godfather of surgery
Chapter 42 The Doctor's Duty Room
Chapter 42 The Doctor's Duty Room
Professor Zhang Zongshun went to the bathroom and came back again.
"One day I went to the urology department for an electric cut." Zhang old man said.
Director Han laughed at him: "This prostate, you seem to have been talking about it for several years, but I haven't seen you to cut it."
The old man Zhang put the cushion in place, leaned back again, and said, "After a lifetime of surgery, I always feel that the young people today are not good at craftsmanship.
"You are too demanding, really, too harsh." Director Han said.
The old man Zhang shook his head: "The knife in our hand is cut on a living person, life and death are related, no matter how harsh it is. Second Han, if you were engaged in urology, my prostate would have been cut long ago. "
While talking and laughing, the operation is almost finished.
The fracture was completely reduced, the articular surfaces were smooth, and each piece returned to its place.
The fixation is still very firm, and I have tried to move the elbow several times, but there is no sign of loosening.
The operation area was flushed, and the osteotomy olecranon was repositioned, and then fixed with a tension band wire Kirschner wire, drained, and the deep fascia and skin were sutured.
Everyone didn't want to leave yet, some were discussing with each other, and some were thinking about downloading the video and watching it carefully.
"You said, how did he recover?" Some people are still puzzled, after all, it is a bit beyond cognition.
"Didn't you read it?" The person who answered wanted to explain, but couldn't explain anything. It was like he couldn't solve a Rubik's cube, and after seeing people turn around and recover, he still didn't understand the process.
A simple clavicle fracture last time gave Song Zimo an understanding of Yang Ping's fracture operation.This time, the almost impossible reset, he actually did it with a steel wire Kirschner wire, refreshed his cognition again.
Song Zimo's cognition was brushed over and over again by Yang Ping, and he didn't know how many times to brush it.
Song Zimo witnessed the whole process, others couldn't see the waves, but he could see the mystery.This superb level of treatment requires not only skilled surgical techniques, but also strong eyesight, spatial imagination, and overall consideration of bone block reduction and Kirschner wire layout to formulate the most reasonable order.
All of Yang Ping's work was done without [-]D CT, but with only one X-ray.
If you let yourself do it, even with CT 3D reconstruction, virtual reality, and [-]D printing, it will definitely not be so perfect.
Originally, it was possible for Xiaowu to sew the skin, but this kind of operation involving the approval of the operation authority requires the surgeon to do it from the beginning to the end.
"Ding Dong! Successfully completed a case of comminuted fracture of the lower end of the humerus with Kirschner wire fixation, reward: 5000 points.
The reward was very timely, it arrived immediately, and the points rose to [-] points.
Ups and downs, still very tight, I dare not spend a little more.
Yang Ping put the needle holder in the curved plate that Su Yixuan handed over.
Su Yixuan, of course, knows how difficult the operation is and how perfect Yang Ping has done.
For some reason, every time Yang Ping performed a perfect operation, she would be very happy.
After completing this operation, Yang Ping felt a lot easier. Professor Zhang Zongshun had to pass the test.
If it only meets the second-level surgical authority of the attending physician level, it only needs the signature of Director Han.
However, tertiary surgery can only be performed by deputy chief physicians or senior attending physicians.
Yang Ping, a just-promoted junior doctor, must have the third-level surgical authority. This is a leapfrog application and needs to be reviewed by an expert group. After all, surgery is not a child's play.
The operation authority is also directly related to the salary. With all the three-level operation authority, you can get the full bonus, operation commission and equipment commission, etc. This income is very considerable.
If you can get some fourth-level surgical permissions, you can be an independent portal and lead a group.
Yang Ping was very excited, thinking that he could do all the third-level surgeries in the future, and then go to the fourth-level surgery.
But this is just the beginning. I don't know what problems this weird old man will cause him in the future.
This old man has the power to live and kill his own future. Once he fails, he will have to wait three years or be promoted to deputy chief physician before reapplying again.
