23 With the demeanor of my youth

"The University of Exeter?" Luo Hao had never heard of this university.

But it's not as concise and easy to understand as ordinary pheasant universities, and it doesn't seem to be the kind of university that you get just to cheat money.

"Xiao Chen is amazing!" The anesthesiologist exclaimed, "I didn't know about this university when Xiao Chen said it at first, go home and check, I'll!" Awesome!! ”

"Brother Guan, don't say it, don't say it." Chen Yong was a little helpless.

"Which medicine major at the University of Exeter is stronger? Biology? I haven't heard of it. Luo Hao asked.

"Occult! After graduation, he became a mage. The anesthesiologist said with a smile.

"Huh?" Luo Hao was stunned.

"Hogwarts, written by J.K. Rowling, is a school for wizards, and the University of Exeter has a major that does this." The anesthesiologist introduced Luo Hao with great interest.

“!!!”

There is such an unreliable thing, Luo Hao was surprised.

The point is that someone would learn such an unserious major?!

Isn't that a joke?

"Master of Magic and Occult Sciences." Chen Yong was helpless, for fear that the anesthesiologist would be more outrageous the more he said, so he had to explain himself, "I submitted my resume after graduating from college, and by chance I found that the University of Exeter also has a major in magic and occultism, and the requirements are not low, but I met the standard." ”

"I submitted a resume, but I didn't expect to be admitted. Occultism, I'm curious, so I'll go through the procedures for studying abroad and learn it. ”

"Less careless, I was deceived."

Chen Yong reluctantly explained.

Luo Hao was endlessly surprised and sighed.

It seems that Chen Yong is really not a reliable guy, a master of magic and occultism, and finally fell to Donglian City Mine General Manager as a clinician.

What did he rely on to see a doctor? It can't be a priest's healing technique.

After a big treatment, the patient's blood volume increases, which is a perfect match with the system!

Luo Hao felt that it should be Chen Yong who got the system.

When you think of the modern city, there is a systematic pastor running rampant in the hospital...... If there is such a novel, Luo Hao wants to take a look. (Uh-huh, write this next)

"Chen Yong, what do you learn in school?" Luo Hao asked curiously.

Chen Yong sighed, his eyes were complicated, and he looked at the warm salt water gauze blankly.

"I've heard that there is a Taoist school, a bachelor's degree, and I learn to draw symbols every day. I just don't know how to sign up, or I'll let my son go to school. The anesthesiologist said.

"Are there really any of these schools?" The instrument nurse was surprised.

"Of course, after graduation, there is no need to roll in the workplace, and the archmage with the certificate is not required. I said Xiao Chen, you just can't figure it out, you have to come to be a doctor. Is it bad to be a pastor? Even if you don't know anything, exorcisms or something...... If the risk is high, can you also go to church and listen to people's voices? ”

"So much gossip, how happy you are."

The more the anesthesiologist talked, the more excited he became, and the little sleepy bug had already been driven to the horizon.

"Magic and the Occult are not priests even if they graduate." Chen Yong argued.

"Being an archmage, no, you should be a mage apprentice, that's okay, it's better than rolling around in the hospital every day."

Luo Hao glanced at Chen Yong with interest, this guy is a veritable archmage, the future.

Just as he was about to ask Chen Yong what he had studied when he was studying for a master's degree in magic and occultism, Luo Hao heard footsteps and hearty laughter in the hallway.

Lin Yuming is here!

The old director of Guohua should also be here!!

Luo Hao's expression was straight, and he glanced at the system panel in the upper right corner of the field of vision with some regret, and it was estimated that he would not be able to do this task.

"How's the surgery, how far have you got?" A voice came.

The sound was like a bell, full of energy, and the light of the shadowless lamp seemed to tremble a few times.

Heavy footsteps echoed, as if a tyrannosaurus had crossed over from the Cretaceous period.

"Director Guohua!" The anesthesiologist was smiling all over his face, and the mask couldn't cover it at all, so he leaned in affectionately.

"Xiaoguan, have you been busy lately, and there are not many surgeries."

Director Guohua said as he walked behind Luo Hao.

Although Luo Hao didn't look back at Wang Guohua, the former director of the general surgery department of the mine, he felt him walk in, so he took away the warm saline gauze and handed it to the instrument nurse.

