medical simulator

Chapter 10 Sequelae of Perfect Skills!

Zhou Cheng felt that Du Yanjun was giving him a hint, that Director Cai Dongfan might let him be the chief surgeon, and hoped that Zhou Cheng would not think too much.

However, Zhou Cheng didn't expose it, but followed Du Yanjun's way: "It may be that Lin Lin and Min Chaoshuo have relatively solid clinical foundations."

"Otherwise, even if you are given another chance, it will still be surgery in the end. If something happens, the superior doctor will also be responsible."

Du Yanjun nodded, his face was very tense, as if he was about to perform the surgery.

Then he said: "Brother Zhou Cheng, have you had breakfast yet? Shall we order noodles together?"

Shashi people have a unique feeling for a bowl of noodles in the morning.It is flat rice noodles, the best is the original soup, add some mustard, the entrance has a smooth feeling.

Zhou Cheng shook his head and said, "I came here after eating, Yan Jun, you can eat by yourself, I'll squint for a while."

Since the six people outside came to the department so early, and they are not like Du Yanjun who is on duty, they will definitely not let go of the computer in their hands easily, go outside and wait to put pressure on others, it is better to lie down comfortably for a while really.

When Du Yanjun heard Zhou Cheng say that he had already had breakfast, he was obviously a little disappointed.

But Du Yanjun thought about it, and said frankly: "Brother Zhou Cheng, I remember you had an operation today, right? Is it a fracture of the distal end of the fibula?"

"Shall we go on stage together then?"

Du Yanjun asked directly.

Although Director Cai Dongfan leads the group, Luo Yun is the superior as the attending physician, and Du Yanjun, Zhou Cheng, and Zhang Zhengquan are all subordinates, but according to the previous rules, he can be an assistant for his own operation, even if he is a member of the group. The other brothers came to power as second assistants.

Zhou Cheng immediately understood what Du Yanjun meant, maybe Du Yanjun had agreed with Luo Yun in private.

If Du Yanjun can explain Zhou Cheng's point, he can try closed reduction and external fixation with Kirschner wire for distal fibular fracture.

Luo Yun must have agreed, that's why Du Yanjun asked himself now, otherwise, there would be no chance of simply asking Zhou Chengrang to help.

The difference between the first aid and the second aid is not that big. It is estimated that Du Yanjun is going to take the lead.

Zhou Cheng felt a little bit bitter in his heart, but he nodded kindly and said, "That's ok, this patient is mine. You should come with me or help me."

Now that Du Yanjun has already got through with Luo Yun and Cai Dongfan, there is no need for Zhou Cheng to feel that he is still a villain in the middle.

Even if you want to fight for the opportunity to perform, you are not so stubborn to fight for it.

Have to draw it slowly.

Du Yanjun continued: "Brother Zhou Cheng, maybe you didn't understand what I meant, it's just the two of us on stage for this operation."

Zhou Cheng was bitter in his heart, pretending to be stunned, and then nodded.

I'm not stupid, can you understand?

Du Yanjun immediately looked overjoyed, and said, "I'll treat you to dinner at noon, Brother Zhou Cheng."

……

It wasn't until after the shift was over and the house inspection was over that Zhou Cheng realized how much preparation Du Yanjun had made in order to win the chance for him to be the chief surgeon.

Because Director Cai Dongfan didn't go to rest today, he had to go to the operating room himself.

And before going to the operating room, Cai Dongfan personally ordered Zhang Zhengquan, who had no surgery today, to be sent away.Ask Zhang Zhengquan to run a material for him...

There were two surgeries today, one performed by Du Yanjun, open reduction, plate and screw internal fixation for tibial fractures, and the other small one performed by Zhou Cheng, closed reduction and external fixation with Kirschner wires for fibula fractures.

Although it is said that Zhang Zhengquan is a social trainer and does not have his own surgical patients, there must be opportunities to study in the operating room, right?

After all, regular training belongs to cheap labor.

Besides, Cai Dongfan has the task of running materials, so it should be your turn to Du Yanjun, why did it fall on Zhang Zhengquan's head?
But Zhou Cheng could only see through without telling the truth, and silently followed everyone into the operating room.

