The next day is Monday.

In the third ward of the Department of Surgery of the First Hospital of Z Hospital, after the early handover, it is the ward round.

Qian Jianghong handed over a group of patients to Liu Shucheng, and went to the third group by himself, taking Chen Ziao to make rounds.

Chen Ziao's heart at that time was like the compensation for land cession, and he felt insulted.

But what to do, there were two missed patients in his group one after another, and Qian Jianghong, as the director of the department, came to check for him, which was completely tenable, and Chen Ziao couldn't refute it.

The problem is that in this way, Chen Ziao's majesty was trampled under Qian Jianghong's feet.

What would the other doctors think of him?

During the whole ward round, Chen Ziao's face was pale and he didn't say a word.

Qian Jianghong showed great patience and kindness.

Since Qian Jianghong had gone through all the patients in the three groups the afternoon before, and the doctor's orders for supplementary examinations were all prescribed, Qian Jianghong had a special understanding of the conditions of the patients in the three groups.

Qian Jianghong's business level is really good, the key is that he is like a roundworm in the patient's stomach, understanding the patient's thoughts.

For example: why do you have stomach pain, you have to go for heart ultrasound; Why do some tests have already been done and have to be done again? Why can't you save money for this check.

These are the experiences that have been brought by many years of sitting in the clinic.

Qian Jianghong understands what patients care about.

And all this, Chen Ziao is too lazy to explain, what is he doing, he is a doctor turtle, he is here to treat diseases and save people, not to talk to your mother-in-law, what is he going to do, don't you just listen to it?

It's a hassle.

And a sixteen or seventeen-year-old girl is obviously appendicitis, and she has to check her blood HCG before surgery.

Chen Ziao felt that Qian Jianghong must be a madman.

But Qian Jianghong opened this examination, and patiently explained to the parents, asking them to wait for a while.

After the ward round, it was already nine o'clock, and Qian Jianghong took Liu Qingqing to the operating room openly.

Chen Ziao scolded behind his back: "Old fox! ”

Qian Jianghong seemed to have a tailwind, and said to Liu Qingqing in the elevator: "Xiaoliu, did you hear it, Director Chen scolded me behind my back!" ”

For Qian Jianghong, the most difficult days have passed, so he plans to make up for Liu Qingqing.

For a period of time after that, Qian Jianghong, whether in the open or in secret, was kind to Liu Qingqing, no longer found faults, and often took Liu Qingqing to the stage with him when he had surgery.

On this day, there was a radical gastric cancer surgery, and the usual help was either Huang Zhaoyun or Yang Haidong.

Today, Qian Jianghong said to Yang Haidong: "Xiao Yang, you have done a lot of this kind of radical gastric cancer surgery, let Xiao Liu help today." There's appendicitis in the back, you do it. ”

Yang Haidong didn't like it in his heart, and thought to himself, what can a mere appendicitis surgery be counted.

At that time, Yang Haidong said: "Director Qian, this patient is my fellow countryman, and he explained my ------ before the operation, or let Xiaoliu do the appendicitis in the back." ”

This is too bad for Qian Jianghong. Who knows where the fellow came from.

Of course, it is also a little difficult for Liu Qingqing.

Isn't Liu Qingqing not even able to sew skin stitches?

Let her go for appendicitis, she is a regular employee, this kind of surgery will be handed over to her, it should be!

Let's see if Liu Qingqing can do it.

Qian Jianghong was stunned, it seems that he, the director, is not majestic enough.

Qian Jianghong squinted his eyes and asked Liu Qingqing: "Xiaoliu, is it no problem?" ”

Liu Qingqing said: "Okay." ”

Qian Jianghong said: "Okay, Xiaoliu has appendicitis, I'll help Xiaoliu!" ”

Do you want Qian Jianghong to help you open appendicitis?

Just let Qian Jianghong do it herself!

Yang Haidong couldn't help but feel funny.

Yang Haidong didn't understand Qian Jianghong's character, Qian Jianghong was very bold, Liu Qingqing had already undergone appendicitis surgery during his internship at the First Hospital of H City.

And Liu Qingqing is even bolder, and the surgery for intussusception has also been done independently.

Just an appendicitis, can it be rare to live in Liu Qingqing?

Joke!

