Chapter 212 Too Much
"That Ling Ran is about to undergo surgery. The chief surgeon."
"So fierce? Became the chief surgeon in your early 20s?"
"Foreign monks are good at chanting scriptures, and their own cabbages are thrown away, and wild cabbages are worth old money when they are picked up."
In the small group of residents, the residents of the same period talked a lot.
The resident physicians of the Orthopedics and Sports Medicine Center come from a variety of sources. Although they are all the best in various schools, not many can seize the opportunity to be promoted. Most of the resident doctors will end up suffering from too low salary, or too slow to master the technology, or too few opportunities to get started, etc., and will continue to lose.
Zhu Tongyi's research center is different from large tertiary hospitals. It can provide very narrow channels for advancement. If you can't rush up bravely, you will sink, and then you will continue to encounter challenges from outside the institute. For example, a doctor like Ling Ran would very likely occupy a position that was finally vacated.
"I'll go and see, is there anyone together?" a resident doctor typed in the small group.
"Together together." Several other people responded one after another.
After a while,
Nearly 20 people poured into the demonstration classroom, including not only residents, but also several idle attending physicians and deputy directors.
Because Zhu Tongyi was in the front row, everyone didn't speak and chat, just sat down in their seats and waited for the operation to start.
The demonstration classroom of the Bone Joint and Sports Medicine Center is expensive. It is connected to multiple operating rooms and microscopes in the operating room at the same time, so that you can see both the surgical field of general surgery and the surgical field of microsurgery. Moreover, it is quite convenient to switch, and it can also carry out real-time voice communication. It is an excellent way to "show technology" and do teaching demonstrations.
In the research center, whether you dare to perform surgery in the operating room connected to the demonstration classroom is also a reference item for everyone to evaluate a doctor's level.
But the most frightening application of the demonstration classroom to doctors is actually to invite family members of patients to visit.
The operating room of a general hospital is in a black box state. The family members input a patient, and the black box outputs a post-operative patient. The family members only know the state before entering the operating room and the state after leaving the operating room. What, do not understand.
It is obviously not an appropriate means to ask the patient's family members to enter the operating room, as it will easily interfere with the operation of the surgeon. It will be relatively easy and controllable to use the demonstration classroom mode.
certainly,
It is not easy to enter the demonstration classroom in the current research center, and some special channels are always needed.
Dr. Qu gently pushed open the door, silently came to the corner of the classroom, touched the bald part of the middle of the head, and let out a sigh of relief.
He cared more about the surgery than the residents.
After all, he also participated in the design of Liu Weichen's surgery plan.
Therefore, he also knows the technical requirements of Liu Weichen and the plan itself best.
Dr. Qu nodded to several doctors who saw him, and sat at the back, staring at the dark screen in a daze.
After an unknown amount of time, the screen suddenly lit up, everyone stopped chatting, and looked at the screens in the middle, where there were both the surgical field of view shown by the surgical field camera and the operating room scene shown by the panoramic camera. The camera connected to the two-person microscope is still dark, and at the same time, there are voices speaking.
"Doctor Ling, let me put on the surgical gown for you."
"Doctor Ling, take a look at the equipment list, see if there is anything that needs to be added."
"What are Dr. Ling's surgical habits? Do you need to drink water during the operation?"
The voices of the itinerant nurses and equipment nurses came first.
The doctors in the classroom looked at each other in blank dismay.
A resident doctor couldn't help but ask, "When did they become so talkative?"
"When they see a handsome guy." The 200-pound resident doctor gave up on himself and said, "You didn't see them talking about male gods."
"Not really, what's the point of being so proactive?"
"When you help the goddess carry the bag, what's the point?"
It showed that the classroom calmed down again, and when everyone looked at the screen again, they all had the spirit of fighting against each other for no reason.
Orthopedics is a department for very young girls. In professional orthopedics operating rooms, male nurses are indispensable. Looking at the few female nurses who were smiling at Ling Ran, a group of residents were upset.
...
In the operating room.
Ling Ran stared at the patient's feet for a long time.
It was the first time he saw this foot, but through MRI, he was far more familiar with this foot than the owner of the foot.
Ji Tianlu looked at Ling Ran with interest for a while, and asked, "Doctor Ling, what should we do now?"
"Oh... I'll draw a line." When Ling Ran came back to his senses, he reached out for a signature pen, drew a few lines on the patient's diseased foot, asked for a pen of another color, and drew a new one.
"How is this divided?" Lu Wenbin asked nervously. He is the second assistant today, but he knows the least about Achilles tendon repair. If there is any understanding, most of it comes from textbooks and videos. Without a system and not a strong sense of handsomeness, this understanding is almost non-existent.
Ling Ran glanced at Lu Wenbin in confusion: "What is the share?"
"To draw a line, there are two colors."
