Chapter 3 Emergency Surgery
Chapter 3 Emergency Surgery
While everyone else was working diligently, Guo Ziyuan was still in a daze, processing the concepts of "rebirth" and "cheat code".
Suddenly being reborn ten years ago, there are always so many things to adapt to, such as sorting out the key people and things.
"Buzzing..."
Guo Ziyuan's phone vibrated the desktop suddenly and with a low sound.
Not far to his side, Ding Xianqi, who was instructing his junior brother Liu Guanghui, only glanced at Guo Ziyuan before lowering his head to continue giving instructions.
Professional master's degree holders are not undergraduates, nor are they high school students; they are master's degree holders who have been incorporated into the standardized residency training program.
The telephone must be carried at all times and be available 24 hours a day!
After turning off the vibrate button, Guo Ziyuan got up and walked towards the door. Looking at the contact name "Chief Resident Liu Chuntao" on the phone screen, he answered the call after leaving the room: "Teacher Liu."
"What's going on? Why did it take so long to pick me up? Don't you know it's your emergency shift today?" Liu Chuntao's complaints were particularly grating.
If it were Guo Ziyuan from his previous life, he might have appeared reserved and nervous.
Guo Ziyuan replied readily, "Teacher Liu, I'm in the practice room. The teacher is giving a lesson, so I have to go outside to answer the phone..."
Liu Chuntao had no patience for Guo Ziyuan's explanation: "Even if you're in bed, you have to come over here!!"
"Emergency operating room."
"If you haven't come in fifteen minutes, I'll ask your teacher to let you know."
Liu Chuntao needs to send people to help with the surgery!
Professional master's degree holders are also resident physicians, and they need to take both general ward shifts and emergency surgery shifts.
Regular shifts are conducted in the wards.
The emergency surgery team follows the orders of the chief resident.
One shift per day, 24-hour shift, must be available on call at any time!
The supervisors of professional master's programs are only responsible for master's teaching and do not participate in standardized residency training. The resident physician always says that if you fail the training this month, you must make up for it again!
Hospitalization is always the sharpest sword hanging over the heads of all resident doctors.
The ward is always staffed for emergency surgeries, and you are on the emergency shift.
Even if you're a teacher and you absolutely have to go, you still have to remove the needle and go on stage if you haven't asked for leave or reported it beforehand.
Guo Ziyuan hurriedly sent a message to his teacher Ding Xianqi to explain, and then rushed out of the practice room, down the elevator, and out of the building where the functional science laboratory was located...
The suddenness of medical intervention, the suddenness of emergency room visits, the suddenness of emergency room calls—it's no less sudden than being reborn!
They won't take into account that Guo Ziyuan has just been "reborn" and give you time to process your emotions.
Fifteen years is too far removed from later generations, and Guo Ziyuan has very few memories of that year, with only two key points remaining.
Firstly, Tu, a very outstanding recent PhD graduate, was unexpectedly unable to stay at the hospital. Even in 17, Tu's supervisor was still fighting with the department head over this issue.
Secondly, this year's total number of inpatients encountered a "special medical accident".
A relative of a professor from this hospital came to the emergency room, and that professor specifically called Professor An from the trauma surgery department. However, due to a problem with the X-ray's orientation, artifacts obscured the fracture line, and Liu Chuntao directly sent him home. A month later, the bone necrosis developed…
Looking back at this case, even after consulting with all the professors in the hospital, they couldn't find a "fracture" on that X-ray. The orientation of the X-ray was too atypical and too coincidental!
Even so, Liu Chuntao's position as chief resident was extended for a full two years, and the doctor in charge of radiology photos stayed as an attending physician for ten years, which is likely to be his lifetime.
……
It was 8:40 PM.
When Guo Ziyuan saw that Liu Chuntao, whose surgical cap was messy and who looked tired in his heart, face and hands, had personally disinfected the patient, he knew that he was going to be scolded.
Sure enough, even though Guo Ziyuan had washed his hands beforehand, held them to his chest in preparation for going on stage, and stepped on the automatic sensor-operated airlock door of the operating room!
Liu Chuntao's complaints and curses still reached the audience.
Without even looking up, he said, "You're all acting like you're my boss, with powerful connections, and you think I can't afford to offend any of you just because of your teacher...?"
Guo Ziyuan had no idea what Liu Chuntao had been through recently, but upon hearing these words, he instinctively blurted out, "Teacher Liu, you are my teacher!"
"If you can afford to offend someone, why don't you do it yourself?"
