For such patients, thereās no need to say much about other trivial matters, like the need to suspect malignancy and remove the mass if itās over six centimeters. The doctors at the previous hospital must have already mentioned it. The teacher has many other patients to see, like Teacher Du, who doesnāt say unnecessary words, doesnāt offer extra explanations or engage in popular science ā silence is golden, and a quick cut solves the problem. Xie Wanying thinks this way.
Du Haiwei: Well, this Student Xie, letās not talk about whether her mouth is clever, but she learns and applies quickly, and sheās quite adept at adapting to circumstances.
After seeing patients all morning without any unexpected incidents, all the doctors can only have their meal at 1:30.
A few people, including the interns like Du Mengen, sit together in Du Haiweiās office and eat boxed meals. Itās said that these two interns plan to stay here all day, and conveniently, they have self-study classes in the afternoon.
The ones serving the meals are Doctor Zuoliang, also a relatively rare male doctor in obstetrics and gynecology, as tall as Teacher Du and slightly older than Doctor Zheng. Doctor Zheng is currently in training and hasnāt returned to work in his gynecology department.
Doctor Zuoliang finishes eating first and reports the morningās work to the mentor: "Teacher, you werenāt here, at the morning handover meeting, the director said, when you return, there are some things that need to be discussed with you."
It was mentioned before that many technically skilled bosses have enough strength but donāt like to become directors, as the director has to handle a lot of miscellaneous tasks. When there are issues in the department, the director needs to rely on the professors in the department and consult with them privately.
After listening, Du Haiwei said: "Iāll find the director when I go to work this afternoon. You all go to the operating room to prepare first."
"Yes." Doctor Zuo responded.
This afternoon, the group has an abdominal total hysterectomy scheduled, a traditional open surgery. The proportion of such surgeries has decreased significantly in clinical practice nowadays, mainly due to the existence of laparoscopic procedures, which offer patients more surgical options.
Currently, the patients who can only choose to continue with this kind of surgery are in situations where thereās no other choice, and laparoscopy cannot be performed. This type of patient has similarities with Cesarean Section. Like todayās patient, the tumor is very large, with multiple fibroids, the entire uterus filled with large fibroids, pushing the patientās abdomen to a size similar to six months of pregnancy. A laparoscopic removal involves taking the uterus out through the "yin" (homophonic with "vagina") passage, but when the uterus is too large to be extracted vaginally, it must be taken out through an abdominal incision, requiring a large cut, which is not much different from traditional surgery, so thereās no need for extra laparoscopic incisions.
"Take them both into the operating room." Du Haiwei further instructed Doctor Zuo to bring the two interns.
Teacher Du is extremely busy, often not appearing in clinical settings, meaning that these interns frequently have to work with young doctors like Doctor Zuo and Doctor Zheng.
Doctor Zuo looked at the two novices and said unceremoniously: "Finish eating, and weāll go to the operating room together. By then, the patient should be sent to the operating room for anesthesia first."
Xie Wanying and the others, upon hearing that there was an operation, quickly finished their bowls of food.
The two interns exchanged glances, also hurried to finish their meals, afraid of being left behind.
Compared to the interns, interns are the greenhorns among greenhorns, curious about everything in clinical practice, which is why they talk more.
A few medical students, following Doctor Zuo, headed towards the operating room, while Du Mengen and Zhang Shuping started chatting.