Great doctor starts with adding points

It wasn't until the next day that Wu Xie knew that the arrangements for the three places were Minda Hospital, Enzhou People's Hospital, and Ba County People's Hospital.

Among them, Minda Hospital arranged two trauma surgery operations, Enzhou People's Hospital arranged three hand surgery operations, and Ba County People's Hospital arranged one trauma surgery operation.

These surgical diseases are all carefully selected by the expert jury headed by Zhu Leiming, which are extremely representative.

Professor Ding Mulin is an advocate, so he did not get involved.

Director Fu Jinjin of Minda Hospital arranged for a special car to pick them up. A minibus can accommodate exactly nine people except the driver.

One was empty, it was originally prepared for Director Fu Jinjin, but Director Fu Jinjin also avoided suspicion and did not participate.

After arriving in the car, Professor Zhu Leiming arranged the route and said: "Because it is convenient for the directors to go back, the last stop must be in Enshi, so today's arrangement is to go to Ba County in the morning, return at noon, and in the afternoon at Minda After two trauma surgeries in the hospital, I will go to Enzhou People's Hospital tomorrow."

"So, Director Nong, please call Director Zhao. Director Zhao of the People's Hospital will refuse the operation or choose three other cases." Zhu Leiming is very official and cautious.

Hearing Zhu Leiming's order, Nong Xuequan was thoughtful!

This Professor Zhu Leiming, is he here to help Wu Xie or is he deliberately embarrassing Wu Xie? If he is so cautious, he is afraid that Wu Xie will know the contents of the surgery case in advance, right?

Surgical authorization does not mean that you can perform surgery, but depends on the comprehensive ability of the surgeon, including the selection and control of diagnosis, surgical indications and contraindications, the rationality of the design of the surgical plan, and the level of operation. Pros and cons.

In this, the pros and cons of the operation level are second to none!

The key part is to make a diagnosis in a short time and design a surgical plan. There are pitfalls!

But what Zhu Leiming said is that special events are special, and special events are extremely difficult!

This is the reason why there are few special authorizations for surgeries except for the top hospitals in the province.

To break the rules, you must have the ability to break the rules, and you must face greater pressure than normal authorization.

"Okay, Professor Zhu, we are all following your arrangement. You are the team leader." Agricultural Xuequan nodded immediately, instead of calling, he just sent a message.

Professor Zhu Leiming said: "It's 8:10 in the morning, and we expect to arrive at the operating room of the hospital around 10:00. It takes 20 minutes to understand the case, determine whether to operate, and 20 minutes for anesthesia. Complete the first surgery before 2:30."

"Return on time at 13 o'clock in the afternoon, and is expected to arrive at the Trauma Surgery Department of Minda Hospital around 15 o'clock. At 19 o'clock in the afternoon, all the assessments for today are over."

"Let's go!" Zhu Leiming ordered the driver to start driving.

Then he sat in the driver's seat of the minibus, without joking at all, with his big mouth pursed like a 'venomous' toad.

With Zhu Leiming's full momentum, Wu Xie felt a little uneasy.

Professor Zhu Leiming does have a good personal relationship with Professor Duan Hong, but this does not mean that he will be merciful to his subordinates, and it is even very likely that he will be stricter in the authorization of exceptions!

From the current state, it can be seen almost!

But Wu Xie couldn't help it. Now he seemed to be the one being judged. Originally, Wu Xie thought he was safe. It's just a procedure, but now it seems that I don't know what surgery I'm going to do.

I don't even know if the patient wants to have an operation!

This is not a surgical authorization, is this the assessment of the deputy high school?

But at this time, it was obviously impossible to retreat, so Wu Xie continued to sort out the details of trauma surgery and hand surgery, trying to be foolproof...

The driver was driving very fast, so Wu Xie and his party stopped at the Daping of Baxian People's Hospital ten minutes earlier, that is, at 9:50.

The orthopedic director of Yinba County People's Hospital was in the team, and they had communicated with them in advance, so the group went straight up to the operating room without any hindrance!

