(Thanks to the encouragent of the baby, Mad Chief, and Panda Monthly Ticket)
"Brother Li, how’s it going?"
After the patient was anesthetized, Liu Banxia asked Li Liwei.
"So far, so good, the blood pressure is fairly stable," Li Liwei replied.
"Then it’s up to Sister Huang, Liu Yiqing, be ready as the first assistant," Liu Banxia said.
"Also, learn well from Teacher Huang. A standard cesarean section like this isn’t seen often. You all should get a chance to observe such procedures, though obtaining patient consent can be tricky."
"Director Liu, I’ll deliver the baby and leave the rest to you," Huang Ying said.
"Technically, that should be fine, but please guide Liu Yiqing. I plan to have her handle the spleen later. The bleeding from the spleen isn’t much, so it should be possible to repair it," Liu Banxia said.
"Teacher Liu, do you really want to repair the spleen?" Liu Yiqing nervously asked.
"If not you, then who? Use the talent where it’s needed," Liu Banxia replied.
"What an opportunity! Spleen repair doesn’t seem any less challenging than spleen removal, does it?" Huang Ying asked while operating.
"Really? I didn’t think it was difficult. What do you think, Liu Yiqing?" Liu Banxia asked Liu Yiqing.
"I think it’s also very difficult," Liu Yiqing said as she assisted Huang Ying in opening the abdon.
"The spleen is too delicate. Be very cautious when lifting it, and take special care during suturing. Even after, you have to be extrely careful when putting it back, or all the effort goes to waste."
"So it seems that a cesarean section is relatively simpler, without as many considerations, right?" Liu Banxia continued to ask.
"Not really. At the very least, you must be cautious when opening the abdon to avoid injuring the baby. Once the baby is delivered, you also need to carefully clean the uterus," Liu Yiqing replied.
"Oh... I don’t even know whether I should opt for natural birth or cesarean when I have kids in the future. Both have their advantages; it’s quite a dilemma."
Just after saying that, she suddenly felt the atmosphere in the operating room turn a bit awkward. What she said wasn’t wrong; even though she wasn’t in a relationship yet, it didn’t an she wouldn’t get married and have kids in the future.
"As expected from soone learning under Director Liu, this must be your first ti assisting with a cesarean section, right? You did very well. Quick reactions and a good grasp of theoretical knowledge too," Huang Ying said with a smile.
Liu Yiqing was a bit stunned. Now she understood that the previous chitchat was essentially an assessnt of her abilities. She had spoken without thinking at the ti, just off the top of her head.
"Don’t get complacent. Focus on assisting Teacher Huang with the cesarean," Liu Banxia stated.
"Just because Teacher Huang complinted you doesn’t an you shouldn’t think deeper about many things. Every surgery isn’t as simple as it seems."
"Take this cesarean for instance. How to choose the incision position on the uterus, the size of the incision, the actions to take when extracting the fetus, and how the midwife should assist."
"Be more serious; these are incredibly valuable experiences. Reading materials a thousand tis isn’t as effective as watching Teacher Huang perform once. Opportunities are rare; buy a chicken leg as a bribe when we have lunch later."
"Um, okay..." Liu Yiqing said hesitantly, just going with the flow.
Huang Ying was amused, finding Liu Banxia’s teaching thod rather unique. His interns seed quite entertaining too.
"Liu Yiqing, don’t be intimidated by him. It’s not that complicated," Huang Ying said with a smile.
"What you said earlier was really good, but during the extraction of the fetus, extra care must indeed be taken. This little one is full-term, so that’s a relief."
"Without natural delivery, many babies might have so immunity or lung developnt issues. Although the impact isn’t major, postnatal observation is necessary."
"Alright, I’ve reached the baby. Today, you can be my assistant midwife and give it a try. Don’t apply too much force, just gently follow the strength and push."
Upon hearing Huang Ying’s words, Liu Yiqing couldn’t contain her excitent. She eagerly pushed downward, carefully and cautiously.
At that mont, she ignored whatever Liu Banxia had said before and focused all her energy on delivering the baby.
This is why Liu Banxia always felt a bit anxious when admitting pregnant ergency patients. The stakes weigh a bit heavier when a small life is involved.
Perhaps it was full-term, or maybe this little one was eager to experience the world sooner, but its cries were loud and clear.
"This little girl might have quite the temper in the future. She’s not soone to be trifled with," Huang Ying joked with a smile.
"Hehe, I can feel the baby too," Liu Yiqing giggled happily.
"Director Liu, the blood pressure is dropping a bit," Li Liwei reminded.
"I see it. Possibly due to the cesarean, the spleen is bleeding a bit more. Liu Yiqing, hurry up, stop the bleeding first, then clean the uterus," Liu Banxia said.
