Luo Hao might be worried.But this is an operating table, and patients are rarely used as bargaining chips.

Of course, those who can do this kind of thing have already been promoted and will not continue to "delay" in the clinic.

Originally, Luo Hao had only heard of Wang Guohua's name in "Legends" and followed others in calling him "Old Director Guohua" affectionately.

At most, the two of them had a close relationship in that medical record from 20 years ago.

Unexpectedly, Wang Guohua came up and directly put himself in for intestinal resection and anastomosis.

This style is a hundred times better than Wen Youren.

All kinds of distracting thoughts flashed through Luo Hao's mind. He then held his breath and concentrated on completing the operation according to the standard procedure.

Wang Guohua didn't see some steps, so Luo Hao did it again to show him.

Luo Hao first explored the location, size, and activity of the tumor in the left colon, as well as whether there was metastasis to lymph nodes and abdominal organs.

Every step has its meaning. Wang Guohua said nothing and followed Luo Hao's surgical steps.

After demonstrating the previous surgical procedure, Luo Hao ligated the mesenteric blood vessels, incised the retroperitoneum under the duodenal suspensory ligament, separated the inferior mesenteric artery and vein, ligated and then cut them, and the proximal end was ligated and sutured.

Luo Hao did it methodically and followed the surgical steps step by step, almost perfectly.

After processing the blood vessels, Luo Hao used fine gauze strips to pass through the mesentery at the edge of the intestinal wall at the upper and lower ends about 5 to 6 cm away from the tumor, and tied the intestinal cavity tightly to control the intestinal contents in the tumor area and avoid up and down flow, causing spread.

After protecting it, Luo Hao took the trouble to check it again, and then with the help of Wang Guohua, he cut out the intestines.

Luo Hao turned around and put the intestines on the sterile tray, marked the sterile area, and asked the instrument nurse for a new knife to start the dissection.

One minute later, Luo Hao said with certainty, "Visual inspection shows that it is a lipoma. I will send it to the pathology department for intraoperative freezing."

The circulating nurse was already ready to go. After hearing what the surgeon said, she immediately took the specimen and trotted to the pathology department.

The operation was once again suspended.

"Your name is Luo Hao, right?" Wang Guohua asked.

"Director Guohua, it's me." Luo Hao replied, "Thank you for coming to the rescue so late."

"Ha." Wang Guohua smiled flatly and did not mention the rescue. He looked at Luo Hao and asked, "How did you remember to read the surgery records I handwritten 20 years ago last time?"

"Looking at the images at the time, I felt that the medical history described by the patient was wrong, and it should not be a simple cholecystectomy. But it was a long time ago, and the patient said that it was done by you, the old director Guohua. Although I have never worked with you, but I’ve heard colleagues talk about you.”

Wang Guohua remained calm and looked at Luo Hao.

"I guessed at that time that with your rough and subtle thoughts, Mr. Guohua, you would definitely leave traces to prevent yourself from forgetting many years later or the patient's narration error causing other doctors to misjudge."

"So I went to the medical records room to search for past medical records. As expected, I found the surgical records you wrote back then. According to the surgical records, the patient should have cesspool syndrome, and future treatment will be logical."

After Luo Hao finished speaking, his eyes narrowed.

He was smiling, expressing his respect for the old-timers.

Wang Guohua nodded without comment, changed the subject and asked, "I heard from Director Lin that you haven't had any surgery since you returned from graduation. Is that true?"

"Since I came back, I have been working in the medical office and have not done any clinical work. This time I have no choice but to do it."

"How's the surgery going?"

While they were chatting, Wen Youren's triumphant voice came in.

The circulating nurse went to deliver the pathology specimens. The air seals in the operating room were left open, and everyone could hear Wen Youren's voice clearly.

"Why did you go into surgery when I wasn't here? Who will be responsible if something goes wrong! Really, no one can help me, and I can't even stay in the hospital without stopping."

Luo Hao's heart moved and he looked at Wang Guohua.

As if he didn't hear Wen Youren's words, the old director of Guohua continued to ask, "I think your surgery is very good. Did you practice it when you were in school? Is your teacher so hands-off?"

"I have practiced, and the teacher was kind to me. He let me do more than a dozen sets. I haven't done it for a few years, so I am a little rusty." Luo Hao said politely.

As he spoke, he was thinking about it. It was said that Wang Guohua taught Wen Youren how to perform surgery. After Wang Guohua retired, Wen Youren naturally took over the position of director.

According to inheritance, the two have a very close relationship.

But Wang Guohua simply ignored Wen Youren's appearance.

eccentric.

"A bunch of rubbish. I am staying in the hospital and have to come for emergency surgery at the same time. The donkeys of the production team are not so useful. Ahem, there is no way. Who is supposed to be a doctor? Heal the disease and save the patient, cure the disease and save the patient, who the hell save me? .”

The sound got closer and closer, and Wen Youren strode in with a bottle in one hand.

Entering the operating room, Wen Youren saw a familiar yet unfamiliar figure - the old director Guohua standing... standing in the assistant's position, and was stunned for a moment.This scene seems familiar.

