Working as a worker at night (please subscribe)

The road to medicine is long and difficult.

Even after graduating from a bachelor's degree, they are just waiting outside the door!

After I went to graduate school, I felt like there was a wall between different subspecialties in the same department, and they felt like they were two unfamiliar fields.

Even if you are a professor, there are blind spots in understanding between professors of different subspecialties!

A person's life is only so long, and even if he spends his whole life, he can only study slowly in one subspecialty, and there is basically little free time to master and become familiar with the operations and knowledge of other subspecialties.

Because each subspecialty is deep enough.

Trauma, surgery, joints, sports medicine, bone disease, foot and ankle, which one is not as profound as the sea, simple to all-round, they are all laymen, have never looked into it...

No, it's not enough. If you really want to subdivide it, you can still divide it.

Orthopedics, chronic injuries, nerve transplantation, sports rehabilitation...

Every time it is divided into more detailed categories, it is enough for a doctor to study for a lifetime!

This still feels a bit forced, but some people actually think that there is a discipline that can solve all diseases in various departments such as women, children, ear, nose, throat, and oral cavity. Isn’t this nonsense?

There are not so many diseases in medicine!

Every disease is not that simple.

Huang Xuanqi didn't leave, he happened to be in the surgery class.

The key is that Zhou Cheng's guidance is very accurate, so he can not panic.

Zhou Cheng only took one bone fixation and fixation cap, compared them on the operating table, and then ordered: "Old Huang, please bring seven more of this combination."

"Okay, you reserve a seat, but you agreed that I will treat you. As I said before, you have to call me when you come to Shashi. You didn't follow the first rule, but you can't break the rule of treating guests."

…

Zhou Cheng also apologized a little apologetically: "I also want everyone to get off work early."

He is definitely an excellent surgeon.

In fact, attaching an external fixator is not as difficult as imagined.

Zhou Cheng said: "No, let's go have a midnight snack. I will arrange the rest of the emergency surgeries for other general residents."

However, before Zhou Cheng could answer, the chief hospital phone rang.

"Sister Ling, will you leave a finger after you dye your nails?" Zhou Yu explained in a very cryptic way.

"Zhou Yu, you and I are from the same family."

Huang Xuanqi picked up the sharp knife and broke the skin with a steady hand. He then used curved forceps to bluntly separate the subcutaneous tissue to the bone surface, and then accurately inserted the fixing nails with an electric drill.

She thought she had seen a lot of speed battles between surgeons, but she never heard that there was anything wrong with it.

In fact, it is very limited now.

"If you are free, you can apply with your master to stay here for a few months and see if he agrees." Zhou Cheng led Huang Xuanqi towards the sink outside the operating room!

Zhou Cheng explained that everything was done in detail.

There is no need to waste too much time on repetitive operations, just use time to accumulate them slowly.

"If I had known it was you earlier, I would have come looking for you during the retest, right?"

The excitement and happiness at this moment could not be concealed at all.

"Okay. Ciao!" Huang Xuanqi cursed and accepted Zhou Cheng's pretense.

There was a constant squeaking sound as the fixation nail rubbed against the bone.

It's not as typical as what's written in the textbook.

Open fracture, tibial nerve exploration, replantation of severed finger, and the one just now, tendon suturing.

He walked out of the seventh operating room and sat down directly outside the operating room.

"Ah? Who? Who did two emergency rooms in one and a half hours?" While Kong Ling was speaking, a man in green clothes came out of the six operating rooms.

Zhou Cheng stood up with support: "I'm going back first. Brother, Sister Kong, you should get off work early."

Moreover, it is impossible to let Huang Xuanqi buy it. Now Huang Xuanqi is studying and he gets his salary.

Huang Xuanqi nodded frequently and quickly obtained the two connecting rods and the remaining seven fixing nails and fixing caps.

"We did two sets in one and a half hours. No wonder Sister Xuanxuan went back to rest. How are you playing this late at night?"

The difficulty of external fixation surgery lies in locating and determining the fracture type. Driving screws is actually a practice operation. Knowing how to screw is the key.

The patient crosses the bed onto the gurney and can be sent directly to the department!

