super anesthesiologist

Chapter 50 You are very capable, Dr. Lin (please recommend, please collect, thank you!!!)

The sound of the monitor in the next room has barely changed, and the patient is still in a deep sleep.

Li Aiguo was immersed in the operation, and Liu Kai next to him was working as an equipment nurse and an assistant at the same time. The two seemed to have a tacit understanding.

"Doctor Lin, the anesthesia effect is very good now." Li Aiguo raised his head during the surgery and saw Lin Xiaobei and said with a smile.

Lin Xiaobei hummed and asked, "Director Li, how are you doing?"

"Well, we are still investigating. The patient's olecranon ulnar injury is a bit deep, and the ulnar nerve and tendon may be injured."

"what!"

Nerve and tendon injuries are no different than ordinary skin and muscle injuries. If they are not treated in time, they will leave sequelae, and in severe cases, it will affect the function of the elbow.

Such patients should be referred to hand surgery or orthopedics.

Lin Xiaobei was secretly startled, Director Li Aiguo was too courageous.Before he came to the emergency department, he worked in the anorectal department for many years. He was neither a hand surgeon nor an orthopedic surgeon. To perform this kind of operation is obviously beyond the scope of his work.

But since the emergency department is a general practitioner, he is indeed qualified to perform this kind of operation.

Unlike Bian Wengang, who is not good at learning and loves to show off, director Li Aiguo doesn't like to talk too much, and holds the needle holder and tweezers calmly in his hand.

He is almost 60 years old and still able to do this. It's really not easy. These are the real kung fu that he learned from the tip of the knife when he was young.

"Doctor Liu, the patient is here again." The nurse outside the door shouted.

"Call Yin Zhe." Liu Kai replied.

"Yin Zhe has a patient."

"Where's Wang Qifan?"

"He's taking patients, too."

"M's, either don't come, or get together." Liu Kai cursed.

Li Aiguo frowned, "Go ahead, just let Dr. Lin help here."

He said so with consideration.

In fact, Lin Xiaobei could be allowed to go out, but subconsciously, he always thought that he should stay in the operating room.Moreover, it was Lin Xiaobei's first day in the emergency department, and he might not be able to handle patients alone, after all, he is not yet familiar with the emergency treatment process.

In addition to the white value, the emergency department also has a first backup, a second backup, and a third backup.Today the first is Yin Zhe, the second is Wang Qifan, and the head of the third is Bian Wengang.

It is impossible to arrange several white values ​​at the same time. In that case, there will be too many staffing and a lot of waste.The department can't afford it either.

There is no way, the work of most departments in the hospital is like this, sometimes the patients are too busy, and sometimes they are very free.It seems that there is a low season and a high season.

This is also a common problem in most hospitals in China, and the shift preparation system is also formulated for this situation.

Liu Kai was extremely reluctant. Today was a good opportunity for him to practice.In fact, today is the first day of the opening of the new operating room, and everyone wants to be the first.

Unfortunately, today, one backup, two backups and three backups are all on stage, even the director of the department is there.

He stood up reluctantly and took off his gloves.

As soon as Liu Kai went out, Lin Xiaobei impatiently put on his gloves and sat down by the operating table.

At this time, he held three positions: anesthesiologist, equipment nurse, and surgeon.

Li Aiguo seemed to understand his thoughts, and laughed, "How about it, isn't this place worse than the anesthesiology department?"

Lin Xiaobei also laughed and said, "Everyone is different."

"Hey, Director Lin was my apprentice at the beginning, and he worked with me for several years. Later, he actually went to take the postgraduate entrance examination of the Department of Anesthesiology, what a pity."

Lin Xiaobei was dumbfounded, what a pity?Director Lin is now the head of the Department of Anesthesiology, the director of the Department of Anesthesiology Department of S University, the chairman of the organizing committee of the Municipal Anesthesiology Association, the member of the Provincial Anesthesia Association, the member of the National Anesthesia Association...

If he really did the anorectal department, he would definitely not have achieved what he is now.Director Lin also tends to focus on clinical work, and it is hard to say that he can overcome the mountain of He Ran in scientific research.

