Auto chess in the operating room

Chapter 281 Physician Tang, Physician Guo, I will leave it to you (second update)

Tang Lou directly found Guo Caier who was still in the duty room.

Seeing Tang Lou walking in, Guo Caier's intern took out his notebook very wittily and went out to check the ward.

Tang Lou was speechless for a while, Guo Caier brought Tang Lou in, turned his back, and gave the intern a thumbs up.

The intern stuck out his tongue at Tang Lou, and ran away.

Guo Caier slammed the door shut with one hand, shut Tang Lou inside, raised his eyebrows, after all, after several massages, even his most intimate voice was heard by Tang Lou, so Guo Caier also became more courageous.

Besides, she was ahead of Tang Lou in terms of age and qualifications: "Which gust of wind brought Dr. Tang here?"

Seeing Guo Cai'er's skin, Tang Lou also felt dizzy for a while, so he didn't talk nonsense to her: "I have a surgery, and I need some help. Come and help me."

"I'm not in your group."

Guo Caier heard that Tang Lou was only here to cooperate with her in the operation, and was a little disappointed. He walked over from the door, saying no, but his body was still very honest.

"The situation is very urgent. The patient is a firefighter. He fell from a height during the rescue operation and broke a bone. He is only 18 years old. If the operation is not performed in time, he may have to spend the rest of his life in a wheelchair." Tang Lou is still very strict about the operation. Seriously, "Doctor Guo, I owe you a favor."

"That's fine."

Guo Caier nodded, of course not because of Tang Lou's favor, but because of the identity and age of the patient, it was her honor to be able to treat such a little hero.

"Then we're going to go to surgery right away."

Tang Lou didn't expect Guo Cai'er to agree so happily.

"Ah."

Guo Cai'er didn't hesitate at all, and followed behind Tang Lou.

On the other hand, the equipment nurse and Ma En have already prepared the patient for the operation, and then only need to complete the communication and sign with the patient.

When Tang Lou and Guo Caier came in front of Du Sanduo, the young man was already sober.

Seeing Tang Lou and Guo Caier, Du Sanduo smiled naively: "Doctor Tang, I heard from Dr. Ma that your surgical skills are very good. Can you really help me cure it?"

After all, he is still a young man, although he is not afraid, but his eyes are still full of longing for Tang Lou's affirmative answer.

"Of course. I will make you well."

Tang Lou didn't even think about it, but said with certainty, after all, under the three-star lumbar fracture anterior decompression and internal fixation phalangeal fusion, Tang Lou's level is already in the top three in Jiangxia Province.

Moreover, with the rest of the fetters and talents, it can be said that if even Tang Lou can't do it, then no one in JX Province can do it.

"Well, Doctor Tang, I believe you."

And when Tang Lou and Du Sanduo promised, Guo Caier also checked his condition, and his expression changed all of a sudden.

He moved directly to the edge of the tenement building, tugged at his white coat, then gave him a wink, and walked directly outside the ward.

Tang Lou smiled slightly at Du Sanduo: "Sanduo, don't worry, I will definitely cure you. I have something to talk to Dr. Guo about."

Tang Lou quickly followed out, and saw Guo Cai'er in the corridor, looking at him with some dissatisfaction.

Of course, Guo Caier was more worried: "Tang Lou, do you know the severity of this little soldier's condition? Thoracolumbar fractures, flexion and compression fractures of the third degree. This kind of case, even in our Union Hospital, is a serious problem. Only those who are above the attending physician dare to handle it.”

At first, Guo Cai'er thought that the fracture Tang Lou mentioned was an ordinary broken hand and broken foot. How could he know that it was such a dangerous thoracic vertebra fracture.

"Don't worry, I know it." Of course Tang Lou knew that Guo Cai'er was doing it for his own good, but he was the best choice for the main surgeon no matter whether it was completing the task or making Du Sanduo recover.

"I don't agree, Tang Lou, you are messing around. I suggest you let the chief physician of the orthopedics department do this operation."

Guo Caier also insisted on her own position. As a doctor, she has her own judgment.

"Doctor Guo, I'm not joking with you anymore. I dare to perform this operation because I have full confidence. You should know my ability."

Tang Lou looked at Guo Cai'er very seriously.

"But."

Guo Caier hesitated for a moment, after all, Tang Lou has never disappointed anyone.

