Chapter 134 You are not as important as you think! (Please subscribe!)
Is such that--
Li Changhong thought to himself that he had exposed the brachial artery much faster than Yan Haihan. Later, after Wang Yaoxiang had tied up the brachial artery, he still looked at Yan Haihan calmly.
As he continued to move faster, he thought, at your level, Yan Haihan, do you still have the heart to compete for the position of chief director? Even a simple amputation is so laborious.
What he did next was so quick!
Amputation is already in progress.
Li Changhong was faster before. After completing the bandage to stop the bleeding, he had already neatly disconnected the two muscles!
I even feel a little proud that even though I haven’t had an amputation for a long time, my current level has actually not dropped!
As I was explaining the live training I was leading, I thought I could teach partial anatomy along the way.
Amputation involves amputating limbs anyway, so it is best to use them as teaching tools.
It is also in line with the reputation of the teaching hospital that the Eighth Hospital is currently preparing to strive for.
But now that I was in trouble, I quickly covered the incision with a saline pad, then raised my head, looked around calmly, stood on tiptoes and looked in the direction of Zhou Cheng's leg...
As the name suggests, amputation aims to amputate a limb.
Its definition is a therapeutic measure to amputate limbs that are necrotic, damaged, severely diseased, painful and harmful to life, or limbs that are completely useless and impede their function.
It's intended to be therapeutic, though.
Amputation will inevitably cause disability, so it should not be used lightly.
When amputation is performed, consideration should be given to future prosthetic limb installation as much as possible.
The purpose of amputation is therapeutic, but it has strict indications:
① The main blood vessels of the limb are damaged and the opportunity for repair is missed. The limb has become ischemic and necrotic. If it is not amputated, the necrotic toxin will be absorbed, which will be life-threatening.
②Diseases of the main blood vessels of the limbs (such as thromboangiitis obliterans, diabetes, arterial thrombosis, etc.) cause limb necrosis and the blood supply of the limb cannot be restored or reconstructed by other methods.
Etc. (To save word count, the remaining indications will not be released.)
However, since amputation is a surgery, it also has its requirements.
When amputation, you should try to choose the appropriate length:
If the foot is amputated, it should be at the metatarsal and should not be shorter than the talonavicular joint. Otherwise, there will be insufficient dorsiflexor muscle attachment and it will be difficult to resist the contraction force of the plantarflexor muscles, resulting in foot drop and hindering weight-bearing.
The lower 1/3 of the calf has poor blood supply and the severed end cannot bear weight, so it is generally not selected as the amputation site.
The junction of the middle and upper 1/3 of the calf has good blood supply and rich soft tissue, so it was selected as the amputation site of the calf. However, the residual limb should not be shorter than 10cm below the tibial tuberosity. Because the calf is too short, it will be difficult to control the prosthesis.
In thigh amputation and upper limb amputation, the limb should be preserved as much as possible.
This patient was an indication for amputation and had a blood clot.
Thrombus is similar to a stone stuck in a water pipe, resulting in no blood supply to the far end of the stuck area.
This is equivalent to cutting off the blood source of remote cells and tissues.
We humans will die if the water source is cut off, but we can move freely and find ways to get water.
But the cells and tissues in our limbs are fixed and cannot move freely, so we can only wait to die.
Limb salvage surgery is an extremely complex surgery that involves many disciplines.
Strictly speaking, it is not a surgery similar to internal fixation of fractures.
There are also indications for limb salvage. Let’s not mention other things for now. The first thing to ensure is the blood supply.
It's like our plumbers checking the water pipes to find out where they are blocked and then take them out.
However, in the human body, because the patient does not have time for preoperative examination, you have no idea where the blockage is.
Therefore, even directors such as Huang Shinan cannot guarantee that they can perform limb salvage surgery and remove the blood clot...
Zhou Cheng also doesn’t know how to perform limb salvage surgery.
This is a fact. However, Zhou Cheng is capable of amputation and arteriotomy and thrombectomy, which are level II surgeries.
After mastering amputation, it is natural to understand the indications and precautions for amputation.
The original planned amputation range was to cross the middle of the thigh, but in order to preserve the patient's function as much as possible, Zhou Cheng extended the blood vessels as far down as possible. By retaining an extra section of the limb, the patient's function could be preserved.
Zhou Cheng did not know how to remove thrombus in the strict sense of vascular surgery, and he had no preoperative examination, so he could only use the touch of his hands and perfect anatomical knowledge.
