My medical path

Chapter 78

Luo Ming came to report, and the wonderful experience of meeting Xiao Cai and others was just a small episode.

In the orthopedic operating room, Chen Bo, Zhang Yu, Ma Shangqu and Luo Ming were all there.

The two patients that I have to do today happen to be the ones that Chen Bo made an appointment with when he went to Luo Ming and the others for a free clinic in the countryside.

One is a ten-year-old boy, Guan Yong, who wants to remove the broken nail.

The other is Zheng Yi, an aunt in her fifties, with a popliteal cyst that needs to be removed.

What is going to be done now is the operation of the child Guan Yong.

After the femur was fractured, the child was fixed with elastic intramedullary nails. When the nails were pulled out, it was found that one of the elastic intramedullary nails had broken.

The broken part inside is very long, at least ten centimeters long, and the part closest to the original entrance is about ten centimeters away, and the other end is at the neck of the femur. Generally speaking, to take it out, it must be on the bone Only by digging a relatively large opening can there be a chance.

The size of the opening depends on the doctor's technique.

Under normal circumstances, the longer the delay, the more difficult it will be to take it out, the larger the bone tunnel that needs to be dug out, and it may even cause fractures in severe cases.

So this is the reason why the child's family members did not agree to take it.

After the child was hospitalized, Chen Bo and his department also discussed internally how to take it.

There are various schemes, but in conclusion, there are two main problems involved.

The first problem is the choice of incision.

Because the proximal end of the broken needle is inside the femoral neck, this site is definitely not a good choice for opening, so it is consensus to make an incision directly at the distal calf.

Chen Bo and Wu Zhennan have different opinions on whether to open the mouth inside or outside.

Wu Zhennan believes that the distal end of the broken nail is slightly to the outside, so it is easier to find the tail of the nail from the outside opening, and there are no important blood vessels and nerves on the outside, so the operation is safer.

Deputy Director Zhao Donglai was the first to express his support.

Chen Bo believes that it is better to open from the inside, because the proximal part of the elastic intramedullary nail has a curvature, and it can better conform to this curvature if it is taken from the inside, but it will form an angle and be difficult to remove from the outside.

This statement was supported by Director Wei.

Anyway, Chen Bo did the final operation. Since Director Wei also supported him, Deputy Director Zhao and Wu Zhennan did not object any more.

The second issue concerns the choice of tools.

Conventional tools are nothing more than general-purpose tools such as hemostats, needle holders, and Kirschner wire scissors.

The first two are relatively small in size and can be entered through a small mouth, but their strength is limited.

The latter one is relatively large in size and has a large clamping force, so it must have sufficient space to enter. It is obviously not possible to clamp a broken needle in the bone marrow cavity.

So now the tool is, without the tool...

If this problem is not resolved, it will add a lot of difficulty to this operation.

Moreover, it has been two years since the nail broke inside, and a series of possible problems such as callus wrapping and nail deformation once again increased the uncertainty of the operation.

Deputy Director Zhao's opinion is to open a bone window to fully reveal the location of the broken nail so that powerful tools such as Kirschner wire scissors can be used.

Director Wei didn't express his opinion, because he couldn't think of any good solution. At this time, he saw Chen Bo who was thinking, so he asked Chen Bo for his opinion.

"I don't have a good solution for this kind of patient. I can only try various tools. If it doesn't work, opening the window is indeed the most effective way to remove the broken nail."

Chen Bo expressed his point of view in a down-to-earth manner.

Later, everyone unified their opinions and opened the window from the inside to remove the broken nails.

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

Now Ma Shangqu has completed the disinfection of the patient's drape.

The one on stage today was replaced by a male nurse, Jia Zengyi, and the anesthetist was Wang Ruoyun, so there was only one woman in the entire operating room.

While wearing gloves, Chen Bo looked at Wang Ruoyun and said:
"Ruoyun, do you know what kind of person to look for when looking for a partner?"

Zhang Yu next to him felt refreshed when he heard what Chen Bo said at this time. He knew that it was time for Chen Bo's gay friend to pretend to be aggressive.

Ma Shangqu's drooping eyelids also shrugged, obviously knowing that it was time to enter a moment of relaxation.

It was the first time that Luo Ming and Jia Zengyi had an operation with Chen Bo, so they thought it was Chen Bo saying hello, and they had no special idea.

When Wang Ruoyun heard that Chen Bo asked him such a sudden question, his eyes were full of vigilance.

However, she has experienced the baptism of Chen Bo's crossword puzzles many times, and has a certain degree of immunity, so although she is a little vigilant, she still expresses her views and questions:

"I think finding what's right for you is the most important thing, what do you think?"

"Ruoyun, you are so right, I am happy for you if you have such an idea!"

Chen Bo gave Wang Ruoyun a thumbs up.

"Since you are so thoughtful and insightful... Let me give you a suggestion, you just need to find these two types of people..."

Chen Bo paused while talking, and after arousing everyone's curiosity, he calmly said:
"One is someone like me, and the other is someone like me..."

"Call..."

After listening to Chen Bo's words, everyone present collectively sighed.

After Zhang Yu heard Chen Bo's shameless boasting, he just wanted to point out his shamelessness on behalf of the stars, but he heard Wang Ruoyun suddenly say:
"Mr. Chen, I don't want to find people like you and people like you. Can I find you if I want to?"

As soon as these words came out, the entire operating room was silent for two seconds, and then burst into cheers...

"Together with……"

The one who yelled the most was Jia Zengyi, a male nurse who was partnering with Chen Bo for the first time.

Zhang Yu quickly held his chin that dropped from shock, and exclaimed in his heart:
"That's okay too?"

"I want to know that this is okay, I say this sentence to Wang Ruoyun a hundred times every day..."

Zhang Yu really wanted to express his regret to Zhuzi with his head at this time.

Chen Bo was stunned when he heard Wang Ruoyun's words...

"It shouldn't be, usually I rarely communicate with Ruoyun... Could it be that I was attracted by my temperament and talent?"

"It must be so!"

Thinking of this, Chen Bo was about to bear the pain and tell this little girl that he was weak and only took one scoop...but he heard Wang Ruoyun say something else:
"Mr. Chen, I think people like you and people like you are not as thick-skinned as you. I just want to ask you how you cultivated your shame..."

This time when Wang Ruoyun's words came out, the entire operating room was silent for five seconds.

Then he burst out laughing.

"Hahaha~~"

Zhang Yu was the one who smiled the happiest among them. At this time, Wu Zhennan was beside him, and he probably wanted to hug and kiss the two to express his excitement.

Unexpectedly, Wang Ruoyun, who usually talks the least, could deal a shameless blow to Chen Bo at a critical moment...

"It's so stress-free!"

Zhang Yu has now listed Wang Ruoyun as a goddess.

Luo Ming, a young man, had experienced such an operation atmosphere for the first time, and he was full of expectations for the next training life...

As for Chen Bo himself, now he feels that the world is very unfriendly, and he has to press down on his people to keep himself awake...

Seeing Chen Bo's deflated appearance, Wang Ruoyun's pretty face hidden in the mask quietly turned into a blush, and there was a hint of cunning hidden in her nimble eyes...

(End of this chapter)