Chapter 126 The second day of missing the devil! (Second update, please subscribe!)
Of course, An Ruo didn't really laugh, but she couldn't help but think so in her heart.
In the past, my teacher specifically explained to her the number of C-arm scans, which was to inoculate herself so that she could calm down and not do things she shouldn't say or do.
I almost had an accident when I almost pulled out the epidural anesthesia tube.
During the operation, the anesthesiologist pulled out the anesthesia tube. This was an absolute surgical accident. No matter what reasons you have, you can't explain it. Even Zeng Yi didn't know how to protect her.
One thing in surgery is for sure.
That is, the anesthesia time must be absolutely longer than the operation time. This fact must be recorded in both the anesthesia order and the anesthesia record.
Anesthesia monitoring records should also be longer than surgical records.
In reality, this is also done.
The operation is not over yet, you pulled it out, are you kidding me by leaving it here?
Therefore, An Ruo waited patiently for Zheng Xuanlin and others to finish suturing, and then went to pick up the patient.
At 12:40, Zheng Xuanlin and others finished the suturing, put on a plaster, and handed the patient over to An Ruo and Liu Yan.
An Ruo couldn't wait for a long time and had already prepared all the work to send the patient back to the ward.
It's 12:40, and we have to pick up the next patient for anesthesia later.
There is no time to eat. Even if we go again, we will only have leftovers.
Why am I so miserable?
An Ruo murmured in her heart.
Now that Zeng Yi has stepped down, she can go have a meal, but she still has to run away and get another anesthesia. It must be too late. Will there be food for her at that time?
Therefore, when pushing the bed out, An Ruo deliberately raised her voice and said: "Sister Yan, I guess there won't be anything to eat when we go to eat. Let's order takeout."
An Ruo and Liu Yan were ready to send the patient back to the ward at any time, so when they pushed the patient out, Zheng Xuanlin and Lin Lin happened to be at the door of the operating room. An Ruo said this deliberately to them.
Liu Yan glanced at Zheng Xuanlin, nodded, and didn't reply.
The smile on Zheng Xuanlin's face suddenly froze, and he rolled his eyes with a slightly gloomy look, feeling that the girl from the anesthesiology department and the nurse in the operating room were really disappointing.
But he couldn't say much. After all, they were discussing dinner, and they didn't ask you to treat them to dinner. Why did you react suddenly?
Do you have to lean against the wall where you are disliked?
And what An Ruo and Liu Yan said is also true.
…
Today is Tuesday. Since Luo Yun was on duty on Monday, it is Zhou Cheng's turn to be on duty today.
However, although Zhou Cheng was on duty and had to stay in the department, there was still a team of people accompanying him.
Although the one on duty today is Pang Dingkun from Yan Haihan's team! Not Du Yanjun or Zhang Zhengquan.
However, neither Cai Dongfan nor Luo Yun dared to leave.
You know, today they made an exception and performed a second-level surgery on Zhang Zhengquan and Du Yanjun, so they didn't dare to be careless.
Cai Dongfan and Luo Yun had been patiently drinking tea and smoking in the director's office. In just one morning, they had finished a pack of cigarettes.
One pill every half hour.
This pace is much faster than usual.
Finally, after finally waiting for dinner time, Luo Yun and Cai Dongfan found something to do, which was to order food and treat the guests.
If you're not in the department usually, that's fine. Since you're here today, you should still express your gratitude.
It is a very rich double rice bowl.
It can be seen that Cai Dongfan is also very generous.
And even though the person on duty was not from his own group, Cai Dongfan still ordered Pang Dingkun along with him.
After dinner, Cai Dongfan finally received a call from the operating room, saying that he planned to undergo the first operation of his group.
Cai Dongfan immediately became energetic, and then immediately ordered Luo Yun to inform Du Yanjun and Zhang Zhengquan to go down and wait after eating. He also urged the anesthesiologist to administer anesthesia quickly and start the operation as soon as possible.
Du Yanjun and Zhang Zhengquan immediately wolfed down all the dishes, and then they were exhausted. They threw the wasted food into the trash can, swallowed two glasses of water, and hurried to the surgery after they were full of food and water.
room.
Extremely positive.
