Chapter 88 The first appendicitis operation in Tanglou(1/2)
In the next few days, Tanglou gradually became familiar with the rhythm of general surgery.
Tanglou changed Du Xue's dressing for the third time. Since he had used erythromycin eye ointment before, there was basically no pain when removing the dressing.
Moreover, with the blessing of the surgical hands, the wound healed extremely gratifyingly.
Tang Lou cleaned Du Xue's armpits and stared at them.
Du Xue blushed a little, and when a handsome guy played with her armpit, she moaned as shyly as a mosquito: "Doctor Tang, what's wrong~"
"The wound has completely healed, the scar is so small that it is almost invisible, and there is no pigmentation. The recovery is very satisfactory, and the stitches can be removed the day after tomorrow and I can be discharged from the hospital."
Tang Lou looked up at Du Xue. The little girl dared to look directly into Tang Lou's eyes.
"Really. Doesn't that mean this is the last time Dr. Tang will change my dressing?"
Du Xue was a little happy, but also a little disappointed. She liked the cool feeling when Tanglou wiped her.
"You can be discharged from the hospital soon, congratulations."
Tanglou stood up and stood up straight. After changing the dressing, he handed it over to Lin Jia to deal with the aftermath.
After these few days of cooperation, the two have developed an extremely tacit understanding.
Soon, the second dressing change started again, and naturally it was a patient after perianal abscess surgery.
The eldest brother had kept away from strangers a few times before, but now he smiled happily when he saw the tenement building. He obediently raised his butt, got into a good posture, and stretched his waist comfortably.
"Dr. Tang, what about the tablet? This week's "The King of Traps" is being updated. I couldn't bear to watch it in the ward, so I waited until now. Doctor Tang, your technique is really amazing. It really doesn't hurt at all."
"After several dressing changes, your wound has recovered well, and you no longer need to divert attention."
Tanglou said coldly, and started to soak the sterile gauze with 0℃ lidocaine injection.
"I've taken off my pants, and you're telling me there's nothing more to watch?"
The patient felt as if his iQiyi membership had expired and he suddenly felt dull.
Tanglou ignored the patient. He strictly followed his own analysis and judgment. Based on the current healing condition of the anus, there was indeed no need to rely on Guo Degang's mouth to relieve the pain.
The patient was lying on his stomach, and Tanglou was quietly and attentively changing his dressing, not wanting to say a word.
Lin Jia stood aside quietly. She was already very familiar with Tanglou's habits and was extremely focused on her work, so she wouldn't disturb him. She just wanted to admire it quietly.
"Dr. Tang, if you take it seriously, you are really charming."
The patient was lying on his stomach, feeling the time passing by, very long, and suddenly felt regretful that there was no stimulation and pain, as if he was not used to it (*ˉ?ˉ*;).
Just like anal digital examination, the first time there is some rejection, the next time it is stimulated, there is some unknown comfort...
The patient's face turned red and he quickly recited in his mind: prosperity, democracy, civilization, harmony, advocating freedom, equality, justice, rule of law, advocating patriotism, dedication...
"Dr. Tang, you look young, and your medical skills are really superb. This dressing change really doesn't hurt at all."
Tanglou ignored it and continued to focus on changing the dressing.
This case was soon ended. Tanglou said to Lin Ga and the patient: "Just change it twice and it will basically be cured."
"Dr. Tang's skills are good, but he is too aloof." The patient made a note in his mental notebook.
...
Xiaoyun's dressing change cycle will be relatively longer, so it is scheduled for tomorrow.
For the rest of the day, Tanglou went to Ma En to report as usual, and together they checked the ward and checked the medical records.
When he walked into the big office, Tanglou realized that there was no one inside.
"Hey, Dr. Ma's ward rounds haven't started yet in the afternoon. Why isn't he here? Is there something going on in the ward?"
Tanglou quickly ran to the ward, and after a few days, he naturally became familiar with the other nurses.
"Dr. Ma, an appendicitis operation was scheduled for this afternoon. Tian Linsheng and Wang Da both went to the operating room."
"It's appendicitis surgery again. Why do I feel like there have been so many appendicitis surgeries in the department recently?"
"Yes, Dr. Ma has recently started to try endoscopic techniques. It seems that the department has made a big move. However, Dr. Tang, you just came to the internship, so you probably won't be able to get it."
The nurse naturally knows the trends in the department very well, and she also has a good understanding of the life of the interns. It will take at least several months for Tanglou to enter the operating room.
"However, Dr. Tang, your dressing change skills are really good. Several patients you have treated have given good feedback, and the healing speed is faster than normal."
I interacted with the little nurse.
