Under normal circumstances, surgery is usually performed during the day.
If there are few surgeries, schedule them more often in the morning.
During an operation at 9 a.m., the nurse will usually tell the patient and family members not to eat or drink the night before. The purpose is to prevent patients from being exposed to danger during anesthesia during surgery.
After anesthesia, muscles relax and food refluxes into the airway, which can easily cause suffocation.
Then some patients will suffer from urinary and fecal incontinence during the operation, which will definitely pollute the operating room environment and make the medical staff feel bad.
This patient's surgical plan was discussed at around 12 noon, and the surgery was scheduled for the evening, indicating that the patient and family members may have been in a hurry.
It's also possible that the surgeon has other arrangements tomorrow and works overtime at night to perform the surgery.
On the way to the Orthopedic Surgery Inpatient Department, two messages sounded in succession.
He took out his cell phone and took a look at it. It was a message from 'Little Huihui in the Valley'.
"Is the clinic finished?"
"The operation is about to begin here, operating room four on the third floor of the surgical building."
It was probably Professor Wu who asked Ou Qinglan to ask.
Professor Wu was an interesting person. He forced Li Jingsheng to participate in this operation, not expecting Li Jingsheng to be of any help during the operation. It's about repairing the relationship between the two, while still trying to win over each other.
Any team leader hopes that the team will become stronger and stronger.
The most important of these is talent.
Li Jingsheng has demonstrated strong skills in critical illness diagnosis, rescue, and extra-orthopedic diagnosis. Coupled with his unique advanced bone-setting techniques, he is indeed a rare and important talent in orthopedic surgery.
If they can be recruited into the second group, the strength of the second group will be greatly enhanced immediately.
"almost there!"
Li Jingsheng only replied with three words.
Then he put his phone on silent and quickened his pace.
Nowadays, because most operating rooms are laminar flow, the requirements for sterility have been reduced. Doctors can bring mobile phones into the operating room, but in most cases they need to be left in a storage compartment in the dressing room.
If the management is more relaxed, you will be allowed to carry it with you.
Mainly because it was difficult to pass the test as a traveling teacher.
If you have your cell phone with you, be sure to turn it on silent. Otherwise, if the surgeon is concentrating on the operation and his cell phone rings, the surgeon will glare at him at the slightest sound.
If the operation does not go smoothly, congratulations, it will be a minor offense to be scolded by the surgeon until the end of the operation.
He soon arrived at the third floor of the surgical building.
"Doctor Li, this way!"
An intern from the second team stayed in the corridor waiting for him.
Seeing Li Jingsheng coming, she waved to him happily.
Seeing the brother's happy look, Li Jingsheng secretly guessed that Professor Wu might have given him an order not to enter the operating room before he waited. In that case, he will miss another valuable internship opportunity.
For interns, being able to enter the operating room and perform an operation with the director is a rare opportunity for advancement.
"Aren't you late?"
"It's not too late. Professor Wu and the others have only been in for ten minutes."
"How many surgeries will be performed tonight?"
"There seem to be two. One is to remove the long osteophyte on the ulnar stump, and the other is to remove the ganglion cyst."
Opening the door to the operating room, the two of them walked in together.
After entering the dressing room and changing into surgical clothes and slippers, Li Jingsheng entered the operating room inside.
Before entering the operating room, the doctor will ask you to take off your shoes and socks and put on special slippers. Mainly to prevent infection, we strive to create a sterile surgical environment.
Even though they are just a pair of small slippers, they must be strictly disinfected every day.
Rinse hands, wear gloves, wear isolation gowns, change slippers and other measures are just to try to control the number of bacteria in the operating room within the acceptable range.
A truly absolutely sterile environment is difficult to achieve.
The patient has been put on the operating table and given anesthesia.
Under normal circumstances, the intern or the surgeon will send the patient to the pre-anesthesia room in advance to make pre-operative preparations. Such as opening intravenous channels and so on.
Then wait for the nurse teacher to lay out the sheets, pull the patient into the operating room, and lift him to the stage.
Those who can walk on their own usually let themselves lie down.
The anesthetist usually arrives early, and the surgeon is often the last one to arrive.
Some interns have poor communication with their families or patients, procrastinate in doing things, and send patients to the operating room later than scheduled. At this time, it is easy to be scolded by the anesthesiologist.
Don't talk back, and don't look down on anesthesiologists and nurses, otherwise you'll be on your knees.