Zhou Cheng continued to stay in the office with Pang Dingkun and started eating slowly.
Pang Dingkun also asked Zhou Cheng: "Xiao Zhou, aren't you going to the operating room?"
"You can go ahead. I can still handle common joint dislocations myself." Pang Dingkun explained proactively.
In fact, he is quite embarrassed now.
He was originally a regular employee in the department, and he was not the kind of person who knew nothing about joint dislocation. But after the last time he encountered an irreducible shoulder joint dislocation during reduction in the emergency department, Yan Haihan even took care of him again.
In order to save face, he was also assigned a general duty.
In fact, Pang Dingkun felt that it would be okay if Luo Yun happened to work with him every day, but Zhou Cheng?
What's the point of being the chief on duty in his class?
However, Pang Dingkun didn't have much to say. The dislocation he didn't solve was solved by Zhou Cheng, and Luo Yun also said at the time that it was an irreversible joint dislocation, which was solved by Zhou Cheng.
This is a fact, and he has to admit it, so although today's scene is embarrassing, he can only admit it bravely.
However, Cai Dongfan arranged an operation today, and he felt that he could not drag Zhou Cheng into the department because of his duty.
Zhou Cheng could also understand Pang Dingkun's thoughts and said: "Brother Kun, today we are Du Yanjun and Zhang Zhengquan's patients. Now that I have obtained Level II surgical authority, it is not easy for me to mix in more. I will wait for Teacher Cai then.
Please notify Teacher Luo."
"If they ask me to go, I will go down. If they don't call me, I will still be on duty with you, Brother Kun, to collect patients and so on."
Pang Dingkun was on duty today, and Zhou Cheng was the general on duty, but Zhou Cheng did it the other way around, treating himself as the doctor on duty and reporting to Pang Dingkun. The patients admitted were also given to Yan Haihan's team, which was considered sufficient.
The reputation of Dr. Pang Dingkun and the doctors of this hospital.
Pang Dingkun said nothing more.
After eating, Luo Yun probably noticed the role change between Zhou Cheng and Pang Dingkun in the morning. It would be awkward for them to be on duty on the same day.
Then he called Zhou Cheng: "Zhou Cheng, would you like to come down to the operating room together?"
"Dingkun is on duty today, basically you don't have anything to do." Luo Yun invited.
Zhou Cheng was naturally happy and said, "Okay, Teacher Luo, I'll go down right after I finish eating."
If Cai Dongfan and Luo Yun were not invited, Zhou Cheng would naturally feel that they had specially prepared this day for Zhang Zhengquan and Du Yanjun.
It's not good to just punch it down.
Luo Yun then smiled at Pang Dingkun again: "Dingkun, please look after the ward more, Dingkun."
Pang Dingkun was also polite: "That's right. I'm on duty today. It's my job."
He does know his position very well.
…
An Ruo and Liu Yan ran around the second ward of the Department of Orthopedics, and they happened to smell the aroma of food coming from the office, and their stomachs began to growl.
At that time, I decided to order the same rice bowl and have it delivered to the door of the dressing room in the operating room, and pick it up after the anesthesia was administered.
The two quickly took the patient to the operating room, and then Liu Yan began to arrange the surgical instruments, while An Ruo immediately quickly prepared for anesthesia-related matters.
Almost twenty minutes later, one of them finished the anesthesia, and the other pushed all the equipment packages used in the operation into the operating room.
When An Ruo saw Zeng Yi come in, she felt as if she had seen a savior.
"Teacher, are you back?" An Ruo was hungry and wanted to eat, so she called Zeng Yi enthusiastically.
Zeng Yi saw what An Ruo was thinking and said quickly: "You guys should go and eat quickly. There probably won't be any food down there."
"I ordered takeout!" An Ruo immediately reached out to Liu Yan, and the two little ones quickly ran out of the door, went downstairs, got their food, and then each of them got a glass of hot water.
I couldn't wait to tear open the packaging bag and put a mouthful of rice into my mouth. The moment the meaty aroma exploded in the taste buds in my mouth, I felt extremely satisfied.
Food is the only thing in the world that you cannot live up to...
By the time An Ruo and Liu Yan returned to the operating room after eating and drinking, the operation had already begun in an orderly manner.
