I'm really an intern

Chapter 330 When Life Deceives You, Lie Down and Enjoy (Two Chapters in One)

What are the things that might prolong a sure-fire operation?

Zhang Tianyang thought hard, and finally chose to give up.

It's not that there are too many possibilities, but that this operation is really simple.

The kidney and adrenal gland surgery all went smoothly. This operation is no different from simple cystoscopy. Who knows what might go wrong!

If he could think about it in advance and stop it in time, it is estimated that the operation would not be prolonged.

The sixth sense probably won't bounce back and forth.

Brother Li Yueban's heart rate and blood pressure have dropped, and all the items from the anesthesiologist have been found.

"Come on, move yourself and change your position."

Li Yueban's operation does not require general anesthesia, but anesthesia is still required.

Zhang Tianyang had seen Li Yueban's surgery schedule, and the anesthesia method marked on it was "combined spinal and epidural anesthesia".

As the name suggests, it is a combination of epidural anesthesia and spinal anesthesia (subarachnoid anesthesia).

Usually used for surgery below the waist.

In urology, it is a common method of anesthesia.

There is no way to anesthetize lying down, you must turn sideways, hug your knees, and arch your back.

Just like the waist wear posture.

So under the command of the anesthetist, brother Li Yueban fiddled with the posture for a while, and finally arched his back correctly as required.

Brother Li Yueban's skin is fair, white and fat, and there is a lot of fat.

After the whole back was arched, the bulge of the spine still couldn't be seen clearly, but a thick layer of fleshy pads could be clearly felt when the hands were pressed on it.

"Dude, it's time to lose weight!"

The anesthesiologist fixed the puncture site and patted Li Yueban's waist.

After these two slaps, his flesh trembled suddenly.

The anesthesiologist's face turned dark immediately.

"This guy, it's not easy to wear!"

Turning his head sadly, a pair of sterile gloves was handed in front of him.

Looking up along the arm, the anesthesiologist found that it was Zhang Tianyang who came over.

"Ok?"

He took the sterile gloves, but did not rush to unpack the outer packaging, expressing his doubts with a nasal voice.

"I'll help the teacher."

Zhang Tianyang blinked with a sincere tone.

"I see, teacher, your intern has already left work, and you have no assistants, so I'll come over to see if there's anything I can help you with."

Anesthesiologists do not rest at noon, so the free laborers who rotate in the anesthesiology department can get off work at four o'clock every day.

Of course, the anesthesiologists who are already regular workers can only "straight down" bitterly, sticking to their posts until all the operations in this operating room are over.

Just before the fourth patient arrived, the "little coolie" of the anesthesiologist had already sneaked away, and now he is really a "lonely person".

Zhang Tianyang was willing to stand up to help at this time, and the anesthesiologist was instantly moved.

Among other things, just looking at Zhang Tianyang, I feel much pleasing to the eye!

"Shall we begin then?"

Zhang Tianyang asked with a smile on his face, but he had already pushed the treatment table full of equipment over.

Of course he couldn't just come up to help.

His ultimate goal is actually to personally check it out.

Nip all possible accidents in the cradle!

After all, anesthesia is quite prone to accidents.

"Will you, just go forward."

The equipment nurse who had been silent for a long time suddenly jumped out again for some reason, and her mouth was full of sarcasm.

Zhang Tianyang paused slightly, without even looking at her, he had already unwrapped the outermost package of the puncture bag on his own.

"Eh!"

"Eh what!"

This time, the anesthesiologist couldn't stand it anymore.

The equipment nurse hated Zhang Tianyang before, so she hated it, because she wasn't his student anyway.

But now Zhang Tianyang is here to help him, and you are still in a hurry.

Isn't this looking down on me!

So he got angry on the spot.

"You little girl, if you are in a bad mood, you can flirt with your boyfriend, or with your little nurse. Why do you embarrass our doctor's intern!"

"I……"

"What are you!"

When it's not about me, I'll hang up high, and when it's about me, I would like to become a "big troll"!

The fourth operation itself is a cystoscopic operation, and it stands to reason that the presence of an instrument nurse is not required.

After being annoyed by the anesthesiologist, the equipment nurse stomped a few times, failed to find a place, and finally turned around and left in anger.

"This little girl is not usually like this. I don't know why she took gunpowder today."

The anesthesiologist smiled back and explained a few words to Zhang Tianyang, when he felt something pat on his hand again.

Looking down, it was still the pair of sterile gloves that had been unpacked but the paper bag inside hadn't been unpacked.

He shook his head subconsciously.

"I'm not busy putting on sterile gloves, there are still a lot of things I haven't finished preparing."

"Well, is there anything else I need to prepare?"

Hearing Zhang Tianyang's rhetorical question, the anesthesiologist subconsciously lowered his head to look at the operating table.

"And... eh? When did you get everything ready???"

The dazzling array of supplies caught the eyes of the anesthesiologist for a moment.

The process of combined spinal epidural anesthesia is like an enhanced version of lumbar puncture, and the abundance of equipment is also like an enhanced version of lumbar puncture.

