Auto chess in the operating room
Chapter 266 Upgrade Diagnosis (2 Stars, 9)!
Chapter 266 Upgrade Diagnosis (Two Stars, 9)!
"The symptoms of this patient are indeed complicated, and a diagnosis cannot be made in a short period of time. In this way, we will continue to treat the patient first. At the same time, after the meeting, I will go to my teacher, Mr. Mu, for advice."
As the host of the meeting, Shen Bingbing put down her reading glasses and pinched the bridge of her nose. She was really tired.
Hearing that Shen Bingbing was going to consult Mr. Mu, the attending doctors nodded in approval. Mr. Mu had retired for several years and was the previous chief physician of general surgery and an expert professor of pediatric surgery. He was a very popular person. Respected lady.
She has a lot of clinical experience. In the past two years, she has been at home every day. As her apprentice, Shen Bingbing often visits her during the holidays. Of course, she also asks her for some difficult and miscellaneous diseases.
Even if the level of Mr. Mu is placed in the entire province, he is still a top five veteran expert, and he is very well-known in this field.
"That's all for today's meeting."
Shen Bingbing waved his hand, and the other attending physicians got up and left first. Before leaving, they all took a special look at Tang Lou, lamenting that the younger generation is awesome.
Qingping also got up, ready to arrange the next operation: "Tang Lou, I'm leaving first. Since Director Shen has gone to Mr. Mu for foreign aid, don't worry about it anymore. You have done a very good job today. "
For veterans like them, it is too common for the diagnosis to be inconclusive. Continue to observe and continue to try until the cause is found, or the patient dies and dies.
After some encouragement, Qingping left the consultation room first, and devoted himself to the treatment of the next patient.
For a doctor, everyone is equal, and he will not favor one another because of his priorities. He should equally allocate his time and energy to different patients.
Tang Lou sorted out the information, and when she was about to leave, Deputy Director Shen Bingbing stopped Tang Lou, and she became more and more curious about Tang Lou, and looked up and down: "Tang Lou, I heard that you had a meeting with Dr. Wang before. We cooperated with each other in an operation, and we have a very good understanding. This is the first time I have heard Dr. Wang praise a doctor so much. Your operation level is very good."
"Dr. Wang is absurd."
Tang Lou professionally smirked, wondering what kind of medicine Shen Bingbing sold in the gourd.
"Tang Lou, the ideas you provided in today's consultation are very good." Shen Bingbing praised a few more words, then changed the subject and raised her eyebrows: "I have a caudate lobe resection tonight, are you interested in participating?" .For you, it is a very good learning opportunity."
Shen Bingbing intends to test Tang Lou during the operation. The previous appendectomy and cholecystitis surgery are only first-level and second-level surgeries. If they are done well, it can only be said that Tang Lou has solid basic skills, but this time the caudate lobe resection is difficult. But it's very high.
Even ordinary attending physicians dare not perform the operation.
"Originally, I cooperated with Director Shen in this operation, but today I accidentally clubbed my wrist and couldn't perform fine operations. Director Shen will arrange for a senior attending doctor, but he is not as versatile as me after all, so I suggest you come as a second assistant. Assistance. It is also a very good learning opportunity for you. Director Shen's accomplishments in major surgery are very amazing."
Wang Chuan said very sincerely that he naturally wanted to make Shen Bingbing realize the value of Tang Lou through more surgical contacts, so that he could transfer Tang Lou to his team after fighting for it.
If there is a first-class assistant like Tang Lou, the success rate of Wang Chuan's fourth- and fifth-level surgeries in the First Hospital of Hecheng City will be greatly improved.
In addition to really admiring Tang Lou, it is also his selfishness to subdue a talented assistant like Tang Lou.
Of course, Tanglou had no resistance to the surgery. After thinking about it, he accepted Shen Bingbing's invitation: "I agree."
"See you in the operating room, Dr. Tang."
Shen Bingbing stood up very attractively, shook hands with Tang Lou, and smelled the ripe woman's perfume in Tang Lou's hands.
After saying goodbye to Tang Lou, Shen Bingbing directly contacted her teacher, Mr. Mu.
After hearing about the patient's strange case, Mr. Mu expressed great interest and put forward some ideas of his own. However, he was too old to come here now, so he made an appointment with Shen Bingbing to come and see it in person tomorrow morning. See the patient.
With Mr. Mu's reassurance, Shen Bingbing finally breathed a sigh of relief. After all, there are too many patients in the city's No. [-] hospital, and it is impossible to devote all his energy to one patient.
After arranging the treatment plan, his own resident doctor will follow up and record it on the front line. Unless there are special circumstances, Shen Bingbing only needs to go during the ward rounds.
After putting down Xiao Yunyun's case, Shen Bingbing began to plan the caudate lobe resection at night, and designed operations within their capabilities for Yisuke and Tang Lou.
