The genius doctor starts from the game

Chapter 151 Meet acquaintances, you will be more relaxed!
"Jingle bell! Jingle bell!"

At 09:30 in the evening, less than 15 minutes after Lu Chengcai got back from get off work in the department, he ordered takeaway and was about to take a shower when he heard the phone ringing in the bathroom.

After Lu Cheng performed the operation in the afternoon, he went to the department to continue to get familiar with the patients.

He just came for a trial job in the morning, and he is not very familiar with the patients in the department.

Lu Cheng hastily rinsed off the foam from the body wash, wrapped a towel around his lower body, and ran out.
Seeing the missed call, it was indeed Zheng Liu who called. He frowned slightly, but immediately returned: "Brother Liu! I was taking a shower just now, what's the matter?"

The weather was too cold, but fortunately, the air conditioner was turned on in advance, so the temperature in the room was not too bad. With the sound amplifier turned on, Lu Chengcai wiped his hair with a new towel.

Zheng Liu said: "When I came to the emergency department, there was an open fracture of the left calf. It is estimated that debridement and suture and external fixation surgery will be performed at night."

"Let me ask you, I'm on my way to the emergency department. If you want to do it, go directly to the operating room. I'll send the patient over first, and then I'll sleep in the department."

Lu Cheng immediately said, "Okay, I'll be right back."

After finishing speaking, Lu Cheng said again: "Thank you Brother Liu!"

Zheng Liudao: "We are all brothers, why are you being polite! Shall I go to see the patient first?"

Calling Lu Cheng to go for emergency surgery while he sleeps in the department by himself, is this pushing the blame and squeezing Lu Cheng?

No, Zheng Liu couldn't go back at night no matter whether he had an operation or not, and he saw the patient in advance. This was sending the operation patient to Lu Cheng.
He is now a trial worker, and there are only so many surgical opportunities he can have. Emergency surgery is the best type of surgery!

Because debridement and exploration is a type of operation, no one can be sure of the specific situation before it is performed. As a trial doctor, Lu Cheng can certainly do it, and he was promoted by Professor Huang to be the general resident of the attendant.
No matter in terms of surgical level or system, there is nothing wrong with it.

This operation, for a boss like Zheng Liu who is hospitalized, almost makes him vomit, but Lu Cheng is different. Unlike Zheng Liu, he has been a follower for several years. emergency surgeries, there is accumulation.

This is Lu Cheng's idea.

Naturally, Lu Cheng would not think that this was oppression.

After blowing my hair, I quickly put on my clothes and ran out, stepped on a shared electric car and drove directly to the hospital.

Before riding the bike, he called the delivery boy and asked him if he could change the delivery location. If not, he would send it directly to his dormitory.

The other party saw that Lu Cheng's changed destination was not very far away, and it was still a hospital, so he asked what was wrong with Lu Cheng, and heard that Lu Cheng was going to go for emergency surgery at night, and he was a hard worker, so he agreed to send him to the hospital. go to the hospital.

Not long after Lu Cheng arrived at the hospital, the takeaway arrived. Lu Cheng tipped him an extra four dollars, which was considered hard work.

Not much, if there is more, it seems to be a charity, and it is not enough to tip a dollar or two as if the other party loves money very much. It is written in the remarks; hard work, brother, have a drink on the way.

Then he opened the lunch box and devoured it.

In the duty room of the Orthopedics Department, the air conditioner is very effective, and all the chills are expelled in a short while, and with a bowl of rice covered in rice, there is no hunger.

Lu Chengcheng called Zheng Liu, and Zheng Liu said: "The patient with the open fracture has been sent to the operating room, and I am seeing another patient with a severed finger. This one should be called the microsurgery department of the Department of Orthopedics." People have to sew it up."

As soon as Lu Cheng heard the pointing, he frowned again. This is a big trouble.

He said: "Brother Liu, then I will go to the operating room first, you have worked hard."

"Why are you working so hard? It's your first day working with the manager, and you're dragged into the mess by me. You can't sleep."