Liu Yan immediately went to help. When the operation was about to start, there were a lot of things to do during the tour, such as connecting the suction tube, inserting the electric knife, adjusting the current of the electric knife, preparing to open the blade, etc. It was very trivial...
Although there was help from the hand-washing nurse, the surgical team was already on stage and ready to start the operation. The hand-washing nurse also wore sterile surgical gowns and arrived at her post.
Before she came, after the hand-washing nurse came on stage, Zhou Cheng had always assumed the role of her traveling nurse and helped with things.
Liu Yan quickly apologized to Zeng Yi and took over her duties.
An Ruo sat down in front of the anesthesia monitor, then began to look around, and found that Zhou Cheng, the former protagonist, was not on stage today.
He just wandered around the edge of the operating table, and then shuttled between the operating room timing panel, the image reader and the operating table.
An Ruo felt a little funny.
After your stomach is no longer hungry, you will naturally have more thoughts.
I thought to myself, if he was the one doing the surgery, he would probably go home and take a nap by now, right?
It's a pity that he is just a spectator today. An inexplicable thought involuntarily tempted An Ruo...
But immediately, An Ruo shook her head and drove away this idea.
Stick to your beliefs——
When the devil is not on stage, this is the normal rhythm of surgery. Don't dare to think so wildly.
…
The operation started step by step. Zhou Cheng finally stood opposite Du Yanjun, the surgeon. He looked at Du Yanjun, holding the round knife tremblingly, and looked at Cai Dongfan, waiting for his careful 'feeding'!
Cai Dongfan first used sterile forceps to draw an arc-shaped mark on the patient's middle tibia fracture before it was wrapped, and then said: "Incise along this line, and slowly expose the skin and subcutaneous tissue."
"Remember the angle of entry is to enter the knife vertically, cut the skin to the subcutaneous level, then move the knife diagonally and withdraw the knife vertically..."
Cai Dongfan really looked at his student patiently, broke open the operation, crushed it and fed it.
This is the process of normal teaching surgery. He had wanted to teach Zhou Chenglai such a lesson before, that is, the previous intratrochanteric fracture and intramedullary nail internal fixation.
However, Cai Dongfan just told Zhou Cheng that he wanted to expose him, and Zhou Cheng took the knife and cut into the patient's skin without saying anything.
Moreover, the surgery was performed smoothly and directly. The only remaining step was to use the positioner formula to insert the fixed blade and screws.
This made Cai Dongfan so determined that he did not have the time or leisure to teach Zhou Cheng.
Zhou Cheng stood aside, blinked, and didn't think much.
Zhang Zhengquan also listened carefully. Cai Dongfan's teaching was not just for Du Yanjun. He also had to read and learn more to find loopholes in Du Yanjun's operations and find the details that he paid attention to that he might not have noticed.
place.
At the same time, I began to clarify what my surgical ideas would be if I wanted to have surgery?
This is how you learn surgery...
When An Ruo heard that Cai Dongfan was so patient, she also remembered that her teacher was so attentive and meticulous when he first taught her. However, she had a good foundation, so she started teaching very quickly. Nowadays, she is sure that basic spinal anesthesia and general anesthesia are
It can be done.
It was just a nerve block anesthesia, and her teacher had not started to teach her yet, and she felt that she was not ready.
When I look back at Cai Dongfan's teaching to Du Yanjun now, I feel like I am looking back at the younger generation.
This is not simply based on age or professionalism, but on who has gone further. When two people meet, who is looking back or condescending, and who is looking up or forward...
To be honest, Zhou Cheng felt that this process was not interesting at all.
Zhou Cheng even felt that Du Yanjun's hand holding the knife was trembling slightly. Such an incision would cause the skin to become jagged to a certain extent, which would affect blood supply and increase the chance of skin necrosis.
Similarly, it may also lead to poor alignment, wrinkles or pulling during the postoperative suturing process, resulting in more scarring and even more severe scarring.
There may also be small bumps...
The operation begins with making an incision.
When making incisions, a big taboo is that you have to be ruthless and decisive when making incisions, and you cannot hesitate to poke here and there.