"Director Guohua, after the laparotomy, I saw that the patient's intestine was intussusceptible, and it had been released, but I did not see necrosis of the intestine. The intraoperative examination and imaging data were consistent, and the colon was ......"

Luo Hao began to report the patient's situation concisely and concisely.

Wang Guohua looked at the operation area with his hands behind his back.

After Luo Hao's introduction, Wang Guohua came to the film reader and began to watch the film.

1′12", Wang Guohua asked, "Xiao Luo, the patient a few days ago, you went to the medical record room to look through the past medical records and found the surgical records I wrote?" ”

"Yes." Luo Hao didn't expect Wang Guohua to ask like this, he couldn't figure out what he meant, and simply responded.

Wang Guohua was noncommittal about this, and turned to brush his hands.

When he came back, Luo Hao had already stood in the position of the second assistant and gave up the position of the sorcerer.

"You do it." Wang Guohua said while wiping his hands.

The old director's tone revealed an unquestionable taste, domineering and strong.

"Him?"

The anesthesiologist was stunned.

"With me here, will there be anything going on with an intestinal resection and anastomosis?" Wang Guohua asked rhetorically.

"How could it be! As soon as Director Guohua came, my heart was relieved. The anesthesiologist hurriedly explained.

Although Wang Guohua has retired, Yu Wei is still there for many years, and the people in the mine have great respect for him, so no one questions Wang Guohua's decision.

Wang Guohua stood directly in the position of Yizhu, Chen Yong moved to the side, and honestly pulled the hook.

"Let's do it." Wang Guohua Road.

Luo Hao raised his eyebrows and glanced at the system task.

In an instant, his good impression of Wang Guohua increased suddenly.

It seems that the old director of Guohua did not want to help Wen Youren.

If it was another profession, Luo Hao might be worried. But this is an operating table, and very few people use patients as bargaining chips.

Of course, those who can do such things have already been promoted, and they will not continue to "delay" in the clinic.

Originally, Luo Hao had only heard Wang Guohua's name in the "legend", and he also followed others to affectionately call Guohua's old director.

At most, the two of them had a relationship in the medical record 20 years ago.

Unexpectedly, Wang Guohua came up and directly put himself to do intestinal resection and anastomosis surgery.

This style is a hundred times stronger than Wen Youren.

All kinds of distracting thoughts flashed in Luo Hao's mind, and he immediately held his breath and completed the operation according to the standard procedure.

Some steps Wang Guohua didn't see, Luo Hao did it again to show him.

Luo Hao first explored the location, size, and mobility of the tumor in the left colon, as well as whether there was metastasis in the lymph nodes and abdominal organs.

Every step has a meaning for every step, Wang Guohua didn't speak, and followed Luo Hao's surgical steps.

After demonstrating the previous surgical process, Luo Hao ligated the mesenteric blood vessels, cut the posterior peritoneum under the duodenal suspensory ligament, separated the inferior mesenteric artery from the vein, ligated and severed, and the proximal ligation and suture.

Luo Hao did it methodically, followed the steps in surgery step by step, and it was almost perfect.

After treating the blood vessels, Luo Hao used fine gauze strips to pass through the mesentery at the edge of the intestinal wall at the upper and lower ends of about 5~6cm away from the tumor, and tied the intestinal lumen tightly to control the intestinal contents of the tumor to avoid up and down flow, resulting in dissemination.

After doing a good job of protection, Luo Hao took the trouble to check it again, and only then did he cut off the intestine with the assistance of Wang Guohua.

Luo Hao turned around and put the intestinal tube in the sterile tray, marked the bacterial area, and asked the instrument nurse for a new knife to start the dissection.

A minute later, Luo Hao said firmly, "It was visually detected as a lipoma, and it was sent to the pathology department for intraoperative freezing." ”

The itinerant nurse was already ready to go, and after hearing what the surgeon said, she immediately took the specimen and trotted to the pathology department.

The operation was paused again.

"Your name is Luo Hao, isn't it?" Wang Guohua asked.

