Chapter 157 Men who like to see bleeding! (Please subscribe!)
Zhou Cheng was lying on the bed, and while he was explaining the list of Level II surgeries in detail, he rolled his eyes slightly.
Zhou Chenglian has not yet finished simulating the level II surgeries officially listed by the Health Commission, but he has already simulated more than seventy level II surgeries to the naked eye. He was just planning to take a look at these more level II surgeries.
Here’s a look at what exactly is included in the surgical catalog list.
People are stupid.
Regardless of other things, it is just the soft tissue of the hand, at first glance.
Oh haha——
Tendon sheath release of hand
tenosynoviotomy of hand
Hand muscle foreign body resection
Hand bursectomy
hand tenotomy
Hand fasciotomy
Hand muscle release
Ganglion cyst resection of hand
Tenosynovectomy of hand
Hand bursectomy
Tenosynovectomy of hand
hand fasciectomy
Tendon sheath suture of hand
Carpi radialis tendon suture
Tendon suture of hand
hand fascia suturing
Hand tendon lengthening surgery
hand tendon graft
hand muscle transplant
Thumb plastic surgery
digital tenoplasty
Tendon release of hand
myotomy
intramuscular foreign body resection
Forearm Tendon Release
aponeurosis
plantar fascia release
Iliotibial band release
muscle release
Anterior scalene muscle release
cleidomastoid myotomy
Buttock muscle release
Myotomy
muscle biopsy
tenosynovectomy
Ganglion cyst resection
Tendon cyst resection
Tenosynovitis excision
muscle hemangioma resection
muscle lesion resection
muscle ossification excision
Then the person becomes numb. Then below, there are tendon transfer surgeries, tendon lengthening surgeries, tendon repair surgeries...
Oh my god, it looks like a big head! After frightening Zhou Chengyi, he trembled and quickly closed it.
Start meditating.
There must be some overlap in these larger Category II surgeries. For example, muscle release and tendon release are both the same muscle, but a complete muscle can be divided into a muscle part and a tendon part.
The release surgery in the two places is the same, but the surrounding anatomy is different, so the release techniques will be slightly different.
Then, lesions located in muscle tissue are different from lesions located in tendons.
If distinguished carefully, different positioning and qualitative differences can be used.
Muscles and tendons are just a small part of it.
This is called positioning.
In addition to these, positioning also includes fascia, fatty tissue, aponeurosis, and tendon sheaths! These are all differences in position. Different positions require different anatomy. Our human body has so many different positionings. Should surgery on the hands be performed on the feet?
?
Then there is the qualitative aspect. Cysts can also be divided into mucinous cysts and other types of cysts. There are also lesions and tendon adhesions...
Level II surgery is very simple and can be performed by senior residents.
Zhou Cheng couldn't help but think to himself, although many of the world's orthopedic experts have reached the pinnacle level in a certain field, who dares to say that he can perform all Level II surgeries well?
What about the ultimate?
Director? Professor? Top professor? Academician? Top foreign boss?
I'm afraid that when the manpower is exhausted, they may only be able to perform some operations, but they are not proficient in it. They are far less proficient in the direction they specialize in, right?
If this is magnified to the entire surgery——
In addition to orthopedics, there are also general surgery, vascular surgery, neurosurgery, breast and nail surgery...
When people don't open their eyes to see the world, they don't always realize how small they are. But those who really open the door will always maintain a sense of awe, tremble and learn on the way.
Compared with these, Zhou Cheng looked at his own skill tree.
Well, even though I picked Luo Yun's peaches and got dozens of them, their levels were only average, and compared with the entire large skill tree currently known, they still pale in comparison.
"You still have to study hard." Zhou Chengtian thought to himself shamelessly.
Then, without being greedy for more, I silently chose the direction that I failed to simulate successfully yesterday and started the simulation.
Muscle insertion point reconstruction surgery near joints——
Well, one of Zhou Cheng's current goals is that it is difficult to show off skills that have not reached the perfect level.
However, after completing a simulation, Zhou Cheng frowned severely.
"Reconstruction of muscle insertion points around human joints (skilled)."
its not right.
