(Chapter 6 has been blocked, and work is underway to revise and unblock.) ）

Zhou Qiao sat in the consultation room, constantly reviewing the medical knowledge and experience related to appendicitis surgery in his mind.

The master-level appendectomy he redeemed, including laparoscopic and traditional laparotomy, is a comprehensive gift package, and it is still very worth the money.

After all, this is a full 15 medical mystery points!

The previous healing plaster is a magical item, and it only needs 5 healing points. Now there are 15 medical mystery points, including knowledge and experience, which is naturally extraordinary.

As for ordinary plasters, it is estimated that 0.01 medical points are not worth it, how can something that can be bought for a few dollars be valuable?

"I was careless before, there is no anesthesiologist!"

Zhou Qiao suddenly thought of a fatal problem, without an anesthesiologist, many surgeries, especially those that require general anesthesia, they can't do it at all now.

If you force it, it is not compliant, and it is easy to get into an accident.

Unfortunately, laparoscopic appendectomy requires general anesthesia!

Going outside to rent an anesthesiologist? Without a monthly settlement agreement, Zhou Qiao couldn't come up with the money. In addition, anesthesiologists usually have to make an appointment in advance, and now that the surgery is imminent, where can I get it!

Therefore, Zhou Qiao decided to choose an appendectomy without an anesthesiologist from this comprehensive gift package.

That is, local anesthesia!

Many local anesthesia do not require the presence of a full-time anesthesiologist, and the surgeon can do it himself.

Although this method is not widely used now, its effectiveness and the advantages of fewer side effects are still valued by many grassroots doctors.

It does not affect the function and vital signs of vital organs, there are almost no complications after anesthesia, and there is no need for important monitoring equipment, in addition, for patients with poor general condition, older age or severe cardiopulmonary insufficiency, it is safer than other anesthesia methods, and is not easy to cause blood pressure fluctuations and anesthesia accidents.

The only thing to consider is to judge the extent of the patient's appendicitis.

Mr. Westin is not over 65 years old, and his normal health is fine, although the fever is slightly higher, but according to Zhou Qiao's "decades" of master-level experience, it can be done with local anesthesia!

"It would be better if it could be exchanged for the perfect level, but the time is too hasty, the medical mystery points are not enough, and it takes a lot of effort to do it!"

Elena and Ava held hands and came back bouncing. It's still burgers, fries, coffee and tea.

"Joe, I'm going in and out of activities today, and the burger is super good with drinks, so I bought three cups of coffee, and you can drink a little more later, so as not to lose energy during the operation." Elena said.

Ava: "Did you not sleep well last night?" ”

Zhou Qiao waved his hand: "I have a lot of energy!" He glared at Elena secretly.

Elena shrugged her shoulders and said in her heart, you fought so hard last night, and you came again in the morning, are you really in good spirits? I'm so sleepy that I can't stand it without coffee, and if there is an accident during the operation, the sign of the Iris Clinic will be smashed!

Elena picked up the coffee and took a small sip, she didn't have any grease and powder, her skin was naturally snow-white, but her red lips were delicate and extraordinary.

Zhou Qiao also secretly remembered a difference between the two sisters, that is, Elena likes coffee, while Ava loves black tea.

"Joe, what are we going to do later? We don't have an anesthesiologist yet! Ava asked.

The anesthesiologist at the clinic ran away, and she asked Elena on the way just now, how was the surgical plan determined? Elena was hesitant and always changed the topic, so the worried Ava asked Zhou Qiao directly.

Zhou Qiao smiled and said, "After my discussion with Elena, we decided to adopt appendectomy under local anesthesia mode, which does not require the presence of a professional anesthesiologist. ”

Elena shrugged, drank her coffee, tilted her head and grimaced at Ava: "I told you a long time ago, Joe will have a way, why don't you believe it?" ”

Ava: "......" how do you feel that my sister is very much adoring Zhou Qiao now? Have a feeling of being brainless and supporting him?

Zhou Qiao actually doesn't like to eat hamburgers, he eats these every day, and he wants to vomit, but fortunately, there is an appetizer called Elena, which can be adjusted.

Just dressed in beauty, three times five divided by two, killed the hamburger, Zhou Qiao pondered, wait for a little empty, well, mainly when you have a little money, go buy some ingredients, come to show your hand, and invite the two little babies Elena and Ava to taste Chinese food!

A few moments later, Mr. and Mrs. Westin returned.

Before the inspection report could be faxed, Elena went to call and urge, and within five minutes, the fax machine rang.

Zhou Qiao flipped through the report, and the white blood cells in the blood routine exceeded the standard, but they were not too high; Ultrasonography showed an enlarged appendix and surrounding abscess.

CT scan of the abdomen showed no obvious abnormalities in other parts.

Consistent with the judgment at the time of physical examination, it is confirmed that it is acute appendicitis!

This was diagnosed by Zhou Qiaochun by his own level, without the help of the system, and he couldn't help but feel a slight sense of accomplishment in his heart.

With a smile on his lips, he said confidently, "Mr. Westin, Mrs. Westin, let's start the operation right away!" The sooner the surgery, the sooner the pain will be relieved, and if it is delayed for a long time, other lesions will be born. ”

For example, there is mass formation, increased inflammation, extensive adhesions in the abdominal cavity, and so on.

Mr. Westin nodded, he had been tossing for so long, and the pain was already unbearable.

Preoperative preparation, intramuscular injection of diazepam 10mg, atropine 0.5mg, disinfection of the surgical field, sterile towel sheet......

Choose the supine position, take the No. 8 needle, and infiltrate the 1% lidocaine solution along the incision for intradermal and subcutaneous infiltration, the puncture point is the most obvious appendiceal tenderness, the local anesthetic infiltration zone is 10cm long, 5cm wide, and the dosage is 20mL...... Pierce from the McCeredevil's point into the subcutaneous ...... anesthetize the cutaneous branches of the nerves......

Zhou Qiao was shocked to find that this master-level appendectomy skill was really not covered, he almost didn't need to think much, and he didn't need to deliberately control it, and his hands subconsciously completed various complex operations.

And every detail is in place.

If it's a recording video, it's definitely a ceiling-level instructional video!

Local anesthesia is completed, the right lower quadrant is incised, the appendix is found, the mesangium is treated, the appendix and cecum are protected, the purse is sutured, the base of the appendix is ligated, the appendix is cut off, the appendix stump is treated, the appendix stump is embedded, the mesangium is covered, and the abdomen is closed.

The whole process was done in one go, Zhou Qiao's hands flew up, dazzling the twin sisters Elena and Ava, and as for Mr. Westin, he was apprehensive because he was conscious.

"Dr. Zhou, has the surgery started?" How long will it take? Mr. Westin frequently looked at the wall clock on the wall, although it had only been seven or eight minutes, Mr. Westin felt like five or six years had passed, and he felt like he couldn't stand it!

Zhou Qiao smiled slightly and said, "It's done!" ”