Chapter 23: The style of my youth
"University of Exeter?" Luo Hao had never heard of this university.
But it is not as simple and easy to understand as an ordinary pheasant university, and it does not seem to be the type of university that is simply established to defraud money.
“Xiao Chen is amazing!” the anesthesiologist exclaimed, “I didn’t even know about this university when Xiao Chen first told me about it. When I went home and looked it up, holy shit! It’s so awesome!!”
“Brother Guan, stop talking, stop talking.” Chen Yong was a little helpless.
"Which medical major at the University of Exeter is better? Biology? I've never heard of it." Luo Hao asked.
"Occult science! Become a mage after graduation." The anesthesiologist said with a smile.
"Huh?" Luo Hao was startled.
"Hogwarts, written by JK Rowling, is a school for cultivating magicians. The University of Exeter has a major dedicated to this." The anesthesiologist introduced it to Luo Hao with great interest.
“!!!”
Luo Hao was surprised that there was such an unreliable thing.
The key is that someone would study such an unorthodox major? !
Isn’t this a joke?
"Master of Magic and Occult Science." Chen Yong was helpless, fearing that the anesthetist's words would become more outrageous, so he had to explain himself, "I was applying for a resume after graduating from university, and by chance I discovered that there is magic at the University of Exeter. The requirements for the major of occult science are not low, but I met the requirements.”
“I submitted my resume, but I didn’t expect that I was actually admitted. I was curious, so I went through the procedures to study abroad. Learn it.”
"You are so inexperienced and you were deceived."
Chen Yong explained helplessly.
Luo Hao was endlessly surprised and emotional.
It seems that Chen Yong is really not a reliable guy. He has a master's degree in magic and mysticism, and finally ended up working as a clinician in Donglian City Mine.
How does he rely on medical treatment? Could it be the priest's healing technique?
After a major treatment, the patient's blood volume increases, which is a perfect match for the system!
Luo Hao feels that Chen Yong should be the one who gets the system.
When he thought of modern cities, systematic priests were rampant in hospitals... If there was such a novel, Luo Hao wanted to take a look. (Yeah, yeah, I'll write about this in my next book)
"Chen Yong, what do you study in school?" Luo Hao asked curiously.
Chen Yong sighed, with complicated eyes, staring blankly at the warm salt water gauze.
"I heard that there is a Taoist school with a bachelor's degree. You learn to draw talismans and other things every day. I just don't know how to sign up. Otherwise, I will let my son learn." The anesthesiologist said.
“Do these schools really exist?” the equipment nurse was surprised.
"Of course, after graduation, there is no need to register as a certified master in the workplace. I say Xiao Chen, you just can’t figure it out and insist on becoming a doctor. Isn’t it good to be a priest? Even if you don’t know how What, exorcism and the like... The risk is high, can you go to the church and listen to people's voices?"
"There is so much gossip, the more happy you are."
The anesthesiologist is more happy. The more excited I get, the sleepier will be driven away to the horizon.
"Even if you graduate from magic and occult studies, you are still not a priest." Chen Yong defended.
"Being a great mage? No, you should be a mage's apprentice. That's fine too. It's better than being in the hospital every day."
Luo Hao was very interested. He glanced at Chen Yong carefully. This guy is a veritable archmage from the future.
Just as he was about to ask Chen Yong what he learned while studying for a master's degree in magic and mysticism, Luo Hao heard footsteps and hearty laughter coming from the corridor.
Lin Yuming is here!
The old director of Guohua should be here too! !
Luo Hao's expression straightened, and he glanced at the system panel in the upper right corner of his field of vision with some regret. He probably couldn't do this task.
"How was the operation? How far has it gone?" came a voice.
The sound was like a loud bell, full of energy, and the light of the shadowless lamp seemed to tremble a few times.
The sound of heavy footsteps echoed, as if a tyrannosaurus had crossed over from the Cretaceous.
"Director Guohua!" The anesthesiologist smiled with a smile on his face, his mask couldn't cover it at all, and he came close to him affectionately.
"Xiaoguan, have you been busy lately? Do you have many surgeries?"
Director Guohua said as he walked behind Luo Hao.
Although Luo Hao didn't look back at the mine's former director of surgery, Wang Guohua, he felt him walking in, so he took away the warm saline gauze and handed it to the instrument nurse.
