medical simulator

Chapter 159 Unbelievable show! (Please subscribe!)

Zeng Yi's words brought Zhou Cheng back to reality, so he kept silent.

Ability can determine how much you do, but in fact, identity is the root of what you do.

I came to the operating room by myself because I was invited by Yang Yifeng to perform angiotomy and thrombectomy, that is, limb salvage.I should have left after this matter was completed. This is my duty, and it is also the business scope of asking for help.

It's just that I stayed for a while wishful thinking, and now I can do more tendon sutures and nerve sutures, but this part is Chen Tingye's humility. To put it more bluntly, it is a reward.

Zhou Cheng is only a resident doctor now, and it is unusual for Cai Dongfan to get Cai Dongfan's attention, and he can mischievously take on extra things to do.

But in fact, in the eyes of Yan Haihan and others, Zhou Cheng is just an outsider, if he is still mischievous around them, it is not called escape, but troublesome.

It is true that Zhou Cheng can replant severed limbs himself, and he does it extremely well.

But now Zhou Cheng not only represents Zhou Cheng himself, he represents Cai Dongfan in front of Yan Hanhan and Zeng Yi.

Now in front of him is Professor Chen Tingye from the Affiliated Hospital of Shonan University, a top professor of hand surgery in the province, so besides representing himself, Zhou Cheng is also called the junior doctor of Zeng Yi and Li Changhong by the way.

This is Zhou Cheng's current identity.

An adult's self-knowledge and maturity, to a large extent, depends on whether he does things recklessly, and reckless actions, in addition to beating and hurting people in a hurry, more depends on whether the things he does correspond to his own identity .

Instead of a mature and stable appearance on the surface, which can be pretended.

Therefore, Zhou Cheng knew very well that what he said actually represented Zeng Yi and the others to a certain extent.

At least Chen Tingye thinks so. If he puts his own strength on Zeng Yi and the others, some misunderstandings will inevitably occur, just like the previous Professor Ding Changle misunderstood Cai Dongfan.

Later, Cai Dongfan explained to him in detail the misunderstanding between him and Ding Changle, and the misunderstanding that Ding Changle had with Zhou Cheng before.

Zhou Cheng will not commit the same misunderstanding and incident twice in a row.

Seeing that Zhou Cheng kept his mouth shut and stopped talking, Yang Yifeng sighed instantly, as if he saw something exciting in the novel, and the author actually broke the chapter, he couldn't get up and down, it was very uncomfortable.

Obviously wanting to know the following, but the next day I found out that the author is a eunuch!

Of course, Zhou Cheng is a free man, he has the right to choose what to say or not to say.

Yang Yifeng is not Zeng Yi either, Zeng Yi is the chief director of orthopedics, he can shut up Zhou Cheng with one word, but it is impossible for Yang Yifeng to make Zhou Cheng speak again with one word.

The same is true for Chen Tingye.

With the title of professor of Shonan University and vice-chairman of hand surgery, it is extremely useful when facing many directors. level one.

But it is not so easy to use, and Chen Tingye can't force Zhou Cheng to finish the rest, but he just feels quite regretful.

It's a pity that a rather intense academic collision and spark was about to happen just now, so it was cut off like this.

But the days to come are still long, if Zhou Cheng and Yang Yifeng are interested, they can organize another round.

Don't be in a hurry at this time.

Yang Yifeng's question is very exciting.

There is an old saying that what is difficult is asking questions, not the answers to them.Being able to ask subtle questions means that Yang Yifeng has a solid foundation.

However, after asking a good question, Zhou Cheng only had time to answer half of it, and this answer was interrupted by Zeng Yi.

The two continued to look at Zhou Cheng, and found that Zhou Cheng just continued to suture the perineurium silently!

Chen Tingye stopped being lazy, and continued to start his own work.

Zhou Cheng knows how to operate, and he also knows how to do it. He even feels that he can do it more delicately, so he doesn't have much thought to focus on Zhou Cheng's operation itself.

In his current state, what is more important is the collision of thinking and the improvement of cognition.Simple skills can be said to be close to the end, and are of little use.

Yang Yifeng watched Zhou Cheng and Chen Tingye's suturing for a while, and lost interest in watching it any longer, so he turned around and wondered why Zhou Cheng would say that he could start functional exercises five days after the operation.

