Chapter 369: This is America

"Serena isn't that stingy—"

Shaking his head and glancing at Pliny, Zheng Jianguo didn't expect that the hospitalized general manager would also have gossip, so he looked left and right at the emergency room and seemed to be idle again, and felt that today's opening was still good: "Except for these two people, what about that morning?"

"After stabilization, it will be given to the gentlemen upstairs. ”

Pliny nodded and said, then remembered something and said to Angela and Benjamin who were standing next to him, "This is Dr. Zheng, you should have heard his name-"

"Yes, I've heard of you, Dr. Zheng, I've seen you from afar when I was in the digestive center before—"

Benjamin has a wide face that is rare in the United States, his eyes are not big and he wears a pair of glasses, Zheng Jianguo smiled at him and said hello, and then saw Benjamin continue to speak with curiosity on his face: "There are also reports that you and Camille are a couple, and only in the eyes of lovers will they feel that each other is the most beautiful." ”

"Don't you think Camille is beautiful, Benjamin?"

The corners of Zheng Jianguo's mouth instantly pulled out a smile, and when he saw Benjamin stunned, his face instantly turned red: "Yes, I also think she is beautiful, but unfortunately she doesn't know me-"

"That's it, Camille is still a beautiful girl, the word couple is still relatively early for her, and I don't think that the affection and curiosity of boys and girls in adulthood is love, but rather impulsive, which is why lovers on campus rarely enter the palace of marriage. ”

By the way, he criticized the American people's indulgence in the early love of boys and girls, and Zheng Jianguo heard Angela speak: "Not all boys and girls will express their thoughts, and there are many parents who think the same as yours, and there are parents who are more extreme than yours——"

"This is America!"

Zheng Jianguo said with a smile, and Pliny also laughed, then tilted his head after looking at him, Zheng Jianguo followed him for a few steps, and Pliny also spoke: "Alfonso was originally going to participate in a gallbladder removal operation in the afternoon, but now he has a serious wrist contusion, so he recommended you, the operation will start at 3 o'clock, and Director Nathan will also participate, do you want to come?"

"Yes!"

Instantly, his eyes widened with surprise, Zheng Jianguo responded quickly, and Pliny nodded and turned to leave: "You have to go to the operating room half an hour in advance for disinfection, and you have to ask Director Amy for a leave, it shouldn't be long-"

"Okay, no problem!"

Zheng Jianguo suddenly remembered that today was Thursday, and he was going to work at the digestive center in the afternoon, so he found an opportunity to call Director Amy about it, so he heard her say in the microphone: "I was already a two-year resident when I came into contact with cholecystectomy, do you know what area is between the common bile duct and the cystic duct and the liver?"

"I don't know. ”

Blinked his eyes and said, in his previous life, due to the fact that he was a wild road, coupled with the restrictions of Shanxian County's conditions, Zheng Jianguo had never been exposed to this kind of surgery until he was reborn, and this was the reason why he was so surprised before, of course, he had never been in contact with it in his previous life, but at this time he knew how to do preoperative work, so he continued: "But I will do my homework before the operation-"

"Yes, you are much better than me, I was not smart enough to do my homework like you do, so when Dr. Mark asked me what the gallbladder triangle was, I couldn't answer what the area involved in this operation was, and now I feel that your success is not only good luck and keen observation, good luck." ”

Director Amy's voice disappeared, Zheng Jianguo put down the phone, and Benjamin, who was next to him, looked over with curious eyes: "Doctor Zheng, is your homework to learn the surgical information of other doctors?"

"No, other surgical cases involve the patient's privacy, and it takes a lot of effort to investigate, but Director Amy has already told me that the focus of this operation should be the other organs and tissues involved in the gallbladder triangle——"

Zheng Jianguo shook his head and didn't plan to do what Benjamin said, the information of patients in the United States is a private privacy, and it cannot be disclosed to anyone other than the attending doctor.

Even the other medical staff involved in the operation at the time could not disclose the patient's condition to anyone other than the attending doctor. The 1,180 pathological slides that ED tested at the beginning were all purely for section analysis, not that he had analyzed the patient's condition.

