Great doctor starts with adding points
Chapter 200
Zhao Tianle and General Jin are both postgraduates in hand surgery at Tongji Hospital, and they are in the same class as Wu Xie.
This Zhao Tianle is the current director of hand surgery at Tongji Hospital, a student of Professor Zhang who has better qualifications than Professor Meng Tang, and is in the same class as Wu Xie.
In fact, as a student of Professor Zhang, Zhao Tianle is the most hopeful to get a doctorate in hand surgery, but due to personal pursuits, he did not pursue a doctorate degree and chose to work in Yishi.
And General Kim, whose full name is Jin Hongzhong. He is a postgraduate student of Professor Meng Tang. He is currently studying for a Ph.D. with Professor Zhang Lao, but he is actually studying in Professor Zhang Lao's clinical team, and the scientific research team he follows is still Professor Meng Tang's group.
In this year's master's degree, he is quite famous.
"Ang, Brother Xie, the three of us will participate in the hand surgery department. I thought you would sign up for the trauma surgery department."
"But this time our trauma surgery classmates all went to a small training in Shanghai to increase their knowledge, so they didn't come to participate in the provincial competition."
"The competition will start on the 13th. I will come to En City with the director on the 12th. I won't be free at night, but I will be free on the 13th. General Jin probably has similar arrangements." Zhao Tianle asked Wu Xie to make an appointment in advance .
What happened during the study period, in fact, after work, has become a thing of the past. And Wu Xie has always been in trauma surgery, so Zhao Tianle doesn't seem to have much hostility towards Wu Xie.
"Okay, Brother Le, have you set a time with General Jin?" Wu Xie asked.
As the host, even if it is not good enough, but when the students come, they still have to do what should be done as the host.
Students who are graduate students are originally one of their own resources, and they are natural resources, so they must be well maintained.
Knowing that Jin Hongzhong came to Eunshi, Wu Xie still wanted to ask. Even if Zhao Tianle took the initiative to find Jin Hongzhong, Wu Xie still wanted to ask.
"I asked Jin Dashen once last week, but Jin Dashen is participating in the "Mouse Tail Docking" training camp in hand surgery. Professor Zhang also found two general teachers for him to train anatomy." Zhao Tianle finished.
Maybe it was also because he was afraid that Wu Xie would have an idea, so he added: "We decided to contact you, Brother Xie, so it's convenient for you to arrange."
After watching it, Wu Xie smiled and chatted with classmates whose EQ and IQ are both online, and he just felt comfortable.
However, it seems that General Jin has prepared a lot for this competition. It is also a secret training of nude mice and he is looking for a general teacher. It seems that Professor Zhang has high expectations for him.
It is appropriate to stay in the hospital in the future.
"Okay, do you live with the hospital or arrange it freely? I'll find a place to eat and send it to you." Wu Xie has always been a proactive person, so he doesn't shy away from it.
"The accommodation is reimbursed by the hospital, so he must have gone with the director. General Jin probably followed Brother Yangming." Zhao Tianle quickly explained, also afraid of causing more trouble to Wu Xie.
As for the place where Wu Xie arranged to eat, he didn't say anything about it.
Wu Xie is just a bad professional, not a bad person. When Wu Xie was studying for a master's degree, he was not mean to his brothers in the same class, including the other two postgraduates in trauma surgery, and he helped as much as he could.
Later, although they couldn't help anymore, and took up a lot of resources given by Professor Xue and Professor Duan, the two students couldn't say much.
"Okay, Brother Le, let's arrange this for now. After the 12th arrives, if there is any change in the itinerary, please contact me at any time. I will definitely go alone."
"Time is free." Wu Xie also had a vaccination in advance.
Although it is said that Zhao Tianle came with the director, but the director also has his own personal contacts, maybe it is because of an occasion that is not suitable for bringing Zhao Tianle, so he can have a small barbecue or something in advance.
"Okay, thank you Brother Crab!" Zhao Tianle ended the chat on his own initiative after finishing the appointment.
After Wu Xie chatted with Zhao Tianle, he found Jin Hongzhong's chat page in the address book: "Old Jin, Lai En City didn't notify you in advance, if I didn't read the competition notice, you were planning to call one Caught off guard?"
