Richard: Can't I? !I can't do it anymore! !I have made great progress in sewing! !Maybe even better than you!
But he didn't dare to say it, he could only watch Dr. Bonn approaching step by step, bypassing him and walking to Ye Yibai.
"Needle holder." Professor Bonn said in a low voice.
Qiao Na was taken aback for a moment, then immediately reacted and handed the equipment to Bonn.
Robert and Anthony also took advantage of the trend to squeeze out the positions of Brande and Allen.
"Did you draw it?" Dr. Anthony took the notebook of his beloved disciple and flipped through the pages. The complex emotions on his face were covered by a big mask.
The three of them have been here for more than half an hour. As soon as they came in, they heard the young Huaguo intern explaining the operation process to several young doctors in a calm voice. The atmosphere in the operating room was like a big doctor with several doctors. Like a little doctor.
It's just too normal and too normal, which shows the abnormality of this scene.
Richard, the student of Professor Bonn, the director of the Department of Surgery, although he looks a little foolish and unreliable on weekdays, Bonn has said in private more than once that Richard is the most savvy student he has ever seen , It's a pity that he didn't put all his mind on his work. It's a well-known fact that Richard refused to accept anyone in the surgery except Bonn.
Brande, the oldest surgical resident, even if Richard sees him, he will give up three points. If there is no accident, he will be promoted to attending next year.
Sac, Sac... This baby is a bit dumb, but she is also the leader of the younger generation of orthopedics.
And Alan, Dr. Anthony's facial expression under the mask is very exciting, his disciple, Jihe's youngest attending doctor, Alan, who is known as the No. Can shoot rainbow farts!
the most important is!As his mentor!He worked so hard to lead this disciple for three years!I haven't enjoyed this rainbow fart treatment yet! !
Dr. Anthony flipped through Allen's notes with a complicated expression, and at the same time secretly glanced at the calm Ye Yibai, an intern, a Chinese intern who had been in Jihe for less than two weeks. Surgery, but can firmly occupy the dominant position.
It's as if... as if he should naturally stand in that position. Only two people in Jihe have this kind of control over the operating room, the chief and deputy director of the major surgery, Bonn and Robert.
And now, there is one more...
Just as Dr. Anthony's thoughts were flying, a hand grabbed the notes in his hand from above him.
"You're an internist and can't understand, give it to me." Robert "snatched" the notes in Anthony's hand.
"I don't understand? Here it comes again, the superiority of holding a knife, is my clinical medicine worse than yours? Do you need me to help you recall our grades in school?"
"At such an advanced age, I still can't stand it anymore. You get impatient when you tease me. Let me see what's wrong. Your student's ability to take notes is good, and you can draw well in sutures. It's a pity to study internal medicine."
"Robert, you have the guts to say it again."
"Okay, okay, I won't say it anymore."
Ye Yibai raised his eyelids, and Alan and Richard, who were one size older...had a headache.
Professor Bonn was not disturbed by them at all, he was obviously more interested in Ye Yibai's operation than the suture.
"Beautiful surgery, I can't fault it at all."
"Professor, the patient has high blood pressure, diabetes, and is sensitive to anesthetics, so I reduced the dosage appropriately." Dr. Ye said sternly.
Professor Born chuckled, he knew that Ye Yibai was urging him.
The needle holder quickly inserts the needle, quickly walks through the skin and flesh, and sutures layer by layer, "Jonah, wipe the sweat."
Qiao Na responded and wiped Professor Bonn's sweat.
"You think too highly of that kid Richard. I struggled to sew such a thick layer of fat."
Professor Bonn forcefully inserted the needle while talking, there was a 7 cm thick layer of fat, almost every time a needle was inserted, oil would come out, and the instrument would slip easily if the oil stained it, making it difficult to control.
This makes Professor Bonn have to wash or change instruments frequently.
Ye Yibai looked at the clock on the wall of the operating room, estimated the anesthesia time in his mind, and couldn't help but said: "Professor, I cleaned the blood very well, there is no need to sew the fat layer, just seal the dermis and add the intradermal layer. "
Sutures for obese people generally include upper and lower layers of suture and full-thickness suture. Indeed, full-thickness suture has certain advantages in avoiding incision fat liquefaction, but surgery itself is a process of weighing pros and cons.