"Director Guohua, after laparotomy, we saw intussusception in the patient's intestines, which has been released and no necrosis of the intestines was seen. The intraoperative examination and imaging data are consistent, the colon..."
< br>
Luo Hao began to report the patient's condition concisely.
Wang Guohua looked at the surgical area with his hands behind his back.
After Luo Hao finished his introduction, Wang Guohua came to the film reader and started watching the film.
1′12″ later, Wang Guohua asked, “Ronald, for that patient a few days ago, was it you who went to the medical records room to look through the past medical records and found the surgical records written by me? "
"Yes. "Luo Hao didn't expect Wang Guohua to ask this, and couldn't figure out what he meant, so he simply responded.
Wang Guohua was noncommittal and turned around to wash his hands.
When he came back, Luo Hao had already stood in the position of the second assistant, giving up the position of the surgeon.
"You do it." Wang Guohua said while wiping his hands.
The old director's tone was unquestionable, domineering and powerful.
“He?”
The anesthesiologist was stunned.
"As long as I'm here, will it be okay to perform an intestinal resection and anastomosis?" Wang Guohua asked in return.
"How could it be! As soon as Director Guohua came, I felt relieved." The anesthesiologist explained quickly.
Although Wang Guohua has retired, his influence is still there over the years. In addition, the mine managers respect him very much, so no one questions Wang Guohua's decision.
Wang Guohua stood directly at Yisuke's position, while Chen Yong moved to the side and pulled the hook honestly.
"Do it." Wang Guohua said.
Luo Hao raised his eyebrows and glanced at the system tasks.
In an instant, his affection for Wang Guohua suddenly increased.
It seems that the old director of Guohua did not want to favor Wen Youren.
If it were another profession, Luo Hao might be worried. But this is an operating table, and patients are rarely used as bargaining chips.
Of course, those who can do this kind of thing have already been promoted and will not continue to "delay" in the clinic.
Originally, Luo Hao had only heard of Wang Guohua's name in "Legends", and followed others in calling him "Old Director Guohua" affectionately.
At most, the two of them had a close relationship in that medical record from 20 years ago.
Unexpectedly, Wang Guohua came up and directly put himself in for intestinal resection and anastomosis.
This approach is a hundred times better than Wen Youren.
All kinds of distracting thoughts flashed through Luo Hao's mind. He then held his breath and concentrated on completing the operation according to the standard procedure.
Wang Guohua didn't see some steps, so Luo Hao did it again to show him.
Luo Hao first explored the location, size and mobility of the tumor in the left colon, as well as whether there was metastasis to lymph nodes and abdominal organs.
Every step has its meaning. Wang Guohua said nothing and followed Luo Hao's surgical steps.
After showing the previous surgical procedure, Luo Hao ligated the mesenteric blood vessels, incised the retroperitoneum under the duodenal suspensory ligament, separated the inferior mesenteric artery and vein, ligated and then cut them, and the proximal end was ligated and sutured.
Luo Hao did it methodically and followed the surgical steps step by step, almost perfectly.
After processing the blood vessels, Luo Hao used fine gauze strips to pass through the mesentery at the edge of the intestinal wall at the upper and lower ends about 5 to 6 cm away from the tumor, and tied the intestinal cavity tightly to control the intestinal contents of the tumor. , to avoid flowing up and down, causing spread.
After protecting it, Luo Hao took the trouble to check it again, and then with the help of Wang Guohua, he cut out the intestines.
Luo Hao turned around and put the intestines on the sterile tray. After marking the sterile area, he asked the instrument nurse for a new knife to start the dissection.
A minute later, Luo Hao said firmly, "Visually it is a lipoma, and I will send it to the pathology department for intraoperative freezing."
The circulating nurse was already ready to go. After hearing what the surgeon said, she immediately took the specimen and trotted to the pathology department.
The operation was suspended again.
"Your name is Luo Hao, right." Wang Guohua asked.
"Director Guohua, it's me." Luo Hao replied, "Thank you for coming to the rescue so late."
"Heh." Wang Guohua smiled flatly and said Not mentioning the rescue incident, he looked at Luo Hao and asked, "How did you remember to look at my handwritten surgical records 20 years ago last time?"