And this is also the reason why Zheng Jianguo wanted to store the patient data in the computer server at that time, so that others could query and use the idea of disillusionment, except for the patients he treated, the information of others was confidential, and in this case, if he wanted to analyze a large number of cases, he needed to do it himself.

Of course, as Zheng Jianguo's study continues to deepen, he already knows that the idea of retrieval can lead to countless possibilities, just like the search engine in his previous life will become a sharp weapon for major portals, almost synonymous with the Internet.

The technique can be put aside temporarily, but what should be learned still has to be learned, Zheng Jianguo can't get a cholecystectomy case at this time, but Amy pointed out the essence of this operation on the phone, cholecystectomy is not difficult in the operation, otherwise it is not something that he or Alfonso can access, of course, this is theoretically speaking.

In the actual operation process, even Zheng Jianguo, the old director of the emergency department who has never been exposed to this kind of operation, knows that as long as it involves the operation of the human body, there is no such thing as small and easy.

This kind of awe-like mentality does not come from the difficulty of surgery, but from the cherishing of life, people need to be carefully cared for for more than ten years from croaking to adulthood, but the loss may be just a blink of an eye, or a small mistake.

Faced with patients who were already suffering from illness, what Zheng Jianguo could do was to do his best to participate in every operation, so as long as he was free, he found out the textbook knowledge that should have been memorized in his mind for a long time: "The gallbladder triangle is the part between the common bile duct and the cystic duct and the liver——"

"Bile duct damage—"

Just by finding out this familiar knowledge point, Zheng Jianguo discovered the key point of this operation, which also confirmed that the premise of the success of this operation is the accurate judgment of the gallbladder triangle, so as to avoid damage to the bile duct during the operation.

So when he went to the fast food restaurant to eat at noon, Zheng Jianguo didn't forget to look through the textbook while eating a hamburger, but not long after he sat down, Pliny sat down with a dinner plate, his brown eyes swept behind some blurred glasses, and then he said: "The book can teach you only the basics, and I don't know if it's good or bad for you to agree with you to participate in this surgery so long in advance."

But out of respect for Alfonso's opinion, I feel that I can still talk to you about this patient, his complaint in the hospital is not acute cholecystitis, so what do you know from the textbook in your hand?"

"Isn't it acute cholecystitis? Isn't the gallbladder tissue congested?"

Zheng Jianguo looked at the textbook and raised his head and said, Pliny looked left and right and said in a low voice: "Yes, the tissue is congested, edema, fragile, dense adhesions, do you want me to tell you the gallbladder triangle?"

"No, it's already written. ”

Zheng Jianguo nodded at the textbook as he spoke, and Pliny also spoke: "As I said earlier, the textbooks are all basic knowledge, and only normal people like you and me will have such a standard gallbladder triangle in the textbooks."

However, patients are different, the common bile duct is elongated, the hepatoduodenal ligament is relaxed, the gallbladder artery is abnormal, and everything is possible before you reveal the surgical field - of course, there is also the fat accumulation on the fat body, which is a pathological factor that can easily cause bile duct damage. ”

"Shall I write it down?"

Zheng Jianguo quickly put down the hamburger in his hand and asked, Pliny shook his head and said: "No, I'm just talking to you about science, in addition to these pathological factors, it's a matter of the doctor's experience."

Sloppy, blind, improper selection of incisions, insufficient laxity of anesthesia, poor exposure of the surgical field, and of course for you, what worries me the most is arrogance. ”

"Do you see when I've ever been proud?"

Zheng Jianguo raised his eyebrows and looked suspicious, he didn't expect that he would have such a label in the eyes of this hospitalized president.

Pliny raised his head and looked at him eating a hamburger, nodded and shook his head, until Zheng Jianguo looked a little confused, and then said: "I have seen your speech at the Gastroenterology Society, and you made me feel your authority just by looking at you, of course, I don't feel this way in the emergency room." ”

"That has nothing to do with me being in the emergency room. ”

Thinking back to his speech at that meeting, Zheng Jianguo shook his head and continued to eat lunch, and soon the pager on Pliny's waist rang, and the hospitalized general picked it up and looked at it, grabbed his burger and Coke and left: "Remember to come to the operating room early." ”

"Well, okay. ”

Zheng Jianguo glanced at the back in the distance, and remembered that when he first arrived in the emergency room, there were not only Daisy, the head nurse who didn't like him, but also the upright Bertha hospitalizer like Ye Minde, and more of Nathan and Alfonso, who were ordinary people, so he was a little grateful to Pliny.

