I Spent Those Years In the Operating Room Fighting Monsters

Lin Hui didn't say much. Lin Hui had heard of what the Department of Orthopaedics was doing. He mentioned it by the way, just thinking that Li Dongshan knew him well after all. When he was studying in the past, Li Dongshan also gave him a lot of support, if he could bring Professor Li Dongshan with him.

At any rate, the emergency department can have a good name to engage in sports medicine after losing the trauma business. Otherwise, even if people in the emergency department get the operation authority, they are actually responsible for the sports medicine business.

Just like in a lower-level hospital, even if the surgeon has the authority to carry out Level IV surgery, but if the authority of the anesthesiologist and the operating room can't keep up, there is no way to carry it out.

Min Hong didn't think much about it, so he led Lu Cheng's group into the guardianship bed and guardianship bed 2.

Supervisor 1 and Supervisor 2 are both managed by the end of the season.

He is also the most familiar with the condition. After entering the door, he said: "Master, this is a patient with tuberculosis hip arthritis who was transferred last night. He originally planned to be transferred to an infectious disease hospital for surgery after he was discharged from the hospital, but the patient disagreed. The endocrinology department really couldn't help the treatment of anti-tuberculosis drugs after discharge from the hospital, so the patient was transferred."

"We have asked the Infectious Diseases Department to adjust the use of tuberculosis drugs. We are currently taking it. CT and NMR have been completed. Do you want to continue to do some inspections."

"The culture result of joint puncture is also out, which is Mycobacterium tuberculosis."

Min Hong's eyes lit up slightly after hearing this, and said: "This patient is very interesting because of the popularity of anti-tuberculosis and the promotion of free tuberculosis treatment. Nowadays, there are fewer and fewer tuberculosis patients who have developed tuberculosis arthritis. "

"Show me the film."

Min Hong picked up the pelvic film instead of seeing the patient's CT for the first time.

After looking at the pelvic film, Min Hong suddenly turned around and said, "Lin Hui, you turned this patient over. Let's explain this patient to you. Anyway, there are not many operating tables today. We can take a little The process of rounds is more detailed and does not delay time."

This is how Min Hong understands that teaching rounds is a gradual process from bottom to top. The process of deepening and supplementing knowledge can gradually expand the horizons of lower-level doctors.

Usually ward rounds are a kind of analysis, indoctrination from top to bottom, in fact, it is also a process of learning.

Lin Hui touched the hair that had a Mediterranean trend and raised his head and said: "Professor Min, this patient was seen by Xiao Lu at the time. I have another emergency consultation to see, and I am not familiar with the patient's medical history. In order to save money. Take a moment, or you can explain it to us."

Reading a film is not just a simple matter of just taking a look at it.

It is necessary to quickly extract key information while contacting professional knowledge, and then observe points that others cannot observe. This is professionalism!

Min Hong squinted at Lin Hui.

That seems to be saying that you should be my director.

Lin Hui quickly stretched out his hand to get the film, but Min Hong even took it away.

Then he said to Lin Hui and Chang Weilong: "Every one of you, you all like to use the day of surgery as an excuse to be lazy, so I won't find you. Xiao Lu, you come and tell us about this film."

"Tell me about your own diagnosis ideas."

Lu Cheng watched Chang Weilong and Lin Hui. They were both screaming at the film, and the end of the season also said in a very low voice behind him: "Xiao Lu, hurry up and say something, or Master should be angry."

Min Hong was not deliberately targeting Lin Hui and Chang Weilong, even he liked them very much. Chang Weilong and Zhu Lihong were in charge of sports medicine, so he didn't worry about him. Lin Hui was in charge of the ward, and he didn't let him worry about it.

Just being a simple chief surgeon, how cool he is in clinical work. On Monday, Wednesday and Friday, I went home after the operation in the morning, and half-day outpatient clinic on Tuesday and Thursday, closed on weekends. If it weren't for Min Hong, he would like to go for a flying knife operation. His real working time is only two and a half days a week.

But, who is Min Hong, a person who can scan all the books in the library, can he bear being so leisurely?

In fact, what he missed most was when he was an associate professor, when there was a whole day of surgery and there were many books to read, but now there are not too many books to read. What can he do if he doesn't teach? And he really wants to build his team more solid.

As far as his eyes can be, he is no longer simply confined to reflection.

As far as the central part of China is concerned, there are Huake's and Tongji, and in the south of China, there are the Affiliated Hospital of Yueshan University in Guangdong Province and the Second Xiangya Hospital. The development in recent years has been slow enough!

It’s time to accelerate, and this kind of acceleration cannot be brought about by one or two people. It must be promoted from top to bottom, and more people must be brought in to improve.

Lu Cheng immediately took the pelvic film and said, "Master, when I saw the patient's film, I thought about it this way. We all know that X-ray imaging is actually whether the X-ray can get it. A dark shadow is formed on the opposite side. In this process, the less tissue that passes through and the sparser the density, the more dark shadows can be hit."

"We can see a feeling of cloudiness on this film. This is at least caused by the absorption of black shadows after synovial hyperplasia. Then, evenly distributed white shadows are a sign of infection."

“Let’s look at the tops of the acetabular fossa on the left and right sides of the pelvis. They are on the same plane. The patient’s lower limbs are not shortened, and the greater trochanter is on the same plane, so there is no stenosis of the joints. Then there is a possibility of osteoarthritis. It's not big anymore."

"Since there is no big problem in the overall structure, we have to start with the subtleties. Let's look at the patient's trabecular bone structure."

"From the part below the greater trochanter, the trabecular bone structure is very neatly arranged, which proves that the patient has no signs of fracture before. Then the possibility of traumatic arthritis can also be ruled out, because if the patient has had a fracture in the past, then The trabecular bone structure is bound to be disordered."