Before the patient came in, there were already orthopedic staff from the Baxian People's Hospital waiting inside wearing hand-washing clothes, and the nurses in the operating room were also on standby.

The same was true for the anesthetist team, but Wu Xie found that after they entered, many people paid attention to him, as if they were full of curiosity and disbelief.

There were also some people who looked at themselves with the mentality of watching the excitement.

Zhu Leiming and the others lined up, each holding a folder across their elbows. After walking in, they stood in the direction of the timing panel in the operating room.

After Zhu Leiming pressed the timing button on the panel of the operating room in advance, he ordered: "There are the patient's relevant medical records, auxiliary examinations, imaging examinations, blood tests and other examination materials on the storage table."

"You have 20 minutes to explain the patient's diagnosis and surgical procedure. The roving nurses, equipment nurses, and other assistants in the operating room will cooperate with you in the operation."

"At ten forty, the operation officially begins."

"You don't have to doubt the rigor and correctness of these case materials." Zhu Leiming emphasized at the end.

The time has come to nine fifty-eight, and I gave myself two more minutes, but the time is still beating.

The timer in the operating room has passed more than twenty seconds——

09:58:32! (9:58:32 in the morning, this is the standard time, not the operation time.)

00:00:21! (Overall time-consuming, not time. 0 hours, 0 minutes, 21 seconds)

The red numbers are quite glaring, and they all urge Wu Xie to speed up!

There are no hints, everything needs to be explored by yourself.

Wu Xie's heart tightened, and he stepped forward quickly, and then came to the medical record book.

Department of Orthopedics, 32 beds! This is the most basic information and must be checked.

Then look at the basic information inside has been fully recorded.

The diagnosis has been written in the medical records, and the signed documents in all aspects are proper. Although Zhu Leiming did not allow doubts about the rigor of the materials, the operation cannot be performed without a signature, and informed consent is the biggest taboo in clinical practice, which must not be forgotten at any time!

Either informed consent, or temporary authorization of emergency surgery by the medical department, one of the two must be required, otherwise, in the hospital, you will not be able to perform surgery even if you are killed, this is the law!

Fortunately, it's all comprehensive.

The patient's power of attorney, informed consent for surgery, admission interview notice, and informed consent for the use of consumables during surgery are complete.

Then it is to look at the relevant results of the preoperative examination to see if there are contraindications to surgery.

This has to be checked too!

This is the basis, the basis for the safety of the operation. Now Wu Xie doesn't know whether Zhu Leiming has dug for him or not, and everything has not been predicted in advance, so he must be treated as an unknown emergency operation.

Electrocardiogram, sinus rhythm, normal electrocardiogram, Wu Xie carefully corresponded to the printed examination results of the patient's electrocardiogram, and found no abnormalities.

The chest X-ray examination report showed no obvious abnormalities.

Read the film for yourself! Wu Xie found a little problem, but it was harmless, probably because the patient had a history of smoking. Therefore, the texture of the lungs is rough and does not affect the operation.

Blood examination showed no special surgical contraindications such as abnormal coagulation function.

Sure, there are no surgical contraindications, surgery is possible, and the chance of accidents during the operation is very low!

Then determine the indications for surgery.

The patient's current diagnosis is an avulsion fracture of the right tibial plateau.

Avulsion, but involves the tibial plateau, which is the articular surface, and the indications for surgery are very stable.

Medical history, the patient was admitted to the hospital for 2 days with right knee joint pain caused by a fall. The movement of the right lower extremity was slightly limited. The pain would intensify after walking and relieved when resting.

This is consistent with the signs of an avulsion fracture. With an avulsion fracture, if there is no breakage of the load-bearing bone, you can walk, but walking will aggravate the fracture.

Consider the gender and age of the patient.

17 years old, male.

As a result of physical examination, tenderness and local swelling on the anterolateral side of the right tibia, bone rubbing noise, and bone rubbing sensation were not palpable.

No problem, although the main signs of fracture are deformity and bone friction sound, but the avulsion bone surface of avulsion fracture is small, so these things may not exist.

Then read the film to determine the surgical method.