You must know that modern medicine is reasonable. If you just say it so casually, it proves that you haven't figured it out yet.

The internal logic hidden under the deep layer is actually the most attractive.

The tip of the iceberg, what people see is the brilliant corner, but Yang Yifeng is more interested in exploring and understanding the iceberg itself. As for the corner, it is just a feast for the eyes.

Wang Yaoxiang ate melons the whole time, looked around Zhou Cheng and Chen Tingye were doing nerve suturing, turned to help Chen Tingye, and then exchanged Chen Tingye's assistant for Zhou Cheng's side.

Obviously, he is more willing to observe Chen Tingye's nerve suture operation, and constantly figure out the details of his operation.

……

On the other side, Zeng Yi saw that Yang Yifeng turned around and walked back after he finished speaking, while Chen Tingye immediately shut up, not even reading the following polite words.

Zeng Yi was prepared in his heart, Chen Tingye's problem is, it's just that everyone communicates casually, Director Zeng, you don't have to do anything.

He had prepared the answer, but Professor Chen Tingye didn't ask, so he was angry?

Zeng Yi's heart was flickering.

In the field of medicine, whether it is a professor or an expert, there is no superior-subordinate relationship between them. The reason why we hope to establish a good relationship with the higher-level hospital is to facilitate the turnover of patients, or when encountering medical disputes. Find the professor who came to solve the problem!

The second meaning is that if you have a good relationship with the professors in the higher-level hospital, when you go to study, you can make arrangements for you with just a greeting.

The third meaning is that when the higher-level hospital has a request for support to go to the countryside, it can think of you as soon as possible, and come to teach surgery for a period of time.

However, Zeng Yi reflected on his decision for a while, and it was still right.

If it was really misunderstood by Chen Tingye, and he and others did what Zhou Cheng said, and believed it to be true, then that would be a bigger trouble, why not cut it off from the source!

By cutting off like this, it is natural to understand the relationship between myself and Zhou Cheng, we play our own way.

There is actually no better way for Zeng Yi to make such a decision, and if Zhou Cheng doesn't take the initiative to play with him, then even if he praises Zhou Cheng, won't he be the one who hurts himself in the end?

……

The essence of nerve suture is the suture of epineurium and perineurium.

After suturing, it needs to be wrapped and put into the prepared vascular bed to restore the original anatomical position of the nerve.And if there is shortening, it needs to be treated separately. The nerve of this patient has not been cut too much, so no additional special treatment is needed.

In this way, three of the four major pieces of replantation of severed limbs have been completed.

Four major parts, bones, blood vessels, nerves, and tendons.Only bone fixation remains, not complete.

There are skin sutures that are not suitable for this patient.

Because there were too many skin defects, the subsequent skin flap transplantation could not escape.

Of course, if you don't pay attention to it, you can directly do this treatment on the tendon now. As long as the fingers can move after the operation, the operation will be considered complete.This is stepping down, and you can explain to the patients and their families.

The fixation of the external fixation bracket allows Wang Yaoxiang to play, coupled with the VAC external fixation at the back, it is easy to find a resident doctor.

However, Chen Tingye is obviously not the one who underwent surgery to step down.

When he finished the nerve suturing, Zhou Cheng had already sat on the stool and waited for him for a few minutes, resting with his eyes closed.It looked a bit distracted, but Zhou Cheng was really closing his eyes and resting his mind.

Chen Tingye then asked: "Xiao Zhou, do you still have the strength to rebuild the muscle insertion in the back? Do you want to step down and take a rest?"

Muscle suturing, tendon reconstruction, only represents the existence of continuity.

Those who have learned the lever theorem will know that different fulcrums, different degrees of labor saving, and different arcs of motion.

And if multiple stop points and out-of-shape are involved, the fulcrum is different, and the trajectory of the movement will be very different!

Therefore, the reconstruction of muscle starting and ending points is particularly important in the replantation of amputated limbs, especially in the replantation of amputated limbs with mixed injuries.

There is no damage, there is no damage to the starting and ending points of the muscle, but the continuity is broken, so it will be fine if it is stitched.But with damage, the difficulty of replanting a severed limb has increased exponentially!