"Director Guohua, it's me." Luo Hao replied, "Thank you for coming to the rescue so late." ”

"Huh." Wang Guohua smiled blandly, and didn't mention the matter of the rescue table, he looked at Luo Hao and asked, "How did you remember to read my handwritten operation record 20 years ago last time?" ”

"At that time, looking at the images, I felt that the patient's medical history was wrong, and it should not be a simple gallbladder removal. But it's been a long time, and the patient said that you did it at that time, the old director of Guohua. I haven't worked with you, but I've heard from my colleagues about you. ”

Wang Guohua remained silent and looked at Luo Hao.

"I guessed at the time that with the thoughtfulness of the old director Guohua, you will definitely leave traces to avoid forgetting yourself many years later or the wrong description of the patient causing other doctors to misjudge."

"So I went to the medical record room to look up past medical records, and as expected, I did find the surgical records you wrote back then. According to the surgical records, the patient should be cesspool syndrome, and future treatment is logical. ”

After Luo Hao finished speaking, his eyes narrowed.

He was smiling, showing his respect for the old-timers.

Wang Guohua nodded, noncommittal, changed the subject and asked, "I heard Director Lin say that you haven't had surgery since you came back from graduation, is that true?" ”

"Since I came back, I have been working in the medical department and have not been clinical. This time I was forced to do it, and I couldn't help it. ”

"How's the surgery going?"

As they were chatting, Wen Youren's triumphant voice came in.

The itinerant nurse went to deliver the pathological specimens, the air tights in the operating room were not turned off, and Wen Youren's voice was heard very clearly.

"I'm not here, why did you have surgery! Who's responsible if something goes wrong! Really, no one can help them up, and they can't stop living in a hospital. ”

Luo Hao's heart moved, and he looked at Wang Guohua.

As if he hadn't heard Wen Youren's words, the old director Guohua continued to ask, "I see that you did a very good job in surgery, and you practiced it when you were in school?" Are you teachers so hands-off? ”

"I practiced, and the teacher treated me well, and let me do more than a dozen units. I haven't done it for a few years, and it's a little rusty. Luo Hao said politely.

As he spoke, he pondered in his heart that it was said that Wang Guohua taught Wen Youren to perform surgery by hand, and after Wang Guohua retired, Wen Youren naturally took over the position of director.

According to the inheritance, the two have a close relationship.

But Wang Guohua directly ignored Wen Youren's appearance.

Eccentric.

"A bunch of waste, I'm in the hospital and I'm coming for emergency surgery. The donkeys of the production team are not used like this, ahem, there is no way, who made us doctors. Cure the sick and save people, cure the sick and save people, who will save me. ”

The voice was getting closer and closer, and Wen Youren strode in with a hanging bottle in one hand.

Entering the operating room, Wen Youren saw a familiar and unfamiliar figure - the old director Guohua stood ...... Standing in the position of the assistant, I was stunned all of a sudden.

This scene is familiar.

Many years ago, I learned surgery by myself, and the old director Guohua stood in the position of a helper and taught himself by hand.

The scene in front of him made Wen Youren in a trance.

The person in the sorcerer's position should have been himself, but now it was someone else.

He was stunned for a few seconds, and an ugly smile appeared on his face, "Master, why are you here!" ”

"Who taught you to go into the operating room without wearing a mask? Get out. Wang Guohua asked with a cold face.

Wen Youren turned around and left, panicking to go to the door to wear a mask.

The infusion tube in his hand hung on the door, and with his hurried movements, he brought the needle out of the blood vessel at once.

A stream of bright red blood fell to the ground.

Wang Guohua frowned and glared at Wen Youren viciously.

Blood can be splashed in the operating room, which is not uncommon, but the blood is from the patient.

A doctor hangs a lottery in the operating room...... Or in Wen Youren's way, it's really embarrassing.

"Doctor Xiao Luo, your surgery is done with a clear eye, fast and not chaotic, and the level is very high." Wang Guohua ignored Wen Youren and continued to "chat" with Luo Hao.

"Old Director Guohua, I will be proud if you praise me so much." Luo Hao smiled and said, "I haven't had surgery for a long time, and my hand is a little raw, so I can only follow the steps of surgery." ”

"Yes, there are a few places where the operation just now is very difficult, but I see that you are very meticulous and the degree of completion is quite high. It's not perfect, but it's not something to find fault with. Wang Guohua continued to praise.

Wen Youren covered his bleeding hands, and what he heard in his ears was his master, Director Wang Guohua, praising Luo Hao.