Wu Xie's mind was spinning fast, and she didn't dare to ignore even a little detail.

Since the requirements are strict, it is the safest and most appropriate to proceed step by step in a procedural manner.

When reading a film, the first step is to determine whether the patient's name, gender, and age are correct. These details must be done well to avoid misdiagnosis.

That's right.

Then look at the specific symptoms.

The X-ray plain film shows that there is a discontinuous shadow at the right tibial plateau, which is the fracture line. And it is the separation of the lateral platform, which should be type three according to the fracture classification of the tibial platform.

Therefore, the surgical indication is obvious, and the fracture surface is not large, open reduction and screw internal fixation can be used without the assistance of plates.

The operation is not big and the difficulty is not high, basically a two centimeter incision can solve it!

The choice of surgical instruments is a matter of debridement kits!

"Teacher on tour, prepare a debridement kit and a small armor hook, or a small retractor." Wu Xie began to order.

And I am very cautious, because I am afraid that the itinerant nurses here will understand and call different instruments differently, make mistakes, and say with their hands, "It's just the kind of small retractor that will do. Prepare a round knife and an electric knife."

"2.0 Kirschner wire, electric drill." After Wu Xie gestured, he quickly began to read the images, and then continued to design the surgical ideas.

For the avulsion fracture, the Kirschner wire will be temporarily fixed, and then a screw will be used. According to the fracture line, it is an unstable fracture!

The operation is not difficult.

"Okay!" The roving nurse didn't have any special expression. After nodding, she began to walk outside the operating room, preparing to prepare the corresponding equipment for Wu Xie.

"Choose spinal anesthesia or spinal anesthesia. This patient's surgery does not take long and is not difficult." Wu Xie suggested to the anesthesiologist when he continued to read the films.

"Okay, then I'll push the patient in!" the anesthesiologist said to a certain direction in the operating room.

He was looking at the director of orthopedics at Baxian People's Hospital, and he kept looking in his direction when he was walking.

It seems to be saying, is it true or false that such a strange baby is undergoing surgery in the hospital?

But Wu Xie didn't notice these details!

He is continuing to read the film in depth.

The first step in X-ray reading is to look at the report, the second step is to look at the lesion, and the third step is to look at the anatomy.

Wu Xie can only see the anatomy, and his X-ray reading skills are only at the professional level.

However, under the influence of Longyuan, Wu Xie had a vague understanding of the anatomical level, so when the anesthesiologist had already stepped on the operating room sensor door, Wu Xie suddenly stretched out his hand.

"Teacher anesthesiologist, wait a minute!!!" Wu Xie hurriedly stopped him.

At the same time, Wu Xie looked sideways at Professor Zhu Leiming and the examiners, and there were ten thousand fools passing by in their hearts! !

Even after making such a guess, Wu Xie had to scratch his head with his right hand, and then continued to hold the X-ray plain film with his left hand to watch——

After a final look at the patient's name and age.

Wu Xie put down the film, closed his eyes slightly, and exhaled.

"Teacher anesthesiologist, thank you for calling the itinerant teacher who went out just now, and said that the operation has been cancelled, and there is no need for the operation." Wu Xie said so.

"Don't do it?" The anesthesiologist was about forty years old, staggered a bit after going out, and then turned his head.

"Really not going to do it?" In order to express surprise, he was so sure.

"I'm not going to do it, just make a phone call, lest that sister run around and move the equipment bag up and down!" Wu Xie was in pain.

What the hell is the surgery authorization assessment? This is simply a tiankeng!

As long as the level of my own film reading skills is not enough, I will definitely treat this patient as an avulsion fracture of the tibia.

But in fact, this patient is just osteochondritis of the tibial tuberosity, which mostly occurs in adolescents who exercise a lot. It is the continuous injury of the patellar tendon, which leads to tenosynovitis at the tibial attachment point of the patellar tendon and secondary heterotopic ossification!

Such diseases do not require surgery. It's a self-limiting disease!

At most, plaster casts are applied, which is not up to the standard for surgery.

Either do nothing, reduce exercise and rest properly to reduce re-injury of the patellar tendon!

