Chapter 34: Chapter 34: Astounding Skills
Translator: 549690339
The patients around heard bed ten asking this question and also perked up their ears to listen.
After all, they were curious to know if there was a direct connection between farting and eating.
Chen Bingsheng was about to explain when he suddenly turned and glared at Chen Cang, who was holding back laughter until his face turned purple, “Why can you eat after farting?”
Chen Cang heard that and instantly became serious, “Generally after surgery, whether a patient can fart is used by doctors to determine if the intestinal tract is unobstructed.”
‘Patients usually do not fart within one to two days after abdominal surgery. This is because the anesthetic drugs used during surgery, the surgical operation, and the stimulation of cold air entering the abdominal cavity can cause the intestines to become temporarily anesthetized, hence the inability to fart. When intestinal motility begins to recover, the patient may feel mild abdominal distention and even hear gurgling noises from their stomach, indicating intestinal motility. This is a precursor to farting. At this time, it means that intestinal function has been restored, and the gastric decompression tube can be removed, and the patient can begin to eat.”
Hearing Chen Gang’s explanation, the onlookers gradually nodded in understanding.
It’s normal to follow Chen Bingsheng on his rounds.
At one point, Chen Cang even wondered if Chen Bingsheng had intentionally practiced his suturing skills this way!
After suturing up a patient, he would laugh and tear it open… then suture it again… and tear it open again…
Before leaving, the nun in bed eight couldn’t help but keep asking Chen Bingsheng, “Doctor… when can I have the surgery? I feel like maybe tomorrow…”
Chen Bingsheng chuckled, “I don’t care about what you think, I care about what I think…”
As the woman continued to speak, Old Chen indifferently said, “There’s no need to discuss this question. Listen to me, just listen to me.”
After saying that, Chen Bingsheng left, leaving a room full of people who couldn’t help but laugh, sometimes tears mixed with laughter, the laughter making their wounds hurt…
Even the nun in bed eight was amused.
Everyone uses smartphones, so naturally they understand the meme Old Chen was playing on, and coupled with Old Chen’s ability to communicate effectively, everyone really likes this Dr. Chen.
No airs about him, very humorous, easy to get along with, but also very principled, seems to consider the patients in everything he does.
After finishing the rounds, they followed Old Chen into surgery. Several days had passed since Chen Gang’s appendectomy last week, and he hadn’t had any surgeries since then.
However, since receiving Old Chen’s insights on appendectomy, Chen Gang’s skill level in appendectomy had jumped straight to intermediate.
This meant that Chen Cang was now capable of independently handling standard appendectomies.
There’s quite a difference between the beginner and intermediate levels. Although Chen Cang was able complete his first surgery, it was very awkward, resembling a driving school student who had just passed the test, acquired a license, and was still on a probationary period, needing the company of an experienced driver for a while.
And the intermediate level is already that of a skilled driver, able to handle various road conditions.
So, now Chen Cang had completely lost his initial greenness!
Even the aura he brought into the operating room was different, as if carrying a breeze?
Liu Jian chuckled, “Who’s operating today?”
Chen Cangcoughed, “Me.”
Liu Jian nodded, “Do well, I’ll administer anesthesia in a bit. By the way, Xiaochen, I think you could use your phone to record the specific process, so you can look back at where you might need improvement. I remember when I was getting advanced training in Beijing, that’s how the director there taught the students.”
Liu Jian’s words instantly lit up Old Chen as well.
That was an excellent idea!
Qin Lele also nodded in agreement, “I’ll go get you an intern.”
The surgery was about to begin, all departments were ready, and the operation started.
It was still the standard procedure of marking, incising, and cutting. What seemed like a simple start, but as Chen Cang began, Old Chen suddenly frowned!
Because this incision seemed all too familiar!
Few people would hold the scalpel this way and slide down, as it appeared to be a unique thought of Old Chen’s.
Sliding down like this effectively avoids damaging the nerves, a little trick Old Chen had puzzled out in recent years.
Could it be that Chen Cang?
Had already grasped this point?
That seemed unlikely.
While surgical operations might look simple, every detail is meticulous, just as Old Chen mentioned: if your technique is not up to par, you wouldn’t even understand what you’re looking at.
With a glide of the pen and a pinch of the scalpel, this was an exclusive experience of Old Chen.
It wasn’t that Old Chen was keeping secrets from Chen Cang.
Rather, it was because Chen Cang simply hadn’t reached that level yet, and passing this knowledge to him now would be of no use, but could instead hinder his growth.
Perhaps Chen Cang had observed his own surgeries too many times, leading to habitual actions?
Old Chen attributed Chen Gang’s initial set of actions to the habits formed by often following his own surgeries.
After all, Chen Cang had only independently performed two surgeries, just two appendectomies, he was still a newcomer!
He himself had performed appendectomies not less than a thousand times, could they be the same?
However, when Chen Cang continued to the next step, Old Chen finally had to furrow his brows!
Because Chen Gang’s operation was too proficient!
Where did this resemble a young doctor who had just led on two appendectomy surgeries?
Proficiently cutting, skillfully using electrocautery, with perfect control of the coagulation; then came the irrigation and the beginning of the abdominal exploration…
Effortlessly and without wasting much time, he found the appendix.
Good!
Here comes the critical point.
Mesentery separation!
This is the core part of the appendectomy and it severely tests the surgeon’s skill level.
The hands of a surgeon are a combination of technique and art.
Seeing Chen Cang calmly and confidently separating, ligating, fixing… Chen Bingsheng’s frown deepens.
At this moment, Chen Cang had no mood to pay attention to Old Chen, after all, the man didn’t even cover for him; he had to rely on himself.
As the instrument nurse, Qin Lele continuously delivered new instruments into Chen Gang’s hands.
Very proficiently!
To be honest, Qin Lele had seen more appendectomy procedures than even Chen Cang had.
In just a few minutes, without needing reminders, Qin Lele knew exactly which instrument the doctor needed.
Originally, she thought she might need to give Chen Cang a reminder, but…
Qin Lele didn’t expect Chen Cang to complete the surgery so smoothly and swiftly!
The time…
It was almost as short as that taken by Old Chen!
Compared to the last surgery, it was cut by half!
Isn’t this frightening?
Chen Cang, what have you been doing these past two days?
Butchering pigs???
Chen Cang proficiently opened the abdomen, explored, sought the appendix by its color, and began the surgery.
This appendix monster was only level eight, not challenging at all; he finished the surgery easily and skillfully.
[Ding! Appendectomy monster slain, loot: Experience +100, RMB +100, Appendectomy Experience +100.]
Not bad, routine operation!
At this moment, seeing Chen Bingsheng with a worried frown, Chen Cang suddenly felt a pang in his heart…
This expression from Old Chen meant trouble.
Could it be…
Had he left something inside the patient’s abdomen?
ps:…