My medical skills are a billion points

"You ask Director Xiao to come over, and we'll talk to him."

After finishing speaking, the woman stopped talking to Wang Panpan.

Wang Panpan knew her identity, although she felt wronged, she had no choice but to call Xiao Chu over.

Xiao Chu didn't expect that Wang Panpan just asked the family members to sign a consent form for the operation, but he didn't get the approval of the family members, so he insisted on letting himself come.

This family is really a little too much.

"Doctor, what's wrong with my husband? Why are you talking about surgery?"

The woman came up and questioned Xiao Chu.

Chapter 317 Wang Panpan Can't Have Surgery

Xiao Chu was not angry at the questioning of the patient's family, but patiently explained the cause of the disease to him.

After all, the patient came to the hospital for an examination in a hurry, and the mood would not be so happy.

Except for the delivery room, few patients and their families who come to the hospital are in a good mood.

Xiao Chu can also understand the patient's mood, so he has to explain patiently to the patient and his family.

In order to let the patient feel relaxed and better prepared for the next operation.

As for this aspect, Wang Panpan is obviously lacking.

Of course, due to her status as a trainee doctor, it is understandable for other patients not to believe her.

The patient has now used antibiotics, as well as antispasmodic and analgesic drugs.

At this time, his pain has eased somewhat.

Lying on the bed, he endured the abdominal pain and waited for Xiao Chu's next words.

"My husband is usually in very good health, why is he going to have an operation all of a sudden? And what about upper gastrointestinal perforation?"

Xiao Chu didn't answer the woman, but looked at the patient on the hospital bed.

He asked kindly, "What do you do for work?"

Due to Xiao Chu's kind attitude, he didn't show any impatience.

The man said slowly, "I am a long-distance driver."

"Oh, do you usually eat irregularly?"

"Isn't that right, our long-distance drivers don't usually have a meal. We eat when we're hungry.

Just now the female doctor asked me if I had any diseases before, and I did not, but I occasionally had some stomach pains in the past six months.

I didn't care about it, and I didn't check it. I don't know if my illness has anything to do with it? "

Xiao Chu said: "According to the examination, your symptoms can confirm the diagnosis of upper gastrointestinal perforation, which is usually caused by gastroduodenal ulcer.

During this period of time, if you have abdominal pain before meals and it is regular, then it is likely to be gastric perforation.

If abdominal pain occurs every half hour after meals, it is likely to be perforated duodenal ulcer. "

The man frowned and thought for a moment.

"In the past six months, I seem to have stomach pains only after meals."

"Then you may have a duodenal perforation, but which part of the perforation is, you need to find out during the operation."

"Doctor, do I have to have surgery in this situation?"

Xiao Chu nodded lightly.

"You have now been clearly diagnosed with perforation of the digestive tract. If there is no surgery, even if there is no food in the stomach, gastric juice will flow out and continue to flow into the pelvic cavity, causing a wider range of peritonitis.

If severe intra-abdominal infection is caused, sepsis may occur, which is life-threatening. "

"what!"

The woman next to the hospital bed yelled in surprise.

"Doctor, is my husband's illness so severe?"

"If there is no surgery, there is indeed a possibility, but if the surgery is done in time, the perforation will be repaired, and the abdominal cavity will be washed thoroughly. Generally, there is no problem. The rest is to strengthen the application of antibiotics, control the infection, and slowly recover. Will be fine."

After hearing Xiao Chu's detailed explanation, the woman also slowly accepted the fact that her husband needed an operation.

"Doctor, does my husband need surgery now?"

Xiao Chu said: "Of course, the sooner the better, and there are two surgical methods. How do you choose?"

"Two types of surgery?"

The woman is puzzled.

"Yes, the first one is conventional surgery. An incision more than ten centimeters long is made on the stomach, and the perforation is repaired."

"The second method is the more advanced laparoscopic technology. It only needs to make three holes in the stomach, and then the perforation can be repaired."

"Of course, the second method is less traumatic for the patient and quicker to recover. But the cost is relatively higher. Can you discuss which operation method to choose?"

When the woman heard that laparoscopic surgery was expensive, she looked at her husband on the bed.

The man was lying on the hospital bed, suffering from a stomachache, so he replied without thinking, "Let's choose laparoscopy."

"Well, you can enter the operating room after you sign the consent form for the operation."

Xiao Chu explained in such detail that the husband and wife signed the consent form for the operation without any doubts.

After returning to the office, Xiao Chu said apologetically to Wang Panpan: "Panpan, you can't follow me for this operation, because the patient chose laparoscopy."

Of course Wang Panpan knew why Xiao Chu didn't let her take the stage.

Because she knew nothing about laparoscopic techniques and had no foundation.

Even if she was on stage, she could only stand aside as a bystander.

Wang Panpan smiled slightly.

"It's okay, Mr. Xiao, I'll take a look at it and study it."

Although it is completely up to Xiao Chu to decide who to follow him to undergo surgery.

But after all, he promised Wang Panpan just now that she would have the surgery with him.

Xiao Chu is still a little embarrassed to change his mind temporarily now.

