medical simulator

Chapter 134 You Are Not As Important As You Think! (Please subscribe!)

Is such that--

Li Changhong thought to himself that he exposed the brachial artery much faster than Yan Haihan. Later, after tying the brachial artery, Wang Yaoxiang still looked at Yan Hanhan calmly.

As you continue to speed up your movements, you think, with Yan Haihan at your level, do you still have the heart to fight for the position of chief director?Even doing a simple amputation is so frustrating.

The subsequent actions were swift!

Amputation is already in the process.

Li Changhong's speed was faster before, and after finishing the bandage to stop the bleeding, he has already cut two muscles neatly!

I even feel a little smug that although I haven't had an amputation for a long time, my current level has not fallen behind!

He was explaining to the Zhupei that he brought, and felt that he could teach local anatomy by the way.

Amputation is to amputate the limb anyway, and it is used as a teaching tool, so make the best use of it.

It is also in line with the reputation of the teaching hospital that the Eighth Hospital is currently preparing to fight for.

But now I am embarrassed here, and quickly covered the incision with a salt water pad, then raised my head, looked around calmly, and tiptoed to look in the direction of Zhou Cheng's leg...

Amputation, as the name suggests, aims to amputate a limb.

It is defined as the therapeutic measure of amputating a limb that is necrotic, mutilated, severely diseased, painful and life-threatening, or completely disused and impairs function.

It's intended to be therapeutic, though.

Amputation will inevitably cause disability, so it should not be used lightly.

Amputation should be considered for the future installation of prosthetics as much as possible.

The purpose of amputation is therapeutic, but it has strict indications:
① The main blood vessels of the limbs are damaged, and the opportunity for repair is missed. The limbs have been ischemic and necrotic.

② Limb necrosis caused by major vascular diseases (such as thromboangiitis obliterans, diabetes, arterial thrombosis, etc.), and the blood supply of the limb cannot be restored or reconstructed by other methods.

and many more. (In order to save the word count, the rest of the adaptations will not be released.)
However, since amputation is an operation, it also has its requirements.

When amputating, you should try to choose the appropriate length:

For example, the amputation of the foot should be at the metatarsal bone, and should not be shorter than the tanarvicular joint. Otherwise, due to insufficient dorsiflexor attachment, it is difficult to resist the contraction force of the plantar flexors, resulting in foot drop and hindering weight bearing.

The lower 1/3 of the calf has poor blood supply, and the stump cannot bear weight, so it is generally not selected as the amputation site.

The junction of the upper and middle 1/3 of the calf has good blood supply and rich soft tissue, so it was selected as the amputation site of the calf, but the residual limb should not be shorter than 10 cm below the tibial tuberosity, because the calf is too short to control the artificial limb.

For thigh amputation and upper limb amputation, limbs should be preserved as much as possible.

This patient was in an indication for amputation and thrombus occurred.

A thrombus is similar to a stone stuck in a water pipe, resulting in no blood supply to the distal end of the squeeze.

This is equivalent to cutting off the blood source of remote cells and tissues.

We humans will die if the water source is cut off, but we can move freely and find ways to get water.

But the cells and tissues in our limbs are established and cannot move freely, so we can only wait for death.

Limb salvage surgery is an extremely complex operation involving many disciplines.

Strictly speaking, it is not a surgery similar to fracture internal fixation.

For limb salvage, there are also indications, not to mention others, the first thing to ensure is the blood supply.

It's like our plumber goes to check the water pipe, what is blocked in the end, and then just take it out.

But in humans, you don't know where the blockage is because the patient doesn't have time to check up before surgery.

So even directors like Huang Shinan can't guarantee that they can perform limb salvage surgery to remove the thrombus...

Zhou Cheng also does not know limb salvage surgery.

This is a fact.However, Zhou Cheng knows the amputation and arteriotomy and thrombectomy in Level II surgery.

After mastering amputation, it is natural to understand the indications and precautions of amputation.

Originally, the scope of amputation was to transect the middle part of the thigh, but in order to preserve the function of the patient as much as possible, Zhou Chengcheng extended the blood vessels as far as possible.Retaining an extra limb can allow the patient to preserve more functions.

And Zhou Cheng does not know the thrombus removal in the strict sense of vascular surgery, and there is no preoperative examination, so he can only use the touch of his hands and perfect anatomical knowledge.

