Chapter 30 The New Intern
The operation continues.
The patient with the previous epidural hematoma had already been pushed out, and while it was not yet at the hotel, Yi Sheng decided to do the second patient with the epidural hematoma.
"Teacher, endotracheal intubation, you can prepare anesthesia. ”
Without Meng Xianyang by his side, Yi Sheng is still just an intern at the bottom of the hospital after all, and he has to call the teacher when he sees everyone.
"Dr. Yi, there is a new intern in the Department of Neurosurgery, and Director Meng said to come and visit the operation. The operating room door opened, and a traveling nurse poked in half of her head.
Yi Sheng's hand movement stopped, and he looked up at the itinerant nurse at the door, and after making sure that the itinerant nurse was not joking, Yi Sheng had to nod and say, "Let him in." ”
Yi Sheng held the scalpel and continued to cut the patient's skin according to the drawn surgical area, and a burly intern walked in at the door, the originally very loose brush suit looked a little tight on the intern, and the thick chest muscles loomed. Standing at the door, the intern immediately bowed 90 degrees and said loudly, "Hello teachers!"
Yi Sheng listened to the familiar voice, so he glanced at it with his peripheral vision.
Nima!
Why did this guy come to the hospital for an internship, and he didn't say a word to himself!
The itinerant nurse next to him hurriedly pulled him and reprimanded: "No loud noise is allowed in the operating room!"
"Excuse me!" Hao Zhe subconsciously shook off the corner of his hand-brushing clothes and apologized.
"Go out and brush your hands before coming in. Yi Sheng deliberately said in a rough voice.
"Teacher, I've already brushed my hands. Hao Zhe hurriedly said.
"Didn't your teacher tell you in school that you couldn't touch anything after brushing your hands?" the itinerant nurse dragged Hao Zhe out of the operating room.
Yi Sheng shook his head helplessly, "Dry gauze, scalp clamps." ”
When Hao Zhe came in again, Yi Sheng was already ready to turn the flap, and when he saw Hao Zhe coming in, Yi Sheng said in a thick voice: "Will you pull the hook?"
This retractor is not the retractor that "the retractor is not allowed to change for a hundred years", after the skin is cut during the operation, the skin needs to be pulled open with a retractor to fully expose the surgical vision, otherwise the incision is a slit.
The human skin is full of elasticity, and the skin will instinctively retract after the incision, so in order to ensure the surgical vision, the person in charge of the retractor needs to exert the opposite force on the skin with the retractor. Retractor is also a technical job, everyone's skin elasticity is different, and the strength of the retractor is also different. If the applied force is too small, the skin will not be able to prevent the skin from retracting, resulting in insufficient exposure of the surgical field and affecting the operation.
And the hook is a great test of a person's endurance, a moment of explosive power is easy to do, but a few hours is very difficult for more than ten hours of continuous output.
A few years ago, there was an intern in the attached hospital who pulled the hook until he collapsed and fell into a coma.
"Me?" Hao Zhe was stunned and pointed to himself, "I will!" I pulled the hook for the teacher when I was experimenting with mice at school before. ”
It seems that the attached hospital is really good to the students of his school! I was very envious of my roommate Yi Sheng who could enter the operating room the next day, but now I can get the opportunity to pull the hook just by visiting the operation, and I must go to the nephrology department to find Yi Sheng to show off after the operation.
The poor child didn't know that one of the people he affectionately called "teacher" was Yi Sheng.
Yi Sheng's mouth blossomed, but through the thick mask, he couldn't see any expression.
"When you turn the flap for a while, you want to make sure that you try to hang the flap as much as possible without tearing the skin. Yi Sheng said.
"Good teacher, no problem teacher. Hao Zhe hurriedly put on gloves and stood opposite Yi Sheng, picked up the retractor and hung up the flap, standing far away before and wearing a thick mask on his face, Hao Zhe didn't see the face of the chief surgeon clearly, now this face is close at hand, a familiar feeling came to Hao Zhe's heart, this person seems to have seen it before, how can he feel so like his roommate, Yi Sheng.
Immediately, Hao Zhe dispelled this thought, he had seen Yi Sheng in the emergency department before, and Yi Sheng should have interned in the emergency department at that time, and he came to the neurosurgery department in just a few days?
What's more, even if Yi Sheng transferred to the Department of Neurosurgery, the teacher of the Department of Neurosurgery is not crazy, and it is not a fantasy to let an intern perform the surgery!
Thinking about it, Hao Zhe can only be attributed to the fact that maybe this teacher looks very similar to Yi Sheng, look at the eyes, the eyebrows, and the .....
"My heart is quite big, do you dare to wander during surgery?" Yi Sheng covered the flap with wet gauze and looked up at Hao Zhedao.
