medical simulator

Chapter 255 I'd Rather Foul! (seeking subscription)
Su Guoyuan, currently the professor and deputy director of the Department of Anesthesiology of Shanghai Shanghai Ninth Hospital, has the power to take charge of the affairs of the department when the director of the Department of Anesthesiology is absent.

Therefore, when Su Guoyuan saw that Chen Jiwu, Liu Zhibin, Xu Dashan, and Professor Xing Huang each started to write and draw in a more formal manner with unknown scoring papers, he quickly realized what they were doing.

Su Guoyuan used to be such a villain. When he went to do grade evaluations for other departments in the same industry, etc., he would have strict grades and fly-by-night methods according to the situation.

As far as they evaluate the Department of Anesthesiology, strictly speaking, whether the medicines in the operating room are placed in a standardized manner, whether the floor of the operating room is clean, and whether the cleaning is in line with the process——

These are all things that need to be evaluated, but really.

The placement of medicines in the operating room has something to do with the anesthesiologist?That is the matter of the roving nurses and the nursing department of the operating room. Whether the ground is clean or not is a question of whether the staff arranged by the logistics department are strong.

Does the sanitation conform to the process? This is planned when the hospital's operating room is designed, and can it be controlled by manpower?
However, when evaluating the comprehensive strength of anesthesiology departments or all departments in all hospitals, hardware and software equipment and peer departments are one of the evaluation contents.

Therefore, when evaluating orthopedics and all surgeries, the evaluation of the anesthesiology department and the nursing department of the operating room, and the objective equipment in the laminar flow operating room can all be regarded as the content of the evaluation.

For example, if you are in a trauma surgery operating room without a traction frame or a traction bed, then no matter how strong you are, it's just like that...

"Ms. Su, these professors, are you so careful about the details?" An Ruo saw that these old guys were so strict, and began to complain about Zhou Cheng.

Su Guoyuan didn't know what An Ruo was thinking, and replied: "26 years old, the authorization of the new surgical method, if something goes wrong in the future, these evaluation expert groups will have a certain degree of joint responsibility."

"So it is not incomprehensible to be stricter, even stricter than the determination of medical malpractice. If you were to evaluate a high school student now and grant him the right to come to the operating room for anesthesia, if something goes wrong, he will come take responsibility."

"What would you do?" A good professor likes to make analogies very much.

An Ruo raised her head, looked at Su Guoyuan for a while, and said after serious thinking: "I should try my best to refuse this ridiculous authorization."

A high school student with no hair growth and no professional training, what kind of anesthesia do you know?

"In the eyes of these professors, this young man in the orthopedics department is even worse. In the profession of doctor, everyone has different levels of achievement."

"The only thing in common is that the objects we face are all human beings, so we need to be more cautious." Su Guoyuan said a very meaningful sentence.

An Ruo understood part of it, and then said nothing more, for fear of affecting the participation in the operation authorization.

If the final result is affected by the problems of the anesthesiology department, the anesthesiology department will go to the orthopedics department to 'take the blame'. In any unit, if a department is a hindrance or shortcoming of other departments, this is a very sorry and embarrassing thing. .

……

Xue Xiude sat in the viewing position in the operating room, motionless. Beside Xue Xiude, Chen Shengwu did not dare to move, silently watching Xu Dashan and others move around.

Although I am very curious about what these well-known professors are reading and writing, but.

Chen Shengwu's gaze was more focused on the operation. He was very curious about how Zhou Cheng, who was obviously about the same age as him, was able to surpass the legends of his class by a little bit and come to this step.

In his opinion, a little bit should be the ceiling in his peers.

It is hard to find someone who is stronger than Ding Dian among his peers in the academy, but there are seniors, and the first-year master's junior may also surpass them, except for them.

If you still need to look for them, you have to look for freaks like Su Min and Yu Heng, Ding Dian is also one of the freaks, but Su Min and Yu Heng are the weirdest.

