Su Guoyuan is currently a professor and administrative deputy director of the Department of Anesthesiology at the No. 9 Hospital in Shanghai. In the absence of the director of the Department of Anesthesiology, he has the power to take charge of department affairs. He is a professor of the Department of Anesthesiology with extensive communication and knowledge.
Therefore, when Su Guoyuan saw Chen Jiwu, Liu Zhibin, Xu Dashan and Professor Xing Huang each holding an unknown grade paper and starting to write and draw in a more formal manner, he quickly realized what they were doing.
Su Guoyuan used to be such a bad person. When he went to do grade evaluations for other departments, he would use strict grades and superficial methods according to the situation.
As far as their evaluation of the anesthesiology department is concerned, in a strict sense, whether the drugs in the operating room are placed in a standardized manner, whether the floor of the operating room is clean, and whether the sanitation is in accordance with the procedures -
These are all things to evaluate, but really.
Does the placement of medicines in the operating room have anything to do with the anesthesiologist? That is a matter for the circulating nurses and the operating room nursing department. Whether the floor is clean is a question of whether the staff arranged by the logistics department are competent.
Does the cleaning comply with the procedures? This is planned when the hospital's operating room is designed. Can it be controlled by manpower?
However, when evaluating the comprehensive strength of all hospitals' anesthesiology departments or all departments, hardware and software equipment, and peer departments are all included in the evaluation.
Therefore, when evaluating orthopedics and all surgeries now, the evaluation of the anesthesia department and operating room nursing department, and the objective equipment in the laminar flow operating room can be regarded as the content of the evaluation.
For example, if you are in a trauma surgery operating room and don't even have a traction frame or a traction bed, then no matter how strong you are, it's just like that...
"Teacher Su, these professors are so picky about details, is that okay?" An Ruo saw how strict these old guys were and began to complain about Zhou Cheng.
Su Guoyuan didn't know what An Ruo was thinking, and replied: "Twenty-six or seven years old, the new technique is authorized. If there is a problem in the future, these evaluation expert groups will have a certain degree of joint responsibility."
"So it's more stringent, even more stringent than medical malpractice. It's not incomprehensible. If you were to evaluate a high school student now and grant him the right to come to the operating room for anesthesia, you would have to come if something went wrong.
Take responsibility.”
"What would you do?" A good professor likes to make analogies very much.
An Ruo raised her head, looked at Su Guoyuan for a while, thought carefully and said, "I will probably try every means to refuse this ridiculous authorization."
A high school student who doesn't even have full hair and hasn't received any professional training, what does he know about anesthesia?
"In the eyes of these professors, this young man from the Department of Orthopedics is even worse. In the profession of doctors, everyone has different levels of attainment."
"The only thing that is the same is that the objects we face are all human beings, so we need to be more cautious." Su Guoyuan said something very meaningful.
An Ruo understood part of it, and then didn't say anything more for fear of affecting the evaluation of the operation authorization.
If the final result is affected by problems in the anesthesiology department, the anesthesiology department will have to take the blame from the orthopedics department. In any unit, if a department is the hindrance or shortcoming of other departments, this is a very sorry and embarrassing thing.
.
…
Xue Xiude sat in the viewing position in the operating room, motionless. Next to Xue Xiude, Chen Shengwu did not dare to move, silently watching Xu Dashan and others move around.
Although I am very curious about what these famous professors are reading and writing, but...
Chen Shengwu's eyes were more focused on the surgery. He was very curious about how Zhou Cheng, who was obviously about the same age as him, was able to surpass Ding Dian, a legend in his generation, and reach this stage.
In his opinion, Ding Dian should be the ceiling among his peers.
It is difficult to find someone stronger than Ding Dian among his peers in the academy, but there are some seniors, and the junior fellow who is in the first year of master's degree may also surpass them, except for them.
If we are still looking for them, we have to look for freaks like Su Min and Yu Heng. Ding Dian is also one of the freaks, but Su Min and Yu Heng are the weirdest among the weird.