It’s like replanting a severed limb. Most doctors will give up the fine suture of the tendon to allow more time for blood vessel suturing. It’s also like a bypass graft. The great saphenous vein, which has little effect of amputation, is transplanted to the femoro-popliteal artery. It runs through the entire history of surgery.
Wilson's physical foundation is poor. Compared with suturing the fat that is already mobile, reducing the possibility of a little fat liquefaction and increasing the anesthesia time is not a cost-effective deal.
Professor Bonn frowned slightly. In his suturing philosophy, what was cut should be sutured back. He never thought that he could selectively sew.
"Professor, why don't I come?" Ye Yibai said.
"What about the fat layer?" Professor Bonn asked.
"Fat can move." Ye Yibo replied naturally.
"Fat is active..."
"Yes, it's like a woman wearing corsets. Wearing them will make her waist thinner, because the fat will move and be squeezed to the periphery." Dr. Ye gave a very vivid example.
Professor Bonn repeated twice that "fat is mobile". He thought of his years of medical experience, and quickly came to the conclusion that "this statement may be correct".
"So you sewed up the leather and subcutaneous, and let Mr. Wilson wear a corset?" Professor Bonn said suddenly.
Ye Yibai was silent for a rare second, the bellyband and corset...the difference is about the same.
Professor Bonn let out a chuckle, "Come on." Saying that, he gave up his seat.
Ye Yibai stood on the operating table again, "For the needle holder, change to a smaller needle."
If only the subcutaneous and dermis are sutured, the speed is really much faster, and it takes almost no time to ligate and cut the thread.
"Richard, stop the injection of the anesthetic."
"Ok."
At the beginning of the suture, Richard had already reduced the dose of anesthetic under Ye Yibai's signal, and now it has completely stopped. Counting the time, Mr. Wilson should also wake up.
The speed at which the patient wakes up after the operation shows how well an anesthesiologist controls the medication.
"Mr. Wilson."
"Mr. Wilson, can you hear me?"
After about 5 minutes, Mr. Wilson's eyeballs moved.
"If you're awake, please open your eyes." When Richard was speaking, Anthony and Robert also approached. Professor Bonn was obviously a little reserved. He moved two steps, then stopped moving, and stared at him. Brander.
Dr. Brande tactfully gave up his position to the Chief of Surgery, so that Professor Bonn could clearly see Mr. Wilson's appearance when he woke up, even if he stood reservedly not far away.
Mr. Wilson woke up slowly, and opened his eyes with difficulty.
He seemed to want to speak, but the trachea in his mouth stopped him. When he was anxious, he opened his mouth wide, and the eight places where the dentures were originally placed were exposed in front of everyone in the operating room.
"Mr. Wilson, you can't talk now. Are you fully awake now? If so, blink your eyes."
Wilson looked down at the tube protruding from his mouth in horror and blinked hard.
"The patient's consciousness is clear, all indicators are stable, and he has recovered spontaneous breathing." Richard looked up.
Ye Yibai nodded, "Extubation."
Richard heard the words and immediately executed them.
The tacit understanding between the two, as if Bonn and others did not exist at all.
"At 22:46 in the evening, the operation is complete." Dr. Ye Da, as usual, looked at the clock on the operation wall and announced that the operation was successfully completed.
There was an instant burst of cheers in the operating room.
Richard, Brander, Sack, Allen, and a group of nurses performed emergency operations at night and rescued an endangered patient by themselves. This sense of accomplishment filled the hearts of all the young people present. The resistance to the hospital's introduction of the night duty system has also been greatly reduced.
Bonn, Robert, and Anthony looked at each other and couldn't help applauding.
They looked at the Huaguo interns who had the same calm and gratified smiles as they did, and couldn't help but have the illusion that he should be one of them.
"Push the patient out," said Professor Bonn.
Qiao Na responded with a blunt hello, then checked the equipment and turned off the operating light.
Everyone pushed Mr. Wilson to the door of the operating room.
Mrs. Wilson had already received news that she was guarding the door of the operating room. The two women sat close together, comforting each other. When the operating light went out, Amanda jumped up.
"Mom, it's all right."