After releasing the proximal banded femoral artery, feel where it is blocked.
This is a technical job that requires very solid knowledge of anatomy to enable you to find the shape of blood vessels on the body surface and feel the touch of blood vessels.
Zhou Cheng performed a total of two arteriotomy and thrombectomy operations. He first went to the middle and lower part of the thigh, and then he was a little greedy and removed the thrombus from the posterior tibial artery of the calf. He made an unexpected discovery!
The dorsalis pedis artery is open!
This left him not knowing what to do.
Because Zhou Cheng’s original purpose was to amputate his leg, he just wanted to keep it longer.
Men all like thick and long...
Luo Yun wanted to strangle Zhou Cheng to death at this moment.
He glanced sideways at Yan Haihan, whose expression was stiff at the moment, the corners of his eyes twitching, his eyelids twitching, his eyes glancing at the sharp knife at hand, as if he wanted to give Zhou Cheng a slap in the face, and after reading it, he immediately cursed Zhou Cheng: "Get out of here."
"I'll check the situation first and then talk."
Luo Yun used his hands to explore the dorsalis pedis artery.
The most direct and official way to check whether the blood vessels are open is CTA, which checks whether the blood vessels are open.
However, the patient could not undergo this operation before the operation, and now his life is still hanging by a thread. Naturally, it is impossible to use this most standard examination to review.
There are also simple checks.
Palpation, that is, feeling for the pulse of the distal artery.
The arterial pulsation of the human body strictly follows a rule, that is, feeling the arterial pulsation at the far end definitely proves that the blood vessel is smooth.
Otherwise, you can't go to the far end.
Luo Yun quickly touched the dorsalis pedis artery, and then felt the weak beating of the artery with his fingertips.
Not strong.
It can't be stronger. The patient is already in shock. How strong can you ask him to be?
However, in addition to simple palpation, Luo Yun also plans to use another more direct way to confirm the evidence!
"Circuit, please prescribe a five milliliter syringe." Luo Yun immediately asked the circulatory nurse for the instrument.
Whether the blood vessels are unobstructed is a key factor in whether the amputation should be stopped. Therefore, such a guess cannot be made by palpation alone.
When Luo Yun called out, Yan Haihan, Li Changhong, and Wang Yaoxiang all stopped moving their hands.
Then he looked towards Zhou Cheng, his expression uncertain for a while.
Luo Yun also looked at Li Changhong and Wang Yaoxiang, meeting their eyes and seeing their tangled expressions.
At this moment, Wang Yaoxiang felt that his gluteal muscles were numb.
He has also started preparing for the amputation without stopping. He has cut a brachialis muscle and is in the process of cutting the biceps.
I planned to complete the amputation of the upper limb, and left my director Li Changhong and Yan Haihan and others together. I left, and you just looked at your back casually.
Can?
This problem occurred now!
Isn't this like having diarrhea halfway and having to forcefully stuff it back in...
But it’s okay!
It's just that one and a half muscles were cut, and it can still be made up, otherwise.
This joke has become a big deal.
My face and ears were a little red, and I was so embarrassed.
Zhou Cheng, a subordinate, can operate faster than them?
This actually made him feel quite shameless.
But fortunately, Zhou Cheng is very fast.
The second one feels lucky.
If Zhou Cheng, a lower-level doctor, should have slower progress than their surgery!
In the end, the three of us performed the amputation, and Zhou Cheng's leg was still there!
Four guarantees and one!
Jue Juezi!
Didn’t you live in Bengbu?
What to do then?
Li Changhong didn't know, but fortunately, such a thing had not happened yet. Before that, an accident happened.
Li Changhong, Wang Yaoxiang, and Yan Haihan kept glancing at Luo Yun and Zhou Cheng. Yan Haihan didn't believe that Zhou Cheng had really opened up the blood vessels, so he reached out and touched them himself.
Chichi.
Chichi.
The pulsation of blood vessels at the distal end of the limb is definitely not as violent as the pulsation of the heart and aorta, and only a slight pulsation can be felt.
But the existence of pulsation is real.
Soon, the syringe was put on the stage.
Luo Yun took out the needle and inserted a needle directly into the toes of Zhou Cheng's left foot where Zhou Cheng had undergone surgery, and then watched the changes.
Pricking the far end of the body with a syringe to let out blood is one of the most powerful evidences to verify the existence of blood supply from the side...
