Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 163: On-site art teaching (big

Wu Yuan sighed, patted Wu Yuan on the shoulder and said: "If you want to open up a bit, there is no fragrant grass anywhere in the world, why bother to fall in love with a single flower!"

Chen Zhongsheng was startled, looked up at Wu Yuan and said, "What are you talking about? I don't have a date at all."

Wu Yuan looked at Chen Zhongsheng in shock: "Why are you so sad here as a single dog? It doesn't make sense at all!"

Chen Zhongsheng sighed: "Doctor Wu, I really envy you."

Wu Yuan asked curiously: "What do you envy me?"

Chen Zhongsheng: "I envy you that you can be carefree."

Wu Yuan's eyes widened, and he almost jumped up and hit Chen Zhongsheng on the head: "Are you crazy? You are not concerned! Your whole family is not concerned! Do you think I am an orphan!?"

Chen Zhongsheng said with a wry smile: "I didn't mean that, I meant... I..."

Chen Zhongsheng talked for a long time, but he didn't say why, his face was flushed from the suffocation, as if he was constipated.

Just then, Zheng Qiucheng came in.

Zheng Qiucheng is younger than Wu Yuan and Chen Zhongsheng, and his personality is even more out of character.

Zheng Qiucheng threw the bag on his desk, and then came over.

Zheng Qiucheng: "You two big brothers, what are you talking about?"

Chen Zhongsheng had no words.

Wu Yuan: "Don't ask, Doctor Chen is really worried!"

Zheng Qiucheng is not like Wu Yuan.

Wu Yuan just came to Dongcheng Hospital for less than two months, so he is not that familiar with the people and things here.

Zheng Qiucheng can be regarded as a sensible person, just hearing "Dr. Chen is very worried", he looked suddenly enlightened.

Zheng Qiucheng: "By the way, Dr. Chen, has the staffing quota for this year come down already?"

Chen Zhongsheng frowned, said "um", and then said: "I have come down a long time ago, but I don't want to think about it this year."

Wu Yuan looked at Zheng Qiucheng, then at Chen Zhongsheng, and suddenly understood.

Chen Zhongsheng, the co-author, was also worried about the compilation.

The establishment of public hospitals is indeed a big deal for every young doctor.

Obtaining the staffing, not only can increase a lot of income, but more importantly, the position in the hospital will be stable and more promising.

In fairness, the leaders of the hospital must be more inclined to focus on training and promoting well-established doctors.

After all, with the establishment, doctors will not go to other hospitals at will. Doctors without establishment can pat their **** and leave at any time.

Moreover, the staffing of Yanjiang Dongcheng Hospital and the Affiliated Hospital of Yanjiang University where Wu Yuan works are not the same concept at all.

The establishment of Dongcheng Hospital is absolutely hard-to-find, and if you get it, it is really tantamount to embarking on the broad road.

After all, Yanjiang Dongcheng Hospital is a strong hospital in Yanjiang City, and the treatment in all aspects is not lower than that of the top three hospitals in this city.

When Yanjiang Dongcheng Hospital really hits the tertiary hospital and even wins the top three, the doctors with Dongcheng Hospital's staff will become doctors standing at the top of Yanjiang Pyramid.

As for why Chen Zhongsheng was worried, Wu Yuan knew something about it.

Chen Zhongsheng actually belongs to that kind of family in the medical field. Three generations have studied medicine, and his mother is also a professor at a famous medical school in Yanjiang City.

So the family put a lot of pressure on Chen Zhongsheng.

Chen Zhongsheng hasn't got the establishment for two years, and if he doesn't get it this year, the pressure will be even greater.

Actually, in Wu Yuan's opinion, Chen Zhongsheng's surgical talent and level are not bad.

Of course, in Yanjiang Dongcheng Hospital, the young surgeons are generally very high-level, and Chen Zhongsheng is not so top-notch.

For example, Feng Ningwei, who Wu Yuan has come into contact with in the general surgery department, is indeed of a higher level than Chen Zhongsheng.

However, Wu Yuan felt that Chen Zhongsheng's potential was not small, and his basic skills were also very solid. As long as he worked harder and used the right method, it was not impossible to reach the top level of Dongcheng Hospital in a short period of time.

Wu Yuan patted Chen Zhongsheng on the shoulder when he thought of this, and said, "I thought it was a big deal, isn't it just the establishment, there are only a few people in the emergency department, and you must get one."