Zhou Cheng touched his hair. This simulation didn't seem to be going well.
You know, during this simulation process, Zhou Chengke changed his career and became a teacher of human anatomy. It can be said that he has been practicing human anatomy for a lifetime. He is still teaching until he is seventy years old.
However, it seems that no big breakthrough has been made in the reconstruction of the insertion points of the muscles around the joints!
After thinking about it for a while, Zhou Cheng slapped his head hard.
It's over.
I'm afraid I'm mistaken about the difference between a corpse and a living person. The corpses in autopsy and human anatomy have been soaked, which is of course different from living bodies. Human anatomy or systematic anatomy brings us
It is the understanding of anatomy.
And definitely not the understanding and insight into surgery.
You should learn from living people, but where can you find so many living people to practice with?
Zhou Cheng's mind was quick and he thought of several inhumane plans——
A black-handed dissector, the mastermind behind organ trafficking, a vivisection maniac?
Why don't you go ahead and mutilate the little animals for the rest of your life?
But all these ideas were rejected one by one.
Immediately afterwards, Zhou Cheng finally thought of an excellent career——
[1. Experience in the anatomy of human limbs (perfect), 2. Muscle insertion point reconstruction around human joints (skilled). 】
【Start simulation.】
[You have a solid foundation of orthopedic anatomy and quite perfect surgical operations, and you have been appreciated by your superior physician. And you have obtained the permission of your superior physician to carry out manual reduction of joint dislocation in the department. 】
[But you have a great heart and live only for one knowledge. So, you decisively obtained the standardized training qualification for residents! 】
[You rejected the department’s application to stay in the hospital and chose to work in the hospital’s incinerator. Your superior doctor found your behavior extremely strange, but you still insisted on your opinion. 】
[A year later, you felt that the number of amputees in your unit was too few, so you quit your current job and joined a county hospital with poor medical conditions and an extremely remote location. You became an excellent incineration equipment manager.
staff member.】
All severed limbs will eventually be sent to the hospital's incinerator for processing and will not be returned to the patient's family. This is medical waste, and medical waste can be used for anatomy learning.
Fresh!
[Your parents were so angry at your choice that they were almost bedridden, and they completely severed the father-son relationship with you. 】
【Your mother often comes to visit you and tries to persuade you, but you are still stubborn.】
[Five years later, your mother hoped that you could return to work in Shashi, and said that she was willing to sell the family property, buy you a house in Shashi, let you go on a blind date, and provide you with a small business. You refused.]
[Ten years later, the leader of your hospital discovered that your skills were extraordinary and wanted to transfer you out of the incinerator room and into the clinical department. You sternly refused. But because your anatomy knowledge was completely beyond the
The imagination of the people in the hospital, so you began to occasionally wander into the clinic to perform marginal surgeries.】
[Your salary has been further improved, and you also have a small group of adult students, and multiple department heads of the Department of Surgery have a friendly relationship with you.]
[Your hundredth blind date continues to fail. Your blind date cannot tolerate your lack of progress and cannot understand your desire to seek truth.]
Seeing this, Zhou Cheng sighed.
If it weren't for this simulator, I wouldn't be able to endure it for a year.
Licking his lips, he continued reading.
[When you were thirty-eight years old, you were still alone and had a lot of savings. However, your parents were still worried about you, so they sold all the real estate and valuables in the family and moved the family near your unit.
Buying a house and land.】
【And start arranging marriage arrangements for you.】
[The day your family moved into their new home, you burst into tears. You knew that your parents gave up their presence, relatives and friends for you, just to reunite with you. You felt guilty in your heart. You wanted to do it countless times.
Tell them that we will go home together, but your Taoist heart is stable and you endured it.】
[A year later, your parents finally spent a large amount of betrothal gift and successfully arranged a marriage for you. Your partner is ordinary and has an average education level, but fortunately, he is honest and diligent. 】
[You got married, and a year later, you had a child. Your wife began to persuade you to return to clinical practice to supplement the family income. But you still refused.]
