medical simulator

Chapter 101 Is This Another Crazy Double? (Second update, Dazhang! Please subscribe!)

Zeng Yi took a serious look at An Ruo's expression, the terrified little eyes, like a young monk going down the mountain, who was told orthopedics is a devil, don't touch it.

But it seems that for An Ruo, she should be the little nun who went down the mountain or the disaster that made all the monks go down the mountain.

I don't know which pig will be cheaper in the future.

But this girl is not too old, and she hasn't graduated yet. Last time I heard that she messed up her own blind date.

It's a pity for Zeng Yi, because I heard people say that the people her family found for her this time are actually quite suitable for An Ruo in terms of talent and character.

Such a suitable person is not easy to find.

Laughing out loud, he explained: "Orthopedics is not a whirling hell. Why do you react so much when you hear the word orthopedics?"

An Ruo hummed in a low voice: "Teacher, isn't orthopedics scary? Last time?"

An Ruo seldom acted like a baby to Zeng Yi on weekdays, almost never, she completely treated Zeng Yi as an elder and teacher, diligent and conscientious.

As a small worker bee in the anesthesia department in the operating room, work hard.

But An Ruoke was terrified by that time, and later felt that neurosurgery was excellent, although the surgery took a little longer, she couldn't leave work early.But this is the rhythm of normal anesthesia.

The last time my teacher was temporarily seconded by the Department of Orthopedics, the things he encountered still made An Ruo feel shuddering when he thought about it.

"Don't talk about the last time, I have asked Director Cai of the Orthopedics Department carefully. The last time was an accident."

"That Zhou Cheng didn't show the mountains and rivers on weekdays. Director Cai Dongfan hardly gave the bed doctor who helped him a lot. It can be regarded as reciprocating the favor."

"Didn't Liu Yan also say that later, that Xiao Guipei even apologized to her and you, and I guess he wasn't a person messing around in the department."

"Director Cai said that there is only one set this time." As An Ruo's teacher, in addition to caring about An Ruo's academic problems, he also has to care about An Ruo's psychology.

The last anesthesia turnaround surprised Zeng Yi. An Ruo didn't have much contact with orthopedics, so it's a normal reaction to have resistance to orthopedics.But I have to help An Ruo get out of this vicious circle.

As an anesthesiologist, it is impossible to only give anesthesia to non-orthopedic patients such as neurosurgery and general surgery for a lifetime. Even if you work in the future, you will always be on emergency duty.

You are not allowed to pick and choose patients when you are on the emergency department and anesthesia.

Besides, the department of orthopedics is not as scary as An Ruo imagined.

An Ruo pouted, but was blocked by the mask, she blinked her eyes, seeing that the patient's heart rate seemed a little too fast, she slightly increased the amount of inhalational anesthesia for the patient, and then sat back and muttered: " Why is it Director Cai again?"

It's not to blame An Ruo for thinking this way, Cai Dongfan is the 'culprit' who has left a name deep in An Ruo's heart, although Zhou Cheng also hates her for torturing her so much last time.It was Cai Dongfan who allowed Zhou Cheng to reset his technique.

Zeng Yi also found it quite strange, and said, "Recently, Director Cai Dongfan is really interesting."

"The last time I performed a manual reset for my relatives, I invited Associate Professor Zhong Hua from the Provincial Hospital of Traditional Chinese Medicine."

"But this time it's different. The people invited this time are more important than last time. To be cautious, I contacted Director Wu in the afternoon to be ready at any time, just to deal with unexpected situations."

When An Ruo heard this, she blinked her eyes again, feeling very surprised. Director Wu's name is Wu Rui, and she is the administrative deputy director of the anesthesiology department. If her teacher is not in the department at ordinary times, she will act as the administrative director when she goes out to attend meetings and study.

It can be regarded as the second in command in the department. Originally, An Ruo considered that Teacher Wu Rui was a woman, and Wu Rui was the first choice to apply for the exam, but Zeng Yi snatched her over...

My teacher would be so cautious today, and even greeted Teacher Wu Rui in advance, ready to help at any time?
"Teacher, who is the person invited by Director Cai this time? Could it be a professor invited from Magic City and Kyoto?" An Ruo frowned. She has been in the department for more than a year. I have seen such a big battle.

Zeng Yi and Wu Rui are ready to rescue patients at any time to ensure nothing goes wrong.