After Tang Lou left the consultation room, he quickly devoted himself to the rest of the operations. After performing five operations in a row, he checked the time and saw that it was time for Shen Bingbing's operation.
After completing the preoperative preparations, Tang Lou directly entered the operating room next door.
When Tang Lou entered, Shen Bingbing and another attending physician, Yang Dongfeng, were already in place.
After Shen Bingbing briefly introduced Dr. Yang, the operation began.
Of course, Dr. Yang has heard about Tang Lou, but he has never had any real cooperation, so he has no idea about Tang Lou's level. Of course, he understands that in this operation, besides Director Shen, he is the leading actor.
After all, as a second assistant, most of the time, he just plays soy sauce and learns from the sidelines. Especially for this kind of major surgery above the third level, Dr. Yang certainly doesn't think that Tang Lou can really help.
No matter how handsome he is, he is also a supporting role!
There is an essential difference between major surgery and first- and second-level entry-level surgeries.
"Xiao Tang, just take a good look at it from the sidelines. If you can't operate anything later, just ask me."
Dr. Yang explained in a very professional and polite manner, and then he took the position of first assistant. After all, an attending physician still has his own pride and self-confidence in front of Tang Lou.
"Doctor Yang, report on the preoperative preparations."
Shen Bingbing stood at the position of the chief surgeon. Her voice was as elegant as ever, but on the operating table, she was more professional and powerful.
Dr. Yang respects his superior physicians very much. Shen Bingbing is the only deputy director-level physician other than Cheng Jian who can become a general surgeon, and his professional skills are very strong.
"The patient is generally in good condition, with an ECOG score of 0 to 2, and no obvious dysfunction of important organs such as the heart, lungs, and kidneys."
"The liver function is only mildly damaged, and the Child-Pugh classification of liver function is B."
"The tumor is at the edge of the liver."
Dr. Yang gave a very professional and comprehensive report.
"Very good, start anesthesia."
After confirming that there was no problem, Shen Bingbing gave the order.
As the anesthetist of this station, Chen Wenhao quickly completed the continuous epidural anesthesia.
After retreating to the side, he looked at the second assistant's Tang Lou with some surprise, and thought in his heart, so plain is not Tang Lou's way of playing, this kid has never been a master of peace.
"Don't do something."
Chen Wenhao sat down on the prepared small bench, narrowing his eyes dully.
The operation process can only be said to be very flat and smooth. After all, Shen Bingbing is a very professional deputy chief physician. He made a "∧"-shaped incision down the right costal margin, and the operation was standard and light.
Next, it was completed very quickly. The round ligament of the liver was cut off with forceps, the stump was ligated and sutured, and the upper liver was hooked.
The whole set of movements was completed in one go, obviously hundreds of times of tempering were performed!
The next step is to free the ligaments. Shen Bingbing looked at the Tanglou on the side, and naturally guided: "Next, I will free the hepatic and gastric ligaments, the hepatic falciform ligament, the left coronary ligament and the left triangular ligament. The left hemi-liver was freed and opened to the right, and the hepatoduodenal ligament was retracted to the right with a latex tube to expose the caudate lobe."
"This is a very important operation in this operation. You have to read it carefully. After reading it, you can summarize and think about it. Tell me about your understanding later."
Shen Bingbing is a teacher who likes to train students very much, including on the operating table, not limited to other areas of life.
For example, for Wang Chuan's training, she is meticulous and comprehensive, going deep into all aspects and achieving great results!
After 15 minutes, Shen Bingbing completed the operation and handed it over to Dr. Yang for the next step of the work. She herself took a breath. After all, she is not a tenement house, and her concentration and energy are limited.
Taking advantage of this time, Shen Bingbing naturally compared Tang Lou: "Xiao Tang, tell me about your experience with my operation just now?"
Compared with cholecystectomy and appendectomy, the liver is naturally dozens of times more complicated. Ordinary doctors only have the opportunity to experience this level of surgery until they are senior residents.
For Tang Lou, Shen Bingbing naturally did not understand it with common sense, so she gave him such a profound surgery teaching when he was still an intern. According to her judgment, Tang Lou could understand and comprehend this kind of complicated operation, which would give him two achievements. Already very scary.
Just when Tang Lou was about to reply modestly, a familiar voice sounded:
[Ding, new mission, we are different!For example, Shen Bingbing showed super comprehension ability and replaced Yisuke to complete the next operation.Mission reward: Diagnosis skill upgraded to two stars. 】
Seeing this task reward, Tang Lou's eyes turned red!Then why hesitate.
The arrogant and arrogant answer resounded in the operating room, and after the words fell, both Shen Bingbing and Dr. Yang stopped and stared at Tang Lou with wide eyes!