Zhou Cheng mentioned this before, so Chen Tingye knew that Zhou Cheng was a person who had a deep understanding of the replantation of severed limbs, and he would feel comfortable communicating with people who knew how to do it.

It's like, when people order takeaway, they like to order extra spicy egg tarts, that's their freedom.You stole other people's takeaway, and your own mouth has problems eating it, that is the consequence of your stealing.

That's the truth, but how bad is it when you meet someone who doesn't make sense?
When a scholar meets a soldier, there is a reason why he can't explain it clearly. This is the reason.

Zhou Cheng raised his eyelids a little, and said with a smile, "Professor Chen, no, I feel fine."

At the same time, he stood up, spread his arms around his chest, and returned to the operating table.

Then Chen Tingye looked at Wang Yaoxiang, rolled his eyes a few times, and said, "Doctor Wang, why don't you go to the opposite side to help Director Zeng and Director Li? It's enough for me and Xiao Zhou. "

Wang Yaoxiang immediately suffered [-] points of real damage from the critical strike!
Holy crap, even if there is a difference in the titles between Xiao Zhou and Dr. Wang, you still want to drive me away?
But the head nodded honestly: "Okay, Professor Chen."

Then he left silently with the resident doctor next to him. Chen Tingye is a professor, and he is a professor of an outer hospital. He has the absolute right to choose who to play with and who not to play with. If you disagree, he will stop taking everyone.

After Chen Tingye cleared away other obstacles, he and Zhou Cheng put on the 'miner' glasses respectively, and began to carefully arrange the muscles after debridement.

Muscle damage exists, and the necrotic tissue that should be cut has been cut.

Some of the broken ones were only stitched together, but the shape was very disordered, and some muscles were torn off and not connected.

Therefore, the fixation of the starting and ending points of the muscles is very particular, and if it is slightly wrong, it will be fatal to the recovery of postoperative function.

There are several major thresholds for the evaluation of severed finger replantation.

Whether he can live, not to mention the replantation of severed limbs.

Whether it has function or not, don't mention that you are a hand surgeon, and you are doing replantation of severed fingers.

There is functional restoration, counted in the door.How much has been recovered, goodbye Zhenzhang.

Chen Tingye took a deep breath immediately, and said confidently to Zhou Cheng: "Xiao Zhou, the first thing we recovered was the insertion point of the brachioradialis..."

The suture of amputated limb replantation can be done by doctors in many prefecture-level cities nowadays, and it can be done. The only difference is whether the suture is good or not, but it is not an advanced technology. How to retain more functions needs to be paid attention to. There are actually many details.

The reason why Chen Tingye dared to take charge of replantation of amputated limbs in a province was because he knew many tricks, and now is the time for him to perform.

The anatomy of the muscles is divided into the starting point and the ending point, and the shape is in the middle.

The anatomy of the muscles determines the range of activity and the trajectory of the contraction, so Zhou Cheng and Zhou Cheng only need to talk about where to do it.

Hearing this, Zhou Cheng nodded and found the brachioradialis muscle.

And because the position of the injury is at the transition between the elbow and the forearm, there is no starting point of the brachioradialis, only the insertion point needs to be dealt with.

Zhou Cheng carefully used the vascular forceps to carefully observe the remaining brachioradialis muscle, and then looked at Chen Tingye holding the Kirschner wire with a slightly depressed look.

Zhou Cheng whispered, "Professor Chen, we don't have rivets here."

The best tool for rebuilding the starting and ending points of muscles is to fix them with rivets. However, that thing is the main weapon of sports medicine. In the Eighth Hospital, a place where sports medicine has not yet opened, this thing cannot be found.

Chen Tingye asked the itinerant nurse, and after confirming whether there was one, his expression became tangled, and he sighed: "Then use the traditional method."

Make bricks without straw.

What's the use.

Zhou Chengcheng took the initiative to open the insertion point of the brachioradialis at an angle to the original outer side.

Seeing this, Chen Tingye was slightly taken aback, and then lowered his voice and said, "The insertion point of the brachioradialis muscle can be slightly drawn inward. Although it inserts on the outer side of the radial styloid process, it doesn't need to be so outward."

The brachioradialis originates from the proximal 1/3 of the upper border of the lateral epicondyle of the humerus, at the lateral muscle septum.Inserts laterally on the base of the radial styloid process.This is its anatomy.

