I am practicing in Tokyo

Chapter 214
Looking at Tasuke Komatsu, who was polite even to interns, Fujii couldn't think of any kind of medical accident that could shock a doctor in his 30s into such a state.

"I heard from Dr. Miyaba, Mr. Fujii, your suturing skills are not bad. I have an operation in the morning. Do you want to show off when you close the abdomen?"

Asaki Daihisa, who has squatted a hundred times, is less than 30 years old. He is considered a young doctor among doctors. He wiped off the sweat from his face and extended an invitation to Fujii.

Fujii looked at Tasuke Komatsu, who was silent, and according to Dr. Miyaba's assignment, he would first assist Tasuke Komatsu for a period of time until he was able to perform minor or major operations independently.

What?You're wondering why Dr. Gong Ye didn't train him himself. Wouldn't it be nice for someone to go out and throw knives to earn extra money when he has that time?

"Thank you. I don't understand much when I first came here. It's better to learn from Dr. Xiaosong first."

Fujii declined the seemingly tempting invitation. Before his skills developed, it was better to be honest and do his duty.

"That's right. Senior Xiaosong's qualifications are quite deep. I heard that he has done dozens of lung cancer operations before. I can learn a lot from him."

Ma Huang didn't insist on it for a long time, maybe it was a kind of temptation, but it's not sure.

At this time, other doctors arrived one after another, except for another male doctor who was on duty last night, all the doctors in Gongye's treatment team were present.

Komatsu Tasuke, a senior member of the medical bureau, aged 37.

Ma Huang Dajiu, member of the Medical Bureau, 28 years old.

Nami Kosaka, 27 years old, member of the Medical Bureau.

Baishi Juxiang, a senior member of the Medical Bureau, is 30 years old.

Fujii tree, an intern, 24 years old.

After finishing the roll call, Dr. Gongye began to assign today's tasks.

"Dr. Xiaosong, you took Dr. Shiraishi and the new intern to perform the operation on the intrahepatic bile duct on bed No. [-]. The operation to remove the stones is relatively simple. It can just let the newcomers understand. Closing the abdomen and suturing can let them Try it."

"The others are in the same group as me, and they will help Professor Imatsu, and they should be more careful. His old man is not in a good mood these days."

When Fujii, Tasuke Komatsu and Dr. Shiraishi Kikuka went out, Shiraishi Kikuka, an older single high-quality woman with a single ponytail, secretly said to Fujii, "Do you know why Professor Imazu is in a bad mood?"

I'm only here for the second day, how could I know this kind of internal gossip.

Fujii shook his head, expressing that he knew nothing.

"Assistant Professor Caiqian of the First Surgery Department just performed a cancer operation for the governor of Osaka Prefecture a few days ago, and he made a big splash. He must be jealous."

Shiraishi Juxiang showed an understanding expression, and Komatsu Tasuke coughed and interrupted their chat.

coward.

Shiraishi Juxiang opened her mouth and spit out words of contempt silently. Fujii could see her dislike for Komatsu Takasuke. At 37 years old, she was only a member of the medical bureau (resident doctor), and Zaizen Goro had been an assistant professor for several years.

No more words along the way, swiping the card to pass through the door of the operating room, put on the surgical gown and headgear in the locker room, clean the hands with the six-step hand washing method, and put on tight-fitting rubber gloves without leaving any gaps.

Stepping on cool surgical shoes into the operating room, the anesthesiologist has already turned over the patient, the blood oxygen saturation and electrocardiogram are normal, and the estimated operation time is three hours. The lesion in the right outer lobe of the liver is removed by laparotomy, and the stones are removed using a choledochoscope.

The mirror commonly used by doctors is not the kind of flat mirror that people use in daily life. If it is an endoscope that penetrates into the human body, it usually uses a set of optical fiber probes to give images to the doctor holding the lens. Nets or blades, which can grasp stones or remove polyps.

If this unlucky patient has large stones in his body, he needs to use a lithotripsy machine. The treatment process will be more painful, because part of the stones will be excreted from the body, and it is impossible for the choledochoscope to completely remove the broken stones. There are residues.

You are only in your 20s and have stones?
Fujii noticed that the patient was young, only 26 years old in the case, and he was a programmer by profession. Aren’t code farmers in island countries not involved?

After the preoperative preparations were completed, Dr. Komatsu nodded to the doctors and nurses involved in the operation, and then began to incision in the marked area. Fujii noticed that Dr. Komatsu’s opening was relatively large, presumably for a larger opening. Surgical field of view, but postoperative healing will be relatively poor.

"Medicine: LV2/38%."

After helping Dr. Xiaosong pull the hook for almost three hours, Goldfinger actually added [-]% to his skill proficiency for his hard work.

"What should you pay attention to when you close your belly?"

After removing the stones and checking the situation in the abdomen, Dr. Komatsu asked Fujii.

"The bottom layer of the peritoneum is sutured first, then the rectus abdominis, and finally the skin."

When Fujii was pulling the hook, he thought of these points. Closing the abdomen is definitely more difficult than simple trauma suturing, but doctors in island countries have always been more courageous, and the anesthesiologists in small local hospitals are too busy. There are not one or two incidents of administering anesthesia. In addition to the banana on Dr. Miyaha’s table yesterday, Dr. Komatsu decided to ask first before trying. If Fujii can’t answer, then don’t blame him for not giving him a chance. up.

"You do it, let me see, let me check every seam."

Komatsu Tatsusuke's rigor was about to catch up with the spirit of craftsmanship, and he moved away from the most convenient position to signal Fujii to start showing his skills.

The assistant doctors, equipment nurses, itinerant nurses in the operating room, and the anesthetist watching the monitor screen in the corner all set their sights on Fujii. The abdomen was shut down on the second day of the internship, and the pressure could force people to breathe.

Facing the gaze of tens of thousands of people in the stadium, Fujii didn't care about other people's eyes, so he clamped the suture needle. Since the peritoneum and rectus abdominis don't need to care about the appearance, he used No. 1 absorbable thick thread, which made the suture stronger. Higher and safer.

He is already proficient in the simple interrupted suture method, and the feel of the peritoneal needle is quite different from that of pigskin. However, his physique far surpasses that of ordinary people, so that he can enter the state instantly. A peritoneal suture was completed.

"Good, go on."

Komatsu Tasuke nodded and said after checking.

Like a precise machine, Fujii kept the same stitch distance and sewed up the rectus abdominus. Now Komatsu Tasuke didn't even speak, and signaled him not to stop with his eyes.

The medical skills in the early and mid-term of LV2 are not considered superb. Even Shiraishi Juxiang, who has been fishing next to him, is at the level of mid-LV3. Dr. Komatsu may be close to the peak of LV3, and Dr. Miyaba's performance yesterday afternoon was at the level of LV4.

But Fujii is strong in his body control. Generally, even experienced doctors will tremble slightly when holding instruments, but some veterans can't see it with the naked eye.

But he can control his arms, wrists, and fingers without shaking like breathing. This physical condition magnifies his original medical skills, reaching a level that astonishes everyone.

(End of this chapter)