He was traumatized, it was just a deceptive thing, not a real fracture at all.

Thinking about it this way, Wu Xie became clear why he came to the operating room, there were no patients, only anesthesiologists and itinerant nurses, where did the patients come from, who would dare to go to them to talk and sign!

It's all played by the people in the department.

The patient's examination information and medical history are all true, including the physical examination, but the signature and authorization are all fake, imitated by people in the department.

"This patient doesn't need surgery, so there are other real patients waiting for surgery?" Wu Xie asked Zhu Leiming directly.

I've said that, if you don't tell the truth, then you really don't talk about Wude.

Zhu Leiming was still writing and drawing with the folder in his arms. After hearing what Wu Xie said, he closed the folder and took a last look at the two times in the operating room.

00:08:32! (8 minutes and 32 seconds overall)

After recording it on paper, Zhu Leiming said: "The assessment of the first case is over. It took eight minutes to complete the transition from directional thinking to differential diagnosis of tibial fracture."

"Diagnosis and strict control of surgical contraindications and indications are the first entry threshold for being able to pick up the scalpel."

"Abandon the fixed thinking, return to the clinic, and return to your own knowledge reserve. This is what a doctor should really do and question. Only believe in what you see in the clinic, whether it is all experts or professors, Any directional diagnosis and opinion made can only be used as a reference."

"Clinical is to stand beside the bed, clinical evidence is the highest evidence!"

After Zhu Leiming finished speaking, he said again: "Director Xiong, you can arrange it. We can go to Minda Hospital in two hours and start the first operation assessment."

Zhu Leiming said so, and left the operating room without hesitation.

It seems that after going around such a big circle, I just came here to say something for Wu Xie, no surgery is needed!

And this required four hours of commuting, and asked the director of Baxian People's Hospital to arrange all the arrangements before the operation, including sending assistants, tours, and equipment. Anesthesiologists are arranged in advance to enter the operating room.

After Zhu Leiming made a sound, Nong Xuequan and Director Xiong walked out, and Director Ding and a few others patted Wu Xie on the shoulder.

He whispered: "Smart enough, knowledgeable enough! It's time for Professor Zhu to make an exception and authorize you to perform surgery!"

Wu Xie also followed.

This is the end of the two-hour trip to Baxian People's Hospital by car.

...

As soon as Wu Xie left, everyone in the operating room exploded.

"Is this all right? Oh, this second operation was specially added by your department yesterday, just for this? Are you too dark-minded? Who can get around this?" The anesthesiologist began to complain, and he also reacted.

"That's right, Dr. Zou, how can ordinary people react? That's why that young man was authorized by the professor of Zhongnan Hospital in Han City to arrange an extraordinary operation!"

"Let me tell you, there is neither this patient nor this bed. All the medical records are all fictitious, but they are all grafted, including signatures, etc., and everything is very real." A doctor in the orthopedics department was amazed , unbelievable, with a look of fear on his face.

Break the rules! ~

If you want to authorize such an exception, then don't break it.

Ordinary people, if they are not confident enough in their knowledge reserves and their theories are not strong enough, who would dare to think about it.

A professor at Zhongnan Hospital Affiliated to Hanshi University, and the director of trauma surgery, drove around for nearly two hours with a lot of directors, just to set you up to make you jump down?

All the preparations in the operating room are ready, and the anesthesiologist is waiting for you to confirm that the patient will be pushed in to start anesthesia, so as to prevent the patient from being anesthetized in advance but waiting for the surgeon.

Do you dare to question that this patient does not need surgery?

Who dares?

That shit is Zhu Leiming. At present, except for the chief director of Tongji Hospital and Provincial People's Hospital in Hubei Province, who dares to easily question his arrangement for you and tell you that the patients who need surgery don't need surgery?

"I was shocked just now. Hey, Li Mo, there is really no such patient in your department. Didn't I see it yesterday?"

"That's the person who arranged to come and live in the lower hospital. There is no such person."

"In case this doctor has supernatural powers and has acquaintances in our hospital, please inquire in advance..."

