In the First Hospital, let alone doing high-risk tasks such as blood vessel and nerve separation, he is not even used for retractors.
"Oh, have you ever done this kind of work?"
Professor Wu's eyes brightened slightly, like a drowning man seeing a savior.
"I've done some work, so I have some experience."
Li Jingsheng lied without batting an eyelid.
He did do separation work, but it was in his small clinic instead of the No. 1 Hospital.
"Because the adhesion is serious and it is a vascular plexus, separation is very difficult and the risk is high. How sure are you?"
Although Professor Wu really wanted someone to help solve the problem, he still did not dare to take it lightly.
The main concern is safety accidents.
"I can't say I'm 100% sure, I'd say about 70%! One thing I can assure you is that I will be careful when doing the operation. If you feel there is a risk, you can stop it at any time."
Li Jingsheng naturally did not dare to speak too fully.
The anesthesiologist Lao Yu looked at him with surprised eyes.
Even though Dr. Qin was wearing a mask, he probably couldn't help but open his mouth.
The most exaggerated one was Ruan Xiaoqin, whose eyes almost fell out of shock.
Ou Qinglan's bright eyes narrowed. She had seen Li Jingsheng perform surgery. That time at the clinic, she also made a guest appearance as a device nurse.
He has a certain understanding of Li Jingsheng's surgical abilities.
Although Li Jingsheng successfully separated the patient's mandibular abscess that time, the difficulty of separation is not at the same level as the current operation!
How courageous he is.
Ou Qinglan didn't say anything. She could understand Li Jingsheng's desire to make progress.
It's the same for everyone. Which young doctor doesn't want to get more hands-on training opportunities?
But everyone will do what they can.
Because if you mess up and have an accident, the superior doctor may not use you for life.
"Then you give it a try! I have been busy with work recently and lacked exercise, so my physical strength is really not as good as before."
Professor Wu also used the slope to get off the donkey.
Li Jingsheng gave him an excuse for being seriously exhausted, and he actually used it.
Shameless enough.
But sometimes people just have to be shameless.
If a person is humble, he will be invincible in the world.
"Okay! Thank you for trusting me."
Li Jingsheng was extremely happy and was about to go on stage.
I was stopped by the circulating nurse.
"Hey, hey, do you understand the rules of sterility? Just rush to the stage like this!"
"Sorry, I was so excited that I forgot about it."
Li Jingsheng quickly followed strict sterile procedures, took off his gloves, washed his hands again, put on new ones, and then put on a disposable isolation gown for surgery.
The cost of this consumable will be included in the patient's treatment fee.
Therefore, it is not easy to get on stage.
Once you enter the operating room, you enter the territory of the traveling nurse. They have a strong awareness of sterility. If the doctor does not do a good job, he will definitely be scolded.
Li Jingsheng was scolded badly in the First Hospital.
It's also a good thing. Now whether they wash their hands, wear gloves, or dress, they are all very professional, which also makes the traveling nurses' eyes look much softer.
At the same time, Professor Wu also believed that he was someone who had trained in the operating room of a large hospital.
The experience of washing hands and dressing has not been practiced in the operating room of a large hospital. It is easy to touch randomly or tie the clothes in the wrong order, causing a piece of clothing to be scrapped.
"Come on, stand in this position."
Professor Wu took the initiative to give up his position, but he did not step down from the stage. Instead, he stood on the opposite side and watched.
If Li Jingsheng brags and is not strong enough, he will immediately stop him.
Doctor Qin looked at Li Jingsheng standing at the surgeon's position and couldn't help feeling jealous. His eyes couldn't help showing a look of gloating, hoping that something would happen to Li Jingsheng and then sit on the bench.
Li Jingsheng was seen calmly standing at the surgeon's position.
"Tweezers."
This is for the equipment nurse.
When setting up a new instrument nurse, it is best for the surgeon to inform you in advance of the need for instruments or utensils.
Only surgical nurses who have worked together for a long time can be familiar with the surgeon's habits and provide surgical instruments accurately and timely.
The toothed tweezers struck his hand.
Some large-scale operations will have two hand-washing nurses, who work together to deliver instruments to the surgeon or medical assistant.
There are a lot of things to pay attention to here. Needless to say, the tips of knives and sharp instruments must not be pointed at people.
It's common sense.
Usually, it is not handed over gently, but directly into the hands of the surgeon.