After releasing the proximal ligated femoral artery, feel where it is blocked.

This is a technical task that requires very solid anatomical knowledge to support you to find the shape of blood vessels on the surface of the body and feel the touch of blood vessels.

Zhou Cheng performed arterial thrombectomy twice in total. He first came to the middle and lower part of the thigh, and then got a little greedy. After removing the thrombus from the posterior tibial artery of the calf, he discovered it by accident!
The dorsalis pedis artery is open!

This left him wondering what to do.

Because Zhou Cheng's original purpose was to amputate his limbs, and he just wanted to keep them longer.

Men, like thick and long...

Luo Yun wanted to strangle Zhou Cheng to death.

Slanted eyes glanced at Yan Hanhan's expression at the moment was stiff, the corners of his eyes twitched, his eyelids twitched, and his eyes glanced at the sharp knife in his hand, as if he wanted to give Zhou Cheng a shot, and immediately scolded Zhou Cheng after reading it: "Fuck off."

"I'll see the situation first."

Luo Yun then probed for the dorsalis pedis artery with his hands.

Whether the blood vessels are unobstructed, the most direct and official insistence is CTA to check whether the blood vessels are unobstructed.

But the patient couldn't have the operation before the operation, and his life is still hanging by a thread. Naturally, it is impossible to use this most standard inspection to review.

There are also simple checks.

Palpation, that is, to feel for the pulse of the distal artery.

The arterial pulsation of the human body strictly follows a rule, that is, if the arterial pulsation is touched at the far end, it definitely proves that the blood vessel is unobstructed.

Otherwise, you can't go to the far end.

Luo Yun quickly touched the dorsalis pedis artery, and then felt the weak beating of the artery with his fingertips.

Not strong.

It can't be strong, the patient is about to go into shock, how strong can he be?

However, besides simple palpation, Luo Yun also planned to use another more direct way to prove it!
"Itinerant, prescribe a [-]ml syringe." Luo Yun immediately asked the itinerant nurse for equipment.

Whether the blood vessels are unobstructed is a key factor in whether the amputation should be stopped. Therefore, such a guess cannot be completed based on palpation alone.

When Luo Yun called out, Yan Haihan, Li Changhong, and Wang Yaoxiang all stopped their movements.

Then he looked towards Zhou Cheng, his expression was uncertain for a while.

Luo Yun also looked at Li Changhong and Wang Yaoxiang, and met their eyes, watching their tangled expressions.

At this moment, Wang Yaoxiang felt that his gluteal muscles were numb.

He has also been working non-stop on preparations for amputation, has cut a brachialis, and is cutting the biceps.

I planned to finish the amputation of the upper limbs, and I left it to Yan Haihan and the others with my director Li Changhong.

Can?
Here comes the problem!
Isn't this like half of the diarrhea, and you have to force it back by yourself...

But not bad!

It's just that a half of the muscle has been cut, and it can be made up, otherwise.

This joke can become a big one.

His face and ears were a little red, and he panicked with embarrassment.

Zhou Cheng, a subordinate, can operate faster than them?

This actually made him feel quite humiliated.

But fortunately, Zhou Cheng is very fast.

The second is to feel lucky.

If Zhou Cheng, a junior doctor, would naturally progress slower than their surgery!
In the end, the three of us did the amputation, and finally Zhou Cheng's leg was still there!
Four Guarantees One!

Absolutely!
Isn't that where you live in Bengbu?

What should I do then?
Li Changhong didn't know, but fortunately, such a thing hadn't happened yet. Before that, the accident happened.

Li Changhong, Wang Yaoxiang, and Yan Haihan kept looking at Luo Yun and Zhou Cheng, but Yan Haihan didn't believe that Zhou Cheng really opened up the blood vessel, so he reached out and touched it himself.

Chi Chi.

Chi Chi.

The pulsation of the blood vessels in the distal extremities is definitely not as violent as the pulsation of the heart and the aorta, and only a slight pulsation can be felt.

But the existence of the pulsation is real.

Soon, the syringe was on the stage.

Luo Yun pulled out the needle, and directly pricked Zhou Cheng's left toe, which had undergone surgery, and then waited and watched for it to change.

Bloodletting by pricking the far end of the body with a syringe is one of the strongest evidences to verify the existence of blood supply...

