079 Rotation to surgery
At the end of the internship in internal medicine, it is time to report to the Department of Surgery.
Yu Ruyi got up early this day, and after having breakfast in a hurry, she arrived at the department before Wang Hao.
When the shift was handed over, Director Pu still arranged: "Wang Hao, I will hand it over to you if you wish." ”
Looking at Yu Ruyi's lost appearance, Director Pu said with a smile: "Don't be nervous, Ruyi, Daddy Pu is optimistic about you!" ”
As soon as the room was checked, Wang Hao took two case cards to Yu Ruyi: "The first bed and the second bed are in your charge." ”
Yu Ruyi's eyes widened.
Tube bed? Managing the bed means being in charge of the patient's affairs. The key is...... This is surgery, and surgery involves surgery......
Wang Hao stared at Yu Ruyi keenly: "Something?" ”
"I didn't ...... No. ”
"It's good if you don't have it. At ten o'clock, there is an appendectomy, and you do the second help. Wang Hao pushed the list that had been opened in front of Yu Ruyi, "Send the operation notice to the operating room first." ”
Ruyi picked up the operation notice, took a deep breath, and mustered up the courage to walk to the operating room.
Just looking at the door of the operating room from afar, Yu Ruyi felt a little flustered and short of breath.
In the past, he was often brought by Wang Hao to observe the operation during the winter and summer vacations, and he often saw the operation scene when he was also interning in school, and Yu Ruyi was no longer aware of the bloody surgery scene - anyway, it was not himself who was in charge of the surgery!
Yu Ruyi is not afraid to come to the stage to be a second assistant.
The second assistant is said to assist the chief surgeon in the operation, but in fact it is just a role of soy sauce, because most of the work is done by the first assistant, and the second assistant can only do the pull hook and the like, without any technical content, and of course there is no risk.
Yu Ruyi knew that she was afraid of seeing Chen Li, the nurse in the operating room.
As the losing party in the love game, Yu Ruyi neither wants to watch Wang Hao and Chen Li show affection, nor does she want to be ridiculed by Chen Li and can't afford to lose, so Yu Ruyi tries to avoid facing Chen Li on weekdays. However, as a quasi-surgeon now, it is impossible for me not to see the nurse in the operating room.
Yu Ruyi stiffened her head and pushed open the door of the operating room.
Chen Li is debugging the shadowless lamp in the operating room.
Seeing Yu Ruyi come in, Chen Li stopped the movements in his hand and looked at her critically.
Yu Ruyi avoided Chen Li's aggressive gaze, and put the operation notice on the small table in front of Chen Li without being humble or arrogant.
When she turned around and walked out, the instrument nurse Wang Li happened to be walking in from outside the door, and Yu Ruyi almost bumped into Wang Li. Yu Ruyi smiled apologetically at Wang Li and quickly left the place that made her feel very uncomfortable.
After sorting out the medical records, Wang Hao looked up at the clock on the wall of the office: "Hey, it's almost ten o'clock, why didn't the operating room call us for surgery?" ”
Although the time of surgery is set by the doctor, it is impossible to wait in the operating room because the doctor has a lot of things to do, and it is often the nurse in the operating room who comes to the office to call the doctor to perform the operation after making preoperative preparations.
Liu Xing said disapprehantly: "It may be that Master Chen has not done a good anesthesia yet." ”
"It's time to pass, you can't wait for them to call." Wang Hao stood up and walked to the operating room with the patient's medical record card in his hand.
Yu Ruyi also followed Wang Hao and Liu Xing to the operating room.
"Surgery?" Chen Li looked at Wang Hao blankly, "What surgery?" ”
Yu Ruyi only felt a cool breath running from her head to the soles of her feet.
Wang Hao looked back at Yu Ruyi: "What about the operation notice?" ”
Yu Ruyi settled down and pointed to the only table in the operating room: "Put it on it." ”
Chen Li looked around the table exaggeratedly: "No?" ”
"Have you really been here?" Chen Li looked at Yu Ruyi very affectionately, "Did you send it to another place?" ”
"You saw me on that table."
"I saw you put it?" Chen Li chuckled, "Ruyi, if you have any opinions about me, you can come to me personally, whatever you do to me, I won't mind, don't joke with the patient's life, you know?" ”
Yu Ruyi looked at Chen Li with disdain and insisted, "I just put it there!" ”
"Ruyi has been to the operating room." Wang Li walked over from the locker room and whispered.
"It's you! Ruyi mistakenly thought I saw her. Chen Li looked at Wang Li sternly, "Do you know why you don't say anything?" I almost wronged Ruyi! ”
"I ......"
Wang Li was about to explain, but Chen Li interrupted her, "What about the operation notice?" Hurry up and bring me the surgery notice to register! ”
"I didn't see the surgery notice." Wang Li glanced at Yu Ruyi apologetically, "When I came in, she just went out. ”
"I'll put it on that table." Yu Ruyi is still the same sentence.
"Liu Xing will write another one." Wang Hao turned his head and looked at Yu Ruyi dissatisfied, "You remember, the operation notice must be handed over to them in the future!" Fortunately, the patient's condition is not very urgent, in case of emergency, the delay will kill people! ”
"Ouch, don't be so fierce!" Chen Li walked over quickly and patted Wang Hao affectionately, "We just came here as we wish, even if we make a little mistake, we can be forgiven!" ”
Yu Ruyi turned away disgustedly.
