medical simulator

Chapter 153 Zhou Liyi!
How did it get so neatly stitched?Shouldn't the normal force be uneven...

Mi Huan's heart was agitated, and while watching Zhou Cheng continue to operate, he asked Chen Kelong: "Kelong, who is this teacher?"

Looking at Zhou Cheng's profile, most of it was covered by the mask, but he didn't see Zhou Cheng's crow's feet, which made Mi Huan confirm that Zhou Cheng's age should not be very old.

He thought Zhou Cheng was some kind of professor invited by Chen Kelong.

Chen Kelong stretched out one hand at this moment, staring at Zhou Cheng's operation of suturing the tendon.

It seems to mean, don't bother me.

But he also closed his mouth and looked in the direction of Chen Kelong's gaze.

I saw that Zhou Cheng's silky knot at the moment was like wearing a trouser belt, neither loose nor tight.

He was able to grasp the degree just right so that the tendon did not retract, but there was a certain tension, and it was able to tightly fit the broken ends of the tendon together.

If the operation of surgery is compared to the kung fu in martial arts, it has at least reached the level of proficiency!

After sewing all the threads one by one, Chen Kelong, the 'right-hand man', picked up the threads and cut off the thread ends one by one.

Then, the same flattened tendon as the one sutured before appeared in front of everyone.

This time, Mi Huan was finally able to see the ruptured tendon in person, and he performed a scene of recovery in front of his eyes, as if the couple had quarreled and reconciled, but there was no gap at all. , Completely reunited!
It's easy to break, a child can break it with a knife, but it can only be completely restored, which can only appear in theory.

Zhou Cheng glanced at the thread cutter and said, "The thread knot was cut a little too long! This is not conducive to postoperative recovery, so I will cut it shorter next time. This is a thread knot of the finger tendon, so it should not be so long."

The corners of Chen Kelong's mouth trembled slightly, and he had the urge to beat Zhou Cheng to death on the spot.

This guy seems to have a million insults.

Damn, I even made a mistake when I cut the thread.

And Cai Dongfan and Mi Huan felt a little funny when they heard these words.

Cai Dongfan hurriedly slapped Zhou Cheng's hand and said, "Speak less and do more."

At this time, Chen Kelong replied to Mi Huan: "Director Mi, this is Cai Dongfan from the Eighth Hospital, Director Cai."

Then he stretched out his hand to Cai Dongfan, but Mi Huan nodded in Zhou Cheng's direction without even thinking about it: "Oh, I said who it was, it turned out to be Cai."

Then I saw that Chen Kelong's hand was pointing at the 'vegetable chicken' sitting next to him, and the person he greeted was not Cai Dongfan as Chen Kelong said.

It was a bit embarrassing for a while.

"This is Zhou Cheng, Director Cai's student." Chen Kelong hurriedly helped Mi Huan relieve the embarrassment.

Mi Huan originally planned to call out Professor Zhou, but he only uttered one word, so he couldn't yell out.

"week."

He glanced across at Chen Kelong, his eyes scratched at Chen Kelong's body like steel knives, as if he wanted to kill Mi Huan.

"Doctor Zhou." Mi Huan pondered for a while, then said to Zhou Cheng.

"This is the director of our orthopedics department, Director Mi Huan." Chen Kelong introduced Mi Huan's identity to Zhou Cheng.

Zhou Cheng paused for a while: "Hello, Teacher Mi."

As he spoke, he was about to step aside, but this made Mi Huan say repeatedly: "Doctor Zhou, you continue, you continue."

It seemed that Zhou Cheng was afraid that he would say, Mr. Mi, come here.

The skill of the surgeon is all in hand, and anyone with a discerning eye can tell it at a glance!
It doesn't need to be too mysterious to make ordinary operations very smooth.

The replantation of severed fingers belongs to the specialty of hand surgery. Before Shaxian No. [-] Hospital separated, he had contacted and even consulted some experts in hand surgery. More experience with salt is sure.

Zhou Cheng's tendon suturing today is absolutely no worse than any professor's tendon suturing he has seen.

There was even an absurd illusion that Zhou Cheng stitched better.

Such a good tendon suture is not only beautiful, but more like a work of art, which cannot be stained. If the rest of the blood vessels and nerves are sutured by oneself, it is simply too unworthy of the vascular bed sutured by Zhou Cheng now.

