At nine o'clock, there was only one person left in the huge office, and now he has the final say in the entire general surgery, so Ai Le is a little proud, and even a little proud, looking at the whole hospital, there is no such awesome rotation doctor as him, and the doctor's qualification certificate is not on duty alone.

Ai Le's stinky fart sex attack tidied up the white coat meticulously and went to the ward with his hands behind his back to learn Sun Xuyang's appearance, he was purely to go to the smell, in the morning the doctors first checked their patients before the director came, and then followed the director to check a round of rooms, all the problems were dealt with, and no problem was also asked in detail, and now Ai Le is useless in the ward rounds.

After walking around, Ai Le ran to the nurses' station, all the work was done, he was really idle, he wanted to go to the nurses' station to chat with the nurses, to pass the time, but this would be the busiest time for the nurses, busy changing fluids, prick fluids, and someone was talking to him.

Elle sat bored in the swivel chair in the nurse's station, turning left and right, the head nurse Wang Meng couldn't stand it anymore, walked over and knocked on the table and said, "Doctor Ai, you are so idle, but we are so busy, do you feel good?" ”

Ai Le took out a piece of chewing gum from his head and threw it into his mouth and smiled: "Sister Wang, there's nothing wrong with it, okay?" Everyone has a different division of labor. ”

Wang Meng stretched out her hand, Ai Le took out a quick piece of chewing gum and put it in her hand, Wang Meng chewed a few times in her mouth and said, "You will have nothing to do to help us do some work." ”

Ai Le smiled: "What kind of work?" ”

Wang Meng stretched out his hand and pointed to a ward not far away and said, "Uncle Sun is here again, you go over and help turn over." The old lady accompanied him before his son came, and we were too busy to spare manpower. ”

Uncle Sun Ai Le in Wang Meng's mouth knows. He is a frequent visitor to the general public, he has to be hospitalized twice a year, his condition is stable after all, just because he had a cerebral infarction a few years ago and is now paralyzed in bed and can't move, and he has several bedsores on his body, he is an old cadre, and the hospitalization fee is 100% reimbursed. Therefore, I was hospitalized twice a year, and I was re-examined and treated for pressure sores, and by the way, I was prescribing some commonly used medicines to my family.

Uncle Sun has been paralyzed for several years, but his figure is still very fat. Neither nurse could move him, let alone his wife.

Elle stood up and said, "Then I'll go." ”

After Ai Le entered the room, he saw that the old lady was wiping Uncle Sun's body, the old lady had to be over seventy years old and in good spirits. It's just skinny. As soon as Ai Le entered, he smiled and said, "Grandma, I'll help you turn over grandpa." ”

The old lady stepped aside and smiled: "Thank you, Doctor Ai, this dead old man is too heavy for me to move him, and my son is busy again, alas, thanks to you." ”

Ai Le smiled and didn't say anything, walked over and said to Uncle Sun, "Grandpa Sun, I'll help you turn over." "Uncle Sun doesn't know anything at all now, and it's useless for you to say anything to him, but Ai Le just likes to say a few words to him. He once fantasized that if he did this, maybe Uncle Sun would come to his senses.

Ai Le helped Uncle Sun turn over and looked at the bedsores on his body, and saw that there was nothing wrong, so he didn't leave to talk to the old lady.

The door opened suddenly. Liang Yu ran in and said, "Doctor Ai has a patient, acute appendicitis, you go and take a look." ”

Ai Le said goodbye to the old lady and went to the office, the new patient was a fifteen or sixteen-year-old boy, rolling in pain, he checked it and looked at the examination list prescribed by the outpatient clinic, the diagnosis of appendicitis is correct, this child needs immediate surgery, but the problem is, now Corey is alone, who will do this surgery with him? What about the patients in the department who went to the surgery department?

Ai Le had to call the operating room to ask the director for instructions, and Sun Xuyang heard the complaint: "What day is this?" Why are there so many surgeries? You first admit the person to the hospital and write the medical records and the surgical consent form, which should be checked, and I will select someone to do it with you later, and you will talk to the nurse after you come down, and the department will call the operating room if there is something. ”

Ai Le hung up the phone and began to get busy, the examination that should be done was done, the surgical consent form was signed, the preoperative preparations were also prepared, and as soon as the results of the examination came out, Ai Le immediately notified the operating room to send an anesthesiologist to see the patient, and if there was no problem, he pushed it down directly.

After more than 20 minutes, Ai Le got on the operating table, Sun Xuyang now trusts him very much, and he directly operates on him, in his opinion, an appendix is no problem for Ai Le, after saying that he sent Liu Yan, and Liu Yan can take over if there is a problem.

