The road to the rise of great doctors

Chapter 83 The living cannot be suffocated by urine
There is a saying that goes, "Drought will cause death by drought, and flood will cause death by waterlogging."The same is true for the medical industry.

Surgery, which is a headache for primary hospitals, is "an antelope hanging horns, no trace to be found" for those highly skilled doctors, which is both aesthetically pleasing and takes a short time.

The subsequent laparoscopic kidney surgeries performed by Li Jing went extremely smoothly.

For Zhao Jun and others, arranging multiple surgeries of the same type at one time, with different locations and different difficulties, to watch them all at once is no less than the "visual feast" brought by those movies, especially for those who have a little bit of knowledge. Basic, people who want to improve further!
These doctors became more and more energetic as they watched, and many inspirations burst out. They wished they could quickly arrange one and practice it themselves.

Of course, these surgeries are beyond the level of some doctors. For them, seeing them is dazzling and mentally exhausting!

Human beings' joys and sorrows are not the same, and the same is true for learning new technologies.Some people are suitable for cramming teaching, some are suitable for step-by-step teaching, and some people can master it by relying on surgical atlas and their own practice.

So, when did you discover the existence of genius? !
Liu Dong found that when performing operations in other hospitals, the main surgeon is doing it himself, from beginning to end, and when the transfer of patients is very efficient, one after another, compared with the operation in this hospital, the speed is simply unnecessary. too fast
The lunch meal was hastily prepared.Liu Dong ate a box lunch, but Li Jing didn't eat it, but just added some water and released some water.

In his words, "after eating, blood is given priority to the digestive system, and then the brain is relatively hypoxic and hypoxic, and people are prone to sleepiness. When performing surgery, it is necessary to keep the brain alert at all times, so there is He didn't even eat during the operation."

When you are busy, time flies by.Before I knew it, it was three o'clock in the afternoon.The only remaining surgery was one for prostate hyperplasia.

Director Zhao Jun walked up to Li Jing and said softly, "Director Li, this patient is a bit special. His son is the leader of our neighbor. The prostate is also relatively large, so you are affected."

As the saying goes, "Listen to the words and the sound of the gongs and drums."The number of consultations outside the hospital increased, and Li Jing became much more experienced in dealing with people.

He glanced at Zhao Jun and said, "Director Zhao, what's the patient's name? Are we going to visit the patient's family and say a few words? Or should we say a few words to the patient when he arrives?"

Zhao Jun's old face burst into laughter, and he quickly waved his hands and said, "You don't need to bother, I have communicated with them, and their compliance is very high. However, when the patient comes in later, could you please say a few words to him to eliminate the problem?" Make him nervous. After the operation, please take the specimen and talk to the patient's son."

Li Jing nodded, "I understand."

Prostatic hyperplasia, the full name is benign prostatic hyperplasia.

As mentioned before, this is a disease that occurs in almost all men as they age.Some positions are not growing well, and mild prostatic hyperplasia will be like "one man is in charge, and ten thousand people are not allowed to open it." If the dam is high, it will be difficult for the water to drain out, and it needs to be solved!Some positions are not very critical. The prostate is very large, but water can still pass through it easily, and peeing can be smoother. Even if you are 90 or [-] years old, you don’t need surgery.However, this disease is the most common benign disease causing urinary difficulty in middle-aged and elderly men.

Li Jing had already read the medical records before. While waiting for the patient to come in, Liu Dong opened the medical records and learned about the patient's condition.

This is a 66-year-old man who was admitted to hospital with frequent urination and urgency for 5 years and progressive dysuria for 3 years, which worsened for 2.5 months.

Before this hospital surgery, during the last Chinese New Year, I was happy to entertain relatives and friends at home, drank a few glasses of white wine, and couldn't urinate that night.My family accompanied me to the emergency department of this hospital, where they were diagnosed with "urinary retention". The reason was that "the prostate was somewhat congested after drinking, which aggravated the difficulty in urination." At that time, a urinary catheter was left in, and then he went home.A month later, the catheter was pulled out.I thought to myself that this was not a problem, and I was worried that I would have to go to the hospital in the middle of the night because I would be unable to pee.

His son was also a well-known figure and was a classmate of the hospital director. When he saw his old father like this, he made a phone call.Then he was sent to the hospital.This time, it is for surgical treatment to solve this problem once and for all!
The director of the hospital attaches great importance to it. Although Zhao Jun, director of the Department of Urology, can also perform this operation, he considers that he is a direct family member of the leader of a friend and neighbor. The matter of "inviting experts from outside to perform surgery" was communicated and reported to the dean, and as expected, it was directly approved and praised.

After being hospitalized, I did an ultrasound of the urinary system and a residual urine test, which was very consistent with the diagnosis of prostatic hyperplasia. After urinating, I went to ultrasound to measure the urine output of the bladder, and there was still a lot left.This shows that prostatic hyperplasia has affected the bladder's ability to urinate.If left untreated, the bladder will gradually enlarge in the future, and it is likely to develop into filling urinary incontinence or even bilateral kidney hydrops.

The prostate-specific antigen is within the normal range, and the possibility of prostate cancer is basically not considered.

After several days of thorough preparation, the surgery was scheduled today, Saturday.I originally wanted to be the first in line, but my family was a little superstitious and calculated that 3-4pm was a suitable time for surgery. Zhao Jun and the others had no reason to disagree despite the request. VIPs cannot always be treated according to common sense.

The patient was pushed into the operating room while lying on the transport cart.

"Hello, Mr. Zhao. I am Dr. Li Jing from the Department of Urology of the Medical College Affiliated Hospital. I will perform an operation on you today. After a while, I will give you a half-body anesthesia. After the operation starts, I will use some sedatives, and that's it. Get some sleep. The surgery is not very complicated. It is a routine surgery for us. There are risks, but they vary from person to person and the probability of happening is not high. When you wake up, the surgery is almost over."

After finishing speaking, the anesthesiologist took the prepared puncture bag and placed it on the equipment cart. After opening it, he asked the patient to lie on his side, hug his knees and arch his waist, and then performed anesthesia. After the anesthesia was completed, several skin tests were performed. Feeling, judging that the anesthesia is in place.He told Li Jing that it was time to start.

Liu Dong and Zhao Jun, young doctors in their department, helped the patient change to a lying position, then set up a leg frame and put the two legs on the frame.Yes, the male surgery through the urethra is in the same position as the gynecological examination, which is the "lithotomy position".

(End of this chapter)