Doctor Zhao, help!

Chapter 3: Work hard quietly and surprise everyone
11: 30.

operating room.

The operating room at this moment is very quiet, only the sound of the life monitor [Didi] is constantly echoing.

In addition to Zhao Sheng, waiting at the operating table were Zhou Li, the attending physician on duty in the Department of Orthopedics, Song Sixian, the attending physician on duty in the Department of Surgery, Qi Ling, the equipment nurse, and Ji Tao, the anesthesiologist.

Because it was a night shift, all the resident doctors were on duty in the department. Only three attending doctors performed this surgery in person.

Zhou Li from the Department of Orthopedics and Song Sixian from the Department of Surgery are all very familiar with Zhao Sheng, especially Song Sixian. They were in the same class as Zhao Sheng when they were undergraduates in medical school, but they later studied in different directions for graduate school and Ph.D., and The relationship between the two has been very good since their undergraduate days.

"Old Zhao, you've got a good start now. I found that as long as you work the night shift, there will be an endless supply of patients. Could you please pay me your respects another day?"

Song Sixian looked at Zhao Sheng and said teasingly.

Although Zhao Sheng is only one month older than Song Sixian, Song Sixian always calls Zhao Sheng "Old Zhao" because of his thin hair and older face.

"Worship? Then what do you think us doctors should worship? If we want to worship, there must be a god or something."

Zhao Sheng said with a slight smile.

He is not afraid of the many patients, or he used to find it tiring, but since he discovered that treating diseases and saving people can improve himself in all aspects, Zhao Sheng is eager to have more patients.

It has only been a week, and the feedback Zhao Sheng has received from it already feels very good. Through his own efforts, he can see with the naked eye that he has improved little by little. This is really addictive and refreshing!

"The doctors in ancient times worshiped the Medicine King Bodhisattva. Who should we, those of us who study modern medicine, worship?"

Song Sixian continued to joke that the patient was already lying on the operating table, but the anesthesia had not yet fully taken effect. In the operating room, waiting for the anesthesia to take effect has always been the doctor's favorite chat time.

"The patient's vital signs are stable, the anesthesia is normal, and the operation can begin."

At this time, the meticulous anesthesiologist Ji Tao said to Zhao Sheng and Song Sixian.

"Okay, let's start the operation, Lao Zhao, you'd better do it for me."

Song Sixian nodded and said to Zhao Sheng.

As for Zhou Li from the Department of Orthopedics, he has already prepared the equipment for internal fixation of the tibia and fibula.

In today's surgery, the first thing to do is to remove the intracranial hematoma, and then perform open reduction and fixation of the tibia and fibula fracture.

In emergency surgeries, it is not uncommon for multiple surgeries to be performed together.

After all, injuries in car accidents are quite complex, usually involving multiple organs and multiple parts of the body.

However, Song Sixian encountered difficulties at the beginning of the operation, because for epidural hematoma removal surgery, the first thing to do was to select the largest hematoma site based on brain CT, and then position the bone window to select the surgical incision.

The choice of this surgical incision is very particular. If the incision is small, the visual field during the operation will be insufficient, and the patient will be passive. If the incision is large, it will cause difficulties in postoperative skull repair.

The best situation is that after the skull bone flap is opened, the center of the bone flap happens to be the center of the hematoma, which is most conducive to operation and hemostasis.

Therefore, in general, in this case, it is best to do a detailed three-dimensional CT model of the head.

But the simplest three-dimensional head CT modeling takes several hours. Now the patient may suffer from cerebral herniation due to cerebral hemorrhage at any time, so this three-dimensional head modeling is a bit too late.The location of the osteotomy window and the size of the incision can only be selected based on experience.

Song Sixian thought in his mind.

Just when Song Sixian was in trouble, Zhao Sheng pointed to a location and said to Song Sixian with certainty: "This is the center of the hematoma, and the craniotomy will be done here."

"Huh? Lao Zhao, are you sure?"

Song Sixian was very surprised when he heard what Zhao Sheng said. In the absence of three-dimensional CT modeling scans, judging the position of the lower part of the craniotomy relative to the hematoma relies heavily on experience. Generally speaking, it depends on experience. Only a very experienced director-level doctor can rely on his or her rich experience to accurately locate the center of the hematoma.

Zhao Sheng was so sure at this time, which made Song Sixian feel a little confused.

"This is it, no time."

The strange feeling in Zhao Sheng's heart became more and more intense. At this time, Zhao Sheng felt that the center of the hematoma was under the position he pointed at. This unreasonable feeling was very firm, and it had played a role in Zhao Sheng's previous medical treatment and surgery. Very useful.

"Okay, here it is."

Although Song Sixian was confused, he still nodded. Now that time was urgent, he could only give it a try. Even if he did not choose the center of the hematoma and would not achieve the best surgical effect, at least it could save lives, and at most it would improve postoperative recovery. It will be worse.

This is often the case in clinical practice. There is no perfect surgery. Most of the time, it is a trade-off. As long as the benefits of the surgery are greater than the damage and side effects, it is considered to have achieved the desired effect.

Soon, according to the location pointed out by Zhao Sheng, Song Sixian quickly drew a horseshoe-shaped incision mark on the patient's scalp. After disinfection, he incised the scalp, lifted the scalp, exposed the skull, drilled a hole in the corner of the skull with an electric drill, and then Begin to use a high-speed milling cutter to mill the skull bone flap along all sides.

Buzz!
In the quiet operating room, the sound of high-speed milling cutters cutting skull bone flaps could be heard.

This sound makes people tremble all over. Just thinking that it is the sound of cutting human skull makes people feel scalp numb.

At this moment, the instrument nurse Qi Ling and the anesthetist Ji Tao were staring closely at the craniotomy window because they were also curious and wanted to know whether the lower part of the craniotomy pointed out by Zhao Sheng was the best. The surgical point is the center point of the intracranial hematoma.

You must know that this ability to accurately point out the center point based on experience has only been seen by the two of them before when Ye Bingyi, the director of Shenwai, was performing surgery.

To reach this level, which is almost like blind guessing, you have to have a lot of experience and need a lot of surgeries.

Soon, with the cutting of the high-speed milling cutter, the bone flap was cut open. Then, with just a slight exertion by Song Sixian, the dura mater was opened, and blood suddenly poured out.

Seeing this scene, Song Sixian was not surprised but happy, because it only touched the dura mater a little, and the tension of the hematoma directly separated the dura mater, which showed that the cutting site was in the center of the hematoma.

The location is right and very accurate!
Song Sixian felt confident and found the correct location for the operation. This immediately reduced the risk of the operation and increased the success rate of the operation. Song Sixian was very happy.

"Old Zhao, I have it for you!"

Song Sixian said to Zhao Sheng while performing the operation, his tone full of admiration.

He felt that his old classmate seemed different from before, but he didn't know exactly what was different.

Instrument nurse Qi Ling and anesthesiologist Ji Tao also looked at Zhao Sheng in surprise.

This Dr. Zhao is very skilled!
Qi Ling and Ji Tao couldn't help but think in their hearts.

(End of this chapter)