Tendons are just vascular beds.

The top priority of severed finger replantation.

The recovery of broken bones and the suture of tendons can be done by ordinary orthopedic surgeons. Whether it is good or not is another matter, but whether they can survive or not depends on the blood supply after surgery, and the state of blood supply after surgery is the most important thing. The most important thing is how well the blood vessels are sutured.

Survival of the fingers is the basis of sports, if they cannot survive, let’s not talk about sports.

And even if the blood supply is sutured, it depends on how well the nerve is sutured, otherwise, the finger that lost the innervation is still just a decoration!
No matter how well Zhou Cheng sewed up the tendons, and no matter how quickly the broken bones healed, if the nerves and blood vessels were not properly sewed up, it would be a waste of water in a well, beautiful but useless.

Mi Huan didn't want Zhou Cheng to say the following because of his status, "Chen Kelong, you should learn from Director Cai and Dr. Zhou. I'm going to wash my hands first."

Chen Kelong nodded and looked at Zhou Cheng with a solemn expression. Zhou Cheng's hand skills definitely deserved to be called a teacher, but his age and status were a little bit out of sync.

Cai Dongfan was in a very good mood at the moment, looked at Zhou Cheng and said, "Xiao Zhou, are you tired, do you want to take it easy?"

All surgeons know that surgery is not heavy physical work, but the fatigue during the surgical operation is more tiring than heavy physical work.

Because it requires precision, high concentration, and trembling.

For example, if you want to cut the rice in half with scissors, it is much more tiring than if you pick rice tens of catties larger.

Zhou Cheng took a deep breath and said, "Teacher Cai, Director Chen, let's continue."

Then he continued to bury his head and began to get out the trimmed blood vessel stump.

Regardless of whether it is the middle finger or the ring finger, the blood vessels and nerves are all on the opposite side of the finger, the proper arteriovenous and digital proper nerves!
For limb replantation, the optimal number of arteries and veins is 2:1.

However, the arteries and veins on the fingers are so small.At this time, I will not talk about the branches of the proper arteries.

Just the second after Chen Kelong stopped to watch Zhou Cheng's operation, his face turned pale again with fright.

Because he suddenly saw that Zhou Cheng just used two tweezers specially used for microsurgery to pick up a little, and a blood vessel on the ulnar side of the middle finger near the proximal interphalangeal joint was surrounded by it like a white and fat rhizome. Cheng pulled it out!
It seems to say, don't run.

The blood vessel at one end was thus found.

This kung fu?
I don't understand.

Then Zhou Cheng picked it up again, and another fat blood vessel was picked out from near the interphalangeal joint at the far end of the middle finger. After pulling it together for a while, Zhou Cheng said, "Teacher Cai, pull it out for me."

Chen Kelong immediately said: "Let me pull it, Director Cai, help Xiao Zhou to sew up, I'll take a look at it."

Under normal circumstances, the reason why the blood vessels are sutured first is not only the need for blood supply, but also the most uncomfortable problem in suturing the blood vessels sutured by severed fingers is to restore the tendons and broken bones first, and then recover the muscles that have been retracted into the muscles. blood vessels and nerves.

It's not easy to pull it in advance. Most people would tie it up with sutures in advance, which is easier to find, but Zhou Cheng didn't do this step.

Chen Kelong originally thought that this was one of the failures of this operation, and Zhou Cheng was greedy for success, but unexpectedly, Zhou Cheng already had a plan in his heart, and he could convince others with his strength.

Just take it out.

It seems that you don't need to see with your eyes, but look with your heart!

Just picking out the blood vessel like this, Chen Kelong didn't even see where Zhou Cheng pulled out the severed end.

Chen Kelong deliberately paid attention but didn't see it, and Cai Dongfan naturally couldn't see it either, everyone is mortal with naked eyes.

So, when Zhou Cheng called Cai Dongfan for help, Cai Dongfan was still there in a daze.

Seeing that his request was not answered, Zhou Cheng repeated again: "Teacher Cai? Can you help me?"