"Xiao Mo, Xiao Mo, send Professor Zhang." Professor Zhang Zongshun was moving and was about to leave.
Director Han called his assistant, the guy was discussing surgery with others and was in high spirits.
Hearing Director Han's call, he hurriedly came to accompany old man Zhang.
"This child has worked hard, second Han, your eyes are very poisonous." Zhang old man couldn't stand up for a while.Leaning over to the body, the assistant helped him, but he refused.
"Isn't Zhang Lao's vision more accurate?" Lao Han thought, not knowing what to do, how could he make such a strange request.
Zhang Lao staggered a few steps, walked smoothly, and his waist straightened again, turning into a vigorous pace.
People line up to download surgical videos on the video system.
Tang Fei came to talk to Director Han at this time.She was originally engaged in sports medicine, and should be in sports medicine.
But before she was promoted to vice-high, she wanted to be more comprehensive, so she stayed in the trauma orthopaedic department during this time.
After this operation, there are many more operations, and everyone goes back to their own operating room.
"Xiao Yang, these surgical data are well preserved. We will hold an academic conference at the end of the year, and we can talk about it at that time." Director Han told Yang Ping.
Yang Ping asked Xiao Wu to collect the information and archive it separately.
Xiao Wu also graduated with a master's degree. He has a flexible mind and is very skilled at doing these things.
Thursday afternoon is Corey's medical record discussion, and surgery generally requires all to be resolved in the morning.
Two days a week are special, with large rounds on Tuesday morning, and discussion of medical records on Thursday afternoon.
On Saturday and Sunday, we will arrange some learning and training. Everyone sits together and learns the basic knowledge repeatedly, but also learns new knowledge and the latest progress of the profession.
Doctors don't have holidays, they can only take time off if they want to rest.
Like regular trainees, graduate students, and residents, basically all year round, it's very hard work.
The operation was done in the morning, and the medical records were discussed in the afternoon. No operation was required. After lunch, everyone had some time to gather in the duty room.
These young doctors can usually say that their departments are their homes. There are several duty rooms, including residents, attending physicians, and the director's duty room.
The director is not on duty, and usually the duty room is only used when taking a nap.Except for Thursdays, there are very few opportunities to take a nap. I usually spend the whole day in the operating room, so there is no time for a nap.
The duty room of the attending physician was damaged, and the head nurse applied for repairs. The engineering department came over to see that the parts needed to be replaced, and it would take a few days to repair.
Yang Ping squeezed into the resident doctor's duty room. This duty room was the largest, with eight high and low bunks, lined up against the walls on both sides, with a desk in the middle.
There are TVs, refrigerators, and computers. There are charging cables everywhere on the desk, and review materials for the practicing physician exam and the attending physician exam.
The quilt on the bed was a mess, a sock here and a slipper there.
"Why is this sock mine?"
"Oh, what about mine?"
Seeing Yang Ping coming in, everyone called Senior Brother to let the beds come out. Fortunately, sixteen beds were enough. Yang Ping said hello to everyone and found a bed to lie down on.
Zhang Lin was in the bathroom, grabbed a self-service hair clipper, buzzed, and cut his hair in front of the mirror.
These young doctors, who usually don't have time to cut their hair, are all like this, using hair clippers to help themselves.
Except for Song Zimo, all these young doctors have this simple hairstyle.
"Borrow it, mine is broken." Fang Yan was waiting at the door.
Zhang Lin quickly put it away: "I tell you, they all study medicine, and this thing cannot be shared."
"It's not a razor, it doesn't break the skin and doesn't see blood." Fang Yan went to get it.
"That's not what I said. Who knows if you have acne on your head. If the acne breaks out, it just bleeds. Then I have acne on my head and breaks out again. Wouldn't it be contagious? Now the incidence of AIDS in our country The rate is 100 out of [-], there are more than [-] million, who knows if you are in the [-] out of [-]."
As the guy was talking, he put the hair clipper in the locker and locked it up.
