Chapter 83 is full of loopholes in teaching surgery

Now that the live broadcast has started, everyone has started to be lively again.

Doctors are under a lot of pressure, and everyone wants to find some solace here, to find a sense of existence.

[The great god has started live broadcast again! I have washed my white and quietly observed in bed]

[Whitewashed? Really fake, which hospital is upstairs, I'll check if you've been whitewashed]

[I'm a male, you can't check, I worked late last night, I'm ready to catch up on sleep, I hope the god won't let me down]

[I'm still worshiping him for the appendicitis needle thread last time, I showed it to our director, his face was not very good-looking, and asked me if I was fast forward, I told him that it was indeed fast forward, hahaha]

[The young man upstairs, he is not small, he is the boss, you are joking, you don't want to go on stage, right?]

[He doesn't want to hit their director, not to mention that their director is slow, and the appendix purse is not well sewn]

[Honest brother, the little bird doesn't grow up, hahaha]

[I watched it, today's surgery is a left ureteral stone, I don't feel special, it's not a major surgery, why do you want to broadcast live?]

[The operation is indeed not a major operation, didn't you find a strange phenomenon in the colleagues upstairs]

[What phenomenon, I brought myopia glasses + reading glasses, and I didn't see any strange phenomena]

[Didn't you find that the last one was appendicitis, and this one was urinary stones, and it was already interdepartmental]

[This is a big cow, definitely a big cow!

[Indeed, it's already very good to be able to cross departments, okay, be quiet, the great god has started the operation]

The live broadcast operating room was very lively, and Lin Yu didn't know it.

He was paying attention to Lin Yu's pretending.

He talks a lot, but his hands are too slow to find his direction from time to time, the mirror has long been in the bladder, the light source is there, and the vision is there.

He didn't know what he was doing.

"This is our guidewire, and it should be in our field of vision at all times during the operation!" Han Qiang clumsily put the guidewire in.

He is indeed right, this holmium laser lithotripsy is very different from our open surgery, the surgical field of view is mapped on the TV through the cold light source imaging equipment of the mirror head, it is not very accurate to say that it is TV, he can't look at the mango table, he can only see the surgical field, in fact, it is a large field of vision of the iPad.

Like the iPad video, you always have to pay attention to the small place in the video, don't underestimate the palm-sized place, our surgical operation site is there, so the control of the position is very critical, you move the mirror slightly, the field of vision runs far away, you can't find the north at all, and there is no way to talk about surgery.

Clear-eyed people can see it at a glance, fortunately, there is only Lin Yu who is clear-eyed, and others are not familiar with this field, so everyone doesn't know what Han Qiang is doing?

Obviously, judging from the current situation, Han Qiang has wasted more than a few minutes on stage, and he has no ten years of work off the stage.

He was ashamed to say that the guidewire could not leave the field of vision, but the guidewire in the monitor had already been out of the sky, and he could not make the head of the guidewire from time to time.

The guidewire is actually a special zebra guidewire, she is very thin, very soft, one white, one black, it does look like a zebra.

Don't underestimate her, you use it well, she is a spiritual guidewire, she will go wherever you want her to go.

If you don't use it well, she will dance in it, and she will dance wildly, so that you can't find the direction of the operation, and instantly make the surgeon lose the direction of life.

Obviously, Han Qiang belonged to the latter, and the guidewire flew over and flew over inside.

He also said loudly: "The use of guidewire is the key to this operation, she is like a beautiful woman leading the way, let us find the direction of the operation, she will lead us to drill holes, drill the right holes, the holes that our men like!".

Director Wang also laughed when he saw him say that men like holes.

Lin Yu just wants to kill this thing in one go, I see that you have been looking for a hole for a long time, but you haven't found it! Obviously, your mirror is too forward, there are two kidneys, two diaureters, but only one bladder.

So there are two openings on the top of the bladder, one on this side and one on the right.

Although Han Qiang has a powerful mouth, the ureteral opening will not give you face because you are handsome, you put the mirror too forward, and you don't see the opening in your field of vision.

There were originally two openings, but he didn't see one now, and Han Qiang was also anxious, and cold sweat broke out on his forehead.

"Teacher Han, why don't I come!" Lin Yu suggested.

"Stay well, I'm not explaining and operating at the same time, their equipment has been updated, and it's not very easy to use!" Han Qiang puffed up.

Lin Yu only vomited blood, you want the rhythm of the equipment to carry the pot, I think these devices are quite easy to use.

The live broadcast operating room also began to complain.

[What's going on!This practitioner has been tinkering for a long time, what the hell is he doing, the guidewire is flying around, and he feels like a beginner!]

[Yes! Today I feel like I haven't found the direction in my mind, the operation has already started for twenty minutes, and the guidewire hasn't entered the hole yet, what is he doing?]

[Is it his apprentice doing it again, this action is definitely not at the level of a urological surgeon!]

[Lao Zixiang didn't pull it, so I came to watch the live broadcast, who ever thought it would be this ending, now it's not up or down, I'm so entangled!]

