Chapter 367

"Serena is not so stingy -"

Shook his head and looked at Pliny. Zheng Jianguo didn't expect that the inpatient would have gossip. Looking around at the mind in the emergency room, he felt that today's opening was still good: "in addition to the couple, who came that morning?"

"When it is stable, it will be given to the gentlemen upstairs."

Pliny nodded and said, then remembered something and said to Angela and Benjamin standing nearby, "this is Dr. Zheng. You should have heard his name --"

"Yes, I've heard of you, Dr. Zheng. I saw you from a distance when I was in the digestive Center -"

Benjamin has a wide face rarely seen in America. He has small eyes and wears a pair of glasses. Zheng Jianguo smiled at him. He said hello. He saw that Benjamin continued to look curious and said, "there are reports that you and Camille are lovers. Only in the eyes of lovers can you feel that each other is the most beautiful."

"Don't you think Camille is beautiful, Benjamin?"

Zheng Jianguo burst out a smile at the corners of his mouth, and saw that Benjamin was stunned, and his wide face turned red: "yes, I also think she is very beautiful, but it's a pity that she doesn't know me -"

"That's it. Camille is still a beautiful girl. The word couple is still early for her. Moreover, I don't think the mutual favor and curiosity of boys and girls before they grow up are love, rather impulsive. This is also the reason why lovers on campus rarely enter the palace of marriage."

In passing, Zheng Jianguo attacked Americans' indulgence in puppy love for boys and girls, and heard Angela say, "not all boys and girls will express their ideas, and many parents, like you, also have parents who are more extreme than you."

"This is America!"

Zheng Jianguo said with a smile. Pliny also smiled. Then he looked at him and tilted his head. Zheng Jianguo followed him for a few steps. Pliny said, "Alfonso would have had a cholecystectomy in the afternoon, but now he has a serious wrist contusion, so he recommended you. The operation will start at 3 o'clock, and director Nathan will also participate. Do you want to come?"

"Yes!"

Zheng Jianguo responded quickly. Pliny nodded and turned away: "you should go to the operating room for disinfection half an hour in advance. In addition, you should ask director Amy for a leave. It shouldn't be a long time -"

"OK, no problem!"

Zheng Jianguo suddenly remembered that it was Thursday. He wanted to go to work at the digestive center in the afternoon. He found an opportunity to call director Amy and tell her about it. Then he heard her say in the microphone: "I was a resident for two years when I came into contact with cholecystectomy. Do you know what area is between the common bile duct, the cystic duct and the liver?"

"I don't know."

Blinking, he said that in his previous life, due to the wild road and the restrictions of Shanxian County, Zheng Jianguo had not been exposed to this kind of surgery until his rebirth, which was why he was so surprised. Of course, he had not been exposed in his previous life, but he knew how to do preoperative work, Then he said, "but I'll do my homework before the operation -"

"Yes, you are much better than me. At that time, I was not smart enough to do pre class homework like you, so when Dr. mark, the chief surgeon, asked me what is the gallbladder triangle, I couldn't answer which parts of the area involved in this operation. Now I feel that your success is not just good luck and keen observation. Good luck."

Director Amy's voice disappeared, and Zheng Jianguo put down the phone. He didn't want Benjamin next to him to look at him with curious eyes: "Dr. Zheng, is your pre class homework to learn the surgical materials of other doctors?"

"No, other surgical cases involve the patient's privacy, so it will take a lot of trouble to check, but director Amy has told me that the focus of this operation should be other organs and tissues involved in the gallbladder triangle -"

Zheng Jianguo shook his head and didn't intend to do what Benjamin said. The patient data in the United States belong to the privacy of privacy and can't be disclosed to others except the attending doctor.

Even other medical staff involved in the operation at that time could not disclose the patient's situation to anyone other than the attending doctor. The 1180 pathological sections originally detected by Palmer ED were only for simple slice analysis, not that he analyzed the patient's condition.