The door of the operating room was pushed open, and a group of doctors in surgical gowns came out.
"Doctor Ye, how is my father?"
"Professor Bonn, how is my husband?"
The mother and daughter chose different doctors to ask.
Mrs. Wilson looked at her daughter in surprise. Professor Bonn is the chief of surgery, and he is familiar with their family. Where he is, why does my daughter ask a young doctor, or... Chinese?
But I didn't expect Professor Bonn to shrug his shoulders, "I have to ask Dr. Ye, he is the chief surgeon, but I can tell you that the operation was very successful."
Mrs. Wilson repeated the strange surname "ye" and looked at the only black-haired doctor present.
"Doctor Ye, my husband..."
"As Professor Bonn said, your husband's operation was very successful, and he will be discharged in about half a month, but..." Dr. Ye was not sure if Minguo had any belly bands for sale.
"Your husband's wound needs a pressure bandage. Is there a belly band around here? It's like a girdle, the kind used on the wound."
Mrs. Wilson was confused, and looked at Bonn involuntarily for help.
Professor Bonn coughed dryly, "If you don't have one, you can use a belt, it will work."
Amanda felt helpless when she heard this, "Doctor Bonn, there probably hasn't been a belt that fits my father's size in this world..."
"Mom, I'll go back and sew on my two girdles and it should work just fine."
The sober Justice Wilson couldn't bear to listen to it. He opened his mouth and suddenly realized something, "Blind, I'm blind!" The leaky mouth and the slight discomfort in the throat after the intubation made it impossible for anyone to hear what he was saying clearly. say what.
It is very late now, and the doctors have to go back to their respective homes. Before leaving, Professor Bonn gave Ye Yibai a complicated look, "Doctor Ye, I think you can come to my office tomorrow morning for a drink." Tea?"
Ye Yibai's expression froze for a moment, what should come is still here.
"Professor Bonn, you don't seem to have an outpatient clinic tomorrow, do you need me to go to school to find you?"
Bonn shook his head, "I will ask for leave from school tomorrow, see you at the hospital."
Ye Yibai: "Okay, Professor."
Ignored Justice Wilson: "I'm Blind!!!!"
But he didn't dare to say it, he could only watch Dr. Bonn approaching step by step, bypassing him and walking to Ye Yibai.
"Needle holder." Professor Bonn said in a low voice.
Qiao Na was taken aback for a moment, then immediately reacted and handed the equipment to Bonn.
Robert and Anthony also took advantage of the trend to squeeze out the positions of Brande and Allen.
"Did you draw it?" Dr. Anthony took the notebook of his beloved disciple and flipped through the pages. The complex emotions on his face were covered by a big mask.
The three of them have been here for more than half an hour. As soon as they came in, they heard the young Huaguo intern explaining the operation process to several young doctors in a calm voice. The atmosphere in the operating room was like a big doctor with several doctors. Like a little doctor.
It's just too normal and too normal, which shows the abnormality of this scene.
Richard, the student of Professor Bonn, the director of the Department of Surgery, although he looks a little foolish and unreliable on weekdays, Bonn has said in private more than once that Richard is the most savvy student he has ever seen , It's a pity that he didn't put all his mind on his work. It's a well-known fact that Richard refused to accept anyone in the surgery except Bonn.
Brande, the oldest surgical resident, even if Richard sees him, he will give up three points. If there is no accident, he will be promoted to attending next year.
Sac, Sac... This baby is a bit dumb, but she is also the leader of the younger generation of orthopedics.
And Alan, Dr. Anthony's facial expression under the mask is very exciting, his disciple, Jihe's youngest attending doctor, Alan, who is known as the No. Can shoot rainbow farts!
the most important is!As his mentor!He worked so hard to lead this disciple for three years!I haven't enjoyed this rainbow fart treatment yet! !
Dr. Anthony flipped through Allen's notes with a complicated expression, and at the same time secretly glanced at the calm Ye Yibai, an intern, a Chinese intern who had been in Jihe for less than two weeks. Surgery, but can firmly occupy the dominant position.
It's as if... as if he should naturally stand in that position. Only two people in Jihe have this kind of control over the operating room, the chief and deputy director of the major surgery, Bonn and Robert.