The knife should be moved steadily, not crookedly, and the knife should be closed evenly!
The knife must be retracted vertically to avoid wasting every inch of skin. Once an incision is made, it must be used as much as possible.
But considering that Du Yanjun is a beginner...
Forget it, Zhou Cheng took a few steps back, then went under the timing panel in the operating room and started to look at his official account.
Otherwise, after watching two surgeries performed by Du Yanjun and Zhang Zhengquan, I can write a long surgical review of their surgical procedures and suggestions for modifications.
Getting started from scratch.
Zhou Cheng stood on the top floor and looked down, which was essentially the same as a toddler learning to run.
However, Zhou Cheng still pretended to appear next to the operating table occasionally, peeking in curiously.
After all, Luo Yun asked himself to come down to the operating room to avoid the embarrassment of being on duty with Pang Dingkun at the same time. In addition, he was nominally listening to Cai Dongfan's teachings.
If you are too dismissive and don't even appear next to the stage, it is disrespectful to Du Yanjun and Zhang Zhengquan, and also disrespectful to Cai Dongfan.
Orthopedics is a world of its own, and there is no fighting or killing here, but the necessary humaneness and sophistication are still needed.
The patients prepared for Du Yanjun were naturally not complex patients, but simple fractures in the middle of the tibia, AO type A1.2.
If Zhou Cheng's treatment method had been followed, this patient would not have appeared in the ward, and would have been sent away by Zhou Cheng in the emergency department, let alone the operating room.
Of course, any type of fracture can be treated surgically, and this principle is correct.
If Du Yanjun wanted to grow, he would naturally need a patient to practice his skills. This patient happened to be willing to undergo surgery. As long as Cai Dongfan did not let Zhou Cheng do the manual reduction, Hu Ming could not come here to cause trouble.
Naturally, the only option was surgery.
Time continues to pass slowly.
Soon it was ten past two o'clock.
The operation had been going on for an hour, but Du Yanjun had still just exposed the fractured periosteum, and used bone peeling to expose the broken end of the fracture very forcefully and abruptly.
Peel off a strip of space close to the bone that the steel plate can be placed in...
At 2:25, Du Yanjun put the steel plate in.
At 2:35, Du Yanjun finally adjusted the angle at which the steel plate lay.
At 2:50, the first screw was driven in. After the depth was measured, the first screw was driven in.
An Ruo was beside him, almost falling asleep out of boredom.
But Zeng Yi wouldn't let her sleep. He patted An Ruo on the shoulder and whispered: "Cheer up."
"The surgeon is not Director Cai. You must be extremely careful about your vital signs and make sure nothing goes wrong. Pay attention to the depth of anesthesia and oxygen saturation."
An Ruo immediately opened her eyelids, feeling so bored.
Then he looked under the timing panel in the operating room. Liu Yan was leaning against the wall quietly, taking a rest.
I'm really envious.
Then he glanced at Zhou Cheng. Zhou Cheng had been flipping through his phone, as if he was also waiting for the surgery to proceed, looking bored.
At 3:10, Du Yanjun finally finished screwing in one fixing screw above and below the fracture line.
Then Liu Yan was called up and started to push the C-arm machine, and it was penetrated!
After the fluoroscopy was completed, Cai Dongfan immediately pointed to the plain film during the operation and began to lecture Du Yanjun: "Do you see clearly? These are the fixing screws you drilled."
"There is such a big gap between the steel plate and the bone. Is this possible?"
"The steel plate and the bone end must fit tightly. This is the middle part of the tibia. There is no curvature, so you don't need to leave any space for decompression!"
"Think about it, how should I close this gap when I teach you?"
Cai Dongfan taught from the beginning to the end of the surgery. He first let Du Yanjun try it out by himself and made mistakes before giving him a solution.
Luo Yun immediately said: "When fixing the screws, ask your assistant to secure the steel plate and the bone tightly."
"Director Cai and I usually know what to do when we do it, so we didn't ask you to do this step. We just did it ourselves, but you have to pay attention to every detail during our operation. These details have their purpose.
of."
"You have to think carefully and try to reduce what you think, what you see, the useless operations of the professor or director during the operation, so that you can improve the quality of the operation..."
