"Yes, Director. When the four of them heard that they were going to write this surgical plan for gastrojejunostomy, all four of them were in pain.

According to what happened to Zhang Haoyu before, if the writing is not good enough, it is estimated that points will be deducted.

"Well, go get busy. ”

After Liu Junchi left, Huang Hongwen said with a drooping face: "What should I do? I feel like I'm going to be deducted points again!"

"Don't talk about you, I'm worried too. I've been deducted 40 points. I came here for a month and wrote 7 surgical plans, three of which were deducted. Zhang Haoyu said speechlessly.

"Doctor Zhang, if you, the attending doctor, are not sure, then we must die. Zhou Tianlei smiled bitterly.

"Let's talk about it then!" Ruan Bin was also irritated. This Liu Junchi is really too strict. Such a person, his wife is sorry for him if he doesn't cheat.

A few people complained and continued to be busy with the things at hand.

Gradually, more and more patients came to the emergency department.

The number of patients who need surgery is also increasing.

At noon, Ruan Bin took advantage of the rest time to take a few copies of the hospital's surgical teaching videos and watched them. He is like verifying whether his system will unlock new [professional skills] for him by watching the operation through video!

He saw several secondary surgeries: partial thyroidectomy, simple resection of the ruure gland, partial (segmental) resection of the ruin glands, and perforated repair of gastric or duodenal ulcers.

I have to say that the level of surgery in these teaching videos is really high, at least they are all surgeries done at the director level. It's much better than the last time he studied at the city hospital!

After watching these surgical teaching videos in one go, he hurriedly turned on the system.

"Krypton Divine Doctor System"

[Host: Ruan Bin]

【Occupation: Doctor】

【Vocational Skills】:

1: Superficial trauma debridement and suture: Expert+

2: Saphenous vein incision: Specialist+

3: High saphenous vein ligation: Entry+

4: Appendectomy: Not Started+

5: Resection of benign tumors on the body surface: Beginner+

6: Incision and drainage of superficial abscess: Entry+

7: Gastrojejunostomy: not started+

8: Partial thyroidectomy: not started+

9: Simple resection of the ruatrial room: not entry+

10: Resection of the glandular part (segment): not entry +

11: Gastric or duodenal ulcer perforation repair: not started+

Points: 2000 (Friendly reminder: You can get points by completing system tasks, and you can also get points by charging money.) ）

System tasks: 1: Persist in not being deducted points for one week (not completed).

"Damn, it's really okay!hahaha...... It's so cool. "Ruan Bin was very surprised and surprised.

In this case, as long as he has money, he can learn any surgery in the future!

Afternoon.

The emergency department is getting busier.

Almost all of the doctors and nurses are busy with their feet on the ground.

"Whew~ There is still an hour to get off work. After stitching up a patient's wound, Nguyen Bin finally had time to drink his saliva.

I didn't take two sips.

Outside, a medical staff and a woman who looked like a family member hurriedly came in pushing a male patient lying on a hospital bed.

"Doctor, doctor, help, help!" cried out the woman in her thirties, sobbing.

"What's wrong?" Ruan Bin put down the water glass in his hand and immediately walked over.

"My husband accompanied the customer to dinner last night, and in order to get the order, he poured a bottle of 54-proof liquor by himself. When I came back, I threw up four or five times, and then I got drunk. ”

"He didn't go to work the next morning and had abdominal pain, dizziness, nausea and vomiting. We all thought it was because we drank too much last night and just take a break. But the situation is getting worse...... I almost wanted to faint a few times......" The woman quickly explained the specific situation.

When Ruan Bin heard this, his brows furrowed.

Generally speaking, if this happens, it is very likely that the stomach is perforated by drinking!

Your sister, if you can't drink enough, you have to take a sip of a bottle of 54-degree liquor, and you will die!

But it can also be seen that the other party is desperate for life, I have to say that this fucked society is cruel, why is he not?

"I guess it's a stomach perforation!" Ruan Bin began.

"Ahh After all, ordinary people don't know much about medicine, and when they hear about stomach perforation or something, organ rupture, can you not be scared to death?

"What's the situation?" At this time, Zhang Haoyu, who had just finished his work, also walked over.

"The patient may be ...... with a perforated stomach," Ruan Bin relayed the patient's condition.

"Well, I also think it may be a gastric perforation, let's do a B ultrasound first, and you will know the result in ten minutes. Hurry up, send it to do B ultrasound first. Zhang Haoyu said. If it is really a gastric perforation, then it will have to be operated on immediately.

This cannot be delayed.

The longer it drags on, the more severe the coel-abdominal infection becomes.

The other party was drunk last night, maybe he had a stomach perforation last night, maybe this morning. However, time is certainly not short.

Ten minutes later, the B-ultrasound results came out, it was really a gastric perforation.

"I'm going to have to have surgery right away! It is estimated that the patient's stomach perforation has been more than 12 hours. Ruan Bin said in a deep voice. Generally, gastric perforation should be operated on at least 6~12 hours after the perforation.

Because the longer it drags on, the more severe the infection becomes. Then it's going to be trouble!

"Okay, then let's do the surgery, I'll call Deputy Director Liu or Dr. Chen. Zhang Haoyu hurriedly went to find someone to operate.

"Doctor Zhang, can't you?" Ruan Bin was stunned. Gastric and duodenal ulcer perforation repair is only a second-level operation, Zhang Haoyu is the attending physician, it should be possible, right?

"Uh...... Although I am the attending doctor, I also came here for further training, and the hospital where I stayed was also a small county hospital, and I had seen gastric perforation surgery. Done, well, did it once or twice, but wasn't skilled enough. At the beginning, under the guidance of my superior director, I was taken over by my superior director halfway through......" Zhang Haoyu said with a blushing face.

"Uh...... All right. Ruan Bin was embarrassed for a while, his feeling was that Zhang Haoyu was half a bucket of water, no, it should be half a bucket of water was not enough, of course he didn't dare to do this operation alone.

After all, you can't test the lives of patients!

Generally speaking, if you are not skilled and confident enough about a surgery, then you will definitely not be able to perform the surgery. Of course, it doesn't mean that you can't do this surgery, but you must do it under the on-site guidance and supervision of a senior doctor. In case of any problems during the operation, the senior doctor can correct it in time and can also replace you in time.

If you are skilled in this surgery, of course there is no problem!