Since 1981 Health School
Chapter 98: Surgery failed to find the appendix
Chapter 98 Surgery cannot find the appendix
Chen Qi got the opportunity to watch the operation in the operating room at will, which made Zhang Jun, Ai Kelong and other university interns red-eyed.
It is important to know that the main work of interns is to write medical records, change dressings, manage beds and other basic, non-technical tasks.
Even college interns can go on stage together with their teachers, but it is impossible for a teacher to perform surgery on stage every day. For example, several directors have meetings today and business trips tomorrow, and there are regular outpatient clinics every week.
So Zhang Jun and the others don't have too many chances to be on the operating table.
Even if they are on the operating table, they will just watch what the teachers do, and there will not be too many diseases.
You must know that in Vietnam in 1982, although the economy had begun to be active, there were only a small number of ordinary people who had money to go to the hospital.
The total population of the Vietnam-Central region is 4 million, and farmers account for the vast majority. Farmers procrastinate when they are sick.
The total population of Yuezhong City, where the area is located, is 400,000, half of which are workers.
Public health care?
Why was Haidong Province almost dominated by the private economy, and state-owned factories accounted for less than 5%. In fact, in the early 1980s, the efficiency of state-owned factories in Haidong Province was not good, which was far worse than the layoffs in the Northeast in the early 1990s. morning.
It’s just that the workers in Haidong Province are sensible, pragmatic, and willing to face down. The state-owned factories can no longer stay, and they all go to township enterprises or private enterprises to "part-time". This is why there is no Northeast-style tragedy.
What this means is that workers in the 1980s also had no money, and don’t count on public medical expenses. Except for enterprises such as Yue Steel Factory, Chemical Fertilizer Factory, and Chemical Fiber Factory, other state-owned factories are no longer working. The factory cannot reimburse your medical expenses. .
In the Yuezhou area, there are only two best hospitals, one is the People's Hospital and the other is the Second Hospital. The surgery here is the best.
Followed by Yuezhong Fourth Hospital, but this hospital is quite special. It has a regional brand, but it is a sanatorium hospital directly managed by the province, and it is not located in the urban area.
Others are some county-level hospitals, which can also perform some minor appendicitis operations. If it is more complicated, you can only be caught blind.
Zhu Huoyan opened up the authority to visit the operation, and Chen Qi can watch all the doctors' operations, which opened a window for his "vision".
Not only Zhang Jun and the others are jealous, Wang Shannong, Ding Bitao, Yin Jigang and other buddies, including all the boyfriends of the health school, are extremely envious.
On the contrary, female students such as Lan Lijuan, Pan Ye, and Bian Hongen don't care. Anyway, it is impossible for lesbians to stay in the surgery department.
So it's more about cheering for Squad Leader Chen.
Because Director Zhu asked him to do it step by step, starting with simple surgery, so Chen Qi mainly followed the "teacher" Yi Zewen to perform surgery today.
This operation is also very simple, it is appendicitis.
This is a patient sent urgently at noon. The Yuezhong People’s Hospital in 1982 did not have an emergency department. Patients who encountered such acute abdominal syndrome needed emergency surgery and were pushed directly to the ward.
It happened that Yi Zewen was on duty, and when he pressed his stomach, he experienced typical tenderness and rebound pain at the McBurney's point in the lower right abdomen.
Because the patient was in severe pain, the family members had strong demands, and because he was still a small cadre in the Lizhu Iron Mine, Yi Zewen didn't have time to do the preoperative examination, so he was pushed directly into the operating room.
Yi Zewen was the chief surgeon, another young doctor Deng Shi was the first assistant, and Chen Qi naturally became the second assistant.
Minor surgery, in fact, one chief surgeon and one assistant are enough. This is not to guide Chen Qi, so let him be the second assistant. During the operation, he will help hand over the equipment, thread the surgical line and play the assistant.
This is also Chen Qi's first time as an assistant.
While disinfecting, Yi Zewen explained the preoperative preparations to Chen Qi:
"Student Chen, don't be nervous. We usually do this kind of appendicitis with our eyes closed. You can watch it a few times. I will disinfect it first, and I will leave the disinfection and draping work to you tomorrow."
"Okay, Mr. Yi, no problem, I can do things at ease."
"Hey, of course, don't worry. It's unprecedented for Director Zhu to lead the interns himself. It is estimated that we will become colleagues in the second half of the year."
Hey hey hey.
Chen Qi could only smirk, but he was also happy in his heart.
After making all the preoperative preparations, Yi Zewen had just stood in his position, and before he could order, Chen Qi had already handed over the scalpel, and the tip of the knife was still facing him.
Yi Zewen was stunned for a moment: "That's right, classmate Chen, you have good eyesight, unlike other interns who are foolishly waiting for the doctor's order."
Chen Qi's initiative made Yi Zewen very satisfied.
Chen Qi giggled again, seeing that Yi Zewen had cut open the skin, he immediately handed the hemostat to Deng Shi, the first assistant.
Deng Shi also nodded: "Okay, Chen Qi is indeed the squad leader of the health school, he knows what equipment is needed for the next step of the operation, no wonder he is valued by Lao Zhu."
Chen Qi thought to himself, what is going on here, let me do the operation, it may be better than you.
Yi Zewen's operation was carried out very quickly. The skin and subcutaneous tissue were cut layer by layer, the external oblique muscle and internal oblique muscle were separated, and the peritoneum was opened by pulling the tension.
Deng Shi did a good job of pulling the hook.
Obviously Yi Zewen was very relaxed, while performing the operation, he also introduced the operation process to Chen Qi:
"Okay, at this point I'm going to start looking for the appendix. Usually, I go down along the colonic band. I can find the appendix at the end point where the colonic band converges in the ileocecal area. Director Zhu and his team can find it with a probe of the tissue forceps. I I'm still used to digging out with my fingers, this method is a bit rustic, but simple and convenient..."
Yi Zewen hooked his fingers around the incision, but he couldn't find the appendix after a few minutes of hooking. At this time, his face began to look ugly.
He was still chattering just now, but now he has become silent, and the sweat on his head is about to come out.
Deng Shi was standing opposite him, and he was the first to notice something was wrong. Normally, the appendix would pop out immediately with a hook of his finger. It was very simple. Why didn’t the appendix be found after 10 minutes today?
"Old Yi, what's wrong?"
Chen Qi saw it a long time ago, secretly amused in his heart, thinking what else could he do? I can't find the appendix.
"Xiao Deng, you, come and look for me, I, I can't touch the appendix..."
Yi Zewen is not bad, he didn't give up, but just now he was bragging that the operation was very simple, but he was immediately slapped in the face, and he was also a little guilty.
Deng Shi didn't doubt him, and immediately stretched out his fingers and began to look for the diseased appendix by touch. After touching for a long time, he couldn't find the appendix either.
Now both of them were dumbfounded.
(end of this chapter)
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