Chen Tingye thought that Zhou Cheng didn't quite understand.

Zhou Cheng slightly turned the proximal end of the elbow joint, where the radial canal was located, and said in a low voice, "Professor Chen, there is a radial nerve in the radial canal."

"The inner wall of the radial canal is the brachialis muscle, and the outer wall is the brachioradialis muscle."

"The muscle fiber bridge of the brachioradialis obliquely spans the surface of the brachialis and the brachioradialis, which can strengthen the action of the brachialis and the brachioradialis in elbow flexion. It can limit the lateral sliding of the brachioradialis when flexing the elbow, and it can also cooperate with the brachioradialis. elbow flexion and tensions the deep fascia of the forearm, similar to the action of the biceps aponeurosis."

Zhou Cheng stopped short. He believed that Chen Tingye must have understood what he meant.

Chen Tingye was slightly taken aback——

Zhou Cheng's reminder reminded him of a detailed problem.

The radial canal is the channel of the radial nerve. When the elbow joint is swollen or the supracondylar fracture occurs, the normal position of the radial canal changes. The brachioradialis muscle fiber bridge can limit the displacement of the brachioradialis and brachialis muscles, and at the same time limit the lower end of the radial canal. Dilation, leading to increased pressure in the radial canal, if this change cannot be prevented, flexed canal syndrome will appear.

Therefore, in the treatment of swelling of the elbow joint and supracondylar fracture of the humerus, methods such as dehydration and braking should be performed to reduce the pressure in the radial canal.When performing radial nerve release in the radial canal, the fiber bridge should be incised first to expose the radial nerve and its branches.

7% of the radial nerve and the brachioradialis muscle fiber bridge are not directly affixed, and 3% are directly affixed, which shows that the possibility of the brachioradialis muscle fiber bridge compressing the radial nerve is an anatomical factor, which is one of the causes of radial tunnel syndrome, but in most cases It will not directly compress, and it is the potential or direct cause of radial tunnel syndrome under pathological conditions such as swelling and fracture.

Although this detail seems to be purely about the formation of radial canal syndrome, in fact, if you look at it the other way around, if the brachioradialis is displaced, it will also lead to an increase in the pressure in the radial canal.

Therefore, Zhou Cheng now moves the insertion point of the brachioradialis more outward, is it to avoid similar symptoms?
Chen Tingye's scalp suddenly became numb.

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

The more you know, the more rewarding you will feel when you chat with people who know what you know.Zhou Cheng's knowledge and understanding has gradually gone beyond the scope of anatomy, but has taken the whole into consideration.

And these ideas are obviously problems that no one would have noticed in the field of replantation of severed limbs before.

How did Zhou Cheng think of it?
Sudden idea, or already know?
Can he expect this patient to be injured, and he just knows that the muscle insertion point of the brachioradialis is damaged?So do your homework in advance?
Absolutely impossible!
Chen Tingye is a firm believer in materialism. He absolutely does not believe in this kind of fantasy thinking, so it can only be a solution that Zhou Cheng came up with on the spot.

Chen Tingye's eyes and forehead lines were wrinkled for a while, and stretched for a while, which was very wonderful.

Zhou Chengcheng thought that Chen Tingye didn't believe it, so he stepped back and said, "Professor Chen, after we can temporarily fix it later, let's do a contraction test of the brachioradialis muscle."

"The distal end of the radial nerve has already been sutured, so the proximal end should not be compressed!"

"And we're going to sever the fiber bridges of the brachioradialis!"

Chen Tingye was startled when he heard the words, and after a strange color flashed in his pupils, his tone became normal, and he said, "Okay, it makes sense, I'll reset and fix it!"

Chen Tingye quickly figured it out, and stopped pushing him on the spot.

It's just that he feels that there must be a lot to chat with Zhou Cheng in the future. There are too many questions and exchanges, and if they spread out, they won't be able to finish talking in a few days and nights, so he can only talk about it another day.

Just do things today.

Therefore, in the eyes of outsiders, Zhou Cheng and Chen Tingye simply discussed simple anatomical knowledge, so they didn't pay much attention to it. Even Yang Yifeng, because he didn't look here with his own eyes, couldn't react. .

