I'm a god of medicine

Chapter 33
The mass is located at the posterior wall of the lower end of the common bile duct close to the sphincter of oddi.

The location is very deep, so it is difficult for the surgeon to reach before cutting the common bile duct.Only after cutting the common bile duct and probing with curved forceps can the presence of a mass be palpable and felt.

The feeling of touching the stone with curved forceps is completely different from that of touching the mass, so it is normal for the surgeon to have doubts about the diagnosis of choledocholithiasis.After that, if you touch it with your hands, you will be able to make a diagnosis that it is a space occupying rather than a stone.

And all of this is based on distrust of B-ultrasound diagnosis.

On the stage, Yang Xi unconsciously touched it with his hand, and his heart skipped a beat.

Is it really not a stone?
But based on his trust in the system, Yang Xi quickly ruled out his doubts.

Pulling out his hand, poking in the void, Yang Xi used the only remaining level 3 surgery skill card.

After entering the system state, the incision of the common bile duct was skillfully and gracefully enlarged to expose the mass at the lower end, the midline was taken and cut open with scissors, and then the incision was stretched to both sides with vascular forceps, exposing the A stone the size of a corn kernel came out.

With the cooperation of Dean Lin, Yang Xi clamped the stone with foreign body forceps, bluntly separated it from the surrounding area, and took out this not-so-small but not-so-big stone.

"Ding dong!"

The stone fell into the stainless steel tray with a crisp sound.

Dean Lin let out a sigh of relief, and a relaxed smile appeared on his face. "Doctor Wu, send a WeChat message to Dr. Gao and tell him that it's not an occupancy, but an inflammatory mass, and the stone inside has been taken out...Hmph, hehe, I hope Director Qin hasn't left and is still with Dr. Gao Together."

Wu Weihua frowned and said, "Dean Lin, is this not good? Doesn't this mean that Director Qin has been completely offended?"

Dean Lin sighed: "Do you think you won't offend him if you don't tell him the result? Yang Xi is right. If you want to be a character, you have to have a little heart. If Director Qin doesn't even have this kind of heart, then I think he is very serious." It’s hard to accept Director Ma’s class.”

Yang Xi, who is in the system state, has no distractions and is not disturbed by the outside world at all. Dean Lin explained to Wu Weihua that he has completed further exploration of the common bile duct, and after confirming that there are no remaining stones in the bile duct, he quickly removed it. Partially lumpy.

Next, the end of the common bile duct was dilated, a T-shaped drainage tube was placed, the common bile duct was sutured, the abdominal cavity was flushed, the abdominal drainage tube was placed again, the abdomen was closed and the skin was sutured, and the operation was declared over.

The whole process, including Yang Xi's washing and dressing time, took only 35 minutes.

……

Gao Chao caught up with Qin Gewei, but for a while he didn't know how to comfort him.

Qin Gewei remained sullen and refused to speak. After changing his clothes, he walked out of the operating room accompanied by Gao Ming.Outside the operating room, the patient's relatives didn't expect Director Qin to come out so soon, and they couldn't react for a while, but when they realized that something went wrong with the operation, Director Qin and Dr. Gao had already entered the elevator and closed it Door.

In the elevator, Qin Gewei felt the worry and apprehension of the patient's relatives, he couldn't help but sighed softly, and said, "Go back, Xiao Gao, and explain patiently to the patient's relatives."

Gao Chao replied, "Well, I'll take you downstairs first."

That is four floors, while talking, the elevator has reached the first floor.Qin Gewei stepped out of the elevator, regained his stern face, left the ward building without saying a word, and got into his car parked under the shade of the tree at the entrance of the building.

After getting in the car, Qin Gewei lit the fire and turned on the air conditioner, but he didn't start it in a hurry, but lowered the window.

One step away, Gao Chao hurriedly stepped forward and bent down.

"Teacher, say it."

Qin Gewei let out a breath, hesitated for a moment, and said, "Come and sit in the car, I really want to talk to you a few words."

Gao Chao quickly walked around the front of the car, opened the door, and sat in the passenger seat.

"Isn't the appointment of the deputy director of the department still available?"

Gao Chao smiled wryly and said, "Dean Lin said that the Standing Committee of the House of Commons is going to be held, but it's been almost a month, and the Standing Committee has never been held."

Qin Gewei snorted coldly: "It's a big hospital, how can there be a standing committee? It's not Lin Tongan who has the final say! Well, you go talk to Lin Tongan and tell him that I, Qin Gewei, won't do it because of a small You’re just a kid and you care about him, but your surgical management level should really be improved. Lin Tong’an is a smart man, if you tell him that, he should be able to understand what it means.”

Gao Chao respectfully said: "Thank you teacher for your support."

Qin Gewei said earnestly: "Liuquan Town is a good place, but it's a pity that it fell into the hands of Lin Tong'an. Xiao Gao, you have to work hard. You must have the right to speak in Keli, and you can't follow Lao Lin's way anymore. .”

Gao Chao nodded firmly, and replied: "I understand, teacher, don't worry, when I become the deputy director of the department, I will definitely persuade Dean Lin not to hire experts from other hospitals."

Qin Gewei pondered for a moment, then continued: "That little kid surnamed Yang..."

Gao Chao immediately replied: "Give me a month, and I promise you won't see him again, teacher."

Qin Gewei was thoughtful, but a look of relief flashed across his face, "Don't go too far, young people make mistakes all the time, we can't beat them to death with a stick, we still have to give him a chance to correct his mistakes... But , this kind of arrogant person, it is best not to do surgery in the future, Xiao Gao, do you understand what I mean?"

Gao Chao smiled and said: "Students understand, teacher, don't worry, I will handle it properly."

Qin Gewei finally had a smile on his face, nodded, took a deep breath, and said, "Okay, you, go back! Call me anytime if you need anything."

Gao Chao was about to get off the car, but at this moment, a WeChat notification sound came from the phone.When Gao Chao got out of the car, he turned on his phone, swiped open WeChat, and glanced casually, but his face suddenly changed.

Qin Gewei noticed Gao Gao's strangeness from the rearview mirror, and asked anxiously, "What's wrong? Is it a message from the operating room?"

Gao Chao quickly covered it up and said, "Oh, no, it's something else! Teacher, I'm going back first."

With a serious expression, Qin Gewei stretched out his hand and shouted, "You Gaochao haven't learned how to lie yet! Here, show me your phone!"

Gao Chao's face was stiff, but he didn't dare to disobey Qin Gewei's order, and obediently handed over the phone.

Qin Gewei took the phone, looked at it, closed his eyes slightly, and sighed heavily.

"Inflammatory mass..." Qin Gewei shook his head with a wry smile, and said to himself, "Inflammatory mass formed by granulation wrapped stones... Humph, when I was changing clothes, I thought that this situation cannot be ruled out. Unexpectedly, it really is A word has become a prophecy... This is not a small lesson!"

(End of this chapter)