"Looking at the imaging at the time, I felt that the patient's medical history was wrong, and it should not be a simple cholecystectomy. But it was a long time ago, and the patient said that you, the old director of Guohua, did it at that time. Although I have never worked with you, but I heard colleagues talking about you."
Wang Guohua looked at Luo Hao calmly.
“I guessed at that time that with your rough and subtle thoughts, Mr. Guohua, you would definitely leave traces to prevent yourself from forgetting many years later or the patient’s narration error causing other doctors to misjudge.”
< br>"So I went to the medical records room to search for past medical records, and as expected, I found the surgical records you wrote back then. According to the surgical records, the patient should have cesspool syndrome, and future treatment will be logical."< br>
After Luo Hao finished speaking, his eyes narrowed.
He was smiling, expressing his respect for the old-timer.
Wang Guohua nodded without comment, changed the subject and asked, "I heard Director Lin said that you have not had any surgery since you returned from graduation. Is that true?"
"Come back. I have been working in the medical office since then and have no choice but to do it this time."
"How is the operation going?"
While chatting, Wen Youren's proud voice came in. .
The circulating nurse went to deliver the pathology specimens. The air seals in the operating room were left open, and everyone could hear Wen Youren's voice clearly.
"Why did you go into surgery when I wasn't here? Who will be responsible if something goes wrong! Really, no one can help me, and I can't even stay in the hospital without stopping."
Luo Hao With a thought in his heart, he looked at Wang Guohua.
The old director of Guohua seemed not to have heard Wen Youren's words and continued to ask, "I think your surgery is very good. Did you practice it when you were in school? Is your teacher so letting go?"
"I have practiced, and the teacher was very kind to me. He let me do more than a dozen sets. I haven't done it for a few years, so I am a little rusty." Luo Hao said politely.
As he spoke, he was thinking about it. It was said that Wang Guohua taught Wen Youren how to perform surgery. After Wang Guohua retired, Wen Youren naturally took over the position of director.
According to inheritance, the two have a very close relationship.
But Wang Guohua simply ignored Wen Youren's appearance.
Weird.
"A bunch of trash. I am staying in the hospital and at the same time I have to come for emergency surgery. The donkeys in the production team are not so useful. Ahem, there is no way. Who makes us doctors? Treat diseases and save people. Treat diseases and save people. , who the hell save me?”
The sound got closer and closer, and Wen Youren strode in with a bottle in one hand.
Entering the operating room, Wen Youren saw a familiar yet unfamiliar figure - the old director Guohua standing... standing in the assistant's position, and was stunned for a moment. This scene seems familiar.
Many years ago, this was how I learned surgery. Director Guohua stood in the position of first assistant and taught me step by step.
The scene in front of him made Wen Youren feel in a trance.
The person in the position of the surgeon should have been himself, but now it was someone else.
He was stunned for a few seconds, and an ugly smile appeared on his face, "Master, why are you here!"
"Who taught you to enter the operating room without wearing a mask? Get out." Wang Guohua asked with a cold face.
Wen Youren turned around and left, frantically going to the door to put on a mask.
The infusion tube in his hand was hung on the door, and with his hurried movements, he took the needle out of the blood vessel in one fell swoop.
A stream of bright red blood fell to the ground.
Wang Guohua frowned and glared at Wen Youren fiercely.
Blood can be splattered in the operating room, and this kind of scene is common, but the blood is all from the patient.
It is really embarrassing for a doctor to lose his reputation in the operating room... in Wen Youren's way.
"Dr. Xiao Luo, your surgery was done in a orderly manner, fast and not messy, and of a very high standard." Wang Guohua ignored Wen Youren and continued to "chat" with Luo Hao.
"Old Director Guohua, I will be proud of you for praising me so much." Luo Hao said with a smile, "I haven't had an operation for a long time, and my hand is a bit raw, so I can only follow the step-by-step instructions of surgery."
"Yes, the surgery just now was very difficult in several places, but I see that you did it very carefully and the degree of completion was quite high. Although it is not perfect, there is nothing to be picky about." Wang Guohua continued to praise.
Wen Youren covered his bleeding hand, and what he heard in his ears was his master, Director Wang Guohua, praising Luo Hao.
