Chapter 121: Bridging Theory
Wang Chengming couldn't see his expression while wearing a mask, but he could still make out his nervous eyes.
Lotte smiled slightly, leaned close to the patient's head and asked:
"As for being so nervous? None of the anesthetics will work on you. ”
"What should I do?" The patient is about to cry, she is a little girl who has just turned 18 years old, and she suddenly falls ill alone, and no one can bear this level of blow!
"It's okay, it's okay, we're doctors, you have antibodies to anesthetics, we have other ways, the only thing you have to do now is to believe us."
After reassuring the patient, Lotte walked to the operating table, and after whispering a few words in the nurse's ear, the nurse hurriedly trotted out and came in with a sterilized acupuncture needle.
Lotte took out the silver needle, first pricked a few acupuncture points on the lower abdomen, and asked while pricking:
"How's it going, does it hurt?"
"Like, I don't feel anything anymore!" The patient said suspiciously.
"Look, I said it's okay, I'm going to cut the appendix soon, doesn't it hurt?"
As soon as the patient heard this, the tense nerves relaxed, "It really doesn't hurt much." ”
Lotte leaned closer to his head again and said in a gentle tone, "Then you close your eyes first, and when you open them again later, you will be healed." ”
The patient was obedient and really closed his eyes, the nurse hurriedly looked at the watch, and after another 3 minutes, the patient fell into a coma.
Wang Chengming breathed a sigh of relief, "It's still Dr. Li who has a way!" ”
Lotte pulled out the acupuncture needle and said: "When the doctor is treating, he must learn to communicate with the patient, which is also the charm of Chinese medicine is better than Western medicine, because in Chinese medicine, there is a consultation, through the conversation to understand the patient's condition, when the doctor really understands, the doctor can cure the patient." ”
"Taught!" Wang Chengming said respectfully.
"Let's go under the knife!"
Lotte helped to lay down his hand, Wang Chengming took the main knife, and the moment he picked up the scalpel, his hand was trembling, and Lotte relieved Wang Chengming's hand and said:
"How can the chief surgeon tremble before the surgery, by the way, have you dissected the corpse?"
"Dissected." Wang Chengming hurriedly responded.
"Just treat the patient as a corpse, anyway, she doesn't react now, let you be."
"Ahh Wang Chengming was still a little stupid.
"Ahhh Calm down and prepare to go under the knife. Lotte snapped.
"Oh!" Wang Chengming took a deep breath and began to cut the first knife, but this knife did not cut all the muscles at once, but separated them layer by layer until the cecum inside was exposed.
"Wipe the blood!" After Wang Chengming said a word, the nurse hurriedly picked up the tweezers, grabbed the cotton and began to wipe the blood that remained.
Lotte has been watching from the sidelines, and seeing that Wang Chengming's tension is getting less and less, Lotte breathed a sigh of relief and changed the topic:
"Do you know who the first doctor in the world was to perform surgery?"
"I don't know." Wang Chengming replied while nervously undergoing surgery.
"According to historical records, Hua Tuo was the first doctor in the world to perform surgery."
"Oh, I've heard of this, scraping bones to cure poison, and Cao Cao has to have a craniotomy." Wang Chengming answered.
"That's right, but the first operation was not for Guan Yu and Cao Cao, but Hua Tuo's wife, according to records, the operation done at that time was appendicitis, just like you, have you ever thought about it, what you are doing now is what Hua Tuo, the miracle doctor did back then."
Wang Chengming's mood was completely relaxed, and he raised his head to look at Lotte, and his eyes were full of ease and gratitude.
The nurse took the cotton to wipe Wang Chengming's sweat, and when he tied the cecum incision, Lotte handed over a pair of scissors, and Wang Chengming took it and cut it with a pair of scissors against the appendix at the end of the cecum.
"Tweezers."
The nurse hurriedly handed over the tweezers, and when the appendix the size of the little thumb belly was clamped out, Wang Chengming looked at the appendix with excitement, "I succeeded, I succeeded!" ”
"Congratulations!" Lotte responded after a sentence.
This was followed by disinfection and cleaning, suturing and dressing the wound, and when everything was in order, the patient was pushed out of the operating room.
Wang Chengming stood in place with this emotion, and at the moment of success, his hands began to tremble with excitement.
Lotte leaned in and asked, "How do you feel?" ”
"I can't say, I feel so complicated!" Wang Chengming was excited.
Lotte smiled and said: "It's not over yet, you are her chief surgeon, it is now 7:45, and the patient wakes up in about two hours, and then you have to take her around, before 12 o'clock, the flatulence in the body will be discharged." ”
"Okay, I'll go." After Wang Chengming answered, he left the operating room, Lotte watched him leave with a smile, and then turned his head to look at the operating table, the whole process of today's operation was seen by Lotte, picked up the scalpel on the tray and muttered:
"Surgery, it doesn't seem that difficult!"
When he took off his surgical gown and left the operating room, and when he returned to the emergency room, Wang Chengming was not there, and after asking, the nurse told him to take care of the appendicitis patient.
Lotte smiled embarrassedly and took the case to the ward, Wang Chengming was taking care of the female patient, because the incident happened suddenly, the patient was in the hospital by taxi, and there was no other family to take care of him, Wang Chengming was the chief surgeon, and because this patient was his first surgical patient, Wang Chengming took care of it very carefully.
handed over the case to Wang Chengming and said, "Come on, I'm optimistic about you!" ”
"Thank you."