Wu Xie and Jin Hongzhong's personal relationship has always been very good. When he came back from graduation, Jin Hongzhong called him specifically to ask him if he wanted to see him off. However, at that time, Jin Hongzhong had a free period to travel after graduation, and Wu Xie was rushing back. The county people's hospital works, so there is no time for Jin Hongzhong to postpone the holiday.
However, Jin Hongzhong did not reply, maybe he was undergoing surgery, or maybe he was doing other things.
It was about an hour later, when Wu Xie had already started reading, that he heard the prompt tone of WeChat reply.
"No, Boss Wu."
"I came to Enshi, do you dare not report to you, the captain? It hasn't been finalized yet. I was busy going abroad some time ago, and I was busy, but I was killed and I have to find another one." Jin Hongzhong was slightly depressed. speak.
To go abroad for exchange, you need to submit your resume. If others like your resume, they will agree to you to go there. If you don’t agree, or you are recommended by other universities or people from other countries, you have to find another one.
That pit is not specially designed for you.
"You were shot, who is the other party?" Wu Xie felt incredible.
Jin Hongzhong called Captain Wu Xie, because during the first year of research, their orthopedic team formed a team to participate in the Central China Master's Skills Competition. Wu Xie was the captain, and a total of five people from the orthopedic department formed a team, and the rankings they got were exceptionally good. In the identity of Yanyi, he entered the second prize in the team that does not distinguish between doctor and master.
"Hey, bad luck, I met a college bully or a god of learning."
"One is from India, and the other is from Kyoto University. Fuck, the overall score is 0.1 worse. That laboratory asked me to go next year, and asked me if I would like to." Jin Hongzhong might be very angry, so he replied right away.
But after returning, considering Wu Xie's current state, Jin Hongzhong said again: "Am I a bit of Versailles?"
"no."
"Are you just a little?" Wu Xie's mentality is more transparent now.
"Zhao Tianle and I have practiced together. We will have dinner together on the night of the 13th, and we can arrange it flexibly on the night of the 12th, depending on your time." Only then did Wu Xie directly explain his intentions.
"Decree, captain." Jin Hongzhong made a teasing sound.
"When do you plan to come back?" Jin Hongzhong asked more formally after the teasing was over.
To kill back means to come back to read a Ph. D. again.
Jin Hongzhong felt that these three words were more suitable for Wu Xie.
"It's probably enough to kill him." Wu Xie replied.
The matter on Professor Qi's side has not yet been settled, so Wu Xie can't feed him in advance. If he doesn't do well by then, it will be shameful.
"Work is also very good. Isn't reading also for work?"
"Captain, you are now fighting for jobs with your brothers, how did you come to the field of surgery?" Jin Hongzhong asked.
Wu Xie replied: "What kind of jobs are you grabbing? This is how lower-level hospitals are. If you need anything, you can go to any department. Do whatever your superiors ask you to do."
"I still want to have a clear division of labor, but I want to starve to death."
"You son of a bitch." Wu Xie scolded E Province's "provincial scolding".
"That's true. Zhao Tianle said that most of the operations in their department are trauma surgery. He said that he has only been in contact with two hand surgery operations until now." Jin Hongzhong believed Wu Xie's words.
"Then it's settled. I'm still on duty. I guess patients will come later." After Wu Xie confirmed the time, she was about to hang up the chat.
"Farewell, Captain."
"This weekend, there is a small hand surgery training class in Shanghai, which is set up by Zhongshan Hospital. Would you like to go, the tuition fee of 2,000, including two days, and the air ticket to go out and back by yourself." Jin Hongzhong is still recommending to Wu Xie The gossip I inquired about myself.
"Your family really has a mine, it's incomparable." Wu Xie shook his head and refused.
Zhongshan Hospital is affiliated to Fudan University, and its comprehensive strength in hand surgery is really good. But it must cost a lot of money to fly around to participate in the competition.
If it wasn't for a rich family like Jin Hongzhong, most people would be reluctant, unless they worked for a long time.