...

Really go, and it is the kind of car to go.

Wu Xie is very sure of this, because the minibus has already boarded the expressway.

It took Professor Zhu Leiming two hours to drive everyone from Enshi to Baxian County, just to make a dish for him.

Speaking of being the first one, it may be the hardest one.

Therefore, at this moment, Wu Xie looked at Professor Zhu Leiming with confusion.

Is this hole well dug?

However, Professor Zhu Leiming didn't feel embarrassed at all. After getting in the car, he continued to take a nap.

Director Xiong, who was originally in a different seat from Wu Xie, took the initiative to sit next to Wu Xie, and said, "Xiao Wu, take it easy."

"Okay, Director Xiong." Wu Xie nodded and smiled at Director Xiong.

The previous things are already in the past tense, no matter what the process is, the result has already come out.

Zhu Leiming's big mouth that looks very open and enthusiastic on the surface is simply a lurking snake and scorpion, who will bite you to death suddenly!

Don't talk about Wude!

Director Xiong didn't say much, and narrowed his eyes slightly.

When Wu Xie and others arrived in Enshi, it was already close to twelve o'clock.

Four hours in the morning were wasted on the road.

People are iron rice is steel!

So the lunch is for you to have time, it is the working meal in the operating room of Minda Hospital.

Wu Xie sat alone, and the others sat down in two separate groups, murmuring in a low voice, not knowing what to say, but they kept casting strange glances at Wu Xie's side.

It seemed to be plotting against him again.

Wu Xie saw this strangeness, but he couldn't help it, so he lowered his head to cook.

A lot of rice and many dishes were cleaned up by Wu Xie!

Then when the crowd came to the operating room of Minda Hospital, the patient had already been anesthetized and fell on the operating table, and all operations such as disinfection and draping had been done.

Three people are wearing sterile surgical gowns by the operating table, readying sterile drape, round knife, curved plate, tweezers, etc., and are on standby at any time.

Seeing this scene, Wu Xie finally breathed a sigh of relief, good guy, it's finally back to the normal assessment.

That's right!

"Start the main operation! You only have ten minutes to prepare for the operation." Zhu Leiming said after entering the operating room.

Wu Xie was afraid of getting caught, so she ran to see the patient's film and CT first! And also deliberately stood on tiptoe and glanced at the patient's affected limb.

Deformities and fracture lines are present.

I can't run anymore, there must be a fracture.

It's impossible to fake a deformity, right? This is a simple fracture of the mid-shaft of the tibia.

After Wu Xie quickly washed his hands, dressed, and put on sterile gloves, he asked, "Did you sign the conversation? What is the surgical method written in the informed consent form?"

There is only ten minutes of preparation time to start the stage, and the patient has already been anesthetized, so it is impossible for Wu Xie to compare these details one by one. So just ask.

"Intramedullary nailing for tibial fractures! Prepare for open reduction and internal fixation with plates and screws." As the first assistant, Director Fu Jinjin replied directly.

"Okay!" Wu Xie nodded upon hearing this.

If there is less preparation time before the operation, then it is only possible to perform a designated operation.

Although you can choose plate or intramedullary nail fixation for mid-tibial fractures, you can do it as you sign the informed consent form for the operation, and you can't play freely!

Of course, not being able to play freely means not being able to play freely, and it doesn’t mean that you can’t play freely!

In order to avoid getting into the pit, Wu Xie did a physical examination before making the incision.

I personally checked the body on the operating table, and felt that the broken end of the fracture was obvious and shifted!

And make bone friction sound and bone friction feeling.

This is definitely not coming.

After touching the broken end of the fracture and the X-ray fracture situation on the film reader, Wu Xie started the operation!

and? !

Wu Xie still has his own inner thoughts.

Because according to traditional surgery, the correct operation mode for this patient is to perform a series of operations such as fluoroscopy first, then manual reset, and finally incision, and then breaking the medullary cavity and reaming.

However, since you have your own ideas for the first surgery authorization assessment, it means that the scoring for surgery authorization is not the only one, and I can also have my own ideas!

