medical simulator #Page 33 - Read medical simulator Page 33 Online - All Page - NOVEL NEXT
Everyone in the shift room gasped for an instant!
It can be seen from the CT and X-ray levels that the broken end of the fracture is quite sharp!
The angle of lateral displacement is super large.
What appeared to be the sharp end of the fracture had, by accident, penetrated directly into a muscle or other soft tissue.
Many people looked in the direction of Hu Ming, as if they were asking, would you go for bone traction for such a patient?
The muscles on Hu Ming's face twitched, and he secretly cursed Yan Haihan!
Scheming villain!
Min Chaoshuo then added: "Although the patient's current fracture classification is C3.1, it is classified according to the fracture line and fracture part."
"But the patient's current situation is very special. We can see from the CT scan that the acute angles of the proximal end and the distal end of the fracture have been completely deformed under the pulling of the muscles."
"So our group considered that the patient's fracture end may have pierced the soft tissue and caused compression."
"Therefore, even with bone traction, the chance of traction reduction is very small. And during the traction process, if the strength of the traction cannot fully return the broken end of the fracture."
"Incomplete distraction would have resulted in severe soft tissue cuts by the sharp edges of the fracture, and the possibility of severing the femoral artery has not even been ruled out."
"Moreover, if this patient does not receive surgical treatment and chooses conservative treatment, it is absolutely impossible for the fracture to recover."
"That's right, I ask all the teachers to give you more guidance." Min Chaoshuo was very calm during the whole process.
Hu Ming was watching his nose, nose, nose and mouth, and his mouth was watching his heart, so he had no time to talk.
This TM is definitely a hole that Yan Haihan instructed Min Chaoshuo to leave for everyone, and it was reserved for himself and Cai Dongfan.
Cai Dongfan is more shrewd, he has been cultivating his temperament without saying a word.
Otherwise, according to the normal case discussion process, the X-ray results should be put on the first ppt.
Hu Ming has heard something about this patient!
Someone in the family works in the health system, and his position is not low. He was originally an acquaintance of Cai Dongfan, but Yan Haihan took him into his group.
Hu Ming didn't bother to pay more attention to the bullshit...
Now the situation is quite complicated, the side shifted at least five or six centimeters, and the broken end of the fracture pierced into the muscle.
After conservative treatment until death, the fractures on both sides cannot heal, and the bone cells can't find a way to crawl.
Bone traction does not have to fight.
The strength of bone traction is limited, if the strength of traction is not properly controlled.
It is really possible to turn the sharp edge of the fracture into a knife and swing it in the body to cut off muscles or nerve vessels.
No more surgery.
In such a situation, it has already been said.
Only then did Yan Haihan look at the crowd unhurriedly, and said sincerely: "Everyone has seen the situation of this patient, and it is quite special. No matter who has any opinions, they can speak freely."
"I'm here today to ask you for advice."
However, no one answered Yan Haihan's words.
"Director Cai?" Yan Haihan specifically named Cai Dongfan.
Cai Dongfan laughed: "Director Yan, it's better for you to grasp the patient's situation yourself, I can't control it."
Hu Ming's lesson from the past is right next to him, so of course Cai Dongfan doesn't speak!Afraid of getting into another pit that Yan Haihan left or detouring himself into a dead end.
I'm not Hu Ming, I have to prove that I'm strong.
Not worth the candle!
This is a dead end. Surgery is impossible, and there is no recovery without surgery.
Lying down all the time is almost synonymous with blood clots and heart and lung failure, and we can only wait for death.
And didn't you insist on pulling this patient into your own group before? I told you that I was an acquaintance, and you used the principle of admitting and treating patients in the department to talk about things.
Seeing that no one spoke, even Hu Ming and Cai Dongfan, who were qualified to talk to Yan Haihan on an equal footing, played with their fingers.
Yan Haihan could only take the initiative to ask: "Xiao Yang, if your teacher encounters such a case, how would you deal with it?"
Following these words, everyone turned their heads to look at Yang Yifeng.
Bright eyes.
Yes, a high-achieving student from the Affiliated Hospital of Shonan University happened to come to the department today, so you can ask him if he has ever seen such a 'wonderful' case and how to deal with it.
Yang Yifeng took a small half step forward and said: "Director Yan, this patient has a disease between relative contraindications and absolute contraindications to surgery. If the heart function cannot be improved, it will be difficult to perform surgery anywhere in the short term." It's unrealistic."
"And the case characteristics of this patient require additional intervention."
"If the conservative treatment of traction plaster external fixation is not an option, then the only remaining option is manual reduction plaster external fixation."
"However, my teacher has never encountered such a special patient before, so this is just my personal opinion."
Yang Yifeng admitted generously and calmly that his knowledge was limited, and he had never heard of such a strange patient.
But these words made many people turn their heads to look at Yan Haihan...
Chapter 57 Misfortune is brought to the east!
Some time ago, someone in the department was doing the manual reset of the fracture, and that was Director Hu Ming.
However, once Hu Ming was tricked by his relatives, and the department lost money!
Therefore, Yan Haihan personally issued a ban, and no more manual reset operations in the department.
Yan Haihan himself said this, is he going to be the first to break this prohibition?
Hu Ming was naturally looking at Yan Haihan.
Hu Ming had an innocent face at the moment, as if he was saying, I didn't say this, it was Yang Yifeng who said it, you brought this person here too, I didn't instigate him.
Yan Haihan remained expressionless, continued to look at Yang Yifeng, and asked, "Yifeng, is it difficult to reset the fractured femur? Did you all do it routinely before?"
Yang Yifeng shook his head and said: "Routine development is definitely impossible. As the saying goes, an arm cannot twist a thigh."
"Manual reduction of the femur requires a lot of skills, and it is only carried out in special cases!"
"The more conventional treatment is intramedullary nailing."
"We have never encountered such a situation with this patient before."
It is not an exaggeration to say that such a special case is one in a million.
Yang Yifeng didn't want to drag a patient to his master on the first day he came to No. [-] Hospital, and it was such a difficult patient.
Although Yang Yifeng had other plans, he didn't intend to piss off his teacher to death.
Yan Haihan sighed with emotion, this Yang Yifeng is really very shrewd, so knowing the advances and retreats, it is hard for him to say that he should ask Yang Yifeng to contact his teacher to see if he can transfer the patient.
People have said that they have never encountered it before, but if you insist on asking him to contact his teacher, isn't this asking him to scold him?
But this patient still has to be transferred out.
Yan Haihan then asked: "Director Hu, you have done manual reset before. What do you think about this patient? Can manual reset solve it?"
When Hu Ming heard this, his eyelids twitched, and he hurriedly said: "Director Yan, now that the hand is raw, I can't even do the normal fracture reduction."
"Director Yan, as you know, I'm a bit psychologically overwhelmed by the hand reset."
"Don't do it now, it can't be done."
What Hu Ming said was half true and half false, even his own relatives sued him, he was bitten by a snake for ten years and was afraid of well ropes.
And such a patient, who dares to do reset rashly?
Anyway, he is not a patient in his own group, so why bother Hu Ming?
Anyway, don't ask, if you ask, you can't do it!
And I was afraid, and my hands were born.
If you have to ask why the hands are raw, then you have asked.
Hu Ming didn't mind repeating what Yan Hanhan emphasized before.
"Don't other people have any other opinions?" Yan Haihan then looked around the crowd and asked.
No one dared to return, even Yang Yifeng retreated into the queue.
The reason why the Affiliated Hospital of Shonan University is strong is that it is strong in grasping the details of treatment, and it is not reckless.
For such patients with surgical contraindications, no one dares to administer anesthesia or undergo surgery when they go there.
The reason why surgery contraindications are contraindications is because it is very dangerous and even endangers the patient's life.
The premise of a good operation is that the person must be alive.
Otherwise everything is empty talk.
Yan Haihan said: "Since everyone has no other opinions, then I will apply to the medical department for transfer."
"During the transfer period, Director Cai, let the patient go to your group first."
"Recently, patients keep whispering in my ear, saying that they want to go to your group and get to know you better." Yan Haihan said without blushing, as if he was asking Cai Dongfan if he had eaten well. Simple.
Cai Dongfan was taken aback at the time, how could he have anything to do with him?
Immediately said: "Director Yan, why did the patients leave me here? They are all going to be transferred out."
Yan Haihan said: "Patients and family members have been nagging at my place, saying that they want to go to your place, Director Cai. Moreover, Luo Yun has also visited twice, and patients are always asking Director Cai if he has any opinions?"
"Luo Yun?"
"Right?"
Luo Yun looked up blankly: "Huh?"
The expression became extremely complicated at that time.
No, why does this have something to do with me again?
Director Cai asked me to see the patient, which is correct.
Otherwise, how could Luo Yun take care of any complicated patients in Yan Haihan's group? It's none of his business?
Then Director Cai asked me to transfer the patient to our group?
But on the day the patient was admitted to the hospital, you did not agree to transfer the patient to our group.
I have been talking about things based on the principle of admission and treatment of patients in the department, isn't it just to get in touch with the family members of the patients?
Oh, it can't be cured now, so it's sent here again?
Even if you are the director, you can't be so shameless, right?
"I went to see a patient." No matter what I thought in my heart, I still had to admit the fact.
Cai Dongfan's face suddenly turned dark, with an undetectable haze on it.
Although Yan Haihan is the director of the ward, this is a bit too much.
But Cai Dongfan really couldn't help it. In fact, he didn't want this patient in his heart. After he was admitted to the hospital, his acquaintances also looked for him many times. At that time, Cai Dongfan agreed to let the patient into his group, and talked to Yan Haihan.
But Yan Haihan disagreed at that time!
Later, the patient's family also thought that Yan Haihan was the director of the ward, and Cai Dongfan was just the chief physician.
I didn't get too entangled in which director's treatment I would be under.
But now?
I'm a garbage dump here, right?
Cai Dongfan said: "Director Yan, the rules for admission and treatment of patients in the department are not accepted by any group, but are they under the control of that group?"
"And now we're almost at the stage of transfer. It's a bit inappropriate to transfer the patient and then transfer again, isn't it? Director."
On the bright side, Cai Dongfan is still willing to give Yan Haihan a little face, and he didn't hate him too much.
At this time, the atmosphere in the shift room became quite delicate.
"This is a special matter. Director Cai, since the patient wants to go to your place for treatment, we still have to respect the patient's own wishes. Right?"
"Our department is relatively open-minded, and we don't set the rules so rigidly."
Report chapter Comments
"But if you really don't want to accept it, then I'll go and refuse to the patient and family members, that's okay." Yan Haihan said in a tone that was very considerate of Cai Dongfan.
Cai Dongfan was silent for a moment, and cursed shamelessly in his heart.
But he could only nod his head helplessly and said, "Director, let us be on the team first."
"But the process of applying for a transfer has to be run down as soon as possible."
If it breaks out, everyone will lose face!
And what if Yan Haihan went to the patient to make irresponsible remarks, saying that he was unwilling to accept him.
Then my uncle probably would really come to the department to talk to me.The inpatient is his cousin's father-in-law. The relationship is not far away, but very close, but it is just that.
But after all, it was a family in my father's generation.
Anyway, if you have to transfer to another hospital, just throw yourself here.
Hearing that Cai Dongfan agreed, the stone in Yan Haihan's heart finally fell to the ground, and said: "Since everyone has no other opinions on this patient, then write an application for transfer, and then go through the transfer process. Everyone has no other opinions." opinion?"
"Min Chaoshuo, tell the head nurse later and bring the patient to Director Cai's team."
"This is the end of our group's discussion of difficult cases."
"Director Hu, Director Cai, have you prepared a case yet?"
Yan Haihan asked cordially as if nothing had happened.
Cai Dongfan didn't speak, but Hu Ming said indifferently: "Director Yan, I haven't encountered any cases that can be shared yet. If there is one next time, I will definitely share it with everyone to study."
Hu Ming put a lot of emphasis on the word learning.
Yan Haihan deliberately pretended not to understand.
In this way, the seminar on difficult cases came to an end in this way.
After the discussion, Yan Hanhan also kindly called Yang Yifeng who was about to go out: "Yifeng, how do you feel?"
Yang Yifeng definitely heard this sentence, but Yang Yifeng walked out the door as if he didn't hear anything.
Min Chaoshuo saw Yang Yifeng walk out the door.
Min Chaoshuo deliberately ran out and called out, "Brother Yifeng, my teacher called you."
But Yang Yifeng still walked outside the department, and he didn't know if it was true that his ears were bad, or if it was on purpose.
Now, even Min Chaoshuo's complexion looked a little uneasy, and after touching his head, he couldn't do anything about Yang Yifeng.
Yang Yifeng is not a student of the No. [-] Hospital. He can even think of not wanting a doctorate degree from Shonan University. What can you talk to him about?
Min Chaoshuo had no choice but to walk back to the shift room and said, "Brother Yifeng is gone, maybe I didn't hear you."
Yan Haihan nodded with his face unchanged: "It's okay. I'll just talk to him tomorrow, and you can go to work."
"You have to implement the transfer of patients."
After the discussion of difficult cases was over, Cai Dongfan called Luo Yun, Du Yanjun and others to the director's office, intending to hold a small meeting within the group...
Chapter 58 Small group meeting!
"Teacher Cai." After entering the director's office, Luo Yun called Cai Dongfan who was sitting calmly on the chair.
Meaning what to do now?
At the same time, both Zhou Cheng and Du Yanjun were there. Zhang Zhengquan didn't come because he was on duty and an emergency patient came to him to be treated.
But without Zhang Zhengquan, it doesn't matter.
"Master, Director Yan is a bit too much." Du Yanjun muttered in a low voice.
Luo Yun cast a horizontal glance at Du Yanjun.
Cai Dongfan raised his head, looked at Du Yanjun and said, "Don't mention this again. No matter what Director Yan does, you are just a student in the department and have nothing to do with you."
"Hu Ming and I can say some things, but you can't."
"And this incident was already in my expectation."
"In fact, I asked Luo Yun to look at the situation of my relative when he was admitted to the hospital. It's just that I didn't know that his mental function was so bad at that time. At that time, I thought that since Director Yan wanted it, I thought it was It's good for the relatives to avoid suspicion a little bit, so let him go."
"However, after his preoperative examination came out, I have considered this issue."
"Director Yan will definitely find a way to push the patient to me."
Having said that, Cai Dongfan frowned and sighed:
"In this situation, surgery is not an option, and conservative treatment is not an option either!"
"It is indeed more difficult."
When Du Yanjun and Luo Yun heard this, they also touched their heads.
Cai Dongfan continued: "I have consulted with the professors of the Affiliated Hospital of Shonan University and the Second Hospital before."
"The patient's condition is not complicated if it can be operated on."
"The difficulty is that the patient's own condition is bad. If surgical intervention is not possible, there is no better way for them to turn around."
Having said that, Cai Dongfan smiled wryly, shrugging his shoulders, and his eyes revealed a deep look of helplessness:
"To be treated conservatively, it must also be a treatment-oriented conservative treatment."
"As for the displacement of the embedded soft tissue at the fracture end, looking around the country, not many people may have encountered it."
"Those who have the courage to do it are not sure."
"In case of damage to blood vessels and nerves."
"Difficult."
"If I were Director Yan, I would also like to throw this patient to me as soon as possible."
It is not that simple to transfer a hospital. The inpatient must agree to the transfer, and the receiving hospital must be willing to accept the patient. Otherwise, it is against the rules.
Such complicated patients, if there are no surgical contraindications, the treatment is not complicated!
However, if there are surgical contraindications and the operation is impossible, it is extremely difficult to go to the Affiliated Hospital of Shonan University or to the magic capital of Kyoto. No professor is willing to cause such a big trouble for himself.
Luo Yun frowned immediately, and asked: "Director Cai, but? Such a patient, placed in the group, isn't it just a patient who has been pressed for a long time?"
"Now the hospital's management of the average length of stay is getting stricter!"
"Didn't Director Yan insist on keeping the patient?"
The hospital has a requirement for the average length of stay of each treatment group, which is to shorten it as much as possible, speed up the turnover of patients, and improve the efficiency of diagnosis and treatment.
It is even linked to the performance of the medical staff in the treatment group.
If there is a long-term bed-pressing patient, it will greatly delay the average length of hospitalization, bonuses, etc., and it will definitely deduct a lot.
Cai Dongfan explained: "This is my cousin's father-in-law, a cousin who came out of a threshold 40 years ago."
"Director Yan can refuse to give it to me, but I can't refuse to accept it."
"I can only work hard for everyone. I will think about a solution. I still have to come up with a countermeasure as soon as possible."
"Begging for others is worse than asking for oneself." Cai Dongfan scratched his head, his face was full of helplessness, and his head was hurting right now.
Yan Haihan was sure of this, so Cai Dongfan had no choice.
As soon as Luo Yun heard this, he didn't talk about other messy things, but said: "Director Cai, why don't you ask the professors at the Provincial Hospital of Traditional Chinese Medicine to see if any professors dare to perform manual reset on this patient?" ."
"Some old professors of traditional Chinese medicine are quite accomplished in manual reset."
Cai Dongfan shook his head and said, "I asked earlier. My cousin and his family have found many old Chinese doctors, but after seeing the film, they dare not touch it."
"This is not a joke!"
"And it is estimated that the ancients did not classify and classify fractures. How can there be any special coping methods for such a special fracture?"
"It's really a coincidence."
"It's like some places where novice drivers drive to on the Internet, and veteran drivers dare not even drive out, let alone drive in."
"What I'm thinking is, can I consult the professor of cardiology to see if the patient's heart function can be improved. But this is not something that can be resolved in a short time."
"Well, I'm afraid that it will take a while, and I will develop a thrombosis or pneumonia..." Cai Dongfan sighed a long time.
Du Yanjun took the initiative to say, "Master, it's fine. I'll take care of this patient."
He is a student of Cai Dongfan. This patient is very complicated and the hospitalization period is long!
Du Yanjun wanted to take the initiative to hug him and let it go.This can also make Cai Dongfan think better, and prevent Zhou Cheng and Zhang Zhengquan from being dissatisfied with Cai Dongfan.
Zhou Cheng glanced at Du Yanjun upon hearing this.
Luo Yun said: "Of course you are in charge."
When he heard this, Zhou Cheng whispered, "Mr. Cai, I'll just say it casually. Do you think this is okay?"
"The patient's current situation is that he cannot tolerate general anesthesia, and because lumbar spinal stenosis cannot be ruled out, there is no way to perform lumbar anesthesia. But we can choose nerve block."
"Under nerve block anesthesia, a small incision is made to detect the specific position of the fracture tip, and then after confirming the safety, manual reduction is used."
Suggestions are given based on the actual situation.
Cai Dongfan glanced at Zhou Cheng, obviously he didn't expect Zhou Cheng to speak.
He frowned, raised his head, and asked, "Nerve block? Nerve block at the femur isn't easy?"
If it is a fracture of the calf, it is still feasible, but the distribution of nerves on the skin surface of the femur varies greatly from source to source.
"The patient is so old, if the anesthesia is unstable, the painful stimulation will lead to cardiopulmonary failure, which will be troublesome."
Hearing this, Luo Yun helped Zhou Cheng a little bit, saying: "Director Cai, Zhou Cheng actually knows a little bit about how to restore fractures. Maybe his method can really be tried. I also told you about Zhou Cheng's manipulation reset in two days."
"Mr. Cai, do you still remember?"
"How can this be the same?" Cai Dongfan's tone suddenly became higher, thinking that Luo Yun was a little ignorant, why are he making noise here.
Zhou Chengcheng said: "Ms. Cai, if the simple nerve block anesthesia is not easy to control, local anesthetics can be temporarily added during the operation. The current risk of the patient is mostly concentrated in the risk of anesthesia. Nerve block anesthesia and local anesthesia will not It will not cause any burden on the whole body, nor will it cause a burden on the cardiopulmonary and abdominal functions."
Speaking of this, Zhou Cheng said: "Mr. Cai, this is actually my own idea. The specifics are still in the hands of you, Mr. Cai."
All that needs to be said has been said, whether to adopt it or not, Cai Dongfan's own considerations, Zhou Cheng can understand.
Luo Yun said: "Director Cai, there is no other good way anyway, you can try it. The risk of nerve block local anesthesia is extremely small anyway, and if it fails, you can stop the operation and go back to the ward at any time."
"It is much safer to have a good anesthetist supervise the operation than spinal anesthesia and general anesthesia."
"Otherwise, it's always procrastinating, prone to blood clots and pressure sores, and the patient's heart function is not very good..."
"Director Cai, what do you think?"
Cai Dongfan blinked his eyes. His eyes are actually quite small, and his eyeballs are not too big. He is the kind of person who looks quite shrewd.
But at this moment, there could only be a little confusion in his eyes.
After thinking about it for a while, he said, "Let me think about it again. Go and do your own business first. I'll give you an answer in a while. It's better to be more careful about this matter."
Cai Dongfan was unwilling to bet this patient on Zhou Cheng, Gui Peisheng.
Zhou Cheng didn't say much, and retreated together with Luo Yun.
When Luo Yun walked out, he comforted Zhou Cheng: "Actually, Director Cai is under great pressure. He is the director who leads the team, and he is the first person to be held accountable for anything that happens in the team."
Zhou Cheng smiled and didn't care: "I know, Mr. Luo, in fact, I don't dare to reset such a patient easily."
Although Zhou Cheng felt that if he did not receive anesthesia, he would have a good chance of reduction, because although the fracture edge of this patient was embedded in the muscle, in fact, there was not much shortening and displacement in this way!
As long as the traction is sufficient, then make good use of the anatomy of the muscles themselves.
It is quite easy to pull out the broken end of the fracture with manual traction.
It's just that I have already said what I should say, whether Cai Dongfan is willing to believe it, Director Cai has his own considerations.
After all, the patient is not his acquaintance, so Zhou Cheng is more open-minded.
And Cai Dongfan didn't know himself very well.
Just like now Du Yanjun told Zhou Cheng that he could reset the fracture, but Zhou Cheng didn't believe it.
However, Cai Dongfan is willing to believe that, as a member of the medical team, he will try his best to cooperate.
If you don't believe it, there is no other way.
Luo Yun smiled and said, "Go back and rest early. Du Yanjun will be in charge of this patient. If surgery and manual reset are required, Director Cai should notify me as soon as possible. I'll call you."
Report chapter Comments
"Okay!" Zhou Cheng nodded, bid farewell to Zhou Cheng, and then walked directly to the gym.
The body is the capital of revolution...
Unexpected new addition to the Chapter 59 group
After Zhou Cheng finished exercising from the gym, he took a shower when he got home, and when he came out wiping his hair, the phone rang.
It was Luo Yun calling.
"Teacher Luo." Zhou Cheng quickly answered.
"Zhou Cheng, Director Cai just called. He said that he will have an operation tomorrow, but he hired Professor Zhong from Hunan University of Traditional Chinese Medicine who does a lot of manual resets." Luo Yun explained.
"Oh, yes, Teacher Luo." Zhou Cheng replied with a smile.
"Zhou Cheng, don't have any thoughts in your heart. Don't just think that Director Cai has adopted your plan but won't let you get started." Luo Yun continued to enlighten.
Zhou Cheng's tone and expression were completely normal: "No, Mr. Luo, where would I have any thoughts?"
"There are not many opportunities to learn from the professor!"
"If it wasn't for Director Cai to invite Professor Zhong, I wouldn't even have the chance to watch."
"And this kind of patient that even Director Yan dare not deal with, and even the professors of the Affiliated Hospital of Shonan University and the Second Affiliated Hospital are unwilling to accept patients. To be able to experience the manual reduction surgery taught by the professor of the Hospital of Traditional Chinese Medicine is also an increase in knowledge."
Zhou Cheng said cheerfully, but the meaning in the words was not the one expressed to Luo Yun.
Because Zhou Cheng really wanted to see how powerful the associate professor Cai Dongfan hired who was good at reset techniques was, and how he would compare to himself.
He just feels that he is now, probably, probably, perhaps a little better than the average professor in terms of manual reset.
"That's the best you can think of."
"The associate professor is a family heirloom of fracture manipulation, and he has solved many complicated fractures before!"
"I have also done manipulative reduction for many fracture patients who cannot be operated on." Luo Yun talked about the past achievements of the associate professor, and also wanted Zhou Cheng to understand the reason for Cai Dongfan's choice.
After chatting for a few more words, I hung up the phone.
Zhou Cheng didn't think much about it, and completely put the matter behind him, then continued to open his notebook, and began to think about the treatment plan for the special type of fractures, fractures or defects caused by other diseases.
Moreover, this time, Zhou Cheng planned to check the corresponding literature first.
The definition of a fracture is the interruption of the continuity and integrity of the bone, and the bone defect is also a fracture in the strict definition, which fully conforms to the simulated direction of the fracture copy...
Unfortunately, however, cases of bone defects are uncommon.
The treatment of bone defects is also really complicated.
In the simulated copy, Zhou Cheng spent three consecutive simulated opportunities, and the number of bone defect cases he came into contact with was less than [-].
Moreover, Zhou Cheng came into contact with more patients like this when he went to Shanghai to work.
In normal times, it is difficult to encounter such special cases.
Because there are fewer cases of contact, the progress is slower...
But it doesn't matter if the progress is slow, the three simulations only get the bone transport surgery treatment of skill bone defects (common), it doesn't matter, just take your time.
The simulation of the dungeon lies in the step-by-step process and the continuous solidification of the foundation. When the foundation is established and a breakthrough is sought, then take an unusual path.
On the contrary, this allowed Zhou Cheng to conclude the direction for different surgical simulations in the future.
The first step is to read a lot of literature, to study, to watch surgery, to be the surgeon, to acquire basic skills, whether it is entry-level or general.
In the second step, after obtaining the basic skills, perform crazy surgeries to improve the proficiency of the skills to the current world-class level.
The third step is to create new and redefine the perfect level by yourself...
The next day, in the morning.
After the on-duty nurse and the on-duty doctor Zhang Zhengquan finished their shifts, Yan Hanhan did not adjourn the meeting immediately, but asked Cai Dongfan casually: "Director Cai, I heard that you plan to do nerve block incision technique for that patient. Reset?"
"Well! Yes, my patient and family members have communicated, and they all agree."
"Although there are certain risks to be taken, there is no other better way." Cai Dongfan nodded and replied calmly.
This is a special case, and it is normal for Yan Haihan to be concerned.
Yan Haihan's expression froze, and he emphasized: "Yes. This patient is quite special, and he must take some risks. But safety must be the top priority, and he must communicate with the patient and his family members, and explain the possibility of terminating the operation at any time. "
Yan Haihan didn't directly order Cai Dongfan not to do it. If Cai Dongfan asked him to find a way and push the patient to his own group, wouldn't it hurt?
It doesn't work if you don't deal with it, which is equivalent to letting the patient die.
But safety must still be emphasized.
Cai Dongfan nodded and said yes.
Because this is a special patient, and it is only an incision and exploration with local anesthesia manual reset, if it goes well, it may be done in ten minutes!
So Yan Haihan talked with other surgery patients and asked them to give up the first surgery unit.
Because it was the director who spoke in person, and the operation time was not too long, and Cai Dongfan's relatives, that is, the patient's family members, went to meet with the other patients and their families to intercede one by one. agree.
Cai Dongfan had already communicated with the anesthesiology department in the operating room, and the head of the anesthesiology department personally managed the monitoring during the operation.
Moreover, Cai Dongfan asked Luo Yun to drive the invited Professor Zhong from Hunan Provincial Hospital of Traditional Chinese Medicine to the hospital early on. After arranging breakfast, he waited in the operating room.
After Cai Dongfan simply checked the room, he asked Zhang Zhengquan and Zhou Cheng, who were on duty yesterday, to complete the medical orders for the patients in the hospital, and immediately took Luo Yun and Du Yanjun out of the operating room.
Without Zhou Cheng.
The main reason is that Du Yanjun's surgery was ranked first and second, and this newly added minor surgery is also Du Yanjun's patient.
After Cai Dongfan took Du Yanjun away, Zhang Zhengquan stretched out his body and said, "Brother Zhou Cheng, don't you want to go to the operating room? This is an associate professor from the Hospital of Traditional Chinese Medicine who is here to do manipulation reset for rare cases!"
"If you want to go, I will handle the doctor's order for you."
Zhou Cheng smiled, shook his head and said, "Quan Zi, you can go if you want, and hand over the patients you want to deal with. I will change the medicine for you, and then you will write the doctor's orders and medical records yourself."
Look, there really isn't much to look at.
In case I went to see it and I didn't come on stage during the operation, what happened to Professor Zhong during the reset process, should I take action or not?
Moreover, if the patient has passed through someone else's hands, then if he takes over by himself, has the broken end of the fracture changed?Is the previous imaging examination useful for reference?
There is a saying in ancient times that doctors do not knock on doors.
Forget it.
Too lazy to take that risk.
Moreover, Cai Dongfan deliberately avoided himself, and he may have his own considerations in his heart. There is no need to hang around in front of him and Luo Yun without hinting, otherwise it will make him and Luo Yun feel that they are right. It seems that there are opinions on stage.
Zhou Cheng had no such idea.
Zhang Zhengquan was obviously agitated: "How dare you do that? Brother Zhou Cheng, you should go."
Zhou Cheng raised his eyebrows and said, "Do you want to go or not?"
"Cheer up!"
"Thank you Brother Zhou Cheng!" Zhang Zhengquan immediately stood up, handed the paper recording the doctor's order to Zhou Cheng, and then ran away.
Looking at Zhang Zhengquan's back, Zhou Cheng was not envious or had any other thoughts. He just felt that Gui Peisheng was really not easy, and he had to work hard to get any chance to learn.
If he hadn't owned an emulator, he would be a copy of Zhang Zhengquan, at most a little bit better than him.
Zhou Chengcheng started to get busy.
Fortunately, the doctor's order for the new patient admitted by Zhang Zhengquan was completed yesterday, and Zhang Zhengquan also changed the medicine this morning. What needs to be dealt with is the change of medicine and the adjustment of the doctor's order for the previous postoperative patients, which can be done in four to 10 minutes.
Zhou Cheng was not in a hurry, and after fulfilling the doctor's orders one by one, he pushed the medicine changing cart and piled up the medicine changing kits to change the medicine...
After about four or 10 minutes, Zhou Chengcai finally cleaned up the rubbish on the medicine changing cart.After throwing the garbage into the yellow trash can with a yellow medical waste bag, he washed his hands slowly and checked all the doctor's orders before rushing to the operating room.
When he arrived at the door of the operating room, Zhou Cheng also checked the time, and it was already [-[-].
After stepping on the sensor door of the operating room, he found that besides the anesthetist, Cai Dongfan, Luo Yun, Du Yanjun and Zhang Zhengquan, there were two more people in the operating room.
Zhou Cheng didn't know one person. From his appearance, he was probably an associate professor invited from outside, but the other person was Yang Yifeng who had met Zhou Cheng several times.
Yang Yifeng also put on the surgical gown at this moment and stood on the stage.
After Zhou Cheng walked in, Luo Yun glanced at him, then looked at the time displayed on the timing panel in the operating room, and said nothing.
Zhou Cheng approached Zhang Zhengquan and asked, "Have you done the manual reset?"
"It hasn't started yet. It was reset once before. The patient was in too much pain, so it was forced to stop."
"Director Zeng of the Department of Anesthesiology said that with simple femoral nerve combined with sciatic nerve block, the anesthetized segment will not reach the fracture site!"
"So Yang Yifeng is performing a branch cutaneous nerve block on the patient..."
Branch cutaneous nerve block?
Zhou Cheng was stunned. He had rarely heard of this term. It required a very solid foundation of anatomy and bedside color Doppler ultrasound experience to be able to do it.
This is a very cutting-edge technology in anesthesiology.
Zhou Cheng looked inside, and sure enough, he saw Yang Yifeng was lowering his head, meticulously using a puncture needle to give the patient block anesthesia under the monitoring of color Doppler ultrasound.
This Yang Yifeng is really not simple.
Chapter 60 Dead Bird!
股神经阻滞适应症:1.膝关节镜检查术。2.大腿前部的浅表手术。3.股四头肌肌腱修复手术。4.髌骨骨折手术。5.髋关节和膝关节置换术的术后镇痛。
The range of anesthesia for femoral nerve block is actually at the intersection with the range of surgery for this patient.
If the strength and direction are not selected correctly during reduction, the muscles in the non-anesthetized area will be cut.
It is equivalent to operating on the patient without anesthesia.
Even if the sciatic nerve block is combined, it only temporarily paralyzes the sensation and touch below the knee joint, and the sensation and touch above the knee joint can only be said to be uncertain.
Cutaneous nerve branch block is a better supplement to sciatic nerve and femoral nerve block combined with anesthesia.
It's just that this kind of cutaneous nerve branch block is extremely difficult to control, it is a sophisticated operation, and its applicability is not strong, so not many anesthesiologists will study in this direction.
Zhou Cheng was quite surprised that Yang Yifeng could perform such an anesthesia, but considering that Yang Yifeng is a graduate student in orthopedics, he has a relatively deep understanding of basic anatomical knowledge, and if he can use bedside color Doppler ultrasound, it is not impossible. .
At least, Zhou Chengcheng would not be able to do such a nerve block. He is only an orthopedic surgeon, not an anesthesiologist.
When Zhou Cheng arrived, the block was almost over.
Yang Yifeng then lightly poked the skin near the patient's thigh with the tip of the needle, and asked, "Does it still hurt?"
"No more pain, no more feeling!"
"Ouch, it's much more comfortable."
"It doesn't hurt at all, thank you, doctor." The patient's breathing gradually calmed down.
For him, as long as it doesn't hurt, the feeling is simply wonderful.
Yang Yifeng pulled out the blocking needle and said: "When the patient's fracture end is just inserted into the muscle, the injured muscle is deformed, and there is a certain torque tension. If any force is applied at this time Lateral stress will generate greater cutting force and severe pain."
"The pain receptors in our muscles are extremely sensitive to the force of the cut."
"So if you add the respective blocks of the branches of the cutaneous nerve, you can avoid this situation to the greatest extent."
"However, this is only a short-term block. I estimate that it can only last for about 30 minutes at most. Teacher Cai, Professor Zhong, is this enough time?"
Hearing Yang Yifeng's words, the director of the anesthesiology department, Director Zeng, said with a smile: "Enough is enough, it must be enough."
"Today I have gained a lot of knowledge. I heard people talk about this kind of branch cutaneous nerve block at the academic exchange meeting before. Very few people know it. I didn't expect that Xiao Yang, you can do such a block operation. ."
"I really hope you can come to our anesthesiology department!"
Cai Dongfan probably felt that the big problem of anesthesia for patients has been solved now, so he joked: "Director Zeng, Xiao Yang is Professor Ding's precious student, if you fool him into the anesthesiology department."
"I guess Professor Ding would not mind letting you see the fists of the old professor of orthopedics."
The corner of Director Zeng's mouth twitched, remembering that he couldn't even beat Cai Dongfan in a one-on-one fight, let alone one-on-one with Professor Ding and a large group of disciples and grandchildren...
Just shook his head: "I was just joking."
After Yang Yifeng finished the anesthesia, he said, "Teacher Cai, Professor Zhong, I'm done with the anesthesia, so I'll step down first."
After speaking, Yang Yifeng was about to take off his clothes.
"Xiao Yang, don't step down. The manipulation of the femoral bone reset requires a lot of strength, and one more person will add more strength." Cai Dongfan was a little stunned.
Report chapter Comments
Yang Yifeng has helped so much, it is unreasonable not to let him come during the official operation.
Yang Yifeng took two steps back, shook his head and said with a smile, "I believe that Professor Zhong and Teacher Cai will be able to complete the follow-up operations, so I'll take a look in the audience."
"I haven't touched manual reset before, so I can't help you much."
After finishing speaking, he reached out to pick up the collar, which was regarded as a violation of the principle of asepsis, and he stepped down passively.
Cai Dongfan didn't dare to pull anymore.
Zhang Zhengquan frowned, as if he couldn't understand Yang Yifeng.
It's not just Zhang Zhengquan, Zhou Cheng can't understand it either.
Zhong Hua and Cai Dongfan saw that Yang Yifeng was full of personality, so they stopped persuading him.
The manual reduction of fractures is actually similar to the manual reduction of joint dislocations.
First of all, it must be fully tracted. The prerequisite for sufficient traction is to have two back tensions. Otherwise, the patient will be pulled off the operating table directly.
Therefore, an assistant is needed to fix it, and the operator performs traction operations. This patient is special, so many helpers are needed.
But this patient can't start to reset directly, and his fracture type is also special, so you have to check the position of the fracture end first——
Zhong Hua immediately said to Cai Dongfan: "Director Cai, you may be a little faster in doing the investigation."
"Okay, Professor Zhong." Cai Dongfan also nodded, and after asking the equipment nurse for a round knife, he immediately cut two 4cm long incisions at the two broken ends, and then broke the skin and skin layer by layer inside. subcutaneous tissue.
With the number of manipulations by Cai Dongfan, he found the proximal end of the fracture about 4 minutes later.
Cai Dongfan replied: "Sure enough, it is inserted into the muscle group, but it is the bone intermediary muscle. I checked it, and there are no blood vessels around it!"
"Then look at the far end." Cai Dongfan immediately began to investigate the broken end of the far end.
Then I saw that the fracture site was only 0.5 cm away from the rear femoral artery, and the sharp bone edge was only 0.4 cm away from the femoral artery!This is because the muscles are deformed, so the fracture ends are pulled out of the way.
His complexion changed immediately!
"Professor Zhong, come and see!"
Zhong Hua is naturally also a surgeon. If a person in the department of orthopedics does not perform surgery, then he must be fine. Could it be that the patients in the surgical indications will not be cured?
When he saw this artery, the expression on his face immediately froze!
His forehead began to be covered with fine sweat.
The reset before Yang Yifeng did not apply cutaneous nerve block was simply too dangerous. If he didn't pay attention, he succeeded in 'killing' directly.
Yes, before Yang Yifeng came to supplement the anesthesia, he and Cai Dongfan had already tried a reset, but the patient suffered too much pain during the operation and the level of anesthesia was not ideal.
So the operation was called off halfway, and Yang Yifeng added cutaneous nerve block anesthesia.
"This? Can it be reset?" Cai Dongfan asked.
Zhong Hua's eyes were very tangled, he turned his head and signaled Cai Dongfan to go away with his eyes, and then the two stayed in the corner of the operating room.
Zhong Huacai said: "Director Cai, let's forget about it. In this case, there can be no deviation at all."
"And in the process of traction and reduction, no one can guarantee that the distal end of the fracture will not slip. The patient's heart function is not good. If the artery is broken, heart failure and insufficient circulating blood will basically appear soon. Happening."
"Go and talk to the patient's family." Zhong Hua wanted to stop the operation.
When Luo Yun and Du Yanjun saw this scene, their hearts sank.
It seems that this patient has really stayed in the department for a long time.
I can't move at all!
"Okay!" Cai Dongfan's face changed for a while, and he went straight out of the operating room. He wanted to talk to his family members. The current situation is the most complicated and dangerous one.
After about 5 minutes, Cai Dongfan walked in again.
Said: "Professor Zhong, I talked with my brother-in-law just now. He is quite an open-minded person. He thinks that if you take a risk and fight for it, the quality of life in the future will be greatly improved. Otherwise, the life behind his father will be completely lost. quality."
Zhong Hua asked: "Ah? Are you sure? Make up your mind!"
Cai Dongfan took a deep breath and said, "I'm sure!"
Although it is better to be alive than dead, but if you can't even move, and you are lying down, you are enduring endless pain.
That such a survival!
It really lost too much meaning, just to live and live.It is estimated that the old man talked with his children and wife after he found out about his situation.
"Alright then." Zhong Hua also took a deep breath.
"Luo Yun, Xiao Du, you two are responsible for fixing the pelvis. Let's try one last time. There is only one last chance." Zhong Hua said.
Four people took their seats one after another.
Zhong Hua squeezed his hands, and then said: "You two need to fix it firmly, the fracture of the femur will take a long time to continue traction. And we don't have much time left."
"To completely relax the muscles!"
"Just four people?" Zhong Hua frowned slightly. There were not many opportunities. To antagonize the thigh muscles, only he and Cai Dongfan took the initiative to pull them, which might not be enough.
Luo Yun understood, and immediately said: "Zhou Cheng, wash your hands and go to the stage to help."
Zhou Cheng nodded, turned around and left. Since Luo Yun had called his name, he would not retreat.
It's just that Zhang Zhengquan, who was standing next to him, was slightly taken aback: Teacher Luo, obviously I came to the operating room first?
I also have great strength.
A little bit wronged.
But Zhang Zhengquan didn't know at all that Zhou Cheng proposed the operation suggestion this time, otherwise there would be no such thing as today.
Yang Yifeng looked at Luo Yun thoughtfully, and began to wonder why Luo Yun called Zhou Cheng to the stage instead of Zhang Zhengquan, who was also Gui Pei. This was an excellent material for him to write in the novel.
The story is taken from reality and higher than reality, which will make readers more sticky...
Cai Dongfan and Zhong Hua waited for a while.
Zhou Cheng finally changed into the surgical gown.
When Zhou Cheng approached, he watched Cai Dongfan and Zhong Hua standing on the left and right sides of the ankle joint, completely grasping the ankle joint with four hands.No place was reserved for him.
I sighed in my heart.
Secret channel: I knew that Zhong Hua would choose a farther away traction position.
The heel is one of the common positions for bone traction, and it is also a good focus point for manual reduction.
But in fact, for femoral fractures, it is better to use more traction from the tibial tubercle. When doing manual reduction, the choice of focus point is the same.
Moreover, the broken end of this patient's femur was more interestingly inserted into two muscles with classic shapes.
If he didn't go on stage, Cai Dongfan and Zhong Hua would exert force from the ankle joint, it would be over, the knee joint would be used as a prying point, and the femoral artery would be in danger!
Cai Dongfan and Zhong Hua were just starting to pull in the longitudinal direction, when Luo Yun and Du Yanjun pressed the pelvis hard to fix it!
I saw Zhou Cheng put his hands behind the tibial tuberosity, and then lifted it up with a little force, just like doing a drawer test.