What's more, now Wu Xie's salary is only 10,000 yuan, at least half of it for a round trip, Wu Xie is really reluctant, and he has the opportunity to study in the Minda Hospital, the next one is the next one, Wu Xie doesn't want to get a special class prize.
Besides, my current hand surgery skills are already at the specialization level, it is still uncertain whether Jin Hongzhong can do it better than me, and Wu Xie doesn't want to spend this unjustly money.
I also have private lessons in small training classes, but they are just recorded online.
"That's all right, captain, you are on duty first. I'm going to wash the patient's hands." Jin Hongzhong replied with a smile.
Washing hands means disinfecting patients.
"See you later!" Wu Xie let out a sigh of relief.
After finishing the chat, Wu Xie shook his head. Perhaps his psychological pressure was a bit too much. In fact, his classmates didn't mean to look down on him at all.
...
Next, Wu Xie treated a few more patients arranged by Senior Brother Longyuan from the outpatient clinic. There were four of them, but there was only one vacant bed, so he had to explain to the other three that they had to queue up or go to the county.
Queuing at the hospital is a relatively rare thing in Shazhen. There is one person who is willing to wait, while the other two have left, and they are still talking about why the doctor below didn't talk about it.
However, considering that Wu Xie is a local acquaintance, nothing broke out in front of Wu Xie.
Wu Xiexin admitted a patient and lived in the 9th bed. After the admission order was issued, the affairs in the department were almost settled.
When it was time to eat, Tang Yuewei put on light makeup, packed two meals, and came to the office in the department.
Wu Xie had been waiting here for a long time. There were two cups of milk tea on the table, one iced and one hot.
When Tang Yuewei came, Wu Xie gave her the milk tea. Tang Yuewei wanted to refuse, but after holding the milk tea, her face turned a little red.
She herself forgot when she told Wu Xie when her relatives came.
However, Wu Xie's catching ability has always been very strong, so she put the milk tea on: "Dinner, I packed three dishes today, should it be enough?"
"Well. Sure enough."
"Why don't I ask my mother to bring us food next time?" Wu Xie suggested.
In fact, the restaurant opposite the hospital is not very tasty, not as sophisticated as the noodle restaurant at Madam Xu Huifang's house.
"That's not good, it's too troublesome. Every time my aunt has to eat by herself, and then comes to deliver the food, it's really troublesome." Tang Yuewei shook her head.
After opening all the food boxes, he said, "I was just downstairs and saw your senior brother doing manual reset for someone."
"He still takes good care of you."
Although Tang Yuewei spoke very cryptically, Wu Xie understood Tang Yuewei's meaning. The first time the two met, Wu Xie brought Tang Yuewei back from Enshi to Shazhen, because Longyuan's method of resetting caused problems.
"My senior brother has already learned everything I learned from Dr. Xiong, and neither he nor I know what I haven't learned yet."
"So now, to a certain extent, the emergency department in the hospital is supported by brother Luo Weiwei, brother He Ling and my senior brother. My senior brother is making time and space for me."
"Brothers are almost like this." Wu Xie said with emotion.
"Free up time and space?" Tang Yuewei was slightly puzzled.
"It is to reduce the sense of presence. If you want to run away, you must reduce the sense of presence. Let me minimize the number of times I participate in the affairs of the department, and then the hospital and the department can still operate normally. Even if I leave by myself, I will not Make the department unsustainable."
"This lesson is my senior brother's own personal experience. Therefore, I can see it more clearly." Wu Xie continued to explain to Tang Yuewei, and by the way explained what happened to Longyuan last time.
That time, when Wu Xie went to pick up Tang Yuewei, something happened in the department.
Although Wu Xie came back without incident in the end, director Lu Junyin would definitely think that Wu Xie was more outstanding. The sense of presence is very strong.
In the recent period, Wu Xie has basically been in a state of lingering, not developing any new business, and the skills of hand surgery are not revealed in the department at once.
The cases of infection surgery are also only involved in correcting medication. Most of the operations are performed by Longyuan with He Ling and Luo Wei. Only in this way can Wu Xie have more time to study.
Of course, it will also prevent things in the department from changing drastically once Wu Xie leaves.
