Although appendectomy is only a minor operation, no matter how minor the operation is, it is still an operation and requires anesthesia!
The anesthesia for this kind of surgery is usually combined spinal-epidural anesthesia. The anesthetized area is between 1 and 2. Except for this area, there is still pain in other places.
This kind of combined spinal-epidural anesthesia is not complicated, but anesthesia is a discipline and plays a key role in the operation. It requires a professional anesthesiologist!
However, when Ren Junqi walked into the emergency operating room, the anesthesiologist was still not present.
After waiting for a while, Zhu Zeming asked impatiently: "Where is the anesthesiologist? Why hasn't he come yet?"
Peng Xiaojie said: "The five doctors on duty in the anesthesiology department have all been called away by other departments. Now only Director Ma is left. I have already urged him twice. If I urge him again... I'm afraid it won't be good!"
Zhu Zeming was originally full of complaints, but when he heard it was Director Ma, he stopped saying anything.
Director Ma's name is Ma Yongde, he is the head of the Department of Anesthesiology, he is cold, arrogant, taciturn, and extremely difficult to get along with, which makes him unhappy. Even the director, Peng Dahai, doesn't give him any face.
Everyone in the hospital would stay away from Ma Yongde unless necessary!
Ren Junqi said helplessly: "In this case, let's wait a little longer!"
Lin Hao checked on the patient and found that his condition was getting worse and worse, so he waved his hand and said, "No wait!"
Zhu Zeming felt annoyed just looking at Lin Hao now, and even more annoyed when he heard him speak, not to mention that he still said such self-righteous words, and he suddenly shouted angrily: "What did you say? No wait? Who will do it without anesthesia?"
Can you perform surgery without anesthesia? Really, I don’t have any medical knowledge at all, and I don’t even know where your qualifications come from!”
Lin Hao said: "Of course I will do it!"
"You?" Zhu Zeming sneered and said sarcastically: "Just you?"
Lin Hao ignored him and took out the needle box he always carried with him. He took out a silver needle from it and touched the patient's body a few times. A trace of the Emperor's Meridian aura followed and he felt the patient's main tendons.
After identifying the acupuncture point, he inserted the needle without hesitation!
Acupuncture anesthesia and acupuncture treatment are different. During treatment, the silver needle penetrates at most one-third of the depth. However, during anesthesia, the depth of the needle is more than two-thirds, and only a part of the needle handle is exposed. Therefore,
It looks quite terrifying and makes all viewers tremble with fear.
Zhu Zeming, who had never seen such a formation before, immediately shouted, "Lin Hao, you are crazy! Are you really mentally ill? Why are you pricking patients with needles?"
"I'm under anesthesia!" Lin Hao responded and continued to find a place to inject the needle.
"Anesthesia... I'll numb your face!" Seeing that he was still acting recklessly, Zhu Zeming did not dare to step forward to stop him, for fear that he would go crazy and prick himself with a needle, so he rushed to Ren Junqi and said: "Director, you
Look at him, you look at him, I said don’t let him in, but you insist on calling him in, now it’s fine, he’s..."
Ren Junqi originally didn't believe that there was such a thing as acupuncture and anesthesia in the world, but Lin Hao proved its existence with facts, which made her unable to believe it, so she said slowly: "Doctor Zhu, please be patient! Lin Hao is really doing it.
anaesthetization!"
Zhu Zeming said in shock: "He is under anesthesia? Director, why are you messing around with him?"
"Shh!" Ren Junqi made a silent gesture, "Don't ask, don't tell, just watch and study hard!!"
Study seriously? Zhu Zeming was confused when he heard this. Study him and prick the patient randomly with needles?
My goddess, is there nothing wrong with you?
While talking, Lin Hao had already set another point on the patient's upper abdomen. He moved the needle with his right hand and slowly inserted it. When the needle tip reached the concave point, he pressed down with his right hand and changed the needle from straight to diagonal.
Following the shape of the meridians, the silver needle was inserted. Finally, only a short handle of the silver needle was exposed on the skin.
After completing the two needles, Lin Hao followed the same pattern and inserted three needles on the important tendons of the patient's chest and abdomen. When he finished the last needle, he held the exposed needle handle with both hands and slightly
With a strong twist, something magical happened. The other three needles trembled slightly as if dancing. Then the patient's body also trembled slightly, but he no longer whined.
Lin Hao picked up a syringe, lightly scratched the patient's abdomen, and asked: "Does it still hurt?"
The patient was obviously no longer in pain, but because the previous pain was too severe, he was already in a state of collapse, so he was unable to answer. He just shook his head inaudibly, then slowly closed his eyes and fell asleep.
Lin Hao breathed a sigh of relief and said to Ren Junqi: "The anesthesia is ready, let's start the operation!"