"That's not a professor from Kyoto or Modu, but it's not too far off. It's Professor Ding from the Affiliated Hospital of Shonan University, who is currently the head of trauma surgery!"

"It can't be said that it will be the dean or the deputy dean in the future."

"Cai Dongfan in the orthopedics department usually doesn't show his face, but suddenly he can invite such a big Buddha at any time. It seems that he has been underestimated on weekdays, and Director Cai is doing a lot of business. I don't know why. " Zeng Yi said in a deep voice.

"Oh." An Ruo is not very familiar with orthopedics, but Zeng Yi said that Professor Ding is the leader in trauma surgery, and a person who can bear this title must be famous.

Furthermore, as an analogy, if he can still compete for the candidates for the dean and vice-dean, he must be a very powerful professor.

"Is there really only one operation today?" An Ruo continued to ask her teacher, fearing that there would be another accident.

The main reason is that she doesn't want to answer Zeng Yi's groaning topic. She is just a small graduate student, so why bother with so many things?
It's not something she can inquire about, and it's useless if she inquires about it, at most it's just gossip.

And what Director Cai wants to do, why so many professors are suddenly invited to the hospital for consultation or teaching, An Ruo doesn't want to worry about it.

Orthopedics and anesthesiology are parallel departments, there is no need to manage them, it is better to consider the current affairs.

If there is only one operation, then no matter how difficult it is, she can handle it!
Even if you are a little tired, it is not bad to leave work early after anesthesia, much better than last time.

It is quite comfortable to have more time to go back to rest and read books.

"Just this one, I have already inquired about it. If the operation goes well, it will only take an hour or two, which is a normal rhythm."

"Hmm." An Ruo nodded frequently.

Then I felt aggrieved and thought: Teacher, you also said the same thing last time.

……

After walking out of the director's office, Du Yanjun was pushing the medicine changing trolley towards the door of the doctor's office, planning to transfer the right to use the medicine changing trolley to Du Yanjun.

After all, he managed to snatch the dressing change cart, so of course he had to make the best use of it and clean up all the dressing change patients in the group, so that it would not be in vain for him to take the initiative to grab it.

Cai Dongfan paid more attention to himself, so he should be more active.

At the door, with a casual glance, he saw Zhou Cheng being dragged into the "alley" by Luo Yun again, Zhang Zhengquan was no stranger to it.

Just pretend you didn't see it. Although Zhou Cheng was dragged into an alley yesterday, the teaching surgery that Cai Dongfan performed in person was not named Zhou Cheng.

There is no need for him to take the initiative to tell Zhou Cheng such things, it is not good for Cai Dongfan.

I still have the idea of ​​being a good boy when I get cheap, so I can't do that.

So he turned around and said to Du Yanjun who was in the office who gave the doctor's order: "Brother Yanjun, I've finished changing the dressing. Do you want to change it? If you don't change it, I'll take off the dressing bag and give it to you."

"Change!" Du Yanjun immediately stood up, how could he not change?
The time spent waiting for the medicine changing car in the morning is longer than the time spent writing medical records and issuing doctor's orders.

Although he learned a lot yesterday, he was also a little tired. He wanted to go back early and have a rest!
Then read the book to consolidate what you learned yesterday, and by the way, check for omissions and fill in the gaps that you didn't understand or understand yesterday, so as to prepare for yourself to be pulled into the main position by your master later.

Cai Dongfan spared no effort to teach himself this way, isn't it just to prepare for himself to be the first surgeon?
If I don't live up to it and build a more solid foundation, wouldn't I have failed my teacher's arrangement?
"Thank you, Brother Quan." Du Yanjun quickly took over the medicine changing cart, and quickly pushed it to the ward to change the medicine.

……

In the alley, that is, in the passage from the director's office to the walking stairs.

After Luo Yun closed the door, he habitually pushed his back against the door, so that if someone walked out, he could push his back immediately so that he could react.

This is similar to the smoking room in the operating room where he put his foot against the door.

Only then did Luo Yun frowned, and said to Zhou Cheng, "Xiao Zhou, did you understand what Director Cai said just now?"

"Well, almost. Congratulations, Teacher Luo."

"Should I invite you to dinner?" Zhou Cheng smiled and congratulated Luo Yun.

Luo Yun was granted by Yan Haihan the general on-duty authority to reset joint dislocations, and also received a separate performance assignment. Such good things are naturally worth knocking on bamboo poles.By the way, it also provided benefits for Zhang Zhengquan and Du Yanjun.

