135 unbelievably fast
(Thanks to book friends for 20170504093841698 and wind monthly ticket encouragement)
"Hey...... I found it really tiring to be a doctor now. It would be nice to have more advanced technology, get a device, and the patient can drill into it, and any disease can be diagnosed. Wang Huan complained listlessly.
"Haha, if that's the case, we'll be really relieved. Our emergency surgery is a little bit stronger, at least a lot of the time we can do it first and then supplement. Internal medicine is not good, and everything has to be done according to the procedure. Liu Banxia said with a smile.
"If you don't follow the procedure, you can't do it, and the patient will be allowed to do so when the time comes. There are too many complaints and lawsuits, and there will be no confusion in the future. Wang Huan complained.
"Okay, there's nothing to do, let's eat first. There are still more patients who understand us, and there are only a few who don't understand after all. Liu Banxia comforted.
It's also helpless in my heart, such examples are really common. In order to minimize contradictions, you can only explain patiently and be as careful as possible.
In the emergency department, there is not a single doctor or nurse who has not been complained about by a patient. Liu Banxia also has it, and you are indispensable if you do this business.
After lunch, Liu Banxia rested a little, said hello to the emergency department, and rushed directly to the operating room with Liang Xiaolin.
There is still more than half an hour before the official start of the operation, and his habit is to arrive early and communicate with the anesthesiology department.
"Shoutian, today is a big scene, perform well. Seeing Liu Banxia enter the operating room, Wang Lei said with a smile.
"Lao Wang, I didn't expect it to be you. Do you know what the condition of the patient is?" asked Liu Banxia.
Wang Lei shook his head, "I haven't brought the information yet, I don't know what the hospital thinks, I guess I will only have it when I see the patient." I might also like to try to simulate the reception and operation of emergency patients, otherwise we would not have come in in advance to prepare. ”
"The doctor who didn't have anything to do in the afternoon was already looking for a seat on the side, and the small incision appendectomy had not been done in our second hospital. You're the first case of the Orthodox Classics, yes. ”
"What about praising me? I don't have any bottom in my heart. Liu Banxia said with a wry smile.
As he spoke, the nurse led the patient in from outside. No wonder it has been kept secret for so long, it turned out to be a little boy who was only 12 years old. The case shows that chronic appendicitis is recurrent, and now parents do not want their children to suffer again in the future.
When I saw so many people wearing masks, I was obviously a little scared, but I didn't want to be seen, so I held on.
Wang Lei winked at Liu Banxia, this is a routine appendectomy. It is also very clear on the film, it is a show-off case specially prepared for Liu Banxia in the hospital.
What Liu Banxia didn't know was that preparations were being made here, and in the auditorium of the hospital, the picture of the operating room had been broadcast live.
Sitting in the audience are the interns who are about to enter the second hospital this year for accompaniment, of course, the current batch is still from Binhai Medical College.
For today's teaching operation, Chen Zhenxing really prepared a lot.
"This chief surgeon is called Liu Banxia, a doctor who has just finished accompanying our Second Hospital, and is also your new alumnus, a graduate student of Professor Zhou Shuwen who began to study this year. Chen Zhenxing picked up the microphone.
As soon as Chen Zhenxing's words fell, there was a discussion below. Because this means that Liu Banxia only has a bachelor's degree, and they received the news that they will appreciate a very wonderful operation today.
Chen Zhenxing didn't interrupt their discussion, but put down the microphone and sat aside, even he wanted to appreciate it.
"Liu Banxia, you have done research on small incision appendectomy, so how long do you think this patient's incision should be?"
The patient had just entered the anesthetic state, and before Liu Banxia could take the scalpel, Zhou Shuwen's voice sounded in the operating room, startling him.
Looking up, Zhou Shuwen was standing next to the microphone in the observation room.
"Director, I think one centimeter is enough. Liu Banxia said.
"To show off?" Zhou Shuwen asked lightly.
"Director, how can you. The child is only so old, and the appendix has not grown up. 1 centimeter is enough to reach out and reach down the instrument, and that's enough. And there is no inflammation in the appendix at the moment, it is too long and wasteful. Liu Banxia hurriedly said.
"Twenty minutes, is it enough?" Zhou Shuwen said again.
"Does it include the belly?" Liu Banxia thought for a moment.
"Including, the timing starts. After Zhou Shuwen finished speaking, he hung up the phone.
Dialogue is a simple conversation, but when you hear it in everyone's ears, it means something different.
Although those who have seen Liu Banxia's surgery on the stage feel that this time is a little tight, Liu Banxia can almost complete it if he fights hard. Even if it takes more than 20 minutes, it is understandable to perform an appendectomy with a small incision.
But for those who have seen it for the first time, especially those students who have come from Coastal Medical College, their understanding is different. What does this mean? Even an operation that can't be done in 20 minutes with a regular incision can be done with increased difficulty?
"Doctor Liang, cooperate with me in a while. Done, reward a chicken leg. ”
Just when these students were still discussing how nonsense this matter was, Liu Banxia on the screen spoke again.
Liang Xiaolin is called a depressed, is she a child?
However, Liu Banxia didn't dare to waste any more time, and he didn't challenge this time limit, so he had to fight for his teacher.
I have to say that Liang Xiaolin and Liu Banxia have been mixed for so long, and they really have a tacit understanding in terms of cooperation. In fact, her hands are really not slow, and her understanding of various surgeries is not bad. It's almost like when she's in charge of hands-on, and there's always some hesitation.
"Liu Banxia, how to choose a small incision, a normal incision, and a laparoscope, and how to choose the length of the incision?"
Liu Banxia was still separating the subcutaneous tissue, and Zhou Shuwen's voice sounded again.
"Depending on the patient, the patient needs what he or she needs. Liu Banxia replied.
"Be specific. Zhou Shuwen spoke again.
"In the case that the patient does not have specific requirements, it should also be selected according to the actual situation of the patient. If I feel that the patient's appendix is suppurating and prone to rupture, I will choose a normal incision. Liu Banxia said.
"The purpose of surgery is to help the patient to relieve the disease, and it is a necessary medical intervention. The way it does not matter what the doctor likes, it is just a simple service for the patient. ”
"Each type of surgery has its own advantages and disadvantages, and I will also choose a normal incision in case of unclear direction, so as not to prolong the incision or laparoscopically change to open the abdomen. Abdominal ...... No anomalies, look for appendix. Well...... The little one is coming out. ”
The people in the scene and in the auditorium were dumbfounded, how could they be so fast? This is the appendix found? It took so little time to find out?