Zeng Yi, who was reading the novel on his mobile phone, quickly stood up and looked around, feeling a little confused.
Then I saw Liu Yan, with the help of Zhang Zhengquan, pushing the C-arm machine towards the operating table. At the same time, the hand-washing nurse, Cai Dongfan and others were walking towards the isolation room.
He looked at his students again and straightened his back, dumbfounded.
Zeng Yi patted An Ruo on the shoulder: "We're going out, it's time for X-ray examination."
An Ruo was shocked and recovered from the numbness in her heart. She furrowed her brows and muttered something, but she still didn't dare to take the ray and walked towards the isolation room.
Before going out, she deliberately looked at the timing panel in the operating room.
There are two lines, one line shows the actual time, which is what time it is.
12:01!
The second line is the surgery timer, which starts counting down from the moment the surgery starts.
00:22:51!
Less than twenty-three minutes.
It's over, it's over, I met my nemesis today.
I have to be exhausted to death. An Ruo listened to Zeng Yi's explanation very clearly. The next two stations were reset again...
I will never come to the orthopedics department for anesthesia again. Whoever wants to come will come.
I went out for a fluoroscopy. This fluoroscopy has two main purposes. One is to evaluate the reduction of the fracture, and the other is to see whether the intramedullary nail is in the bone marrow cavity and whether it has penetrated into the soft tissue.
Intramedullary nailing, as the name suggests, is actually the fixation of intramedullary fixation devices. If it is not in the bone marrow, it is wrong.
Just take a look at it for safety reasons.
If you look at the C-arm display, you can see that in the two oblique views, the intramedullary nails are within the bone marrow and do not form an angle with the femur.
Why should the thigh be in the upright and oblique position, but the calf should be in the upright and lateral position?
The calves can be spread wider, but the thighs are restricted.
You can't rupture the cyst and sulcus...
Zhou Cheng breathed a sigh of relief after reading it, and then he bowed his head respectfully and said, "Teacher Cai, the intramedullary nail is fixed in place. You will do the proximal and distal locking nails yourself."
do it!"
I thought to myself, the reset effect is pretty good, within the horizontal range!
However, Cai Dongfan hadn't returned to Zhou Cheng yet. He was still looking for the fracture line with his small eyes. After searching for a long time, he couldn't find the fracture line where he should be. He glanced back at Zhou Cheng.
The cheeks covered by the mask trembled slightly.
I just want to say something, Xiao Zhou, if you are like this, if our hospital does not have preoperative examination information, the patient may use the postoperative film to sue us for excessive medical treatment. Do you believe it?
Of course, this is impossible, there are pre-operative films.
Cai Dongfan just nodded: "Well, not bad, the intramedullary nail was placed well."
This operation is strictly a third-level operation. What Cai Dongfan authorized Zhou Cheng to do was just to make an incision. Strictly speaking, when Zhou Cheng peeled off the tensor fascia lata and reached the greater tubercle of the femur, he should have stopped and made way for the operation.
Cai Dongfan was the surgeon.
Because it is a third-level surgery, Luo Yun’s current surgery can barely be considered a leapfrog surgery, let alone Zhou Cheng, who is thousands of miles apart from Luo Yun.
Moreover, it is such a critical operation as placing an intramedullary nail. Before placing an intramedullary nail for fixation, the fracture must be properly reduced.
The two keys to fracture treatment are reduction and fixation. This is what Cai Dongfan should do.
However, I don’t know if Zhou Cheng got high or something, but he did all these key steps.
What is the next proximal and distal locking nail operation?
All surgical records must be written in this way.
Under the formula or under the aiming aid, screw in the spiral guide pin, place the proximal spiral blade, and lock the distal end of the interlocking locking nail!
Focus on key points, aiming aids, alias formulas...
That is, after the intramedullary nail is drilled, it can be done directly with your eyes closed.
Iron tool man, under normal circumstances, Cai Dongfan can step down and leave it to Luo Yun if he reaches this point.
Now he was thrown to him by Zhou Cheng.
But Cai Dongfan still couldn't refuse. It would be difficult for him to deal with the third-level surgery if he didn't perform any operations at all. So he could only be a tool for once.
With the help of formula, it is a bit exaggerated to say that you should do it with your eyes closed, but it is a bit simple and mindless.
As soon as the aiming aid was installed, I used an electric drill to drill the guide rotating guide pin, and then installed the rotating blade, distal locking nail, and a set of combined punches.
Seven minutes to resolve the battle...