[You know, you are now only one step away from the reconstruction of the tendon insertion points of human limbs (perfection - the definition of the world). Only after you cross this step, you will have no regrets in this life. 】
[When you were forty-six years old, your father was seriously ill, but your family was not wealthy and could not afford your father's ICU treatment, so he was forcibly transferred out. Soon after, your father died.]
Looking at this line of words, Zhou Chengdu in reality couldn't help but feel his heart twitch, and tears fell from the corners of his eyes.
He said secretly: Lao Zhou, I'm sorry, this is false.
[The following year, your child was about to go to school. Your wife planned to let him go to a primary school in the city, but she needed to sell the house and asked you to change jobs to pay for the mortgage. You refused, and your wife started to make noises about divorcing you. ]
[You are still unmoved. In the end, your child went to the nearby elementary school and his grades were average.]
[When you were fifty years old, your mother died of overwork. Your wife divorced you, and the court awarded your children to your wife. You were alone and chose to leave the house. 】
[Your employer, because of your years of hard work and strong will, has not fired you. But you will still send a large amount of money to your wife and children to show your appreciation.]
[When you were fifty-five years old, you finally realized that you had acquired skills (perfect—world-defining level). But you were already old, and the clinical department no longer accommodated you.]
[So you resolutely chose to resign and went to work in a small hospital along the coast. 】
[Two years later, you successfully got a good job, and you started working hard.]
[When you were sixty-three years old, your savings were enough for your children to buy a house as a down payment. After you called your wife and repaired your parents' graves, you resigned. 】
【You chose to drink and die!】
【Simulation ends.】
[Simulation evaluation: Tangled. You are not a qualified doctor, but you are a qualified scholar and a seeker with a firm heart.]
[You can choose one of the following.]
[Human limb muscle insertion point reconstruction surgery (perfect - world-defining level)]
"Huh!" After reading this, Zhou Chang let out a long sigh of relief.
Damn it, are these the unacceptable variables that will appear during the simulation process if you are not perfectly prepared?
Although this life is only described in words, as a doctor, he left clinical practice after training. However, he paranoidly chose not to be a doctor, but to be a cremator who burned corpses.
I couldn't even find a wife. The last wife I found was half-buy, half-free, but she was so disgusted that she got divorced.
As a son, Zhou Cheng was unfilial. Apart from leaving offspring, he never did anything serious.
Although the ideas are cool enough, the hot ideas still cannot make up for insufficient preparation!
But there is no way, there are more and more things going on now, and I haven’t had any rest all day today.
Cai Dongfan asked him to go to Sha County to treat Qin Yuanwu's nephew, but he couldn't shirk it. Then he encountered an unexpected incident with Qin Yuanwu, and there was no time for him to prepare for the simulation!
It seems that I need to learn to push away some things, and then calm down and study for a period of time.
Don't be disturbed by these mundane things in front of you?
However, Zhou Cheng himself is also a little confused. He is a doctor. If he does not go to see a doctor to save lives, but just wants to study, then what is the purpose and significance of studying?
How to balance the relationship between the two?
It's hard to choose.
At about this time, Zhang Zhengquan climbed onto the bed. He seemed to see that Zhou Cheng's mood was a little wrong, so he asked: "Brother Zhou Cheng, what's wrong with you? Did something bad happen to you?"
After all, there were still tears hanging from the corners of Zhou Cheng's eyes.
"No, I just remembered my grandparents. I had a sudden idea." Zhou Cheng made an excuse at random, but his grandparents were indeed deceased.
Zhang Zhengquan breathed a sigh of relief and said: "Everyone gets old, and my grandfather also passed away. I was really sad that time. I can hardly remember what he looked like now."
It was obvious that Zhou Cheng had led him into the ditch all of a sudden, and his mood was actually not high.
Zhou Cheng didn't reply. After pondering for a while, he used up the remaining two simulation opportunities.
——
[You have a solid foundation of orthopedic anatomy and quite perfect surgical operations, and you have been appreciated by superior doctors. Moreover, you have already gained some popularity in the province, and are appreciated and valued by well-known professors. 】
[But after you were admitted to the hospital, you began to ‘degenerate’. You only performed simple ganglion cyst resection! And you were only interested in simple operations, so you made a request to your superior doctor. 】
[Your superior doctor was puzzled, but still agreed to your request and began to treat some patients for you. 】
[A year later, a well-known professor from your province came to ask you why you didn’t go to graduate school and take a Ph.D. exam. You said that everyone has their own ambitions, and your current interest is only in the field of bone disease.]
