I opened a clinic in the Abyss World
Chapter 36 Humanized Surgical Guidelines
[Ding! Mission from Ruth: Perform an appendectomy! Successful mission reward: Appendectomy experience +200! Copper coins +300!]
The system's task notification sounded in Charlotte's mind.
Looking at Ruth's expectant gaze and the system's exceptionally generous rewards, Charlotte felt a little apprehensive.
He had his appendix removed, but he was lying in a hospital bed!
Moreover, I was under anesthesia at the time, so I don't remember the specific details very clearly.
Even if you remember how the knife was used, what? This isn't butchering a pig. Just because you've had surgery doesn't mean you can do it yourself.
Even a minor surgery is not something he can just do casually.
As a veterinarian, he wouldn't dare claim that he could identify which organ is the appendix, the cecum, and the colon after cutting open the abdomen. If he made a mistake, that would be a whole different story.
"Boss, what is acute appendicitis? Can you really cure it?" Vivian asked curiously, eager to learn.
"This acute appendicitis..." Charlotte pondered. Out of a desire to heal and save lives, he naturally didn't want Ruth to die from the pain of acute appendicitis. However, as a veterinarian with extensive clinical experience, he was indeed not skilled in removing the appendix.
The situation is urgent now, and the words have already been spoken. What should we do now?
[Ding! Detected that this is the host's first time performing an appendectomy. One appendectomy guidance opportunity has been granted!]
The system's voice sounded.
Then Charlotte noticed a red dot on Ruth's lower right abdomen, with a note: [McBurney's point: the optimal incision location for appendectomy!]
Charlotte blinked; the red dot was still conspicuous, and the note hadn't disappeared.
The note is the same as before, but this is the first time it has appeared during surgery.
"Isn't this a hands-on teaching method?" Charlotte's eyes lit up, and her confidence returned.
"Acute appendicitis is a minor ailment, but the lesion must be removed promptly, otherwise it will be extremely painful," Charlotte said to Vivian earnestly. "But those doctors who only know magic, unable to treat the symptoms with magic, label patients with such minor ailments as abandoned by the gods to cover up their own incompetence."
"Really?" Vivian was skeptical.
She had never even heard of the minor ailment Charlotte mentioned. If it was just a minor ailment, why wasn't the healing spell working?
"Prepare for surgery," Charlotte ordered without further explanation.
Although it was just one more guideline, after his appendectomy, he watched some related videos and read papers, so he had a general idea of the procedure. If he was careful, there shouldn't be any problems.
[At this point, I hope readers will remember our domain name, 101kanshu.com. It boasts a vast library of books; 111kshu.com is your choice.]
Even if I made a mistake, there's still a mid-level mage as a backup, so it's not a big problem.
"Don't worry, even if God abandons you, I will never abandon you." Charlotte held Ruth's hand, looking at her with unwavering eyes.
A warm feeling came from her palm, and Ruth's eyes instantly welled up with tears again. That firm gaze calmed her down, and she nodded slightly, saying, "I believe you."
"Did other clinics give you painkillers?" Charlotte asked again.
When Ruth first entered the room, she acted just like a normal person. It wasn't that she was particularly strong; she had probably taken painkillers to suppress the pain.
Unfortunately, Charlotte didn't have that. All he had were sedatives, but those were too unstable; if someone was in a coma and underwent surgery, they might wake up due to the pain.
With trembling hands, Ruth pulled a small black bottle from the pouch at her waist and whispered, "There's one last bottle."
Charlotte opened the bottle, and a faint fishy smell wafted out, like fish soup that hadn't been properly seasoned. The smell wasn't pleasant, but Ruth had already proven that it seemed to work quite well.
He took another bottle of sedative potion, helped Ruth sit up, and said, "Drink both of these potions, then take a nap, and you'll be fine when you wake up."
Ruth obediently drank both bottles of medicine. Before losing consciousness, she looked at Charlotte with lingering reluctance: "Doctor, if I don't wake up, please remember me. If I die, no one will remember me, and I'll be very lonely."
"Don't worry, take a nap, I'll wake you up." Charlotte gently laid her down on the operating table.
Ruth fainted the moment her head touched the bed.
Painkillers plus sedatives—that's the most reliable anesthesia Charlotte could find at the moment.
Putting Ruth into a coma has two advantages: first, it prevents her from being unable to accept being disemboweled, which could interrupt the surgery; second, if any mistakes occur during the surgery, Vivian might need to step in to clean up the mess.
Vivian carried the sterilized surgical instruments into the operating room, glanced at Ruth who had fallen into a coma, and whispered, "Boss, are you really going to operate on Ruth?"
She still didn't quite believe that Charlotte could cure a patient whom other doctors had deemed a forsaken by God, which was undoubtedly a challenge to the authority of the gods.
