(Chapter 6 has been blocked, and we are working hard to revise and unblock it.)
Zhou Qiao sat in the clinic, constantly reviewing the relevant medical knowledge and experience of appendicitis surgery in his mind.
The master-class appendectomy he redeemed included laparoscopy and traditional laparotomy. It was a comprehensive gift package and very worth the money.
After all, this was exchanged for 15 medical mystical points!
The previous healing plaster was a magical item and only had 5 medical points. The 15 medical mystical points now contain a lot of knowledge and experience, which is certainly not trivial.
As for ordinary plasters, they are probably not worth 0.01 medical points. How can something that can be bought for just a few dollars be valuable?
"I was careless before, there was no anesthesiologist!"
Zhou Qiao suddenly thought of a fatal problem. Without an anesthesiologist, the three little ones couldn't do many surgeries, especially those that required general anesthesia.
Doing it forcefully is illegal and can easily lead to accidents.
Unfortunately, laparoscopic appendectomy requires general anesthesia!
Rent an anesthesiologist outside? Without a monthly settlement agreement, Zhou Qiao would not be able to get the money. Another thing is that anesthesiologists usually have to make an appointment in advance. Now that the operation is about to happen, how can we make it in time?
Therefore, Zhou Qiao thought about it and decided to choose an appendectomy method that does not require an anesthesiologist from this comprehensive gift package.
That is, local anesthesia!
Many local anesthetics do not require the presence of a full-time anesthetist. The surgeon can do it himself.
Although this procedure is not widely used now, many primary doctors still value it for its effectiveness and few side effects.
It does not affect the function and vital signs of important organs, has almost no complications after anesthesia, and does not require important monitoring equipment. In addition, for patients with poor general conditions, older age or severe cardiopulmonary insufficiency, it is more effective than other anesthesia methods. It is safer and less likely to cause blood pressure fluctuations and anesthesia accidents.
The only thing that needs to be considered is the judgment of the patient's degree of appendicitis.
Mr. Westin is not over 65 years old and is in good health. Although his fever is slightly higher, according to Zhou Qiao’s “decades” of master-level experience, he can do it with local anesthesia!
"It would be even better if it could be redeemed for a perfect level one, but the time is too short and the medical mystical points are not enough. More efforts are needed!"
Elena and Ava held hands and jumped back. There are still burgers, fries, coffee and tea coming in and out.
"Qiao, I'm in and out of activities today, and there's a super discount on burgers and drinks, so I bought three cups of coffee. You can drink more later so you don't lose energy during the operation," Elena said.
Ava: "Is it because you didn't sleep last night?"
Zhou Qiao waved his hand: "I have a lot of energy!" He glanced at Elena secretly.
Elena shrugged and said to herself, you worked so hard last night and had another one this morning, are you really energetic? I'm so sleepy that I can't stand it without drinking coffee. If something goes wrong during the operation, the Iris Clinic's sign will be destroyed!
Elena picked up the coffee and sipped it in small sips. She did not apply any makeup or powder, her skin was naturally white, but her red lips were not dotted and were very delicate.
Zhou Qiao also secretly remembered one of the differences between the two sisters, that is, Elena likes coffee, while Ava loves black tea.
"Qiao, what are we going to do during the surgery? We don't have an anesthesiologist yet!" Ava asked.
The anesthesiologist in the clinic ran away. She just asked Elena on the way, how was the surgery plan decided? Elena hesitated and always changed the topic, so the worried Ava asked Zhou Qiao directly.
Zhou Qiao smiled and said: "After discussions between Elena and I, we decided to perform appendectomy under local anesthesia mode, which does not require the presence of a professional anesthesiologist."
Elena shrugged, drank coffee, tilted her head and made a face at Ava: "I told you a long time ago that Joe will find a way, why don't you believe it?"
Ava: "..." Why do you feel like your sister admires Zhou Qiao now? Do you feel like you are supporting him without thinking?
Zhou Qiao actually doesn't like to eat burgers. He eats these every day and feels like vomiting. Fortunately, Elena, an appetizer, can change things up a bit.
Just because of her beauty, after finishing the burger with three strokes and five divided by two, Zhou Qiao thought that when she was a little free, well, mainly when she had a little money, she would buy some ingredients to show off her skills and invite Elena. Try Chinese food with these two little babies, Ava!
After a while, Mr. and Mrs. Westin came back.
The inspection report hadn't been faxed yet, so Elena called to urge her. Within five minutes, the fax machine buzzed.
Zhou Qiao flipped through the report and found that the white blood cells in the blood routine exceeded the standard, but not too high; the B-ultrasound showed an enlarged appendix and surrounding abscess.
Abdominal CT showed no obvious abnormalities in other parts.
Consistent with the judgment during the physical examination, it was definitely acute appendicitis!
This was diagnosed by Zhou Qiaochun purely on his own, 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 face, he said confidently: "Mr. Westin, Mrs. Westin, let's start the operation right away! The sooner the operation is performed, the sooner the pain will be relieved. If it takes too long, other lesions will develop."
For example, there are mass formations, increased inflammation, large-scale adhesions in the abdominal cavity, etc.
Mr. Westin nodded. He had been struggling for so long and the pain was already unbearable.
Preoperative preparation, intramuscular injection of 10 mg of diazepam, 0.5 mg of atropine, disinfection of the surgical field skin, and draping of sterile drapes...
Choose the supine position, take a No. 8 needle, and infiltrate 1% lidocaine solution intradermally and subcutaneously along the incision. The puncture point is the most obvious point of appendix tenderness. The local anesthesia infiltration band is 10cm long and 5cm wide, and the dosage is 20mL... Insert subcutaneously from McBurney's point... to anesthetize the cutaneous branches of the nerve...
Zhou Qiao was shocked to discover that this master-level appendectomy skill was indeed not a secret. He almost didn't need to think much, and he didn't need to deliberately control it. He subconsciously completed various complex operations with his hands.
And every detail is special.
If you record a video, it will definitely be a ceiling-level instructional video!
After local anesthesia is completed, McFarland's incision is made in the right lower abdomen, the appendix is searched for, the mesentery is processed, the appendix and cecum are protected, purse-string suturing is performed, the root of the appendix is ligated, the appendix is cut off, the appendix stump is processed, the appendix stump is embedded, the mesentery is covered, and the abdomen is closed.
The whole process was completed in one go. Zhou Qiao flew with his hands, making the twin sisters Elena and Ava dazzled. As for Mr. Westin, he was very nervous because he was conscious.
"Dr. Zhou, has the operation started? How long will it take?" Mr. Westing frequently looked at the wall clock on the wall. Although it had only been seven or eight minutes, Mr. Westing felt as if five or six years had passed. The days are like years, and I feel like I can’t stand it any longer!
Zhou Qiao smiled slightly and said: "It's done!"