Speaking of which, the last competition was also very strange. Obviously, the orthopedic strength of the No. 9 and No. 6 hospitals in the Modu was stronger than that of Huashan and Ruijin, and the same was true for their overall strength.
But in this competition, everything went the other way.
Fuda Affiliated Zhongshan Hospital and Ruijin Hospital defeated Ding Dian from the Ninth Hospital and representatives from the Sixth Hospital, and Ding Dian also killed the arrogant young man who stayed in the hospital.
The real ranking is exactly the opposite of the overall city ranking.
"I don't know how strong Zhou Cheng is compared to them?" As an insider, Chen Shengwu murmured curiously.
"What did you say?" Xue Xiude turned his head when he heard the voice of Chen Shengwu, who had been silent.
Chen Shengwu quickly shut up and refused to answer.
"If you have something to say, you can say it. Now is not a literary prison, and bystanders speaking less does not mean they have no voice at all." Xue Xiude scolded.
Chen Shengwu then said: "Teacher, I was wondering what would happen if Zhou Cheng competed with Su Min, Yu Heng and others."
Xue Xiude didn't know the person Chen Shengwu was talking about, but he had heard about it.
After all, when Gui Lao opened a small training class and invited young orthopedic geniuses from the Magic City to Kyoto, Yu Heng and Su Min happened to stand out. Xue Xiude also heard the names of these two people many times.
This time the character selection spans the second year of master's degree to the second year of doctoral degree, a total of four years.
Those who did not participate were first-year master's students and third-year doctoral students. The first-year master's students are new and don't want to be sent to be abused. The third-year doctoral students each have their own tasks and have to think about how to graduate, so there is no need for them.
Continue to incorporate training classes.
Chen Shengwu also tried, but was eliminated a little early.
But Xue Xiude still felt that it wasn't that Chen Shengwu wasn't good enough, but that the others were a bit too BT. He was afraid that Chen Shengwu wouldn't be able to get away with this, so he explained: "Don't think too much about the things that you have and don't have, just study hard."
"There are so many opportunities to compete in a person's life, and the victory when one is late in blooming is the final victory."
"Your master, you have only won once in your life!"
"But tell me, who were the chief directors of the Department of Orthopedics for the past three terms? Do you know?"
Chen Shengwu had done his homework, so after thinking for a while, he said: "Isn't it Professor Du? The old professor who is still in the clinic now."
Xue Xiude didn't look at Chen Shengwu at first, but when he heard this, he turned his head with complicated eyes——
If Brother Chen only has this understanding, I wouldn't mind changing to another student.
Only then did Chen Shengwu realize that he might be a little bit of a jerk, so he shut his mouth obediently...
When Xue Xiude saw that Chen Shengwu also realized his mistake, he also pointed out: "You can move forward a little bit. Zhou Cheng's surgery is very satisfactory. They are all basic operations, but he put every basic step into consideration."
The operation is all integrated into the bone marrow.”
"Pay attention to his details and surgical ideas..."
Meeting a student like Chen Shengwu requires fate. There are many people with worse qualifications than Chen Shengwu. Otherwise, Xue Xiude would not have kept Chen Shengwu.
Meeting a student like Ding Dian requires a certain amount of luck. That's called opportunity.
Meeting a student like Zhou Cheng requires a certain amount of courage and may be a kind of torture.
From the moment Zhou Cheng came in, Xue Xiude was amazed by some basic operations and depth of knowledge. Then, Zhou Cheng surprised Xue Xiude again, and later, Xue Xiude was scared by Zhou Cheng.
Now, Xue Xiude has become immune to Zhou Cheng's actions. After his scalp is numb many times, he will naturally become immune to it.
When Chen Shengwu heard the teacher's warning, he instantly became more focused.
According to the learning method that Professor Xue Xiude had taught him long ago, he compared and analyzed surgical ideas, prejudged Zhou Cheng's next step, and then compared his own prediction of Zhou Cheng with Zhou Cheng's own judgment.
If there are discrepancies, it proves that the gap between the two people is relatively large. If there is basically no difference, it proves that your thinking is at least correct.