Now an appendicitis is really not a problem for Elle, he has a good teacher, every night when he is fine, he will let the bull head bring some sinful ghosts to practice for him, and for a few months Elle can even do retroperitoneal appendix.

Liu Yan also knew his student's strength, let him do it, Ai Le lived up to expectations and cut off the appendix in less than twenty minutes, and he chatted with Liu Yan while passing the pass.

At this moment, the pager in the operating room rang, and Wang Meng's voice came from inside: "Ai Le, are you finished the operation?" Another abdominal pain to be investigated, the pain is very bad, come back and take a look. ”

After hearing this, Liu Yan said: "I know, I'll let Ai Le go back immediately." After speaking, he said to Elenunu, "Go back." ”

Ai Le didn't have any ink, so he went straight back to Corey, he went directly to the disposal room, and as soon as he entered, he saw a man in his forties rolling in pain on the treatment bed.

Ai Le took a few steps over and said, "You hurt there." ”

The middle-aged man closed his eyes and stretched out his finger to his stomach and said, "This hurts, it hurts me, the doctor should give me some medicine, the pain is unbearable." ”

Ai Le put the man in a position, lifted his clothes and pressed them down in his painful position, "It hurts here?" Seeing that the man nodded, he suddenly let go of his hand and said, "Does it hurt him?" The man nodded again, the rebound pain was already there, but he was in the upper abdomen, the position of the stomach, not like the appendix.

"Did you have any stomach problems before?" Ele's diagnosis was directed on the stomach.

The man's wife was worried next to him: "Yes, he has a stomach ulcer, yesterday there was a party and drank a lot of wine, and when he came back, he shouted stomach pain, at that time I thought it would be good to give him some stomach medicine, who thought that it was effective at first, but this morning it suddenly became so bad that he couldn't walk." ”

Ai Le thought for a while and said, "Did you untie your big hand in the morning?" What color is the stool? ”

The man thought for a while and endured the pain and said, "It's solved, it's normal." ”

Normal-colored stools can rule out stomach bleeding. Because if the stomach bleeds and the stool is black, Ai Le said: "Have you taken a flat abdominal x-ray?" ”

The man shook his head and said, "The doctor below said that I had to be hospitalized for this illness, and it is best to do the examination after hospitalization." This will be reimbursed. ”

Ai Le exhaled and said, "You guys wait here, I'll go and shoot a flat abdominal film." ”

Five minutes later, the man was pushed to the radiology department by the nurse, Ai Le did not follow, he stayed in front of the computer and waited for the results, after more than ten minutes, he opened the doctor's order system to find the man's name and clicked in and began to brush the auxiliary examination, a few minutes later, the man's abdominal plain film appeared on the computer, Ai Le glanced at it and then said to the nurse: "The patient who just came has free gas." It should be a gastric perforation, I will inform the operating room, you should prepare the skin. ”

Elle began to work hard again to write medical records and surgical consent forms. Under the preoperative examination and doctor's orders, Ai Le stood in front of the operating table for an hour, and this time it was not Liu Yan who operated with him, but Wang Xiaodong, Wang Xiaodong smiled and said: "Can stomach perforation be done?" ”

Ai Le was very immodest and said, "I can do it." Gastric perforation is easier to do than appendix. It's like repairing a bicycle tire. ”

Wang Xiaodong smiled: "You kid is not small, you come, I'll watch, don't do it." ”

Ai Le smiled and said, "Teacher Wang, you can just look at it." ”

Wang Xiaodong agrees with Ai Le's words, Ai Le is right, gastric perforation is indeed much easier than appendix, and the first appendectomy cannot be too big, otherwise you will not be happy to have an appendix with a ten-centimeter mouth. It also made other doctors laugh, and a maximum of four centimeters was made in the right lower abdomen of a fat person.

The incision is small. The location of the appendix is variable, and once it is a retroperitoneal appendix, it is very difficult to find.

However, gastric perforation is different, the incision of this type of surgery is a laparotomy and exploratory incision, the incision is large, and it is okay to hit eight centimeters, and the patient is not likely to be unhappy, and it has been made clear to them before the operation, although the initial diagnosis is gastric perforation, but the cause of gastric perforation is not only gastric ulcer, but also may be a tumor, in order to confirm what causes the gastric perforation during the operation, the incision should be large, and once it is a tumor, it will be removed directly during the operation.

If the incision is made bigger, it will not be laughed at by peers, and everyone knows that such a large incision must be made for gastric perforation.

