Auto chess in the operating room

Chapter 89 The First Help of Flowing Water, the Iron Lagou Man
Hecheng First Hospital has 24 on-duty operating rooms, providing services for surgery, gynecology, ophthalmology, ENT, orthopedics, and emergency departments.

There are 18 main operating rooms and 6 temporary operating rooms. As the largest department, surgery naturally occupies the most time, with a weekly demand of about 400 hours.

The general surgery department of Hecheng No. [-] Hospital can carry out various large-scale and difficult operations, and can complete liver transplantation, liver lobectomy, liver segment resection, pancreaticoduodenectomy, Budd-Chiari syndrome surgery, and total gastrectomy , Radical surgery for rectal cancer, laparoscopic cholecystectomy, colon cancer radical surgery, rectal cancer radical surgery, thyroidectomy, etc.

In comparison, a series of surgeries for appendicitis are naturally considered minor surgeries. For interns and trainees, appendicitis surgery is also the most basic surgery at the beginning of their surgical careers.

Early in the morning, Tang Lou and Tian Linsheng turned around the corridor and got on the elevator. The sixth floor is the changing room of the operating room.

The operating room standard of Hecheng City No. [-] Hospital is based on the standard of a tertiary hospital. The dressing room alone is about [-] square meters, as well as a shower room and a toilet.

Entering such a luxurious changing room for the first time, Tang Lou was naturally in a turbulent mood, as expected, it was not comparable to a small workshop like a county hospital.

Tian Linsheng was very interested and excitedly introduced to Tang Lou:

"Tang Lou, is it very exciting to enter the operating room for the first time, and I am also the first time, just this changing room makes me very excited.

There are three passages in our operating room, the passage for medical staff, the passage for patients, and the passage for sterile equipment. "

"The channel for medical staff can enter directly from our changing room, the channel for patients goes directly to the operating room, and the channel for sterile equipment is a special channel for the transportation of surgical instruments."

"For the first time, I searched for a long time before entering the operating room. If I go to the wrong door, I can't enter the operating room."

Tian Linsheng explained to Tang Lou very skillfully, with the posture of first helping and supporting his younger brother.

"Tang Lou, don't think I'm talkative. When you enter the operating room, you must pay attention to the sense of asepsis. When you enter the door of the operating room, you have to start changing the slippers. The door of the operating room is stepped on with your feet, so you must not use your hands. Push. Moreover, when entering the operating room, you must change into the clothes and hats in the operating room."

"The hair is also fully covered with a blue disposable round cap."

Tian Linsheng looked at Tang Lou's thick, black and smooth hair, paused, touched his own high hairline, and said enviously.

"Tang Lou, besides the chief surgeon, there are also anesthesiologists and nurses in the operating room. The nurses are divided into itinerant nurses and handwashing nurses. The nurses on stage disinfect and spread sterile sheets and adjust the lights."

It was the first time that Tian Linsheng talked so much. Before Ma En, he had always been the role being trained. He really had the power in his hand one day.

Regarding Tian Linsheng's sudden enthusiasm, Tang Lou nodded with a smile.

Seeing Tang Lou's well-behaved and sensible appearance, Tian Linsheng nodded in satisfaction, and waved his right hand: "Let's go!"

Soon the two entered the operating room.

In the operating room, the nurses had already prepared for the operation. The patient was a 43-year-old woman with simple appendicitis.

Tang Lou and Tian Linsheng had already learned about the patient's admission records in advance:

Patient: Wu Zhaodi, female, 43 years old

Chief complaint: intermittent right lower quadrant pain for more than three days, aggravated by one day

History of present illness: Half a month ago, the patient started to have fever with upper abdominal pain and vomiting without obvious inducement. Fever reappeared, the body temperature could reach above 38°C, and there was tenderness and rebound tenderness at the McBurney's point in the right lower abdomen, which presented persistent dull pain, and aggravated vibrations, accompanied by nausea, vomiting, abdominal distension, and the vomit was gastric content. Further treatment Recently, in our hospital, the outpatient examination was admitted to the hospital with appendicitis.Since the onset of the disease, the patient has poor spirit, painful expression, loss of appetite, less urine, and no stool.No significant change in body weight,