Liu Yiqing quickly started the operation, and this ti her first assistant was Liu Banxia.
"Liu Yiqing, do you think we were a bit muddled just now? We could have first controlled the spleen bleeding, or even repaired it directly, and then delivered the baby in ti, right?" Liu Banxia asked.
"Not at all." Liu Yiqing replied.
"The spleen bleeding wasn’t that severe, we had plenty of ti. But the baby was anxious, initiating natural childbirth, but then the mother got scared and couldn’t deliver."
"Although the baby could stay inside a bit longer, it was still dangerous. Hmm... the baby doesn’t understand much yet but probably has so instincts or sothing, right?"
As she spoke, she herself didn’t know exactly what she was saying.
It amused everyone in the operating room, it seed Liu Yiqing was truly anxious just now.
"Teacher Liu, I wasn’t doing it on purpose, do you believe ?" Liu Yiqing asked boldly.
"If it were soone else, I wouldn’t, but with you, I do. You’re not foolish at all, it’s just that your brain often goes offline," Liu Banxia replied with a smile.
"Actually, you didn’t quite get to the point earlier. The most important thing is to make an overall assessnt to prioritize the urgency and sequence."
"It’s a simple issue, unrelated to the baby’s instincts. Because the initial bleeding wasn’t significant and the vital signs were stable, we could perform the cesarean section first."
"After all, with the amniotic fluid already broken, taking the baby out early is beneficial for both the baby and the patient. However, there was a slight hiccup; I thought we could make it until the uterine suture was complete."
"But it doesn’t really matter. Once you’ve clamped the blood vessels, you can perform uterine curettage, suture the uterus, and then stitch up the spleen. The laceration is small, very simple."
"Okay," Liu Yiqing responded cheerfully.
"Director Liu, I’ll leave the rest to you guys. I’ll first deal with the baby afterwards, so the patient’s family doesn’t worry," Huang Ying said.
"Alright, thanks, Sister Huang," Liu Banxia replied.
"Why thank ? You have to carefully teach Liu Yiqing how to handle the rest," Huang Ying reminded.
Liu Yiqing was very happy; today’s operation was very successful, even though it wasn’t finished yet, she felt extrely confident.
"I wonder if the pencil has been removed from the kid’s eye in the next room. Nowadays, kids have no sense of asure when playing around," Liu Banxia said.
"That case was with Xue Ying, I don’t know what the CT results are. Did you see it? It didn’t puncture the brain ventricle, right?" Li Liwei asked.
"Judging by the kid’s behavior, it seems fine, but it’s hard to say how much damage was done. It seed to have gone in quite deep, honestly, it’s hard to tell," Liu Banxia said.
This was sothing that always weighed on his mind too; the kid wasn’t that old, and the pencil just went in like that. Even with so luck, the eyeball couldn’t be saved; this is the most conservative estimate.
"Teacher Liu, when are we starting the intern assessnts on debrident and suturing?" Liu Yiqing asked.
"I still need to coordinate with other departnts, we’ll conduct the assessnts at our ergency center. It should be soti soon, anyway they’ll be taking turns," Liu Banxia said.
Now that the patient’s condition was very stable, everyone was quite relaxed.
For Liu Yiqing, independently completing a spleen suture was no big deal, especially with Liu Banxia watching over, there really wasn’t a problem.
This was a rare training opportunity. They all managed independently before out of necessity, now they need to solidify their basic skills more.
"Not bad, Little Liu Doctor learned well from Big Director Liu," Li Liwei gave a thumbs up after Liu Yiqing completed everything.
"Hehe, I’m far behind Teacher Liu. Teacher Liu, you handle the abdon closure, right? The incision is too long, I’m afraid my skills aren’t up to it," Liu Yiqing said.
"Does length matter that much? Just follow the tension-free suture requirent and it’ll be fine," Liu Banxia said indifferently.
"You’re a grown girl, handle your matters yourself, don’t always rely on others. It’s rare that I can take a break, why insist on making do everything?"
Liu Yiqing was worried, how could it be the sa? It’s definitely not the sa.
But seeing Liu Banxia like this, she could only continue to carefully close the abdon.
Ding! Ergency surgery completed
Gained 200 experience points, 200 mastery points in dressing techniques, 100 mastery points in suturing techniques, 400 mastery points in cesarean section techniques, 100 mastery points in spleen-related surgery techniques, Glory Points 2
This task was rated as Flawless, earning 300 experience points, 300 mastery points in dressing techniques, 200 mastery points in suturing techniques, 500 mastery points in cesarean section techniques, 200 mastery points in spleen-related surgery techniques, Glory Points 2 2
Although it wasn’t a lot, Liu Banxia didn’t mind. What he’s most eager about now is the surprise that might co with a system update.
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