A force perpendicular to Luo Yun, Du Yanjun, Cai Dongfan and Zhong Hua was exerted.
Immediately, the patient's lower limbs flexed.
This?
What is Zhou Cheng doing?
Seeing this scene, the faces of everyone on the field changed drastically.
What is Zhou Cheng doing this week?
The traction is vertical, and Zhou Cheng suddenly added a vertical force in the air. According to the principle of force synthesis, Zhou Cheng's force has no antagonistic force!
Didn't it happen that Zhou Cheng bent his knees?
What will happen after the knee joint is bent is completely out of the expectations of Zhong Hua, Cai Dongfan and others!
The scalps of the two of them went numb in an instant!
Then the heart seemed to be crushed by an invisible force, followed by the high tension caused by the frightening of all the muscles in the whole body, as if every muscle was being pulled by some invisible force.
Thoughts running wildly——
The femoral artery ruptured!
Heart failure!
The sick died...
Dead bird!
Zhong Hua regretted it very much at this moment.
Chapter 61 You definitely didn't mean that just now!
Zhou Cheng was the one who came to the operating room later!
Why do you say that?
Zhong Hua was able to become an associate professor. Apart from his own strength, another characteristic was caution.
One of the judgments for being promoted to a deputy high school is to see how many medical accidents you have, and you can't just rely on recklessness.
Therefore, the first thing to do when entering the operating room is to explain it in detail with Cai Dongfan and others, including the observers, including the process, principle, what he would do, and what other people should do. Do, under what circumstances, the operation must be stopped halfway...
After more than 20 minutes, Zhong Hua felt that he had opened a small class for the people here.
But not eggs.
At that time, Zhou Cheng hadn't come to the operating room yet, so a single word had nothing to do with him.
So he had no idea what he was going to do and what he had done?
But God is pitiful, how did Zhong Hua know that this unexpected situation would happen to a person Luo Yun casually pointed out?
Zhou Cheng was called by Luo Yun to help with the traction. Luo Yun was a senior doctor. When Yang Yifeng stepped off the stage, he said that the traction might not be strong enough, and his arms could not twist his thighs.
Is there something wrong with Luo Yun calling people?
Luo Yun is the attending physician, so is there something wrong with calling a Gui Peisheng to help?
Zhou Cheng came to the stage to help, is there something wrong?
If people are gone, it has nothing to do with them...
For a moment, Cai Dongfan's heart felt a sense of oppression passing by, followed by an extremely powerful sense of emptiness, as if his whole body was weightless.
It was a sudden feeling of suffocation, mixed with anger...
Luo Yun was chilled from top to bottom, he seemed to be able to imagine that after the operation, Cai Dongfan might be cutting him with a scalpel.
The person was called up by him...
Du Yanjun's mind was blank for a while, as if he was in the desert, lost his way, and had no idea why this happened.
Yang Yifeng's heart skipped a beat, and he thought to himself, oh well.
This week has been tough enough...
But just when everyone has different ideas.
All I saw was that the patient's thigh gradually changed from the previous rhomboid deformity in an extremely silky way.
The muscles on both sides of the thigh bounced crisply at the same time.
The previous rhomboid deformity disappeared.
This bouncing feeling was transmitted to the palms of Zhong Hua and others through muscles and bones...
Let everyone be stunned again.
This is?
The broken end slipped out of the muscle?
How could it slip out so easily?
The high-end nerve block anesthesia done before...
Before everyone could finish thinking, Zhou Cheng loosened the upward force at the tibial tubercle, and then turned the force to the axial direction of the thigh!
Work hard!
After pulling it out like a radish, he completely loosened his strength.
This process sounds complicated, but in fact it only takes seven or eight seconds.
After the whole process was over, Cai Dongfan, Zhong Hua and others didn't come back to their senses, they just stared blankly at the final result——
The rhomboid deformed thighs are gone.
Instead, swollen and straight thighs!
After finishing all this, Zhou Changcheng let out a long sigh of relief.I checked the tension of the anterior femoral muscles with my hands again, and found no tension.
What Yang Yifeng said before is correct. After the broken end of the fracture is inserted into the muscle, there will be torque, which will make the muscle tension greater. Now there is no tension in the muscle, which proves that his previous traction is to make the fracture The stump was pulled out from the insertion.
Then he took another deep breath and shouted: "Xuan, push the C-arm machine, let it pass!"
"Others get out of the way!"
The tone is very affirmative and commanding.
But just after he finished speaking, Zhou Cheng saw that the others looked at him with strange eyes, with different eyes!
Only then did Zhou Cheng react!
I just tried too hard again!
damn it.
I am now a junior doctor, not a superior.
I can get in and the role hasn't come out yet.
So he quickly changed his words: "Director Cai, Professor Zhong, why don't we take a look at the situation first?"
"OK?"
The tone was too good, this is the tone that a junior doctor should have when asking a superior doctor for instructions.
But you definitely didn't mean that just now...
After being awakened by Zhou Cheng's voice, Cai Dongfan and Zhong Hua planed Zhou Cheng away with their hands almost at the same time, and then squeezed Zhou Cheng away.
Almost at the same time, they went to the incision on the far end of the thigh that was made before, and began to pull it with their fingers to turn it inside.
What C-arm perspective and the like are completely unimportant.
As long as the fucking Zhou Cheng doesn't cut the femoral artery, it doesn't matter if he cuts off all the nerves.
At least the patient will not die.
The idea is crude, but this is the real idea.
As long as people don't die, everything is still possible.
After pulling it apart, there was no sign of blood gushing as imagined.
Cai Dongfan and Zhong Huacai shivered slowly, let out a sigh of relief, and then felt a similar tiredness after finishing their work.
Although the experience and feelings after the incident are completely different from the current experience, but from a physiological point of view, it is the whole body fatigue after a high tension or a shiver after stimulation...
Hemorrhage has its own definition, that is, a large amount of blood comes out of the blood vessels, which is called bleeding.
The vessels in the body that hold blood are the organs, blood vessels, and heart.
The blood vessels and organs on the legs have nothing to do with the heart. If the artery is broken, there will definitely be a lot of blood gushing out in a short time.
When the artery is broken, the blood column can soar up to the ceiling. Even if the blood is not soaring, a large amount of blood will be lost, and it will soon gurgle from the incision leading to the outside world, and more than 1000ml of blood can be lost in a short time...
no blood came out...
According to the definition, the possibility of Zhou Cheng cutting the blood vessel can be ruled out.
With this guarantee, the two dared to relax.After all, if the main artery is cut, it will kill people.
Undead, let's talk about the latter slowly!
Cai Dongfan and Zhong Hua glanced at each other.
Cai Dongfan said, "Professor Zhong, the artery is not broken."
This statement stunned everyone in the operating room, especially Director Zeng of the anesthesiology department. He was really frightened just now. He is an anesthesiologist and is responsible for the vital signs of the entire operation. He is ready for general anesthesia at any time. Then he was intubated.
If the artery is broken, for example, debridement and exploration and blood vessel suturing are required, then whether the patient can withstand the consequences of general anesthesia is irrelevant.
But okay.
The 'milk' he picked up put down again...
Zhong Hua also took a look at Cai Dongfan, and said in his heart: If you can see it, I can see it too.
Cai Dongfan continued: "Professor Zhong, this week Cheng is the regular trainee in our group and half of my student. Today's situation is due to my poor discipline."
"But the situation is not too bad, at least the main artery is not broken. It's just that the broken end may be displaced again."
"Let's take a look at the specific situation first?"
"I'm sorry, Professor Zhong, to trouble you."
Cai Dongfan hadn't introduced Zhou Cheng before, so he explained Zhou Cheng's identity.
And of course an apology!
Zhong Hua was invited by him to do the technique reset, and he was a foreign aid professor.
Then in the operating room, he was frightened by his subordinates. As a superior, he naturally had to apologize first.
People are their own, and if the rules are not taught well, then they are responsible.
Besides, with Zhou Cheng's current status, Cai Dongfan can completely understand that Zhong Hua may feel that Zhou Cheng himself has never disciplined him this week.In other words, it was a hole he left for Zhong Hua. Although Cai Dongfan didn't have such an idea, Zhong Hua could definitely think so.
A fucking Gui Peisheng, with the support of professors from the outer courtyard, still acts independently. This person is either mentally ill, or lacks rules.
Even if Zhou Cheng hadn't heard Zhong Hua's previous explanation, it was still the same.
After Zhong Hua heard Cai Dongfan explain that there was no arterial injury, he also calmed down a bit.
Zhou Cheng's actions just now were a bit beyond his expectation.
But the result was not the worst, Zhong Hua began to look at the patient's legs.
Clinical medicine is an evidence-based discipline.
Fractures are defined and have their own special signs——
Fracture line exists, bone discontinuity, bone friction sound and bone friction feeling, limb deformity.
This patient already had obvious limb deformities.
This is caused by displacement of the fracture.
What manual reduction needs to do is to reset the displacement. After the displacement is reset, the deformity will disappear accordingly. Although bone friction sound and bone friction sensation will exist, no one will try it.
The patient must be in pain, right?
Was the displaced reduction of the fracture successful?
One of the most obvious and intuitive impressions is the disappearance of deformities.
For example, now, the deformity of this patient has disappeared.
But disappearing does not mean a complete reset. This is invisible to the naked eye and requires the use of tools, which is the C-arm machine that Zhou Cheng mentioned before.
The C-arm machine is actually a small X-ray device. The intensive reading and definition are not as high as those in the radiology department, but it is enough to see fractures. It is usually prepared in the operating room of orthopedics and spine surgery.
What cannot be seen with the naked eye needs to be seen with the help of it.
Zhong Hua doesn't know what the situation is now, but no matter what, if there is a problem, solve the problem, solve the problem first, and then go to accountability.
Rather than addressing the issue first.
Time is precious.
Moreover, Cai Dongfan is still a responsible person, and Gui Peisheng in his group can also be called his student, so Zhong Hua can't say much.
He just said: "Let's look at the specific situation first!"
"Everyone go out and go to the isolation room."
Chapter 62 I don't even want to step down!
Adults are no better than children. If you encounter a problem, if you don't think about how to solve it first, it can only show your physical maturity.
No matter whether the matter is caused by yourself or not, if it affects yourself, you have to find a way to solve it.
Society is complicated, and you are also a part of society after all...
Although on the surface, Cai Dongfan was still polite to Zhong Hua and cared for Zhou Cheng, and took the initiative to take the responsibility on his poor discipline.
But in his heart, Zhou Cheng had already been scolded bloody.
How complex is this patient?
How much hair did he lose because of this patient? First, he invited Professor Zhong Hua from the outer hospital, and then he happened to meet Yang Yifeng, so he got the opportunity to intervene now. What if something went wrong because of Zhou Cheng?
The key point is that the patient is still an acquaintance of his own.
What kind of big-tailed wolf are you acting like in front of this?
Cai Dongfan is a teacher who is responsible for his students, but at the same time, he can also deal with some thorns.
After the operation, Cai Dongfan could call the Regulatory Training Office and say, take this Zhou Cheng back, I don't want him here anymore.
Yes, you can say that directly!
It's very simple, Zhou Chengcheng has to be transferred to another group, as to whether the other groups want Zhou Cheng, that's not something that Cai Dongfan should care about.
But this is something for later, we still need to deal with the current situation according to the actual situation.
If it can be reset, continue, if it cannot be reset, then simply stop the operation, send the patient back to the ward, and explain to the family members...
There is a small isolation room in the orthopedic operating room, which is prepared for C-arm fluoroscopy during the operation!
Otherwise, after taking radiation for a long time, all orthopedic surgeons will mutate.
Orthopedic surgeons are human too, so of course they cannot be so inhumane.
Although patients will take radiation, there is no way to avoid it.
And every patient is undergoing this operation, the doctor is not...
When Zhou Cheng heard that Cai Dongfan apologized to Zhong Hua, he felt quite uncomfortable.
He is reckless, and he can also understand the thinking of Zhong Hua and Cai Dongfan, just as if Zhang Zhengquan was not the one who did the reset just now, Zhou Cheng would feel very surprised and at a loss in his heart.
Zhang Zhengquan, why should he deal with such patients?
But in the vision of Cai Dongfan and others, what is the difference between himself and Zhang Zhengquan?
But no way!
If Zhong Hua and Cai Dongfan were allowed to do manual traction from the ankles, the patient would probably die in front of them.
If they didn't come to the operating room, or they did it recklessly before coming, then out of sight, out of mind!
Now that you see it, you still have to take care of it.
As for the consequences, Zhou Cheng didn't think much about it.
Although there was probably something wrong with the procedure, Zhou Cheng had done everything he could do. Even if Luo Yun didn't ask him to take the stage, he would still be there.
Professor Zhong Hua had already spoken, and the others naturally followed suit.
In the process of going out, many people stared at Zhou Cheng intentionally or unintentionally!
Different minds.
At this moment, Du Yanjun hated Zhou Cheng a little bit.
The patient is under his care. If something really happened during the operation, and it was because of Zhou Cheng, then it would be very difficult for him to choose——
What about telling the patient's family?Or not?
Do the patient's family members believe what he said?
Zhou Cheng is a regular trainee, why would he skip Cai Dongfan and Zhong Hua to reset the technique, without Cai Dongfan's consent?
Is it a relative who still pushes the responsibility?
Report chapter Comments
Definitely can't push it away.
But if he doesn't say anything, his teacher bite the bullet and swallow this bitter fruit, which will have a great impact on his teacher.
And I also have to face a lot of materials and various questions, you are a bed doctor...
If you co-author a bed that you don't manage yourself, you can mess around, right?
Luo Yun's heart is entangled.
He originally wanted to recommend Zhou Chenglai to perform manipulation reset, but Cai Dongfan refused and invited Professor Zhong Hua.
Just now I asked Zhou Cheng to help out on stage again, alas, if something happened, I would feel guilty.
Don't call Zhou Cheng good.
And even if Zhou Cheng resets successfully, Professor Zhong Hua will think Cai Dongfan, what do you mean? Someone in the team can do this kind of reset, why did you ask me to come here?
Let me learn from a regular trainee to gain knowledge?
If the reset is not successful, it will become more complicated, and Zhong Hua will think in his heart, are you deliberately looking for someone to make it more difficult for me?
Of course, this was Luo Yun's own idea.
However, we have to wait until after watching the reset film.
Zhang Zhengquan kept his head down and said nothing, mainly because he didn't dare.
Yang Yifeng blinked slowly.
The anesthesiologist watched the nose, the nose, the mouth, and the mind. Although he thought it was funny, he himself was frightened just now. The patient had an accident on the stage. The anesthesiologist worked the hardest because he was the one who monitored the vital signs.
As for this reckless Gui Pei, he can't be entirely blamed, after all, Zhong Hua himself didn't make it clear.
……
After 2 minutes, the result of fluoroscopy came out!
As a result of the perspective, everyone's expressions suddenly changed!
Then stare at the display screen of the C-arm almost simultaneously——
The fracture gap, the fracture line that appeared under the C-arm, has returned to a tangible form!
What does it mean to restore the gap of the fracture line to a shape?
Ordinary fracture patients, because there is a gap at the broken end of the bone, there is a fracture line on the X-ray!
A patient who has moved too much is not called a gap, but a gully.
It's like the patient's previous X-ray, the manifestation was a ravine in a ditch——
Because it is so special, everyone can remember it.
Look at the current C-arm imaging results.
The broken ends are almost touching!
Although there are still free bone fragments.
However, type C fracture of femur is a complex fracture in itself, with multiple fracture fragments.
In addition, the original displacement of the fractured end of this patient made the fractured end a thousand miles away.
There is no possibility of conservative treatment.
How long have Yan Haihan and Cai Dongfan been running around for this patient?
Yan Haihan left him in his own group for more than a week without dealing with it. Cai Dongfan went to consult everywhere, asking if any professors would accept him...
The requirements are not very high, as long as you can get by in the treatment and don't have no way to treat it like now.
But it doesn't work either.
The patient himself knows this situation, but he does not want to spend the rest of his life in the hospital bed, and is willing to take the risk of surgery.
But no one dared to respond. In the end, it was Cai Dongfan who listened to Zhou Cheng's suggestion before considering hiring a professor.
If you don't have a place to send it, you can handle it yourself...
The requirements for what to do are really not high, as long as it can be converted to conservative treatment, there is a glimmer of hope!
It's good to be able to stand up with the help of crutches afterwards, don't move hundreds of thousands of miles like before...
The treatment of each person does not have to be perfect, but the most suitable treatment according to each person's different conditions is the best.
It was reset once before, but the level of anesthesia was not adapted yet.
If it wasn't for Yang Yifeng, the operation wouldn't be able to proceed at all.
Now this situation has completely changed from impossible to feasible.
From a variant fracture to a common fracture type.
It's ridiculous to say, and even the request is extremely humble!
But this is a medical miracle!
There is no need for tight seams, and no anatomical reduction. It can only be restored to the fractured appearance of ordinary people, which is a gift to this patient.
It is absolutely impossible to reset the previous fracture to the level of anatomical reduction through manual reduction!
That's what metaphysics and magic can do.
For C3.2 fractures, it is impossible to achieve manual reduction to anatomical reduction!
Because free bone mass is an uncontrollable factor!
For this inoperable patient, this is just a luxury.
Even in the current situation, it was an extravagant hope that I didn't dare to think about before.
Seeing this result, Zhou Cheng let out a sigh of relief, and two thoughts floated in his mind at the same time.
First, the skills are real. I can really handle fractures that others can't imagine.
Second, it's just a broken program without bad results, so it's acceptable.
Although this is not the level Zhou Cheng is most satisfied with, if he is completely the main surgeon, he will use two more Kirschner wires for minimally invasive fracture fixation.
But Zhou Chengcheng didn't want to mention this kind of alternative and trendy extra drama.
Meng Lang had already done it once just now, and if he continued to dance, others would not think that he would always have such good luck.
Professor Zhong Hua read it!
But he let out a long sigh of relief.
With a steady voice, he said: "Director Cai, I can see this from the film."
"Resetting the technique, the best result can only be like this. It's much better than I expected."
"Do you think it is necessary to continue the reset? Or just use bone traction like this."
If it is a fracture of the calf, then plaster external fixation can achieve the effect of fixation, but plaster fixation for fractures at the femur is quite limited!
It is limited and cannot be fixed. There are clinical countermeasures——
The conventional conservative treatment is continuous skin traction or bone traction, and bone traction is better than skin traction.
"Bone traction!"
"That's good enough."
"Thank you, Professor Zhong. If you hadn't come to help me, I wouldn't have known what to do." Cai Dongfan hurriedly thanked Professor Zhong Hua with a sincere tone.
Glancing at Zhou Cheng next to him, his inner thoughts began to fluctuate...
But the corners of Zhong Hua's mouth under the mask twitched slightly.
This TM has something to do with me?
Glancing at Zhou Cheng who was standing beside him, he narrowed his eyes.
He made it.
It's the hot guy I wanted to strangle him to death 2 minutes ago! (Intentional, not a typo.)
This regular Peisheng is very interesting, isn't it?
You can talk to him later!
Because looking back at Zhou Cheng's previous behavior, the whole process was straightforward and smooth, and it was definitely not the recklessness I understood...
Otherwise, Zhou Cheng shouted decisively at the last sentence!
"Touring push C-arm machine..."
But now is obviously not the time to chat.
After the operation is over, there should be a chance to talk and talk.
"Zhou Cheng, go and perform bone traction on the patient with Du Yanjun, Luo Yun, go and sew up the wound, Professor Zhong and I will step down first." Cai Dongfan immediately made follow-up arrangements.
Cai Dongfan untied Zhong Hua's collar while talking.
Zhong Hua was a bit stupid at the time——
Subconsciously took a step back.
No?
Cai Dongfan, what are you doing?
I don't even want to step down!
"Director Cai?" He only called out once.
But before he had time to react, Cai Dongfan also untied the strap on his back.
Cai Dongfan took another two steps forward with a sincere face, and continued to say apologetically:
"Professor Zhong, I'm sorry, the original agreement was to send you back to work at 08:30, and it's already past nine o'clock."
"Sorry about that!"
Zhong Hua's pupils are round now:
Brother, you also know this is the case.
Since the delay has been delayed, can't it be delayed to the end?
But Cai Dongfan's words are completely fine.
The superior doctor can step down after completing the main operation, and the subordinate doctor is responsible for finishing.
If it was in his own unit, Zhong Hua could of course not be in a hurry, but this is the No. [-] Hospital, and he is here to help. If he steps down, where can he talk to Zhou Cheng?
Who the hell is taking the lead in making the upper-level doctors can step down early, and the lower-level doctors have to finish this unspoken rule?
I dislike him.
"Oh, it's okay, I'm not in a hurry!" Zhong Hua quickly changed his words.
Then he had no choice but to slowly take off his surgical gown, and kept looking in Zhou Cheng's direction.
Luo Yun naturally nodded in response to Cai Dongfan, and even patted Du Yanjun's chest, which was a little dazed, because this is a sterile area.
Said: "What are you still doing, go in and do something."
Zhou Cheng has already entered the operating room at this moment.
Du Yanjun realized it later, and followed Luo Yun into the operating room full of doubts.
Just now Zhou Cheng not only didn't help, but also finished the reset?
Just a few seconds?
Cai Dongfan continued to lead Zhong Hua out apologetically: "Professor Zhong, this way, this way..."
Zhong Hua shrugged his shoulders with a wry smile.
Brother, here I come!
I'm wrong!
Okay, you are the professor and I am your subordinate.
What are you urging?
You have to take care of me whether I leave or not...
Zhang Zhengquan also walked in with Luo Yun, but when he turned around and saw Yang Yifeng also walking outside the isolation room, he asked, "Brother Yifeng, why are you going?"
"Going back to type after get off work." Yang Yifeng stretched casually.
"Aren't you going to watch the surgery later?" Zhang Zhengquan asked one more question.
Yang Yifeng shook his head: "The subsequent surgery is boring, so I won't watch it."
Zhong Hua and Cai Dongfan left the operating room and went down to the locker room. Zhong Hua still wanted to struggle a little bit, and said, "Director Cai, do you have a smoking room here? I want to order one, but I can't help it."
Cai Dongfan replied in a bit of embarrassment: "Yes, Professor Zhong. It's already 42[-]. It's okay with your unit?"
"When I was just walking, I already called a car for you."
Zhong Hua: "..."
Chapter 63 Brother Zhou Cheng was led into an alley again
This is determined to send me away.
The idea of chatting with Zhou Cheng today seems to be impossible.
Before I came here, in order to avoid trouble, I left myself a way out!
But it completely blocked the current escape route.
Cai Dongfan's tone of thinking for him completely made him speechless.
Zhong Hua could only shake his head helplessly, sighed slightly in his heart and said, "Then I'll go down and smoke again."
"Director Cai, that Gui Peisheng in your group is quite interesting." Zhong Hua began to insinuate.
Because in the process of walking down, he recalled Zhou Cheng and what he did and said, and the following points can be inferred.
First, Zhou Cheng may be quite sure about this patient, but he is not reckless, otherwise, he would be on stage as soon as he entered the operating room.
Second, Zhou Cheng's focus and method of fracture reduction are quite peculiar, and the whole process is just dangerous as they understand it.But the real process was very smooth and silky, which was completely expected by Zhou Cheng.
Otherwise, in just a few seconds, it just happened to be a coincidence now?
Where in the world is there such a complete coincidence?
Thirdly, if Zhou Chengcheng could say something after the manual reset was over, it would be full of confidence. The Zhou Cheng at that time should be the real Zhou Cheng.
I asked one more question later, to save face for myself and Cai Dongfan.
Fourth, Cai Dongfan guessed that he didn't understand Zhou Cheng thoroughly at all, otherwise, Cai Dongfan didn't need to ask himself to come here.
Ignorance and unfamiliarity are not bad things!
The Eighth Hospital is the Shashi Hospital of Traditional Chinese Medicine, and the Provincial Hospital of Traditional Chinese Medicine is also a Traditional Chinese Medicine Hospital. It doesn't matter that the orthopedics department of the Eighth Hospital has been transformed before, and the Provincial Traditional Chinese Medicine still retains its characteristics. Maybe Zhou Cheng can be called to talk about it.
I seem to have the contact information of the chief orthopedic director here, see if I can talk to him then, and call Zhou Cheng over for a chat.
Zhong Hua is now an associate professor, and he has a lot of resources and contacts in his hands.
"Well, Zhou Cheng is quite a good kid. He is a key member of our team." Cai Dongfan expressed concern in his tone.
"I think so too." Zhong Hua replied casually, cursing in his heart:
You fucking fart!
……
In the operating room, after Luo Yun finished suturing, Du Yanjun personally escorted the patient back to the ward.
The patient belonged to Du Yanjun, and was also a relative of Cai Dongfan. With so many underlying diseases, Du Yanjun naturally did not dare to be careless.
Then Luo Yun patted Zhou Cheng on the shoulder, indicating that he had something to say.
Zhou Cheng followed, and Luo Yun said, "Zhang Zhengquan, take a look at the operating room. The patient came in and called me and Du Yanjun."
There is a turnaround time between the two operations. The operating room needs to be prepared, and the anesthesiologist also needs to complete the process of anesthesizing the patient.
"Okay." Zhang Zhengquan was playing with his phone in a messy mood at the moment, when he heard Luo Yun calling him, he replied in a daze.
Zhang Zhengquan suddenly felt that he was at an absolute disadvantage in his own group.
Not to mention the entire department.
Competitiveness is gradually declining...
Brother Zhou Cheng, why did he suddenly seem like a different person?
This patient who Director Yan and Director Cai can't do anything about, the patient whom Professor Zhong Hua invited by Director Cai can't figure it out, the patient who can't be transferred to other hospitals, and no one is willing to accept the patient!
It was actually done by Zhou Cheng!
And it has far exceeded the expected effect. This clinical ability and strength?
Accident?
Du Yanjun definitely didn't think it was just an accident, didn't he hear the tone of the order after Zhou Cheng's reset was over?
You don't have the confidence to shout like that, do you want to die?
Is Zhou Cheng a person who wants to die?
No, Zhou Cheng has always been stable on weekdays, his patients have never had any accidents, and the doctor's orders from his superiors are all done honestly and step by step.
It doesn't look special, but it's difficult for ordinary people to be able to complete the tasks assigned by their superiors well.
How can I compare myself with him?
And after this patient, Zhou Cheng will definitely be taken seriously in the department.
No, Mr. Luo will definitely go into the alley of the operating room with him.
……
Luo Yun did not take Zhou Cheng very far, but walked in the passage between the operating rooms, where usually only the workers who cleaned the operating rooms and those who operated the surgical instruments passed by.
After Luo Yun stood still, he glanced left and right for no one, and then said, "Zhou Cheng, did you actually have a little confidence in this patient before you reset the technique?"
Zhou Cheng blinked his eyes slightly, and asked back: "Mr. Luo, do you think I should say I am sure, or that I am not sure?"
Since Luo Yun took it out and asked, it must have a deep meaning.
Luo Yun had known for a long time that he could reset the hand, and he had applied to Luo Yun before, so naturally there was no need to explain anything.
Zhou Cheng is still grateful to Luo Yun, Luo Yun really cared about him!
Otherwise, Cai Dongfan had other arrangements yesterday, so he didn't need to call himself to tell him.
Why?
I am a junior doctor, how should the superior doctor make decisions about the treatment of patients, and I have to report to Zhou Cheng?
Zhou Cheng's face is not pie-shaped.
This is totally unscientific.
Luo Yun rolled his eyes and said, "Don't be kidding, I'm asking your truest thoughts!"
"It's important."
Zhou Cheng looked into Luo Yun's eyes seriously, and found that he really wanted to hear him tell the truth, so he nodded slightly.
"It's a little bit. There must be no complete certainty."
Luo Yun sighed and said, "I knew it."
"You can even reset the dislocation of the calcaneal joint. It's not uncommon for you to be able to reset the fracture."
"Director Cai will ask you this later, so just tell the truth."
"But not necessarily."
What Luo Yun said suddenly made Zhou Cheng completely confused.
But still nodded, it was just telling the truth, so let's say it, believe it or not, it's not something I can control.
After Luo Yun finished speaking, he left the operating room and went to the dressing room on the lower floor of the operating room, probably looking for a place to breathe and relieve the pressure.
……
Zhou Cheng returned to the operating room again. Zhang Zhengquan hurriedly put away his cell phone. He could see the smile on his face from his forehead, and he called enthusiastically, "Brother Zhou Cheng."
"Thank you for helping me prescribe the doctor's order and change the medicine."
"Come and sit here."
"Quanzi, were you okay on duty yesterday? Aren't you very busy?" Zhou Cheng asked casually, then walked to Zhang Zhengquan's side, and sat down on the stool.
"It's not busy. Except for a few patients during the day, it's pretty safe at night. There's an emergency consultation, and it's Teacher Luo Yun who goes there."
After Zhang Zhengquan returned, he said with a little flattery: "Brother Zhou Cheng, you are really good. You can reset such a difficult fracture patient with a technique that even the professor of provincial Chinese medicine is not sure about."
"I think there must be something for you to stay in the hospital."
Zhou Cheng yawned and said casually: "There are professional graduate students and academic graduate students in the department."
"What am I?"
"What about you? What's your plan?" Zhou Cheng began to insinuate. He was mainly curious about who the girl Zhang Zhengquan was chasing was, and who actually had such great energy.
Zhang Zhengquan said with a wry smile: "What plans can I have? I will train first, and then see if I can find a relationship to work in the county hospital."
"Others, I don't dare to think about it."
Zhang Zhengquan replied that he didn't dare to think about it, not that he didn't dare to think about it.
The difference of one word means that the difference is very different.
"What's the matter? It seems that you are not very interested."
"Lovebroken?" Zhou Cheng asked.
Zhang Zhengquan didn't think much of it. Although the fact that he was chasing a girl was not widely spread in the department, everyone probably knew about it, but it was not used as a topic of conversation.
"It's not a lovelorn, it's never been in love before. This time, even the chance is completely gone!" Zhang Zhengquan smiled self-deprecatingly.
Zhou Cheng said in his heart, it seems that he didn't get it.
So he comforted and said, "It's okay, where is there no grass in the end of the world? There must be a better person waiting for you."
This statement itself is fine.
But Zhang Zhengquan suddenly turned his head and said: "Then it's better to say goodbye. The one I'm chasing now will completely beat me to pieces."
"If the next one is better, I guess I will be trampled into the mud by her."
Oh open!
Zhang Zhengquan also has a story.
But after Zhang Zhengquan said that, he couldn't ask about the girl's basic situation anymore.
I started to take out my mobile phone, and then looked at the push posts on some of the latest public accounts related to medical literature.
Seeing that Zhou Cheng didn't ask, Zhang Zhengquan twisted his arm a little out of habit.
Then he said with emotion: "Brother Zhou Cheng, tell me, do men have to be better than women in terms of education, family background, and appearance in order to have an equal dialogue?"
Zhou Cheng raised his head, thinking that Zhang Zhengquan's question was interesting.
The answer is not simple, girls don't like men with strengths! ?
Then whether she is crazy or stupid, which aspect of you depends on her!
Words of character.
It will take a long time!
Otherwise how to taste?
Zhou Cheng patted Zhang Zhengquan on the shoulder, then continued to look down at the phone.
No reply.
Zhang Zhengquan sighed and did not speak.
He just lowered his head slightly, as if hiding endless bitterness.
……
Finally, the next patient was brought into the operating room just now, and Cai Dongfan appeared at the door of the operating room at some point, touching his head while shouting: "Zhou Cheng, come here, I have something to do with you. "
Du Yanjun's eyes suddenly shrank.
Director Cai is going to take Brother Zhou Cheng into the alley?
Chapter 64 I'm not polite!
Zhou Cheng stood up very lightly, glanced at Du Yanjun from the corner of his eye, and saw the growing confusion in his eyes.There is no way to say more.
He went straight to the operating room.
Du Yanjun's expression at the moment was very mixed. After Zhou Cheng left, he finally rubbed his face with both hands, and then rubbed his eyes with the hypothenar part of his palm.
Blinking, then scratching his head again, staring at the ceiling.
About a minute later, a girl who was also wearing a green hand washing suit walked into the operating room.
It can be seen that the sleeves of the medium-sized surgical gown make her hands and feet look slender, but her chest is a little tight.She also put on an anesthesiologist's back suit, which mostly blocked some of the scenery.
When seeing her, Du Yanjun's pupils shrank slightly again!
She is coming!
A bit unexpected, but also within reason.
For this patient, Cai Dongfan spent all his time calling Director Zeng of the Department of Anesthesiology. When the Director of the Department of Anesthesiology arrived in this operating room, it was naturally impossible to complete the anesthesia for only one operation.
As the director's student, he naturally doesn't need to do general anesthesia himself, and his students are in charge most of the time.
Du Yanjun deliberately stood up, and then started to call Luo Yun, but he still didn't answer.
At the same time, take advantage of this opportunity to sneak away...
One thing Du Yanjun didn't guess right was that he didn't call Zhou Cheng into the alley, but called him to the 'smoking' room downstairs.In fact, it's a meeting room for smokers.
This space is not big, ten square meters at most, and there is a very powerful exhaust fan inside, which makes a lot of noise, so it is separated by double doors.
Zhou Cheng and Cai Dongfan went through two doors before arriving at a holy place for surgeons.
Luo Yun was holding the door at the door, and after Cai Dongfan led Zhou Cheng in, he continued to hold the door.
The decoration style inside is in harmony with the style of milk tea shops and bars. The three-and-a-half sides of the horizontal fixed platform are decorated with the uniform dark yellow paint of the hospital, and the bottom of the fixed platform is filled with round high stools.
Each stool corresponds to a medium-sized ashtray.
There are a total of seven or eight people. It is conceivable that at the peak of this lounge, it can accommodate at least eight or more people who are smoking clouds, chattering and farting...
This is Zhou Cheng's first visit to this place. Luo Yun stretches out his dark green sandals and slippers on his left foot against the door, so as to leave a gap to see if the person pushing the door from outside is wearing purple clothes. People who come in to inspect.
Looking at his skilled sitting posture, it can be seen that he is a person who often does such things.
But today Luo Yun didn't do it to avoid the inspectors, but to see if anyone else came in.
Cai Dongfan sat down.He opened the cigarette case and put one in his mouth, and then politely handed another one to Zhou Cheng.
Zhou Cheng waved his hands: "Mr. Cai, this won't work."
Cai Dongfan threw the cigarette to Luo Yun, and Luo Yun immediately smiled and said that Director Xie Xie only smoked Huazi, and smoking Hezi for a long time is still a bit of a financial burden.
"I have to learn in the future." Cai Dongfan said while lighting a cigarette skillfully.
"Smoking, drinking, and betel nuts, you have to know the same thing." Cai Dongfan joked very firmly.
Luo Yun smiled, and said at the same time: "My smoking habit was cultivated by Director Cai."
There was not much meaning of blame in the words, it was just a joke to liven up the atmosphere.
Zhou Cheng thought for a while, but didn't answer.
Cai Dongfan didn't bother to embarrass Zhou Cheng. The rules he mentioned were one of the options he had to choose when he entered the department.Times have changed now, and Pang Dingkun in the department does not have this habit.
Then he took a deep breath of the cigarette, exhaled it slowly, and said casually, "I heard from Luo Yun, do you have your own ideas on the reset of the technique?"
"Have you ever done manual reset for calcaneal joint dislocation?"
Zhou Cheng nodded, and replied: "Well, I have learned a little bit, that is, when I was on duty last time, I happened to meet such a patient, and I asked Teacher Luo for instructions."
Luo Yun coughed, as if to say, brother, don't drag me into the water.
Although I am the only one who secretly performs manual reduction of joint dislocations, don't mention it specifically.
This is something that Director Yan expressly forbids.
Cai Dongfan glanced at Luo Yun as expected, and suddenly said jokingly: "You are doing better than Luo Yun, please ask him what to do, next time you don't need to ask him for instructions!"
Luo Yun was instantly injured by a critical strike at the position of a melon-eating crowd.
I thought to myself, why does this involve me again?
I'm letting you know, you can do it yourself, okay?
Upon hearing this, Zhou Cheng replied, "Thank you, Director Cai. In the future, I will report to you and Teacher Luo when I meet a patient who I can perform manual reduction on."
How could Zhou Cheng not be able to tell that Cai Dongfan was authorizing him.
Cai Dongfan is the director, if he passes the test, then he will routinely carry out first-level surgeries and operations in the department, and no one can say anything.
Even Yan Haihan is hard to say. Could it be that Cai Dongfan, a chief physician, still has no way to control whether the people in his group can perform first-level surgery and operations?
Even if it really doesn't work, Yan Haihan can do it.
The department is not Yan Haihan's personal property, and he can't speak clearly.
Cai Dongfan knew that Zhou Cheng could hear the meaning behind his words, Zhou Cheng was not stupid, he had known this for a long time.
After all, he has been with his team for so long, and he is still a kind of clever person, just a talent. Cai Dongfan thought it was true before.
It's not just Cai Dongfan who thinks so, he and Luo Yun have objectively said it when they commented on Du Yanjun and the others.
But it is obvious that everyone can see another person only at the most superficial level, which is very easy to penetrate.
Cai Dongfan pursed his lips and said, "Don't be too happy so early. There will be five fractures in a while, and four of them can be repositioned. You can try manual repositioning after anesthesia."
"Anyway, it's going to be an operation after all. This is an extra step just for you."
"If it's still barely satisfactory, when you are on duty in the future, you can choose some simple fracture patients for manual reduction."
Luo Yun then added: "Zhou Cheng, this is also a way to consider you that Director Cai and I have carefully considered."
"For the next five operations, the informed consent for the operation has been signed. After the patient is anesthetized, you perform manual reset, and we will be able to see the reset effect immediately with C-arm fluoroscopy."
"This is the most time-saving way to take the school exam, and it will not affect the patient's follow-up treatment. You have to take good care of it."
Zhou Cheng turned his head to look at Luo Yun and Cai Dongfan, and asked a little more: "Ms. Cai, Mr. Luo, really?"
Cai Dongfan is really willing to give such a chance?
Then later if something happens, no surgery will be done.
But don't blame me.
Cai Dongfan rolled his eyes: "Of course it's true, why would I have the leisure to lie to you?"
"Also, today's third and fourth operations are your own patients, right?"
Zhou Cheng nodded: "Thank you, Teacher Cai."
With Cai Dongfan's confirmation, the stone in Zhou Cheng's heart fell to the ground.Then say:
"It's my patient, a patient with a mid-tibial fracture and an intertrochanteric fracture."
When Cai Dongfan heard the words, he sighed slightly:
"A patient without a fractured fibula?"
"Then the next time you encounter a simple fracture like a fibular fracture, you should give it a try."
"I saw your understanding of surgery last time, and it was quite good."
"However, tibial intramedullary nailing and intertrochanteric fractures are both Class III operations. It's a bit too aggressive, and it's not good for you."
Zhou Cheng nodded hurriedly, and said again: "Thank you, Director Cai."
After Cai Dongfan finished speaking, he put out his cigarette and walked out of the "lounge".
While going out, he said to Luo Yun: "You two finish talking earlier and then go on stage. When I went to find Zhou Cheng just now, the patient had already entered the operating room."
Luo Yun hurriedly nodded in response, then turned to look at Zhou Cheng, and said in a very soft voice: "That's right, Director Cai said, when you are on duty in the future, if you do the manual reset yourself, the performance will definitely be attributed to him."
"He doesn't bother to calculate how much money it is. He privately gives you 2000 yuan a month as a subsidy. It's not much, but Du Yanjun doesn't have this money."
"Don't say it, it will be given to you by my hand."
Zhou Cheng's pupils froze, and he hurriedly replied, "Mr. Luo, I can't take this money."
Zhou Cheng really didn't go out of his way to reset the technique just to earn this money.
Luo Yun shook his head and said, "Director Cai's decision, you don't have to."
"He will give it to me and let me give it to you. I dare not return it."
"Anyway, don't return it to me. If you want to return it, return it to Director Cai. Maybe he won't scold you."
After Luo Yun finished speaking, seeing that Zhou Cheng was still a little confused, he patted him on the shoulder and said, "Don't worry about it, let's go on stage."
"What you should think about is how to publish a paper earlier to make up for your shortcomings."
"Others are showing their talents and trying every means to make up for their shortcomings in order to stay in the hospital. Fortunately, you haven't talked to me about this matter with Director Cai until now, so you can hold your breath ."
"If I were you, I would try my best to make a paper and buy everything." Luo Yun slightly cursed in a low voice with a bit of resentment...
Chapter 65 Then I will tell Brother Zhou Cheng the good news!
Zhou Cheng was stunned for a moment, Luo Yun's words were not hints, they were all explicit.
It means that you have to create some articles by yourself to increase your competitiveness.Although staying in the hospital depends on clinical strength, but at least you can look past it in scientific research, right?
This is easy to understand. After all, the No. [-] Hospital is already a third-class first-class hospital, and there is no way to improve its level. To improve its overall strength, it must focus on both clinical and scientific research.
But now Zhou Cheng felt that there was no need for him to give up on the matter of staying in the Eighth Hospital!
After passing so many simulations, he felt that there were still quite a few choices he could choose——
For example, finding the woman who can make him work less is a way.
Of course, if you want to stay in a third-level hospital in Shashi, the current policy of the No. [-] Hospital is the best, because in other places, there is no graduate degree or even qualifications, unless you can go to graduate school with determination.
Otherwise, if someone else's baseline is drawn there, you won't even be able to cross the threshold, and it's useless.
Zhou Cheng stayed for a while, then walked towards the operating room.
……
In room 15, Du Yanjun returned to the operating room, bowing his head humbly, pretending to focus on the mobile phone screen.
Director Zeng of the anesthesiology department sat on the sofa, leaned back, crossed his legs, and said to his students: "An Ruo, it's a pity that you didn't come to the operating room for the first operation?"
"Superficial block of cutaneous nerve branches, this is a very rare nerve block technique, you should look at it."
