"Why do you only eat two side dishes again?"
Li Jingsheng took out his card and tried to swipe it, but the aunt who was cooking told him that the payment had already been made.
"I keep asking, I told you to lose weight! Just sit over there and eat!"
She said with some dissatisfaction.
"You give me so much food, I can't even finish it! Doctor Ou, please help me share some of it!"
"I've already eaten it, hurry up and eat it!"
Li Jingsheng was mainly worried that she didn't have enough to eat.
If he loses weight due to hunger, he will feel distressed.
And it feels like a rich girl like her shouldn't have suffered much. I don’t know what’s wrong with her recently? Ever since she returned to her parents' home, she has been acting strangely.
It just so happened that she had a very strong self-esteem and would not speak out if something happened.
Li Jingsheng has been hiding it all this time.
"By the way, Director Hua invited me to participate in a joint surgery at half past seven. Should you go back to your residence or what?"
"How about I wait for you outside the operating room! I also want to go back to your clinic with you, and then let you teach me suturing. After practicing yesterday, Professor Wu praised me today and said that I have made great progress. "
Like all surgeons, she wanted to improve her surgical skills.
"Haha, have you tasted the sweetness? When we get married, I can teach you every night. Of course, if you are not afraid of being gossiped about, you can also stay in my clinic. Anyway, there are many empty rooms. But the conditions are a bit simple. , it’s incomparable to the high-end community where you live.”
Li Jingsheng gave her money, but she refused to accept it.
Now that she has financial problems, she probably won't be able to cope even if she is paid.
For master's degree trainees at the Second Hospital, the lowest salary is about 1,600 yuan, and the higher salary is 2,000 yuan. Plus the state subsidy of 30,000 yuan per year, it is really just enough to make a living in a big city.
If she is willing to move to Li Jingsheng's clinic, she can really save a lot of rent.
For migrant workers without housing, rent is a major item of monthly expenses.
"Don't go!"
She refused directly without any hesitation.
"It's not that your clinic is shabby. We're not married. What's the point of me living in your place?"
Sure enough, with her personality it was impossible for her to accept living together before marriage.
Even if I just live with the man, I won’t agree.
"There's really nothing we can do about you! Let me first ask Director Hua if I can take you into the operating room with me."
Li Jingsheng stopped trying to persuade her.
His girlfriend was so kind to him, and he still had some status in the department, so naturally he wanted to help her.
It's not easy to talk about this on the phone, it's a bit embarrassing.
If Director Hua is in trouble, there is not much room for evasion, which will cause embarrassment to both parties.
And it is very impolite to talk on the phone while eating.
He sent a message to Director Hua.
"Director Hua, my girlfriend has been waiting for me to get off work. She has nowhere to go. Can she join me to study surgery?"
It took about five or six minutes before Director Hua replied to him.
"Yes! Be careful. I'm old enough to see you show affection. My heart can't bear it."
Director Hua's last sentence should be a joke.
It also reminds Li Jingsheng that if medical staff from other departments are present, be careful of the impact.
Although it was just a small thing, Li Jingsheng still felt very happy.
Having value means having status, and this feeling is particularly good.
"Ok, thank you!"
After replying a message of thanks, he turned to look at Ou Qinglan next to him.
"Director Hua agreed, and we will enter the operating room together later. If there is a chance, you can take the initiative to help pull the hook, be the third assistant, etc."
"Really!"
She was very happy when she heard that she could go into the operating room to observe and learn.
For her, it was a rare opportunity to observe this kind of multi-department surgery.
Not to mention her, even Li Jingsheng did not participate in joint surgeries from multiple departments.
Mainly because he didn't do well in the First Hospital before. The senior doctor in the undergraduate department didn't even use a retractor to perform surgery. How could he take him to embarrass himself in front of doctors in other departments?
Later, he was transferred directly to the Department of Internal Medicine, and it was even more impossible to participate in the operation.
Ou Qinglan held her chin up and tilted her head to watch him eat, with little stars shining in her eyes.
She felt particularly proud that her boyfriend had such a high status in the department.