Speaking of which, the last competition was also very strange. Obviously, the orthopedic strength of the No. [-] Hospital of Shanghai and the No. [-] Hospital of Shanghai Magic City are stronger than Huashan and Ruijin, and the overall strength is also the same.

But in this competition, everything was reversed.

Zhongshan Hospital and Ruijin Hospital affiliated to Fuda defeated Dingdian of the Ninth Hospital and representatives of the Sixth Hospital, and Dingdian also wiped out the proud young man who stayed in the hospital.

The real ranking and the ranking in the comprehensive city are just the opposite.

"I don't know how strong Zhou Cheng is compared to them?" As an insider, Chen Shengwu murmured curiously.

"What did you say?" Xue Xiude turned his head when he heard Chen Shengwu who had been silent all this time.

Chen Shengwu quickly shut up and refused to answer.

"Speak up if you have something to say. Now it's not a literary prison. The fact that the bystanders make less noise doesn't mean they don't make any noise at all." Xue Xiude reprimanded.

Chen Shengwu then said: "Teacher, I was wondering what would happen if Zhou Cheng were to compete with Su Min, Yu Heng and others."

Xue Xiude didn't know the person Chen Shengwu mentioned, but he had heard about it.

After all, when Mr. Gui opened a small training class and invited the young orthopedic geniuses from Shanghai to go to Kyoto, Yu Heng and Su Min happened to stand out. Xue Xiude had also heard the names of these two people many times.

The selection of characters this time spans four years, from the second year of master’s degree to the second year of doctoral degree.

Those who did not participate were the first-year masters and the third-year PhD students. The first-year masters are only freshmen, and they don’t want to be sent to be abused. Keep mixing up the training sessions thing.

Chen Shengwu also tried, but was eliminated a little early.

But Xue Xiude still felt that it wasn't that Chen Shengwu was not good enough, but that other people were a little too BT. He was afraid that Chen Shengwu wouldn't be able to get out of this stalk, so he explained: "Don't think too much about what you have and what you don't have, and study hard."

"In a person's life, there are many opportunities to compete. The more mature the late, the victory is the final victory."

"Your master, you only won once in your life!"

"But you said, who was the chief director of the orthopedics department in the previous three sessions? Do you know?"

Chen Shengwu had done his homework, so after thinking for a while, he said, "Isn't it Professor Du? That old professor who is still in the outpatient clinic."

Xue Xiude didn't look at Chen Shengwu at first, but he turned his head when he heard this, his eyes were complicated——

If you only have this understanding, brother Chen, I don't mind changing students.

It was only then that Chen Shengwu realized that he might be a little tricky, so he obediently shut his mouth...

Seeing Chen Shengwu, Xue Xiude also realized his mistake, so he also pointed out: "You can move forward a little bit, Zhou Cheng's operation is very well-regulated, and all of them are basic operations, but he puts every basic step into practice. The operation is integrated into the bone marrow."

"Pay attention to his details and surgical thinking..."

When you meet a student like Chen Shengwu, you need fate. There are far too many students with worse qualifications than Chen Shengwu.Otherwise, Xue Xiude would not have left Chen Shengwu behind.

It takes a certain amount of luck to meet a student like Dian Dian, that's called chance.

It takes a certain amount of courage to meet a student like Zhou Cheng, and it may be a kind of torture.

From the moment Zhou Cheng came in, Xue Xiude was amazed by some basic operations and the depth of knowledge. Then, Zhou Cheng surprised Xue Xiude again, and later, Xue Xiude was frightened by Zhou Cheng.

Now, Xue Xiude has become immune to Zhou Cheng's actions, and after his scalp becomes numb more times, he will naturally become immune to him.

When Chen Shengwu heard the teacher's warning, he immediately became more focused.

According to the learning method taught to him by Professor Xue Xiude, the comparison and analysis of surgical thinking, predict Zhou Cheng's next step in a predictive manner, and then compare his own prediction of Zhou Cheng with Zhou Cheng's own judgment.

If there is a discrepancy, it proves that the gap between the two people is relatively large. If there is basically no gap, it proves that your thinking is at least correct.