Zhou Cheng and Chen Tingye's matchup this time will actually cause an academic shock, or an academic feast!
Although it is a damaged injury, in fact, there are not many muscles that need to rebuild the insertion point!
There are three in total, the brachioradialis, brachialis, and pronator teres, the three main elbow flexors and the insertion point of the triceps.

And Chen Tingye's surgery was also very fast. When he finished the muscle stop, Zeng Yi and Li Changhong, who were opposite him, completed the muscle suture!
Although it was turned in the midfield, in fact, the reconstruction of the insertion point is much more difficult and complicated than the suturing of the muscles, and there are many factors to be considered.

During this period, Chen Tingye asked Zhou Cheng another question, that is, why should the brachioradialis be fixed first instead of the brachioradialis first? The brachialis is still under the brachioradialis, won’t it block it?

Zhou Cheng gave a simple answer, which made Chen Tingye stunned at the time. He hasn't come over until now. Zhou Cheng would consider so many factors in such a short time.

These factors are details that he usually does not notice.

After this, Chen Tingye immediately led Zhou Cheng to fight on the other side, and because of the cooperation experience on the previous side, both of them tacitly started the suture of the nerve and the reconstruction of the muscle insertion point!

As for Zeng Yi and Li Changhong, they were driven to the opposite side for external fixation with external fixation brackets.

Time passed slowly, and soon it was six ten in the morning.

Zhou Cheng and Chen Tingye finally completed the reconstruction of the muscle insertions on this side. The elbow joint on the right side was more severely damaged than the left side, so there were as many as five muscle insertions that needed to be rebuilt.

For each reconstruction, Zhou Cheng and Chen Tingye took many factors into consideration. During the operation, they used their eyes to 'communicate' with the vascular forceps!
If Zhou Cheng had an idea, he would use a vascular clamp to point out the location, while Chen Tingye would point out the most suitable location based on his own understanding.

If not, start a detailed discussion.

The reconstruction of these five tendon insertions ended with Zhou Cheng taking charge of four and Chen Tingye taking charge of one!
Zhou Cheng felt quite surprised, but he couldn't imagine why the insertion point of the tendon would be more reasonable than what Chen Tingye said?His tendon insertion reconstruction surgery is obviously a perfect level.

Logically speaking, Chen Tingye couldn't win even one game.

Zhou Cheng's expression was slightly troubled.

But Zhou Cheng's expression made Chen Tingye depressed. He patted Zhou Cheng's shoulder, bit his upper and lower lips together, and stared at Zhou Cheng, but Zhou Cheng still had a look of reminiscence in his eyes, and didn't speak. mean.

In the end, he asked Zhou Cheng speechlessly, "You can't figure it out, can you?"

Zhou Cheng hurriedly turned his head, as if surprised that Chen Tingye would talk to him.

Chen Tingye really understood, this week Cheng really dared to think, he just pointed out a mistake to him, and he still felt depressed.

Hey, brother, am I the professor or are you the professor?
I don't think I can figure it out yet. If you only have this city and a heart, you are really not suitable to be a doctor.

Zhou Cheng hurriedly explained: "Professor Chen, it's not that I don't understand, but I think that the reconstruction of the insertion point of the tendon you just mentioned should not be a conventional idea."

"If you can figure this out, it will be of great benefit in the future."

Zhou Cheng was telling the truth, and it was a good thing to get Chen Tingye's guidance and correction.

The perfect level in the simulated world is not always perfect, and it is definitely not the highest level. What Chen Tingye said just now may be a way to redefine the perfect level.

To redefine perfection, it takes a lot of work and a very clever idea.

Hearing Zhou Cheng's explanation, Chen Tingye felt much relieved: "It is a good thing to have the desire to learn, and it is extremely necessary to be open-minded. If you can't figure it out by yourself, you need more people to discuss and communicate."

"The three cobblers are better than Zhuge Liang, otherwise do you think academic exchanges are just for fun?"

"Forget it, I can't tell."

"Are you free now?" Chen Tingye and Zhou Cheng gradually walked to the recycling bin of sterile surgical gowns. Chen Tingye asked Zhou Cheng, obviously wanting to chat with him.

Then Yang Yifeng was so sleepy beside the operation timing panel that he fell down!

