At first, Xie Wan could only assist with eyes. When it was almost time to get off work, Zhou Aimin asked Xie Wan to switch to the second assistant position so that he could help stop the bleeding and clean the abdominal cavity.
The next day, when the morning meeting was over, Zhou Aimin suddenly said to the head nurse:
"Starting today, Xie Wan will also be assigned the night shift. Let her follow Wu Jian during the night shift."
Their interns do not have night shifts.
When the instructor is on night shift, if you are sensible, you will take the initiative to join in.
Zhou Aimin is nearly sixty years old and is the director, so he does not need to work night shifts.
Only when the patient is critically ill will the doctors below call his home and ask him to come over for support.
Zhou Aimin made this arrangement because he was worried that Xie Wan was not strong enough, so he wanted Wu Jian to teach her as well.
If other people who have no ambition heard such an arrangement, they would definitely think that Zhou Aimin is making fun of Xie Wan.
But Xie Wan was overjoyed after hearing this. She no longer had to sneak around at night.
For many surgeries, patients go to specialized departments during the day, and the emergency department can only accept a limited number of patients.
On the contrary, at night, when other departments are off work, all kinds of patients will flock to the emergency room.
Therefore, the time when you get the most training in the emergency room is during the night shift.
Wu Jian, however, looked disgusted and muttered, "Wow, old man, you know you are too old to work the night shift, so you gave your apprentice back to me. You just take advantage of me!"
After the meeting, Wu Jian raised his head and said to Xie Wan: "From today on, you are no longer your half-brother. I am your second master. Do you hear me?"
Xie Wan nodded servilely, "Doctor Wu, whatever you say is what it is. As long as you are willing to teach me, you can even call me my second uncle."
They were the only ones on duty that night.
At nine o'clock, Xie Wan accompanied Wu Jian to check the room.
There are sixty beds in the emergency room. Patients here don’t stay for very long. Basically, they will be transferred to other departments once their condition stabilizes.
If the condition is unstable, then we can only go to the funeral home.
Anyway, it's impossible to stay in the emergency room forever.
The ward rounds took an hour. Xie Wan watched Wu Jian communicate with the patients, reminding their families what to pay attention to at night and to call the nurses' station immediately if anything happened.
At eleven o'clock, Wu Jian fell asleep in the doctor's office and asked Xie Wanyou to call him when the patient came.
He works a day shift and then has to work the night shift, which is really hard.
Xie Wan was sorting out medical records when someone from the nurse's station called her over to take a look.
As soon as Xie Wan arrived, she saw a young man supporting an old man, anxiously shouting at her:
"Doctor, my dad has had a stomachache for a day. Please help him."
Xie Wan asked the nurse to push a bed over so that the old man could lie down.
After pressing the old man's abdomen, she diagnosed it as acute appendicitis, but after asking the young man about the time of the onset of the disease, she was worried that it might have been perforated.
"Sister Xiaorou, go and call Doctor Wu, this may require emergency surgery."
Xie Wan pushed the electrocardiogram over and gave the patient an electrocardiogram.
After Wu Jian came over to diagnose the patient, he asked for the operating room to be prepared immediately.
"It should not be pierced yet, but if it is taken off again it will definitely be pierced. Let the family sign."
While washing his hands, Wu Jian said with a smile: "Why don't you just do this? I'll be your assistant."
Xie Wan was very happy.
She worked the night shift just for this opportunity to get started.
She had already learned how to perform appendectomy surgery from Wu Jian, but she could only assist, and Wu Jian did not dare to let her perform the main operation.
Now that Zhou Aimin's attitude had softened, Wu Jian became noticeably bolder and actually agreed to let her perform the surgery.
“Dear brother…”
"Call Second Master!"
"Okay, Second Master, this won't be against the rules, right?"
Wu Jian was stunned. "What rules are you violating? Don't you know how to do it?"
Xie Wan asked carefully: "I'm still an intern? Isn't there a medical examination?"
Wu Jian was even more confused, "I am just guiding my students through surgery, what are they checking?
What's wrong with an internship? Aren't you here to learn?
If you are not allowed to perform surgery, how can you perform surgery independently in the future?"
Xie Wan then realized that this was the 1970s, when the medical system was not that strict, and the doctor-patient relationship was not as bad as it is in later generations.
In medical school, teachers take apprentices, and when they see that you have learned something, they will let you practice more, hoping that you will be able to stand on your own as soon as possible.
Xie Wan couldn’t describe how he felt.
The reason why she chose to study veterinary medicine instead of studying medicine directly was not because her grades were bad, but because she was really scared by the medical disputes on TV.
Even though she loved medicine very much, she didn't dare to pursue this career.
Not only medical disputes, in later generations even doctors’ lives were in danger.
There have been many cases where if a patient could not be saved, the patient's family would stab the doctor.
“It’s great to be born in this simple era!”
Xie Wan couldn't help but sigh.
Wu Jian glanced at her sideways, "What's the matter? It's just an operation. Do you want to improvise a poem?"
"Appendectomy is just a minor operation. You've seen me do so many surgeries, and I've learned a lot from Old Man Zhou these past few days, so it's time for you to try it out.
Don't be afraid, I'm here with you, and I'll stop you in time if there's any problem."
Xie Wan chuckled, "I see. This isn't the first time, am I a little excited?"
Wu Jian nodded, "You are quite brave. Even men would be so scared when they have their stomachs cut open for the first time that their legs would go weak."
Xie Wan thought, doesn’t an abdominal surgery like appendectomy require opening the abdomen?
The anesthesiologist was Liu Chunyang, a doctor in his forties who had a good relationship with Wu Jian. When he saw where the two were standing, he realized that the intern Xie Wan would be the lead surgeon today.
However, the patient was still conscious, so the few people did not say anything explicitly so as not to worry the patient.
Liu Chunyang gave Xie Wan an encouraging look.
Xie Wan clasped his hands together and made a gesture of please.
Anesthesiologists are extremely important in an operation.
Xie Wan began to choose the incision location.
In later generations, most appendectomy surgeries were performed using laparoscopy.
But now they still have to open the abdomen.
The incision for appendectomy surgery is usually made at McBurney's point where tenderness is most obvious in the right lower abdomen, and at the middle and outer third of the line between the umbilicus and the right iliac spine.
Xie Wan chose to perform the surgery through an oblique incision in the right lower abdomen.
Anesthesiologist Liu Chunyang was a little surprised when he saw Xie Wan steadily use a knife to cut open the patient's abdomen and begin to explore the appendix.
"Xiao Xie, this doesn't look like your first time operating on someone, right?"
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