The big difference may be that Zhou Cheng's ability is not as good as Chen Shengwu's, but based on Chen Shengwu's current knowledge, he consciously began to find his own shortcomings.

After all, even his own teacher, even Associate Professor Gu Zhongliang and General Manager Mao Yuxuan, who are very admired, cannot be incompetent.

Routine basic surgery, open reduction and internal fixation for double ulna and radius fractures.

In such basic surgery, what can be seen and what is not seen are parallel.

The highlight is that you can clearly see Zhou Cheng's operation foundation and proficiency in operation. Because it is very basic, the operation process has been written into the textbook.

His proficiency in operation is not only an interpretation of surgery, but also an interpretation of the disease itself.

There is nothing special about it, the operation is already very basic, so naturally there is nothing special about it.It won't be particularly amazing, and there are no fancy and gorgeous operations.

However, although the operation is not fancy, it is a head-to-head and solid basic operation. In just 29 minutes, Zhou Cheng completed a series of operations from skin incision to suture, and external fixation with plaster.

Moreover, the operation of each step is very solid and stable. This kind of operation proficiency and smooth operation can be said to be unique.It's something they've never seen before.

During the operation, Xu Dashan and Chen Jiwu and others looked at each other, but Zhou Cheng was still in the operation, so it was inconvenient to disturb him.

But after Zhou Cheng's operation was over, Xu Dashan covered the scoring form for this operation to the bottom page, and hugged the writing board in his arms.

Finally, I couldn't hold back the confusion in my heart: "Xiao Zhou, can you tell me the truth, how many hands did you cut off?"

The more basic the operation is, the more solid and proficient the basic operation is, the more quantity is needed to accumulate.

Zhou Cheng is only so old. Could it be that he has been playing with his hands since his freshman year of undergraduate university.

"There should be forty or fifty." Xue Xiude had confessed before that during Zhou Cheng's operation, no one would utter any unprofessional emotional words, and no one would even speak or comment.

In the process of other people's surgery, the person who can do such unprofessional things as talking and disturbing the surgeon's surgical thinking is definitely not a member of the surgical system. If it really happened in reality, he would either be kicked out or not.

Your professional title is very high, and your status in the world is very strong, and others are tolerating you.

However, after the operation, you will face some questions. These professors may ask some curious questions, or point you to some detailed mistakes, and you just pick and choose the answers.

If there are detailed mistakes, just admit it generously and make corrections next time.

Never argue.

So Zhou Cheng also told the truth, since he was the surgeon in the No. [-] Hospital until now, he may not have had so many fractures of his upper limbs.

Xu Dashan's mouth under the surgical mask couldn't be closed at once. Young man, not to mention others, bragging and Versailles are as unpredictable as their skills.

There should be forty or fifty?
Only forty or fifty?

After all, Zhou Cheng's current strength is enough to make him Versailles and young and frivolous. He nodded and followed Zhou Cheng's mentality: "Then Xiao Zhou, your talent is very good, very good."

Since Zhou Cheng is a person who likes to be arrogant, then it's not that I intentionally flattered and killed him, it's him who wants to say that he is very good, I just followed his train of thought and continued.

Xu Dashan's question was also a question that other people were curious about, but since they had already got the answer, they had a superficial understanding of Zhou Cheng's character.

It's just asking too much, for example, Professor Jingxing of the Sixth Academy of Shanghai, originally had some minor questions, but he didn't think it was necessary to ask them, and Zhou Cheng might misunderstand them as deliberately finding fault if he asked.

Since Zhou Cheng didn't have the character of being humble and eager to learn, he didn't need to find it boring.

Of course, Zhou Cheng's basic skills must pass the test, and he can even use infinity to approach perfection. Some operational steps are stronger than them.

Even in terms of thinking, there is still something remarkable.

Among these people, the only one who didn't think so was Chen Jiwu.

When he was in Shashi before, Chen Jiwu had seen Zhou Cheng's chief surgeon and had seen Zhou Cheng's surgery authorization, and he also knew that Zhou Cheng's last live broadcast was much more daring than today.