Before Ren Junqi responded, Zhu Zeming had already laughed strangely, "Just a few random injections will cure the anesthesia. You are so capable, why don't you go to heaven?"
This man had no status at all in Lin Hao's heart, so Lin Daguan ignored him at all!
Ren Junqi knew that Lin Hao said that after the anesthesia was cured, there would definitely be no more problems, but acupuncture and anesthesia was too mysterious after all, so she was still going to go get it checked.
But before she could start the examination, the belated anesthesiologist finally arrived!
Just as Peng Xiaojie said, the person who came was Ma Yongde, the director of the anesthesiology department, but he didn't look like he was here for surgery. Instead, he looked a bit like he was here to collect debts. His face was as dark as Bao Gong.
He came in without greeting the three of them, or even looking at them. He walked straight to the patient, preparing to check and start anesthesia.
But when he saw the patient's ECG monitor and the shape of the patient's pupils, his expression suddenly changed and he asked: "Why is this happening? What did you do to the patient?"
Zhu Zeming immediately became excited, pointed at Lin Hao and said: "Director Ma, he did it, he did it all!"
Ma Yongde glanced at Lin Hao, then looked back at Zhu Zeming and said, "I asked him what he did?"
"He used needles to prick the patient's body randomly. Oh, he was the one who pricked those five needles!" Zhu Zeming said without reservation or even adding details like a bamboo tube pouring beans: "He also said that he didn't need to wait for you, anesthetizing himself.
I can do it, as if I think I am better than you, Director Ma. You see, just randomly injecting a few needles and saying that the anesthesia is over, you said he can do it."
Ma Yongde said no more, but quickly gave the patient a pain test.
Zhu Zeming said eloquently: "Director Ma, do you think this is funny or not? A few broken needles can do anesthesia. Then won't all your anesthesiologists have to be laid off, and all the factories that specialize in the production of anesthetics must close down?
"
Dr. Ma did not smile, but looked very solemn. He continued to perform pain tests on the patient. After several times, he had to admit the fact that he saw that all the patient's pain reflexes had disappeared!
In other words, Lin Hao's seemingly random injections of needles really worked as an anesthesia, and they were so perfect that no one could find any faults.
Ma Yongde has been working in the anesthesia industry, and naturally he is not as ignorant as Zhu Zeming. He murmured to himself: "This, this is acupuncture anesthesia. I always thought that this kind of anesthesia was just a legend, but I didn't expect that I actually encountered it today! A few pieces
A small silver needle can actually achieve the effect of anesthetic without causing the side effects of anesthetic. It is incredible and unbelievable!"
Lin Hao responded calmly: "Actually, it's nothing special. It just blocks the nerve conduction and makes the patient lose the feeling of pain!"
Ma Yongde hurriedly asked: "Will that have any toxic side effects on the patient?"
Lin Hao shook his head and said: "No! But the time cannot be too long. If it is too long, it will cause damage to the patient's magic needle."
Ma Yongde asked again: "How long can this time be?"
Lin Hao said: "Within ten hours!"
Ma Yongde's expression brightened and he said excitedly: "With these ten hours, what kind of surgery can't be done? It's great, it's really great!"
Lin Hao is a little confused. I can't teach you whether it's OK or not. Why are you having so much fun?
Ma Yongde said again: "This doctor, what is your name?"
Lin Hao said: "My name is Lin Hao!"
Ma Yongde said: "Hello, Dr. Lin, are you a new doctor in the emergency department?"
Lin Hao shook his head and said, "No, I'm just here to study!"
Ma Yongde, who was usually taciturn and could not beat a single blow with three sticks, was not only talkative now, but also extremely enthusiastic. He asked again: "Dr. Lin, before you came to study, were you studying in school or what unit were you working in?"
Lin Hao said: "I work as a doctor in a clinic!"
Ma Yongde nodded repeatedly: "Okay, okay!"
Listening to the conversation between the two, Ren Junqi and Zhu Zeming had one eye and two big eyes. Is this really Ma Yongde, the director of the anesthesiology department? He has always been arrogant and arrogant, and even the dean did not abandon him. He actually started talking to a training doctor, and
...still so polite?
After Lin Hao dealt with Ma Yongde perfunctorily, seeing Ren Junqi and Zhu Zeming still staying there, he couldn't help but urge: "Why are you standing there, doing surgery?"
Only then did the two of them wake up and prepare to start the operation.
But when Ren Junqi reached out to get the scalpel, Zhu Zeming grabbed it first, "Director, this is just a small operation. You can't kill a chicken with a big knife. Don't bother you, I'll do it, I'll do it!"
Ren Junqi asked hesitantly: "Are you okay?"
"Okay, of course!" Zhu Zeming glanced at Ren Junqi's chest and said a little vulgarly: "How can a man say no!"