As soon as Zhang Lin came out, Fang Yan went in again, holding the facial cleanser in his hand.
There are two bathrooms in the duty room, but they are still not enough. More than a dozen people are piled in it.
Zhang Lin watched Fang Yan go in and knocked on the door.
"Knock what." Fang Yan opened the door, stuck his head out, his face was full of foam, and he was holding facial cleanser in his hand.
"Come on, SK2 fairy water, acne-removing, high-end goods, squeeze a little." Zhang Lin wanted to take it.
Fang Yan grasped it tightly and pulled it out from Zhang Lin's hand: "Who knows if you are one of nine out of ten thousand."
But Zhang Lin had squeezed out a little and caught it with the palm of his hand.
Zhang Lin said: "You little white face, do you need these? This is the right kind of brother."
Fang Yan said, "Your face is useless, it's useless."
Zhang Lin said: "Fang Yan, don't be too arrogant, last time I squeezed my black toothpaste, and it hasn't settled yet."
Xiao Wu said on the side, "I said Zhang Lin, no, you all have a girlfriend, why do you still have acne."
"What? It's stipulated by the Ministry of Health? You can't have acne if you have a girlfriend?" Zhang Lin retorted.
"The firepower is too strong." Chen Xiaobo came out of the other bathroom and gave a thumbs up.
"No matter how busy you are, what are you doing in there after taking a bath for an hour?" Another doctor read a book and waited for the bathroom.
Zhang Lin took the opportunity to hack him: "Next time the hospital inspection office grabs your hand to cultivate bacteria, don't cultivate some strange things."
Everyone was laughing and leaning back and forth.
In the duty room, a group of young people are together, sparring, and it is the most relaxing time.
"The patient sent a fruit basket, everyone come and eat it." A nurse sister shouted.
Everyone rushed out like a charge.
The head nurse said, "Let me tell you, which group of fruit baskets I have registered. Most of them show that the doctor-patient relationship is good, and if there is none, hurry up."
"How many beds?"
"Just eat, and ask about the tree."
(End of this chapter)
Professor Zhang Zongshun went to the bathroom and came back again.
"One day I went to the urology department for an electric cut." Zhang old man said.
Director Han laughed at him: "This prostate, you seem to have been talking about it for several years, but I haven't seen you to cut it."
The old man Zhang put the cushion in place, leaned back again, and said, "After a lifetime of surgery, I always feel that the young people today are not good at craftsmanship.
"You are too demanding, really, too harsh." Director Han said.
The old man Zhang shook his head: "The knife in our hand is cut on a living person, life and death are related, no matter how harsh it is. Second Han, if you were engaged in urology, my prostate would have been cut long ago. "
While talking and laughing, the operation is almost finished.
The fracture was completely reduced, the articular surfaces were smooth, and each piece returned to its place.
The fixation is still very firm, and I have tried to move the elbow several times, but there is no sign of loosening.
The operation area was flushed, and the osteotomy olecranon was repositioned, and then fixed with a tension band wire Kirschner wire, drained, and the deep fascia and skin were sutured.
Everyone didn't want to leave yet, some were discussing with each other, and some were thinking about downloading the video and watching it carefully.
"You said, how did he recover?" Some people are still puzzled, after all, it is a bit beyond cognition.
"Didn't you read it?" The person who answered wanted to explain, but couldn't explain anything. It was like he couldn't solve a Rubik's cube, and after seeing people turn around and recover, he still didn't understand the process.
A simple clavicle fracture last time gave Song Zimo an understanding of Yang Ping's fracture operation.This time, the almost impossible reset, he actually did it with a steel wire Kirschner wire, refreshed his cognition again.
Song Zimo's cognition was brushed over and over again by Yang Ping, and he didn't know how many times to brush it.
Song Zimo witnessed the whole process, others couldn't see the waves, but he could see the mystery.This superb level of treatment requires not only skilled surgical techniques, but also strong eyesight, spatial imagination, and overall consideration of bone block reduction and Kirschner wire layout to formulate the most reasonable order.