Du Yanjun immediately accepted the lesson and nodded obediently.
Then he ran to the operating table, removed the fixing screws, asked Zhang Zhengquan to help fix it, and then inserted the screws again...
Then on a C-arm fluoroscopy, it was discovered that the separation between the steel plate and the bone end was resolved.
Then he looked at Cai Dongfan, as if waiting for praise.
Cai Dongfan said coldly: "Zhang Zhengquan, go in and raise the affected limb. Liu Yan, adjust the angle of the C-arm and take a lateral radiograph."
Zhang Zhengquan and Liu Yan immediately took the order and left.
Then the C-arm fluoroscopy results came out.
Sure enough, the happy look on Du Yanjun's face disappeared, and his head facing the sky almost looked for company with his head facing the ground.
Cai Dongfan preached again: "Watch the movie!"
"Thinking about the head and not the tail, the sides of the steel plate fit together. But when it goes up, it goes down!"
"Your steel plate is at an angle with the axis. It's skewed front and back, and you didn't pay attention. You can't even fool the patient with the postoperative review plain radiograph like this!"
"I asked you to clamp it, would you just clamp it on one side at a time? Don't you know how to fix the top and bottom at the same time?"
"You have been waiting for me to feed you, and your mind is not moving at all. If I say something, move a little bit?"
…
An Ruo curled her lips when she heard Cai Dongfan scolding him, and then looked towards the operating room. She seemed to feel that the patient was so pitiful, being tormented like this by Du Yanjun...
As if he had found an opportunity, Zeng Yi patted An Ruo on the back of the head and said, "What are you looking at? Listen carefully."
"Do you still remember the last time you had spinal anesthesia and couldn't find the intervertebral space? How did you find a solution?"
"Not strong enough? Is this a solution?"
An Ruo also lowered his head, but only saw the ravine...
Zhou Cheng listened quietly on the side and began to mutter in his heart.
Secretly said, Teacher Cai, what you said is actually not quite right...
It seemed, seemingly, that at this moment, Zhou Cheng understood and understood Yang Yifeng a little bit.
Standing high and walking far may not be a good thing sometimes. You will feel lonely and can't find anyone to talk to and communicate with.
However, Yang Yifeng was not simply unable to find communicators and confidants. He had a large number of professors at the Affiliated Hospital of Xiangnan University to communicate with him. He had another reason.
And yourself?
never mind.
Zhou Cheng immediately stopped these little thoughts and felt that it was better not to be too harsh on other people.
You have your own adventures, and if you have adventures, using them to improve yourself is the right path.
If you continue to ridicule others after quickly improving yourself, you will be on the wrong track.
In this case, didn't he deserve to be ridiculed by others in his heart?
Zhou Cheng didn't know whether others had done this before, but at least Cai Dongfan and Luo Yun never disliked him, they just didn't give him enough opportunities.
All of this suddenly became clear to Zhou Cheng.
What if I asked Du Yanjun to perform intramedullary nail internal fixation now?
Isn’t he afraid that he can use his gold finger to poke directly out of the skin?
…
At 4:30, Du Yanjun very cautiously watched the post-operative review film and announced that the operation was completely over.
Then he asked Luo Yun, but he didn't dare to ask Cai Dongfan: "Teacher Luo, I think it can be sutured, what do you think?"
Luo Yun looked at the plain radiographs of the review and found that there were still some problems with the convergence of the fracture line.
Although the problem of looking ahead and ignoring the bottom has not been completely corrected, and the alignment is still a little flawed, the recovery ability after a fracture is extremely strong.
The reset is not good, but if it is fixed properly, it can have a great error tolerance rate.
He said to Cai Dongfan: "Director Cai, do you want to sew? There is another one behind you!"
This operation started at one o'clock and is now coming to an end. It is estimated that the sutures will be completed at five o'clock, and the next patient will be admitted around five thirty.
Today's surgery is expected to end at around nine o'clock.
Don't do it too late.
Cai Dongfan naturally took this into consideration.
He nodded and said: "Let's sew, the next one can be turned over a little faster."
"Director Zeng, thank you for your efforts and you are under anesthesia." Cai Dongfan said to Zeng Yi apologetically.
