Although Sun Lien has never heard of Chen Tianyang's name, as long as he is a doctor practicing general surgery in China, basically everyone has heard of this name. In the fields of burn treatment and basic medicine, Chen Tianyang is also a name that cannot be avoided.
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When Director Chen Tianyang was a graduate student, his supervisor was Academician Jiu Gong, the founder of neuroanatomy in China, and his doctoral supervisor was Academician Zhong Shizhen, the founder of Chinese applied anatomy.
A disciple trained by two academicians with extremely high attainments in anatomy cannot be a mediocre person. With his superb skills and research spirit, Chen Tianyang left the former First Military Medical University and Xiangya Medical College
system, and came to Yunhe City alone. He started as a general university lecturer at Tongde Medical College in Yunhe City. Two years later, he became the youngest associate professor at Tongde Medical College at the age of 31.
A capable person will shine no matter where he is. Chen Tianyang’s research at Tongde Medical College did not follow the old path of basic research of his two mentors, nor did he develop in the direction of orthopedics and mechanics like other senior fellow students.
Attention turned to organ transplantation, vascular diseases and digestion.
Although people often say that Tongde Medical College has declined, Chen Tianyang has always been quite dissatisfied with this argument. Mr. Qiu Fazu is the old director of our department. The family business he left behind cannot be carried forward by us unscrupulous underachievers, at least.
It won't go down, right?
With the purpose of "expanding influence and increasing exchanges", Chen Tianyang is open to all kinds of exchange meetings. As long as there are no experiments or patients that he cannot get away from, he will fly around to attend meetings and actively share cases.
, share your experience in practicing medicine. No matter what, you must put the brand name of Tongde Medical College out there and let others know that we, Datongde, have not yet collapsed!
As mentioned before, the progress of medicine is based on sufficient communication. A doctor can only see a limited number of patients in his lifetime. But through communication, doctors can gain the experience and experience of colleagues from all over the world.
Valuable lessons. Such unreserved communication is the main source of motivation for the progress of modern medicine. And Chen Tianyang, who actively communicates with people from all over the world, has gradually gained fame and authority. Everyone in the entire circle knows that there is someone from Tongde Medical College.
A very capable young professor.
As time goes by, young professors have turned into middle-aged and elderly professors, and may currently be on the threshold of "elderly" professors. And Chen Tianyang has indeed gained considerable fame and achievements. But in his heart, he is still the same passionate person.
A young doctor left his comfort zone and boarded a green car to Yunhe City alone.
The most valuable spirit of young doctors is the courage to fight and work hard.
Chen Tianyang, who has had some experience with Liu Tangchun, knows that the humanoid self-propelled excavator, apart from other abilities, has a unique ability to get to know people. Not to mention that Liu is also a serious professor, recruiting master's and doctoral students every year
They are all just one person. Sometimes there are no suitable students, and Lao Liu would rather leave his place empty, even if Ningyuan Medical College stipulates that if it cannot recruit students for four consecutive years, it will be canceled as a doctoral supervisor.
Since he is the student Liu Tangchun likes, he must have some great advantages. After seeing Sun Lien diagnose Li Fengmin's external iliac vein rupture almost "out of thin air" with his own eyes, Chen Tianyang admired Liu Tangchun even more for the old bastard's vision.
Exactly! Such a doctor, let alone the emergency department of Ningyuan Fourth Central Hospital, every hospital would rush to get one.
Excellent diagnosis requires extremely rich medical knowledge, especially the manifestations and diagnostic methods of various diseases must be readily available. At the same time, this also requires doctors to have outstanding observation and reasoning abilities. It can be said that knowledge reserve, observation
Ability and reasoning level are indispensable.
In Chen Tianyang's view, a doctor with excellent diagnostic skills must be a character like Sherlock Holmes. Recruiting a Sherlock Holmes to work for him? Chen Tianyang felt a little itchy in his heart. The itch was very deep and bone-deep. So he opened his mouth and prepared to dig.
Liu Tangchun's corner, and the treatment given is not very good. "As long as you come, I will first give you a position as an attending physician. There will be no problem at all in being promoted to deputy director within five years."
Sun Lien blinked his eyes and said with a wry smile, "But... Doctor Chen, I haven't completed the training yet."
"Special talents, special treatment." Chen Tianyang patted his chest proudly, "I am also a deputy dean after all, so there is no problem in opening a green channel for you."