Only then did Cai Dongfan meet Zhou Cheng's suspicious eyes, as if to say, Mr. Cai, can you help me, an unqualified assistant?
Cai Dongfan immediately found the microscopic toothless tweezers in Zhou Cheng's hand, and cursed in his heart: I GAN you, why the hell can you stop doing surgery so casually?
As if anyone can do it?
Can you give a little time to react.

The blood vessels of this patient are from your home, right?Familiar with the road?
According to the normal routine, Cai Dongfan felt that he might have to help, for example, take a pair of tweezers to open it up, so as to give Zhou Cheng, the chief surgeon, a certain vision.

Then Zhou Cheng tried it ten or twenty times, and then the two of them discussed whether it was the proper artery, or whether it was pulled wrongly, and the artery and vein were sewn together, which would be a little bad.

Can Zhou Cheng?

It can be described as NMB.

However, Cai Dongfan soon saw an even more astonishing scene.

I saw Zhou Cheng holding the ultra-thin microvascular suture needle as if playing, and got together the very small-diameter proper digital artery. Lowered the level of surgery.

After suturing, the microscopic thread was snatched from Chen Kelong's hand.

While Chen Kelong was still in a daze, Zhou Chengcheng started cutting by himself.

Chen Kelong looked around and found that no one else paid attention to him.

I just thought to myself, I seemed to be disgusted by cutting the thread just now, but fortunately no one found out.

One stitch, two stitches!

The diameter of the proper finger artery is limited. Zhou Cheng only sutured four stitches at a time, and he could no longer find the needle entry point.

And this process only took about 2 minutes.

At this time, Mi Huan, who was going to wash his hands, hadn't even entered the operating room yet.

Then, Zhou Cheng repeated his tricks and started to attack the nerves, followed by the veins!
……

Four minutes later, when Mi Huan washed his hands and put on his gloves, he found Cai Dongfan and Chen Kelong standing there stupidly.His eyes were dazed, and he kept blinking, while Zhou Cheng sewed and cut the thread by himself.

He scolded: "Chen Kelong, won't you help?"

"Huh?" Then Mi Huan's voice stopped abruptly.

He blinked in disbelief, and almost wanted to rub his eyes with his hands, but the aseptic principle he had followed for decades suppressed his instinct and stopped when he reached his chest.

Then look at what Zhou Cheng did, it seems that the nerves have been sutured.

As a result, Mi Huan's eyes became the same as Chen Kelong's and Cai Dongfan's, his small eyes blinking bulgingly.

It seems to be asking: Is there a pervert here? !Do you want to call the police?
If you have a thought in your heart, its god will divide it.

Mi Huan was stunned, and when he came back to his senses, Zhou Cheng over there had sutured all the blood vessels and nerves on the ulnar side of his middle finger.

Now it seemed that he looked at Cai Dongfan and the others with disgust in his eyes, and said to the equipment nurse: "Here are some antibacterial micro Joes, it's 2-0."

Zhou Cheng is going to suture the skin.

Wolf off!

In Mi Huan's heart, there was a beast like a mud horse scurrying around. By the time I f*cked out to wash my hands, you finished suturing the nerves and blood vessels?Are you deliberately not letting me see it or something?

Cai Dongfan and Chen Kelong were interrupted by Zhou Cheng's voice, and they both saw the Chinese mythical beast through each other's eyes——

Looking at Zhou Cheng, he couldn't control himself.

Brother, what you are doing is replantation of amputated fingers, not a simple debridement and suture, can you be gentle and respect the objective facts?

But Zhou Cheng didn't have time to pay attention to what Chen Kelong, Mi Huan or Cai Dongfan thought, but continued with his own rhythm and operation!

"Teacher Tour, open two more sutures!"

"Teacher Tour, take it down for me..."

At this time, the itinerant nurse finally noticed the change on the operating table, because it was obvious. Zhou Chengcheng was doing it on his arm before, and Chen Kelong was dealing with the severed finger at that time.

And Liu Yong and Pang Zailin next to him are also dealing with the broken end.

But now, Zhou Cheng has finished cutting off his fingers, and he is going to do palm replantation soon.Pang Zailin hadn't completely finished the debridement, let alone fixed the bone.

This speed was enough to beat both Pang Zailin and Liu Yong.

Why two people?Because she paid attention, whether Chen Kelong or Cai Dongfan, the two of them were in a daze the whole time, and they didn't know what messed up they were thinking, otherwise they would be in a daze.