"I still feel bad. I heard the doctor on duty said that you just ordered takeout not long after you returned. You had an operation in the evening, and I treated you to a late-night snack. I didn't inquire in advance. I would have ordered food for you if I had known better. ." As Zheng Liu spoke, his noisy voice became slightly louder.

"Stop talking, the patient is here, hang up!" Lu Chengcheng hung up the phone.

Lu Cheng felt a little bit emotional. Maybe he was not in his position and didn't know the suffering. He used to think that he was always happy in the hospital and didn't care about the patients.

At the same time, they mourned Zheng Liu for a few minutes before leaving the operating room in a hurry.

There are not many emergency operations at night, and the operating room is very empty.

When Lu Cheng arrived, the anesthesiologist was already yawning and taking a nap in front of the anesthesia machine. The patient had obviously been 'put' down on the operating table by him.

The follower didn't wash his hands, and there was only one itinerant nurse.

The doctor in charge of another emergency surgery class was opening the gauze covering the wound.

Seeing Lu Chenglai's unhurried steps, she hurriedly asked: "Is the orthopedic department always hospitalized? What kind of package do you want? I asked the surgery class, but he couldn't explain clearly."

When Lu Cheng was a resident doctor, he didn't know what kind of package was needed for any operation.

But now Lu Cheng had made up for it. He immediately glanced at the wound and said: "cloth bag, lower limb bag, debridement bag, external fixation brace bag, and prepare three VACs. By the way, I also need to give Brother Zheng Liu a beating." I called him and asked him to get an external fixator."

Lu Cheng spoke very fast, but the itinerant nurse seemed to be able to keep up: "That's all for now, right? Then I'll get the bag first, and the catheter has already been connected. Anesthesiologist, remember to remember the operation time for me. "

The anesthesiologist nodded with sleepy eyelids, glanced at the remaining young face behind Lu Cheng's mask, and made preparations for the night: "Got it!"

Lu Cheng looked at the dressing once again after the doctor in charge opened the wound, and asked again, "Have you prepared any blood?"

"How many have you prepared?"

"Get ready, 6u!"

1u is a unit, roughly equivalent to two hundred milliliters, 6u of blood is enough.

Lu Chengcheng said, "Mr. Anesthesiologist, prepare to call for blood from two units."

"What's the name of this brother? Lift your foot, we're going to put on the tourniquet." Lu Cheng said quickly.

"teacher!"

He was about to reply subconsciously, but suddenly he seemed to recognize Lu Cheng's voice, and said in surprise, "Wori, are you Lu Cheng?"

After hearing the other party's words, Lu Cheng judged the other party's identity based on the tone of his voice. He was actually an old acquaintance of Lu Cheng's——

Pang Lin of Seoul University.

"Pang Lin?" Lu Cheng asked.

Pang Lin was not feeling well.

They are undergraduate classmates. Pang Lin studied as a graduate student of Professor Wang Xiaoyang. He originally wanted to study for a doctoral degree directly from Professor Wang Xiaoyang, but Wang Xiaoyang resigned later.

The Fourth Department of Orthopedics has just been established, and the number of residents and graduate students is too small. Although he is now a doctor, he still has to be on duty in the department.

Later, he was still an undergraduate student, and Dr. Lu Cheng graduated.

That's all, it's a pity that Lu Cheng is so outstanding that he was buried.

Later, Lu Cheng became the God of Lu, causing a wave of madness on the Internet, he was very sour,
Lu Chengcheng is the kind, everyone has an intervertebral disc, but Lu Cheng has a particularly protruding intervertebral disc, which is painful;

Now, Lu Chengdu is about to become an employee of the hospital. I heard that this is the latest thing, and it was Lu Cheng's own death that delayed him for five years.

Who did I provoke?How come I am the one who encounters this kind of thing?

Isn't it good that I applied for a graduate student at Nanshan University?

