Chapter 243: Support Experts Shrink

Chen Qi was a little embarrassed, because he couldn't say that he had done B-ultrasound and CT, after all, there are not many CT machines in China.

But even in this way, he couldn't make a diagnosis. After all, his previous life majored in liver, gallbladder and pancreas, and his other majors were flawed.

"Director Lu, I'm not sure what kind of retroperitoneal tumor it is. Didn't I turn to Director Wang for help and invite so many of your higher-level professionals for consultation, haha."

Lu Yue asked again: "Did the patient undergo any auxiliary examinations after he was admitted?"

Chen Qi was even more embarrassed: "Only one routine blood test was done, which is the only requirement in our health center. Others such as B-ultrasound, X-ray, and biochemical tests were not carried out."

Lu Yue almost choked to death with a sip of tea, and cursed with strong dissatisfaction:

"There is no auxiliary examination, and it is impossible to make a preliminary diagnosis. Where do you have the courage to go under the knife directly? Are you afraid of killing people?"

Dean Yan quickly stood up and said, "Direct surgery is strongly requested by the patient himself."

Lu Yue frowned tightly: "Why? You didn't tell the patient and his family members about the dangers of the operation? It sounds ugly, and if you don't mention other dangers, just a massive bleeding during the operation will undoubtedly kill the patient."

Dean Yan sighed and continued to explain:

"I said it, why didn't we say it? But the patient himself is determined to die. He must perform the operation in front of the whole village in our Huangtan Hospital to prove his innocence. That's why we didn't transfer the hospital to the urban area. Hospital."

"Oh? Is there such a thing?"

These words caught everyone's attention, gossip was raging, and they all asked what was going on?

Dean Yan briefly talked about what happened in Xiawan Village.

"So, this operation is not only about whether the huge abdominal tumor can be cured, but also about a woman's innocence. This situation is more complicated, so this operation must be performed today."

Only then did Lu Yue think of it: "Oh, no wonder, I said why there are so many villagers watching the bustle at the gate of your health center. They all want to see if the patient is pregnant or has a tumor?"

"Yes, it means there is an on-site supervision in it."

Director Wang slapped the table, startling everyone:

"Ignorance, ignorance, lawlessness, this is a new society. After decades of liberation, there is still such a lynching in this mountain. Now it is necessary to force an innocent woman to risk her life to undergo an operation to prove her innocence. It's hateful!"

The few lesbians who had a meeting in the backyard were all flushed with anxiety.

Chen Qi hurried out to smooth things over:

"Leaders, teachers, now is not the time to criticize, but how to proceed with the operation. If no one comes to light today, the patient will probably die when he returns to the village."

At this time, Yu Yaqin, director of the Obstetrics and Gynecology Department of the Fourth Hospital, put forward a different opinion:

"Just now I did a gynecological examination on the patient and found that her cervical posterior lip had a hyperplasia with a diameter of 1cm. I suspect that the patient should be cervical cancer, or the possibility of a huge ovarian tumor is very high. The focus of surgery can be placed here."

For a while, everyone started to talk about it, but in the end they didn't come up with a unified opinion.

Chen Qi looked at the time, and could only suggest: "Teachers, why don't we go straight to the surgery and treat it as a abdominal probing."

Director Lu Yue twitched his eyebrows, "Who will be the chief surgeon?"

In fact, Lu Yue was unsure in his heart, and he didn't really want to be the chief surgeon. To put it mildly, he called it self-protection, but to put it harshly, he called it irresponsible.

Chen Qi stood up: "I will be the chief surgeon, teachers please help me as assistants!"

It can't be blamed for director Lu Yue's careful thinking, it's just that the operation is too difficult.

Not to mention the lack of relevant auxiliary examinations before the operation, the eyes are in the dark during the operation now, and I don’t know what’s going on, and I don’t even know where the lesion is.

For surgeons, this is simply a fatal thing.

Secondly, this huge abdominal tumor had too many accidents during the operation.

Casual haemorrhage, shock, DIC, and mods will seriously endanger life.

In addition, there may be unexpected accidents during the operation, and there is a possibility that the operation cannot be continued, such as anesthesia accidents, cardiovascular and cerebrovascular accidents, cardiac arrest...

In a word, this is a very tricky patient.

Even if the patient is in the second hospital, Lu Yue himself is not half sure, what's more, it is in a hospital with only a simple operating room, and there is no rescue equipment.

There are also several surgical directors from the Fourth Hospital who also have this kind of careful thinking.

The retreat of others just saved Chen Qi a lot of trouble. If several directors of this operation are vying to be the chief surgeon, will he, a little barefoot doctor, let him or not?

Let it go, he seriously doubts that several major directors of this operation will not be able to take it down, isn't this a delay.

Not to let? The consequences are even more serious. Hospitals are ranked according to seniority. You, a doctor in a small health center, are so immodest? Disrespect old-timers? At that time, the reputation will be rotten.