The expression was full of regret, and he felt that his students really missed the opportunity to observe the ultra-cutting-edge technology of the anesthesiology department. This is an excellent opportunity for An Ruo to increase his knowledge and see clearly how sophisticated anesthesia in the anesthesiology department can be.
It can even be said to be the ceiling of the nerve block branch.
An Ruo is preparing anesthesia drugs, and preparing some epidural anesthesia equipment and intraoperative intravenous medication.
In addition to completing anesthesia, the anesthesiologist also needs to monitor vital signs, adjust blood pressure or correct electrolytes according to changes in vital signs and intraoperative conditions, so there is still a lot of preparation.
An Ruo turned her head and said mischievously: "Teacher, didn't you say that you gave the first anesthesia yourself. Moreover, the chief physician of the orthopedics department called you in person. I was lazy and slept a little longer."
Zeng Yi straightened his body at that time: "Hey, you are getting more and more skinny now, and you are lazy in front of me. I am the director, and I get up at seven o'clock every day. I arrive in the department on time at 07:30."
"It's good for you, as a student, you still sleep late."
An Ruo blinked her black and white eyes and said, "Teacher, I usually get up at [-[-]. Today I also get up at [-[-]."
Eyes full of grievances.
Zeng Yi rolled his eyes, okay, the old man made a mistake, you are a girl, it takes a lot longer to go out.
There are quite a few female doctors in the anesthesiology department. They wake up early to go to work, and they smear their faces. They don't know what they are doing. Doing these things will help improve their professional ability and work status. ?
He asked that question too, but one of her former students said.
Teacher, the anesthesiologist had to work hard to stay up all night. If I don't pay attention to maintenance, I may be over 30 next year...
Report chapter Comments
Zeng Yi said with emotion: "This Yang Yifeng is really interesting, but unfortunately he is not from our hospital, but a student from the Department of Orthopedics at the Affiliated Hospital of Shonan University. He came here to stay for a while."
"If he is from this hospital, I have to bring him to our anesthesiology department no matter what."
An Ruo didn't speak, but when Zeng Yi mentioned Yang Yifeng, his hands were visibly startled.
In fact, she didn't tell the truth to her teacher, that is, she was actually as early as usual this morning, but when she entered the operating room, she met someone she didn't think she should have, or she never wanted to meet.
His name, An Ruo checked, is Yang Yifeng.
But he didn't even ask him his name during that match.
He only said at the end of the game: "You can't do it either."
Then he left with the grand prize.
An Ruo felt that there was something wrong with Yang Yifeng!
His teammates pursued him, so couldn't he refuse?Can't you explain the reality to him clearly?
Have to agree?
Originally, he was not handsome, his strength was average, and he was only slightly stronger than his classmates.Then he asked him what he did at home, which didn't match him at all.
Beauty, family background, and talent are not taken into account. Why should I continue to learn about his character?
"You can't." So An Ruo said directly to his teammates.
Do you have to catch him?
I really don't have this interest, it's annoying to death.
And that game!
If Yang Yifeng leads the team, his team may not necessarily lose...
But in the end it was in the quarterfinals.
……
So after seeing Yang Yifeng enter her teacher's operating room, she turned around resolutely and went downstairs to rest.
Anyway, Director Cai invited his teacher to take care of the patient in that operation, and it was not his turn to help.
Can't be provoked or can't hide?
This Yang Yifeng is a little sick, and even seriously ill.
Of course, An Ru felt that she didn't need to speak out about these things, so she could avoid socializing with him in the future, and she was too lazy to bother with sick people.
If you have this time, read more books and literature, and strive to improve your professional skills.
Isn't it fragrant?
……
"Teacher, it's unnecessary, right? Didn't you always emphasize that the most important thing in anesthesiology is comprehensive quality, which is the monitoring of the patient's anesthesia process, and don't overly pursue the high-tech?" An Ruo asked Zeng Yi.
Zeng Yi continued to roll his eyes: "I'm just talking about it. Really cutting-edge operations are actually very attractive."
"I just don't want people in the department to go too far without mastering the basics..."
I said in my heart, what should I say if I don't say that?
You want me too.
An Ruo continued the epidural anesthesia, but for some reason today, the needle outside the spinal canal can be reached at one time, but today she couldn't feel it.
An Ruo pulled out the waist piercing needle again and again and then went deep, feeling the sense of breakthrough...
……
After the anesthesia for the operation was finished, Zhang Zhengquan and Du Yanjun helped put the patient in a supine position.
The position of epidural anesthesia is lying on the side, and it is not enough for the anesthesiologist alone to restore the position of the fractured patient.
After the body was put into the operation position, Du Yanjun said, "Brother Quan, today you disinfect, let me lift your leg?"
This operating room had a simple mid-tibial fracture, and Du Yanjun felt that today Cai Dongfan might ask him to try opening the suprapatellar intramedullary nail on the tibia.
Lifting one's legs is hard work, and Du Yanjun felt that taking the initiative to lift one's legs was the least way he could think of to bully Zhang Zhengquan.
Zhang Zhengquan glanced at Du Yanjun, and naturally agreed, it would be best if he could avoid raising his legs.
So I washed my hands and disinfected them first. Du Yanjun also opened a pair of sterile surgical gloves size 7.5, ready to lift his legs at any time.
Soon, Zhang Zhengquan entered the operating room with his hands in a devout tribute gesture, and was about to open the disinfection bag to start disinfection.
Cai Dongfan just came into the operating room, casually sat down on Du Yanjun's round stool, turned to Du Yanjun and Zhang Zhengquan, and interrupted them: "Yan Jun, Zhengquan. Disinfect the towel!"
"Later, Zhou Cheng will reset his hand for him to see." After speaking, he buried his head in his phone.
Zhang Zhengquan, who had washed his hands and kept the gesture of a pilgrim, was dumbfounded at the time.
Du Yanjun's face under the mask trembled slightly, and his mood was a little messy.
Brother Zhou Cheng?
Manual reset?
Master, I am your apprentice!
I'm still your only student studying now, don't you love me?
"Oh! Good!" Adults have to learn to hide their thoughts, Du Yanjun responded immediately: "Then I will call Brother Zhou Cheng and tell him the good news."
Cai Dongfan raised his head and glanced at Du Yanjun, then lowered his head again.
Du Yanjun directly touched his chest with his hands, and sighed——
You also told Brother Zhou Cheng the good news. Your master has already led Zhou Cheng through the alley, so do you still need to tell him?
Chapter 66 Dazed gift!
In fact, everyone felt that it was completely unnecessary for Du Yanjun to call Zhou Cheng, but they didn't tell him not to call him.
If adults are able to hide their emotions, the other three are more airtight than Du Yanjun...
Zhou Cheng immediately answered the call from Du Yanjun, and after hearing what Du Yanjun wanted to say.
Zhou Cheng also expressed surprise very cooperatively: "Thank you, Yan Jun, I will be in the operating room soon."
Not long after hanging up the phone, Zhou Chengcheng entered the operating room, and then said hello to Cai Dongfan and Luo Yun successively, and then made preparations before the manipulation reset.
Although Zhou Cheng didn't need to do long preparations, in order to make Cai Dongfan and Luo Yun feel more at ease, he decided to watch the movie for half a minute longer, and then invite Luo Yun to be his assistant...
And just after Cai Dongfan suddenly stopped Du Yanjun's disinfection and spreading of towels, An Ruo had just finished anesthesia and saw that the patient's vital signs were still stable.
He moved the smooth iron round stool to the side of the leather sofa where Zeng Yi was sitting, and said in a low voice, "Teacher, what are these orthopedic surgeons doing?"
"Isn't manipulative reduction the first surgery added temporarily? The surgery notice for this surgery says intramedullary nail fixation."
An Ruo is not a very gossip girl, so after she came in, she didn't ask her teacher about what happened during the first operation.
And with Yang Yifeng around, she was even more lazy to inquire.
Because although Yang Yifeng has a very annoying personality, he is indeed easy to attract the likes of old men and old ladies...
Zeng Yi used his head to control his neck to rotate in a circle, and while fully relaxing his cervical spine, he said, "This should be an extra act on the spot."
"The successful reset of the operation in the previous operation is not only related to Yang Yifeng, but also has something to do with this little training."
"Anyway, I don't understand those things in the orthopedics department, so I just think about cutaneous nerve branch block anesthesia."
After turning his neck around the axis, Zeng Yi raised his head and concluded, "It should be this Guipei named Zhou Cheng, who helped a lot when doing the manual reset. Didn't have time to ask."
"Anyway, Cai Dongfan and that Professor Zhong took a C-arm perspective halfway, and they didn't come back."
If Zhong Hua heard this, he would be a loyal fan of Zeng Yi——
Correct!
Just like that, that Cai Dongfan drove me away, can you believe it?
"Don't worry about them, as long as the delay is not too long, everyone will take the students away." Zeng Yi said.
"Oh." An Ruo nodded, expressing her agreement.
His aptitude is not good either. When Zeng Yi taught him how to administer anesthesia, he was so at a loss.
It also made other surgeons wait for a long time.
When An Ruo thought about it, she lowered her head slowly. Her own aptitude and talent are actually not very good!
The undergraduate course is just an ordinary second course, not even 985/211, but my own college entrance examination score line is actually able to get on the second line.
During the postgraduate examination, her scores were not very high, and she still didn't get into the affiliated hospital of Shonan University, which she wanted. She sternly rejected the idea of finding a relationship at home to put her in, and resolutely chose to transfer, and came to Shashi No. [-] Hospital.
But he didn't refuse his parents' proposal to find him a director as a teacher.
But An Ruo worked hard enough and lacked aptitude, so she used her talent to make up for it, and maybe she didn't want to be convinced of her talent during her undergraduate studies, so she wanted to show herself in the National Undergraduate Medical Competition, and spent a lot of time preparing.
Still broke down in the quarterfinals.Got the second prize.
Although this is already the best grade he has ever obtained in his undergraduate school, An Ruo still feels unconvinced.
After the competition, when I looked back and found that I didn't have enough time to prepare for the postgraduate entrance examination of Shonan University, but An Ruo was still working overtime and enrolled in some relatively high-quality training courses...
but?
"Click!"
An Ruo's mind was still immersed in the gap in medical talent between herself and Yang Yifeng.
A rather crisp sound directly interrupted her thinking, and even the sudden sound caused the erector spinae and paraspinal muscles of her younger generation to tremble suddenly, and then the cold feeling began to rise from a certain point on the back. Jump up and down.
Immediately began to turn to look at the source of the sound.
It turned out that Cai Dongfan, Luo Yun and others were calmly surrounding the operating table.
The strange thing was that Cai Dongfan was far away from the operating table, and in the audience seat, he asked Gui Pei, who seemed to be surnamed Zhou: "Is this okay?"
His tone seemed rather startled, but it was a pity that his back was facing An Ruo, so he couldn't see Cai Dongfan's expression clearly.
However, the other two Xiaoguipei opposite Cai Dongfan had blank expressions on their faces. When they looked at the expressions, they were just confused because they didn't understand...
Zhou Cheng and Luo Yun let go of the patient's lower limbs: "Mr. Cai, now the deformity has disappeared, the line of force has basically recovered, and it is almost reset, but the specific evaluation will have to wait for the C-arm reexamination."
The three basic clinical manifestations of fractures are pain and swelling of the affected limb, abnormal activity, and local deformation of the affected limb.
In the case of a fracture, regardless of reduction or not, pain and abnormal movement are definitely present, and the definition of a fracture is the interruption of bone integrity and continuity.
But now that the patient is under anesthesia, the pain cannot be assessed.
The only visible deformity of the patient's current affected limb disappeared.In fact, the line of force has to be seen from the X-ray to be accurate, of course, it can also be seen from the general view.
Zhou Cheng could only find these evidences, so naturally he dared not say anything.
Cai Dongfan immediately understood that he was too anxious to ask this question, and said, "Director Zeng, the anesthesiologist, we are going to take the C-arm."
"Oh! Okay!" Zeng Yi and An Ruo jumped up from their respective stools like rabbits, and quickly slipped out of the operating room.
It can be said that most doctors in the anesthesiology department are deeply disgusted by the C-arm radiation in the operating room, and feel that the existence of orthopedics and spinal surgery in the operating room is simply two alternatives.
After setting the position of the C-arm machine, put the lower limb of the patient's healthy side down on the operating bed, and Luo Yun also exited the operating room immediately after!
I came to the small cubicle of the operating room, and in the small cubicle again, there was an operation instrument connected to the C-arm machine!
C-arm machine, sub-irradiator and operating instruments in the operating room.
Cai Dongfan ordered the itinerant nurse to click.
In the black film, the pale white tibia and fibula are developed.
Cai Dongfan and Luo Yun saw it, and as expected, the fracture line disappeared!
Look clearly, this time it disappeared, not the previous patient's so-called, the gully between the fractures turned into an ordinary fracture line!
It is basically certain that the fracture has been reset.
However, medicine is not a simple conjecture, and it is not a simple level that can explain everything, so for the sake of safety, in addition to taking the upper and lower frontal planes, the left and right lateral planes are also taken!
On the frontal plane, only the lateral displacement of the fracture can be seen, and the front and rear displacements will be blocked.
Therefore, a lateral plane is needed to supplement it.
Why didn't the previous patients do it?
Report chapter Comments
What are you doing it for?As long as it is an ordinary fracture, it can be treated conservatively. After taking a lateral view, it is slightly displaced. Do you still want to reset it to the level of anatomical reduction?
After Cai Dongfan and Luo Yun finished watching, their faces became tangled up!
In the past, there were fractures that could be evaluated by X-rays, but now, the fracture lines are perfectly stitched together, of course they must exist, and they can be magnified many times for sure.
And there is no displacement, which belongs to the category of anatomical reduction.
You are the open reduction of the fracture, and this is the end result, right?
If this is the case, should the surgery still be done?
Luo Yun was too lazy to bother with this question, so he turned to look at Cai Dongfan.After Cai Dongfan read the front and side positions carefully and carefully, he said with emotion: "In this situation, it would be a pity to have an operation to incision, Luo Yun, are you right?"
Luo Yun nodded, even Du Yanjun and Zhang Zhengquan nodded.
They were thinking in their minds that such patients can be fixed with plaster external fixation. If they have to undergo surgery, they can only undergo surgery for the volume of surgery.
Of course, this is not impossible. Cai Dongfan is going to have an operation, and there must be some. Delete the X-ray results of the C-arm during the operation.
Orthopedic doctors across the country go to see the preoperative examination, that is, the plain film that the patient brought down from the ward. Who dares to say that it is not within the scope of surgical indications?
"Then perform a plaster external fixation and send him back to the ward!"
"Luo Yun, go talk to the family." Cai Dongfan made a final decision, and gave Luo Yun a dazed gift.
Chapter 67 I'm going to talk to the family! !
Luo Yun: "Huh?"
Cai Dongfan turned his head to look at Luo Yun.
He smiled and said, "Then I will go?"
"I'll go, I'll go." Luo Yun replied immediately.
Then he walked out of the operating room without looking back.Very resolutely.
It was only after walking out the door that Luo Yun touched the blue hat on his head, frowning severely.
This is not a good job. Since the patient has been arranged to enter the operating room, the patient and his family members must have fully communicated with Du Yanjun before the operation, and they have already made preparations for the operation and signed the contract. Paid for surgery.
At this time, you have to talk to the patient and family members about not having the operation, and the patients and family members will think that you have backtracked, thinking that the operation is not possible or something.
This is something that takes a lot of words to explain.
Moreover, Du Yanjun can't let Du Yanjun say that he is just a junior doctor and he is a superior, so he can talk about changing the operation plan.
Ugh!
Zhou Cheng will really find me something to do.
After Luo Yun left.
Du Yanjun looked at Cai Dongfan in astonishment, and asked, "Teacher? Get a plaster cast? Send him back to the ward?"
"Otherwise, where are you going to send it?" Cai Dongfan asked Du Yanjun back, and from the tone of his voice, he felt that Du Yanjun's question was rather idiotic.
Du Yanjun quickly shut his mouth, but he was thinking in his heart, Teacher, didn't you agree that this operation will require me to make the incision of the intramedullary nail on the patella?
Then I will be a lonely mouth, okay?
"Okay, okay." Du Yanjun nodded like a chicken pecking at rice.
Cai Dongfan then said to Zeng Yi: "Director Zeng, your anesthesiology department can charge you normally for this operation. Tour, when you charge our orthopedics department later, you can charge a fracture manual reduction plaster external fixation. Others That's enough, this disinfection kit is also needed by the patients who are going to undergo surgery anyway."
The itinerant nurse nodded immediately: "Okay, Director Cai."
Zeng Yi could only nod helplessly: "Okay, Director Cai."
Just now Cai Dongfan said that this patient's manipulation was done so well, it would be a pity to continue the operation.
The patient's 'operation' ended like this.
Well, yes, closed manual reduction of fractures and plaster external fixation are also one of the surgical classifications.
It's just such an operation, why come to such a formal operating room.
Just find an operation room in the anesthesiology department and do it!
Such an accident was beyond everyone's expectation.
After Zhou Cheng got involved, he immediately sent the patient away...
Sister An Ruo walked into the operating room silently, tore off the drug tube for continuous anesthesia in the spinal canal that was attached to her back and took twice as long to break through, and then began to evacuate the fixed line connected to the ECG monitoring And blood oxygen analysis clip and blood pressure measuring instrument...
Then he looked at the timing panel in the operating room.
10: 22!
The time for the patient to enter the operating room is 09:51!
The time when she finished anesthesia was 10:19!
Anesthetized for 28 minutes and operated for 3 minutes.
I lost it!
However, Miss An Ruo is very dedicated. The anesthesiologist's duty is to manage anesthesia matters well, and will not give pointers to clinical patients' treatment options.
Then I sent the patient back to the ward with the itinerant nurse, and at the same time notified the next patient to enter the operating room.
None of the patient's surgical instruments were moved.
Therefore, no special preparation is required, and the next patient can be brought in without even calling the aunt who comes in for cleaning.
At 10:29, when the next patient entered the operating room, Miss An Ruo and the itinerant nurse did not come back. It was the handwashing nurse who took the part-time job of the itinerant nurse and pushed the patient in through the door of the operating room.
Because only the itinerant nurse in the operating room can take over the process of transferring patients from the door of the operating room to the operating room.
The hand-washing nurses and itinerant nurses in the operating room are actually replaceable, but the duty arrangements are different.
The patient came in, but sister An Ruo hadn't returned yet.
Zeng Yi scratched his head at that time, then stood up silently, walked to the anesthesia preparation room, and personally prepared the next anesthesia supplies.
Pushing the car, the rate of turning heads along the way is not small.
When they arrived at the door of the preparation room, a person inside hurried up to help and offered to push the cart.
Take the initiative to report: "Director Zeng, there are 19 sets of general anesthesia and 21 sets of spinal anesthesia in the entire operating room this morning. Currently..."
He thought Zeng Yi was here to inspect, so he hurried to report.
Zeng Yi interrupted him and said, "I want to prepare something for spinal anesthesia, go get me a set."
The man was taken aback: "This? You?"
Then he lowered his voice tremblingly and asked:
"Then Xiaoan, do you have to be so careful with the director? I scolded her last time. Should I be ready to resign?"
"director."
Zeng Yi: "..."
What the fuck and what.
"Xiao An went to see the patient, and the next patient will be picked up immediately, and they are waiting in the operating room. It's not easy for me to dry out the patient, so don't think about it."
"Oh oh oh!" That person was suddenly pardoned!
Zeng Yi then coughed: "You just said that you scolded my student?"
The man's legs trembled suddenly.
"Deduct one hundred!"
Then he turned his head and murmured in a low voice, "Is fifty okay?"
"Then deduct one hundred and fifty."
That person: Damn!
……
10:34 minutes!
Zeng Yi was personally escorted to the door of the operating room. The trolley was full of prepared medicines, and the syringes were neatly piled up on the plate.
Only then did he hand the cart to Zeng Yi, and said cautiously: "Director Zeng, you are busy first, I will go over to greet you."
"it is good."
"Little Zhu, you are good. I will give you a salary increase next month. Remember to mention it to me before the end of the month." Zeng Yi shouted to Xiao Zhu's back.
"Hey, okay, okay, thank you, Director."
Turning around and pushing the cart into the operating room, An Ruo came back shortly after entering. Seeing that Zeng Yi had prepared everything, he whispered to Zeng Yi that the teacher was sorry.
Immediately after that, the continuous epidural anesthesia for the next patient began...
10: 57!
After the spinal anesthesia is finished, the patient lies flat.
An Ruo pushed the cart to the anesthesia machine and said in a low voice, "Teacher, why don't you go and have a rest first?"
"This patient only has spinal anesthesia, and I can take care of it."
Zeng Yi didn't move, looked at Cai Dongfan and the others, and said in a low voice, "They haven't washed their hands yet, so they probably need to reset their hands first. Wait."
what?
An Ruo turned his head.
This time, Du Yanjun took the initiative to stand up and asked his teacher: "Teacher, will Brother Zhou Cheng do manual reset for this patient?"
"En!" Cai Dongfan responded, and then turned his body away.
Well, Du Yanjun and the others are familiar with the process.
Zhou Cheng and Luo Yun stood up at the same time without washing their hands, and the film had been carefully read during the anesthesia, so Zhou Cheng was directly in the main operator's seat, and Luo Yun was in the assistant's seat...
Zhou Cheng had already discussed with Luo Yun how to reset it.
When they got to the bedside, Zhou Cheng and Luo Yun took their positions. Zhou Cheng said, "Mr. Luo, you should keep pulling."
"it is good!"
The towing begins.
Traction continues.
Reset starts.
30 seconds later.
"Crack!" A sound.
Zhou Cheng relieved himself and clapped his hands.
Luo Yun was still exerting force, because his force was towards the head of the body, so he shrugged the patient towards the top of the head.
Luo Yun: I TM!
When Cai Dongfan and the others heard the sound, it was like elementary school students hearing the bell for the end of get out of class. They stood up without waiting for the teacher to take care of them, and ran in one direction after leaving their seats to have a look.
TM is straight again.
Zhou Cheng went on to say: "Mr. Luo, I'm going to push the C-arm machine, let's see one first?"
People back down.
After 2 minutes, the C-arm results came out.
Du Yanjun and Zhang Zhengquan fell silent after watching it...
Then I waited for a sentence.
"Luo Yun! Isn't it a pity for this patient to have an operation?"
"I'm going to talk to the family!" Luo Yun has already learned to answer quickly!
Turn around and leave, the movements are so skillful that it makes people feel distressed...
Report chapter Comments
Chapter 68 The donkeys in the production team need to rest too!
Luo Yun went out with the spirit of a strong man who never returns!
An Ruo's eyes straightened at that moment.
Heart scurrying——
Ah this?
The mouth covered by the mask opened and closed slightly, really wanting to curse.
Then he turned his head to look at Zeng Yi, his eyes were extremely wronged...
What happened was like this——
In the last operation, she had just finished anesthesia and was about to take a rest.
Isn't the time when the anesthetist can rest, the time when the surgeon is performing the operation?
As soon as the phone was warmed up in the palm of his hand, Cai Dongfan told him that he needed a C-arm X-ray, and everyone walked out of the operating room.
An Ruo naturally didn't dare to take the ray by himself and walked out.
Immediately afterward, Cai Dongfan said that the operation was over, maybe within 2 minutes, at most 3 minutes...
An Ruo, an anesthesiologist, had to arrange the patient properly, so he and the itinerant nurse sent the patient back to the ward.
I just returned to the operating room, and I still haven't stopped breathing after running back and forth!
Well, just now this patient has been obediently waiting for anesthesia in the operating room, and his teacher has already finished the preparatory work for anesthesia.
Was that done by Zeng Yi or by himself?
Then you don't have to think about it.
An Ruo once again went through the epidural anesthesia procedure step by step, which took about 20 minutes.
When I turned around, I saw a group of "cattle" in the orthopedics department, and they clicked again!
Now?
I just had two anesthesias in a row!I have to pull out the tube again, send the patient, pick up the patient, give anesthesia——
The donkeys in the production team also need to rest!
Are you trying to exhaust me?
An Ruo was indeed a little tired, because she hadn't stopped for an hour.
It is foreseeable that this time will have to be extended again.
Ears perked up, he listened carefully to what Cai Dongfan was saying. Cai Dongfan gently scratched his hair at this moment, looked at Du Yanjun and Zhang Zhengquan, and said, "Yan Jun, Zhang Zhengquan, you two, go put the patient in a plaster cast and send him back to the ward." !"
Fractures of the tibia can be fixed with a plaster cast.
Du Yanjun and Zhang Zhengquan nodded and said:
"Okay, Master."
"Okay, Teacher Cai."
After the two finished speaking, they turned and walked towards the operating room, their scalps a little numb.
Du Yanjun was very bitter in his heart, thinking: Master, didn't we agree that I would do the important operation of the operation?
What about the operation?
Cai Dongfan immediately smiled and apologized to Zeng Yi: "Director Zeng, I still have to trouble you to send this patient away."
Zeng Yi said blankly, "Director Cai, this is what we should do."
No way, this is what the anesthesiologist eats...
Then Zeng Yi took his students, turned around and walked to the operating room!
An Ruo squeezed her hands again. She had never felt that anesthesia was such a painful thing. It was foreseeable that the next patient would be picked up soon. She had to repeat it again, but if What about the next operation?
When An Ruo walked in, she whispered beside Zeng Yi: "Teacher, did the orthopedic surgeon do this on purpose?"
An Ruo has every reason to think that the orthopedics department is playing tricks on her!
Zeng Yi sighed and explained to his students: "Naturally, it wasn't intentional. Orthopedic fracture rehabilitation positions are performed under spinal anesthesia or spinal anesthesia. This is a conventional anesthesia method!"
"It used to be an internal problem in the orthopedics department, so after you came to the department, you basically had no contact with anesthesia for fracture reduction. So you don't know."
Zeng Yi had to explain to his students that because of Director Yan of the Department of Orthopedics, the Department of Orthopedics hadn't done manipulative reduction for a long time, and his students had no such experience, so naturally they didn't have enough experience.
And Zeng Yi also understood An Ruo's mood at the moment, whoever received two anesthesias in a row and was about to receive a third anesthesia immediately, with an interval of no more than 5 minutes, would feel pain in the egg.
Zeng Yi also said: "The most ideal situation for manual reduction of fractures is to do it under nerve block anesthesia, but the nerve block is more troublesome."
"It's a pity that you didn't come this morning. Otherwise, you can also look at the cutaneous nerve branch block anesthesia that requires more delicate operations than nerve blocks."
An Ruo curled her lips under the mask, I didn't bother to look at it!
But he said on his mouth: "Teacher, next time you have a chance, you must come earlier."
To add, I was wrong.
He just sat down and waited for Du Yanjun and Zhang Zhengquan to finish putting on the plaster and remove the continuous epidural anesthesia tube...
She really hoped that the two little ones could only slow down and let her breathe more.
Zeng Yi recalled it, touched his head like Cai Dongfan, and said: "It's just that Director Hu of the Second Department of Orthopedics was the only one who performed manual reduction in the orthopedics department, and when Director Hu performed manual reduction, an average of one It will take at least 20 minutes, and it must be adjusted slowly, and the C-arm will continue to see through."
"Only dare to step down."
"It was a one-time success like this, and two consecutive sets were reset so quickly. I have never seen or heard of it."
The manual reduction of fractures is not an assembly line operation. The fracture displacement of each patient is different, and the battle can be resolved in 2 minutes or even half a minute.
"So, it's not that the orthopedic department is trying to anesthetize us on purpose, but the young man doing the manual reduction is a little bit wrong."
Speaking of this, Zeng Yi took a light breath.
"hiss!"
"Thinking about it this way, it seems that this young doctor was also controlling the whole process of the very complicated fracture patient's manipulation on the first set."
"Interesting? Interesting!"
An Ruo looked up at Zeng Yi in a little confusion, blinked his eyes, and asked, "Teacher, you mean, who did the manipulations for the first three fracture patients?"
"Didn't you say that the fracture patient on the first TV was a professor from the Affiliated Hospital of Hunan University of Traditional Chinese Medicine?"
An Ruo was a little speechless, didn't she just avoid Yang Yifeng, whom she hated?
How do I feel like I'm missing out on the whole world.
Now I have encountered a tormenting 'catastrophe'!
"Professor Zhong didn't reset it at the beginning, so he added a cutaneous nerve block halfway through." Zeng Yi replied naturally.
"Oh? Is that so?" An Ruo raised his head curiously, and looked at the door of the operating room, but he didn't find that Cai Dongfan and the 'culprit' who made him unable to rest came in.
"Let's not talk about it, their plaster cast is almost ready, you go and see the patient, I'll talk to Director Cai, it's always like this, that's not the way." Zeng Yi thought about it, and decided to talk to Cai Dongfan a bit.
Cai Dongfan can save his own surgery for the patient, but he can't be treated as a cow and exhausted to death by following his own anesthesiologist.
And just as Zeng Yi was walking out, Cai Dongfan walked in from the door of the operating room.
Before Zeng Yi could speak, Cai Dongfan took the initiative and said, "Director Zeng, Liu Yan. Let's adjust the number of surgeries today. We will take the patient with the intertrochanteric fracture first, which requires surgery."
Liu Yan is the itinerant nurse in this operating room.
Zeng Yi held back what he was going to say.
After hearing this, An Ruo finally let out a long sigh of relief—can he finally take a rest?
……
Chapter 69 tour, push the C-arm machine!
An Ruo and the itinerant nurse quickly sent the patient back to the ward, and then walked slowly to the operating room.
Liu Yan was shaking her arms, looking exhausted.
An Ruo then asked Liu Yan: "Sister Yan, is the usual pace of orthopedics so fast today?"
"Where is the rhythm of today? Cai Dongfan didn't know why he went crazy today."
"The Department of Orthopedics hasn't done manual reduction for several years. In the past, only director Hu Ming did it occasionally, and it was always in the middle of two operations."
"It's not like today either."
After Liu Yan finished answering, she smiled and said, "Ruoruo, you usually follow Director Zeng's class, and most of them are in neurosurgery, so you're not used to this kind of rhythm, are you?"
An Ruo nodded honestly: "Neurosurgery anesthesia generally lasts at least four hours, and it takes seven or eight hours to turn around."
"Today, my teacher was invited to the orthopedics department, and I'm really not used to it."
Liu Yan explained: "In fact, our orthopedics department is quite good, and the operation time is not very long. Compared with neurosurgery, it is common to leave work early, and the fast pace also has the advantage of a fast pace. Several operations have been completed. If you are not on duty, you can close the operating room and go home."
Start giving Anjoanli orthopedic benefits.
"Is that so?" An Ruo asked, blinking her eyes.
An Ruo is actually a bit busy recently, and writing articles takes time, but she is a professional graduate student, and clinical tasks are the top priority.
"Yup."
"Hey, although I don't know why Director Cai suddenly reset the fracture today, but the operation and operation of two patients were completed in one fell swoop, which greatly saved the operation time." After finishing speaking, Liu Yan looked at the time.
"If the following stations are also running smoothly, we can get off work after six o'clock." Liu Yan replied happily.
"And this is a day with a lot of orthopedic surgery arrangements."
"I thought it would be at least eight or nine o'clock in the evening. I didn't expect Zhou Cheng to hide such a trick, which saved us a lot of time." Liu Yan had planned to fight the tug-of-war today. When I went to work, I told my husband that I would go back very late.
According to the normal operation rhythm, five operations, including the turnover, will take about twelve hours.
"Zhou Cheng? Is that the teacher who did the operation today?" An Ruo asked curiously.
She didn't come to the operating room before, so she didn't know what happened in the front. She was completely a tool person in the back two, as if she existed just to delay the operation and treatment rhythm.
It made An Ruo feel very guilty.
Two 10 minutes of anesthesia, two 3 minutes of treatment, which made...
"Pfft." Liu Yan laughed.
"Where is the teacher? He is a regular trainer of orthopedics. This year is the third year of regular training. He is older than you. You can call him senior brother."
"Huh?" An Ruo pondered.
Not an orthopedic doctor yet?
……
After returning to the operating room, An Ruo completed the continuous epidural anesthesia again, and then breathed a sigh of relief, then carefully checked the patient's vital signs, and then checked that the ECG monitoring was fixed in place, and the continuous venous The infusion was also maintained well.
After asking about the patient's condition, and there was no problem, An Ruo honestly played with the phone.
I learned this habit from Zeng Yi, and An Ruo didn't think there was anything wrong with it. When the patient is in good health, he naturally doesn't have to stare at mosquitoes for 24 hours. If the anesthetist is busy during the operation, then this Patients who have undergone surgery are in danger.
After confirming that the patient in this operation was a fracture of the right intertrochanteric femur, An Ruo secretly laughed inwardly and said:
You guys are still doing manual reset for this patient?
Don't you dare this time?
She deliberately checked it when she came down to the operating room, and she hadn't heard of the manual reduction of the intertrochanteric fracture.
So if you want to go for surgical treatment, you have entered the surgical process after all.
And as long as it is an operation, the general time will not be too short.
Indeed, even Zhou Cheng never told Cai Dongfan that this patient needs to perform manual reset, which is definitely not possible.
For patients with intertrochanteric fractures, even if Zhou Cheng has a redefined level of fracture reduction, he can't do it. This is determined by the disease itself, because it is too unstable. If the patient is the same as the first patient, If you can't tolerate surgery at all, that's all.
Otherwise, this is an absolute indication for surgery.
After the anesthesia took effect, the patient was taken to the supine position by everyone in the operating room!
Because the surgical field is at the hip, disinfection only needs to be done at the middle of the calf.
Report chapter Comments
Immediately, Zhou Cheng, Du Yanjun and others placed the patient's affected limb on the traction bed, fixed it for a while, and then began to disinfect and spread the drape.
An Ruo saw that Zhou Cheng and the others were also busy, patted her belly happily, and didn't care about playing with her mobile phone anymore, just like a landlady supervising the work of her long-term workers, sitting on a stool, looking around .
Cai Dongfan went to wash his hands, Luo Yun went to wash his hands, hey, I told you to be lazy.
Hey, isn't this who?
He also washed his hands.
An Ruo seemed to recognize Du Yanjun, but she didn't seem to recognize him, because she didn't remember Du Yanjun at all...
After watching it for a while, An Ruo felt that it was boring, and instead felt that his thinking just now was a bit funny.
What are you comparing yourself with them?They are just busy with their own work, and they take advantage of this time to check out the professional knowledge push on the official account, isn't it good?
Um?This official account pushes the cutaneous nerve branch block.
Is it difficult?
Go and have a look, and then An Ruo frowned fiercely, because the whole push article is too hard-core, although I know the techniques myself, but it involves relatively high-end anatomical knowledge and the use of color Doppler ultrasound, plus Above, the picture is not very clear.
An Ruo struggled to read, basically reading word for word.
After seeing the blockage of a branch of a cutaneous nerve, An Ruo raised his head in a daze. What did he see just now?
How could Yang Yifeng know such a perverted thing?
Sure enough, he is not a normal person, a person with a serious illness, abnormal!
He is ugly and has a bad temper.
Forget it, if you only talk about technology, he is indeed remarkable, a billion points better than himself, but.
Anesthesia is not simply a skillful operation, it also depends on the anesthesiologist's overall control over the surgical patient.
Look at the time again, 23 minutes have passed.
The basic condition of the surgical patient was stable, with stable blood pressure and heart rate.
The surgeons were busy and huddled together, not knowing what to talk about.
Whatever they say, it feels good to rest.
An Ruo stretched her waist.
Comfortable!
It feels so good to learn too!
The white wrists were exposed, and the horizontal lines of the hands protruded from the sleeves quite delicately...
suddenly!
One of the many "animals" on the operating table straightened its back and yelled: "Tour, push the C-arm machine, let it see through!"
At that time, An Ruo's whole body was numb.
As if it was a conditioned reflex, the heart muscle twitched.
Ga?
what?
Seeing the person who spoke, it seemed to be that Zhou Cheng——
Devil?
Chapter 70 Cai·Zhou Cheng's Point Reading Machine·Dongfan
Cai Dongfan adjusted the order of the surgery on his own initiative. As the director of the treatment team, he still has this power.
Originally, I had agreed with Zhou Cheng before that Zhou Cheng would do a few manual resets first, as a test for him to evaluate whether Lu Cheng could do manual resets alone in the clinic.
However, Cai Dongfan felt that he was thinking a little too much.
He seems to have failed as an examiner.
What the hell was Zhou Cheng? After the anesthesia was completed, he clicked twice, and it was over.
C-arm fluoroscopy, it's a pity not to put plaster...
The result is very good, but the process, I don't understand the fucking process, how do you rate it? !
So Cai Dongfan felt that the rhythm should be slowed down a little bit.
Hey, don't finish the exam all at once, only to end up not understanding it.
Of course, there is another reason, after all, Director Zeng called him to administer the anesthesia himself, and he can't treat him like an animal.
It's obviously not appropriate for you to slap, slap, and reset one in a minute or two. Zeng Yi is exhausted to death.
Although it wasn't Zeng Yi who performed the anesthesia on stage himself, but we still have to give face. We are all human, so we should rest anyway.
So Cai Dongfan arranged the operation for the intertrochanteric fracture in advance, and made some adjustments by the way, so that everyone can take it easy and relax.
Don't get too tense.
Of course, after changing the order of operations, Cai Dongfan still felt that he had backtracked, so he decided to talk to Zhou Cheng about it.
"Zhou Cheng, for the next operation, we will take your patient with the intertrochanteric fracture first. You did the restoration too quickly with this technique. I think that the student of Director Zeng is so tired that he is almost cursing. Let's slow down a bit. Rhythm." Cai Dongfan explained.
Zhou Cheng naturally agreed and said, "Okay, Teacher Cai, I will follow your arrangement."
Cai Dongfan hesitated for a while, and said: "Wait a while, you will make the incision of the intramedullary nail."
Intertrochanteric fractures can be fixed with steel plates or intramedullary nails. Although the names of intramedullary nails may vary, they are essentially the same, and they are all intramedullary nails.
Zhou Cheng was very surprised and was taken aback: "Huh?"
"Don't worry, I'll be on stage. I'm still the main knife." Cai Dongfan said immediately.
These words are actually to give Zhou Cheng the bottom line and take you to learn intramedullary nail fixation. If you can't do it next, then I will replace you. If you can do it, continue to do it.
"Thank you, Teacher Cai!" Zhou Cheng hurriedly said.
Cai Dongfan talked to Du Yanjun in private again, but Du Yanjun naturally didn't respond.
Cai Dongfan also came to arrange study opportunities for him in this way, more than Zhou Cheng, Zhou Cheng helped his teacher so much today, Cai Dongfan didn't express it, it was unreasonable logically.
Originally, he also had such opportunities in the first two stations, but Zhou Cheng took them away.
So Du Yanjun just said: "Teacher, yes, I will help Brother Zhou Cheng to prepare for the surgery together."
Two people were needed to prepare for the operation. If he didn't make it, Zhang Zhengquan would definitely do it. Du Yanjun wouldn't be so stingy.
Then, Zhou Chengcheng took the stage.
The standard pattern puts the traction column and the resistance of the perineum, the pelvis is placed in a horizontal position, the trunk and right lower extremity are adducted, and the unaffected lower extremity is flexed and abducted at the same time.
I don't know how Zhou Cheng did it. After pulling on the traction bed for a while, he went to disinfect and spread the towels.
After finishing the disinfection shop towels, Zhou Cheng looked at Cai Dongfan and Luo Yun, neither of them intended to go to the chief surgeon's position, so Zhou Cheng walked over.
Shouted: "Mr. Washing hands, please take the round knife!"
With the knife in his hand, Zhou Cheng already knew what the operation was going to do, and he did the surgery talk himself.
There is no need to ask Cai Dongfan and Luo Yun where to cut!
Wow, the round knife broke through the skin by about 4cm, which is about one ha (viewed separately), and Zhou Chengcheng put the round knife down.
Pick up the electric knife and go inside!
Straight into what an orthopedic surgeon should be with a perfect grade of open reduction and internal fixation!
Luo Yun touched Zhou Cheng and reminded him in a low voice, "The opening should be a little bigger."
Zhou Cheng, who had entered the state, replied directly: "This is already very big! Why do you want to be so big?"
What are you doing so hot?
What to do!
Can you still make pots?
Luo Yun struggled a little in his heart.
My nia?
What do you want me to do?Do I want to say that Director Cai won't be able to operate later?
Cai Dongfan on the opposite side frowned.
Forget it, I'm here to see Zhou Cheng's anatomical basis, not to look at anything else, just expand the incision later.
Zhou Cheng cut the subcutaneous layer and the tensor muscle of the fascia lata layer by layer!
The greater trochanter of the femur was soon exposed!
The scene inside shocked Cai Dongfan and Luo Yun!
???
reset?
Is this the patient with the intertrochanteric fracture in our group?How come the alignment of the fracture is so good?
No, what did this patient go through from the ward to the operating room?
Could it be that just now Zhou Cheng fiddled with the traction bed a few times, and made the shift like this now?
Luo Yun was still in a daze.
Zhou Cheng turned his head and saw Luo Yun holding a guide pin in his hand.
Then he picked up the guide pin in Luo Yun's hand and slammed into it.
Luo Yun had to pull the hook with one hand, so he didn't have a lot of strength, and he was shocked at the restoration of the fracture.
So Zhou Cheng took away the guide pin, which was originally prepared for Cai Dongfan.
Luo Yun people are numb.
He raised his head in astonishment, and stared at Cai Dongfan with wide eyes.
The meaning is obvious.
Cai Dongfan rolled his eyes and shook his head at Luo Yun.
After Zhou Cheng seemed to put the guide pin in very quickly, the whole process did not take more than ten seconds. It seemed that Zhou Cheng had his own unique understanding of the hole-finding action that others found difficult to operate.
As soon as it hit the soul, it directly hit the far end of the femur, making a crisp thumping sound.
Definitely in the bone marrow.
It is visible to the naked eye, so there is no need to see through the C-arm, and then Zhou Chengcheng shouted: "Mr. Washing hands, hollow drill!"
Cannulated drills are reamed.