And now, there is one more...
Just as Dr. Anthony's thoughts were flying, a hand grabbed the notes in his hand from above him.
"You're an internist and can't understand, give it to me." Robert "snatched" the notes in Anthony's hand.
"I don't understand? Here it comes again, the superiority of holding a knife, is my clinical medicine worse than yours? Do you need me to help you recall our grades in school?"
"At such an advanced age, I still can't stand it anymore. You get impatient when you tease me. Let me see what's wrong. Your student's ability to take notes is good, and you can draw well in sutures. It's a pity to study internal medicine."
"Robert, you have the guts to say it again."
"Okay, okay, I won't say it anymore."
Ye Yibai raised his eyelids, and Alan and Richard, who were one size older...had a headache.
Professor Bonn was not disturbed by them at all, he was obviously more interested in Ye Yibai's operation than the suture.
"Beautiful surgery, I can't fault it at all."
"Professor, the patient has high blood pressure, diabetes, and is sensitive to anesthetics, so I reduced the dosage appropriately." Dr. Ye said sternly.
Professor Born chuckled, he knew that Ye Yibai was urging him.
The needle holder quickly inserts the needle, quickly walks through the skin and flesh, and sutures layer by layer, "Jonah, wipe the sweat."
Qiao Na responded and wiped Professor Bonn's sweat.
"You think too highly of that kid Richard. I struggled to sew such a thick layer of fat."
Professor Bonn forcefully inserted the needle while talking, there was a 7 cm thick layer of fat, almost every time a needle was inserted, oil would come out, and the instrument would slip easily if the oil stained it, making it difficult to control.
This makes Professor Bonn have to wash or change instruments frequently.
Ye Yibai looked at the clock on the wall of the operating room, estimated the anesthesia time in his mind, and couldn't help but said: "Professor, I cleaned the blood very well, there is no need to sew the fat layer, just seal the dermis and add the intradermal layer. "
Sutures for obese people generally include upper and lower layers of suture and full-thickness suture. Indeed, full-thickness suture has certain advantages in avoiding incision fat liquefaction, but surgery itself is a process of weighing pros and cons.
It’s like replanting a severed limb. Most doctors will give up the fine suture of the tendon to allow more time for blood vessel suturing. It’s also like a bypass graft. The great saphenous vein, which has little effect of amputation, is transplanted to the femoro-popliteal artery. It runs through the entire history of surgery.
Wilson's physical foundation is poor. Compared with suturing the fat that is already mobile, reducing the possibility of a little fat liquefaction and increasing the anesthesia time is not a cost-effective deal.
Professor Bonn frowned slightly. In his suturing philosophy, what was cut should be sutured back. He never thought that he could selectively sew.
"Professor, why don't I come?" Ye Yibai said.
"What about the fat layer?" Professor Bonn asked.
"Fat can move." Ye Yibo replied naturally.
"Fat is active..."
"Yes, it's like a woman wearing corsets. Wearing them will make her waist thinner, because the fat will move and be squeezed to the periphery." Dr. Ye gave a very vivid example.
Professor Bonn repeated twice that "fat is mobile". He thought of his years of medical experience, and quickly came to the conclusion that "this statement may be correct".
"So you sewed up the leather and subcutaneous, and let Mr. Wilson wear a corset?" Professor Bonn said suddenly.
Ye Yibai was silent for a rare second, the bellyband and corset...the difference is about the same.
Professor Bonn let out a chuckle, "Come on." Saying that, he gave up his seat.
Ye Yibai stood on the operating table again, "For the needle holder, change to a smaller needle."
If only the subcutaneous and dermis are sutured, the speed is really much faster, and it takes almost no time to ligate and cut the thread.
"Richard, stop the injection of the anesthetic."
"Ok."
At the beginning of the suture, Richard had already reduced the dose of anesthetic under Ye Yibai's signal, and now it has completely stopped. Counting the time, Mr. Wilson should also wake up.
The speed at which the patient wakes up after the operation shows how well an anesthesiologist controls the medication.
"Mr. Wilson."
"Mr. Wilson, can you hear me?"
After about 5 minutes, Mr. Wilson's eyeballs moved.