Many years ago, this was how I learned surgery. Director Guohua stood in the position of first assistant and taught me step by step.

The scene in front of him made Wen Youren feel dazed.

The person in the position of the surgeon should have been himself, but now it was someone else.

He was stunned for a few seconds, then forced an ugly smile on his face, "Master, why are you here!"

"Who taught you to enter the operating room without wearing a mask? Get out." Wang Guohua asked with a cold face.

Wen Youren turned around and left, frantically going to the door to put on a mask.

The infusion tube in his hand was hung on the door, and with his hurried movements, he took the needle out of the blood vessel in one fell swoop.

A stream of bright red blood fell to the ground.

Wang Guohua frowned and glared at Wen Youren fiercely.

Blood can be splattered in the operating room, and such scenes are common, but the blood comes from the patient.

It's really embarrassing for a doctor to lose his reputation in the operating room... in Wen Youren's way.

"Dr. Xiao Luo, your surgery was done in a orderly manner, fast and not messy, and of a very high standard." Wang Guohua ignored Wen Youren and continued to "chat" with Luo Hao.

"Old Director Guohua, I will be proud of you for praising me so much." Luo Hao said with a smile, "I haven't had surgery for a long time, and my hand is a bit raw, so I can only follow the step-by-step instructions of surgery."

"Yes, the surgery just now was very difficult in several places, but I see that you did it very carefully and the degree of completion was quite high. Although it is not perfect, there is nothing to be picky about." Wang Guohua continued to praise.

Wen Youren covered his bleeding hand, and what he heard in his ears was his master, Director Wang Guohua, praising Luo Hao.

His heart was almost twisted into a ball, and he was so awkward that he couldn't express it in words.

He wanted to appear in the operating room when he was in danger and tell Lin Yuming with his actions that the mine manager couldn't leave him alone!

The abacus was crackling, but the reality was something else.

Lin Yuming not only invited the old director of Guohua to do emergency treatment, but the surgeon was Luo Hao!
Wen Youren's hand was covering the blood vessel cut open by the infusion needle, and he remained stunned at the door of the operating room.

"Director Wen, would you like to bandage it first?" When the anesthesiologist saw the blood on the ground, Wen Youren stood at the door in a daze as if he didn't feel anything, so he could only remind him.

"Ah?" Wen Youren was stunned for a moment.

"Damn, look at what's going on." The anesthesiologist scratched his head and asked his assistant to keep an eye on the ventilator. He took Wen Youren to bandage and set up steps for Wen Youren to come down.

"When did Director Guohua come?" Wen Youren murmured as if he was in a dream while bandaging.

The anesthesiologist glanced at the intravenous drip bottle. There was no writing on it. As he guessed, it was most likely just saline solution, used to fool people.

Director Wen handled this matter, and the anesthesiologist had mixed feelings.

"It is said that Director Lin went to the old director Guohua's house to invite someone to send the patient here." The anesthesiologist said, "Director Wen, I think you... ahem, you should be in contact with the old director Guohua."

Wen Youren mentally knocked over a bottle of dark soy sauce, and the rich flavors drove him crazy.

Who would have thought that Wang Guohua, his master, would be invited to rescue him by this piece of shit like Lin Yuming.

Although I didn't expect it before, but now that I think about it, everything makes sense.

I am "seriously ill" and there is an emergency patient who needs an intestinal incision. Who else in Donglian City can safely get the relevant surgery?
Only Master Wang Guohua has the greatest confidence, even though he hasn't touched a knife in three years.

Wen Youren's "wound" was not big, and a simple bandage took less than a minute to complete.

"Director Wen, where are you going?" the anesthesiologist asked carefully.

He sighed inwardly.

At the hospital-wide consultation a few days ago, Wen Youren was slapped in the face by Director Lin in public. It was a real slap in the face.

Wen Youren was rubbed all over by Director Lin, both mentally and physically.

So much so that something like this happened today.

Now that I am sandwiched between them, it is quite difficult to handle.

The anesthesiologist is ready to pretend to be dead and say as little as possible.

Wen Youren was a little more awake at this time. He didn't answer the anesthetist's words, but strode to the operating room.

"Xiao Luo, how many acupuncture methods are there to anastomose the intestines?"

The familiar and kind voice came from the operating room, and Wen Youren almost cried when he heard it.

Director Guohua always asked this question when he took him for surgery.

In my heart, I dislike Director Guohua's nagging, and he is in the late stages of Alzheimer's disease.

But at this moment, when he heard the same question again, Wen Youren paused involuntarily.

"For full-thickness suturing of the posterior wall, simple interrupted sutures, simple continuous sutures, and continuous overlock sutures can be used."

"The entire thickness of the anterior wall can be treated with simple interrupted sutures, continuous full-thickness horizontal mattress inversion sutures, and other stitching methods."

"The most commonly used method for intestinal resection and anastomosis is the interrupted vertical mattress inversion suture method."

"Are you skilled?" Wang Guohua asked confusedly.

