Jiang Hailei paused for a moment as he listened, and Fang Le actually understood.
Last time, Fang Le mainly talked about various aspects of pre-operation and prognosis. This time, Jiang Hailei only asked in passing, not expecting Fang Le to know.
Jiang Hailei likes young people who are a little arrogant. Young people, how can you call them young if you are not arrogant?
Young people are high-spirited and enterprising. As a young surgical director, Jiang Hailei doesn't like young people who are lifeless and don't have much self-confidence.
But arrogant young people are often prone to rashness, and things can easily get into trouble if they go too far. Appropriate beatings are still needed.
Jiang Hailei actually planned to hit Fang Le today. If Fang Le couldn't speak up, Jiang Hailei would have something to say.
Even Jiang Hailei was ready to say something, but was choked back by Fang Le's answer.
"Director Jiang is planning to separate the muscles in the fifth intercostal space and perform a posterolateral thoracotomy, right?"
Fang Le looked at Jiang Hailei's operation: "The best choice is to expand the posterolateral chest and separate or cut off the sixth rib on the back, which will help with optimal separation."
While talking, Fang Le also cooperated with the hook retraction.
In this kind of surgical operation, the first assistant has the greatest responsibility. Not only must he cooperate with the main surgeon in the operation, but he must also perform some operations at critical times when the surgical field is not very convenient. The second assistant has relatively less responsibility. The third assistant has less responsibility.
The assistant is basically a retractor, and occasionally acts as an instrument nurse, helping to transfer surgical instruments when the surgeon or the first assistant has a special angle.
Fang Le is very skilled in cardiopulmonary surgery and hepatobiliary surgery, so he knows all the rules and regulations of this kind of surgery. He can keep up with many things without Jiang Hailei's reminder.
While listening to Fang Le's answer, Jiang Hailei also paid attention to the operations under Fang Le's hands.
Although retracting the hook is simple, it is also a tricky job.
One thing that the retractor should pay attention to is the surgical field, and when and what angle should be used. This is very particular. The angle of retraction should not be too large, and it must also ensure that the surgeon can perform the operation conveniently.
Another aspect is adhesion. Some tissues are separated. In order not to affect the separation below, the retractor must also take action in time, through different angles and directions, so that the surgeon's operation is not affected.
There are relatively many doctors involved in cardiopulmonary resection surgery. In addition to Fang Le, who is the third assistant, there is also a resident doctor who pulls the hook. The second assistant also cooperates with the third assistant to expose the surgical field and block some blood vessels to prevent bleeding.
When pulling the hook, Fang Le's timing and angle were very precise. Not only Jiang Hailei, but also the first and second assistants involved in the operation were surprised.
The first assistant who participated in the operation today was a senior attending surgeon in the cardiothoracic surgery department. The other party also knew about Fang Le, but he only knew that Fang Le had tried Fuzi. Jiang Hailei asked Fang Le to participate in the operation. As the senior attending surgeon of the first assistant, he was a little confused at first.
After a while, I finally understood it a little bit.
"Has Xiaofang participated in similar surgeries before?"
As a senior attending physician of the First Aid, I couldn't help but ask Fang Le.
"No, I have read a lot of relevant papers and information."
Fang Le replied.
"You don't look like you haven't participated before. You grasped the timing and angle very accurately, and your hands don't even shake."
In thoracotomy, the chest is cut open and covered with drapes. Only the surgical part is exposed. After the chest support is opened, there are bloody internal organs inside. If you look at it from other angles, regardless of the doctors' clothes.
Wearing surgical clothes, it really looks like several people are eating hot pot, and it has a spicy hotpot base.
Ordinary newcomers will be a little nervous when seeing such a scene.
"Maybe it's talent."
Fang Ledao: "I think I am very talented in medicine. I know many things at a glance and can draw inferences from one example. When I was in school, I could learn by myself just by reading books."
"How immodest."
Jiang Hailei said: "Just now I thought you were bragging, but now I really believe it. You are indeed born to be a doctor."
Fang Le was only an intern, and he was also from the College of Traditional Chinese Medicine. Jiang Hailei didn't believe that he had participated in similar surgeries before. Other than that, he could only explain it by his talent.
Geniuses who can learn things immediately and draw inferences from one example are rare, but they still exist.
"Director Jiang, if a talent like Xiaofang's is cultivated, he will definitely become a master of surgery in the future. We need to bring such talents to our department."
The first assistant attending doctor smiled and said to Jiang Hailei.
Listening to the gongs and the words, Jiang Hailei obviously took a liking to Zhong Fang Le, and Fang Le's talent was indeed surprising. The senior chief physician was following Jiang Hailei's thoughts.
"Let's just watch it first. An operation won't reveal anything."
Jiang Hailei said: "Let's catch up with a few units first. Our cardiothoracic surgery threshold is very high."
"That is."
The senior attending smiled and nodded, and then said back to Fang Le: "Xiao Fang, work hard. If Director Jiang nods, there is a high chance that you will stay in Xijing and go directly to cardiothoracic surgery."