Then, after noticing the dazed and stunned expressions of Chen Kelong and Mi Huan, she knew that there was nothing wrong with Zhou Cheng's operations.

She doesn't know Cai Dongfan, but Chen Kelong is the director of the Second Department of Orthopedics, and Mi Huan is the chief director of the Department of Orthopedics. Does she know?

Otherwise, according to the routine, if Zhou Cheng dared to mess around at such a young age, and messed up so fast, Mi Huan and Chen Kelong would have lost their temper and kicked such a young man out of the operating room long ago. !
The equipment nurse who just worked with Zhou Cheng was at the side at the moment, looking at Zhou Cheng bewilderedly.

She never expected that the young man she understood to be soy sauce was quite handsome, so he should be a good guy.

Now he has become the backbone of this operation, it's fine that Chen Kelong is helping him.Even Mi Huan, the head of the orthopedics department, looked at Zhou Cheng blankly, as if this was just a solo show.

This is Chen Kelong and Mi Huan.

Don't you always go to these two directors for orthopedic problems in the hospital?
Now?

Who is this?
What happened to this?
Where is this man from?
This young man is so diao?

A lot of questions came up, but she didn't dare to ask, and she didn't dare to speak when her legs were a little numb.

Xun Xun next to him suddenly took weary steps and said, "I'll prescribe a thread for you first. The stock in the operating room is not enough. I'll go to the warehouse to get it."

"Okay, thank you, don't worry too much!" Zhou Cheng continued to sew, but said very calmly.

The itinerant nurse complained: You liar, are you still in a hurry?
If you count the sutures used to suture the wound and tendon before, this is the No. 17 suture you sutured, you animal, tell me you are not in a hurry at this time?
The others also looked at each other in dismay.

But dare not speak.

……

After the roving nurse put the sutures on the stage, she finally walked in from the warehouse and brought enough blood vessels and nerve sutures!I just wanted to find a place to sit against the wall.

Zhou Cheng shouted again here: "Teacher Tour, take another skin suture, three 0 antibacterial Vicryl will do it!"

The itinerant nurse was anxious at the time: Are you in a hurry?I just took a break when you called me again.

But he immediately said, "I'm coming to the stage right away."

Then he stood up again and handed the sutures to Zhou Cheng.

But Zhou Cheng didn't seem to want a seam line, but looked at Cai Dongfan and Chen Kelong who were in a daze: "Ms. Cai, Director Chen, can you sew up the skin? I want to deal with the severed palm first."

Suturing the skin is a relatively simple operation!

Zhou Cheng can definitely continue to do it by himself, but it is a waste of time.

When Chen Kelong heard this, he nodded immediately: "Yes, Director Cai, you can go and deal with the severed palm with Dr. Zhou. Director Mi and I will sew these two fingers together."

Chen Kelong immediately realized the purpose of his appearance-a stitcher.

Although Mi Huan licked his mouth, he really wanted to say, otherwise I would not sew it up and let Chen Kelong sew it up alone.

But he didn't even bother to speak.

On the other side, Zhou Cheng started talking directly: "Teacher Tour, open five more tendon sutures."

"Four blood vessel sutures!" Zhou Cheng didn't bother to talk about the specifications of the sutures, so he just talked about the purpose of the sutures. He believed that he had shouted so many times that the patrol nurse could understand the sutures he wanted model.

The itinerant nurse was really in tears.

No hurry, you liar.

Oh man.

So after handing over the last suture, she took the time to run out of the operating room and found the head nurse.

"Head nurse, can you get someone to help me?"

As soon as the head nurse saw that her own person came in crying, she immediately stood up from the chair, rolled up her sleeves, and cursed: "Lan Ling, what's the matter with you? Who doesn't have eyesight bullied you, come with me! "

The itinerant nurse who is paired with Zhou Cheng is Lan Ling, whose name is a bit nice, usually very agile, cute, and obedient, basically all the superiors prefer to wash hands and itinerant nurses.

This time, Tan Yuanwu's operation was very important, so the head nurse sent her to the operating room!
However, such a well-behaved nurse has been bullied, and the nursing team and the doctor team are not in the same system. If she can't tell the truth, she will fight to the end. At worst, she will call the nursing department and the medical department to quarrel. !

