I can see the status bar

Chapter 246 twists and turns
Although Sun Li'en had never heard of Chen Tianyang's name, as long as he was a doctor who practiced general surgery in China, basically everyone had heard of this name.In the field of burn treatment and basic medicine, Chen Tianyang is also a name that cannot be avoided.

Director Chen Tianyang's postgraduate supervisor was Academician Gong, the founder of Neuroanatomy in China, and his doctoral supervisor was Academician Zhong Shizhen, the founder of Applied Anatomy in China.

The disciples trained by two academicians with extremely high attainments in anatomy naturally cannot be mediocre.Relying on his superb skills and research spirit, Chen Tianyang left the system of the former First Military Medical University and Xiangya Medical College, and came to Yunhe City alone.He started as an ordinary university lecturer at Tongde Medical College in Yunhe City. Two years later, at the age of 31, he became the youngest associate professor at Tongde Medical College.

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 the basic research of the two mentors, nor did he develop in the direction of orthopedics and mechanics like other brothers. He turned his attention to organ transplantation, vascular diseases and digestion.

Although it is often said 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, even if we unscrupulous underachievers can't flourish, at least it won't decline, right?

With the purpose of "expanding influence and increasing exchanges", Chen Tianyang almost never refuses all kinds of exchange meetings.As long as there are no experiments or patients who can't leave, he will fly all over the place for meetings.Actively share cases and share your own experience in the process of practicing medicine.In any case, we must display the Tongde Medical College brand to let others know that our Datongde has not fallen yet!

As I said before, the progress of medicine is based on sufficient communication.With only one doctor, the number of patients he can see in his lifetime is also limited.But through exchanges, doctors are able to gain experience and valuable lessons from colleagues around the world.Such unreserved communication is the main source of power for the advancement of modern medicine.And Chen Tianyang, who actively communicated with all over the world, gradually gained fame and authority.Everyone in the circle knows that Tongde Medical College has a very capable young professor.

Young professors have become middle-aged and elderly professors over time, and may currently be on the threshold of "old" professors.And Chen Tianyang has indeed gained considerable fame and achievements.But in his bones, he was still the young doctor who left his comfort zone with passion in his arms, and set foot on the green leather car to Yunhe City alone.

The most valuable spirit of a young doctor is to dare to fight.

Chen Tianyang, who had fought against Liu Tangchun, knew that the humanoid self-propelled excavator, apart from other skills, could be regarded as a unique ability to know people.Regardless of the fact that Lao Liu is also a serious professor, only one master and doctoral student is recruited every year.Sometimes there are no suitable students, and old Liu would rather leave his quota empty—even if Ningyuan Medical College stipulates that if it fails to recruit students for four consecutive years, it has to cancel its doctoral supervisor qualification.

Since he is the student Liu Tangchun likes, he must have some great advantages.And after seeing Sun Li'en diagnose Li Fengmin's external iliac vein rupture almost "out of nothing", Chen Tianyang admired Liu Tangchun even more - this old bastard's vision is so accurate!Such a doctor, let alone the big emergency department of Ningyuan Fourth Central Hospital, as long as it is a hospital, it will rush to ask for it.

Excellent diagnosis requires extremely rich medical knowledge, especially the manifestations and diagnostic methods of various diseases must be at your fingertips.At the same time, it also requires doctors to have outstanding observation and reasoning skills.It can be said that knowledge reserve, observation ability and reasoning level are all indispensable.

In Chen Tianyang's view, a doctor with a high level of diagnosis must be a figure like Sherlock Holmes.Recruit a Sherlock Holmes to work for yourself?Chen Tianyang felt a little itchy in his heart, the itching was extremely deep, and it was extremely itchy.So he opened his mouth to poach Liu Tangchun's corner, and the treatment he gave was simply not too good. "As long as you come, I will give you an attending position first, and it will be no problem to be promoted to deputy director within five years."

Sun Lien blinked his eyes and said with a wry smile, "But... Dr. Chen, I haven't finished the training yet."

"Special talents, special treatment." Chen Tianyang patted himself on the chest proudly, "I'm also a vice president anyway, so it's okay to open a green channel for you."

"I don't have a medical license either." Sun Lien has no idea of ​​job-hopping at all, and now he and Hu Jia are living in the same hospital as if they were in a long-distance relationship. What if this is really a long-distance relationship?Besides, as long as he works hard in the Fourth Central Hospital, it will be a matter of course for Sun Lien to be promoted to the attending doctor or even the deputy director.It's really not worthwhile to make a job-hopping for something that can definitely be done-it's not cost-effective.

