Doctor of Healing
Page 233
"Doctor, surgery..."
"I'll use beauty thread to sew it for you, if you need it." Mr. Xu said to the point, "But you have to be clear, money is one aspect, even if it is sutured inside the beauty thread, there will not be no scars at all. However, normal sutures are like a centipede, with many 'legs' and only one thread in the inner seam."
"Ah! Really!"
When the female patient heard what Mr. Xu said, her mood immediately improved a lot. She moved subconsciously, touching the fractured clavicle, and let out a ouch.
Ji Xiang was a little helpless, what did the patients think?The bones are all broken, and I still worry about whether there will be scars.Moreover, the smile of the female patient came from the heart, as if the news overcame the pain of the fracture at that moment.
"Don't move, I'll give you a collarbone belt, it's better if you don't need to hold it with your right hand." Mr. Xu took out the collarbone belt and put it on the patient lightly.
His movements were gentle and steady, and the patient didn't complain of pain.
"See it clearly." Mr. Xu left the ward after the beating, and said to Ji Xiang and Lu Kai, "Just like the wounded soldiers in TV dramas, be careful to move the patient's affected limb gently when performing the clavicle belt."
"See clearly." Lu Kai nodded.
"I can't be hard to say. Although the clavicle fracture is not a big problem, it's just a minor operation, but it also has the possibility of damaging blood vessels and nerves."
"Mr. Xu, why did the patient suffer from severe pain and bad temper before, but when you went to give her a collarbone belt, why did she feel better?" Lu Kai asked.
"Maybe I'm more handsome."
"!!!"
"!!!"
"Appearance is also a kind of anesthesia." Mr. Xu said logically as he hugged his hair.
Ji Xiang never thought that someone would be so narcissistic.
"Eat first, then go to surgery." Mr. Xu doesn't think he is narcissistic, he just "tells the truth".
Soon the little brother bought the meal, Mr. Xu looked quiet and handsome, but he wolfed down the meal, and he was so fast.
"Mr. Xu, why are you eating so fast?" Lu Kai only ate 1/3, and Mr. Xu had already put down his chopsticks, he asked in surprise.
"When you come here in urology department, you rarely see emergency department." Mr. Xu said, "Surgical department, urology department and vascular department are relatively leisurely departments, with few emergency department."
As he said that, he suddenly thought of something, "Don't argue with me, it's really rare for a night shift like Mr. Wu to encounter three or five testicular torsion hospitalizations."
"So take the time to eat when you have a meal. You can't let the patient wait for half of the meal. It takes time to deal with the patient, and you won't be able to eat when you come back."
"Our orthopedics department is also considered good. After all, there is no emergency rescue. The chest department and neurosurgery department need to be rescued overnight. Because their doctors eat fast, many doctors and nurses are extremely obese."
"Oh." Lu Kai nodded repeatedly.
However, Mr. Xu Leyu's fortune seems to be much better than that of Mr. Wu of the Department of Urology, and no emergency patients came in.
About 3 hours later, the operating room came to pick up the patient on the stage.
This is much more pleasant than the experience when I empathize with myself, Ji Xiang thought to himself.
Mr. Xu looked at his watch repeatedly, and sometimes looked at the gate of the ward, as if he was looking for something.
The patient was picked up, and he didn't say much, and brought Ji Xiang and Lu Kai to the stage.
"Ji Xiang, guess who Mr. Xu is looking for?"
Taking a separate opportunity, Lu Kai asked Ji Xiang with a smile.
"I don't know." Ji Xiang didn't notice this, and he had been simulating the operation according to the fracture and fracture condition in imaging.
Although the operation is not difficult, it cannot stand up to Ji Xiang's high level. The perfect operation he thinks is completely different from what Lu Kai and even Mr. Xu think.
"I guess I'm waiting for Zhao Tianjiao." Lu Kai said, "The second generation of doctors still has an advantage. I'm standing on the starting line, but he's already standing in Rome."
Ji Xiang didn't speak, but just patted Lu Kai on the shoulder.
"Ji Xiang, do you think the examiner has a future?" Lu Kai suddenly asked a topic that he didn't want to do.
