1986: Old Stories in Northeast China

"Brother, I just heard Brother Chen mention it. Is this small incision appendectomy difficult to perform?" Han Zhenwen asked in a low voice while washing his hands. "Yes, it is indeed very difficult for me. It is a little different from the original approach. In order to facilitate the operation, a transverse incision needs to be made next to the McBurney point." Han Zhenwen nodded. "This time I plan to make a three-centimeter incision, but I don't have much confidence, so I called Teacher Chen over. Teacher Chen is amazing. Although he has never done such an operation, his ideas are better than anyone else." Chen Tiezhu next to him laughed, "What's the point of you praising me? It depends on you to perform the operation. How have you been exercising recently? Have you adapted to using small chopsticks?" "Yes, I have adapted to it a little bit, much better than before. It's still a little difficult to pick up soybeans now, but I won't say much about picking up peanuts." Fang Zhiyong said with a smile. "Anyway, when there are no patients, I practice in the office. It really helps with the flexibility of my fingers. I will continue to work hard."

"Director Fang, are you also practicing using small chopsticks?" Han Zhenwen asked curiously.

"Yeah, it really helps." Fang Zhiyong said.

"I usually tie sandbags and go out for a run. Now I eat a lot more, and I have more strength than before. It really works."

"Keep going, and adjust the weight appropriately. If you are proficient in using chopsticks now, continue to adjust. When you can eat normally with toothpicks, it will be considered as meeting the standard." Chen Tiezhu said casually.

When they heard this, they both grinned.

Toothpicks..., it's really worrying.

After washing their hands and coming to the operating room, Chen Tiezhu was happy.

It is also a teaching operating room. Although it is not as big as the provincial hospital, it is similar.

Ma Guoming led a group of white coats from the county hospital and prepared to observe.

After greeting everyone, Chen Tiezhu carefully checked the operating table again. Although only a simple mechanical device was added at the bottom, it was completely sufficient.

Then he nodded to Fang Zhiyong and the patient could be pushed in.

At this time, the hearts of the white coats who were observing were very uneasy.

They had indeed seen Chen Tiezhu's bone-setting techniques, and whether you were willing or not, you had to admit it.

But it was a bit nonsense to call him over for a small incision appendicitis operation.

Which doctor who can go on the operating table has not been able to operate after years of observation?

Now they really don't understand why the dean and Director Fang made such a decision.

At this time, the patient also came to the operating room. He was in great pain and looked a little haggard.

"Zhou Gang, don't worry. Although it is a new operation, we are confident." Fang Zhiyong said.

The patient nodded and lay on the operating table.

"Doctor Liu, give me anesthesia." Fang Zhiyong looked at the anesthesiologist next to him.

Doctor Liu did not delay and started the operation directly.

Chen Tiezhu also paid a little attention to Fang Zhiyong's condition, which was not bad. At least after the patient came in, his mood calmed down.

"Tilt the operating table ten degrees."

After the anesthetic took effect, Fang Zhiyong spoke.

The white coats watching also perked up.

Regardless of whether Chen Tiezhu could play a role, if Fang Zhiyong could really perform this small incision appendectomy, it would be a feat.

After the nurse adjusted the operating table, Fang Zhiyong also observed carefully. After all, it was the first time to do such an operation, he had to find an angle that was most suitable for his operation.

"Adjust it about seven degrees."

Fang Zhiyong was still hanging the wire, and Chen Tiezhu spoke.

"Adjust."

Fang Zhiyong spoke directly without any hesitation.

The nurse continued to adjust. This time, after Fang Zhiyong stood at the edge of the table again, he turned around and gave Chen Tiezhu a thumbs up.

This angle and position are just right.

"Don't be nervous. With Teacher Chen in charge, I am more confident." Fang Zhiyong said to the patient.

"Director Fang, it really doesn't hurt during the operation, right? I'm a little scared." The patient said.

"It's okay. The reason why I didn't give you general anesthesia is also considering the impact of anesthetics on people." Fang Zhiyong said patiently.

"Although you can stay conscious with this kind of anesthesia, the anesthetic has already taken effect. You can't feel the pain. I will make an incision here in a while. Do you feel anything?"

"Well..., I can feel you touching it, it seems that nothing is wrong." The patient's mood also stabilized a little.

"Are you relieved now? Then let's officially start, disinfection, and laying auxiliary towels." Fang ZhiyongNodded.

After receiving the order, the nurse next to him also started to operate.

Chen Tiezhu observed calmly.

Although it is a county hospital and the medical level is so low, the people in the operating room are of high level.

He was very emotional in his heart. The backward technology does not mean that the overall level will be low. Many times, it is a question of attitude.

After the preparations were done, Fang Zhiyong looked at him, and he nodded and encouraged.

Picking up the scalpel, Fang Zhiyong calmed down again and cut steadily.

Chen Tiezhu looked at the cut and was very satisfied. From his visual observation, the three-centimeter incision was not too big or too small.

However, he also somewhat missed the medical equipment of later generations.

If it were him at that time, he would have to change the electric knife next. But now such a small hospital does not have this, it all depends on the scalpel in hand.

Cutting and stretching layer by layer, the whole process is very skillful.

Of course, in his assessment, it would be better if he could continue to communicate with the patient and stabilize the patient's emotions during the operation.

Fang Zhiyong calmed down again and then put his finger in.

This step is the key, that is, to find the location of the appendix with fingers, similar to "blind operation".

Not to mention Fang Zhiyong, even the white coats watching him became nervous.

Time passed little by little, Fang Zhiyong felt for more than a minute, and a gleam of light bloomed in his eyes, "Appendix forceps."

The assistant next to him hurriedly handed it over.

Fang Zhiyong carefully inserted the appendix forceps, clamped it tightly, and then carefully lifted the appendix along the incision.

But as the appendix was brought out, everyone's heart "clicked" and Fang Zhiyong's forehead sweated.

This appendix is ​​normal flesh color, and there is no symptom of any disease at all.

Misdiagnosis?

Even if Fang Zhiyong's current operation can be described as perfect, the misdiagnosis alone can cost lives.

If there is nothing wrong with the patient's appendix, how do you explain it to the patient if you cut it open and took it out?