Gou is practicing medicine in the clinic

Chapter 211 Xiaocheng grade incision surgery, status climbed again

After some grinding, the fracture end finally revealed healthy cancellous bone.

At this time, the orthopedic surgery diagnosis came in handy, which could help him to distinguish whether the grinding was in place.

Avoid asking Professor Wu for everything.

Unless a junior doctor encounters a project that he does not understand or is risky, it is best not to ask for advice on everything.One is annoying, and the other is that it will make the superior doctor feel that the young doctor is not independent.

If there are any difficult tasks, they will not be entrusted to this kind of young doctor.

There are some "baby mother" type young doctors who are most likely to make this kind of mistake.

I feel that the more I consult with the superior doctor, the closer the relationship will be.

This is pure nonsense.

If you don't get the point, and when you meet a senior doctor with a bad temper, if you ask three insignificant questions in a row, you will probably be criticized.

After scolding once, the next time I really want to ask a question, I will not dare to open my mouth.

After Li Jingsheng finished polishing, his health increased by 105 again.

Today's operation is obviously just a second-level 'minor operation', and the harvest is rich, beyond imagination.

In fact, this is also because he has never performed this kind of orthopedic surgery.

It just so happened that the surgical items this time were extremely rich, so it made him feel like he had crashed into a nest of gold and silver.

It's like picking up fish at the beach and finding a puddle full of fish.

There is a certain element of luck.

Next, he began to explore the portion of the radial styloid to the articular surface.

After investigation, it was found that there were obvious defects in the cartilage, and the styloid process spikes were obvious.It is also that it brings great pain to patients.

Direct resection of the radial styloid process.

At this point in the treatment, it is time to reset the navicular bone.

This is Li Jingsheng's strength.

When the manipulation was reset, only Dr. Xu in the Second Hospital could overwhelm him.And he is catching up with Dr. Xu at an astonishing speed.

For example, the bone touch technique is now at the same level as Dr. Xu.

It was also the luck of this patient to meet Li Jingsheng for this operation.

If it is replaced by another doctor to reset the scaphoid, it will probably be extremely cumbersome.

In this patient, there is a certain loss of the volar cortex, which will increase the difficulty of reduction.

Other surgeons need to use the dorsal, ulnar, and radial cortical surfaces to guide reduction.

Li Jingsheng omitted these procedures, and he helped the patient complete the scaphoid reduction with ease.

Of course, it seems easy, that's because his techniques are of high level.

Just now, I actually used techniques such as massage and straightening.

"Dr. Li's method of reset is well-deserved, and it has a wide range of applications in many orthopedic surgeries."

Professor Wu watched enviously.

Although he has always despised bone setting as a superficial technical job, he was extremely envious in his heart.

Dr. Xu's income far exceeds that of his chief physician.

"I am over-flattered!"

Li Jingsheng said a few words modestly, and took a Kirschner wire to fix the restored scaphoid temporarily.

At this time, according to the procedure, a C-arm X-ray machine will be used to judge the reset situation.

Li Jingsheng actually didn't need this.

His bone touch technique and manual reset ability can completely omit this step.

Out of process and respect for Professor Wu, he still looked at Professor Wu, "Please use the X-ray machine to check it. If there is no problem, I will start the next step and take the bone flap for transplantation."

Watching Professor Wu operate, I feel that bone grafting and bone flap removal are quite difficult.

Now that he really did it himself, he felt that it was not as difficult as he imagined.

As long as you have practiced the four basic skills of surgery well, you may be a little rusty at most when doing these tasks, but there are no major obstacles.

Li Jingsheng is now quite accomplished in basic skills such as suturing, incision, hemostasis, and knotting. When doing these things, he has rehearsed many times in his mind.So it didn't feel difficult.

Mostly trembling.

Because after all, many of them are doing it for the first time, and I am a little worried about messing it up.

Watching the superior doctor do it many times does not mean that I will do it myself.

Seeing things is easy but doing things is difficult.

When you really get started, the technical requirements and knowledge requirements for all aspects are very high.

Professor Wu took a C-arm X-ray detector to check the repositioning of the scaphoid.

"It's unbelievable, it's unbelievable! The reset is so perfect, tsk tsk, this level is really enviable!"

It shows how well Li Jingsheng's scaphoid restoration has been done for a professor of him to be so full of praise.