Therefore, Chen Jiwu felt that he had to ask Zhou Cheng for an explanation for his "comrades": "Xiao Zhou, your operation today is ten times longer than the previous similar operation." what."

"What do you think?"

The operation of Zhou Cheng's operation is because it is too basic, and it is completely treated according to the conventional fracture.

Hearing this, Xu Dashan's forehead lines stood up, a little inexplicably, but he also looked at Chen Jiwu and Zhou Cheng very curiously.He knew about the acquaintance between the two, but Xu Dashan really didn't ask what kind of intersection happened.

Xu Dashan's question naturally attracted the attention of other professors.

There is something wrong with Chen Jiwu's words.

The operation time this time is ten times longer than before?What are you talking about J8?If Professor Chen Jiwu hadn't come out of West China Hospital, he would probably have been scolded by them.

But the three words Chen Jiwu are a landmark in themselves.Even if Jishuitan's overall strength is better than Huaxi's orthopedics, that's a combination.

Comparing Chen Jiwu and Xu Dashan, can Xu Dashan be a class higher than Chen Jiwu?That's impossible, Chen Jiwu's personal ability may be stronger than Xu Dashan's.

It's just that a person's bravery or fierceness doesn't play much role in the hospital's comprehensive ability evaluation.

Zhou Cheng replied calmly: "Professor Chen, I chose this part of the operation method completely according to the guideline. The same is true for the operation."

"Because it is very necessary to show the professors the basics of my operation. I don't want to be misunderstood by the teachers."

This is Zhou Cheng's true thought. There are many treatment methods for a disease, even if it is surgery, there are many ways.

The choice should be made, the patient has the right to choose, the surgeon and the attending physician can also choose a more suitable one according to the specific situation.

In fact, there are still some detailed questions, Zhou Cheng did not give an answer, that is, the patient is too old, and she is a female patient with postmenopausal osteoporosis. In such a situation, there is a greater risk in manipulative reduction.

Moreover, she and her family are relatively conservative, so the traditional and steady treatment method is very suitable for her.

These are all reasons, but these reasons have nothing to do with the judges. He only depends on how you choose. You don’t need to explain. They can evaluate them by themselves. There is no need to treat some of the ceilings of the national trauma surgery as fools.

Chen Jiwu nodded and said, "That's true, down-to-earth will make people look more real."

"At least now, I recognize more than a few months ago that you are a figure who has the potential to change the current landscape of trauma surgery."

"Because you're confident and comfortable."

"Thank you." Zhou Cheng saluted slightly.After that, Zhou Chengcheng didn't talk to Professor Chen Jiwu any more.

Chen Jiwu came to be a judge for the authorization of the new technique, not to catch up with Zhou Cheng. If Zhou Cheng wanted to follow the relationship, then he didn't need to spend so much time.

On the contrary, by giving these professors some free subjective initiative, they will be able to testify more objectively, and their abilities will be more real, which will make their future self more confident.

If there is a mistake, it will be corrected, and if there is no mistake, it will be encouraged.

A person's self-confidence, in addition to originating from one's own ability and strength, is more permeated in daily communication and trust.

Zhou Cheng avoided talking to Chen Jiwu to avoid suspicion, but when he was preparing for the operation, Professor Chen Jiwu was surrounded by people.

However, Professor Chen Jiwu seemed determined to create momentum for Zhou Cheng, he just shook his head and said, "Don't say it, don't say it, it won't work if you say it."

"What the hell?"

"Telling off is killing people."

Professor Chen Jiwu's words raised everyone's expectations to the brim.

But there was no substantive reply, and he was punched several times, of course it was a joking punch.

Of course, it was precisely because of Chen Jiwu's words that everyone became more curious about Zhou Cheng's next operation.

But they are all professors, big bosses, even if they are itchy in their hearts, they want to see what will happen next.But he didn't seem particularly eager, but waited slowly.

The four words of pretentiousness can be described as vividly interpreted.