Although it may be a bit of a challenge to go to Nanshan University as a graduate student who can be admitted to Shonan University, it is only a little bit of a challenge.

Pang Lin's 'vinegar jar' was completely overturned: "Can I still call you Brother Lu Cheng? Master Lu? Or President Lu?"

Physician's grade.

Trainees ≤ interns < regular trainees = graduate students < doctoral students < resident physicians of the hospital < chief resident physicians < attending physicians < associate chief physicians < chief physicians < ward directors < department directors...

As for the teaching title, it is only.

General physician<associate professor<professor<academician.

Lu Cheng is already hospitalized, even if he is the head attendant, but Lu Cheng is bigger than the head attendant of the resident physicians in this hospital.

It is many levels higher than him at once.

Lu Chengcheng said, "Of course, Pang Lin, long time no see."

"You can call me Lu Chenggong." Lu Cheng always thought that Pang Lin was a pretty good person, and also very good.

Pang Lin is just a young man in his 20s. In fact, he prefers to face Lu Cheng as an equal. However, Lu Cheng's achievements have made him occasionally take the initiative to lower his status.

But now that he heard Lu Cheng's words, he also felt that the relationship between Lu Cheng and them was a relationship, which could be good.

But there is no need to stand still because of the mediocrity of the others. The most important thing is that the talent and hard work of the others are not enough for Lu Cheng, so the road is slower.

He said: "Brother Xiaocheng, today may be the first time I met you. Where have you been in recent years? Professor Wang Xiaoyang has lost his temper many times in the department because of you."

Lu Cheng said, "Go out for a walk and look around."

Lu Cheng didn't want to pursue the experience of the past five years, and Pang Lin didn't need to know, so he changed the subject and said, "Brother Liu won't come for today's operation, so let's do it slowly! Anyway, the tourniquet was applied, how to debride the wound?" Just how to debride the wound, I don't have much time in the clinic, maybe you have to take care of me more."

Pang Lin didn't know what Lu Cheng had experienced in the past five years, and it was normal for Lu Cheng to stay in joint surgery and was not familiar with debridement, but if he hadn't heard about the operation room today, then he I really believe it.

But now what happened to Lu Cheng will become a secret: "Brother Xiao Cheng, I almost believed what you said."

"If you want to take me, you can take me with you."

"It's hard to tell, I still have something in my heart, okay?"

Of course, I knew in my heart that there was no comparison between him and Lu Cheng, and there was no need to compare, so the jealousy gradually disappeared, and there was no way to be jealous.

Although he said this, he and Lu Cheng were no longer unfamiliar with each other. Lu Cheng could still say such things as business exchanges, which proved that he did not regard himself as a superior or subordinate, but as a peer.

After applying the tourniquet, Lu Chengcheng took the initiative to ask to lift his leg, giving Pang Lin the opportunity to disinfect.

At the same time, after disinfecting the drape, Lu Cheng asked Pang Lin to start debridement and sutures. He directly acted as a helper, and then paid attention to the way he spoke, step by step, changing the tone of instruction into a tone of discussion It is guiding Pang Lin's operation.

When the anesthesiologist saw this, he took a second look at Lu Cheng and regained his energy in an instant.

He even rolled his eyes. He thought Lu Cheng was a novice before.
However, after listening to the conversation between the two, he knew Lu Cheng's identity, so he listened carefully to Lu Cheng's speech,

The more I listened to it, the more I admired Lu Cheng. Some parts were so thorough that even he, who has been in anesthesia for almost seven or eight years, could understand it.
This is a kind of ability and realm,

Lift weights lightly.

After almost half an hour, Pang Lin finally separated the anterior and posterior tibial arteries, accompanying veins and popliteal nerve happily, and happily discussed with Lu Cheng: "Brother Cheng, the patient's Fortunately, the broken end of the tibial bone was only [-] centimeters away, and the limb was about to be amputated."

"You can do the rest of the operation, I dare not do it anymore."