"Du Sanduo's condition is very critical. If the director of the orthopedics department or other doctors arrive, the condition will only get worse, and it will be difficult to achieve a 100% recovery after surgery."

Tang Lou continued to add.

"You still think that you will recover 100% after the operation? Tang Lou is you crazy or I am crazy."

Guo Caier still knows something about thoracolumbar fractures, and has participated in several sets. He dares to boast that he is fully confident in Haikou and pursues perfect healing. I am afraid that he will not be able to find three people in Xiehe Hospital, let alone Jiangxia Province. .

"Tang Lou, do you know that just the approach, even if the minimally invasive treatment of percutaneous nail placement is minimally invasive, highly safe, and has few postoperative complications, it will still affect the patient's normal muscles and bones. There will still be damage to the tissue. Even if the attending physician of Xiehe Hospital performs the surgery, the incision fat liquefaction often occurs after surgery. Even if you are lucky, there are no complications. But have you ever thought about the defects of the operation itself?"

The more Guo Caier spoke, the angrier she became, and she took a breath. She not only admired Tang Lou's courage, but was also annoyed at his recklessness: "Tang Lou, do you know that even if the technique is skilled and the operation is skillful, the percutaneous nail insertion The surgical method has natural defects, that is, due to the percutaneous screw placement method, the tail of the pedicle screw is long, which is unavoidable. Due to the long arm of the reset and no effective reset fulcrum, during the reset process The tails of the screws are stretched cephalad and caudal respectively, and are transmitted through the force arm of the longer nail tail. The pedicle entry point is used as the fulcrum, and the force arms on both sides of the fulcrum are unbalanced, causing the screws in the vertebra to aggregate together, and finally the brace The on-reset effect is not ideal."

Guo Cai glared at Tang Lou angrily: "Tang Lou, please be sober, this operation is not something we can handle."

Tang Lou looked at Guo Cai'er who was blushing, Tang Lou was both moved and amused, reached out to touch her ear, and listened: "What you said is not bad at all. That's why I didn't use percutaneous nail placement Instead, the improved approach through the paraspinal muscle space is adopted. It not only avoids the stripping damage to the axial muscles, but also reduces the damage to the neurovascular in the operation area. As for the problem of the reset height of the injured vertebra you mentioned, because The pedicle screws of the patients who approached through the paravertebral space are ordinary screws. During the reduction process, the spreader uses the pedicle as the spread point to directly spread the screws in the vertebral body to achieve a satisfactory vertebral body height. recovery effect."

"Get ready for surgery, Dr. Guo."

Tanglou smiled gently and directly issued the order as the chief surgeon.

"Oh."

The erratic Guo Caier responded.

Guo Caier only felt that this bastard who was younger than him pinched his most sensitive earlobe, and then walked away.

When Guo Cai'er entered the operating room again, Du Sanduo was lying down, squinting with his eyes, reluctantly preparing to sign, agreeing to have Tang Lou's surgery.

"Tang Lou, are you sure?"

Guo Caier still did not give up.

Tanglou hadn't spoken yet, but Du Sanduo spoke to Guo Caier.

In fact, when Du Sanduo was in the previous county hospital, he heard the hesitation and refusal of the director of the department with his own ears, and he did not dare to treat himself.

Therefore, he is very aware of Guo Caier's concerns.

After thinking about it, Du Sanduo was completely mature beyond his age, and said to Guo Caier, Tanglou:

"Dr. Guo, Dr. Tang, I know you are as young as me. I also know that my condition is very complicated and serious. An old doctor did not dare to operate on me before, but Dr. Tang is willing to operate on me and told me All my conditions. Of course, I hope it can be cured. If there is an accident during the operation, I will not blame Dr. Tang. Dr. Guo, I believe him, don’t you believe him instead? "

"I"

Looking at the considerate and sensible Du Sanduo, Guo Caier didn't know what to say, his nose was a little sour.

Du Sanduo wrote a few brush strokes, and smiled a little embarrassedly: "I'm really not used to writing while lying down, it's so ugly."

Throwing away the pen, Du Sanduo's immature face showed an indomitable firmness.

Guo Cai'er was in a daze for a moment, as if seeing that brave and fearless figure in the sea of ​​swords and flames.

"Doctor Tang, Doctor Guo, I'll leave it to you!"

(End of this chapter)