It is also the simplest, most economical and effective method, but this method is not very suitable in clinical outpatient clinics.
Otherwise, it is simple and straightforward to just prick a patient a few times, but if the prick is wrong, the patient will feel pain and be easily beaten.
So it is only suitable for use on the operating table.
A group of people in the orthopedics department were all staring at the toes of the toes.
The blood didn't seep out as fast as a normal person. It took a full half minute before a very small drop came out. She looked like a new daughter-in-law, half-hidden, and a little shy.
Seeing this, everyone breathed a sigh of relief.
It will be good when it comes out, it will be good when it comes out.
Nowadays, the patient's blood pressure itself is very low, and the body's self-protection will give priority to supplying important organs such as the brain and heart. If it can be distributed to the far side, it is already quite good.
As long as it is still smooth, has some nutrition, and does not starve the lower limbs to death, it can be replenished after surgery.
There is no need to look at the veins.
It is definitely blocked, but the venous network of the lower limbs is complicated and it should not be completely blocked. Moreover, there are two sets of large return venous systems. Therefore, intravenous thrombosis can be slowly treated by postoperative heparinization.
The blood clot melts away!
Treatment of intra-arterial thrombus is the top priority during limb salvage surgery!
After Yan Haihan took a deep breath, he immediately gave up his position as the surgeon. Although he felt very embarrassed, he still managed to maintain his dignity and said, "Zhou Cheng, let's change positions, you do it for me."
This way."
What it actually means is, Zhou Cheng, you do the limb salvage surgery on this leg, and I will help you complete the remaining work on the leg you just operated on.
The rest is just suturing and placing the drainage tube.
Yes, drainage must be done after blood vessel suturing. Otherwise, the thrombus may be healed, and then the hematoma will arise. The drainage tube can drain the blood in time, and at the same time, it is found whether the suturing effect is good.
After Yan Haihan said this, Zhou Cheng stopped being nice.
The reason why he asked Luo Yun that way before was because Zhou Cheng did not participate in the conversation with the patients and was afraid that he would make a mistake and embarrass them in the middle.
After all, Zhou Cheng didn't know whether Yan Haihan discussed limb salvage during his conversations with the patient's family.
However, when I think about it, it should be that the families of patients with such accidents are willing to accept that they can get off the operating table without amputation. Moreover, it is in line with the principle of non-injury in medical regulations.
Amputation is not an injury, it is treatment. However, if you can save the limb without amputation, you can temporarily communicate with the patient's family.
Zhou Cheng nodded and said, "Okay, Director Yan."
Then walked to the opposite side of Luo Yun.
Luo Yun looked at Zhou Cheng seriously, suddenly feeling that Zhou Cheng was strange again.
Wang Yaoxiang immediately turned back to the traveling nurse and said, "Bring me some No. 3 wires."
It must be to perform the unique skills - biceps and brachialis suturing.
Li Changhong hesitated and praised him in front of him, whispering: "Give me those too!"
…
"Do you know how to save limbs?" Luo Yun, who had digested some of his emotions, asked Zhou Cheng after Zhou Cheng stood up.
He actually heard what Li Changhong and Wang Yaoxiang said, but he didn't want to slap people in the face, just watch the excitement and feel confident.
This question made Yan Haihan immediately test his ears.
This question made Huang Shinan particularly embarrassed.
Thrombosis, no matter where you say it, is a problem of vascular surgery. Now their department with the brand name of vascular surgery cannot handle it, and it is handled by people from the orthopedics department, although no one is angry with him.
But even Chen Liwei cast a strange look at him, which made Huang Shinan feel an indescribable sense of shame.
What's wrong?
If you don’t know how to perform limb salvage surgery, are you not worthy of living?
It's definitely not that serious.
The Eighth Hospital does not have a specialized vascular surgery department. If it had such strength, it would have been separated long ago...
…
Zhou Chengxian shook his head subconsciously.
The threshold for limb salvage surgery is a little high. He has never been exposed to it. If it is a severed limb and replanted, it will be possible.
Luo Yun immediately saw the strange eyes of Li Changhong and others, and immediately lowered his voice and said: "To be honest, young people should not learn the tricks of yin and yang and hiding their hands."
"I really can't." The limb salvage technique that Zhou Cheng understood was only after systematic study and research on it.
"I just thought about amputating as few limbs as possible and leaving as much as possible."