The large gap may be because Zhou Cheng's ability is not as good as Chen Shengwu's, but based on Chen Shengwu's current knowledge, he very consciously began to find his own shortcomings.
After all, someone who admires even his own teachers, Associate Professor Gu Zhongliang and Chief Mao Yuxuan cannot be incompetent.
Routine basic surgery, open reduction and internal fixation of both ulna and radius fractures.
In such a basic surgery, the things that can be seen and the things that are not worth seeing go hand in hand.
What's interesting is that you can clearly see Zhou Cheng's operating foundation and proficiency. Because it is very basic, the operating procedures have been written into the textbook.
His operational proficiency is not only the interpretation of the operation, but also the interpretation of the disease itself.
There is nothing special about it. It is a very basic surgery, so there is nothing special about it. It is not particularly surprising, and there are no fancy operations.
However, although the operation was not fancy, it was a solid and basic operation. In just twenty-nine minutes, Zhou Cheng completed a series of operations from skin incision to suturing the skin and external fixation with plaster.
Moreover, every step of the operation is very solid and steady. Such operational proficiency and smoothness can be said to be unique. They have never seen it before.
During the operation, Xu Dashan, Chen Jiwu and others looked at each other, but Zhou Cheng was still undergoing surgery, so it was inconvenient to disturb him.
But after Zhou Cheng's operation was over, Xu Dashan covered the score sheet for this operation to the bottom page and put the writing board in his arms.
Finally, he couldn't hold back the confusion in his heart: "Xiao Zhou, can you tell me the truth, how many hands did you cut off?"
The more basic the operation is, and the more solid and skilled the basic operation is, the more quantity is needed for accumulation.
Zhou Cheng is only so old, so he has been playing with his hands since he was a freshman in college.
"There should be forty or fifty." Xue Xiude had previously confessed that during Zhou Cheng's operation, no one would express any unprofessional words of emotion, or even speak or comment.
People who do unprofessional things like talking and interrupting the surgeon's surgical thoughts during other people's operations are definitely not from the surgical system. If this really happened in reality, they would either be kicked out or...
You have a very high professional title and a strong status in the world, but others are trying to tolerate you.
However, after the surgery, you will face some questions. These professors may ask you some questions that they are curious about, or they may point out some detailed mistakes for you, so you just have to pick and choose your answers.
If there are any detailed mistakes, admit it openly and make corrections next time.
Never argue.
Therefore, Zhou Cheng also told the truth. From the time he was the surgeon at No. 8 Hospital until now, he may not have suffered so many upper limb fractures as his own surgeon.
Xu Dashan's mouth under the surgical mask suddenly couldn't be closed. Young people, let alone other things, have learned bragging and Versailles that are as unpredictable as their skills.
There should be forty or fifty?
Only forty or fifty units?
See through it without telling it off. After all, Zhou Cheng's current strength is enough to make him frivolous in Versailles and his youth. He nodded and followed Zhou Cheng's mentality: "Then Xiao Zhou, your talent is quite good, very good."
Since Zhou Cheng is a person who likes to be arrogant, then I am not here to flatter him on purpose. It is him who wants to say that he is very powerful. I am just following his train of thought.
Xu Dashan's question was also a question that others were curious about, but now that they had gotten the answer, they had gained a superficial understanding of Zhou Cheng's character.
So I won’t ask too many questions. For example, Professor Jingxing Xing from the Sixth Academy of the Magic City originally had some minor questions, but he felt there was no need to ask them. If he did, Zhou Cheng might misunderstand him as deliberately looking for trouble.
Since Zhou Cheng does not have the character of being modest and eager to learn, there is no need for him to seek trouble.
Of course, Zhou Cheng's basic skills must be passable, and he can even approach perfection infinitely, and some operational steps are stronger than them all.
Even in terms of thinking, there is still something worth mentioning.
Among these people, the only one who didn't think so was Chen Jiwu.
