"Haha, I just happened to encounter an intramural appendix during my internship. The patient's condition was very similar, so I am sure."
Jin Cheng stood aside, watching Director Tang skillfully dissect the appendix, and nodded secretly. In Jin Cheng's opinion, the director's endoscopic level should have reached diamond level.
Xu Yang smiled lightly and said, "It's really difficult to judge this kind of patient if you haven't seen him before!"
The implication is that Jin Cheng’s ability to diagnose relies entirely on experience.
Jin Cheng didn't take Xu Yang's words to heart. After all, he was already amazing in the field of microsurgery, as well as acupuncture and anesthesia. Now if he was so good at the appendix, Xu Yang would be hit hard. Multiplied.
Director Tang quickly dissected out the appendix. After ligation, the electric knife burned out and he was ready to start suturing.
The whole process takes less than 20 minutes.
Jin Cheng gave a thumbs up and praised: "Beautiful, the director's endoscopic skills are the only one in Changfeng City!"
Director Tang laughed and said without humility: "I have also worked hard on this emerging technology. In fact, my traditional appendectomy is at a higher level!"
higher? I don’t know if I have reached the master level. I don’t think so. The number of people at the master level in the entire province can be counted on one hand. How come it is so easy to achieve it. Except for a loser like myself, doctors in prefecture-level cities would have a difficult life.
"Jincheng, have you ever had an appendix operation?" Director Tang had already begun to suture the outer wall of the intestines. He was in a very good mood and began to care about Jincheng's weak areas.
Jin Cheng nodded and said with a smile: "When I was in the past internship, the teaching teacher let me do one. It is a case with good indications for surgery in all aspects."
"Oh? How did you do?" Director Tang asked.
"I was so nervous at the time. It took me almost 40 minutes to finish it, and the teacher assisted me throughout the process." Jin Cheng said with an embarrassed smile.
Xu Yang also laughed and said: "I also made a few sets during my internship. The first one took half an hour to finish. At that time, the teacher praised me for my good understanding!"
Xie Yalun gave a thumbs up at the right time and said with envy: "Brother Xu is still very good. I did the first one for half an hour, but in the end I couldn't do it anymore. The instructor directly took away the right to perform the surgery. I felt very sorry for the teacher at the time!" "
Everyone actively shared their first appendix surgery. As entry-level surgeries for surgeons, most of them were learned during internships. However, the current clinical practice is becoming more and more complicated. Even for appendectomy, opportunities are limited to regular students. It is occupied by advanced students, and it is difficult for interns to have the opportunity to operate alone.
"Ding dong, release the system task, complete ten traditional appendectomies within two days, task reward, laparoscopic appendectomy skills, level, gold level, mission failed, traditional appendectomy skills, master level downgraded to silver level."
What!
Jin Cheng was a little confused about this task, why was there still a punishment? Moreover, this intensity is too great. It is directly downgraded from master level to silver level, crossing the two levels of diamond and gold in the middle! There's no need to be so cruel, my master-level appendix skill hasn't been used yet!
How is it possible to have 10 appendixes in two days? Let’s not talk about whether there are so many patients. Even if there are, wouldn’t Director Tang and Xu Yang do it? They all have to do it laparoscopically, so why do they let themselves do so many traditional surgeries?
Jin Cheng doesn't need gold-level endoscopic skills, but it's unacceptable to be downgraded directly from master-level skills. How uncomfortable it would be to eat the meat in your belly and spit it out again!
"Jincheng, are you interested in appendicitis surgery?" Director Tang asked after suturing the intestinal wall.
"I'm interested! Although the appendix is small, it is still very challenging!" Jin Cheng replied quickly, realizing that an opportunity might come.
"Okay, I'll take you to surgery tomorrow. Our emergency department has limited instruments for laparoscopic surgery. We can only perform up to 3 laparoscopic surgeries per day. If there are too many patients, we can only use traditional incision. You can put down the laparoscope first." Let’s finish the traditional ones and then use the endoscopic surgery.” Director Tang arranged.
"Yeah, no problem!" Jin Cheng agreed readily.
Xu Yang sounded like something was wrong. Is Director Tang trying to train Jin Cheng? Didn't you say that he was only responsible for the trauma? Is Director Tang preparing to make him an all-around successor to the emergency department?
Xu Yang was thinking wildly, feeling a little unhappy.
The operation is over.
Director Tang asked Xu Yang to show the patient's family the removed appendix and tell them the results of the operation.
Xu Yang put the swollen appendix into a curved tray and left the operating room.
Jin Cheng and others also followed him out.
When he came to the dressing room, Zhao Xiaogang asked in a low voice: "Why don't you ask Director Tang to consult with the General Surgery Department? I think Director Niu from the General Surgery Department is also very good."
Jin Cheng shook his head and said: "Before you came to the hospital, the emergency department and the general surgery department had already broken up. Director Tang and Xu Yang in the emergency department are both engaged in general surgery. A large part of the patients were treated by themselves, which led to Director Niu It’s a big opinion. If you think about it, most cases of appendicitis and cholecystitis are emergency cases. Therefore, Director Niu can only treat patients through his own surgical outpatient department, and the general surgery department has never been able to increase its business volume. , tell me, Director Tang, are you embarrassed to invite Director Niu?"
Zhao Xiaogang nodded. Medical resources are limited and competition for patients is common in every hospital. As an upstream department, the emergency department has natural advantages.
"Brother, are you really planning to learn appendectomy?" Zhao Xiaogang asked again.
Jin Cheng nodded and said: "In the emergency room, you have to learn everything. When you are on duty, you won't be so panicked! If you can handle it by yourself, do your best to handle it by yourself. Are you willing to be called for surgery in the middle of the night?"
Zhao Xiaogang was convinced, "I want to learn too!"
After leaving the locker room, Xiao Lei came back from the seafood buffet and pestered Jin Cheng to give him another training on acupuncture anesthesia.
In the operating room demonstration classroom, Jin Cheng opened a small stove for him. Director Ding had already got off work, and two other anesthesiologists also came to participate in the training after finding out.
"Brother Lei, it's okay. You can try to prick each other tomorrow. I don't think it's a big problem," Jin Cheng encouraged.
Xiao Lei chuckled and practiced secretly every day, which was still very effective.
"Han Yue's technique is the most accurate, and the effect of acupuncture should be very good!" Jin Cheng couldn't help but admire Han Yue's learning ability.
After Xiao Lei heard this, the sense of superiority he just had disappeared instantly, but when he thought about it, he was also very good. Han Yue, like Jin Cheng, was an extraordinary person and could not be compared.
Returning to the emergency room, Jin Cheng asked Xie Yalun about the situation of the mother and son who fell into the water at noon.
I was told that it was nothing serious and I was transferred to the thoracic surgery department. Many caring people came to see her and donated money to her, and a housekeeping company arranged for people to take care of her mother and son for free while they were waiting for the surgery.
Jin Cheng nodded, wanting this effect.