Ten women, nine vanities, and one only in varying degrees.
She is also a woman who eats whole grains, so naturally she is similar.
Which woman would be unhappy seeing her boyfriend having status and face?
Li Jingsheng didn't think it was anything big, it was just a small thing to him.
Sometimes it is just like this. With that strength, many things can be done easily.
For ordinary people, it is extremely difficult.
After dinner, he took Ou Qinglan to the general surgery operating room.
"Do you know which department the strongest surgeon in our hospital is in?"
Ou Qinglan asked him.
Li Jingsheng shook his head, he really didn't know about this.
Under normal circumstances, Shenwai and Xinwai should be places where masters gather.
"It's general surgery!"
She broke big news.
Li Jingsheng's eyes widened instantly and he looked at her in surprise.
"Isn't that wrong? Isn't general surgery just a hodgepodge department of surgery? All they do are basic tasks, and very few top talents are willing to stay in this kind of department!"
After all, he has several years of working experience as a hospital doctor, so he naturally knows some of the tricks.
"It's true! I also heard what Professor Wu said by chance. He told us that if you enter the general surgery department during the regular training rotation, you must find a way to enter the operating room more and consult more senior doctors for advice. He said that the general surgery department It represents the most cutting-edge surgical level of the Second Hospital.”
Ou Qinglan said seriously.
This somewhat subverts Li Jingsheng's understanding of general surgery.
"We can see the true level of general surgery later. I don't know what kind of surgery this surgery is? From Director Hua's tone, the patient should be in a hurry to have this surgery."
Surgery performed at night is generally more urgent.
Either the surgeon does not have time during the day, or the patient's condition deteriorates rapidly. Failure to perform surgery that night will seriously endanger his life.
Another option is to ask a doctor from an outside hospital to perform the surgery.
It is also commonly referred to as the 'flying knife'.
Li Jingsheng should be able to develop in this direction in the future.
His small clinic has just started. After a few years of solid development and some basic skills, he can slowly build his own surgical team. At that time, you can take the hard work with your team and throw knives.
That income will be exaggerated.
It's likely to be much higher than the clinic's current revenue.
The two quickly arrived at the operating room of the general surgery department.
"This is one of the two best operating rooms in our hospital, a laminar flow clean operating room."
Ou Qinglan whispered.
It can be seen that the appearance of the operating room looks a little different and more technological.
The materials used are also more upscale.
Including operating room doors.
"Tsk, tsk, it looks awesome. It's all piled up with money!" Li Jingsheng was envious from the bottom of his heart. His clinic now has a general operating room.
But we haven't even got the equipment yet.
Shadowless lamp, electrocoagulation knife, high-frequency electrocautery, bipolar electrocoagulation forceps, etc., basically everything you need is fine.
There are only some basic 'cold weapons'.
Traditional scalpels, forceps, needle holders, scissors, etc.
In this era of rapid development of medical technology, his operating room only has these simplest tools and is basically still in the 'Stone Age'.
But there is no need to rush about this matter. Lian Tao already has good news, so let him wait patiently.
It would also be a good idea to move an 'operating room' to the People's Hospital.
The cost is generally one to two percent off the original price.
For example, operating beds, slightly better ones usually cost more than 16,000. If the price is discounted by 10% or 20%, you can buy it for only two to three thousand yuan.
This will last for thirty years without breaking.
If Li Jingsheng made money, he probably wouldn't have to wait until thirty years to buy new and better equipment.
"The price must be quite expensive! I only heard that the hospital only built this laminar flow clean operating room at the beginning. At that time, all major surgeries in cardiac surgery, neurosurgery, and thoracic surgery had to be queued here. Later. These departments were not happy, so the hospital built another one."
If the general surgery department is given such good treatment, other surgical departments will have to look up to it, so they will definitely not agree!
Although a featherless phoenix is not as good as a chicken.
However, Shenwai and Xinwai are, after all, highly sophisticated surgical rooms, and their skills will not be much worse no matter how bad they are.
Even so, it can be seen that the hospital attaches great importance to general surgery.
