Chapter 60 An unexpected new member of the group (PS: Please collect, recommend, and read!)
After Zhou Cheng finished working out at the gym, he took a shower when he got home and wiped his hair when he walked out, the phone rang.
It's Luo Yun calling.
"Teacher Luo." Zhou Cheng answered quickly.
"Zhou Cheng, Director Cai just called. He said that the operation will be tomorrow, but for the manual reduction operation, he hired Professor Zhong from the Xiang Provincial University of Traditional Chinese Medicine, who does more manual reduction." Luo Yun explained.
"Oh, okay, Teacher Luo." Zhou Cheng replied with a smile.
"Zhou Cheng, don't have any inner thoughts. Don't just think that Director Cai adopted your plan but didn't let you get started." Luo Yun continued to enlighten.
Zhou Cheng's tone and expression were completely normal: "No, no, Teacher Luo, how could I have any ideas?"
"There are not many opportunities to study with professors!"
"If Director Cai hadn't been able to invite Professor Zhong, I wouldn't even have a chance to watch."
"And this is a patient that even Director Yan doesn't dare to deal with, and even the professors at Shonan University Affiliated Hospital and the Second Affiliated Hospital are unwilling to accept. Being able to experience the manual reduction technique taught by the Traditional Chinese Medicine Hospital is a great gain."
Zhou Cheng said happily, but the meaning behind his words was not the meaning expressed to Luo Yun.
Because Zhou Cheng wanted to see how powerful this associate professor Cai Dongfan hired who was good at surgical restoration was, and how he would compare with himself.
He just feels that now, maybe, maybe, maybe, he is a little bit better than the average professor in repositioning techniques.
"It's best if you think so."
"That associate professor has a family tradition of fracture reduction techniques and has solved many complex fractures before!"
"We have also performed manual reduction for many patients with fractures who could not undergo surgery." Luo Yun talked about the past achievements of the associate professor, and also wanted Zhou Cheng to understand the reason for Cai Dongfan's choice.
Then we chatted for a few more words and then hung up the phone.
Zhou Cheng didn't think much about it and completely put the matter behind him, then continued to open his notebook and began to think about treatment options for special types of fractures, fractures or defects caused by other diseases.
Moreover, this time, Zhou Cheng also planned to check the corresponding documents first.
The definition of a fracture is an interruption in the continuity and integrity of the bone, and the bone defect is also a strictly defined fracture, which is completely consistent with the simulated direction of the fracture copy...
Unfortunately, cases of bone defects are uncommon.
The treatment of bone defects is also really complicated.
In the simulation copy, Zhou Cheng spent three consecutive simulation opportunities and came into contact with less than 300 bone defect cases.
Moreover, Zhou Cheng came into contact with more patients like this one time when he went to Shanghai for work.
Normally, it is difficult to encounter such a special case.
Because there are fewer cases of contact, the progress is even slower...
But it doesn’t matter if the progress is slow. After three simulations, I only got the bone transfer surgical treatment of technical bone defects (normal). It doesn’t matter. Just take your time.
The simulation of dungeons lies in step-by-step and continuous solidification of the foundation. After you have the foundation and you want to seek a breakthrough, you can then take an unusual path.
Instead, this allowed Zhou Cheng to summarize future directions for different surgical simulations.
The first step is to read a lot of literature, study, observe surgeries, and perform surgeries to acquire basic skills, whether they are beginners or ordinary.
The second step is to get the basic skills and go crazy with surgery to improve the proficiency of the skills to the current world-class level.
The third step is to create new and redefine the level of perfection on your own...
The next day, morning.
After the nurse on duty and the doctor on duty Zhang Zhengquan finished their shift, Yan Haihan did not end the meeting immediately, but casually asked Cai Dongfan: "Director Cai, I heard that you plan to perform incisional exploration + technique for nerve block on that patient. Reset?"
"Yes! Yes, my patient and his family have communicated with each other, and they all agree."
"Although there are certain risks, there is no other better way." Cai Dongfan nodded and replied calmly.
This is a special case, and it is normal for Yan Haihan to be concerned about it.
Yan Haihan looked stern and emphasized: "Well, this patient is quite special and we must take some risks. However, safety must be the first priority. We must communicate well with the patient and family members and explain the possibility of terminating the operation at any time. "
Yan Haihan did not directly order Cai Dongfan not to do it. If Cai Dongfan asked him to find a way and pushed the patient to his group, wouldn't it be painful?
Not treating it is not enough, which is equivalent to leaving the patient to die.
However, safety must still be emphasized.
Cai Dongfan nodded and said yes.
Because this is a special patient, and it is just incision and exploration under local anesthesia + manual reduction, if it goes well, it may be done in ten minutes!
So Yan Haihan also talked with other surgery patients and asked them to give up the first surgery table.
Because it was the director who spoke in person, and the operation time was not very long, and Cai Dongfan's relatives, that is, the patient's family members, personally went to meet several other patients and family members one by one to intercede, and brought a meeting gift, so everyone's consent was obtained. agree.