Zhou Cheng's eyes are full of sincerity.
Luo Yun could only smile helplessly and said, "Let's take another look and see if the blood clot here can be removed."
Yes, Luo Yun didn't know what to say.
There was absolutely nothing wrong with what Zhou Cheng said and did.
Is vascular ligation a limb-sparing surgery? No.
Is arteriotomy and thrombectomy a limb salvage surgery? Not entirely.
They are just Zhou Chenghui’s Level II surgeries!
That's what Zhou Cheng said, but Luo Yun wanted to curse IIGMB at this moment!
This is limb salvage surgery, okay?
Limb salvage surgery is not a rigorous surgery, it is a set of knowledge. As long as the purpose of limb salvage can be achieved, it can be called limb salvage surgery.
However, we cannot say this now. We have to say it after we step down.
…
Zhou Cheng didn't hold back anymore, maybe he had just tasted the benefits, and Luo Yun as an assistant was naturally much better than Huang Yu.
Moreover, Luo Yun can also help Zhou Cheng explore the path. Therefore, as long as Zhou Cheng loosens the proximal ligated femoral artery, Luo Yun can help Zhou Cheng find out where the arterial pulse is.
Zhou Cheng then immediately repeated the previous method of catching loaches.
The round knife breaks the skin, and the vascular forceps bluntly penetrates the muscle gap and goes straight to the shape of the blood vessel. After seeing the bulge caused by the thrombus, the knife is immediately opened!
After removing the thrombus, sew it up, and then continue to loosen the proximal banded blood vessel.
So back and forth.
The process is naturally quite complicated, and the steps are even more cumbersome.
But at any rate, the thinking is clear and refreshing!
I don't know if there were more blood clots on Yan Haihan's side, so Zhou Chengyi made four incisions in a row to open up the blood clots on the dorsalis pedis artery.
Luo Yun continued to use palpation and syringe needles to check blood supply.
suitable!
In this way, Zhou Cheng and Luo Yun completed the limb-sparing surgery on the lower limbs, and then began to sew them up one by one.
When Li Changhong saw this, he felt particularly uncomfortable.
He had just finished sewing up the muscles at this moment. Opposite him, Wang Yaoxiang, who also wanted to dump Yan Haihan's arrogant back, was in a daze after sewing up the muscles, not knowing what to do.
After all, the First Department of Orthopedics and the Second Department of Orthopedics are separate, and they each go their own way!
The first department of orthopedics does not deal with fractures of the lower limbs, and the second department of orthopedics does not deal with fractures of the upper limbs.
Li Changhong had secretly performed surgery on his lower limbs. Yan Haihan knew about this and mentioned it to Zeng Yi. But Li Changhong's attitude has always been that patients come to me for surgery because they believe in my surgery for lower limb fractures.
Better than the Department of Orthopedics.
The First Department of Orthopedics is much older than the Second Department of Orthopedics, so Li Changhong also firmly believes that the level of the First Department of Orthopedics is higher than that of the Second Department of Orthopedics.
Just now?
It seems that Luo Yun and Zhou Cheng have no intention of taking the initiative to help themselves and Wang Yaoxiang!
Li Changhong straightened his throat and said to Luo Yun with a smile: "Xiao Luo, how about you and Yu Xiao Zhou switch places? I'll do the suturing, and you guys come and take a look at the blood clot in this upper limb? See if you can remove it?"
All four limbs were injured, and the lower limbs were more seriously injured. If the lower limbs were saved in the end, the upper limbs would be amputated.
This makes the bird uncomfortable.
It’s not about scarcity but about inequality. Although it can be explained forcefully, the symptoms and degree of damage in each department are different. If you can explain it, you won’t be afraid of a lawsuit. The main reason is that it doesn’t look good.
Instead of looking bad in front of the patient's family members, it is better to put down the shame first and beg Yan Haihan and Luo Yun to beg one's own people.
Luo Yun didn't say much, but looked at Yan Haihan, the director of the Second Department of Orthopedics.
Yan Haihan took the initiative without any hesitation: "Luo Yun, Zhou Cheng, you go to the upper limbs and let Director Li do the sutures."
"Okay!" Luo Yun nodded.
But after agreeing, he looked at Zhou Cheng with a bit of embarrassment: "Do you know anything about the upper limbs?"
These words immediately made Li Changhong and Wang Yaoxiang's feet twitch as they were about to move!