Luo Yun looked at Cai Dongfan again, this time even the handwashing nurse looked at Cai Dongfan, Cai Dongfan pondered for a moment, looked at Shuye, and motioned for the patrol to hand over the hollow drill!
Zhou Cheng immediately started reaming, and the reaming was almost on the 12th, so I compared the length!
Step aside, pick up a titanium alloy intramedullary nail with a diameter of 11mmx220mm, and insert it straight in!
Then he straightened up, stepped back half a step, and shouted: "Xuan, push the C-arm machine!"
This shout startled Luo Yun directly, he clenched his fist with his free right hand, slammed Zhou Cheng's left hand hard, and kept looking in Cai Dongfan's direction.
It means, Zhou Cheng, it's almost done.
Don't act good when you get cheap, climb up when you catch the rope, and drill when you see a hole...
Learn how to stop.
Zhou Cheng immediately returned to reality!
Seeing that everyone in the operating room looked at me with strange eyes with different emotions, I immediately blamed myself.
This sequelae must find a way to get rid of it in the future.
He took a half step back, bowed slightly, and asked Cai Dongfan: "Mr. Cai, do you think it's okay to push the C-arm machine and see through it?"
The corners of Cai Dongfan's mouth twitched, which was blocked by the mask, and then the corners of his eyes twitched again, his brows furrowed for about three or four seconds, and after walking back and forth in the surgical field for a long time, he said helplessly: "Tour, push the C-arm machine. "
Cai · Zhou Cheng's repeater · Dongfan!
Report chapter Comments
Online business.
you deserve to have.
Is this the second or third time?
……
Chapter 71 You, you!
Zeng Yi, who was reading the novel on his mobile phone, quickly stood up and looked around, feeling a little dazed.
Then I saw Liu Yan, with the help of Zhang Zhengquan, pushing the C-arm machine towards the operating table. At the same time, the handwashing nurse, Cai Dongfan and others were walking towards the isolation room.
Looking at his students again, he straightened his back and stood there dumbfounded.
Zeng Yi patted An Ruo on the shoulder: "Go out, I need to see through."
An Ruo recovered from the numbness in his heart after a shock. He frowned fiercely and muttered something in his mouth, but he still didn't dare to take the radiation and walked towards the isolation room.
Before going out, she deliberately looked at the timing panel in the operating room.
There are two lines, one line shows the actual time, which is what time.
12: 01!
The second line is the operation timer, which starts to count down from the moment the operation starts.
00:22:51!
Just under 23 minutes.
It's over, I met my nemesis today.
I must be exhausted to death, An Ruo heard Zeng Yi explain clearly, the next two sets are reset again...
I will never come to the orthopedics department for anesthesia in the future, and whoever likes it will come.
I went out for a X-ray. This X-ray has two main purposes. One is to evaluate the reduction of the fracture, and the other is to check whether the intramedullary nail is in the bone marrow cavity and whether it has penetrated into the soft tissue.
Intramedullary nail fixation, as the name suggests, is actually the fixation of intramedullary fixation devices. If it is not in the bone marrow, it is wrong.
Just look at it for safety reasons.
Looking at the display screen of the C-arm, you can see that the intramedullary nails are all in the bone marrow on the two films in the positive and oblique position, and there is no angle with the femur.
Why should the thigh be taken in a frontal oblique position, but the calf is in a sideways position?
The calves can be further apart, while the thighs are restricted.
Can't break the ditch...
After reading it, Zhou Cheng breathed a sigh of relief, then bowed his head respectfully, and said, "Mr. Cai, the intramedullary nail is fixed in place, and you will come to the proximal and distal locking nails yourself." do it!"
I thought to myself, the effect of this reset is not bad, within the horizontal range!
However, Cai Dongfan hasn't returned to Zhou Cheng for the time being, and is still looking for the fracture line with his small eyes. After searching for a long time, he couldn't find the fracture line that should be there, so he turned his head and glanced at Zhou Cheng.
The cheeks covered by the mask trembled slightly.
I would like to say something, Xiao Zhou, if you are like this, if our hospital does not have pre-operative examination data, the patient may use the post-operative film to sue us for over-medication, believe it or not?
Of course, this is impossible, and there are preoperative films.
Cai Dongfan just nodded: "Well, yes, the intramedullary nail is placed well."
This operation is a strict third-level operation. What Cai Dongfan authorized Zhou Cheng to do was only to make an incision. Strictly speaking, when Zhou Cheng stripped the tensor fascia lata to the greater tuberosity of the femur, he should stop and give way to Zhou Cheng. Cai Dongfan was the chief surgeon.
Because of the third-level surgery, Luo Yun's current operation can barely be considered a leapfrog operation, let alone Zhou Cheng, who has a hundred and eight thousand miles with Luo Yun.
Moreover, it is still such a critical operation as intramedullary nailing. Before placing intramedullary nails for fixation, the fracture must be reset.
The two keys to fracture treatment are reduction and fixation, which is what Cai Dongfan should do.
However, I don't know whether Zhou Cheng was in high spirits or something, and he did all these key steps.
Next, the proximal and distal locking nails, what is that operation?
Operation records must be written in this way.
In the formula or under the aiming aid, screw in the helical guide pin, place the proximal helical blade, and lock in the interlocking pin distally!
Focus, aim aids, alias formulas...
That is, after the intramedullary nailing is finished, it can be done directly with eyes closed.
Iron tool man, under normal circumstances, Cai Dongfan can step down and throw it to Luo Yun if he can do this.
Now it was thrown to him by Zhou Cheng.
But Cai Dongfan still couldn't refuse. If he didn't do any operation for the third-level surgery, it would be difficult to deal with it.So I can only be a tool man.
With the help of formulas, it is a bit exaggerated to say that you can play with your eyes closed, but it is a bit simple and mindless.
As soon as the aiming aid is installed, the electric drill is used to click the guide and rotate the guide pin, and then install the rotating blade, the distal locking nail, and a set of combined punches.
7 minutes to resolve the battle...
After finishing, Cai Dongfan didn't feel the slightest sense of accomplishment, so he took off his gloves and said, "Luo Yun, you and Du Yanjun put down the tails and put in two drains."
"Zhou Cheng, come down with me, I have something to tell you." Cai Dongfan said bluntly.
Zhang Zhengquan in the audience was taken aback, huh?
Brother Zhou Cheng is going to be led into alleys by Cai Dongfan again?
Luo Yun nodded and replied: "Okay, Director!"
Du Yanjun remained silent the whole time, with his head slightly lowered.
If it was incredible that Zhou Cheng could restore such a rare fracture in the manipulation of the first patient before, then the operation completed by Zhou Cheng now is simply a dimensionality reduction blow to him!
Du Yanjun always thought that he and Zhou Cheng's clinical strengths were only a little behind.
But now it seems that this billion points is a bit difficult to chase, and maybe I may not be able to see Zhou Cheng's position in ten or eight years...
When Cai Dongfan started the operation, Zeng Yi asked An Ruo to start withdrawing the anesthesia, because the subsequent operation time would not be very long.
Although it sounds a bit outrageous to say it like this, Mom opened the door——
Our anesthesia department gave spinal anesthesia for about half an hour, and the operation was over in about half an hour.
The turnover rate of co-authored surgery patients suddenly depends on the speed of our anesthesia?
Does this make any sense?
However, as a qualified anesthesiologist, he needs to cooperate with the clinical department to speed up the turnover and not hold others back.
Hit you mama bio (shashi dialect, cursing)
When did our anesthesiology department start to slow down the pace of surgery?
Zeng Yi ordered, although sister An Ruo was a little physically and mentally exhausted, she could only carry on and do her duty.
But I was muttering in my heart: I will never come to the orthopedics department again.so tired.
……
Cai Dongfan really brought Zhou Cheng into the alley near the operating room this time, and after closing the door, he said, "Xiao Zhou, do you know why I called you out so quickly this time?"
Zhou Cheng nodded hurriedly and said, "Open/closed reduction and intramedullary nailing for intertrochanteric fractures is a grade III operation. I just overstepped the authority."
Cai Dongfan sighed and nodded: "Yes, you are right, you have skipped the surgery."
"You have to remember one thing. It's not that I don't want to let you go for a Class III surgery, but that the rules are like this."
"It's impossible to have only people from our orthopedics department in the operating room. If something happens, who can guarantee that all the doctors who are on tour, washing hands and anesthesia can be blocked?"
Speaking of this, Cai Dongfan closed his eyes again, lowered his shoulders, and said helplessly: "And what? The orthopedics department of our hospital does not have the qualifications and resources for the time being. It grants surgical authority to lower-level doctors. So. You will Still pay attention!"
"Of course, I also have a certain responsibility today. I didn't stop you."
"But I didn't stop you. I mainly want to see what step you can do. It's not a coincidence."
"Let me see that you are really a young man who doesn't see rabbits and doesn't scatter eagles."
Then Cai Dongfan changed his tone and asked, "If it wasn't for the fact that the hospital made a fuss about choosing a group of regular trainees to stay in the hospital, are you really going to keep hiding it from Luo Yun and me?"
Zhou Cheng was taken aback for a moment, smiled foolishly, and didn't reply.
It can't be said that I was actually in the same family as you before, and my surname is Cai, right?
This will be beaten to death.
Cai Dongfan didn't pursue it either, but said lightly:
"Zhou Cheng, you can't ask the superior doctor to chase you and ask you what you know, but you have to take the initiative to communicate with the superior about what you want to learn and what you want to do."
"Otherwise, if you want to help you, you can't just look at your appearance, right?"
Then Cai Dongfan groaned for a moment, then elongated his voice, feeling a little helpless: "Mmm!"
"You, you—"
"The temporarily released quota of orthopedics does not have your share."
"Tell me about you."
"Do you do this?"
"If I want to keep you, I have to run around again just for you. If it was before, it's just for me to say something." After finishing speaking, Cai Dongfan turned around and left.
Leave Zhou Cheng there to digest.
Ten seconds later, Zhou Cheng was overjoyed and said, "Thank you, Teacher Cai!"
It wasn't that loud.
Cai Dongfan has already entered the operating room, and I don't know if he heard it or not.
Chapter 72 Quotations from Anruo: Orthopedics is poisonous!
Zhou Cheng didn't immediately follow Cai Dongfan out, but carefully pondered what Cai Dongfan said——
Fracture closure or open reduction and intramedullary nailing for intertrochanteric fractures is a standard third-level operation in the surgical classification of orthopedics.
In the department, there are only four people who can do it now, and even Luo Yun can't be the chief surgeon yet.
Luo Yun is an attending physician, and has a mid-level professional title, but he has only been promoted recently, so at least he needs to be a senior attending physician.
So, Cai Dongfan is beating himself too.
Terrible!
Perhaps everyone in the orthopedics department can talk easily, but the participants in an operation are not only the orthopedics doctors, but also the itinerant nurses and equipment nurses!
Anesthesiologists belong to the department of anesthesiology, which is parallel to any clinical department.
The nurses in the operating room belong to the nursing department and have nothing to do with the medical department.
If there is nothing wrong, hello, hello, hello everyone, but in case there is any accident, you can tell whether they will sell you or not, what a shame you have!
The consequence of selling Zhou Cheng was that Cai Dongfan wiped Zhou Cheng's ass. After all, Zhou Cheng was only a regular trainee. Even if his status as a regular trainee was resigned, temporary workers were not counted. In the end, what could the patient do with Zhou Cheng?
Are you looking for Cai Dongfan?
Unless the natural father and son or close relatives can tolerate you not reporting it and unconditionally taking the blame for you, otherwise.
The reality is very realistic and cruel.
……
When he entered the operating room, Cai Dongfan was not there, so he might have gone to take a bite.
Luo Yun had already stepped down, and Du Yanjun was the only one doing the finishing work of stitching on the stage...
The anesthetized girl An Ruo shuddered the moment she saw Zhou Cheng coming in.
The steps stopped!
There is a rush that is dominated to the point of nervousness.
The mouth under the mask is pouting, but I am wronged, but I am still doing my own job conscientiously, just like a hardworking bee...
Patients who undergo open reduction and intramedullary nailing for femoral fractures do not need plaster, and intertrochanteric fractures are basically useless unless hip herringbone plaster is applied, so this operation is naturally not needed.
Report chapter Comments
The sterile gauze was attached to the cover, and Zhou Cheng took the initiative to help tear off the tape to fix it, and quickly said, "Yan Jun, I'm sorry. I was supposed to finish it."
The patients who are in charge of themselves are responsible for some trivial matters. There are no special circumstances, so it is not easy to trouble others.
Du Yanjun smiled, shook his head and said, "It's a small matter, Brother Zhou Cheng."
Sigh helplessly in my heart——
My teacher calls you out, can I call you?
Xiao Cai, what are you trying to do by calling Zhou Cheng out?Is he still sewing?
If he really said that, he probably followed Yang Yifeng's example and dropped out of school to go home, lest the boss not sign it when he graduates, that would be called wronged...
The patient was transferred to the transfer bed. Patients with general anesthesia can be sent to the recovery room, but patients with spinal anesthesia can only be sent back to the ward.
The itinerant nurse Liu Yan is ready to take the transfer vehicle at any time, like an emotionless machine!
An Ruo, on the other hand, unplugged the ECG monitor and began to drag the bed, panting a bit...
28 minute later.
Sister An Ruo finished the anesthesia again.
This time I was prepared and quickly started to fill out the anesthesia form.
2 minutes later!
The urging voice sounded again——
"Itinerant teacher, push down the C-arm machine!"
An Ruo was on the anesthesia sheet, and had just completed the time node for supplementary anesthesia, and hadn't even applied the template for the type of drug——
Reluctantly, I walked out of the operating room...
Like an hour or so.
This time, An Ruo deliberately stared at Zhou Cheng like a rabbit, and simply did not write the anesthesia list.
Then I saw Zhou Cheng and Luo Yun fiddling for a while, their hands and feet were quite nimble.
Immediately after—
"Teacher Tour, I'm sorry, push down the C-arm machine."
The corner of An Ruo's mouth began to twitch.
I feel that sooner or later I will be crushed by this bewildered voice...
Be yourself, big brother in orthopedics.
An Ruo felt very wronged...
13:28:24!
The 15 operating rooms of the Eighth Hospital stopped operating early today...
When An Ruo and Liu Yan sent the patient back to the operating room, everyone else had already left!
Moreover, the cleaning of the garbage in the operating room and the cleaning of the anesthesia table that should have been done by Liu Yan and An Ruo seemed to be taken care of silently by others.
Seeing that they could finally calm down, the two dragged their tired bodies towards the round stool in front of the operation timing panel.
In front of the darkened timing panel, two 'lying corpses' sat side by side, with their feet pressed against the ground and their backs pressed tightly against the wall, like a lazy green panda.
At this time, the tour next door might be okay, or maybe it was out of curiosity, a head came in at the door, and said with a smile:
"Sister Yan, you can get off work so early today, I really envy you in the orthopedic operating room."
Liu Yan and An Ruo stared at each other at the same time, and almost lost their anger.
Leaving get off work early?Is this called leaving get off work early?
The two of us almost lost each other, can you believe it?
He didn't reply to her, but just rolled his eyes. He really didn't want to talk, so he just wanted to have a good rest.
The itinerant nurse shook her head and left without saying much.
A single operation in the orthopedics department doesn't take long, and the amount of operations is not much. It's common to leave work early, and I can't envy her. She is not a nurse in the orthopedics department, so she can't squeeze in...
I don't know how long it has been!
One of them took a long breath, and then said in a very tired and suspicious voice: "Sister Yan, you don't need to push the C-arm anymore!"
"Doesn't it feel good?!"
"Yeah, that's great!" Liu Yan is actually a little skeptical about life. She has been in this industry for seven or eight years, and she has never encountered such a thing today.
Itinerant nurses also have a lot to do.
Notify the department that they are going to pick up the patient and get the surgical instrument kit. Today's operations are all scheduled, so when An Ruo is under anesthesia, she goes down to get the surgical kit.
This is what she has to prepare for.
I hurriedly prepared the bag for the operation and pushed it behind the operating room!
Cai Dongfan said, Liu Yan, you won't have surgery anymore, you have to send patients...
I TM.
After sending the patient back, send back the first surgical instrument package, and then take the next one up.
Because the equipment kits for each operation are strictly allocated in advance.Even if it is not used, it can only be redistributed tomorrow.
And then again.
Still have to push the C-arm, although someone helps...
In the next few times, Liu Yan really wanted to talk to Cai Dongfan about the interaction of forces in physics, but after seeing Cai Dongfan's physique and his small body, he still held back.
In order to save time, Liu Yan didn't bother to get the bag for the two sets behind.
An Ruo hammered his slightly sore knee with his hand, and shook his head: "It's too tiring to give an orthopedic anesthesia, and I will never come to the orthopedic department again!"
"The orthopedic department is simply a devil. It must have been sent to torture me."
Her eyes were dull, her eyes were empty and dull, her tone was unwavering, and she had an expression of being completely unlovable.
Poor God!
Five consecutive anesthesias took a total of just over three hours.
She is the one who administers anesthesia and transports patients most of the time.I have been running around, and I took a short break for less than 10 minutes in the middle.
Fortunately, in the first operation, I met Yang Yifeng, a nuisance, otherwise, it would be six consecutive operations without stopping.
Yang Yifeng is also an orthopedic surgeon.
Well, orthopedics are toxic...
Chapter 73 I like people with such distinct personalities!
Liu Yan turned her head in An Ruo's direction, but without turning her face away, she put her ear on An Ruo's arm and said softly, "I'm so tired too, Ruoruo."
"Let's rest for a while, and find a place to eat later."
"I'm so tired today, I really don't want to have a working meal in the operating room. Do you want to go together?"
"Ruoruo." The voice was weak, with a kind of coquettish feeling.
An Ruo's hands drooped, and his feet stretched farther.
The green rubber shoes made a slight sizzle on the ground.
The hands fell freely, standing on both sides of the stool, and the mental head recovered a little bit, and said, "Go!"
"We have to go, we have worked so hard today, we must reward ourselves well."
"What to eat? Sister Yan, do you want to eat hot pot?"
Liu Yan quickly shook her head: "I'm old, I can't eat such heavy food, and I get diarrhea when I eat it. Let's go eat stir-fried vegetables. There is a local restaurant nearby, which is very good."
"Are you ready for dinner?" An Ruo felt a little embarrassed, and touched her belly.
"Alright, I won't lose weight today." An Ruo clenched her fists, as if she had made up her mind.
Liu Yan then turned her face and said with a smile, "Are you still losing weight with your body?"
"I just weighed it yesterday. It weighs 101.54 catties. I must subtract 1.54."
"But I won't lose weight today." An Ruo shrugged her shoulders, feeling as if she had regained a little strength...
People in orthopedics are all devils. Yang Yifeng, who was seriously ill before and after, met a different kind of BT?
Poisonous snakes are not as vicious as orthopedic people, they must have been sent by the heavens to punish themselves.
I am at odds with orthopedics!
But immediately An Ruo was discouraged, forget it, let's fill his stomach first and then let's die together.
Very hungry very hungry.
She touched her belly and felt that her thoughts were a little funny.
After a delay of about 5 minutes, Liu Yan stood up suddenly, sighed, and began to complain: "This Zhou Cheng, I don't know if he ate gunpowder today or something, why did he pop up all of a sudden, kah Kaka, I was doing manual reset in the operating room."
"That Cai Dongfan really is, just let Zhou Chenghu mess around, even if you want to reset the tricks, you have to do it sooner."
"This wave after wave is like an assembly line operation, and people are not machines."
When Liu Yan said this, An Ruo next to him seemed to understand something, bit his lip and asked, "This Zhou Cheng, has never done manual reset before?"
"Just recently?"
Liu Yan nodded and raised her fist with a smile: "Of course, if I keep going crazy like this, I will have to go to Sister Rong to complain sooner or later. Sister Rong is also a member of our operating room, and Director Cai is half the son-in-law of our operating room." !"
"If he dares to act recklessly, there will be good fruits for him." Liu Yan hummed.
But then she stretched her waist, opened her mouth, and when her exquisite figure was looming, she murmured, "No matter what, it's pretty good to be able to get off work so early today. I can go home to spend more time with the cub."
Liu Yan is 31 this year and is already married. The cub is four years old. She can pick him up from school, and she will definitely give her son a big surprise.
An Ruo said sideways: "Then I may know why Zhou Cheng behaved like this this time. Didn't the hospital let out a word this time, and choose a batch of regular students to stay in the hospital?"
An Ruo used to think that this rumor had nothing to do with her. If she wanted to enter the No. [-] Hospital, she could rely on her education background and strength, and she didn't have to rely on it.If you want to make connections, you can barely make it to the affiliated hospitals of Shonan University.
But unexpectedly, he became the victim of this rumor.
"Well, that's what I thought too. It's okay for a small training, it doesn't matter if you don't have a degree, there are not many opportunities."
Liu Yan said: "So we have to show some consideration for them."
"Let's go, stop chatting, and go to eat."
……
At the same time, Luo Yun and Cai Dongfan left work early after the surgery.
Zhou Cheng writes medical orders and writes the operation records of the patients he is in charge of in the department.
After the operation is completed, the patient's treatment is not over, and the task of the bed doctor is not over.
Sitting on the chair, Zhou Cheng deliberately said: "Yan Jun, Quan Zi, don't leave when you're done, let's go have dinner together."
Let me take advantage of today's bargain, not only 'knock' a fortune from Cai Dongfan, but also may have a good opportunity, of course I have to invite the brothers who have worked hard together to have a meal.
Du Yanjun and Zhang Zhengquan also helped him a lot.
Inviting a guest is still reasonable.
"Okay, what are you going to eat?" Zhang Zhengquan rubbed his stomach. He had just been on duty for 24 hours, and now he felt that he could eat a cow!
"Let's eat stir-fried vegetables, it's not far away, and it's very good for dinner!" Zhou Cheng wanted to treat guests, so he naturally had an alternative in mind. Of course, if Du Yanjun and Zhang Zhengquan have suggestions, it doesn't matter.
"Brother Yan Jun? What do you think?" Zhang Zhengquan has always been the younger brother in the group, and he is quite exquisite.
In the beginning, Zhang Zhengquan called Du Yanjun Brother Jun, but calling him Brother Jun seemed too cold, so he added another word.
Du Yanjun said with a smile on his face: "Brother Zhou Cheng treats guests, how can you not show face? I will take a taxi there later. Hurry up, I am really hungry."
"Take a taxi, the old rules."
The so-called old rule of the three people is that everyone is a subordinate, and they start fighting at the same time. Whoever calls the car arrives first, and whoever takes it is fair.
"Okay!" This week's taxi-hailing achievement is not for grabs, there is no need to treat a guest like a reward or as if you are rich and tall.
Report chapter Comments
Everyone is a hard-working small-scale training, small-tube bed, but the difference is that Du Yanjun is a professional graduate student, and there are many things to do clinically.
The three little ones started fighting in front of the computer, and Zhang Zhengquan had only one surgical patient, so naturally he finished it quickly.
Then he said: "Brother Zhou Cheng, Brother Yan Jun, I'm going to the lounge to change first, and then I'll wait for you in the lounge."
After speaking, he walked outside the door of the doctor's office.
Zhou Cheng and Du Yanjun nodded, and said hello without looking at Zhang Zhengquan.
When Zhang Zhengquan entered the doctor's lounge, he saw Yang Yifeng coming out of the doctor's lounge at this moment, holding the small black leather notebook in his left hand, and the pen clipped to the cover of the notebook.
"Brother Yifeng, you haven't gone back yet, have you eaten yet?" Zhang Zhengquan spoke first, but there was a natural awe and flattery in his tone.
"Preparing to go back, isn't your operation the sixth one?"
"The operation is ahead of time?" Yang Yifeng said, walking towards his backpack, and then separated the notebook from the pen. The notebook was inserted into the hollow pocket on the left, but the pen was put into the small pouch.
When he was in the operating room before, when Zhong Hua, Luo Yun and others were doing the manipulation reset for the first patient, he chatted with Du Yanjun. of one, there are six in total.
"It's not ahead of time, it's still the sixth channel, but it's all over! I'm off work early." Zhang Zhengquan returned, and at the same time greeted Xu Yanlin who was on duty today, nodding and shouting.
"Brother Yanlin."
Hearing this, Xu Yanlin, who was reclining and playing with pesticides, also raised his head, got up, and asked in surprise, "Have you finished all six operations today?"
This is also where Yang Yifeng is extremely puzzled. He left the operating room by himself, but it was only a little over three hours. When he was in the operating room, he deliberately read the operation notice before leaving. There were still five fracture operations in total.
Can simple and standard fracture surgery be meaningful?
Yang Yifeng found it boring, he was tired of watching it.
And you have to waste time standing until night, why bother?
However, I only came out for a little over three hours.
All five surgeries are done!
This speed directly beats the Affiliated Hospital of Shonan University where he stayed before, his own teacher, Professor Ding's team!
What the hell is this?
Don't you use anesthesia and turnaround when you do surgery, just go straight to the assembly line?
Yang Yifeng didn't understand, this matter touched his blind spot of knowledge a bit.
He also stopped and looked in the direction of Zhang Zhengquan.
"Yeah. It's all done. The manual reduction of the fracture and plaster external fixation are done. The speed is pretty fast."
"It's also quite interesting." Zhang Zhengquan thought for a while and replied.
Yang Yifeng stared at him.
Not long after what happened before, Zhang Zhengquan asked himself if he didn't want to watch the surgery later?I turned around in a chic way and said it was boring...
He seems a little displeased with me.
interesting.
I just like people with such a clear personality and sharp edges and corners.
Chapter 74 Adults should learn to control their emotions
Xu Yanlin, who was on duty, opened his mouth slightly when he heard the words...
He didn't hear Zhang Zhengquan's other meaning.
I have to say that the surgery for fractures is not allowed to be reset in the department?
But the patient who was originally in his own group was thrown by Director Yan to Director Cai's group, and this patient can only be reset by hand!
If Yan Haihan still made irresponsible remarks, then Cai Dongfan would definitely not like it.
Just taking advantage of this patient's presence, it is not appropriate to wantonly perform manual resets?
Xu Yanlin didn't reply, but thought carefully about the deep meaning of Cai Dongfan's choice today, he had to think about it.When I go to the department in the future, I must figure out and thoroughly understand the intersection between several directors, otherwise, I will be easily injured by mistake.
Xu Yanlin felt that his chances of staying in the hospital were quite high, and only by taking precautions could he be targeted...
Yang Yifeng really thinks it's quite interesting. This Zhengquan is aimed at what he said before, that the subsequent surgery is not interesting.
Zhang Zhengquan was not as honest as he appeared on the surface.
But Yang Yifeng didn't care. He had done such things with his teacher. If he changed his original intention just because others couldn't understand him, then he wouldn't be Yang Yifeng.
Moreover, Yang Yifeng really felt that the operation was boring.
But Zhang Zhengquan is quite interesting——
Yang Yifeng smiled and left without staying on Zhang Zhengquan's body, nor did he say anything.
He didn't take Zhang Zhengquan's words to heart. He came to No. [-] Hospital for two purposes. One was to collect novels, and the other was to beat someone who made him feel a little uncomfortable.
Other than that, he doesn't want to cause too much extra trouble...
After all, the 'object' that my teacher introduced to me is really interesting.
Yang Yifeng didn't want to fall in love now, but his teacher seemed to want to find someone to tie him up, so that he would really drop out of school if he didn't let himself mess around, so he arranged for him to go on a blind date.
Yang Yifeng respects Professor Ding very much!
He didn't want to stay in the medical industry.It's my own personal reasons, nothing to do with the teacher.
His teacher and his brothers in the teacher's school took good care of him, and it was arranged by the teacher's mother, so he had to go naturally, and the teacher's kindness could not be refuted.He even dressed up for the occasion.
But when Yang Yifeng arrived at a cafe on time as scheduled, what was waiting was not the blind date, but a best friend of the blind date.
When I came up, I first said that my best friend was not free, so I asked her to find out.
Then he started asking questions.
"Do You have a Car?"
"Do you have a room?"
"What do you do at home?"
"What's your degree?"
"What work are you doing now?"
"What are you good at?"
Yang Yifeng was stunned by the question.
After answering truthfully——
This girl is also an honest person, and she directly made a decision for her best friend:
"First, I watched it for my sister. You are not handsome. You haven't even reached the standard line. She doesn't like it!"
"Second, look at your attire, the whole body does not exceed two thousand! Your family background will not be very good. The family is not right, it is not suitable."
"Third, your job is not stable. You are just a novel writer. Your income is not stable. My sister will earn more than you when she becomes an authentic doctor."
"Fourth, you don't have much talent..."
……
Make Yang Yifeng worthless.
Yang Yifeng didn't change his expression, just smiled politely.
He still added the girl's wechat cheekily.
Two weeks later, the girl fell in love one-sidedly.
One month later, Yang Yifeng became a scumbag in this girl's circle of friends...
Yang Yifeng really felt wronged!
Be reasonable, okay?
I only met you once.
Where am I?
It's because you like me, okay?
And I said that I was useless all over.
If you can still fall in love with such a person, then you are absolutely perfect.
Anyway, Yang Yifeng just wasted some traffic, and didn't really take advantage of other girls. As for the emotional liar!
I didn't say I wanted to chase you, I just added a WeChat and chatted casually, just as a mediator of my rift.
You can like me!
But I can also choose not to let you like me.
Boys should take good care of themselves outside now——
By the way, Yang Yifeng came to the Eighth Hospital, wanting to see how talented and medically talented that blind date partner is.
Even Yang Yifeng didn't bother to find out who the original blind date was. He just heard that he was from the anesthesiology department of No. [-] Hospital, so he came here.
It took a while to study anesthesia a little systematically!
I wanted to come here to collect stories, so as to enrich the character structure in the novel, and at the same time, open the vision of anesthesiology in the Department of Anesthesiology of the Eighth Hospital.
Just punch it through.
Life is mostly boring.
This is the spice of life.
And the more knowledge and experience you have, the more you will be able to enrich your characters.
Only by seeing the different reactions of many people can we become more humane.
As for whether my blind date will know it's me?
The best thing is to know, she doesn't want to know, and I have to find a way to let her know, so that I can see how talented she is...
As for Zhang Zhengquan, Yang Yifeng didn't take it seriously, maybe one day he had a whim, and he didn't mind opening up the inner monologue of an ordinary Guipei like Zhang Zhengquan.
But it's not worthwhile to spend more time just for his inner monologue.
How nice it is to have this time to polish and polish the plot...
The three of Zhou Cheng took a taxi to Sancheng Tu Restaurant. The store is very small, remodeled from an ordinary old-fashioned community. The interior decoration is ordinary, but it is better than clean.
The seats inside are almost full, and there are still three empty tables in the innermost private room.
Zhou Cheng sat on the side close to the box door, Du Yanjun was facing the door, and Zhang Zhengquan sat on the side.This is convenient to call the waiter.
Zhou Cheng has eaten here several times, so first he ordered a potherb mustard fried with oil residue, which was very delicious.
Then he handed out the menu and said, "I think the three of us can order five dishes, so that we can eat most comfortably."
"You can order whatever you want, two for each person." Zhou Cheng made up his mind with great pain.
Not expensive, just over 100 points for five dishes.
Zhang Zhengquan and Du Yanjun originally didn't want to slaughter Zhou Cheng, but after seeing the price, they were rude, and directly ordered four meat dishes, which were only in the early [-]s.
Then they chatted casually, talking and laughing, all of them were bitter-spirited regular trainees and bed doctors, who could complain, and had a lot to say...
But at a certain moment, Du Yanjun suddenly raised his hand and shook it.
She smiled and said, "Sister Yan!"
Du Yanjun also met an acquaintance, Zhou Cheng and Zhang Zhengquan looked back alone, and looked sideways alone.
The person who came was Liu Yan, the itinerant nurse in the operating room, one of the specialist nurses in the orthopedics department, whom Zhou Cheng knew.The other girl is 23 or [-] years old.
Zhou Cheng didn't look at it carefully, it was impolite.
But the only thing that impresses me deeply is that this strange and young face is quite delicate!
Zhou Cheng's eyes stayed on her for a while, then moved to Liu Yan's side, and also said hello: "Sister Yan, are there just two of you?"
"Why don't we sit down and make a table together, let's add a few more dishes? It's been a long time since we got together."
The guest was Zhou Cheng, so Zhou Cheng thought it might be difficult for Du Yanjun and the others to invite, but Liu Yan was indeed an acquaintance.
Report chapter Comments
Zhou Cheng also had dinner with Liu Yan before, but at that time Luo Yun and Cai Dongfan were the hosts, and they didn't have much friendship, but at least they knew each other.
Zhang Zhengquan also greeted Liu Yan very warmly. The nurses in the operating room had a much higher status than Gui Pei. If you have a good relationship with them, you will be less scolded, and your life will be easier in the future.
Liu Yan didn't reply directly, but turned her head and said something to the girl beside her.
After hearing this, An Ruo's expression changed slightly, and she seemed to see that Liu Yan was not good at refusing the invitation to share a table.
He said, "Sister Yan, let's eat together. By the way, introduce these orthopedic students to me."
An Ruoren is naturally not stupid, knowing that Liu Yan asked her to take care of her emotions.
Here he is a stranger.
But An Ruo felt that although Liu Yan was older than herself, everyone was actually an adult.
It is the most basic for adults to control their emotions and try to separate work and life.
Although it is definitely impossible to completely separate!
Even in front of the catastrophe...
Seeing that An Ruo agreed, Liu Yan introduced, "This is Director Zeng's student and the anesthetist who just gave us anesthesia. Her name is An Ruo."
Zhou Cheng immediately stood up and made way for the seat, and at the same time called out: "Waiter, take down the menu and come in, let's add some dishes."
Chapter 75 Wife abuse for a while, chasing wife...
After An Ruo and Liu Yan sat down, Zhou Cheng noticed that Zhang Zhengquan kept his head down, as if he was a bit uncomfortable.
Looking at that expression, it seems a little timid and inferior.
How can you still chase girls like this? Zhou Cheng reckons that Zhang Zhengquan's role is not much.
An Ruo sat close to Zhang Zhengquan, but Zhang Zhengquan hurriedly moved to the side close to Du Yanjun.
After Du Yanjun heard Liu Yan say that An Ruo was a student of Director Zeng, he hurriedly asked, "Dr. An, how many years are you studying this year? I am studying second this year, and I am a student of Teacher Cai Dongfan."
Du Yanjun did this to figure out what to call An Ruo, a school girl or a school sister, or even a classmate.
This naturally brings the relationship between me and this beautiful woman closer, how wonderful it is.
Because Du Yanjun was attracted by An Ruo just now, but he just tried to make himself look quite natural.
"Senior Brother Du. I only entered school in August this year, first year of research." An Ruo replied generously.
In terms of seniors and younger sisters, it is calculated according to the year they entered school, and Du Yanjun may be older than An Ruo, so An Ruo called Du Yanjun Senior Brother Du.
"Oh. No wonder I haven't seen such a beautiful woman in the anesthesiology department before." Du Yanjun laughed silly and said something humorous.
An Ruo didn't answer Du Yanjun's words, smiled silly, and glanced left and right at Zhou Cheng and Zhang Zhengquan.
Liu Yan immediately introduced the identities of Zhou Cheng and Zhang Zhengquan. Although Zhou Cheng and Zhang Zhengquan were not graduate students, but they came to the hospital earlier, An Ruo also called Senior Brother Zhou and Senior Brother Zhang respectively.
I was just muttering in my heart, having dinner with Liu Yanlai today must have not chosen a good day!
Make yourself so embarrassed now.
Zhou Cheng didn't reply here, he was adding dishes, because there were two more people, Zhou Cheng simply added the last dishes to eight.
Zhang Zhengquan nodded and replied: "Hello, Junior Sister An, my name is Zhang Zhengquan."
I didn't dare to speak anymore, and I couldn't get close anymore, because in the process of chasing An Ruo before, I was beaten to pieces by all kinds of questions An Ruo asked. Such a person can't be deceived by sweet words, and I dare not What means and scheming are used.
Can't afford to offend.
Nature can only keep a respectful distance...
After Zhou Cheng finished ordering, he said, "Sister Yan, I'm sorry today. It was only after the operation was finished that Teacher Cai told me that there is no break in the turnover of the operation."
"You and Junior Sister An have both worked hard."
"Before, I only thought about resetting the technique, so I didn't think about it so much."
"Sorry about that."
"However, Director Cai said that if our group performs manipulation repositioning in the future, it must be done as soon as possible when the emergency department is admitted to the hospital, and there will be no crowds like today."
Liu Yan rolled her eyes on the spot when she heard the words, and became angry when she heard about it: "You have the nerve to say it!"
"Can't you take it easy? I'm not tired today. I feel more tired than usual working until eight or nine o'clock." Liu Yan twisted her arms while talking.
He said again: "When I was in the operating room before, I naturally didn't have much to say, but next time, this is not allowed, everyone has to take a break."
Zhou Chengcheng smiled and said, "Before this, everyone was inexperienced."
"I'm sure I won't cause trouble for you, Sister Yan, because of similar things in the future."
"Or, sister Yan, if you are still angry, you can punch me a few times and I will never fight back."
As the saying goes, you don't reach out to hit a smiling face, and Zhou Cheng didn't do it on purpose.So Liu Yan just raised his fist, but didn't really fight.
And then changed the subject...
After a while, the dishes came up one after another, and the five hungry wolves instantly turned into tigers and started eating.
With a delicious entrance, no one will mention the previous grievances and grievances.
About half an hour later, the five foragers finally had enough food and water, and after a little politeness, Zhou Cheng went to pay the bill, and then went back separately.
During this process, Du Yanjun also took the opportunity to add An Ruo's WeChat. When he asked this question, An Ruo was actually reluctant, but he couldn't refuse, so he added a friend.
Zhou Cheng didn't take the initiative to add WeChat, but just asked a little bit if he was going along the way, and if he wanted to take a taxi together. Then Zhou Cheng and Zhang Zhengquan just went along the way, and the taxi he got arrived first, so he just took the car and left.
……
An Ruo rejected Du Yanjun's application to send her off, and took a taxi with Liu Yan.
When they were in the car, An Ruo gently touched her belly: "Sister Yan, I'm having a good day today."
"I wanted to treat you to dinner today, but I missed a meal. I'll treat you to dinner next time, shall I?"
Liu Yan said: "Okay, Ruoruo."
"Do you want to drink milk tea? I know there is a tea shop that tastes more authentic than other places. Let's be presumptuous today?" Liu Yan suddenly suggested.
Although she is already 31, it is rare for her to leave work so early today, and the cub is still in kindergarten, so she naturally wants to relax a little bit!
After getting married and having children, the mood of shopping is not quite so great, but it is quite good to sneak out for a milk tea appointment.
"Milk tea?" An Ruo looked a little thoughtful but afraid of getting fat.
"I'm so tired today. If you want to be presumptuous, go to the end." Liu Yan found a very formal reason.
"it is good!"
……
Zhou Cheng returned to the house he rented, took a shower first, and then prepared to look for literature about bone defects by the way.
However, most of the resources he found were charged. Zhou Cheng himself is not a graduate student, and he does not have the library resources of the university to rely on. If he had to buy every article, he would definitely not be able to afford it.
So Zhou Cheng planned to ask Du Yanjun to borrow his account number and password.
Du Yanjun was not stingy, so he lent it to Zhou Cheng.
At about nine o'clock, Zhou Cheng finally wrote the next simulation plan.
Then the next round of simulation started.
【Please select the skills and materials to carry. 】
【1. Experience in local anatomy of limb bones and pelvis (perfect), 2. Interpretation of limb muscle anatomy and anatomical muscle strength deformation (perfect), 3. Bone transport surgery for bone defects (common). 】
Zhou Cheng now has the basic level of bone transport surgery for bone defects, so he can start to take an unusual path.
You must first acquire the corresponding basic skills before you can think about improving yourself. With the foundation, it will be easier to do things.
[You are just a resident doctor undergoing regular training, and you have very solid anatomical skills.Anatomy is the basis of surgery. 】
[At the same time, your goals are clear, and you are determined to fight for the development of surgery at all costs and fill the corresponding vacancies. 】
[Two days later, you successfully found out from your colleagues in the department the girl who can save you effort and asked for the contact information. You are fully prepared to join the army of raiders. 】
[Your application to add friends has been rejected! 】
Ok?
what's the situation?
It was fine before, why can't I add friends now?
Zhou Cheng stared.
Read on.
【You didn't give up and went to meet her in person, but you were warned that she doesn't have any good feelings for you!Your masculinity is useless. 】
【So you plan to adopt quack tactics 'women are afraid of being entangled'...】
[A week later, the medical department of your training hospital conducted a very strict inspection of your past medical records and the process of managing your bed, and found many mistakes in the writing process of your past medical records. 】
I nia!
what's the problem?
Adult Zhou continued to be taken aback.
People are a little numb.
Something is wrong, the script is wrong.
[Two weeks later, it was exposed that you had performed a Class III surgery by leapfrogging your rank. The medical department terminated your status as a training student, and you quit the training industry. 】
【After you were withdrawn from the current hospital, you mustered up the courage to re-examine the residency training in other hospitals. 】
【…】
[When you were 68 years old, you died in depression. In your life, you never had the opportunity to come into contact with the level of bone removal surgery for bone defects. 】
[The simulation is over! 】
Chapter 76 Change your thinking!
[The simulation ends. 】
[Comprehensive score: Poor.The slightest difference is worth thousands of miles.Although you regain your strength and are not knocked down, a single thought can waste your life. 】
[You can choose to keep one of the following. 】
[Skill: Debridement and Suture (Normal). 】
[Skill: External fixation of open fractures (common)]
This tasteless skill?
What's the difference between keeping it or not?
This simulation was a bit wasted.
Zhou Chengcheng thought that he could raise the level of the bone defect by not working hard on the secret technique this time, but he didn't expect such an unexpected situation.
But better than nothing, I chose external fixation (common) for open fractures and kept it.
Right as a trial and error.
After getting the skills!
Zhou Cheng didn't start the next simulation right away, but thought for a while, feeling quite strange.
What's going on this time?
Last time it was obvious that the secret technique of 'masculinity' was quite high-spirited?
But this time?
The request to add a friend was rejected.