Past medical history: general physical fitness, denied history of chronic diseases such as hypertension, coronary heart disease, diabetes, denied history of infectious diseases such as hepatitis and tuberculosis, no trauma, surgery history, blood transfusion, blood donation history, no drug, food allergy history.
Physical examination:
T 36.8°C P 78 beats/min R 18 beats/min BP: 125/80mmHg
Specialist examination:
The abdomen was flat, no intestinal pattern and peristaltic waves were seen, McBurney's point tenderness and rebound tenderness in the right lower quadrant, and no obvious mass was palpable.There was no palpation under the costal margin of the liver and spleen, no percussion pain in the liver and spleen area, no percussion pain in the kidney area, no shifting dullness, and normal bowel sounds.

Auxiliary inspection:
血常规：RBC:4.39x10^12/L WBC：11.3X10^9/L Hb:136g/L PTL:268x10^9L CRP:28.165mg/L
Abdominal color Doppler ultrasound showed: double kidney stones, intracranial Doppler showed: the blood flow velocity of the measured intracranial arteries slowed down, ECG showed: sinus rhythm, mild to moderate left deviation of the heart axis
Typical appendicitis symptoms!

In Tang Lou and Tian Linsheng's anticipation, Qingping also walked into the operating room.

Anesthesiologist Chen Wenhao, about 30 years old, with extremely fair skin and a Korean-style Oppa appearance, naturally uses the most conventional epidural anesthesia for simple appendicitis.

After finishing his work, he sat on the small bench that he brought with him. Generally speaking, the anesthesiologists wandered around in various operating rooms, and had nothing else to do, so they sat down to watch the operation.

Naturally, he had seen hundreds of cases of this kind of appendicitis, but since there was a newcomer this time, he was naturally interested. The rookie's first operation would always be full of mistakes and omissions, and he was uneasy.

It's the first time for a newcomer, it's exciting just thinking about it!

Some interns can't even tie the surgical gowns well, and some interns look around in the operating room, sticking their fingers in disorder, and the surgeon can perform his special skills.

As a cultural person, the chief surgeon never curses with dirty words, but the lethality is extremely astonishing.

This kind of moment is the adjustment during the boring and long operation process. Doctor Qingping is very serious, and he doesn't even like to talk about pornographic jokes, so the only thing that can make Chen Wenhao a little passionate is the scene of training interns.

For example, when Tian Linsheng was clumsy for the first time, he was scolded by Qing Ping. At that time, he said: If you can do it, do it; if you can't, get out of here.

It almost left Tian Linsheng with a lifelong shadow, and he will never lift...hook...

The condition of this patient is relatively good, and there is no need for special treatment, and the operation can be performed directly.

Tian Linsheng chuckled and automatically moved towards Isuke's position.

Qingping stared directly at death.

With a bang in the head, Tian Linsheng was stunned for a while, and then instinctively ran to a familiar position obediently.

"???"

Then, he watched Qingping say the words that Tian Linsheng had been longing for for several months from the mask:

"Tanglou, come here, you can incise this patient!"

What annoyed Tian Lin the most was that Tang Lou walked over as he was used to, and then the nurse took the pen.

On the patient's abdomen, the location of the McBurney's point began to be marked, and the movement was smooth and clean, as if it had been done hundreds of times.

Tian Linsheng didn't sleep all night, fantasizing about taking the pen, he would mark slowly, and he must pause after marking, just like shaking after urinating, releasing and enjoying the last aftertaste.

But Tang Lou doesn't cherish it at all, marking, disinfecting, spreading towels, and the skin is fixed and coherent, and it is completely a cutting machine for the feeling of wood.

Ruthless things!

Tian Linsheng regretfully looked at the skin that was constantly being cut, as if he was eating the spicy sticks that made him greedy at the same table when he was a child.
(End of this chapter)