A laminar flow clean operating room is allocated to the general surgery department, and other departments share one room.
Of course, there is a dedicated person responsible for coordinating the use of the operating room.
There is just a basic principle: the operating room of general surgery must give priority to the use of general surgery.
Just as he was talking, Director Hua came with someone.
Ou Qinglan still stood beside Li Jingsheng a little nervously.
"Director Hua!"
She shouted timidly.
"Xiao Ou, be brave. If you have any problems at work in the future, you can always report to me. Come on, let's go in."
Director Hua is in love with the house and the bird.
Li Jingsheng performed so well that Director Hua even thought highly of Dr. Ou.
It can also be regarded as an attempt to win over Li Jingsheng.
Following Director Hua were all orthopedic surgeons.
It can be seen that Hu Jia's status in orthopedic surgery is very high. The department obviously regarded him as a key target for training.
Director Hua only brought two people, including Hu Jia.
In addition, there is Director Chen Anchen.
Director Chen Anchen's surgical ability should be very strong. After all, he has contempt for Professor Wu and it is written all over his face without any concealment.
If you don't have any strength, wouldn't it be just a hundred steps and a fifty-step smile?
"Be confident and don't weaken the momentum of our orthopedic surgery department, otherwise you will be looked down upon."
Chen Anchen warned Li Jingsheng and Ou Qinglan.
Ringing the doorbell, the door to the operating room opened quickly.
A nurse looked at the five people with a smile on her face, "Director Hua, Director Chen, I'm waiting for you."
"How is the patient's condition?"
Director Hua seemed to be more serious when he was outside.
It still seemed gentle during orthopedic surgery.
"It's not life-threatening at the moment, and the injury is under control. There was a lot of blood loss. Director Bi, we are just worried that there will be too much blood loss during the limb salvage surgery, and the blood bank does not have enough blood."
The blood bank center is not under the management of the hospital, and you can only apply for blood in advance.
And from a weight perspective, the Second Hospital's status in Jiangli City is not very high. Both in terms of surgical volume and medical authority, they are relatively at the bottom.
Even though the Second Hospital has a relatively strong backend and dominates the area south of the city, the allocation of many medical resources is not decided by it alone.
Compared with People's Hospital and Qiaobang Hospital, it is the difference between a chicken and an eagle.
The five people changed into surgical clothes and slippers, and entered the operating room after disinfection.
The space inside is much larger than expected, with a dedicated storage room, rest room, sewage treatment room, and a pre-anesthesia room and recovery room outside.
This is the most high-end operating room that Li Jingsheng has ever entered.
He was like Grandma Liu entering the Grand View Garden, feeling shocked and novel about everything she saw.
As soon as he entered, he could feel the powerful technological strength.
"Director Bi, are we not late?"
Director Hua walked in and greeted with a smile.
"Why are you so late? You came just in time. I doubt you came at the right time. Can you see if he can save his leg?"
Director Bi's age is hard to tell. He is quite thin, about 1.7 meters tall.
There are deep wrinkles at the corners of his eyes. He must be in his fifties, maybe even over sixty.
When speaking, his voice was slightly high-pitched.
The whole person seems quite easy-going, and I feel like he is an easy person to get along with.
However, it is possible that he will only be easy-going to Director Hua. After all, Director Hua is the director of orthopedic surgery and the subject leader of orthopedic surgery.
The surgical capabilities are even more powerful.
There are not many chief physicians in the entire Second Hospital who combine academic, surgical capabilities, and administrative positions.
The status is naturally very high.
You can see seven or eight medical staff busy around the operating table, including Director Bi.
The patient on the stage is a middle-aged man in his forties, with a rather strong build.
Only long wounds can be seen on the stomach, waist, arms, and legs. This was definitely not done by a doctor.
If a doctor needs to perform surgeries on multiple parts of the patient, they generally do not perform them at the same time but separately.
Treat the most urgent and important first, then other lesions.
Based on Li Jingsheng's previous work experience in emergency departments, the injuries on this patient's body should have been cut with a sharp weapon.