All of Yang Ping's work was done without [-]D CT, but with only one X-ray.
If you let yourself do it, even with CT 3D reconstruction, virtual reality, and [-]D printing, it will definitely not be so perfect.
Originally, it was possible for Xiaowu to sew the skin, but this kind of operation involving the approval of the operation authority requires the surgeon to do it from the beginning to the end.
"Ding Dong! Successfully completed a case of comminuted fracture of the lower end of the humerus with Kirschner wire fixation, reward: 5000 points.
The reward was very timely, it arrived immediately, and the points rose to [-] points.
Ups and downs, still very tight, I dare not spend a little more.
Yang Ping put the needle holder in the curved plate that Su Yixuan handed over.
Su Yixuan, of course, knows how difficult the operation is and how perfect Yang Ping has done.
For some reason, every time Yang Ping performed a perfect operation, she would be very happy.
After completing this operation, Yang Ping felt a lot easier. Professor Zhang Zongshun had to pass the test.
If it only meets the second-level surgical authority of the attending physician level, it only needs the signature of Director Han.
However, tertiary surgery can only be performed by deputy chief physicians or senior attending physicians.
Yang Ping, a just-promoted junior doctor, must have the third-level surgical authority. This is a leapfrog application and needs to be reviewed by an expert group. After all, surgery is not a child's play.
The operation authority is also directly related to the salary. With all the three-level operation authority, you can get the full bonus, operation commission and equipment commission, etc. This income is very considerable.
If you can get some fourth-level surgical permissions, you can be an independent portal and lead a group.
Yang Ping was very excited, thinking that he could do all the third-level surgeries in the future, and then go to the fourth-level surgery.
But this is just the beginning. I don't know what problems this weird old man will cause him in the future.
This old man has the power to live and kill his own future. Once he fails, he will have to wait three years or be promoted to deputy chief physician before reapplying again.
"Xiao Mo, Xiao Mo, send Professor Zhang." Professor Zhang Zongshun was moving and was about to leave.
Director Han called his assistant, the guy was discussing surgery with others and was in high spirits.
Hearing Director Han's call, he hurriedly came to accompany old man Zhang.
"This child has worked hard, second Han, your eyes are very poisonous." Zhang old man couldn't stand up for a while.Leaning over to the body, the assistant helped him, but he refused.
"Isn't Zhang Lao's vision more accurate?" Lao Han thought, not knowing what to do, how could he make such a strange request.
Zhang Lao staggered a few steps, walked smoothly, and his waist straightened again, turning into a vigorous pace.
People line up to download surgical videos on the video system.
Tang Fei came to talk to Director Han at this time.She was originally engaged in sports medicine, and should be in sports medicine.
But before she was promoted to vice-high, she wanted to be more comprehensive, so she stayed in the trauma orthopaedic department during this time.
After this operation, there are many more operations, and everyone goes back to their own operating room.
"Xiao Yang, these surgical data are well preserved. We will hold an academic conference at the end of the year, and we can talk about it at that time." Director Han told Yang Ping.
Yang Ping asked Xiao Wu to collect the information and archive it separately.
Xiao Wu also graduated with a master's degree. He has a flexible mind and is very skilled at doing these things.
Thursday afternoon is Corey's medical record discussion, and surgery generally requires all to be resolved in the morning.
Two days a week are special, with large rounds on Tuesday morning, and discussion of medical records on Thursday afternoon.
On Saturday and Sunday, we will arrange some learning and training. Everyone sits together and learns the basic knowledge repeatedly, but also learns new knowledge and the latest progress of the profession.
Doctors don't have holidays, they can only take time off if they want to rest.
Like regular trainees, graduate students, and residents, basically all year round, it's very hard work.
The operation was done in the morning, and the medical records were discussed in the afternoon. No operation was required. After lunch, everyone had some time to gather in the duty room.
These young doctors can usually say that their departments are their homes. There are several duty rooms, including residents, attending physicians, and the director's duty room.
