My medical skills are a billion points

This really made Gao Yingjun extremely depressed, feeling like a failure.

But facing Xiao Chu, he felt a sense of powerlessness from the bottom of his heart.

The gap between him and Xiao Chu was getting bigger and bigger, and it was beyond his control that his intern defected to Xiao Chu's sect.

Looking at the shy Liu Qing, Gao Yingjun could only helplessly shake his head in his heart.

He picked up the syringe and began to focus on giving the patient local anesthesia.

He first gave an anesthetized Pichu on the patient's left anti-Mabsonian point.

In fact, it is no longer necessary for a patient in such a deep coma to receive anesthesia or not.

However, Gao Yingjun was going to do a teaching demonstration, so he was given local infiltration anesthesia as usual.

Gao Yingjun fixed the skin of the puncture site with his left hand, and held the puncture needle in his right hand, and pierced the abdominal wall vertically through the anesthesia site.

When the sense of needle resistance suddenly disappears, it indicates that the needle tip has passed through the peritoneal wall.

Gao Yingjun continued to insert the needle, pulled back with negative pressure, and soon drew out about 5 milliliters of light yellow turbid peritoneal fluid.

Then pull out the syringe, and stick a sterile patch on the puncture site.

Gao Yingjun raised the light yellow turbid peritoneal fluid to his eyes, frowned, and fell into deep thought.

The peritoneal fluid in this syringe is light yellow and slightly turbid. According to the color, it looks like a kind of thing, that is, feces.

Seeing the color of the peritoneal effusion, Gao Yingjun had a bad feeling in his heart.

Chapter 110 I'm messing with you

But at the same time, Gao Yingjun also began to agree with Xiao Chu's judgment.

I think this patient is likely to have an abdominal infection caused by intestinal perforation.

Because the stuff drawn out of the abdominal cavity looks like feces.

Under normal circumstances, there will be no fluid in the abdominal cavity, let alone light yellow turbid things.

But now, this light yellow turbid liquid has been pumped out of the abdominal cavity. What does this mean?

It is likely that the patient's intestines were perforated, and the feces leaked from the intestines flowed into the abdominal cavity.

Of course, judging from the paracentesis fluid alone, it is not [-]% sure that the patient must have intestinal perforation.

Gao Yingjun immediately handed the puncture fluid in his hand to an intern, and ordered, "Take this peritoneal puncture fluid and send it to the laboratory for urgent biochemical, routine, and bacteriological tests!"

With the biochemical examination of the paracentesis fluid, after the results come out, it is basically possible to confirm what it is.

Xiao Chu and Gao Yingjun returned to the doctor's office, waiting for the test results of the paracentesis fluid.

In about half an hour, the results of the laboratory were uploaded to the computer.

The results showed that the ascites contained Enterococcus faecium.

Enterococcus faecium is a bacterium that only exists in the intestinal tract and does not appear in the abdominal cavity.

However, if this bacterium is found in the ascites, it means that the patient's intestine must have been perforated.

After seeing the test results, Gao Yingjun has completely believed in Xiao Chu's judgment.

He shook his head involuntarily, and said convincedly: "Xiao Chu, you are still the best. Neither B-ultrasound nor CT could find out the cause of this patient, but you were able to find it out, admiration!"

Of course Xiao Chu would not be complacent because of Gao Yingjun's admiration.

Instead, he said: "We don't need to brag about each other in this business. Now that the cause of the disease has been clarified, I think it's better to perform an exploratory laparotomy on the patient, otherwise, if the delay continues, his condition will only get worse! "

Gao Yingjun nodded repeatedly.

"That's right, I'm going to talk to the patient's family members now and make preoperative preparations."

Gao Yingjun said, got up and walked out the door.

Before walking out of the door, he stopped suddenly, turned his head to look at Xiao Chu and asked, "This laparotomy, do you want Director Chen to come on stage?"