"My master just said that. Was he lying to me?"
Liu Chuntao swallowed his second curse and looked up at Guo Ziyuan.
Guo Ziyuan, shameless as if nothing had happened, put on his sterile surgical gown and began preparing the drapes with the scrub nurse!
Liu Chuntao quickly retrieved the labels Guo Ziyuan had in his mental notebook: honest, reliable, and trustworthy, and instantly softened.
"Stop talking nonsense and get to work..."
After disinfection, draping, and all other preparations were completed, Guo Ziyuan began to examine the only exposed part of the patient's body.
An open comminuted fracture of the right lower leg, if classified according to standard fracture classification, should be classified as type C3, which requires surgery with external fixation.
Liu Chuntao had already put on a sterile surgical gown and sterile gloves!
Perhaps due to exhaustion, and also because Guo Ziyuan had just spoken, he blurted out, "Can you handle the wound cleaning?"
"If you can handle it, I'll take a break and rest for a bit."
Although Liu Chuntao said this subconsciously, he did not think it through, based on a few points.
Guo Ziyuan is a third-year master's student this year, not a freshman or sophomore.
Secondly, although Guo Ziyuan's talent is average, it is only average compared to his classmates. He is not worse than his juniors, nor is he the worst in his grade. He is just a bit ordinary.
Guo Ziyuan didn't let his words go unanswered, forcing a smile: "With Teacher Liu here to help, I'm sure I can be of assistance."
If Guo Ziyuan were this age in his previous life, he wouldn't have said these words, nor would he have thought of them.
Moreover, Guo Ziyuan was extremely familiar with wound cleaning; in his previous life, he had performed at least a hundred cases.
Although I'm a bit rusty at the moment, I'm sure it won't be difficult to complete based on my own knowledge.
Liu Chuntao sat down directly, handed the sterile curved tray containing tweezers and scalpels to Guo Ziyuan, and said nothing more.
Guo Ziyuan sat down opposite Liu Chuntao, took a deep breath, and calmed his mind.
We're familiar with it now, finally familiar with it.
Reborn ten years in the past, memories are hazy and unfamiliar, the environment is hazy and unfamiliar, and even familiar people are hazy and unfamiliar.
The condition of trauma patients is not much different from that of later generations, something Guo Ziyuan was very familiar with; he was performing surgeries until his death...
"..."
"Clean up the hematoma first, then remove the osteophytes. Pay attention to the blood vessels. Don't operate until you can clearly see the soft tissue and completely determine the anatomical structure..." Liu Chuntao said, giving instructions even though he said he would take it slow.
After all, Guo Ziyuan had a sweet tongue, and just a few words from him had made him feel quite comfortable.
However, not long after
Liu Chuntao noticed that Guo Ziyuan seemed to be somewhat "disobedient".
He didn't clean up all the hematoma first, as he had said!
After clearing the local hematoma, Guo Ziyuan
They directly removed the two most critical tissues—the anterior and posterior tibial arteries and veins, and the tibial nerve—from their field of vision.
"Teacher, please open a sterile glove. I need to mark the important blood vessels and nerves," Guo Ziyuan instructed, turning his head slightly.
It is more efficient and straightforward than giving instructions yourself.
Upon hearing this, Liu Chuntao was speechless for a moment, staring blankly at Guo Ziyuan, feeling both surprised and yet understanding.
Guo Ziyuan works very hard and reads books often. However, it is difficult to quantify the depth of theoretical knowledge as intuitively as practical application.
Anyone who can come to the Provincial People's Hospital for postgraduate studies must be extremely well-rounded!
He has a profound understanding of the patient's tissue structure and anatomical location.
Identify and mark the most important organizations immediately!
The remaining tissues, no matter how much surgery is performed, will not be damaged.
This sets a minimum standard for surgical quality.
Above this line, even if Guo Ziyuan had an extra muscle removed, you could still claim he was already injured...
No matter which professor comes, they wouldn't dare to conclude that this kind of trauma wouldn't damage a particular muscle...
Of course, Guo Ziyuan would never do that!
This was just a work habit he had in his previous life: when faced with surgery, he would first ensure the basic quality of the surgery.
After marking the blood vessels and nerves, Guo Ziyuan slowly began to clean the hematoma, identify loose bone spurs and bone fragments, and perform other debridement procedures such as identifying necrotic tissue...
Liu Chuntao was indeed quite tired, and because of this, he could finally relax and close his eyes for a rest.
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