The road to the rise of great doctors

Chapter 108 A series of minor surgeries

When conditions permit, especially when time is abundant, most doctors are willing to use what they have learned to help patients, even if it is for free. If the other party has a good attitude and really needs help, they will give it free of charge. suggestion.However, this is not the case all the time.

Be especially cautious when there is risk.

Regarding the reaction of "I'll just ask casually", although the starting points are different, the mentality of doctors, lawyers and other technical staff is basically the same, and they are all very taboo about this kind of questioning.

Think about it, I have been studying hard for so many years, thinking hard about the certification, and constantly learning cutting-edge knowledge, just to realize the realization of knowledge.Consultation fees are very basic.

However, many people nowadays are not aware of this obvious thing.

Many people think the same as Liu Dong, a high school classmate.What they think is, I just asked you casually, and you didn’t solve the problem for me with just a few words, so why do you still charge me?As long as you charge a fee, you will definitely be considered as someone who is trying to get money!

However, for those who pay for knowledge, there is nothing they can ask casually.Once or twice, if I could answer out of sympathy, I would treat it as a favor.However, if it involves responsibility and payment for knowledge, and what you are consulting is content that cannot be found in a complete search, or if it can be found in a search but there are different opinions and it is difficult to distinguish the true from the false, you still need to use professional knowledge. If you make a professional decision, you should pay for it.

If you keep thinking about having sex for nothing, you are thinking too much.

Liu Dong's high school classmate was not very enlightened. Listening to Liu Dong's words, he only felt that he was being mocked.So, he simply said a few polite words and hung up the phone.

After hanging up the phone, Liu Dong realized that this move probably offended another old classmate.However, this is not because of his own suffering. Is this kind of friend who only appears when he needs it, is it a real friend?

Just like for people who write novels, subscribing to Neng is a way of screening readers.

By speaking from the bottom of one's heart and telling things clearly in advance, like "a villain before a gentleman", isn't it to see if this person is a true friend?Even if this friend speaks more politely, or knows how to be grateful and understands his own difficulties, it will be a great comfort to the doctor.Don't help too much, so that things like "prosperity and enmity" may happen in the future. If you help too much and don't reply in time when you get busy, and if you complain again, wouldn't it be worth the loss? !

"How can you repay kindness with kindness? Repay kindness with kindness, and repay resentment with straightness." Liu Dong especially likes this sentence of Master Confucius!
In the hospital operating room, the anesthesiologist is still preparing the drugs to be used and will be coming soon.

Zhang San was lying on the operating bed, looking here and there for a while, and you could feel that he was still a little panicked.He looked carefully at the people in the room several times, but was a little disappointed when he didn't see Liu Dong.

"Will Dr. Liu be here soon? He told me that I have to do that minor surgery today."

After hearing this, the doctor in charge came over and said, "He will be down in a moment. Let's do the inguinal hernia repair first. After that, we will do the phimosis surgery. Don't be anxious, the surgery is very fast."

"Well, okay, thank you doctor. I'm a little nervous. The temperature in the operating room is still a little low. Although I don't feel cold, I'm still a little bit chilly."

"It'll be better once the anesthesia is over and it's covered with something."

While talking, Liu Dong opened the door and walked in.He first said hello to Corey's teachers.Then he walked next to Zhang San and said: "Lao Zhang, don't be nervous. Surgery is a routine surgery and there may be risks. However, the doctors who perform the surgery on you are very experienced and the possibility of risks is very low. Even if it happens, It will be handled in time. After a while of anesthesia, take a nap, and it will be done when you wake up." "Dr. Liu, you are here. Seeing you makes me feel at ease." Zhang San twitched the corner of his mouth and turned to Liu Dong showed a smile.

The anesthesiologist walked in with a cart filled with anesthetic drugs and said to Zhang San, "What's your name?"

"Zhang San."

"Okay, it's checked. You don't need general anesthesia for your surgery. The proposed anesthesia method can be epidural anesthesia or combined spinal and epidural anesthesia. They are both commonly heard of 'semi-general anesthesia'. You will feel something, but It won’t hurt. After the operation begins, we will also give you some sedative drugs. If you are sleepy, take a nap and wake you up when the operation is completed."

"Well, okay. Doctor, I believe you."

"You have two surgeries today. Both surgeries are effective after anesthesia. You don't need local infiltration anesthesia when you do the second surgery." The anesthesiologist said, then prepared things and told Zhang San to lie on his side. , arched the body and hugged the two calves with both upper limbs, widening the gap between the waist.

The anesthesiologist injected anesthesia into the skin, then performed local infiltration anesthesia, and then punctured the anesthetized area.

After a while, the anesthesia was completed.Then I tested the level of anesthesia and was satisfied.

Liu Dong cooperated with the anesthesiologist and placed Zhang San in a supine position. Except for the area to be disinfected, the rest was covered with a quilt.

The inguinal hernia surgery was not complicated, so Liu Dong did not go on stage. Instead, Wang Tianjun performed it together with a resident doctor in the team.The left indirect inguinal hernia was planned to undergo surgical treatment, and the surgical method was planned to be left open tension-free hernia repair.

There are many surgical procedures for inguinal hernia, each with advantages and disadvantages. In clinical practice, the surgeon will consider the patient's specific conditions, such as age, emergency or elective, presence or absence of incarceration, presence or absence of intestinal necrosis, emergency conditions and many other factors. to choose the appropriate surgical method.

For example, simple high ligation of the hernia sac is mainly used to repair inguinal hernias in children; patients with incarcerated hernias or intestinal necrosis undergoing emergency surgery, and patients with poorer emergencies will basically consider traditional repairs. The advantage is that they are cheap and more suitable for these situations. However, One disadvantage is that the postoperative pain of traditional repair surgery is more obvious, and the recurrence rate is relatively high.Open tension-free hernia repair uses mesh to fill the hernia ring, which is considered an enhanced repair. It is suitable for the vast majority of adult patients with inguinal hernia.

Liu Dong stood aside and watched carefully. Occasionally he picked up his mobile phone and took a few photos of the selected incision positions and various layers for his own review and study.

I saw Dr. Wang Tianjun. He took a line 2cm above the midpoint of the inguinal ligament and the pubic tubercle, and made an incision about 5-6cm long.The skin, subcutaneous tissue, and fascia are then incised layer by layer, all the way to the external oblique aponeurosis.Then the aponeurosis is incised obliquely and the outer ring opening is opened.After finding the spermatic cord, lift it, then continue to find the hernia sac and then ligate it.A patch is placed through the inner ring opening, sutured, and fixed.
The operation looks like it will be over soon.Liu Dong said something to Wang Tianjun, then went to wash his hands and prepare to go on stage for the next operation.

While they were still suturing the skin, Liu Dong got dressed and went on stage.Disinfect, put a drape on the area to be operated on, and then it took 10-15 minutes to complete the operation.After Wang Tianjun looked at it from the side, he nodded frequently, "The cows of middle-aged people are still different in color when exposed. Over time, they may gradually become less sensitive and the colors will not be so different. Well done. , I will let you do it if there is a suitable one in the future, and there is no need for a urologist to come for consultation."

Liu Dong chuckled.

(End of this chapter)