[I vaguely heard that your superior physician was scolded by a well-known professor, and even the leadership of your hospital began to question your superior physician, asking you what happened.]
[So your superior doctor also started asking you what happened, and you only answered out of interest.]
[Your superior doctor recruited bone tumor patients for you, hoping that you could make some achievements in bone tumors, but you persuaded the patient to transfer to another hospital, and you only focused on simple fasciitis and ganglion cysts. 】
[Your superior doctor turned several hairs gray overnight.]
[Five years later, a well-known professor in your province invited you to give an academic lecture on replantation of severed fingers, but you knew that you didn’t know how to do it, so you insisted that you were not a hand surgeon and that you were not in your position and would not seek political advice.]
[Your superior doctor was scolded so badly again that he even started to investigate your superior doctor.]
[The next day, you found that your superior doctor was a little tired and asked you if you had any objections to him. You said: No.]
[Ten years later, you have the title of 'Holy Hand of Cutting Tuo' in the province. Although it has brought you a certain degree of popularity and patients trust you and come to you to cut tumors, in the industry, this has become
a joke.】
[Your superior doctor has begun to retreat, because there are still legends in the world about well-known professors in the province praising you for replanting your amputated finger. It is all because your superior doctor misunderstood you. There must be something wrong with you.
Hidden purpose.]
[Your superior doctor couldn’t stand the pressure and resigned.]
[There are rumors in the world that Cai Dongfan is not a son of man!]
puff!
After reading this, Zhou Cheng became happy.
Is this Teacher Cai too?
[Five days later, your superior doctor left Shashi and moved his family.]
Zhou Cheng immediately looked stunned and couldn't laugh anymore.
Is this Cai Dongfan or Luo Yun?
[In the 20th year, you successfully became the director of the Department of Orthopedics and a well-known expert in 'cutting' in the province, but you only know how to cut. In the eyes of outsiders, you are a joke, but you are unmoved.
.]
[And your companions were also led astray by you, and started to mess around with you about cutting the tumor.] (Note: cutting the lump is just a joke, the official term for the surgery is lesion or tumor resection.)
[Your superior doctor was very emotional, so he came to you to ask what kind of grudges happened between you and your other superior doctor. You felt guilty and told the truth, but the other party obviously didn't believe it. ]
[So, he also chose to resign...]
This time, Zhou Cheng simulated the excision and biopsy of soft tissue cysts and lesions. Because this was closely related to clinical practice, there were no unexpected incidents of parents being unwilling or unable to find a wife.
But in the simulated copy, you will only be a doctor who can remove cysts and fasciitis and perform needle biopsy of soft tissue tumors for the rest of your life.
I was scolded to death by my superiors and humiliated by my peers.
Everyone even speculates, eh.
With the strength that Zhou Cheng showed so many years ago, there is obviously no need to struggle with this.
Why do you only go to cut the lumps? And besides cutting the lumps, you don’t do anything else.
This is a bit worth pondering. Although it is not necessary to investigate the grudge between Cai Dongfan and Zhou Cheng, it will definitely not be found out. But having a mean reputation, for example, he is afraid that Zhou Cheng will steal his patients.
So he just sent Zhou Cheng to do a simple operation, and the cauldron fell from the sky.
Then, Cai Dongfan resigned and moved his family!
Even Luo Yun resigned in the end...
However, the results are still good, and the fasciitis, ganglion cysts, muscle cysts, etc. in the hand muscles have been treated to a perfect level.
After watching the process of these two lifetimes, Zhou Cheng felt a little irritable.
Fortunately, this is just a text simulation, not a reality simulation. If it were a reality simulation, Zhou Cheng was really afraid that he wouldn't be able to stand it.
It's just words. Even though he knew they were false, Zhou Cheng would have certain emotional fluctuations.
Parents, wives and children!
Relatives, teachers.