After being scolded, I heard that I would try to send the person over as early as possible next time.
If you really feel wronged, you can explain the reason tactfully.
At this moment, almost all the doctors from the second group were present.
After Ou Qinglan put on her slippers, her height was estimated to be over 1.65 meters, probably around 1.68 meters.
I didn't expect her to be quite tall.
Even wearing a mask and hood, her natural beauty could not be concealed.
From her delicate brows and eyes, to her smooth forehead and tall stature, her beauty is not diminished at all.
"Doctor Yu, can we perform surgery?"
When Professor Wu saw Li Jingsheng's arrival, he turned to ask the anesthetist.
It's a bit like waiting for important guests to arrive before serving food.
He tried his best to invite Li Jingsheng over, and he must give Li Jingsheng a good feeling in these details.
Dr. Yu glanced at Li Jingsheng intentionally or unintentionally, and then checked the patient's status and the data on the life monitoring equipment.
Mainly respiratory parameters, blood pressure, heart rate, blood oxygen, etc.
If a problem occurs during the operation, the instrument will emit different alarm sounds.
All doctors and nurses don’t want to hear the alarm go off.
But all surgeries carry risks, which are beyond the control of doctors and nurses.
What we can do is to make adequate preoperative preparations and examinations as much as possible to minimize risks.
"The patient's vital signs are stable, the anesthesia is in good condition, and he is ready for surgery."
"let's start!"
The nurse has already prepared the skin on the hand and marked the knife site.
Let’s talk about the importance of marking the knife site before surgery.
A patient had a knee tumor surgery.
Before the operation, he was asked to mark the surgical site, but he firmly disagreed. He insulted the medical staff in various ways and was extremely uncooperative.
There was no choice but to be sent to the operating room after final disinfection.
As a result, the surgeon had a very large volume of operations that day and was extremely busy. After the patient was brought in, he didn't ask. The surgery was supposed to be on his right knee, but in the end, the surgery was on his left knee.
After searching for a long time, I couldn't find the tumor, and I was very puzzled.
But this happens occasionally.
Sometimes there is a problem with the examination equipment, or the doctor makes a mistake in diagnosis, and some low-density or high-density examination results may be diagnosed as tumors.
Of course, such mistakes are relatively rare.
Clinically, observation is often recommended for tumors less than 1cm. If you are really worried, you may be advised to do a needle biopsy or something like that.
There is a risk consideration: the tumor is too small and may not be found after incision.
This patient who refused to mark the knife site also paid the price for her coquettishness.
The surgeon couldn't find the tumor and could only help her sew up the incision.
As a result, when she left the operating room and woke up from general anesthesia, she discovered that the wrong incision had been made and caused a scene in the hospital.
The surgeon was punished as a result of the misfortune and performed another surgery on her.
But there was nothing she could do about the extra stab she received.
Therefore, you must cooperate with medical staff in preparing the skin before surgery and marking the knife site.
Sometimes when you act petty, the price you pay is often very painful.
At this moment, the patient is under general anesthesia.
For hand surgery, if it is a minor surgery, a brachial plexus block is usually used.
If the surgery is relatively large and takes a long time, general anesthesia will be given priority.
The specific anesthesia plan is determined by the anesthesiologist.
He will develop an optimal anesthesia plan for the patient.
"I won't go into details about the selection of the knife position. Choose the most favorable approach. The principle is to quickly expose the lesion after incision and try to avoid large blood vessels and important nerves. If a patient meets the conditions for secondary surgery, try to Consider the original incision approach.”
Professor Wu patiently taught the surgical experience to his doctors.
Because there are many young novice doctors, they must be taught from the most basic level.
"Don't try to save trouble when cutting, cut layer by layer, and try to control the angle of the knife edge. Qin Fei, you must get rid of your bad habit of dragging the knife."
"I'm already working hard to correct it. Recently I go home and practice with pig skins every day."
Qin Fei quickly replied.
Dragging the knife and shaking hands are the most common problems for young doctors.
When operating a knife on a patient, inner tension is an unavoidable and inevitable phenomenon. Only those veteran doctors who have experienced hundreds of battles can have a steady hand and peace of mind when operating.
If you drag the knife when cutting the epidermis, the problem may not be big. At most, the incision will be a little longer.
If you drag the knife when cutting important tissues or resecting lesions in the thorax and abdominal cavity, there will be no accidents.
Dr. Qin comes from a good family. He buys pig skins every day and practices hard at home, which will definitely help improve his surgical skills.
