After a few days of treatment, the abdominal pain was not obvious, the bowel sounds gradually recovered, and under the supervision, the blood urine amylase also decreased at a visible rate, and the pancreas of the abdominal ultrasound was also smaller than before......

This made Zeng Feng very happy, more excited than the second hammer and the second hammer's daughter-in-law.

The cost of an acute pancreatitis patient is higher than that of a few patients with a cold and cough, and the prejudice of Xia Yiwei in the whole hospital gradually disappeared, and it was replaced by Dr. Xia or Teacher Xia who opened and closed their mouths, you must know that they were all called Xiao Xia and Yi Wei in the past.

Double happiness is coming.

Today is Monday, and surgeons from major township health centers arrived at Qingtian Health Center on time.

Lin Han had already arranged a place to live, and the place to eat was in the restaurant next to it, and it was a monthly subscription, anyway, it was all deducted from their training fee.

In the conference room, Lin Han introduced himself and briefly said about the situation of the teacher, "Everyone, you get to know each other, I will leave first if I have something." ”

After Lin Han left, the doctors got to know each other, and then waited for the legendary "only 1 centimeter" teacher.

"It's only 1cm, do you believe it?"

"I heard that it's still local anesthesia, and I really don't believe it. ”

"I don't believe it either, but my friend at the county hospital sent me the video, and I can't believe the scene and the speed of my hands. ”

"Yes, I heard that he came back from a tertiary hospital, so he should have something!"

“......”

The discussion in the conference room was extremely lively, but it came to an abrupt end as the door was pushed open. I saw a handsome young doctor in a white coat and holding a large stack of rolls walk in.

"Wouldn't it, would you?" said an old doctor of some age, a hero out of youth.

"Yes, let me call him Teacher, how can I call that?" the female doctor shook her head.

"It doesn't have to be him, maybe he's just the one who came to pass the word. Leo, a young physician, said.

“.....”

Xia Yiwei pursed his mouth and said with a smile: "Teachers, I'm sorry to keep you waiting, I'm Xia Yiwei, age 26, many of you are my seniors, but there is no age for learning, you just call me Teacher Xiao Xia, it's really difficult to call Doctor Xia, what do you think?"

"Okay!", "Okay!", the doctors in the audience nodded one after another.

"Knowing that everyone's time is precious, I will go straight to the topic, because the operating room of our hospital is not large, the number of people who can go in to watch the operation is limited, and there is no classroom, so I want to divide everyone into 5 groups, 6 people in each group, I don't know if you have any opinions?"

"Nope. "One person takes the lead, and the others say yes.

"As for how to group, I gave you a set of questions, rest assured, it's all about appendicitis, you can flip through the book or look up information on the Internet, and the grouping is scored by ranking, if everyone has no opinion, I'll send the test paper, oh, by the way, two hours. ”

The conference room became an examination room, which made many people very uncomfortable, and many people threw the pen in their hands on the table when Xia Yi was brought away before he walked out of the door, full of resentment.

"What the hell? Do you really think you're a teacher?"

"That's it, don't worry, it's all about appendicitis, you can turn the book...... Bah, everyone is a township doctor, what kind of big-tailed wolf are you pretending to be?"

"Leo, you seem to be very dissatisfied with Dr. Xia?"

"It's just that those who are dissatisfied with deception, who wouldn't open their abdomen and cut their appendix, what is there to learn?"

"That is, I thought I was going to the county to learn laparoscopic surgery, but I didn't want to go to the health center for training, and it was still the health center with the worst performance in the county. ”

"Do the question, you guys, I think this teacher seems to have a bad temper, don't let him wear small shoes. ”

"Cut ......"

"Don't talk about it, look, why are these questions all short-answer questions, and there are no specific answers on the phone?"

"But it's not, what should I do if I accidentally damage a large blood vessel during surgery, what else can I do, use hemostats to stop the bleeding?"

“......”

Two hours passed in a flash, Xia Yiwei walked in again, and said while collecting the papers: "Everyone, do you feel that these questions are very simple?"

"Doctor Xia, why haven't we seen this question before, is it intentional to make us fail?" The elder Wu Ziniu smiled and said, "Take the first question as an example, large vessel hemorrhage, we answered with hemostats to stop bleeding, how many points do you think we can get?"

"Full marks!" Seeing everyone's surprised expressions, Xia Yiwei smiled and said nothing, flipped through the test papers and said: "I think everyone answered correctly! The vast majority of doctors' test papers are full marks, everyone is free to divide into groups!"

As soon as these words came out, the audience was in an uproar, what is free grouping? What is full score?

"Xia Yiwei, what do you mean? You asked us to do the question grouping, and now you call us free grouping, aren't you playing tricks on us?" Leo stood up and scolded Xia Yiwei angrily, and then said to everyone: "Do you say yes?"

Many people nodded and whispered.

"Leo is it!" Xia Yiwei walked over and threw the test paper on his desk without changing his face, "Just you hand in the blank papers, I still want to ask you what you mean? If you want to learn, you can learn, if you don't want to learn, get out!"

"You-" Leo almost went berserk, not to beat someone, of course, but to leave, but he still sat down, his eyes narrowed: Boy, you wait, don't let me grab your handle, or I will make you look good in front of everyone.

"Okay, since no one doesn't want to learn, I'll explain. Xia Yiwei said as he walked: "Large blood vessel bleeding, it is right to clamp the suture with a hemostat to stop the bleeding, but have you ever thought about whether you can find the ruptured blood vessel, you must know that the rupture of the blood vessel will retract, if you don't stop the bleeding in time, you should know that it will happen next under the conditions of the township health center." ”

Acute hemorrhage, once 1000ml is burst out, hemorrhagic shock will occur, if the rescue is not timely, it will cause insufficient cardiac output, resulting in the arrest of systemic and pulmonary circulation, cardiopulmonary ischemia and hypoxia, cardiac respiratory arrest, until death.

Everyone understands what it means to have bleeding from large blood vessels, and they all know how to stop bleeding, but as Xia Yiwei said, whether they can find the bleeding blood vessels and whether they can clamp the bleeding blood vessels is another matter.

Many people looked solemn, and how many guessed what Xia Yi didn't take this lesson for?

"Teachers, seniors, I know that you have a good grasp of the diagnosis and treatment of acute appendicitis, but I don't know if you can guarantee the smooth operation and the safety of patients.

Therefore, I asked you to do this question to remind everyone to take precautions, understand all the problems that may arise during surgery, and master the corresponding treatment.

After all, human life is only once, and I hope you will cherish it again. ”

When the words fell, thunderous applause rang out from the audience.

Regardless of whether Xia Yiwei's appendectomy was as fast and clever as the legend, Xia Yiwei's wholehearted behavior for the sake of the patient is worthy of applause.

Of course, those who genuinely applauded did not include a handful of people, including Leo.

Now I will talk about the methods of stopping bleeding and the treatment of intraoperative bleeding in large vessels. Saying that, Xia Yiwei turned on the projector.

Knock Knock......

Xia Yiwei called for invitation, Zeng Feng opened the door and entered, and said, "Teacher Xia, the Chinese Medicine Hospital transferred a patient with acute appendicitis to come down, saying that he wanted to do appendectomy with a small incision under local anesthesia. ”

Hearing this, everyone looked at each other and was very excited, isn't it just to learn appendectomy with small incision under local anesthesia?

They looked at Xia Yiwei with blank eyes......