His heart was almost twisted into a ball, and he was so awkward that he couldn't express it in words.
I want to appear in the operating room at the critical moment and tell Lin Yuming with my actions that the mine manager cannot leave me!
The abacus was crackling, but the reality was something else.
Lin Yuming not only invited the old director of Guohua to do emergency treatment, but the surgeon was Luo Hao!
Wen Youren's hand was covering the blood vessel cut open by the infusion needle, and he remained stunned at the door of the operating room.
"Director Wen, would you like to bandage it first?" When the anesthesiologist saw the blood on the ground, Wen Youren stood at the door in a daze as if he didn't feel anything, so he could only remind him.
“Huh?” Wen Youren was stunned for a moment.
"Damn, look at what's going on." The anesthesiologist scratched his head, asked his assistant to keep an eye on the ventilator, took Wen Youren to bandage, and set up steps for Wen Youren to come down.
“When did Director Guohua come?” Wen Youren murmured as if he was in a dream while bandaging.
The anesthesiologist glanced at the intravenous drip bottle. There was no writing on it. As he guessed, there was a high probability that it was just saline solution, used to fool people.
The anesthesiologist had mixed feelings about Director Wen's handling of this matter.
“It is said that to send the patient here, Director Lin went to the home of the old director Guohua to invite someone.” The anesthesiologist said, “Director Wen, you should... ahem, you should talk to the old director Guohua. There is a connection.”
Wen Youren mentally knocked over a bottle of dark soy sauce, and the rich flavors drove him crazy.
Wang Guohua, his master, who would have thought that he would be invited to rescue him by this piece of shit Lin Yuming.
Although I didn’t expect it before, but now that I think about it, everything makes sense.
I am "seriously ill" and there is an emergency patient who needs an intestinal incision. Who else in Donglian City can safely perform the related surgery?
Only Master Wang Guohua has the greatest confidence, even though he has not touched a knife for 3 years.
Wen Youren's "wound" was not big, and a simple bandage took less than a minute to complete.
"Director Wen, where are you going?" the anesthesiologist asked carefully.
He sighed inwardly.
At the hospital-wide consultation a few days ago, Wen Youren was slapped in the face by Director Lin in public. It was a real slap in the face.
Wen Youren was rubbed all over by Director Lin, both mentally and physically.
So much so that something like this happened today.
Now that I am sandwiched between them, it is quite difficult.
The anesthesiologist is going to pretend to be dead and say as little as possible.
Wen Youren was also a little awake at this time. He did not answer the anesthesiologist's words, but strode to the operating room.
“Xiao Luo, how many acupuncture methods are there to anastomose the intestines?”
The familiar and kind voice came from the operating room, and Wen Youren almost cried when he heard it.
Director Guohua always asked this question when he took him for surgery.
I dislike Director Guohua's nagging in my heart, and he is in the late stages of Alzheimer's disease.
But at this moment, when he heard the same question again, Wen Youren paused involuntarily.
“For full-thickness suturing of the posterior wall, simple interrupted sutures, simple continuous sutures, and continuous overlock sutures can be used.”
"The entire thickness of the anterior wall can be treated with simple interrupted sutures, continuous full-thickness horizontal mattress inversion sutures and other stitching methods."
"The most commonly used thing for intestinal resection and anastomosis - interrupted vertical mattress inversion sutures Acupuncture."
"Are you skilled?" Wang Guohua asked confusedly.
"It's okay. I'll give you a stitch. Director Guohua, if you see anything inappropriate, stop it at any time." Luo Hao said.
"Xiao Linzi, please remind me, what is Xiao Chi doing in the pathology department? It's been 15 minutes and the intraoperative ice has not come out yet!"
"Director Guohua, there is still time to send the frozen specimens, so don't worry." Lin Yuming comforted him with a smile.
Everyone knows what kind of temper Wang Guohua has.
In the past few years, there were many emergency room injuries and car accidents. Whenever there was an emergency room, Wang Guohua would start cursing when he entered the operating room.
His yelling voice was like a whip, hitting the traveling nurses and anesthetists on the backs, making a crackling sound, urging them to run.
After several years of surgery, Wang Guohua still has his old temper.
Lin Yuming said that, but still took out his mobile phone and called the pathology department.