This time he didn't use a rough voice, but used a real voice.
"Excuse me, teacher. Hao Zhe hurriedly apologized, lowered his head and continued to pull the hook.
Eh, even the sound is exactly the same!
"Yi Sheng?" Hao Zhe said tentatively.
"It's me. Yi Sheng couldn't help laughing.
"Damn, I haven't seen you in a few days, and not a single intern has been able to perform surgery?, to be honest, have you done some dirty py deal?" Hao Zhe suddenly became calm, and said loudly regardless of the guidelines of the operating room.
The person who dared to call the teacher for a long time was his roommate!
"Shhhhh ”
"By the way, why do you think about coming to the affiliated hospital for an internship?" Yi Sheng asked, cleaning up the bleeding spots on the patient's periosteum.
"I'm not in the mood to take the graduate school entrance examination, the original graduate school entrance examination was because Ye Xinlan also applied for a graduate student in our school, and now people are planning to study abroad with her boyfriend, even if I go to graduate school, it doesn't mean anything, so I just came to the affiliated hospital for an internship, and when the internship is over, I will go home to the county hospital to work safely, which is very comfortable. Hao Zhe pretended to be relaxed.
"It's hard for undergraduates to find jobs these days, especially in our medical and health department. "Yi Sheng is old-fashioned.
Nowadays, there are many highly educated students, and in this era when even pig farms can brazenly require applicants to have at least a bachelor's degree in animal husbandry, college undergraduates are no longer as popular as a few years ago.
Take hospitals as an example, except for special departments, general tertiary hospitals have basically stopped recruiting undergraduate graduates, and a master's degree is the stepping stone. Ordinary undergraduate graduates who have no family connections can only try their luck at community medical security centers or small hospitals in the countryside.
"You haven't seen the skull of a living person, have you?" Yi Sheng showed the skull to Hao Zhe and said, "This is much fresher than the specimens in the dissection building." ”
"It's a bit disgusting to be honest. Even through the thick mask, Hao Zhe could still smell the strong smell of blood.
"It's good to get used to it," Yi Sheng picked up the rongeur and bit down on the external skull incision and said, "Fortunately, you came to neurosurgery, and all you saw was blood and something in your brain, at most it was nausea." If you go to proctology or gastrointestinal surgery, you won't be able to eat for days and nights?"
"Is it so serious?" Hao Zhe frowned and doubted, in his opinion, the sponge body was already the most disgusting scene he could think of.
"Yes," the instrument nurse on the side counted the gauze and said, "Two months ago, a 34-year-old male patient with constipation came to the proctology department, and his belly swelled as if he was ten months pregnant. At that time, all kinds of methods were used to excrete stool, and then the director of the anorectal department came to operate on him, and took out a full 10 kilograms of old feces from his colon, and the director's tears were spicy at that time, and everyone in the entire operating room ran out, and finally the director carried an oxygen cylinder and a gas mask to do the suturing, and after the operation, the ventilation port in the operating room was fully opened and dried for three days, and the smell was not clean. ”
"Don't say it, I'm a little sick to my stomach. Hao Zhe retched dryly.
After closing the skull, only the last sutures remained, Yi Sheng held the needle holder and handed it to Hao Zhe and said, "Why don't you come and practice your hands?"
Anyway, the repetitive task of the epidural hematoma in the Xiaoyixian system does not indicate that Yi Sheng has to complete the operation independently to complete the task, so whoever sutures it is the same.
Not everyone can have as good skills and luck as Yi Sheng, and it is quite difficult for the average intern to get the first chance of suturing.
After all, when the intern sews, the substitute teacher has to supervise on the side, and even teach by hand, so it is better to sew it yourself.
"Forget it, I don't have any mental construction at all, in case my hand shakes and punctures the blood vessel during the suturing process, it won't be good. Although he knew that Yi Sheng was giving a chance, looking at the bloody scalp in front of him, Hao Zhe still couldn't do it.
"Okay. ”
Yi Sheng held the needle holder and began to suture the skin, and ten minutes later, the operation ended as the system prompted to complete the repeat task of epidural hematoma removal.
"At this point, it is estimated that there is still food in the cafeteria, so let's go to the cafeteria to eat at noon. Yi Sheng glanced at the time, moved his neck and said.
"As an intern, it's my job to pack up the surgical instruments, so I go to the cafeteria to get food first. The old rules, I'll treat you, you pay!" Yi Sheng took off his gloves, patted Hao Zhe's shoulder with an elder lifting his back, and then left the operating room first
Facing Yi Sheng's back, Hao Zhe stretched out his bloodstained left hand and silently raised his middle finger.