Gou is practicing medicine in the clinic

Chapter 285: Good things come hard, the director’s incision is difficult
"It's okay, we still have a second chance. The first batch are all strong hospitals, and in the second batch, it will be much easier to qualify for surgery."

Hu Jia comforted Professor Chen Anchen.

Soon, the second batch of ten cases was released.

This time Chen Anchen and Hu Jia did not choose a low-difficulty case, but chose a medium one.

In fact, the difficulty of the operation is not particularly high. The main thing is to evaluate the comprehensive score in four aspects: preoperative, intraoperative, postoperative, and prognosis.

The real level is very high, and it can be seen everywhere in the treatment of a simple case.

It is not necessary to treat a very difficult case that others have treated.

They chose question four this time.

The number 4 is a bit unlucky, but their team has already lost the qualification for the first round of surgery.If we lose it now, we will miss the trophy.

The results came back quickly.

There are eleven hospitals in total that answered the fourth question. Fortunately, the second hospital is strong enough.

In a desperate situation, with the 1 extra point earned by Li Jingsheng, he defeated No. 2 by one point.I successfully obtained the qualification for this surgery.

Chen Anchen was extremely excited.

Hu Jia was much calmer, and Li Jingsheng was the calmest one in the team.

He himself is just a friendly cameo.

Whether he wins the award or not has little to do with him.

For Chen Anchen, whether he can win the award this time is very important.

This is why there are three people in the team, and he is the only one who is the most excited.

It has nothing to do with you, and you basically have a high-hanging mentality.

The patient they chose had a very difficult operation.

Although it is only a second-level surgery, it places high demands on doctors.

Both surgical nurses were brought here from the Second Hospital.

It is estimated that no team would dare to use surgical nurses from Qiaobang Hospital.

Because there are competing interests between them, God knows if the nurses at Qiaobang Hospital will do something small?
Any small mistake may lead to a lower score.

"Director Hu and I have done many cases of quadruple joint fusion of the foot, so we have a lot of experience. When the time comes, there will be some parts of the surgery that Director Hu and I are not good at, so I will ask Dr. Li to do it."

Chen Anchen made a simple arrangement.

"no problem."

Li Jingsheng readily agreed.

Chen Anchen has strong surgical abilities in all aspects, and so does Hu Jia.With these two strong generals, there should be very few areas where Li Jingsheng's help is needed.

The main thing is to give them a hand, pull hooks and so on.

It's hard to say whether he will be needed for suturing skin.

This patient's foot and ankle joints were very unstable due to traumatic arthritis and a certain degree of avascular necrosis of the talus.

It is currently in a state of clubfoot deformity.

The varus angle exceeds 170 degrees.

Completely meets the surgical indications.

It is said that it is not difficult, but in fact there are many details that are quite difficult.

After several people entered the operating room, they took the time to perform the operation.

In any case, Vice President Jin was very happy that Chen Anchen's team had obtained the qualification for surgery.

Because there are only twenty surgery qualifications in total.

In total, at least [-] hospitals sent orthopedic surgery representatives.

Orthopedic trauma itself is also a popular medical field.

Not to mention the ability to generate income.

Which hospital's orthopedic surgery department is not profitable?
The business is developing slightly better, and its revenue-generating ability is even stronger than that of important departments such as thoracic and cardiac surgery and neurosurgery.

The orthopedic surgery department of the Second Hospital relies entirely on manual bone setting and drainage, but its ability to generate income is still very strong.

This can be seen just by looking at Director Hua's status in the hospital.

When Li Jingsheng only showed talent in bone-setting techniques, Director Hua was able to directly convince the hospital's top management to admit Li Jingsheng to the hospital.The conditions offered are also extremely favorable.

Precisely because orthopedic surgery is so popular, hospitals with some strength will carry out this project.

This also leads to the fact that when participating in skills competitions, every hospital wants to show its face, expand its reputation, or gain popularity.

The fierce competition can be imagined.

The patient has been sent to the operating room and lies quietly on the operating table waiting for the operation.

The inspection report is also extremely detailed.

The organizers were also worried about accidents during the operation, and all necessary examinations were done.

In this patient’s case, staged surgery was actually possible.

A three-joint surgery was performed first, and then ankle arthrodesis was performed through the heel approach three months later.

The specific selection of surgical plans was discussed between Chen Anchen and Hu Jia, and Li Jingsheng basically couldn't get a word in.

There is no way, it is not his strong point.

He needs to continuously accumulate experience in surgical case treatment.

"The deformation of this ankle is very serious!"

Chen Anchen stood at the surgeon's position, holding the scalpel and not daring to start.

Looking at this situation, there should be little confidence.

Incision is an essential skill that every surgeon needs to master.

It’s just that not many people can practice it well.

Li Jingsheng watched from the side and weighed it secretly in his heart.Because it needs to be cut forward along the patient's ankle until the outer edge of the digitorum longus tendon is downward.

The presence of malformation means that the blood vessels are uncontrollable and the straight line of the incision is uncontrollable.