Even the third leg was numb!
Finished bird!
Yes.
How could I have forgotten this just now?
Zhou Cheng is a live-in doctor, and the live-in training is on a rotating basis, but the live-in training in orthopedics is either in the first department of orthopedics or in the second department of orthopedics.
Zhou Cheng has been staying in the Second Department of Orthopedics.
The Department of Orthopedics is the lower limb trauma department.
The Department of Orthopedics is the upper limb trauma department.
It is correct to say that the type of trauma surgery is the same, but the location is different, so the anatomy and shape are different.
Anyone who dares to say that upper limb surgery is exactly the same as lower limb surgery will definitely be scolded to death.
Can the muscles of the upper limbs and the muscles of the lower limbs be the same?
Blood vessel deformation, is there any analogy?
Can Zhou Cheng get it?
Hearing this, Zhou Cheng glanced sideways at Luo Yun, but without showing off, he whispered, "You can give it a try."
When Li Changhong heard this, he immediately took a deep breath and said: "Wang Yaoxiang, you go and sew, and I will do the upper limbs with Xiao Zhou and the others!"
Li Changhong was worried, but he could only relax and let Zhou Chenglai perform the upper limb surgery.
There's nothing you can do if you don't relax.
Wang Yaoxiang nodded, but felt secretly embarrassed.
I was looking forward to it in my heart, Zhou Cheng, you must know how to do it. Otherwise, when the patient's family members start to cause trouble, I will definitely be the person who has the most contact with them.
I want to ask why the lower limbs were saved but the upper limbs were not.
The doctor in charge of the bed can certainly say that he doesn't know. Li Changhong is the director. You can ask the person below. I have explained it to you many times.
Where did he push Wang Yaoxiang to?
Recommend it to your cousin?
Wang Yongjin?
However, when Li Changhong saw that Zhou Cheng had taken out two brachial arteries very cleanly, he felt relieved.
I was secretly shocked.
A layman watches the fun, an expert watches the door.
Although the brachial artery has no branches in the upper arm, it is not easy to find the brachial artery so easily. The brachial artery has no branches, that’s right!
But its shape is so cool.
It will rotate...
Zhou Cheng can accurately find everything that goes around and around. Zhou Cheng's understanding of anatomy is quite solid.
Even Li Changhong felt that he might not be able to do the surgery as neatly as Zhou Cheng's.
We can only place our hope on Zhou Cheng.
Then, Yan Haihan's side had already finished suturing, and he was not too worried about Zhou Cheng's side, so he ran to the side to suppress the formation.
Quietly watching Zhou Cheng's extremely tedious task of finding blood vessels, suturing them, and then feeling the pulse of the arteries...
This was like assembly line work, and when I saw the fine sweat on Zhou Cheng's forehead, I felt a little distressed. I turned around and shouted: "Watch, help Zhou Cheng wipe the sweat!"
The circulating nurse rushed over to help.
Huang Shinan raised his head when he heard the voice at this moment. The debridement and lobectomy of his liver had not yet been completed, but on Zhou Cheng's side, the limb salvage surgery was almost completed.
I looked at the operation time and it was only over an hour!
I also admire Zhou Cheng very much.
One is to admire Zhou Cheng's speed, and the other is to admire his dedication.
This is non-stop, truly non-stop.
After the blood supply to the left upper limb was restored, it was already past six o'clock, close to seven o'clock.
Li Changhong was also a bit reluctant to persuade: "Xiao Zhou, the pace can be slowed down a little. If you are tired, it doesn't matter if you take a rest. We have saved three limbs."
Zhou Cheng raised his head and said, "Director Li, let's just finish the operation."
"Teacher Luo, are you tired? Do you want to take a break?"
Luo Yun shook his head and said with a smile: "What is this? The longest operation before, I did it for thirty-two hours."
After hearing this, Li Changhong asked curiously: "What kind of surgery did you do? It took thirty-two hours?"
Luo Yunjiu said: "Hemipelvic plasticity and reconstruction after resection of pelvic malignant tumors."
Li Changhong opened his mouth at that time, as if he was being slapped. Why did he have to be so tongue-tied and ask this?
He didn't even understand the method of surgery.
"Oh!" But I still have to give a response.
Luo Yun changed positions with Zhou Cheng, and then continued the last operation.