When he was in Shashi before, Chen Jiwu had seen Zhou Cheng's surgery and witnessed Zhou Cheng's authorization for surgery. He also knew that Zhou Cheng's last live broadcast was much more daring than today.
Therefore, Chen Jiwu felt that he had to ask Zhou Cheng for an explanation for his "comrades": "Xiao Zhou, the length of your surgery today was ten times longer than that of similar surgeries before.
ah."
"What did you think about it?"
Zhou Cheng's operation was so basic that it was treated entirely according to conventional fractures.
When Xu Dashan heard this, the lines on his forehead stood up. He was a little confused, but he also looked at Chen Jiwu and Zhou Cheng very curiously. He knew that the two knew each other, but what kind of intersection happened, Xu Dashan didn't really ask.
Pass.
Xu Dashan's question naturally attracted the attention of other professors.
There is something wrong with what Chen Jiwu said.
The operation time this time was ten times longer than before? What J8 are you talking about? If Professor Chen Jiwu hadn't come from West China Hospital, I'm afraid he would have been scolded by them.
But these three words, Chen Jiwu, are a landmark in themselves. Even if the overall strength of Jishuitan is a little better than that of West China's Orthopedics, that's all combined.
Just comparing Chen Jiwu and Xu Dashan, can Xu Dashan be in a higher class than Chen Jiwu? That's impossible. Chen Jiwu's personal ability may be stronger than Xu Dashan.
It's just a person's courage or lack of strength that doesn't play much role in the hospital's comprehensive ability evaluation.
Zhou Cheng replied calmly: "Professor Chen, I chose the technique for this operation completely in accordance with the guidelines. The same goes for the operation."
"Because it is very necessary to show the professors the basics of my operation. I don't want the teachers to think that I am being mysterious."
This is Zhou Cheng's true inner thought. There are many ways to treat a disease, even if it is surgery, there are many ways.
The patient has the right to choose, and the surgeon and attending physician can also choose a more appropriate one based on the specific situation.
In fact, there are still some detailed questions that Zhou Cheng did not give an answer to. That is, the patient is older, and she is a female patient with postmenopausal osteoporosis. In such a situation, manual reduction is risky.
Moreover, she and her family are relatively conservative, so this traditional and stable treatment method is very suitable for her.
These are all reasons, but these reasons have nothing to do with the judges. They only look at how you choose. You don’t need to explain. They can all evaluate it themselves. There is no need to treat some of the top leaders of trauma surgery in the country as fools.
Chen Jiwu nodded and said, "That's true. Being down-to-earth will make people look more real."
"At least now, I am more convinced than I was a few months ago that you are someone who has the potential to change the current landscape of trauma surgery."
"Because you are confident and comfortable."
"Thank you." Zhou Cheng bowed slightly. Then, Zhou Cheng didn't talk to Professor Chen Jiwu anymore.
Chen Jiwu was here to be the judge for the authorization of the new technique, not to catch up with Zhou Cheng. If Zhou Cheng wanted to use the relationship method, then there was no need for him to spend so much time.
On the contrary, by giving these professors some free subjective initiative, they can more objectively verify their own abilities and make themselves more confident in the future.
If there are any mistakes, correct them; if there are no mistakes, correct them.
A person's self-confidence not only comes from his own abilities and strength, but also permeates through daily communication and trust.
Zhou Cheng avoided talking to Chen Jiwu more to avoid suspicion, but when he was preparing for the operation, Professor Chen Jiwu was surrounded by others.
However, Professor Chen Jiwu seemed determined to build momentum for Zhou Cheng. He just shook his head and said: "Don't say it, don't say it. If you say it, it won't work."
"What the hell?"
"Selling people off is killing people."
Professor Chen Jiwu's words raised everyone's expectations to the extreme.
But there was no substantive reply, and he was punched several times, of course it was a joke.
Of course, it was precisely because of Chen Jiwu's words that everyone became more curious about Zhou Cheng's next operation.
However, they were all professors and big bosses. Even though they were itching to see what would happen next, they didn't act particularly eager. Instead, they waited slowly.
The four words "pretentious" can be said to be vividly interpreted.