Zeng Yi nodded numbly.
"It should be done, it's my job!" Although Zeng Yi also felt a little bit pained.
Today's three surgeries were all teaching. Originally, if Hu Ming and Cai Dongfan performed the surgeries at the same time, they could get off work early in four or five hours at most, but they would have to go up to the hospital for more than ten hours.
But there is nothing we can do, everyone has to take care of students.
When he took care of Anruo before, he would naturally say hello to the director of the clinical department in advance.
My anesthesia machine will be a little slower. I'm taking my students and wasting your time. I'm sorry?
The anesthesiology department has no patients of its own, so it can only ask the director of the clinical department to slow down the pace of surgery. It's the same thing...
An Ruo looked at the timer on the surgical panel and felt even more desperate.
While Du Yanjun and others were suturing, he asked his teacher: "Teacher, did we not take any preparation pictures in the operating room today?"
Zeng Yi nodded: "The three surgeries in the orthopedics department are expected to be completed before the shift change at three o'clock, so there is no anesthesia preparation shift. We have to fight the whole scene!"
There is a replacement person in the anesthesia department. After the surgery is scheduled the day before, if the operation volume is large and the operation time is long, someone will be arranged to take over.
However, this obviously does not apply to today's orthopedic surgeries.
After all, three simple fracture operations should have been completed at the usual pace...
An Ruo suddenly began to think bitterly.
I got off work at around nine o'clock and came home.
It's almost ten o'clock.
If you take a shower and wash your hair, your hair won’t be washed.
It’s not enough time to apply a facial mask.
Just wash your face, wipe your face, and then read a book, and you only have one hour left.
I……
An Ruo suddenly looked in the direction of Zhou Cheng for help, but Zhou Cheng was still like an old locust tree, quietly recuperating there, watching Du Yanjun and others on the operating table suturing.
Occasionally, take the initiative to stand up and prepare sutures, sterile dressings, plasters and other chores for them.
In order to speed up the turnaround of the operation, Liu Yan went down to prepare the surgical instruments for this operation and had a meal on the way.
When An Ruo saw Liu Yan walking out, she immediately felt abandoned. However, she asked Liu Yan to hide some tomatoes that were only available in the operating room for dinner, and then quietly waited for Du Yanjun and the others to grind tofu.
I cursed in my heart, a man grinds chicken like a woman grinds tofu...
However, no matter how reluctant An Ruo is.
Still unable to do anything.
Finally, the time when the operating room announced the end of the operation was fixed at half past ten.
After the suturing was completed and the patient's sterile dressing and plaster were applied, the time for Cai Dongfan, Luoyun and others to leave was ten thirty-one.
However, this is not the time when anesthesiologists and circulating nurses can leave the operating room.
They also need to send patients back to the ward and tidy up the operating room and anesthesia table.
It is estimated that I will not be able to leave the operating room until 10:50 at the latest.
An Ruo and Liu Yan hurriedly pushed the bed and sent the patient back to the ward. They were like wilted leeks, listlessly rushing towards the operating room, their bodies not tired at all.
Really, the pace of today was too slow. Liu Yan took three naps in the middle of the day. An Ruo felt that her butt hurt a little from sitting. She also felt that today was too leisurely and her body seemed a little soft.
Can?
It's really tiring.
It should be over before one o'clock, but it doesn't happen until eleven o'clock before I can go home!
I can only go back, but I can't get home.
An Ruo suddenly asked Liu Yan: "Sister Yan, will you put on the facial mask later?"
"Don't sleep anymore, the dog's life is at stake. Go back and wash your face, take a small bath and then go to sleep. You don't even want to wipe your face."
"Do you still want to wear a facial mask?" Liu Yan asked An Ruo.
An Ruo suddenly shook her head like a rattle.
"I won't do it anymore. I'll go back and wash up and then go to bed."
There is no time to put on a mask and wipe your face. If you do it again, you will die suddenly. You will have to get up at six o'clock tomorrow!
This is one of the few times Anruo gets off work so late.
But there were always emergencies in the past, but today, the operation process was extremely smooth, even smooth.
However, the surgeons on the three surgeries were all busy working, so it was delayed until this moment.