"Young people should learn to accept new ideas, not blindly believe in authority, and even less so in so-called gods." Charlotte disinfected her hands with a cleaning solution and looked at Vivian earnestly, saying, "Today I'll show you the knowledge that medical school professors don't possess, and tear off those guys' hypocritical masks."
Vivian's throat moved, but she didn't say anything more in rebuttal. Her gaze towards Charlotte was filled with doubt, but also a hint of... expectation?
She didn't know why she was looking forward to it.
For doctors, this is a completely subversive statement and behavior that undermines their beliefs!
Perhaps she didn't want the beautiful woman lying on the operating table to survive?
Or perhaps she had already begun to believe Charlotte?
Or was it that Charlotte's surgery these past two days had such a profound impact on her that her faith began to waver?
"The area I need to operate on is this part. Take off her clothes and skirt, give her a full-body cleaning, and then cover her with a sterilized cloth, leaving only this area exposed," Charlotte instructed Vivian, then turned and left the operating room first.
Three minutes later, Vivian came out and gestured for Charlotte to come in.
Charlotte entered the operating room, disinfected her hands again, and then took the smallest dagger from the plate.
Although the dagger was small, it was still about the size of a paring knife, which wasn't precise enough for surgery. Charlotte decided to go to the blacksmith this afternoon to have a smaller scalpel custom-made.
Not every patient is as tough as the Lizard Man; for a pretty young lady like Ruth, such a scar is terrible.
"You stay here and be prepared. If there are any unexpected situations like heavy bleeding, we might need you to help with healing magic," Charlotte said to Vivian, who was standing at the other end of the operating table, before she began to operate.
Vivian glanced at the unconscious Ruth and nodded.
Taking a deep breath, Charlotte quickly calmed her somewhat nervous mood, her gaze became calm, her mind was free of any distractions, and her hand holding the scalpel became exceptionally steady.
On Ruth's flat, smooth lower right abdomen, the system marks the location of McBurney's point with a red line.
This is the projection area of the appendix on the body surface. Making the incision here can minimize damage.
Like the countless surgeries she had performed on cats and dogs, Charlotte made a right lower abdominal oblique incision at Ruth's McBurney's point, cutting through the aponeurosis of the external oblique muscle layer by layer, separating the external and internal oblique muscles, lifting and cutting through the peritoneum to enter the abdomen, and then the abdominal cavity was opened and exposed to Charlotte.
A series of red markers also popped up at the same time.
[Cephalotomy], [colon]...
The system's task notification sounded in Charlotte's mind.
Looking at Ruth's expectant gaze and the system's exceptionally generous rewards, Charlotte felt a little apprehensive.
He had his appendix removed, but he was lying in a hospital bed!
Moreover, I was under anesthesia at the time, so I don't remember the specific details very clearly.
Even if you remember how the knife was used, what? This isn't butchering a pig. Just because you've had surgery doesn't mean you can do it yourself.
Even a minor surgery is not something he can just do casually.
As a veterinarian, he wouldn't dare claim that he could identify which organ is the appendix, the cecum, and the colon after cutting open the abdomen. If he made a mistake, that would be a whole different story.
"Boss, what is acute appendicitis? Can you really cure it?" Vivian asked curiously, eager to learn.
"This acute appendicitis..." Charlotte pondered. Out of a desire to heal and save lives, he naturally didn't want Ruth to die from the pain of acute appendicitis. However, as a veterinarian with extensive clinical experience, he was indeed not skilled in removing the appendix.
The situation is urgent now, and the words have already been spoken. What should we do now?
[Ding! Detected that this is the host's first time performing an appendectomy. One appendectomy guidance opportunity has been granted!]
The system's voice sounded.
Then Charlotte noticed a red dot on Ruth's lower right abdomen, with a note: [McBurney's point: the optimal incision location for appendectomy!]
Charlotte blinked; the red dot was still conspicuous, and the note hadn't disappeared.
The note is the same as before, but this is the first time it has appeared during surgery.
"Isn't this a hands-on teaching method?" Charlotte's eyes lit up, and her confidence returned.
"Acute appendicitis is a minor ailment, but the lesion must be removed promptly, otherwise it will be extremely painful," Charlotte said to Vivian earnestly. "But those doctors who only know magic, unable to treat the symptoms with magic, label patients with such minor ailments as abandoned by the gods to cover up their own incompetence."
"Really?" Vivian was skeptical.
She had never even heard of the minor ailment Charlotte mentioned. If it was just a minor ailment, why wasn't the healing spell working?
"Prepare for surgery," Charlotte ordered without further explanation.
Although it was just one more guideline, after his appendectomy, he watched some related videos and read papers, so he had a general idea of the procedure. If he was careful, there shouldn't be any problems.