Ji Xiang still remembers that this was a suggestion from Mr. Wu of Urology Department to Lu Kai.
"I think it's okay." Ji Xiang said, "The larger the tertiary hospital, the more it needs an accompanying examiner. Of course, if you are an accompanying examiner, the content may be richer."
"Tsk tsk, you are really a top student, and your words are so connotative." The little fat man Lu Kai said with a smile, "Ji Xiang, there is someone in my family who wants to have a partial kidney cancer resection, can he bring it to you directly?"
"Yes... you can bring it, and I will take it to Director Liu." Ji Xiang thought for a while, and gave Lu Kai a definite answer.
Lu Kai was immediately overjoyed.
Chapter 318 Just, Very Speechless
Mr. Xu stood in the operating room chatting with the anesthetist, not in a hurry.
"The anesthesia is complete, let's brush your hands." The anesthesiologist waited for the anesthesia to finish and said, "Can you come down in three to 10 minutes?"
"Not necessarily. I brought two newcomers, Gui Peisheng, for surgery today. There must be a problem with the cooperation. It should take an hour." Mr. Xu said.
"Who's that?" the anesthesiologist asked a little cryptically.
"I don't know. I made a call, but I didn't answer it." Xu Leyu and the anesthetist had a good understanding.
That who, can only be that who, do not need to specify.
With that said, Ji Xiang had already brushed his hands and came out, and asked the equipment nurse for disinfected curved discs and oval forceps to start disinfecting.
"Can you make a list?" Xu Leyu asked.
"Yes, Mr. Xu." Ji Xiang replied.
"Then try it, slow down, don't move when I tell you to stop." Xu Leyu instructed cautiously.
It's not a big deal if you get it wrong, but it's no fun opening another bag in the face of irritating yelling from the roving nurse.
Xu Leyu's eyes were fixed on the movements of Ji Xiang's hands. Unexpectedly, the whole process of Ji Xiang's shop list was simple and standard, without any flaws.
Even if Xu Leyu inspected it with critical eyes, he couldn't find anything wrong.
No wonder Director Liu of the Department of Urology wanted to send it in person. It seems that Ji Xiang is not only good at tying knots, but also seems to be able to perform surgery, Xu Leyu thought to himself.
But if you can do it, you can do it, but Xu Leyu is not going to let it go.
Standing in the position of the practitioner, Xu Leyu reached out for the knife.
Touch the injured part of the patient with your hands to determine the fracture location, and cut an incision of about 8 cm around the fracture point.
The knife was raised and lowered, and the moment the knife was lifted, the white gauze covered it, and then the electric burn appeared in Mr. Xu's vision.
Yo, fast enough!When Mr. Xu saw that Jixiang burned the capillary bleeding at the edge of the incision with electricity at the first time, he had a judgment in his heart.
Jixiang's movements are light and skilled, and the location of the point is also very precise.
As the dry gauze moved down little by little, as soon as there were signs of bleeding, the bleeding was stopped by the electric burn.
Yes, Xu Leyu has a good idea of Ji Xiang's level.
At that point just now, people with bad eyesight could not see at all, but Ji Xiang had the electric burn to stop the bleeding at the first time, which was very powerful.
At the position of the platysma, Mr. Xu bluntly dissected the appendix. Just after the dissection, two appendix retractors were attached, one at the top and one at the top, and the muscle tissue was opened to expose the surgical area.
The cooperation is proficient, as if standing opposite is a professor leading the group, who can perform this operation with his eyes closed.
The anesthesiologist stands on the side of the patient's head and watches with relish.
The first assistant, Pearson, performed extremely well, and he could almost be said to be the top assistant. Anesthesiologists have seen thousands of operations, and their evaluation of doctors is quite objective.
Ji Xiang's level is at least that of a professor. It's a pity to let Mr. Xu perform the operation, the anesthesiologist thought to himself.
Xu Leyu was worried that there would be delays in the cooperation of the operation, but Ji Xiang's performance was refreshing.
Every step is extremely precise, at least there is no problem with the surgery.
Finding the broken clavicle, Xu Leyu began to peel off the periosteum at the clavicular head of the sternocleidomastoid muscle and the clavicle border of the trapezius muscle.
