My medical skills are a billion points

Or maybe it's just that Xiao Chu's pure suture technique is better.

Therefore, Zhou Ziqiang wanted to see Xiao Chu's performance on the operating table.

The patient has been pushed into the operating room.

Xiao Chu and Zhou Ziqiang were about to enter the operating room.

Suddenly, the patient's husband stopped the two of them.

"Doctor, I heard that appendicitis surgery can be performed laparoscopically. Is the operation you performed laparoscopic?"

"Routine surgery, not laparoscopy, what's wrong?"

Zhou Ziqiang replied casually.

"Didn't people always say that laparoscopy has a smaller incision and less pain? Why don't you just give it to my wife and do it with a laparoscope."

Zhou Ziqiang does not know how to perform laparoscopic appendectomy, he only knows how to do conventional surgery.

He said directly: "Your lover's appendix may have suppurated. If you use a laparoscope, the appendix is ​​seriously suppurated. The laparoscope may not clean it cleanly, which may easily lead to infection.

Conventional surgery can avoid this problem.Besides, the incision for appendicitis was not too long, less than 5 centimeters. "

"Also, the cost of laparoscopy is much more expensive. It costs about 2 yuan to cut out an appendicitis. If it is a conventional operation, 1 yuan is almost enough."

When the patient's family heard that laparoscopic appendectomy would cost more than 2 yuan, they were shocked.

He hurriedly said: "Then doctors, you should use conventional surgery, please, thank you."

"Okay, we are going to have an operation, you just wait outside."

In fact, laparoscopic technology has developed to this day. For appendectomy, laparoscopy has been able to cope with most types of appendectomy.

Zhou Ziqiang did not agree to the request of the patient's family. One was that he himself did not know laparoscopy.

Second, if he wants to use laparoscopy to cut the appendix, he still needs to invite someone from the general surgery department.

It's not good looking.

Of course he didn't want to do that.

Of course, cost is also a factor.

The two walked into the operating room, put on green hand sanitizers, and began to wash and disinfect their hands.

After the two washed their hands, the anesthetist administered an epidural anesthesia, and the patient was anesthetized.

Now Xiao Chu's role is to be a helper.

Disinfecting the towels, these tasks, of course, he did.

Soon everything was ready, Zhou Ziqiang stood on the right side of the patient, picked up the scalpel and started the laparotomy.

I saw that he made an incision about 5 centimeters long at the point of Mai's point in the right lower abdomen.

Xiao Chu picked up the sand mat and wiped off the oozing blood.

During the internship, Xiao Chu also underwent appendicitis surgery, which was the result of the teacher's confidence in him.

Xiao Chu is only able to perform appendicitis surgery, not proficient, after all, he still does very little.

Therefore, on his attribute panel, the level of appendicitis surgery is only elementary.

Now that Zhou Ziqiang is personally teaching, Xiao Chu's eyes widen naturally, not letting go of every detail.

Zhou Ziqiang was cutting the skin and subcutaneous tissue, and entering the abdomen layer by layer.

However, he was still a little surprised.

Because Xiao Chu didn't need him to make a sound, he could always ligate the bleeding point in time.

When to pull the hook, when to clamp to stop the bleeding, and when to tie the knot, there is no need for him to remind him aloud.

Xiao Chu is like the roundworm in his stomach, able to read his heart.

This kid seems to have been on the operating table a lot, and his cooperation is so proficient.

Zhou Ziqiang sighed secretly, and began to search for the appendix.

I found the cecum down the colonic belt, but after searching over and over several times, I couldn't find where the appendix was.

Within a minute, a thin layer of sweat oozed from Zhou Ziqiang's forehead.

The reason for Zhou Ziqiang's palpitation was that he couldn't find his appendix temporarily.

But that's not the main thing.

The appendix is ​​there, and you can always find it if you look for it a little longer. It will take a little effort at most.

The most important problem was that he couldn't find the appendix all at once, and it was still in front of Xiao Chu, the hospital supervisor, Peisheng.

This made Zhou Ziqiang's face hard to wipe away.

So I broke out in a cold sweat nervously.

Chapter 8 Next time you will be the surgeon

Xiao Chu secretly complained in his heart.

This week's self-improvement mentality is not good enough.

As a chief surgeon, calmness is the first element.

As soon as you panic as the chief knife, wouldn't it be a mess on stage?

If a blood vessel is accidentally cut, causing massive bleeding, and the surgeon panics, wouldn't the patient die?

Seeing Zhou Ziqiang still looking for the appendix in a panic.

Xiao Chu pulled the hook with his left hand, inserted the middle finger and index finger of his right hand into the incision, flipped over the end of the cecum, and pulled out the appendix.