In addition to preparations for lumbar puncture, combined spinal epidural anesthesia also requires the preparation of a series of items corresponding to the epidural.

Various tubes, syringes, various types of local anesthetics, and the assembly of different instruments.

Strictly speaking, it is still a bit complicated.

The anesthesiologist still remembers that when he brought his interns through combined spinal epidural anesthesia for the first time yesterday, it took only 10 minutes for the preparation of items and various explanations.

And now, how long has it been?

It's just a matter of saying two sentences!

This little intern, so fast? ? ?

The anesthetist was a little messy, Zhang Tianyang smiled gently and brought him back to reality.

"Teacher, can't you wear gloves?"

"Oh, oh! Take it, you can take it!"

Rarely, the rhythm was disrupted, and the anesthesiologist's face turned hot.

But he quickly calmed down through the process of putting on gloves, trying to take the leading position again by virtue of his rich experience.

However, when he turned his head and subconsciously touched the disinfection items in the operating bag, something had already been stuffed into his hands.

Looking down, it was the handle that was connected to the sponge soaked in disinfectant!

Just after disinfection, the bucket with the yellow garbage bag was kicked to the ground.

Turning his head, the syringe containing the local anesthetic lidocaine, which has been pumped and the air has been drained, is handed over.

As soon as he took the syringe, Zhang Tianyang began to comfort the patient in a very humane and automatic way.

"We are going to give you anesthesia, it will hurt a little, bear with it?"

"Hmm."

Brother Li Yueban tried to nod, "I believe in you, Doctor Zhang!"

Under Zhang Tianyang's guidance, the patient's back became wider, and the bony protrusion at the marked site seemed to be a little more obvious.

The anesthesiologist pinched the trembling needle tip, looked at the patient, and then at Zhang Tianyang.

Obviously, now is the best time for patients to trust and help their assistants.

But why, a little uncomfortable?

Inexplicably, there is a kind of nervousness when parents check their homework when they were young.

Wait, why is the parent checking the homework?

Why do I feel like an intern is like a parent? ? ?

Sweat dripped from his forehead at some point, the anesthesiologist looked around complicatedly, then retracted, and then took a deep breath.

Manually.

Zhang Tianyang paid attention to the hands of the anesthesiologist.

Watch him hit a raised picchu with local anesthetic under the skin, watch him work his way down the picchu, injecting fluid along the way.

Watching him use the needle to poke in all directions in the shape of "pin", leaving a small amount of liquid in a large area under the skin.

Then, the moment he pulled out the needle, he handed over the gauze for pressing to stop the bleeding, and the puncture needle needed for the next operation.

The anesthesiologist, who had just recovered a bit of his own rhythm, couldn't help breathing again.

Here it comes again, that feeling comes again!

It's like when I was a child, I worked hard to complete a big event that I thought was great, and then I looked back, and my parents followed me all the way, sending applause and hugs in a very timely manner, and I didn't forget to add a sentence "Baby, you are awesome !"

In just such a moment, what was thought to be a great thing just now seems to have become a small case in the eyes of parents who are insignificant and under their control.

Then all the inflation is like poking a hole in the ball, and it deflates every minute.

Handing Zhang Tianyang a somewhat "resentful" look, the anesthesiologist sighed, handed out the needle tube that had collapsed in his hand, and took a new long puncture needle.

There is an old saying that goes well.

If life deceives you, don't be sad, don't be sad.

When you can't resist, it's better to lie down and prepare to enjoy.

When the anesthetist put down his resistance and accepted Zhang Tianyang's "service" wholeheartedly.

Hey, how cool is that?

Reach out for clothes, open your mouth for food, pull out the needle and wipe it for you.

hiss--

call--

Zhang Tianyang also vaguely felt the change of the anesthesiologist, but he didn't care about it.

What he cares about is the process of anesthesia itself.

The whole process of spinal epidural anesthesia is very simple in principle.

The whole process is equivalent to using a "lumbar puncture" to inject a small amount of anesthetic into the subarachnoid space, while leaving a spare tube in the epidural space.

In case the anesthesia effect is not enough and the operation time is too long, the anesthesia can be replenished through this tube to continue to maintain the anesthesia effect.

But the simple principle does not mean that the operation is not complicated.

After the waist skin and subcutaneous local anesthesia, an epidural puncture needle needs to be inserted.

After reaching the epidural space, a spinal anesthesia needle was inserted.

At this point, it is like a lumbar puncture, the cerebrospinal fluid is withdrawn unobstructed, and then an appropriate amount of local anesthetic is given.

Finally, the spinal anesthesia needle was pulled out, and the epidural tube was inserted into the epidural space through the epidural puncture needle and fixed.

Every step here has the possibility of making mistakes.

For example, the spinal anesthesia failed, and the cerebrospinal fluid could not be penetrated...

For another example, the epidural tube failed, and the tube even poked directly into the blood vessel...

Fortunately, under the "supervision" of Zhang Tianyang's one-handed feeding technique all the way, the whole process was successfully completed.

Although because of Li Yueban's body problem, the waist piercing process was delayed for a while.