Chen Tingye thought to himself, Yang Yifeng is such a big-hearted kid, he thinks he is an out-and-out, irreplaceable genius?

However, Yang Yifeng is also quite pitiful.

As a major event in life, the death of both parents is doomed. If you can pass it, your life will be smooth.If you can't get over it, you will suffer for a lifetime.

What's more, Yang Yifeng's parents died, which is different from others.

Perhaps, it is best for him to live as chicly as he is now.Anyway, in a person's life, he only needs to dress, eat and live. Now, Yang Yifeng can achieve financial freedom by relying on his other efforts.

There is no need to die on the road of being a doctor.

but?
Chen Tingye knew Yang Yifeng, and knew how hard this lunatic worked!
Talent must account for 90.00% of his grades, but his previous efforts can already kill 100% of the efforts of two ordinary people!

Zhou Chengcheng glanced at Zeng Yi and the others, and said, "Professor Chen, go back and rest first. I'll wait for Director Zeng and the others to step down before leaving."

He knew that Chen Tingye had something to say, and he also had questions that he wanted to ask Chen Tingye for answers, but he couldn't leave.

Chen Tingye is Chen Tingye, and he is Zhou Cheng.

Zhou Cheng is Zhou Cheng, and now he is the regular trainer of the No. [-] Hospital. This point cannot be bypassed, and Zhou Cheng does not want to bypass it.

Chen Tingye nodded, so he patted Yang Yifeng awake and pulled him out of the operating room.

Zhou Cheng silently returned to the position where Yang Yifeng was sitting before, leaning his back against the wall, and fell into a deep sleep.

The snoring is not small!
Li Changhong used his eyes to signal Wang Yaoxiang to wake Zhou Cheng up and go back to sleep, but Zeng Yi said to the anesthesiologist, "Mr. Anesthesiologist, please add a back suit for him. This night, Xiao Zhou is in surgery, and he is probably exhausted." gone."

"Let him rest."

"When our surgery here is finished, I'll call their director and ask him to go back and rest."

In this operation, it can be said that the protagonists are Zhou Cheng and Chen Tingye. He and Li Changhong are not to say that the whole process is soy sauce, but the main operation is still done by Zhou Cheng and Chen Tingye.

It was already [-]:[-] when Zeng Yi and Li Changhong completed the operation.

The two finally breathed a sigh of relief, and then sent Li Changhong out to tell the family members that the operating room was lucky, but how much they can recover after the operation depends on luck.

When manpower is exhausted, it depends on whether the sky is beautiful.

Then, Zeng Yicai called and told Cai Dongfan about Zhou Cheng.

Unexpectedly, Cai Dongfan exploded when he heard Zeng Yi's words, and his expression became flustered: "Director Zeng, what are you talking about? Zhou Cheng performed another night of emergency surgery last night?"

"Where is he now? Is he okay?" He looked very concerned and anxious.

Listening to Zhou Cheng, Zeng Yi snored everywhere, so he put the phone close to Zhou Cheng's side, and after Cai Dongfan listened for a while, he said, "I'm just a little tired, didn't I just stay up all night, I see you are in a hurry."

Cai Dongfan happened to arrive at the gate of the second ward at this time, and while running out of the ward, he explained, "Director Zeng, it's really not me protecting him."

"Xiao Zhou and I went to Sha County No. [-] Hospital yesterday for two operations, one for limb salvage, one for bilateral replantation of amputated palms, and replantation of two severed fingers!"

"I didn't come back until almost eleven o'clock."

"This is all major surgery, not the kind of surgery with fast turnover of fractures, which is very exhausting."

Zeng Yi was taken aback when he heard Cai Dongfan's explanation.

Then, looking at Zhou Cheng's expression changed.

They, together with Professor Chen, worked on the replantation of a severed limb for nearly one night. Although amputation of the palm and finger is easier than severed limbs, Zhou Cheng completed both sides by himself, and he added a limb salvage!
Then this workload cannot be measured by simple operation times.

The workload is the content of the work, all the operations that need to be done for the surgery!
"It's because I didn't think carefully, and I didn't have time to ask more questions. He is in the operating room now. Today's operating room should belong to your group. Should I wake him up now and let him go back to rest, or let him stay in the operating room?" Lie here for a while, waiting for you to come down?" Zeng Yi just said casually.

