Zhou Cheng felt that Du Yanjun was giving him a hint that Director Cai Dongfan might ask him to perform the surgery, and he hoped Zhou Cheng wouldn't have too many ideas.
However, Zhou Cheng did not expose it. Instead, he followed Du Yanjun and said, "Maybe Lin Lin and Min Chaoshuo have a relatively solid clinical foundation."
"Otherwise, even if we are given another chance, it will still be an operation after all. If an accident occurs, the superior doctor will also be held responsible."
Du Yanjun nodded, his face very nervous, as if he was about to perform the surgery.
Then he said: "Brother Zhou Cheng, have you had breakfast? Let's order some noodles together?"
People in Shashi have a unique affection for a bowl of rice noodles in the morning. It is flat rice noodles, preferably in the original soup, with some mustard added, and it has a smooth feeling in the mouth.
Zhou Cheng shook his head and said, "I came here after eating. Yan Jun, you can eat it by yourself. I'll take a nap for a while."
Since the six people outside came to the department so early, they are not like people on duty like Du Yanjun. They will definitely not let go of the computer in their hands easily and go outside to wait and put pressure on others. It is better to lie down comfortably for a while.
really.
Du Yanjun was obviously a little disappointed when he heard Zhou Cheng said that he had already had breakfast.
However, Du Yanjun thought about it and confessed: "Brother Zhou Cheng, I remember you had an operation today, right? Was it a fracture of the distal fibula?"
"Shall we go on stage together then?"
Du Yanjun asked a bit directly.
Although Director Cai Dongfan leads the team, Luo Yun is the superior as the attending physician, and Du Yanjun, Zhou Cheng and Zhang Zhengquan are all parallel subordinates, but according to the past rules, he can be an assistant for his own surgery, even if he is a member of the team
The other brothers came on stage, also serving as the second assistant.
Zhou Cheng immediately understood what Du Yanjun meant. Maybe Du Yanjun had made an agreement with Luo Yun in private.
If Du Yanjun can talk things through with Zhou Cheng, he can be asked to try closed reduction and Kirschner wire external fixation for distal fibula fractures.
Luo Yun must have agreed, that's why Du Yanjun asked him what he said now. Otherwise, the opportunity to simply let Zhou Cheng give in to Yisuke did not exist.
The gap between the first assistant and the second assistant is not that big. It is estimated that Du Yanjun will be the chief surgeon.
Zhou Cheng felt a little bitter, but he still nodded kindly and said, "Okay, this patient is mine. Do you come with me or do you help me?"
Now that Du Yanjun has gotten through Luo Yun and Cai Dongfan, there is no need for Zhou Cheng to feel that he is still a villain in the middle.
Even if you have to fight for the opportunity to perform, you don't have to fight for it so hard.
Take a look at it slowly.
Du Yanjun continued: "Brother Zhou Cheng, maybe you don't understand what I mean. For this operation, only the two of us will be on stage."
Zhou Cheng felt bitter in his heart and pretended to be stunned, but then he nodded.
I'm not stupid, how can I not understand?
Du Yanjun immediately looked overjoyed and said, "I'll treat you to dinner at noon, brother Zhou Cheng."
…
Only after he finished his shift and checked the ward did Zhou Cheng understand how much preparation Du Yanjun had made in order to give himself the opportunity to be the surgeon.
Because Director Cai Dongfan did not go to rest today and had to go to the operating room in person.
Moreover, before leaving the operating room, Cai Dongfan personally ordered that Zhang Zhengquan, who had no surgery patients today, be sent away. He asked Zhang Zhengquan to run some materials for him...
There were two surgeries today, one was Du Yanjun’s, which was open reduction of tibial fracture with plate and screw internal fixation, and the other was Zhou Cheng’s, which was small, closed reduction and Kirschner wire external fixation of fibula fracture.
Although it is said that Zhang Zhengquan is in a social training program and does not have his own surgical patients, there must always be opportunities to learn in the operating room, right?
After all, it is a cheap labor force.
Moreover, if Cai Dongfan has the task of running materials, it should be your turn, Du Yanjun, right? How come it falls on Zhang Zhengquan?
