The road to the rise of great doctors

Chapter 29 Getting up early ruins the day

Liu Dong walked quickly to the operating table.

"The patient is awake? Is he okay?" Zhu Guoliang looked up and saw Liu Dong and asked.

Liu Dong stood on Fan Hai's right hand side and said, "Well, the patient is awake, and the general condition is not bad, and there is not much drainage. The nurse in the operating room is escorting him to the ward, so I came directly."

Fan Hai lowered his head and operated without speaking.

Liu Dong quickly took a retractor from Fan Hai and Zhu Guoliang, freed their hands, and adjusted them slightly to fully expose their vision.

The kidney is the most important excretory organ of the human body. Metabolic waste produced in the body is excreted in the form of urine in the kidney, collects in the renal pelvis, then passes through the ureter to the bladder, and then is excreted out of the body through the urethra.

The bladder is a sac-like organ that temporarily stores urine. Its shape, size, position, and thickness of the bladder wall composed of muscles constantly change with the amount of urine in the bladder.

Usually, the average bladder capacity of a normal adult is 350 ml to 500 ml. When it exceeds 500 ml, it will cause swelling and pain.The maximum capacity of the bladder is 800 ml.The size of the capacity is also affected by age and gender. Newborns have the smallest capacity, women have less capacity than men, and the capacity of the elderly will increase.

Due to the dull feeling of drunk people and the diuretic effect of alcohol, the urine capacity of the bladder is larger than usual. If it is larger, it exceeds the protection of the pelvic bones, and it is easy to be injured if the head is exposed.

Such bladder trauma is relatively easy to treat. What is more difficult to treat is the type of car accident injury that results in pelvic fractures and bladder and urethra injuries.

Liu Dong looked at the location of the surgical incision and confirmed that the incision made by Deputy Chief Doctor Fan Hai was a midline incision in the lower abdomen.The separation from the skin and subcutaneous tissue has been completed, and the muscles have been moved aside, and the bladder can be easily found.

Fan Hai lifted his bladder and found the breach.Zhu Guoliang took the suction device and sucked out all the surrounding urine and the remaining urine in the bladder.

Fan Hai pointed at the inside of the bladder with the surgical forceps and asked, "Look, what is this?"

Zhu Guoliang glanced at it but said nothing.Staring at Liu Dong with encouraging eyes.

Liu Dong was polite and said: "Those two should be the ureteral orifices."

Fan Hai nodded slightly and said: "Yes, those are the two ureteral orifices. When repairing a ruptured bladder, be sure to protect these two ureteral orifices. If they are ligated or injured during suturing, the urine on one side will If it can’t be excreted, it will lead to hydronephrosis.”

Zhu Guoliang continued, "Yes, if that is really necessary, a second operation will be necessary. This kind of unplanned second operation is an unnecessary disaster for the patient, and it is also very disgraceful for the doctor. It must be avoided."

Having found the right place, Fan Hai continued in no hurry.Instead, they explored the lower abdominal and pelvic cavity to see if there were any other injuries. After confirming that there were no injuries, they continued back to the bladder for the operation.

"Absorbable thread," Fan Hai shouted, "and put the drainage tube on the stage at the same time."

After the circulating nurse in the operating room heard this, she took it out of the storage cabinet in the room and opened it to the instrument nurse.

Zhu Guoliang took the drainage tube and picked up the scissors to repair the mouth.Drainage tubes are all standard. In actual use, they need to be trimmed according to the location and length of the drainage to make them suitable.

Liu Dong took a step back, and then turned to the opposite side of Fan Hai in accordance with the requirements of the sterility principle.While Zhu Guoliang was preparing the drainage tube, he came to cooperate with Fan Hai in suturing the bladder.

"Why use absorbable thread?" Fan Hai asked.Fan Hai is an academic doctor who likes to teach. Questioning is his favorite method, although most of the time he does not hear the correct answer.

"After suturing, the bladder will gradually grow. If the suture is not absorbed, it will be a foreign body there for a long time, which may cause bladder stones in the future." Liu Dong answered.

