The road to the rise of great doctors

Chapter 84 I think you can do it
After getting ready, brushing and disinfecting his hands, Liu Dong began to disinfect the patients.This was a routine operation for him, and another demonstration of standardized operation for the young doctors who were watching.

At this time, Li Jing was also ready and put on a surgical gown.

Speaking of which, this was his first time undergoing surgery for prostate hyperplasia in this hospital.

Picking up the surgical equipment provided here, he glanced at it, "Well," Li Jing is no stranger to it, "it's just equipment from different manufacturers, and there is no bright spot or difference in structure."

He successfully assembled the resectoscope and prepared a small bag for the resected tissue.

Then after disinfection and draping, we began to connect the equipment and connect mannitol, which is used for irrigation during surgery.This kind of operation in the cavity requires constant flushing to maintain a clear field of vision. If there is no flushing, it will be covered in blood after bleeding, making it difficult to see clearly.

"Ready to begin," Li Jing said to the anesthesiologist, and then he saw him lifting Ding Ding with one hand and holding the outer sheath of the resectoscope in the other hand from the external urethral opening along the body's natural orifice. .Then press down until the front and back urethras become horizontal and continue to enter the mirror.

"It went relatively smoothly, and there was no urethral stricture." Li Jing said as he did it, and the teaching mode was turned on.

"After surgery on a natural orifice, you should pay attention to whether there is stenosis. If there is stenosis, do not use brute force. If you do it blindly, serious avulsion injuries will occur."

Liu Dong listened and nodded frequently, carefully observing Li Jing's operation techniques, and at the same time looking at the image on the monitor screen.

"Is this the prostate?" he asked, pointing to both sides of the suddenly narrowed urethra on the screen.

"Yes, this is the prostate. After benign prostatic hyperplasia, because there is a capsule on the outside, it will not protrude to the outside. There is no restriction on the inside. The longer it grows, the larger it will protrude inwards and squeeze the urethra behind it. This is One of the causes of difficulty urinating is narrowing of the urethra.”

"Look here, there is the bladder ahead, and here is the outlet of the bladder. You have all learned that urine is produced in the kidneys, then enters the renal pelvis, and then is discharged into the bladder along the ureters on both sides. Pay attention, then The two sides where urine is sprayed are the ureteral orifices."

"The prostate is like a 'gatekeeper' guarding the exit of the bladder. It raises the threshold too high, or closes the door to a crack. Wouldn't it be difficult to get out?"

Director Zhao Jun couldn't help but smile when he heard this, "Director Li's metaphor is so appropriate." Then he moved a stool from the side and placed it behind Li Jing.

After Li Jing saw it, he said, "Thank you, Director Zhao." He glanced at the screen, and then said, "Let's start."

Holding the electrosurgical knife in hand, stepping on the transmitter, and listening to the sound of "bah bah bah", you can see that the prostate on the screen is gradually being cut off.
"Isn't it a bit boring to be here?" Li Jing and Liu Dong said, "We have caught up with the good times. The updated and iterated equipment allows us to see clearly where the surgery is being performed and what it is like."

"When I first entered the clinic, electroresection of the prostate had just begun to be promoted. At that time, there was only one mirror, and it was not possible to connect an external monitor screen. We just watched the surgeon perform the operation with one eye aimed at the cavity. Except for him, No one else can see it. I don’t know how effective it is.”

"Look at now, sometimes the ureteral stent is removed in the cystoscopy room and is still connected to the monitor. The operation is a bit clumsy. But if you look at those who are skilled, they just aim with one eye, insert the forceps and pull it out. Some CS It feels very interesting. You can try it next time you go to the cystoscopy room. I think your surgical operation is quite clever."

Li Jing praised Liu Dong.He is not a "strict teacher" in the traditional sense. He has often gone abroad since his Ph.D. and received postdoctoral training abroad. He has been influenced by foreign influences in handling the relationship between teachers and students, and has not deliberately maintained a relationship between teachers and students. The sense of distance does not create the atmosphere of "big parents". It is a very open attitude and approach.This is also the reason why he won the recognition of Chief Physician Yang Boxue. At the same time, this style also helped him win the love of junior doctors and graduate students.

The surgery was performed in an orderly manner, and the hyperplastic tissue visible to the naked eye was cut away.

Exit the resectoscope, replace the morcellator, and crush the resected tissue into small pieces, which are then flushed out.

Finally, I weighed the removed tissue and found that it was a very large prostate.

Liu Dong was left to indwell the urinary catheter and put on clothes and pants.

Li Jing, under the leadership of the doctor in charge of the bedside, took the tissue specimen bag and followed him to the talking room in the operating room.There, he met the "leader". The two parties met politely and learned about the operation.

The resected tissue was taken by the doctor in charge of the bed for histopathological examination.Li Jing walked back to the operating room, communicated with Director Zhao Jun, and told him to call if he had any questions.Although Director Zhao Jun kindly persuaded him to stay, Li Jing still shied away and prepared to leave, "It's over, it's hard to walk at night."

"Then stay here for one night and feel the enthusiasm of our place."

"Thank you. But I really have something to do tomorrow, so I'll bother you next time."

On the way back, Liu Dong was still driving.After a busy day, the teacher and student enjoyed the beautiful scenery on the road.Compared with the rush when I arrived, at this moment, the breeze was blowing and the sun was setting, it was peaceful and beautiful.

Liu Dong spoke first and said, "Teacher, when you perform surgery outside, you do it from beginning to end. Don't you need their assistance?"

Li Jing smiled and said, "Leave those you are not familiar with with them, and some of them will poke fun at you. Gradually, you will move around these hospitals more and understand who is reliable and who is not, and you can give appropriate relief to the reliable people." Hands down."

"Have you been to many places?"

"There are so many. I've basically visited all the hospitals in prefecture-level and county-level cities in the province. Isn't a doctor's job just to treat patients and save people? Some people, after becoming famous, start not to perform surgeries. Those who only see outpatient services are those who want to take the administrative route. They may be famous and powerful, but they are all out of the medical industry. In the industry, it still depends on the medical level."

“Doctors have great responsibilities, there are challenges and risks, and sometimes they are very hard and not understood, but when you really love this profession, especially when you successfully rescue critically ill patients, or your surgery is ideal, it is very rewarding. The sense of accomplishment, no matter how much suffering and grievances there are at this time, is a feeling of touch and relief."

"I know that today's young people always feel that hardship is not proportional to their efforts and rewards. But when you have a certain level, it is still easy to get it. But if you don't have the level, it will be difficult."

"I think you can do it, haha."

(End of this chapter)