The genius doctor starts from the game

Chapter 149 Tear the label!

In the operating room of Room 35, the same operating room where the dislocation was just performed.

Two Gui Peisheng were there watching the patient wake up and discussing.

One of them held a mobile phone and said to the content in Baidu: "I just said that something was wrong just now, I can see it, that Lu Cheng really has something."

Another person hurried up to eat melons: "What's the situation? Don't tell me that President Zheng made a mistake in the reset method at the beginning. This is impossible, after all, Zheng Liu is the real chief hospitalist. He can still make mistakes ?”

The person before said while pointing at the phone screen, "That's not so exaggerated, but it's not exaggerated either."

"President Zheng's reputation, let's not talk about the next-level doctors."

"Look at this, the reduction technique used by Zheng Liu is called the Allis method: Operation: The patient is in the supine position, the operator stands on the bed, holds the affected limb under the knee, bends the hip and knee 90°, and pulls toward the ceiling until reset. During the operation The patient can be fixed on the bed by an assistant or with the help of bed sheets, and moderate internal and external rotation of the hip joint can help with reduction."

"This is the same process as we did with Mr. Zheng."

"Then read the introduction below:"

"Success rate: 60%"

"After Lu Cheng came in, I was sure I had noticed. Taking advantage of Mr. Zheng's inattention, he directed Mr. Zheng's strength in the direction of adduction and internal rotation. Then he abducted and externally rotated. This is the method of flexion and adduction. According to According to Baidu’s experience, this method can make the reset controllable.”

"In addition, I later remembered that Lu Cheng's palm was placed on the patient's position, which seems to be where the femoral head is. This can reduce the patient's injury."

"So it's possible that the reset this time was not necessarily a miracle caused by strong force. It was Lu Cheng who used clever force to help it reset better while minimizing the damage at the same time."

He spoke with gusto.

Both of them are Gui Peisheng from other departments of surgery, so they are particularly curious about Lu Cheng, a legendary figure, so they pay more attention to it.Although at the beginning I thought there might be some different discoveries, but after I actually checked it, I was still very shocked.

Without making a fuss, he changed Zheng Liu's treatment method, and didn't say clearly, this skill and capacity.

When another person heard this, he couldn't help but wonder: "If this is really the case, wouldn't it be enough for Lu Cheng to explain it directly to Mr. Zheng?"

"It's not like you can't even talk about these?"

After asking this question, the anesthesiologist answered the question and said, "Well, this is actually a very interesting question."

"There are very few patients in our hospital who encounter this kind of joint dislocation emergency surgery, basically none."

"Because there are basically no such patients, the general inpatients of the orthopedics department actually have relatively little experience in dealing with such patients, and their understanding of relative manipulations is only one or two. "

"To be honest, if I hadn't been called in for anesthesia today, I didn't even know that our hospital would still accept such patients."

"The rest of the time, the chief resident is basically studying how to perform the surgery in his department. Because he rarely encounters it, he naturally doesn't deliberately study how to perform manual reduction."

"On the contrary, I see that some of you, Gui Peisheng, will check Baidu or read a book before encountering this kind of patient."

"Otherwise, if we encounter any emergencies and have to deal with them in our hospital, the general hospital will be exhausted and can't handle them all. And it's also a waste of resources."

After hearing this, the two trainees nodded frequently, feeling that this reason was the most consistent with the fundamental reason.

Otherwise, it still doesn't make sense.

……

All Lu Cheng's arrangements were made by Zheng Liu, and Zheng Liu called Lu Cheng to help Associate Professor Zhou Ren, while he went to Associate Professor Qin Qiguo's operating room.

Associate Professor Zhou Ren's qualifications and age are slightly lower than Associate Professor Qin Qiguo's.Lu Cheng guessed that maybe Zheng Liu thought that he could get off work earlier by going to Associate Professor Qin Qiguo, but although Lu Cheng guessed it, he didn't say much. Originally, he was just here for a trial job, so what others arranged That’s it, it doesn’t matter if you go on stage more and perform surgery later.

After entering the operating room, Lu Cheng immediately saw that there were only two people on the stage, and only Associate Professor Zhou Ren and a Gui Peisheng were performing the operation.

And because Lu Cheng had been to the operating room before, and Professor Huang might have told Associate Professor Zhou Ren about Lu Cheng, even if Associate Professor Zhou Ren only took a look at Lu Cheng, he recognized him.