The stakes are high.

If you are in the operating room of your own hospital, you can still think of some workarounds.

We could even ask other surgeons with strong incision skills to come over to support us, but now we have no choice but to do the incision.Because giving up means giving up.

Don’t even think about winning a prize.

It was obviously a good operation, but because of this unexpected turn of events, Chen Anchen was in a dilemma.

If you force an operation, the risk of getting into trouble is very high.

When a medical accident occurs, it will be more serious than abstaining.Not only will it discredit the hospital and the department, Chen Anchen's own medical career will also be significantly affected.

Medical accidents are a taboo for doctors.

Doctors work hard all their lives, walking on thin ice, and then wait until the chief physician retires.This is the most ideal state.

A minor accident or two is inevitable.

However, if there is a serious accident and the family members take it to court and lead to an investigation by the competent authorities, the problem becomes very serious.

"Director Hu, come and see his knife position."

Chen Anchen thought about it and finally decided not to take this huge risk.

It would be better to abstain than have an accident.

At least you can retain some semblance of decency. If something happens, it would be really bad.

In front of the patient, there was no way to tell Hu Anchen openly, "Director Hu, this patient's foot deformity is severe and I can't cut it. Can you see if it can be cut?"

If he said this, the patient would be so frightened that he would get up from the operating table.

Hu Jia has been observing the patient's feet for a long time.

Now he got closer, and after looking at it, he shook his head slightly.

"The distortion is indeed serious. You should go to the hospital for treatment as soon as possible!"

He turned to scolding the patient.

If the problem has to be so serious to come here for treatment, doesn’t it just make the doctor’s surgery more difficult?
"The conditions in our town are limited, so we have been receiving conservative treatment and it has been like this for a long time. Can it still be cured now?"

The patient looked innocent, but also worried.

Judging from his age, he is only 47 or [-] years old, which is not too old.

If you live a little longer, your life may only be halfway over.

With the continuous improvement of living standards, the average life expectancy of people is getting longer and longer.

Many can live to be 85 years old, or even over 90 years old.

"Let's study it first. You lie down and don't move."

Chen Anchen spoke to the patient in an official tone.

Li Jingsheng watched from the side and the two directors were afraid to take the knife. After weighing it, he was not too sure either.

But if the skin incision method can be upgraded to another level, the certainty will be greatly improved.

"Director Chen, I happen to have some experience with cases of severe distortion like this."

Li Jingsheng considered this a test.

If Chen Anchen agreed to let him try it, he would upgrade the incision method to one level.

After all, it costs nearly [-] health points, which is really hard to bear.

His incision method is currently very good, and there are few incisions that he dares not do.

But it is more difficult to avoid making mistakes.

Now we are competing, it is not enough to just ensure that there are no problems.If the cut is crooked, can I get a ranking?
If you know you won't get a ranking, there's no need to do this surgery.

Because there are no benefits to be gained, there are still great risks.

It would be better to abstain directly.

"Then come and see!"

Chen Anchen briefly exchanged glances with Li Jingsheng, and finally agreed to let Li Jingsheng give it a try.

"Row!"

Li Jingsheng did not hesitate this time and directly spent 814 health points to upgrade the incision method to one level.

Skin incision method is perfect 2000/5000.

After the upgrade, he looked at the knife positions drawn on the patient's feet and already had no less than three incision plans in his mind.And you are guaranteed to get high scores.

"Because there are serious deformations in his ankles and the back of his feet, if you cut directly from the ankle to the bottom with one knife, it is easy to cause problems. The depth is also difficult to control. So I think it may be possible to achieve a level of one by cutting it in two times. Satisfactory results.”

Li Jingsheng proposed his own incision plan.

Under normal circumstances, when doctors perform surgery, they pay attention to one-size-fits-all incisions.

Even in class, the teacher teaches like this.

This time, Li Jingsheng broke the rigid rules set by his teacher and flexibly made incisions in two steps according to the actual condition of the patient.

"Dr. Li, I will leave the incision to you, and Director Hu and I will perform the subsequent arthrodesis."

Chen Anchen and Li Jingsheng have appeared on the same stage many times.

I know that Li Jingsheng never talks big, let alone acts like a hero.

Seeing Li Jingsheng talking about the eye-catching surgical incision plan with a confident face, Chen Anchen decided to give it a try.

Give it a go, the bike turns into a motorcycle.

This case is well worth fighting for.

According to the principle of fairness, the incision in this case is very difficult. As long as the incision is done well, you will definitely get certain bonus points.

Or maybe every operation has a difficulty.

I just tested them on purpose.

After all, the examiners have a routine. If they don't stump the contestants, it won't show that their question-writing skills are very high.

"Row!"

Li Jingsheng’s answer was concise and powerful.

Standing at the surgeon's position, he said to the instrument nurse, "Just give me a traditional scalpel."

The knife feels clearer with a traditional scalpel, and the electric knife is easy to use, but for such difficult incisions, it is safer to choose a cold weapon like a traditional scalpel.

(End of this chapter)