How could Zhou Cheng have ignored these individuals so easily and freely?
In the final analysis, Zhou Cheng is still just a common man.
After reading it, Zhou Cheng began to think secretly.
It doesn't seem to be an option to keep going like this.
The real world affects the simulated world, and the simulated world also affects reality. Although it is not as big as the impact of reality on the simulated world, it still has some side effects on Zhou Cheng's psychology.
Zhou Cheng stuck out his tongue, opened his eyes like a hawk, and began to think secretly.
It seems that I still need to use some tricks or find a trick. Otherwise, just by trying so hard, I am sure that I will become neurotic if I do it too many times.
Or if you turn yourself into a heartless and unjust person, that would be terrible.
Zhou Cheng is a staunch materialist, but he has always attached great importance to feelings and would never want to become a loner.
After completing three simulations, a new day just happened to resume. However, Zhou Cheng did not start a new day of simulation, but chose to sleep.
Take a good rest, tomorrow is the surgery day again, try to finish the surgery as soon as possible, and go back and prepare your thoughts for the simulation.
Or it would be better to polish a relatively good simulation shortcut so that you can easily obtain the perfect level of low-level skills.
Now, Zhou Cheng seems to be less able to stick to one skill as obsessively as before.
Because in reality, he has performed level III skills many times, and he still has to do level II surgery for the rest of his life, and it has nothing to do with trauma. Wouldn't it just affect Chi Yu?
The previous time he licked Luo Yun to death, and now he has done this again and again.
I'm sure I can find some right way.
However, before Zhou Cheng could say anything more, Zhang Zhengquan's phone suddenly rang.
Zhang Zhengquan had slept like a dead man, snoring loudly. He didn't wake up even after the phone rang, and he was still snoring.
Zhou Chenggong knocked on his bed and shouted: "Quan Zi, there's a call."
Such knocking woke up Zhang Zhengquan.
After waking up, he rubbed his eyes with one hand. After answering the phone, Zhang Zhengquan's expression darkened slightly and he immediately stopped rubbing his eyes.
"Okay, brother, I understand. I'm going to see what's going on."
After saying this, Zhang Zhengquan was about to get out of bed.
Zhou Cheng asked hurriedly: "Are you coming to the emergency room?"
Zhang Zhengquan shook his head: "No, Brother Zhou Cheng, my brother has something to do with me and asked me to go to the operating room. He has an acquaintance doing surgery. It's the Department of Orthopedics, but Director Zeng of the Department of Orthopedics No. 1 is doing the surgery."
"Oh." Zhou Chengcheng lay down, since he was an acquaintance.
Then he went to help without any trouble. An acquaintance called to ask, and he was Zhang Zhengquan's brother. This was called a favor. Zhou Cheng was naturally not a troublemaker.
Zhang Zhengquan put on his shoes and went out, and said: "Brother Zhou Cheng, I will come back after taking a look. Please help me take a look."
"It's okay, I'm here." Zhou Cheng replied without hesitation.
Although I can't help Zhang Zhengquan deal with his brother, I can definitely take a look at the ward. How long has Zhou Chengdu been on duty?
Zhang Zhengquan left quickly and came back quickly, but he seemed a little worried.
Zhou Cheng took the initiative to turn on the light and asked, "What's wrong, Quan Zi? Something happened?"
Zhang Zhengquan nodded and said: "A friend of my brother was injured and is undergoing surgery. The condition is not good. The injury is severe and he may not be able to save his hand in the end. He has a good relationship with my brother, and now his family members are here downstairs."
"He cried sadly, so he asked me to check on the situation. After I told his family the truth, his daughter fainted on the spot."
"This is a big deal." Although Zhang Zhengquan couldn't bear it, there wasn't much he could do.
Replantation of severed limbs and limb salvage are not something that can be done simply by doing them. They will damage the injury. If you force the limb to be salvaged, you may lose your life in the end.
However, Zhang Zhengquan did not say that he was an employee of his family's company, but replaced him with his eldest brother's friend.
Zhou Cheng then asked: "Oh, how was the operation? Is it completed? Has the leg been amputated?"