Luo Yun scratched the back of his ear with his left hand, but he didn't know if it was really itchy, or he felt that Zhou Cheng had less contact with the superiors in the department.

Cai said: "Director Cai said it in front of you and me. There are three meanings!"

Zhou Cheng opened his mouth slightly, carefully recalling what Cai Dongfan said——

If there are three meanings, wouldn't it mean that there is something in the words?
Zhou Cheng was a little dazed, and really didn't think about it.

Luo Yun tapped Zhou Cheng's head and said, "The first meaning is that Director Cai doesn't treat you as an outsider anymore. Only when he treats you as one of his own, will he say such things in front of you and me. matter."

"Ask Du Yanjun and Zhang Zhengquan, when did they hear about such a thing!?"

Zhou Cheng touched his head a little 'wronged', I know this, but can I say it?

Director Cai asked me to chat alone before, I can't tell you directly, Mr. Luo?

Zhou Cheng was naturally not stupid. Cai Dongfan had talked about this with him alone a few days ago, so Zhou Cheng had naturally thought of this.

"The second meaning is, to remind us, Director Yan directly threw the total duty of the joint dislocation to me this time, and also directly threw the performance distribution to our group, in order to make the two of us pay attention."

"Director Hu Ming used to do fracture restoration in the department, but was stopped by Director Yan, and now he leaves this kind of thing to me in the open."

"No matter how open-minded Director Hu Ming is, he will always feel a little uncomfortable, although he won't say it."

"But I certainly don't think it's a good thing."

Zhou Cheng continued to nod, and said, "I've considered this point too, but Mr. Luo, didn't you say that in the department, there is already a plan to pick up the technique reset and use it as a signboard?"

"Since Director Yan has given our group the general duty authority for joint dislocation reset, I guess he will also give Director Hu or the people in Director Hu's group the corresponding total duty authority for fracture manual reset."

"I estimate that the performance distribution will be similar. I don't know how Director Yan will organize himself."

Hearing Zhou Cheng's words, Luo Yun gave Zhou Cheng a high look, nodded and praised: "You can think of this, which proves that you are still using your brain."

"But you've never been stupid."

"Then do you know the meaning of the third layer?" Luo Yun continued to ask Zhou Cheng, wanting to test Zhou Cheng.

Zhou Cheng simply shook his head, he never thought of the third floor.

Luo Yun then sighed and said: "We have heard a lot of sayings, if you want to turn against your brother, the best and fastest way is to do business together."

"Those who can do business in partnership can only be husband and wife, father and son, brothers and sisters are not allowed. Because only husband and wife are members of the same family."

"Now that Director Yan assigns the performance separately to me, what will Director Cai think?"

"What do you think, Zhou Cheng? Director Yan must have known about it through the recent incidents, and you will also be exposed to many reset techniques. How should this be divided?"

Zhou Cheng opened his mouth.

Damn, is this the workplace in the second orthopedic ward that I don't usually see?

Luo Yun then sighed again and explained: "But Director Cai must have no idea. You don't have to worry about this. And this kind of thing is impossible to be perfect."

"The distribution of benefits is very realistic and troublesome."

"It's very straightforward. Generally speaking, it must be good for you and me. But what good things bring must have some disadvantages."

"Do you take it for granted that Director Yan had a bad relationship with Director Cai and Director Hu Ming before he became the director?"

After hearing this, Zhou Cheng immediately asked, "Isn't it?"

"The three of them are iron brothers who came from the first ward of orthopedics!"

"It's very strong. Even the deputy director Dong Qiansheng is a latecomer. The current orthopedic second ward was developed by the old director and the three of them. A group of people originally came. But they see that the benefits of the second orthopedic ward are not very good."

"Turn back to Director Zeng and go back to the orthopedic ward."

"The three of them have been staying here all the time, and it's only at this scale."

After Luo Yun threw a meaningful sentence to Zhou Cheng, he opened the door and walked into the department, leaving Zhou Cheng alone to meditate for a long time...

But soon, Zhou Chengcheng walked into the department again.

While walking, I felt my phone vibrate.

He discovered that Luo Yun had edited a separate message for him, not a WeChat message, but a serious mobile phone message that Zhou Cheng hadn't seen for a long time.