This is also the reason why Zheng Jianguo was disillusioned when he wanted to store the patient data into the computer server so that others could query and use it. In addition to his own patients, the information of others was confidential. In this case, if he wanted to analyze a large number of cases, he needed to do it by himself.

Of course, with the deepening of Zheng Jianguo's learning, he already knows that the idea of retrieval can lead to countless possibilities, just as the search engine in his previous life will become a sharp weapon of major portals, which is almost synonymous with the Internet.

Technology can be temporarily released, but what should be learned still needs to be learned. Zheng Jianguo can't get the case of cholecystectomy at this time, but Amy pointed out the essence of the operation on the phone. Cholecystectomy is not difficult in the operation, otherwise it can't be touched by him or Alfonso. Of course, this is in theory.

In the actual operation process, even Zheng Jianguo, the old director of the emergency department who has not been in contact with this kind of operation, knows that as long as it is an operation involving the human body, there is no small and easy to say.

This state of mind similar to awe does not come from the difficulty of surgery, but from the treasure of life. People need careful care for more than ten years from birth to adulthood, but the loss may be just a blink of an eye or a small mistake.

In the face of patients who have been suffering from illness, what Zheng Jianguo can do is to do his best to participate in each operation. Then, as long as he is free, he finds out the textbook knowledge that should have been recorded in his mind: "the gallbladder triangle is the part between the common bile duct, the cystic duct and the liver -"

"Bile duct injury -"

Just to find out this familiar knowledge point, Zheng Jianguo found the focus of the operation, which also confirmed that the premise of the success of the operation is the accurate judgment of the gallbladder triangle, so as to avoid damaging the bile duct during the operation.

So when Zheng Jianguo went to the fast food restaurant for dinner at noon, he didn't forget to turn over the textbook while eating a hamburger, but not long after he sat down, Pliny sat down with a dinner plate, swept his brown eyes behind some blurred glasses, and then said, "what the book can teach you is only basic knowledge, and I don't know I agree with you to participate in the operation so long in advance, Good or bad for you.

However, out of respect for Alfonso's opinions, I feel I can still talk to you about this patient. His main complaint in hospital is not acute cholecystitis. What do you know from your teaching materials? "

"Not acute cholecystitis? Is there no congestion in gallbladder tissue? "

After reading the textbook, Zheng Jianguo looked up and said. Pliny looked around and whispered, "yes, the tissue is congested, edema, fragile, dense and sticky. Do you want me to tell you about the gallbladder triangle?"

"No, it's written on it."

Zheng Jianguo nodded at the textbook, and Pliny said, "as I said earlier, the textbooks are all basic knowledge. Only normal people like you and me will have such a standard gallbladder triangle in the textbooks.

However, the patients are different. The common bile duct is slender, the hepatoduodenal ligament is loose, and the gallbladder artery walks abnormally. Before you expose the operation field, everything is possible - of course, there is fat accumulation on fat people. These are pathological factors that are easy to cause bile duct injury. "

"Shall I write it down?"

Zheng Jianguo quickly put down his hamburger and asked. Pliny shook his head and said, "no, I'm just going to popularize science with you. In addition to these pathological factors, it's the doctor's experience.

Hasty, blind, improper incision selection, insufficient relaxation of anesthesia, poor exposure of surgical field. Of course, for you, my biggest worry is arrogance. "

"Do you think I've ever been proud?"

Zheng Jianguo raised his eyebrows and looked suspicious. He didn't expect that he would have such a label in the eyes of the general manager of the hospital.

Pliny raised his head, ate a hamburger, looked at him, nodded and shook his head. When Zheng Jianguo was a little confused, he said, "I've seen your speech at the Gastroenterology Society. You let me feel your authority only by looking at your eyes. Of course, there's no such feeling in the emergency room."

"That has nothing to do with me in the emergency room."