Lan Ling saw the head nurse's vicious defense, and hurriedly said: "It's not that they bullied me, it's that the chief surgeon operated too fast, and I couldn't keep up with his operation rhythm!"

"Head nurse, I have been running all the way since I came to the stage, and three people can't handle washing their hands. They have to transfer equipment all the time. Please send me another person, I beg you."

After Lan Ling finished speaking, he turned around and ran back, and said, "Head nurse, you must remember to call someone."

The head nurse looked at the schedule and found that today's nurses had already been dispatched, and there were four nurses in the operating room where Lan Ling was.

She didn't believe it anymore, so she rushed over to see what the hell Mi Huan and Chen Kelong were doing.

"Teacher on tour, bring two antimicrobial microjob sutures!" The head nurse just walked in when she heard a shout.

Shi Yijia then saw that Lan Ling was not in the operating room, and after looking around, it seemed that no one had a hot temper, so he took the initiative to take the conversation and said, "I'll be here soon."

As the head nurse, Shi Yijia clearly stipulated that sutures and various surgical supplies should be sorted and placed, so he quickly found antibacterial micro-job sutures and put them on the operating table.

After Zhou Cheng saw the sutures of the antimicrobial micro Joe, he saw that Cai Dongfan was still there and hadn't finished suturing the skin incision on his middle finger!
But Zhou Cheng didn't intend to wait any longer, and continued to shout: "Teacher Tour, please open the hemostat for me!"

Zhou Cheng completed the suturing of the blood vessels and nerves of the severed middle finger and ring finger. What can be checked during the operation is the state of blood supply.

"Prescribe another [-]ml syringe and bring it to the stage." Zhou Cheng ordered again.

Shi Yijia frowned at that time, you called so fast, urging your life?Itinerant nurses are machines, not humans, right?
But considering that the person being operated on is Tan Yuanwu, she endured it.

Lan Ling also went to open the syringe immediately, and responded in his mouth: "The five-milliliter syringe has arrived."

Zhou Cheng took it with one hand, and directly poked the middle finger of Tan Yuanwu's left hand and the distal end of the ring finger a few times. If the blood vessels were anastomosed well, the current incision would bleed, and the broken end of the wound would There may be bleeding, but it won't come out.

The blood pressure in the arteries is very high. If there is a hole that is not sutured properly, it will be bleeding.

Only then did Shi Yijia quickly loosen the hemostatic belt, and the blood supply to the upper limbs was restored.

Then Zhou Chengcheng saw bright red blood slowly coming out from the fingertips. This was the bleeding in the capillary network, and the amount was extremely small.

But that's enough.

Surgeons are mostly men, and it is very popular to poke blood.

"Perfect!" Chen Kelong saw this scene, then looked at the small amount of blood oozing from the stump, and sighed, licking his tongue.

Mi Huan also stood on tiptoe to look at the two severed fingers that Zhou Cheng attached, rolled his eyes several times, and finally couldn't find a suitable word, so he could only say: "Yeah, it looks very comfortable. "

After this, Zhou Cheng didn't want to be idle, but said again: "Director Chen, can you please help me sew up the skin of the severed palm? I will learn how to replant the severed palm from Director Pang."

Apparently, after Zhou Cheng finished the severed palm, he stopped suturing the skin and started thinking about the opposite side.

When Pang Zailin heard this, his brows twitched immediately!

Pang Zailin hurriedly squeezed his face into the shape of a chrysanthemum, and laughed together: "Director Mi, Director Chen, let me sew it up. Come over and deal with the severed palm with Teacher Zhou, is that okay?"

Get out of the way!

Replantation of amputated fingers is less complex than replantation of amputated palms, but the survival rate of replanted amputated fingers is not necessarily higher than that of replanted amputated palms!
Zhou Cheng has dealt with the opposite side so quickly, and now that he is going to fight over, he is happy to be free.

He no longer intends to compare with Zhou Cheng. The two directors of his hospital have confessed to being cowardly. What else can he not let go of?
After Pang Zailin stepped out of the way, Mi Huan also said with great confidence: "Xiao Zhou, you come to the chief surgeon position, and I, the third class, will cooperate with you in the operation. Now we are fighting for time, and we cooperate with you in all operations. "

Mi Huan was talking.