Moreover, it is the simplest, most economical and effective method, but this method is not very applicable in clinical outpatient clinics.

Otherwise, it is simple and straightforward to prick a patient a few times, but if the prick is wrong, the patient will feel pain and be easily beaten.

So it is only suitable for use on the operating table.

A group of orthopedic surgeons are staring at the toes.

The blood did not ooze out as fast as a normal person, after a full half a minute, a small drop came out, like a new daughter-in-law, she was a little shy if she couldn't hide her face.

Seeing this, everyone breathed a sigh of relief.

It's fine when you come out, it's fine when you come out.

Nowadays, the blood pressure of patients is very low, and the body will give priority to supplying important organs such as the brain and heart in order to protect itself. It is already quite good if it can be distributed to the remote end.

As long as it is still unobstructed, with a little nutrition, and the lower limbs are not starved to death, they can be replenished after the operation.

There is no need to look at the veins.

It is definitely blocked, but the venous network of the lower limbs is intricate, and it should not be completely blocked.Moreover, there are two sets of large return venous systems. Therefore, the thrombus in the vein can be completely melted away by heparinization after surgery!
Thrombus treatment in arteries is the most important thing in limb salvage surgery!
After Yan Haihan took a deep breath, he immediately gave up the position of the chief surgeon. Although he was very embarrassed, he still held up his face and said: "Zhou Cheng, let's change positions, you will be my doctor." Here."

What it actually means is, Zhou Cheng, you do the limb salvage operation on this leg, and I will help you finish the rest of the work on the leg you just operated on.

The rest is just suturing and placing the drainage tube.

Yes, after vascular suture, drainage must be done, otherwise, the thrombus may be healed, and then the hematoma will arise. The drainage tube can drain the blood in time, and at the same time, it can be found whether the suture effect is good.

With Yan Haihan's mouth like this, Zhou Cheng stopped being obedient.

The reason why he asked Luo Yun so much before was that Zhou Cheng didn't participate in the conversation with the patient, and he was afraid that he would make a mistake and embarrass them in the middle.

After all, Zhou Cheng didn't know whether Yan Haihan talked about limb salvage with the patient's family.

However, when I think about it, it should be that the family members of such accident patients are willing to accept that they can get off the operating table without amputation.Moreover, it happened to be in line with the principle of non-injury in medical regulations.

Amputation is not injury, it is treatment. However, it is possible to temporarily communicate with the patient's family without amputation under the condition of limb salvage.

Zhou Cheng nodded and said, "Okay, Director Yan."

Then walk across to Luo Yun.

Luo Yun looked at Zhou Cheng seriously, and suddenly felt that Zhou Cheng was strange again.

Wang Yaoxiang immediately turned around and said to the itinerant nurse, "Bring some No. [-] wires."

It must be to perform unique skills - biceps, brachialis suture.

Li Changhong faltered in front of him, and whispered: "Give me those too!"

……

"Do you know the limb salvage technique?" Luo Yun, who digested some of his emotions, asked Zhou Cheng after Zhou Cheng took his position.

He actually heard what Li Changhong and Wang Yaoxiang said, but he didn't want to slap people in the face, just watch the excitement and have a bottom line.

This question made Yan Haihan poke his ears for an instant.

And this question made Huang Shinan extremely embarrassed.

Thrombosis, where it is said, is a problem of vascular surgery. Now their department with the brand of vascular surgery can't deal with it, and it is dealt with by the orthopedics department, although no one is angry with him.

But even Chen Liwei cast a strange look at him, which made Huang Shinan feel an indescribable sense of shame.

What's wrong?

If you don't know how to perform limb salvage surgery, you don't even deserve to live?
That's certainly not so serious.

The Eighth Hospital does not have a specialized vascular surgery department. If it had such strength, it would have separated out a long time ago...

……

Zhou Cheng shook his head subconsciously.

The threshold of limb salvage surgery is a bit high, he has never experienced it before, if it is replantation of severed limbs, then he will do it.

Luo Yun immediately saw the strange eyes of Li Changhong and others, and immediately lowered his voice and said: "To be honest, young and young, don't learn the tricks of yin and yang and hiding one's hand."

"Really not." The limb salvage technique that Zhou Cheng understood was only after systematic study and research on it.

"Just now, I just thought about being able to save less amputations, and save more if I can."