"I don't have a medical certificate either." Sun Lien has no idea of changing jobs. Now he and Hu Jia are living in a hospital as if they are in a long-distance relationship. How can we really have a long-distance relationship? Besides, as long as he is in the fourth
If you work hard at the Central Hospital, it will be a natural thing for Sun Lien to be promoted to chief physician or even deputy director. It is really not worthwhile to change jobs just to do something that you can definitely do.
Chen Tianyang's eyes widened. He couldn't believe what Sun Lien said was true. "You don't have a medical license and haven't completed the training?" An ordinary trained doctor is still a little shrimp who hasn't even gotten a medical license.
, can such a diagnosis be made? He had always thought that Sun Lien was probably a genius and academic figure, and now he would definitely be taken over by Liu Tangchun to train him as a doctor.
"I have just completed three months of formal training." Sun Lien smiled sheepishly, "Teacher Liu accepted me to study for a master's degree, but I won't be able to enroll until next year."
Chen Tianyang was still depressed that his plan to poach people was stillborn, while Lin Hua ended his communication with Hu Jia. After answering the phone, he said to the two of them, "Teacher Li's wife also arrived at the hospital, and she signed the consent for the operation.
Book, we are now going to reopen the abdominal cavity, Director Chen, Dr. Sun and Nurse Hu, are you interested in visiting and giving guidance?"
Sun Lien grinned, "It's really not suitable for us to visit in these clothes..." He planned to reject Lin Hua and quickly take Hu Jia back to the hotel. But Chen Tianyang took over Sun Lien's words, "So
He said, if you can give us three sets of hand-washing clothes before the operation starts, let alone provide guidance, there will be no problem for me to go on stage and perform the operation."
Chen Tianyang's occupational disease of seizing every opportunity to communicate occurred again.
"This is easy to handle." Lin Hua agreed to Chen Tianyang's request with a smile, "I was negligent in letting the three of them wait here in bathrobes for so long. I will call the operating room now and ask them to prepare three new sets.
hand washing clothes."
General hospitals are not like the Fourth Central Hospital, which regularly replaces doctors' hand-washing uniforms in a shorter cycle. In fact, many doctors choose to purchase their own hand-washing uniforms and then hand them over to the hospital for uniform cleaning and disinfection. However, operating room-level
Disinfection, of course, the disinfection method used will not be at the level of "protecting clothes and protecting health". 84 disinfectant is soaked in rounds for free. No matter how good the hand washing clothes are, soaking them two or three times will basically turn into
A piece of dry cloth. As for wearing out the crotch and rotting the belt, it is commonplace. So Lin Hua called the operating room and asked the operating room to prepare three new sets of hand washing clothes, which was indeed not easy.
Hu Jia is very interested in visiting surgeries. In fact, this is the biggest difference between nurses and doctors. Doctors can often go out to communicate and learn, but nurses don’t have that spare time. So basically, the most the nurses can do is work in the hospital.
As soon as cross-department exchanges and learning are carried out, some advanced nursing experience and knowledge must be promoted bit by bit by the director of the nursing department. This time, Hu Jia, who was originally planning to go on vacation, suddenly found that he had the opportunity to observe the general manager of the army.
She was working as an instrument nurse at the Sanya Branch of the hospital, and this good opportunity was a once-in-a-lifetime opportunity. After exchanging glances with Sun Lien, she happily agreed to the invitation to visit the operation.
Anyway, with his girlfriend by his side, going to the operating room to visit the surgery is essentially the same as going out for shopping. Hu Jia has always been about shopping and not buying. Sun Lien's job is to accompany him to the operating room, watch, and go shopping.
Observing surgery is basically the same as this escort.
The three of them changed into hand washing clothes in the preparation room of the operating room. Sun Lien always felt a little uncomfortable wearing wet swimming trunks. After thinking about it again, he decided to fly for a while and let his little brother come out of the water for some air. Anyway, he was wearing the clothes
You can't even see the pants.
The style of the operating room in the Sanya Branch of the Military General Hospital is different from that in the Fourth Central Hospital. The foot-operated air-tight door makes Sun Lien feel like he is a countryman coming to the city. To be honest, although the operating room in the Fourth Central Hospital
Spring doors are also very easy to use, but they are not as handsome as this spaceship-style door opening method. What do you mean by that? Life should have a sense of ritual!
Entering the operating room in a ceremonial manner, Sun Lien and Hu Jia chose to stand a little further away to observe the operation. Chen Tianyang, whose hobby is communication, came directly to Yishu's side, looked at Li Fengmin's belly that he had sewn up, and then
He nodded vigorously. "The stitches on my belly are really good."