Even, in order to make the performance more realistic, they even took the initiative to chat with Professor Yu Qiuhua and inquired about some trivial information. However, Professor Yu Qiuhua knew that these people came with bad intentions, so he deliberately pretended to know.
But just don’t say it.
Yu Qiuhua felt an aura, that is, these idiots might eventually kill Zhou Cheng's new technique.
After being killed, Professor Xue Xiude will definitely go beyond him and start another fight...
The preoperative preparations were completed quickly as everyone expected.
For the second surgery, Zhou Cheng still chose the rather traditional open reduction and internal fixation.
However, this time's open reduction and internal fixation was slightly different from the first one.
The first one is to make an incision first and then temporarily reset it during the operation.
As for this machine, Zhou Cheng chose to reset it first, then perform incision and fixation.
The treatment of fractures consists of reduction, fixation, and functional exercises.
Of course, these two methods are relatively traditional. After watching the first surgical procedure, Professor Xu Dashan and others already knew that Zhou Cheng's basic operations were extremely solid, so they all tried to impress Chen Jiwu.
"Professor Chen, what did you mean by what you said before?"
"Can you give me a little more details?" The speaker was Hu Xianhe, director of the Department of Orthopedics and Traumatology at Zhongshan Hospital Affiliated to Fuda, who was very curious.
In fact, I feel a little uneasy inside. Judging from the current situation, Zhou Cheng's strength is no longer the kind of guanxi who only relies on relationships, but a real genius.
Others may be different, but they are very similar to his student Yu Heng.
Such a person, for his own reasons, would really not be able to bear it if he were to have his surgery authorized just like this.
Moreover, if it is his own student, because the judges he invited were bribed, he will kill his student's surgery authorization, which will affect his future.
Hu Xianhe would definitely have no psychological burden if he didn't say that he would fight to the death and cut off contact with him in the future.
Chen Jiwu glanced at Hu Xianhe, and then at some other old guys. They all came to him, or went to Professor Yu Qiuhua to ask about this and that.
I knew that these people would definitely be played by Zhou Cheng, and from now on, the home court would fall into Zhou Cheng's hands.
He sighed slightly, and then said: "Professor Hu, Professor Xu, you have missed the most critical step."
"Well, you see, Xiao Zhou's surgery is now coming to an end."
Chen Jiwu said very helplessly.
Chen Jiwu's words made Yu Qiuhua, Zhou Cheng's apparent ward director, stunned. Then when he focused on the table, Zhou Cheng didn't know when he was already asking Mao Yuxuan for a steel plate.
Then I looked at the surgery timing panel and saw that the time jump for the surgery was 00:02:34!
It’s two and a half minutes from skin incision, and then you start putting on the steel plate. Zhou Cheng, are you serious?
Countless little question marks flashed through my heart.
Of course they were serious. Next, although Xu Dashan and others were always focusing on Zhou Cheng's hands, all they could see was Zhou Cheng quickly getting on the steel plate and sewing it up.
The operation time is finally set!
00:07:21!
"Try to push the C-arm machine." Zhou Cheng said to the circulating nurse after finishing suturing.
The circulating and hand-washing nurses, who had long been familiar with Zhou Cheng's routine, were no longer surprised.
They have already seen Zhou Cheng's ability to use C-arm fluoroscopy before and during the operation. The C-arm fluoroscopy after the operation is just for peace of mind. In the operating room, he has demonstrated this ability more than once.
So this time, immediately after Zhou Cheng finished speaking, the two circulating nurses very skillfully pushed the C-arm machine covered with a sterile bag to the side of the operating bed.
Therefore, Zhou Cheng is serious, and so are the circulating nurses and equipment nurses.
Everyone, including the anesthesiologist, began to run to the isolation room. The young anesthesiologist even pulled his teacher and explained in a low voice.
From the looks of it, it seems that even the young anesthetized girl thinks this is routine.
But what if all this is serious?
Then the question comes,
How should I rate this surgery?
Didn’t even look at it!
