When doctors have a simulated operating room

The police officer was very happy.

"Hello, I am the director of the Tongqu Police Station in Yunyang County. We saw the information about Li Xiaoxia on Shuidichou and wanted to come and see her situation."

After some understanding, Zhang Yi and others found out that the Tongqu Police Station was the unit where Li Xiaoxia's husband used to work.

So they immediately took the police to the gastrointestinal surgery department on the fifth floor.

When acquaintances meet, they always have to exchange a few words.

In the end, several policemen gave Li Xiaoxia 10,000 yuan.

They said that this was collected by several comrades in the station.

They used to be friends with Zhao Feilong, and now they couldn't bear to see that his wife and daughter were living so miserably.

So before leaving, the police in the station collected some money.

He also said that he had negotiated with the leader for the pension, which would be paid in a few days.

The situation was finally getting better.

With money, he could see a doctor and have surgery.

Li Xiaoxia and her daughter cried with joy.

The next morning, Zhang Yi started to write a check-up list for Li Xiaoxia as soon as he arrived at the hospital.

Diagnosis of gastric cancer cannot be based on gastroscopy and blood draw alone.

Enhanced CT and MRI must be done to see if the cancer cells have spread, and HP must be tested to see if there is Helicobacter pylori infection.

Once the CT is done, it can basically determine the stage of cancer.

Then a pathological examination must be done, that is, tissue biopsy and immunohistochemistry [HER-2 (oncogene), CEA (carcinoembryonic antigen), PD-1 (programmed death receptor), MSI (microsatellite instability)].

Only after all the results come out can it be confirmed which type of cell tumor has occurred and chemotherapy drugs can be prescribed.

The gastrointestinal surgery doctor was also puzzled by the medical instructions given by Zhang Yi.

I don't understand why an emergency doctor cares so much about a gastrointestinal surgery patient.

Two days later, all the results came out.

Imaging examination showed: space-occupying lesions at the cardia of the upper gastric body, invasion of the serosa, and occasional lymphadenopathy around the stomach.

Enhanced CT: uneven thickening of the gastric wall in the cardia and antrum, and obvious enlargement of group 8a lymph nodes.

HP: negative.

No infection with Helicobacter pylori.

Pathology showed: glandular cell changes.

Staging: advanced cardia cancer.

That is, in the middle stage, there is still treatment, but the survival rate is not as ideal as in the early stage.

After seeing the test results, Zhang Yi directly prescribed a chemotherapy treatment plan of 200mg of oxaliplatin and 60mg of Tegafur.

Three days later, the effect was significant.

The symptoms of black stool and bloody stool were relieved, and the digestive tract reaction was reduced.

Together with the donations in the past few days, it has been collected almost 40,000 yuan.

Zhang Yi's main surgeon does not charge for surgery.

The cost should be about 40,000 yuan.

"It's time for the surgery. You should prepare well. We will go into the operating room at 9 o'clock tomorrow morning."

Before leaving get off work, Zhang Yi came to Li Xiaoxia's ward to tell them the good news.

In the ward, Li Xiaoxia's two daughters took turns to take care of her.

The youngest daughter is in the third year of high school and will soon take the college entrance examination.

In the ward, she read books and studied while taking care of her.

The eldest daughter is in college and is said to have taken leave to take care of her.

Seeing that the two daughters were raised so well, Zhang Yi also felt that it was not easy for Li Xiaoxia over the years.

"Really? Can I have the surgery tomorrow?" The youngest daughter Zhao Yuting raised her head from the pile of books.

Her eyes were both excited and scared.

Zhang Yi comforted her: "Don't worry, I'll tell you quietly, I'm the best doctor in this hospital for radical gastric cancer surgery."

Zhao Yuting grinned and said: "Well, I believe you, Doctor Zhang~"

Beside her, Li Xiaoxia's eldest daughter Zhao Yunyin said embarrassedly:

"I'm really sorry to bother you, Doctor Zhang, your kindness... I really don't know how to repay you..."

"It's okay, it's okay! I'm a doctor, it's just a small effort."

Zhang Yi hurriedly held her hand, fearing that she would also kneel down to him.

This family really loves to kneel...

Zhao Yunyin was stunned, and then her ears turned red.

Just at this time, the nurse came in to insert a gastric tube.

Before gastric cancer surgery, enema is required to empty the intestines for postoperative decompression, and a gastric tube must be left in place.

Seeing the nurse busy, Zhang Yi went back to the dormitory after work.

At present, Zhang Yi's gratitude points have reached 2350 points.

Zhang Yi drew an operation with a difficulty of three stars or less.

[Congratulations on obtaining the 'Top Suturing' operation. 】

I actually picked a suture?

I can’t say it’s very useful, but it can be icing on the cake.

In the past, every surgery that the system picked actually came with the suture part of the surgery.

In addition, trauma

Zhang Yi had learned both the sex suture and the general flap suture at school.

Although he was better than other students, there was a big gap compared to the system reward.

Without thinking too much, Zhang Yi fell asleep on the bed.

In the simulated operating room, Zhang Yi practiced radical gastrectomy all night.

The purpose was to ensure that the operation tomorrow morning would be foolproof.

…

At nine o'clock in the morning.

Li Xiaoxia was pushed into the operating room.

Because Zhang Yi was quite famous in the hospital.

Hearing that Zhang Yi was going to perform radical gastrectomy, many interns and trainees came to the operating room to observe and learn.

The monitoring room next to it was also crowded with people.

Zhang Yi felt strange as soon as he entered the operating room.

Why are there so many people in the operating room today? !

He subconsciously glanced at Chen Fang next to him.

Chen Fang turned his head away embarrassedly.

In fact, these interns came to the operating room with Chen Fang's consent.

But they didn't have any other ideas.

They just wanted to watch Zhang Yi perform surgery and learn.

On the operating table, the nurse had already prepared the skin.

Tracheal intubation and general anesthesia.

After the patient fell asleep, Zhang Yi took a surgical marker and drew a circle in the middle of the upper abdomen.

This was the location of the surgical incision.

Then, iodine was used to disinfect the entire abdomen from below the clavicle to the perineum.

After disinfection, a round-hole surgical towel was laid to expose the location of the surgical incision.

"The vital signs are stable, the blood pressure is normal, and the time is 9:12 am."

Zhang Yi nodded: "Okay, the operation begins."