Then peel off along the pectoralis major and deltoid muscle to completely expose the fractured end.
The operation went well, but Xu Leyu always felt uncomfortable.
In the past few months, he has been taking Zhao Tianjiao for emergency surgery, and there are many opportunities for clavicle fractures.When separating the muscle tissue, Zhao Tianjiao is always a bit slower, and Xu Leyu has to talk a lot in the previous step.
but!
When Ji Xiang stood opposite him, he didn't need to say a word of nonsense.
From the time the skin was opened to the present, there was silence all the way, and the operation went smoothly.
Xu Leyu raised his head and glanced at Ji Xiang. Ji Xiang narrowed his eyes, probably smiling back.
"Doctor Xiaoji, have you had clavicle fracture surgery?" Xu Leyu asked.
"I have been in contact with it, and I understand a little bit."
"Next...forget it, I'll do it." Xu Leyu said with some regret.
The next step is to separate the periosteum. Once the movement is too large, the patient's nerves and blood vessels may be injured. It is very difficult to rescue the small surgery.
Let Jixiang do an emergency internal fixation of clavicle fracture in the future to see his level.
"Periosteum..." Mr. Xu stretched out his hand, and the periosteum screwdriver was slapped in the palm of Ji Xiang's hand.
This job was originally done by the equipment nurse, but Jixiang predicted Mr. Xu's prediction in advance.Although it made the operation a little more comfortable, Mr. Xu was even more unaccustomed to it.
It felt like someone was spying on me changing my underwear, and it wasn't just one person.
Calm down, Mr. Xu began to separate the periosteum with a flat-headed periosteum screwdriver.
Then explore the blood vessels and nerves.
"middle……"
The middle-bend retractor appeared, stretched the muscles, and exposed the position Mr. Xu wanted to see.
"..."
How many surgeries have you seen?Xu Leyu was very surprised.
Jixiang's method of exposing blood vessels and nerves is a problem. The most important thing is that he can always predict his predictions, know what he thinks in his heart, and what he wants to see.
This feeling is very strange.
"Prepare……"
Before Xu Leyu spoke, he had already made a prediction. The next step was to prepare for manual reset. The assistant pinched the broken end of the clavicle fracture, and the surgeon began to fix it with steel plates.
He guessed that Jixiang would do a reset whenever he spoke.
The result is the same.
As soon as he spoke, Ji Xiang reached out and pinched the two broken ends of the clavicle together.
The technique is gentle, avoiding the surrounding blood vessels and nerves, without flaws.
"..."
Just, very speechless.
Before Mr. Xu could say anything, Ji Xiang fixed it with towel pliers, and then asked for a nine-hole collarbone plate to give to Xu Leyu.
This cooperation, it was not like he was leading a newbie surgery, it seemed that there was a senior doctor standing opposite, Xu Leyu was in a trance.
"President Xu, I'm here!" A familiar voice came.
"Tianjiao is here." Mr. Xu regained his composure and said, but raised his head and took a deep look at Jixiang in surprise.
"I was studying at home to prepare for the doctor's certificate exam, but I didn't notice it." Zhao Tianjiao said embarrassedly.
But in the next second, he saw Ji Xiang.
"!!!" Zhao Tianjiao was like an aggressive rooster, his hairs were standing on end, and adrenaline in his body was secreting a lot.
"President Xu, I'll brush my hands and go."
"No need." Mr. Xu saw Jixiang put the nine-hole collarbone plate on the patient's collarbone, raised his head and asked himself silently, and said absently, "The operation will be finished soon, so don't put it on."
"..." Zhao Tianjiao paused.
What he just said was an affirmative sentence, but Mr. Xu denied it, which was a bit embarrassing.
Standing behind Mr. Xu, Zhao Tianjiao looked towards the operation area.
Jixiang has already pressed the clavicle plate with his hands, straddling the fractured clavicle, in front of the clavicle.The positions of the eyes are just right, without any deviation.
Zhao Tianjiao was a little surprised.
Putting the board on looks simple as hell, but when I did this step, I learned twelve surgeries for five days!
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