Only two people operate it, so the preparation before the operation is time-consuming. At this time, Associate Professor Zhou Ren and Gui Peisheng haven't even wrapped their feet yet.

Seeing Lu Cheng come in, Zhou Ren, who was wrapping his feet, immediately asked, "What? Is there something wrong with the emergency surgery over there?"

"I'll wrap my feet and come right over."

Zhou Ren thought that there was something wrong with Lu Cheng and Zheng Liu's emergency operations, and they came here to call for help.

Lu Cheng lacked clinical experience, so it was understandable that he could not handle emergency patients.

After all, the time he spent in the clinic is worth not mentioning.

As for Zheng Liu, to be honest, Zhou Ren felt that Lu Cheng might be more reliable than Zheng Liu. After all, Zheng Liu had some precedents before, which made him feel that Zheng Liu was very unreliable.

Lu Cheng said: "Mr. Zhou, the debridement and VAC coverage over there, as well as the patient with hip dislocation, have all been reset."

"I'm here to help, what else can I do?"

Orthopedic surgery needs to lift the foot, because the purpose of aseptic disinfection can only be achieved by lifting the foot off the operating table, and in the subsequent arthroscopic operation, some pre-arthroscopic preparations are also required.

The gauze that Zhou Ren was wrapping his feet was scattered on the sterile sheet, and he looked strange.

How long has it been since Lu Cheng went for emergency surgery?
It's only about 20 minutes, right?
In my own operating room, there is basically no delay in completing the anesthesia and disinfection after the previous operation is completed.

And at this time, Lu Cheng and Zheng Liu actually finished the two emergency departments.

This virtually reminded Lin You of the time when he was undergoing emergency surgery...

It seems that in the future, Zheng Liu will have to look at him with admiration. Zheng Liu may have really undergone some changes.

"You wash your hands first, and then come to the stage to help immediately!" Zhou Ren's thoughts wandered for a while, and he called Lu Cheng to the stage without politeness.

When Lu Cheng walked in again, Associate Professor Zhou Ren had already used a sharp knife to break open the skin of the knee hole, and was about to send the arthroscope into the joint cavity. When he saw Lu Cheng walking in, he asked, "Xiao Lu, have you ever touched the knee before?" Have you had an arthroscopy? Can you poke it in?"

Lu Cheng looked at his current arthroscopic and treatment levels have reached the advanced level, only a little distance away from the top level, nodded and said:

"Professor Zhou, I have done this a little bit before, so it should be fine."

Zhou Ren was just asking casually. This was the task Professor Huang gave them, which was to let them inadvertently investigate how Lu Cheng's clinical ability is.

Lu Cheng's tone was serious, Zhou Ren wanted to test Lu Cheng's background: "Then you have a try!"

"Alright, Professor Zhou." Lu Cheng immediately began to put on his clothes and gloves,

Lu Cheng will not let go of the opportunity of surgery.He has not been to a hospital for five years, and he has not been to a real clinic for five years. In five years, he has traveled all over the country, seeing too many patients and seeing too many things. Know how to go in the future.

Lu Cheng put on his clothes and gloves. After taking the arthroscopic mirror from Associate Professor Zhou Ren, he took a look at the field of vision. After confirming that it was correct, he immediately inserted the arthroscope under the patella neatly, and then put his left hand Quickly turned 270 degrees, after recognizing the direction, adjusted the direction of the arthroscope, and immediately climbed down,

"There is no obvious synovial fold in the infrapatellar bursa. Teacher, can I take a picture?" Lu Cheng said to the itinerant teacher in the audience while performing the operation very smoothly.

The arthroscopic surgery in the Second Hunan University Hospital has a professional arthroscopic instrument technician who is responsible for preoperative preparations, intraoperative photography, and solving some problems that may arise during the arthroscopic surgery, such as mirror blur...

"Infrapatellar bursa! Photo taken."

"Lateral meniscus, anterior horn, posterior horn uninjured, body torn;"

"Intercondylar fossa, front fork completely shattered, rear fork looks ok,"

"Exploring the hook, the tension of the rear fork is OK, but there is no tension on the stump of the front fork."

"The medial meniscus is nothing special." Lu Cheng didn't hear what Associate Professor Zhou Ren said, so he continued to do it according to his own ideas.

He didn't see the astonished expression on Associate Professor Zhou Ren's face at all, and the complaint in his heart: How could he call it a little bit?

The level of this mirror is definitely not something that an ordinary doctor can do.

It only took more than half a minute to complete such a set of procedures. Lu Chengcheng handed the mirror to Associate Professor Zhou Ren and said: "Professor Zhou, the investigation is over."