At the same time, Yan Haihan breathed a sigh of relief and said to Li Changhong: "Changhong, now the blood supply of the patient's lower limbs is still good. I can feel a little relieved to report back to the family, and I can look forward to the conclusion of limb salvage."
Upon hearing this, Zeng Yi hurriedly said: "Hey, wait, I'll go with you."
"On my side, the vital signs have basically stabilized. This patient's family members are not real family members, and they are also old. They told him to go to rest early." Zeng Yi deliberately found an excuse and walked out with Yan Haihan.
After leaving the operating room, Zeng Yi asked: "Director Yan, your department, Zhou Cheng, is very interesting, isn't it?"
Yan Haihan nodded and suddenly thought of Yang Yifeng again.
Then he said: "Director Zeng thinks so too, right? I have always felt so. He can be regarded as a powerful general among us."
Yan Haihan is showing off his character in front of Zeng Yi.
At the same time, he was secretly wondering whether giving the organization to Lin Lin was a mistake.
Zeng Yi didn't see through Yan Haihan's deeper thoughts, but just smiled and said: "Yes, Cai Dongfan said the same thing. I want to ask you, this Zhou Cheng, what kind of person is he usually?"
"I have a niece..." Zeng Yi actually started to make insinuations about Zhou Cheng.
I guess I also feel that Zhou Cheng has a bright future.
This question stopped Yan Haihan, because he had never paid much attention to Zhou Cheng before, so how could he know this?
Then he replied: "I'm not sure about this. It may be there, or it may not be. I think it is more likely."
"After all, our young man Ke Zhoucheng can still fight."
Young men are considered good-looking in Hunan Province.
Zeng Yi then understood that Zhou Cheng was not familiar with Yan Haihan at all, so it seemed that he still had to go check in with Cai Dongfan.
In fact, some time ago, Zeng Yi had this idea when he saw that Zhou Cheng was able to ask an associate professor from the Shonan University Affiliated Hospital to be his assistant, but he just kept wandering.
…
In the elegant Sanheyuan.
Yang Yifeng's mind was wandering, and he didn't bother to type, let alone make an outline. He just wrote a request for leave.
Tell your book friends to update later.
However, Yang Yifeng soon waited for his teacher, Professor Ding Changle.
When Ding Changle saw Yang Yifeng, he smiled: "You can still find this place, it's not bad, it's elegant enough."
Ding Changle has actually been to this place before, but he didn't say anything.
Yang Yifeng said: "Master, an interesting person in the department brought me here. Thank you for your hard work today, teacher. I feel much better now."
Ding Changle patted Yang Yifeng on the shoulder and said, "As long as you feel better, it's okay. People live forever and grass and trees fall. In fact, happiness is the most important thing."
"In fact, no matter what we do, we will eventually return to nature in a physical way. These inorganic substances in our body will have the opportunity to accumulate together."
"In fact, it is the combination that has supported our consciousness for this period of time."
"We should enjoy this time and find happiness instead of getting hung up on one thing or another."
As a professor, Ding Changle has seen too many things, especially for doctors. Life, old age, illness and death are all too common. He has seen it all, including parents' filial piety, neighborly relations, fights, mother's kindness and son's filial piety, and great unfilial piety.
There is no dutiful son before a long-term illness.
Naturally, Ding Changle also had his own experience of life, but he always felt that his own experience was too old and not suitable for people of Yang Yifeng's age.
At his age, one should be high-spirited, and should not be miserable for the rest of his life like himself.
However, in order to allow Yang Yifeng to come out, it is better to stretch his inner growth line in advance and talk to him more. If you can get some inspiration, living like a retired person in advance is much better than living like being trapped in inner demons now.
.
"Master, your understanding of life is quite open-minded." Yang Yifeng looked at Ding Changle and replied with a smile, trying not to show his inner emotions.
Ding Changle said: "Everyone has to grow old. To realize life and death and to see through life and death, we must reach this point. There is no escape."
In my heart, I said, you are going to use a psychotic persona to kill people, and if I don't tell you about it, it will be too late.
A teacher is someone who preaches, accepts karma and resolves doubts!
Yang Yifeng said: "Yes, no one can escape."
"But according to what you said, Master, how will our thinking change in the process of limited ideology? Our bodies come from nature and return to nature. This is the essential process."
"The experience is definitely different."
"Because of different experiences, our understanding of happiness is also different."
"I used to think that I would be happy if I left medicine. I would be happy if I followed my mother's advice belatedly and did not study medicine or do this hard work."
