In the director's office, Tang Yongming sat on the sofa and drank tea leisurely.

I see what you kid is going to do this time? What about the background, this is the emergency department, as long as I am in this position for a day, it is the dragon you will coil for me, and the tiger will have to lie on my stomach.

In Tang Yongming's opinion, even if Tang Yi can undergo appendectomy, his level is not good, after all, his age is there, how many opportunities can he get started?

Although appendectomy is simple, it is also a surgery after all, and some experience is required. Didn't you read the news report, did a doctor mistakenly cut the fallopian tube when removing the patient's appendix? How can you do it without any experience?

There was a knock on the office door, and Tang Yongming saw his head poking in at the door, "Come in!" ”

The intern smiled brightly, glanced out of the door, and then cautiously closed the door, "Director Tang, that Tang Yi has already entered the operating room." ”

Tang Yongming's hand holding the teacup paused in mid-air, and the corners of his mouth raised, "Is it the young woman who just sent it?" ”

"It was she, according to the nurse at the nurses' station, who was considering purulent appendicitis." The intern's back was a little bent, and his face was flattering, "I also heard that the one named Tang Yi is going to be resected laparoscopically." ”

Tang Yongming's brows furrowed, "Laparoscopic resection? Do we have this technology in the emergency department? ”

Director, my director, you are the number one in the emergency department, how do you ask me to answer this question, I don't know how long I have been in the hospital. The intern complained in his heart, and the expression on his face was still complimentary, "Maybe, right?" If it weren't for it, Tang Yi wouldn't have been able to do this kind of technique. ”

Tang Yongming was very dissatisfied with this ambiguous answer, leaned back on the sofa, and thought carefully, as if the emergency department did have such technology.

It's just that since the introduction of this technology, no one will, so it has been idle and used as an ornament.

No, I have to go over and see, laparoscopic resection is different from ordinary excision, if the blockade is not done well, it is likely to cause internal bleeding, which is life-threatening. When the time comes, I will not be able to escape the blame.

Thinking of this, Tang Yongming immediately stood up and walked out of the office in a little panic.

In the operating room, the anesthesiologist rolled his eyes, I said that the operation was fast, but I didn't say which way you were fast, where did you want to go, "Dr. Tang, do you want to check again, so as not to miss anything?" ”

"No!" Tang Yi glanced at the patient lying on the hospital bed, "It's just a small operation, it's not difficult." ”

Damn, are the current graduates so crazy? Although appendectomy surgery is not difficult, it can be done by a doctor who has studied for a while, but it is an open abdominal resection, which can be seen and touched. You're doing laparoscopic excision, and it's not a difficulty at all.

The anesthesiologist regretted that he was sitting on the side and playing with his mobile phone just now, and did not pay attention to the whole process of the operation here, if there was any accident, he would not be able to escape the guilt, "Nurse Yang, how do you think of this operation?" ”

Head Nurse Yang, who was counting the surgical equipment, glanced at Tang Yi who walked out, "You ask me, who will I ask?" ”

"Didn't you participate in the whole operation?" ”

Nurse Yang removed the blade of the scalpel and threw it into the medical trash can, "This set of equipment has not been used since the last time the instrument manufacturer came to our hospital to demonstrate it." ”

Gao Yan wanted to cry, and then he remembered that this was laparoscopic resection surgery, a procedure that had never been done before by the Chinese Medical Hall, and there was no reference, so it was impossible to judge the quality of the operation.

"In the past, with Director Xi, a purulent appendectomy took at least an hour, but this Dr. Tang was good, and the whole process came down in less than half an hour." Nurse Yang turned her head, "Mr. Gao, you said, laparoscopic resection is really so quick and convenient?" ”

Gao Yan sighed with a sad expression, "Laparoscopic resection surgery has one less step of abdominal suture than laparotomy, which can save a lot of time." However, he is also too fast, as far as I know, the average laparoscopic appendectomy operation takes 20 to 30 minutes. In the case of a purulent appendix, it may take a little longer depending on the situation. ”

As soon as Tang Yongming arrived at the door of the operating room, he saw Tang Yi coming out of the operating room, this is coming out? The operation hasn't been done yet, this kid is still self-aware, and he knows that he can't take it, so he took the initiative to give up, "Xiao Tang, how is the operation?" ”

Taking off the mask, Tang Yi said with a smile, "Fortunately, the operation was successful." When the patient wakes up, they can come out,"

What? The operation is done, how is this possible, how long has it been before and after. Tang Yongming was shocked in his heart and looked incredulous, "Doctor Tang, this is not a joke, the patient's appendix is suppurated, but it will be life-threatening. ”

"Of course, I know that purulent appendix, because the lesion involves the whole thickness of the appendix, the appendix is swollen in the whole thick, there is a large amount of cellulose and purulent exudate, and a small amount of purulent exudate is often present around it. It is easy to cause low resistance of patients, leading to systemic inflammation, which in turn causes sepsis, leading to life-threatening organisms. In addition, purulent appendix may lead to perforation of the appendix, causing fecal stones and stool and other foreign bodies in the intestine to enter the abdominal cavity, causing intraperitoneal infection and septic shock. Tang Yi nodded and said.