Cai Dongfan has already communicated with the anesthesiology department in the operating room, and the director of the anesthesiology department personally handles intraoperative monitoring.
Moreover, Cai Dongfan asked Luo Yun to drive the invited Professor Zhong from the Xiang Provincial Hospital of Traditional Chinese Medicine to the hospital early. After arranging breakfast, he waited in the operating room.
After briefly checking the room, Cai Dongfan asked Zhang Zhengquan and Zhou Cheng, who were on duty yesterday, to complete the medical instructions for the patients in the hospital, and immediately took Luo Yun and Du Yanjun out of the operating room.
I didn’t take Zhou Cheng with me.
The main reason is that Du Yanjun's surgery is ranked first and second. This newly added minor surgery is also Du Yanjun's patient.
After Cai Dongfan left with Du Yanjun, Zhang Zhengquan stretched out his body and said proactively: "Brother Zhou Cheng, don't you want to go to the operating room? This is an associate professor of the Traditional Chinese Medicine Hospital who performs rare cases of surgical reduction!"
"If you want to go, I'll take care of the doctor's orders for you."
Zhou Cheng smiled, shook his head and said, "Quan Zi, if you want to go, go ahead and leave the patients you want to treat to me. I will change the dressings for you, and then you can write the medical orders and medical records yourself."
Look, there's really nothing to see.
What if I went to see him and he didn't go on stage during the operation? What problem did Professor Zhong have during the reset process? Should he take action or not?
And for patients who have passed through other people's hands, if you take over it yourself, have the fracture ends changed? Do previous imaging examinations have reference significance?
There is a saying from ancient times: The doctor does not knock on the door.
never mind.
Too lazy to take the risk.
Moreover, Cai Dongfan deliberately avoided him, perhaps because of his own considerations. There was no need to hang around in front of them without any hint from him or Luo Yun, otherwise it would make him and Luo Yun feel that he was not right to take him.
It was as if he had an opinion when he came on stage.
Zhou Cheng had no such idea.
Zhang Zhengquan was obviously moved: "Then why are you embarrassed? Brother Zhou Cheng, it's better for you to go."
Zhou Cheng raised his eyebrows and said, "Do you want to go or not?"
"Just do it!"
"Thank you, Brother Zhou Cheng!" Zhang Zhengquan stood up immediately, handed the paper recording the doctor's orders to Zhou Cheng, and then ran away.
Zhou Cheng looked at Zhang Zhengquan's back. He was not envious or had any other thoughts. He just felt that it was really not easy to train students. He had to work hard for any opportunity to learn.
If I didn't own the simulator, I would be a replica of Zhang Zhengquan, only a little better than him at most.
Zhou Chengcheng started to get busy.
Fortunately, Zhang Zhengquan's medical instructions for the new patients he admitted were completed yesterday. Zhang Zhengquan also changed the medicine this morning. What needs to be dealt with is the dressing change and medical order adjustment for the previous postoperative patients. It can be done in forty minutes.
Zhou Cheng was not in a hurry. After implementing the doctor's orders one by one, he pushed the dressing cart and piled up the dressing bags to change the dressing...
About forty minutes later, Zhou Chengcai finally finished cleaning up the garbage on the dressing truck. After throwing the garbage into the yellow trash can with a yellow medical waste bag, he slowly washed his hands and checked all the medical orders again.
Then he rushed to the operating room.
When he arrived at the door of the operating room, Zhou Cheng looked at the time and saw that it was already nine-twenty.
After stepping on the sensor door of the operating room with his foot, he discovered that in addition to the anesthesiologist, Cai Dongfan, Luo Yun, Du Yanjun and Zhang Zhengquan, there were two more people in the operating room.
One person, Zhou Cheng, was unknown to him. Judging from his appearance, he was probably an associate professor invited from outside, but the other person was Yang Yifeng, who had met Zhou Cheng several times.
Yang Yifeng also put on surgical clothes at this moment and stood on the stage.
After Zhou Cheng walked in, Luo Yun glanced at him, then looked at the time displayed on the timing panel in the operating room without saying anything.
Zhou Cheng approached Zhang Zhengquan and asked, "Has the manual reduction been done?"
"It hasn't started yet. I had a reset before and the patient was in too much pain, so I had to terminate it."
"Director Zeng of the Department of Anesthesiology said that with simple femoral nerve combined with sciatic nerve block, the anesthetized segment does not reach the fracture site!"
"So Yang Yifeng is performing branch cutaneous nerve block on the patient..."
Branched cutaneous nerve block?
Zhou Cheng was stunned for a moment. He had rarely heard this term before. This requires a very solid anatomy foundation and bedside color ultrasound experience to be able to do it.
This is a very cutting-edge technology in the anesthesiology department.
Zhou Cheng looked inside and saw Yang Yifeng with his head lowered, meticulously using a puncture needle to perform block anesthesia on the patient under the monitoring of color ultrasound.