Even, in order to act more realistically, they also took the initiative to chat with Professor Yu Qiuhua and inquire about some corners and corners.It's just that Professor Yu Qiuhua knew that these people were from bad people, so he deliberately pretended to know, but he just didn't say anything.

Yu Qiuhua felt a kind of breath, that is, these cowards may finally authorize Zhou Cheng's new technique to be killed.

After being killed, Professor Xue Xiude will definitely go beyond himself and engage in another...

The preoperative preparations were within everyone's expectations, and they were quickly completed.

For the second operation, Zhou Cheng still chose the rather traditional open reduction and internal fixation.

However, the open reduction and internal fixation this time is slightly different from the first one.

The first one was cut open first, and then temporarily reset during the operation.

But for this one, Zhou Cheng chose to reset it first, and then turn and cut it to fix it.

The treatment of fracture is reduction, fixation and functional exercise.

Of course, these two methods are relatively traditional. Professor Xu Dashan and others, who have watched the first operation procedure, already know that Zhou Cheng's basic operation is extremely solid, so they are all talking to Chen Jiwu one after another.

"Professor Chen, what did you mean by what you said earlier?"

"Can you tell me a little bit more about it?" Hu Xianhe, director of the orthopedic and trauma surgery department of Zhongshan Hospital Affiliated to Fuda University, was speaking, and he was very curious.

In fact, I was a little uneasy in my heart. Judging from the current situation, Zhou Cheng's strength is no longer the kind of relationship household that simply relies on connections, but a real genius.

Others may be different, but they are very similar to his student Yu Heng.

Such a person, because of his own reasons, if he authorized the operation to be killed like this, he really couldn't bear it.

Moreover, if it is his own student, because the judges he invited were bribed, he would kill his student's surgery authorization, which would affect his future.

Hu Xianhe didn't say that he would work hard with him, and cut off contact with him in the future, there must be no psychological burden.

Chen Jiwu glanced at Hu Xianhe, and then at some other old fellows, all of them came to his direction, or they just went to Professor Yu Qiuhua to ask this and that.

I knew that these people would definitely be played by Zhou Cheng, and, from now on, the home court would soon fall into Zhou Cheng's hands.

Slightly sighed, and then said: "Professor Hu, Professor Xu, you guys have already missed the most critical step."

"Hey, you see, Xiao Zhou's surgery is now coming to an end."

Chen Jiwu said very helplessly.

Chen Jiwu's words made Yu Qiuhua, Zhou Cheng's ostensible ward director, stunned, and then when he focused on the table, Zhou Cheng was already asking Mao Yuxuan for a steel plate.

Then I looked at the operation timing panel, the operation time beat was 00:02:34!

Two and a half minutes away from the cut skin, the steel plate was started, Zhou Cheng, are you serious?
Countless little question marks flashed in my heart.

Of course it was serious. Next, although Xu Dashan and the others focused on Zhou Cheng's hands all the time, all they could see was that Zhou Cheng quickly put on the steel plate and stitched the scene together.

The operation time is finally fixed!
00:07:21!

"Push the C-arm machine hard." Zhou Cheng said to the itinerant nurse after suturing.

And the itinerant and hand-washing nurses who have long been familiar with Zhou Cheng's routine are no strangers to it.

They have already experienced Zhou Cheng's ability to use C-arm fluoroscopy before and during the operation. The postoperative C-arm fluoroscopy is just for peace of mind. In the operating room, they have demonstrated this ability more than once.

So this time, as soon as Zhou Cheng finished speaking, the two itinerant nurses skillfully pushed the C-arm machine covered with sterile bags to the operating bed.

Therefore, Zhou Cheng is serious, and so are the roving nurses and equipment nurses.

Including the anesthetist, they all started running to the isolation room, and the little anesthesiologist dragged his teacher and explained in a low voice.

Looking at it like that, it seems that even young anesthetized girls think this is a routine.

However, if we say that all this is serious.