Exploratory laparotomy, especially the highly suspected operation of sigmoid colon perforation, coupled with the gangrene of the gallbladder that Xiao Chu has not mentioned, will definitely require removal of the gallbladder. It is still very difficult to do these two operations together.

Gao Yingjun definitely couldn't do it, so he thought of calling the director Chen Bin to the stage.

But Xiao Chu waved his hand and said: "The director is so busy, why are you bothering him? Isn't there someone ready in front of you?"

For the operation, Xiao Chu is still very happy, and of course recommends herself to Gao Yingjun.

And Gao Yingjun's eyes suddenly lit up, clapping his hands and shouting: "Oh, look at my memory, I forgot about you as a great god, the pancreatic cancer of the dean's father was cured by you.

This mere exploratory laparotomy is as simple as drinking cold water for you. That's fine, today's operation will be performed by the two of us, and I will be your assistant! "

"With you Xiao Dashen on the team, this operation is stable!"

Gao Yingjun is self-aware.

For this operation, he knew that it was impossible for him to be the chief surgeon.

Because of this, she was willing to be Xiao Chu's first assistant.

Seeing that he could be Xiao Chu's assistant, Gao Yingjun rushed to talk to the patient's family and signed the consent form for the operation.

Now Xiao Chu's surgical ability is at the height of the sky in the emergency department, and the doctor who wants to be his surgical assistant beats him.

And now this surgery happens to be Gao Yingjun's own patient, so the natural first assistant is his.

Since the patient's condition was very serious and there was no need to delay, Gao Yingjun quickly signed a consent form for the operation with his family.

After a short time, the patient was sent to the emergency operating room.

Hearing that Xiao Chu was going to have another operation, many people came to the operating room to observe it.

The position of the second assistant was snatched by Zhou Ziqiang.

Several other interns or fellow doctors also wanted to get the position of second assistant, but they couldn't compete with Zhou Ziqiang.

After all, Zhou Ziqiang is the attending physician of the hospital, no intern or fellow doctor would dare to compete with him.

Brush your hands well, put on sterile gowns, put on sterile gloves, and disinfect the towels.

When preparing for the operation, Xiao Chu said a word slowly.

"I always feel that this patient not only has a perforated colon, but may also have gallbladder problems. Let's make the incision longer today."

Yizhu Gao Yingjun immediately said in surprise: "No way, Xiao Chu, I clearly checked his abdominal CT and color Doppler ultrasound, but it only showed cholecystitis, and I didn't see any serious problems with the gallbladder.

"It's impossible to say!"

Xiao Chu just smiled, stopped talking, and began to focus on the operation.

Although this patient had undergone abdominal CT and abdominal color Doppler ultrasound, it only indicated cholecystitis.

But these machines are just machines after all, they don't have the miraculous passive ability like Xiao Chu, who can accurately see the changes of his illness.

Because the patient's condition is more complicated, even if relevant examinations are done, it is possible to cover up the condition.

Therefore, the auxiliary examination can only be used as a reference, and the disease cannot be diagnosed completely by the auxiliary examination.

After the anesthesia took effect, Xiao Chu made a 12cm incision in the middle around the navel, and entered the abdomen layer by layer.

Exploration shows: the abdominal cavity is severely jaundiced, and some small intestines are adhered to each other into groups.

Exploration revealed the formation of bilateral subdiaphragmatic, intestinal space, and pelvic abscesses with a large amount of pus attached.

Gao Yingjun immediately exclaimed when he detected a large number of abscesses in the pelvic cavity.

"I'll go, it really is an abdominal infection. An abscess has already formed, which is too serious!"

Gao Yingjun cooperated with Xiao Chu to remove part of the pus moss and suck out about 900m1 of turbid yellow-white pus.

The middle section of the sigmoid colon was found on exploration, and a necrotic perforation of the intestinal wall was seen, with a diameter of about 0.8 cm. The intestinal wall around the perforation showed carbon-like changes.

Seeing the perforation of the sigmoid colon, Gao Yingjun immediately widened his eyes and looked at Xiao Chu in disbelief.