Chen Tianyang's eyes widened. He couldn't believe what Sun Lien said was true, "You don't have a medical certificate, and you haven't completed the training?" Ordinary training doctor, or a little shrimp who hasn't even got a medical certificate , can come up with this diagnosis?He had always thought that Sun Li'en was probably a genius and academic figure, and now he was definitely going to be accepted by Liu Tangchun and trained as a doctor.

"I have just completed three months of regular training." Sun Lien smiled embarrassedly, "Ms. Liu accepted me to study for a master's degree, but I will not be able to enroll until next year."

Chen Tianyang was still depressed that his poaching plan was aborted, while Lin Hua ended his communication with Hu Jia.After he answered the phone, he said to the two of them, "Ms. Li's wife has also arrived at the hospital. She signed the consent form for the operation. We are now going to reopen the laparotomy—Director Chen, Dr. Sun and Nurse Hu are interested in visiting and guiding us." Is it?"

Sun Li'en grinned, "It's really not suitable for us to visit in this suit..." He planned to reject Lin Hua, and then hurried back to the hotel with Hu Jia.But Chen Tianyang took over Sun Lien's words, "So, if you can give us three sets of hand washing clothes before the operation starts, let alone guiding, it will be fine for me to perform the operation on stage."

Chen Tianyang committed another occupational disease that seized every opportunity to communicate.

"This is easy." Lin Hua agreed to Chen Tianyang's request with a smile, "It was my negligence, and I made the three wait here wearing bathrobes for so long. I will call the operating room now and ask them to prepare three sets of new ones." wash clothes."

General hospitals are not like the Fourth Central Hospital, which regularly changes the doctors' hand-washing clothes in a short cycle.In fact, many doctors will choose to buy their own hand washing clothes, and then hand them over to the hospital for unified cleaning and disinfection.However, for the disinfection at the operating room level, the disinfection methods used are of course not at the level of "care for clothes and health". The 84 disinfectant is soaked round after round like no money. No matter how good the hand sanitizer is, it will basically become a dry board after two or three soaks.As for the wear of the crotch and the rot of the belt, it is even more commonplace.So Lin Hua asked the operating room to prepare three new sets of hand washing clothes with one phone call, which was really not easy.

Hu Jia is very interested in visiting the operation. In fact, this is the biggest difference between nurses and doctors-doctors can often go out to exchange and study, but nurses don't have that leisure time.So basically, the nurses at best engage in cross-department exchange and learning in the hospital.Some advanced nursing experience and knowledge have to be promoted by the director of the nursing department.This time, Hu Jia, who was planning to go on vacation, suddenly found that he had the opportunity to observe the work of the equipment nurses in the Sanya Branch of the Army General Hospital. This kind of good opportunity is a rare opportunity.After exchanging glances with Sun Lien, she happily agreed to the invitation to visit the operation.

Anyway, my girlfriend is by my side, and going to the operating room to visit the operation is essentially the same as going out for shopping. Anyway, Hu Jia has always only shopped and not bought. .Going into the operating room to observe the operation is basically no different from this escort.

The three of them changed into their hand washing clothes in the preparation room of the operating room, and Sun Li'en still felt a little uncomfortable wearing wet swimming trunks.After thinking about it again and again, he decided to fly in the air once and let his little brother come out of the water to get some air.You can't tell if you're wearing pants anyway.

The style of the operating room in the Sanya Branch of the Military General Hospital is quite different from that of the Fourth Central Hospital.The foot-operated airtight door made Sun Lien feel like a countryman entering the city.To be honest, although the swing doors in the Fourth Central Hospital are also very useful, they are not as handsome as this spaceship-style door opening method.How did you say that sentence?Life should have a sense of ritual!
Entering the operating room with a sense of ritual, Sun Lien and Hu Jia chose to stand a little further away to observe the operation.And Chen Tianyang, whose hobby is communication, went directly to Yisuke's side, looked at Li Fengmin's belly that he had sewed up, and nodded vigorously. "This belly is really well sewn."