The murderer is very cruel.
I don’t know what kind of deep hatred there is, so I cut him off so many times. Judging from the intestines being anastomosed in the abdomen, the man's stomach must have been cut open and the intestines in the abdominal cavity were damaged.
The contents of the intestines, especially the large intestine, are basically feces and fecal fluid.
After the intestines are ruptured, the contents will definitely flow out and enter the abdominal cavity.
Even if it is professionally treated by a doctor, there is still a possibility of infection.
Since ancient times, 'golden soup' has been regarded as a dirt that makes it difficult for wounds to heal and prone to infection.
In ancient times, when the royal family wanted to seize the heir, someone used the 'golden soup' to destroy a powerful competitor.
Taking advantage of the fact that the outstanding prince was injured and admiring the lantern, he ordered the eunuch to take excrement water and throw it into the air. The prince had a lot of excrement poured on him, so he was naturally very angry.
The little eunuch knew that he was going to die and committed suicide on the spot.
It can also be seen that the lower-class people in ancient times had no freedom at all. If that little eunuch didn't think about his family, how could he be a dead man?
The little eunuch's life was worthless. The excellent prince started to have a fever the next day after being showered with 'golden soup'.
After that, the wound became fester and rotted, and the doctors tried many methods but were unable to do anything.
The prince eventually died from a wound infection.
Regardless of whether the throne eventually fell into the hands of the perpetrators, the power of fecal water contaminating wounds made doctors extremely worried.
Even in modern times, with antibiotics and advanced medical technology, many wound infections can still easily kill patients.
For example, the patient in front of me must not only consider whether the abdominal wound will heal, but also be careful of fatal diseases such as peritonitis.
The patient's left leg was a little below the knee, almost in a disconnected state.
And it wasn't just a knife.
He was stabbed at least three times.
Banding is used temporarily to stop bleeding.
"The injury was so serious, the blood loss must have been huge."
Director Hua glanced at the monitor screen.
The blood pressure is very low, and the heart rate and breathing are not normal, but relatively stable.
In the words of the nurse, it was not life-threatening for the time being.
"1,500 milliliters of blood were transfused. The blood station even scolded our nurse teacher. What kind of operation were we doing? Why did we need to use so much blood at one time? The patient was already in the state of In a state of shock, 400 ml of blood was transfused, but it had almost no effect. We were really scolded so unjustly."
Director Bi's tone was full of grievance.
It's so hard to save people, but people still have to question the poor medical skills, because so much blood is used to perform an operation.
The conscience of heaven and earth is really not that his technique is bad, but that the patient was injured too seriously.
Being able to get his life back is pretty good.
"The people at the blood station are like misers. They value plasma more than their lives. But we can understand their difficulties. Every hospital comes to them for blood, and they all want to get more. The people who donate blood will suffer less. The impact of negative news is gradually decreasing, and it is indeed difficult for blood banks."
Director Hua started to put on gloves and protective clothing while chatting.
"Is the patient sent directly to the emergency room?"
"That's right! He was pulled back by the ambulance from our hospital around six o'clock. The emergency department directly called our general surgeon to rescue the patient. We had no choice but to pull the patient over and rescue him! I will send you a message at that time I asked for help, and the family members came to me and begged me to save the patient's life and his legs. I said I could only do my best. To put it bluntly, this man deserves to suffer this."
Director Bi is quite talkative.
I feel like I have a lot of complaints.
Some doctors are more talkative.
"What do you mean?"
Director Hua is almost ready to put on the isolation gown.
"Originally, we doctors shouldn't talk about patients' right and wrong, but this person is really annoying. He made a lot of money by opening a KTV and a teahouse in society. He also married a wife and had children. You said you still have to worry about other people's wives? I heard that they first deceived people with high salary, and then used rape. After being bullied, the woman was worried about retaliation against her family, so she did not report the crime.
The man then intensified his behavior.
Later, he became even bolder and ran to the woman's house. The woman's husband couldn't bear it anymore and just took his own life. As a result, he was chopped into pieces like this. "
Director Bi briefly described what he heard from nowhere.