With doubts, Tang Lou inspected the ward alone, then returned to the office and continued to type in the medical records for dressing changes.
It was not until almost six o'clock in the afternoon that Ma En and Wang Daquan walked out of the operating room tired and excited.
"...Dr. Ma, this is the first time I have seen a laparoscopic appendectomy with my own eyes. It turns out that endotracheal anesthesia is done through endotracheal intubation..."
Wang Daquan, as the first assistant, naturally observed it closely and was very excited.
Tian Linsheng was a little envious, but also a little disappointed. After all, his best hook-drawing technique was useless, and he was completely reduced to a spectator this time.
"...Tian Tian, did you see that the observation hole, the arc-shaped incision is only about 1cm, just put the laparoscope in, the lens is too high-definition..."
Wang Daquan was beaming as he spoke, and looked at Ma En with licking eyes: "Dr. Ma, have you noticed that there have been a lot of appendicitis surgeries in the department recently. Dr. Qing specially arranged for you to undergo laparoscopic surgery. This is to allow you to perform new surgeries."
Shiki!"
Ma En also raised the corner of his mouth slightly, after all, this was his first laparoscopy.
He was naturally grateful for Dr. Qing's cultivation: "Yes, laparoscopic surgery is much more difficult than traditional resection. Although today was basically completed under the guidance of Dr. Qing, it was the first time.
It will become smoother and smoother.”
In addition to the upgrade of surgical procedures, the corresponding high-level surgical procedures will also increase the operating fees objectively.
Ma En was naturally very proud, and he was very pleased with Wang Daquan: "When I can operate independently, I must let you participate more."
"Well, thank you first, Dr. Ma."
Wang Daquan beamed with joy and patted Tian Linsheng on the shoulder again: "Tian Tian, don't be impatient, take your time. It will all come when it comes. With your help one day, you can see that now you can at least pull the hook. Like Xiao Tang, you can only change
Where’s the medicine?”
Tian Linsheng nodded, yes, he used to be at the bottom of the department, but now he is also second to none, and his mentality instantly improved a lot.
Several people returned to the office while talking.
Seeing the tenement building inside, Wang Daquan and Tian Linsheng felt a small sense of superiority.
"Tanglou, did today's dressing change go well?"
As a senior doctor, Ma En naturally had to be concerned.
"Du Xue can be discharged from the hospital in two days. Brother's perianal surgery can be healed by changing it twice. As for Xiaoyun, who is more complicated, I need to follow up further."
Tanglou reported the progress truthfully.
"How fast is recovery? It seems like your dressing change method is really worth promoting!"
Marne was obviously surprised.
Wang Daquan and Tian Linsheng also started by changing dressings, so they naturally understand how quickly patients can heal under Tanglou's dressing changes.
Tian Linsheng praised: "Tanglou, you are so awesome."
Wang Daquan was a little envious at first, but when he thought that he might soon have the first appendicitis surgery in his life, his envy for Tanglou was diluted.
While several people were chatting, Qingping also walked in.
"Doctor Qing."
Ma En and others all looked at Dr. Qing.
Doctor Qing is very serious:
"I just finished the operation. You all should go and have a rest. I have something to discuss with Tanglou."
Ma En and others nodded, but did not leave immediately, but stretched their ears.
"Tanglou, I have read your dressing change medical record summary. It is very good. Next, I will continue to arrange some burn patients for you."
After hearing Qingping's words, Wang Daquan and others looked at Tanglou with some sympathy. It seemed that this guy was going to stay in the Changing Pharmacy for a long time.
When the two of them were secretly glad that they could enter the operating room, Qingping continued:
"Tanglou, I think your laughing gas/oxygen mixed gas method for changing dressings for burn patients can be promoted clinically, but medicine is rigorous and you need to conduct controlled trials. So I hope you will do it in the next time,
Experiment with more cases and try to compile it into a paper within half a year. As a research direction of our department, I have already reported it to Director Cheng, and he also agrees with your idea."
"This topic is mainly about you. If you need any help or guidance on thesis, please come to me at any time. As for the source of the disease, you don't have to worry. I have already said hello to the director of the burn surgery department. Director Wang's words are large and sufficient."
Tanglou was also a little surprised. Dr. Qing actually asked the department to cooperate with one of his interns to complete a paper on dressing change.
It can be seen that the academic atmosphere of general surgery is strong and upright.
"Doctor Qing, I will write my thesis carefully."
"Well, Director Cheng and I both attach great importance to your research topic in Tanglou, and we must do it well. Ma En, you will help me with the format of the paper later."
Qingping looked at Ma En again.
"Okay, Doctor Qing."
To be continued...