Wrap it up?
He also let the other party use his relationship to mess with himself!
Where does this make sense?
This is only a day or two apart, why is there such a big difference between before and after?
Report chapter Comments
Menstrual period?
Or did he inadvertently offend her?
I don't even know who you are-
Zhou Cheng flipped through the notes he had made.
The idea is right.
To improve a skill through a simulated copy, the most scientific steps to take are the following steps:
The first step is to acquire basic skills first, whether it is entry-level or ordinary.
In the second step, after obtaining the basic skills, perform crazy surgeries to improve the proficiency of the skills to the current world-class level.But to obtain the operation permission in advance, to obtain the operation, and to go step by step, it seems that the waiting time is a bit long.
The third step is to create new and redefine the perfect level on your own.This is more difficult and requires huge resources to support, at least a certain foundation.After completing the second step, you need to build your own team as soon as possible!
This needs help.
……
After a long time, Zhou Cheng came to the following inferences.
It may be that there is also a certain chance in the simulated copy.
It's like an adventure happened before, maybe that woman was not in a good mood, so I just hit the muzzle of the gun?
After one unsuccessful attempt, Zhou Cheng planned to try again.
Anyway, it can be trial and error.
But you can't waste the simulation opportunities wantonly. This time, don't be obsessed with taking the flat route. If you really can't do it halfway, you can yo-yo in advance, so don't be dismissed by her again.
After sorting out his thoughts, the 5-minute cooling time passed by.
The simulation begins.
【Your foundation is solid, your goal is clear, you are determined, and you are willing to work hard for the development and progress of bone defect bone transport for life. 】
【You have been appreciated by the superior physician, who has given you a lot of clinical opportunities.But your performance is mediocre, and you gradually lose their trust in you. 】
Seeing this, Zhou Cheng suddenly froze, wait!
Appreciation from superiors?But mediocre performance?
Oh!
I didn't take fracture manual reduction (perfect-redefined) and fracture small incision internal fixation (perfect) this time.
Zhou Cheng was stunned.
However, this sentence was seriously written down by Zhou Cheng.
He only wanted to take the route of not working hard.
They all forgot one thing, that is, in reality, Cai Dongfan has already had a deep impression on him, and this can completely become his third option!
Keep watching.
[One and a half months later, you got the contact information of the mysterious girl from your colleagues in the department, and you feel that you are fully prepared to participate in the pursuit army. 】
[Your application to add friends has been rejected! 】
Ok?
Or was it rejected?
One and a half months!
Not a menstrual period?
Zhou Cheng was helpless.
Read on.
【Two months later, your superior physician rediscovered your profound knowledge of anatomy. In several critical operations, you were always able to perfectly expose the surgical field of view. 】
【Thus, you regained the trust of the superior doctors, and they began to give you the chance to operate again. 】
[Because of your solid anatomical knowledge, you quickly mastered the removal of internal fixation devices after fracture surgery and the internal fixation of simple fractures, and every time your superior physician sees your operation, he feels a pleasing feeling . 】
【Thus, you got the chance to stay in the hospital, and you successfully got a postgraduate quota from your superior physician. 】
[No. 30 years, your joint clinical research team has still not made any substantial breakthroughs. Those colleagues who have studied with you feel that they are getting old and have given up the idea of continuing to pursue more advanced fields of surgery. retirement model. 】
【You didn't give up. After explaining to your family and parents, you resolutely went out to study at the age of 50...】
[You have continued to study for five years, and you have retired.Because you have been insisting on studying abroad, your hospital did not invite you to re-employ, and you continued to study with great concentration. 】
[No. When you were 70 years old, you finally obtained the bone transport operation for bone defects (proficient). After you successfully completed a difficult operation in the unit where you studied, you felt that your physical strength was quite exhausted. You chose Return home and reunite with your wife and children. 】
[The simulation ends. 】
[Comprehensive score: general.You are an old man with great ambitions, and you have been working hard to improve yourself all your life. Although you have not reached the perfect level of current technology, you have made some progress. 】
[You can choose to keep one of the following. 】
【Skill: Bone Transport and Grafting for Bone Defects (Proficient)】
There was only one option, so I chose right away.
However, Zhou Cheng still frowned slightly, feeling that the progress was still too slow, too slow.
It is not acceptable to go step by step and only start contacting this field when you are 40 years old.
At the age of 40, it is no longer the golden age of learning.
It seems that this first option is temporarily unworkable.
I don't know why, it seems that the girl who can make me work less for many years has become hostile to me.
Could it be that she also had some kind of adventure, and then realized that she was treating her as a tool?
After getting the simulator, Zhou Cheng's brain was wide open, of course he knew it was impossible...
However, without this secret technique that he didn't want to work hard, Zhou Cheng naturally had other preparations.
He took detailed notes again, and while waiting for the half-hour cooling time, Zhou Cheng continued to write down the third alternative...
Then, the simulation starts again.
Zhou Cheng is full of confidence this time.
[Initial skills: skills: open reduction and internal fixation of small incision fractures (perfect), skills: manipulative reduction of fractures (perfect - redefined), bone transport and transplantation of bone defects (proficient)]
[Do you want to start the simulation? 】
Start!
Zhou Cheng read back silently.
Women are not the only ones who can make themselves work less!
Actually, so can men.
Thinking has to change...
Chapter 77 Oh!woman!
[You are just a resident physician undergoing regular training, and you have very solid surgical skills.And has unimaginable surgical skills. 】
[You quickly gained the appreciation of your superiors and gained many opportunities for surgery. 】
[You quickly helped the 'assistant' superior physician to improve the quality and quantity of the operation during the process of completing the operation. 】
[You are in the clinical research group and soon became an indispensable part. 】
【Your superior physician began to reciprocate. In his name, he set up a research group on conservative fracture treatment for you in the department.Your unit soon gained a certain reputation nearby. 】
[One month later, because your group was carrying out conservative treatment of fractures with great fanfare, it attracted other friends from your department. 】
[One of the friends came to your research group for a tour because of curiosity, and never went back. 】
Seeing this, Zhou Cheng felt a little funny.
This simulator is really interesting, and one of the little friends, you just say that Yang Yifeng is not good?
[One and a half months later, you broke your little friend's cognition of the choice of fracture treatment methods, and made him start to doubt the contraindications and indications for surgery written in the textbooks he learned. 】
[God, one of your little friends called his teacher to your research group, and suggested to his teacher face to face: it's time to revise the treatment principles and guidelines for fractures! 】
Zhou Cheng was stunned.
This guy is really Yang Yifeng.
Called his teacher over directly, so stubborn?
Because if Zhou Cheng remembers correctly, it seems that the chapters on trauma in the surgery textbooks and orthopedics training textbooks that are currently being promoted were written by the Affiliated Hospital of Shonan University.
That's the real textbook—
[You quickly gained the appreciation of the province's top and domestic well-known professors! 】
【Your current superior physician reluctantly handed you over.And before you left, I had a long talk with you, telling my regrets, regretting that I didn't appreciate your strengths earlier, and regretting that I put too much attention on my students. 】
Zhou Cheng looked at it, and said with a smile: Teacher Cai, Teacher Luo, I'm sorry.
I'm just having fun in the mock copy.
Haha!
Zhou Cheng couldn't help laughing.
[Because of your superior doctor's openness, you decided to stay in the hospital for the time being and complete the training.At the same time, you began to prepare for the admission of graduate students, but at the same time you found that you seemed to have nothing to prepare for...]
[So you are in the current unit, with your nominal junior, while continuing to carry out the subject of conservative treatment of fractures, once again pioneering the subject of open reduction and internal fixation with small incisions for fractures! 】
[Your junior has the authority of level III surgery, so you gave him the authority of the chief surgeon. 】
[He is unfamiliar with this technique and has not studied it deeply at the moment. He is unable to carry out the surgery for the first time, and he is looking at you eagerly...]
Eh!
Zhou Cheng smiled, it seems that this simulation is going very smoothly.
After contacting Yang Yifeng several times, Zhou Cheng found that he might really think that the existing conventional surgery is meaningless, so he gave him a knife in the buttocks—opened his eyes.
Zhou Cheng still didn't believe that he was not interested in such an outstanding and talented person.
but?
This is not something you can do with your interests and talents.
eagerly?
The word is off the charts.
【You 'roguely' took over the position of the main knife, completed the key part, and then handed over the right of main knife to your junior brother. 】(Well, it's a rascal! That's right.)
Delicious.
Zhou Cheng felt refreshed.
[In the second week, your younger brother called your teacher over again, and also called his peers in the industry to re-evaluate your surgical level, and you have obtained the permission of Class III surgery in advance. 】
[At the same time, the Traumatology Group of the Orthopedic Branch of the Medical Association where your province is located began to suggest to Huaguo that the small incision internal fixation of fractures should be formally defined as a new surgical procedure and comprehensively started to be graded.The grading suggested by your study group is that it is currently a new surgical method, and when the surgical method is mature, it will be positioned as a surgery grade III. 】
[Huaguo Medical Association quickly adopted this suggestion. 】
[Your teacher has received invitations to give lectures from all over the country, and even some major international academic exchange conferences have also sent invitation letters to your teacher. 】
【But your teacher rejected them one by one—】
[Won a reputation of not looking for fame and fortune. 】
[The reason is not that I don't want to——]
[But it won't! 】
Eh……
【Therefore, your teacher temporarily applied to transfer to your current unit to study with you. 】
Teacher Ding, I really didn't do it on purpose, I just wanted to develop more top-level techniques.
[At the same time, your current unit will start public relations immediately!Hope to keep your teacher! 】
Report chapter Comments
[Three days later, the personnel department and medical department of the Affiliated Hospital of Shonan University also started public relations! 】
【Your superior physician submitted a letter of resignation the next day, and it is rumored that he will join the Department of Trauma Surgery at the Affiliated Hospital of Shonan University in the next month. At the same time, it is also rumored that he may break the rules and study for a doctorate in the next year...】
puff!
After Zhou Cheng finished watching, he almost spit out his mouth!
The Affiliated Hospital of Shonan University is so ruthless, it just dug people up.
However, it is quite understandable to think that it is for Professor Ding.
It's so realistic, and it's very Shonan University Affiliated Hospital.
The Affiliated Hospital of Shonan University has a very high threshold.Must have a doctor.
Zhou Cheng guessed it was Luo Yun, because only Luo Yun had a graduate degree, and Cai Dongfan was just a graduate student who was added later. Even if he is studying for a Ph.D., he still can't get out and graduate.
Luo Yun was taken away!
【Three months later! 】
[You naturally handed over the clinical implementation work of the fracture conservative treatment research group to your senior physician brother.You act as the master planner. 】
What the hell is the name Senior Physician Senior Brother?
Zhou Cheng was convinced that this was Luo Yun.
[You handed over the clinical work of the small incision reduction and internal fixation research group to your nominal postgraduate tutor, and you acted as the chief planner. 】
Mom! !
The teacher was turned into a tool man, I really didn't mean it.
Really, absolutely not.
Zhou Cheng swears to God at this moment.
To be honest, he didn't have the ability to talk about Professor Ding, even if he had such an idea.
It's just a simulation, it's just an accident.
[You continue to move to the bone transport research group for bone defects, your younger brother volunteered!You act as the master planner. 】
Well, although there were two more unexpected visitors, it was finally on track.
[One month later, your senior doctor and your teacher are in the clinical research group, and the progress is rapid.However, the bone transport research group for bone defects where your junior is working is making slow progress. 】
【Your junior is very disappointed. For the first time, he doubted his qualifications, and began to slow down the pace of writing and study more. 】
【He sincerely apologized to you. He said that he will work hard, he will definitely work hard, and he will try not to hinder the entire research group. 】
Zhou Cheng: "..."
Brother!
Don't be so serious, really.
Your aptitude is actually the best. The research group Luo Yun and your teacher are in already has a complete theoretical system.
The one you are carrying now is just a half-defective product.
Otherwise, why do you think I arranged for you to be in the bone transport research group for bone defects?
I just fell in love with you.
[After listening to your brother's original intention, you felt quite guilty, so you also devoted yourself to research and continued to ponder and polish the development direction and plan of the bone transport surgery for bone defects. You discussed with many people, Make progress together...]
[One day, a stranger who was rejected by you as a friend added you as a friend. 】
Zhou Cheng's eyes just stared at that moment.
Oh open?
Ah this.
O woman!
Chapter 78 Your 'Autistic' Brother
[You saw it, but you are obsessed with research at the moment, so let it go.Then you forget about it because you don't need her help anymore. 】
[Eight months later, your regular training is over and you have successfully obtained the resident standardized training certificate.You rejected the hospital's very "sincere" invitation to stay in the hospital. Your teacher has done the preliminary work for your division to return to the Affiliated Hospital of Shonan University with three topics, and you can leave at any time. 】
【Finally, on the day you left, a strange girl you didn't know suddenly found you and said to you with a very firm expression. 】
【You are excellent, I will try my best to catch up with you, and I will also come to the Affiliated Hospital of Shonan University. 】
[Although you feel very abrupt, you really want to ask who is the other party?But you didn't care, you just thought the other person was good-looking, so you encouraged her, work hard and work hard. 】
【…】
[One year later, your subject of conservative fracture treatment, manipulative reduction and small incision internal fixation completed the first phase of the subject, and were successfully published in top international journals. 】
【You did not participate in the writing of the thesis and the collection of data at all. Your brothers and sisters just showed you the finished manuscript, and after you nodded in agreement, it was published. 】
[One night two years later, you and your younger brother graduated at the same time.At the teacher appreciation banquet after the defense, your junior drank a little too much and said sorry to you very sincerely.It is all because of him that the clinical project you are in is dragged down. 】
【You comforted him and told him the truth. 】
【But your junior brother told you that he knew the truth a long time ago, but even so, it is because of his lack of ability and aptitude.And in turn, he comforted you, saying that you are responsible for the plans of three research groups at the same time, and you have already focused on the bone defect. 】
[Such distraction is inevitable. The other two clinical topics are also very important, and they are also good news for the majority of patients.It is because he is not very good at himself, compared to his teacher and senior brother, he is actually just a relatively good ordinary person. 】
【Quite autistic...】
Ah this?
Brother, I depend on you to hold me back.
[Five years later, your teacher and your brother finished all the subjects of all levels, and moved to the subject group of bone transport treatment of bone defects.After discussing together, it was found that the current number of surgical patients and diseases was not enough. 】
[So your mentor linked the sources of disease in multiple clinical centers across the country, and your research team began to pursue new surgical techniques in a circular manner in multiple clinical centers across the country. 】
Zhou Cheng sighed instantly.
It seems that the platform is still the platform, relying on the platform is the truth.
The current progress and planning of this development are even faster than when they did not work hard before.And the field of view is wider.
Professional professors, top-level team, the vision brought to you is really not something that can be replaced by simple relationships. Professional people, professional things, and the intersection of professional fields are really only masters in the profession. Be clear.
Zhou Cheng continued to watch.
[One day in the same year, suddenly a girl found you again! 】
[She told you that she has graduated, but she rejected the application to stay in the hospital and work, but will go to the regular training hospital where you used to be. 】
[She also explained to you that after finishing her Ph.D., she has come to the end of her path in scientific research, and there is no way to go any further.She felt very strenuous and strenuous to be able to graduate, and what she had been pursuing for many years——]
【It's something that your junior and senior fellows can do easily and within a short period of time.And you are still his senior brother, the one who can lead him to climb higher academic peaks. 】
[She said that she was a little whimsical. 】
[She confessed to you that she had rejected you for various reasons. She said that she changed others and tried to change herself. 】
[But she still has no regrets, everyone can have their own pursuits, and what she wants does not violate secular values.However, she also told you frankly that she likes you now, but she really can't find anything better than you. 】
[I can't find anything that can attract you.When she comes to you, she simply tells you that she was attracted to you, that's all. 】
【You listened patiently, even though you forgot about it, you still bid her farewell politely.Then continue the research on clinical topics...]
Zhou Changchang sighed with emotion: Women are so changeable.
【No. In 20 years, your research group has finally done enough accumulation. There have been very significant breakthroughs and progress in the bone transport surgery for bone defects. A detailed analysis of the ceiling of the bone transport surgery for bone defects has been made. definition. 】
[Your research group wrote a book because of this. 】
[You are quite old, a long-retired teacher, looking at the books published by your research group and the existing achievements, I am very pleased. I was so moved that I burst into tears on the spot. I have no regrets in my life in clinical practice and in medicine. , I have no regrets in the country...]
【Your younger brother finally confessed to you that he still has a literary dream, and the current precipitation and accumulation are already enough. He wants to go to the field he likes and expand his territory. 】
【He left, still free and easy, alone. 】
[You also let go of the idea of continuing to pursue scientific research, and followed the arrangement to complete the blind date, but the blind date was unexpectedly a woman you had added as a friend but was rejected. She said that she had not found a suitable one, so she dragged on. Now, let's make do with it…]
[In the same year, you finally got married.Your wedding was not grand, and the place you chose was not luxurious, but the guests were all medical experts from all over the world. 】
[At your wedding, you received the Lifetime Academic Achievement Award in the field of medicine and the Lifetime Achievement Award in Orthopedics...]
[The simulation is over! 】
[The simulation ends. 】
[Comprehensive score: perfect.Throughout your life, you have finally climbed to the pinnacle of medicine and redefined the field and treatment of medicine.The various branches of medical disciplines are important as long as they exist, and the importance of their development does not affect their development because of the number of patients. 】
[You can choose to keep one of the following. 】
【Skill: Bone Transport and Grafting for Bone Defects (Perfect)】
"Comfortable!"
"It's finally done!" After reading it, Zhou Cheng finally let out a long sigh of relief.
After choosing to keep the skill.
Immediately, a large amount of memory poured in, which was exactly the knowledge system about the special types of fractures and bone transporting surgery for bone defects that I was longing for.
And, after acquiring the corresponding skills, the familiar prompt sounded again.
[Acquisition of fusion skills: bone transport transplantation for bone defects (perfect) (including regular limb long bones and pelvic bones): skills can be analyzed, and skills will not disappear after analysis.Do you want to parse? 】
"No analysis." Zhou Cheng slowed down and continued to think.
Chapter 79 Mars at the handover meeting!
Zhou Cheng needs to digest it, and then analyze it, otherwise, he will not be able to recover his thoughts.
Summarizing the situation of these simulations, it can be said that the situation is frequent!
For the first time, I was blown out of my mind when I was hit by a thunderbolt, which represented my current basic reserves, and I still couldn't just mess around. In this world, you can't just get along with technology.
The second time, although he didn't touch the thunder, he still became a mass of beings. Although this is the reason why the simulated copy can only carry three skills, it does not represent his real strength.
Now it is not the same as before, and now my real strength is much higher than the number of skills that can be carried in the initial simulation.
I hope that when the second dungeon appears, more skills can be carried, otherwise, there is still no way to play it perfectly and freely.
For the third time, find another way.
It has achieved quite perfect results and got what I wanted.
It is right to find another way, open your mind, and be good at making good use of every resource around you.
But today's simulation made Zhou Cheng confirm a very important thing again.
Reality will affect the process of simulation, and similarly, the process of simulation will also affect the development of reality——
Everything is unknown, exciting and charming.
It wouldn't be so interesting if everything was set in stone.
Of course, one thing Zhou Cheng needs to slow down now is to separate the simple simulation from reality.It is impossible to bring the encounters in the simulation process into reality.
Simulation is changeable and influenced by multiple factors. Through simulation trial and error, we can achieve advantages and avoid disadvantages, instead of hating a person.
This basic point of view must be done well——
During this simulation, Yang Yifeng was really unlucky!
I have not had a systematic research system for bone transport due to bone defects.
But he would feel that his aptitude is not good enough, and he has to compare with Professor Ding and Luo Yun, they have a perfect system, and they can go step by step.
But Yang Yifeng knew it, and still didn't consider these factors, and continued to move forward.
Moreover, at the age of 50, he still had the courage and courage to return to zero and chase his own dreams. This made Zhou Cheng feel that Yang Yifeng was quite a good person. Well, not necessarily a bad thing.
After all, something has happened, he really loves it...
After all, not everyone has the courage to reset to zero.
Zhou Cheng wanted to see what kind of person Yang Yifeng was in reality, and what did he want to do?
He is such a genius, he came to the Eighth Hospital with a sense of attacking the dimension reduction here, I am afraid he would not have thought of it!
Report chapter Comments
In fact, he has always been walking on the edge of death.
It is very possible to touch another dimension...
Zhou Cheng's mentality also began to change a little.
And, that girl?
It's also quite interesting, keeping her own persistence and being able to last until her 40s, although her view of mate selection may not conform to the public's concept, and even her persistence may not be the most suitable for her.
But she didn't hinder anyone, she had her own perseverance, such girls are rare.
At least you can stick to your heart. If you are not married in your 40s, you have to face a lot of gossip.
But a person's life is just a lifetime. It is quite good to be able to live for oneself and have something to stick to...
Hmm, so had to remove her emotions from the previous two simulations as well...
Don't think about the analysis, and the analysis must be just some basic skills.
This doesn't take time, let's plan again, what skills and directions can be discovered in this dungeon now...
After all, Zhou Cheng's gratitude is only a pitiful 8 points.It is 20 points away from the 12 points to open the next copy.
This data is difficult to say, but it is not easy.
It was also because I couldn't perform more operations, get in touch with patients more, or even take charge of patients, so my gratitude was taken away by Cai Dongfan and Luo Yun.
But don't be in a hurry, you can't be in a hurry, you have to plan well.
And to make a good plan, you have to improve your vision as much as possible, read books, scan literature, and look at the disease of fracture from a higher perspective...
The next day!
Zhou Cheng still arrived in the department very early, around 07:30.
He thought he didn't have a computer today, but when he arrived in the department, he found that there was a computer that was empty today, so he quickly sat down, looked at his patients, and looked around at other people at the same time.
Immediately locked the target.
It was Zhang Zhengquan and Pang Dingkun who did not come to the department.
Zhang Zhengquan was the first to give up.
This kind of reality made Zhou Cheng feel a little bitter in his heart, but he also felt that Zhang Zhengquan's choice was reasonable.
If he continued to stick to the competition, let alone wasting time, what would he use to compete with Du Yanjun and others?If I don't have this mock copy, what can I use to compete with others?
There is no chance to fight!
How come it is still like this now, where you can take it easy and not even take the initiative to fight for it?
Yes, what Zhou Cheng thinks in his mind now is that he has gradually left the circle of the No. [-] Hospital, and he can explore things that are beyond his field of vision.
And the reason why he has such a mentality is because Zhou Cheng himself has the ability, as long as he has a little chance, he can take off and go even better.
Naturally, he took it easy.
One's own strength is the foundation, and the timing is the east wind.
If there is no above if.
I may not even be as good as Zhang Zhengquan, after all, he can find a relationship to go to the county hospital, and I can only go to the town hospital...
I don't know who will be the next person to give up?
Is it Xu Yanlin who has a relationship with the training?
Or are they academic postgraduates like Lin Lin and Du Ruiqi who are trained after graduation?After all, they lacked some relationship in the courtyard.
However, they also have their own advantages, that is, they have more articles than professional graduate students like Du Yanjun and Min Chaoshuo...
Zhou Cheng's field of vision has become wider, so it is so easy to examine the whole process with a shifted perspective.
……
After looking at the patient's examination results, Zhou Cheng followed the others and took the shift room, waiting for the arrival of the superior doctor, and officially started today's early shift.
At 59[-, Yan Haihan was the last one to come to the door of the shift room, but it seemed that his expression today was not very good-looking, a little cold, as if he was in a bad mood.
After entering the door, he swept around the people present.
"Start the shift!" Yan Haihan took his seat, and the head nurse first ordered the nurses on duty to start the shift.
After the shift was over, Yan Haihan did not disperse the shift right away, but emphasized again: "This time the hospital will keep a batch of regular trainees in the hospital. It is the decision of the hospital and the personnel department, not just a matter of the orthopedics department!"
"I hope everyone, don't get confused. So as not to cause some unnecessary misunderstandings, do some outrageous things."
Having said that, Yan Haihan scanned the crowd in the shift room, then fixed his eyes on Cai Dongfan, and said lightly: "Director Cai, I heard from the people in the operating room that you did five sets of equipment in the operating room yesterday. Manual reduction of fractures? Is there such a thing?"
Yan Haihan's words immediately attracted Cai Dongfan's attention.
Although the orthopedic circle is so big.
However, few people would dare to gossip about the director's gossip.
It seems that in today's early shift, Yan Haihan will burn a little spark.
Chapter 80 Favors are easy to use but not to return!
Cai Dongfan raised his head, blinked his eyes slightly, nodded and said: "Yes, Director Yan. Our team performed five manual reduction operations for fractures yesterday."
"Including the one that was turned around."
Cai Dongfan made a point deliberately, wanting to let Yan Haihan know that although you are the director of the ward, we are now on the same level in terms of professional titles.
You are just the administrative director of the department, I didn't argue with you, but my name is not Cai Shizi.
Yan Haihan then said: "Director Cai, I know that patient is quite special, and there is no way to choose manual reset, but the other patients? Do they have to be solved through manual reset?"
"I have emphasized many times in the department that manual reduction and manual reduction of fractures should not be performed in the department."
Yan Haihan's tone was very formal, using the word "emphasis".
Then said:
"The department has suffered this loss for a long time."
"Your relatives can't be trusted!"
"Not to mention ordinary patients."
"Director Cai, you have to carefully consider the consequences! I have repeatedly stated that the department does not touch the issue of fracture manipulation."
Cai Dongfan glanced at Yan Haihan, expressionless, feeling a little funny in his heart.
When Hu Ming heard Yan Haihan say that his relatives were not trustworthy, he knew that he was connoting him, and raised his head. In fact, he didn't want to participate in the friction between Yan Haihan and Cai Dongfan.
But he also coughed and said, "Director Yan, my incident didn't have much impact on Corey, did it? And it's been so long."
Yan Hanhan had been pressing for a long time before, Hu Ming was too lazy to listen to Yan Hanhan's long-winded words!
I have slowly subsidized the money that was paid out to the department, and I just mentioned it a few days ago because of a special patient.
It's always beeping, you're overdoing it.
Yan Haihan said to himself: "I'm just afraid that after too long, everyone will ignore this matter."
"Clinical needs to be extra cautious. If you should not do something, if you can't do it, don't do it."
"The department also has its own rules and regulations."
"As doctors, it is impossible for us to have smooth sailing in the clinic. After practicing medicine for a lifetime, we will never encounter any difficult patients. If we do not encounter any difficult patients, then we are not capable."
"But if you suffer a loss, you still have to carefully reflect and consider the loss, and you have to learn a certain lesson from it..."
"Stable! You must be clinically stable. This is the most basic requirement for a doctor."
Cai Dongfan rolled his eyes, he knew that Yan Hanhan was targeting him deliberately, and he also knew why Yan Hanhan was targeting him, because he went to mention Zhou Cheng's matter to his acquaintance in the personnel department yesterday.
And Yan Haihan is the director of administration, so speaking of it, he should be in charge of the administration in the department.
Maybe it was because I went to the personnel department to make some small comments, which touched some of his arrangements, so I let him jump out today.
Cai Dongfan casually explained to everyone: "Every time before the operation, I will carefully read the clinical treatment guidelines and read certain literature."
"Everyone in our group knows this, it's a habit of mine."
"I don't think what we are doing is not in line with the orthopedic clinical treatment guidelines."
"Director Hu, what do you think?" Cai Dongfan said this to Hu Ming.
Doesn't Yan Haihan want connotation? Cai Dongfan also knows this skill.
Manipulative reduction and conservative treatment of fractures are written into textbooks and clinical treatment guidelines. Why are you pushing this matter?
When Yan Haihan heard Cai Dongfan's words, his expression changed for a while, but he didn't dare to make irresponsible remarks to the guide, he didn't dare to say that the rules of the guide were wrong, and he didn't dare to say that his own rules were greater than the guide's.
It would be okay if such a thing is said normally, but if it is spread at this time, there will probably be big bosses coming to talk to him.
Xiao Yan, I heard that you think the guidelines we set are not good enough?
Then you decide?
Hu Ming smiled, didn't answer, just smiled.
Yan Haihan suddenly felt as if a soft nail had been pierced into his body.
Very uncomfortable.
The words that came to his lips were swallowed forcefully.
After being dumbfounded, I can only say: "I also consider the medical safety and development of the department. Each treatment group has its own autonomy and is also responsible for the patients in its own treatment group."
"The director responsibility system is a system implemented by the hospital. I hope that all directors, including the deputy director, will keep this in mind."
"There is nothing else, just come here after the shift."
"Director Cai, let's go to the office together later. I have something to talk to you about."
Yan Haihan didn't continue to confront Yan Haihan, Cai Dongfan naturally wouldn't find it boring to fight with Yan Haihan, everyone can get over it, that's fine.
……
Yesterday was Cai Dongfan's operation day, so today Cai Dongfan's group has no surgery arrangements, and Luo Yun only needs to take the rounds with him.
Cai Dongfan immediately stood up and waved to Luo Yun and the others to go to the ward rounds!
Luo Yun also knew that there must be a certain conflict between Cai Dongfan and Yan Haihan, and it was an inevitable conflict, so he didn't dare to be caught between the two directors who were facing each other, and immediately led someone away.
In front of Yan Haihan, he still doesn't have much qualifications for dialogue.
As Du Yanjun walked, he was a little worried about his teacher, and asked Luo Yun: "Mr. Luo, why did Director Yan know what we did yesterday? Who told him?"
"Is there any other reason for him to say that?"
Luo Yun patted Du Yanjun on the head: "Why are you asking so many questions?"
"Don't worry about things you shouldn't care about!" Luo Yun felt a little funny in his heart. Du Yanjun asked these questions, did he not see his position clearly or something?
However, Du Yanjun was also kind, and it was only reasonable to worry about his teacher.
……
After Yang Yifeng got off his shift, he immediately picked up a small notebook and pen and began to write and draw. These are good materials, and he actually wanted to interview Cai Dongfan and Yan Haihan in depth, but he still didn't have this courage.
I can only figure it out for myself, my teacher is right, the hospital below is actually more interesting than the Affiliated Hospital of Shonan University...
Cai Dongfan calmly followed Yan Haihan into the director's office!
After Yan Haihan sat down, he said politely: "Director Cai, I didn't intend to target you on purpose this morning, it's just that you have done so many manual resets in a row, I feel a little bit!"
"Once bitten by a snake, you will be afraid of well ropes for ten years! You should be able to understand what I mean."
"The matter of Hu Ming was something I never expected."
"I'm just afraid that something will happen if you start this way and the department will start doing it again." Yan Haihan immediately changed his expression.
The feeling seems to be, I'm actually only targeting Hu Ming, I have a pretty good relationship with you, Cai Dongfan.
Reaching out to not hit the smiling person, Cai Dongfan said: "I can understand that you are the director, and you have a heavier burden than us. The affairs and development in the department must be based on stability."
Yan Haihan nodded, gave Cai Dongfan a pacification, then sighed and said, "It's good that you can understand. Recently, the hospital often asks me to talk with Director Zeng and others, and they almost prick up their ears to emphasize medical safety. ."
"The complaint rate of each department every year is linked to the year-end performance. This is something that is closely related to each of our brothers, and I also have to consider the overall situation."
"The number of patients and operations in the department itself is not much. If the ratio is deducted, it will really make things worse."
Report chapter Comments
After Yan Haihan finished speaking, his face was full of helplessness, as if he was carrying a mountain on his shoulders.
Then he pretended to ask casually: "I heard that you intend to recommend Zhou Cheng from your group to stay in the hospital? Did you go to tell Lao Shi yourself?"
"It's completely unnecessary. If you want to keep a regular trainee, you just have to tell Director Zeng and me. Why bother?"
"We are all old acquaintances." Yan Haihan flicked the cigarette ash in a tone of consideration for Cai Dongfan.
Favors are easy to use but not to be repaid.
What Yan Haihan said was reasonable, but Cai Dongfan couldn't understand what he was thinking, so he just said, "I think Zhou Cheng is not bad, and I plan to ask for an establishment for him."
The 'hezi' in Yan Haihan's hand fell into the ashtray...
Chapter 81 You can tell my relatives about it!
With a stunned expression, Yan Haihan picked up the cigarette butt and smashed it into the ashtray, and smashed it violently, then picked one from the cigarette case and lit it again.
Then he lowered his voice and said, "Cai Dongfan, do you know what you're talking about? You want to weave for Zhou Cheng?"
First of all, the hospital clearly stipulates that the current new employees should at least be graduate students. This time, it is a special kindness to select a batch of regular students to stay in the hospital.Although this is for certain groups of people.
Compilation is not something you can give if you want.
The total amount of local administrative staffing at all levels is reviewed and determined by the central agency staffing department, and the provincial agency staffing department assigns it!
The allocation of the total establishment of public institutions at all levels in the province, as well as the allocation of provincial establishments that need to be uniformly approved by the province, shall be submitted to the provincial editorial committee for approval.
The No. [-] Hospital is an institution directly under the Hunan Provincial Health Commission, and it must also be reported to the Provincial Editorial Committee.
You took an undergraduate student to apply, not to mention that it was not in compliance with the rules, did you discuss it with me and Director Zeng, can this be settled?
How much effort are you going to spend to get this spot?
"The staffing quota in the department has to be reported by the Human Resources Department to Director Zeng Yi and the administrative director of my department. Isn't it a bit inappropriate for you to do this?"
"And when I asked you before, you didn't express your opinion?" Yan Haihan frowned fiercely.
This year, the Department of Orthopedics can report for three staffing places, and they have to take the unified examination, and then make unified arrangements.
There are only four places for contract workers left for the general training of orthopedics.
The first department of orthopedics is the department where director Zeng Yida works. Two staff quotas have been taken away, and three quotas for contract workers have been allocated to the second department of orthopedics.
Now Cai Dongfan suddenly said that he would give Zhou Cheng the preparation. Didn't this move the cake that originally belonged to him?
Because if Cai Dongfan really wants to fight harder, then Yan Haihan is really not easy to take.
Is it worth it?
But the problem is, he has already made overall arrangements on his side, and yet such a moth suddenly appeared...
Cai Dongfan nodded, and said casually: "Director Yan, actually, this matter is not just my own idea and to promote this matter."
"Yesterday, my relative, that is, my cousin's father-in-law, didn't do manual reset. Zhou Cheng helped a lot."
"You also know that this relative of mine has already consulted many professors in the province. They all came back against a wall. Sending charcoal in a timely manner is the most popular..."
"They brought it up on their own initiative."
"Director Yan, if you have any ideas, why don't you talk to them? Anyway, you are quite familiar with each other before."
Cai Dongfan certainly didn't want to break up with Yan Haihan, he had already thought of an excuse.
But if you think about it, it is still possible and necessary.
Didn't you ask why?
Don't ask, it's because that relative of mine you once wanted to curry favor with wanted to do.
As for why, you originally snatched him away, but you couldn't grasp it, so what can I do?
What can you do?
Yan Haihan's expression tightened immediately, he blinked and said, "Ah? Uh..."
"This matter? Didn't you say that this patient was helped by Professor Zhong Hua?"
Yan Haihan knew about this, but what he heard yesterday was that Cai Dongfan called Professor Zhong Hua for help, and Yang Yifeng from his own group also helped a lot in the reset!
Only then did he succeed in putting the patient who had no other choice on the right path of conservative treatment.
When I heard about it at the time, Yan Haihan was so regretful that his intestines were green. He was the one who stayed with the patient.But he couldn't find a suitable solution, so he pushed it out again.
Originally, Yang Yifeng was in his own group, and he could have invited a professor who was more important than Professor Zhong Hua to do the technique reset.
Originally, this matter should be done by myself, that would be great...
It's a pity that there is no chance of doing anything again.
Cai Dongfan said: "Director Yan, isn't that the only way to say that?"
Yan Haihan was taken aback.
Looking at Cai Dongfan, he was slightly puzzled.
What do you mean you can only say that?
"It's not easy to make Professor Zhong Hua lose face, right?"
Yan Haihan stared at him, saying so just for Professor Zhong Hua's face?
Cai Dongfan, are you serious or joking?
Associate Professor Zhong Hua, to take care of his face, how old is Cai Dongfan?
Cai Dongfan said to himself: "But in fact, it was reset by Zhou Cheng's technique and Yang Yifeng's anesthesia."
"Patients themselves are aware of what happens in the operating room."
"Professor Zhong Hua is also clear, why don't you call and ask?" Cai Dongfan continued to add!
I asked NMB to ask.
Are you my three-year-old child?
"It's not necessary."
"Then... I'll think about it here..." Yan Haihan was having a headache at the moment.
In fact, he has almost made arrangements and overall arrangements, including who should give the establishment, and who should give the contract workers to.
If Cai Dongfan insisted on keeping Zhou Cheng, Yan Hanhan would definitely give him a contract position without saying a word.
It doesn't even matter if you give two, you can leave one for Du Yanjun.
But Zhou Cheng popped up all of a sudden, and Cai Dongfan's relative paid a lot of attention to his words.
What if Cai Dongfan pushes hard?
He has to think carefully about whether his current overall planning is worth it, and whether he should play a game!
As for Cai Dongfan's proposal to talk to them about it, he didn't want to kill Yan Hanhan either.
I know them well, that's superficial, do you think they really don't know that I threw them to you?
I'm going to say it.
Say your sister said.
I also asked Professor Zhong Hua——
Hit you mama bio!
"Well, okay. Director Yan."
Cai Dongfan nodded, continued to sit opposite and took a deep breath before saying, "Director Yan, there is one more thing that I have to explain to you."
"It wasn't me who told Shi Lei about Zhou Cheng's weaving. I just called him. Then my cousin-in-law also called!"
"Zhou Cheng is in my team. Since there is such an opportunity, as his tutor, it is logically unreasonable for me not to help him."
"I actually have a bit of a headache, Du Yanjun is my student."
"Director Yan, you must have such a dilemma in your heart, right?" Cai Dongfan found a common ground and began to empathize with Yan Haihan.
Cai Dongfan knew a long time ago that it was impossible for Yan Haihan to give the establishment to Min Chaoshuo, although he met the requirements.Nor will it be given to Xu Yanlin in the group. Xu Yanlin's ability is insufficient and his congenital conditions are lacking. If he wants to give it to others, he will only leave one contract worker for his own students.
Even if Yan Haihan is the director, he must be a little entangled and guilty in his heart.
But very small.
Yan Haihan shook his head slightly, sighed with emotion...
Slowly said: "Yes!"
……
After Cai Dongfan walked out of the director's office, Yan Haihan cursed in a low voice: "Cai Dongfan from Mahler Gobi."
"This topsy-turvy ability is not lost at all!"
"It's as if I don't know that you are behind the scenes." But Yan Haihan could only mutter in a low voice, not daring to speak out in person.
After Cai Dongfan left the office, he ran to his relatives with a smile on his face, and came to a special post for rounds.
He was in a good mood, and he liked to see Yan Haihan's deflated look, but he didn't dare to complain. He really thought that since he was the director, he could dominate the department?
Of course, Cai Dongfan also knew that Yan Hanhan would definitely not believe what he said just now.
But believe it or not is his business, as long as there is nothing wrong with what he said, you can pursue it if you like, anyway, I have left room for everyone's face.
Gee!
Anyway, I didn't really think that I could successfully get Zhou Cheng to weave it, so you're welcome if you're disgusting.
It's not that Cai Dongfan is unwilling to contribute, it's true that Zhou Cheng's academic qualifications are limited here. Now that the establishment is made, unless there is a strong pressure from top to bottom, otherwise, the hospital's rigid regulations will be there.
difficult...
However, another reason why Cai Dongfan is so busy for Zhou Cheng is that this kid is also very good at performing surgery in addition to manual reset. Being able to stay is definitely a very good help for him. .
Chapter 82 Do something!Do something!
Yan Haihan and Cai Dongfan went to the director's office, and Dong Qiansheng, the deputy director of Yan Haihan's team, led a round of the ward. Currently, there are only three doctors in charge of the bed: Min Chaoshuo, Xu Yanlin and Pang Dingkun.
Yang Yifeng was not assigned the task of managing the bed, Yang Yifeng just looked around in the department like a horse on a horse, very free.
What he said is that he came here to learn this saying, and he has never been close at all...
Zhou Cheng was naturally led by Luo Yun to make ward rounds, because most of the patients in the group have already been treated. Zhou Cheng himself has four postoperative patients, and one 28-bed femur fracture patient is waiting for surgery, so there is no need to deliberately deal with it. .
As long as you routinely wait for the swelling in the thigh area to go away, you can schedule surgery.
For the patients who underwent surgery last week, the re-examination of the inflammatory indicators has returned to normal, and the pain caused by the surgery has also been greatly reduced, and the intravenous medication can be stopped one after another.
After starting to strengthen functional exercises such as getting out of bed and walking, you can also switch to oral anticoagulant therapy, and you can be discharged from the hospital at an optional date.
A patient whose fracture was reset by manipulative manipulation yesterday can start contracting the quadriceps and ankle pump function exercises from today, so as to train the muscle strength of the muscles of the lower limbs so as not to atrophy, and to fully prepare for getting out of bed later. preparation.
Of course, in addition to strengthening functional exercises, bone-promoting drugs and preventive anticoagulation drugs must continue to be used.
Otherwise, a major problem with conservative treatment is the decrease in activity, the arterial flow rate of the lower extremities will become slow, and the swelling and extrusion will cause the vascular cavity to narrow to a certain extent.
After the flow rate is slowed down, the complication that needs to be paid attention to is the formation of venous thrombosis in the lower extremities.
In fact, thrombosis is not terrible, it will only lead to local edema, just afraid of the thrombus falling off!
The thrombus flows back through the veins, and it will be blocked wherever it goes, which is terrible.
Rather than targeted anticoagulant therapy after thrombosis, it is naturally best to prevent thrombus from forming.
Preventive treatment is actually preventive treatment.
At the same time, review the X-ray results, which are the imaging results objectively recorded in the hospital system. You can re-evaluate the situation of the manipulation reduction, and at the same time leave a retreat for yourself. .
