It has been three days since the last time I went to work in the National Medical Hall, and the doctors and nurses who knew Tang Yi along the way all looked at him with strange eyes.

What is the National Medical Hall? Kyoto's best TCM hospital is a holy place for countless TCM practitioners, not to mention the countless stars in the sky.

Whether it is an intern or a regular trainee, who is not desperate to perform, hoping to get the approval of the director or the head of the institute and finally stay here.

Even if those doctors who have signed a contract with the hospital, they can do it without talking about 7 to 8, and the most basic thing is not to be late and leave early.

But Tang Yi is good, he didn't have an internship, he directly signed a formal employment contract with the hospital, not to mention that he didn't come to the hospital every once in a while, and this degree of freedom was comparable to that of many senior directors.

This makes many people envious, jealous and hateful, and at the same time, they secretly wonder what his background is.

"It's been almost a week since that kid came to the hospital, right? I can't see anyone in three days! ”

"It's been a week today, so it would be nice if I could come and go as much as he wanted!"

A resident doctor next to him rolled his eyes, "I want to eat a fart, don't say like him, you dare to be late once or twice a week, and make sure Director Tang talks to you." If you are absent from work twice, you will be slapped in the face with a dismissal contract. ”

The resident doctor shook his head and sighed, "What is that guy's background, the two times he came to the hospital is like 2580,000?" ”

Another resident doctor pouted, "Who knows, anyway, the dean's own son doesn't have this treatment from him." ”

Lin Yayun came out of the locker room and saw Tang Yi, she was stunned at first, and said with an embarrassed smile, "Doctor Tang, you're here!" ”

Tang Yi said with a smile, "Doctor Lin, are your feet better?" I went to the office to look for you that day, only to hear from the nurse that you had gone home. ”

"Okay, much better!" mentioned the events of that day, Lin Yayun's face was unnatural.

Tang Yi said, "That's good, it's better to walk less for a hundred days." ”

I'm an attending doctor, don't I understand this basic common sense? You still need to say it. Lin Yayun held back the fire in her belly, if it weren't for this kid in front of her, would she have stopped herself?

"Thank you for your concern, I'll go to the clinic first."

Watching Lin Yayun clumsily walk towards the consultation room step by step, Tang Yi shrugged his shoulders.

When I went to the locker room to change my clothes and went downstairs, I met Tang Yongming, the director of the emergency department.

"Good morning, Director Tang!"

Tang Yongming, who was still smiling, saw Tang Yi, and the smile on his face instantly melted, "I thought you weren't coming!" ”

Tang Yi pouted and smiled, "I don't want to come either, but some people don't allow it." ”

This kid thinks he can do whatever he wants in the emergency department with a little background? MD, this is the emergency department, and I can't clean you up? Tang Yongming had a straight face, "How have you been studying with Director Xi in the past few days?" ”

Tang Yi said, "Well, I learned a lot of things, which is quite useful!" ”

Hehe, listen to your tone, I have studied with Xihua for two days, and my medical skills are much more exquisite? Tang Yongming sneered in his heart, "It's autumn again, and there are a lot more appendicitis patients in the hospital recently than before. Isolated acute appendicitis can be controlled and treated with traditional Chinese medicine, but patients with purulent appendicitis, acute gangrenous appendicitis, and periappendiceal abscess are most appropriately treated with surgery. ”

Tang Yongming looked at Tang Yi, who was still unmoved in front of him, and then said, "Our emergency department can do appendectomy surgery by the director of the emergency department, and there are many patients recently, and he is too busy alone, so in the end, he can only transfer the patient to the hospital." Since you said that you have learned a lot of things, you can help the washing director share one or two. ”

Is there appendectomy surgery? Tang Yi just hesitated for a moment, "Okay, everything is arranged by Director Tang!" ”

"No, you can ......" Tang Yongming had just said half a sentence, and he was instantly stuck, "You, what did you just say?" ”

Tang Yi had a polite smile on his face, "I said that everything is subject to Director Tang's arrangement!" ”

"You had an appendectomy with Director Xi?" Tang Yongming looked puzzled.

Tang Yi said, "No! ”

Hearing such an answer, Tang Yongming was angry, "No, you dare to rashly perform appendectomy on the patient?" What if there is a medical malpractice? ”

Tang Yi shrugged, "I said that I didn't learn appendectomy surgery with Director Xi, but I didn't say I wouldn't!" ”

What? Is this kid kidding me? A Chinese medicine practitioner can actually use Western medicine to dance with knives and guns? Are you not kidding me, Tang Yongming felt that he was humiliated by the young man in front of him, okay, you will have an appendectomy, right, I will arrange surgery for you, and if there is an accident at that time, the person behind you will not be able to protect you, "Then you are ready and go to the operating table at any time." ”

Although it is just a simple appendectomy, there is no technical content, and it is all time to pass the time.

Seeing Tang Yi nodding happily, Tang Yongming snorted coldly in his heart and turned to leave.

Sitting in the consultation room, Tang Yi was bored with his mobile phone.

Although he is now a doctor in the emergency department of the National Medical Hall, he has not received Tang Yongming's permission, and he does not have the right to sit in the consultation, and he has not yet come to Xihua at this time, so he can only watch from the side like the most ordinary intern, without the slightest sense of getting on the phone.

