Chapter 44: Hands Are Not Hands
"How stupid!"
Qi Ling couldn't help but sigh and said.
"Ahem, it's hard for people who haven't experienced it to understand how painful constipation is."
Zhao Sheng explained.
"I used to treat an 88-year-old man, because of constipation for ten days, I couldn't stand it, and wanted to use chopsticks to clip it out, but the chopsticks directly pierced the rectum, and the feces flowed directly into the stomach, causing infection and poisoning shock, and I was almost not saved."
Ning Hao, the attending doctor of general surgery, continued.
"The patient's blood pressure is 120/80 mmHg, his heart rate is 64 beats per minute, and the partial pressure of oxygen and carbon dioxide is normal, and he can start surgery."
At this time, anesthesiologist Ji Tao reported.
"Let's start the operation!"
Zhao Sheng and Ning Hao glanced at each other and said at the same time.
However, as soon as the operation began, Zhao Sheng and Ning Hao encountered a problem.
Because there are two yellow eels in the patient's stomach at this moment, it is impossible to determine the respective positions of the two yellow eels at all.
In the best case, by making an abdominal opening, two eels can be removed at the same time.
In the worst-case scenario, two abdominal incisions are required to remove the two eels separately.
However, what is now certain is that the rectum and colon in the patient's abdominal cavity must have been perforated, and the outflow of intestinal contents is likely to be all over the abdominal cavity.
In this case, the abdominal incisions are basically infectious, and there is a high probability that they will not heal after surgery.
Therefore, if two incisions are made, there is a high risk that there will be a fistula in the abdomen that will not heal.
In this case, how to choose an abdominal incision is another very tricky problem.
Whether it is abdominal ultrasound, abdominal CT, or even MRI, it is obvious that it is impossible to determine the true location of the two yellow eels in the patient's abdominal cavity under the current circumstances.
Even if you can do 3D scanning modeling, but it is for fixed foreign bodies and tumors, you know, yellow eel can swim in the warm and moist human intestines and abdominal cavity!
Just when Ning Hao was in trouble, Zhao Sheng suddenly felt that his right hand, which was wearing rubber surgical gloves, had a strange feeling.
Could it be?
Feeling the slight wonderful feeling of the palm of his right hand, Zhao Sheng had an incredible idea in his heart.
With the incredible thought in his heart, Zhao Sheng placed his palm slightly on the patient's abdomen.
Ning Hao was not surprised to see Zhao Sheng like this, thinking that he was judging the position of the knife with experience.
In clinical practice, in fact, many times, it is necessary to rely on the doctor's rich experience to treat and even perform surgery.
It is precisely because medicine is such an empirical discipline that it takes five years, ten years or even longer to train a qualified and excellent clinician, which is actually a very difficult thing.
At this moment, a wonderful thing happened, Zhao Sheng felt that his right palm seemed to have become some kind of detection and perception instrument, the situation in the patient's abdomen, the broken colon, the location of the two yellow eels, one in the ascending colon, one at the intersection of the rectum and colon, and the appearance of the two yellow eels writhing slightly, at this moment, this information was transmitted to his brain through his palm.
Especially when Zhao Sheng focused on the two yellow eels, he could feel the palms of his hands trembling slightly, and there was an inexplicably disgusting slippery feeling!
I rub!
Humanoid perspective, no, humanoid 3D scanner?!
And it also feels fidelity?
Zhao Sheng was very shocked in his heart.
You know, with modern technology, although it has been possible to carry out detailed three-dimensional scanning and modeling of the whole or the whole of the human body, it takes time, at least, it takes five or six hours, and it also requires a large-scale computer with super computing power to model and calculate.
But at this moment, Zhao Sheng's right palm was only so slightly probed, and the detailed three-dimensional modeling that required a few hours to make with the high-precision technology of human beings instantly appeared in his mind.
Moreover, with the slight movement of his palm, the change of angle, and the 3D modeling fed back, there are subtle differences.
It's a big deal!
Zhao Sheng was shocked in his heart.
In the past, when he was doing surgery, he accidentally could, and the experience of being a surgeon with him, he thought it was already very bizarre, but now, his right hand has a function similar to scanning modeling.
Could it be that this ability will evolve with his needs?
Such a thoughtful statement?!
As an experienced doctor, he knows all too well how important it is to stay on top of what's going on in his patients.
Aneurysms, foreign bodies, organ rupture and bleeding, these are sometimes not visible at all, but at the critical moment they will kill the fatal problem, in the face of the detection ability of the right hand, it is not a matter at all!
Is it really the god of medicine?!
"This position."
Zhao Sheng instantly determined a position, and if he stabbed in this position, it would be just in the middle of the range of activity of the two yellow eels, not only would it not alarm the two yellow eels, but it would just be possible to take out two yellow eels at the same time.
"Lao Zhao, are you sure?"
Seeing Zhao Sheng pointing to a position so firmly, Ning Hao hesitated, if he came, it would definitely rely entirely on experience, sometimes, then he could only find the most possible place first, try the knife, and then deal with it according to the situation.
For the management of acute abdominal surgery, it is basically the same in clinical practice, and anything can happen on the operating table.
"That's it, if you can't pinpoint it, you can only try it now."
Zhao Sheng nodded affirmatively and said.
"Why don't you choose a place?"
After a pause, Zhao Sheng asked again.
"Hmm... I still think your hands are more red, and when I used to play games, you exploded when you opened the box. ”
Ning Hao thought for a while and said.
"Anyway, it's all about trying, listen to you."
After a pause, Ning Hao said again.
When I was just in graduate school, the two met and often played online games together, and it was strange to say that if you open a box or something, as long as Zhao Sheng opens it, it will become popular.
If he has a black hand, Zhao Sheng is a red hand.
Zhao Sheng, a natural European emperor, is something that a non-chief like him can't envy.
"Okay, then come on."
Zhao Sheng nodded.
That's the benefit of a high degree of job title and education.
If he was just a resident doctor, an intern doctor or a regular training doctor or something, Ning Hao was afraid that he would have a brain problem and would let him choose the location of the surgery.
Ning Hao and Zhao Sheng are both responsible for this operation.
In this case, in fact, the two who make the decision, are almost too much.
"Electric knife."
"Prepare the aspirator!"
Zhao Sheng said to Qi Ling, the instrument nurse.
"Okay."
Qi Ling nodded very neatly.