"Xiao Chu, you are amazing! You are really right, and it is really a perforation of the sigmoid colon. You are not wrong at all!"

And Xiao Chu didn't speak, just smiled and continued the operation.

Severe segmental inflammatory changes in part of the small intestine were detected, with local ischemia-like changes in the form of dots.

The gallbladder wall was found to be punctate gangrene on exploration, with severe yellow staining around the gallbladder.

When Xiao Chu went to the upper part of the abdominal cavity to detect the gallbladder, he found that the gallbladder was suppurative and gangrene.

Gao Yingjun was suddenly speechless in shock.

He was stunned for a while, and then said hesitantly: "Xiao Chu, you are so monstrous! Before the operation, you said that this patient might also have a problem with the gallbladder. I thought you were joking. I didn't expect this patient, It turned out to be a real problem with the gallbladder, you are really amazing!"

"Don't say anything, I will follow you from now on!"

Chapter 111 Has This Raised to the Professor Level?

Gao Yingjun gave Xiao Chu a thumbs up sincerely.

And Zhou Ziqiang pulled the hook, and said calmly: "Xiao Chu is just a basic operation, so I'm surprised? What's the point? You didn't see him perform the pancreatic cancer operation for the dean's father. That’s what makes it wonderful!”

Regarding the flattery of the two people, Xiao Chu didn't have any big mood swings in his heart, and he was still concentrating on the operation.

However, during the operation, such a big problem was discovered.

This patient will definitely have a colostomy, a partial sigmoidectomy, and a cholecystectomy.

This requires explaining the situation to the family.

As the patient's doctor in charge, Gao Yingjun took off his gloves and took a picture of the patient's abdominal cavity with his mobile phone.

Then he walked out of the operating room and explained the next operation to the family members waiting at the door.

A laparotomy, that's it.

Generally, during the operation, if any problem is found, it is necessary to communicate with the family members in time to facilitate better surgery in the future.

In just a few minutes, Gao Yingjun had already discussed the details of the operation with the patient's family.

He brushed his hands again, changed into a surgical gown and sterile gloves, and stood in the position of the first assistant again.

It can be said that the current Gao Yingjun admires Xiao Chuna so much.

A while ago, he also heard that Xiao Chu was very good at performing surgery, and his skills were very good.

But just listen to others.

Also as a young doctor, Gao Yingjun has his own arrogance.

For Xiao Chu who was younger than him, he was naturally not convinced.

Although he is a little narcissistic with his colleagues on the surface, he also has confidence in his own technology.

After all, he is also a doctor who graduated from a medical university.

From a psychological point of view, Xiao Chu, who only graduated from a bachelor's degree, still looks down on him from the bottom of his heart.

This is a natural sense of superiority in terms of academic qualifications and grade differences.

A doctoral student naturally looks down on undergraduates.

Of course, because he is a colleague, Gao Yingjun naturally won't show it on the surface.

But today he feels differently.

Today he was the one who truly participated in Xiao Chu's operation.

I personally felt that Xiao Chu's grasp and diagnosis of the disease were far superior to his.

Moreover, Xiao Chu's surgical skills, in the eyes of Gao Yingjun, are even more impressive.

Even Chen Bin, the director of the emergency department, compared with Xiao Chu's surgical skills, was more than one level behind.

Just because he witnessed Xiao Chu's strength with his own eyes, Gao Yingjun now admires Xiao Chu from the bottom of his heart.

And because Xiao Chu only has a bachelor's degree, she wouldn't dare to look down on him a little bit.

Now Gao Yingjun stood on the operating table again, glanced at Xiao Chu who was concentrating on the operation, his eyes were full of admiration.

But Xiao Chu naturally didn't know that Gao Yingjun had experienced so many changes in his mind.

Now that Gao Yingjun had explained the situation to his family members, Xiao Chu started to do the next operation.

The patient underwent surgery, and what is now discovered is perforation of the sigmoid colon, gangrene of the gallbladder, and abdominal abscess.