His heart was almost twisted into a ball, and it was awkward beyond words.

If you want to appear in the operating room when you are in danger, you can tell Lin Yuming with your actions that it is not okay for the mine to leave you!

The abacus crackled, but the truth was something else.

Lin Yuming not only invited the old director of Guohua to do the emergency department, but the surgeon was especially Luo Hao!

Wen Youren held the blood vessels cut by the infusion needle in his hand and kept hanging at the door of the operating room.

"Director Wen, will you go and bandage it first?" When the anesthesiologist saw the blood on the ground, Wen Youren stood at the door as if he didn't feel it, and could only remind him.

"Huh?" Wen Youren was stunned for a moment.

"Harm, look at what this is all about." The anesthesiologist scratched his head, asked the assistant to take care of the ventilator, took Wen Youren to bandage, and set up the steps for Wen Youren.

"When did Director Guohua come?" Wen Youren still seemed like a dream when he was bandaging, and muttered.

The anesthesiologist glanced at the drip bottle, there was no word on it, and as he guessed, it was most likely just saline, which was used to fool people.

Director Wen did this, and the anesthesiologist had mixed feelings.

"It is said that this side sent the patient, and Director Lin went to the old director Guohua's house to ask for someone." The anesthesiologist said, "Director Wen, you are ...... Ahem, there should be a connection with the old director of Guohua. ”

Wen Youren knocked over a bottle of soy sauce in his heart, and all kinds of strong flavors made him crazy.

Wang Guohua, his master, who would have thought that he would be invited to save the stage by Lin Yuming, a dog thing.

Although I didn't expect it beforehand, now that I think about it, everything makes sense.

I am "seriously ill", and there are emergency patients who want to cut the intestines, who else in Donglian City can safely win the relevant surgery?

Only Master Wang Guohua has the greatest certainty, even if he hasn't touched a knife for 3 years.

Wen Youren's "wound" was not large, and it took less than 1 minute to complete the simple bandaging.

"Director Wen, where are you going?" The anesthesiologist asked cautiously.

He sighed inwardly.

A few days ago, at the hospital-wide consultation, Wen Youren was slapped in the face by Director Lin in public, which was a slap in the face in the real sense.

From spirit to body, Wen Youren was rubbed by Director Lin.

So much so that this kind of thing is happening today.

Now I'm caught between them, and it's quite difficult.

The anesthesiologist is ready to play dead and say one less word if he can.

Wen Youren was also a little sober at this time, he didn't answer the anesthesiologist's words, but strode to the operating room.

"Xiao Luo, how many acupuncture methods are there to anastomoses the intestines?"

A familiar and friendly voice came from the operating room, and Wen Youren almost didn't cry when he heard it.

When Director Guohua took himself to surgery, he always asked that.

I dislike Director Guohua in my heart, late Alzheimer's.

But at this moment, hearing the same question again, Wen Youren's footsteps involuntarily paused.

"If you want to suture the whole layer of the back wall, you can use the stitch method of simple interrupted suture, simple continuous suture, and continuous seam suture."

"The whole layer of the anterior wall can be closed with simple interrupted sutures, continuous full-thickness horizontal mattress varus sutures and other stitches."

"The most commonly used thing for bowel resection anastomosis is the intermittent vertical mattress varus suture needle."

"Skilled?" Wang Guohua asked thoughtlessly.

"It's okay, I'll get a stitch, Director Guohua, you can stop at any time if it's not suitable." Luo Hao said.

"Xiao Linzi, urge, what is Xiao Chi in the pathology department doing, it's been 15 minutes, and the intraoperative freezing hasn't come out yet!"

"Director Guohua, there is still time to send frozen specimens, don't worry." Lin Yuming smiled and comforted.

Everyone knows what kind of temper Wang Guohua is.

In the past few years, there were many knife wounds and car accidents in the emergency department, and as long as he encountered an emergency, Wang Guohua would start scolding when he entered the operating room.

His shouting sound was like a whip, whipping on the backs of the itinerant nurses and anesthesiologists, snapping, urging them to run.

After not having surgery for a few years, Wang Guohua is still old-tempered.

Lin Yuming said that, but he still took out his mobile phone and dialed the number of the pathology department.

"Intermittent vertical mattress inversion suture is not that simple, Xiao Luo, be careful not to be found fault by me."