For example, when Li Jingsheng wants instruments now, he stares at the patient's lesion, raises his right hand, spreads it out, and palms up.
The nurse accurately patted the instrument he asked for into his hand.
When performing surgery, the doctor must concentrate and sometimes cannot take his eyes away from the surgical site. Can't even turn my head, turn around, etc.
"Scalpel No. 15!"
After Li Jingsheng got the tooth forceps, he held the forceps in his left hand and took a look at Professor Wu's separated blood vessels, nerves and other tissues.
He shook his head inwardly.
After all, he is a chief physician. Can't he improve his separation level?
Lose your share!
The parts are separated as if they were bitten by a dog. The parts that can be separated with one knife must be stabbed dozens of times in a death-like manner. Isn't this looking for sin?
For example, where a blood vessel bifurcates, it can be separated with just one knife, but it would be a thankless task to perform more than a dozen knife operations.
It would be troublesome for a surgeon who has achieved the level of sharp dissection to operate it, let alone a surgeon with Professor Wu's level of proficiency.
"Are you sure you want a No. 15 scalpel?"
The equipment nurse is about thirty years old, which is considered relatively older.
Should have extensive experience in surgical cooperation.
When a young doctor like Li Jingsheng came on stage, she must have felt a bit of contempt in her heart.
This is also human nature.
"Sure."
Li Jingsheng's tone was very certain.
The No. 15 scalpel is relatively small and flexible, and is often used for cutting deep tissue and tissue such as ophthalmology and coronary artery bypass grafting.
She may feel that the separated tissue is larger and a larger scalpel is more appropriate.
Although she had doubts about Li Jingsheng using such a small scalpel, after receiving confirmation, she still cooperated and patted the knife in Li Jingsheng's hand.
Professor Wu said nothing, thinking that Li Jingsheng used a smaller scalpel out of 'caution' and safety considerations.
After Li Jingsheng took the scalpel, he clamped the upper part of the blood vessel with tweezers, lifted it up, and then cut it directly with the scalpel.
Fast and hard.
When Professor Wu saw this posture, he was almost frightened out of his wits.
You are careless. Such a high risk should not be allowed to a young doctor who does not know the basics.
What if this breaks the blood vessel?
Qin Fei was also frightened.
Is this guy named Li a madman? If you dare to cut through such a large arterial plexus so violently, do you really think this is an anatomy internship in the laboratory?
"Stop, stop, stop!"
After Professor Wu came to his senses, he hurriedly shouted stop.
But when he looked at the separated blood vessels, he couldn't help but froze.
I subconsciously push my glasses up with my hands.
"Director Wu, you can't touch your glasses with your hands."
The circulating nurse quickly stopped him.
"Oh, sorry, I forgot this was in the operating room."
Professor Wu sincerely accepts opinions.
He opened his eyes wide and stared at the part where Li Jingsheng had just separated.
"This, this technique is amazing! One cut separated such a large section, and the incision was neat and close to the blood vessels without damaging the blood vessel walls. The knife was closed just right. Not bad, not bad. Just be gentler, look at you This fast and violent movement makes my heart a little unable to resist."
After Professor Wu saw Li Jingsheng's separation results, he was really shocked.
This separation technology is very good.
At least one level better than his chief physician.
The tissue area that had troubled him for a long time had been solved by Li Jingsheng with one knife.
"You're right? You're so violent and nothing happens?"
Qin Fei murmured to himself, his face full of disbelief.
"Xiao Qin, what are you talking nonsense over there? If you dare to talk nonsense again, get out of here immediately."
It is very taboo to say the word "death" in the operating room, or negative words such as cursing something bad during the operation.
It's okay for the surgeon who doesn't believe this. If he meets a superstitious one, he will be kicked out of the operating room on the spot.
If the patient is not under general anesthesia, he will feel even more frightened and unlucky after hearing this.
"I mean, Dr. Li is so good. I learned today that separation can still be done in this way."
Doctor Qin quickly corrected him.
If you don't even have this ability to adapt, wouldn't the nearly one year of hospitalization be in vain?
The general resident has to live in the hospital, all year round, and deal with all matters, big and small.
It can train people very much.
People with wives and children hate doing this the most.
It’s hard to go home several times a year.
"Dr. Li can do this. If you don't have the ability, don't learn it blindly. Otherwise, you will be imitating others and it will be easy to get into trouble."
