Chapter 154 Internship at Versailles
Wang Chen said to the direction again: "Go and call in the family members outside."
"Oh, good!"
Soon, the aunt was taken into the treatment room by Xiang Xiang.
As soon as I walked in and saw the scene in front of me, my aunt was dumbfounded.
Yeah! Why is it so serious!
Wang Chen waved to her and said: "Aunt, you see, the meat inside has become necrotic. Surgery must be performed to remove it. Otherwise, the consequences will be very serious and even life-threatening. Do you understand?"
After showing a shocked expression, the aunt nodded vigorously and said to Wang Chen: "I understand, doctor, you must save the head of my family, he, he cannot be lost!"
Seeing those necrotic tissues, the aunt was really scared now. She never thought that it would be so serious after just a fall.
Wang Chen did not give the family a definite answer, but just said: "Now we have to do debridement surgery immediately. Only by cutting off all these gray necrotic tissues and skin can we save our lives. However, I still have to tell you in advance.
Now, for such a serious situation, you still have to be mentally prepared and prepare for the worst."
"Ah? Doctor...doctor, please do the surgery quickly! Please, doctor, we must save him."
"We will definitely try our best!"
For such severe fasciitis, we can only conduct debridement and observe later. There must be a large area of necrosis inside, and debridement will probably take several hours.
"Li Mu, direction, you take the patient to the operating room to make preparations first. I will give the family members pre-operative instructions and sign them. I will go over after signing!" Wang Chen instructed.
"Okay." Li Mu agreed.
Then, the patient has to be pushed to the operating room.
However, the direction was stunned.
Because, according to what Wang Chen meant, he wanted to do the surgery himself?
But, he is still just a trained doctor?
"Direction! Why are you in a daze? Come and help!"
Li Mu was about to push the patient away, but when he looked back, there was no movement in the direction of the intern, so he couldn't help but shout to him.
"Oh, here it comes."
Xiang Fang glanced at Wang Chen again with a puzzled look, and then he and Li Mu pushed the patient to the operating room.
On the way, Xiang Fang was still thinking that from the perspective of the rescue just now, this doctor from the training program, Teacher Wang Chen, seemed unusual.
Soon, Wang Chen also came to the operating room.
Li Mu was doing the work of disinfecting and spreading towels, while the intern Fang Fang stood aside and watched carefully.
"Have you been to the operating room before?" Wang Chen asked the other party.
Xiang Xiang shook his head and said, "Not yet."
"When you go to the operating room for the first time, remember to follow the instrument nurse to understand all the instruments clearly. For example, what are oval forceps, what are curved forceps, tissue forceps, etc. You need to remember all of these, you know?"
"I understand, Teacher Wang."
"This time you just watch from the side first, and then you will follow me for a few more surgeries, and you will gradually become familiar with it."
Surgery in the future?
When Xiang Xiang heard this, he was very excited.
"Thank you, Teacher Wang."
Xiang Xiang's mouth opened with joy.
Hasa, what’s wrong with my teacher being a graduate student? He can operate in the operating room, and he can take me with him to the operation.
Can you do it?
Thinking of this, Fang Xiang secretly turned around, took out his mobile phone, and with the speed of a man who had been single for more than 20 years, he quickly and coquettishly sent a message to their intern group:
"Alas...just two days after I came to the department, my teacher arranged to follow me to the operating room, and the surgery to be performed this time was a relatively rare case of necrotizing fasciitis. Sadly, the teacher also asked me to
I quickly learned how to use the instruments and became his assistant. Alas, I think about how difficult it will be during my time in the emergency surgery department..."
After sending the text message, Xiang Xiang immediately muted the ringtone of his cell phone, put it in his pocket and stopped caring about it. He wanted to concentrate on watching the operation.
However, his Versailles speech immediately attracted criticism and abuse from other interns in the group!
As soon as they saw it, they understood that although Xiang Xiang had a very reluctant tone, was miserable and unhappy, in fact, he was obviously pretending to be cool.
These people are all rookies who have just entered the hospital for internship.
I was able to go to the operating room as soon as I heard the directions.
Everyone in the group showed envy and jealousy.
The other two interns who were also interns in emergency surgery were also surprised when they saw this news.
"Aren't you following a trained doctor? How could you go to the operating room so early?"
"Oh, if I had known earlier, I should have raised my hand to choose that young doctor from the medical school as a teacher.
Interns who have just entered the hospital are very yearning for the operating room. They will feel lucky to have an appendicitis operation.
I didn't expect this guy Xiang Xiang to be so lucky. I thought he would learn nothing by following the training program.
Unexpectedly... I could go to the operating room so early, and what I saw was a relatively rare form of necrotizing fasciitis.
The operation begins.
Necrotizing fasciitis is a simultaneous infection of anaerobic and aerobic bacteria.
Therefore, the liquid to clean the tissue should be hydrogen peroxide, metronidazole solution or potassium permanganate solution.
Removing the necrotic fascia while rinsing it is the main step of the surgery.
Put on the surgical gown and go on stage.
Then, Wang Chen took the scalpel and cut first from the root of the thigh, then into the middle of the lower abdomen.
Xiang Xiang stood next to the equipment nurse. Looking at this scene, he had a growing doubt in his heart!
Although Teacher Wang is a doctor with regular training, why does it seem that Li Mu, a senior resident doctor, admires Teacher Wang Chen so much?
Why is this?
He felt strange!
Then, an idea came into his mind.
That is, the trained doctor he is following may really be a big shot!
Otherwise, it would be impossible to be able to sit in the clinic independently during the trainee period, and still be able to perform surgeries?
Thinking of this, Fang Xiang couldn't help but feel lucky. It seemed that he was lucky enough to be able to follow a big shot in emergency surgery.
Wang Chen took a scalpel and cut open all the skin at the base of the thigh.
Necrotizing fasciitis requires removal of the infected skin as well.
Therefore, if there is not enough skin in the later stage, a second skin grafting operation will be performed.
An entire vaginal skin flap was lifted.
Suddenly, a stronger smell hit everyone's nostrils.
Immediately afterwards, the necrotic fascia tissue of the entire thigh root, groin and lower abdomen appeared in front of everyone's eyes.
From the top of the thigh to below the navel, everything is gray tissue that has been invaded by bacteria and turned into necrosis.
The fat fascia inside is all necrotic!
Especially the groin, with a lump of gray flesh sandwiched in between, with no normal blood-colored tissue visible at all.
Only by moving your gaze upward can you see bloody tissue on the left and right sides of the abdomen. This means that the bacteria have not invaded the entire abdomen.
"I'm going! This is the worst necrotic fasciitis I have seen so far." Li Mu said in surprise.
Wang Chen was holding the equipment seriously. The first thing he had to do was cut off the necrosis here.
In the entire operating room, except for the unpleasant taste.
Chapter completed!