It is not an exaggeration to kill such a villain.
"That's right! I think his leg is seriously injured. He probably can't save it. Just amputation will do."
After hearing this, Director Hua's expression did not change.
However, what he said made Li Jingsheng feel that people's support was against him and that justice was at stake.
"Hey, Director Hua, Director Hua, we have been friends for many years, so I will tell you this. One code is one code, and we doctors can save us if we can. As for what to do next, leave it to the law. .”
Director Bi realized that he had made a mistake and quickly called Director Hua to a stop.
The Second Hospital does not have a separate hand surgery department. The technical work of repairing severed limbs requires an orthopedics department.
General surgery can treat broken intestines and wounds on the waist, abdomen and other parts without any problem.
"Give him a chance to change his ways! For the sake of his seventy-year-old mother, let's not care about the evil deeds this person has committed. Can you do me a favor?"
Director Bi continued to Director Hua.
"Okay, I'll try my best!"
Director Hua turned to look at Li Jingsheng.
"Don't be stunned. Hurry up and put on your gloves and isolation gown, and then come on stage to help. Do you see those broken blood vessels and tendons? You will do the anastomosis later."
Upon hearing this, Li Jingsheng didn't have any objections.
I also thought it was great to get such a good opportunity.
Just take this opportunity to master the anastomosis technique in one fell swoop.
There was no problem with the theory at all. He had also seen other doctors how to anastomose blood vessels. I also anastomosed the tail blood vessels of mice in the laboratory.
It’s just that the technique was not very good in the past, and the stitching and knotting were very poor. The results of the anastomosis can only be imagined.
Nine out of ten blood vessels are leaky.
There is also a blockage due to improper anastomosis operation, which resulted in an anastomosis that was too narrow.
In fact, the blood vessels of mice are inherently thin.
Needs to be anastomotic under a microscope.
The difficulty is also extremely high.
Li Jingsheng never had this kind of exercise opportunity before anastomosing blood vessels for patients.
No senior doctor dares to joke with the patient's life.
Director Hua also saw that Li Jingsheng's suturing and incision skills were very high, so he took it for granted that Li Jingsheng's anastomosis technique could not be any worse. So I brought him here and prepared to find an appropriate opportunity for Li Jingsheng to get started and exercise.
As a result, Director Hua changed his mind when he heard that the patient's job was not in human affairs.
Originally, Li Jingsheng was only asked to try anastomosing one or two small blood vessels.
Now prepare to leave everything to Li Jingsheng to operate.
"Director Hua, this young doctor looks very unfamiliar! Isn't he from your orthopedic surgery department?"
Director Bi had already noticed the four doctors brought by Director Hua.
He knew both Chen Anchen and Hu Jia.
Although Ou Qinglan had never seen her before, Director Bi was deeply impressed by her because she was so beautiful.
I also know that she is a trainee in orthopedic surgery.
Only Li Jingsheng had never seen it before.
"Hey, have you ever seen such an old Guipei? This is Li Jingsheng, our chief physician in the Department of Orthopedic Surgery. Don't worry, I will be there to check on him. He won't lose his medical ethics just because of this patient's evil deeds."
Director Hua now wished he could put a white beard on Li Jingsheng.
The actual practice in the hospital operating room is indeed very unfriendly to young doctors.
Unless they are excellent young doctors who are trusted by superior doctors, it is impossible to give them some higher-risk exercise opportunities.
"It turns out that he is the apprentice that Old Xu accepted! I heard that his talent for bone setting is quite good, but if you ask him to anastomose the blood vessels and tendons of the legs, wouldn't it be a bit risky?"
Director Bi is still a little worried.
Although this operation is a combined operation, Director Bi is mainly responsible for it.
"Keep it in your heart, do I seem to be such a reckless person? I will stand by and take good care of you. Nothing will happen."
Director Hua takes care of everything.
Only in this way can Director Bi relent.
"Okay, okay, let him try to sew a smaller blood vessel first!"
Director Bi reluctantly agreed.
(End of chapter)