"Why are you still stunned!" Chen Li reprimanded Wang Li, "Why don't you hurry up and pick up the patient and call the anesthesiologist?!" How many times have I told you? To do our business, we must see the six roads, listen to the eight directions, and obviously see Ruyi coming, I don't know how to squeak! ”
Chen Li said as he dragged two stools over with his hands and feet and put them in front of Wang Hao: "Don't be angry, sit down first." Ruyi also sat down. ”
Liu Xing handed over the operation notice to Chen Li, and together with Wang Hao, he assisted Wang Li in carrying the patient onto the operating table.
While disinfecting the patient, Master Chen announced, "You can wash your hands!" ”
Yu Ruyi walked into the locker room, took off the white coat outside, and put the handwashing clothes on her body.
Chen Li followed behind Yu Ruyi diligently, and said with concern: "The changed shoes are placed on the shoe rack, you can take off your shoes if you don't want to, the shoe cover is here." Chen Li opened a drawer, "Why don't I get you shoe covers?" ”
Yu Ruyi said coldly: "No." ”
"Don't be so polite!" Chen Li is still very enthusiastic, "Everyone here is like a family, and it is natural for us to help each other. ”
Chen Li opened another drawer: "The mask and hat are placed here-yo, you have a lot of hair, do you want me to help you get it?" ”
Yu Ruyi turned her back to Chen Li in disgust, silently tied her hair into a bun and tied it behind her head, and then buttoned her hat on her head.
"Oops, your bangs are so slippery, they're showing a little bit again!" Chen Li said enthusiastically, "Come, take my hairpin and use it." ”
Yu Ruyi didn't pick up Chen Li's hairpin, but just stuffed the exposed bangs into the hat again.
Wang Hao saw that Yu Ruyi had a cold face all the time, and couldn't help but say: "Don't thank others, why don't you even know basic politeness?" ”
Yu Ruyi ignored Wang Hao, silently walked up to Liu Xing, and stood side by side with Liu Xing under the water pipe to wash his hands.
"People have just arrived, be patient with her!" Chen Li glanced at Wang Hao, smiled secretly, and walked out of the locker room.
Seeing Yu Ruyi washing her hands seriously, Liu Xing smiled and said to Wang Hao behind him: "Ruyi's handwashing action is more standard than ours!" ”
"It's not enough to just look good." Wang Hao's tone softened, "Washing is the key." ”
Ruyi didn't make a sound, washed his hands and followed them into the operating room.
Master Chen examined the anesthesia plane and announced, "It's okay." ”
Waiting for Liu Xing and Wang Hao to spread out surgical towels for the patient, Ruyi consciously stood by the operating table.
Wang Hao picked up the knife and gently made a small incision in the patient's abdomen, and Liu Xing quickly pressed the edge of the incision with saline gauze.
"Move fast." Wang Hao said in his mouth, but his hand did not stop, and quickly used an electric knife to stop the bleeding, "The small bleeding point is electrocuted, and the large bleeding point must be stitched to stop the bleeding." ”
After Wang Hao entered the abdominal cavity layer by layer, Ruyi pulled the hook and cooperated with Liu Xing to expose the surgical field for Wang Hao.
Wang Hao said with satisfaction: "If you want to be the chief surgeon, you must first be a good assistant, as an assistant, the main task is to assist the chief surgeon to complete the operation, and you must know every action of the chief surgeon, and prepare in advance." ”
Wang Hao used only one knife handle to lightly dial the appendix to the incision: "Do you know how to determine the location of the appendix?" ”
Ruyi whispered: "Find the cecum first, and then go down the colonic belt to the ileocecal region, and the three colonic belts converge to the appendix heel." ”
Wang Hao clamped the appendix with appendiceal forceps and gently pulled the incision: "The removal of the appendix should be carried out outside the incision as much as possible, and the action should not be too large, so as to avoid epigastric discomfort, nausea and vomiting of the patient." ”
……
"Wait a minute, wait a minute." Chen Li walked to Wang Hao's side and gently wiped the slight sweat on Wang Hao's forehead with gauze.
Yu Ruyi sighed in her heart: As for it?!
Chen Li seemed to see through Yu Ruyi's thoughts, and pretended to be concerned and said: "Ruyi, you can't desert when you see surgery, you have to learn from Wang Hao, don't let down Wang Hao's hard work." ”
Yu Ruyi didn't bother to pay attention to her, lowered her head, and continued to observe the operation.
"What kind of sewing is this?" Wang Hao asked as he did it.
Yu Ruyi knew that she was asking her, and replied, "The purse is sewn." ”
"The key to sewing the purse is to wrap all the tissues in......" Wang Hao patiently explained.
Although the whole process is just pulling the hook, sucking up the liquid, applying the dressing, etc., maybe it's because of the nervousness, right? After an operation, Yu Ruyi's palms were still sweaty.
After the operation, Yu Ruyi raised her head relaxedly, looked around, and met Chen Li's smiling gaze. Yu Ruyi's heart suddenly cooled again: How should I spend these three months?