Chapter 236: On anesthesia

The three patients were chosen by Delia to 'test the waters'.

And the first patient to come to the stage, and the patient with the mildest disease, is the favorite and most suitable patient for the current Zhou Zhou - appendicitis.

Of course, the condition cannot be 100% diagnosed before the laparotomy, and Delia is only judged by experience.

In order to give the three surgical performers a buffer and adaptation process just to avoid accidents in the first use of the mobile operating room and the poor surgical conditions of the tribe.

For this.

Talking about this patient made Delia have a hard time talking.

Stomach pain is very common among the tribes, there is no doctor in the local area, so there is no medical awareness, the tribe's herb doctor is the old witch who hangs the devil in her mouth every day.

The patient's illness has been going on for a week, and the old witch claims that the 'demon' is about to be dispersed, and that it may only take another week, but if the patient's 'will' is not strong enough, it is also possible that the demon will be defeated.

It's just ......

There are a lot of nonsense.

In short, whether you die or not depends on luck, you have to have faith, if you die, you must be lacking in confidence, and you don't recognize your own luck index, brother.

And to say, the old witch really doesn't have any AC number in her heart?

Perhaps, the customs of ghost and deism for thousands of years have been deeply rooted in the bone marrow, and the old witch has been immersed in it and cannot extricate herself.

Or perhaps, the rules can't be easily broken.

Because people like the old witch are the recipients of benefits, they cannot bear to have their authority denied and their status threatened.

But in any case, this old rule is being peeled off, disintegrated, and shattered by Delia layer by layer.

Circumcision is only the first step.

It was only because all thirteen of the circumcised children survived that Delia was able to convince the sick, the families, and the chiefs of the tribe.

Faced with this situation, Delia is pessimistic: "It's too difficult, the ignorance of the locals is even more terrible than we imagined. ”

Delia rarely uses derogatory terms, because for her, she can always use good things to guide and dispel negativity and evil, but the current situation makes her feel a little helpless.

Zhou Zhou felt that this was the first step: "Delia, in fact, you have to be able to look at this matter from a different angle, the breakthrough is not as difficult as you think, we have done circumcision and gained the trust of some people." ”

"So what's next......"

"If you tell them directly what medicine and science are, it's not realistic at all. ”

"Then you might as well take the place of 'sacrifice'. ”

Speaking of which.

Even Dan smiled, he obviously understood what Zhou Sheng was trying to say—

"Hahaha. ”

"Speaking from the facts, our ability to 'dispel demons' is much more powerful than those sacrificial witches. ”

Delia didn't rush to deny it, nor did she respond, just thought thoughtfully.

After a long time.

She said, "Let's tighten the operation, step by step." ”

……

The patient is in place and the operation begins.

Liquid hangs on the wooden infusion stand, surrounded by a sealing cloth for a mobile surgical device, and the simple suction machine and pulse and blood pressure monitoring look like medical equipment produced in the last century.

But even so, compared with the wooden infusion stands, the quaint houses, and the primitive people who are not clothed, they also have a strong visual impact, and the collision between ancient and modern.

"Anesthesia. Delia spoke up.

In the first operation, even if it was appendicitis removal, the main surgical position was Delia's.

Zhou Sheng also knew that it was better for him to be an assistant in peace of mind until he was thoroughly familiar with this simple surgical operation, and Delia was more experienced and could have better adaptability.

After Dan was given intravenous anesthesia, the patient became unconscious......

Speaking of anesthesia, there is a very interesting thing, and it is also something worthy of vigilance.

Long-term drinking and alcoholics have greater requirements for anesthetic dose.

On Monday, in my sophomore year, a classmate had an acute appendix that needed surgery, and this kind of surgery could be done directly at the school hospital, after all, it was a medical school, and it would be hilarious if this kind of minor surgery could not be done.

Then, a bunch of people followed him......

Tell him to see more of the operation and come back and explain it to them.

This person swore that I drank so well that it would definitely not be easy to be turned over.

And then.

At the end of the operation, the person slept soundly and did not wake up until the next morning.

When the visiting student passed by the doctor's office, he heard a joke that this person was indeed not numbed during the anesthesia process before the operation, but could still chatter with the doctor, like a drunken drunkard maniac, and said wildly: "I can do two cases of beer alone, but you can't do it here......."

And then.

The anesthetic dose was added, and in the end, he was numb, which was twice the dose of a normal person.

At first hearing, this is quite a pride for young people, and at school he once became a god of wine.

But in fact?

The harm of heavy drinking does not need to be repeated, and after the human body forms antibodies to alcohol, it is also a rejection of anesthetics.

Come on.

You must not be kept awake during the operation, otherwise you will be stimulated by external injuries and overreact, which will cause death.

Therefore, in the face of such patients who are not easy to be anesthetized, they can only consider increasing the dose.

The harm of increasing the dose is more terrible than alcoholism, and with the increase of the anesthetic dose, the risk of anesthesia will become higher and higher, because with the increase of the dose, the burden on the liver and kidney will also increase exponentially.

There is a survey report that shows......

The anesthetic dosage requirements of patients in China and Xiong are higher than those in other countries on average, and the relative anesthesia risk is also higher than that in other countries.

There is no need to elaborate on the reasons.

Every year, a small number of people die from anesthesia in surgical accidents, but according to the analysis of the situation, eighty percent of anesthesia accidents are related to alcohol dependence.

It's okay to have a drink, but you really want to drink too much......

Injuries are part of the body, and the risk of surgery will also increase if you get sick.

Also after the operation, the Bacchus quit drinking, not because he was afraid of the risk of anesthesia, but: "MD, it's too embarrassing, how can Lao Tzu talk to the doctor about such a shameful thing." ”

All in all, it's a good thing for him.

Straight to the point.

The people of the local tribe are not in a position to drink heavily, and the self-brewed fruit wine is very low, which is a boon to them in terms of surgical fitness.

After the normal dose is injected, the patient quickly loses consciousness.

After Dan investigated according to the procedure, Chong Delia and Zhou Yi nodded: "Let's start." ”

"Cut it, it's up to you. ”

She has experience in cooperation, and for the steps of incision, Delia trusts Zhou Sheng, and because there is no preoperative examination, Delia wants to see if Zhou Zhou has any corresponding consideration and insight into the incision.

The last cut really amazed her.

But this kind of examination and teaching is of no use to Zhou Yi at all.

Who is he?

Hang on the wall!

Delia didn't have a pre-operative examination, and his preoperative examination was already complete.

Turn on the system——

【Precise Cutting】Start!!

The actuarial simulation of the system has already given a route design, and the scalpel in his hand did not hesitate, and after the disinfection was completed, the cortex was directly cut.

In addition, Xiao Zhou's children's shoes still have time to sigh: "The thin man's surgery is better." ”

Compared with the people of Liya, the living conditions of the patients in the Muller Department are still poorer, obesity does not exist, and the fat layer is correspondingly less, and sometimes too much fat layer will also hinder the doctor's operation, and even consider removing part of the fat as a last resort, well...... Free fat reduction surgery is included in the cost of one operation.

By the time he finished speaking, the fascial tissue had already opened.

Delia was shocked, but the work on her hand did not stop, the retractor control expanded the abdominal cavity, and handed it to him after putting down the scalpel on Monday: "Your incision is always so beautiful, I hope this time the position selection is no problem......"