"Our Director Lin is fine now!" Lin Xiaobei laughed.

"That's true, he can't stand following my hot temper."

Lin Xiaobei stopped nagging and focused on the surgical field of view.

This patient should have been stabbed by his "good brother" with a fragment of a beer bottle, with obvious scratch marks.Especially near the olecranon, the wound was deep and the flesh was turned out.

The olecranon is a special place, which bears a lot of force, and the local blood supply is not very rich, so it is easy to cause the tendon to be gradually damaged.

The familiar "tennis elbow" is a long-term excessive contraction of the forearm muscles, leading to tendon degeneration, degeneration and tearing.

Another point is that the ulnar nerve in this area is relatively superficial, and you can usually feel numbness when you press it with your fingers, and sometimes you will feel numb just when you support your elbow on the table.

Although Li Aiguo is not a specialist doctor and hasn't touched a scalpel for many years, his skills are still there.At this time, he was slowly cleaning up the local wound, removing the contaminated tissue, and the wound was treated very clean.

Lin Xiaobei used a small retractor and curved forceps to help him gently pull the outer muscles outward.

"Yes, that's good, it looks much better than before." Li Aiguo praised, "Dr. Lin, have you ever rotated in surgery before?"

"The wheel has turned." Lin Xiaobei said with a smile.But when he rotates, he mostly looks at it, and most of these mobile phones are rushed by residents in various departments.

The real opportunity for him to do it came when he was doing experiments with his classmate Tian Peng during his postgraduate study.

Tian Peng is a hand surgeon, and Lin Xiaobei's brother during his studies. The two were admitted to the medical school of S University together for postgraduate study, Ph.D., and then stayed in the hospital.

The skills that hand surgeons must have are replantation of amputated fingers, exploration and repair of blood vessels, nerves and tendons.These are very delicate operations, but it is impossible to get your hands on a patient in the first place.To train them, hands are usually first practiced on animals in the laboratory.

For this reason, Tian Peng felt that he was "deeply sinful". In order to practice his skills, he had to find ways to make pigs or dogs into various disabilities, and then treated and corrected them mercifully.

Lin Xiaobei is in charge of anesthesizing his experimental animals. Every time after Tian Peng obtains experimental specimens, he must "safety" these animals.

Before performing "safety surgery", he often practiced various blood vessel puncture techniques and nerve block techniques on animals, and even practiced nerve grafting techniques like Tian Peng when he was interested.It is no exaggeration to say that many of his clinical skills are trained from these animals.

The real skill of revascularization and nerve replantation does not lie in the operation itself, but how to fully expose the narrow surgical field of view.It's like mending clothes, it doesn't depend on how fine your needle holes are, but you need to flatten and tidy around the hole first.

Lin Xiaobei has cooperated with Tian Peng many times and is well aware of this, so even if he has changed his cooperation "partner" at this moment, he can still cooperate well.

Li Aiguo is very satisfied with his hook.Don't think that this is a very simple thing. It is not easy to be a good assistant. This basic skill even determines whether the assistant can make great achievements in medicine in the future.

"You are very capable, Doctor Lin." Li Aiguo praised.

With Lin Xiaobei's assistance, his surgical field of vision suddenly became brighter, and the operating space was almost doubled. The operation was naturally handy, and the process was much faster.

Seeing that Director Li Aiguo was doing almost the same job and was about to sew up, Lin Xiaobei felt his hands itch more and more, and couldn't help but said to him, "Director Li, can you let me practice my hands too?"

Li Aiguo was stunned for a moment, as if he was thinking about it, and after a while he stood up and said, "That's fine, just be careful not to sew too tightly."

　keep it up.

　　In a word: Even if I hit the street, I am unique.

　　But there is another sentence: Can you help me up?

　　Dear friends, you don’t need to work hard, you just need to flick your fingers lightly, and throw the recommendation ticket in your hand (don’t worry about where it hits); you only need to tap to save it lightly.

　　^_^^_^^_^
　　Thanks again, everyone, bows! ! !
　　


(End of this chapter)