Or when Wu Xie was fully fired, a new disease was introduced to the department, which led to a lack of technology when Wu Xie left.
Things have to be done through the brain, and Wu Xie listened to Long Yuan's persuasion.
"This is not a brother, this is your teacher."
"The teachers you met are really nice." Tang Yuewei smiled, then took a piece of meat and put it in her mouth.
"Yes." Wu Xie also nodded, agreeing.
"Next week, two of our orthopedic classmates will come to En City, and I will have dinner with them then." Wu Xie told Tang Yuewei about the schedule in advance.
"Oh, by the way, I have to tell you something too."
"You have to drive to Enshi this Friday, and I will go to Kyoto on Thursday. My teacher asked me to go to Kyoto to participate in a small training in anesthesiology. I have already signed up." Tang Yuewei said.
"This week?"
"Okay, then I'll ask my cousin out in the group." Wu Xie didn't forget to invite Tang Yuewei's cousin to dinner.
"Well, this week, my teacher signed up. I'll ask my cousin, and I'll send you the time." Tang Yuewei said...
After eating, Tang Yuewei hurried back, saying that she was going to start reading.
There are a lot of training sessions on weekends, and she has to preview in advance to be able to afford the registration fee.
Wu Xie just took the opportunity to continue reading.
It wasn't until after twelve o'clock in the evening that Tang Yuewei sent Wu Xie a good night before ending the day-long study.
But in the early morning, Wu Xie didn't particularly fall asleep.
It still feels a little stressful.
Although he is no longer a rookie in terms of strength, in fact, compared to his classmates, there may still be a slight gap.
After all, others will not stay in place gradually, and then wait for Wu Xie to catch up.
Regardless of the major, I still lack too many things in terms of the number and level of scientific research articles. These things are just needed if I want to study or visit abroad.
Moreover, in a teaching hospital, you must have your own things to stand up. Therefore, the ability to innovate and develop in surgery is also a necessity.
If you want to manage the bed at Minda Hospital, you must overcome Huang Yaolong's "senior brother", but how to overcome him and what kind of skill reserve is needed, Wu Xie still has no idea.
At least a group of expert-level skills are required, right?
If you want expert-level skills, then from now on, you can't move these knowledge points casually. And, if you want to start tube bed, then it's not just tube bed.
At that time, the most common surgery at Minda Hospital will still be trauma surgery, that is, fracture-related surgery. You can't say that you only do hand surgery and don't care about the rest.
Therefore, the skills of trauma surgery should also keep up.
After these, the authorization of the operation must be obtained, the medical association will approve it, and the hospital will file it.
In fact, it is very troublesome.
Why does Longyuan always want Wu Xie to perform well in the skills competition? In fact, it is not only about winning prizes, but also showing it to the professional committee in the province, asking them to recognize and agree with your ability and give you a chance to perform.
If we analyze it according to the current situation, then the other students are all taking the academic route.
And what I want to take is a slightly purer professional route!
To have such a chance, one must achieve a professional achievement that is difficult for others to achieve at present, otherwise, even getting a bed from Director Fu Jinjin would be a dream.
Professional skills——
"Manipulative reduction of joint dislocation (proficient 32/44)"
"Manual reduction of fractures (Specialization 23/497)"
These two skills can be integrated, and the level shown above should be taken from the high level, and the reset of one's own skills is the specialization level! 11111
This is enough even in Minda Hospital without special circumstances.
"Orthopedic Internal Fixation Device Removal: (Proficiency 2/49)"
"Experience in operating common internal fixation instruments (proficiency: 19/43)"
"Open reduction and internal fixation of fractures (proficient 23/44)"
These three skills are actually a combination of other skills in fracture incision and internal fixation except manipulative reduction. As long as they are proficient, they are enough for Chinese and Western medicine hospitals, but they are not enough for Minda Hospital without specialization.
So some knowledge points have to be wasted, at least to upgrade to specialization.
"Nerve exploration, suturing, repair, transposition (specialization 5/448)"
"Vascular exploration, suturing, repair, transposition (specialization 7/454)"
"Finger, Limb, Toe Replantation (Specialization 8/466)"
"Knowledge point 213.4!"