"Zhou Cheng, in the future, you will follow me to do joint dislocation resets. Before you officially become an employee in the department, I will give you some performance. There won't be many."

"We'll discuss this matter after you officially stay in the department."

"Don't refuse, don't go back."

"Permanently delete after reading!"

After reading it, Zhou Cheng immediately deleted the information, and then walked into the department as if nothing had happened.

Inside, Zhang Zhengquan was prescribing medical orders and writing medical records. After seeing Zhou Cheng, he said very politely, "Brother Zhou Cheng, do you want to have lunch together?"

Last time Zhou Cheng got the chance to be the host, so he treated him to a treat.

He and Du Yanjun were given private lessons by Cai Dongfan yesterday, so they should come back.

Zhou Cheng hurriedly replied: "I still have something to do, so I won't eat together! You go invite Yan Jun together."

Zhou Cheng had an operation in the afternoon, and it was still not easy to tell Du Yanjun and Zhang Zhengquan about the operation, so naturally he could only shirk it.

"Well, okay, let's get together in two days, this time I invite you." Du Yanjun was very generous in front of the landlord, with the expression of waiting to be beaten...

At [-]:[-] noon, Zhou Chengcheng and Cai Dongfan went down to the operating room.

At this moment, Zeng Yi and An Ruo had just finished anesthesia for the first operation in the general surgery department. Zeng Yi was about to go to eat, and then came back to take An Ruo's turn to eat in the operating room.

Cai Dongfan stepped on the door and found Zeng Yi.

Said: "Director Zeng, Professor Ding and I agreed that the opening time is [-]:[-]."

"We need to make preparations for Professor Ding to open the stage at any time when he arrives in the operating room before [-]:[-]. Please understand."

"We've already taken the patient into the operating room, and it's going to be hard for you to get an anesthesia."

"You and your students haven't eaten yet, right? Why don't you eat it first? We'll go eat together after the operation. Xiao Zhou and I haven't eaten either."

Hearing this, Zeng Yi still hadn't reacted. An Ruo, who was extubating the patient and replacing it with artificial ventilation, twitched immediately. At that time, her feet became unsteady and staggered.

I said in my heart, it's over, it's over, it's over.

Let's just say orthopedics is toxic.

This is not even eaten...

Zeng Yi thought it over, and decided to agree with Cai Dongfan's statement.

If it's really what Cai Dongfan said, and the show must start on time at [-]:[-], then he is really going to give the patient anesthesia first.

Then Cai Dongfan and Zhou Cheng had to complete a series of preoperative preparations such as preoperative disinfection and draping in advance, so that as soon as Professor Ding Changle entered the operating room, he could immediately get the knife and start the operation.

More time to prepare, less panic, and Professor Ding will not feel that they can't even do a good job of preoperative preparation for one operation. This means that the entire hospital process is not smooth.

"Okay, Director Cai, then I'll get ready right away."

"Ruoruo, send the patient to the recovery room first, and then immediately come to the 14th room to help. I have already handed over the follow-up anesthesia work in this operating room."

"Director Cai, the patient is in Room 14, right?"

"Yeah!" Cai Dongfan nodded and said, "Thank you for your hard work, Director Zeng. I will definitely treat you and your students to a good meal later to express my gratitude."

"Let's do things first." Zeng Yi doesn't pay too much attention to what he eats. When working, doing a good job is the first priority.

But An Ruo, who was pushing the patient out and squeezed the green balloon for artificial ventilation, felt a little hopeful in his heart.

Want something delicious?

It’s okay to not eat at noon and keep the stomach, but I don’t know if I will gain weight after eating.

101.11!

Finally lost 0.43 catties.

My fleshy--

They miss me again, are they going to come back to me again?
Forget it, eat something delicious first.

Because Cai Dongfan didn't even bring Luo Yun with him today, he personally cooperated with Zhou Cheng in arranging the pre-operation work in the operating room.

After Zhou Cheng and the hand-washing nurses had finished the preparatory work of disinfecting and laying towels, and wrapped the legs tightly with sterile film on the knee joint and other surgical sites.

Only then did Cai Dongfan hurriedly look at the time, and confessed to the people in the operating room: "Xiao Xun, please check if the bags that may be used in the operation and the instruments I mentioned are all there."

"Liu Yan, please work hard, count the number of equipment on the stage with Xun Xun, don't count gauze and pliers after Professor Ding comes."