I don't know if there are really more appendicitis patients recently, or if Tang Yi is lucky, a nurse knocked on the door of the consultation room after a while, "Is Dr. Tang here?" There was an acute appendicitis patient in the emergency room, and Director Tang asked you to go over and have a look! ”

Under the envious eyes of the interns, Tang Yi put his mobile phone in his pocket and slowly stood up, "Have you done the blood routine and B-ultrasound, ultrasound examination?" ”

The nurse looked at the young man standing up in the corner, and was slightly stunned, he was the boiling Tang Yi who had been rumored in the department recently, this is too young, right?

Walking out of the consultation room, Tang Yi looked at the nurse who had not spoken for a long time, "Is the examination done?" ”

"Ah, it's all done. The proportion of white blood cells and neutrophils in the blood is increased. Ultrasonography showed swelling of the appendix and preliminary suspicion of purulent appendicitis. The nurse followed Tang Yi and continued as she walked briskly towards the emergency room, "I have communicated with the patient's family, and the other party agrees to the surgical treatment. ”

Pushing open the heavy door of the emergency room, Tang Yi came to the patient under the guidance of the nurse, and after physical examination, he simply asked some basic questions.

For example: when did it start to hurt, where it hurts, whether there was a similar situation before, etc.

At the end of the physical examination, Tang Yi took the examination report from the nurse's hand, glanced at it, and then instructed the nurse next to him, "Arrange surgery!" ”

The patient lying on the hospital bed, holding his stomach, said, "Doctor, when you go under the knife, try to make the wound smaller." I'm not married yet, and I don't want to be misunderstood by my future husband. ”

Looking at the woman who was only twenty-five or sixteen years old on the hospital bed, Tang Yi smiled and nodded, "The appendicitis is in the right lower abdomen, and the caesarean section is in the middle of the lower abdomen." The wound of the former is only 4 to 5 cm, and the wound of cesarean section is generally between 6 and 8 cm, and the difference between the two is still very large. ”

When the middle-aged woman who sent the woman heard this, she didn't want her daughter to have a bad reputation before she got married, "Doctor, having said that, I can't guarantee that some men are seriously suspicious." ”

"Then according to your requirements, then sit laparoscopic appendectomy!" While the nurses were preparing for the operating room, Tang Yi said, "Compared with traditional appendectomy, laparoscopic appendectomy only needs to make two to three small holes of 0.5 cm to 1 cm in the abdomen, without suturing, with a small window, fast recovery, and few complications, but the cost is slightly more expensive." ”

The woman cautiously asked, "How much is it?" ”

"A few thousand dollars, the cost of traditional appendectomy surgery is about 10,000, and laparoscopic resection is about 15,000. This type of treatment, provided that the suppuration is not very severe. Tang Yi thought for a while and said.

The woman let out a sigh of relief, "It's only five thousand dollars, I thought it was a lot." The medical insurance reimburses part of it, the insurance reimburses part of it, and the rest is not much more. According to what the doctor said, we will choose laparoscopic surgery. If it doesn't work, let's do an open treatment."

Once the patient is pushed into the operating room, the anesthesiologist administers general anesthesia to the patient.

After the patient was completely anesthetized, Tang Yi took the marker from the nurse's hand and drew three small dots around the navel.

Handing the marker to the nurse next to him, Tang Yi reached out directly, "Scalpel!" ”

The instrument nurse next to him had already made preparations, and soon the scalpel was put in Tang Yi's hand.

The moment the scalpel was in his hands, Tang Yi felt an inexplicable sense of excitement, even so, his hand was still very steady, the scalpel fell on his stomach, and with just a slight stroke, a standard 0.5 cm cut out.

The instrument nurse on the side thought that Tang Yi was a newcomer, and she was a little nervous before, but she was stunned when she saw the opening, this action, this speed, is not slower than washing lead Hua, no, it is faintly faster than him.

"Laparoscopy!"

After all, the nurse is professionally trained, even if she is shocked, the movements of her hands are not slow at all.

As the laparoscope progresses, the patient's appendix is shown on a monitor next to it.

Purulent appendicitis, fortunately, the condition is not very serious, and there is no obvious pus, which fully meets the needs of laparoscopic surgery.

Handing the laparoscope to the nurse next to him, Tang Yi opened his mouth on the patient's stomach and said that the surgical instruments went deep into the patient's abdominal cavity for surgery.

With the help of laparoscopy, the supply of blood vessels to the appendix is blocked, the appendix is separated from the superior cecum, the base of the appendix is sutured, and finally the appendix is cut and removed from the cecum. A set of movements can be described as flowing water, and there are no superfluous movements in between.

With the laparoscope and surgical instruments pulled out, Tang Yi moved his wrist, "Bandage the wound!" ”

The nurse who was preparing for the bandaging work was not finished yet, "This is the end of the operation?" ”

Throwing the appendix on the instrument into the tray, Tang Yi said, "How long can an ordinary appendectomy take to do so?" ”

The anesthesiologist, who was sitting on the side and playing with his mobile phone, stood up and walked over when he heard that the operation was over, "Doesn't a normal appendectomy take half an hour?" You're too fast, aren't you? ”

"You're fast, your whole family is fast!" Tang Yi said angrily, "How can a man say fast!" ”