The road to the rise of great doctors

Chapter 4 Gifts from middle-aged people
In the operating room, only the sound of operations is left, which is quiet and beautiful.

Liu Dong did it slowly and orderly.Things in school and exercises on models are not real practice after all.Now it is Liu Dong's first actual battle. For him, it is like the lucky guy who gets the "appendectomy" in American dramas such as "Grey's Anatomy", and he is the lucky guy.
To him, this was like an exam.

Zhu Guoliang looked at Liu Dong's skillful operation and seemed to see himself back then.To be precise, it is what I wanted to be like at the beginning. The first time I was allowed to operate by the surgeon, I could skillfully deliver the results.However, at that time, it seemed that the surgeon took away the instrument as soon as I had a stitch.Ahem, keep the past in your heart...

Zhu Guoliang cooperated with Liu Dong's movements and fully exposed the stitches to facilitate Liu Dong's suturing and timely cutting of the threads.

With his qualifications, although he has not performed many surgeries, suturing is no longer an activity he is passionate about.Now that a new person can take on the responsibility, and the performance is still above the passing level, Zhu Guoliang can only dream of it.

However, as a teacher, he had to ensure that the work was carried out in an orderly manner and that the sutures had to reach a passing standard.At the very least, healing cannot be affected.

Seeing that Liu Dong's operation was going smoothly, Zhu Guoliang asked him to continue.Watching Liu Dong complete the suturing stitch by stitch, the incisions were symmetrical and neat, and then the threads were cut without any bleeding points.

Both breathed a sigh of relief.

"I'm going to bandage now." Liu Dong said, then took the sterile gauze, cut it with scissors, and divided it into appropriate sizes.

"Insert the urinary catheter first," Zhu Guoliang said. "If the urinary catheter is successfully placed, it will be more certain that the urethra has not been damaged, although there is no damage at present."

The circulating nurse got an F16 latex urinary catheter, saline solution and a syringe.

"The urinary catheter is left. If there is no problem, it can be removed after the ward rounds tomorrow morning." Zhu Guoliang said to Liu Dong: "Have you ever had a urinary catheter?"

Liu Dong nodded in response and contacted the simulator.

"I will guide you and you will perform the operation. The urology department must learn how to catheterize. Don't go to other departments if you don't know how to urinate. It would be embarrassing to call for a consultation."

"First check the ml number on the balloon on the urinary catheter, and then inject the appropriate amount of normal saline into the syringe. After seeing clearly, lubricate the latex urethra with water, then lift it up and insert the urethra into the external orifice of the urethra. Then put more in. During the exam, you usually have to tell how long the urethra is. You can roughly know the length of the urethra during the actual operation. Then put on the air bag. Note that if there is resistance, the urinary catheter may not be in place. Normally, it is relatively easy and it won’t take most of the time. Please be careful not to damage the urethra."

"After injecting the air bag, pull the urinary tube outward appropriately without using too much force. You can feel it."

"Seeing light yellow and clear urine flowing out means that the catheterization is successful, and it also means that there is no problem with the urethra. Sometimes, don't be afraid of light red urine. You can observe more before making a judgment." Zhu Guoliang praised, "Your basic skills It’s not bad, it’s at the same level as I was back then. But there are no limits to medicine, so we have to work harder.”

Connect the urine bag, then take the prepared sterile white gauze and elastic bandage, and wrap them around the wound in turn. "It is easy for the limbs to get wet after degloving after this kind of surgery. Appropriate elastic bandage can reduce postoperative edema; but you need to pay attention to the color of the head. If the bandage is too tight, it will cause ischemia and purple. If it is not loosened in time, it will cause necrosis and infection." Zhu Guoliang warned: "As a bedside doctor, you should check on postoperative patients more often and deal with any situations in a timely manner. Can you tell me what else I should pay attention to?"

Liu Dong said: "Avoid erections after surgery to avoid affecting the healing of the incision; change dressings on time and pay attention to the healing situation; avoid sexual intercourse for a period of time after surgery."

"I will give you the postoperative medical instructions later, and you can send the patient away." After Zhu Guoliang finished speaking, he took off his clothes and stepped off the stage.

Liu Dong picked up the cut leather bag. At this time, a group of shiny things floated up, a bit like glowing stones.

Liu Dong subconsciously touched it lightly with his hand, and a line of information appeared in his mind:
Obtained a gift from a middle-aged man: Observing words and emotions (LV3) - this is the skill that the injured patient is best at. After many years of hard work in the workplace, he can quickly identify who is the speaker, and at the same time, he can combine the relationship with upper-level leaders, Relationships with other offices or business departments and relationships with subordinates can be identified in a short time, complex relationships can be simplified, and complex problems can be coordinated into simple ones.Being greasy on the outside but not confused on the inside is one of the essential skills for coordinating work and life.

The bright stones flickered twice and disappeared in an instant without any hesitation.

"Did you see anything?" Liu Dong asked the equipment nurse confusedly.

The equipment nurse didn't know why: "Handsome guy?"

Liu Dong immediately knew that only he could see the glowing stone, so he opened the topic casually, making the equipment nurse laugh.

At this time, the anesthesiologist stopped the sedative medicine, watched the patient slowly wake up, and comforted him in a low voice, "Don't move."

After the patient woke up, he asked a few questions in a low voice, then closed his mouth and lay quietly on the bed.

Zhu Guoliang had seen too many similar scenes. He smiled indifferently and asked Liu Dong to clean up together. Then he wrote the operation records and dealt with the post-operation medications on the computer in the operating room.

　Newbies and new books, please recommend, collect and support.
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(End of this chapter)