And Chen Wenhao, who was squinting on the small bench, opened his eyes:
"Damn it, it really is a tenement house!"
(End of this chapter)
"The symptoms of this patient are indeed complicated, and a diagnosis cannot be made in a short period of time. In this way, we will continue to treat the patient first. At the same time, after the meeting, I will go to my teacher, Mr. Mu, for advice."
As the host of the meeting, Shen Bingbing put down her reading glasses and pinched the bridge of her nose. She was really tired.
Hearing that Shen Bingbing was going to consult Mr. Mu, the attending doctors nodded in approval. Mr. Mu had retired for several years and was the previous chief physician of general surgery and an expert professor of pediatric surgery. He was a very popular person. Respected lady.
She has a lot of clinical experience. In the past two years, she has been at home every day. As her apprentice, Shen Bingbing often visits her during the holidays. Of course, she also asks her for some difficult and miscellaneous diseases.
Even if the level of Mr. Mu is placed in the entire province, he is still a top five veteran expert, and he is very well-known in this field.
"That's all for today's meeting."
Shen Bingbing waved his hand, and the other attending physicians got up and left first. Before leaving, they all took a special look at Tang Lou, lamenting that the younger generation is awesome.
Qingping also got up, ready to arrange the next operation: "Tang Lou, I'm leaving first. Since Director Shen has gone to Mr. Mu for foreign aid, don't worry about it anymore. You have done a very good job today. "
For veterans like them, it is too common for the diagnosis to be inconclusive. Continue to observe and continue to try until the cause is found, or the patient dies and dies.
After some encouragement, Qingping left the consultation room first, and devoted himself to the treatment of the next patient.
For a doctor, everyone is equal, and he will not favor one another because of his priorities. He should equally allocate his time and energy to different patients.
Tang Lou sorted out the information, and when she was about to leave, Deputy Director Shen Bingbing stopped Tang Lou, and she became more and more curious about Tang Lou, and looked up and down: "Tang Lou, I heard that you had a meeting with Dr. Wang before. We cooperated with each other in an operation, and we have a very good understanding. This is the first time I have heard Dr. Wang praise a doctor so much. Your operation level is very good."
"Dr. Wang is absurd."
Tang Lou professionally smirked, wondering what kind of medicine Shen Bingbing sold in the gourd.
"Tang Lou, the ideas you provided in today's consultation are very good." Shen Bingbing praised a few more words, then changed the subject and raised her eyebrows: "I have a caudate lobe resection tonight, are you interested in participating?" .For you, it is a very good learning opportunity."
Shen Bingbing intends to test Tang Lou during the operation. The previous appendectomy and cholecystitis surgery are only first-level and second-level surgeries. If they are done well, it can only be said that Tang Lou has solid basic skills, but this time the caudate lobe resection is difficult. But it's very high.
Even ordinary attending physicians dare not perform the operation.
"Originally, I cooperated with Director Shen in this operation, but today I accidentally clubbed my wrist and couldn't perform fine operations. Director Shen will arrange for a senior attending doctor, but he is not as versatile as me after all, so I suggest you come as a second assistant. Assistance. It is also a very good learning opportunity for you. Director Shen's accomplishments in major surgery are very amazing."
Wang Chuan said very sincerely that he naturally wanted to make Shen Bingbing realize the value of Tang Lou through more surgical contacts, so that he could transfer Tang Lou to his team after fighting for it.
If there is a first-class assistant like Tang Lou, the success rate of Wang Chuan's fourth- and fifth-level surgeries in the First Hospital of Hecheng City will be greatly improved.
In addition to really admiring Tang Lou, it is also his selfishness to subdue a talented assistant like Tang Lou.
Of course, Tanglou had no resistance to the surgery. After thinking about it, he accepted Shen Bingbing's invitation: "I agree."
"See you in the operating room, Dr. Tang."
Shen Bingbing stood up very attractively, shook hands with Tang Lou, and smelled the ripe woman's perfume in Tang Lou's hands.
After saying goodbye to Tang Lou, Shen Bingbing directly contacted her teacher, Mr. Mu.
After hearing about the patient's strange case, Mr. Mu expressed great interest and put forward some ideas of his own. However, he was too old to come here now, so he made an appointment with Shen Bingbing to come and see it in person tomorrow morning. See the patient.
With Mr. Mu's reassurance, Shen Bingbing finally breathed a sigh of relief. After all, there are too many patients in the city's No. [-] hospital, and it is impossible to devote all his energy to one patient.
After arranging the treatment plan, his own resident doctor will follow up and record it on the front line. Unless there are special circumstances, Shen Bingbing only needs to go during the ward rounds.
After putting down Xiao Yunyun's case, Shen Bingbing began to plan the caudate lobe resection at night, and designed operations within their capabilities for Yisuke and Tang Lou.
