My medical skills are a billion points

Abdominal abscess caused intestinal adhesions, which required lysis of intestinal adhesions.

Because after partial sigmoid colon resection, because of severe abdominal infection, severe intestinal wall edema.

It is definitely not possible to anastomose the intestinal tract immediately, so a colostomy opening is also needed.

It is to sew the colon near the heart to the abdominal wall, and connect a fecal bag outside to allow the stool to be discharged from the abdominal wall.

That is to say, in the next few months, the patient has been carrying a fecal bag for life.

Enjoying the influence of the smell all day long, the quality of life will naturally be much worse.

But compared to life, this is the best choice.

After a few months, the edema of the intestinal wall disappeared, and the inflammation completely disappeared, and the sigmoid colon could be re-anastomized.

At that time, the patient can return to normal life.

After deciding on the operation plan, Xiao Chu started to do it.

Fully expose the operative field, bluntly dissect the abdominal adhesions, thoroughly remove the peritoneal pus and necrotic tissue again, rinse the peritoneal cavity with an appropriate amount of saline, and aspirate it.

Xiao Chu did these operations very quickly.

Gao Yingjun and Zhou Ziqiang were dazzled.

The interns and fellow doctors around couldn't keep up with Xiao Chu's pace.

Xiao Chu first performed a partial sigmoid colon resection, and then a colostomy.

This operation is relatively simple, and he performed it relatively quickly.

Firstly, Xiao Chu cut off the intestinal tube about 2cm above and below the perforation of the sigmoid colon, and cut off the corresponding mesentery to stop the bleeding.

The distal interrupted silk thread was reinforced and left aside, and the proximal intestinal canal came out of the left abdominal wall fistula, and the interrupted silk thread was fixed.

This part of the sigmoid colon resection and fistula is completed, very simple operation.

For Xiao Chu, this operation is very simple.

But for Gao Yingjun and Zhou Ziqiang, as well as the interns and advanced students around them, it was quite difficult.

Surgery is easier said than done.

It is typical that the eyes can, but the hands can't.

Regardless of any operation, there is no need to go through countless operations on stage.

Surgical procedures, no matter how proficient you memorize them, you cannot become a good doctor.

And Xiao Chu's incomparably skillful operations all benefited from the system's rewards.

Like Gao Yingjun and Zhou Ziqiang, even if they have been working for several years, how many surgeries have they had in total?

Thousands of surgeries are amazing!

The lowest level of Xiao Chu's rewards is high-level, and most of them are world-class. Of course, they are not comparable to Gao Yingjun and Zhou Ziqiang.

Because sigmoid colon resection is relatively simple, Xiao Chu didn't explain too much.

Instead, he quickly completed the operation, and what he will do next is the entire cholecystectomy.

This operation is slightly more difficult than the sigmoid resection.

So Xiao Chu slowed down a bit, and then explained the steps in detail to the people around him.

Xiao Chu explained the steps while operating carefully.

In the eyes of everyone, Xiao Chu's operations are simply flowing.

There is a feeling that he is not doing an operation, but a handicraft.

Gives a pleasant feeling.

After treating the sigmoid colon, Xiao Chu clamped the bottom of the gallbladder with non-invasive forceps, and cut the gallbladder serosa along both sides of the gallbladder.

From the bottom of the gallbladder, free the gallbladder to the neck of the gallbladder.

The hepatoduodenal ligament and foramen of Winslow were exposed, and the cystic duct was found by blunt dissection.

Poster and superior to the cystic duct, the cystic artery is separated.

When separating the cystic artery, Xiao Chu especially emphasized it to the surrounding doctors.

"When separating the cystic artery, you must be careful, the action must be gentle, and you must not be rough, otherwise it will be very troublesome to tear off the cystic artery!"

While talking, Xiao Chu continued to perform the operation.

Near the gallbladder wall, the cystic artery was cut off, the cystic duct was cut 0.5 cm away from the common bile duct, and the proximal end was double ligated.

After removal of the gallbladder, the gallbladder bed was completely hemostasis.

At this point in the operation, the entire operation is considered complete.

The rest of the work is finishing.

Xiao Chu was about to finish the rest of the work, but Gao Yingjun said: "Mr. Xiao, I will leave the rest of the work to Senior Brother Liu and me. You should step down and rest first."

After Gao Yingjun finished speaking, he took another look at Zhou Ziqiang next to him.

Zhou Ziqiang understood, and hurriedly said: "Yes, Mr. Xiao, you are at the professor level now, how can you let you do such a small job yourself."

Xiao Chu froze for a moment, a little surprised.

Chapter 112 I've given you the beauty Liu

Xiao Chu didn't expect that Gao Yingjun would call himself Teacher Xiao.

In hospitals, doctors called teachers are generally professor-level and capable.

Now that Gao Yingjun calls himself that, it is obvious that he classifies himself as a professor.

What's more, Zhou Ziqiang also acquiesced.

Seeing how pious Gao Yingjun and Zhou Ziqiang looked, Xiao Chu was not too modest.