Zhou Cheng is full of sincerity.

Luo Yun could only smile helplessly, and said, "Let's take another look and see if the thrombus here can be removed."

Yes, Luo Yun didn't know what to say.

What Zhou Cheng said and did was completely fine.

Is vascular ligation a limb salvage surgery?no.

Is arteriotomy and thrombectomy a limb salvage surgery?Not all.

They are just Zhou Chenghui's level II surgery!
Zhou Cheng said so, but Luo Yun wanted to scold IIGMB right now!

This is limb salvage, okay?

Limb salvage surgery is not a rigorous operation, it is a set of knowledge, as long as it can achieve the purpose of limb salvage, it can be called limb salvage surgery.

However, this cannot be said now, it has to be said after stepping down.

……

Zhou Cheng didn't keep it anymore, maybe he had just tasted the sweetness, and Luo Yun was naturally much better than Huang Yu as an assistant.

Moreover, Luo Yun can also help Zhou Cheng explore the way, so, as long as Zhou Cheng loosens the proximal bandage of the femoral artery, Luo Yun can help Zhou Cheng find out where the artery pulses.

Zhou Cheng immediately repeated the previous method of catching loach.

The round knife broke the skin, and the vascular forceps bluntly pierced through the muscle gap, reaching the out-of-shape of the blood vessel. After seeing the bulge caused by the thrombus, he swung the knife to cut it open immediately!

After the thrombus is removed, it is sewn up, and the proximally ligated vessel continues to be loosened.

so back and forth.

The process is naturally quite complicated, and the steps are even more cumbersome.

But at any rate, the thinking is clear and strange!
I don't know if it's because there are more thrombus on Yan Haihan's side, Zhou Cheng made four openings in a row to get rid of the thrombus in the dorsalis pedis artery.

Luo Yun continued to check the blood supply with palpation and syringe needles.

Suitable!
In this way, Zhou Cheng and Luo Yun had completed the limb salvage surgery for their lower limbs, and then started stitching them up one by one.

Seeing this, Li Changhong felt a little uncomfortable.

He just finished stitching up his muscles at this moment. Opposite him, Wang Yaoxiang, who also wanted to throw Yan Haihan's haughty back with him, was in a daze after stitching up his muscles, not knowing how to deal with himself.

After all, the first department of orthopedics and the second department of orthopedics are separate, each doing its own thing!
The first department of orthopedics does not deal with fractures of the lower limbs, and the second department of orthopedics does not touch fractures of the upper limbs.

Li Changhong secretly underwent surgery on his lower extremities, and Yan Haihan knew about it, and he mentioned it to Zeng Yi.However, Li Changhong's attitude has always been that patients come to me for surgery because they believe that my surgery for lower extremity fractures is better than that of the second orthopedic department.

The first department of orthopedics is much earlier than the second department of orthopedics, so Li Changhong also firmly believes that the level of the first department of orthopedics is higher than that of the second department of orthopedics.

just now?

It seems that Luo Yun and Zhou Cheng have no intention of helping themselves and Wang Yaoxiang!

Li Changhong straightened his throat, smiled and said to Luo Yun: "Xiao Luo, why don't I change places with you, Yu Xiaozhou? I'll do the stitching, and you guys come and see the thrombus in the upper limb? See if you can get it out?"

All limbs were injured, and the lower limbs were even heavier. If the lower limbs were saved in the end, the upper limbs would be amputated.

This is uncomfortable for the bird.

Not too few but uneven, although it can be explained forcibly, the symptoms and damage degree of each department are different, if you can explain it, you are not afraid of lawsuits, mainly because you don’t look good.

Instead of being unsightly in front of the patient's family members, it is better to put down the face first, begging Yan Haihan and Luo Yun is also begging for one's own people.

Luo Yun didn't say much, just looked at the director of the second orthopedic department, Yan Haihan.

Yan Haihan said without any hesitation at all: "Luo Yun, Zhou Cheng, you guys go to the upper limbs and replace Director Li with stitching."

"Good!" Luo Yun nodded.

But after agreeing, he looked at Zhou Cheng with a bit of embarrassment: "Do you know anything about upper limbs?"

These words immediately made Li Changhong and Wang Yaoxiang's feet twitch when they were about to move!
Even the third leg is numb!
Dead bird!
Yes.