Professor Wu stopped his crazy idea on the spot.
"understand."
Dr. Qin was deeply shocked.
Not even qualified to learn and imitate, which is too damaging to people's self-confidence.
This guy surnamed Li only has excellent diagnostic skills. How come his surgical skills are better than his diagnostic skills? How can you play with such a monster opponent?
He subconsciously glanced at Ou Qinglan, who was as beautiful as a fairy, and felt a wail in his heart. It seemed that the most beautiful woman in the department was going to be snatched away by someone named Li.
"Professor Wu, can I continue?"
Li Jingsheng was doing a good job, but was suddenly stopped and was very depressed.
"Yes, of course! Doctor Li, you must be careful!"
Professor Wu warned him.
I want to see it but I don’t dare to see it.
Mainly worried about being scared into having a heart attack.
This time, Li Jingsheng returned the scalpel to the instrument nurse.
"Tweezers!"
What does he need two tweezers for?
The instrument nurse knew that she might have met a master. This time without any hesitation, she directly put the tweezers into Li Jingsheng's hand.
Everyone was staring closely at Li Jingsheng's movements.
I saw him using two tweezers to perform blunt separation.
The movements are deft and skillful, and the strength is just right.
Experts will know if there is one as soon as they take action.
Seeing this, Professor Wu already understood that the young doctor in front of him was very skilled in separation surgery.
At least it's at the attending level.
Judging from his familiar and relaxed appearance, he obviously still has some energy left.
This is so easy!
"Knife No. 20!"
After Li Jingsheng separated part of it bluntly, he separated it sharply again and changed the scalpel.
…
The nearly twenty minutes of separation of blood vessels, nerves and other tissues almost turned into his personal performance.
Everyone has become more knowledgeable.
It turns out that Dr. Li in this manual reduction clinic actually has such strong surgical skills.
It's amazing.
"Okay, the separation is over."
After successfully completing this 'difficult' task, Li Jingsheng stepped aside.
I secretly checked the results of the property panel.
In addition to the proficiency of sharp separation and blunt separation increasing by 10 points each, his health points also gained 101 points, which made him very satisfied.
The way everyone looked at him was completely different.
Some are adoration, shock, admiration, envy, to name a few.
"Thank you for your hard work, Dr. Li. If you have surgical training opportunities in the future, I will give you some more as appropriate. You performed very well today."
Professor Wu kept praising him.
For the second group, foreign aid is required for many difficult surgeries.
Professor Wu dreams of training his doctors so that they can solve problems on their own in the future.
His family knew about his family affairs, so it was okay for him to engage in academics, but to do surgery, that was basically what he would do in his life.
It's almost impossible to reach a very high level.
The most difficult separation of blood vessels and nerves was completed, and the subsequent resection was effortless.
Li Jingsheng knew very little about orthopedic surgery, so it was an eye-opener.
Professor Wu taught his doctors very patiently how to cut the periosteum and bones and what precautions to take.
He naturally learned from the sidelines.
"Professor Wu, can you leave the skin sutures to me?"
Li Jingsheng volunteered.
"Suturing such a long arm wound cannot be done with simple interrupted sutures or continuous sutures. Can you do it?"
Doctor Qin immediately became dissatisfied when he saw Li Jingsheng grabbing the opportunity to exercise.
This seam opportunity was what he wanted.
Sutures are also divided into parts, and suturing the limbs is actually the least difficult. The suturing requirements for the head and face are much higher, not to mention the suturing of organs or tissues in the cavity.
"I don't know which suture method to use? It's too difficult and I might not know how to do it."
Li Jingsheng asked Professor Wu.
"Both horizontal mattress sutures and intradermal sutures can be used. This suture is not particularly difficult, but it requires high suture levels. If Dr. Li needs less sutures, let Qin Fei handle it!"
After Professor Wu saw Li Jingsheng's ability to separate monsters, he valued him even more.
It's not that he doesn't want to give this training opportunity, but he is worried that Li Jingsheng won't be able to catch it.
"Considering that the patient is a male, over 40 years old, and usually does hard work to earn money. It may be more appropriate to choose horizontal mattress sutures. Moreover, horizontal mattress sutures also have a certain compression and hemostasis effect, which is also beneficial to this patient. If If you trust me, I can try."
Li Jingsheng gave a suture plan based on the patient's comprehensive condition.
He can analyze it so well, obviously he has rich experience in the use of horizontal mattress sutures.