[At this point, I hope readers will remember our domain name, 101kanshu.com. It boasts a vast library of books; 111kshu.com is your choice.]
Even if I made a mistake, there's still a mid-level mage as a backup, so it's not a big problem.
"Don't worry, even if God abandons you, I will never abandon you." Charlotte held Ruth's hand, looking at her with unwavering eyes.
A warm feeling came from her palm, and Ruth's eyes instantly welled up with tears again. That firm gaze calmed her down, and she nodded slightly, saying, "I believe you."
"Did other clinics give you painkillers?" Charlotte asked again.
When Ruth first entered the room, she acted just like a normal person. It wasn't that she was particularly strong; she had probably taken painkillers to suppress the pain.
Unfortunately, Charlotte didn't have that. All he had were sedatives, but those were too unstable; if someone was in a coma and underwent surgery, they might wake up due to the pain.
With trembling hands, Ruth pulled a small black bottle from the pouch at her waist and whispered, "There's one last bottle."
Charlotte opened the bottle, and a faint fishy smell wafted out, like fish soup that hadn't been properly seasoned. The smell wasn't pleasant, but Ruth had already proven that it seemed to work quite well.
He took another bottle of sedative potion, helped Ruth sit up, and said, "Drink both of these potions, then take a nap, and you'll be fine when you wake up."
Ruth obediently drank both bottles of medicine. Before losing consciousness, she looked at Charlotte with lingering reluctance: "Doctor, if I don't wake up, please remember me. If I die, no one will remember me, and I'll be very lonely."
"Don't worry, take a nap, I'll wake you up." Charlotte gently laid her down on the operating table.
Ruth fainted the moment her head touched the bed.
Painkillers plus sedatives—that's the most reliable anesthesia Charlotte could find at the moment.
Putting Ruth into a coma has two advantages: first, it prevents her from being unable to accept being disemboweled, which could interrupt the surgery; second, if any mistakes occur during the surgery, Vivian might need to step in to clean up the mess.
Vivian carried the sterilized surgical instruments into the operating room, glanced at Ruth who had fallen into a coma, and whispered, "Boss, are you really going to operate on Ruth?"
She still didn't quite believe that Charlotte could cure a patient whom other doctors had deemed a forsaken by God, which was undoubtedly a challenge to the authority of the gods.
"Young people should learn to accept new ideas, not blindly believe in authority, and even less so in so-called gods." Charlotte disinfected her hands with a cleaning solution and looked at Vivian earnestly, saying, "Today I'll show you the knowledge that medical school professors don't possess, and tear off those guys' hypocritical masks."
Vivian's throat moved, but she didn't say anything more in rebuttal. Her gaze towards Charlotte was filled with doubt, but also a hint of... expectation?
She didn't know why she was looking forward to it.
For doctors, this is a completely subversive statement and behavior that undermines their beliefs!
Perhaps she didn't want the beautiful woman lying on the operating table to survive?
Or perhaps she had already begun to believe Charlotte?
Or was it that Charlotte's surgery these past two days had such a profound impact on her that her faith began to waver?
"The area I need to operate on is this part. Take off her clothes and skirt, give her a full-body cleaning, and then cover her with a sterilized cloth, leaving only this area exposed," Charlotte instructed Vivian, then turned and left the operating room first.
Three minutes later, Vivian came out and gestured for Charlotte to come in.
Charlotte entered the operating room, disinfected her hands again, and then took the smallest dagger from the plate.
Although the dagger was small, it was still about the size of a paring knife, which wasn't precise enough for surgery. Charlotte decided to go to the blacksmith this afternoon to have a smaller scalpel custom-made.
Not every patient is as tough as the Lizard Man; for a pretty young lady like Ruth, such a scar is terrible.
"You stay here and be prepared. If there are any unexpected situations like heavy bleeding, we might need you to help with healing magic," Charlotte said to Vivian, who was standing at the other end of the operating table, before she began to operate.
Vivian glanced at the unconscious Ruth and nodded.
Taking a deep breath, Charlotte quickly calmed her somewhat nervous mood, her gaze became calm, her mind was free of any distractions, and her hand holding the scalpel became exceptionally steady.
On Ruth's flat, smooth lower right abdomen, the system marks the location of McBurney's point with a red line.
This is the projection area of the appendix on the body surface. Making the incision here can minimize damage.
Like the countless surgeries she had performed on cats and dogs, Charlotte made a right lower abdominal oblique incision at Ruth's McBurney's point, cutting through the aponeurosis of the external oblique muscle layer by layer, separating the external and internal oblique muscles, lifting and cutting through the peritoneum to enter the abdomen, and then the abdominal cavity was opened and exposed to Charlotte.
A series of red markers also popped up at the same time.
[Cephalotomy], [colon]...
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