Chen Zhongsheng smiled wryly, and said, "Doctor Wu, you don't understand. There are many departments in Dongcheng Hospital, and the staffing quota is very limited. I'm afraid there won't be even one in the emergency department."

Wu Yuan was stunned: "How many establishments does Dongcheng Hospital have?"

Zheng Qiucheng said: "In previous years, there were twelve, but this year it seems that there will be a few more, about fifteen."

Wu Yuan's eyes widened, and he almost swears: "Fifteen!? That's not enough!?"

The Affiliated Hospital of Yanjiang University only has five establishments, and Dongcheng Hospital has three times as many establishments!

Of course, Yanjiang Dongcheng Hospital is a strong hospital in Yanjiang, and the city's medical resources will definitely be tilted to this side, but Wu Yuan did not expect it to be so serious.

Wu Yuan thought that there would be a few more establishments before, but it is impossible to have so many.

Wu Yuan: "There are fifteen of them, and there is less than one in the emergency department? Impossible!"

Zheng Qiucheng and Chen Zhongsheng glanced at each other, without exception, showing helpless expressions on their faces.

This is not new. The resources in the city are shifted to Dongcheng Hospital. When Dongcheng Hospital allocates resources, it will also focus on the allocation of resources to stronger departments.

For example, several surgical departments that occupy a dominant position in Dongcheng Hospital.

There are many young doctors in the surgery department, and there are also many excellent ones. It is not surprising that the emergency department has less than one quota.

Chen Zhongsheng's surgical skills are neither weak nor top-notch, and his personality is rather boring.

Just then, Peng Shuhua came in.

The three of them hurriedly made birds and beasts.

Peng Shuhua gave people the impression that he was very strict, more powerful than Cheng Weimin, the director.

Being stared at by Peng Shuhua's sharp eyes, oh, it's quite sour.

Wu Yuan got to know Peng Shuhua well now, so he let go and said hello to Peng Shuhua.

Peng Shuhua nodded, and suddenly said: "Doctor Wu, do you have time in the morning?"

Wu Yuan was stunned: "I have time."

Peng Shuhua: "Two patients with acute pancreatitis will come in a while, I will be the surgeon for one, and you will be the surgeon for the other, is that okay?"

Wu Yuan put away his smiling face and nodded solemnly: "Director Peng, I'm fine."

As I said before, pancreatitis has entered a period of high incidence. Not only the general department has received a large number of patients with pancreatitis, but the number of similar patients admitted to the emergency department has also increased.

Moreover, the emergency department has a characteristic that all patients admitted for treatment belong to acute pancreatitis, and the condition may be more serious.

Although Wu Yuan will go to the general surgery department to help, but when there is work in the emergency department, he must be mainly in the emergency department.

At this moment, Wu Yuan noticed that Chen Zhongsheng was looking at him with envy in his eyes.

For no other reason, even a strict old surgeon like Peng Shuhua trusted Wu Yuan very much.

More importantly, let Wu Yuan take the lead, which means that Peng Shuhua already thinks that Wu Yuan can stand alone.

Wu Yuan suddenly thought of something, and said, "Doctor Chen, you can be my first assistant."

Chen Zhongsheng was startled: "...me?"

Wu Yuan: "That's right, don't you have no urgent work on hand right now?"

Chen Zhongsheng: "...Yes, no."

Thus, Chen Zhongsheng became the first assistant in the operation that Wu Yuan was in charge of.

Chen Zhongsheng took a look at Wu Yuan, and then went to prepare for the operation with him.

To be honest, Chen Zhongsheng really wanted to see Wu Yuan's ability to perform pancreatectomy.

Chen Zhongsheng can also go to the operating table independently, but he is the chief surgeon for some less difficult operations, such as appendicitis.

Chen Zhongsheng has always wanted to have a pancreatectomy, because this can prove that he can become a single-handed surgeon.

Of course, Chen Zhongsheng was still quite awkward to assist Wu Yuan in surgery, after all, Wu Yuan was about the same age as Chen Zhongsheng.

Besides, Wu Yuan is a doctor seconded from a not-so-good hospital, but his level is much higher than Chen Zhongsheng's, and he can go to the general surgery department to do a few operations from time to time.

Anyway, Chen Zhongsheng had mixed feelings in front of Wu Yuan, he was genuinely envious and jealous, not hated, but a little admired.

The reason why Wu Yuan asked Chen Zhongsheng to help him was indeed out of kindness.

He wanted to help a group of Chen Zhongsheng.

