I really don't want to be a doctor

Chapter 71 Preoperative Discussion
The order of operating room No. [-] is basically set.

Two sets of laparoscopic cholecystectomy followed by laparoscopic appendectomy.

After all, Wu Liang is a graduate student of Xihua Medical College, and he is indeed very good at laparoscopic cholecystectomy. At least Yu Wenxing has never heard of a conversion to open surgery.

Township hospitals in Jiangzhong County are under less pressure.

The first hospital of Jiangzhong County unconditionally accepted the complicated appendicitis.

Now complicated cholecystitis, Jiangzhong County No. [-] Hospital also accepts it unconditionally.

This made the township hospital very happy.

After all, difficult cholecystitis is only a lot more than difficult appendicitis.

Two sets of laparoscopic cholecystitis were performed every day, and Yu Wenxing and Li Xiaojun went for laparoscopic appendectomy together.

But now Li Xiaojun is basically the main knife, and Yu Wenxing usually just supports the mirror by the side.

A week passed like this.

Yu Wenxing was in a hurry.

Didn't you say that you will record it in a few days?

Called Ran Xiaoyu.

"Sister Xiaoyu, has the song been written yet?"

Yu Wenxing asked.

"I'm writing, you sing so badly, I have to write and arrange music again."

Ran Xiaoyu's voice was quite dissatisfied, but the confidence in her voice was full of fighting spirit.

"Oh."

Yu Wenxing didn't know exactly what level Ran Xiaoyu was at, so he could only act as if he understood.

"I will call you when I write it out, after all, you have two sentences."

Ran Xiaoyu especially emphasized the tone of the two sentences.

Yu Wenxing was a little embarrassed, "Hehe, you have worked hard, you have worked hard."

After hanging up the phone, Yu Wenxing suddenly found that there was nothing to do.

After this leisure, Yu Wenxing remembered that his task was not finished yet.Call out the system and look at the task of writing a thesis.

"I don't know when it will be published, and I still haven't received 1 yuan."

"But having said that, it seems that my surgery fee has not been paid to me yet."

Yu Wenxing suddenly discovered that he seemed to have a lot of foreign debts, and began to plan a debt collection routine.

8:31.

Yu Wenxing already wanted to transfer to another department.

Li Xiaojun is now proficient at performing laparoscopic appendectomy, and it is not a problem for him to be a free laborer in the general surgery department for a day.

Taking advantage of the little time before the early shift, Yu Wenxing began to think about how to transfer the department and transfer away while getting the account back.

Shift shifts early, after regular emphasis on safety, preoperative discussions.

Under normal circumstances, the preoperative discussion is just going through the motions.

But this cutscene must go, this is the rule.

Wang Zhu came suddenly.

"Director Wang, you?"

Deng Liming hurriedly stood up from his seat.

Wang Zhu looked a little tired, "Director Deng, something is wrong with my father."

"what is the problem?"

Deng Liming asked.

Liu Jun hurried over, "Director Deng, this is the first surgery today, Director Wang's father."

With that said, Liu Jun handed the medical record card to Deng Liming.

Deng Liming looked at Wang Zhu, saw him nodding his head, and then gestured for the position next to him.

Although they are familiar with each other, they are in front of outsiders.

One is the director of the department, the other is the director of the medical department,
Some rules still have to be said.

After Wang Zhu sat down, Deng Liming sat down by himself and turned over the medical record card.

Deng Liming turned over, and Liu Jun had already started to report.

"The patient is an elderly male with a history of diabetes. Gallstones were found 2 years ago, but no surgical treatment was performed. He had intermittent abdominal pain. He began to experience severe right upper quadrant pain 3 hours before admission. He was considered cholecystitis in the Jihe Town Health Center. In view of the The patient is older and has underlying diseases, so he was transferred to our hospital for further treatment, and an abdominal CT examination has been arranged.",

Liu Jun took out several CT scans from under the table and handed them to Deng Liming.

"Having a fever?"

Deng Liming asked.

"Well, my body temperature was 39.1°C when I was admitted to the hospital." Liu Jun replied.

"What do you think?"

Deng Liming asked.

"Combined with the patient's abdominal CT, first consider the acute attack of chronic cholecystitis. The patient has abdominal pain, nausea and vomiting, and fever, but no jaundice is seen. It is considered that there is suppuration or gangrene, and there are surgical guidelines."

Liu Jun answered.

"kindness."

Deng Liming nodded and handed the medical records to Wu Liang.

Wu Liang glanced quickly. "This patient has surgical pointers."

"Can it be done laparoscopically?"

Wang Zhu asked suddenly.

This is why he came to participate in the preoperative discussion.

Generally speaking, except for administrative ward rounds, the leaders of the hospital will not come to the department to participate in the handover. After all, many leaders of the hospital do not understand too many clinical things.

But Wang Zhu is a clinical background after all.

Coupled with his father's surgery,
He had to come and listen.

Wu Liang thought for a while, "It's difficult."

"Hey."

Wang Zhu sighed.

Of course he accepted the best treatment plan for his own father,

Laparoscopic cholecystectomy is the best treatment for his father now.

but,
Wu Liang's frowning action made him feel a little depressed.

"Director Wang, even if the patient is placed in Xihua Hospital, there are not many doctors who can do laparoscopy. How about I contact Xihua Hospital for you?"

Seeing that Wang Zhu was a little unhappy, Wu Liang said softly.

He is a graduate student of Xihua Medical College, and as a graduate student of Xihua Medical College, Xihua Hospital has some personal relationships, so it is not difficult to get a bed.

Wang Zhu shook his head lightly.

the elderly,
I don't want to go anywhere.

"This patient may have gallbladder suppuration or gangrene. Laparoscopic surgery is very difficult. If the patient's symptoms cannot be relieved as soon as possible, serious complications may occur."

"For example, septic shock."

"This patient already has diabetes. If he develops septic shock, the treatment effect will be extremely poor, which may seriously affect the prognosis. Therefore, I suggest to open the abdomen directly."

Liu Xuejun spoke quickly like a machine gun.

He didn't consider Wang Zhu's feelings, and said it directly, which made Wang Zhu's face sink a little more.

"But the patient has diabetes, and the wound healing after laparotomy is also a big problem. Besides, there is inflammation around the gallbladder. It is indeed not easy to do it under laparoscopy, but it is not easy to do laparotomy. Doctor Liu, what do you think?"

Wu Liang asked back.

Liu Xuejun pondered for a while, "Opening the abdomen is also difficult."

Acute exacerbation of chronic cholecystitis,
If the adhesion around the gallbladder is not obvious, it’s okay to say,

If it adheres to the mesangium of the liver and the mesentery of the stomach, or even the gallbladder is completely wrapped by the omentum, the operation is extremely difficult. If a blood vessel is accidentally damaged, a lot of time will be wasted for hemostasis.

If this patient undergoes laparotomy, it will be a huge test for Liu Xuejun.

"What does Li Xiaojun think?"

Deng Liming asked again.

"I think it might be better to do it open."

Although Li Xiaojun has been performing laparoscopic appendectomy all this time, he did not blindly believe in laparoscopy, and even gained a better understanding of laparoscopy because of his many contacts.

At least in his opinion,

The patient had suppuration or gangrene,
The effect of opening the stomach will be much better.

Laparoscopic appendectomy is much simpler than laparoscopic cholecystectomy, but once gangrene is encountered, it is also very difficult to deal with.

(End of this chapter)