But Zhou Cheng could only see through it without saying anything, and silently followed everyone into the operating room.
The first surgery today was on Du Yanjun's patient. The tibial plateau was comminuted and displaced. On the fifth day of admission, the swelling had subsided and he was now suitable for surgery.
This kind of comminuted fracture surgery is a routine surgery in the department. Luo Yun can also do it. Luo Yun usually performs the surgery. Director Cai Dongfan does complex fracture surgeries such as humerus, femur, and calcaneus, which Luo Yun can't handle.
many.
After entering the operating room, Cai Dongfan and Luo Yun, as senior doctors, naturally went to the lounge to lie down first.
After two junior doctors, Du Yanjun and Zhou Cheng, completed the disinfection and draping, they came on stage. This was their right.
Moreover, Zhou Cheng is already in his third year of training, and Du Yanjun is also in his second year as a graduate student. In his second year of training, he is already a mature and skilled worker in preoperative preparation, so they are not worried!
After Du Yanjun entered the operating room, he took the initiative and said: "Brother Zhou Cheng, I will lift your legs today. You should go wash your hands and disinfect them first."
Take away the heavy physical work.
Disinfection before surgery in orthopedics is slightly different from that in other departments. In other surgeries, the patient may only need to maintain a fixed posture, and the surgeon can disinfect the surgical area three times.
However, orthopedic disinfection requires an assistant to lift the patient's affected limb out of the air after anesthesia, and another surgeon to complete the 360-degree disinfection of the limb without any dead ends, so that strict sterility can be achieved!
In surgery, it is said that orthopedic surgeons are all strong men, but that actually started from here.
Ordinary people are generally in good shape, but if you encounter fat legs weighing 280 or more than 300 kilograms, it really requires a lot of strength, and it is also durable strength.
Zhou Cheng didn't say much. It would be better if he could be more relaxed. Anyway, everything that follows is doomed.
If you take your time, you will always have your own opportunities.
Zhou Cheng now possesses perfect fracture surgery skills, and is naturally extremely skilled in the area of disinfection and draping.
Moreover, when entering the operating room, Zhou Cheng subconsciously glanced at the patient's films and immediately made more detailed arrangements for the operation.
A series of actions such as disinfection and draping are done in one go.
In less than four minutes, Zhou Chenggong and the handwashing nurse completed the draping operation, saving Du Yanjun from the labor pain!
Then Du Yanjun went out to call his mentors Cai Dongfan and Luo Yun, while Zhou Cheng put on sterile surgical clothes and completed the remaining steps of spreading the towel and wrapping his legs.
Just when they had wrapped up their legs and left the surgical area perfectly open, Luo Yun and Cai Dongfan walked in from outside the operating room just as they were washing their hands.
Then he subconsciously glanced at the operating table, and Cai Dongfan immediately frowned.
Luo Yun also saw something was wrong, and immediately reprimanded: "Zhou Cheng, what are you doing? What the hell is your wrapped leg? What we are going to do is open reduction of the tibial plateau fracture. You can save it.
What is it?"
After Zhou Cheng heard this, he thought about it seriously and replied: "Teacher Luo, this is how the LL approach to the tibial plateau looks like?"
"What is the LL approach?"
The corner of Luo Yun's mouth twitched: "Hurry up and expose the inside and re-attach the film."
Zhou Cheng suddenly understood.
I thought to myself, screwed up, I got one thing wrong, that is, the best approach for tibial plateau schatzker V-shaped fracture surgery - the LL approach. Not many people are aware of it now, maybe Cai Dongfan and Luo Yunting
I have never heard of it. What they are more accustomed to is the combined anteromedial and anterolateral approach.
Zhou Cheng had perfect skills and didn't realize at all that this was not an operation performed by him, but by Director Cai Dongfan, so all surgical habits had to be based on Cai Dongfan's.
Moreover, which surgical approach is best cannot be explained clearly in one or two sentences.
Zhou Chengcheng quickly admitted his mistake: "Okay, Teacher Luo, Teacher Cai. I'm sorry, I'll change it right away."
PS: Wow, thank you book friend 20210129175952868 for the reward. I will add another chapter tomorrow. Thank you very much.
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