Tang Yongming raised his eyebrows, "Since you know the possible problems of purulent appendix, why did you do the operation so quickly?" Even if it's an ordinary appendectomy, it won't come out in less than half an hour, right? ”

Tang Yi shrugged calmly, "You guys are really strange one by one, a simple laparoscopic appendectomy, is it strange for half an hour?" ”

Yes, the appendectomy surgery was done in half an hour, not surprisingly. But that's for veterans, but it's not strange to put it on you as a newcomer.

As the director of the emergency department, who more or less understands some knowledge of Western medicine, Tang Yongming had a gloomy face, "Have the pus around the appendix been dealt with?" ”

Tang Yi pouted, "Common sense things, don't worry about Director Tang." Do you have to worry, wait for the patient to push out, do a color ultrasound, everything will be natural and clear. Director Tang, Director Xi should sit in the consultation room, if it's okay, I'll go over first. ”

Looking at the back of Tang Yi leaving, Tang Yongming's fist clenched in the pocket of his white coat, the kid waited, if the result comes out, I must go to the dean to sue you.

Five minutes later, the patient woke up. After a series of simple examinations, it was determined that all vital signs were normal,

The head nurse and an assistant doctor pushed the patient out and saw Tang Yongming, who had been standing outside the door and waiting.

Gao Yan hurriedly stepped forward, "Director Tang, why are you here?" ”

Tang Yongming nodded, stretched out his hand to stop the nurse pushing the stretcher cart, and glanced at the patient, "Push it down, Nurse Yang, Doctor Gao, you stay." ”

When the stretcher cart was pushed away, Tang Yongming asked, "Are there any mistakes during the operation?" ”

Nurse Yang and Gao Anesthesia looked at each other, and finally Gao Yan spoke, "It's too fast, faster than Director Xi doing an open abdominal resection." Laparoscopic appendectomy was the first case in our hospital, and the diseased appendix was removed, and we are not sure if there is still pus and how it was truncated. I recommend giving the patient a check-up to determine the condition of the surgery. ”

Tang Yongming didn't know how to speak, but Gao Yan relieved him, "Well, after all, it was the first laparoscopic resection operation in our hospital, so it is still necessary to be careful." So Dr. Gao, you take the patient to have a check-up. The cost is paid by the hospital. When the results come out, they will be sent to my office as soon as possible. ”

Knocking on the consultation room of Wash Lead, Tang Yi saw that there was a patient, and he consciously moved a stool to sit aside.

"It's not a big deal, I'll prescribe you a few pairs of medicines, take them back and eat them for a few days!" Wash the lead Hua withdrew his hand, turned his head and clicked on the keyboard to write the case.

The middle-aged man asked, "Doctor, what is my disease?" Every day at noon, I had a low-grade fever, nausea and vomiting. I went to the clinic for a few days and had a relapse within a few days. ”

Xi Jianhua turned his head and said with a smile, "Your disease is called liver depression and fever in Chinese medicine, under normal circumstances, it is mainly due to long-term eating of spicy food, depression, sadness, and frequent intercourse that causes damage to the spleen and kidney function, causing poor blood flow, qi stagnation and blood stasis. Usually, don't worry about everything, go out for a walk more, eat a light diet, eat less onions, ginger and garlic, and eat more fruits. ”

When the middle-aged man heard the explanation, he was still a little worried, "I'm okay with this disease, right?" ”

"Minor illness, don't worry too much!" ”

The middle-aged man breathed a sigh of relief, "I've been constipated lately, doctor, you can help me prescribe a few medicines for constipation!" ”

"Constipation is one of the manifestations of liver depression and heat, wait until you finish taking the medicine I prescribed to you, the constipation is not good, come to me again!" As he spoke, he ticked the drug on the system.

Prescribe medicine and send the patient away. Wash the lead Hua turned around, "Where has your kid been lately, I can't see anyone all day long, and I'm not afraid of being fired!" ”

Tang Yi drooped his head, "In class, what else can you do." I wish I had been fired so I wouldn't have to come to the hospital all day. ”

"You kid, I don't know how many people want to come to work in the National Medical Hall, you kid doesn't know how to cherish it!" Wash the lead Hua pointed at Tang Yi with his finger, "By the way, you just said that you have already participated in the class, what other classes are you taking?" Graduate students? You can apply to the school for part-time graduate school, so you don't have to run around all day. ”

Thinking of the group of unobtrusive students in the school, Tang Yi smiled bitterly, "Teaching students, I am a teacher of the basic science of Chinese medicine in the Chinese medicine major of Shuimu University. ”

Teacher, or a teacher at Mizuki University. Xi Jianhua thought that he had misheard, "The teachers of Mizuki University are also required to be master's students, and they must also be graduates from prestigious universities, and some majors must have certain clinical experience." You're not lying to me, are you? ”

"Huh!" Tang Yi said, "Am I going to lie to you about this? ”

"!" A steady lead wash Hua couldn't help but burst into a foul mouth at this time, "What kind of virtue can you kid do, first you didn't need an internship to enter the Chinese Medical Hall, and now you are a teacher at Mizuki University." You tell the truth, what is your background and what kind of education? ”

took out his mobile phone and glanced at the time, Tang Yi said lightly, "Ph.D. from Harvard University, under the tutelage of Yan Nanbei and Gu Fan." ”

Wash the lead Hua said angrily, "Get out, don't say it if you don't want to, and you also studied under Yan Lao and Taishan Beidou in the ancient Chinese medicine world, why don't you go to heaven!" ”