[Haha, upstairs brother, you will be constipated like this, don't pull it, as soon as you pull, our great god will come to the stage, you come back, and the operation will be over]

[That's right, then I'll hold it first]

...

Lin Yu really couldn't stand his divine operation.

"Senior Brother Han, you're almost done with the course, if you pull the mirror back a little, your vision may be better! This is also more conducive to teaching and surgery," Lin Yu reminded on the side.

He originally hoped that he would pretend to succeed, and he also wanted to succeed, but when this is a technical job, the more anxious you are, the more you can't find your way.

When Han Qiang saw Lin Yu's reminder, he also suddenly woke up and found that his mirror was too forward.

He pulled the mirror back a bit, his vision was finally clear, and the ureteral opening was there, and he slowly pushed the guidewire towards the ureteral opening...

His movements are gentle, and he still has some basic skills in surgery, maybe because he hasn't done it for a long time, his hands are still a little shaky.

Lin Yu saw it in his eyes and was anxious in his heart, he found that the zebra guide wire of this product rubbed into the ureteral opening on the right side again, but the stone was on the left, big brother.

Your mother is in the women's bathroom.

Lin Yu was so anxious that he couldn't do it, this product is too watery, you just push the guidewire and mirror into it without looking at it, you can't take him to play next time.

Lin Yu can now understand that Dr. Liu has an accident, many things are like this, you feel so simple when you watch others do it, when you really want to do it yourself, you will find that it is not so simple.

Not to mention this surgery, this is a technical work, but also a delicate work, which requires time to accumulate and experience.

If you don't sweat or bleed, you're going to be a big sudden?

Obviously, the main knife in front of him didn't have this ability, and Lin Yu was completely disappointed in him.

Han Qiang found the ureteral opening, he looked very excited, and he was ashamed to talk about the three strictures of the ureter!

"We must pay attention to these three stenosis in and out of this guidewire and ureteroscope! The first stenosis is the opening at the beginning of the ureter, the second is across the iliac artery into the small pelvis, and the third is through the bladder wall!

Lin Yu only vomited blood, this thing was still joking at this time, this is just like he said, the greater the pressure, the more relaxed he must be, otherwise he will not be able to withstand the pressure.

Director Ma could only smirk.

This goods finally put the mirror into the ureter, walked for a long time, found that the road was very easy, did not see the stones, this is like on the highway, obviously the navigation said that there is a big traffic jam in front, but they have arrived at the destination, and they have not seen the traffic jam.

"What's going on?Did the stones get washed into the kidneys?" Han Qiang found this problem, the ureters were very good, but the stones were not seen.

Where did this abominable stone go, there was only one case, the stone was washed away because the surgical vision was washed with saline.

This is like a pool, whether it is a ureteroscope, a guidewire, or a holmium laser, it can only be operated in water, and it is definitely not possible without water.

So there is a situation, that is, the stone is easy to be washed away, where to wash, if it is a stone at the upper end of the ureter, it is likely to be retrograde washed into the kidney.

If so, then it's troublesome.

"Did the stone rush into the kidney?" Han Qiang muttered, now that he was basically sure, although he couldn't see the stone in his field of vision, there was only one possibility, the stone had been quietly "hidden".

"The human kidney is like a shoehorn, divided into three lamps, upper, middle and lower, and there are many small cavities in it, these small cavities are like my villa, there are many rooms, if the stone runs into these rooms, then we have to do percutaneous kidney stone removal! Then it will be troublesome! Maybe we will have to do surgery!" Han Qiang continued to explain.

When Lin Yu heard this, you properly thought that the stone had been washed up in the opposite direction.

Big brother! Someone else's stone is on the left, and you have wasted half an hour and minutes on the right, and you still don't know it! Your special mother has been looking here all her life, and you can't find it.

[Nima!What's going on, why do I think his mirror is in the right ureter]

[I also feel yes, I look at the introduction of the mosaic as if it is a left ureteral stone, B ultrasound, MRI all show that in the first ureteral stricture, he properly inserted the wrong incision!]

[Nima, is this still a great god, how do I feel that he is here to be funny, to see that we are stressed, to give us jokes?]

[I watched the live broadcast with all the traffic I opened, if he plugged in the wrong way, I will definitely report him, MMP]

...

Lin Yu saw that Han Qiang hadn't reacted yet, and he was still there to explain the treatment of kidney stones, and if he didn't remind him, he would be out of the ocean.

"Dear Teacher Han, according to the preoperative discussion, you explained that the right ureter and the right kidney are almost the same, can you stretch the mirror to the left side for surgery, my feet are numb," Lin Yu reminded implicitly.

Secretly you stretched out the wrong mirror, I see how you can circle this mistake back?

You teaching surgery full of loopholes!Teacher Han Qiang, you are too unreliable!Lin Yu said secretly.

Han Qiang was also stunned, he obviously didn't mean his mistake, and after Lin Yuyi reminded him, he suddenly opened his mouth.

I walked the wrong sewer for a long time, and others say that urological surgeons poke the sewers for others, and this analogy is indeed very appropriate.