Wu Yuan would not take the initiative to say "Dr. Chen, come and learn from me".

It was a big blow to Chen Zhongsheng's self-confidence, and the other party might not be convinced.

Moreover, surgery cannot be taught just by teaching it. It requires Chen Zhongsheng to really study it with his heart, and then he has the opportunity to practice a lot.

Anyway, Wu Yuan just wanted to help if he could. Whether it was useful or not was Chen Zhongsheng's own business.

The two arranged the operating room, and the two patients with acute pancreatitis were pulled over by ambulance one after another.

There is a dedicated operating room in the emergency department, and a general surgery operating room is also borrowed in order to perform operations at the same time.

Wu Yuan and Chen Zhongsheng changed into surgical gowns and walked into the operating room.

The patient has been pushed in, and he is still awake. He is a man in his thirties and looks very strong.

Wu Yuan smiled and said to the eldest brother: "Dude, did you drink?"

The patient responded with a wry smile: "Yes, in this hot weather, drinking cold beer is the best, so I drank a few more bottles, who knew that something would happen!"

Wu Yuan: "I said, what kind of cold beer do you drink in the morning? The weather is not too hot."

The elder brother of the patient's face became even more bitter: "I drank it last night, and I drank it... I drank it with my buddies until after one o'clock in the morning. When I got home, I felt sore. I almost lifted the roof. This morning, I really couldn't keep an eye on it, so I sent it here."

Wu Yuan said "Oh": "Brother, you really can bear it, I admire you."

Patient: "Hey, my wife said that it's not as painful as when he gave birth. She said I'm more cowardly than a woman, who should I talk to?"

Wu Yuan almost died laughing, is this buddy's daughter-in-law his own? Do you want to change your husband?

The patient said again: "Doctor, doctor, am I okay? This operation is not life-threatening, right?"

Wu Yuan: "It's okay, I'll just take a nap, wake up and recuperate for a few days, and I'll still be alive and well, so educate your wife well."

Patient: "That's good, it's fine to educate the wife, I beg you not to be educated by the daughter-in-law."

Wu Yuan said again: "But you should drink less cold beer this year, it's best not to drink it."

Patient: "How about some wine?"

Wu Yuan: "Beer at room temperature, that's no problem."

Patient: "Well, it's better not to drink."

Watching the conversation between Wu Yuan and the patient, Chen Zhongsheng felt a little dumbfounded.

Is this okay?

In Chen Zhongsheng's impression, surgeons just wear surgical gowns into the operating room, and then finish the operation.

Chen Zhongsheng would never have chatted with patients like Wu Yuan did before.

On the one hand, it has to do with personality, on the other hand, Chen Zhongsheng thinks it is unnecessary.

But seeing that the patient's mood became very stable after saying a few words to Wu Yuan, Chen Zhongsheng doubted whether his previous thinking was correct.

Wu Yuan signaled to the anesthetist, and the anesthetist administered intravenous anesthesia to the patient.

Soon, the patient fell into a deep sleep.

Wu Yuan glanced at the monitor and said to Chen Zhongsheng: "Doctor Chen, do you think the operation can start?"

Chen Zhongsheng was startled, wondering why Wu Yuan would ask him.

However, Chen Zhongsheng also glanced at the monitor and said, "It should be fine."

Wu Yuan shook his head: "Not yet."

Chen Zhongsheng showed a strange look: "Ah? Why? The vital signs are all stable."

Wu Yuan: "It looks stable overall, but take a closer look at the blood pressure readings."

Chen Zhongsheng took a look and couldn't help but said: "It's really a bit high..."

Wu Yuan nodded: "That's right, this man has high blood pressure. If we perform the operation now, there may be troubles along the way."

Chen Zhongsheng showed a look of sudden realization.

Like this kind of laparotomy, internal bleeding often occurs during the operation, or even massive bleeding. If it is not handled well, the operation fails, and even the life of the patient is endangered.

Chen Zhongsheng: "No wonder..."

It seems that Chen Zhongsheng understands that experienced surgeons will not operate immediately at this time, and need to advise the anesthesiologist to do intravenous treatment and add relevant antihypertensive drugs to at least temporarily lower the blood pressure index.

This will reduce the possibility of the patient bleeding during the procedure, no, this will basically prevent bleeding.

According to Wu Yuan's request, the anesthetist administered another intravenous injection to the patient.

I saw that the blood pressure index finally dropped.

Wu Yuan glanced at the time: "At 10:40 in the morning, the pancreatectomy operation started."