Encourage people to study medicine, and the sky will strike like lightning.
Studying medicine is really hard, and his mother just hopes that he won't have to be so hard. She had previously advised him not to study medicine.
Yang Yifeng continued: "I have always thought so."
"To this day, I discovered that this is not the case. It is true that I like writing. I also hope to outline the story line and enjoy it."
"But actually, this is just my hobby. It's not my dream."
Yang Yifeng said to Ding Changle very frankly: "At that moment, Master, I felt I understood a little bit."
"My hobby is writing, but what I really like is to be a doctor, so I followed my heart and ran to the operating room as soon as possible. But I couldn't get in, so I had to escape."
Yang Yifeng was in a much better mood at the moment, so he could say all this very naturally.
In this world, very few people, probably no one, will have such an experience as Yang Yifeng, but...
Ding Changle also experienced the natural death of his parents, and he was able to recall them.
He deeply felt that if his parents are alive, there is still a way to go in life; if his parents are gone, there is only a way back in life.
They died of natural causes, that's all.
What's more, what Yang Yifeng encountered was quite unusual?
Ding Changle's mood was a little complicated and he said: "Yi Feng, in fact, there is not much difference between likes and hobbies."
"What you like now may just be your hobby in the future. What you like in the future will definitely be different from what you like now."
"For example, what you once liked may not even be your hobby now, right?"
After Ding Changle finished speaking to Yang Yifeng as a person who had come before.
"Actually, if you really like medicine, you don't necessarily have to enter the operating room to be considered a fan or a dream."
"There's still a long way to go."
"Scientific research, go to internal medicine."
"ah!"
"As well as teaching and being a pure teacher, you can stay out of this circle and continue to fulfill your dreams."
"Medicine is not only about treating diseases and saving people, but its purpose is to save people. Moreover, scientific research and teaching can also save more people. Why not do this?"
"Actually, your master and I can give you many choices."
"Go to the hospital to be a teacher, be the person in charge of the laboratory, contact the professor of internal medicine to change the subject, or you can work as a research and development manager in an outside biological company."
"These are pretty good. Moreover, by engaging in these industries, you can continue your current hobbies. You can write novels, read books, and travel at any time. It is much better than being a doctor."
Ding Changle continued: "It is actually quite inappropriate to simply comment on the profession of doctors."
"Other people say that doctors become more popular as they get older, and they can still make money when they are old."
"But I think doctors don't make money until they get old, but they still have to make money when they get old."
"How helpless?"
Yang Yifeng smiled and understood what Ding Changle meant. However, Yang Yifeng said: "Master, let me take another look. I haven't thought about it yet, so I don't dare to casually think about what I will do in the next few decades."
The matter has been decided."
"Let me see if I can try and take that step."
Yang Yifeng knew that Ding Changle wanted him to return to orthopedics and become a surgeon.
He thought about it himself, but the nightmare he had at night was that he had 'killed' his parents with a scalpel!
It was really difficult for him to take this step.
This is also responsible for the patient.
When you are a doctor, first of all, you should not take human life seriously.
"..."
After sending his teacher away.
Yang Yifeng continued to sit for a while, and then wrote down his feelings.
This is a diary. The diary is placed in the same compartment as the pen.
This is his mental journey, which started in college.
I already have many notebooks like this, but recently, I haven’t opened them for too long.
But today, Yang Yifeng turned it out again.
Wrote: "The only thing that can defeat magic is magic."
"The only way to break your inner demons is to face them head-on."
"Wherever you fall, you should get up."
"Perhaps I should bear all the pressure and go to the vascular surgery operating room first."
"Dad? Mom?"
"Are you willing to be my inner demon?"
"Will I 'hurt' you again?"
"I will live a good life, be happy, and live a truly happy life. You believe me."
"Yi Feng."
After finishing writing, Yang Yifeng put on his backpack with a very determined look.
Then we took a taxi and went directly to No. 8 Hospital.
After getting out of the car anxiously at the door, Yang Yifeng struggled fiercely in his heart. When he arrived at the operating room, he first returned the green rubber slippers and hand wash clothes.
Next!
Yang Yifeng overcame his fear again and walked step by step to the operating room where he had been at the door of the operating room before but did not dare to enter.
Getting closer.
Yang Yifeng felt that his heartbeat was accelerating, his nerves were tense, and the muscles in his limbs were trembling constantly.
