Chapter 709: Compassion
"For this depth, general anesthesia is better, go and call for anesthesia." Yu Yuan looked at the X-rays again, with a confident tone in her voice.
The patient was extremely nervous: "I don't want general anesthesia, I don't want surgery."
"The purpose of general anesthesia is to take it out for you, not to perform surgery on you." Yu Yuan said angrily, "You are so nervous now, I can't help you take it out."
"You really don't want to have surgery?" The patient looked at Yu Yuan suspiciously.
"Don't do it." Yu Yuan also knew the pain after surgery. Although it is just a light bulb, if it is taken out by surgery, if it is not done well, it will need a fistula, that is, an opening in the stomach to draw out the intestinal tract, and then an artificial fecal bag will be used to complete the excretion process. Needless to say, such an approach completely changes a person's life, and has an extremely serious impact on a person's daily life, work, and especially social interaction.
If there is another choice, Yu Yuan will definitely give it a try.
At this moment, Yu Yuan's expression was also sincere and determined.
The patient was lying on the flat bed, looking at Yu Yuan at the same level, the tense nerves were slightly relaxed, and then he whispered: "I heard... it's not very easy to take, is it? If it doesn't work, just break it..."
"It can't be broken. Cutting the intestine is a big deal." Yu Yuan shook her head: "Don't think about it, I have more experience than you."
The patient was stunned: "Do you have experience?"
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"Of course, I've been in the emergency department for so long, you wouldn't think that you're the only one who stuffs things into it." Yu Yuan paused for a moment, reorganized her words, and said, "Of course, stuffing light bulbs is relatively rare, anyway... …If you want to take it out, general anesthesia is better.”
The patient hesitated again and again, and asked, "How are you going to take it?"
Yu Yuan gathered her words and explained slowly: "General anesthesia first, followed by muscle relaxation injections. After the medicine takes effect, I will help you take it out with my hands. If you can't take it out, I will use instruments to dilate A larger channel, and then stick a piece of gauze to the light bulb, and find a way to pull it out for you... that's about it."
"It sounds like it can be done. However, don't the doctors always use tweezers to remove things?" The patient was also trying to find a way.
Yu Yuan shook her head slightly: "You use a light bulb, it's too slippery."
The patient said "Yes": "It is indeed slippery..."
Yu Yuan said "En".
"Then I have another question." The patient looked a little more relaxed.
Yu Yuan nodded: "Say it."
"Other patients, I mean, other people who stuffed things, what things did they stuff?" The patient seemed to be discussing academically.
Yu Yuan looked at him coldly, but didn't answer. He looked like a cheetah with fierce breasts.
The patient wisely shut up, continued to lie on the pillow, and groaned.
Not long after, Su Jiafu came over from the operating area, asked a few questions, filled out the form, and anesthetized on the spot without saying much.
After the patient's breathing calmed down and he was confirmed to be paralyzed, Su Jiafu let out a long sigh of relief and smiled. He swayed on the round stool and asked, "I heard it's a foreign object? A light bulb? How many watts?"
"When it's taken out, you can read the instructions." Yu Yuan curled her lips and said, "Do more muscle relaxation."
"Got it. By the way, what are you going to use to get it?" Su Jiafu smiled, and at the same time gave Duo muscle relaxation.
Yu Yuan stretched out her hand, waved it in the air twice, and said, "Have you heard the story about the midwife with small hands?"
Su Jiafu: "I've heard it before..."
"It's the same reason." Yu Yuan said and started to use it, pressing and releasing, professional and reassuring.
Several people around looked at it in a daze. In fact, there are often rumors about small hands in hospitals. For example, obstetrics and gynecology departments do not use forceps, and the baby is pulled out with a single hook.
It's just that no one has connected Yu Yuan with the expert in surgery before.
...
Ling Ran had no intention of watching Yu Yuan's surgery, so he wandered around the emergency center.
Yu Yuan was originally the doctor with the best background among the members of Ling's treatment group. She graduated with a master's degree, and her education is not low, and she even took advantage of it a bit.
However, Yu Yuan's surgical operation ability is really not good, and even simple surgical procedures can be flawed. If she is allowed to do it, the doctor who performs the surgery may be more nervous than herself. It is more rare. Even during the general hospitalization, Yu Yuan spent more time as an assistant than as the chief surgeon, so it couldn't be said to be very smooth.
Up to now, Ling Ran will give Yu Yuan more opportunities in terms of laparoscopic surgery. As for ordinary emergency surgery... Ling Ran himself is actually in the process of proficiency, so it is impossible to talk about teaching it or not.
In contrast, Zuo Cidian was more reassuring when he did Chris's fracture. He is already a strong entry-level, and the distance to specialization is neither short nor long. After all, it is a small orthopedic surgery, and he really got into it, and the progress is very fast.
In terms of quantity alone, it may not be possible for an orthopedic doctor to treat 100 Chris fractures. In terms of quantity, Zuo Cidian has basically reached it.
However, if you only do 100 cases of Chris, there must be no one attending surgery for four or five years, and you can also do 100 cases of Chris. Zuo Cidian's progress in this area can also be said to be at an average speed.
Thinking this way, Ling Ran slowly moved to the treatment room. When he looked up, he saw Zuo Cidian was doing manual reset for a patient.
So Ling Ran quietly stood in front of him, watching Zuo Cidian's two thumbs so hard that they turned white, and then slowly pulling the patient's arm...
Zuo Cidian panted slightly, doing orthopedic surgery, how tiring it is to do it, especially when there are no assistants, it will take more energy.
Ling Ran was observing Zuo Cidian's movements, and just as he was thinking about how to guide him, a system prompt sounded in his ears again:
Mission accomplished: train newcomers.
Mission objective: Improve the technical level of a doctor.
Mission Reward: Intermediate Treasure Chest.
Ling Ran raised his eyebrows.
Zuo Cidian's movement seems to be a little bit forced to achieve specialization, so...
Ling Ran waited for a few seconds without changing his expression, and the phone on his body yelled:
"Your Majesty sent me to patrol the mountains..."
Zuo Cidian couldn't help looking over, seeing that it was Ling Ran, he was inexplicably nervous for a few seconds.
Ling Ran smiled, then picked up the phone: "Hello?"
"Doctor Ling, I took out the light bulb with my bare hands, hahahaha, would you like to take a look, it's quite a big lightbulb." Yu Yuan's tone was full of complacency.
"It was taken out so soon?" Ling Ran had also seen X-rays just now, no matter how he thought about it, it was quite a head-scratching job.
"The advantage of small hands." Yu Yuan continued to be proud.
Ling Ran couldn't help but think, if fetching foreign objects is also a skill, it doesn't seem too much of an exaggeration to call Yu Yuan's skill specialization.
"I'll go over now." Ling Ran put away the phone, then looked at Zuo Cidian.
Zuo Cidian was still breaking bones, his veins were exposed due to too much force, he said "Okay" trembling all over, and tried his best to be polite: "Doctor Ling, pay attention to rest, don't get tired."
Ling Ran looked at Zuo Cidian lovingly: "You too."