Xiao Chu originally thought that the family members would definitely choose the conventional surgery method. After all, laparoscopic surgery would cost tens of thousands, but the patient didn't blink, so Xiao Chu had no choice but to agree to this surgery method.

Laparoscopic technology is currently in the emergency department, and Xiao Chu is mainly responsible for it.

Zhou Ziqiang was the only one who could accompany him in surgery.

So Xiao Chu looked at Zhou Ziqiang, who was reading the operation manual, and walked over.

"Brother Zhou, can you do one operation?"

Zhou Ziqiang turned around with a smile on his face.

"Haha, I'm just waiting for you to call me."

Zhou Ziqiang heard clearly what Xiao Chu said to Wang Panpan just now.

Of course he knew that as long as this patient underwent laparoscopic surgery, Xiao Chu would definitely find him.

The surgeon has been selected, and the patient has already been prepared for the operation.

Soon the patient was wheeled into the operating room.

Xiao Chu and Zhou Ziqiang were neatly dressed and stood on both sides of the patient.

Wang Panpan was wearing a surgical gown, standing aside and watching.

In fact, gastroduodenal perforation repair is only a second-level operation, and it is not difficult.

If it was a regular incision, Zhou Ziqiang and Gao Yingjun could have taken it.

But now the patient chooses laparoscopic technique, so only Xiao Chu and Zhou Ziqiang can do it.

The patient was placed in the supine position, and general anesthesia was satisfied.

Xiao Chu made abdominal puncture holes at the navel, two centimeters from the lower edge of the left costal arch, and three centimeters from the lower edge of the right costal arch, and established artificial pneumoperitoneum.

After the laparoscope enters the abdominal cavity, the degree of infection in the abdominal cavity is explored to find the specific site of gastric perforation.

Exploration showed that the abdominal cavity was full of light yellow liquid, and the aspirator sucked out the fluid and empyema in the abdominal cavity to reduce the further absorption of toxins.

A 0.5×0.7cm hole was seen in the duodenal bulb, and a light yellow liquid flowed out.

After identifying the patient's perforation site, Xiao Chu used absorbable sutures to suture the perforation site.

The perforation site was closed to prevent continuous infiltration of gastric juice into the abdominal cavity.

At the same time, the greater omentum is covered on the perforation site to avoid repeated perforation.

Thoroughly clean the purulent secretions in the abdominal cavity, and place abdominal drainage tubes at the perforation site and the pelvic cavity for adequate drainage.

after an hour,

The operation is over.

Chapter 318 I Want To Learn, I'll Teach You

Gastroduodenal perforation repair, and the laparoscopy only takes more than one hour, and the whole operation is completed.

Zhou Ziqiang looked at the leisurely Xiao Chu, he sighed and shook his head.

"Xiao Chu, my old Zhou is really envious of your skill."

"If it wasn't for the few laparoscopic surgeries I've followed you through, I'm afraid I still don't know much about laparoscopic techniques."

"As a result, up to now, I can only help you hold the mirror, but I can't be the chief surgeon.

It seems that we will be in the emergency department in the future.Except Director Chen, everyone else will be your subordinates. "

Xiao Chu smiled and said: "Brother Zhou, how can you belittle yourself with what you said?"

"Do you want to learn this laparoscopic technique? I'll teach you. How about you being the chief surgeon next time there is a patient in this field?"

But Zhou Ziqiang waved his hand.

"Forget it, when you need it, I'll just go on stage and help you. I don't want to be the chief surgeon. I'll do my general surgery well in the future and just do routine surgery."

"My goal is to be able to perform level [-] surgery in the future. You can help me more in this regard."

Zhou Ziqiang paused for a moment, "Oh, like the radical operation for pancreatic cancer, if I have the opportunity to perform the operation in the future, I will be regarded as consummated."

Radical surgery for pancreatic cancer, there are not many doctors in the whole province who can do it completely.

Even if the director of the department, Chen Bin, is from general surgery, he specializes in digestive surgery, but he can't completely win the radical operation of pancreatic cancer.

Patients with pancreatic cancer need surgery, and experts in digestive tumors are still needed to perform the surgery.

It can be seen the difficulty of this fourth-level operation.

And Zhou Ziqiang's goal is to be able to perform radical surgery for pancreatic cancer.

After all, it has been two months since Xiao Chu performed the operation on Liu Qiming's father, and the patient has recovered very well.

There were no complications.

What's more, there were foreign experts at that time, but none of them completed the operation.

Therefore, in terms of radical resection of pancreatic cancer, Xiao Chu ranked second among the provincial doctors, and no one dared to be number one.

Seeing Zhou Ziqiang's serious look, Xiao Chu thought for a while.

If he continues to work in the emergency department of the provincial hospital for a long time in the future and does not change jobs.

He is bound to cultivate some backbone forces in the emergency department.

But with so many doctors in the emergency department, it is impossible for them all to learn the same surgical skills.

They should be allowed to develop in an all-round way and bloom in multiple places.

It is best for Xiao Chu to cultivate surgical talents in several major systems.

After thinking for a while, Xiao Chu also had a preliminary plan for the other doctors in the emergency department in his mind.