"Oh, the black one is the incision line, and the white one... the tendon is broken here." Ling Ran pointed to the location where the line was drawn, and then twisted his body a little so that Lu Wenbin could see it more clearly.
Ji Tianlu, who didn't take it seriously at first, was stunned for a moment, and then he came to his senses in an instant. He didn't read the explanation of the imaging department, so he forgot to determine the location of the Achilles tendon rupture. Only now did he realize that Ling Ran really had no support. For the imaging department, I read it out by myself.
Ji Tianlu looked at Ling Ran intently, then lowered his head.
The child with 85 points in the test is the one who knows best how strong the child with 100 points in the test is.
Just like a doctor like Ji Tianlu, he knows best how strong a technique like Ling Ran is.
When MRI is used in the diagnosis of Achilles tendon rupture, it can not only distinguish the severity of Achilles tendon rupture, but also evaluate the shape of the two broken ends and the distance between the ruptures.
This is very clinically meaningful information, and it is also the power of MRI.
Ji Tianlu couldn't help feeling jealous.
Ling Ran has this ability in his twenties, his talent is really great.
Ji Tianlu asked himself, even if he was given half a year of free time, he would not be able to increase his MRI reading ability from 85 points to 100 points, not to mention half a year, two years may not be enough. Unless he doesn't do anything and just concentrates on watching the film, in that case, half a year can be passed no matter how tight it is.
However, is it possible?
Ji Tianlu has climbed the technology tree of orthopedics to the present, spanning the two directions of bone joints and sports medicine. His feet have been stretched longer, and he can't even run.
Ling Ran paid attention to the expressions of Lu Wenbin and Ji Tianlu, and decided to speak more clearly to his assistant, and then said: "From the magnetic resonance films, on T1WI and T2WI, there are localized high signals in the tendon, and the tendon bundle is rough and irregular. , which is a characteristic of partial damage, the position can be seen from T2WI, when its signal is significantly increased, it is the most obvious part of the tear."
Ling Ran directly pointed out the location to Ji Tianlu and Lu Wenbin, and then asked the anesthetist about the situation, and asked for an incision.
This time, Ling Ran's speed was much faster.
After two quick cuts, Ling Ran ordered "pull it apart" and put the knife on the tray.
Ji Tianlu hesitated for a few seconds before realizing that the operation had already begun.
Compared to him, as the second assistant, Lu Wenbin was more familiar with Ling Ran's style. Ling Ran has never liked to talk, and he is not like those surgeons who lack self-confidence. They keep confirming this and that with their assistants. They always do what should be done.
Moreover, Ling Ran is a typical "one-man" type of doctor. Most of the operations, he has a bottom-up strategy. Occasionally, when the assistant can't take it off, or when his attention is distracted, Ling Ran will still say nothing. The one who sent it will take over the work.
This kind of concentration is now slowly affecting Lu Wenbin, Ma Yanlin, and Yu Yuan, especially the surgical careers of the former two, which will inevitably have a great impact.
Lu Wenbin stretched out his hand automatically and said, "Hook."
The nurse took a look at Ji Tianlu, and gave the hook to Lu Wenbin anyway.
Lu Wenbin carefully and laboriously pulled apart the muscles surrounding the Achilles tendon, exposing the Achilles tendon. This step was almost the same as the tang method of suturing, except that the tendon became thicker and the muscle tissue became larger.
After a brief rinse with saline, the ruptured tendon was exposed in the center.
Ji Tianlu raised his head slightly, regretting that he didn't listen to the explanation from the Imaging Department, otherwise, he would be able to judge the correct position and would not be subject to Ling Ran.
"End to end stitching." Ling Ran reminded, there was nothing to say, and he quickly stitched it up with the modified Kessler that Dr. Qu used the day before yesterday.
Before that, Dr. Qu stroked the mesofinus, small saphenous vein, and sural nerve for a long time that day, but Ling Ran smoothed it out and threw it aside.
End-to-end stitching is the simplest form of stitching.
It is to debride and clean the two severed Achilles tendons, then align them, and then suture them tightly.
Since the Achilles tendon is thick enough, there is no room for delicate sutures such as the Tang method. The modified Kessler method, or the ordinary Kessler method, is used by novice doctors, attending doctors, and expert doctors, but the effects are different.
Ling Ran opened his posture, and quickly sewed up.
Ji Tianlu tried his best to cooperate with Ling Ran, that is to say, he could barely catch up with Ling Ran's speed.
In the demonstration classroom, Dr. Qu had already looked demented.
He has used the modified Kessler method to suture it all year round, and he wanted to use this method to frighten Ling Ran.
In Dr. Qu's heart, he felt that he performed well in front of Ling Ran.
It's just that Dr. Qu was deeply shocked when he saw Ling Ran, the first assistant, became Ling Ran as the main surgeon, and then performed the Kessler method.
Too much!
Dude, that's too much!