This is still because of the problem of the scaphoid bone. If it is a newly fractured scaphoid bone, Li Jingsheng does not need to undergo surgery at all, and it can be directly reset, which is guaranteed to be much better than this.

"If there is no problem, then I will start to take the bone flap."

Li Jingsheng asked for instructions.

"Row!"

Professor Wu's nervousness about the result of this operation has turned into great anticipation.

He had a premonition that the patient who entered the palace for the second time was likely to recover after receiving the second surgery.

A bone flap from the medial femoral condyle was taken, because an incision was needed in the thigh, and the wound was quite large.

For the sake of safety, Li Jingsheng happened to earn a wave of life points this time, so he decisively upgraded the skin incision method.

I used the incision method many times just now, and its proficiency has risen to 112/500 proficiency.

A full increase of 12 points of proficiency.

It feels like it's going up so fast.

It is still the fastest to increase health and skill proficiency in the operating room.

He planned to wait until the relocation of the clinic was completed and the clinic was completely on track, and he considered coming to the Second Hospital to participate in more operations.

Now that he has proved his surgical ability and gained the trust of the superior doctors, he will definitely be able to get many important surgical tasks in the future.

Besides, both Director Hua and Professor Wu hoped that he would perform more surgeries.

As long as Li Jingsheng came here, wouldn't he be cultivated to death?
He spent 388 health points to successfully upgrade the epidermis incision method from the proficient level to the small success level.

This time, he already has the incision level of a senior doctor, which is equivalent to a veteran in the operating room. If he cut the patient's thigh, the safety factor must be much higher.

The cut wound will also be more neat, which is conducive to suturing and healing.

The incision method can also be used when taking the bone flap.

The knife position has been drawn on the patient's thigh near the knee.

Li Jingsheng confirmed that it was correct, and then he went to the knife.

Inside the thigh is a very delicate artery called the femoral artery.

Many interventional cardiovascular operations are performed through the femoral artery.

If it is cut, it is no different from the consequences of cutting the aorta in the neck.

The risks of surgery are self-evident.

But then again, the carotid artery was cut and it was difficult to stop the bleeding.But if the thigh femoral artery is broken, as long as it is not at the root of the thigh, there are basically many ways to quickly stop the bleeding.

For example, the most commonly used bundle to stop bleeding.

There is also compression to stop bleeding, which can effectively stop bleeding.

Large blood vessels cannot be stopped by electrocoagulation, and blood vessel repair is the most common means of hemostasis.

Professor Wu was a little nervous watching Li Jing calmly cut open the cortex of the patient's leg.Then continue to draw down with a knife.

"This evildoer, the incision technique has obviously improved qualitatively, it is too evil!"

Professor Wu's eyes were dazzled.

Whether it is Li Jingsheng's mentality, technique, or the wound he made, he is more clever than when he cut the wound on the side of his wrist.This kind of progress is really scary and makes all doctors feel 'sour'.

Can it be sour?

To jump from the proficient level to the small success level, they have to practice for at least three to five years, and they have to be good seedlings with good understanding and hard work.

Looking at Li Jingsheng again, he achieved a leap in the level of incision in one operation.

Li Jingsheng directly ignored the envy of these people.

He maintained a steady state of mind, and was carefully feeling the feedback of the knife feeling.

The meticulous knife feeling has become clearer than ever.

In other words, the knife sense has become significantly sharper.

Now if you ask him to cut A4 paper and close his eyes, he should cut as many layers as he wants within three layers.

It's really not bragging, but because of the feedback of the knife feel, I have this confidence.

At this moment, he is carefully distinguishing the knife-feeling feedback from cutting different tissues when the scalpel passes across the patient's body.

Also because of this, he always cuts a knife, and then stops to 'rest' for a long time, and then cuts the second knife.

Outsiders thought he was resting and adjusting his state, but he was not.

Instead, try to distinguish each kind of knife feedback and remember them.

When cutting the skin, the knife will feel astringent, like scratching on kraft paper.

That's because the skin of the human body looks smooth, but it is actually rough.

In addition, the depth of the skin can also obtain a more accurate thickness through the feedback of the knife feel.

When cutting the fat layer, the knife feels sticky.

Their thickness is also not uniform, and some fat layers are thicker, and some are thinner.