Zhou Cheng thought, if he is a friend of Zhang Zhengquan's brother, then he should help. After all, Zhang Zhengquan's face is a bit dark, but he can handle it.
Although he was a little tired, after having a midnight snack, Zhou Cheng was already alive, but he was just a little mentally exhausted.
"Not yet, Professor Chen, Director Zeng and Director Wang are all still working hard to save it, but from what I can see, the situation is not good. Of course, I don't quite understand it either. I just relayed the possibilities."
"I didn't expect that my brother's friend's daughter had such a poor mental endurance. She fainted on the spot. If something happens, I'm just saying this unfoundedly, but don't become a sinner." Zhang Zhengquan murmured.
Zhou Cheng had a thought in his mind and asked with a smile: "Quan Zi, do you have a crush on that little girl?"
Zhang Zhengquan raised his head in astonishment and said seriously: "How could it be? Brother Quan and I just fell out of love not long ago. How can we be so easy to fall in love with someone else?"
"It's a good thing you didn't mention it. As you said, this girl looks pretty good. Brother Zhou Cheng, if you are interested, I can ask my brother to help you get her WeChat account."
"She looks really good, I won't lie to you."
Zhou Cheng could joke with Zhang Zhengquan, and Zhang Zhengquan naturally began to tease Zhou Cheng not to be outdone.
Zhou Cheng shook his head. He was still worried about what happened just now. He didn't want to have so many troubles with him.
I don’t have a girlfriend yet, but if I do have one, I’m afraid I’ll have an irresponsible reputation every time I simulate it in the future, and it’s not good to make people neurotic.
"You can keep it for your own digestion or use it as dry food. I'm not interested." Zhou Cheng didn't ask Professor Chen who they were. If Zeng Yi and Director Wang were both there, it wouldn't be his turn to say anything.
Zhang Zhengquan rolled his eyes, but the light was not very good at the moment, so it was not easy to see: "What kind of dry food? Brother Zhou Cheng, what the hell?"
"I noticed you were getting horny. It's really nothing like the people in the operating room. All the dry food has come out."
Isn’t the purpose of dry food just to take a bite when you’re hungry?
This description.
"Hey." Zhou Cheng turned around, feeling inexplicably much better.
However, shortly after early morning, Yang Yifeng sent him a WeChat message.
"Brother Zhou Cheng, are you free now? A patient here originally planned to have his severed limb replanted, but halfway through the operation, he found that the artery at the distal end of the limb was blocked."
"It's hard to ask professors from other colleges to come and see us at this point!"
Zhou Cheng frowned slightly after reading it.
I'm afraid this is the same person as the person Zhang Zhengquan mentioned.
Then he asked: "Brother Yi Feng, why are you going to the operating room so late at night without sleeping?"
But Zhou Chengcheng was already up.
Yang Yifeng invited him like this, so he should go to the operating room to have a look.
Yang Yifeng said: "There is nothing we can do. Teacher Chen from our hospital came over to perform a limb salvage operation. During the operation, an artery was thrombosed. Didn't he think of me? It's just that I can't do vascular surgery now. So after reading this,
I’ll send you a message.”
"I thought you happened to be on duty in the department today, so you could come down and take a look."
As Zhou Cheng walked outside the duty room, Zhang Zhengquan asked: "Hey, brother Zhou Cheng, why are you going?"
"Yang Yifeng asked me to go to the operating room, probably to see your brother's friend." Zhou Cheng edited the message to reply to Yang Yifeng, saying that he would be there soon.
Zhang Zhengquan's expression changed and he said: "Yang Yifeng, why did he ask you to go? Doesn't he think it's inconvenient for him to stand there by himself? Can he ask for one more person?"
Zhang Zhengquan also saw Yang Yifeng in the operating room just now, but the two of them just don't deal with each other now, and they don't communicate much with each other.
However, Zhou Cheng had already walked out of the lounge. It seemed that he couldn't hear Zhang Zhengquan talking, so he didn't reply.
Zhang Zhengquan sighed slightly and cursed: "Hey, this Yang Yifeng is really interesting. I didn't even ask Brother Zhou Cheng to go down and help, but he was minding his own business."
