Doctor of Healing

Chapter 236 Bet

Eating, washing up, training, the old man has one more task at night - taking the silly roe deer for a walk.

Jixiang took on the task of walking it early tomorrow morning.

The difficulty of this operation is quite high, and each simulator provided by the system is different. Some have serious adhesions to the back of the kidney and peritoneum; some have ureteral deformities, and each is different.

Ji Xiang "squished" almost all the surgery points.

After continuously using the skill of discerning the details and the guidance of the system NPC, Ji Xiang gradually figured out the rules of the operation.

Even Jixiang vaguely felt that every frame of the operation had changed.

It became clearer and the speed was a little slower. In the later period, Jixiang had completed most of the operations without using skills.

……

……

Five days later.

"Director Bai, the Department of Urology is really going too far." Lu Gang stormed into Director Bai's office and complained.

Urology?

Director Bai looked at Lu Gang with great interest.

"what happened?"

"There is a patient with huge hydronephrosis. Director Liu wants to operate without even knowing the diagnosis. Can they do the operation? Do they provide keys, and how many?" Lu Gang said decisively.

"Oh? What's the difficulty?" Director Bai asked slowly.

"I checked the information and found that the failure rate of large surgery is about 20%. Laparoscopic surgery is very difficult in the world, and there are very few reports."

"Then what does Director Liu think?"

"I don't know them yet?" Lu Gang said angrily, "It is said that the patient has no money and is unwilling to go to the imperial capital for surgery, and he has already explained to the patient and the patient's family about the surgery."

"this is not……"

"He just hasn't seen it, and wants to open it!" Lu Gang said firmly.

Chief Bai smiled.

Indeed, although we have now entered the 3.0 era of doctor-patient conflict, the conflict has become acute to a certain extent, and most of the time doctors have nothing to do with themselves.

But when encountering patients with rare diseases, many doctors who are confident in their skills are eager to try.

It can be said that they are based on the idea of ​​curing diseases and saving lives, or it can be said that they want to show off their skills and accumulate clinical experience.

Director Liu seemed to have nothing wrong with thinking this way.

"Don't be angry, old Lu, do you think the operation is particularly difficult?"

"Yes!" Lu Gang said, "During the consultation with the whole hospital, I told you that Director Liu couldn't get the operation done, so I suggested transferring it to the Imperial City. They turned out to be fine, and they will be on stage today."

Director Liu of the Department of Urology was an enterprising person when he was young, but he has also become conservative in recent years after mastering partial nephrectomy.

Moreover, Director Liu has always listened to persuasion. If Lao Lu said that the operation cannot be performed, he will definitely not do it.

Anything abnormal must have a demon.

Director Bai has long thought of Ji Xiang.

But Lu Gang firmly said that even Director Liu couldn't get the surgery done. As for Ji Xiang...here is doubtful.

"Go and have a look." Director Bai said.

"Bai Chu, you..."

"Our medical department will escort the clinic."

"Speak human." Lu Gang looked at Director Bai with a dark face.

Someone else would definitely not be able to say this, but Lu Gang has such a temper.Getting anxious, even his immediate boss, Director Bai, said he would be angry, and he didn't care.

Director Bai smiled, not as knowledgeable as him.Director Bai cherishes his talents, and since Lao Lu was in charge of the consultation of the whole hospital, the probability of accidents has been greatly reduced.

In another place, Old Lu had to be bullied to death.

Bullying in enterprises and institutions is not as straightforward as punching and kicking, and you can hit back at will.In clinical practice, many directors suppress their subordinates when they are handing over shifts, which is not a popular practice.

In fact, bullying at a certain level within the system or clinically is all cold violence.

He didn't talk to Lao Lu himself, and would take the lead to make all his colleagues isolate him. Soon Lao Lu was alone and marginalized like air.

Next...

Director Bai's thought flashed, and he took it back.

It's okay to bully such a guy who only knows technology and is so stupid in his behavior.

"Old Lu, I think the operation can be done."

"impossible!"

The carefully coiled strand of hair on Lu Gang's forehead fell off, as if he was shouting like him.

"Let's make a bet." Director Bai smiled slightly, "If you can't do it... To be more precise, if you can't do laparoscopic surgery, I'll mention you as a full-time doctor and be in charge of clinical diagnosis and treatment. What do you think?"

The strand of hair on Lu Gang's forehead suddenly floated up, and his eyes sparkled.

Director Bai thought it was funny.

It's not so easy to eat something that you throw out.

"A word is settled!"

"What if it can be done?"

"impossible!"

"What if."

"I worked as a hygienist and took care of the medical office for a year." Lu Gang said firmly.

"It's a deal, let's take a look."

Director Bai and Lu Gang went straight to the operating room.

……

……

"Laparoscopy bag, laparoscopic mechanical box for general surgery, ultrasonic knife, self-made air bag, abdominal drainage tube, drainage bag, 50ml syringe, 16-gauge red urinary catheter..."

Tang Yan chattered while checking various instruments.

The work is tedious, but Tang Yan is very serious.

Agreeing to Feng Yuqing to cooperate with Jixiang's various operations, Tang Yan thought that Jixiang's operations were just a few simple small operations, but she never expected that it would only take more than a month to arrive at the Second Affiliated Hospital and never carry out Huge hydronephrectomy.