"In addition, keep the key instruments in the operation ready at any time. To ensure orderly removal and removal, the operation process must be very smooth."

"I inquired about it. Usually, when Professor Ding is doing surgery, there are occasionally two equipment nurses who work with him. The operation process is very fast."

"We don't want to do it so fast, but we have to know it well."

Liu Yan is a specialist nurse in the orthopedics department, so she was called as an instrument nurse, and a nurse from the operating room was randomly called to do the tour. .

Then he looked at Zhou Cheng, and said earnestly: "Zhou Cheng, you are ready to open the stage at any time, put the electric knife and suction device back in place one by one, don't make a mess, don't be nervous..."

Zhou Cheng nodded, he didn't feel too nervous, but he felt that Cai Dongfan seemed to be more nervous than him as the chief surgeon.

Zhou Cheng inspected around and found that all the things that should be prepared have been prepared, and the inner curved opening of the patella can be cut at any time, and the intramedullary nail can be reversed.

And for the convenience of Professor Ding's evaluation, even the C-arm machine has been put on a sterile cover, ready for the pre-operative shooting work at any time.

The preparations are all ready, just waiting for Professor Ding to arrive...

In front of the anesthesia monitor, Zeng Yi, the old one, and An Ruo, the young one, didn't dare to play with their mobile phones, and kept their eyes on the data changes on the monitor, not daring to be careless in the slightest!
An Ruo also occasionally adjusted the speed of the infusion to avoid too fast infusion and high blood pressure, which would affect the surgical field during the operation.

Strictly control blood pressure, this is an advanced theory that she learned from her teacher recently.

I heard that top professors of anesthesiology can control the blood pressure of the entire surgical patient near the shock blood pressure, which can minimize the amount of bleeding, avoid blood loss, and facilitate the operation of the surgical team.

But she and Zeng Yi did not dare to go to such a limit, and controlled the high pressure around 100/70mmHg.

……

Ten minutes later, the time moved toward 10:37 pm.

Cai Dongfan led a person into the operating room just now, but Cai Dongfan's eyes were a little strange, although he still greeted politely: "Professor Qin, please come inside. Please come inside, we have already done a complete job." The preoperative preparations are over. Would you like to check it out, is there anything missing?"

Hearing Cai Dongfan's name, the expressions of the people in the operating room varied.

Zhou Cheng, Zeng Yi and others all looked puzzled, shouldn't it be Professor Ding?Why did Professor Qin appear out of nowhere?
Who is this?

Liu Yan and the itinerant nurse immediately concentrated on preparing for the battle, because they only knew that a professor from an outer hospital would come to the stage today, and they didn't know anything else.

And Cai Dongfan naturally didn't tell them about these things in order to avoid disputes.

Qin Tianzhu walked into the operating room and took a casual look. Even the C-arm machine was already in place. He was only waiting to take another real-time plain film before the operation. The work has been done extremely meticulously.”

"This is the most well-prepared preoperative preparation I have seen in a few times. Let's wash our hands and go on stage."

"Okay!" Cai Dongfan didn't say much, but thought to himself.

Of course, I prepared this for Professor Ding. You Qin Tianzhu is just a doctor who has just been promoted to associate professor for less than a year. If you go outside for consultation and surgery, they will be so cautious?

Naturally, it was impossible to say this.

The two entered the door, and with the help of the itinerant nurse, they quickly put on the sterile surgical gown.

Then Qin Tianzhu said: "Let's take a photo first and evaluate whether there is any difference from the pre-operative radiograph taken in the radiology department."

This is a loss. It is very likely that the state of the fracture at the time of the operation is different from the preoperative examination done at the time of admission.

Cai Dongfan was very careful and considerate.

Everyone retreated, and after the C-arm saw through, the fracture was displayed on the outside display screen.

Fracture of the middle part of the femur, the same as the results of the plain film of the preoperative examination——

The itinerant nurse had already pushed down the C-arm machine and reached the edge of the operating room, vacating the position of the chief surgeon.

Everyone looked at Qin Tianzhu eagerly.

Qin Tianzhu asked Cai Dongfan: "Director Cai, I think it's time to start the stage. What do you think? This situation is similar to what we expected."

I guess I don't want to waste time.

Cai Dongfan's heart twitches, how much time can it delay you?You are in such a hurry, Professor Ding is not as anxious as you.