"There must be a problem, Director Guohua, you point it out, and I will correct it."

Wen Youren walked into the operating room in a chatter between the old and the young.

Now it seems that the old director of Guohua and Luo Hao are the inheritors and apprentices, and they are outsiders.

Why is this happening!

Wen Youren's legs seemed to be filled with lead, and he couldn't move.

But the old director Guohua came to do emergency surgery, and he also showed up, didn't he say hello and turn around and leave?

Wen Youren hated Lin Yuming's old dog to death!

It's just too insidious!!

"Director Wen, you're here." The itinerant nurse saw Wen Youren come in and beckoned.

"Well, Master, I'm sorry, I suddenly fell ill, and I have to work hard for you to run." Wen Youren gave a perfunctory word to the itinerant nurse and immediately greeted Wang Guohua.

"It's not as good as me at such a young age, I heard that you are hospitalized, hurry back and rest." Wang Guohua said quietly.

"Master, I'm embarrassed that you're here." Wen Youren said cheekily.

"Director Guohua, intraoperative freezing is benign!" Lin Yuming reported excitedly.

The originally oppressive atmosphere in the operating room suddenly became cheerful.

The fact that the cut tumor is benign is enough to make people happy.

"Sew!" Wang Guohua was not verbose, holding a big tweezer, and his little finger hooked the line scissors and prepared to be Luo Hao's assistant.

Luo Hao stretched out his hand and slapped the needle holder on his hand.

Waiting for the intraoperative freezing, the benign results are like a spring breeze blowing open the frozen lake, and the terminated operation finally begins again.

Luo Hao was not in a hurry, and checked the needle holder first.

The front 1/3 of the needle holder clamps the arc of the needle body and the back 1/3 of the arc.

After trying, the needle holder clamps the needle without shaking, loosening and turning, and does not buckle the needle holder all over the mouth.

Luo Hao holds the needle holder buckle 2 teeth.

He was very serious, and he didn't feel any pressure on him from the position of assistant by the old director Guohua.

Like a soldier about to go to the battlefield to wipe a gun, Luo Hao checked meticulously until the needle holder completely conformed to his operating habits.

Then Luo Hao held the tweezers in his left hand to lift the outer tissue of the intestine, and held the needle in his right hand for suturing.

The needle tip is aligned with the needle insertion point, and the needle holder is rotated in situ by the external rotation force of the wrist and the anterior wall, and the needle is inserted along the arc of the needle and then threaded out at the corresponding symmetry point on the opposite side, and the needle is fixed in place with forceps.

The whole process is as smooth as flowing water.

Wen Youren's eyes gradually widened, and his pupils gradually narrowed, as if he was looking directly at the sun.

There is a book written in the intermittent vertical mattress type inversion suture, but there are many things written in the book, and there are few people who can use the knowledge in the book in practice.

The intestinal anastomosis is not simple, and the force used is greater, and it will indeed be "sutured", but complications such as local anastomotic ischemia will also come as scheduled.

After the operation, the anastomosis cannot grow, and the intestinal fluid leaks into the abdominal cavity, causing acute and chronic peritonitis, and a section of the intestinal tube must be incised twice.

And the force used is small, and the intestines can't fit together at all, and there will still be the previous problems.

Not too much strength is not too small, so some details of intermittent vertical mattress varus suture are the key and difficult points of intestinal anastomosis.

Without the earnest teachings of the old experts, the experience of past failures is told to the practitioners; Without the tempering of a dozen or dozens of surgeries, it cannot be completed no matter what.

However, Luo Hao lifted the weight lightly, and the intermittent vertical mattress inversion suture was very beautiful.

Wen Youren asked himself, although he could match smoothly, he was definitely not as good as Luo Hao.

He!

How is it possible to master such a high-end surgical method!!

Luo Hao finished stitching, knotted, the needle holder in his right hand finally raised up slightly, and the thread scissors of Wang Guohua's right little finger hook came as scheduled, falling along the suture line to the knot, and then lifted up, 5 millimeters away from the knot, and cut the anastomosis line.

"Not bad." Wang Guohua said, "A little bit of the style of my youth. ”

“!!!”

The old director of Guohua simply said a single sentence, but it sounded in Wen Youren's ears like a flat thunder.