"Yes, I try hard."
Fang Le smiled.
"Have surgery."
Jiang Hailei reminded him.
What he just said was intentional. That boy Fang Le was a little unhappy. Yisuke didn't know the truth, so what he said was a bit of a joke. Jiang Hailei didn't want to continue hearing it.
.......
A pneumonectomy usually takes more than three hours. The surgical equipment at this time is even more backward. Generally, the operation time is not short. When Jiang Hailei performs a pneumonectomy, it will take close to four hours if everything goes well.
"Gao Dawei."
Han Shengxue walked around the department and came back. When he saw Gao Dawei, he shouted.
"Director Han."
Gao Dawei hurriedly came to Han Shengxue.
"Where's Xiao Fang? I haven't seen anyone for such a long time."
"Going to cardiothoracic surgery."
"Did you really go?"
Han Shengxue was surprised: "Jiang Hailei really likes that kid?"
"I've been there for more than two hours, and the call from the cardiothoracic surgery department went to the nurse's desk." Gao Dawei said.
"Brat."
A smile appeared on Han Shengxue's face, and his eyes narrowed to a slit. The field of mind and chest was a very high field.
"Director Han, Dr. Fang went to the thoracic surgery, are you not afraid that Director Jiang will leave Dr. Fang behind?" Gao Dawei asked.
"If Fang Le was so easy to stay, he wouldn't have come to the emergency department and would have stayed in the traditional Chinese medicine department."
Han Shengxue saw the problem very clearly: "When it comes to friendship, will Cheng Zaiming's family be happy with each other?"
"In terms of level, is Fang Le's level of Chinese medicine not high?"
"That's what you said."
Gao Dawei nodded.
"How's your PDT going?"
Han Sheng is a great scholar.
"I think it's okay." Gao Dawei said with a smile.
"Do a good job. I plan to invite people to visit our department in a few days."
Han Shengxue said with a smile: "PDT is still the only one in our department, and it's time to show off."
"Director Han, are you going to promote it now?"
"You have learned minor surgeries, can others learn them?"
Han Shengxue said: "It's not a high-end thing, but it's still hidden?"
"If our department wants to develop, we must be a leader and increase our influence."
When speaking, Han Shengxue straightened his back: "What is influence? This is influence. To do big things, you have to be bold and hide it. It will never become a climate. You can see that others are happy and hide it from you."
Tucked in?"
"That's what you said."
Gao Dawei said hurriedly: "Doctor Fang is so confident. Even if I try to flatter you, I can't catch up."
"So, we must also be generous and have the kind of confidence that we are not afraid of others surpassing us."
Han Shengxue laughed, turned around and walked out of the department, heading to the cardiothoracic surgery department, too lazy to talk to Gao Dawei.
"cut!"
Watching Han Shengxue walk away, Gao Dawei let out a sigh.
Director Han now talks pretty words all the time.
In the operating room, more than half of the operation had been carried out. Suddenly, the air valve in the operating room was opened. Han Shengxue entered the operating room, changed into scrub clothes, and walked to the operating area.
"Why is Director Han here?"
Jiang Hailei heard the movement, took a look, and recognized Han Shengxue.
After all, Han Shengxue is the director of the emergency department, so no one will usually stop him from entering the operating room.
"Can't I come over and take a look?"
Han Shengxue stood outside the line, watching from a distance and talking to Jiang Hailei.
"Xiao Fang started directly?"
"Just pull a hook."
Jiang Hailei replied calmly, his hands slightly stopping as he spoke.
"The scope of the lesion is a bit large, so intrapericardial resection is required."
Fang Le's voice sounded.
"Um."
Jiang Hailei nodded. For two hours after the operation, Fang Le said something from time to time. Jiang Hailei was used to it. Although he was surprised this time, he didn't say much.
Fang Le's eyesight was very accurate, and the scope of the lesion was indeed different from what was previously expected, so intrapericardial resection was required.
"Hey, Fang Le, can you still tell that intrapericardial resection is needed?"
Han Shengxue was a little surprised.
"People know a lot better."
As Jiang Hailei spoke, he began to open the pericardial cavity on the hilar side of the septal nerve...
"Fang Le, please continue to explain to Director Han."
"The pericardial reflection expands from the superior vena meridian to the upper branch of the pulmonary artery, and the lower pulmonary meridian needs to be ligated and separated..."
Fang Le said while watching.
"Be prepared and separate the lower lung meridians."
Jiang Hailei nodded and reminded the first and second assistants at the same time.
The senior first assistant and second assistant are now used to it, and they were ready when Fang Le said it.
Fang Le served as the third assistant today, but he really didn't say much about his eyesight. He was just like a surgical instructor. All the doctors involved in the operation were a little confused. How could he tell so much from the information?
Han Shengxue, who just came in, didn't know the previous situation, so he was completely stunned at this moment.
"Fang Le, you..."
"This kid is a monster."
Jiang Hailei said: "His eyesight is very accurate. As soon as I started operating, he could know my intention. If this kid hadn't really had any similar surgery, I would have wanted him to try it."