How did I just forget about this?
Zhou Cheng is a live-in companion, and live-in companions are rotated, but the orthopedic live-in trainee is either in the first orthopedic department or the second orthopedic department.

Zhou Cheng has been staying in the Second Department of Orthopedics.

The Second Department of Orthopedics is the Division of Lower Extremity Trauma.

Department of Orthopaedics is the Division of Upper Extremity Trauma.

It is correct to say that the type of trauma surgery is the same, but the location is different, so the anatomy is different.

Anyone who dares to say that the operation on the upper limbs is exactly the same as the operation on the lower limbs will definitely be scolded to death.

Can the muscles of the upper body and the muscles of the lower body be the same?
Blood vessels out of shape, analogy?
Can Zhou Cheng take it down?

Hearing this, Zhou Cheng squinted at Luo Yun, without showing off, and said in a low voice, "You can give it a try."

Hearing this, Li Changhong took a deep breath and said, "Wang Yaoxiang, go and sew, I will do upper limbs with Xiao Zhou and the others!"

Li Changhong was worried, but he could only relax and let Zhou Chenglai perform the upper limb surgery.

There is no way not to relax.

Wang Yaoxiang then nodded, but secretly felt embarrassed in his heart.

I was looking forward to it in my heart, Zhou Cheng, you must meet it, otherwise, when the patient's family members start to make trouble, I must be the person who has the most contact with them.

You have to ask why the lower limbs were saved but the upper limbs were not.

The doctor in charge of the bed can definitely say that he doesn’t know. Li Changhong is the director. You can ask the people below. I have explained it to you many times.

Where did he push Wang Yaoxiang?
Push it to your cousin?
Wang Yongjin?
However, when Li Changhong saw that Zhou Cheng took out two brachial arteries very neatly, he felt relieved.

I was secretly startled.

The layman looks at the excitement and the insider looks at the doorway.

Although the brachial artery has no branches in the upper arm, it is not easy to find the brachial artery so easily.The brachial artery has no branches, that's right!
But it's out of shape.

it spins...

Those who went around could be found out accurately by Zhou Cheng. Zhou Cheng's understanding of anatomy was quite solid.

Even Li Changhong felt that he might not be able to do the surgery that Zhou Cheng performed so quickly and neatly.

We can only hope for Zhou Cheng.

Then, Yan Haihan's side had already finished stitching, and he was not too worried about Zhou Cheng's side, so he ran to the side to hold the line.

Quietly watching Zhou Cheng find blood vessels, suture them, and feel the pulse of the arteries...

This is like working on an assembly line, and seeing the thin sweat on Zhou Cheng's forehead, I feel a little distressed, so I turned around and shouted: "Xun, wipe Zhou Cheng's sweat!"

The itinerant nurse rushed to help.

Huang Shinan also raised his head when he heard the voice. His liver debridement and hepatic lobe resection have not been completed yet, but on Zhou Cheng's side, the limb salvage surgery is almost finished.

Looking at the operation time, it was only over an hour!

I also admire Zhou Cheng a lot.

One is to admire Zhou Cheng's speed, and the other is to admire his dedication.

This is non-stop, real non-stop.

After the blood supply of the left upper limb was restored, it was past six o'clock, close to seven o'clock.

Li Changhong also couldn't bear to persuade: "Xiao Zhou, the rhythm can be slowed down a little. If you are tired, it doesn't matter to take a break. We have already saved three limbs."

Zhou Cheng raised his head and said, "Director Li, let's just finish the operation."

"Ms. Luo, are you tired? Do you want to take a break?"

Luo Yun shook his head and said with a smile, "What's this? The longest surgery I've had before, I did it for 32 hours."

After hearing this, Li Changhong asked curiously, "What kind of surgery did you do? For 32 hours?"

Luo Yun said: "Hemipelvis reconstruction after resection of pelvic malignant tumor."

Li Changhong opened his mouth at that time, as if to smack himself, why did he want to say something, ask this?

He didn't understand the operation method.

"Oh!" But I have to give a response.

Luo Yun switched places with Zhou Cheng, and continued with the last operation.

At the same time, Yan Haihan breathed a sigh of relief, and said to Li Changhong: "Changhong, the blood supply of the patient's lower limbs is still good. I can report to the family members with a little peace of mind, and I can look forward to the conclusion of limb salvage."