Although the operation authorization is not a show, but my ability can be shown if I can show it off!

In such an operation, fluoroscopy first and then reset, or first reset and then fluoroscopy, does not affect the quality of the operation, nor does it affect the prognosis of the patient!

And Wu Xie is sure of his own reset, and will save the time to less than 40 minutes, and the patient can reduce a lot of anesthesia time!

"Director Fu, help me fix the lower end of the femur. Let's reset first, and then see through!" Wu Xie ordered.

Fu Jinjin's eyes flashed, and he looked at Wu Xie, because there seemed to be a little problem with Wu Xie's operation process.

"Director Fu, help me fix it!" Wu Xie was determined again, I am the chief surgeon now, you just listen to me.

If I don't show you off, I believe there are still many people in the department who are not convinced by me. Wu Xie decided that this wave should bring his operation to the extreme!

Fu Jin did as he was told!

Wu Xie pinched the patient's ankle with difficulty, and then began to exert force.

Wu Xie is already familiar with the key points of fracture reduction, and the specialized level of fracture reduction is not something ordinary people can understand, especially closed reduction.

The old doctor Xiong Yao said that in the restoration of fractures, ingenuity can make a difference.

Therefore, Wu Xie seemed to use no force, but the process of traction, reset, unloading, and alignment of the fracture seemed extremely smooth!

And after seeing the ending of Wu Xie's method reset, everyone on the operating table was stunned!

Fu Jinjin's pupils shrank suddenly. Is this the level that can be achieved by manual reset?

The result of displacement and involution is that the deformity disappears!

Why do patients come to the operating room because they feel that closed reduction is not good!

Huang Yaolong and Wu Longshan, the two attending physicians, were completely paralyzed!

Long Yuan of Tongji Hospital, the top attending surgeon in trauma surgery, has never seen it before, and has never reached a level. Can they not be surprised?

When Wu Xie glanced, he also saw Director Ding from Yanshi People's Hospital and the director of Yishi People's Hospital trembling slightly, including Director Xiong and the Director of Agronomy Quan from Enzhou People's Hospital. rubbed his eyes.

Only Zhu Leiming seemed quite calm, but his eyes were also complicated.

"Teacher Xun, help me see through, thank you!" Wu Xie then ordered to see through.

In fact, there is no need for the help of the itinerant nurse. There are other people in the department, such as Guan Yun and Cao Zhiyuan who were so shocked that they were dumbfounded.

After being broken by Wu Xie's voice, he immediately volunteered to help push the C-arm machine, and aligned the perspective alignment to the fracture position——

Just kidding, in the department of orthopedics, where can you not enjoy this kind of technique to reset your skills?

Guan Yun and Cao Zhiyuan both thought about it almost at the same time, if they could learn this thing from Wu Xie, then it might not be impossible for them to stay in Minda Hospital!

C-arm fluoroscopy has radiation, so even an authorized examiner followed him to the isolation room.

Wu Xie is the chief surgeon. After stepping on the sensor pedal of the C-arm machine, the C-arm display will display the results of the patient's plain film after reset!

The proximal and distal ends of the tibial fracture, the alignment is especially good!

The inner and outer walls of the bone marrow cavity were almost even, in a straight line, and the fracture debris that existed between the previous broken ends were also pressed into the broken ends neatly.

And because the location of the fracture is in the middle, the muscle zipper strength at the proximal and distal ends makes the joint tension between the fracture ends very large, which is ingenuity!

The fracture line is almost hidden, and under tension, such a fracture fit is extremely stable!

It can even be said that a plaster cast can be done now.

If you continue to do intramedullary nailing or other things, it will be over-medication!

This is what Wu Xie already had in his heart when he saw the plain film of the patient.

The patient's fracture line was fine and could be treated with manual reduction.

If Zhu Leiming hadn't set him up before, then he might have honestly followed the preset operation, and I will do whatever you ask me to do. I just need to get authorization for surgery.

But you dug such a big hole for me as soon as you came!

Then I don't give you back one, let you have a good experience of my ability, is that okay?

