Free Web NovelChapter 1072: Chapter 1072: The "Cost-Effective" Surgery
(Thanks to Desert Lone Wolf for the reward and monthly ticket encouragement.)
"Cui Jia, review the procedure for resection of the diverticulum and anastomosis of the small intestine for this surgery." Liu Yiqing had just stood up, and Liu Banxia spoke up.
"First, you need to ligate the blood vessels supplying the diverticulum, use intestinal clamps to control the ileum, and then remove the diverticulum from the base," Cui Jia quickly said.
"As for small intestine anastomosis, you can perform interrupted full-thickness suturing along the transverse axis of the intestine, followed by interrupted suturing of the muscularis," Teacher Liu, is that correct?"
"That’s quite good, so you’re pretty lucky today. Such a large incision for an appendectomy, I wonder if Dr. Liu will give you the opportunity." Liu Banxia said.
"I’ll definitely give it to you, the surgical field is so good, let’s just treat it as an exercise," Liu Yiqing hurriedly replied.
"Hehe, should I add an extra dish for lunch?" Cui Jia asked foolishly.
"No need to exploit you, wait until you can proficiently master small incision appendectomy, then adding an extra dish would be reasonable." Liu Banxia said.
"You shouldn’t underestimate yourself; what’s so exciting about such a routine appendectomy? Nowadays, we are an emergency center, rather than the previously deserted emergency department."
"Be more confident, be more demanding of yourself, set higher standards for yourself. You’re a training doctor; even with a bachelor’s degree, if you dare to think and learn, I can guarantee you will reach Liu Yiqing’s level in two years."
This was like being injected with adrenaline; Cui Jia’s eyes were nearly aflame.
The standard of Liu Yiqing was something she didn’t dare to imagine, but now Liu Banxia dared to make such a promise, so she threw herself into it.
"Doctor Li, what was Liu Yiqing’s expression when she first felt the appendix?" Liu Banxia asked Li Liwei again.
Liu Yiqing knew this was Liu Banxia’s tactic to stir trouble. But she wouldn’t take it to heart, already accustomed to such antics.
"At first, she was quite confident, but when she extracted the appendix, there was a slight hesitation. However, at the time, it didn’t seem like much," Li Liwei said cooperatively.
"When it came time to perform the removal surgery, she paused and carefully examined the appendix. Finally determined, it wasn’t the appendix she wanted, and planned to return it."
"She considered for about three minutes and then called you. I think this deserves praise; the time management was excellent; not forcing herself to make a decision is rare."
Liu Banxia also nodded, "Indeed, that’s quite good; the biggest fear is forced operations with no plan. That would lead to lawsuits and compensation."
"But today’s patient’s situation is very unique; typically, Meckel’s diverticulum presents with bowel obstruction, diverticulum bleeding, diverticulitis, or diverticulum perforation."
"However, she was pretty lucky, having diverticulitis and a small-area intestinal torsion that changed the position of the diverticulum but didn’t lead to a bowel obstruction."
"I believe the pain mostly came from the intestinal torsion and diverticulitis, but the inflammation progressed quickly, already causing seepage. Rest assured, the patient’s symptoms, physical examination, and ultrasound imaging were sufficient to support your decision to perform an appendectomy."
"Even if queued for a CT scan, it may not capture it. It could waste a lot of time, possibly even leading to peritonitis complications."
"Having you add an extra dish for lunch isn’t a loss; it’s an opportunity Heaven gave you. Think about how much you’ve seen today that you hadn’t seen before, and how much you’ve learned that you hadn’t learned before."
"This surgery is indeed worth it; later when you tell the other five, it’ll make them green with envy. Practice the suturing thoroughly; make sure to close the abdomen properly, you must do it well."
"Alright," Liu Yiqing responded.
With such a long buffer time, her spirits returned to normal.
When performing surgery, one must remain calm; being too excited or too deflated won’t work. It’s essential to maintain a steady mindset to handle various situations.
Liu Yiqing’s handling was smooth; Meckel’s diverticulum is difficult mainly because it’s hard to diagnose and is often discovered during other surgeries.
However, once found, the surgical process is straightforward, focused on testing suturing skills.
For Liu Yiqing, such surgeries are indeed minor, crafted under Liu Banxia’s constant training; the skills of any of them aren’t lacking.
When it reached Cui Jia’s part, there was a slight delay.
After all, there was some nervousness; usually, she was an assistant, and sometimes not even an assistant, just watching. For her, today was a great harvest.
While Liu Yiqing was closing the abdomen, Liu Banxia watched carefully.
This surgery indeed had some variances; if the suturing wasn’t done well during tension reduction, it could truly leave this patient regretting it.
