The surgeon opens a cheat

Chapter 6 is the need for this spirit

Zhang Gu and Ma Chenglin entered the neurosurgery director's office alone.

The two discussed for half an hour, and initially wrote out the framework of the controlled experiment.

Zhang Gu has the technology and idea of ​​improving tube placement and fixation, and Ma Chenglin has experience in writing and publishing articles. The two hit it off by learning from each other.

In the end, the two came out of the office with smiles on their faces.

"Doctor Zhang, our neurosurgery department should be able to complete this experiment in about ten days, but if we encounter any uncertainties during the process, I'm afraid we will have to invite you over."

"Okay, let's discuss together when the time comes." Zhang Gu fully agreed.

If this article can be completed, both he and Ma Chenglin will benefit a lot, and they are naturally very caring.

……

Back to general surgery in the afternoon.

Shen Wenting and Zhou Cheng, a woman and a man, were condescending, with their eyes wide open, looking up and down at Zhang Gu.

"Awesome you! You can help Director Xiang without making a sound!"

"Especially Director Xiang called you by name and praised you at the surgical conference, which really made you stand out!"

Zhou Cheng resented like a little daughter-in-law: "The three of us are temporary general surgeons, why are you so good?"

Shen Wenting was humbly asking for advice: "Zhang Gu, no, brother Zhang, how did you come up with your improved tube placement and improved fixation method? Teach me!"

Zhou Cheng was in a complicated mood. Corey first came to Xueba Feng Xuebin, and now Zhang Gu has also begun to emerge. He was the first to come, but he was still useless, and the sense of crisis came up all at once.

At this moment, Zhou Dongfeng walked in.

The wind was blowing under his feet, and the pride on his face could not be concealed.

"I heard about Shenwai, Xiao Zhang, you can do it! I went to Shenwai, and improved the gastric tube method?"

Zhang Gu said modestly: "Just a little careful."

Zhou Dongfeng chuckled: "Ma Changlian gave me face, well done!"

Ma Changlian is Zhou Dongfeng's nickname for Ma Chenglin. The two were admitted to the hospital at the same time. They have a good relationship and often secretly rival each other. They call each other nicknames in private.

Zhou Dongfeng glanced at Zhou Cheng and Shen Wenting, and said, "Xiao Zhang has to use his heart to discover the details in the subtleties. We need this kind of spirit in medicine!"

Shen Wenting and Zhou Cheng nodded duplicity.

This bowl of chicken soup tastes good, but it's not so easy to make!

Where to find innovative ideas!
"well said."

Just at this moment, a female voice full of air came from outside the door.

43-year-old Yao Na walked in with Feng Xuebin.

Zhou Dongfeng greeted with a smile: "Director Yao, I'm right!"

Yao Na is Feng Xuebin's teacher and one of the two deputy directors of the general surgery department.

Although her qualifications are not as good as Zhou Dongfeng's, her education is a master's degree and an advanced student at Tongji Medical College in Shanghai. She has strong scientific research capabilities, and the college values ​​her very much.

"Director Zhou is right. Medicine, especially the field of surgery, requires careful study and carelessness. Xiao Zhang has done a good job in this. Young people in the department should learn from him."

Feng Xuebin behind Yao Na looked at Zhang Gu with complicated eyes.

Teacher Yao never praised him so much.Feng Xuebin felt a little pressure in his heart.

"Director Zhou, I still have surgery today, so I'm leaving first."

After the two left.

Zhou Dongfeng said to Zhang Gu: "Call me tomorrow morning, there is an operation in the morning."

Zhang Gu was overjoyed: "Good!"

What he wants most now is surgery.

……

The next day.

Zhou Dongfeng and Zhang Gu came to the ward.

While walking, Zhou Dongfeng gave Zhang Gu a case of a patient: "Take a look."

Before Zhang Gu could take a closer look, he heard arguing in his ears.