Recalling his speech at the meeting, Zheng Jianguo shook his head and continued to eat lunch. Soon, the pager around Pliny's waist rang. The hospitalized general picked up and looked, grabbed his hamburger and coke and left: "remember to come to the operating room early."

"Well, OK."

Zheng Jianguo glanced at his back and remembered that when he first arrived in the emergency room, there were not only nurse Daisy who looked down on him, but also Bertha's chief inpatient as honest as ye minde, but more ordinary Nathan and Alfonso. He was grateful to Pliny.

After a simple lunch, Zheng Jianguo didn't choose to go directly to the operating room to prepare. Instead, he showed up in the laboratory of the digestive center as usual and watched Catherine and Esther make all kinds of busy and orderly arrangements. When he didn't leave until the time was almost up, he didn't expect to meet director Amy at the elevator entrance, After discovering it, he looked at him and said, "I was informed that a researcher named he Dawei was going to your place?"

"Yes, he Dawei repeated my test one day after seeing the publication of my unknown virus, and successfully detected the virus in his patient's blood."

Zheng Jianguo didn't say he Dawei paid attention to himself, but directly said what he liked about him. Sure enough, with his reason, director Amy nodded immediately: "yes, I didn't expect he was also paying attention to the virus."

"Yes, he had paid attention to the infected person of the virus, but he didn't know how to find the virus. I felt that even without my paper, he would find it out by virtue of a person in a certain period in the future, so I promised him on the phone."

Zheng Jianguo gave his reasons. In fact, he was still surprised at he Dawei's rapid action. But the surprise didn't last long. After he separated from Amy, who was full of praise, he threw his mind into the disinfection room next to the emergency department.

"Ha, Zheng, you came early."

When Zheng Jianguo appeared at the door of the disinfection room, Nathan followed his footsteps and soon there was Pliny. He followed them into the disinfection room and heard Pliny say, "Zheng, there are disinfection steps on the door behind you. Comprehensively clean the front, back, left and right of the forearms of your fingers, the back of your hands, and the parts of your hands need to be cleaned ten times -"

While Pliny was talking, he kept moving and Nathan had already stood in front of the disinfection tank to clean. Zheng Jianguo quickly followed him to the disinfection tank, tore open the sealed disinfectant and applied it to his fingers and hands. He was busy with a brush and silently counted the times of cleaning: "1, 2, 3, 4 -"

"When washing fingers and hands, do not start from the small arm, but let the water flow down from the tip of the finger, so as to avoid bacteria staying at the fingertip. However, when washing the small arm, start from the wrist -"

Pliny and Nathan's action soon ended. Before they left the disinfection room, Zheng Jianguo quickly told them to speed up. Soon after reaching the door with both hands up, Pliny had followed Nathan to the operating table in the operating room. At the same time, the nurse assistant who had already prepared took out a mask and put it on him, and said, "Hi, Good luck, Dr. Zheng. "

"Thank you."

Looking at each other's hat, mask and transparent glasses, Zheng Jianguo changed the same equipment with her help. After she pushed open the door of the operating room, she entered it. Under the shadowless light of his visit to Shanxian people's Hospital in his previous life, Pliny and Nathan stood on both sides of the operating table respectively, Nathan, who turned his back to him, was saying, "why don't we play a capital game?"

"It's not fun -"

Pliny spoke quickly. Reluctantly, he looked up at Zheng Jianguo, but said, "burn this bleeding point with an electric knife and suck the blood -"

"The capital game is still more fun. I'll come first, Washington DC -"

Nathan didn't seem to hear Pliny's refusal. First, he said that he looked at the exposed operation field and changed his mouth: "scalpel, now separate the anterior rectus abdominis fascia, oh, there are blood spots, electric knife --"

The detective took the scalpel from the operation assistant nurse nearby. Nathan turned his head and looked at Zheng Jianguo, who was looking at him. He said, "Zheng, come here and let you participate in the operation. It's a help, not to let you stand there and be a gentleman. Besides, you don't wear your custom-made white coat -"