big star doctor

Chapter 50 Qian Zhiqiang, Director of Orthopedic Surgery

Lin Mo saw the bloody wound.

"Sterile gauze, saline."

I saw him skillfully wiping off the gauze, pouring a whole bottle of normal saline to rinse the blood on the patient's arm.

The patient grinned in pain and said:
"Doctor, pain, pain, pain."

"Pain is normal, and it will be fine after anesthesia."

As he spoke, Lin Mo took a sterile cotton ball and dipped it in povidone iodine to disinfect the wound.

During the process, the patient grinned in pain again.

After the anesthesia, Lin Mo waited for more than 5 minutes...

"No. 4 elbow needle, No. [-] thread."

Lin Mo took the needle holder, added the suture needle, and started to sew.

After more than 10 minutes, Lin Mo settled another order.

After writing the medical record and taking the medicine, Lin Mo sent the patient away.

Before Lin Mo could rest for 2 minutes, the nurse at the front desk knocked on the door and came in:
"Deputy Director Qian of the Department of Orthopedics came down to our emergency department for surgery. Dr. Lin, Director Chen asked you to go over and be an assistant."

"Deputy Director of Orthopedics? What kind of surgery?"

The director of the hospital usually does the office work and the deputy does the work. Of course, it is hard to say about technical skills.

"Total knee replacement, the patient falls and is sent to our emergency department first."

"Is it starting now? What's the operating room?"

"The preoperative examination has been completed. Let's start immediately, operating room [-]."

"Then what are you waiting for, let's go!"

After speaking, Lin Mo went directly to the dressing room.

……

The door of No. [-] operating room.

Let’s go to the Department of Orthopedics today, Director Qian!I was a little angry in my heart. The emergency department detained the patient and refused to transfer him to another department. He wanted to have an operation, and forced him to be a novice assistant. What's the trouble!

Lin Mo finished disinfecting,
Brush your hands out,
Change into surgical gown.

When he came to operating room No. [-], he found that doctors and nurses were already waiting for him in front of the operating room.

He quickly stepped forward and said:
"Sorry for being late."

Director Qian looked at Lin Mo's face that hadn't put on a mask, so he pulled his face and said:
"It's okay to look good, but it's bad to be late."

After saying that, he looked unhappy,

He glanced at the nurse next to him.

The nurse quickly opened the door for him.

Lin Mo shook his shoulders helplessly after he left.

The nurses and sisters watching from the side covered their faces and laughed.

A bold little nurse,
Help Lin Mo put on the mask.

He went into the operating room,

Stand in the position of a helper.

Director Qian glanced at him again, then closed his eyes, as if trying to calm down.

He is indeed a little angry today,

Surgery has to be done, and it has to be done well,
Replacing fully painted joints is still very easy to fail.

Mood is also an important factor affecting the success or failure of the operation, so he can only hope that Lin Mo, a young intern, will not be too good at it, otherwise it will be difficult not to get angry.

The mentality collapsed, and the operation was difficult to talk about.

"Nurse, are you ready?"

"No problem, the equipment is complete and the materials are complete."

"What about the anesthesia! Patient status?"

"General anesthesia, normal heartbeat, steady breathing."

Director Qian stretched out his hand after listening.

"Sterile gauze, iodophor, disinfection."

I saw him disinfect the entire right leg joint of the patient.

The nurse lady helped to return the surgical towel.

Putting back the gauze used for the medicine, Director Qian reached out to take the surgical liner from the nurse,

Draw a positioning line at the center of the patient's varnish joint.

Close the pen.

"Scalpel."

He held a scalpel and made a median incision of the knee joint.

Later, through the medial approach from the side of the patella, the joint capsule was incised.

The process is done in one go.

Lin Mo couldn't help but cheer!He is also a person who has the skills to perform joint replacement surgery. Experts will know if he has one at a glance.

It seems that being able to become the deputy director is really not a cover.

After opening the mouth, he naturally stepped forward to pull the hook. Lin Mo didn't dare to neglect and hurried forward, for fear that Director Qian would not do it in one go!

Seeing Lin Mo's operation, Director Qian secretly thought: It's still very clever.

Director Qian cleaned up the synovium and osteophytes in the joints.

He will subperiosteally dissect the medial collateral ligament and soft tissue from the upper edge of the tibial tubercle to the tibial plateau to the medial tibial crest, and then completely remove the medial osteophytes.

After the osteophyte is completely removed, the medial collateral ligament is released to achieve soft tissue balance.

Just do it, he started to move seriously.

Lin Mo looked at Director Qian who was carefully peeling off the periosteum and cleaning up the bone growths, and thought to himself: Although Director Qian may have a bad temper, he is very skilled.

So Lin Mo pulled up the hook more carefully. It was not a good thing to be distracted on the operating table.

After the periosteum was completely stripped and the osteophytes cleaned up.

Director Qian secretly thought: Is this little doctor Lin Mo still okay?Lagou is familiar with driving and driving with ease. This assist is very comfortable!Otherwise, forget about digging him back to the orthopedic department. He said briskly: "Xiao Lin! Have you prepared before? I think you are quite familiar with this operation!"

"I've watched the surgery video before. Director Chen told me that I was not prepared at all, otherwise I wouldn't be late. Let me first say sorry to you."

"I think you're so smart, you're quite intelligent in operation, and you can talk. How about you go to the orthopedic surgery with me?"

"Isn't that good! I'll go with you, and Director Liu will beat me to death."

Director Qian was silent for a while when he heard Lin Mo talking about Director Liu in the emergency department.It's true that he didn't dare to offend this bad-tempered emergency doctor, but he was entangled in his heart.

But he didn't stop for long, after all, he was still undergoing surgery!He also smiled and said: "I'll go back and discuss it with our Director Zhao first."

Lin Mo didn't say anything when he heard what he said.

When he heard this, he knew that Director Qian was still afraid of their Director Liu Da, otherwise how could he remove his leader.

It seems that if the titles are not equal, the dwarves have to be the ones!
……

Having said that, Director Qian placed the tibial support in the correct position and adjusted it.

He reached out to take the prosthesis and began to install it.

He used a post-stabilized prosthesis made in Taiwan.

After the installation is complete, it is the final balance adjustment.

After he made the final balance adjustment.

I couldn't help explaining to Lin Mo: "Xiao Lin! To adjust the balance of the valgus deformity, we must pay attention to the release of the lateral collateral ligament and posterior joint capsule.

Removal of lateral osteophytes generally uses a posterior-stabilized prosthesis. If the patella is subluxed, the lateral retinaculum of the patella needs to be released. "

After speaking, he also looked at Lin Mo.

Lin Mo immediately put on a face of madness and enlightenment, with an expression of benefiting a lot.

When Director Qian saw Lin Mo's expression, he was very satisfied and said: "Xiao Lin! You are really spiritual, unlike my orthopedic little bastards, who are all clumsy and can't teach you, so angry Kill me!"

"Teacher Qian, you teach well! Your skills are also incredible."

In fact, what he was thinking was:
"It's because the orthopedic doctors won't look at your old eyes? They won't flatter you, right? They won't satisfy your old hobby of being a teacher?"

SP: Here comes the correct way to raise books. First of all, add bookshelves. If you are free, come and vote. Otherwise, no one votes, no one invests, no one rewards, and new books will wither soon!

(End of this chapter)