Lotte left the ward, Wang Chengming still did not leave, and took care of him in the ward until the patient woke up, Wang Chengming hurriedly stepped forward and said:
"The operation was successful, you are okay now, how do you feel?"
The female patient looked at Wang Chengming carefully, and subconsciously regarded him as Li Letian, who comforted her in the operating room, and barely squeezed out a smile and said, "It's a little painful!" ”
"It's normal." Wang Chengming looked at his watch and said, "Now I want to take you for a walk and expel the flatulence in your body, so that you can fully recover." ”
"Excuse me, doctor!"
Wang Chengming picked up the female patient, and with careful support, the two of them hobbled out of the ward and walked back and forth in the hospital.
"Doctor, do you have a girlfriend?"
"Not yet." Wang Chengming responded awkwardly.
"I don't have a boyfriend either, I'm sick, and I'm so lonely."
"It's okay, I'll take care of you!"
The female patient lowered her head, and at this moment, he was a little more moved in his heart.
At 11:10, the female patient suddenly stopped walking around and subconsciously let out a fart, and then the female patient looked at Wang Chengming with a look of embarrassment and embarrassment.
Wang Chengming smiled and said: "Okay, the flatulence in the body is discharged, you can go back to sleep, and I will help you go back." ”
"Thank you, doctor."
After helping the female patient back to the ward to lie down, Wang Chengming changed the quilt for her and said with a smile:
"Get some sleep, tomorrow will be much better."
The female patient closed her eyes with a ruddy face, and it was not until she fell asleep that Wang Chengming left the ward and returned to the emergency room, he was still very excited, and hurriedly pulled Lotte up and went to the toilet after seeing Li Letian.
"Dr. Li, thank you so much today, if it weren't for you, I would never have dared to do appendicitis surgery!"
Lotte smiled and took out the Ninety-Five Zun from his pocket, handed one to Wang Chengming and said:
"As doctors, we have to go through this step sooner or later, and with the first time, there is still a long way to go!"
Wang Chengming respectfully took the cigarette, Lotte lit it for him, Wang Chengming sighed while smoking: "I thought that only when I was admitted to the attending physician would I be qualified to go under the knife, which Cheng thought I would be today!" Alas, the feeling is so complicated. ”
Lotte smiled and said: "Let me ask you a question, if you meet a patient who has a severe lung injury that causes respiratory failure, and you have to do a tracheostomy, insert a catheter to let the patient breathe smoothly The patient can be safe, but the choice you face is that you are not eligible for tracheostomy, if you don't do it, and the patient dies because of respiratory failure, how do you feel?" ”
"This ......," Wang Chengming frowned and thought about it.
Lotte also fell into deep thought, "I think, as doctors, we can't be constrained by rules and regulations, as long as we are within the scope of our ability, we must do what we can, don't think about whether you are qualified or not, save people first, right and wrong, and it is not for us to judge!" ”
"Dr. Lee is right! Teachable! Wang Chengming snuffed out the cigarette butt and respectfully saluted Li Letian.
After these words, Wang Chengming had a lot of insights, and Li Letian did the same, after all, he had a decision on this issue very early.
The night passed very peacefully, the next morning, Saturday, Lotte was not in a hurry to leave the hospital, because there was a heart bypass surgery in the morning, Lotte took the book on this to the cafeteria, and when he was eating, Wang Chengming came in and greeted Lotte first, originally thought that Wang Chengming would sit down and eat together, but which Cheng thought he had breakfast and left.
Seeing that Wang Chengming had a double meal, he also guessed something, and continued to read without saying anything, until Zhang Yunfang came to find him, saying that he was going to go home from work to rest, and asked Lotte if he would go back?
"No, I'm going to observe bypass surgery this morning, and I'll go to Panjiayuan in the afternoon, if you go, I'll go to you in the afternoon."
"Okay."
After saying goodbye and leaving, Lotte continued to read until before the operation, the chief surgeon consulted, and first explained the theoretical knowledge of surgery to the intern doctors.
"According to the diagnosis, the patient has three narrows and two blockages in the arteries, because the patient is older, the hospital adopts conservative treatment methods, and selects bypass surgery for the two blocked arteries, and then does stent surgery after recovery, do you have any opinions?"
Lotte stretched out his hand suspiciously and asked, "I have a question, why don't you complete two surgeries at once?" ”
Everyone looked sideways at Lotte, and the surgeon replied:
"Because of heart surgery, we have to assess the amount of bleeding in advance of the patient, and if two major surgeries are done at one time, I am afraid that the patient will have a blood collapse, and if there is a shortage of plasma, the patient's life will be threatened."
Everyone present understood this theory, but Coke had a strange idea and asked tentatively, "How long does it usually take to perform bypass surgery?" ”
"2~3 hours."
"What about stent surgery?" Lotte asked again.
"If there are three stents, it takes about 3 hours, and if the two surgeries are done together, the success rate is not very high, so the hospital still hopes to treat it in a conservative way."
Lotte nodded in understanding, and the doubts in his heart were suppressed, but the thought lingered no matter what.
Reading the first book of the novel