It's all right now, everyone else is scared, he will stand up again, and leave a good impression of being responsible to Director Wang and the others, extra points.

At this time, the gate of Huangtan Health Center was already crowded with people.

It wasn't just the villagers of Xiawan Village who came to see the excitement, it was almost from all over the world, and the people from all the communes in Huangtan who were so idle came.

Those who have the conditions to come on bicycles, and if they can’t drive an ox cart, they can come on foot if they can’t, and they all bring their own dry food, looking like they are going to a big market.

Because there were too many people, the only road in Huangtan Town was directly blocked.

Many small merchants and hawkers began to sell their melon seeds and peanuts. Since the hospital has an operating room, this lively scene has been happening every few days.

As soon as there were more people watching the excitement, they began to inquire about the truth of the matter and where it is now. There were laughter, curses, regrets, and contempt one after another.

The villagers in Xiawan Village are very upset. The more people who come to watch, the more likely they will make a fool of themselves.

So far, the Yao clan's children, including Uncle Yao and Village Chief Yao, still firmly believe that Jinfeng is pregnant, otherwise how could the belly be big?

(Please ask the Virgin Mary, or Liu Bang’s mother, Mrs. Liu, to answer)

in the operating room

Chen Qi was also speechless looking at the anesthesia machine in front of him.

The anesthesia machine, which is rare in a century, sends anesthetics into the patient's alveoli through a mechanical circuit, forming a partial pressure of the anesthetic gas, which diffuses into the blood, and directly inhibits the central nervous system, thereby producing the effect of general anesthesia.

When inhaling, the anesthetic mixture enters the patient's body through the opened inspiratory valve;

When exhaling, the expiratory valve opens, while the inspiratory valve closes to expel the exhaled gas.

When using assisted or controlled breathing, a collapsible bellows can be utilized. Press down when inhaling and pull up when exhaling to ensure that the patient has sufficient ventilation.

Therefore, patients under general anesthesia must use it. Without this machine, Chen Qi would not be able to operate for a long time, otherwise the patient would die of circulatory failure before the operation is over.

Seeing Chen Qi staring at the general anesthesia machine with a constipated face, Director Lu Yue of the Second Hospital was quite proud.

"How about it, haven't you seen such an advanced general anesthesia machine? Let me tell you, this machine was the latest we introduced last year. It cost a lot of money. Even the People's Hospital didn't have many of them. This time it was for surgery. Success, the Health Bureau specifically instructed to bring it in."

Chen Qi really wanted to tell him that in his two lifetimes, he had never seen such a simple anesthesia machine, and felt that the entire localization level was still in its original state, and even the breathing balloon was squeezed manually.

Is it fully automatic?

He can't wait to show them the anesthesia machine in the space operating room, what is a fully automatic anesthesia machine with the latest technology, but he can only think about it.

If he dared to take it out, the country dared to arrest him and cut him into two hundred pieces for research.

At this time, the anesthesiologist had already made all the preparations, and nodded to the chief surgeon: "Dr. Chen, the anesthesia has taken effect, and the operation can be performed."

Chen Qi also nodded with a smile: "Thanks for your hard work. This operation cannot be completed in less than 5 hours. Pay attention to the dosage of anesthesia."

"no problem."

Chen Qi looked up again at today's surgical assistant, as well as a large group of various leaders and directors who were visiting the operation.

"let us start."

Director Lu Yue of the Second Hospital, Bian Pengfei, Director of Surgery of the Fourth Hospital, and Yu Yaqin, Director of Obstetrics and Gynecology, served as surgical assistants.

This scene shocked the visiting leaders at all levels. It is simply a luxury configuration for several senior directors to be assistants to a small doctor, something that others can't even imagine.

But for Chen Qi, it was quite a deal. Don't forget that he is in the District People's Hospital, and he is the assistant of the director and the director of surgery. Today, these directors are far worse than Director Guo.

Chen Qi held a chess knife in his hand and made a large longitudinal incision on the patient's huge stomach, which was 40cm long, which made several directors present gasp.

The incision was really too big, it was almost like disembowelling, not to mention that the operation would fail, the incision alone might be unbearable for the patient.

Chen Qi also had no choice. In the hospital of his previous life, all kinds of examinations were done in this way, and the focus of the disease could be pinpointed.

Moreover, he was best at laparoscopic surgery in his previous life. No matter what kind of huge tumor you are, a few small holes in the stomach can solve the problem with a 10cm incision at most, and the patient recovers quickly.

But in 1983, he couldn't do anything, and he didn't know me if there were side effects? He can only bite the bullet now.

During the operation, Chen Qi cut the skin, subcutaneous tissue, and fascia layer by layer, separated the rectus abdominis, and cut through the peritoneal layer, and a huge "lump" appeared.

All of a sudden, everyone in the operating room raised their heads.

Director Lu Yue was the first to shout out: "Hey, the tumor is in the uterus. It seems that the possibility of uterine accumulation is high, so it is not malignant."

Chen Qi shook his head lightly: "That's not necessarily the case."