Hearing this, Zeng Yi hurriedly said, "Hey, wait, I'll go with you."

"On my side, the vital signs have basically stabilized. The patient's family members are not real family members, and they are also old. Tell him to go to rest early." Zeng Yi deliberately found an excuse, and walked out together with Yan Haihan.

After leaving the operating room, Zeng Yi asked: "Director Yan, Zhou Cheng in your department is very interesting?"

Yan Haihan nodded, and suddenly thought of Yang Yifeng again.

Then he said: "Director Zeng thinks so too, right? I've always thought so. He can be regarded as one of our strong officers."

Yan Haihan is building up his character in front of Zeng Yi.

At the same time, he secretly wondered whether it was a mistake to give the establishment to Lin Lin.

Zeng Yi didn't see through Yan Haihan's deep thoughts, so he just smiled and said, "That's right, Cai Dongfan also said the same thing. I want to ask you, this Zhou Cheng, what kind of person is he usually?"

"I have a niece..." Zeng Yi actually began to insinuate how Zhou Cheng was getting up.

I guess, I also think that Zhou Cheng has a bright future in the future.

This question stopped Yan Haihan, because he hadn't paid much attention to Zhou Cheng before, how could he know this?

Then he replied: "This is not very clear, maybe there is, or maybe not. I think it is more likely."

"After all, our young man from Ke Zhoucheng can still fight."

The young man has the meaning of good looks in Hunan Province.

Zeng Yi then understood, Zhou Cheng, he was not familiar with Yan Haihan at all, it seemed that he still had to go and check with Cai Dongfan.

In fact, some time ago, when Zeng Yi saw that Zhou Cheng was able to get an associate professor from the Affiliated Hospital of Shonan University to be his assistant, Zeng Yi had this idea, but he kept wandering.

……

In the elegant Sanhe Garden.

Yang Yifeng's mind was floating, and he didn't bother to code words, let alone make an outline, so he just wrote a leave note.

Tell your book friends to update later.

However, Yang Yifeng soon waited for his teacher, Professor Ding Changle.

Ding Changle smiled when he saw Yang Yifeng: "You can still find this place, it's not bad, it's elegant enough."

Ding Changle had actually been to this place before, but he didn't say anything about it.

Yang Yifeng said: "Master, an interesting person in the department brought me here. Teacher, you have made such a trip today. I feel much better now."

Ding Changle patted Yang Yifeng on the shoulder and said, "It's enough to be in a better mood. People live for a lifetime, and the grass and trees are in autumn. In fact, happiness is the most important thing."

"In fact, no matter what we do, we will eventually return to nature in a physical way. These inorganic substances and opportunities on our bodies accumulate together."

"In fact, it is the combination that has supported our consciousness for a lifetime for such a period of time."

"We should enjoy this time and find happiness instead of being entangled in one thing and one thing."

As a professor, Ding Changle has seen too many things, especially doctors, birth, old age, sickness and death are simply too common.Parents are short-lived, neighbors, fights, mothers are kind and sons are filial, and the big ones are unfilial, all have been seen.

There is no filial son in front of the long sick bed.

Naturally, Ding Changle also has his own experience of life, but he has always felt that his own experience is too old and not suitable for someone of Yang Yifeng's age.

At his age, he should be high-spirited, and should not be like himself, breaking the life of his life.

However, in order to let Yang Yifeng come out, stretch his inner growth line in advance, and talk to him more. If there is some inspiration, it is much better to live like an old man in advance than to live like a demon now .

"Master, your understanding of life is quite open-minded." Yang Yifeng looked at Ding Changle and replied with a smile, trying not to show his inner emotions.

Ding Changle said: "When people are old, everyone has it. Recognizing life and death and seeing through life and death, we must go to this step. There is no escape."

I secretly said in my heart, you are going to set up a mentally ill character to kill people, if I don't tell you, it will be too late.

Teachers, so those who preach and receive karma and solve doubts!

Yang Yifeng said, "Yes, no one can escape."

"However, according to what you said, Master, how will our thinking change in the limited ideological process? Our physical body comes from nature and returns to nature."

"The experience is definitely different."

"Because of different experiences, the understanding of happiness is also different."

"I used to think that I would be happy if I left medicine. I followed my mother's advice lately, and I would be happy if I didn't come to study medicine or do this hard work."

Persuading people to study medicine is like lightning.