Next to him, Chen Kelong carefully handed to Zhou Cheng the tweezers and needle holder he had just picked up for microsuture, and then he took the initiative to pull the tendon to Zhou Cheng.

Zhou Cheng glanced at Mi Huan, nodded without any hesitation, and said, "Thank you, Director Mi."

"Teacher Tour, please open five more tendon sutures." After Zhou Cheng took over, he immediately turned on the motor mode again.

The perfect tendon suture gave Zhou Cheng endless confidence. The severed finger and palm on the opposite side were just a small test.

There were five at once, and Shi Yijia sounded like she frowned slightly, and was about to speak when Lan Zhu stopped her.

He whispered: "Head nurse, the chief surgeon is very powerful. At most, he opened twelve sutures at once, just to save time!"

"Director Tan is only short of time, and not short of money for a few sutures."

A suture costs tens of dollars, which is probably not bad for ordinary people.

After hearing this, Shi Yijia also felt a little better.

All the sutures requested by Zhou Cheng were put on the stage one by one.

Previously, Chen Kelong and Mi Huan only replanted the broken palm to achieve bone reconstruction, so only one tendon was sutured.It was still sewed according to Zhou Cheng's thinking.

But it can't be said that Mi Huan's operation was particularly slow. There are five fixed bones in the severed palm, so this speed is actually quite normal.It's just that compared with Zhou Cheng's replantation of two severed fingers, it's not enough.

Zhou Cheng has already mastered the anatomy of his palms. He had the top-level anatomical structure of his limbs a long time ago, so he is also very proficient in dealing with tendon stumps!
Because the severed palm was located near the mouth of the tiger, in addition to the flexor muscles of the fingers, there were also ruptures of the abductor pollicis brevis, oppal palmaris, and flexor hallucis longus tendons!
The tendon of the palm is thicker than the tendon of the fingers, and it is easier to suture the thick tendon than the thinner tendon!
And because the tendon is relatively thick, the position is relatively fixed when it comes to identification. Mi Huan has been in hand surgery for so many years, so it is no problem to find the tendon stump. With Mi Huan's assistance, Zhou Cheng's suture speed , it will be a little faster.

Shout out to suture needles, run out again soon!
Zhou Cheng was in charge of knotting, and Mi Huan was in charge of cutting the thread, but in the process of cutting the thread with the thread scissors, Mi Huanrao felt a little nervous despite his age.

So many ruptured tendons were stitched together in such a short period of time. Will there really be no problems after the operation?Can you afford the toss of postoperative recovery?
However, Zhou Cheng participated in the whole process of suturing, all of which were modified Kessler tendon sutures, which is basically the best method of tendon sutures currently recognized clinically. If such sutures cannot achieve the effect of postoperative rehabilitation training , other suturing techniques can not be achieved.

The standard stitching method, one stitch at a time, seems to be nothing to worry about.

With Zhou Cheng's quick hands and feet, and the cooperation of someone who really understands it, it took only 10 minutes to suture the tendon.

In Mi Huan's eyes, this was simply a miracle, but Zhou Cheng completed the replantation of two severed fingers in less than half an hour, isn't it a miracle?

Zhou Cheng is only in his 20s now, and he looks like the old professor Mi Huan knew. Isn't this a miracle?

Since he chose to believe in miracles, he believed in them to the end, so Mi Huan didn't beep too much.

It's just that while watching Zhou Cheng stitching, he wanted to learn some tricks!

It's just that he feels regretfully that Zhou Cheng's stitches don't have any profound and unpredictable skills, they're just the most basic stitches, and it's just that Zhou Cheng has raised the speed to an incredible level!
This is also beyond Mi Huan's imagination.

Of course, Mi Huan couldn't have imagined that the reason why Zhou Cheng's amputated limb replantation could be perfect was all based on basic skills.

Moreover, there is no so-called absolute perfection in replantation of severed limbs!

"Itinerant teacher, open blood vessel sutures and nerve sutures!"

After the tendon is treated, the nerves and blood vessels are still sutured. The surgical principles and theories of severed finger replantation are so simple and crude.

However, to do it well is a matter of skill!