Then the question is coming,

How would you rate this surgery?
Didn't even look at it!
It's not that I didn't understand it, but I didn't understand it, I didn't see the key part, just because of curiosity, when I asked Professor Chen Jiwu, I missed it.

What's up with this?
Ask Zhou Cheng to remove the attached steel plates, reset the fractures, relocate them, and show them all over again?
This is impossible.

After fluoroscopy of the C-arm machine.

Zhou Cheng asked Professor Gu Zhongliang's opinion: "Mr. Gu, I think the operation can be over. What do you think?"

Gu Zhongliang is bitter in his heart, all of this is under your control, what else do I feel or not feel?
This is not the first time I have done it, I have been proficient for a long time.

However, the superficial face project still needs to be done: "Well, yes. Step down, let's move on to the next patient."

Gu Zhongliang began to take off his gloves...

Zhou Cheng, Mao Yuxuan and other surgeons have already started turning over patients...

A group of professors began to be silent in the room of the C-arm computer display screen.

How to do?
Professor Chen Jiwu was not surrounded this time, and Xu Dashan and others began to gather in small groups in low voices.Discuss countermeasures.

Xu Dashan found Professor Chen Jiwu and took the opportunity to go to the toilet.

Some people want to smoke, the three professors want to go out to get some air, Yu Qiuhua pretends to sit on the Diaoyutai alone, he is ready to accept all baptisms...

Because it was the weekend, except for a few operating rooms where emergency operations were open, most of the operating rooms were free.

After Xu Dashan and Chen Jiwu arrived at the place where there were few people, Xu Dashan asked, "Professor Chen, what are you doing now?"

Chen Jiwu said: "Old Xu, as I said before, I will vote for it. But I can't influence your inner thoughts."

Xu Dashan took a deep breath: "So, you know what Zhou Cheng did just now?"

"Well, with the miraculous technique of closed reduction, plus the terrifyingly solid open reduction and internal fixation, the operation time can be so short." Chen Jiwu didn't give a shit.

When he was in Shashi, he saw this.

"This?" Xu Dashan had already guessed in his heart that Zhou Cheng might have played tricks before the operation started, but he didn't tell them, so it wasn't confirmed.

Now that Chen Jiwu said it, he immediately understood the principle and took a deep breath: "I understand."

"The future is terrifying!"

"The future is terrifying."

"Forget it, I won't earn this money against my will. I really can't bear to oppress such a child."

Xu Dashan made such a decision in his heart.

Chen Jiwu's eyes lit up, and he quickly explained: "Professor Xu, you did this willingly. I didn't seduce or mislead you. Don't blame me when you regret it later."

"That's 40."

Xu Dashan rolled his eyes at Chen Jiwu, is this a matter of 40 yuan?

He took 40 yuan and felt guilty for a lifetime. He still can figure out which is more important.

However, after the decision, Xu Dashan felt that he and Chen Jiwu were on the same side, and after swishing the ratings, he asked: "Professor Chen, tell me, this Zhou Cheng, what kind of person is he? "

"I'm really curious about him..."

Xu Dashan regretted it a bit, he felt that he should know more about Zhou Cheng before he came to Shanghai, and he shouldn't just accept the task hastily.

That person must be misleading himself, saying that Zhou Cheng is in the devil because of the conflict between Zeng Lao and Gui Lao, so let Zhou Cheng suffer in the devil, and to a certain extent, he can sell Gui Lao's favor...

This TM is ghost fa...

Chen Jiwu also shook his head slightly, and said to Xu Dashan: "Professor Xu, do you think I understand Xiao Zhou that deeply?"

"If there is, I will let you bully him like this? I have already taken him to Sichuan Province to enjoy the beauties of the Land of Abundance!"

"To put it bluntly, with Xiao Zhou's knowledge, temperament, appearance, and ability, it's not impossible for him to be a son-in-law."

Professor Chen Jiwu joked helplessly.

Chen Jiwu had a daughter, Xu Dashan knew about it, but how could a father make such a joke?But thinking back to Chen Jiwu's words carefully, Zhou Cheng seems to be really capable.

