Chapter 163： On-site teaching (large

Wu Yuan sighed, patted Wu Yuan's shoulder and said, "If you want to open up a little bit, there is no fragrant grass anywhere in the world, why should you love a flower alone!"

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

Wu Yuan looked at Chen Zhongsheng in shock: "What are you feeling melancholy here as a single dog? It makes no sense at all!"

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

Wu Yuan asked curiously, "Why do you envy me?"

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

Wu Yuan's eyes widened, and he almost violently hit Chen Zhongsheng on the head: "Are you crazy? You don't care about it! Your whole family doesn't care about it! Do you think I'm an orphan!?"

Chen Zhongsheng smiled bitterly and said, "I didn't mean that, I mean...I..."

Chen Zhongsheng talked for a long time, but didn't say why, his face was flushed red, just like constipation.

At this moment, Zheng Qiucheng came in.

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

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

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

Chen Zhongsheng was speechless.

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

Zheng Qiucheng is not like Wu Yuan.

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

Zheng Qiucheng can be regarded as a sensible person, just hearing "Dr. Chen's sorrow is broken", he has a sudden realization.

Zheng Qiucheng: "By the way, Dr. Chen, the establishment target for this year has already come down, right?"

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

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

Co-author Chen Zhongsheng is also worried about the compilation.

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

After getting the establishment, not only the income can be improved a lot, but more importantly, the position in the hospital will be stable and more promising.

In all honesty, the leaders of the hospital are definitely more inclined to focus on training and promoting well-established doctors.

After all, with the establishment, the doctor will not go to other hospitals at will, and the doctor who does not have the establishment can pat his **** and leave at any time.

Moreover, the establishment of Yanjiang Dongcheng Hospital and the Affiliated Hospital of Yanjiang University, where Wu Yuan is located, is not a concept at all.

The establishment of Dongcheng Hospital is absolutely hard-headed, and if you get it, you will really be on the road to prosperity.

After all, Yanjiang Dongcheng Hospital is a strong hospital in Yanjiang City, and its treatment is no less than that of the city's top three hospitals.

When Yanjiang Dongcheng Hospital really hits the tertiary hospital, and even wins the title of the top three, the doctors who are staffed by Dongcheng Hospital will become the doctors standing at the top of the Yanjiang Pyramid.

As for why Chen Zhongsheng was worried, Wu Yuan also knew a little bit.

Chen Zhongsheng actually belongs to that kind of family in the medical field. Three generations of people have studied medicine. 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.

It has been two years since Chen Zhongsheng got the system. If he can't get it this year, the pressure will be even greater.

In fact, in Wu Yuan's view, Chen Zhongsheng's surgical talent and level are not bad.

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

For example, Feng Ningwei, a general surgeon whom Wu Yuan has contacted with, is indeed higher in level than Chen Zhongsheng.

But Wu Yuan felt that Chen Zhongsheng's potential is not small, and his basic skills are also very solid. As long as he works harder and uses the right method, it is not impossible to reach the top-notch level of Dongcheng Hospital in a short period of time.

When Wu Yuan thought of this, he patted Chen Zhongsheng on the shoulder and said, "I thought it was a big deal, didn't it just use the staff, there are only so many people in the emergency department, you must score one."

Chen Zhongsheng showed a wry smile and said, "Dr. Wu, you don't understand. There are many departments in Dongcheng Hospital, and the number of staff is very limited. I'm afraid there is not one 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, maybe fifteen or so."

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

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

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

Wu Yuan had thought that there would be more establishments, but it was impossible to have so many.

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

Zheng Qiucheng and Chen Zhongsheng looked at each other with helpless expressions on their faces without exception.

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

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

There are many young doctors in the surgical department, and there are many excellent doctors. It is not surprising that there is less than one quota for the emergency department.

Chen Zhongsheng's surgical strength is neither weak nor top-notch, and his personality is rather dull.

Just then, Peng Shuhua came in.

The three hurriedly made a bird and beast scatter.

Peng Shuhua gives the impression that he is very strict, and he is more powerful than the chief director Cheng Weimin.

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

Wu Yuan was familiar with Peng Shuhua now, but he let it 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: "There will be two patients with acute pancreatitis coming over in a while. I will be the one who will perform the operation, and you will operate the other. Is it okay?"

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

As mentioned earlier, we have now entered a period of high incidence of pancreatitis. Not only the general surgery department has welcomed a large number of pancreatitis patients, but the number of similar patients in the emergency department has also increased.

Moreover, the emergency department has a characteristic. All patients admitted to the emergency department belong to patients with acute pancreatitis, and the condition may be more serious.

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

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

For nothing else, 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, come and be my first assistant."

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

Wu Yuan: "Yes, don't you have any urgent work at hand now?"

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

As a result, Chen Zhongsheng became an assistant in the operation that Wu Yuan was in charge of.

Chen Zhongsheng glanced at Wu Yuan and 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 main performer for some less difficult operations, such as appendicitis.

Chen Zhongsheng has always wanted to have a pancreas resection, because only then can he prove that he can be a one-sided surgeon.

Of course, Chen Zhongsheng felt awkward when he helped Wu Yuan in surgery. After all, Wu Yuan was about the same age as Chen Zhongsheng.

Moreover, Wu Yuan was a seconded doctor from a not-so-good hospital, but his level was much higher than that of Chen Zhongsheng, and he could go to general surgery to perform several operations from time to time.

Anyway, when Chen Zhongsheng was in front of Wu Yuan, he was in a complicated mood. He was really envious and jealous.

The reason why Wu Yuan asked Chen Zhongsheng to be a helper was indeed kind.