After Tang Lou left the consultation room, he quickly devoted himself to the rest of the operations. After performing five operations in a row, he checked the time and saw that it was time for Shen Bingbing's operation.
After completing the preoperative preparations, Tang Lou directly entered the operating room next door.
When Tang Lou entered, Shen Bingbing and another attending physician, Yang Dongfeng, were already in place.
After Shen Bingbing briefly introduced Dr. Yang, the operation began.
Of course, Dr. Yang has heard about Tang Lou, but he has never had any real cooperation, so he has no idea about Tang Lou's level. Of course, he understands that in this operation, besides Director Shen, he is the leading actor.
After all, as a second assistant, most of the time, he just plays soy sauce and learns from the sidelines. Especially for this kind of major surgery above the third level, Dr. Yang certainly doesn't think that Tang Lou can really help.
No matter how handsome he is, he is also a supporting role!
There is an essential difference between major surgery and first- and second-level entry-level surgeries.
"Xiao Tang, just take a good look at it from the sidelines. If you can't operate anything later, just ask me."
Dr. Yang explained in a very professional and polite manner, and then he took the position of first assistant. After all, an attending physician still has his own pride and self-confidence in front of Tang Lou.
"Doctor Yang, report on the preoperative preparations."
Shen Bingbing stood at the position of the chief surgeon. Her voice was as elegant as ever, but on the operating table, she was more professional and powerful.
Dr. Yang respects his superior physicians very much. Shen Bingbing is the only deputy director-level physician other than Cheng Jian who can become a general surgeon, and his professional skills are very strong.
"The patient is generally in good condition, with an ECOG score of 0 to 2, and no obvious dysfunction of important organs such as the heart, lungs, and kidneys."
"The liver function is only mildly damaged, and the Child-Pugh classification of liver function is B."
"The tumor is at the edge of the liver."
Dr. Yang gave a very professional and comprehensive report.
"Very good, start anesthesia."
After confirming that there was no problem, Shen Bingbing gave the order.
As the anesthetist of this station, Chen Wenhao quickly completed the continuous epidural anesthesia.
After retreating to the side, he looked at the second assistant's Tang Lou with some surprise, and thought in his heart, so plain is not Tang Lou's way of playing, this kid has never been a master of peace.
"Don't do something."
Chen Wenhao sat down on the prepared small bench, narrowing his eyes dully.
The operation process can only be said to be very flat and smooth. After all, Shen Bingbing is a very professional deputy chief physician. He made a "∧"-shaped incision down the right costal margin, and the operation was standard and light.
Next, it was completed very quickly. The round ligament of the liver was cut off with forceps, the stump was ligated and sutured, and the upper liver was hooked.
The whole set of movements was completed in one go, obviously hundreds of times of tempering were performed!
The next step is to free the ligaments. Shen Bingbing looked at the Tanglou on the side, and naturally guided: "Next, I will free the hepatic and gastric ligaments, the hepatic falciform ligament, the left coronary ligament and the left triangular ligament. The left hemi-liver was freed and opened to the right, and the hepatoduodenal ligament was retracted to the right with a latex tube to expose the caudate lobe."
"This is a very important operation in this operation. You have to read it carefully. After reading it, you can summarize and think about it. Tell me about your understanding later."
Shen Bingbing is a teacher who likes to train students very much, including on the operating table, not limited to other areas of life.
For example, for Wang Chuan's training, she is meticulous and comprehensive, going deep into all aspects and achieving great results!
After 15 minutes, Shen Bingbing completed the operation and handed it over to Dr. Yang for the next step of the work. She herself took a breath. After all, she is not a tenement house, and her concentration and energy are limited.
Taking advantage of this time, Shen Bingbing naturally compared Tang Lou: "Xiao Tang, tell me about your experience with my operation just now?"
Compared with cholecystectomy and appendectomy, the liver is naturally dozens of times more complicated. Ordinary doctors only have the opportunity to experience this level of surgery until they are senior residents.
For Tang Lou, Shen Bingbing naturally did not understand it with common sense, so she gave him such a profound surgery teaching when he was still an intern. According to her judgment, Tang Lou could understand and comprehend this kind of complicated operation, which would give him two achievements. Already very scary.
Just when Tang Lou was about to reply modestly, a familiar voice sounded:
[Ding, new mission, we are different!For example, Shen Bingbing showed super comprehension ability and replaced Yisuke to complete the next operation.Mission reward: Diagnosis skill upgraded to two stars. 】
Seeing this task reward, Tang Lou's eyes turned red!Then why hesitate.
The arrogant and arrogant answer resounded in the operating room, and after the words fell, both Shen Bingbing and Dr. Yang stopped and stared at Tang Lou with wide eyes!
And Chen Wenhao, who was squinting on the small bench, opened his eyes:
"Damn it, it really is a tenement house!"
(End of this chapter)
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