As soon as the result came out, Director Fu Jinjin's eyes became confused, and his mood was very tangled.

What the fuck?

He is too difficult.

Now the operation is authorized, and Wu Xie is doing excellent alignment. The most correct way is to talk to the patient's family right now, don't have the operation, put a plaster cast on and go back to the ward, and go home tomorrow so that you can recuperate.

Whether the fracture should be operated or not depends on whether it can be fixed with plaster external fixation, and closed reduction can reach the level of reduction!

With such a reduction and fixation level now, it is really a pity to have surgery.

But this is the operation authorization again, isn't this embarrassing him? He is the director of the department, and he is in charge.

"Guan Yun, take another side view!" Fu Jinjin confessed to his students.

Guan Yun immediately went in and turned the angle of the C-arm crane by 90°.

After Guan Yun came out, Wu Xie stepped on it again.

The result is still the same!

The registration is good, and the degree of fixation is trustworthy and visible to the naked eye.

What to do next? ! ! !

Fu Jinjin didn't know what to do.

But Fu Jinjin saw that even Director Xiong put down his record folder at this moment, and then started scratching his collarbone.

Wu Xie took a breath when he heard the words, and said, "Director Fu, do you think such a reset effect can be fixed with plaster external fixation?"

"There is no need for follow-up surgery."

"What?" The anesthesiologist was stunned.

The instrument nurse and the itinerant nurse were also stunned.

Because no one has ever told them that the operation is about to end at this step.

Isn't this bullshit?

The equipment kits are all opened, just waiting for the surgery!

Fu Jinjin's eyes flickered, and he didn't know how to reply for a while.

Wu Xie continued: "I think this is the best treatment for patients at present, Director Fu!"

Whether it is surgical reduction or manual reduction, the purpose is for treatment.

Of course, Wu Xie didn't say this to Fu Jinjin, but to Zhu Leiming!

As long as the patient's recovery and prognosis are good, the less traumatic the treatment, the better!

Zhu Leiming knew that if he didn't speak, the situation today would be embarrassing!

"The assessment is over!" Zhu Leiming skipped four words, and then walked from the isolation room to the operating room.

Xiong Kaikai, Agricultural Xuequan and others immediately followed, and a group of people started to explode, and started discussing in a hurry outside the isolation room.

Beep, beep, the voice is too much and too mixed, I can't hear clearly...

On the other hand, Fu Jinjin kicked Wu Xie, thinking that Wu Xie was making trouble out of nowhere.

Wu Xie said in a low voice, "Director Fu."

"For such a fracture, the best option is manual reduction and plaster external fixation. We can make this a routine in our hospital in the future!"

When Fu Jin heard this, his pupils shrank instantly, and the light inside flickered, and then he began to take off his clothes.

He ordered: "I'll talk to the family members, you go to the stage to operate! External fixation with plaster, Huang Yaolong, please help!"

The operation method has been changed, so we have to go to the patient and his family to explain it.

This will save them a lot of money to a certain extent, but it must also be explained that if the patient and family members strongly demand surgery, they can only continue to do it, but Fu Qianjin thinks that the possibility of this is very small!

Fu Jin walked away.

Huang Yaolong and Wu Longshan returned to their original appearance.

"Fuck, Xiao Wu, are you a spy sent by Professor Duan?" Huang Yaolong kicked Wu Xie directly, thinking of other places.

Wu Xie is Qi Qiaowen's student and his own junior, that's right, but Wu Xie was first a student of Professor Duan Hong of Tongji Hospital, and first entered the trauma surgery department.

This is Wu Xie's first day in the operating room as the chief surgeon. How can this not make him feel uneasy?

The co-authorship is, you come to show how awesome your Tongji Hospital’s trauma surgery department is, right?

Most fractures belong to trauma surgery!

"Senior brother, you can't say that. You can't do it for patients?" Wu Xie said calmly.

The reason why he did this was not just to show Zhu Leiming, but to tell Zhu Leiming to go back and tell his master Duan Hong that he is in Chu Ying and his heart is in Han!