"It's all your fault! I don't know how to be filial. I only come back once a year, and my mother got sick! What do you think you can do?" A middle-aged woman pointed at a man and scolded her face.

The two look somewhat similar, and they seem to be brother and sister.

The mother they mentioned was the patient Zhang Gu wanted to see today.

The man was in a hurry: "Why am I not filial! I work hard outside to deliver the courier, send money to my mother every month, and besides, I just buy some of her favorite souvenirs for my mother. Who knows that I will have a stomachache?"

The woman burst into tears as she said: "Give me the money! I take care of the young and the old every day. Is it easy for me? How easy is it for you to just give me money? If something goes wrong this time, woo woo woo..."

The man scratched his head and was also very anxious: "Mom used to eat big winter jujubes, it was fine, but this time... well, it's really my fault! If I don't go to the provincial capital to work, and stay with mom all the time, maybe I'll be fine."

On the ground next to him, there was a fifteen or sixteen-year-old grandson curled up, sobbing uncontrollably by himself, and kept looking at the grandma on the hospital bed. It could be seen that he had a deep affection for her.

Seeing this little grandson, Zhang Gu felt uncomfortable.

This is more like him five years ago.

At that time, the grandma who brought Zhang Gu up from a young age was found to have advanced liver disease. Zhang Gu was just like the little grandson, helpless, helpless, powerless, confused, disappointed, and hopeless.

It was also from then on that Zhang Gu secretly made up his mind to take the medical examination.

Do your part to reduce the sadness in the world.

Zhang Gu looked at the medical record.

A 67-year-old female patient was admitted to the hospital with sudden abdominal pain three days ago. She presented with paroxysmal distending pain and a history of high blood pressure. B-ultrasound showed no abnormalities in the liver, gallbladder, pancreas, and spleen. CT showed gas expansion in the intestinal tube, and fluid levels were visible. It was suspected of intestinal obstruction. It is unknown whether jujube stones were eaten by mistake.

During the three days since he was admitted to the hospital, Zhou Dongfeng has given conservative treatments such as gastrointestinal decompression, enema, anti-infection, and maintenance of water and electrolyte balance, but no obvious improvement has been seen, and he developed signs of peritonitis today.

Zhou Dongfeng intends to train Zhang Gu: "What do you think?"

Zhang Gu thought for a while, recalling the knowledge in the book: "It may be foreign body intestinal obstruction."

Zhou Dongfeng nodded appreciatively: "That's right, during these three days of conservative treatment, I just want her to expel the foreign body by herself."

"Now it seems that conservative treatment is not enough. Surgery is necessary. If there are signs of peritonitis, it is very likely that the foreign body has perforated the body."

Zhang Gu looked serious, if there was perforation of the organs, if the surgery was not performed in time, shock might even be life-threatening.

"You push her to have an abdominal CT, and then review the blood routine."

"it is good!"

Zhang Gu didn't dare to delay, he quickly called his family members and pushed the patient for examination.

The test results came out quickly, and it was confirmed that peritonitis and ascites were present.Blood routine and blood biochemistry did not show significant improvement, and it was considered to be perforation of the digestive tract.

Zhou Dongfeng got the result with a serious face, and arranged emergency surgery immediately.

operating room.

Zhou Dongfeng performed a laparotomy to explore the abdomen, pelvic cavity, layered peritoneum, surface of the liver, small intestine and mesocolon.

Finally, a sharp fusiform jujube nucleus was touched in the mesenteric conjunctiva near Trevor's ligament, and there was a perforation on the proximal mesenteric side, about [-] mm, with obvious edema of the intestinal wall and mesentery.

Considering the risk of necrosis due to poor blood supply, Zhou Dongfeng underwent partial small bowel resection and anastomosis.

Four hours of surgery.

Zhou Dongfeng was not relieved until the small intestine anastomosis was completed and the patient was out of danger and stabilized.

He glanced at Zhang Gu: "Come and suture the abdomen, I'll see how the suture level can be praised by the director."

(End of this chapter)