Although the chance of this is very small, Yan Haihan's words are not wrong, the most important clinical quality is stability.
In other words, it is necessary to be cautious.
Patients with intertrochanteric fractures undergoing PTFN (intramedullary nail fixation) also need to review X-rays after surgery to evaluate whether the intramedullary nail is in place and whether it is firm...
After the house inspection, Luo Yun led Zhou Cheng and others to determine the diagnosis plan.
It is Zhou Cheng and other bed doctors to complete the addition or deletion of part of the doctor's order, change the dosage of the medicine, change the medicine, and write the case.
Report chapter Comments
"Brother Zhou Cheng, I'll go to the dressing room first to grab a dressing cart. You can reserve a computer for me!" The moment the room inspection was over, Zhang Zhengquan immediately put away his pen and ran away.
In the surgical ward, in addition to grabbing computers, it is a daily routine!
Every morning, you must be active in rushing to change the medicine car, otherwise, your entire group will fall behind.
There were only two dressing vans in the department, and Zhang Zhengquan snatched them, which meant that Zhou Cheng and Du Yanjun could change the dressings and other operations immediately after Zhang Zhengquan finished changing the dressings.
The real thing is that one person can move quickly and benefit one group.
Zhang Zhengquan is also becoming more and more dedicated, although his original intention may also be to get off work early——
Twenty seconds later, Zhang Zhengquan triumphantly pushed a dressing trolley out of the dressing changing room, and asked Zhou Cheng and Du Yanjun with a red face.
"Brother Zhou Cheng, Brother Yan Jun, how many patients do you have that need dressing changes? I'll go and get all the dressing change kits!" Zhang Zhengquan asked rather embarrassingly.
The reason why one person who grabs the medicine changing cart can benefit the bed doctor in a treatment group is that if the medicine changing kits on the medicine changing cart are not used up, other people will assume that you will continue to use them.
Zhang Zhengquan took all the dressing change kits of all the patients in the group who needed to change their dressings at once. If you push the dressing cart away, he can go directly to the nurse's station and say that his dressing change kits have been stolen...
Although a bit ruthless and cautious, this is already the default unspoken rule. Everyone silently abides by it, but they will not do it.
"Awesome!" Both Zhou Cheng and Du Yanjun gave Zhang Zhengquan a thumbs up.
"Two of me." Zhou Cheng replied.
Du Yanjun said, "There are three of me."
Then continue to say: "Brother Quan, please tell me about the medical order that your team needs to deal with. I will help you finish the medical order and write the medical records yourself."
Reciprocate, otherwise, after he completes the doctor's order and medical records, he will have to wait for the medicine changing cart, and even find a place for the medicine changing cart in the department, so as not to be caught first, which will greatly affect the non-surgical day. off-duty time...
Zhang Zhengquan also unceremoniously handed over to Du Yanjun the doctor's order notes of the patients to be treated in his group.
Everyone supports each other so that we can leave work earlier.
……
Fifteen minutes later, Zhang Zhengquan punctually pushed the medicine changing cart and appeared at the door of the office.
He had sent a message to Du Yanjun in advance, so when Zhang Zhengquan was walking inside, Du Yanjun got up and left the computer seat knowingly, making Ben to turn his body to look at it.
Pang Dingkun and Min Chaoshuo, who thought they saw the vacant medicine changing cart, quickly retracted their bodies——
The dressing cart has an owner.
After Du Yanjun entered the office, he scanned around and found that Yang Yifeng was looking at his phone idly, looking very calm.
Min Chaoshuo, Xu Yanlin, and Pang Dingkun were tapping on the keyboard very diligently.
Du Yanjun found an empty seat and sat down, and then refreshed his patient's doctor's order.
Said to Zhou Cheng in a low voice: "Brother Zhou Cheng, I can get off work after writing the medical records later."
"Want to play games together?"
"Resetting the fracture by manipulation will still save a lot of things?"
The sound spread throughout the office where there was no noise other than the noise of the keyboard, and immediately made Min Chaoshuo and Pang Dingkun raise their eyebrows.
Can you take care of your patient?
Yesterday, there were five surgical patients, but all of them were treated conservatively. There was no need to change the dressing, and there was no need to check blood for inflammation indicators.
The written medical records can be very casual, so what can happen?
Scroll down the time in the lower right corner——
It was just before nine o'clock.
Be yourself, Zhang Zhengquan!
Are you the director of the connotation ward or something?
What about attracting hate here?
But no one spoke.
In the morning, Yan Hanhan was frustrated by this matter, how could they dare to make irresponsible remarks.
They themselves are members of Yan Haihan's group, so naturally they dare not disobey Yan Haihan's prohibition.
But I dare not say that Yan Haihan's ban is right.
"It's time to write the medical records, don't force me." Zhou Cheng tapped Zhang Zhengquan on the shoulder and said in a low voice.
The techniques in the department were reset, and Zhou Cheng was the one in charge. Although Cai Dongfan took up the responsibility, Zhou Cheng didn't want to gain the reputation of being against the director of the ward.
It doesn't do him any good.
Zhang Zhengquan said that, in a disguised form, he would bring a lot of hatred to him.
"Don't you think this is boring? Just make a joke." Zhang Zhengquan muttered, his voice not quite low.
These words immediately made Yang Yifeng, who was sitting idly, slightly tilt his body.
After looking up at Zhang Zhengquan, he happened to meet Zhang Zhengquan and learned a playful look from him, then put away the phone.
Walking towards Zhang Zhengquan...
This Zhang Zhengquan is a bit talkative, he seems to be very good at making things happen?
Chapter 83 I was playing wild, and the roof of my house was blown off!
"Brother Quan, have you finished your work?" Yang Yifeng approached and asked in a very amiable tone.
"Is it convenient to chat casually?"
Hearing this, both Min Chaoshuo and Xu Yanlin turned around with gloating eyes.
Tell you to feel bad!
Zhang Zhengquan, you big fool, who is bad in your connotation, you connotation him?
Zhou Cheng blinked his eyes, and felt that Zhang Zhengquan's overall state seemed a little bit wrong today, as if he was a bit broken.
But Yang Yifeng was by his side, so Zhou Cheng couldn't say much.
"Well, it's almost done, just write some medical records."
"Brother Yifeng, can you wait for me for a while?" Zhang Zhengquan replied very generously.
Yang Yifeng immediately agreed: "Yes, yes, of course."
"The main business is the main thing. These things about me are trivial. As long as you take the time to show off your face, brother Quan, you can just chat casually."
The tone is very accommodating.
Zhang Zhengquan also nodded back: "Brother Yifeng, what you said is a bit out of line. We are all brothers, so what are you talking about as a compliment?"
"Any call will come!"
Zhou Cheng sighed inwardly, and said to himself, Quan Zi, why did you do this?
You clearly know that this Yang Yifeng is not normal and not easy to provoke, but you want to take the initiative to provoke him, are you full?
But everyone is an adult, and they have to be responsible for what they do and say, and Zhou Cheng doesn't bother to talk about it.
……
After 15 minutes, Zhang Zhengquan put down the keyboard and said, "Brother Yifeng, I'm sorry for the long wait, I'm done here."
"Okay." Yang Yifeng put down the phone again, then stood up unhurriedly.
Zhang Zhengquan also stood up, and walked out with Yang Yifeng shoulder to shoulder, like two long-lost brothers.
Zhou Cheng's eyelid twitched a little, and there was a kind of not-so-good rush.
I looked at the time, it was 45[-].
At most half an hour, I will go to rescue Zhang Zhengquan.
After all, he is a brother in the group. Although Zhang Zhengquan had a brain twitch and confronted Yang Yifeng this morning, he still gets along well with him on weekdays, and he should be helped.
Twenty minutes later, Du Yanjun came back to change the dressing, and he only needed to change the dressing for two patients today, and the speed was neither too fast nor too slow.
Hand over the medicine changing cart to Zhou Cheng.
Zhou Cheng reminded Du Yanjun: "After 10 minutes later, you go to the lounge and have a look. Zhang Zhengquan and Yang Yifeng are alone together. I'm afraid something will happen."
Du Yanjun didn't understand what happened to Zhang Zhengquan and Yang Yifeng, so he said in a low voice, "Brother Zhou Cheng, I think if something really happened to Brother Yifeng's body, we should be worried about Brother Yifeng, right?"
Yang Yifeng was tall and thin, with no flesh on his body. Zhang Zhengquan estimated that he could hit at least three!
"Who still fights these days! Anyway, just remember what I said. After 10 minutes, no matter whether I finish changing the medicine or not, come and call me." Zhou Cheng was also reluctant to give up the priority right to use the medicine changing car, so he ran away Went to change medicine.
Zhou Cheng has two patients who need to change their dressings today, one was operated yesterday and the other is a patient who underwent surgery before.
Zhou Cheng deliberately accelerated the pace of changing the dressing!
But after the last dressing change kit is used up, the dressing cart must be cleaned up, and by the time this is done, another 10 minutes have passed.
"Why didn't Du Yanjun call me?" Zhou Cheng looked at the time, cursed, threw the yellow garbage bag into the trash can, and hurried to the doctor's lounge.
But don't let anything happen.
There is Yan Jun first, and now there are Quanzi, so can't you save yourself some snacks?
open the door.
He saw Du Yanjun standing at the door, leaning against the door, without saying a word.
He stared blankly at Zhang Zhengquan and Yang Yifeng talking and laughing happily.
He didn't say a word, his back was still a little sad, and he looked at the confused eyes as if he was doubting his life.
What's the situation?
This is completely different from what I expected, isn't it?
Why did Zhang Zhengquan sit and chat with Yang Yifeng without saying a word, while Du Yanjun, who was supposed to be in the office, became like this?
Seeing Zhou Cheng pushing the door and entering, Yang Yifeng immediately turned his head, then stood up and said, "Brother Zhou Cheng, are you off work too?"
"Then I won't bother you after get off work. I'll go to other places to have a look."
Du Yanjun immediately turned his head, looked at Zhou Cheng, and called out in a low voice, "Brother Zhou Cheng."
Seeing Yang Yifeng get up, Zhang Zhengquan immediately got up to see him off, and said with a smile all over his face: "Brother Yifeng, go slowly! Let's chat again when you have time. I like chatting with you the most, and I find it very interesting."
Can you please talk less!Zhou Cheng's heart twitched slightly.
But Zhou Cheng then saw that Yang Yifeng's face was so stiff that he twitched when he heard this, and he didn't know why.
After laughing with Zhou Cheng again, they opened the door and slipped outside.
Yes, he slipped away...
Zhou Cheng looked at Du Yanjun and Zhang Zhengquan blankly.
Zhang Zhengquan touched his possibly dry mouth and said, "Brother Zhou Cheng, are you done? Let's get off work together?"
"Want to play games?" Invited again.
Zhou Cheng shook his head and said, "I'm not going, you go, I have something to do when I go back."
After Zhang Zhengquan passed by, Zhou Cheng chatted with Du Yanjun for a while, but Du Yanjun was not as enthusiastic and motivated as before. The confusion that should have appeared on Zhang Zhengquan's face fell on Du Yanjun ...
Zhang Zhengquan suddenly changed so much, could it be?
He has already chased the girl who can make him not work hard?
No wonder, she would reject my friend invitation.
It was just divided later, so why?
Zhou Cheng felt dull for a moment, and silently deleted the corresponding alternative in his heart.
Zhou Cheng himself has a little cleanliness.
……
When Yang Yifeng walked out of the doctor's lounge, his expression changed slightly, and he murmured, shaking his head:
"I really met an opponent. I have seen shameless ones, and I have never seen such shameless ones."
"It's also a strange person."
Report chapter Comments
Between the words, there are some unfinished meanings.
Then he shook his head and walked to the office.
I didn't think much about Zhang Zhengquan, this wonderful thing.
He planned to talk to Pang Dingkun, why a doctor like him didn't go to other hospitals, but came to the eighth hospital, which is not a good top three, this should be traced back to many stories.
At noon, Yang Yifeng finally finished chatting with Pang Dingkun with great satisfaction, and then sorted out his questions and knowledge in more detail.
I was in a good mood, and the depression of meeting a shameless and strange thing in the morning was instantly swept away.
With such good material as Pang Dingkun as a filler, it will definitely make your story fuller and more attractive.
Rather?
That Zhang Zhengquan kept dancing, which made Lao Yang feel annoyed.
He always connotates me?
Or, give him a drudgery?
How many patients did the manipulative reset and surgery in Director Cai Dongfan's group yesterday?
Although surgery is done.
But the surgery does not mean the treatment is over.
The postoperative effect is related to many factors!
Yang Yifeng looked around, but he didn't see anyone in Cai Dongfan's group.
She shook her head slightly: "The end of the operation is not the end of the treatment, let alone the end of the study, but the beginning of the study. Such an important review material after the operation is not the first time to come to the department to catch up."
"I really don't know how to study."
"Forget it, I can barely use it as a few cases of conventional fractures in my novels. Pick and choose. Occasionally, I may even make up a passerby..."
10 minute later.
When Yang Yifeng came out of a ward.
look up.
look at the sky.
He didn't see the sky, and looked blankly at the incandescent lamp on the ceiling, feeling quite depressed.
After a while of mixed expressions.
With great reluctance in my heart, I determined one thing:
I f*ck out in the jungle to build ceilings for others.
Then the roof of my house was torn off...
Chapter 84 Are these two movies fucking related?
Yang Yifeng went to the ward with the mentality of studying and collecting case materials, and he really had no other thoughts in his heart.
When writing a novel, the character material and story material in it are equally important.
The character is the soul, and the story is the flesh and blood.
They all come from life and are higher than life.
If you can thoroughly understand some things in reality, and then infiltrate them into the story, there will be an indescribable chemical reaction...
of course!
In addition to reporting the mentality of learning, Yang Yifeng also wanted to know exactly what happened to Zhang Zhengquan's few surgeries that Zhang Zhengquan had always thought about himself.
Yang Yifeng has always thought so. When a person really understands an industry, he will be more afraid.
Especially in the field of medicine, the more you study it, the more difficult and frightening you feel.
Except for a few careless people, those who do not know are fearless, and those who are ignorant are innocent...
Fracture is first and foremost a disease.
Healing requires treatment.
There are options for treatment.
Divided into conservative treatment and surgical treatment.
Conservative treatment is - no treatment or manual reduction plaster external fixation.
Surgical treatment is - surgical open reduction plate or intramedullary nail fixation plaster external fixation.
There is no distinction between high and low treatment methods. It does not mean that surgery is more advanced than manipulative reduction, or that manipulative reduction is more advanced than surgery.
Any of several treatment methods are actually parallel, but it depends on which one is suitable for you.
However, the results of treatment are high and low.
How is the outcome of the treatment? There are more objective evaluation criteria——
The effect after treatment depends on the level of the surgical team.
This can be seen, and in front of knowledgeable colleagues, you can't hide it even if you want to.
If it is just to pursue the speed of treatment, or to show off the large number of patients he treats, this is a very bad thing.
Whether a doctor's level is high or not, as far as surgical treatment is concerned, is definitely not determined by the speed and number of operations——
The first patient Yang Yifeng saw was the special fracture patient he had participated in. This morning, he reviewed the postoperative X-ray plain film.
Because he has already participated in the whole operation, there is no need to give the patient a physical examination, he knows the condition of the patient.
After resetting, recheck the results, which are quite satisfactory.
Barely reached the standard of conservative treatment, nothing special to see.
If the rest of the patients are also like this, then it's really meaningless.
The course of conservative treatment, although fast.
But if you ignore the quality of the treatment simply for the sake of the speed of treatment, then it is completely a matter of discarding the basics——
Surgery cannot be performed purely for the purpose of completing the operation or for the volume of the operation.
Then see the second patient and communicate carefully with the patient's family members.He got the consent, and handed the film to Yang Yifeng on his own initiative, and looked at him eagerly——
Immediately, he asked with anticipation: "Doctor, is our operation successful? How is it?"
Patients cannot be required to know much about medicine, because their evaluation and understanding of surgery is based on success and failure.
Yang Yifeng took a quick glance and found that this patient was a patient who had undergone PFNA, and his eyes immediately picked up.
Have you seen the only patient who underwent surgical intervention so quickly?
Stretching out his hand, he said, "I'll watch the film first. I'll talk to you guys later."
"Hey, good! Good."
At the same time, as a very professional orthopedic surgeon, Yang Yifeng began to conduct a professional evaluation of the effect of the operation from the perspective of imaging examination.
This is the plain pelvis lateral view of the femur.
The first thing to check is whether the intramedullary nail is in the bone marrow and whether it has been poked out.
If it is found that the intramedullary nail is poked out, then there is no need to comment, just go to the second palace as soon as possible to avoid greater medical accidents.
The postoperative intramedullary nail is in place!
This is the first thing you can see, whether it is in the bone marrow cavity or not.
Look at fixation again.
If the internal fixation device is loose, then the operation is completely meaningless. It just inserts a foreign object into the patient's body and has no therapeutic effect——
Several locking screws penetrated the cortex.
connected to the femur.
The fixation is to rely on the connection and the screw...
Fixed well!
Quite good, Yang Yifeng nodded slightly.
Then it is to look at the degree of fit between the intramedullary nail and the bone marrow cavity.
It's like an ant bird trying to tease an elephant. One gave you his body, but the other didn't realize it...
The model selection of the intramedullary nail is very important!
This requires proper assessment during reaming.
can be seen.
The intramedullary nail fits perfectly with the bone marrow cavity!
In this way, the evaluation of the internal fixation device comes to an end, and the fracture itself is the next thing to look at.
The imaging evaluation after fracture is to look at the alignment of the fracture line!
Huh?
The fucking fracture line?
Yang Yifeng shrank his pupils and pushed his glasses at the same time, his eyes were almost rounded, and even stars appeared in front of his eyes.
A looming fracture line finally appeared in front of him.
Oh, but finally found you.
This insignificant fracture line!
Simply.
Good-looking and ugly.
Hate and love--
After finding it, Yang Yifeng immediately took off his glasses.
He blinked to relieve the tiredness in his eyes that had just struggled to see.
Almost thought I was blind.
And almost blind.
Put your glasses back on and continue your objective assessment.
Anatomical reset——
This is definitely an extremely rigorous anatomical reduction!
The reason why it is extremely useless is the most, Yang Yifeng still has some reservations.
Yang Yifeng felt a little appalled in his heart——
Ordinary fracture open reduction and internal fixation!
From a scientific point of view, it is impossible to achieve a perfect fusion of fractures.
The rigorous degree of anatomical reduction actually only exists in theory.
Unless it is a very special fracture!
Basically, for all fractures, there should be a little bit of alignment after surgery and the alignment is not very good!
This is the difference in surgical quality between different orthopedic surgeons performing fracture internal fixation in the same way.
Of course, a few fractures with poor alignment, or a displacement of less than 3mm, does not hurt Daya, and the patient can recover very well.
Except for taking it out for peer review and comparison, patients and ordinary doctors can't see any difference.
In the process of fracture healing, there is relatively strong plasticity.
but?
Rigorous anatomical reduction is still the pursuit of all orthopedic surgeons when treating fractures.
Anatomical reduction in the clinical sense should actually be called a functional reset close to anatomical reduction——
Report chapter Comments
It cannot be called complete anatomical reduction.
However, the postoperative plain film results of this patient have achieved excellent quality anatomical reduction!
If evaluated from the postoperative plain film, the quality of this operation is very high!
Yang Yifeng turned to look at the patient, and asked, "Are you still in pain? 娭毑 (another name for grandma)?"
The old man shook his head and said with a smile, "I had a little pain last night, but it doesn't hurt now. There is this..."
Her face was very relieved, and at the same time she raised the analgesic pump brought back from the anesthesiology department.
"I would also like to thank you doctors. When I didn't have surgery before, the pain was really unbearable. It's all due to your doctors." The old woman expressed her gratitude very sincerely.
Yang Yifeng nodded and said, "This is what we should do. Shall I watch your pre-operative film again?"
The patient's family members immediately took the initiative to search for Yang Yifeng from under the mattress, and they found it quickly.
When Yang Yifeng saw it, his scalp felt a little numb.
Holding two films in his left and right hands, they became messy under the wind of the air conditioner.
The brain shut down on the spot.
???
These two films are fucking related?
Chapter 85 Yang Yifeng and the Fracture Line!
Fractures are a disease.
And it's a serious disease.
For a large variety of diseases, a fracture of the hand can be called a fracture, and a fracture of the head can also be called a fracture.
The parts are different, and the difference is far away.
Moreover, fractures at the same site are also different.
Simple fractures, complex fractures.
Stable fractures, unstable fractures.
There is a shift, there is no shift...
Intertrochanteric fractures, although the location and fractures are all here, actually have their own unique characteristics.
After Yang Yifeng took a few deep breaths, he let out a long breath.
Be calm.
But immediately, his mind was still rigidly attached to what he saw——
How is this Nima possible?
calm down……
I secretly found out the memory of the types of intertrochanteric fractures in my heart, and evaluated the preoperative displacement and the complexity of the fracture——
Evans type IV, the fracture involves the size of the trochanter at the same time.
Then look at the plain film after the operation.
my day!
This egg is definitely not a bird.
How is this possible?
The more you know, the more terrifying you will feel, the more you will feel the fear in it.
How is it possible to achieve such a reduction and fixation for such a type of fracture?
This TM should be reasonable, okay?
Is it my teacher who came in person?
It may not be possible to do this, right?
Yang Yifeng carefully recalled the PFNA of intertrochanteric fractures that his teacher had done.
This idea became more certain in my heart.
Eighth Hospital, Cai Dongfan, Chief Physician.
This Director Cai Dongfan is simply a bit scary.
own teacher?
Does he know Cai Dongfan?
If so?
Then my own teacher, what kind of thoughts does he have in his heart about his existence?
I really want to do an interview.
Is it?
Yang Yifeng suddenly thought that when he proposed to the teacher that he wanted to visit the Eighth Hospital, he agreed decisively.
Could it be that his teacher wanted to use Cai Dongfan's hand to beat him?
Can't really rule out that possibility.
The teacher is bothered.
"How is it, Dr. Yang?" The patient's family members continued to look at Yang Yifeng eagerly, and seeing his expression changing, their hearts, which hadn't been thinking too much before, became agitated.
Could it be that something went wrong with my wife's operation?
Do you scare the doctor?
"This operation is done very well, you can rest assured."
"Sister, you can already start to gradually strengthen the contraction training of the quadriceps, that's it..."
Yang Yifeng gave a demonstration to the patient, in fact, he encouraged the patient to lift his foot. Although he couldn't lift his foot up, but with this movement and thought, the quadriceps muscles would actively contract...
……
Yang Yifeng put down the film and walked out amidst the thanks of the patient and family members: "Thank you, Dr. Yang, you explained patiently and meticulously."
"You're welcome, Mistress."
"You have to remember to strengthen your function and exercise well. I hope to see you stand up and walk in a few days." Yang Yifeng said while walking sideways and continuing to walk outside.
After leaving the door of the ward, Yang Yifeng calmed down a little.
Change your inner thinking.
Maybe this time I come here, I can collect some more interesting case materials and materials of treatment methods, which can enrich the structure of the novel.
Well, we can't just come here just for fun.
Director Cai Dongfan's level of surgery is the second accident that Yang Yifeng encountered during his trip to No.[-] Hospital...
Let's go and see the few remaining patients who have been reset by manipulation, maybe you can relax yourself.
The operation must be performed by Cai Dongfan. The Cai Dongfan group only has Cai Dongfan as the chief physician, and there are no other deputy directors. Of course, Cai Dongfan is the chief surgeon for such a level III operation.
Then I went to another patient's bed in Cai Dongfan's group.
After negotiating, I took the review film.
Internal fixation was not seen.
There should be no mistake, it is one of the other patients who I want to see.
Ok?
I just watched a video for too long, so my eyes are a bit blurred?
Yang Yifeng dilated his pupils again and pushed his glasses.
After my eyes hurt a little, I found——
The fracture line you want to find.
hiss!
I am Nima.
Oh, MMP, why is it so difficult to find the fracture line for patients who have been reexamined after manual reduction?
Are all the patients in Cai Dongfan's group poisonous or something?
Yang Yifeng complained secretly a few times.
Then he thought again, this kind of film is the best, it is the most beneficial to the patient, and it is better if the fracture line is hard to find!
But what type of fracture is this?
Can manual reset be done so well?
Could it be a simple fracture, the one with almost no displacement, the one with a plaster cast in the operating room?
It was because Yan Hanhan was not allowed to do manual reset in the department before, so he was dragged into the operating room.
Yan Haihan is also really a little abnormal, manual reset is not allowed in the ward, and I don't know how he came up with this.
Let's take a look at the pre-operative film——
fracture line.
Fracture displacement.
Ok?
Type C of the long bone backbone——
O Wary!
Yang Yifeng felt a little flustered in his heart at that moment.
He took a step or two back a little unsteadily, apparently frightened——
And not lightly terrified.
Seeing Yang Yifeng like this, the patient's wife immediately stood up, stretched out her hand, and asked, "Doctor Yang, are you okay?"
I muttered in my heart, what's the situation with this doctor?
I come to the hospital to take care of my fractured husband.
This doctor also asked me to look at it carefully, really, absolutely...
But this doctor is so thin, it may be because of his poor health.
Poor kid, so skinny.
Yang Yifeng quickly stood still, took a deep breath, and forced a smile to reply: "It's okay, it's okay, I'm okay."
"My husband's fracture, how is it? It doesn't matter if there is no surgery, right?" The patient's wife didn't forget the business.
Her husband was hit by someone while riding an electric bike. She didn't mind having the surgery done, anyway, the other party would pay for it.
As long as the husband is treated well, it doesn't matter if you spend more money.
She and her husband immediately agreed to the operation at the beginning, but in the middle of the operation, the surgeon suddenly ran out and said that there is no need for the operation, just reset the technique, and it will be fine.
She questioned Dr. Luo for a long time, and she confirmed that there would be no sequelae, and the effect of the treatment would not be too great compared to the operation.
Only then thought it would be better if my husband could save one operation, so I agreed to the suggestion of no operation.
But what if something goes wrong?
Then Luo Yun and others will be responsible to the end.
"It's okay, the result of the re-examination is excellent." Yang Yifeng nodded and said comfortingly.
"Don't get out of bed, you can properly strengthen the function of the muscles without pain, and prepare for standing up early." Yang Yifeng continued to explain.
"It's fine. I said I was going to have an operation, but Dr. Luo said that I would have an operation, but I don't want it anymore. I don't know what I'm doing."
"Don't talk nonsense to the doctor. Director Cai has already said it. It would be a pity if I had an operation in my situation." The patient interjected when he heard his wife talking too much.
Report chapter Comments
It can be cured without surgery, and it is a good thing to have less scars.
The patient's wife then said: "Doctor Yang, I don't really have any other intentions, I just want my husband to be well."
Yang Yifeng continued to smile and replied: "It's okay, I can understand your feelings, the situation is quite optimistic now, don't worry, our doctors will pay attention to your situation at any time."
Using Yang Yifeng to explain: "And you also need to understand that our doctors consider it from an objective point of view. If we say something that shouldn't be said, if we can perform surgery, our doctor's performance will be slightly higher. Why don't we do it?"
"That's why I really don't want to do it."
"Do you think this makes sense?"
"Treatment should choose the appropriate treatment method, just to the right point, that is the best."
"It's like stir-frying. Some dishes need to be salty, while others don't need to add salt. It's the same reason."
"Director Cai happened to be right on this point." Yang Yifeng said while squeezing his little finger with his thumb, his voice expressive.
Hearing Yang Yifeng's words, the patient's wife's eyes lit up immediately: "Hey, it makes sense for you to say that, the cooking must not be too much or too little salt..."
The patient secretly gave Yang Yifeng a thumbs up.
Yang Yifeng explained it in an easy-to-understand manner.
The premise of being easy to understand is to be able to take it easy...
Five minutes later, Yang Yifeng's eyes hurt again...
What about the fracture line?
Mouth in a low voice.
I feel that I am no different from an intern!
It can be difficult to find a fracture line, isn't this the level of an intern?
Chapter 86 Yi Feng, Professor Liu and I are very familiar!
"Brother Yifeng, have you eaten? I just planned to order takeaway? Are you coming?" The doctor on duty, Lin Lin, just finished seeing an emergency patient and walked to the nurse's station to ask the nurse on duty to confirm the payment bill.
Seeing Yang Yifeng standing in the corridor of the ward at this moment, standing against the wall, his eyes were still looking at the ceiling rather 'haughtily'.
asked politely.
Lin Lin is also a graduate student of the Affiliated Hospital of Shonan University, but he is from the Third Affiliated Hospital of Shonan University. This year is the second year of graduation, and he came to the Eighth Hospital for regular training.
After counting, it should be Yang Yifeng's senior brother. When Yang Yifeng and Lin Lin "communicated" before, Yang Yifeng called him senior Lin Lin, but Lin Lin didn't call him Junior Yang Yifeng.
He had inquired about Yang Yifeng from a classmate of his own class who was now a Ph.D. student at the Affiliated Hospital of Shonan University. The other party directly called Yang Yifeng Fengshen, and another title was 'Mad God'.
Through his mouth, Lin Lin learned that Yang Yifeng usually acts in an eclectic style, and what he does is quite high-profile.
According to my classmate's description, the current director of the Orthopedics Department, who is also the executive director of the Affiliated Hospital of Shonan University, personally asked Yang Yifeng if he wanted to stay in the hospital for development, but was rejected.
Lin Lin didn't dare to pretend to be his senior brother for such an influential figure, nor could he afford to accept him.
Compared with him, if you want to stay in the No. [-] Hospital in Shashi, you have to find connections secretly, let alone a top hospital like the Affiliated Hospital of Shonan University. The threshold is not enough, and you can't even look inside.
When Yang Yifeng heard someone calling him, he moved a bit, turned around and walked towards Lin Lin's direction, and said, "Don't eat, Senior Brother Yang, I'll treat you to dinner next time."
"I still have something to do today, I have to go back first." Yang Yifeng's refusal was not very blunt, but he didn't leave any further words for Lin Lin.
"Okay. Brother Yifeng. I'll find a place in a few days."
"Let's eat together again." Lin Lin didn't bother about Yang Yifeng still calling him senior brother, but thought that he could treat Yang Yifeng well, in case Yang Yifeng stayed in the Affiliated Hospital of Xiangnan University in the future, and had the same side as he does now The fate, maybe there will be a place to ask for it in the future.
Or Yang Yifeng and him turned against each other and touched each other on a small topic. Wouldn't it be great if Yang Yifeng could take him away on the spot.
……
Yang Yifeng hurried to the doctor's lounge, picked up his backpack, and randomly stuffed the black notebook and blue pen on the table into the bag, instead of putting them into the hollow pockets on both sides as usual .
He went straight to the rented house.
When I got home, I sat idle for a while, and finally decided to call my teacher.
The call was connected quickly, but there was a sound of pushing the door on the other end of the phone, and it was unclear whether it was a meeting or something.
"Master, is it inconvenient for you now? Then I'll call you later." Yang Yifeng respected Professor Ding very much, so when he heard the door being pushed open, he immediately asked.
Professor Ding's hearty voice came from the other end of the phone: "Yi Feng, you called at the right time. You were in a meeting just now. It was boring and nothing substantial. It was just a good time to get some air."
"How is it? In the Eighth Hospital, if you change the environment, you will feel a little better?" Professor Ding's words were full of care and love, as if Yang Yifeng was a disciple.
Yang Yifeng smiled and replied, "It's okay, Master."
"Actually, I called today to ask you something professional. Can you take so long?" Yang Yifeng knew that his teacher was very busy. If the meeting is not rejected, it is not good to leave for a long time.
Professor Ding was a little surprised and said, "You want to ask me some professional questions?"
This made Professor Ding feel a little unusual, you know, as a student, he can be said to be a cheap apprentice.
What is a cheap child?
That is, after entering the master's gate, give him a laboratory, and he can rush out immediately, and he can rush out.He doesn't care about his own project, and sometimes he even has to listen to him to explain the idea of the research project, and then transfer it to other students for reference...
In the clinic, Yang Yifeng watched a few surgeries, and gave him a chance to have one, so he didn't have much chance to intervene or intervene in the whole process.
In addition to the lack of clinical experience, the solid clinical skills and basic knowledge made Professor Ding a little suspicious. Did this Yang Yifeng deliberately conceal his age? An associate professor from another large teaching hospital secretly tested him of Dr.
Didn't teach much, isn't it cheap?
"En!" Yang Yifeng nodded seriously.
"Then you ask. I can't guarantee that I will be able to give you an answer." Professor Ding immediately left a way out for himself.
After Yang Yifeng entered his school, Professor Ding only regarded him as his student for a while at the beginning, and wanted to teach him, but later, Professor Ding felt that he was not only his student, but also a group member. Key members of the family, even working partnerships, are very important.
And there's the master-student relationship, that's all.
Professor Ding can't guarantee that he will be able to answer the questions that stumped Yang Yifeng, because there are many questions, and Yang Yifeng will definitely be able to find information by searching the literature.
Yang Yifeng said casually: "Master, the fracture in our trauma surgery department? There are two treatment methods, manipulative reduction and surgical reduction, right?"
"If I remember correctly, most A-type fractures, a small number of B-type fractures and some very special C-type fractures, can we expect manual reduction?"
Professor Ding frowned at that time: "Yeah!"
"That's it, what's the matter?" Professor Ding suddenly had a bad feeling in his heart.
Why did Yang Yifeng ask himself such a basic question?Most of the graduate students at the Affiliated Hospital of Shonan University know about it?
This is the foundation of the foundation. Sometimes there is no reason to talk about some basic content, and it is so prescribed. If you really want to discuss the basic content in detail, you may not be able to finish it all day and night.
Why is Yang Yifeng struggling with this?
Yang Yifeng continued to ask: "Master, can the type C3.2 fracture be reset manually? Is it an absolute indication for surgery?"
"B2.3 fractures seem to be what we think clinically, and the indications for surgery. I haven't seen any literature or monographs saying that this kind of fracture can be manually reduced."
"Can Evans type IV intertrochanteric fractures be reduced to near anatomical level by PFNA?"
Professor Ding's eyelids twitched instantly, good guy.
Yang Yifeng really began to doubt at the basic level. It's really hard for Professor Ding to answer this question right away, but it's also hard not to answer it.
He frowned and said, "Yifeng, this question is a little too broad. If you have any doubts, our group can hold a discussion meeting within the group and organize the corresponding materials, so we may be able to get the answer."
Yang Yifeng didn't wait for the answer, nor was he discouraged, so he continued to ask: "Master, do you think this is possible?"
"We don't have a systematic theoretical system when we define the indications for surgery and the indications for conservative treatment. Maybe it's wrong?"
"Actually, we expanded the original indications for surgery and narrowed the indications for manual reduction."
"If you want to modify it, master, do you think it is theoretically feasible?"
As soon as Yang Yifeng said this, the expression on the opposite side of Professor Ding immediately jumped——
Dead bird.
Yang Yifeng's child, even though he went to the No. [-] Hospital, still hasn't recovered.
Finally, there is still a problem with the bird!
Modification of surgical indications and contraindications?
child ah!
Not to mention modifying the basic theory, how much energy and how long does it take?
It is very likely that you will be poor for the rest of your life.
This question is actually an unclear account, similar to 31 in the field of mathematics!
And it's even more outrageous than 31.
Even if you have made something theoretical, you must promote it.
That would be a big problem too!
What is involved in it is not only purely academic and clinical, but also various intricate factors, and it is very likely to cause bloodshed...
Professor Dante can't ignore it.
After pondering for a while, Professor Ding said with concern: "Yi Feng, actually, I am quite familiar with Professor Liu, do you want me to find him in private to chat with you? You don't need to go to the outpatient clinic, and nothing will be left behind." The file will not affect your purchase of insurance in the future."
"Professor Liu? Master, are you referring to Associate Professor Liu Xi from the third orthopedic ward?"
"Does Professor Liu have any research in this area?" Yang Yifeng asked a little puzzled, but considering that his teacher has great energy and influence, and has more knowledge than himself, he didn't doubt that Professor Ding suddenly mentioned Liu What does Professor Xi do.
"It's not a professor of orthopedics, it's Professor Liu Qiaolin from the Psychology Department of the Second Affiliated Hospital of Shonan University. He's very famous..."
Yang Yifeng: "Uh..."
Chapter 87 Special Adventures——Great People Help!
After Zhou Cheng returned to the rented house, he ordered takeaway first, and then went to take a shower.
After taking a shower, the takeaway arrived almost exactly downstairs.After eating, Zhou Cheng was not in a hurry to carry out a new round of simulation, or started to make a simulation plan in a hurry.
Instead, he decided to take a nap first, so that he could recharge his energy before talking.
Sharpening a knife is not a mistake in chopping firewood. If the direction is correct, it will save a lot of time. It is right to be good at making good use of the simulated dungeons and constantly digging dungeons to strengthen yourself.
After a lunch break for nearly an hour, Zhou Chengcheng got up, rubbed his face, and didn't dare to snooze.
Naps are only for nourishing the spirit, not for prolonged sleep. Sleeping to an appropriate level is the best for the recovery of the spirit. If you sleep for too long, you will feel dizzy.
After looking at the thank you value, it is still less than 20, and the second simulation copy cannot be opened.
But Zhou Cheng wasn't in a hurry, he didn't even have a thorough understanding of the fractured copy, if he waited to come back later, it would be a waste of time and times.
There are only five main skills currently available:
【Open reduction and internal fixation of fracture (perfect level)】
【Closed reduction of fracture (perfect - redefined)】
[Open reduction and internal fixation with small incision for fracture (perfect)]
【Bone transport grafting for bone defects (perfect)】
【Joint Dislocation Reduction (Perfect)】
Some other theoretical things, such as the understanding of anatomy, are components of these skills or skills that can be analyzed from these skills.
These five skills basically include conventional and rare fracture treatment methods.
From a normal point of view, it seems that there is no need to continue digging in the fracture instance.
The treatment of fractures is nothing more than either surgery or manual reduction.
In terms of surgery, it is either traditional open reduction and internal fixation, or minimally invasive open reduction and internal fixation. Besides, from the ordinary logic point of view, there seems to be nothing to explore.
But actually, it's not like that——
The treatment of fractures includes conservative treatment and surgical treatment, but surgical treatment is not the only option of internal fixation surgery!
There are other options, but these treatment modalities will intersect with subdisciplines other than trauma.
For example, there are some special fractures that are not recommended to be treated with ordinary internal fixation.
For example, the femoral neck fracture of the elderly and the avulsion fracture of the intercondylar ridge of the tibial plateau have different treatment methods...
If you want to dig out the dungeon, you have to clarify your thinking.
Report chapter Comments
Femoral neck fracture in the elderly is one of the special and rather rare fractures.
Treatment options include internal fixation with cannulated compression screws, total hip arthroplasty, and partial femoral head replacement.
This is a special fracture, but in terms of treatment options, there will be different options depending on the age group.
Cannulated compression screw internal fixation is included in the skill of fracture open reduction and internal fixation.
However, this operation is only suitable for young and middle-aged femoral neck fractures.
For the elderly, the benefits of choosing hollow compression screws are not too high.
This income does not refer to the doctor's income--
Zhou Cheng slowly wrote down some things he read from the literature.
The population with the highest incidence of femoral neck fractures is the elderly population over the age of 65.
The service life of femoral prosthesis or total hip prosthesis is generally about 30 years——
Such a one-time operation can basically ensure that the elderly will never need to undergo surgery again in the absence of special circumstances such as trauma. The artificial hip joint prosthesis is enough for this lifetime.
And for young and middle-aged people——
If three or 40-year-old patients with femoral neck fractures undergo hemihip or total hip replacement, the prosthesis for joint replacement has a long service life, and they will have another joint replacement in the future, which will increase the patient's life expectancy. economic burden.
Another point is that for total hip replacement or partial femoral head replacement, strictly speaking, you can get out of bed and start activities on the second day after the operation.
Cannulated compression screw internal fixation for femoral neck fractures requires immobilization for at least one month...
Young and middle-aged people can afford to lie down and wait!
But for the elderly, if they cannot get out of bed for a month, it may be a lifetime.
The elderly are prone to various complications when lying down, and their lifeline can already see the end——
Naturally, for a higher quality of life, you can directly choose joint replacement surgery...
Clinical treatment is not static and streamlined.
According to individual differences, choose different treatment methods.
Therefore, hemiarthroplasty can be used as the next simulation target in the follow-up.
Although this is the skill of joint surgery, it can also be used to treat fractures. The purpose is the same as the positioning of the copy, so it should not be downgraded...
The second one is the tibial intercondylar spine fracture. The best treatment method is to borrow sports medicine arthroscopy and deal with it under arthroscopy. The trauma is very small...
After sorting out his thoughts, Zhou Cheng still didn't start the simulation immediately. Anyway, there was still enough time, so he looked for some literature related to joint replacement.
Different from the previously simulated open reduction and internal fixation with small incisions for fractures and bone transport and transplantation for bone defects, the arthroplasty of the hip joint is now very mature, and there is no need to create anything by yourself.
Learning now and using it now, Zhou Cheng felt that the speed of simulation should not be slow.
At nine o'clock in the evening, Zhou Cheng started the simulation.
[Please choose the initial skill to carry. 】
[Fracture Open Reduction and Internal Fixation (Perfect), Manipulative Reduction of Joint Dislocation (Perfect), Limb Muscle Anatomy and Interpretation of Anatomical Muscle Strength and Deformation (Perfect). 】
[Start the simulation. 】
[You have a solid foundation in orthopedic anatomy and perfect surgical operations, and you have been appreciated by the superior physician.And you have obtained the permission of the superior physician to carry out manual reduction of joint dislocation in the department. 】
[Because of your perfect performance in joint dislocation reduction, your superior doctor was very surprised, and began to search for patients from outpatient and emergency departments, and you caught them one by one, and stood firm in the department. .1 heel. 】
Well, that's right.
There is nothing wrong with this route choice. Now that I have been approved by Cai Dongfan, there are many things I can do.
[You have triggered a special adventure—the help of noble people. 】
Ok? ? ?
What the hell is this?
Special adventure?