There are not too many knowledge points, and the minimum allowance is added to watch the video, which increases 20 points.
At this rate, within two months, these skills can be raised to the expert level.
However, the types of trauma surgery include not only open reduction and internal fixation of fractures, but also schwannomas, bone defects, complex pelvic fractures, and various diseases that you can't think of.
These must have the ability to deal with them at that time, not all of them will not even be confused.
So you have to broaden your knowledge, at least you have to be able to catch all the conventional diseases, and you can treat difficult problems for other lower-level doctors.
Why do you have to manage the bed?
Wu Xie shook his head slightly, and after thinking about it, he fell asleep first.
This time, I slept pretty well. No emergency patients came to the hospital tonight, and I fell asleep straight away until dawn.
After Wu Xie finished writing the handover book early, and after Guo Lixiang came, he entrusted Guo Lixiang to take over the shift for him, and he went out to have breakfast.
Guo Lixiang is very sensible: "Brother Xie is awesome, so conscious, my sister-in-law is really happy."
While taking off her white coat, Wu Xie rolled her eyes and said, "Li Xiang, what other people pay attention to is seeing through but not revealing. When you come to you, you will do the opposite, right?"
"Hehehe, this is not learning how to chase girls with Brother Xie. This is something to learn, and I have to take notes." Guo Lixiang's temperament and state have changed a little now.
Wu Xie just tapped him with his index finger.
Going out now.
Then at the entrance of the noodle shop, Tang Yuewei happened to be waiting.
When she saw Wu Xie, she was quite unbelievable: "Aren't you on duty?"
"Oh, Xiao Guo from our department said to take over for me and let me have breakfast with you, good brother, forever." Wu Xie said with a smile, and then walked into the noodle shop with Tang Yuewei.
"Then you can't bully him, he said he will give you a shift for a while, and you came here?" Although Tang Yuewei was happy in her heart, she also felt that it was not good for Wu Xie to do so.
"It's okay!"
"I 'bullyed' Guo Lixiang. It was my brother who told me. He said that recently, when I was not around, Guo Lixiang was very cautious. I'm afraid it's because he felt the burden of not being rewarded for his merits."
"You also know that it is difficult for ordinary people to get used to this teaching mode for those who have no teaching experience in teaching hospitals."
"Before my senior brother came, how did Guo Lixiang know what it was like to be fed?"
"He will feel at a loss, and even feel that he will trouble others, so my senior brother let me 'bully' Guo Lixiang a little bit, to lighten his psychological burden, it can be regarded as an exchange."
"Well, in fact, what adults pay attention to is exchange. It seems to be a decent exchange." Wu Xie explained it this way.
In fact, this matter is still a small attempt made by Longyuan, based on the idea from Chang Quansheng.
Being a blessing to others is sometimes a burden to others.
Long Yuan regards coming here as a vacation, teaching as a pastime, and the teaching process with Wu Xie as a game. I feel comfortable, but I also need to consider the feelings of others.
Wu Xie felt that Senior Brother Longyuan had sublimated.
"Doctor Long sees things thoroughly. This kind of experience is something most people don't have." Tang Yuewei nodded thoughtfully.
"I also learned from Director Chang of the Department of Traditional Chinese Medicine. I feel that my brother's learning ability and grasping ability are very strong, and he can use it flexibly." Wu Xie also praised Long Yuan. It comes from the heart, not business. tout.
Then, Wu Xie was hit with a chopstick!
It came from Long Yuan who was sitting behind Wu Xie. After the fight, Long Yuan stood up and left with the smiling Luo Wei. He turned around and cursed: "I'll give you ten minutes to resolve the battle."
"After ten minutes, I didn't see you in the department. I'm going to trouble you."
Long Yuan's voice was upright, scolding on purpose!
Long Yuan's words made Tang Yuewei very astonished, and quickly raised his head to call out Teacher Long.
Long Yuan turned around and smiled at Tang Yuewei, then continued walking.
"Teacher Luo, you are very interesting, junior brother? You are covered like this today, and he can still find you." Luo Wei's voice came from afar.