It's like you're wasting your life by coming here.

Cai Dongfan looked at Zhou Cheng.

Zhou Cheng nodded and said, "Let's start, Director Cai!"

Then, Zhou Cheng walked towards the chief surgeon in an orderly manner under the surprised eyes of everyone.

Say to equipment nurse Liu Yan: "Sister Yan, round knife."

Liu Yan is stupid!
He looked at Cai Dongfan and Qin Tianzhu, but Qin Tianzhu naturally took the first assistant position, and Cai Dongfan was in the third assistant position, leaving a second assistant position...

"Liu Yan, give Zhou Cheng the round knife!" Cai Dongfan ordered after seeing that Liu Yan was not moving.

"Oh!" Liu Yan was so shocked that her scalp felt a little numb at the moment. Although she didn't know why it happened, Director Cai Dongfan and Professor Qin from the outer courtyard seemed to agree to this, and it was hard for her to make any mistakes.

After Zhou Cheng got the sharp knife, he made a small arc-shaped incision very quickly.

When it was only broken under the skin, he immediately turned on the electric knife and said to Cai Dongfan, "Mr. Cai, help me..."

The surgery really went on like this.

An Ruo looked at Zeng Yi blankly at this moment, and found that Zeng Yi had also become a "stupid" person, so he guessed that his teacher didn't know about it at all.

Then he asked in a low voice: "Teacher, is this appropriate?"

Zeng Yi shivered all over, his back felt a little cold, his feet were a little numb, and he shook his head: "I don't know."

This Cai Dongfan's coquettish operation really can't control him. With so many people working with him, are they all preparing for Zhou Cheng, a small-scale trainee?

However, Professor Qin from the outer hospital didn't know who it was, and he didn't say much. How could he force it?

An Ruo stopped embarrassing her teacher, curled her lips, and muttered secretly.

Hmph, let us be hungry just to give the little orthopedic doctor a chance, Cai Dongfan is so arrogant.

Qin Tianzhu felt quite shocked when he saw Zhou Cheng's movements of continuously penetrating into the joint cavity to expose the intercondylar fossa of the femur. There seems to be something about this young man!

The resulting surgical field is very refreshing, just like a tourniquet, without much bleeding.Moreover, there was no trace of the electric knife cutting the edge of the incision.

In order to reduce bleeding, some doctors don't smell like barbecue when using electric knife.

It was scorched and burnt, it was dark, lumpy, it looked disgusting, and it burned the small blood vessels on the edge of the incision...

But if the degree is well controlled, it can achieve a good hemostatic effect, and protect these small blood vessels, which is conducive to the later recovery of the wound.

This time it was not in vain, it was finally a process of speaking that was acceptable.

The hands are skilled and meticulous, but the speed is not slow at all. In just two to three minutes, the intercondylar fossa of the joint cavity was exposed.

After roughly looking at it, Zhou Chengcheng said to Liu Yan: "The gag..."

Liu Yan handed it over.

Qin Tianzhu thought secretly, this kind of speed, this kind of methodical, unarrogant and unimpetuous operation process is really rare. This young man deserves him to make a trip for Professor Ding in advance to evaluate his operation.

"Small reamer..."

The speed of the operation is not slow, and the incision was made so well. The choice of this position is also quite classic.

If the opening is not selected properly, it will be very troublesome when inserting gold fingers and guide pins on the back, and there is a patella in the front——

Just as he was thinking about it, Zhou Cheng continued to ask Liu Yan for equipment, taking it easy and confident: "Golden finger, guide needle..."

The golden finger is the common name for the guide, which should pass through the broken end of the fracture.

It needs to be used for mid-femoral fractures, but for intertrochanteric fractures, the fracture site can be seen under direct vision, so the golden finger is not used.

"Golden finger! Here." Liu Yan remembered that this little guy was the one who also had an intramedullary nail surgery in Director Cai's team last time, and also had dinner with Zhou Cheng.

It turned out that he was the one who performed the surgery, so she felt relieved.

Zhou Cheng put the golden finger into the marrow cavity first, probably after reaching the broken end of the fracture.

"Teacher Cai, help me fix the position of my pelvis. I'll do a reset first!" Zhou Cheng then ordered Cai Dongfan, without calling Qin Tianzhu.

He is a guest, so of course it is not good to make him work hard.

"it is good!"

Two minutes later, Zhou Cheng passed his golden finger through the broken end of the fracture.