The director is not on duty, and usually the duty room is only used when taking a nap.Except for Thursdays, there are very few opportunities to take a nap. I usually spend the whole day in the operating room, so there is no time for a nap.
The duty room of the attending physician was damaged, and the head nurse applied for repairs. The engineering department came over to see that the parts needed to be replaced, and it would take a few days to repair.
Yang Ping squeezed into the resident doctor's duty room. This duty room was the largest, with eight high and low bunks, lined up against the walls on both sides, with a desk in the middle.
There are TVs, refrigerators, and computers. There are charging cables everywhere on the desk, and review materials for the practicing physician exam and the attending physician exam.
The quilt on the bed was a mess, a sock here and a slipper there.
"Why is this sock mine?"
"Oh, what about mine?"
Seeing Yang Ping coming in, everyone called Senior Brother to let the beds come out. Fortunately, sixteen beds were enough. Yang Ping said hello to everyone and found a bed to lie down on.
Zhang Lin was in the bathroom, grabbed a self-service hair clipper, buzzed, and cut his hair in front of the mirror.
These young doctors, who usually don't have time to cut their hair, are all like this, using hair clippers to help themselves.
Except for Song Zimo, all these young doctors have this simple hairstyle.
"Borrow it, mine is broken." Fang Yan was waiting at the door.
Zhang Lin quickly put it away: "I tell you, they all study medicine, and this thing cannot be shared."
"It's not a razor, it doesn't break the skin and doesn't see blood." Fang Yan went to get it.
"That's not what I said. Who knows if you have acne on your head. If the acne breaks out, it just bleeds. Then I have acne on my head and breaks out again. Wouldn't it be contagious? Now the incidence of AIDS in our country The rate is 100 out of [-], there are more than [-] million, who knows if you are in the [-] out of [-]."
As the guy was talking, he put the hair clipper in the locker and locked it up.
As soon as Zhang Lin came out, Fang Yan went in again, holding the facial cleanser in his hand.
There are two bathrooms in the duty room, but they are still not enough. More than a dozen people are piled in it.
Zhang Lin watched Fang Yan go in and knocked on the door.
"Knock what." Fang Yan opened the door, stuck his head out, his face was full of foam, and he was holding facial cleanser in his hand.
"Come on, SK2 fairy water, acne-removing, high-end goods, squeeze a little." Zhang Lin wanted to take it.
Fang Yan grasped it tightly and pulled it out from Zhang Lin's hand: "Who knows if you are one of nine out of ten thousand."
But Zhang Lin had squeezed out a little and caught it with the palm of his hand.
Zhang Lin said: "You little white face, do you need these? This is the right kind of brother."
Fang Yan said, "Your face is useless, it's useless."
Zhang Lin said: "Fang Yan, don't be too arrogant, last time I squeezed my black toothpaste, and it hasn't settled yet."
Xiao Wu said on the side, "I said Zhang Lin, no, you all have a girlfriend, why do you still have acne."
"What? It's stipulated by the Ministry of Health? You can't have acne if you have a girlfriend?" Zhang Lin retorted.
"The firepower is too strong." Chen Xiaobo came out of the other bathroom and gave a thumbs up.
"No matter how busy you are, what are you doing in there after taking a bath for an hour?" Another doctor read a book and waited for the bathroom.
Zhang Lin took the opportunity to hack him: "Next time the hospital inspection office grabs your hand to cultivate bacteria, don't cultivate some strange things."
Everyone was laughing and leaning back and forth.
In the duty room, a group of young people are together, sparring, and it is the most relaxing time.
"The patient sent a fruit basket, everyone come and eat it." A nurse sister shouted.
Everyone rushed out like a charge.
The head nurse said, "Let me tell you, which group of fruit baskets I have registered. Most of them show that the doctor-patient relationship is good, and if there is none, hurry up."
"How many beds?"
"Just eat, and ask about the tree."
(End of this chapter)
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