But the anesthetist is an experienced doctor after all, Zhang Tianyang didn't even have a chance to say that sentence, "Why don't I try", the whole anesthesia came to an end.

The last needle was pulled out, the wound and indwelling tube were sealed and fixed with gauze and adhesive tape, and the anesthesia finally came to an end.

The anesthetist dropped the equipment and looked around, feeling a bit lost, and the peace was still unsatisfactory.

How come it's over so quickly?

How long has it been?

After finally having a good time, can't you let me experience more?

On the other side, Zhang Tianyang breathed a sigh of relief.

The difficulty of anesthesia was finally passed, and nothing happened, which is really surprising.

He looked at the anesthetist and subconsciously praised him, "No..."

As soon as he opened his mouth, Zhang Tianyang realized something, swallowed the phrase "not bad", and replaced it with:

"It's an anesthesiology teacher! It's amazing!"

The anesthesiologist, who was praised by Zhang Tianyang, felt that he was ashamed of such a compliment, so he laughed and praised Zhang Tianyang instead.

"Doctor Zhang is also very skilled! If you get started, you should be faster than me."

This opening is equivalent to making Zhang Tianyang a doctor of the same level.

The anesthetist had a smile on his face and was shocked in his heart.

For a moment just now, he even thought that the other party was going to say "Not bad", and he also felt that the other party should say that!

Just horrible.

Whoever operates this kind of thing knows.

For a long time, he was the one who urged those clumsy interns to move forward, but he did not expect to be the one who was driven ahead today.

I don't know where this little classmate practiced, but he is even more proficient than this old anesthesiologist.

Is it possible that the family opened a hospital?Enough for patients?

After thinking about it in my mind for a while, the anesthesiologist quickly denied the idea.

How is that possible!

Even if there is a hospital, it is impossible to use patients to practice!

……

Having survived the anesthesia hurdle, Zhang Tianyang really couldn't think of a mere cystoscopy operation, where would something wrong happen.

Therefore, he had no choice but to give up struggling, step back, and do a low-key onlooker like the previous three surgeries.

Perhaps it is because of the feeling that such a level of surgery does not require a chief physician at all.

So the main surgeon of this operation is the bald headed brother Yang who is the deputy chief physician.

"Okay? Let's get ready."

Senior brother Meng played the role of an assistant as always, and even greeted two little white cats before going on stage.

"Junior Brother and Junior Sister, the last operation is on, hold on."

Brother Yang with the bald headband also kept his eyes on this side for a few seconds, and then nodded slightly at Sun Yu.

For some reason, Zhang Tianyang always felt that he seemed to ignore him on purpose.

Compared with before, it seems a little cold.

"Did I accidentally offend someone again???"

Zhang. Didn't count. Tianyang fell into a short thought, and then quickly gave up because he couldn't figure it out.

And over there, the bald teacher holding the cystoscope has successfully entered Li Yueban's body.

On the screen, the internal scene of the bladder captured by the camera is displayed.

The camera turned around a few times, and quickly captured a large peach pit-like thing.

"This is the big rock."

Brother Meng was still preparing the laser knife on the equipment table, and took the time to explain a few words to the two little white cats.

"Our next job is to use a laser knife to slowly break the stone, and then wash out the gravel with water."

Sounds like a simple operation, but it looks really simple in practice.

The bald-headed teacher manipulated the laser knife, and "da da da da" quickly smashed the "peach pit" into two "small peach pits".

"This stone is a bit hard, come on, it must be water grinding."

Urology is a department that is happy to give opportunities to young doctors below.

The bald-headed teacher only gave a few symbolic slaps, and then handed over the control to Brother Meng.

Brother Meng also did not do badly.

Although it is a laparoscope, it is also very skillful to use.

At this point, the operation entered the most boring mechanical repetition period.

What Brother Meng has to do is to keep finding large rocks, hold them down, and hit them with a laser knife to make them more broken.

Find a rock, hold it down, and hit him.

Find a rock, hold it down, and hit him.

After finding 10 minutes, the bald teacher yawned.

"I'll go to the side to rest for a while, you help Xiaomeng watch, and come to me if you need anything."

Then, the sturdy figure twisted a few times, walked through the "forest" of instruments in the back of the operating room, pushed open the innermost door, and disappeared outside the door.

In the operating room, for a while, only senior brother Meng who was "da da da" was left, and two helpless, weak, and pitiful little white cats.

"Da da da, da da da"

The laser knife continued to make noise under Brother Meng's operation, which actually had a hypnotic effect.

After another 5 minutes, Sun Yu felt a little dizzy and drowsy, so he had no choice but to take out his mobile phone to refresh himself.

Zhang Tianyang frowned, forcing himself to pay attention.

That sixth sense still lingers.

In all likelihood, there is still something waiting behind.

But the tedious and boring repetitive work was really exhausting, so he inevitably rubbed his eyes.

When his eyes fell on the screen again, he was slightly taken aback.

On the screen, he is still looking for a stone, press and hold it, and play his rhythm.

but……

"I always feel that something is not right?"

　Almost [-] words~ I'm not very happy, it's called...!

　　

　

(End of this chapter)