Even my back felt a little cold, as if the operating room was like a terrible black hole that would swallow me completely.
However, there was another strong attraction, calling Yang Yifeng to walk into the operating room.
Finally, I don’t know how long it took.
Yang Yifeng just walked to the door of the operating room.
Stand there, awkward.
I never took the step to open the sensor door.
The operation is still going on, and at least the patient has not reached the most unacceptable point.
When Yang Yifeng came, he thought that the patient might be gone.
It's because of him again!
But maybe, the amputation has been done——
I don’t know how long it took, but finally, the traveling nurse inside came out. Her expression and footsteps were hurried, as if she was running.
After almost bumping into Yang Yifeng, I was so frightened that I really jumped back.
Then he cursed: "What the hell, block the door."
She just cursed casually and walked out. She was too busy and had to do the surgery urgently.
The door of the operating room was opened, and the shadowless light inside was very dazzling, but not dazzling. All the light was gathered on the operating table.
Yang Yifeng closed his eyes the moment the door opened.
Then, it never opened.
The door closed again.
It wasn't until the traveling nurse came with the cart again and Yang Yifeng blocked her again that she said, "Hey, let me go, why are you blocking the door?"
"Get out of the way quickly. I'm done here. The patient will be sent to the resuscitation room soon."
When Yang Yifeng heard this, although his head was a little down, his eyelids bounced up as if they were equipped with springs.
My upper and lower lips trembled as I asked, "Amputation? Have the amputation been completed?"
Without the intervention of vascular surgery, there is no way to save the limb and the only option is amputation.
The circulating nurse gently pushed him aside with one hand and looked at him as if he was a psycho.
She walked in and found Yang Yifeng staring at her.
The eyes and expressions are complex.
He turned around helplessly and said to Yang Yifeng: "All the orthopedic surgeries are over, no amputation!"
"Are you an orthopedic surgeon?"
"It's been a long time since the operation ended, and you just came?"
"Go back and rest quickly, it's getting late!"
"Your superiors have all stepped down."
The circulating nurse walked in casually with a little tired eyes.
She was also very tired and wanted to go home and rest.
Yang Yifeng was completely stunned...
The result was a bit beyond his expectation.
No amputation?
Yang Yifeng immediately rushed into the operating room and then came to his left and right hands.
It was seen that the blood supply to the patient's hands and feet had indeed recovered. Although he was still a little pale, it was not the pale color after ischemia!
Paleness and paleness are similar, but they are not the same quality at all.
At this moment, Huang Shinan was finishing the final liver surgery. When he saw Yang Yifeng, his expression became complicated.
Said: "The orthopedic and vascular surgery operations have been completed, there is no need for you to come on stage."
"You should go back quickly, it's not too early."
My heart is very tired and my emotions are very complicated.
When he asked Yang Yifeng to come on stage to perform the surgery as if asking for help, Yang Yifeng didn't come. After the operation, he came to the operating room to show off his presence?
This TN guy is like no one else.
What a weird thing.
Yang Yifeng was a little stunned and asked: "Who did the surgery? Professor Shu?"
"Why do you care so much? It's not you anyway."
After speaking, Huang Shinan said: "You have to make it clear to your master that you came to the operating room on your own, but no one forced you! Don't let your teacher trouble anyone again."
It's like I can't afford to offend you and I can't afford to hide from you.
His eyes were full of contempt...
Yang Yifeng suddenly smiled self-deprecatingly and exhaled.
Yang Yifeng, Yang Yifeng, you are actually not as important as you think.
This is actually good...
Then he turned around and walked out.
PS: Don’t ask plot questions under the guise of being a trainee. Thank you. The author is not responsible for answering such questions from book friends!
In addition, if you like to read traditional doctor pretentious articles, you can turn left, there are already many starting points.
The author is quite satisfied with the plot of this book so far, and the portrayal and writing of the protagonist will be more, not less.
I think the portrayal of the protagonist can be hidden in daily life, and there is no need for any unique personality or characteristics!
In addition, book friends, please stop teaching the author to write a book. This book has its own outline, details, and character settings. Unless it is a finishing touch that makes people shine, it will not be changed at will.
The current performance of this book is quite good, with 500+ reads in 24 hours, close to 600, which is not good. However, the collection is only 12,000, and the read ratio of 20 to 1 proves that everyone approves of this book. The author's thoughts are not in vain.