[Because of the noble person's help, you quickly obtained the surgical permission for open reduction and internal fixation of fractures, and was recommended to go to the top hospital in your province to study for a postgraduate degree in joint surgery. 】
【Your instructor was quite surprised by your surgical operation and anatomy foundation, and because the person who recommended you is quite familiar with your instructor, you soon got a special reception. 】
[You have a long-term first assistant position. 】
Is this really noble?It seems to be more dick than not wanting to work hard on the secret technique?
After all, if you don't want to work hard on the route taken by the secret technique, your superiors are trembling. This time, your teacher is willing, so it must be different.
[Special adventure——the help of noble people, because you joined a special research group, it helped you complete the thesis requirements and graduation thesis topics required for graduation. 】
[Six years later, you officially graduated with a Ph.D. and stayed in the school you attended. 】
[In the same year, your teacher felt that your heat and size were sufficient, allowing you to carry out the first hemiarthroplasty. 】
[Because of your solid knowledge of anatomy, surgical operation and long-term first-assistant experience. 】
[Successfully completed the first operation, and acquired the skill - half hip replacement (introductory), the brothers in your division, expressed their praise and recognition for the success of your operation. 】
[You have routinely obtained the authority of the general surgeon for hemihip replacement. 】
[The next year.The research group you belong to has made a major research breakthrough, and you occupy an important position in the research group. You were exceptionally promoted as an associate professor, and at the same time applied for the National Natural Science Foundation of China. 】
[You have obtained the routine operation permission for joint replacement, and your teacher gradually let go of the operation. 】
[After half a year, you received a total hip replacement (common). 】
Was he promoted to associate professor so soon?
It seems that after having a certain foundation, although my aptitude is clumsy, as long as I learn it now, the speed is not slow.
of course.
This nobleman is really expensive.
He was taken away on the spot just because he was in his research group.
Chapter 88 Guess who I saw?
This time, I just worked as an assistant for six years, and soon after getting started, I got ordinary-level skills, which is naturally quite good.
The most important help here is that special adventure - the help of noble people.
This is even more fragrant than a secret technique that doesn't want to work hard.
Just don't know who he is.
It shouldn't be Yang Yifeng. Yang Yifeng's code name in the simulator is a little friend in the department...
Keep watching.
[Five years later, you received a total hip replacement (proficient), and your teacher felt that you were quite mature, so he began to let you start the first total knee replacement. 】
【You performed quite well, but your teacher stopped your operation halfway, and he completed the key part.He encourages you to read more books.Other members of your clinical team also encouraged you a lot. 】
[The following year, you received a total knee replacement (common), and at the same time, your teacher completely handed over the right of joint replacement surgery to you.He began to take a back seat, or complete extremely complex joint replacements and revisions of joint prostheses. 】
【Ten years later, your teacher started to let you do total shoulder replacement...】
Well, quite satisfactory, but there are too many details.
But it is inevitable that I can't escape, and I didn't come up with a new direction, I just followed the study, and naturally I had to use the clinical direction that the teacher was doing as a template.
You can't just do hip replacement and leave everything else alone.
It was still not that big of a portion.
Next time, you can try to bring special skills in...
[When you were 50 years old, you obtained total hip replacement (proficient), total knee resurfacing (proficient), and shoulder arthroplasty (proficient). Your teacher has retired and taught you some experience. 】
[You have awakened and started to pursue higher-level skills. 】
[At the age of 65, you retired and accepted the re-employment of the hospital. You are still shining in the department and fighting on the front line of the clinic. 】
[No. At the age of 70, you finally realized that you could no longer reach a higher level in this life, so you unloaded all the tasks and started to retire and take care of your grandchildren. 】
[85 years old, died of no illness. 】
[The simulation ends. 】
[Simulation evaluation: ordinary.You are a qualified doctor with self-motivated learning, but you are intoxicated by the present and become an ordinary surgeon. Although you treat countless people, you make no contribution to medicine and make no progress. 】
[Due to dungeon restrictions, the patients received during your simulation are not compatible with the fracture dungeon.Some skill levels have been reduced. 】
[You can choose one of the following. 】
【Total Hip Replacement (Skilled)】
【Half hip replacement (proficient)】
【Knee Resurfacing (General)】
【Total Shoulder Arthroplasty (General)】
After reading it, Zhou Cheng rolled his eyes, isn't this messing with me?
Does the arthroplasty practiced on fractured patients have to be counted in the fracture dungeon?
After thinking about it, I decided to choose total hip replacement (proficient) instead of the proficient level of hemiarthroplasty.
Hemiarthroplasty is relatively simple, and the grade is better.
With the basic skills of the proficiency level, it will be more effective in the next simulation.
And, most importantly, the level of proficiency in total hip replacement, which definitely includes hemiarthroplasty.
But the converse is not equally true.
However, after the simulation was over, Zhou Cheng thought about it carefully.
It is necessary to do a review after the simulation is over.
The simulation this time seems to be a waste of that special adventure. If he has basic skills, the final level he can reach will be even higher.
But it is a pity that I am self-made in joint replacement surgery.
I don't know if the next simulation will have this special adventure.
But adventures may or may not come true, Zhou Cheng doesn't know either.
However, for this simulation, Zhou Cheng decided that he could change the way of simulation.
It doesn't have to be like before, in a skill, all the way to the black land to the perfect level.
Although it keeps going, it will save time, and it can be done in one go.
But it is possible to waste such a special adventure.
It's better to accumulate some regular basic skills, and then the next time you encounter such a special adventure, you can take off on the spot.
And according to the low frequency of this special adventure, it is estimated that it will be difficult to encounter it again.
Opportunities are like that, they are rare, but once they arise, you have to take advantage of them.
The main reason is that Zhou Chengcheng had no such simulation experience before, and the adventures at that time were optional.
Five minutes later, Zhou Cheng started the simulation of the next skill...
The next day, early in the morning!
After Zhou Cheng was woken up by the alarm clock at six o'clock, he turned over and got out of bed!
He ran to the table in the living room first, found the notebook, and carefully rummaged through it...
After flipping through for a while, Zhou Cheng smiled wryly.
This is just a dream, and I am too nervous.
The contents inside are naturally still there, and finally he breathed a sigh of relief.
He had a nightmare just now. In the dream, he lost his notebook, followed by his analog copy, which frightened Zhou Cheng...
However, this is just a dream. The existence of the emulator has nothing to do with the laptop I bought after I got the emulator.
And the notes on it are all the content that can be found in literature and books, nothing special.
Zhou Cheng didn't dare to write a few words about the simulator on paper. His notes were limited to professional content.
Report chapter Comments
The routes are all replaced by secret techniques——
Don't want to work hard on the secret technique.
Even if someone picked it up, it was stolen.
Others just think that they have a little bit of secondary illness, which doesn't matter.
……
After washing his face, brushing his teeth and eating his breakfast set, Zhou Chengcai walked slowly towards the hospital. It was still early, only seven o'clock sharp.
If Zhang Zhengquan hadn't gone to the department in the morning, Pang Dingkun wouldn't have gone either, since he still has a computer.Not in a hurry.
Take a look at the two newly acquired skills and their corresponding analysis skills——
Arthroscopic screw fixation of tibial plateau intercondylar ridge fracture (common).
Repair of TFCC injury under wrist arthroscopy (skilled).
The analyzed skills are wrist arthroscopy and knee arthroscopy (common).
TFCC injury is also one of the rare types of fractures.
The reason why the screw internal fixation of tibial plateau intercondylar ridge fracture is only of ordinary grade, while the repair of TFCC injury is proficient, is because Zhou Cheng never thought that he could trigger an adventure while simulating TFCC injury.
However, this special adventure is not about the help of nobles, but another kind of special adventure that has nothing to do with wind and horses-aggressiveness.
Roughly the process is like this.Quite a mouthful.
For some reason, the little friend in the department started a rather subtle conflict with another little friend in the department...
Later, a friend's teacher was involved, and it turned out that Zhou Cheng helped his friend win the fight, and then became famous in the industry instantly, and the whole team took off on the spot...
The translation may be that a person in his group had a conflict with Yang Yifeng, and then Yang Yifeng's teacher was involved, and a betting fight was forced to take place, and Zhou Cheng and Cai Dongfan's group won.
Such an accident was completely unexpected by Zhou Cheng.
Where does this make sense?
Of course, Zhou Cheng still didn't want such an accident to happen in reality.
He can't stand any trouble.
Besides, Cai Dongfan may not be willing to clash with Yang Yifeng's teacher just because of Du Yanjun or Zhang Zhengquan, which is definitely not worth it.
In the simulated copy, you win, but what if you lose?
That means that there is no redemption, Zhou Cheng feels that it is not worth it, and he can just move forward step by step.
As for whether to stay in the hospital to study a part-time graduate student or to study a full-time graduate student, it seems that they are all optional options.
When we arrived at the department, Zhang Zhengquan did not come.
Everyone else arrived. The seven computers were full, and the doctor on duty, Lin Lin, was typing in front of the computer. With dark circles under his eyes, he probably had an unexpected emergency patient.
This is how doctors on duty are. They never know when they will be woken up, or whether the next patient will come.
when will you arrive?
Zhou Cheng took care of his patients, and then deleted some doctor's orders. Although he hasn't made rounds yet, Zhou Cheng naturally has the authority to deal with postoperative doctor's orders. Even if Luo Yun has other ideas, he can suggest them , into your own scheme.
Of course, if Luo Yun and Cai Dongfan really insisted, Zhou Cheng would just change it, it's no big deal.
It's just the difference between 99.1 and 99.5...
At seven fifty.
Zhang Zhengquan came late, changed into a white coat and went straight to the shift room.
Both Zhou Cheng and Du Yanjun were already standing inside, waiting for other senior doctors to arrive.
I saw Zhang Zhengquan coming in.
Both Zhou Cheng and Du Yanjun moved a place for him tacitly.
A small partner in a group is a comrade in the trenches, so naturally we can't let him have no place to stand, deliberately appearing that he came late.
Zhang Zhengquan was standing on Zhou Cheng's left side. After standing still, he blinked his eyes and held his mouth with his hand.
Mysteriously whispered to Zhou Cheng and Du Yanjun: "Brother Zhou Cheng, Brother Yan Jun, guess who I saw just now?"
Zhou Cheng rolled his eyes: "You came so late, who else can you see besides your sister?"
As an MMP, Zhang Zhengquan, who was the first to think of going away and didn't want to work hard on the secret technique, could he have any good intentions?
Early in the morning, Zhou Cheng was just talking next to his ear, and Zhou Cheng said rather bluntly.
Zhang Zhengquan was taken aback, and said seriously: "I really have a cousin. Brother Zhou Cheng, do you want her to use WeChat? She is a nurse, and she is only one or two years younger than you. She is in good shape."
"Get out. The shift is over, be serious." Zhou Cheng hit Zhang Zhengquan and interrupted him.
But he said in his heart, this brother can get along, if there is a sister who really turns it in.
Du Yanjun covered his mouth and smiled, then shook his head slightly.
Of course, these were just jokes, half of Zhang Zhengquan's words were believed.
Zhang Zhengquan said seriously: "I saw Professor Ding from the Affiliated Hospital of Shonan University!"
Zhou Cheng was taken aback.
Du Yanjun's facial muscles twitched.
Chapter 89 Professor Ding, I was wrong!
There are quite a few people surnamed Ding in Hunan Province, and there must be two or three professors surnamed Ding.
However, whether it is a medical student or a practitioner of orthopedics, one of the labels instructed by Professor Ding is Professor Ding of the Affiliated Hospital of Shonan University.
Similarly, these three words correspond to a large list of labels——
Doctor of orthopedics, first-level chief physician, second-level professor, doctoral student/post-supervisor, "Cheung Kong Scholar Distinguished Professor" of the Ministry of Education, famous doctor in southern Hunan, currently the head of the Traumatology Group of the Hunan Provincial Medical Association, and the chairman of the Trauma Specialty Committee...
(Note: The first-level chief physician and second-level chief physician here are self-evaluated by the hospital. In fact, there is no such level as a first-level chief physician in the medical field. But some hospitals have it, and the Affiliated Hospital of Shonan University currently has it.)
This reputation is very great, and even outside the province, Professor Tiding's name is quite useful in the orthopedics industry.
The moment Zhou Cheng was in a daze was because he heard what Zhang Zhengquan said, and he seemed to know who the noble person who was helped by the nobleman was during the simulation yesterday.
This gentleman is indeed a bit expensive.
Although Professor Ding appeared in the simulation world once during the previous simulation, it was recommended by Yang Yifeng, and he took the initiative to appreciate it yesterday!
Although there is only a difference in order between the two, they are certainly completely different.
On the other hand, Du Yanjun was a little dumbfounded, his head was a little bit down.
It's fine if Yang Yifeng comes to the department, but why is Professor Ding also here?Could there be some hidden boss in our department?
This wave after wave.
To know.
Although in terms of medical title, Professor Ding is only the Chief Physician, and his teacher Cai Dongfan is also the Chief Physician.
In terms of title, they are at the same level.
But to put it bluntly, even if Professor Ding scolded in front of everyone during the operation—Cai Dongfan, what did you bastard make?
Cai Dongfan dare not let a fart go!
I have to say sorry to Professor Ding with a smile.
This is the gap.
Even, to put it absurdly, Yang Yifeng is only Professor Ding's favorite student, so he can ignore Cai Dongfan at all.Because if Yang Yifeng wants to develop in medicine, he can quickly surpass Cai Dongfan.
This is the platform of the station is not the same.
Why did Professor Nading come to the Eighth Hospital?
Du Yanjun was naturally puzzled.
"Brother Yifeng's teacher?" Zhou Cheng asked.
"Ok!"
"It's him. I was absolutely right. Director Dong Qiansheng took him to Director Yan's office." Zhang Zhengquan nodded.
……
In fact, Yan Haihan doesn't come to the department too late every day, but he usually doesn't go to the shift room too long in advance.
It's the same today.
He was in the office, lighting a cigarette, drinking tea in small sips, with deep eyes, as if he was thinking about something.
Although the head nurse strictly forbids it, smoking is strictly prohibited in the department.
But the strictly prohibited scope does not include the director's office.
Yan Haihan also mentioned that smoking is not allowed in the department, and he only dared to order in the office, and he could not be caught by the head nurse in front of others, otherwise he would have to lose 100 yuan.
After all, he made the rules.
Naturally, the head nurse will definitely not go to the director's office to catch her. If she does come, she must be 100% able to benefit other people in the department.
For comfort, Yan Haihan even put his feet on the guest chair in front of the chair.
He took off his leather shoes and wore socks, shaking occasionally, with a cigarette in his right hand.
The mobile phone was far away on the desk, and occasionally there was a vibration sound, but he ignored it.
At this time, it was time to turn over, and he didn't bother to read some meaningless messages sent by the hospital.
"Dong dong." Suddenly, Yan Haihan's office heard a knock on the door.
"Come in!" Yan Haihan yelled lazily while pushing the cigarette to his mouth.
It could only be Dong Qiansheng who would knock on his door at this time, the doctor in charge of the bed didn't dare to knock, Hu Ming and Cai Dongfan were both from the office, so there was no need to knock.
Dong Qiansheng pushed open the door, went in first, leaned forward and invited a person in, and said, "Professor Ding, please come inside!"
Then he smiled at Yan Haihan and said, "Director Yan, Professor Ding is here."
Before he finished speaking, he was a little stunned when he saw Yan Haihan's action.
When Yan Haihan caught a glimpse of a burly, slightly fat, but bellyless, tall-framed familiar figure walking in from the door, he was so frightened that his hands lost all strength.
Opening his mouth slightly, the cigarette fell freely and burned his chin.
"puff!"
"puff!"
Yan Haihan hurriedly blew air hard, and at the same time knocked out the butt of the cigarette with his hands, and then stood up in a jerk, without putting his feet in the shoes.
Wrapped in socks, he stood at attention.
Immediately said: "Professor Ding!"
She was flabbergasted, not sure if she had just been burned by the cigarette, or if she felt like she was dying and was afraid.
I was still thinking in my heart, did Professor Ding see my uncle's appearance just now?
Dong Qiansheng, you sand sculpture, won't you call me when Professor Ding is here?
Professor Ding glanced at the smoking cigarette butts still burning on the ground, smiled and said, "Isn't Director Yan a bit inconvenient?"
Dong Qiansheng immediately ran over to pick up the cigarette butts.
Yan Haihan immediately put on his shoes, dragged his sofa back and patted him.
Then he smiled at Professor Ding and said, "I'm sorry, Professor Ding, I made you laugh. It's convenient for me now, it's convenient."
Although I was embarrassed in my heart, I could only bite the bullet and not think about what happened just now.
Isn't that right, this is Eighth Hospital, and it's my office. It's normal for me to spend some time in the office when I'm not working.Who knew you would suddenly arrive?
I wasn't prepared for this either, so it's not entirely my fault.I don't mean to disrespect you at all.
As he spoke, he offered Professor Ding a cigarette on his own initiative.
Professor Ding did not refuse, and Yan Haihan wanted to light a fire for Professor Ding, but Professor Ding waved his hand and lit it himself.
Dong Qiansheng immediately withdrew very sensiblely.
Report chapter Comments
Only now did Yan Haihan get busy making tea for Professor Ding.
There are spare new porcelain cups in the office, which have been cleaned and scalded with boiling water before use.
After brewing, I handed it to Professor Ding, and then said: "Professor Ding, I don't have any good tea here, but the local Jinjing, do you have a look at the drinking habits?"
Professor Ding knows tea well, and has heard the name of this tea before: "This is one of the top ten famous teas in Hunan Province, and it's pretty good."
After taking a sip, Professor Ding said, "Director Yan, it's time for the handover, why don't you go to work first? Let's talk later?"
Professor Ding knew what he was talking to Yan Haihan, and he couldn't figure it out in a few minutes, and it was not good to delay the other party's work.
Yan Haihan said: "There is nothing special, it's not Monday, and today is not the surgery day of our group. It doesn't matter if I don't take over the shift. Director Dong must have figured it out just now. It's okay, Professor Ding. How can I let you wait for me? "
This is not Yan Haihan's deliberate compliment. Lin Lin was on duty yesterday, so it was the surgery day for Hu Ming's group.
And the director does not necessarily have to come every day when he is on shift, for example, Yan Haihan must not be there on the day of the outpatient clinic.If there is a special meeting or a special guest, it is naturally not necessary to be present.
"Professor Ding, you should have said earlier that you would come to our place so that I could send someone to pick you up." Yan Hanhan was very respectful.
Sending someone to pick up Professor Ding in person is really not flattery, as far as Yan Haihan knows, the equipment dealer who invited Professor Ding to the class traveled more than 1000 kilometers to pick him up in person.
Not to mention asking for consultation and surgery, he didn't know how far Professor Ding had traveled.
"I didn't tell you, I just didn't want to mobilize the teachers. I didn't want my students to know that I was here."
After Ding Changle took a puff of cigarette, he said firmly, "Director Yan, Xiao Yang is here, didn't he cause you any trouble?"
It seems to be polite, but the temperament is there, but it seems to be interrogating Yan Hanhan.
After all, Ding Changle finds it quite strange that although his students have always behaved unusually, they are still pretty good, at least doing things and studying are normal.
It has only been less than a week since he came to the Eighth Hospital, and it has become like this, of course he has to come and ask.
What are you thinking about?To redefine the indications and contraindications of fracture?
How did you come up with this?
What did Yan Haihan ask Yang Yifeng to do?
"No, no, how could Xiao Yang cause us trouble? It's not bad for him to guide us." Ding Changle said quite politely.
Although I said that before, I never really thought about Yang Yifeng coming here to be a teacher.
"Then Xiao Yan, tell me about your arrangement." Ding Changle then went straight to the topic, with a rather unhappy tone.
After all, before coming here, Ding Changle specifically told Yan Hanhan that if Yang Yifeng doesn't want to go to the clinic by himself, don't induce him or order him to do things, and he won't cause you any trouble.
He just wanted Yang Yifeng to relax a little bit, but he didn't want Yang Yifeng to go into a blind corner of the clinic.
If you want to get into a clinical blind spot, how good is it to stay there?If you want patients, you need patients, and if you want teams, you need teams.
So he deliberately contacted a teaching hospital that is relatively the worst in Shashi...
Yan Haihan's expression changed immediately, and he quickly waved his hands and said, "I'm sorry! Professor Ding."
"It wasn't my idea."
"This matter has nothing to do with me."
Professor Ding froze, put out the cigarette in his hand, and asked in a questioning tone: "What's the matter?"
I was startled: MLGB, Yan Hanhan, you really dare to touch Yang Yifeng, and I told you before, you promised a good thing.
Are you falling on deaf ears?
Yan Haihan immediately smiled wryly: "No!"
"Professor Ding, you misunderstood. Not yet, not yet."
"That's the case. Just two days ago, there was a special patient in our group. I have also consulted you about this patient."
"Then it was Xiao Yang who helped director Zeng Yi of the anesthesiology department to give anesthesia. It seemed that it was a branch block of the cutaneous nerve. So yesterday, director Zeng asked me if I could let Xiao Yang go to the anesthesiology department for another anesthesia. My side Agreed, I haven't talked to Xiao Yang yet..."
As Yan Haihan said that, he saw Ding Changle's expression fluctuate for a while, as if he didn't know about it.
The tone froze: "Professor Ding, what arrangement did you just talk about, didn't you refer to this?"
So I sold myself?
"Go on. This patient? Have you already dealt with it?" Ding Changle didn't get angry with Yan Haihan anymore, but continued to ask.
He felt that Yang Yifeng's changes might have something to do with this patient...
Chapter 90 Ah~?Ah~?
Yan Haihan's heart was quite bitter at the moment, as if Ding Changle didn't know what he was talking about, but he vomited it out in a guilty conscience.
This is a bit uncomfortable bird--
If Ding Changle doesn't know about this, then that's all.
What would Professor Ding think if he knew that he used Yang Yifeng to give him some relationships in the hospital?
But Yan Haihan could only bite the bullet and explain the matter: "Professor Ding, I have just explained the general story of the matter."
"Didn't Xiao Yang help a patient who was not suitable for general anesthesia and spinal anesthesia last time, but had a fractured patient with branch anesthesia of the cutaneous nerve branch? The director of the anesthesiology department, Director Zeng Yi, participated in the whole process."
"I know that Xiao Yang can perform cutaneous nerve block anesthesia, and he does it very well."
"Professor Ding, you also know that in fact, our orthopedics department will always encounter some patients who are at high risk of general anesthesia, and are not suitable for spinal anesthesia, but need surgery."
"In the first ward of the orthopedics department, which is the director of the orthopedics department of our hospital, Director Zeng Yi's group, there is actually a patient like this, who has been dragging on and did not dare to undergo surgery, so Director Zeng asked."
When Yan Haihan said this, Ding Changle interrupted with a slight frown:
"Director Yan, speak slowly."
"What director Zeng Yi, Zeng Yi?"
"One person is the director of orthopedics and anesthesiology at the same time?"
At the very beginning, Ding Changle understood it.But now Yan Haihan is confused.
Yan Haihan quickly patted his head and said, "I'm sorry, Professor Ding, I made a mistake."
"It's like this. The director of the anesthesiology department and the chief director of our orthopedics department have the same surname, and the pronunciation of the name is also the same."
"The director of the anesthesiology department is called Zeng Yi, and Yi is perseverance."
"The director of our orthopedics department is also called Zeng Yi, but his difference is very different."
Ding Changle nodded, this time he understood, the two people have the same surname but different names, but they sound the same.And one is the director of the anesthesiology department, and the other is the director of the orthopedics department.
Ding Changle smiled immediately: "Is this a coincidence? Or are the two brothers of the same family?"
As a professor, Ding Changle has naturally experienced and seen a lot. Brothers in the same hospital are no strangers to it. In a department, the position of director for several generations is passed down from generation to generation, but there are only a few.
Yan Haihan immediately said: "It's considered a brother of the same family, but it doesn't count."
"The two Zeng directors came out of the same threshold in the grandfather's generation, but later the relationship became distant. It was only a few years ago that they moved around."
"It is precisely because of this relationship that Director Zeng of the Anesthesiology Department wanted to ask Xiao Yang to help with anesthesia, which happened to allow Director Zeng of our department to perform the operation on that patient, saving one more I don't know how to treat patients."
"Professor Ding, I fully respect Xiao Yang's own opinion, but I haven't had time to tell Xiao Yang yet."
"Besides, from the first day Xiao Yang entered the department, I told several directors in the department that Xiao Yang came to our department, whether he wants to have an operation or not depends entirely on his own wishes."
"You can ask Xiao Yang himself."
Although I don't know why Ding Changle made a special trip to ask him what to do with Yang Yifeng, Yan Haihan didn't want to be misunderstood by Ding Changle.
Ding Changle is a professor at the Affiliated Hospital of Shonan University, although he doesn't care about administration.
But every time he is doing routine checkups in other hospitals, he is almost one of the necessary members of the expert team, how dare he offend him...
It's too late to please.
"Well, I understand, let's talk about another patient..." Ding Changle didn't seem to have any intention of embarrassing Yan Hanhan, and continued to ask.
Yan Haihan knew that what Ding Changle wanted to ask was about the patient Yang Yifeng was anesthetized. He knew about this matter. Both Cai Dongfan and Director Zeng Yi of the anesthesiology department told him the detailed process of this matter.
It was Cai Dongfan who Yang Yifeng went to the operating room to wait by himself, and Yang Yifeng himself proposed to do cutaneous nerve block anesthesia.
Yan Haihan explained without any pressure.
After the explanation, Yan Haihan said: "Professor Ding, I have verified this matter in detail, and it is impossible for Director Zeng and Director Cai of our department to tell lies."
"Professor Ding, don't blame me for asking too much."
"Xiao Yang has such a good surgical talent, wouldn't it be a pity that he doesn't do more clinical work?"
Ding Changle sighed, and said: "It's a pity, of course, but there are some things that cannot be rushed. I can't explain clearly. Director Yan, I have caused you trouble!"
"No!" Yan Haihan waved his hands again and again.
"Xiao Yang's ability to come to our department has greatly improved the strength of our department. Professor Ding, please don't be so polite."
Although I don't know why Professor Ding has to specifically explain why Yang Yifeng is not allowed to have the surgery, and even came here to ask, but Yan Haihan does not seek merit at this moment, but only seeks to be innocent.
This Yang Yifeng's position in Ding Changle's heart is too cruel, it's nothing, so he just got an anesthesia and came here in person.
That really made him undergo an operation, wouldn't it mean that he would mobilize people to beat me up?
Can't be messed with.
Ding Changle smiled and said, "Director Yan, I've probably finished all the questions I want to ask."
"You don't have to be nervous, I'm just asking casually."
The face is full of kindness.
Yan Haihan's heart tightened, Professor Ding, you just ran over here if you asked casually, if you asked seriously, who would you bring here?
How about a phone call?
"Not nervous, not nervous." Yan Haihan tried his best to pretend to be very natural.
But no matter from his cautious tone, expression, or even standing up straight, he knew that all the muscles in his body were tense.
Ding Changle then took another sip of tea, and took a sip after drinking.
Then he said: "Director Yan, I may have one more thing, and I need to ask you to do me a favor."
"That's right, I want to have a few words with Director Cai of your department, but don't let Yang Yifeng know about it. Is it convenient for you to arrange it?"
Yan Haihan was stunned: "Ah~?"
The sound dragged on a bit.
"Is it not convenient to arrange? That's okay, I'll leave first. Just before the shift is over, I'll go out through the back door." Ding Changle was about to get up.
Ding Changle came here this time mainly because he was worried about Yang Yifeng's state. He felt that there might be something wrong with Yang Yifeng's current mental state, so he wanted to ask where he was stimulated.
Whether he was passively stimulated, and then he could prescribe the right medicine, but according to Yan Haihan's description, it seems that the possibility of being passively stimulated is not high.
So it can only be actively stimulated...
Because it is impossible for Yan Haihan to deceive himself, he doesn't have to, and this kind of thing can be deceived at the beginning, but not in the future, Yan Haihan is definitely not so stupid.
"No, no, no! Professor Ding." Yan Haihan hurriedly waved his hands, while supporting Ding Changle to sit down again.
Then he said: "If Professor Ding wants to find Director Hu today, I can't arrange it. Director Hu will arrange surgery after the house inspection. Director Cai is free today and has no outpatient clinic."
"But I'm going to ask Director Cai what he means." Yan Haihan didn't finish his sentence, leaving room for himself.
Cai Dongfan is also the chief physician, he can also have his own affairs arranged in advance, and Ding Changle can't be there on call.
"It's natural! Director Cai must be busy with his own business." Ding Changle nodded with a smile.
"If it's inconvenient, we can talk about it next time, it's okay."
Although he is a professor and has a certain reputation in the province, speaking of it, as long as he is not a member of the Affiliated Hospital of Shonan University and has no direct subordinate relationship with him, it is indeed a bit too much to control other people's free time.
It is impossible for Ding Changle to do such a thing.
"Professor Nading, wait a moment. I'll ask and I'll reply right away." Yan Hanhan said, and walked out...
Yan Haihan went out and looked around the department, but he didn't see any doctors or nurses. It should be that the shift has not been completed yet.
Yan Haihan simply called Cai Dongfan.
It's not easy to go to the shift room to call for this kind of thing, but Cai Dongfan can come out to answer the phone when the shift is over.
After dialing, Yan Haihan didn't put the phone next to his ear, but waited for Cai Dongfan to come out in the corridor.
Sure enough, Cai Dongfan immediately opened the door and walked out, and when he answered the phone and said "Director Yan", he happened to see Yan Haihan waving to him.
Report chapter Comments
So Cai Dongfan hung up the phone, walked over, walked to the door of the doctor's lounge together, and said in a low voice, "Director Yan, you are looking for me alone, what's the matter?"
"Yang Yifeng's teacher, Professor Ding Changle, came suddenly this morning and asked me about Yang Yifeng."
"I also proposed to meet you specifically and talk to you."
As Yan Haihan said, he moistened his lips with his tongue: "I told Professor Ding about Yang Yifeng anesthetizing one of your patients, just tell the truth."
Cai Dongfan nodded and said, "Okay, Director Yan. I understand."
"Should I go now? Or is it better to wait until the class is over?"
The first person Ding Changle met was Yan Haihan.
Moreover, Yan Haihan was the director, since Professor Ding was going to be so sneaky, Cai Dongfan didn't bother to think about it, so he directly asked Yan Haihan when it would be appropriate to go.
Yan Haihan's "giving orders" as the executive director was brought into full play to the extreme.
He is Yan Haihan's younger brother.
Yan Haihan scolded Cai Dongfan as an old fox in his heart, and said, "Let's go now. Professor Ding will leave before the end of the shift. I will go to the transition room and try to delay the time. After you finish chatting with Professor Ding later, Send Professor Ding to the car, and then give me a call, and I will finish the shift."
"Okay!" Cai Dongfan was also very cooperative.
Getting along with professors from other schools, especially professors like Ding Changle, is definitely not just Yan Haihan's personal business, it is the department's sophistication.It is impossible for him to turn Yan Hanhan at this time.
After Yan Haihan left, Cai Dongfan didn't go into the director's office immediately, but walked in after thinking about what to say later.
Cai Dongfan really couldn't figure out why Professor Ding wanted to meet him and what to talk to him about.
However, thinking of what Yan Haihan told him about Yang Yifeng in private with Hu Ming before, Cai Dongfan felt that Professor Ding's return must have something to do with Yang Yifeng...
Let's see what happens, my department didn't make a fuss about Yang Yifeng, and has always treated each other with courtesy, which has given me enough freedom.
It is impossible for Professor Ding to be someone who creates trouble out of nothing.
After knocking on the door, Professor Ding sent a message to come in.
Cai Dongfan pushed open the door and walked in. The smile on his face was like a wild chrysanthemum, and his small eyes were full of enthusiasm: "Hello, Professor Ding!"
He stepped forward with both hands, and walked in with his body slightly arched.
"Director Cai, you're welcome, you're welcome." Ding Changle was a little unhappy seeing Cai Dongfan like this.
This kind of polite favor, just show it in place a little bit, you are so humble, you make me look like the Empress Dowager Cixi, is it necessary?
"Professor Ding can just call me Xiaocai or Dongfan. I just heard that Director Yan said that Professor Ding was looking for me, so I came here immediately."
"Professor Ding, please sit down. Please sit down." After shaking hands with Ding Changle, Cai Dongfan invited him back to the chair.
After Ding Changle sat down, he sighed a little inwardly. What did Cai Dongfan study in the department?Is it all about politeness and flattery?
Cai Dongfan lowered his head carefully and asked, "I don't know if Professor Ding is looking for me for any instructions?"
Ding Changle couldn't stand the details of Cai Dongfan's etiquette, so he said directly: "Director Cai, I heard from my student Yang Yifeng that he helped treat a rare fracture patient a few days ago, and he didn't cause you any trouble, Director Cai. ?"
"No, no, no, thanks to Xiao Yang's help with anesthesia."
"Professor Ding." Cai Dongfan kept shaking his head, and then expressed his gratitude:
"To be honest, Professor Ding, this patient is a relative of mine. Our department originally planned to transfer to the Affiliated Hospital of Shonan University, but I asked a lot of questions here and consulted several teachers, and they all said it was difficult to deal with."
"I can only deal with it by myself. Fortunately, there is Xiao Yang on the way, otherwise, I can only push the ward and think about it."
"Xiao Yang has helped me a lot, why is he causing trouble for me?"
Yan Haihan and Cai Dongfan mentioned that Ding Changle came because of Yang Yifeng's affairs, so Cai Dongfan naturally told the truth.
He really thought so in his heart, if Yang Yifeng hadn't given the anesthesia, then there would be no follow-up series of resets.
My relatives may not understand this kind of favor during the operation, but Cai Dongfan has always remembered it, and he also mentioned it to his cousin-in-law.But they don't seem to care.
This Cai Dongfan can't help, they are not professional doctors, they only recognize whoever cured them, and they can't change their thinking by force.
This favor can only be owed by oneself.
Cai Dongfan felt that there should be nothing wrong with his answer.
However, after Ding Changle finished listening, he asked again: "Did Director Cai also perform a PTFN for intertrochanteric fracture that day? I heard from Xiao Yang that this operation was very good. It's a learning attitude."
"I don't know Director Cai, is it convenient for Fang to talk about this operation?"
Cai Dongfan petrified on the spot: "Ah~?"
The voice dragged on.
How can I say this?
Chapter 91 Another crazy one!
Cai Dongfan was a little stupid at the time.
No?
Professor Ding, didn't we agree to talk about Yang Yifeng?
Why did you suddenly do the PTFN operation I performed?
This is irrelevant, let's talk about Yang Yifeng for a while——
Cai Dongfan thought that Ding Changle felt that Yang Yifeng participated in all the operations that day, so he explained: "Professor Ding, Xiao Yang did not participate in this operation that day."
"And it's just an ordinary operation. I dare not do anything in front of Professor Ding."
Cai Dongfan is telling the truth.
What is he going to say?
All I can say is——
This operation was performed by Zhou Cheng, and he was not very clear about it.
Cai Dongfan hasn't had time to see the X-ray film for reexamination!
At that time, during the entire operation process, he was only concerned with seeing if Zhou Cheng's procedure was correct, and he didn't have time to say hello to other details.
So in fact, there is not much to say, what can be said, let alone communicate with Ding Changle.
Intramedullary nailing of fractures is a standard grade III operation, even if Ding Changle said that Luo Yun had barely leapfrogged to be the surgeon, it would still be convincing.
Zhou Cheng is just a resident doctor, you can say that Zhou Chengyue N-level came to perform the surgery.
Isn't this bullshit.
Could it be, what did Professor Ding hear?
Knowing that Zhou Cheng had a leapfrog operation, so you came to beat me on purpose?
It shouldn't be, Ding Changle won't take care of this kind of thing, it's the medical department of our hospital that takes care of it.
Seeing Cai Dongfan's laughing expression, Ding Changle's heart moved.
Convenience: "Does Director Cai think it's inconvenient to say? It's okay if it's inconvenient. Then I won't ask."
Ding Changle actually quite understands Cai Dongfan's thoughts at the moment.
Although the Eighth Hospital is a third-class hospital, there are more than a dozen hospitals in Shashi, large and small.Eighth Hospital does not have any advantages.
And because the Eighth Hospital is a city-level traditional Chinese medicine hospital, the current situation of the Department of Orthopedics is relatively embarrassing.
Traditional Chinese medicine surgery has been lost. Orthopedics is treated with traditional Chinese medicine, so the restrictions on the types of diseases are quite large. Patients who need surgery will not choose to have surgery here unless they are too lazy to run.
As a result, the volume of patients in the department is very small.
If there is any new technology or new breakthrough, it is definitely eager to hide it and not willing to share it, so as to use it as the basis for attracting patients, so as to spread the brand and get more patients.
And this is someone else's ability to settle down, so why should I tell myself for nothing, just because I am a professor at Shonan University?
That can also have the freedom to choose the footsteps of communication.
-
Cai Dongfan heard Ding Changle's words, and Ding Changle's slightly displeased expression made him feel so bitter that he couldn't express it.
He knew that Ding Changle might have misunderstood what he meant, but that operation was performed by Zhou Cheng under unexpected circumstances, and Cai Dongfan himself didn't quite understand it until the operation was over.
He didn't have to talk to Ding Changle?
Just talk about the little knowledge about PTFN that I know, and go to communicate with Ding Changle, isn't it self-inflicted humiliation?
"This? Professor Ding?" Cai Dongfan immediately replied cautiously:
"The things we do are just ordinary operations, so I dare not be worthy of your advice. If you want to teach our department, it's not too bad."
"I really dare not say anything in front of you, Professor Ding. I'm afraid that if I say something wrong, it will be ridiculous." Cai Dongfan tried his best to apologize.
As the saying goes, reach out and don't hit the smiling face.
Unless Ding Changle intends to embarrass himself!
Ding Changle squinted his eyes a little bit. He didn't want to say more at first, but suddenly changed his tone and said: "Is that so, according to Director Cai, such an operation is an ordinary operation?"
"Then I'm really more curious about the depth of Director Cai's understanding of intramedullary nailing..."
When Cai Dongfan heard what Ding Changle said, he rolled his small eyes blankly——
Ok?
what's going on?
Cai Dongfan had a bad premonition.
Ding Changle pondered for a moment.
Cai said: "Yes!"
"Is this good, Director Cai?"
"The review meeting for Trauma Surgery in the fourth quarter of this year will be on the 27th of this month. I sincerely invite you, Director Cai, to come on stage in person and share your experience in performing PTFN surgery, and then share some medical records casually. This is very important. ah?"
Although I feel that Cai Dongfan is simply Cai Dongfan Ersai.
Obviously the operation was done extremely well, but she has been covering it up for so many years, being unknown, quietly planting mines secretly.No one can tell who will step on it in the future——
For example, the other groups here encountered a difficult patient, and then asked the professor to come over for an operation, and the operation was performed as soon as possible!
Hey, it's not as good as you, Cai Dongfan.
Isn't this an intentional hole?
Of course, Cai Dongfan has his own concerns, and Ding Changle is very understandable.
If you don't want to communicate in private, then let's set up a big platform and let you be a teacher, can you teach us?
Even if there is a breakthrough in intramedullary nail technology in the future, you, Cai Dongfan, will be one of the promoters in the hearts of all colleagues.
And in the future, you can go to lower-level hospitals to throw knives. With popularity, someone will naturally transfer patients to you.
This weight is not too light, but it can also dispel your worries.
After all, it's for your promotion...
"Eh!~" Cai Dongfan's tone was stagnant at the time.
Dead bird!
Dead bird!
How could a leapfrog operation be involved in the quarterly review meeting of Trauma Surgery?
Trauma surgery is actually the abbreviation of the Trauma Surgery Group of the Orthopedic Branch of the Hunan Medical Association. Many academic conferences are held every year, and there may be more than a dozen of them.The quarterly review meeting is quite a medium meeting.
Only four times a year, many doctors from across the province will participate, and many professors from the three affiliated hospitals of Shonan University will also participate——
Professor Ding, can we not make trouble?
I really drop.
wrong.
How to put it, the matter of leapfrog surgery is not big or small, but if it is brought up in front of fellow trauma surgeons in the whole province, then someone will have to play.
As for Ding Changle's so-called letting him share his surgical experience, Cai Dongfan didn't take it to heart at all.
What's your level? I don't know what to do?
Maybe it's because I didn't do well enough, and stepped on some sensitive points of Ding Changle.
Report chapter Comments
Sweat slowly broke out on his forehead and vest.
Immediately stood up, bowed, bowed, and whispered: "Professor Ding!"
"If I, Cai Dongfan, have done anything wrong, please ask Professor Ding to be generous with you. Don't take offense."
Cai Dongfan's mentality was very correct.
You must bear being scolded, and you must stand at attention when you are beaten!
Admit immediately if you make a mistake!
Ding Changle's face twitched a few times——
What is this all about...
From the moment Cai Dongfan saw him, he has always been respectful and respectful. He must be a slippery guy when it comes to people's sophistication, and he probably can't play Cai Dongfan in this respect.
Look at you look at it.
His small eyes, originally small eyes, this small aggrieved expression, if outsiders look at it, they really think that I, Ding Changle, are bullying others.
Ding Changle frowned first, and reviewed the process of getting along with Cai Dongfan, is there anything wrong?
I was being polite to Cai Dongfan, didn't I put on airs?
There are things that the professor doesn't quite understand, and he still has to communicate with others, whether he is at the same level or at the lower level, as long as he has good ideas, he loves to communicate.
But this Cai Dongfan, this part of the role is too good, right?
"Director Cai, what are you doing? What are you doing?"
"There is no misunderstanding between us." Ding Changle also stood up and quickly helped Cai Dongfan up.
What kind of talents are these?
Chat with you normally.
How come I almost cried while chatting, I apologize first, then I bow.
Can you believe this?
Cai Dongfan raised his head and said, "Thank you Professor Ding. Thank you Professor Ding for not being fussy."
Ding Changle immediately rolled his eyes.
motherfucker.
You are addicted to acting, right?