Professor Wu pondered for two or three seconds and finally nodded in agreement.
"Okay, give it a try. If the suturing is difficult and you're not up to the task, let Qin Fei do it."
This opportunity to sew skin was given to Li Jingsheng.
"Everyone takes a short rest and prepares for the second operation. I have to go to the college tomorrow and have a doctor's appointment in the afternoon, so I have no time to do the operation. I will try to work overtime today to complete the operations on both patients."
Professor Wu was slightly relieved that the main part of the operation was successfully completed.
"The roving teacher will spread the sheet on the operating table and let Dr. Li do the sutures here first. We will go over there to do the second operation."
"OK!"
The traveling nurse agreed.
According to Professor Wu's opinion, Li Jingsheng's suturing would definitely take a long time.
Even if it is left to Dr. Qin, the chief resident, to perform the operation, it will take more than half an hour to sew it up.
Li Jingsheng's horizontal mattress suturing is currently at the proficiency level. Intradermal suturing is proficient level.
After getting this job, he didn't hesitate at all and used the health points he just earned to improve his suturing skills.
Spending the money you earn immediately to improve your medical skills is also very good.
After acquiring the proficient level of horizontal mattress suture, he immediately shocked everyone once again as soon as he started using it.
Whether it is the selection of the needle position, or the threading, gathering, and knotting of the needle during suturing, it is all remarkable. The efficiency is also amazingly fast.
How is this a novice who has never sewn a few times?
He was clearly a surgical veteran who had sutured patients countless times.
They are all qualified to be teachers and lead newcomers.
It only took eight minutes and twelve seconds to complete the stitching.
Check the wound after suturing to see that the sutures are neat, the incisional edges are tight and the elasticity is appropriate. If the score is 100 points, it would be at least a high score of 90 points or above.
"Dr. Li's suturing skills are very good! It's not like you only know a little bit!"
Professor Wu inspected the sutured wound several times, his eyes full of shock.
The more I looked at it, the more I felt that the suturing was really good, even better than that of the chief physician.
Although there are eight or nine doctors in the second group, there are very few who can do this kind of technical work.
And their level is not even a little worse than Li Jingsheng.
"Yes, the stitches on this wound are really good. Take a look and learn." While Professor Wu was extremely satisfied, he also asked his doctors to observe and learn together. "Dr. Ruan, your suturing is a weak point. If you have a chance, you can discuss it with Dr. Li!"
Professor Wu, his number one general, definitely wants to help him up.
It's just that in addition to the teacher's guidance, surgical operations also require personal efforts and a certain degree of understanding. Rather than flattering someone, you can improve your level.
"Your suggestion is very good. I will definitely discuss it with Dr. Li more in the future."
Ruan Xiaoqin expressed his position honestly.
Pay attention to his wording, not asking for advice, but discussing.
It shows that he is putting on airs.
"Dr. Li, don't say you don't have time then!"
Ruan Xiaoqin looked at Li Jingsheng.
"Okay, okay."
Although Li Jingsheng didn't like this person, he would not offend him.
He agreed perfunctorily.
Do you really want him to teach Ruan Xiaoqin to sew? Just dream.
There is no problem in letting him teach Ou Qinglan.
"I have never learned the horizontal mattress suture. Please teach me if you find an opportunity."
Ou Qinglan looked up at him.
There was a bit of coquettishness in her tone.
"No problem. As long as you have time, come to the clinic to see me at any time."
Li Jingsheng's relationship with her was now basically officially open in the hospital. If she went to his clinic, she wouldn't run away like last time.
This patient's surgery has been successfully completed.
Pushed to the recovery room to wake up from anesthesia.
A second patient was soon brought in.
The operation proceeds normally.
Ganglion cyst is not a big problem, but patients who do not know medical knowledge will inevitably feel very scared when they know that there is a tumor in their body.
Li Jingsheng stood aside and watched.
The tumor is not particularly big, so you can actually try massage.
But Professor Wu didn't agree, and there was nothing he could do.
Sometimes, it's like this on a boat, there are many things you can't help yourself with.
Let him persuade the patient to receive manual massage in front of Professor Wu?
That is something that can only be done by people who have not entered society.
After surgical incision, the mass was revealed.
"Dr. Li, your separation technology is very good. You can do the separation."
Professor Wu asked him to come directly this time.
Without any hesitation.
(End of chapter)