He wanted to help a bunch of Chen Zhongsheng.

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

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

In addition, surgery cannot be taught by teaching alone. It requires Chen Zhongsheng to really study hard, and then he has the opportunity to do a lot of practice.

Anyway, Wu Yuan just wanted to help if he could. Whether it was useful or not was up to Chen Zhongsheng himself.

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

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

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

The patient had been pushed in, but he was still awake, a man in his thirties who looked strong.

Wu Yuan smiled and said to the eldest brother, "Dude, are you drinking?"

The patient replied with a wry smile: "Yes, on this hot day, drinking cold beer is the best, so I drank a few more bottles, who knows what's going to happen!"

Wu Yuan: "I said what cold beer do you drink in the morning? It's not too hot in this weather."

The patient's eldest brother's face became even more bitter: "I drank it last night, and I drank it... I drank it with my buddy until after one o'clock in the morning. As soon as I got home, the pain started, and I almost lifted the roof. I can't watch it until morning. It was delivered."

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

Patient: "Hey, my daughter-in-law said, it's not as bad as when he gave birth to a child. She said that I'm more cowardly than a girl. Who should I go to?"

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

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

Wu Yuan: "It's alright, I'll just take a nap, wake up and rest for a few days, still alive and dead, and educate your daughter-in-law."

Patient: "That's good, just educate my daughter-in-law. I beg you not to be educated by my daughter-in-law."

Wu Yuan added: "But you will drink less cold beer this year. It's better not to drink it."

Patient: "What kind of wine would you like to drink?"

Wu Yuan: "Beer at room temperature, that's fine."

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

Chen Zhongsheng looked at the conversation between Wu Yuan and the patient, and was a little silly.

is this okay?

In Chen Zhongsheng's impression, the surgeon just went into the operating room wearing a surgical gown and finished the operation.

Chatting with patients like Wu Yuan, Chen Zhongsheng would never do it before.

On the one hand, it has to do with character, on the other hand, Chen Zhongsheng felt that it was unnecessary.

But after seeing that the patient said a few words to Wu Yuan, his mood became very stable, and Chen Zhongsheng doubted whether his previous thoughts were correct.

Wu Yuan gestured to the anesthesiologist, and the anesthesiologist gave the patient intravenous anesthesia.

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 begin?"

Chen Zhongsheng was stunned, wondering why Wu Yuan asked 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 very stable."

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

Chen Zhongsheng glanced at it and couldn't help but say, "It's really a bit high..."

Wu Yuan nodded: "Yes, this guy has high blood pressure. If the operation is performed now, there may be trouble in the middle."

Chen Zhongsheng showed a sudden realization.

Like this kind of laparotomy, internal bleeding or even massive bleeding often occurs during the operation. If it is not handled properly, the operation will fail, and even the life of the patient may be critical.

Chen Zhongsheng: "No wonder..."

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

This reduces the likelihood that the patient will bleed during the procedure, no, it basically eliminates the bleeding.

According to Wu Yuan's request, the anesthesiologist gave the patient another intravenous injection.

I saw that the blood pressure index finally dropped.

Wu Yuan glanced at the time: "At 10:40 in the morning, the pancreas resection operation begins."

Wu Yuan took the No. 3 scalpel handed over by the instrument 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 use the knife, and the hand holding the knife was very stable, as solid as a rock.

Chen Zhongsheng had seen this for a long time, but when he saw it at this time, he would still be shocked again.

Across the sterile cloth, Wu Yuan used a scalpel to make an incision in the patient's abdomen, which was flat and straight, just right.

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

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

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

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

There are some things that are really difficult to say between colleagues.

Wu Yuan was able to achieve this step, and Chen Zhongsheng is now deeply grateful.

You know, young doctors are, to put it bluntly, competitors.

That's right, Wu Yuan is "teaching" Chen Zhongsheng how to do it!

This patient's brother had only common acute pancreatitis, so Wu Yuan's surgical plan was small incision surgery.

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

Since it is a small incision, it needs to be matched with a laparoscope.

The surgical plan used by Wu Yuan is very common and common, but to really 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 master level, and his set of methods is certainly not something that ordinary surgeons can have.

And laparoscopic surgery cannot see the details in the video footage.

Wu Yuan's movements at this time were very slow, and Chen Zhongsheng could see it clearly beside him.

Moreover, Wu Yuan is very step-by-step, and he will do some commentary, stating his purpose and precautions.

Mingli was used for recording the operation, but it was actually for Chen Zhongsheng to listen to.

As mentioned earlier, Chen Zhongsheng's basic skills are very good, but what he lacks is the awareness of experience and detail handling. Wu Yuan's explanation and actions just make up for this.

The entire operation was not long, forty minutes had not yet arrived.

In fact, if Wu Yuan hadn't deliberately slowed down the operation, the entire operation time might have been only half an hour.

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

But at this time, Zhong Zhongsheng found 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 there."

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

Chen Zhongsheng was stunned: "...Ah? I'm coming?"

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

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

Wu Yuan nodded.

At this time, a nurse helped Wu Yuan wipe the sweat from his face.

For Wu Yuan, this operation did not require much physical strength, because the "eyesight" was not used much.

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

Chen Zhongsheng was inevitably 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.

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

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

All that's left is to check the abdominal cavity for omission and joint cavity injury.

Chen Zhongsheng was refreshed and immediately began to operate again.

Everything went smoothly, even the stitching, Wu Yuan did not intervene, leaving Chen Zhongsheng to 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.

The only thing Chen Zhongsheng lacked was confidence.

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