Seeing Xiao Chu suddenly stretched his hand in, Zhou Ziqiang was about to scold him.

In the end, he saw a thick, pus-filled appendix that had been pulled out.

Immediately stunned.

Involuntarily mumbling to himself.

"It turned out to be the retroperitoneal appendix, no wonder it's so hard to find."

The retroperitoneal appendix, usually the appendix is ​​hidden in the retroperitoneum, not in the usual position.

It's hard to find if you don't look carefully.

The reason why Xiao Chu knew it was because of the 3D medical intuition image calculation.

Xiao Chu withdrew his right hand and continued to pull the hook, waiting for Zhou Ziqiang's further operation.

Naturally, he would not despise Zhou Ziqiang because of this. After all, he is the attending physician and has more experience than himself. It is only a matter of time before he finds the retroperitoneal appendix.

The reason why he was a little flustered was mainly because he couldn't save face.

Zhou Ziqiang stared at Xiao Chu for two seconds.

I wanted to ask Xiao Chu how he knew it was from the retroperitoneal appendix.

But out of face and the fact that the patient was awake, he swallowed the words in his stomach.

Now that the appendix is ​​found, the next step is very simple.

The mesentery of the appendix was ligated and cut off, and the appendix was cut off at a distance of [-] mm from the root of the appendix. After treatment with povidone iodine, purse-string suture was performed, the peritoneal cavity was flushed, and a peritoneal drainage tube was placed.

If there is no omission in the inventory, the operation is over.

When the operation was over, Zhou Ziqiang looked at Xiao Chu.

"Are you here to shut up?"

After the whole operation process, Zhou Ziqiang felt that Xiao Chu was definitely not easy.

What's more, he showed his skills during the operation.

The retroperitoneal appendix was found immediately.

This shows that Xiao Chu's appendicitis operation probably took many stages.

If it doesn't work out, he can be the chief surgeon to perform this appendicitis operation.

Close the abdomen, there should be no problem at all.

"Okay, I'll come."

Xiao Chu nodded.

It only took 5 minutes at most, and Xiao Chu closed his stomach perfectly layer by layer.

Zhou Ziqiang was already numb to Xiao Chu's suturing skills.

After the operation, the patient was pushed to the ward.

While changing clothes in the locker room.Zhou Ziqiang asked: "Xiao Chu, have you cut your appendix?"

"Ok!"

Xiao Chu nodded.

There was nothing to hide, and he had no intention of hiding it.

"I mean, did you cut the appendix?"

Zhou Ziqiang emphasized it again.

He was afraid that Xiao Chu didn't understand what he meant.

Xiao Chu said humbly: "Brother Zhou, during my internship, my teacher let me undergo many appendicitis operations, but I was only able to perform the operations, not proficient. Compared with you, I was still far behind. .”

"Oh, then you're doing pretty well."

Zhou Ziqiang breathed a sigh of relief.

He thought that his regular training student was better than himself.

Zhou Ziqiang patted Xiao Chu's shoulder.

"Okay, next time there is an appendix operation, you will be the chief surgeon, and I will be your assistant."

Zhou Ziqiang recognized Xiao Chu very much now, so he thought of supporting him.

Xiao Chu was also moved in his heart.

He remembered what Zhou Ziqiang said to him at noon, that a golden phoenix cannot fly out of a chicken coop.

Although I have no background and no money, but now I have cheats, and the points I get can improve my medical skills.

This is your own capital.

If this kind of capital can be fully utilized, it will become your own background in the future, and it will also bring you money.

And the place to show this kind of capital is only on the operating table.

Zhou Ziqiang asked Xiao Chu to fight for the recruitment of temporary workers in the courtyard.

Xiao Chu didn't pay attention at that time.

He felt that he was powerless and powerless, and that he had no hope of winning.

But now, Xiao Chu's mind has changed.

He's not going to go for that so-called temporary hire.

He wants to become a regular employee of the Provincial People's Hospital with a staff.

If one's own medical skills are slowly revealed.

If the leaders of the hospital don't arrange a staff for themselves, it can only be said that the leaders of the hospital are blind.

At that time, just find another high branch by yourself.

Therefore, what Xiao Chu needs most now is to go to the operating table more and gradually show his surgical ability.

At that time, it will naturally attract the attention of the hospital leaders.

He now has more than 5000 points. Even if he upgrades his appendicitis surgery ability to an advanced level, he only needs [-] points, and even if he reaches a world-class level, he only needs [-] points, which is more than enough.

However, it is not necessary for a first-level operation to be promoted to world-class.