Start with the emergency physician
Chapter 144
What Zhou Yuan didn’t expect was that the ocean came when he heard the news and stared at Zhou Yuan with a bad smile.
“Junior Brother Zhou Yuan, you can still circumcision?”
Zhou Yuan nodded: “I have learned some and can get started.” ”
“I’ll be your assistant!” Ocean said.
So, the two pushed the drugs and instruments to the observation room.
The operating room is reserved for emergency patients, and a circumcision does not yet reach the operating table.
Zhou Yuan’s job is also the main knife, another anesthesiologist, and another instrument nurse, and the ocean also helps to fight.
“Lie down.” Zhou Yuan said to Fan Fan.
“Brother Zhou, you are so handsome.” Van Fan began.
Zhou Yuan glanced at Fan Fan and said, “Without injection anesthesia, do you directly let me cut off your skin?” ”
Fan Fan immediately stopped talking.
“Cavernous body anesthesia.”
After laying out the surgical cloth, Zhou Yuan picked up the needle, turned over the finch, pricked a needle on the finch, pushed in a part of the anesthetic, pulled it out, and then inserted the needle in another place and injected the anesthetic again.
Three different sourness, let Fan go to heaven.
After completing the anesthesia of the cavernous body, Zhou Yuan waited quietly.
After a while, he picked up the tweezers and asked, “Do you feel it?” ”
“Does it hurt?”
Fan Fan snorted and teared, and finally said after a few minutes: “I don’t feel it.” ”
Zhou Yuan nodded and began to disinfect and clean.
Although he had been instructed to go to the toilet to wash himself, complete disinfection was still necessary.
“Senior Brother Haiyang, you prepare 1:1000 Xinjier Extinguishing Liquid.”
Zhou Yuan said while washing the body of the bird with soapy water and salt water.
After cleaning, Zhou Yuan picked up the syringe again, frightening mortals stupid.
“Why is there any?!” Fan Fan cried.
Zhou Yuan said calmly: “Don’t worry, it’s already anesthetized, you don’t feel it.” ”
Zhou Yuan slowly injected the new Jier solution into the foreskin sac for disinfection.
“It’s over.” Zhou Yuan put down the syringe.
Fan Fan opened his mouth wide in surprise, and looked surprised: “It doesn’t hurt!” It really doesn’t hurt anymore! ”
That arrogant appearance, in sharp contrast to the crying just now, once made Zhou Yuan think that Fan Fan had been taken away.
“Hemostats.”
“Slotted probe.”
Zhou Yuan used to shout the name of the instrument when doing surgery, which was also a habit cultivated on the operating table.
The ocean is on the sidelines.
Why do you have to shout out when you take the equipment yourself?
Zhou Yuan clamped the foreskin on the back side with hemostatic forceps, and then used a grooved probe to peel off the foreskin adhered to the bird.
Haiyang took the second hemostat, clamped the place where the skin was laced, and lifted the foreskin to facilitate Zhou Yuan’s surgery.
Zhou Yuan glanced at the ocean in surprise: “It will be…”
Ocean smiled proudly: “I’ve done it before.” ”
“Done? Have you rotated around urology? Zhou Yuan asked.
Ocean: “No, I’ve been cut. ”
Zhou Yuan smiled.
He carefully placed the foreskin plate over the finch, and then carefully slashed the foreskin plate 0.5 cm from the distal coronal margin as a sign of excision.
Then, Zhou Yuan went up the inner ring again. The surgical sleeve is also ready to be sidelined.
The next step is to cause a comfortable cutting operation.
Zhou Yuan held the scissors, cut the foreskin along the probe groove, and made another ring cut at a distance of 0.5 centimeters from the coronal groove.
After cutting, start to stop bleeding.
Zhou Yuan carefully retracted the remaining skin, revealing the bleeding point, and then performed electrocoagulation to stop the bleeding.
The superficial dorsal vein in the middle of the back is ligated.
After completing hemostasis, Zhou Yuan began suturing.
The traditional method does not require stitch removal because absorbable wires are used.
Zhou Yuan picked up the needle holding forceps and used a thin silk thread to stitch a needle on the left and right dorsal and ventral sides of the circular incision, and then performed a ligation.
In order to prevent tissue edema from occurring, causing the sutures to collapse and the wound to crack, Zhou Yuan’s ligation is relatively small.
Finally, Zhou Yuan picked up the needle holding tongs again, and on the basis of the first round of four stitches, he stitched one or two more stitches between each two stitches. The extra stitches Zhou Yuan did not cut off.
After the stitching, Zhou Yuan took a piece of Vaseline gauze, circled it several times at the foreskin incision, and then reused the extra suture to fix the Vaseline gauze on the bird.
Finally, it is bandaged with gauze to ensure stability.
When he finished tying a bow on the gauze, Zhou Yuan had a long-lost smile on his face.
“It’s over.” Zhou Yuan said easily.
It’s still comfortable to do this job, and it has saved hundreds of millions of lives at every turn.
Fan Fan got up and looked surprised: “It’s over?” I haven’t felt it yet! ”
Zhou Yuan glanced at him: “If you feel it, I’m afraid I’ll be laid off.” ”
Even the most basic anesthesia can’t be done, and Zhou Yuan has no face to be a doctor.
Soon, Fan Fan jumped out of bed and looked at his finches.
After a while, I put on my pants.
Zhou Yuan took off his gloves, washed his hands, and prepared to see a few more patients before going to Dean Fang.
At eleven o’clock in the afternoon, Zhou Yuan arrived in front of Dean Fang’s office on time.
There was a knock on the door, and there was a sound of “entering” inside.
Zhou Yuan pushed open the door and saw at a glance that there were two people sitting inside, one was Dean Fang, and the other had black and white hair, looking fifty or sixty years old.
“This is the editor-in-chief of the Medical Journal of Country Z!” Dean Fang got up and introduced.
Then, he walked next to Zhou Yuan and said, “This is the author of that paper, Zhou Yuan.” ”
Zhou Yuan’s face froze.
Small magazines…
When Zhou Yuan went to medical school, the name of the Z national medical journal was thunderous, and among the national medical journals, the Z national medical journal can almost be said to be the most authoritative, and it is also the most recognized medical journal for medical students, teachers, and doctors.
The Z National Medical Journal covers most of the fields of medicine, although surgery is not as good as “Z Foreign Science”, orthopedics is not as good as “Z National Osteology” that specializes in orthopedics, but it has a wide range and strong comprehensive strength.
If you can publish an article on it, the doctor is already stable, take out this article during the interview, and the interviewer directly let it.
“Comrade Zhou Yuan, I read your paper, and it is very good!” Yang Shuxin began to boast as soon as he came up.
Zhou Yuan said calmly: “Thank you.” ”
“Dean Fang and Editor-in-Chief Yang, did you call me here to discuss the publication of this paper?”
Dean Fang smiled and said nothing.
Yang Shuxin shook his head, “No, we don’t just want your paper to be published in our “Z Country Medical Journal”! ”
Zhou Yuan was stunned: “You want to?” ”
“Have you heard of the Lancet? Lancet。 Yang Shuxin said.
“Lancet?”
Zhou Yuan froze for a moment.
The Lancet’s status, in a word, is one of the oldest and most respected medical journals in the world.
Its medical imaging factor is extremely high, and SCI a level of top papers, let alone a person, an ordinary medical school may not be able to publish an article on it……_
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