Then I asked Liu Yan for the equipment: "Guide needles and reamers, probably starting on the 10th, and first preparing until the 14th..."

No. 10 and No. 14 are model numbers.

When he saw this, Cai Dongfan noticed that Qin Tianzhu's expression seemed to be a little flustered.

I sneered unceremoniously in my heart, originally I made an appointment with Professor Ding to start the show at [-]:[-]!
I prepared this operation for him. I greeted him seven or eight times before the operation, and I found several groups of people from the anesthesiology department and the operating room.

I was let go of the pigeons, and I sent you to come first.

But when you get out of the car!
What did you say?
It is said that Professor Ding will be a little later because of something, so forget it.

I'm still saying that I'm busy here and there, and I don't have much time, so I hope it can be done quickly.

Still explaining there, Professor Ding will come in a while, if it is really not possible, then Professor Ding will be the surgeon, and tell me that it is good to treat this operation as a teaching operation...

Confused now?
I just won't let Zhou Cheng slow down, and see how you perform later.

I've already given enough face, Ciao.

Everyone has a three-point temper...

Qin Tianzhu really didn't keep up with the rhythm and started to panic.

The steps of the operation seem simple, but to evaluate the quality of the operation process requires a large amount of knowledge reserve, and it also needs to be operated and extracted.

The difficulty of intramedullary nail fixation lies in the reduction and the golden finger passing through the broken end of the fracture...

"Give it directly to NO.11!" Zhou Cheng had already done it right, and Cai Dongfan had twisted his ears before telling him to perform well, so Zhou Cheng naturally showed at least 90.00% [-].

At most one-thousandth of the state has not been brought out.

The redefined fracture reduction technique allows him to achieve close reduction without any disadvantages. The previous displacement has been successfully reset without thinking about it. The bone marrow cavity is facing, and the golden finger can be inserted into the broken end of the fracture by anyone.

Liu Yan listened to Zhou Cheng's orders!

"NO.12!"

"Intramedullary nailing, No. 11!" Zhou Cheng ordered.

The model selection of the intramedullary nail should be slightly smaller than the reamer by one size or half size.

Liu Yan was well prepared, and handed the intramedullary nail to Zhou Cheng.

After Zhou Cheng took it, he immediately sent it along the guide wire into the bone marrow cavity.

At this time, the total operation time was only about 10 minutes, but Zhou Cheng had already completed at least 60.00% of the operation.

Qin Tianzhu hadn't kept up with his state and thoughts for a long time, and even a little sweat broke out on his forehead, and he suggested: "Director Cai, why don't you have a penetrating first? Put the intramedullary nail directly?"

He is Professor Ding's subordinate doctor, and now he is mixing with Professor Ding.Professor Ding is really delayed by things at present, so let him come for a walk.

He was very unhappy at first, did he think it was necessary to take such a joke seriously?
But Professor Ding told him that he could only make a trip. When he came, he told Cai Dongfan about some things, that is, he and Professor Ding didn't have much time. Qin Tianzhu felt that this was a reasonable thing...

But now?
Professor Ding clearly said that he would arrive about half an hour late, and he probably left now.

Can I follow the progress of this operation?

When Professor Ding arrived in the operating room, he probably could only see the post-operative review C-arm plain film, so he could only delay for a while.

Cursing inwardly, what the hell is this?

For femoral fracture intramedullary nail fixation, the general operation time is between one and a half hours to two and a half hours.Even if Cai Dongfan and the others prepared the preoperative disinfection and other work in advance to welcome Professor Ding's arrival, it would still take an hour.

At that time, just finished the critical part.

Professor Ding's estimate of the dislocation time is half an hour. At this point in time, according to Professor Ding's estimation, Zhou Cheng is just in the process of resetting and putting the golden finger inside.

At this moment, Zhou Cheng has completely entered the state and has become the master of the entire operation. He heard Qin Tianzhu's words!

Ask in reverse: "Is it meaningful to see through after the marrow is reamed?"

"I have just used the guide wire to confirm that the distal end is in the bone marrow cavity. There is a strong sense of resistance. It must be in the femur. It is impossible to poke into the pelvis!"

"After intramedullary nailing, X-rays! If there is a problem, it can be made up for!"

Qin Tianzhu felt struck by lightning, looked at Zhou Cheng, opened his mouth, but couldn't utter a word.