Studying medicine is really hard, his mother just hoped that he would not suffer so much, and advised him not to study medicine before.

Yang Yifeng continued: "I've always thought so."

"Until today, I found that this is not the case. I like writing, which is true. I also hope to outline the story line and enjoy it."

"But actually, it's just my hobby. It's not my dream."

Yang Yifeng said to Ding Changle very frankly: "At that moment, Master, I felt that I understood a little bit."

"My hobby is writing, but what I like is actually being a doctor, so I followed my heart and ran to the operating room as my first reaction. It's just that I couldn't get in, so I had no choice but to escape."

Yang Yifeng is in a much better mood now, so he can say all this very naturally.

In this world, very few people, maybe no one has the experience of Yang Yifeng, but.

Ding Changle has also experienced the natural death of his parents, and he can also recall them.

He deeply felt: with his parents, there is still a reason for life, and because of his parents, there is only a way back in life.

They died of natural causes, and so on.

What's more, what happened to Yang Yifeng was quite unusual?
Ding Changle was in a complicated mood, and said, "Yifeng, in fact, there is not much difference between likes and hobbies."

"What you like now may just be what you like in the future. What you like in the future will definitely be different from what you have now."

"For example, what you used to like may not even be a hobby now, is it?"

Ding Changle, as someone who came here, finished speaking to Yang Yifeng.

"Actually, if you really like medicine, you don't necessarily have to go into the operating room. It's your liking and your dream."

"There's still a lot to go."

"Research, go to internal medicine."

"what!"

"There is also teaching. Being a pure teacher can allow you to drift away from this circle and continue to fulfill your dreams."

"Medicine is not just about curing diseases and saving people, but the purpose is to save people. Moreover, scientific research and teaching can save more people. Why not do it?"

"Actually, I, your master, can give you many choices."

"Go stay in the hospital as a teacher, be the head of the laboratory, contact the professor of internal medicine to change the department, or you go to an outside biological company as a research and development manager."

"These are pretty good. Moreover, if you are engaged in these industries, you can continue your current hobbies. You can write novels, read books, and travel at any time. It is much better than being a doctor."

Ding Changle continued: "It's actually quite unworthy to just comment on the profession of a doctor."

"Others say that doctors are more popular the older they get, and they can still make money when they get old."

"But I think that doctors don't make money when they are not old, and they still make money when they are old."

"How helpless?"

Yang Yifeng smiled and understood what Ding Changle meant, but Yang Yifeng said: "Master, let me have a look again, I haven't made up my mind yet, so I don't dare to just do what I want to do in the next few decades." The matter has been decided."

"Let me see if I can try and take that step."

Yang Yifeng knew that Ding Changle hoped that he could return to the orthopedics department as a surgeon.

He thought about it too, but the nightmare he had at night was that he 'killed' his parents with a scalpel!

It's really hard for him to take this step.

This is also responsible for the patient.

As a doctor, the first taboo is to disregard human life.

"..."

After sending his teacher away.

Yang Yifeng continued to sit for a while, and then wrote down his feelings.

This is a diary, and the diary is placed in the same compartment as the pen.

This is his mental journey, starting from college.

There are already many such notebooks, but recently, it has been too long since I opened it.

But today, Yang Yifeng turned it out again.

Wrote: "Magic is the only thing that can defeat magic."

"The only way to break the demons is to face the demons."

"Where you fell, you should get up."

"Perhaps, I should bear all the pressure and go to the operating room of vascular surgery first."

"Dad? Mom?"

"Would you like to be my demon?"

"Will I 'hurt' you one more time?"

"I will live a good life, happy, happy, and live with real happiness, you believe me."

"Yi Feng."

After finishing writing, Yang Yifeng put on his backpack with a firm gaze.

Then I took a taxi and went directly to No.[-] Hospital.

After getting off the car at the door nervously, Yang Yifeng struggled violently in his heart. When he arrived in the operating room, he first returned the green rubber slippers and hand washing clothes.

Next up!

Yang Yifeng overcame his fear again, one step at a time, and went to the operating room where he was at the door of the operating room before, but did not dare to enter.

Getting closer.

Yang Yifeng felt his heart beating faster, his nerves were tense, and the muscles in his limbs were trembling non-stop.

Even his back was a little cold, as if the operating room, like a terrible black hole, would swallow him completely.