Not to mention reading and wiping her face, An Ruo felt that she had to save time on going to the toilet to stay alive!
"Alas!" Liu Yan felt quite helpless at the moment, but it seemed that it was hard to say anything.
Clinicians naturally need to learn if they want to grow. I have already said hello to the anesthesiologists and operating room nurses before, but this timeline is too tedious.
…
When Anruo was carrying a canvas bag and walking on the lights on the roadside, she was walking home.
The traffic on the road has already become sporadic. At this point, there is not even a taxi driver at the door, so we can only call Didi.
An Ruo felt that it was not safe to ride home at night, so she called Didi.
After finally arriving home, I hurriedly washed up, took care of my face, and brushed my teeth. It was already past 11:40.
This is already squeezing time to the limit.
I was going to take the book to the master bedroom, but I was going to support An Ruo, who could read a little bit, and opened it and closed the book directly.
Then I turned off the lights and prepared to sleep, but I felt no sleepiness at all.
Today, because of these operations, her rhythm was completely disrupted.
Because in the past, even if she was given anesthesia for neurosurgery, someone would take over at six o'clock at the latest. She still had enough time to read, exercise, and have a serious dinner.
But today, because the difference between the estimated operation time and the actual end time was too big, she was completely unprepared, but she could only hopelessly wait for the time to be extended indefinitely.
It seems that, based on this comparison, it is much better to be busy than to be free today.
An Ruo's mind accidentally thought of the shadow of a devil again.
But when he appeared, he was a little tired, but tired enough to be valuable.
After being tired, I can get off work early and have more time to read. I can even catch up on a nap and watch more teaching videos on nerve block anesthesia from the anesthesiology department.
I hope tomorrow’s orthopedic surgery won’t be like today again…
Wednesday!
As soon as Zeng Yi entered the door, he saw Yan Haihan walking towards him with a smile on his face, and said: "Director Zeng, I'm sorry, I want to discuss something with you. The pace of our operations today may be a little slower."
Slow down."
"After all, we formed a group..."
An Ruo looked dazed, and the action of injecting anesthesia was paused for a moment.
Then, An Ruo began her boring journey.
Nothing to do, really nothing to do.
Very flat and boring.
wait wait wait……
At 11:40, the first operation was over, and she had a normal lunch smoothly. An Ruo felt better than yesterday.
But when the second channel ends, let alone dinner, if it is later, it may not even be enough for midnight snacks.
It turned out that it was Yan Haihan's student, Min Chaoshuo, who took less than two hours to perform the surgery, but it took six hours!
From one o'clock to seven o'clock!
It’s just over!
Then the third channel started.
Yan Haihan personally performed the surgery.
It was also half past nine when An Ruo was free.
Arrive at home.
Although she got home an hour and a half earlier than yesterday, Anruo's reading time was reduced to less than half an hour.
Very unaccustomed.
An Ruo immediately called her teacher and said, "Teacher, let's not go to orthopedic anesthesia tomorrow, right?"
Zeng Yi said: "No, I think you are in good condition these two days and you are not busy."
"Don't think I don't know that you secretly took a nap today. I just didn't wake you up."
An Ruo: "..."
Is that a nap thing?
An Ruo replied with a series of ellipses.
Zeng Yi explained: "I have already told Director Zeng Yi of the Department of Orthopedics and asked him to order the Second Department of Orthopedics to perform teaching surgeries. Our hospital is a teaching hospital, but there is a maximum limit of one per day."
"Moreover, the time for teaching surgery must not exceed four hours. During the third hour, the teaching teacher must take over."
"If they do this, what kind of fame can it have?"
An Ruo felt relieved.
As long as it's spicy, it's good.
After settling her mind, Anruo lay on the bed again, seeming to miss the previous operation day that was particularly fulfilling and physically exhausting.
Eat after work at noon, take a nap and read in the afternoon.
There are days when you still have plenty of time to read, which is actually pretty good.
Compared with wasting time and life in the operating room these days.
I'd rather be more tired.
The day before yesterday was Director Hu Ming’s surgery day, and today is Director Yan Haihan’s surgery day. Will it be Director Cai Dongfan’s turn tomorrow?
Will Zhou Cheng come to power?