Ding Changle then patted Cai Dongfan on the shoulder and said:
"Director Cai, you misunderstood me."
"I really came to ask you for advice seriously!"
"Then do you think this is good?"
"In my name, I will open a training course on PTFN and intramedullary nailing."
Then he made a gesture and grabbed it: "Just invite a few acquaintances, we will all pay the tuition fees, let's talk about a few classes in private, you will be the head teacher!"
"That's all."
Bang!
Ding Changle was only halfway through when Cai Dongfan's legs went limp on the spot——
He sat down on the chair directly, then the chair slid back, and he sat down on the ground, kicking his feet forward.
The whole face was pale, with an expression of being so frightened that he almost died on the spot.
I love Professor Ding.
Don't hurt me, me?
I, Cai Dongfan?
Still going to hold a training class?
Still charge tuition?I'm going to be the class teacher?
what do i teach
Just read it according to the operation records and procedures that Baidu can find out, and then charge you tuition?
I really want to earn this money.
My ancestors will lift the lid of the coffin and take me away!
This TM is doing personnel affairs?
Medicine has this kind of rather private training class. It starts a class and runs a school. It lasts for a few days, and we refine and learn key techniques together.
But those who dare to open and attend classes are at least Shonan University or the most famous professors who are qualified to hold training classes!
Don't mention anything else, do you ask someone from the No. [-] Hospital to open a class?
Even Professor Ding asked your current students to try a class?
Cai Dongfan almost laughed out his guts thinking about it, I want to have this ability...
Cai Dongfan felt that he had offended Ding Changle badly!
So he went out of his way to fuck himself.
Otherwise, it really doesn't make sense why Ding Changle deliberately asked him to make a fuss.
Therefore, Cai Dongfan is also a werewolf, so he gritted his teeth and said:
"Professor Ding, would you like to clarify?"
"What did I do wrong? Your lord doesn't remember the mistakes of villains, so please mention it?"
Ding Changle was stunned.
Never thought that Cai Dongfan would say that suddenly.
Ding Changle took two steps back and waved his hands: "What nonsense are you talking about? I just want you to share! If you really don't want to, then just don't mention it."
He was completely confused by Cai Dongfan, this Cai Dongfan, as an actor, definitely developed better than as a doctor.
That serious face...
Cai Dongfan stood up straight, and said cruelly, "Professor Ding, give me three days, and I will go through the formalities of resignation right away..."
Although he didn't know why Ding Changle wanted to mess with him, since he was so determined, Cai Dongfan didn't bother to go head-to-head with Ding Changle, after all, he had given himself face and came to find him specifically.
Otherwise, maybe I will directly report with my real name or ask someone to check me!
I will run away first, and after a while, I will go south to Guangzhou to find a hospital to make money, and I will not wait for the teaching hospital. The sky is high and the sea is wide, so why should I go to the ring with Ding Changle.
No need.
Cai Dongfan was a little lost.
Ding Changle: "..."
shit.
what?
Another crazy one?
"Director Cai, calm yourself down, I'm leaving first. Let's not talk about this, let's not talk about this."
"Don't resign, don't resign!" I left.
Seeing that the situation was not right, Ding Changle immediately ran away and left the office without looking back.
Cai Dongfan is more ill than his student Yang Yifeng, he is almost terminally ill, and he doesn't want to stay any longer.
Otherwise, if someone thinks that he has made Cai Dongfan mentally ill, how can there be any reason for it?
Let Cai Dongfan take it easy for himself.
Ding Changle never thought that Cai Dongfan's mental state would be like this, otherwise, he would definitely stay away from him, how could he come to him?
……
Cai Dongfan was in the office at the moment, his expression changed for a while.
I was wondering whether what Ding Changle said when he went out was true or not!
I deliberately said a few words not to resign, but do I want to resign myself?Or not to resign?
Forget it, let's call first and ask.
Cai Dongfan is now in his 40s. If he resigns at this time, he will not know what to do for a while, and he has been a doctor for so many years, and he can't do anything else besides being a doctor.
After working in No. [-] Hospital for so many years, and finally got a senior title, how could he just resign?
Inquire first, if there is something that offended Ding Changle, and then deal with it according to the situation.
Cai Dongfan recalled carefully, as if he and Professor Ding had nothing to do with each other.
I didn't meet him many times, and every time I met, I was very polite and didn't dare to show impatience, let alone offend him.
Cai Dongfan has been in the orthopedics department for so many years, and he also has certain contacts in the three affiliated hospitals of Shonan University.
Maybe they know exactly where they offended Ding Changle...
However, after making a round of phone calls, Cai Dongfan confused himself again.
It's like everyone doesn't know about it.
No.
If there is no grudge?
Why did Ding Changle target me?
Say to learn from yourself?
Then let yourself go to an academic conference as a keynote speaker——
Go to the training class again?
If you want to do this kind of thing yourself, you might as well just come and fuck me with real swords and guns!
Because Ding Changle couldn't be serious——
Because these things are not his turn at all, Cai Dongfan.
He also knew that he could not speak, nor could he be a teacher.
Just thinking about it, suddenly Luo Yun hurried into the office.
After knocking on the door, he said, "Director Cai, Director Yan called you to the handover room..."
……
Chapter 92 So the problem lies here!
"Oh, okay, come right away." Cai Dongfan replied immediately.
Just now I was only thinking about how to offend Ding Changle, and I forgot the agreement with Yan Haihan.
If Professor Ding leaves, he will go to the handover room, and Yan Haohan will finish the handover.
Otherwise, Yan Haihan would have been forced to make a long speech, and it seemed that he didn't have much to say.
He didn't ask where he offended Ding Changle, so Cai Dongfan could only postpone the matter a little, it's more important to do serious things first.
Moreover, because he was frightened by Ding Changle just now, he even forgot to send him off. How to explain this matter to Yan Haihan at that time also gave Cai Dongfan quite a headache.
Luo Yun didn't doubt that he was there, so he waited for Cai Dongfan to come out at the door.
When the two walked into the shift room, Yan Haihan deliberately made a high-profile statement: "Director Cai, early shift shift is very important, you can't be absent for too long without reason. I said a lot, you are a Didn't hear a word."
"A similar situation is not allowed next time." As the director, Yan Haihan played the cover quite well.
Cai Dongfan nodded apologetically: "I'm sorry, Director Yan, I just had an emergency call and wasted everyone's time. I will pay attention in the future."
He didn't reflect deeply either, that's how he got along with Yan Haihan in the department.
Only then did Yan Haihan look at the time and said, "It's getting late, and I won't be rambunctious anymore. I just hope everyone remembers that there are no small things in clinical practice! Everyone hurry up for ward rounds and surgery go."
Report chapter Comments
What Hu Ming waited for was Yan Haihan's words. He immediately stood up and ran out of the shift room in a hurry. The soldiers were divided into two groups. He led people directly to the operating room, leaving two people to do ward rounds and treat patients.
Today is his operation day, and the first operation is estimated to have been numb for 10 to [-] minutes, and they are still being dragged by Yan Haihan to listen to a long speech, which is really painful.
But there is no way, Yan Haihan is the director of administration, and he wants to convey the content of the weekly regular meeting and various meetings of the hospital, and Hu Ming can't say that Yan Hanhan is wrong.
……
Yan Haihan also took Dong Qiansheng and others to the ward round with his hands behind his back, and didn't ask Cai Dongfan and Ding Changle what they talked about.
It is definitely necessary to ask, but you have to wait until the house inspection is completed.
Luo Yun stood up and was about to take people out, but looked back at Cai Dongfan, who was a little lost, and asked one more question: "Director Cai, will I take Yan Jun and the others to make a ward round today? Aren't you going to take a look?"
Cai Dongfan immediately turned his head, then stood up, woke up in a daze, and immediately said: "Let's go to see the patient together."
Of course, clinical things still need to be done and done well.Besides, Cai Dongfan has to hurry up, free up the extra time, and go to pursue today's affairs carefully.
If he didn't figure it out, Cai Dongfan probably wouldn't be able to sleep well for a long time.
It is not a good thing to be thought about by a professor at the Affiliated Hospital of Shonan University, and if the professor is still the leader of the subject, it will make Cai Dongfan even more uncomfortable.
After the ward round, Zhou Cheng immediately came to the right side of bed 25 and began to report the medical history: "Mr. Cai, Mr. Luo, this patient is..."
Strict ward rounds, the responsibility of the bed doctor is to report the patient's medical history and treatment, and what are the current inspection results every time the ward rounds are made.
Because the superior doctor does not need to remember the patient, this is what the bed doctor needs to do.
The superior doctor has rich experience, and he can make a good decision on the condition and follow-up treatment through the information mastered and reported by the doctor in charge of the bed.
But Cai Dongfan didn't want to waste time today, he waved his hand and said, "I know this patient, take out the reset film, let's take a look again."
The family members of the patient hurriedly took out the films.
Lu Cheng and Du Yanjun hurriedly divided the work to find the flat films before and after reset, and handed them to Luo Yun and Cai Dongfan one by one.
After Cai Dongfan took the film, he shook it in his hand.
Then Yingguang took a look at it, and his small eyes blinked at that time.
This TN, could it be that I just chatted with Professor Ding Changle a few times, except that my mentality was a little bit broken.
Make your eyes look a little blurry?
What about the fracture line?
He immediately repeated Yang Yifeng's action and opened his pupils wide, which could increase the amount of light received by the pupils and allow him to see more clearly.
Luo Yun had impressions and memories of the pre-reset film, so he only glanced at it, then turned his head to look at the post-reset film in Cai Dongfan's hand.
At that time, the whole person twitched and shook his head slightly.
This review film?
Have a problem?
The C-arm fluoroscopy in the operation is only a small X-ray, and the fracture part can probably be seen. Naturally, it cannot compare with the large and professional X-ray camera in the radiology department.
After sweeping out the plane from the tibial platform to the ankle joint, it looks quite beautiful.
If the patient's family members hadn't taken out the before and after reduction films at the same time, Luo Yun probably wouldn't have thought of the patient's fracture after a rough scan.
About 40 seconds later.
Cai Dongfan nodded, and finally breathed a sigh of relief.
Although the C-arm performed fluoroscopy on the reset during the operation, after all, Zhou Cheng is still so old, let alone has much clinical experience, such a review of the plain film made him feel more at ease.
Zhou Cheng's method of reset far exceeded his expectations.
So he said to the patient and his family members who were looking at him eagerly: "Don't worry, this technique has done an excellent job of reset."
Then he took the pre-reset film in Luo Yun's hand, and said, "Look, the fracture line here is very obvious, and there are still dislocations. But after reset, these conditions have been corrected. In such a situation, you only need to pay attention to avoiding bone tendons." Compartment syndrome and thrombosis, very worth looking forward to."
"Don't worry, surgery is not a good thing. It is quite good to be able to achieve the therapeutic effect without surgery."
The patient's family nodded quickly. Although Yang Yifeng said it was good yesterday, he is young after all, and he is still not as reassuring as Director Cai Dongfan said that he is cured well.
He immediately stretched out his hand and said, "Thank you, Director Cai, thank you, Director Cai. Thank you to all your doctors, too."
"It's all thanks to you, you are all good doctors, and you are very considerate of our patients."
"It can be cured without surgery, knowing that it will save us money. The medical ethics are noble!" She involuntarily gave Cai Dongfan a thumbs up.
Cai Dongfan shook his head, the patient's praise made him feel a little bit better.
He smiled and said, "Whether medical ethics are high or not depends on whether you can save money or not!"
"According to different situations, choose the appropriate treatment method. That's it."
The patient's wife immediately replied, "I know, I know, it's like adding salt to cooking. If you put too much salt, it will be salty, and if you put too little, it will be bland. It's not good."
"Doctor Cai, you put it the most suitable."
Cai Dongfan: "..."
Blinking his eyes, he looked at the patient's wife and smiled awkwardly.
It seems that this analogy is more understandable than what he wants to say, and it fits the meaning he wants to express very well.
Do patients even understand this now?
"Dr. Yang said the same thing yesterday." The patient's wife felt relieved.
The patient also smiled, put his hands under the back of his head, and said, "Thank you, Dr. Cai. The people in the next wards envied me yesterday, saying that I don't need surgery and won't leave scars."
"They all want to transfer to you for treatment, and they all think that your medical skills are superb."
Hearing this, Cai Dongfan immediately changed his face and said, "How can we do that? Our departments are strictly grouped, and the patients next door are from Director Yan's group. Director Yan is the director of the ward, and his medical skills are better than mine."
"If they still ask you to talk about this issue, you just tell them so."
Although I don't think so, I have to explain it to the patient.
Patients who have already been sent to Yan Han's group must not be touched.This is a taboo topic, Cai Dongfan dare not even think about it.
Then immediately walked towards the next bed.
26 beds, it has been several days since the operation.
Before Zhou Cheng reported the case, the patient took the initiative to joke and said: "Director Cai, it's a pity that I have a fracture, so I have to have surgery. Otherwise, I really don't want to have surgery."
"I was in so much pain the night after the operation that the anesthesia pump didn't work."
"But this big brother doesn't have such an experience. It's pretty good." His tone was quite regrettable, with fear behind him.
Cai Dongfan could only explain: "It's all the same. It's better if you've had surgery, or you've had surgery, and you can get out of bed quickly. Moreover, different fracture sites and different fracture types must have different treatment methods. "
"A hospital is not an assembly line operation in a factory..."
"Haha, of course I know this. Thank you, Dr. Cai. I believe that the choice you made for me must be the best. It is also the most suitable for me." The patient gave Cai Dongfan two thumbs up.
"Yes." Bed 27, that is, the old woman with intertrochanteric fracture, also lifted the curtain and said:
"Dr. Cai is a very good doctor. I had an operation the day before yesterday, and I was in pain for a while the night before yesterday. It was much better yesterday, and I hardly feel anything today."
"In ancient times, this must be a miracle doctor." Patients must communicate with each other in the ward.
Although Cai Dongfan only made the best conservative treatment choice for the 25 beds, this shows Cai Dongfan's character.
He also established in the minds of patients the impression that he has noble medical ethics and knows how to consider patients.
Naturally, everyone would feel that Cai Dongfan was fine.
At this moment, Cai Dongfan's mood suddenly became much smoother.
It sounds much more comfortable to flatter a patient than a colleague.
Cai Dongfan said with a naive smile: "Wife, you are exaggerating a bit too much, what kind of genius doctor am I?"
"Just an ordinary little doctor."
The patient in the 26th bed said: "Look, Dr. Cai is humble. All the great people are humble..."
Cai Dongfan chatted with Bed 26 for a while longer.
He carefully explained the matters that he needs to pay attention to and the method of postoperative functional exercise, and told him not to bear weight on the affected limb temporarily.
When you are in a good mood, you will naturally have more conversations and confessions.
In this way, Cai Dongfan instantly established a careful and considerate image in his mind.
When the 26-bed patient was waiting for Cai Dongfan to leave, he said, "Dr. Cai, I don't know how to thank you, so I just bought some cut fruits. I'm a little bit careful. After you finish the house inspection, I will let me Wife brought you here..."
"No, no, you can keep it for yourself."
Cai Dongfan was very embarrassed. In fact, Zhou Cheng also put in a lot of effort for this patient.
He had a fracture of the tibial plateau, if it wasn't for Zhou Cheng, the one who might have another fracture...
If it really happened, it would not be the current scene.
After declining with a smile, I came to the old woman with 27 beds.
There is no need to talk about the medical history, we have chatted before.
Moreover, the companion, Lao Diai, had already sorted out the pre-operative and post-operative films, handed them to Cai Dongfan and Luo Yun, and at the same time fumbled for a while from the bedside table.
He took out a rolled red triangular banner with golden yellow thread and said, "Dr. Cai, bed 26 and bed 25 bought fruit for you together. I didn't make up the share, so I only ordered a pennant for you. "
"I can't eat it, and I can't share it with too many people."
"But it's also part of my heart."
Cai Dongfan hurriedly said, "Ouch, old lady, what do you think you are ordering pennants for? It will cost you money."
As he spoke, he bowed and took it with both hands very naturally.
Gold cups and silver cups can't keep up with the reputation of patients, and the pennants sent by patients are the greatest affirmation for doctors besides the patients' own quality of life!
"This is what you deserve, Dr. Cai. You are a kind person, kind-hearted, and superb in medical skills!" He counted the benefits one by one.
Cai Dongfan quickly turned around and handed the pennant to Du Yanjun, who immediately took it knowingly.
This is something that Cai Dongfan values very much.
The pennant is not hung in the department as a facade, but the gratitude left by the patient. Every side is a gratification, which is one of the glory of the doctor.
Du Yanjun carefully rolled it up and was going to send it to Cai Dongfan's office later.
Immediately afterwards, Cai Dongfan began to watch the postoperative reexamination film.
However, as soon as Cai Dongfan's eyes came into contact with the plain film of the postoperative review, his complexion immediately changed drastically.
His eyelids trembled, his lips trembled, and he murmured, "Impossible?"
"how can that be?"
"So it's like this, so it's like this." Cai Dongfan said some inexplicable words like a dazed man.
Seeing Cai Dongfan's expression was wrong.
Luo Yun quickly put down the pre-operative film in his hand, and then looked over to Cai Dongfan——
Everything is fine, such a beautiful review film after PTFN surgery, why does Director Cai seem to be stimulated?
Cai Dongfan's expression frightened the patient.
The old woman was struggling to support herself with one hand, while his wife was holding her hand tightly, and both pairs of eyes looked at Cai Dongfan very nervously.
Some tremblingly asked: "Director Cai? Yes?"
"Is there a problem?"
Cai Dongfan was shocked for a moment, and he didn't answer immediately, but turned to look at Zhou Cheng.
It turns out that the problem lies here...
Chapter 93 I'm going to risk it all!
In fact, Luo Yun could tell that Cai Dongfan's state today was not right when he left the office.
Perhaps it was because of some important personal matters that caused such a big mood swing.Cai Dongfan is not like this on weekdays.
Zhou Cheng very naturally stood at the bed doctor's seat where the bed doctor was standing, and he didn't look away.Even through the back of the X-ray, he could see that the postoperative reexamination results were excellent.
And he also has considerable confidence in his current level.
Report chapter Comments
Looking at Cai Dongfan.
Luo Yun hurriedly said: "Director Cai? The postoperative reexamination film is excellent, no problem, right? Right?"
This is an affirmative tone.
I also want to remind Cai Dongfan that we are now conducting ward rounds, no matter how important personal matters are, we must let them go first.
Don't think about it until the ward inspection is over, otherwise, it's not good to scare the patient and his family.
When Cai Dongfan heard Luo Yun's reminder, he turned to the patient and said, "No problem, no problem."
"This surgery is done extremely well, you can feel it yourself!"
"I'll tell you."
"Woman, whether the operation is done well or not is not up to me, you are the one who has the most say."
"Is your pain relieved a lot now? And you've returned to strength activities, isn't that right?"
"With this personal feeling, don't worry about the rest."
The old lady thought about it, and it was true.
But we weren't worried at first. Director Cai, after watching my re-examination film, your face changed too much, so can we not be scared?
From ancient times to the present, basically no one is afraid of the doctor's smiling jokes, or the sudden change of face.
The old man looked at his wife, who even shook the affected limb actively, nodded and said in a low voice, "It doesn't hurt at all, I'm just a little scared..."
She can clearly see the changes in Cai Dongfan before and after, don't worry if she has some serious illness.
The elderly themselves are not in good health, and there will be many problems in terms of physical function. Don't tell me what is my wife and the doctor hiding from me?
In addition to poor physical function, the elderly are also prone to overthinking.
……
After checking beds 25-27, and walking out to the corridor, Luo Yun took the initiative to walk in front of Cai Dongfan and said, "Director Cai, if there are any remaining patients, I'll take Xiao Zhou Yanjun and the others to check. Nothing special."
"You may be too tired, take a rest first? If there is any uncertainty, I will report to you at any time."
Luo Yun gave advice.
Cai Dongfan scared him just now, thinking that something went wrong with the operation, after all, Zhou Cheng was the main surgeon in this operation...
But after reading it carefully, Luo Yun didn't find any problems at all, and the results of the rechecked plain film were perfect.
It can't be that Zhou Cheng's "leapfrog" operation caused Cai Dongfan's expression to change, then it could only be another private matter.
He is like this, let alone a patient who is not a medical professional.
Cai Dongfan's heart was indeed tumbling at this time, and he also realized that his performance of the ward round just now was quite unprofessional, so he nodded and said, "That's fine, Luo Yun!"
"Pay special attention to the patient with that special type of fracture. If you are unsure, or my relatives have too many tangled problems, you can tell them. I will come to see them in person later. Just let them ask me when the time comes."
Although Cai Dongfan felt that he had to deal with Ding Changle's matter immediately, he would not forget that among the patients he led, there was a rather difficult patient who had to be dealt with on the spot by himself, so he couldn't just throw it to Luo Yun casually. of.
Luo Yun is his junior doctor, and he is talented and down-to-earth, so he can't cheat Luo Yun like this.
"Okay, Director Cai, don't worry, we will report to you if there is anything."
……
Only then did Cai Dongfan leave Luo Yun, and then walked towards the walking stairs in the opposite direction. After entering the stairs, he lit a cigarette first.
After lighting it, he sat down on the concrete steps, smoked, and carefully considered the whole process of the matter.
The reason why he didn't go to the director's office was that Cai Dongfan still felt that he should communicate with Professor Ding Changle first, and if there was any problem, he would throw it at Yan Hanhan and the department.
Yan Haihan is in the director's office, so he must go in now to talk about Ding Changle's affairs, so Cai Dongfan will figure out a way for himself first.
I am the chief physician myself, so I have to figure out a solution first when encountering a problem.
If it doesn't work, you can use the department as a platform to ask for help.
This matter is disgraceful, it's best not to throw it away casually, and if you can solve it in private, you and Yan Haihan can wipe away the oolong that happened just now.
From the address book, I found Ding Changle's contact information a long time ago, but I haven't dialed it for a long time——
Cai Dongfan has been in the orthopedics department for many years, or the old orthopedics department that has been in the orthopedics department for many years basically has the unilateral contact information of various professors in the province, but if there is no particularly important matter on weekdays, he will not easily dial out go.
After smoking, Cai Dongfan gritted his teeth and pressed the call button.
The phone was unblocked quickly and connected quickly.
Ding Changle's tone was still normal and easy-going: "Hello? I'm Ding Changle."
Naturally, Ding Changle's address book didn't save Cai Dongfan's phone number, and there was no note. However, Ding Changle didn't seem to be affected by what happened in the morning, so he took the initiative to report his family name.
Cai Dongfan immediately stood up and said that he had organized the language in advance: "Professor Ding, I am Cai Dongfan from the Eighth Hospital."
"Sorry, Professor Ding, I took the liberty to disturb you."
"It's only when I looked back that there was a little misunderstanding between us this morning. Professor Ding, can you give me some time now to explain clearly?"
"Just 2 minutes. Is it convenient for you, Professor Ding?"
Cai Dongfan's tone was still a little nervous, for fear that Ding Changle would not give him a chance to explain.
Then the oolong sat down.
Zhou Cheng is so unlucky, it's just...
Now it is becoming more and more difficult to be a superior doctor, and it is becoming more and more difficult to lead a team.
Ding Changle is not a stingy person, otherwise he would not have personally visited the Eighth Hospital to talk to Cai Dongfan about his surgical experience just because Yang Yifeng sent him a postoperative review film.
The reason why he was able to come this time, in his capacity and in this position, proved that his heart was extremely open-minded.
I very much agree with the principle that three people must have my teacher and lead by example.
He didn't hold up the airs of professors and leaders.
He was on his way back by car, and he had expected to receive a call from Cai Dongfan or Yan Haihan, so he said, "Director Cai, tell me."
"Thank you Professor Ding." Cai Dongfan first thanked Ding Changle for giving him the opportunity to explain.
Then he said without any delay: "Professor Ding, the PTFN operation in our group was actually not performed by me. I didn't have time to see the results of the plain film reexamination at noon yesterday."
"I just finished the ward rounds, and after seeing the patient's postoperative plain film, I realized why Professor Ding came to see me."
"It's just Professor Ding. I didn't perform this operation. Of course, I dare not take credit for it. I'm not afraid of Professor Ding making fun of you. I am self-aware of my level."
"How dare I lose face in front of other colleagues."
"Professor Ke Ding, after you came, you directly wanted to discuss this operation with me, and asked me to go to academic exchanges, share surgical experience, and hold training classes."
"Where do I dare to go?"
"You are looking for the wrong person, and I will be wrong."
Cai Dongfan enunciated clearly, spoke unhurriedly and skillfully, but he was afraid that Ding Changle might miss something and cause a misunderstanding.
Ding Changle snorted after listening to the other party, and his tone was a bit uncomfortable: "Then when I first asked you, why didn't you say that this operation was not performed by you?"
At the same time, I cursed in my heart, you, Cai Dongfan, are too idle, wasting everyone's time with great fanfare.
Wouldn't it be better to say that earlier?
Let's have a chat, I'll turn around and leave, just go find the real master...
Cai Dongfan also thought about this issue in advance, and immediately replied: "This? Professor Ding, it's not that I don't want to say it directly, but it's hard to say."
"Of course I don't dare to bear the brunt of it in front of you, Professor Ding." Cai Dongfan put his attitude very lowly.
When I came up, I told Ding Changle that this operation was not performed by me, but by the resident doctor in our group?
Come on, can Ding Changle believe it?
If he believed it, Cai Dongfan would be suspicious of life...
Ding Changle pondered for a while, his face changed twice, and then gradually approached calm.
Said: "Then it's convenient for you to reveal now, who performed this operation?"
Ding Changle collected his emotions and continued to ask. Naturally, he still wanted to communicate with the surgeon who performed such a high-quality PTFN operation.
At his level, thinking and vision are actually what they are after. Pure technology has reached a certain level.
If you think about tempering again, if you are old, you will not be able to learn as fast as you did when you were young.But fortunately, the thinking is slower, and there is a huge amount of knowledge behind it as a reserve, which is the age when the size and heat of the surgical field have reached.
Cai Dongfan took two deep breaths, and gave Ding Changle a vaccination in advance: "Professor Ding, as I said, don't get angry even if you don't think it's credible."
Ding Changle nodded back, with a steady tone: "Just say what you want."
At Ding Changle's age, what has he not seen?
And no matter how outrageous the person who is the chief surgeon is, or even someone he hates, Ding Changle can tolerate and accept it.
Purely as a doctor.
A person's ability has little to do with virtue.
But his contribution to society is closely related to his ability, and his virtue only plays an auxiliary role.
Cai Dongfan took a deep breath and said, "The chief surgeon is the resident doctor in our group. His name is Zhou Cheng. There are several other manual resets in our group, and he also did it. Ding!"
"Dudududu!"
As Cai Dongfan was talking, he suddenly heard the sound of the phone hanging up.
Looking up, it was Ding Changle who hung up the phone.
Cai Dongfan smiled wryly again, sat down on the stairs, and thought about it for nearly a minute.
He could understand Ding Changle's behavior of hanging up the phone, and if Luo Yun told him that Zhang Zhengquan or Min Chaoshuo had performed an operation that Ding Changle found unbelievable, he would also feel that Luo Yun was just entertaining and perfunctory him.
But that's what it is.
One minute later, Cai Dongfan called Ding Changle again.
He opened his mouth and said first: "Professor Ding, is it convenient for you now?"
Ding Changle snorted unceremoniously: "It's convenient for me to talk about business, I can chat with you! But just kidding, Director Cai, I really don't have so much time to play with you."
Ding Changle is really a little angry, Cai Dongfan played a big show in front of him like a showman, and now he wants to entertain him and make fun of him after it's over.
Ding Changle really didn't have so much time to play with Cai Dongfan, who was so funny.
When Cai Dongfan heard the words, his heart was very bitter, he gritted his teeth, and said ruthlessly: "Professor Ding!"
"I dare to apply for another chance to make a mistake, and send you the whole video of the next surgery?"
"But Professor Ding, please don't worry about my responsibility for letting the subordinate doctors go!"
"Is that so? Is it possible?" Cai Dongfan said tremblingly.
Medicine has its own rules!
The field of surgery has its own standards!
No rules, no standards.
These squares, to put it bluntly, are the surgical grading and surgical authorization system that the former patient teacher paid for with his life.
Nowadays, no one dares to play with this thing casually, nor dare to break the rules of profaning it casually!
If you are in this line of work, you must abide by this rule, which is responsible for yourself and the patient.
Ding Changle was silent for a while.
Blinking his eyes, he took a deep breath several times before asking, "Are you serious, Director Cai?"
"I'm serious. Although I know this matter, I have a great responsibility, and I am not strict with my subordinates, but this time the chief surgeon really happened under quite unexpected circumstances, and I haven't completely done it yet. Figure out the situation."
"But I'm absolutely serious, Professor Ding!"
"It's just Professor Ding, I hope you don't tell this matter."
"Only this one time!"
"And I supervised the whole process, and all the doctors in our group were on stage."
Cai Dongfan begged.
Surgery without authorization is leapfrog surgery.
Leapfrog surgery, no matter the result of the operation, the matter can be big or small, not to mention that Professor Ding has actually served many times——
Report chapter Comments
As a member of the expert group in the medical malpractice review team of the leapfrog operation, it is actually very risky to tell him such a thing...
Ding Changle then said rather bluntly: "Since Director Cai, you are serious, next time you arrange an operation, please let me know, and I will come to the operating room to observe it in person."
"This won't affect Director Cai's arrangements for the surgery, will it?"
I also find it a little funny.
Did Cai Dongfan deliberately insinuate that I went to study and granted me the right to operate by leapfrogging?So why wait for me on purpose?
seeing is believing.
"Yes!" Cai Dongfan also went all out.
"Professor Ding, when will you be free, I think I will arrange such an operation as soon as possible at that time."
"At that time, I will tell the outside world that you are invited to come and teach as the chief surgeon. Do you think this arrangement is suitable for Professor Ding?"
Chapter 94 Could it be?Could it be that?
Ding Changle replied indifferently: "As long as you can explain clearly, it is appropriate for people in your department not to come to the operating room except for your clinical team."
"How should I say this, I won't say much, you can arrange it yourself. I should probably be free tomorrow afternoon."
In fact, Ding Changle was also a little embarrassed, and even thought he was a little funny.
Obviously just now he thought that Cai Dongfan was an actor, an actor at the actor level, and he was still fooling around with him, so he didn't know if he was confused by Cai Dongfan.
After speaking, Ding Changle took the initiative to end the call: "Director Cai, let's arrange it like this for the time being. I'm almost here. I have a meeting right now."
"Okay, okay, Professor Ding, then I will contact you this afternoon at the latest after I have made arrangements." Cai Dongfan replied politely.
Ding Changle took the initiative to hang up the phone and smiled wryly for a while.
Shaking her head slightly, she felt that she must have missed the almanac when she went to the Eighth Hospital today.First, Cai Dongfan made his mentality explode, and then he really believed his nonsense——
The operation I was interested in was performed by Dr. Zhupei, which was the first time ever.
Ding Changle has been in the clinic for so many years, and he has never seen such a regular training.
Not to mention, Gui Peisheng is not a graduate student, otherwise Cai Dongfan would definitely say that he is his student, or a graduate student, which sounds better than Gui Pei. Those who can get ashore from the army of undergraduates, although not necessarily all the top ones.
But the rate of outstanding talents is relatively high.
Ordinary Gui Peisheng?
If he really performed such an operation, you, Cai Dongfan, are unforgivably guilty!
As a resident doctor, he is barely considered a senior resident doctor if he is exhausted, is he high enough to qualify?Even if you are a senior resident doctor, you can only let go of the authority of level II surgery.
Now that he can perform level III surgery, and he is doing so well, why are you leaving me here to talk about it?
How many patients did you Cai Dongfan give him?
My own son didn't dare to give such a chance, Ding Changle didn't bother to think about it.
Since Cai Dongfan really doesn't want to say who the surgeon is, that's fine, it's just a very mature PTFN surgery.
Just like an exam, the gap between a score of 98 and a score of 99.5 is really not that big.
Unless some special patients have extremely strict requirements on the quality of surgery, 99% of patients can get 98 points, which is enough...
After Cai Dongfan hung up the phone, he patted the dust on the back of his buttocks.
Putting the phone into the pocket of the white coat, he let out a long sigh of relief.
Fortunately, after explaining this misunderstanding clearly, even if Ding Changle doesn't believe what he said, he won't be angry after the conversation just now.
It's fine if you don't get angry, as long as Professor Ding doesn't make things difficult for him, and then deliberately makes things difficult for him when he is doing a review in the department later, there is nothing to be afraid of.
Anyway, there are not many intersections, and Cai Dongfan never thought of gaining any benefits by currying favor with Ding Changle, it's just that the relationship will be a little more alienated from strangers.
In this case, it can be regarded as an explanation to the department.
The Orthopedics Department of the Eighth Hospital has just separated into two departments, and the separation time is not long.
This speed is slow enough, but it is not easy to have the current development. It is all created by the old director or even the old director from generation to generation. It is the painstaking efforts of the seniors.
Cai Dongfan did not seek such an ambitious goal of developing the orthopedics department and turning the No. [-] Hospital into a first-class hospital in the province, but he only wanted to do nothing wrong, and not to affect the development of the entire department because of personal factors.
That's not bad.
Of course, with the words just now, I can talk to Yan Haihan by myself, and I don't need to explain what I said to Professor Ding.
As long as they chatted casually, Professor Ding left, and it would be harmless to reply like this.
Yan Haihan probably won't be obsessed with asking what he and Professor Ding talked about, and I didn't bring any disaster to the department, why should I tell you Yan Haihan?
Moreover, the arrangement of the operation cannot be told to Yan Haihan, so as not to push him too much.
After hanging up the phone, he went directly to the director's office and dealt with Yan Haihan for a while.Yan Haihan didn't ask for anything else. Hearing that Ding Changle just chatted casually about the reset of the station, he picked up some details, so he wasted a little time, and then left.
I didn't ask any more questions.
However, Yan Haihan still made a point: "Director Cai, I first talked to you and Director Hu when Yang Yifeng entered the department. You should keep it in your heart."
"This Yang Yifeng?" Yan Haihan circled his temples with his fingers.
He didn't say clearly: "But he has a lot of weight in Professor Ding's mind. We still have to deal with it carefully. Just treat him as a guest in the department, and don't do anything weird that affects the normal operation of our department. Leave him alone."
"Of course, when you should be polite, you should be polite. For example, when Xiao Yang volunteered to have surgery, you can let him off the stage."
"Anyway, as long as we don't take the initiative."
Cai Dongfan also nodded quickly: "That's natural, you arrange the director yourself, and the arrangement of the personnel in the department is up to you, the director."
Yan Haihan scolded Cai Dongfan again, you are an old bastard.
When you came to tell me yesterday that you were going to prepare for Zhou Cheng, why the hell did you not expect that I was the administrative director of the ward, and I would arrange the staffing?
Think of me now?
But Yan Haihan couldn't shirk it, the matter of arranging Yang Yifeng was originally his business.
Ding Changle has never greeted Cai Dongfan and Hu Ming, these two people can say that they don't know about it.
The person was brought into the department by Yan Haihan, of course Cai Dongfan would not take the initiative to touch this scourge.
"Don't make any arrangements yet." Yan Haihan said after thinking about it seriously.
Then Cai Dongfan said: "Director Yan, I have to arrange an operation tomorrow. I will go to the operating room and anesthesia by myself. It is the 28-bed patient in our group who entered the department last week and has not yet had an operation. Washed away."
"Let me tell you in advance." Cai Dongfan said casually, without mentioning that this event was specially prepared for Ding Changle. (This patient belongs to Zhou Cheng, I wrote about it before.)
Yan Haihan rolled his eyes, twitched the corner of his mouth and said, "Why are you telling me about this? Just make up your own mind."
This Cai Dongfan is so simple, when it's okay, it's called a stubborn one.
He rushed up and said, I want to prepare for Zhou Cheng.
Now after the incident with Yang Yifeng, hey, originally your chief physician was able to arrange the operation, but you still let me know, you are not usually so obedient, Cai Dongfan?
If you want to keep doing this, then we two would have become good brothers long ago!
The person on duty today belongs to their group, and he already knew it. Dong Qiansheng reported to him last week that tomorrow's operation day will belong to their group.
Cai Dongfan found the anesthetist, the operating room and handwashing tours by himself, which did not affect the progress of their operation day, so Yan Hanhan would naturally not be troubled.
"Well, I'm just going to explain to you, Director Yan. After all, I'm afraid of causing any misunderstanding about the surgery on the day of surgery." Cai Dongfan said casually, and then turned around and walked out. He wanted to discuss this matter with Luo Yun and Zhou Cheng. Speak personally.
Prepare the surgery talk in advance and arrange the surgery temporarily. Although Cai Dongfan can make the decisions, things still need to be done by Luo Yun and the others.
Yan Haihan shook his head slightly, and cut lightly when Cai Dongfan was going out, not worrying about it.
If Cai Dongfan is really so obedient, then it will be fine.
I don't know if Cai Dongfan's cousin-in-law really got involved, then there is no reason for Lin Lin to stay in the hospital to get the staff...
After Luo Yun checked the room, he thought there was nothing to do, so he already played yo-yo and slipped downstairs.
Cai Dongfan recruited Luo Yun back with a single phone call, and then went to the walking stairwell inside the department, and said, "Luo Yun, you go and tell Zhou Cheng, it means that tomorrow he will arrange surgery on bed 28, and arrange for femoral inversion. Intramedullary nailing."
"This operation has been delayed for a long time, and it's time to do it. When the time comes, I will be on stage with him, and you and Du Yanjun will not be used."
Luo Yun was at a loss when Cai Dongfan said that he was going to arrange an operation.
Ah this.
He told the patient just now that the operation might have to be postponed for a few days, and when the edema subsides until the skin becomes wrinkled, Cai Dongfan said he would arrange the operation tomorrow.
Isn't this messing with him!
And Cai Dongfan didn't even let the wind out in advance.
But Luo Yun didn't doubt him: "Okay, Director Cai, I'll talk to Zhou Cheng later and let him arrange things before the operation."
"It's just this operation, if you and Zhou Cheng are going to perform it tomorrow, will there be a shortage of manpower? I can come anytime, Director Cai."
Luo Yun thought to himself, Director Cai, you can't think that Zhou Cheng did a good job in the operation, so you can drive Du Yanjun, Zhang Zhengquan and me from the stage together, and then deprive you of the opportunity to visit the operation, we all have to learn .
Luo Yun immediately stated that he could be on call at any time and was on standby 24 hours a day, and he would never take the attitude of fishing in troubled waters.
"Just listen to what I say, why do you care so much?"
"You can only tell Zhou Chengcheng about arranging the operation. Don't tell Yan Jun and Zhang Zhengquan either. Don't think that I don't know that you call emergency surgery in private. Most of them are only about the two of them."
"Although I completely leave the emergency surgery to you, you can't be too biased!"
"We need to ask Zhou Cheng to perform more operations." Cai Dongfan said solemnly.
Luo Yun's face twitched, and he nodded to admit his mistake: "Yes! Director Cai, I will definitely pay attention in the future."
But he secretly thought in his heart, Director Cai, have you picked yourself clean?Who on earth suggested that I should take Du Yanjun with me?And who, before Zhang Zhengquan and Zhou Cheng came to the operating room, opened the stage directly?
not me?
But this matter was indeed done by himself, because Zhang Zhengquan is usually more active.But I've changed it all right.
But since Cai Dongfan brought it up, Luo Yun can only catch the scapegoat himself and carry it behind his back.
……
In the doctor's office, Zhou Cheng, Zhang Zhengquan, and Du Yanjun were immersed in writing medical records and prescribing medical orders.
Not for anything else, just because there are fewer things to do, and you can get off work and do nothing if you finish it early. If you should study, you should play games. If you should prepare simulation plans, you should prepare simulation plans. ——
Zhang Zhengquan had the fewest patients, and his medical records were relatively simple, so at [-[-, he stretched his waist and said, "Brother Zhou Cheng, Brother Yan Jun, I'm done with my work, so I'll leave first."
"Yeah!" Du Yanjun and Zhou Cheng didn't have time to talk to him, nor did they listen to what he was saying...
When Dr. Du Yanjun was walking out of the office, he happened to meet Luo Yun head-on.
Luo Yun said: "Run away so early? Are you done with everything?"
Zhang Zhengquan nodded quickly, stood up obediently, and replied with a little embarrassment: "It's over, I'm done, Teacher Luo, there's nothing else to do."
Although this cheating is the norm in surgery, but being caught by the superiors, I still feel a little uneasy and embarrassed.
Luo Yun shook his head and said, "It's okay, you can go back. I'll find Zhou Cheng."
I shook my head secretly in my heart, and said to myself, Zhang Zhengquan, I can't help you much, I have given you a lot of opportunities, but you are too far behind and can't catch up.
Zhang Zhengquan smiled and waved goodbye to Luo Yun.
Then I got into the doctor's lounge first. Most surgeons are boys, so there is no special doctor's locker room, only a nurse's locker room.The white coat and my own casual clothes had to be changed in the lounge.
Zhang Zhengquan smiled after entering the door, and secretly said: Recently, Teacher Luo Yun and Teacher Cai Dongfan have been looking for Brother Zhou Cheng a lot in private.
I don't even know what was said.
It doesn't matter, anyway, I will definitely have no chance to stay in the hospital. I can only go to the county hospital or go home to enjoy the interest of pocket money. Why do I think so much...
When he came out from the waiting room, he saw Luo Yun coming out of a small alley in the department, and at the same time Cai Dongfan sneaked in mysteriously.
Look at the eyes that looked around before getting in.
Zhang Zhengquan shuddered involuntarily...
Is it?
Luo Yun also happened to come to the doctor's lounge at this time. After he finished talking with Zhou Cheng, he was about to leave work. He saw Zhang Zhengquan here. It seemed that he had just come out, and he might have seen Cai Dongfan looking for Zhou into things.
Then he patted him on the shoulder and said, "What are you looking at? Don't worry about things you shouldn't care about."
Then he said in a very low voice: "Don't tell Du Yanjun about this matter."