"Xiao Zhou, why don't we sew them separately? See if we can save a little time?" Mi Huan suggested after all the sutures of blood vessels and nerves were opened on the operating table.

Mi Huan's hands were itchy to see this.

"Okay, Director Mi, then I'll be in charge of the ulnar side, and you'll be in charge of the radial side?" Zhou Cheng nodded back.

Hearing what Zhou Cheng and Mi Huan said, Chen Kelong rolled his eyes immediately, and muttered to himself, Director Mi?

Why are you doing this?

an age.

What kind of abuse are you deliberately looking for?
Are you afraid that your own level will not be able to form a sharp contrast with Zhou Cheng, and you deliberately let us see how awesome Zhou Cheng's level is?
Mi Huan nodded and said, "Okay! I must be slower than you in stitching. You don't need to tell me when you're done stitching, just ask me to step aside. Everything we do now is just to hurry up. "

Then Mi Huan saw that Zhou Cheng pulled the broken ends of the blood vessels together as if eating with chopsticks, and then called Cai Dongfan to help him fix it temporarily, and he started to sew.

Mi Huan definitely couldn't do it as quickly as Zhou Cheng, but he also had his own experience in dealing with blood vessels, so after Zhou Cheng had almost finished suturing the first blood vessel, he pulled the broken ends of the blood vessel together, and then Honestly began to sew up.

It's like an old machine that works step by step.

And if Mi Huan is a step-by-step old machine, then Zhou Chengcheng is a super motor of the new era, and he is simply not human!

When Mi Huan started looking for the third blood vessel, Zhou Cheng finished suturing up the nerve!

Then Zhou Cheng didn't really drive Mi Huan away, but took the initiative to help him pull the broken end of the blood vessel to the proper position for suturing, and said, "Director Mi, let me help you!"

The gentle tone is almost like an old professor teaching students.

Mi Huan is 58 this year, and he can still put down his face and take the initiative to help. He is a righteous person, and Zhou Cheng doesn't mind teaching him a little more.

Now Tan Yuanwu's surgery is coming to an end anyway!
Mi Huan squeezed his hands, nodded and said, "Okay! I'll start sewing."

The tone was calm, and it sounded a little shameless, but there was also a trace of relief in this tone.

Mi Huan let go of something in his heart, he was heading towards another direction and mountain, trying to climb up.

A person lives for a lifetime, and the vegetation is for fall.

Seeing this scene, Chen Kelong and Cai Dongfan took a few steps back, glanced at each other, and chatted in low voices.

Lan Zhu and Shi Yijia just felt that the man finally stopped urging his life, so they can take a break!
Who the hell is he?Looks very young.

Mi Huan is the director of the Department of Orthopedics, and Chen Kelong, who is in the Second Department of Orthopedics, is strictly speaking Mi Huan's student.

One old and one young.

It was supposed to be the old leading the young, but now it's the other way around.

Now this scene looks very strange.

Shi Yijia eased his sore hands, lowered his voice and asked, "Lan Ling, who is this person? Why haven't I heard of it before?"

"I don't know either. It seems to be Director Cai's student invited by Tan Yuanwu from the orthopedics department. His name is Zhou Cheng or something. Anyway, Director Chen and Director Cai call him Xiao Zhou." Lan Zhu recalled and said.

Cai Dongfan's student?

Shi Yijia was stunned after listening.

Can this still be the appearance and strength that a student should have?

……

With Zhou Cheng's help, Mi Huan sewed up three blood vessels and one nerve, and put down the needle and thread sensibly.

Said: "Xiao Zhou, you can do the rest, my eyes are a little tired."

In fact, Mi Huan was not tired. With Zhou Cheng as a good assistant, he performed the operation very easily. He just felt that it was time for him to give up his position!
Today's operation must race against time. He can't just let his brothers in his department be the test subjects just because he wants to learn. This is not appropriate.

It is already very difficult to have a few suture opportunities.

With a thought on his mind, Zhou Cheng had a little more respect and admiration for Mi Huan: "Okay, Director Mi. Then take a rest."

So I took the operation again, and then it took another 10 minutes to complete all the operations!

When the blood supply after the replantation of the right hand palm was checked again, the effect was quite good.

