My medical path

Chapter 167 I want to use local anesthesia
When Chen Bo participated in the multidisciplinary consultation, he said that he had an operation. That was not an excuse, it was really the operation performed by Professor Tai Ding.

Before the operation, Professor Ding had asked Zhu Bin to tell Chen Bo that he should come on stage, and Chen Bo naturally agreed.

He came here to study for more surgeries.

Especially for many patients who I can't meet in the hospitals below, surgery is a rare opportunity to practice.

Today's operation is to release the brachial plexus. The patient was injured in a car accident, and the problem of the brachial plexus caused by local nerve adhesion.

Before the operation, Chen Bo had already seen the patient himself.

This patient is different from Zhang Jiahui who had thoracic outlet syndrome last time.

Zhang Jiahui is because of osteophyte hyperplasia, the adhesion caused by long-term compression, which has already involved the nerve bundle.

In this patient, however, the adhesion was only caused by local traumatic scars, and the time was relatively short, and the adhesion of the nerve bundles was not obvious.

Then this approach is different.

Last time, Zhang Jiahui and Chen Bo needed extensive release, but this patient only needs to open the epineurium, and the problem is basically solved.

However, this patient had a wide range of adhesions, from the neck to the armpits.

For such patients, there is no good clinical method.

It needs to be cut from the neck all the way to the armpits to completely expose the nerves and then release them.

After the diagnosis of this kind of patient is confirmed, the operation will have an immediate effect.

The main symptom of the patient is numbness. After nerve release, the numbness will be relieved immediately.

........................

When Chen Bo rushed to the operating room, Professor Ding was already sitting in the operating room.

At this time, the anesthesiologist Pang Zhi was preparing to anesthetize the patient.

Seeing Chen Bo walk in, Professor Ding greeted with a smile:
"Come on, Doctor Chen, sit here!"

Professor Ding's words made Zhu Bin standing next to him and Professor Ding's graduate student Wu Yue envious.

Both of them have been standing here for a long time, but Professor Ding didn't ask them to come and sit down.

Although there is a stool next to it, sitting on it by yourself and being invited to sit by Professor Ding are two different things.

As soon as Chen Bo showed up, Professor Ding gave him such treatment, it was really annoying...

"Teacher Zhu, Teacher Wu, sit down!"

Seeing that Zhu Bin and Wu Yue were still standing, Chen Bo seemed a bit too special to sit down by himself, so he brought over two stools and said to Zhu Bin and Wu Yue.

As for calling the two of them teachers, that's normal.

After all, Chen Bo came to study, so he called the provincial doctors, old and young, teachers, which is respect.

But Zhu Bin is fine, Wu Yue heard Chen Bo call him "Teacher", and felt unspeakably awkward...

Because Wu Yue knew that the gap between himself and Chen Bo was really too big!

"What do you think about today's operation?"

Professor Ding didn't interrupt Chen Bo's humility, and asked after he sat down.

"Ms. Ding, I think this patient is caused by the adhesion of the brachial plexus, and the scope of release is quite large... But fortunately, opening the epineurium of this patient should be able to release the effect... ..."

Chen Bo did not hide his clumsiness, and expressed his judgment.

After Zhu Bin and Wu Yue sat down next to Chen Bo, although they watched the anesthesiologist preparing for anesthesia from time to time, their main attention was on the conversation between Professor Ding and Chen Bo.

After hearing the questions and answers from the two, I followed Chen Bo's thoughts and started my own analysis...

"Then where do you think to start to loosen? Where is the right position to loosen?"

After hearing Chen Bo's answer, Professor Ding nodded in satisfaction. Being able to make such a judgment shows that Chen Bo is very experienced.

“I think it’s enough to start from the anterior scalene muscle. As for the distal end, I think it’s mainly the release of the medial bundle, because the most severe part of hand numbness is the area dominated by the medial bundle... and the patient’s EMG and MRI Also support, there is a problem with the nerves in this area..."

Chen Bo thought for a while and replied.

After listening to Chen Bo's analysis, Zhu Bin nodded his head like garlic...

Chen Bo's judgment undoubtedly surpassed his own.

Zhu Bin also judged that there was a problem with the nerves in this section, but he couldn't further judge which one had the problem.

In this case, if he came to perform the operation, he could only expose the nerves in this area, and then rummaged through them one by one, and loosened whichever one had a problem...

Although it should be able to meet the surgical requirements in the end, but if a master fights, it is a one-and-a-half move ahead, and the rank is completely different.

Although Chen Bo is only a little smaller than Zhu Bin judged, but Zhu Bin knows that this small step has opened up a very large distance...

Not to mention Professor Ding's graduate student Wu Yue, he obviously doesn't have the ability to make an accurate diagnosis, so he's confused...

It's a totally taught state of listening.

"Doctor Chen, you are really good, your judgment is very accurate!"

Professor Ding boasted directly after hearing Chen Bo's answer.

Professor Ding's tone of voice was quite calm, so Zhu Bin and Wu Yue on the side didn't know the turmoil in Professor Ding's heart at all...

Chen Bo's judgment was exactly the same as his!
Who doesn't know that Professor Ding himself knows that he has been immersed in the brachial plexus for decades before he can reach today's level.

And how old is Chen Bo?

The mastery of the brachial plexus at such a young age has reached this point, and the future is limitless...

"Then you will be the chief surgeon today, and I will check it out for you!"

Professor Ding said with emotion in his heart.

The reason for this arrangement is that Professor Ding always felt that Chen Bo's surgery was done too easily, and he wanted to see where Chen Bo's limit was.

"Thank you so much, Teacher Ding!"

Hearing that Professor Ding gave him another chance, Chen Bo expressed his sincere gratitude.

"But Mr. Ding, for this patient, I have a proposal for you to see if it works?"

Chen Bo knew that he had the opportunity to be the chief surgeon, but he still wanted to speak out his thoughts.

"Oh? Just say what you think, we just want to learn from each other and make progress together..."

Professor Ding was very curious when he heard that Chen Bo still had ideas.

Zhu Bin and Wu Yue on the side also pricked up their ears.

"I think this patient can be treated with local anesthesia..."

Seeing Professor Ding's inquiring gaze, Chen Bo expressed his thoughts directly.

"Local anesthesia?... Hey, anesthesiologist, don't anesthetize first, wait a minute!"

Professor Ding heard Chen Bo say that he needed local anesthesia, and after repeating it, he saw that the anesthesiologist was about to start anesthesia, so he hurriedly stopped him.

Just about to open the general anesthesia bag over there, Pang Zhi, who was about to give the patient general anesthesia, came to a sudden stop when he heard Professor Ding's words.

Looking at Professor Ding, he looked puzzled.

"Doctor Chen, are you sure you want local anesthesia?"

Professor Ding fixed his eyes on Chen Bo, and repeated the question seriously.

"Yes, I think local anesthesia should be able to solve the problem for this patient..."

Chen Bo looked at Professor Ding with a serious expression, and nodded solemnly.

　next chapter eleven o'clock

　　
　
(End of this chapter)