It's not that I didn't understand it, it's that I didn't understand it and didn't see the key part. I just missed it when I asked Professor Chen Jiwu out of curiosity.
How to fix this?
Ask Zhou Cheng to remove the plate and reposition the fracture, then do it all over again to show them?
This is impossible.
After C-arm machine fluoroscopy.
Zhou Cheng asked Professor Gu Zhongliang for his opinion: "Teacher Gu, I think the operation can be over. What do you think?"
Gu Zhongliang felt bitter in his heart. All of this is under your control. Is there anything else that I don’t feel?
This isn't the first time I've done it, I've already become proficient at it.
However, the superficial face-saving work still needs to be done: "Well, okay. Step down and deal with the next patient."
Gu Zhongliang began to take off his gloves...
The surgeons such as Zhou Cheng, Mao Yuxuan and others have already begun to turn over patients...
All the professors began to fall silent in the room where the C-arm machine display was displayed.
what to do?
Professor Chen Jiwu was not surrounded this time. Xu Dashan and others began to gather in small groups in low voices, discussing countermeasures.
Xu Dashan found Professor Chen Jiwu and took the opportunity to use the toilet.
Some people want to smoke, three professors want to go out for some air, and Yu Qiuhua pretends to sit firmly on the Diaoyutai. He is ready to accept all baptisms...
Because it was the weekend, except for a few operating rooms where emergency surgeries were open, most of the operating rooms were idle.
After Xu Dashan and Chen Jiwu arrived at a place with few people, Xu Dashan asked: "Professor Chen, what are you going to do now?"
Chen Jiwu said: "Old Xu, I have said before that I will vote in support. But I cannot influence your inner thoughts."
Xu Dashan took a deep breath: "So, you know everything Zhou Cheng did just now?"
"Well, with the amazing technique of closed reduction and the terrifyingly solid open reduction and internal fixation, the operation time can be so short." Chen Jiwu didn't give in.
This was what he saw when he was in Shashi.
"This?" Xu Dashan actually had a guess in his mind that Zhou Cheng might have played a trick before the operation started, but he didn't tell them, so it was not confirmed.
Now that Chen Jiwu was talking, he understood the principle instantly and took a deep breath: "I understand."
"The future life is terrible!"
"The next life is to be feared."
"Forget it, I won't earn this money against my will. I really can't bear to oppress such a child."
Xu Dashan made such a decision in his heart.
Chen Jiwu's eyes lit up and he quickly explained: "Professor Xu, you did this willingly. I didn't seduce or mislead you. Don't talk about me when you regret it in the future."
"That's four hundred thousand."
Xu Dashan rolled his eyes at Chen Jiwu, is this a matter of 400,000 yuan?
After taking 400,000 yuan and feeling guilty for the rest of his life, he could still figure out whether it was a minor or serious matter.
However, after making the decision, Xu Dashan felt that he and Chen Jiwu were on the same page. After giving the score, he asked: "Professor Chen, tell me, this Zhou Cheng, what kind of person is he?"
"
"I'm really curious about him..."
Xu Dashan regretted a little. He felt that he should know more about Zhou Cheng's return to the magic city, and should not have accepted the task so hastily.
That person must be misleading himself, saying that Zhou Cheng is in the Demon City because of the conflict between Zeng Lao and Gui Lao, which makes Zhou Cheng suffer in the Demon City, and to a certain extent, he can sell Gui Lao's favor...
This TM is a ghost...
Chen Jiwu also shook his head slightly and said to Xu Dashan: "Professor Xu, do you think my understanding of Xiao Zhou is that deep?"
"If so, would I let you bully him like this? I would have taken him to Sichuan Province to enjoy the beauties of the Land of Abundance!"
"To put it bluntly, with Xiao Zhou's knowledge, temperament, good looks, and abilities, it's not impossible for him to become a son-in-law who can ride on a dragon, right?"
Professor Chen Jiwu joked helplessly.
Chen Jiwu had a daughter, and Xu Dashan knew it, but how could any father be so joking? But carefully recalling Chen Jiwu's words, Zhou Cheng seems to be really good.