This kind of sharp knife sense is obviously not comparable to the proficient level cutting method.

In addition, his sense of blood vessels is obviously more sensitive and more nuanced.

In the past, it would only be sensed when it was about to cut a large blood vessel, but now this ability has been further improved.

The blade is close to the blood vessel, as long as it is lightly pressed or scratched, he will know it immediately.And he can further distinguish whether the blood vessel wall has been cut.

This is equivalent to an extra layer of insurance.

He couldn't feel the walls of blood vessels before.

"During the surgery, it turns out that each level of improvement will have completely different new abilities. It's amazing."

Now because he can feel the existence of the blood vessel wall, he can also find it when cutting into smaller blood vessels.But there is no way to avoid them in time.

Often the hand is faster than the brain, and the brain can only get the feedback of the knife feeling from the fingers when the cut is made.

Removing the bone flap was much easier than expected.

It brought him another 102 health points, and the proficiency of the incision method also increased a little.

After removal, bone grafting is done.

"Doctor Li, can I sew up the leg wound?"

Dr. Qin stared at him with envious eyes.

In Professor Wu's staff, only Dr. Qin and Ruan Xiaoqin are capable of sewing the skin.

Now that Li Jingsheng is the main surgeon, Dr. Qin wanted to take advantage of this training opportunity, so he had to humbly ask Li Jingsheng for instructions.

"Ask Professor Wu about this. He thinks you have the ability to suture a patient's leg wound, and this opportunity can be given to you. The tension in the leg is quite large, so you must take it into account when suturing."

Li Jingsheng's current ability has indeed surpassed Dr. Qin's.

I am really qualified to give him a few words.

"Give it a try!"

Professor Wu has many shortcomings, but the training of his doctors is still quite strong.

Unlike some doctors, who are afraid of this and that, they hold everything in their hands and do it themselves.

"Thank you, Director Wu! Thank you, Dr. Li, for giving me this opportunity to exercise. I will definitely sew well."

Doctor Qin was overjoyed when he heard the words.

Originally, he had a certain chance to be promoted to attending this year.

Because the general hospitalization will soon be full for a year.

According to the rules of the department, it is generally the first to study first, and then come back to be in the hospital for a year, and then start queuing up to get the letter of appointment.

When the number of places is not tight, the total hospitalization is over, and the attending doctor can be hired within three months at most.

Right now, due to the poor performance of orthopedic surgery, it can't compete with other powerful departments, and only two attending places are allocated.

There are too many monks, so we can only pick important doctors first.

The importance of Li Jingsheng to orthopedic surgery is self-evident.

He is really proficient in manipulative restoration in the outpatient department, diagnosis of difficult cases in the inpatient department, and surgery.

Therefore, Director Hua resisted all opinions and directly gave Li Jingsheng one of the attending appointments this time.

For the remaining one, eleven doctors will fight for it. It is conceivable how fierce the competition is.

Dr. Qin is actually a progressive person.

Seeing that Li Jingsheng performed so well and already got the appointment, he was not only envious, but also jealous.But more of it inspired the inner fighting heart.

He wants to become stronger, and he wants to catch up.

……

Nearly an hour later, Li Jingsheng successfully completed the bone grafting and reduction surgery.

Due to the fact that he has a lot of proficient and even small-level medical skills, the whole operation process was completed smoothly without any surprises or dangers.

Wrist stitches, he has no prosthetic hand for others.

Sew it for the patient himself.

Intradermal sutures are used to speed up wound healing and reduce infection as much as possible.

When he finished suturing, Dr. Qin was almost done.

In addition to testing suture skills, stitching is also very important.

Ruan Xiaoqin, for example, is very weak in knotting.

Then it was obviously stitched well, and it was ruined by a knot.

Because after suturing the patient, it is impossible for the patient not to move!If the knot is not firm and does not fit tightly to the cortex, the patient will loosen it after a few random movements.

At this time, wound healing will become difficult.

If it is easy to sweat in summer, the wound is also prone to infection and eventually festers.

As long as the wound is infected, it is bad.

Because it is easy to cause suppuration.

When it comes to suppuration, you can think of it with your toes, and the result must be extremely poor.

Debridement must be done for secondary sutures.