Next, Qian Jianghong said again: "Xiao Yang, you have done a lot of this kind of radical gastric cancer surgery, you will do this surgery today, and I will help you!" ”

Yang Haidong's heart shrank suddenly, and a large amount of dopamine and adrenaline in his body were secreted.

Actually let yourself be the main knife? Obviously, this is a good opportunity.

Excited, excited, Yang Haidong stammered: "Okay, good!" ”

Qian Jianghong continued to command: "Xiaoliu, you stand on the opposite side." ”

"Huh?" Yang Haidong's heart shrank suddenly, what does Qian Jianghong's arrangement mean?

On the opposite side is the position of Ichisuke, who assists the surgeon in exposing the surgical area, stopping bleeding, ligation, suturing, etc., or performs the operation under the guidance of the surgeon.

During the operation, it is necessary to provide timely advice and remind the surgeon of forgotten matters, and be responsible for the dressing of the patient's wound after surgery.

Yang Haidong is a regular doctor, and for such a major operation, he has to ask Qian Jianghong to guide him personally.

And Qian Jianghong actually gave up this position of one assistant to "inexperienced", and he couldn't even sew the skin well, Liu Qingqing?

People like Liu Qingqing can't tell the difference between the contents of the abdominal cavity, where is the transverse colon, where is the stomach, and the anatomical structure, right? How do you do his job as an assistant?

Now Qian Jianghong's standing position is on the left side of Yang Haidong, which is the position of the second assistant, and during the operation, he must cooperate with the surgeon to do a good job of pulling the hook, suction, dipping blood, cutting threads, and maintaining the position of the limbs.

It doesn't matter, Yang Haidong comforted himself, Qian Jianghong should be able to help him.

What a challenge!

Yang Haidong was excited and excited, but also slightly frightened.

Will do well, can do well!

Yang Haidong thought that he had indeed seen a lot of radical gastrectomy, and he had been doing it for a long time! Sometimes, I even helped remove a certain part of the area in Ichisuke's position.

Yang Haidong felt that as long as he was cautious, he would definitely be able to take it.

So, Yang Haidong held a scalpel in his hand and used the xiphoid process and umbilicus to connect the skin on the skin to cut the skin from the white line of the abdomen.

This step is very smooth, because Yang Haidong has already done a lot when he usually does a help.

The next step is exploration, starting from the cysticectal fossa, to check the fossa for tumor implantation, ovarian metastasis (krukenberg tumor), and then explore the diaphragmatic surface, visceral surface, hepatic hila, spleen hila, and pancreatic tail.

Yang Haidong had this operation for the first time, and his hands couldn't help but tremble, and he checked it over and over again, so that Qian Jianghong urged: "Move faster!" You've been probing for so long! How many hours does this surgery take? ”

The longer the operation time has a great impact on the patient's physical state.

Prolonged surgery, vasodilation caused by anesthesia, cryogenic fluid irrigation, and low operating room temperature can all lead to a rapid drop in the patient's body temperature. Hypothermia causes metabolic acidosis, hypocoagulation, and delayed metabolism of anesthetic drugs.

Prolonged surgery under general anesthesia and prolonged mechanical ventilation can easily lead to pulmonary complications, difficulty in weaning and lung infection.

The operating body lacks activity, and the blood flow stagnates slowly, forming blood clots.

Wait a minute.

So Yang Haidong was in a hurry, focusing on checking his stomach. Lifting the stomach with forceps oval to minimize the spread of tumor cells is when an accident occurs, and the blood vessels around the stomach rupture, spurting blood out and flooding the field of vision.

Yang Haidong was nervous, his mind was blank, and he suddenly didn't know what to do.

Qian Jianghong used a suction device to suck the blood several times, revealing his vision, but Yang Haidong failed to find the broken blood vessel to stop the bleeding.

"it!" Qian Jianghong said, "The probe can break the blood vessels, and I've convinced you!" ”

At that time, Qian Jianghong took a step to the right, directly pushed his shoulder, and squeezed Yang Haidong away from the position of the main knife.

Yang Haidong must have felt very insulted at that time, but on the operating table, after all, he put the patient first, and he didn't dare to argue.

However, when Yang Haidong looked at the operating table again, he saw that Liu Qingqing had already clamped the blood vessels and ligated them neatly.

Has the bleeding stopped?