Chapter 98: The appendix could not be found during the operation
Chen Qi was given the opportunity to observe the operation in the operating room at will, which made Zhang Jun and Ai Kelong and other college interns red-eyed.
It is important to know that the main work of interns is to write medical records, change dressings, tube beds and other basic and unskilled work.
Even if you are a college intern, you can only go on stage with the teacher, but it is impossible for the teacher to go to the stage every day, for example, several directors have a meeting today, a business trip tomorrow, and a fixed outpatient clinic every week.
So Zhang Jun: They don't have too many opportunities to go to the operating table.
Even if they go to the operating table and teach the teacher what to do, they just watch what they do, and there are not too many diseases.
You must know that in 1982, although the economy in the central part of Vietnam had begun to be active, the ordinary people who could afford to go to the hospital were only a minority.
The total population of the central region of Vietnam is 4 million, and peasants account for the vast majority, and if the peasants are sick, they will be delayed, and if they cannot delay it, they can only blame their own bad lives, and it is impossible to send them to urban hospitals for treatment without special circumstances.
The district is located in Yuezhong City, with a total population of 400,000, half of whom are workers, and the conditions are better than those of the peasants, but they are far from the point where they can be hospitalized if they want to be hospitalized and operated on if they want to.
Publicly-funded medical care?
In fact, in the early 80s, the efficiency of the state-owned factories in Haidong Province was not good, far earlier than the wave of layoffs in the early 90s in Northeast China.
It was only the workers in Haidong Province who were reasonable, pragmatic, and willing to give up their work, and the state-owned factories could no longer stay, so they all went to township enterprises or private enterprises to "work part-time", so there was no northeast-style tragedy.
What this means is that the workers in the 80s also had no money, and they could not count on publicly-funded medical care, except for enterprises such as the Vietnamese Iron and Steel Mill, the Chemical Fertilizer Factory, and the Chemical Fiber Factory, other state-owned factories were no longer available, and the factories could not reimburse your medical expenses.
In the Yuezhou area, there are two best hospitals, one is the People's Hospital and the other is the Second Hospital, and the surgery here is the best.
The second is the Fourth Hospital of Vietnam, but this hospital is more special, with a regional sign, but it is a convalescent hospital directly managed by the province, and it is not in the urban area.
Others are some county-level hospitals, which can also prescribe some minor operations for appendicitis, and if it is more complicated, it can only be blinded.
Zhu Huoyan opened the permission to visit the operation, and Chen Qi could observe the operation of all the doctors, which opened a window for his "vision", and the pattern will be big in the future, and this kind of treatment is his own son.
Not only Zhang Jun and their eyes are red, but Wang Shannong, Ding Bitao, Yin Jigang and several other sworn friends, including all the boyfriends of the health school, are very envious.
On the contrary, it doesn't matter if Lan Lijuan, Pan Ye, and Bian Hongen are female classmates, anyway, it is impossible for lesbians to stay in surgery, internship, that is, to play soy sauce.
So it's more about shouting and cheering for squad leader Chen.
Because Director Zhu asked him to come step by step, starting with a simple operation, Chen Qi mainly followed the "teacher" Yi Zewen to do surgery today.
This surgery is also very simple, it is appendicitis.
This is a patient who was urgently sent at noon, and the 82-year-old Viet Chung People's Hospital did not have an emergency department, and patients who encountered this kind of acute abdominal syndrome needed emergency surgery, and they were all pushed directly to the ward.
It just so happened that Yi Zewen was on duty, and when he pressed his stomach, he had typical right lower quadrant McStalt tenderness and rebound tenderness.
Because the patient's pain was more intense, the family's requirements were very strong, and he was still a small cadre from Lizhu Iron Mine, Yi Zewen didn't have time to do a preoperative examination, and directly pushed into the operating room.
Yi Zewen was the main operator, another young doctor Deng Shi was the first assistant, and Chen Qi naturally became the second assistant.
Minor surgery, in fact, a chief surgeon and an assistant are enough, this is not to bring Chen Qi, so let him do the second assistant, help hand over the instruments during the operation, and put on the surgical line to beat the hands.
This is also the first time that Chen Qi has served as an assistant.
While disinfecting, Yi Zewen told Chen Qi about the preoperative preparations:
"Student Chen, don't be nervous, we usually do this kind of appendicitis with our eyes closed, you can watch it a few more times, today I will disinfect first, and the disinfection and towel laying work will be handed over to you."
"Okay, Mr. Yi, no problem, you can rest assured that I will do something."
"Hey, of course rest assured, I can let Director Zhu personally take the interns, your treatment is already unprecedented, and it is estimated that we will become colleagues in the second half of the year."
Hey, hey, hey.
Chen Qi could only smirk, but his heart was also beautiful.
After making all the preoperative preparations, Yi Zewen had just stood in his position, and before he could give orders, Chen Qi's scalpel had already been handed over, and the tip of the knife was still facing him.
Yi Zewen was stunned for a moment: "Yes, classmate Chen, you have eyesight, unlike other interns who are stupid and waiting for the doctor to give orders." ”
Chen Qi's initiative made Yi Zewen very satisfied.
Chen Qi smirked again, and saw that Yi Zewen had already cut the skin with a knife, and he immediately handed the hemostat to Deng Shi of Yizhu.
Deng Shi also nodded: "Okay, Chen Qi is really the squad leader of the health school, and he knows what instruments are needed for the next step of the operation, no wonder he can get Lao Zhu's attention." ”
Chen Qi thought to himself, let me do the operation, maybe I can do it better than you.
Yi Zewen's surgery proceeded quickly, cutting the skin and subcutaneous tissue layer by layer, separating the external oblique muscle and the internal oblique muscle, and opening the peritoneum by pulling the tension.
Deng Shi did a good job of hooking.
Obviously, Yi Zewen was very relaxed, and while the operation was performing, he also introduced the process of the operation to Chen Qi:
"Okay, at this point, I'm going to start looking for the appendix, generally down the colonic belt, and the appendix can be found at the end point where the ileocecal colonic belt converges, Director Zhu and they can find it out by organizing forceps, I am still used to digging it out with my fingers, this method is a little dirty, but it is simple and convenient......"
Yi Zewen's fingers hooked around the incision, and he didn't find the appendix for a few minutes, and his face began to look bad at this time.
I was still chattering just now, but now I am silent, and the sweat on my head is about to come out.
Deng Shi stood opposite him, the first to notice that something was wrong, usually with a hook of his finger, the appendix can jump out immediately, very simple, why haven't you found the appendix after 10 minutes today?
"Lao Yi, what's wrong?"
Chen Qi had already seen it next to him, and he was secretly amused in his heart, thinking how else could he drop? The appendix can't be found.
"Xiao Deng, you, you come to look for me, I, I can't touch the appendix ......"
Yi Zewen is not bad, he didn't hold on, but he was bragging about the fact that the operation was very simple just now, but he was slapped in the face immediately, and he was also a little weak-hearted.
Deng Shi did not doubt him, and immediately stretched out his fingers and began to look for the diseased appendix by touch, but he also did not touch the appendix for a long time.
Both of them were dumbfounded.