Three people walked in wearing brand-new handwashing clothes, masks and surgical towels. The doctors present knew at a glance that these three were probably experts from the outer hospital, and they were going to come to observe and guide.So Yizhu politely followed Chen Tianyang's words and continued, "Not only is the stomach stitched well, this patient has already had an emergency laparotomy when he was sent in. The external iliac vein is torn, and the bleeding is estimated to be over 1500cc. No Knowing which expert performed an emergency laparotomy on him, the blood vessels were patched up with patches."

Yizhu wanted to explain the patient's situation, but from Chen Tianyang's point of view, his operation was highly praised by young people.He squinted his eyes and nodded, and asked in a very natural tone, "The analysis makes sense, what else?"

"Eh..." The first half of the sentence was pretty good, but the second half sounded a bit wrong.Kazusuke looked at the fat white man in brand-new hand washing clothes. Judging by his body shape, he was definitely not the head of his department.But this kind of enthusiasm for questioning is really exactly the same as that of the chief director of their department. "And...and the expert chose partial sutures for easy transportation, instead of trying to perform a complete operation and close the abdomen. This ability to control the situation is also very impressive."

"It's mainly because there are not enough sutures." Chen Tianyang evaded it "politely". "From the analysis of the skinfold thickness of the patient, it takes about three sutures to achieve a better closure. Combined with the suture estimation of the upper peritoneum, internal oblique muscle, transversus abdominis and muscle fascia, at least three models exceeding 200 cm are required The sutures. There are not such good conditions on site, so we can only pick up the most urgent ones."

The more one assistant listens, the more confused he becomes. Experts now have clairvoyant eyes, or can experts know what happened during an emergency laparotomy by glancing at a patient's belly?
This is Lin Hua finally entering the operating room.He smiled at the first assistant, "Director Chen is teasing you. He did the emergency laparotomy of this patient."

Yizhu first glanced at Chen Tianyang contemptuously, thinking that this expert is too slick, and tried to trick me into continuing to praise him with tricks.Then this trace of disdain was quickly covered up by admiration and admiration.

There was no other reason, it was just because Chen Tianyang's surgery was really beautiful.It can be seen from the incision that each cut is done in one go, from the cutting to the closing, there is no hesitation in the middle, and there is no supplementary cut.You know, this is not an operation performed in a hospital!Without a shadowless lamp, without team support, without video data, and without anesthesia to monitor the patient's physiological condition, it can still be performed so beautifully, and the bleeding point of the external iliac vein hidden behind the sigmoid colon and the inguinal ligament has really been found...

"Oh, by the way, there was no hemostat at the scene. I clamped the patient's vein with my hands." Chen Tianyang directly ignored the existence of the tourniquet at the root of his thigh, and made a "scissorhands" gesture towards the stunned first assistant. "I just used these two fingers. Do you want to touch them? Maybe you can transfer luck."

"Director Chen, don't bully the newcomers in our department." Lin Hua leaned over and used his body to separate Chen Tianyang from the messy first assistant who didn't know how to react, "Our hospital is a military hospital anyway, it's more upright, Cough cough, more serious."

"I'm serious too, really." Chen Tianyang compared his two fingers to Lin Hua, "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 stop bleeding." Put on the hemostatic patch, don't you feel 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 you switch to another doctor, you may not be able to complete this operation—but if you change to a doctor who is more rigid about the rules and regulations, it is impossible to accept the proposal of emergency laparotomy in that environment.

"The patch is very strong, but out of caution, let's cut it off and make an anastomosis." Chen Tianyang glanced at the reopened abdominal cavity, and was satisfied with the result that hemoperitoneum did not increase.But this is the fault of his entering the operating room. When other doctors came to "observe and guide", they mainly focused on observing and emulating, but Chen Tianyang was actually "guiding".

"Blood pressure 90/55, heart rate 90, blood oxygen saturation 92%, physical signs are stable, and can be operated." The anesthesiologist has been staring at the screen of the monitor, after all, he also needs to pay attention to the blood transfusion speed and blood pressure rise level, in order to prevent sticking The patch fell off again, and the anesthesiologist was very busy.

Sun Lien frowned suddenly.

"Li Fengmin, male, 68 years old, lumbar disc herniation, mild pulmonary embolism."

　40 minutes late...so sorry. The 8th is still a 4K update, and this chapter is for the 7th.

　　Three academicians including Academician Qiu Fazu used their real names in this article, but this book is still completely fictitious and has no relationship with any real person or organization.

　　I really can't bear to use other names to replace the names of these three great medical workers-they are indeed mountains that cannot be ignored in modern medicine.

　　
　
(End of this chapter)