"Um."

Fan Hai quickly sewed, and Liu Dong cooperated with the thread cutting.After the suturing is completed, check that there are no omissions, rinse, and deal with the bleeding points, and then place the drainage tube around the sutured rupture. If there is exudate or a small amount of urine leaking out, the drainage tube can drain the liquid to in vitro.

After checking again, the key steps are completed.Fan Hai said: "You two come from behind. I'll go back to the ward to see the patient, and then I'll go back. I'll call you if I need anything. Thank you for your hard work, as well as the anesthesiologists and nurses in the operating room."

Zhu Guoliang stood on the other side and was a little tired after working for a whole day.Liu Dong did a good job of shutting down the station just now, and this time he also signaled Liu Dong to continue closing it.

Together with the nurse, we counted the number of instruments and dressings, and they all matched, and then we started to close them layer by layer.Although Liu Dong participated in few surgeries, he was blessed with skills, and his proficiency made Zhu Guoliang doubt his life.

The operation is over.Return to the ward.

It was very late. After Liu Dong returned to the ward, he went to the duty room to find a bed and lay down.

The night shift after that was uneventful.

On Saturday morning, Liu Dong followed Zhu Guoliang to check the room at seven o'clock, and then processed the medical orders. Zhu Guoliang had to wait for his replacement to arrive before he could leave. Liu Dong, who was an assistant, left the hospital early.

As Liu Dong walked on the road, he felt like his mind was spinning. He remembered a sentence, how it was said, oh, it was: Staying up late feels good for a while, but getting up early ruins the day.

When passing by a breakfast shop, he bought two breakfasts, held them in his hands and walked towards his home.

Arrived home around 7:[-].

After Li Xiao moved in some time ago, he forgot his keys several times and still couldn't find them.In order to avoid trouble, Liu Dong took the initiative to upgrade and replace the smart lock.The door was opened through facial recognition and breakfast was placed on the table.I went to the bathroom to wash my face.

When I opened the door, I heard a scream of "Ah". I followed the sound and looked over. I found a girl in a vest and hot pants brushing her teeth in front of the mirror. Her long legs were shining and she had a pair of shoes on her feet. Cartoon slippers.

It’s Li Xiao. "It's so beautiful," Liu Dong thought to himself.

Then I realized something was wrong, so I quickly took a few steps back, closed the door, and said, "I didn't see anything..."

"Why didn't you say you were coming back?" Li Xiao was a little angry. He just got up and his head was a little numb, and he didn't receive the message that he was coming back. He didn't pay attention for a while, and the result was... so embarrassing.

"Ah, I, I, I, I'm sorry. I had two emergency surgeries yesterday, and I got up early for rounds in the morning. I was confused for a while, so I wandered over here."

"I also brought you breakfast...I'm going back to the room first."

Liu Dong spoke at a loss, and then ran back to his room as if he was running away.Covering his head under the quilt, he didn't know what he felt in his heart.

He usually seems to know a lot, but in reality he is still a single man.

And Li Xiao was also in a mess.I didn't know whether to be angry or angry when I saw him like that so early in the morning!

"Smelly man, coward..."

I tidied up hastily and put on my coat.I walked to the dining room and saw breakfast on the table.

Li Xiao's thoughts also changed. At first, he made up his mind to ignore Liu Dong, and even thought about moving out early and asking him to return all the money.When I saw the breakfast, my stomach growled twice, and my thought changed to, "Just think of this as the interest for an apology!"

Maybe it was Liu Dong's usual behavior, or maybe it was the last walk together that saved Liu Dong from being reckless this time.

While Li Xiao was eating, Liu Dong finally stopped being an ostrich and walked out with an uneasy expression on his face.

"I'm sorry," Liu Dong walked up to Li Xiao, put his hands together and bowed.

Li Xiao was startled, stood up, and said, "Huh, I won't let you go so easily."

The two stopped talking, finished their meal in silence, and then returned to their rooms.

(End of this chapter)