This proves that although Mi Huan's operation is slow, his foundation is still very solid, and he behaves like he does things.

"The operation is over, brother Xiang, you can stop the anesthesia." Chen Kelong looked at the blood stains on the five fingers of his right hand and said to the anesthesiologist very satisfied.

The anesthetist froze for a moment and said, "Ah? Is this the end?"

"Well, Doctor Zhou is awesome." Chen Kelong explained.

"Okay, then I'll wake up the patient right away. Should Director Qin be transferred to your ward or to the ICU?" the anesthesiologist asked quickly.

Tan Yuanwu's injury was not fatal, the most important thing was recovery.

But, logically speaking, Mi Huan is the director of the first department of orthopedics, but also an employee of the second department of orthopedics.

Tan Yuanwu entered the operating room through the emergency channel and did not pass through the ward, so it was not easy for him to directly decide where Tan Yuanwu would go back.

"Let's send it to the Second Department of Orthopedics, Ke Long, take good care of Tan Yuanwu, and take care of him carefully." Mi Huan took the initiative.

Chen Kelong thought for a while, and said: "Then let us go to our department first. Teacher Zhu, then let's step down first, and go eat something together later."

The anesthetist Zhu replied, "What are you eating? You can go when you're done. I'm still on duty. Who knows if there will be any surgery down here?"

"Eat and drink by yourself, and drink together next time."

He was on duty today. After the director administered anesthesia, he saw that there was nothing special, so he went to another operating room.

"That's fine. Teacher Zhu has worked hard." Chen Kelong said so.

Qin Yuanwu finally spoke at this moment: "Director Cai, Dr. Zhou, is my operation over? Thank you."

"Well, Yuan Wu, it's over."

Chen Kelong patted Tan Yuanwu's shoulder, and said firmly, "You must thank Director Cai and Dr. Zhou well. If it wasn't for them, your hands would probably be useless."

"However, after this operation, I guess if you recover well, it is not impossible for you to go back to the department and continue working."

"So, for such a great kindness, I can't thank you enough."

Chen Kelong said so solemnly.

Qin Yuanwu was silent.

He heard everything that happened during the operation. Although there were many doubts at the time, they were all suppressed in his heart.As a patient, you can't interfere with the surgeon's thinking and surgical design. Since you choose to believe, then believe to the end.

However, Tan Yuanwu did not expect that he was just a dead horse who had no choice but to be a living horse doctor, but became a living horse among living horses.

He said: "Director Cai, Dr. Zhou, after I am discharged from the hospital, I will definitely come to the door to thank you in person as soon as possible. The kindness is beyond words. I, Tan Yuanwu, will keep it in mind."

Cai Dongfan said: "Yuan Wu, take a good rest, recover well, and don't think about other things. The days will be long, so let's talk slowly."

When he heard this, Zhou Chengcai suddenly said again: "Ms. Cai, Director Chen, why don't you transfer Mrs. Qin to our department? There are still some special points about the guidance of postoperative recovery process. It is best to face-to-face assessment.”

"Also, is there any Spett here?"

"Speight?"

"Yes." Chen Kelong nodded immediately.

"Does Doctor Zhou want it? Is it for Yuan Wu?"

Zhou Cheng nodded: "The lubricating effect of sodium hyaluronate, used after the finger tendons are sutured, will have a miraculous effect on the recovery process. But there is no literature evidence to support it."

He didn't say it before, because this thing has not been recognized yet, and it has not been used for promotion.

However, Zhou Cheng knew.

Chen Kelong and Mi Huan frowned slightly.Immediately ordered someone to fetch it.

Zhou Cheng's operation is so good, he must not be talking nonsense.

Well, it turns out that postoperative recovery still needs special guidance, and there are other drugs that are useful for postoperative recovery.

You planned not to say it at first.

It's as stable as a dog.

He looked at Zhou Cheng, then at Cai Dongfan, and finally said meaningfully: "Director Cai, you student is really amazing!"

Thumbs up.

Cai Dongfan smiled honestly.

The mood improved a lot, and he said modestly: "It's okay, it's okay, I need Director Mi and Director Chen to take care of you seniors in the future."

Mi Huan and Chen Kelong's faces darkened slightly.

　I have something to do today, just one update.

　　
　
(End of this chapter)