"Intermittent vertical mattress inversion sutures are not that simple. Ronaldinho, please be careful not to let me find faults."
"There must be faults. Director Guohua, please point them out and I will correct them." "
Wen Youren walked into the operating room while an old man and a young man were chatting.
Now it seems that the old director Guohua and Luo Hao are the inheritance masters and disciples, and he is an outsider.
Why is this happening!
Wen Youren's legs seemed to be filled with lead, too heavy to move.
But the old director Guohua came for emergency surgery and showed up himself. Did he just turn around and leave without saying hello?
Wen Youren hated Lin Yuming's old dog!
It’s so insidious! !
"Director Wen, you're here." The circulating nurse greeted Wen Youren when she saw him coming in.
"Well, Master, I'm sorry, I suddenly fell ill, so I have to make a trip for you." Wen Youren said perfunctorily to the traveling nurse and immediately greeted Wang Guohua.
"You are so young and your health is not as good as mine. I heard that you were hospitalized, so I went back to rest quickly." Wang Guohua said calmly.
"Master, you are here, how can I be embarrassed?" Wen Youren said shamelessly.
"Director Guohua, freezing during surgery is benign!" Lin Yuming reported excitedly.
The originally depressing atmosphere in the operating room suddenly became cheerful.
The fact that the removed tumor was benign is enough to make people happy.
“Sew!” Wang Guohua was not verbose, holding big tweezers and thread scissors with his little fingers, ready to be Luo Hao’s assistant.
Luo Hao stretched out his hand and slapped the needle holder on his hand.
Waiting for the freezing during the operation, the benign result is like the spring breeze blowing open the frozen lake, and the terminated operation finally starts again.
Luo Hao was not in a hurry and checked the needle holder first.
The front 1/3 of the needle holder clamps the back 1/3 arc of the needle body.
I tried it. The needle holder holds the needle without shaking, loosening or turning. Do not buckle the needle holder all over.
Luo Hao holds the needle button with 2 teeth.
He was very serious and did not feel any pressure from Director Guohua’s position as assistant.
Just like a soldier cleaning his gun before going to the battlefield, Luo Hao checked meticulously until the needle holder completely complied with his operating habits.
Luo Hao then held the tweezers in his left hand to lift up the outer layer of intestinal tissue, and held the needle in his right hand to suture.
Align the needle tip at the needle entry point, rotate the needle holder in situ by relying on the external rotation force of the wrist and front wall, insert the needle along the arc of the needle and then pass it out at the corresponding symmetrical point on the opposite side, and fix the needle head with forceps in original position.
The whole process was as smooth as flowing water.
Wen Youren's eyes gradually widened and his pupils gradually narrowed, as if looking directly at the sun.
Intermittent vertical mattress inversion suturing is written in the book, but there are many things written in the book, and there are only a few people who can use the knowledge in the book in practice.
Intestinal anastomosis is not simple. If you use too much force, it will indeed be "sewn", but complications such as local anastomotic ischemia will also occur as expected.
The anastomosis could not grow after the operation, and intestinal fluid leaked into the abdominal cavity, causing acute and chronic peritonitis. A second operation was required to cut a section of intestinal tube.
If the force used is too small, the intestines will not fit together at all, and the previous problems will still occur.
Moderate strength is the key, so some details of interrupted vertical mattress inversion suture are the focus and difficulty of intestinal anastomosis.
Without the earnest teachings of veteran experts who tell the surgeons their past failed experiences; without the training of dozens or dozens of surgeries, it would have been impossible to complete it anyway.
However, Luo Hao did it with ease, and his interrupted vertical mattress-type inversion suturing was extremely beautiful.
Wen Youren asked himself, although he could also achieve a smooth match, he was definitely not as good as Luo Hao.
Him!
How is it possible to master such a high-end surgical method! !
Luo Hao finished suturing and tied the knot. The needle holder in his right hand finally moved up slightly. The thread scissors hooked by Wang Guohua's little finger on his right hand came as expected, followed the suture line and landed on the knot. Then he raised it up, away from the knot. 5 millimeters, cut off the anastomosis line.
"Not bad." Wang Guohua said, "A bit like my style when I was young."
"!!!"
Old Director Guohua said a simple sentence, but It sounded in Wen Youren's ears like thunder on the ground.
(End of this chapter)