However, there was another strong attraction, calling Yang Yifeng to walk into the operating room.

Finally, I don't know how long it took.

Yang Yifeng just walked to the door of the operating room.

Stand there, embarrassed.

He never took the step of stepping on the sensor door.

The operation is still going on, and the patient has not reached the most unacceptable point anyway.

When Yang Yifeng came here, he thought that the patient might be gone.

It's because of him again!
But maybe, the amputation is done—

I don't know how long it took, and finally, the itinerant nurse inside came out, her expression and footsteps were hurried, and she was running.

After almost bumping into Yang Yifeng, he was so scared that he really jumped back.

Then he cursed: "What the hell, block the door."

He just cursed casually, and then left.She is too busy to have surgery urgently.

The door of the operating room was pushed open, and the shadowless lamp inside was dazzling, but not dazzling, and all the light was gathered on the operating table.

Yang Yifeng closed his eyes the moment the door opened.

Then, it never opened.

The door closed again.

It wasn't until the itinerant nurse came pushing the cart again, and Yang Yifeng blocked her again, that she said, "Hey, let me go, what are you doing blocking the door?"

"Get out of the way quickly, I'm done here, the patient will be sent to the recovery room soon."

When Yang Yifeng heard this, although his head was a little down, his eyelids bounced up as if springs had been installed.

With trembling upper and lower lips, he asked, "Amputation? Are you done with the amputation?"

Without the intervention of vascular surgery, there is no way to salvage the limb, only amputation.

The itinerant nurse gently pushed him aside with one hand, and looked at him like a psychopath.

After walking in, she found that Yang Yifeng was staring at her.

Eyes and expressions are complex.

Reluctantly, she turned her head and said to Yang Yifeng: "The orthopedic surgery is over, no amputation!"

"Are you an orthopedic doctor?"

"It's been a long time since the surgery, you just came?"

"Hurry up and go back to rest, it's getting late!"

"Your superiors have all stepped down."

The itinerant nurse casually walked in with tired eyes.

She is also very tired and wants to go home to rest.

Yang Yifeng was completely dumbfounded...

The result was a bit beyond his expectation.

No amputation?
Yang Yifeng rushed into the operating room immediately, and then came to the left and right hands.

It can be seen that the blood supply of the patient's hands and feet has indeed recovered. Although they are still a little pale, it is not the paleness after ischemia!
Pale and pale are similar, but they are not of the same nature at all.

Right now, Huang Shinan is finishing the final liver operation, after he saw Yang Yifeng.The expression is also complicated.

Said: "Orthopedics and vascular surgery are done, you don't need to come on stage."

"Go back quickly, it's getting late."

The heart is very tired and the emotions are very complicated.

When he asked Yang Yifeng to perform the surgery before, but Yang Yifeng didn't come, and he came to the operating room to show his presence after the operation?
This TN, there is simply no one.

What a wonderful thing.

Yang Yifeng was a little stunned, and asked, "Who performed the operation? Professor Shu?"

"Why do you care so much? It's not you anyway."

After finishing speaking, Huang Shinan said: "You have to make it clear to your master that you came to the operating room by yourself, but no one forced you! Don't your teacher come to trouble someone else."

Acting like I can't afford to offend you, I can afford to hide from you.

His eyes are full of contempt...

Yang Yifeng suddenly laughed at himself and let out a breath.

Yang Yifeng, Yang Yifeng, you are actually not as important as you think.

This is actually good...

Then turned and walked out.

PS: Don't ask plot questions with the trainee sign, thank you, the author is not responsible for answering questions from book friends like this!

In addition, those who like to read traditional doctors' pretentious articles can turn left, and there are already many starting points.

The author of the plot of this book is currently quite satisfied, and there will only be more portrayals and pen and ink of the protagonist, not less.

I think the portrayal of the protagonist can be hidden in daily life, and there is no need for any unconventional character and characteristics!
In addition, book friends, please stop teaching the author to write a book. This book has its own outline and detailed outline and character settings.Unless it is the finishing touch that makes people's eyes shine, it will not be changed at will.

The current score of this book is relatively good, follow-up 24h500+, close to 600, not good, but the collection is only 12000, and the follow-up ratio of 20 to 1 proves that everyone recognizes this book.The author's mind is not in vain.

(End of this chapter)