"His eyes are sharp." Long Yuan replied.
...
"How did you find out about your senior brother?" Tang Yuewei asked in a low voice again.
"Here, here comes the noodles. Hurry up and eat the little crab, or you will be beaten by Doctor Long." Before Wu Xie could answer, Madam Xu Huifang turned to Wu Xie and Tang Yuewei.
"Except for my senior brother, who in our town is so secondary? He even covers his whole body and sits leaning against a corner."
After Wu Xie finished speaking, she lowered her voice again, held it next to Tang Yuewei's ear and said, "Actually, I'll tell you, I don't know, you can take a look in the operating room later, I suspect my brother's There might be little strawberries on the neck or something."
"His behavior like this makes him more sullen."
Tang Yuewei was shocked: "You mean, Teacher Long and Teacher Huang of internal medicine?"
Tang Yuewei has heard that before Long Yuan got drunk and ran to the stairwell of the girls' dormitory by mistake.
"I don't know about this, I don't spread rumors." Wu Xie said solemnly.
He has some understanding of Longyuan!
"Hurry up and eat, I might really get beaten later." After Wu Xie said a word, he increased his firepower.
In fact, he had thought that senior brother Longyuan would have breakfast, but he didn't expect that senior brother Longyuan would appear in the noodle shop like this.
"Okay!" Tang Yuewei also speeded up, and she started to gossip, wishing to fly to the operating room immediately to see what Longyuan was covering up.
Wu Xie rushed to the ward after eight minutes.
Seeing that Long Yuan was wearing a long-sleeved white coat at the moment, and the collar was deliberately turned up high, he thought it was a bit funny, but Wu Xie knew that he had to hold back his laughter.
Moreover, Long Yuan wore a mask and a blue disposable hat with the brim pulled down very low. And I don't know where to find a pair of glasses to put on.
After finishing the shift, after checking the ward, in the process of going to the operating room.
Wu Xie walked side by side with Long Yuan to the operating room.
"Brother, what's wrong with you?" Wu Xie asked.
Long Yuan directly took off the sunglasses and the mask, one eye was red and swollen, and one corner of the mouth was turned up, and he pulled the sunscreen that covered his face.
"I'm fucking swollen, Tsio."
"Brother Luo Wei and Brother He Ling took me to burn the bees yesterday, saying that the honeycombs now contain the most abundant bee pupae, and then the two of them only told me to burn them with fire, and didn't tell me to run away." Long Yuan Cursing in front of Wu Xie.
Luo Wei followed resentfully, and kept apologizing: "Doctor Wu, I'm sorry, it was the fault of He Ling and I for not taking good care of Teacher Long yesterday."
"But we thought it was something everyone knew, so we didn't consider that Mr. Long came from the city, so he didn't get stung by a bee."
"Then are you okay, brother?" Wu Xie asked.
"It's just a little painful now. After soaking it in soapy water yesterday, it's much better, but the swelling hasn't been completely eliminated. Alas, it's a good thing I didn't get stung, otherwise, today's surgery would not be possible." Long Yuan sighed.
"Then did you get the hive of bees yesterday?" Wu Xie asked angrily.
Luo Wei and He Ling actually had good intentions and wanted to take Longyuan to experience a different life, although the process was not very good.
But, I was stung, so I have to eat you anyway.
"Got it, fry it today and eat it tonight."
"One thing to say, the taste is still very good." Long Yuan said.
"Fortunately, it's not the kind of poisonous 'Thunderbee', otherwise it will be miserable."
Bee stings are part of emergency treatment, and they are more common in rural areas. They are similar to poisonous snake bites. If they are not rescued in time, they may be life-threatening.
"Brother, if you want to eat next time, let's buy it ourselves." Wu Xie couldn't laugh anymore, so he said that.
"It's not for eating, but mainly for fun. I didn't expect that bees are still carnivorous animals. You can find their nests by tying insects with ribbons."
"I always thought that bees were vegetarian." Long Yuan felt that his knowledge had increased.
...
Into the operating room.
Long Yuan took off his sunglasses and didn't continue to wear sun protection clothing, so the redness and puffy eyes on his neck were particularly conspicuous.