But compared with Li Jingsheng's attribute panel, it's not even a bit worse.
Dr. Qin bought a ton of pig skin and practiced hard at home for a year, but he may not be able to compare with Li Jingsheng's direct addition of 100 points of proficiency to the epidermal incision method.
Professor Wu invites Li Jingsheng into the operating room, where he will soon discover the 'New World'.
"Huang Qianren, pay attention to how I cut the subcutaneous tissue. The wound you made is like a dog bite. This is caused by the instability of holding the knife and poor hand skills when cutting the skin. You can take more when you go home. The pencil learns to draw straight lines and exercises chirality.”
"Understood. Since you said it last time, I have been practicing drawing straight lines every day. I believe you will definitely see my significant progress over time."
The person who answered was a young doctor in his late twenties, with a popular face.
There are pits on the face left after acne heals.
This Dr. Huang doesn't seem to talk much and is a rather dull person.
At this moment, he can also stand on the operating table, and his status in the second group should be second only to Qin Fei.
Li Jingsheng basically had a preliminary understanding of the members of the second group.
Poor chirality is a big problem and indicates poor surgical talent. Not only will it be reflected in the most important basic surgical skills of incision, but it will also appear to be "clumsy" in aspects such as suturing, insertion, and knotting.
However, if you have great perseverance and can persevere in practicing surgical skills, there are many examples of late bloomers.
Li Jingsheng only knew that Luo Zhenggang, chief physician of the General Surgery Department of the First Hospital, had extremely poor surgical talent. At the age of thirty, he had obviously been promoted to attending physician, but his surgical level was not even as good as that of a regular trainee.
He was disliked by superior doctors in various ways.
Later, through diligent study and practice, he became a very famous surgeon in Lijiang City at the age of fifty.
He is often asked to do "flying knives" by top students. I heard that the cost of a "flying knife" is at least 5,000 to 10,000 yuan.
It can be said that he is a sure winner in life.
It is a successful case of counterattack.
Professor Wu is teaching and operating at the same time.
A wound of more than 11cm long has been cut on the patient's hand.
This wound is relatively large.
Dr. Qin and Huang Qianren were responsible for retracting the hook, allowing the surgeon to have a clearer surgical field of view.
Ruan Xiaoqin was responsible for stopping the bleeding and sucking away the accumulated blood from the wound.
Looking at the electrocoagulation knife in Dr. Ruan's hand, Li Jingsheng felt envious and even felt itchy.
If only he could try it.
He dreams of buying an electrocoagulation knife and putting it in a clinic.
Professor Wu’s incision skills are pretty good.
At least the crotch was not stretched and the amount of bleeding was not large.
Slightly larger blood vessels were avoided by him accurately.
To be able to become a chief surgeon, your surgical ability may not be very strong, but you will definitely have some outstanding qualities.
Then the basic ability will not be much worse no matter how bad it is.
The operation was carried out normally, and Li Jingsheng was invited over, but he just stood in the audience and watched.
Professor Wu didn't understand his ability, so he naturally didn't dare to give him a chance to get started.
Also, there is a difference between inside and outside.
The doctors in the second group should be given priority when it comes to exercise opportunities.
After all, Li Jingsheng is just an outsider.
It was so late at night that he didn't even go back to the clinic. He came over to participate in the operation. He just stood under the stage and watched it from a distance. Li Jingsheng would definitely not be willing to accept it!
He subconsciously checked the various surgical skills in the skill column of the attribute panel, as well as the health points of more than 200 points.
His eyes flickered, and he was trying hard to find opportunities to express himself.
This operation required the removal of the ulnar stump and the surrounding periosteum. It was a very risky and technically demanding operation, and it was impossible to give it to him.
Didn't you see that even Ruan Xiaoqin, the attending physician, only has the chance to be a first aid?
Then the only thing that can be obtained is the chance of suturing.
"Wipe the sweat!"
Professor Wu seemed to have something wrong at this time.
It can be seen that there is a large artery at the ulna to be resected, and it spreads out toward the end of the hand in a branch-like manner.
The light yellow one next to it is probably a nerve.
Before resection, blood vessels, nerves and lesions must be separated.
It seems quite difficult.
The main reason is that a certain degree of adhesion has occurred.
The person responsible for wiping Professor Wu's sweat was not a nurse, but Ou Qinglan.