After a simple lunch, Zheng Jianguo did not choose to go directly to the operating room to prepare, but went to the laboratory of the digestive center as usual and showed up, watching Catherine and Esther's various busy and orderly arrangements, until the time was almost up, he didn't expect to meet Director Amy at the elevator entrance, and after finding out, he looked at him and said, "I received a notice that a researcher named He Dawei is going to you?"

"Yes, after seeing the publication of my unknown virus, He Dawei repeated my test in one day, and also successfully detected the virus in his patient's blood. ”

Zheng Jianguo didn't say that He Dawei paid attention to himself, but directly said what he liked about him, and sure enough, as he gave this reason, Director Amy immediately nodded: "Yes, I didn't expect him to pay attention to this virus." ”

"Yes, he was already concerned about the infected people of this virus, but he didn't know how to find this virus, and I felt that even if my paper didn't appear, he would find it out in the future with one person, so I promised him on the phone. ”

Zheng Jianguo gave his own reasons, but in fact, he was still surprised by He Dawei's quick movements, but this surprise didn't last long, and only after separating from Amy, who was full of praise, he threw it out of his mind and entered the disinfection room next to the emergency department.

"Ha, Zheng, you came early. ”

When Zheng Jianguo appeared at the door of the disinfection room, Nathan followed his footsteps, and soon it was Pliny's figure, and he followed the two into the disinfection room, and then heard Pliny speak: "Zheng, there are disinfection steps on the door behind you, comprehensively clean the front and back of the fingers and forearms, and the part of the hand needs to be cleaned ten times——"

When Pliny was talking, his movements did not stop and Nathan had already stood in front of the disinfection pool to clean, Zheng Jianguo quickly followed to the front of the disinfection pool, tore and sealed the disinfectant and applied it between his fingers and hands, and he took the brush and got busy, silently counting the number of cleaning times in his heart: "1,2,3,4——"

"When rinsing your fingers and hands, don't start with the lower arm, but let the water run down the fingertips so that bacteria don't stay on the fingertips, but when washing the lower arms, start rinsing from the wrists—"

Pliny and Nathan's actions ended quickly, and before leaving the door of the disinfection room, Zheng Jianguo began to speed up, and soon raised his hands to the door after reaching the standard of the number of times, but he didn't expect that Pliny had followed Nathan to the operating table in the operating room, while the nurse assistant who had been prepared for a long time took out a mask for him to put on, and said at the same time: "Hi, Dr. Zheng, good luck." ”

"Thank you. ”

Looking at the other party's hat, mask, and transparent glasses covered tightly, Zheng Jianguo changed the same equipment with her help, and entered the inside after she pushed open the door of the operating room, only to see an old-fashioned hat that seemed to be illuminated by the shadowless lamp when he visited the Shanxian People's Hospital in his previous life, Pliny and Nathan were standing on both sides of the operating table, and Nathan, who was facing away from him, was speaking: "Why don't we play a game of the capital?"

"It's not fun—"

Pliny quickly spoke, raised his head and looked at Zheng Jianguo with reluctance, but said: "This bleeding point is burned with an electric knife, and the blood is sucked-"

"The capital game is still more fun, I'll come first, Washington DC-"

Nathan didn't seem to hear Pliney's refusal, and first opened his mouth to look at the revealed field and changed his words: "Scalpel, now separate the anterior rectus fascia, oh, there are blood spots, electric knife-"

The detective took the scalpel from the surgical assistant nurse next to him, and Nathan turned his head to look at Zheng Jianguo, who was looking at him with full eyes, and said, "Zheng, you come here, let you participate in the operation to help, not for you to stand there as a gentleman, and besides, you didn't wear your custom-made white coat-"