This is not Hannan Hospital, and Associate Professor Zhou Ren is not his master Li Hui, so it is impossible for Lu Cheng to continue to do it. He is now a doctor on trial, and he can only perform any surgery given to him by others.Otherwise, it would be a bit presumptuous for Lu Cheng to continue.

Zhou Ren asked, "Have you practiced arthroscopy before?"

Lu Cheng replied: "Well! When I was in Hannan Hospital, I was authorized by the superior doctor, and I did it a few times. I am more standardized and familiar with the procedure of arthroscopic surgery, so I don't know if it is the same as the habit here."

This operation was a simple anterior cruciate ligament rupture, which required reconstruction of the anterior cruciate ligament. Lu Cheng had done a lot of this before.

Zhou Ren did not receive the arthroscope, but immediately said to the nurse who was washing the hands: "Xiaolan, give me the sharp knife. I am going to remove the tendon. Prepare to open the sutures."

Xiaolan is also a new orthopedic specialist nurse who has been working for about three years. Her full name is Zhu Zilan. She handed over the sharp knife and asked: "Professor Zhou, isn't there a hole in the patient's meniscus body? Doesn't it need to be treated?" "

Associate Professor Zhou Ren took the sharp knife, smiled and said: "It is such a simple operation, do you still need me to do it myself?"

After saying that, Zhou Ren said to Lu Cheng: "Lu Cheng, can you deal with it?"

Lu Cheng had controlled the field of view of the arthroscope so accurately and quickly before, and the process was very smooth. He didn't believe that Lu Cheng could not handle the meniscus body problem well.

Zhu Zilan glanced at Lu Cheng who was withdrawing from the mirror, smiled and said, "Professor Zhou, is this the new doctor in your department?"

What she meant was, who is this? Why don’t I know?
As a specialist nurse in the orthopedics department, she is very familiar with the staff in the department.

Zhou Ren nodded, and said mysteriously: "This little brother, if we can stay in our hospital, that's a great talent. Now it's not necessarily our hospital who chooses someone else."

After hearing this, the expressions of the arthroscopic instrument technician and Zhu Zilan changed, and the way they looked at Lu Cheng changed. It seemed that Lu Cheng's identity suddenly became mysterious.

Meniscal surgery, even simple plastic surgery, is classified as three types of surgery, and only senior attending surgeons can complete it.

This patient is not simply a particularly small incision, and still needs a lot of work to form it.

Zhu Zilan seemed to recall the time when a doctor performed the first meniscus plasty and almost completely removed the meniscus.But the attending physician is now in the Fourth Ward of Orthopedics...

Lu Chengcheng said modestly: "Professor Zhou, you are deliberately flattering me. I still have a lot to learn."

While talking, Lu Chengcheng started the operation with the left-curved pliers specially designed for the meniscus.

For a while, there was a crisp clicking sound, very fast, and Associate Professor Zhou Ren, who was about to take the tendon, jumped in his heart. He didn't dare to take the autologous tendon again, but put his gaze firmly into the field of view of the arthroscope .

If Lu Cheng messes around for a while, and something goes wrong with the patient in the end, he will be responsible.

But looking inside the surgical field, it was very clear that Lu Cheng used a pair of left-curved pliers to bite off the broken part just right, no more, no less, and the size was just right.

Zhou Ren was confused by the effect of this operation.

He knows arthroscopy and arthroscopy, and he also understands the treatment of menisci.

Lu Cheng's level of operation is definitely not weaker than him!
Good guy, this guy is here to kick the gym, right?

In an instant, Zhou Ren took off the identity badge of Lu Cheng's academic leader!
If at Lu Cheng's age, with such a level of operation, he is called an academic boss and a clinical waste, then what is he?
Get a glimpse of the whole leopard.

It is easy to control a person's background.

Zhou Ren said: "Not bad, very good. It seems that Lu Cheng's clinical attainments are also very deep."

"The size of the forming is very well grasped. Just like this, after a few grindings, it is already very good. I may not be able to match this level of operation."

This is Zhou Ren's truth.

But to others, this was just a compliment to Lu Cheng and Zhou Ren's self-effacement!

Lu Cheng didn't think much of it. The ratings of the game system are very strict. Of course, Associate Professor Zhou Ren was still suspected of being self-effacing, so he said, "Professor Zhou, you are exaggerating too much. Don't be afraid of me being proud." Alright?"

(End of this chapter)