Three people walked in wearing brand new hand-washing clothes, masks and surgical towels. The doctors present knew at a glance that these three people were probably experts from other hospitals who were coming to observe and give guidance. So a group of doctors politely followed Chen Tianyang.
He continued, "Not only was the stomach stitched well, this patient had already had an emergency laparotomy when he was brought here. The external iliac vein was torn and the amount of bleeding was estimated to be above. I don't know which expert performed it on him.
An emergency laparotomy was performed, and the blood vessels were patched up with patches.”
Issuke wanted to explain the patient's condition, but from Chen Tianyang's point of view, his surgery was highly praised by young people. He squinted his eyes and nodded, and asked in a very natural tone, "Analytical
It makes sense, what else?"
"Um..." The first half of what he said was pretty good, but the second half sounded a little off. Isuke looked at the fat white man wearing a new hand-washing suit. Judging from his body shape, he was definitely not the director of his own department. But this kind of questioning
He is very energetic, but he is exactly the same as the chief director of their department. "And... and that expert chose partial suturing for easy transportation, instead of trying to perform the entire operation perfectly and close the abdomen. This kind of ability to control the situation
It’s also very impressive.”
"Mainly because there are not enough sutures." Chen Tianyang politely declined. "Based on the thickness of the patient's skin folds, it takes about three sutures to achieve a better closure. Combined with the epiperitoneum and internal oblique muscles
It is estimated that the suturing of the transversus abdominis and muscle fascia requires at least three types of sutures over 200 centimeters. There are no such good conditions on site, so we can only pick the most urgent ones."
The more Ichisuke listened, the more confused he became. Do experts nowadays have clairvoyance and ears, or can experts just glance at the patient's belly and know what happened during emergency laparotomy?
This is when Lin Hua finally entered the operating room. He smiled at Isuke and said, "Director Chen, I'm kidding you. He performed the emergency laparotomy on this patient."
Issuke first glanced at Chen Tianyang with disdain, thinking that this expert was too stubborn, and actually tried to trick me into praising him again. Then this trace of disdain was quickly covered up by admiration and praise.
There is no other reason, just because Chen Tianyang's surgery is really beautiful. It can be seen from the incision that every incision is done in one go. From the beginning to the end, there is no hesitation or supplementary incision. You know, this is not in a hospital.
The surgery was performed in! There was no shadowless light, no team support, no imaging data, and no anesthesia to monitor the patient's physiological condition. It was still able to be performed so beautifully, and the external iliac vein hidden behind the sigmoid colon and inguinal ligament was actually found.
The bleeding point...
"Oh, by the way, there were no hemostatic forceps at the scene. I clamped the patient's vein with my hands." Chen Tianyang ignored the tourniquet at the base of his thigh and made a "scissors" gesture towards the dumbfounded Ichisuke. "That's it.
I used these two fingers, do you want to touch it? Maybe it can be transferred."
"Director Chen, please stop bullying the newcomers in our department." Lin Hua came over and used his body to separate Chen Tianyang from Yiji, who was so messy that he didn't know how to react, "Our hospital is a military hospital after all, and it's relatively upright.
Ahem, it’s more serious.”
"I'm quite serious, really." Chen Tianyang gestured to Lin Hua with his two fingers, "With no surgical field at all, use two fingers to clamp the external iliac vein to stop the bleeding, and then use the other hand to
Wear a hemostatic patch, why don’t you touch these hands?”
From Sun Lien's point of view, to be honest, the surgeon who was soaked in the water at that time was Chen Tianyang. If it were replaced by another doctor, he might not be able to complete this operation. If it were replaced by another doctor who was more rigid about the rules and regulations,
It is impossible for doctors to accept the proposal of emergency laparotomy under such circumstances.
"The patch is very strong, but out of caution, I'd better cut it off and make an anastomosis." Chen Tianyang took a look at the reopened abdominal cavity and was satisfied that the hemoperitoneum did not increase. However, he entered the operating room.
When other doctors came to "observe and guide" this problem, they mainly focused on observation, but Chen Tianyang actually "guided" it.
"Blood pressure is 90/55, heart rate is 90, blood oxygen saturation is 92%, physical signs are stable, and operation is possible." The anesthesiologist has been staring at the screen of the monitor. After all, he still has to pay attention to the blood transfusion speed and blood pressure rise level to prevent the blood from sticking.
The patch fell off again, and the anesthesiologist was very busy.
Sun Lien suddenly frowned.
"Li Fengmin, male, 68 years old, suffered from lumbar disc herniation and small-scale pulmonary infarction."