"I just happened to meet him, and then I thought I could give it a try. I didn't have any special ideas." Zhou Cheng blinked and looked at Du Yanjun innocently and sincerely.
Zhou Cheng actually didn't want to tell him what Luo Yun told him, and tell him the general development direction of the department in the future.
Mainly because Zhou Cheng was afraid that speaking out would affect Du Yanjun's own direction and goals.
This is a fact.
Director Yan has made it clear that one of the basic requirements for staying in the hospital is to complete open reduction and internal fixation of a fracture, which is at least a level II operation.
Logically speaking, a resident training student is not qualified to obtain authorization for such a surgery!
It is impossible for ordinary graduate students to master this kind of surgery when they first graduate, because it is difficult for them to obtain surgical permissions and opportunities.
To some extent, the requirements for staying in the hospital are higher than the requirements for recruiting graduate students.
However, this is a tertiary hospital, and we hope that all trainees can show their talents and find ways to find opportunities for superior doctors to learn this basic skill.
Once you enter the department, you can perform similar operations normally.
Zhou Cheng doesn't have to bother with this step, because he has already reached the level of perfection in open reduction and internal fixation of fractures. This is a level that no one in the department can reach and touch at the moment.
As long as he performs a little bit in daily surgical operations, there is the slightest chance for Zhou Cheng, and Zhou Cheng can be recognized quickly.
But Du Yanjun was not good at it. He was extremely reluctant to perform closed reduction and Kirschner wire internal fixation of fibula fracture, let alone plate and screw internal fixation.
Although Zhou Cheng felt that by using Du Yanjun to perform manual reduction of joint dislocations and fractures, he could directly destroy a competitor, but one should not be so shameless.
Du Yanjun smiled and replied: "Brother Zhou Cheng is indeed Brother Zhou Cheng. He hides it really well."
"Manual reduction of fractures and manual reduction of joint dislocations."
"My decision to study with you seems to have been the right one."
When Zhou Cheng heard this, he walked back to the operating room. He had to explain to the patient and his companion that he would have to take another look at the results of the reexamination later before leaving the hospital. He couldn't just think about it impatiently. go home.
Du Yanjun followed him all the way, and when the two of them arrived in the duty room together, Du Yanjun asked again: "Brother Zhou Cheng, does Teacher Cai know about this joint dislocation technique?"
"After all, we didn't accept similar patients in our department before."
Naturally, Du Yanjun didn't mention that Luo Yun was the only one dealing with this kind of patients in the department, and he had treated them many times.
"I don't know if Teacher Cai knows. I told Teacher Luo Yun. I don't know if Teacher Luo told Teacher Cai." Of course, Zhou Cheng could only blame Luo Yun for this matter.
He wanted to get the gratitude points as soon as possible. If Du Yanjun really felt that Cai Dongfan needed to know, then he would tell Cai Dongfan himself.
However, Zhou Cheng felt that Du Yanjun would not do this. Several directors in the department were not involved in the field of joints, and they would be talking nonsense.
He treats patients who undergo surgical reduction, and at least he can generate income for the department.
Du Yanjun frowned slightly, but didn't say much. He just changed the topic and said: "Brother Zhou Cheng, what are you having for lunch? A Detianshun rice dumpling?"
"Okay, let me call you." Zhou Cheng took advantage of the situation and turned on his phone.
Detianshun rice bowl is quite good, especially the green pepper and lean pork strips, the taste is really outstanding, and a restaurant has just opened in the Star District recently.
Apart from being a bit expensive, there's basically nothing wrong with it.
A bowl of rice bowl costs more than 30 yuan, and the delivery fee is 9 yuan, which is an unbeatable price.
"No, I'll do it."
"I've already ordered and paid, Brother Zhou Cheng, don't order again." Du Yanjun mentioned it first, so he had quick eyesight and placed the order directly.
Zhou Cheng also simply searched for coffee, so AA could have lunch and drink coffee.
Until the meal and coffee were delivered almost at the same time, no patients came to disturb him. Du Yanjun immediately signed up to get the meal.
Zhou Cheng carefully checked the daily ward rounds record he had written. After feeling that there was no problem, he clicked Save, washed his hands, and then walked towards the duty room.
In the office, people generally do not eat. Otherwise, the mixed smell left by the meal will be really not conducive to working in the afternoon.
After Du Yanjun brought the coffee and rice bowl to the duty room, he immediately gave one to Zhou Cheng.
Just as he was about to open it, a nurse called from outside, "Zhou Cheng, we have an emergency patient here. Come and take a look."
"I'll go! Brother Zhou Cheng, you eat first." Du Yanjun immediately stood up and ran out of the duty room.
Zhou Cheng looked at Du Yanjun's back, twitching the corners of his mouth, and then took off the mask.
This is Du Yanjun.
When you open the lid of the rice bowl, the aroma of chili pepper and rice hits you instantly, awakening the taste buds on your tongue, and your salivary glands immediately secrete to the maximum level.
Mouth moist.
However, Zhou Chengcai didn't take more than two bites. Just when he felt the juice of the bacon mixed with the chili peppers blooming in his mouth, Du Yanjun came to the door of the duty room and said with a little embarrassment: "Another patient with joint dislocation.
But it was just written in the report, I didn’t see it.”
"Brother Zhou Cheng, come and take a look."
It was another patient with joint dislocation, but Du Yanjun was a little disappointed.
He couldn't handle this kind of patient, so his excitement was in vain.
"What kind of joint dislocation is mentioned in the report?" Zhou Cheng immediately picked up a tissue and wiped his mouth, then hung the mask on his face, stood up, picked up his white coat and walked out of the duty room.
"It seems to be some kind of heel joint, it's just the foot joint anyway. It's very difficult to fix." Du Yanjun recalled it for a while and then said.
"I think we can send the patient directly to the Second Hospital. This has been done before." Du Yanjun said with a bored look on his face.
Calcaneal joint dislocation?
Are you talking about dice joints?
It's orthopedics after all.
Zhou Cheng frowned slightly: "Let's go take a look first and then talk."
I just don’t know if this patient can be restored manually.
Luo Yuncai asked today if he would handle such a patient. Unexpectedly, such a patient actually appeared.
However, simple dislocation of the calcaneocuboid joint is relatively rare. It depends on whether there is a fracture. This is a big deal. If there are no complications such as fractures, manual reduction can be performed.
"Does the patient have a CT scan?" Zhou Cheng asked Du Yanjun.
The bones in the foot are numerous, short, and overlapping. It is difficult to detect fractures with ordinary plain films. Generally, three-dimensional CT and reconstruction are chosen to better judge whether there are hidden fractures.
If there is an occult fracture, an MRI will be done to see the extent of the ligament damage.
Contraindications and indications for surgery.
The indications and contraindications for manual reduction must be understood clearly and clearly to ensure that the treatment is effective. This is not done recklessly.
Even if it is redefined manual reduction, manual treatment cannot be performed on non-manual reduction indications...