"Didn't you say you're not interested in surgery? This guy."
"You can't say what you mean."
After thinking for a while, Zhang Zhengquan sent a message to Zhang Zhengshu: "Mouse, there is a doctor in our department named Zhou Cheng, who is my friend in the department. If something happens, don't involve him!
"
Zhang Zhengshu immediately replied: "..."
"What do you think will happen?"
"Am I going to cause trouble in the hospital?"
Zhang Zhengquan replied: "Isn't this a vaccination first, so as not to hurt your own people? I don't care about other people. But Zhou Cheng has a good relationship with me."
Although Zhang Zhengquan doesn't work in the company, he can't guarantee that his family's company will appease people's hearts and then recruit people to give the people below a way to explain. This may not necessarily be the case, but in case, at least let them not implicate Zhou.
become.
This matter has nothing to do with Zhou Cheng. Make it clear in advance so that everyone can have a way out.
After Zhang Zhengshu was silent for a while, he asked back: "Friend? Zhengquan, are you being tricked?"
Zhang Zhengquan immediately replied: "No one in the department knows my identity. It's a stupid trick."
"When he's nice, he won't even blink when he invites me to dinner. When he's in a bad mood, he even accepts the red envelope of two yuan and seventy-eight cents for carpooling."
"Have you ever been tricked like this?"
Zhang Zhengshu was immediately speechless: "..."
"Two dollars and seventy-eight cents, can you pay it back?"
"Brother! I am very poor."
"No more chatting, no more sleep, save your life! You should go back and rest early." Zhang Zhengquan replied, not seriously.
"Well, I'll settle the place where the person lives first, and then go back. I've already invited Professor Chen and harassed several directors of the Eighth Hospital. If it doesn't work, there's nothing I can do.
.”
"I definitely can't do this without money, but I may not be able to keep it if I have money. I tried my best." Zhang Zhengshu sighed with emotion.
…
Zhou Cheng naturally didn't know about the chat between Zhang Zhengquan and Zhang Zhengshu.
However, when Zhou Cheng rushed to the operating room, he saw Yang Yifeng still playing with his mobile phone, but while playing with his mobile phone, he also looked up at the operating table.
On the operating table, Wang Yongjin, Zeng Yi and a strange middle-aged man were busy. Of course, Li Changhong also served as his assistant, along with his subordinates.
Two severed finger replantations were performed separately.
The unfamiliar middle-aged man on the stage should be the Professor Chen mentioned by Yang Yifeng.
While Zhou Cheng was still looking at the others, Yang Yifeng saw Zhou Cheng, stood up, and said: "Brother Zhou Cheng, come and take a look. This is the separation and damage of the proximal ends of the forearms of both hands, close to the elbows."
!”
Hearing Yang Yifeng's words, Zeng Yi and Wang Yongjin raised their heads and quickly said to Professor Chen who was doing the surgery seriously: "Teacher Chen, this is Xiao Zhou from our department."
"Last time, there was a patient who had arterial embolism in all four limbs. He also performed limb salvage surgery. We saw it with our own eyes."
To be honest, they didn't expect Zhou Cheng at first, but after Yang Yifeng brought Zhou Cheng up, they suddenly realized.
Yang Yifeng and Zhou Cheng came to the operating table side by side. Professor Chen also temporarily stopped the operation. After looking at Zhou Cheng for a while, he was stunned.
He looked at Yang Yifeng and said with a smile: "Yifeng, is this really the Dr. Zhou you recommended to me? It's very different from what I expected."
Chen Tingye expected that no matter how young Zhou Cheng was, he would still be in his thirties. He couldn't be any older. No matter how old he was, he would definitely not be able to play with Yang Yifeng.
Originally, Chen Tingye knew that Yang Yifeng was very good at vascular surgery, so he called him in as a dead horse, but he couldn't get on stage.
Then I recommended Zhou Cheng.
"Hello, Professor Chen, Director Wang, Director Zeng, Director Li." Zhou Cheng greeted the superiors on the stage one by one, while the others passed by.
One is not familiar with it, and the other is to avoid wasting time.