When you know something, you must keep it in your heart, instead of hanging on your mouth at any time!
"Forget it, Director Zeng. Wait for him to rest for a while."

"It has nothing to do with you, it's because I didn't explain the matter clearly." Cai Dongfan continued to walk to the operating room, and then hung up the phone.

Zeng Yi also shook his head, looked at Zhou Cheng, and thought to himself.

This young man is also very stubborn, obviously very tired, but he didn't say a word, otherwise he would have let you go back to rest.

Ugh!
He is also unintentional.

But such a brave young man is loved by everyone.

Just not their own people.

Zeng Wei thought, and went outside...

Then, Cai Dongfan quickly rushed to the operating room that Zeng Yi mentioned, and saw that the air conditioner inside was turned off, Zhou Cheng was covered with a back suit, leaning against the wall of the operating room, and fell asleep. Then he was anesthetized again. Ke Zengyi called, saying that if he came to the operating room later, don't wake Zhou Cheng up.

Originally, for elective surgeries on regular working days, patients were already going to follow up at this point.

It's just that last night's emergency surgery was just finished, so naturally I couldn't handle the follow-up finishing work so quickly.

The operating room needs to be cleaned again before it can continue to be used.

Therefore, it will take a while before this indirect patient undergoes surgery.

When the cleaning staff were cleaning, the aunt did not disturb Zhou Cheng's rest, because she had seen too many doctors who stayed up late and rested on the spot, and knew that they worked hard.

……

An Ruo started a new round of working days.

Now she also began to think about it in her heart. Although she came to the orthopedics department for anesthesia, in fact, the chances of meeting Cai Dongfan were not many.

As long as Cai Dongfan's group doesn't temporarily add surgery!

This means that, in fact, there are not many days when she can leave work early.

Last weekend, one of Cai Dongfan's surgery days was washed away.

She had been looking forward to Cai Dongfan's operation for a long time.

Cai Dongfan's operation day = get off work early, rest early.

Naturally, An Ruo has another little thing that doesn't matter. She just wants to see if her teacher's niece has managed to seduce the orthopedic doctor.

An Ruo made a shot by himself, but died halfway.

The other party obviously wanted to eat at meal time, and I must be free to chat with him at that time, but he didn't invite him.

However, for the coffee drink before, Zhou Cheng was also late.

In addition, Zhou Cheng's appearance is extremely high, and his talent is also outstanding, even the doctors of the Affiliated Hospital of Shonan University favor him.

Taking all factors into consideration, An Ruo carefully summarized himself as a person.

In addition to the family background is not bad, looks not bad.

But Zhou's growth is not bad!
There is no need to talk about talents and the like.And if Zhou Cheng doesn't want to be rich, there is no need to compare with her, and sooner or later he will be able to be rich and free.

In this world, there are many rich people, but there are very few people who know their hearts.

An Ruo thought that Zhou Cheng had no thoughts about her, so she cut off any active thoughts. If Zhou Cheng and her teacher's niece were married, then it would be done, and she was just a referral. tool people.

It doesn't belong to me, so naturally I can't talk about snatching food from a tiger's mouth.

Moreover, since then, before that, Zhou Cheng never took the initiative to chat with her.

It proves that Zhou Cheng is either trying to get him, or he is not interested in her appearance and so on.

Of course, if you think about playing hard to get, you are thinking too much. It is very likely that you are not as important as you think.

An Ruo's distracting thoughts occasionally appeared, then fell down again, and walked into the operating room by herself.

Since ancient times, a good relationship has to wait, and a good man is hard to find.

How long is a lifetime, naturally you still have to choose carefully, maybe someone is waiting for you.

However, when she walked into the operating room and turned on the light, she saw a 'corpse', looking up at its head and standing there.

He had been in the dark before, but suddenly a person appeared, it would really scare people to death.

However, An Ruo was not the kind of weak girl who would only hide in a corner and cry when she was frightened. She immediately made a defensive gesture. With the strength of the underworld, she would not rule out using force to solve the threat.

However, after a while, An Ruo heard thunderous snores.

"Humph~~~~~" There was a sound of inhalation in the nasal cavity.

"Huh~~~~" There was a vibrating sound of restricted airway.

One after another.