The human stomach can be much larger than the appendix, and the position will not run to the retroperitoneum even if it is mutated, which is easy to find, and if it is confirmed that it is not a tumor, you just need to find the perforated position and suture it well, so that the incision is large, the stomach is easy to find, and this surgery is not better than the appendix.

Wang Xiaodong looked at Ai Le's skillful abdomen opening and nodded: "You kid is amazing, let alone do laparotomy when I rotated back then, I couldn't even do an appendix, why is your head long?" ”

Elle said with a very immodest fart: "I'm a genius. ”

If it weren't for the fact that Wang Xiaodong was on the operating table, he really wanted to give Ai Le a moment, it would be too immodest.

Soon the abdominal cavity opened, and Ai Le looked down and said, "The omentum envelops the stomach." "This is a normal phenomenon, the role of the omentum is to protect the lower organs, once there is a perforation or damage to the organs, the omentum will wrap the past, preventing a large amount of fluid and blood in the organs from entering the abdominal cavity.

Ai Le took a hemostat and swam away the omentum in three or two clicks, found the back of the stomach and touched it, and said, "Teacher Wang, you touch it, no tumor was found." ”

Wang Xiaodong nodded, put his hand in and checked it carefully, and said, "It's really not, I'm looking at other organs, if it's okay, look for a piercing." ”

Ai Le lowered his head and carefully examined the abdominal cavity, confirmed that there was no tumor, and then asked the nurse to pour saline into the abdominal cavity, looking for a perforation is really similar to a bicycle tire repair, the bicycle tire was punctured, and the tire was put into a basin filled with water a little bit, and it was about to bubble, which meant that the piece was damaged.

The same is true in the gastric perforation yard, except that instead of soaking the stomach into the basin, it is poured up with normal saline, and little by little, the one with bubbles is the perforation location.

It took Ai Le ten minutes to find the piercing, took the needle holder and sewed it up in three or two clicks, and the next thing was to wash the water in the abdominal cavity and close the abdomen.

Wang Xiaodong exclaimed: "According to the development speed of your kid, it won't take a few years for me and Lao Liu to give you a hand, uncle, your speed of learning things is too fast, right?" It's only been a few months, huh? The appendix is fine, the stomach perforation is fine, and the hernia is about the same, right? ”

Ai Le nodded: "It's really almost, I'll go back and apply to the director that I want to do gallbladder." ”

Jiangcheng People's Hospital does not have a special hepatobiliary surgery, and the diseases of the liver and gallbladder are all general.

Wang Xiaodong suddenly laughed and scolded: "Gallbladder? You really want to make a gallbladder when you kid doesn't even have an occupational physician qualification certificate? Do you know what level of gallbladder doctors are qualified to do? ”

Ai Le skillfully closed his stomach and said, "It seems to be the main treatment, right?" ”

Wang Xiaodong snorted and said, "It's good to know, you don't even want to be a gallbladder as a resident doctor, what do you want us old guys to do?" ”

Elle smiled: "Then you can't always let me have this kind of minor surgery?" It's so unchallenging. ”

Wang Xiaodong glared at Ai Le and said: "You shut up for me, I can only do appendix and stomach perforation after half a year after I officially set the science, you kid can still do these surgeries, you are slapping us in the face, do you know?" If you learn how to make a gallbladder, where do you put our faces? ”

Ai Le knew that Wang Xiaodong was joking with him, if he really wanted to be a gallbladder, as long as he told Sun Xuyang, Sun Xuyang would agree, but it was impossible to let him take charge of the surgery immediately, but he would teach him.

After Ai Le sewed up the fat layer, Wang Meng's voice sounded in the intercom again: "Ai Le came back quickly, another patient in a car accident, suspected of perforating hollow organs." ”

Ai Le was shocked when he heard this, the perforation of the hollow organs is much more fatal than appendicitis and gastric perforation, he still held the needle and said: "Mr. Wang, you should close your abdomen, I will go back quickly." ”

Wang Xiaodong knew the seriousness of the perforation of the air organs, nodded and instructed: "Don't be reckless, call us immediately if you don't see it, do you hear?" ”

Ai Le nodded and said, "I know, then I'll go back first." ”

When Ai Le saw the patient, her heart was chuckling, the patient was a woman, not very old, in her twenties, there were no obvious injuries on her body, but she was already in a coma, Ai Le rolled her lower eyelids, found that it was very pale, and pressed her fingernails, the nails turned from white to red very slowly, which showed that she had lost a lot of blood.

Elle picked up the syringe and did a abdominal puncture directly, and the non-coagulating blood was withdrawn.

Ai Le still got off the syringe and shouted: "Match immediately, let the blood station send 10 units of plasma, hurry!" (To be continued......)