A doctor with excellent communication skills can still handle patients, but when he meets a doctor with a stupid mouth, he will be scolded by the patient in all likelihood.

Li Jingsheng took the opportunity to count his gains, and his health rose to 428 points.

It's no problem to upgrade a proficient level of medical skills to a minor.

The operating room is simply his blessed place, and he will definitely come back more in the future.

"Doctor Li, you have worked so hard! You can see that you performed almost completely independently in today's relatively difficult operation, and your performance is really remarkable. I believe that Director Hua will also hope that you can do better in the future after learning about the situation. Participate more in our orthopedic surgery."

Professor Wu was all smiles.

Judging from this tone, it must be hoped that Li Jingsheng can spare some time to help his group perform surgery.

Because his group is indeed a bit 'slag'.

Surgical skills cannot be improved just by wanting to improve them.

It can only be done step by step, and it takes a long time to grow.

Therefore, Professor Wu especially hoped to pull Li Jingsheng into the second group.

"Yes, yes. Dr. Ou is here, I will definitely participate more! It would be even better if you could give Dr. Ou more opportunities to exercise and let her be my medical assistant. I think I will partner with her , and the operation efficiency will be even higher.”

Li Jingsheng smiled and helped Ou Qinglan get a chance to exercise.

The implication is that the power of love is great, as long as Dr. Ou will help me as a doctor, I will definitely help you two groups.

"Haha, Dr. Li is quite infatuated! No problem, I will try my best to arrange for Xiao Ou to do as many practical exercises as possible. I will try to train her to be a qualified first aid as soon as possible."

Professor Wu readily agreed.

Seeing Li Jingsheng's independent surgery ability today, his desire to win over Li Jingsheng has also become stronger.

This son is too evil.

The future is limitless.

The room for growth is even more amazing.

Professor Wu didn't even dare to think of Ou Qinglan anymore.Because he knew very well that if something really happened, the hospital would probably abandon him as a pawn and keep Li Jingsheng.

Not to mention the future, just now, Li Jingsheng's status in Director Hua's mind is already frighteningly high.

"Can Doctor Ou get off work?"

Li Jingsheng asked.

"can!"

Professor Wu and Dr. Qin answered in unison.

Doctor Qin is the general inpatient and has the slight power to arrange doctors on duty.

Just now Li Jingsheng gave him a chance to exercise, which made him start to try his best to show his favor to Li Jingsheng very tactfully.

"Then we're off work! Doctor Ou, let's go! Go home!"

Li Jingsheng greeted Ou Qinglan.

Hearing these words, the eyes of Professor Wu, Doctor Qin and others widened instantly.

"You, you live together so soon?"

Doctor Qin's heart was broken.

No chance no chance.

This man surnamed Li was too ruthless.Not only did she catch Ou Qinglan with lightning speed, but she announced in front of everyone that she was Ou Qinglan's girlfriend.And it has only been two months, and it has directly developed into cohabitation.

Doctor Qin's heart was ashamed.

What a beautiful flower, just like this being arched by others.

"No, no, don't get me wrong!"

Li Jingsheng and Ou Qinglan explained almost in unison.

It's okay if the two don't explain.

This explanation, on the contrary, turned into a cover-up, and the ambiguous smiles of people who had experienced it appeared on everyone's faces.

"I understand, we all understand. Go back and rest early! Doctor Li, pay attention to your health!"

Ruan Xiaoqin is a sycophant, this sycophant really hit the horse's leg.

He probably thought that Ou Qinglan was too beautiful, and was worried that Li Jingsheng's excessive indulgence of his body would easily lead to problems.

It was out of good intentions, but Ou Qinglan's face was directly ashamed like a monkey's ass.

Li Jingsheng is thick-skinned, he is someone who has been there anyway.

After changing his clothes and coming out of the operating room, he saw that Ou Qinglan was still ashamed, with her head bowed and her face blushing.

But she didn't go first, but waited for him outside. ,

"Let's go, I'll take you home or go to my clinic for a while."

Li Jingsheng tried to hold her hand.

Unexpectedly, she didn't dodge.

It's just that the head is lowered, and the eyes dare not look at people.Li Jingsheng grinned, this little girl is already in love, so why should she be ashamed.

Now in the Orthopedic Surgery Department of the Second Hospital, which medical staff doesn't know that they are a couple?
(End of this chapter)