"If you're awake, please open your eyes." When Richard was speaking, Anthony and Robert also approached. Professor Bonn was obviously a little reserved. He moved two steps, then stopped moving, and stared at him. Brander.
Dr. Brande tactfully gave up his position to the Chief of Surgery, so that Professor Bonn could clearly see Mr. Wilson's appearance when he woke up, even if he stood reservedly not far away.
Mr. Wilson woke up slowly, and opened his eyes with difficulty.
He seemed to want to speak, but the trachea in his mouth stopped him. When he was anxious, he opened his mouth wide, and the eight places where the dentures were originally placed were exposed in front of everyone in the operating room.
"Mr. Wilson, you can't talk now. Are you fully awake now? If so, blink your eyes."
Wilson looked down at the tube protruding from his mouth in horror and blinked hard.
"The patient's consciousness is clear, all indicators are stable, and he has recovered spontaneous breathing." Richard looked up.
Ye Yibai nodded, "Extubation."
Richard heard the words and immediately executed them.
The tacit understanding between the two, as if Bonn and others did not exist at all.
"At 22:46 in the evening, the operation is complete." Dr. Ye Da, as usual, looked at the clock on the operation wall and announced that the operation was successfully completed.
There was an instant burst of cheers in the operating room.
Richard, Brander, Sack, Allen, and a group of nurses performed emergency operations at night and rescued an endangered patient by themselves. This sense of accomplishment filled the hearts of all the young people present. The resistance to the hospital's introduction of the night duty system has also been greatly reduced.
Bonn, Robert, and Anthony looked at each other and couldn't help applauding.
They looked at the Huaguo interns who had the same calm and gratified smiles as they did, and couldn't help but have the illusion that he should be one of them.
"Push the patient out," said Professor Bonn.
Qiao Na responded with a blunt hello, then checked the equipment and turned off the operating light.
Everyone pushed Mr. Wilson to the door of the operating room.
Mrs. Wilson had already received news that she was guarding the door of the operating room. The two women sat close together, comforting each other. When the operating light went out, Amanda jumped up.
"Mom, it's all right."
The door of the operating room was pushed open, and a group of doctors in surgical gowns came out.
"Doctor Ye, how is my father?"
"Professor Bonn, how is my husband?"
The mother and daughter chose different doctors to ask.
Mrs. Wilson looked at her daughter in surprise. Professor Bonn is the chief of surgery, and he is familiar with their family. Where he is, why does my daughter ask a young doctor, or... Chinese?
But I didn't expect Professor Bonn to shrug his shoulders, "I have to ask Dr. Ye, he is the chief surgeon, but I can tell you that the operation was very successful."
Mrs. Wilson repeated the strange surname "ye" and looked at the only black-haired doctor present.
"Doctor Ye, my husband..."
"As Professor Bonn said, your husband's operation was very successful, and he will be discharged in about half a month, but..." Dr. Ye was not sure if Minguo had any belly bands for sale.
"Your husband's wound needs a pressure bandage. Is there a belly band around here? It's like a girdle, the kind used on the wound."
Mrs. Wilson was confused, and looked at Bonn involuntarily for help.
Professor Bonn coughed dryly, "If you don't have one, you can use a belt, it will work."
Amanda felt helpless when she heard this, "Doctor Bonn, there probably hasn't been a belt that fits my father's size in this world..."
"Mom, I'll go back and sew on my two girdles and it should work just fine."
The sober Justice Wilson couldn't bear to listen to it. He opened his mouth and suddenly realized something, "Blind, I'm blind!" The leaky mouth and the slight discomfort in the throat after the intubation made it impossible for anyone to hear what he was saying clearly. say what.
It is very late now, and the doctors have to go back to their respective homes. Before leaving, Professor Bonn gave Ye Yibai a complicated look, "Doctor Ye, I think you can come to my office tomorrow morning for a drink." Tea?"
Ye Yibai's expression froze for a moment, what should come is still here.
"Professor Bonn, you don't seem to have an outpatient clinic tomorrow, do you need me to go to school to find you?"
Bonn shook his head, "I will ask for leave from school tomorrow, see you at the hospital."
Ye Yibai: "Okay, Professor."
Ignored Justice Wilson: "I'm Blind!!!!"
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