"Titanium clips, titanium clips... Sister Li, there is one less purple titanium clip!" Tang Yan said after checking.

"Yellow titanium clips are enough."

"enough."

The itinerant nurse went to get things, and the anesthesiologist said with a smile, "Yan'er, did you offend your head nurse? Today you should be in charge of emergency surgery. Why did you send you here to compete with such a big one?"

Tang Yan didn't speak. She knew that Feng Yuqing did it secretly, and she couldn't tell the anesthetist about these things.

"Laparoscopic sleeve, No. 11 sharp knife, laparoscopic right-angle forceps for urinary 2..."

The anesthesiologist didn't bother Tang Yan to check the preoperative examination, and Tang Yan didn't let out a sigh of relief until it was over.

Visible to the naked eye, the anesthesiologist laughed, "Yan'er, I really doubt that you have offended the head nurse. By the way, did the head nurse give you the call fee?"

"How is that possible!" Tang Yan blinked, her long eyelashes twitched, "You don't need peanut oil for phone bills, what use is it for me."

"Hahaha."

"Just arrange my table, what can I do." Tang Yan sighed, "Brother Xiao, how long do you think this operation will take?"

"The laparoscopic surgery can't come out, I don't know how long it will take to convert the laparotomy."

"Open stomach?!"

"That's right, this kind of surgery is like pleural adhesions in thoracic surgery. It's very difficult to do it with laparoscopic surgery. It's probably going to be sooner if you switch to laparotomy." The anesthesiologist said with full of clinical experience.

Chapter 237 This look!

After the patient was sent in, Tang Yan stopped chatting and began to brush her hands and get dressed to go on stage.

"Doctor Xiaoji, you and Director Liu?" the anesthesiologist asked.

"Ah."

"Excellent, Director Liu is really confident, and he doesn't bring a professor with him." The anesthesiologist was obviously dissatisfied with Director Liu's "random life" and complained.

The so-called self-confidence is definitely an irony, and it is definitely not a compliment to Director Liu.

Ji Xiang smiled and didn't quarrel with the anesthetist.

Surgery, or pay attention to a team.

Moreover, for such a major operation, Director Liu only brought one Gui Peisheng on, so there were indeed some problems.

But Ji Xiang can take it off by himself, so Ji Xiang is not worried.Looking intently, everything in front of him, especially the familiar figure next to the instrument table told Ji Xiang that this is reality, not the system operating room.

He began to check the patient's information, and after a few checks, the anesthesiologist started anesthesia, and Ji Xiang positioned the patient.

Lying on the side, lifting the lumbar bridge, Ji Xiang brushed his hands after doing enough protection for the patient.

"So is Director Liu, and so is the head nurse." The anesthesiologist nagged, "Such a major operation, alas, no one is reliable."

In his opinion, such a major operation needs at least a few professional backbones to perform it. As a result, Director Liu brought a Gui Peisheng to the operation, and the head nurse also assigned a young nurse.

Just as they were talking, Director Bai and Lu Gang walked in.

The anesthetist immediately stood up, "Baifang!"

"You are busy with your work." Director Bai said, "I'll come and take a look."

Lu Gang also heard the complaints from the anesthesiologist. It is normal for front-line doctors to complain about such things.

It was a major surgery in itself, and all the top-line experts were sent up, but they didn't know if they could take it off. In the end, Director Liu actually brought a regular trainee like Ji Xiang to the surgery.

What's the difference between this and being shirtless against Gatling's strafing.

Lu Gang pouted, but didn't say anything.

He patted the anesthesiologist on the shoulder sympathetically.

"Doctor Xiaoji, you are making rapid progress." Director Bai said to the busy Ji Xiang, "Director Liu is willing to take you on such a major operation."

"Director Liu has always been very hands-off, and he has been very kind to our doctors." Ji Xiang said.

"Get busy, I'll take a look."

Ji Xiang didn't feel anything, but Director Bai stood here with such a god, no matter the anesthesiologist, the equipment, or the itinerant nurse, his hands and feet felt stiff.

They didn't know what happened, and the atmosphere in the operating room was a little weird.

Director Liu came in, greeted Director Bai, and the two exchanged a few words in a low voice. Seeing that Ji Xiang had started laying the sterile sheets, Director Liu went to wash his hands.

Lu Gang waited for the operation to start with a look of disdain.

After the preoperative preparations are completed, the operation begins.

First, Director Liu selected the first puncture incision at the two transverse fingers above the iliac crest on the midaxillary line, injected gas with a pneumoperitoneum needle, and then used it as the first introduction hole of the laparoscope. After creating a certain cavity, a 10 mm poke card was inserted. , ready to be placed into the laparoscope.

Surgery is normal here.

"Old Lu, is it going to be difficult?" Director Bai looked at Director Liu's skillful operation and asked sideways.

"Look at it." Lu Gang whispered, "I saw the film, the kidney has been crushed into a piece of paper, the adhesion in the abdominal cavity must be very strong, and there may not be much bleeding when blunt dissection is done later. .”

His voice is low, trying not to interfere with the operation.

It doesn't matter how many opinions there are in the audience, but the operation has already been performed, and everyone hopes that the operation will be successful.

Even if Lu Gang doesn't think so, he can't cause trouble.

But the disdain and disdain in his tone were not concealed at all, and Director Bai showed it all.