Can I get off work at noon?
Thinking of it this way, An Ruo herself felt a little scary.
What happened to me?
Why do you still look forward to the devil who tortures you physically and mentally?
An Ruo, An Ruo, wake up quickly!
The moon is setting and the night is deep.
An Ruo quickly fell into sleep.
But Zhou Cheng was still awake, quietly waiting for the early morning to arrive.
Looking at the perfect level skills of the four level II surgeries that have been simulated in the past two days, Zhou Cheng is quite looking forward to it. How many perfect level skills can be simulated in today's two simulation opportunities?
Well, although the definition of perfect level has been changed in the simulation copy, Zhou Cheng is still used to using the word perfect instead of the realm of perfection.
finally.
Just after early morning, Zhou Cheng started today's three simulations.
Not to mention, because there are many Level III perfect skills and Level IV perfect skills as a foundation, and more and more Level II surgery perfect skills are used as knowledge reserves, so although the categories of Level II surgeries are different, and during the surgery
There are also differences in the details that need to be paid attention to.
But Zhou Cheng, today, unexpectedly simulated three perfect levels of skills.
Lower extremity arteriotomy and thrombectomy (perfect - world definition)
Upper extremity arteriotomy and thrombectomy (perfect - world definition)
Extremity Aneurysmectomy (Perfect - World Defining)
Quite pleasing to the eye.
Not bad, not bad. Only four were simulated in the previous two days, but three were simulated in one day today.
It seems that the higher your knowledge reserve, the easier it will be to acquire perfect level skills.
Compared to when I first got the simulator, it was completely different.
Of course, this does not mean that Zhou Cheng's qualifications have improved and he has become a genius, but that the explanation of qualifications is actually multi-defined.
This is explained on Baidu.
Qualification is a Chinese word, one refers to a person's innate qualities; the second refers to the conditions, qualifications, abilities, etc. for engaging in a certain job or activity; the third refers to posture and appearance.
What is born is there and there is no way to change it.
Oh no, the simulated copy adjusted itself slightly.
The second point is that as Zhou Cheng's knowledge and skill reserves become higher and higher, his natural conditions, abilities and qualifications will be greatly improved. If he improves his skills to perfection, it will come naturally.
This is how God rewards hard work. The accumulation of quantitative changes will naturally lead to qualitative changes.
As for appearance and appearance, Zhou Cheng felt that his qualifications were definitely sufficient.
If it weren't for Zhou Cheng who always thought that rice tastes a little chewy and that a man should do something while he is alive to make his life worthwhile, he would have gone to a family with a softer meal and married into his wife.
After reading the three skills, Zhou Cheng suddenly felt happy.
Now that the foundation is sufficient and the strength has risen, it seems that there is no need for too many fancy methods to increase opportunities for oneself. With simple skills, everything comes naturally.
Well, if you only study one level II surgery for the rest of your life, you will naturally reach the top.
However, I have never been able to play tricks in my life. This natural talent seems to have really become a hindrance to me.
Perfectly Divisible - Defining and Redefining the World.
One is the ceiling, the other is the roof is lifted, and the ceiling is raised by oneself, which is a different realm.
I checked the time and it was already 00:35:41.
It's too late, get some sleep now!
After touching his head, Zhou Cheng fell happily into a sweet dream. With the expectation of what would happen tomorrow, he slept very sweetly!
Thursday!
It's the fourth day of the week.
But today's Thursday is particularly different, because today's Thursday is still the first day of November.
The beginning of this month's end was not discussed with the week. It ended on the weekend, just in time for everyone to stop and start over.
At the beginning of the month, it is the day when the training doctors rotate.
Naturally, Zhou Cheng will not change places, and the current people in the department will not be rotated out, but there is no guarantee that others will come to the department to add new members to work.
In addition, Zhou Cheng is still looking forward to it. Yang Yifeng will leave Yan Haihan's group today and come to his own group for a walk. He doesn't know what Yan Haihan will think about the early handover class and what he will say.
And after the genius Yang Yifeng joins our group, will something interesting happen?
For example, after seeing how many surgeries he had done, he couldn't help but also undergo surgery?
Zhou Cheng was quite curious as to what level Yang Yifeng was——