Huang Xuanqi smiled knowingly: "This feels so good."

Bone fixation nails, connecting rods, connecting rod fixing caps.

This surprised Zhou Cheng. Huang Xuanqi still knew that it was best not to waste time on one patient when practicing.

The total number of stitches required is at least one to two hundred!

This stitching is no different from sewing clothes. It is a test for both eyes and hands.

After saying that, Zhou Cheng walked over without caring whether Zhou Yu from his family could understand.

But Huang Xuanqi's hands didn't even tremble, and he paid full attention to the changes in the voice.

Zhou Cheng sat at the door of the operating room and continued to relax his strength.

"The sense of participation is directly proportional to the reward. Is that okay?" Zhou Cheng looked at Huang Xuanqi.

Zhou Cheng smiled bitterly upon hearing this and said, "Are you looking for me during the re-examination? I guess no one here knows me yet!"

With the first nail, the second nail was easy. He carefully looked at the X-ray again. After determining the location of the fracture, he took about 3cm below the fracture line and broke the skin again...

"We need to insert three fixing nails at the proximal and distal ends of the fracture at the same time, and then form a triangle and insert two fixing nails,"

"It's okay, take your time."

"It's so tiring, Brother Cheng, isn't it easy for you too?" Huang Xuanqi sighed.

"We're going to install a tripod today."

Especially the tendon suturing in the last one, Zhou Cheng was in charge of the whole process!

Six minutes later, Huang Xuanqi completed the six fixation nails in the front area of ​​the tibia.

"Finally, the position of the fixed cap is reserved. For such a fracture, we have to break it into two semi-open triangles, so the position of the fixed cap must be reserved on the inside of the fixed rod."

When Zhou Cheng heard this, he immediately laughed back: "Whether it's guidance or fingering, it's not for men, right? It's called fingering at most."

Huang Xuanqi's hands are also very steady, basically not shaking much!

Such a surgeon has a strong psychological quality. After he works in the future,

"Ah?" Huang Xuanqi was startled!

In one year, you have become like this?

"Of course I am, Brother Cheng. In our hospital, you are someone else's child in our hospital. My master has mentioned you more than once. I just don't dare to recognize that he is my brother, right?"

Of course Zhou Cheng was not particularly reassured and continued to talk about some key points:

"First fix the distal end of the tibia so that it is in line with the nail layer I drove, and use the connecting rod to align it. It cannot be deviated."

Zhou Yu was stunned for a moment and shouted from a distance: "That's interesting, brother, you have used another word in the vocabulary."

Zhou Yu stretched himself and then walked out of the operating room. His operation was nearing the end, and the rest was left to the graduate students. He was going to take a rest.

Then when he was about to push himself up and stand up.

This is already the fourth emergency surgery performed by Zhou Cheng and Huang Xuanqi.

After Huang Xuanqi read it, he said: "You have seen it clearly, there should be no problem."

Zhou Cheng can understand Huang Xuanqi's current feeling of powerlessness.

Zhou Cheng didn't teach Huang Xuanqi as an ordinary student, at least not now: "Old Huang? For this kind of tibial shaft fracture, either a circular external fixator or a triangular bracket will work. Choose the upper connecting bracket."

Huang Xuanqi's re-examination should have been at the end of last year. At that time, he was still preparing for his doctoral defense, and his influence in the Orthopedics Department of Shonan University Affiliated Hospital was really limited.

“When inserting fixation nails, be sure to insert the needle perpendicularly to the bone cortex and choose the position in the anterior tibial area.”

Ding Changle had promised to give other general residents a chance to practice.

About an hour and a half later.

"This forms a semi-open triangle, which can also be stable."

Kong Ling said: "This is it, Brother Yu. You don't know, today the Department of Orthopedics occupies two operating rooms in our operating room. It is also the replantation of a severed finger. He completed one, and then added another one for debridement or tendon suturing."

, the other one only had two fingers connected.”

First, Zhou Cheng accurately drove the nails into the bone. After two breakthroughs, he immediately stopped driving the nails.

"Okay!~ Brother Cheng, let's go together and save some time for the patient." Huang Xuanqi said.
To be continued...