The so-called basic skills of trauma surgery, what basic skills are there in terms of fractures in trauma surgery, such as fracture manipulation and reduction?

This is very beneficial for him to obtain authorization for surgery, of course Wu Xie has to choose this way.

Meeting the examiner's standards with super high expectations will make the examiner's eyes shine and they are more willing to believe in your ability instead of just waiting to see the standard answer!

"That's right, you can use as much ability as you have." Huang Yaolong nodded, approving Wu Xie's words.

"Let me just say, if you don't have some unique skills, how can you dare to show off your power?" Huang Yaolong said very directly.

"Brother, I didn't show off my power, did I?" Wu Xie stopped and explained seriously.

If you put this label on me, then I don't approve of it.

Huang Yaolong immediately said: "Longshan, I can expect that most of the operations in our department will be completed within an hour."

Wu Longshan pondered for a while, then nodded: "Yes, the fastest way to improve the quality and speed of surgery is to improve basic skills!"

...

After leaving the operating room and arriving in the locker room, Agricultural Xuequan took off his mask: "Professor Zhu, what's going on?"

"Up to now, we can only see Dr. Wu's manual reset. The most basic skills for trauma include blood vessel and nerve exploration, fracture internal fixation, and hematoma removal."

Agricultural Xuequan threw the problem to Zhu Leiming.

According to Professor Zhu Leiming's arrangement, the second operation was to investigate Wu Xie's fracture internal fixation and fracture reduction operations, and the third operation was a hematoma evacuation operation to investigate exploration, debridement, blood vessel exploration and suture, etc. operate.

The first one is a free gift, which belongs to the high-threshold diagnosis, and examines comprehensive theory and on-the-spot adaptability.

Zhu Leiming also had a bit of head pain, but he still scratched his head and said: "Let's leave the operation of the internal fixation device to you tomorrow. The corresponding skills in hand surgery require probing before suturing."

Xiong Kaikai heard the words and said: "Professor Zhu, then tomorrow, someone else will come to the assessment?"

Xiong Kaifang is in joint surgery, and the subspecialty barriers between joint surgery and hand surgery are relatively large, so it is not easy for him to walk around casually.

Xiong Kaikai meant to complain a bit. Zhu Leiming's first operation should not have been a pitfall.

Now it's all right, the operation of fracture internal fixation is completely invisible!

Then how to score and evaluate?

"It's okay, just know what's in your mind."

"Basic theory of trauma surgery, surgical clinical adaptability, grasp of surgical indications, evaluation of surgical contraindications, etc., are all qualified."

"In this operation, although there is no internal fixation of the fracture, it can be evaluated that the plaster external fixation can meet the fixation standard. This is also a side effect, isn't it?" Zhu Leiming opened his mouth wide, and his tone was a little strange.

Well!

Zhu Leiming is going to force cause and effect, then we will listen to you, anyway, you are the leader of the evaluation team.

"OK!"

"Professor Zhu is right."

"That's how it's graded."

Everyone agrees.

The corners of Zhu Leiming's mouth twitched for a while, but fortunately he didn't take off his mask, so others couldn't see his micro-expressions.

After Zhu Leiming sighed slightly, he had other thoughts in his mind.

Glancing at the relaxed expressions of Xiong Kaikai and the others, Zhu Leiming felt emotional.

Your cognition to a certain extent represents your knowledge!

The case prepared for Wu Xie was within the scope of surgical indications before the operation, and the evaluation was on the contraindications of manual reduction, and plaster external fixation could not achieve the fixation effect.

But after Wu Xie manipulated it, he reached it. Haven't you all thought about it and what it means?

This is an indication for reverse surgery!

However, these people have never participated in the discussion and setting of surgical indications, so they don’t know these things, let alone what level the current average level of manual reduction surgery in trauma surgery is, and they can’t be blamed!

But Zhu Leiming knew it, so he attached great importance to it.

Surgical indications and surgical contraindications are all basic things in orthopedics. To move and change basic things, there are only basic theories or basic operations!

The future is boundless!

One by one is still struggling with the authorization of surgery.

This resilience?