It also allowed An Ruo to confirm Zhou Cheng's identity.

An Ruo patted his chest, calmed down a bit, and rolled his eyes at Zhou Cheng.Not going home to sleep in the middle of the night, but running here to lay the dead body is really enough.

However, just after An Ruo entered the operating room, she saw Zeng Yi calling and told her not to disturb Zhou Cheng's rest, what he did yesterday afternoon and night.

An Ruo, who was on the phone, suddenly felt bitter.

Teacher, if this is the case, you are calling late, and I can take an extra half an hour of beauty sleep.You should have called yesterday.

When he thought about it in his heart, his eyes became softer.

It turns out that Zhou Cheng had an overnight operation yesterday, so he didn't have time to go back?

No wonder the snoring is so heavy.

If I stayed up all day and all night, I would probably lose everyone.

Well, An Ruo hasn't worked the night shift yet, but she will definitely do it in the future, and I'm a little scared when I think about it.

After hanging up the phone, Miss An Ruo sat down cautiously, and didn't feel that the thunderous snoring was so noisy.The patient won't come down for a while, take advantage of this time and read a book.

Then 15 minutes later, the patient came in. When the itinerant nurse pushed the patient in, she immediately kicked Zhou Cheng's stool because Zhou Cheng blocked her from writing the patient handover form.

Sneaking in and not finding a good spot?

But An Ruo immediately persuaded him: "Don't, Sister Yan, he had surgery yesterday until six or seven o'clock this morning!"

Liu Yan's feet stopped immediately: "Then why doesn't he go back to sleep?"

"Surgery day today." An Ruo didn't know why, but just said.

Liu Yan sighed suddenly, feeling sorry for Zhou Cheng.

Then, Liu Yan started to prepare the surgical instruments, An Ruo honestly prepared the anesthesia, and Zhou Cheng was their supplement after work.

At 25:[-], An Ruo finished the anesthesia.

Then Zhang Zhengquan, Luo Yun and others came to the operating room one after another.

Yang Yifeng was naturally absent, he stayed up late yesterday for surgery.

And Cai Dongfan took Xiang Haibin and Du Yanjun to check the house, so he didn't come down for the time being.

Luo Yun nodded and said, "Call Zhou Cheng to go back and rest. I'll wash my hands first."

Although Zhang Zhengquan was also on the night shift and didn't sleep well, seeing Zhou Cheng who was so exhausted, he felt extremely guilty at the moment. He walked to Zhou Cheng's side and asked Luo Yun with his eyes. Pat Zhou Cheng on the shoulder:

"Brother Zhou Cheng, brother Zhou Cheng, wake up, wake up, surgery is going on here."

"Ms. Luo calls you to go back and rest."

Zhou Cheng was still a little confused at the moment.

Hearing Zhang Zhengquan's voice, he stood up, rubbed his eyes, looked around, and saw Liu Yan hanging the patient's preoperative plain film on the film reader in the operating room.

Then Zhou Chengcheng stood up and walked towards the film reader near the door.

Zhang Zhengquan thought that Zhou Cheng had understood, so he went to get sterile gloves to lift Luo Yun's leg for disinfection.

Zhou Cheng walked to the film reader in the operating room, and only glanced at the film reader in the operating room, knowing what he knew.

Went to the operating table.

Break off the fractured limb that has been marked.

position--

Pinch your hands.

One mention, traction——

Reset!

Immediately afterwards, all the busy people in the operating room heard a click.

After looking back, they were dumbfounded.

Because, Zhou Cheng waved to Zhang Zhengquan casually after the restoration, and said: "Quanzi, put on a plaster cast, print out a notification letter after the plaster external fixation operation, and then remember to charge. After three months, come back for a review." .”

After speaking, he walked to the original position again, and after sitting down, his head fell down.

Actually fell asleep again.

It seems to be continuing the previous sleep or dream.

"Huh! ~~~~~~"

"Huh! ~~~~~~"

The snoring started again.

Liu Yan, Zhang Zhengquan, and An Ruo were instantly petrified.

So hot?
PS: After being overworked, I will still be immersed in the memory of a period of time ago, not so exaggerated.But I met a buddy who 'confessed' in the duty room after waking up, probably meaning that the second time was good?
Scared the other buddy tight!
(End of this chapter)