There are only three nurses in the operating room, one instrument nurse, one circulating nurse, and the remaining one is the anesthesia nurse who comes with Dr. Yu.
It is unlikely that the anesthesia nurse will be able to wipe the surgeon's sweat.
Anesthesia nurses and anesthesia doctors are partners. They are only responsible for the patient's anesthesia and the stabilization of vital signs during the operation.
It is also impossible for a device nurse to do this job.
She wears gloves and needs to be kept clean and sterile.
Let the surgeon wipe the sweat of the chief surgeon. Think about it, I am afraid that the chief surgeon must have some status.
Professor Wu should not have this status.
Of course, if there are not enough staff, there is no need for circulating nurses to do this job.
But now, it is almost inevitable for Ou Qinglan to do this job.
Li Jingsheng felt a little uncomfortable watching his girlfriend wipe Professor Wu's sweat, but he also knew that this was work.
Professor Wu continued to try to separate the patient's blood vessels and nerves from the lesion, with sharp eyes and a solemn expression.
Beads of sweat continued to break out from his forehead, but the operation progressed extremely slowly.
It can be seen that his separation technology is not good enough.
If you hold it to death, it will be at the proficiency level.
Equivalent to the level of senior resident doctors.
Dissection is an extremely difficult surgical skill to improve. Chief orthopedic surgeons like Professor Wu do not have many opportunities to practice this skill.
It’s pretty good that the level can reach this level.
Li Jingsheng felt his heart pounding when he saw it.
He currently masters the sharp separation technique and the blunt separation technique. Although they are only entry-level, he has more than 200 health points.
It's completely possible to sharpen one's weapon before the battle and level up these two separation techniques in an instant.
"This vascular plexus is a bit difficult to deal with!"
Professor Wu began to find a way out for himself. After all, in front of so many doctors, operating room nurses, and anesthetists, he was a little embarrassed.
"When encountering this kind of situation, you must remember not to rush. Work slowly and carefully, and you must separate it bit by bit. If you break the arteries, you will be in trouble."
As he was speaking, his expression changed.
The hands also stopped.
An overly frightened look.
Li Jingsheng saw it clearly and almost cut his blood vessel.
It is possible that the outer wall of the blood vessel has been damaged.
Fortunately, the work was done carefully and the movements were extremely cautious, otherwise I would have been slapped in the face right away.
An accident almost happened, and Professor Wu was obviously a little out of his depth.
I guess I felt a little weak at the moment.
Li Jingsheng was also a ruthless person. Seeing that the opportunity was too good to miss and would never come back, he simply gritted his teeth.
It directly promoted the sharp separation method from beginner to proficient level.
When he looked at the vascular plexus and nerves again, he felt that he was sure to win.
There are just some places where blunt separation might be better.
Therefore, he directly upgraded the blunt separation method to the proficiency level.
If he has enough health, he will definitely want to upgrade to Xiao Cheng level to be safer. Now that the "pocket" is not strong, we can only do what we can.
With the master-level sharp and blunt separation methods, it is enough to cope with the surgery at hand.
Among the doctors under Professor Wu, Ruan Xiaoqin is the most cunning. This person's flattery skills should be quite good.
Anyway, he is the kind of person who knows how to understand the thoughts of superior doctors and can please his superiors.
From the first day Li Jingsheng joined the Orthopedic Surgery Department, Ruan Xiaoqin's various ways of 'stoking discord' with him were obvious, and he was helping Professor Wu deal with Li Jingsheng.
Now that Professor Wu is interested in recruiting Li Jingsheng, Ruan Xiaoqin's attitude towards him has also undergone some obvious changes.
No more mischief.
Li Jingsheng didn't know how strong Ruan Xiaoqin's medical skills were.
According to the survival laws of human nature, people who are good at flattering are generally not good at technical work.
Because they can get good treatment by flattering others.
There is no need to work hard to practice skills.
The remaining two people, Qin Fei and Huang Qianren, held the hook honestly without saying a word.
With Dr. Qin's character, if he was sure of completing this separation, he would have rushed to take action eight hundred years ago. He would not miss any opportunity to show his face in front of Ou Qinglan.
As for the other two residents and three interns and trainees, it is unknown whether they can do it well, let alone such high-tech work, even if it is suturing skin.
"Professor Wu, I see that your physical exhaustion is quite serious. Can you let me try it? I did this kind of work when I was working in the First Hospital."
In order to get this training opportunity, Li Jingsheng could only tell a white lie.
(End of chapter)