Tang Yuewei was stunned instantly, this "strawberry" is a bit big, how intense is this?
So he kept staring at Long Yuan. After Wu Xie saw Tang Yuewei's eyes, he went over to explain a few words in a low voice.
Tang Yuewei blushed, and quickly restrained her thoughts.
Long Yuan's current scene, the main surgeon is definitely not suitable for the operation, it hurts, and his vision is still affected, so he didn't go on stage.
However, with Luo Wei and Lu Junyin present, the operation can still continue. Of course, it is logical that Wu Xie became the main force during today's operation.
Wu Xie is the second assistant, Luo Wei is the chief swordsman, Lu Junyin is the first assistant, He Ling is the third assistant, and Zhong Yusheng is the fourth assistant!
Today's two operations are internal fixation with hollow nails for femoral neck fractures. Internal fixation of Pilon fracture of right lower extremity.
Internal fixation of Pilon fractures is a bit difficult, but internal fixation of femoral neck fractures with hollow nails does not require much technical content. Longyuan has also done it before. Three hollow nails only took ten minutes , I called in, and stepped down within 20 minutes.
Moreover, Luo Wei and Director Lin Peiyuan had done this kind of operation before, although Director Lin Peiyuan did it for more than an hour.
But it's not that difficult, at least in Lowe's opinion, it's not that difficult.
Because this kind of operation is generally a fixation operation for non-displaced fractures of the femoral neck, there is no such thing as manual reduction. It only needs to put three hollow nails to fix the femoral neck and femoral head.
Long Yuan originally thought that Luo Wei could win, and Luo Wei also thought that he could win, so Luo Wei was very confident when he blindly punched the Kirschner wire.
The surgical procedure is to temporarily fix the femoral neck and femoral head with Kirschner wires, and then use the Kirschner wires as guide wires to fix the hollow nails.
However, when Luo Wei got the first Kirschner wire and then the second Kirschner wire, they looked very parallel, but under the C-arm perspective, they were far apart.
Where are the two parallel Kirschner wires? They almost fought inside.
It can be seen that the ends of the Kirschner wires are indeed in a parallel state.
"Don't worry, don't worry, just fight in parallel." Long Yuan and Lu Junyin were not in a hurry, so they just said that.
The operation of this operation is to follow the principles of surgery.
Lowe took out the second Kirschner wire and drilled it in again, and during the whole operation, he obviously kept the direction steady.
But as a result, the tip of the Kirschner wire became an angle.
"Huh? What's going on here?" Luo Wei had never done hollow nail internal fixation for femoral neck fractures before, and now he started to feel pain in his egg. Isn't this operation difficult?
Long Yuan was a little flustered.
Cannulated screw internal fixation for femoral neck fractures, I saw Longyuan do it last time, isn’t it so complicated?
Is it really necessary for Long Yuan to be injured and come on stage?
Seeing this, Wu Xie said, "Brother Wei, is there something stuck in the middle of the Kirschner wire?"
"Something stuck? What else is stuck here?" Luo Wei looked at Wu Xie.
Wu Xie nodded.
"Then why don't you take a look?" Luo Wei was still thinking at this moment, where did he make a problem?
And Wu Xie didn't see anything after looking at it, maybe he really found the problem?
Wu Xie heard the words, and quickly pulled out the inserted Kirschner wire, and during the shaking process, she really discovered something strange.
It turned out that it wasn't that Luo Wei's operation was wrong!
And when he inserted the Kirschner wire, the direction was wrong.
The muscle is inserted obliquely, and it is not inserted vertically along the gap or shape of the muscle, so it will form a twisting force, resulting in the process of needle insertion.
The rotation of the electric drill causes the muscle to shake, causing the distal end of the Kirschner wire to float too far.
The difference is a thousand miles away!
And this kind of experience, only when the manipulative reduction technique has reached a certain level can the strangeness inside be discovered.
Therefore, Wu Xie withdrew all the Kirschner wires, reached the surface of the muscle layer, then found another direction, changed an angle, and inserted them horizontally until they reached the greater trochanter of the femur!
The two sounds of "thump thump" confirm that the end has been reached.