Today's first surgery was performed on Du Yanjun's patient, who had a comminuted tibial plateau fracture and displacement. On the fifth day of admission, the swelling has subsided, and he is currently suitable for surgery.

This comminuted fracture operation is a routine operation in the department, and Luo Yun can also do it. Usually, Luo Yun is the chief surgeon. Director Cai Dongfan performs complicated fracture operations such as humerus, femur, and calcaneus, which Luo Yun cannot handle. many.

After entering the operating room, Cai Dongfan and Luo Yun, as senior physicians, naturally went to the lounge to lie down first.

After Du Yanjun and Zhou Cheng, two junior doctors, finished disinfecting and laying the towels, it was their right to come on stage again.

Moreover, Zhou Cheng is already in the third year of regular training, and Du Yanjun is also in the second year of graduate school. In the second year of regular training, he is already a mature skilled worker preparing for surgery, so they are not worried!

After Du Yanjun entered the operating room, he took the initiative and said: "Brother Zhou Cheng, I'm here to lift my leg today, you should wash your hands and disinfect first."

The heavy physical work was invited away.

The pre-operative disinfection in orthopedics is slightly different from other disciplines. In other surgeries, as long as the patient maintains a fixed posture, the surgeon can disinfect the operation area three times.

But the disinfection of orthopedics requires an assistant to lift the patient's affected limb out of the air after anesthesia, and another surgeon completes the 360-degree disinfection of the limb without dead ends to achieve strict sterility!

In surgery, it is rumored that all orthopedic surgeons are strong men, but it actually started from here.

The body shape of ordinary people is not bad, but if you encounter big fat legs weighing 280 or more than 300 kilograms, it really requires a lot of strength, and it is persistent strength.

Zhou Cheng didn't say much, it would be better if he could take it easy, anyway, the rest is doomed.

Take your time and you will always have your chance.

Zhou Cheng now has perfect fracture surgery skills, and he is naturally extremely proficient in disinfecting drape.

Moreover, when entering the operating room, Zhou Cheng subconsciously glanced at the patient's film, and immediately made more careful arrangements for the operation plan.

A series of actions such as disinfection and laying towels are done in one go.

In less than 4 minutes, Zhou Chengcheng and the hand-washing nurse completed the operation of spreading the towels, saving Du Yanjun the pain of labor!
Then Du Yanjun went out to call his mentors Cai Dongfan and Luo Yun, while Zhou Cheng put on the sterile surgical gown and finished the rest of the action of spreading the drape and wrapping the legs.

Just when the legs were wrapped and the surgical area was left perfectly, Luo Yun and Cai Dongfan walked in from the operating room just after washing their hands.

Then subconsciously swept over the operating table, Cai Dongfan immediately frowned.

Luo Yun also saw something was wrong, and immediately reprimanded: "Zhou Cheng, what are you doing? What the hell are you with your swollen legs? What we are going to do is open reduction of tibial plateau fractures. You should leave it alone." What is it?"

Zhou Cheng heard the words, thought about it seriously, and replied: "Mr. Luo, what does the LL approach to the tibial plateau look like?"

"What LL approach?"

The corner of Luo Yun's mouth twitched: "Hurry up and expose the inner side, and reapply the film."

Zhou Cheng suddenly realized.

I thought in my heart, I’m dead bird, I made a fucking mistake about one thing, that is, the best choice for tibial plateau schatzker V-type fracture surgery——LL approach, few people are aware of it now, maybe Cai Dongfan and Luo Yun listened I have never heard of it, and they are more accustomed to the joint approach of the anteromedial and anterolateral.

Zhou Cheng held perfect skills and didn't realize it at all. This is not his surgery, but Director Cai Dongfan's. So all surgical habits must follow Cai Dongfan's.

Moreover, which surgical approach is the best is not clear in a sentence or two.

Zhou Chengcheng quickly admitted his mistake: "Okay, Teacher Luo, Teacher Cai. I'm sorry, I'll change it right away."

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(End of this chapter)