Yang Yifeng said truthfully: "Teacher Chen, I'm not lying. Brother Zhou Cheng is better than me."
This is Yang Yifeng's truth after making a comparison. He changed the process of the last surgery in the novel, allowing readers to see the gap between the two in detail, and then replied in the comment area.
Hardcore pretense, although I can’t understand it, it’s really fun.
Chen Tingye didn't believe Yang Yifeng's lies, so he just said, "Doctor Zhou come here to take a look?"
Zhou Cheng came slightly closer and immediately frowned: "The damage is so serious? The elbow joint was also injured. If the limb is to be saved, the muscles will not be reconstructed. It is estimated that a skin flap will be needed later."
When Zhou Chengwu commented on his condition, it struck a chord in Chen Tingye's heart.
Everyone knows about the replantation of severed limbs, but what they don’t know is that what is more difficult than the replantation of severed limbs is the replantation of damaged and amputated limbs.
This is a combined operation of limb salvage and replantation. It is a super level IV operation, but there are not so many surgeries in this level.
Most people might think of shortening and replantation, but Chen Tingye immediately saw that this patient had the potential for severed limb replantation + limb salvage surgery.
An expert knows the way.
With just this sentence, Chen Tingye at least knew that Zhou Cheng really knew his stuff.
He immediately said without any doubt: "Dr. Zhou, wash your hands and come on stage?"
I originally wanted to say something about trouble or hardship, but I didn't say it. It wasn't that I didn't know how to say it, but that it was inappropriate for Chen Tingye to say this.
Zhou Cheng glanced at Zeng Yi and Wang Yongjin, and both of them nodded.
Then he said: "Professor Chen, I may have to go to the bathroom to rub my face and calm down a little. Please wait for me for a while."
Zhou Cheng is actually a little tired at the moment, and he hasn't rested yet, so he needs to use temperature stimulation to wake him up and use his best efforts to deal with the operation.
After all, he was a man who had limb salvage surgery + two severed palms and two severed fingers replanted today!
To outsiders, Zhou Cheng might have been asleep, so he didn't say much.
When Zhou Cheng came on stage, after observing the surgical field for a while, he said: "Hand-washing teacher, catheter for arterial thrombectomy!"
The nurse who washed her hands was confused. Zhou Cheng glanced at her and realized that there was a mistake. The previous operation was performed at Shaxian First People's Hospital, which is the Eighth Hospital.
So I could only sigh a little and asked for a sharp knife!
Chen Tingye had done everything he could to clean it up, but there were still traces of damage.
Being able to debridement damaged limbs until they have the potential and vitality to replant a severed limb is a basic skill that makes Zhou Cheng feel very good.
The reason why it's just very good is that he can do it, and it's not easy to talk nonsense in his heart and use the word "look up".
In addition to debridement, Chen Tingye also performed vascular anastomosis, and he only performed vascular anastomosis first.
Well, for replantation of severed fingers, the order of operations will differ depending on the time of injury of the patient.
Qin Yuanwu was immediately pushed into the operating room because he was injured on the spot.
As for this patient, it had already been more than two hours when Chen Tingye rushed over. Debridement takes time. If the blood vessels are not anastomosed, other surgeries will be meaningless.
It was after the anastomosis that the distal blood supply was still not found, or at least it was not satisfactory, so Zhou Chenglai was asked to remove the thrombus.
I called Huang Shinan from the Vascular Surgery Department. This brother was so scared that he came to the operating room and took one look at it. Then he called Yang Yifeng, and Yang Yifeng called Zhou Cheng to the operating room.
.
However, Zhou Cheng did not let Chen Tingye and others wait long. After touching the blood vessels with his hand for a while, he made an opening in the patient's distal skin.
The blood supply is not smooth, so no blood flows out.
But this didn't seem to affect Zhou Cheng's operation at all. He quickly took out the small blood vessel and cut it on the spot. As soon as the blood clot was peeled back, blood immediately gurgled out. Chen Tingye had been prepared for it!
He is a man and a surgeon, and he gets very excited when he sees blood.
"It's bleeding, it's bleeding!"
It's late at night now, but fortunately we are in the operating room, otherwise there might be some misunderstanding...