After finishing it, Cai Dongfan didn't feel the slightest sense of accomplishment. He took off his gloves and said, "Luo Yun, you and Du Yanjun finish it off and put in two drainage tablets."
"Zhou Cheng, come off stage with me. I have something to say to you." Cai Dongfan said simply and neatly.
Zhang Zhengquan in the audience was stunned, huh?
Brother Zhou Cheng is going to be led into alleys by Cai Dongfan again?
Luo Yun nodded and replied: "Okay, director!"
Du Yanjun remained silent the whole time, his head slightly lowered.
If it was incredible to him that Zhou Cheng was able to reduce such a rare fracture during the manual reduction of the first patient, then the operation that Zhou Cheng has completed now is simply a dimensionality-reducing blow to him!
Du Yanjun always thought that there was only a slight difference between himself and Zhou Cheng in terms of clinical strength.
But now it seems that these 100 million points are a bit difficult to catch up with. Maybe it will take me ten or eight years to see where Zhou Cheng is...
When Cai Dongfan started the operation, Zeng Yi asked An Ruo to start withdrawing the anesthesia, because the subsequent operation would not take very long.
Although it sounds a bit outrageous to say this, mom opened the door——
Our anesthesiology department administered spinal anesthesia for about half an hour, and the operation was over in about half an hour.
The turnover rate of co-operative patients suddenly depends on the speed of our anesthesia, right?
Does this still make sense?
However, as a qualified anesthesiologist, he needs to cooperate with the clinical departments to speed up the turnover and not hold others back.
Hit you mama bio (Shashi dialect, swearing)
When did our anesthesiology department start to slow down the pace of surgery?
Zeng Yi gave the order. Although An Ruo was a little exhausted physically and mentally, she could only carry on and do her duty.
But I was muttering in my heart: I will never come to orthopedics again. I am so tired.
…
Cai Dongfan really took Zhou Cheng into the alley near the operating room this time. After closing the door, he said, "Xiao Zhou, do you know why I called you out so quickly this time?"
Zhou Cheng nodded hurriedly and said: "Open reduction/closed reduction and intramedullary nail internal fixation of intertrochanteric fracture of the femur is a level III surgery. I just exceeded my authority."
Cai Dongfan sighed and nodded: "Yes, you are right, you have skipped the level of surgery."
"You have to remember one thing. It's not that I don't want to let you do level III surgery, but that's the rule."
"We can't be the only people in the orthopedics department in the operating room. If something happens, who can guarantee that we can block the mouths of all the roving, hand-washing and anesthesiologists?"
Speaking of this, Cai Dongfan closed his eyes again, lowered his shoulders, and said helplessly: "What's more? Our hospital's orthopedics department currently does not have the qualifications and resources to grant surgical permissions to lower-level doctors at so many levels, so...you will
Better pay attention!"
"Of course, I also have a certain responsibility today. I didn't stop you."
"But I didn't stop you. I mainly wanted to see how far you could go. It's no coincidence."
"Let me see that you are really a young man who doesn't let go of the eagle when you see the rabbit."
Then Cai Dongfan asked with a change of tone: "If the hospital hadn't let out the news this time and said it wanted to select a group of regular training students to stay in the hospital, would you really have planned to keep hiding it from me and Luo Yun?"
Zhou Cheng was stunned for a moment, smiled innocently, and didn't reply.
It can’t be said that I was actually from the same family as you before, and my surname was also Cai, right?
This will kill you.
Cai Dongfan didn't pursue it, and just said calmly:
"Zhou Cheng, you can't ask your superior doctors to chase you and ask you what you know. Instead, you have to take the initiative to communicate with your superiors about what you want to learn and what you want to do."
"Otherwise, if I want to help you, I can't just look at your appearance, right?"
Then Cai Dongfan pondered for a moment, and in a longer voice, he said somewhat helplessly: "Yeah!"
"You, you--"
"You don't even have a share of the places temporarily released by the Department of Orthopedics."
"Tell me about you."
"Did you do this?"
"If I want to keep you, I have to run around again just for you. If it were before, it would be just a matter of saying one more thing for me." After saying that, Cai Dongfan turned around and left.
Zhou Cheng was left there to digest.
Ten seconds later, Zhou Cheng was overjoyed and said, "Thank you, Teacher Cai!"
The sound is not that loud.
Cai Dongfan has already entered the operating room, and I don't know if he heard it.
PS: Please collect it, please recommend it, please give it a monthly pass, and please continue to read it.