Nonetheless, despite some pressure, Liu Yiqing perfectly completed the suturing.
Ding! Surgery task completed.
Gain 300 points of experience, 100 points of proficiency in dressing techniques, Glory Points +3.
This task’s rating is "perfect", gain 500 points of experience, 200 points of proficiency in dressing techniques, Glory Points 5 + 3, 1 solidification stone.
Looking at the system’s rewards, Liu Banxia was somewhat surprised. It seems the system wasn’t as stingy as imagined; in fact, it was quite generous.
Or perhaps my previous understanding of the perfect rating wasn’t thorough enough, and my interpretation was off track.
I used to think that a surgery without any flaws was perfect. However, this patient’s surgery encountered complications, which did not align with my idea of perfection at all.
Yet this time it still received a perfect rating. Does that imply the system considers perfection as a perfect response to the actual circumstances?
The patient’s appendix wasn’t a major issue, and under my guidance, Liu Yiqing re-examined and judged it as Meckel’s diverticulum.
Although her operation was not as swift as mine, it was still very commendable. For this patient, it was a perfect surgery.
"Teacher Liu, is the suture okay?"
Seeing Liu Banxia staring at the incision, Liu Yiqing asked, feeling a bit uneasy.
"It’s very good, apply the dressing and wake the patient," Liu Banxia nodded and smiled.
"Would you like me to help explain things to the patient’s family? If you need me, I can go over. But it’s your choice; I don’t mind either way."
Liu Yiqing quickly shook her head, "I’ve thought it through, I can face her family."
Liu Banxia nodded, "Then it’s up to you. Once the operating room is tidied up, let’s meet at the cafeteria. Don’t forget to add some extra dishes."
"Not bad, today’s emergency surgery was truly worth it," Li Liwei said.
After waiting for a little while longer, the patient woke up. Liu Yiqing quickly explained the situation on the operating table, but not in too much detail.
Due to the effects of anesthesia, explaining too much would be hard for her to understand or remember.
"Today was truly challenging, but it should be quite helpful for Liu Yiqing’s growth, right?" Li Liwei asked while tidying up.
"Absolutely," Liu Banxia nodded.
"For a surgeon, every opportunity for growth is extremely valuable. Even though instrument checks are highly advanced now, misdiagnoses are still quite common."
"It’s just that this patient’s situation was very unusual, which complicated things today. In the end, we should reduce some costs to soothe the emotions."
"This condition is indeed easily misdiagnosed. I heard from Liu Yiqing that when the patient initially sought medical help, her abdominal muscles tightened, and she broke into a sweat from the pain," Li Liwei said.
"That’s precisely what makes it a headache. Otherwise, conducting another CT would have been more convincing. But now it’s not a big deal; nothing major."
As Liu Banxia said, these things are inevitable. Moreover, with relevant inspection indicators in place, it’s merely a minor issue, not even an accident.
However, Liu Yiqing happened to deal with it, and she’s never encountered such patients before.
Upon leaving the operating room, Liu Banxia was still contemplating the task.
For him, he was truly eager to use the solidification stone. But while what the system provided was excellent, it sometimes doesn’t explicitly explain.
Though the method is given, the note "attribute points revert upon use, gem insets reset" prompts him to consider carefully.
He interprets it as using the solidification stone, like stabilizing the spirit, causing all attribute points assigned to the spirit to revert?
This reversion should mean the attribute points assigned to the spirit revert to available points, but can he reassign them to the spirit? He’s unsure.
The reset of gem insets likely refers to the gems boosting the spirit.
This is fine, as part of the system’s sneaky attributes, enticing you to spend Glory Points on stones for insetting.
The system’s "cautiously use" caution suggests this is a significant issue. Thus, he places great importance on solidifying this skill.
He dares not try it easily and must continue saving up, his mind itching from eagerness.
Arriving at the cafeteria, Liu Yiqing was already there waiting with a cheerful smile.
"How’s it going? Do the patient’s family have any other requests?" Liu Banxia asked.
Liu Yiqing shook her head gleefully, "He got all the information. Once the costs are out, he’ll pay right away, and he even apologized to me."
"Instead, it made me feel a bit guilty. If I’d been more meticulous and adjusted her position, perhaps I could have detected some anomalies."
"If I was unsure, I would certainly seek you out, and might even be able to diagnose it directly, without today’s hassle, avoiding such tension."
Liu Banxia glanced at her amusingly, "You’ve used ’if’ and ’perhaps’ so much—meeting all these criteria is impossible. Even if I had first met this case, the situation wouldn’t differ from today, except I wouldn’t panic like you."
Feeling embarrassed, Liu Yiqing grinned sheepishly. The situation today was indeed too unique, and she seemed to have been quite edgy in the operating room later.