He smiled and said, "You two put yourself into the role of students, can I afford it?"

Gao Yingjun chuckled.

"Of course you can afford it. If you can't afford it, no one can afford it."

Whether it was a joke or a serious one, Xiao Chu didn't insist anymore, so he took off his surgical gown and underwent the operation.

And Gao Yingjun and Zhou Ziqiang worked together to close the abdomen of the patient.

Gao Yingjun first explored the operative field to see if there was any obvious active bleeding.

After confirming that there is no obvious bleeding, after counting the equipment and dressings, the abdominal cavity was washed with a large amount of saline, sucked up, and hemostatic material was placed on the bleeding site of the wound, and a drainage tube was placed in the abdominal cavity.

The incision was sutured layer by layer and covered with dressings.

The whole operation process was very smooth, and there was very little blood loss during the operation.

Of course, because the patient's condition is still very serious.

After the operation, he was still sent to the emergency ICU and continued to be observed.

After the operation, Xiao Chu also returned to the doctor's office.

Turned on the computer and was about to write the medical records, when Liu Qing came over, looked at Xiao Chu and said, "Mr. Xiao, let me write the medical records for you."

Xiao Chu was a little stunned.

He raised his head and said, "Isn't this appropriate? You are not my student, you are following Teacher Gao. You can't justify writing my medical records for me."

Now Xiao Chu's job title is just a resident doctor.

Usually, he is required to write medical records and examine patients himself.

There are no interns under him.

Because of insufficient qualifications.

If a resident doctor wants to teach an intern or a fellow doctor, he must be a senior resident doctor or an attending physician at least.

Although Xiao Chu is well-known in the emergency department and even in the whole hospital, it is because of his good operation, but his qualifications are still very shallow.

What's more, it's only been a few months since he came to the emergency department, and Chen Bin didn't assign him an intern or a fellow doctor.

And now Liu Qing offered to help him write the medical records.

Of course it's inappropriate.

Let students who are not their own write medical records for themselves.

Then his teaching teacher may have inappropriate thoughts when he finds out.

That's why Xiao Chu was a little surprised.

But Liu Qing said bluntly: "No problem, Mr. Xiao, I have finished writing Mr. Gao's medical records for him. I should write the medical records for you now. You don't have to write so much. You are very tired from the operation. Yes, let's rest."

At this moment, Gao Yingjun walked in.

Just happened to hear the conversation between Xiao Chu and Liu Qing.

He immediately waved his hand and said, "Mr. Xiao, you're welcome, since Liu Qing is willing to help you write the medical records, you can let her do it.

Besides, you are a busy person in our emergency department now, how can you have so much time to write medical records. "

"Why not, let Liu Qing study with you in the future. I also have a lot of interns here. With your ability, if there are further doctors coming in the future, I will give you more help."

Now Gao Yingjun is a senior resident physician and also the chief resident physician of the emergency department.

In the top three major hospitals at the provincial capital level, the rights of the chief resident physician are quite large.

Resident physicians in each department have the opportunity to be the chief resident physician in the department.

Resident chief physicians not only have to be busy with their own duties such as cases and operations.

It is also necessary to coordinate the work among the doctors and nurses in the department, as well as arrange the work of visiting doctors and interns.

It can be said that the busiest person in the department is the chief resident physician.

Because a resident doctor wants to be promoted to an attending physician, he must act as the chief resident physician before he has a chance of promotion.

And now Gao Yingjun is playing such a role.

It can be said that in the entire emergency department, except for the director and deputy director, only Gao Yingjun has more power.

Even sometimes, he can command the attending physician.

Now Handsome Gao has spoken.

Let Liu Qing practice with Xiao Chu, Liu Qing is naturally very happy.

"Finally, I will be able to follow Teacher Xiao every day."

Liu Qing thought in her heart, jumping for joy.

Gao Yingjun, the chief resident physician, had already spoken and asked Liu Qing to follow him.

Xiao Chu naturally didn't give in anymore.

Now he performs more operations and sees more patients.

Because there are no interns under his staff, and no doctor in training.

Xiao Chu needed to do all the work of writing medical records and pushing patients for examinations.

And now that Liu Qing is helping, Xiao Chu's work will be much easier in the future.

Seeing that Xiao Chu accepted his suggestion, Gao Yingjun showed a smile, and said half-jokingly: "I assigned you the beauties of our group, you have to teach them carefully in the future. Don't let Liu Qingguang do some chores .”

Liu Qing's appearance is definitely at the level of a great beauty.

The reason why Gao Yingjun reluctantly parted with him was to send Liu Qing to Xiao Chu's subordinates.

Or because he is convinced by Xiao Chu's technique now.

He also knew that Liu Qing had always admired Xiao Chu.

Now that Liu Qing wanted to help Xiao Chu, she simply sent Liu Qing to Xiao Chu as a favor.

When Liu Qing came to practice in the emergency department, Gao Yingjun was shocked to see her.

Taking advantage of the power in his hands, he left her as an intern under his own hands.