Ren Junqi shouted with a stern face: "Don't be so playful with me."
Zhu Zeming felt a chill in his heart and said sternly: "Director, I have done countless small surgeries like appendicitis during my internship and training. I can almost do it with my eyes closed..."
Ren Junqi waved his hand to interrupt him, "Then you start!"
Zhu Zeming picked up the scalpel and asked Ma Yongde before performing the operation, "Director Ma, are you sure there is no problem with this kind of anesthesia?"
Ma Yongde said: "No!"
Zhu Zeming then bit down, and the knife cut directly, making a hole about six centimeters long at the right McBurney's point.
Seeing this incision, Lin Hao secretly shook his head and sighed. Not to mention anything else, just this incision showed that no matter how talented he was, he was still a limited company! He also said that he had done many appendicitis surgeries and could do them with his eyes closed.
He's obviously a newbie!
Appendectomy is just a minor operation, not a caesarean section, and there is no need to make such a large incision. Some more experienced surgeons will make as small an incision as possible, because the smaller the incision, the more proof the doctor's operation is
For example, Lin Hao, for example, when he performed this kind of appendicitis surgery, the incision never exceeded two centimeters. Before he left the castle, the incision had even been reduced to about one centimeter.
The six-centimeter incision does indeed enlarge the surgical space and makes the operation easier, but in the eyes of colleagues, it is a joke. Only newcomers can do this kind of thing.
Although Ren Junqi did not have many appendicitis operations, she only made an incision of three centimeters at most, so when she saw Zhu Zeming making such a big incision at once, she was stunned. Is this the rhythm of opening a skylight?
After she came to her senses, she immediately wanted to use a dressing to press the blood that overflowed from the incision. However, before she could do anything, Lin Hao had already used a dressing on the incision to stop the bleeding.
After the incision is opened, the next step is to separate the fat layer.
When Lin Hao saw Zhu Zeming pick up the tissue scissors, he frowned and reminded him: "The patient is older, thinner, and the fat layer is not thick. Use hemostats to separate it. This will cause less bleeding and is good for the patient."
There are benefits after surgery!”
"Shut up!" Zhu Zeming said very displeasedly: "When will it be your turn as a training doctor to dictate what I do during surgery?"
Lin Hao curled his lips and did not say anything again. He did not have such a habit of arguing on the operating table.
Zhu Zeming did not listen to Lin Hao's advice and continued to use tissue scissors to cut the fat layer, but this caused more bleeding. Although there were no large blood vessels in the fat layer, there were still blood vessels, and based on the current amount of bleeding, ligation would
It is imperative to stop the bleeding, otherwise the patient will.
It is only the second step of the operation that requires stopping to perform a ligation to stop the bleeding, which will undoubtedly waste time.
What was especially intolerable to Lin Hao was that the speed of Zhu Zeming's sterilization was unusually slow, like a slow-motion replay in a movie.
If we continue at this speed, it would be great to be able to complete the operation within an hour, not to mention half an hour!
But the one who couldn't help it first was undoubtedly not Lin Hao, but Ren Junqi. She said: "Doctor Zhu, leave the ligation and hemostasis to Lin Hao. You can continue to the next step!"
"Him?" Zhu Zeming sneered: "Can he do it? He is just a training doctor! Well, even if he is qualified, think about which unit he worked in before? In a small clinic. A small clinic can do this
Is this such an operation? Does he have experience? If you let him come, he will mess up my operation, and I will be irresponsible!"
"Why do you talk so much?" Ren Junqi finally started to annoy this man. He didn't bother to tell him that he had seen Lin Hao's ligation and suturing skills with his own eyes. He said directly to Lin Hao: "Lin Hao, you do the ligation.
!”
Lin Hao didn't pretend to be pretentious, he went straight to ligating several large bleeding points to stop the bleeding. The speed was so fast that it made people feel dizzy.
Zhu Zeming on the side was very disdainful at first, but when he saw his speed, he was stunned. Mommy, who is this person? He moves too fast. Is this... still a human?
After three strokes, five divided by two, Lin Hao solved several bleeding points, but Zhu Zeming still stayed there, staring blankly at Lin Hao's hands in trance.
"Dr. Zhu, why are you still here? Keep going!" Ren Junqi urged impatiently.
Only then did Zhu Zeming come to his senses and quickly proceed to the next step, separating the muscle layers.
Although he did this step well, it still caused a lot of bleeding points, so Lin Hao connected it again and tied it again to stop the bleeding.
In fact, if possible, Lin Hao really wanted to kick this snail-like guy to the side and perform the operation himself. It has been almost half an hour, and the abdominal cavity has not been opened yet! But
There is no way, his current status is just a training doctor and he has no surgical authority at all.
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