Therefore, in fact, Chen Jiwu didn't know him well, or maybe he didn't have the chance to know him, and someone else got there first.
We had known each other before, but it was just a chance encounter.
"That's true. Then let's watch the show slowly. The final outcome of this matter seems a bit interesting. I think, this time."
"There will be a shocking reversal." Xu Dashan squinted his eyes, feeling like he was watching a drama.
"I'm also quite curious as to who Professor Yu Qiuhua offended or who he is taking the blame for."
Chen Jiwu couldn't deny that there was definitely an ulterior motive in what happened this time, but he didn't know who had the motive.
…
Before the third operation started, Zhou Cheng was deliberately stopped by Chen Jiwu and Xu Dashan.
Then Professor Chen Jiwu also said: "Xiao Zhou, this time, please go to the operating table more slowly, okay?"
Zhou Cheng nodded, of course it's okay.
Then, Professor Chen Jiwu and Xu Dashan went to read the pictures carefully, and then thought about what they would do if they dealt with such a patient themselves.
Both Chen Jiwu and Xu Dashan were completely prepared not to make money, so naturally they didn't need to be too obsessed with finding trouble.
However, Chen Jiwu and Xu Dashan are not the only ones who can see clearly. Liu Zhibin, Professor Xing Huang and others are naturally not ignorant people.
Everyone knows what money should be earned and what money should not be earned.
Even just now, Xing Huang and Liu Zhibin have already chosen which people will vote against, making this review more real.
As long as it doesn't change the final result.
Then, the result they gave was that at most two people could vote against it, so even if Professor Yu Qiuhua, Chen Jiwu, and Xu Dashan were added as a variable, they would still be saved. Even if the three of them all voted against it.
They are all numbers of 50 to 50, and they can still be saved. Through discussion, the final result can still be reversed!
However, although Chen Jiwu and others were fully prepared, they still felt frightened after Zhou Cheng formally announced the technique he was going to perform.
Manual reduction, plaster external fixation!
Against the indications for surgery, Zhou Cheng performed conservative treatment for the disease types for which surgery was indicated. This is really bold, and it seems that Zhou Cheng's assessment is not just one type.
Open reduction involves the radius and ulna, closed reduction and open reduction involves the tibia and fibula, and now Zhou Cheng’s manual reduction involves the humerus!
The difficulty of manual reduction of the humerus is much more difficult than the manual reduction of several other fractures.
It can be said that those who are capable of performing manual reduction of radius and ulna fractures may not be able and dare to perform manual reduction of humeral fractures!
Those who can perform closed reduction of humerus fractures can basically perform manual reduction of radius and ulna fractures.
This is the difference in difficulty.
This time, the operation time was even faster.
From the time the patient is under anesthesia to the time he leaves the operating room, it only takes a few minutes.
Su Guoyuan was about to curse, and he opened his mouth to ask Zhou Cheng what was going on, but An Ruo comforted him: "Teacher Su, Teacher Su, calm down, we are anesthesiologists, and we are a parallel department."
"The speed at which the operation is performed represents the strength of the surgeon. We should be even more happy."
But I said silently in my heart: Teacher Su, you are making too much fuss, I am different, I have long been used to it.
Su Guoyuan lowered his voice and said, "This girl definitely did it on purpose. If I had known earlier, a short period of general anesthesia would have ended everything quickly and safely. We would have suffered a nerve block."
Humeral nerve block still requires some difficult operations.
In order to appease Su Guoyuan's temper, An Ruo took the initiative to ask Zhou Cheng about the next operation, and then quickly reported to Su Guoyuan: "Teacher Su, the next operation is for a fractured femur. This will be cured by intraspinal anesthesia."
"This is the fourth surgery, so it's very quick. I can get off work early today, so it doesn't increase my workload."
Su Guoyuan suddenly became furious. He looked at An Ruo and said, "You are so protective of me, you are almost at the door of your house. Are you already a couple?"
If you work eight hours a day with two anesthesia machines and four hours a day with ten anesthesia machines, do you think the workload is the same?