Wu Yuan took the No. 3 scalpel from the equipment nurse, raised his head and said to Chen Zhongsheng: "Doctor Chen, your basic skills are actually very good."

Chen Zhongsheng said "ah": "...Thank you."

Why did Wu Yuan say this?

I saw that Wu Yuan started to lower the knife, and the hand holding the knife was very steady, as firm as a rock.

Chen Zhongsheng has seen this before, but when he sees it now, he will still be shocked again.

Through the sterile cloth, Wu Yuan made an incision on the patient's abdomen with a scalpel, which was flat and straight, just right.

At this moment, Chen Zhongsheng suddenly discovered that Wu Yuan's movements seemed to be slower than when he saw it for the first time.

Chen Zhongsheng glanced at Wu Yuan, and suddenly understood Wu Yuan's intention.

Chen Zhongsheng felt his whole body trembling, his back felt cold, his eyes were wide open, and he began to watch Wu Yuan's every move seriously.

Chen Zhongsheng is not a fool, Wu Yuan's seemingly nonsensical words actually have a deep meaning.

There are some things that are really difficult for colleagues to say clearly.

Wu Yuan can do this step, Chen Zhongsheng is already grateful from the bottom of his heart.

You know, among the young doctors, to put it bluntly, they are all competitors.

Yes, Wu Yuan is "teaching" Chen Zhongsheng how to do it!

This patient's brother only suffered from ordinary acute pancreatitis, so Wu Yuan chose small incision surgery as the surgical option.

Simply put, it is pancreatic tissue removal and extensive drainage.

Since it is a small incision, it needs to cooperate with laparoscopy.

The surgical plan used by Wu Yuan is very common and common, but to actually do it, every surgeon has a special technique.

Although this is not a "housekeeping skill", it is also a surgeon's skill.

Wu Yuan's attainment in pancreatectomy is indeed at the level of a master. Of course, his method is not something that ordinary surgeons can possess.

Moreover, the details of laparoscopic surgery cannot be clearly seen in the video recording.

Wu Yuan's movements are very slow at this time, and Chen Zhongsheng can see clearly by the side.

Besides, Wu Yuan will make some explanations every step of the way, telling his purpose and precautions.

Mingli is used to record the operation, but it is actually for Chen Zhongsheng to listen to.

As I said before, Chen Zhongsheng's basic skills are very good. What he lacks is experience and the awareness of detail handling. Wu Yuan's explanations and actions just make up for this.

The entire operation process is not long, and forty minutes have not yet arrived.

Actually, if Wu Yuan hadn't deliberately slowed down the operation, the entire operation might only take half an hour.

After Wu Yuan removed the necrotic tissue on the pancreas, the operation was basically over.

But at this time, Zhong Zhongsheng discovered from the laparoscopic image that there was still a little necrotic tissue left on the pancreas.

Chen Zhongsheng reminded: "Doctor Wu, there is still a little bit that hasn't been cleaned up."

Wu Yuan nodded: "Doctor Chen, come here."

Chen Zhongsheng was stunned: "...Huh? Me?"

Wu Yuan: "Yes, come here, I want to rest."

Chen Zhongsheng understood, and his voice was a little excited: "Okay, I'll come, Dr. Wu, help me watch."

Wu Yuan nodded.

At this time, a nurse wiped the sweat off Wu Yuan's face.

For Wu Yuan, this operation didn't take too much physical strength, because he didn't use his "eyesight" much.

Chen Zhongsheng knew that Wu Yuan wanted him to practice his skills.

Chen Zhongsheng would inevitably be nervous, but because Wu Yuan was present, it did not affect his performance.

He cleaned up the remaining necrotic tissue according to Wu Yuan's method~IndoMTL.com~.

Chen Zhongsheng breathed a sigh of relief: "Doctor Wu, is this okay?"

Wu Yuan nodded: "Okay, I will leave the rest to you."

All that remains is to check for omission of the abdominal cavity and damage to the closed cavity.

Chen Zhongsheng regained his energy, and immediately began to operate again.

Everything went smoothly, Wu Yuan didn't even intervene in the stitching, and let Chen Zhongsheng complete it alone.

After finishing the last step, Chen Zhongsheng finally breathed a sigh of relief.

To be honest, Wu Yuan felt that Chen Zhongsheng's strength was stronger than he imagined, and he might not be worse than Feng Ningwei.

There is only one thing Chen Zhongsheng lacks, and that is confidence.

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