"It's okay. I'll give you a stitch. Director Guohua, you can stop whenever you see something inappropriate." Luo Hao said.

"Xiao Linzi, please hurry up, what are you doing Xiao Chi in the pathology department? It's been 15 minutes and the intraoperative ice has not come out yet!"

"Director Guohua, there is still time to send the frozen specimens, so don't worry." Lin Yuming comforted him with a smile.

Everyone knows what kind of temper Wang Guohua has.

In the past few years, there were many emergency room injuries and car accidents. Whenever there was an emergency room, Wang Guohua would start cursing when he entered the operating room.

His yelling voice was like a whip, crackling on the backs of the circulating nurses and anesthetists, urging them to run.

After several years of surgery, Wang Guohua still has his old temper.

Lin Yuming said that, but still took out his mobile phone and called the pathology department.

"Intermittent vertical mattress inversion suturing is not that simple. Ronaldinho, please be careful not to let me find fault."

"There must be something wrong. Director Guohua, please point it out and I will correct it."

Wen Youren walked into the operating room while an old man and a young man were chatting.

Now it seems that the old director Guohua and Luo Hao are the inheritance masters and disciples, and he is an outsider.

Why is this!

Wen Youren's legs seemed to be filled with lead and were too heavy to move.

But the old director Guohua came for emergency surgery and showed up. Didn't he just turn around and leave without saying hello?

Wen Youren hated Lin Yuming's old dog!

It's so insidious! !

"Director Wen, you're here." The circulating nurse greeted Wen Youren when she saw him coming in.

"Well, Master, I'm sorry, I suddenly fell ill, so I have to make a trip for you." Wen Youren said perfunctorily to the traveling nurse and immediately greeted Wang Guohua.

"You are so young and your health is not as good as mine. I heard that you were hospitalized, so go back and rest quickly." Wang Guohua said calmly.

"Master, you are here, how can I be embarrassed?" Wen Youren said shamelessly.

"Director Guohua, freezing during surgery is benign!" Lin Yuming reported excitedly.

The originally depressing atmosphere in the operating room suddenly became cheerful.

The fact that the removed tumor was benign was enough to make people happy.

"Sewing!" Wang Guohua didn't hesitate, holding big tweezers and thread scissors with his little fingers, ready to be Luo Hao's assistant.

Luo Hao stretched out his hand and patted the needle holder on his hand.

Waiting for the freezing during the operation, the benign results are like the spring breeze blowing open the frozen lake surface, and the terminated operation finally starts again.

Luo Hao was not in a hurry and checked the needle holder first.

The front 1/3 of the needle holder clamps the back 1/3 arc of the needle body.

After trying it, the needle holder can hold the needle without shaking, loosening or turning. Do not buckle the needle holder all over.

Luo Hao holds the needle with 2 teeth.

He was very serious and didn't feel any pressure from Director Guohua's assistant position.

Just like a soldier cleaning his gun before going to the battlefield, Luo Hao checked meticulously until the needle holder completely complied with his operating habits.

Luo Hao then held the forceps in his left hand to lift up the outer layer of intestinal tissue, and held the needle in his right hand to suture.

Align the needle tip with the needle entry point, rely on the external rotation force of the wrist and front wall to rotate the needle holder in situ, insert the needle along the arc of the needle and then exit it at the corresponding symmetrical point on the opposite side, and fix the needle head in place with forceps.

The whole process was as smooth as flowing water.

Wen Youren's eyes gradually widened and his pupils gradually narrowed, as if looking directly at the sun.

Intermittent vertical mattress inversion suturing is written in the book, but there are many things written in the book, and there are only a few people who can use the knowledge in the book in practice.

Intestinal anastomosis is not simple. If you use too much force, it will indeed be "sewn", but complications such as local anastomotic ischemia will also occur as expected.

After the operation, the anastomosis could not grow, and intestinal fluid leaked into the abdominal cavity, causing acute and chronic peritonitis. A second operation was required to cut a section of intestinal tube.

If the force used is too small, the intestines will not fit together at all, and the previous problems will still occur.

Moderate strength is the key, so some details of interrupted vertical mattress inversion suture are the focus and difficulty of intestinal anastomosis.

Without the earnest teachings of veteran experts who tell the surgeons their past failed experiences; without the training of dozens or dozens of surgeries, it would have been impossible to complete it anyway.

However, Luo Hao did it with ease, and the interrupted vertical mattress sutures were done beautifully.

Wen Youren asked himself, although he could also achieve a smooth match, he was definitely not as good as Luo Hao.

he!
How is it possible to master such a high-end surgical method! !

Luo Hao finished suturing and tied the knot. The needle holder in his right hand finally moved up slightly. The thread scissors hooked by Wang Guohua's little finger on his right hand came as expected, followed the suture line and landed on the knot, and then raised it up, away from the knot. 5 millimeters, cut off the anastomosis line.

"Not bad." Wang Guohua said, "It's a bit like my style when I was young."

"!!!"

The old director of Guohua said a simple sentence, but it sounded in Wen Youren's ears like thunder on the ground.

(End of this chapter)