So, in fact, Chen Jiwu didn't know him well, or maybe he didn't have a chance to know him, so he was preempted by others.

We knew each other before, but just met by chance.

"That's true. Let's watch the show slowly after us. The final direction of this matter seems to be a bit interesting. I think, this time."

"There will be a shocking reversal." Xu Dashan squinted his eyes, feeling like he was watching a drama.

"I'm also curious as to who exactly Professor Yu Qiuhua has offended, or who he is taking the blame for."

Chen Jiwu couldn't deny it either. It was certain that he had ulterior motives for this incident, but he didn't know who the ulterior motives were.

……

Before the third operation started, Zhou Cheng was deliberately stopped by Chen Jiwu and Xu Dashan.

Then Professor Chen Jiwu added: "Xiao Zhou, this time, you can go to the operating table slowly, okay?"

Zhou Cheng nodded, of course it is possible.

Then, Professor Chen Jiwu and Xu Dashan went to read the films carefully first, and then thought about it, what would they do if they handled such a patient by themselves?
Both Chen Jiwu and Xu Dashan are fully prepared not to make money, so naturally they don't need to be too obsessed with how to find fault.

However, Chen Jiwu and Xu Dashan are not the only ones who can see clearly. Liu Zhibin, Professor Xing Huang and others are naturally not ignorant people.

Everyone knows what money should be earned and what money should not be earned.

What's more, just now, Xing Huang and Liu Zhibin have already chosen which people will vote against it, making this review more realistic.

As long as it doesn't change the final result.

Then, the result they gave was that at most two people voted against it. In this way, even if there was a variable between Professor Yu Qiuhua, Chen Jiwu, and Xu Dashan, they could still be saved. Even if it was the three of them, they all voted against it.

It's all five or five, and it can be rescued. Through discussion, the final result can still be reversed!

However, although Chen Jiwu and the others had made thorough preparations, after Zhou Cheng officially announced the operation he was going to perform, they still felt terrified.

Manual reduction, plaster external fixation!
If the indications for surgery were contradicted, Zhou Cheng performed conservative treatment in the disease types of indications for surgery.This is really bold, and it seems that Zhou Cheng's assessment is not just one type.

Open reduction is for the radius and ulna, closed reduction and open reduction is for the tibia and fibula, and Zhou Cheng’s manual reduction is now for the humerus!
The difficulty of the manual reduction of the humerus is much more difficult than the manual reduction of other types of fractures.

It can be said that those who have the ability to perform manual reduction of ulnar and radius fractures may not be able to and dare to perform manual reduction of humeral fractures!

Those who can do closed reduction of humeral fractures are basically able to perform manual reduction of ulna and radius fractures.

This is the difference in difficulty.

This time, the operation time was even faster.

It only takes a few minutes for the patient to leave the operating room from the end of anesthesia.

Su Guoyuan was about to scold her, and opened his mouth to ask Zhou Cheng what was going on, but An Ruo comforted him: "Mr. Su, Mr. Su, calm down, we are anesthesiologists, and we are parallel departments."

"The operation is done quickly, which means that the surgeon is strong. We should be more happy."

But I said silently in my heart: Teacher Su, you are making too much fuss, I am different, I have long been used to it.

Su Guoyuan said in a low voice: "This shit, it's definitely intentional. I knew it earlier. A short general anesthesia will be over. It's fast and safe. The nerve block of our fart."

The nerve block of the humerus still requires some difficult operations.

In order to appease Su Guoyuan's temper, An Ruo took the initiative to ask Zhou Cheng about the next operation, and then hurriedly reported to Su Guoyuan: "Mr. Su, the next operation is a femur fracture. It will be fine with spinal anesthesia."

"This is the fourth operation, so it will be very fast. I can leave work early today, which is not an increase in workload."

Su Guoyuan suddenly lost his temper, looked at An Ruo, and said, "You are protecting your shortcomings, you are almost at the door of your house, have you become a couple?"

