Chapter 287: Damn Ectopic Appendix
On Friday, Gao Yong's group had planned to have four surgeries, but Wen Yanyan's aunt had already performed the surgeries on Thursday, so only three laparoscopes were left on Zhang Yao's bed that day.
Yang Xi is not good at interfering in the operation of the patient on Zhang Yao's bed.
"Xi Shao, it's idle to be idle, it's better to go to the front for a stroll, maybe I can get back one or two emergency surgeries." "Last night, Lian Xiangdong drove a night train and completed the medical records on the bed, so he had the courage to take the initiative to harass Yang Xi this morning.
Although even Xiangdong achieved a self-breakthrough the day before yesterday, the fetus was also lost, and the bones were replaced, and those emergency surgeries should not be much challenging for him, but seeing that he was about to be classified for oncological surgery, it is unlikely that he will come back to do these basic surgeries in his life, and even Xiangdong is still a little unbearable, and wants to take advantage of the last few days to do more of this kind of surgery.
In addition, Director Ma has retired, and no one can control the emergency surgery in front, and the emergency surgery on the side of general surgery can be said to have decreased sharply, especially on the night shift, and general surgery has actually become a department that picks up people's emergency surgery and eats the leftovers.
"Without the old horse covering, you still dare to go to other people's territory to grab food? That's not looking for a beating! Forget it, old man, if you have thought about getting addicted to surgery, follow me to Liuquan Town on Saturdays and Sundays, and keep it to make your old belly vomit. Yang Xi didn't say a big thing, the reputation of the medical champion has already spread in the local area, and the free surgery activities have established a reputation for Yang Xi's surgical level, and then, the accident in Dawu Town during the vacation has made the reputation of Liuquan Town Hospital go to a higher level, and now, patients are coming one after another, and more than a dozen beds in Liuquan Town's major surgery are simply not enough.
"This ...... You don't understand. Lian Xiangdong sold a pass quite angrily, and dragged a cigarette in his mouth.
Yang Xi hurriedly took out the ZIPPO, snorted, stabbed again, lit the fire, and lit a cigarette for Lian Xiangdong.
"Genuine ZIPPO? Damn, Xi Shao, awesome, take it over and give it to my brother to appreciate." ”
Yang Xi smiled, well, he is still old-fashioned and has eyes, which is much more reliable than the high-minded boss with developed limbs and a simple mind.
took the lighter, and while playing, Lian Xiangdong explained: "The great leader Grandpa Mao taught us that the enemy of our enemy is our friend. Xi Shao, our current identity is no longer general surgeons, you must keep this in mind!"
Yang Xi followed and took a three-five in his mouth, took back the firer from Lian Xiangdong's hand, lit the fire, and quickly put the ZIPPO into his pocket. Squinted his eyes and looked at Lian Xiangdong again, thinking, this thing makes a lot of sense.
At the beginning of next month, the Department of Oncology Surgery will be opened, although this oncology surgery can be regarded as a stream of general surgery, and it can even be said that the two departments are in the same line, but after all, the business is in a competitive relationship, and it is impossible to be an enemy if you don't want to. Over the years, under the continuous beating and repair of Director Ma and supplemented by Director Yuan, the small life has been quite miserable.
In a clinical department, it is rare that the monthly bonus can exceed the average award of the hospital, but the situation of zero bonus occurs from time to time.
This hatred, which has been pent up for many years, will inevitably explode completely after Director Ma retires...... Well, this is indeed an excellent time to show favor to emergency surgery, and it is really the best strategy to fight against strong enemies together.
"That's right, old man, I didn't see it, you still have a bit of a pattern, okay, smoke this cigarette, let's go over." ”
......
Director Ma's illness and retirement is indeed great news for the emergency surgery.
Without the constraints of his old man, with the unique advantages of emergency surgery, isn't it necessary to completely let himself go.
In the early hours of this morning, Ou Zhen, who was on night duty, let himself go, and he hasn't been able to get it back yet.
Damn appendicitis.
Damn ectopic appendix.
As a result, Ou Zhen came to the stage at six o'clock in the morning, tinkered for an hour and a half, and doubled the incision, but he didn't even see the shadow of the appendix.
At 7:40, Cai Zide, the director of the emergency surgery department, hurriedly came, and without saying a word, went straight to the operating room.
If the patient is male, it is unlikely that ectopic pregnancy or adnexitis will be the most likely to confuse the diagnosis.
The course of metastatic right lower quadrant pain is clear and typical, and the right lower quadrant has clear and reliable signs of McC's point tenderness and rebound tenderness, and the diagnosis of acute appendicitis should be correct.
The question is, what about the appendix?
Who the hell hid it, or did it have the spirit to deliberately play peek-a-boo with the doctor?
After Cai Zide came to power, he was busy for more than half an hour, and he also failed to pull out the hidden appendix.
To tell the truth, Director Cai is indeed a good hand in the field of emergency medicine, but in emergency surgery, he is placed in general surgery, and I am afraid that even Ling Ran is qualified to be his teacher.
And the generals under him, such as Ou Zhen, are a little bit stronger than Lian Xiangdong in early September.
The reason why Director Ma wants to suppress emergency surgery so ruthlessly is that the interests of the department are one aspect, and the surgical level of doctors is also one of the factors. Director Ma believes that the current structure and level of doctors in emergency surgery cannot guarantee the safety of the operating room.
However, Director Cai always believes that whether it is general surgery, chest surgery or orthopedics, the difficulty of those emergency surgeries is not great, practice makes perfect, as long as his doctors go to the stage a few more times, it is enough to settle these difficult emergency surgeries.
What kind of leader there is, what kind of soldier there is, so Ou Zhen also thinks that when he was training in general surgery, he could take down any appendix hernia and intestinal obstruction.
But he overlooked the fact that the same technique sometimes has a world of difficulty that is very different.
What to do?
On the operating table in the emergency operating room, Director Cai made an embarrassment.
Calling Puwai and asking for fire support from Director Qin may be the only way out at the moment. But in this way, emergency surgery can only lose face, and there will be no face to compete with other general surgery departments for patients in the future. After sending away King Ma Yan, when the general practice ushered in the dawn, it was a result that he Cai Zide, including all the doctors in emergency surgery, could not accept Director Qin to the throne of Hades.
But what can be done if you don't accept it?
Wouldn't you just leave the patient on the table like this, or just cut something off to serve as an appendix?
It's not that it can't be considered. According to legend, the Department of General Surgery of the Affiliated Hospital of Jiang Medical University encountered a patient who was born with a congenital absence of the appendix but was misdiagnosed as appendicitis, and finally cut a large omentum to act as an appendix. However, in that case, many directors met on the operating table and determined that the appendix was missing.
If you follow suit, will you be able to pass the level of Director Zhang Yingchun of the Pathology Department?