Wu Xie gave up his position again and said, "Brother Wei, can you hit this direction?"
"Aren't you going to fight yourself?" Lowe asked back.
"Brother Wei, I'm sure you're more proficient in operations than me." Wu Xie now intends to reduce his sense of presence, it's definitely impossible to show his sage in front of others, and, since the key operation points are obtained by himself, so one more operation and less For an operation, there is not much difference.
Learning surgery does not necessarily mean completely accumulating the amount of surgery, but understanding the key components of surgery.
After Luo Wei heard this, he continued to install the electric drill.
"Da da da da!" The electric drill with the Kirschner wire quickly pierced the cortex of the femur and reached the medullary cavity, and then felt that the distal end of the Kirschner wire was almost behind the cortex on the other side of the femoral head .
Lowe stopped moving forward.
After this, the results of C-arm re-fluoroscopy are displayed.
The two Kirschner wires were indeed parallel.
Moreover, the Kirschner wires are all in a parallel state no matter in the normal position or the oblique position.
Luo Wei looked at Wu Xie in an instant, and his eyes became complicated.
Wu Xieli is not very powerful, he only knew it after he actually operated it himself.
Before, I clearly knew that the tails of the Kirschner wires had been kept parallel, and they were driven in the parallel direction, but they couldn't reach the position.
Long Yuan also almost saw the crux of the matter, and after reading it, he closed his swollen face and said, "Brother Wei, when injecting the Kirschner wire, we must pay special attention to the direction of the Kirschner wire, and at the same time Pay attention, during the process of inserting the needle!"
"Be crisp and sharp, and don't swing through the muscle gap to the bone end."
"Swing through the muscle gap, there will be a shearing force, which will affect the walking direction of the Kirschner wire after it penetrates the bone. Be a little harder and poke it in simply." Long Yuan can see Luo Wei's problem through the changes in Wu Xie's operation Where is it.
And explain it!
After hearing the words, Luo Wei had a little experience, and then proceeded to the positioning pile operation of the third Kirschner wire.
This time, after making sure that the Kirschner wire was parallel to the other two Kirschner wires, he first slowly opened the skin, and then adjusted the direction.
Learning from Wu Xie's previous violence, he exerted a sudden force.
Then with a bang, the tip of the Kirschner wire reached near the greater trochanter of the femur. When I released it again, I found that the three Kirschner wires were very parallel.
Luo Wei smiled when he heard this: "Mr. Long, it's better to be simple and neat in our orthopedic operations."
Long Yuan nodded: "Actually, in orthopedic surgery, you must not hesitate, because once you hesitate, it is easy to cause instability, unevenness, and insufficient situations. Therefore, most orthopedic operations are open and closed."
"From the outside, it seems that our orthopedic surgeons' operations are extremely rough and bloody, but in fact, we are fierce tigers sniffing roses."
"Because the orthopedic surgery is the most delicate and beautiful, the surgery in other departments does not pursue mechanical integrity like ours, they only pursue integrity."
"I don't have a lot of artistic sense." Long Yuan smiled, explaining this, speaking for the orthopedics department.
Lowe put the Kirschner wire in first, and then had another perspective.
The three Kirschner wires are parallel to each other, and the distance is more appropriate, forming a triangular point, without piercing the cortex of the femoral neck. This is a relatively high-quality operation.
Seeing this, Luo Wei breathed a sigh of relief: "Mr. Long, you and Dr. Wu are simply integrated."
"Where I did not do well, you can read what kind of operation Dr. Wu has done."
"It's like a heart-to-heart bond, a tacit understanding, and a shared mind!"
"If the two of you are not brothers, you must be husband and wife. And you are." Luo Wei boasted.
But the story is not over yet.
A confused sound came from somewhere in the isolation room——
"Ah?~" The voice is a girl, who sounds young.
Although after she finished speaking, she immediately lowered her head, buried herself behind the C-arm monitor, and hid herself tightly.
"Puff!" The laughter in the isolation room could no longer be contained!
She is in a hurry.
"I won't rob you." Long Yuan made a knife, and everyone laughed even more happily.
Tang Yuewei's ears turned red.
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