Working eight hours a day with two sets of anesthesia is the same workload as working four hours with ten sets of anesthesia?
Su Guoyuan, professor, how old is he? I haven't seen him before. I already knew that An Ruo was interested in Zhou Cheng, so I rushed to the anesthesia position for today's operation.

But rush back, you can't lose your heart, this thing is definitely made to torture people, if it's someone else, I guess it's already started.

An Ruo blushed, and hurriedly explained: "Mr. Su, what are you talking about?"

"I just knew Senior Brother Zhou before, and that's how Senior Brother Zhou used to reset his technique. So."

An Ruo's eyes look like you have never seen the world before.

Su Guoyuan cursed: "It's because you are used to him. For such a case, they should go to the local anesthesia by themselves and push the operating room. Do you think I will scold him or not."

"Local infiltration anesthesia is a basic operation that all medical students must learn!" Su Guoyuan was still very arrogant.

I thought to myself, my silly girl, you were used to being bullied by him before, so you got used to it, but this is the Ninth Hospital of Shanghai, and our Department of Anesthesiology and Orthopedics are parallel departments, so you don’t need to get used to their surgery.

You admit your own mistakes, and they are wrong, just take care of them.

Of course, with An Ruo around, Su Guoyuan was still just complaining unilaterally, and didn't really vent his temper to the orthopedics department.

……

The third operation was too simple, so An Ruo started the anesthesia for the fourth operation step by step. Than.

Therefore, soon, An Ruo made preparations for the anesthesia of the fourth operation.

Everything is ready.

Zhou Cheng came to the operating table again. He was not in a hurry to wash his hands and get dressed. Instead, under the watchful eyes of everyone, he performed a manual reset.

C-arm fluoroscopy, under the fluoroscopy, it shows that the broken ends fit well, and there is a certain displacement, but?
We all know that manual reduction, plaster external fixation or other external fixation is very restrictive for femoral fractures. Only special types of fractures can be manually reset and plaster external fixation. This one is definitely not suitable.

Because the plaster has hit the waist, it is not enough to fix the purpose and effect.

It is precisely because this type of fracture cannot be fixed that it is an absolute indication for surgery. Even if it is redefined to a perfect level of manual reduction, it is still a type of fracture that cannot be adapted.

However, for this type of fracture, surgery is not difficult for fracture surgery, but fixation is not easy. The traditional method is intramedullary nail internal fixation, which is more minimally invasive than plate internal fixation.

As for this operation, everyone saw that there were not many surgical instruments prepared, and the surgical instruments were large and small.It should be intramedullary nailing.

However, when Zhou Cheng, Gu Zhongliang, Mao Yuxuan and others began to put on surgical gowns, then Zhou Cheng picked up the scalpel and made an incision no more than three centimeters short on the anterolateral side of the patient's fractured left lower limb thigh. , put down the knife.

Immediately afterwards, Zhou Cheng picked up an instrument they had never seen before, and they had never recognized it, and reached the edge of the femur, and quickly lifted the periosteum.

After a while, they saw that Zhou Cheng took out a new type of instrument, made a hole in the periosteum just now, and then put in a mirror-like thing.

Everyone knows, oh, it turns out that Zhou Cheng’s operation was done with a mirror and a mirror plane, but when it was added, everyone doesn’t know, this screen has always been there, and it may have been used before.

Then a channel was opened, and the instrument was drilled into the medullary cavity of the femur.

Zhou Cheng put in another mushroom-shaped mushroom instrument with two heads.After the mushroom head crossed the fracture line, under Zhou Cheng's operation, it turned into an umbrella shape.

After turning into an umbrella shape, it began to be recovered, and steel nails were continuously driven into the medulla of the femur and penetrated into the cortex of the bone, but did not break through the cortex of the bone...

Seeing this scene, even Chen Jiwu's complexion changed drastically. He didn't even care about his basic qualities as a judge. He walked towards the operating table and asked with a trembling voice, "Zhou Cheng, what are you doing?"

This problem itself should not exist, because its existence is a violation.

Chen Jiwu, would rather foul.

But still asked.

(End of this chapter)