Pang Lin saw that the broken end of the fracture was hidden at the intersection of the popliteal nerve, tibial nerve, and superficial and deep peroneal nerves, and he took the initiative to put down the electric knife to stop the bleeding.

Lu Cheng didn't delay, he took the hand quickly, then gave Pang Lin the position of the hook, and said, "Come on, help me stretch this muscle, yes, that's it."

"By the way, put this piece of tape with the nerve on it too."

"Attention, don't move!"

Lu Cheng immediately pulled out the separated distal fracture edge of the tibia from the nerve plexus with quick eyesight and quick hands, avoiding all the nerves narrowly.

Immediately afterwards, Lu Cheng grabbed the patient's ankle with his left hand, and with a slight pull, the patient's foot automatically returned to its position and rotated as if by magic power. The proximal end of the fracture was sent away.

The fractures at both ends immediately reset, leaving only a fracture line of only a few millimeters.The rotational shift seems to be completely reset at this moment as well.

According to the orthopedic department of surgery, as long as the patient's lower extremity fracture is not angularly displaced, shortened and displaced, and the broken ends of the long bones can be connected by one-third, the standard of functional restoration can be achieved.

Lu Chengcheng had already exceeded his limit in just ten seconds.

When Pang Lin's pupils shrank slightly, he still couldn't help but said, "Brother Xiao Cheng, you are really awesome, thank you for giving me the opportunity to clear the wound."

Pang Lin used Lu Cheng's hand, how could he not know that Lu Cheng was deliberately giving him the opportunity to do it?Otherwise, the operation might be over.

Lu Chengcheng said: "That's because you have done well enough. We graduate students all have a deep theoretical foundation."

"Help me take the muscle tissue spreader of the spine. Now the broken end of the fracture has returned to its position. There is no need to pull the nerves and blood vessels that were stretched before. After the spreader is stretched, you are responsible for fixing the fracture. The proximal end and the distal end. I will temporarily fix it with a Kirschner wire.”

Indeed, if Pang Lin's hands were not steady enough, he might have received the surgery earlier.

With the previous operation opportunity to give up, Pang Lin immediately followed suit.

The spreader spread the muscles of the tibialis posterior muscle group well, exposing the broken end of the fracture. Then Lu Cheng said: "Pang Lin, use your left hand to fix the proximal end of the tibia, and bring it a little to the outside. The force of external rotation and the force of internal rotation and adduction of the right hand pull the distal end of the fracture."

"The force doesn't need to be too much, as long as the fracture is kept in place, I will temporarily fix it with two Kirschner wires."

"You can start putting on the external fixator."

Pang Lin nodded frequently, and did everything Lu Chengdi did before he finally came to his senses. He raised his head and looked at Lu Cheng: "Me? Should I use an external fixator?"

"What are you afraid of? The blood vessels and nerves are all exposed. It doesn't matter how the external fixator is applied when it can be seen?" Lu Cheng smiled, and then quickly crossed two Krebs. Needle, after fixing the broken end of the fracture.

He said again: "You can let go now, Pang Lin!"

In fact, Pang Lin was still immersed in what Lu Cheng said, what does it matter how the external fixator is installed?

In the past, he just thought that the reason why Lu Cheng was as good as he is now was because Lu Cheng could write articles, so his superiors were willing to take risks for Lu Cheng, so Lu Cheng grew up very quickly, but now he understands that this is not actually the case.

It's not because Lu Cheng's articles are well-written and skillful, nor is it because his superiors are willing to give him a chance to get in. It's because he has made all the necessary preparations, and if he has a chance, he will be able to get in. .

Pang Lin could only say guiltily: "Brother Xiaocheng, I'm sorry, I don't know how to use external fixation brackets! I've never seen one before. I've been staying in the bone tumor department for so long."

Saying this reason to postpone, he felt blush.

There are no patients with fractures in the Department of Bone Oncology. Does the Department of Joint Surgery have them?

Professor Wang Xiaoyang is engaged in joint surgery.

the answer is negative.

(End of this chapter)