What Zhou Cheng said made sense.

Surgery and clinical medicine are reasonable, not to say that for the sake of prudence, it is reasonable to take more perspectives.

"Teacher Tour, push down the C-arm machine and take a picture of the front and side of the femur. It's hard work!" Zhou Cheng was not wordy, he actually didn't know what happened between Cai Dongfan and Professor Ding.

However, Zhou Cheng is now in charge of the operation, and the rhythm of the operation is naturally controlled by him. You can question and find out the reasons and points of the question.

I'll give you an answer, but I can't answer it. We'll try to find an answer. If there is an answer, don't worry about it. I know it well.

1 minutes later!
Everyone left the operating room again.

Qin Tianzhu's expression changed as soon as the side view film came out.

Zhou Cheng glanced casually, and then re-entered the operating room.

"Director Cai!" Qin Tianzhu pulled Cai Dongfan's forearm sleeve.

"Huh?" Cai Dongfan, who was about to enter the operating room, stopped walking.

He reminded Cai Dongfan of this very important matter: "That? Professor Ding hasn't come yet."

"Is our surgical procedure going too fast?"

The corners of Cai Dongfan's mouth turned up under the mask, and he sneered, but his eyes and eyes remained unchanged, and said:

"It doesn't matter, you, Professor Qin, saw the whole process of the operation and it was the same."

"It's the patient's priority. We can't delay the treatment process for the sake of surgery."

After speaking, Cai Dongfan walked into the operating room.

Qin Tianzhu felt as if he had been struck by lightning.

Why are Cai Dongfan's words so familiar?

Oh, it seems that when TM himself got out of the car, he said these words to Cai Dongfan.

At that time, my original intention was to speed up the operation, so I communicated with Cai Dongfan in advance, and if your resident doctor's operation progress was too slow, quickly let Professor Ding come to the rescue.

but now?
When Qin Tianzhu went in again, Zhou Cheng and Cai Dongfan had already installed the auxiliary device, that is, the formula for the intramedullary nail fixation screw, and started to drive the fixation screw at the proximal end of the femur.

A total of three, because the reset is good.

So it doesn't take much time, and then the fixation screw of the distal femur is played.

After another 10 minutes, the fluoroscopy ends.

The plain film is perfect, and the surgery is basically over...

Zhou Cheng and Cai Dongfan screwed on the end nut of the intramedullary nail, completely ignoring Qin Tianzhu's mental state and being a little silly.

Zhou Cheng was also very considerate of Cai Dongfan, saying: "Mr. Cai, let me sew! Come and help me cut the thread."

"Itinerant teacher, prepare the sterile dressing."

"The anesthesiologist,"

……

At 25:[-], Ding Changle finally drove to the underground parking lot of No. [-] Hospital, found a parking space and parked the car.

Then hurriedly looked at the time, while rushing towards the direction of the operating room!
It's okay, it's not too late, and I should be able to catch up.Evaluate the key parts of the procedure.

As a result, in the elevator room, I saw a person leaning against the wall, sitting on the ground with his buttocks, and there were a few sparse cigarette butts on the ground.

Turning around, it seemed to be Qin Tianzhu.

Professor Ding was taken aback: "Tianzhu, what are you doing here if you don't go to the operating room?"

"Also, when did you start smoking?"

Qin Tianzhu looked up, his face twisted into a chrysanthemum, and then he gave Ding Changle a smile that was uglier than crying, smiled freely, and turned his head away, as if he was very suspicious of life.

Ding Changle was stunned, is this another crazy double?
……

　In order to let everyone enjoy watching, I will not split it up, but just give it away.

　　This book is a daily article. In order to make it enjoyable for everyone to read, the author has put in all kinds of thought.As for the coincidence, can these things be considered a coincidence?
　　The reason, the time point, the reason, and the identity of each person, after I read it through myself, I think there is no problem.

　　Seeking subscription support, the subscription support of all book friends is the biggest motivation for the author to update.

　　The author naturally hopes to express the story in a more enjoyable way of expression.

　　This book is active on the main line. After all, the protagonist not only wants to start a career, but also arranges for him to make some money.

　　The author can only say that it is medical beauty!

　　Except for the Department of Burns and Plastic Surgery, the majors of other departments may not be suitable, and the scope of practice is not applicable, so this book cannot be written like this.

　　that's all!

　　
　
(End of this chapter)