Su Guoyuan, professor, how old is he? I have never met him before. He already knew that An Ruo was interested in Zhou Cheng, so he rushed to the anesthesia position for today's surgery.
But run, run, run, you can't be guilty, this thing is definitely meant to torture people, if it had been anyone else, I would have started squirting.
An Ruo's face turned red and she quickly explained: "Teacher Su, what are you talking about?"
"I just knew Senior Brother Zhou before, and this is how Senior Brother Zhou used to do manual repositioning. So."
An Ruo's eyes have a look that you have never seen in the world.
Su Guoyuan cursed: "That's because you are spoiling him. In such a case, they should go to the operating room for local anesthesia themselves. Do you think I will scold him?"
"Local infiltration anesthesia is a basic operation that all medical students must learn!" Su Guoyuan was still very arrogant.
I thought to myself, my silly girl, you have been used to being bullied by him before, so you are used to it, but this is the No. 9 Hospital of Shanghai. Our Department of Anesthesiology and Department of Orthopedics are parallel brother departments, so there is no need to get used to their surgery.
You should admit your own mistakes, and if they are wrong, just accuse them.
Of course, with An Ruo around, Su Guoyuan still only made unilateral complaints and did not really take his temper to the orthopedics department.
…
The third operation was too simple, so An Ruo started the anesthesia for the fourth operation step by step. It was not difficult. An Ruo's anesthesia speed and understanding and control of spinal anesthesia were not what she had been able to do before.
Than.
Therefore, Anruo soon started preparing for the fourth operation with anesthesia.
Everything is ready.
Zhou Cheng came to the operating table again. He was not in a hurry to wash his hands or get dressed. Instead, he performed a manual reset under everyone's gaze.
C-arm fluoroscopy shows that the broken ends are well aligned and have some displacement, but?
As we all know, manual reduction with plaster external fixation or other external fixation for femoral fractures is very restrictive. Only special types of fractures can be manually reduced with plaster external fixation. This machine is definitely not suitable.
Because the plaster hits the waist, it cannot achieve the purpose and effect of fixation.
Precisely because it cannot be fixed, this type of fracture is an absolute indication for surgery. Even if it is redefined with a perfect level of manual reduction, it is still a type of fracture that cannot be adapted.
However, for this type of fracture, it is not difficult to operate the fracture, but difficult to fix it. The traditional method is intramedullary nail internal fixation, which is more minimally invasive than plate internal fixation.
As for this surgery, everyone saw that there were quite a few surgical instruments prepared. The surgical instruments were large and small. It was probably an intramedullary nail internal fixation.
However, when Zhou Cheng, Gu Zhongliang, Mao Yuxuan and others all started to put on surgical gowns, then Zhou Cheng picked up the scalpel and made an incision of just three centimeters on the anterolateral side of the patient's fractured left lower limb.
, and put the knife down.
Immediately afterwards, Zhou Cheng picked up an instrument they had never seen or recognized before, reached the edge of the femur, and then quickly opened the periosteum.
After a while, they saw that Zhou Cheng took out a new type of instrument, made a hole in the periosteum just now, and then put in something like a mirror.
Everyone knows, oh, it turns out that during Zhou Cheng’s surgery, a mirror and a mirror surface were added, but when they were added, everyone doesn’t know. This screen has always been there, and it may have been used before.
Then a channel was opened and the instrument was drilled into the medullary cavity of the femur.
Zhou Cheng then put in an umbrella-shaped double-headed mushroom instrument. After the mushroom head crossed the fracture line, it turned into an umbrella shape under Zhou Cheng's operation.
After it turned into an umbrella shape, it began to be recovered, and steel nails were continuously driven into the medulla of the femur and penetrated deep into the bone cortex, but did not break the bone cortex...
Seeing this scene, even Chen Jiwu's face changed drastically. He didn't even care about his basic qualities as a judge. He walked to the operating table and asked with a trembling voice: "Zhou Cheng, what are you doing?"
This problem itself should not exist, because its existence is a violation.