"Let's look at the trabecular bone structure above the greater trochanter. It is not disordered, but disappeared. This means that the bone on the surface of the femoral head is destroyed!"

"Bone is destroyed, combined with the patient's severe pain symptoms, we can almost be sure that the patient's femoral head ligament attachment part may be eroded by bacteria. In this case, in order to improve the patient's quality of life, Surgery is very necessary."

"And I later performed a hip puncture on the patient, and the culture medium showed the presence of Mycobacterium tuberculosis, so the diagnosis of tuberculosis arthritis was also very clear."

"The treatment principle of tuberculosis arthritis is early diagnosis and early anti-tuberculosis treatment!"

I heard Lu Cheng's interpretation of the film. Min Hong smiled and nodded.

Being able to have this kind of subtle and systematic reading ability proves that Lu Cheng has gradually supplemented it in the theoretical part.

Min Hong said: "Xiao Lu said very well. The last time I was in the outpatient clinic, we met a patient with traumatic arthritis. At that time, Li Hongxing hadn't figured out how we could see traumatic joints. It's scorching."

"Li Hongxing is a Ph.D. I didn't understand it. This proves that we still have certain blind spots in the process of teaching and learning."

"However, obviously only the principle of surgery will be mentioned. For this patient, it is definitely not enough. Xiao Lu, you can talk about it again. If, I am talking about if, this patient is yours, that is, you are responsible for her. How would you consider giving her treatment if she is dead?"

Just after Min Hong’s question, Chang Weilong said: "Professor Min, is it a bit too early to call Xiao Lu to say this? The details of the treatment of tuberculosis arthritis are too uncommon for them? "

The content that an undergraduate graduate needs to master is some principles and indications for the application of some common drugs, which can assist the superior doctor in the treatment.

And if you can do this, you will be able to obtain a practicing doctor's qualification certificate, cooperate with the higher-level doctor to practice, and have the authority of doctor's advice.

However, for some of the more difficult diseases, in fact, there is only a simple understanding. At this time, it is obviously too harsh to directly ask Lu Cheng such a profound question.

Min Hong said: "How do you know Xiao Lu must not know?"

But after Min Hong thought about it again, he said, "Xiao Lu, you know how to say, don't feel pressure."

"This is not an exam. It is just an understanding of the depth of your current understanding. Only when we know what level you are now can we know what is the essence, what we need to tell you, and what is nonsense. It can be avoided. of."

Lu Cheng thought for a while and said, "Master, I think the treatment of tuberculous arthritis should be done in three steps."

"The first step is the anti-tuberculosis treatment before the operation. This process varies from person to person, usually one to two weeks before the operation."

"The second step is surgery. The operation can be divided into primary debridement, secondary joint replacement or direct primary debridement plus joint replacement surgical treatment."

"The third step is postoperative anti-tuberculosis treatment. The cycle of postoperative anti-tuberculosis treatment is generally about three months to one year, and it also varies from person to person according to the results of the patient's laboratory examination."

"However, based on the latest research and the latest approved treatment methods, it is still believed that the complications and recurrence rate of the primary joint replacement and the secondary joint replacement are the same regardless of the level of tuberculosis arthritis. Therefore, I think that as long as we strictly implement the preoperative and postoperative anti-tuberculosis treatment plan, we can do joint replacement in one stage."

"This can greatly shorten the patient's hospital stay. What do you think?"

These things were when Lu Cheng read the literature on tuberculosis infection after fractures. In the discussion section, some people quoted the theory of tuberculosis arthritis. Lu Cheng also went to investigate tuberculosis. The treatment of arthritis is reviewed, so I will follow the latest results in the review.

Of course, this is only his opinion, and it is up to Min Hong to make the final decision.

After all, Min Hong is a professor and the person leading the group!

Okay!

After Lu Cheng finished speaking these words, Chang Weilong and Zhu Lihong didn't know what to say.

I just said in my heart that you, Xiao Lu, seemed to be Min Hong No. 2 properly. When Min Hong was in the department, he was also known for his extensive knowledge. When he asked questions, he rarely didn't know. That's why I became a brave artist.

Where is Lu Cheng?

It seems that since Lu Cheng entered the university, he can answer any questions Lu Cheng can answer, and the answers are still so good.

What should they do?

With Lu Cheng's growth rate!

Wouldn't they be thrown behind the **** soon?

Regarding this, the end of the season was numb. He had already convinced himself not to compare with Lu Cheng.

However, Tong Gaobo and Fan Cheng decided long ago that they should go to bone disease. The joint is a subspecialty of joints. Compared with Lu Cheng, this abnormality, he is too lazy to compare. If you are not in a sub-specialty, you can’t crush me. NS!

No idea!

Chen Guoer is even more eager. I am in the Department of Burns. Hey, no matter how good your orthopedics department is, it can’t compare to me.

Deng Zhi is here for further studies, and his mentality is that everyone is excellent. Otherwise, why should I study at the Second Xiangya Hospital?

The same is true for Lin Hui. As early as when he was traumatized, he felt that he had to retreat to Lu Cheng slightly.

Now he has at least evaded Liu She from Lu Cheng.

Anyway, as long as he has a thicker skin, Lu Cheng still wants to call him master.

Therefore, only Chang Weilong and Zhu Lihong have not yet fully prepared for Lu Cheng to have such an excellent heart!

Therefore, the expressions of the two of them gradually began to turn into Lin Hui, and turned into an end of the season.

Min Hong stood still and thought for a long time before he finally made a bold decision.

"Xiao Lu, from now on, you will supervise 1 bed and 2 beds, and you will be in charge!"

"Remember, it's the supervisor, not the bed!" Min Hong looked at Lu Cheng and said very seriously.

And hearing this ~www.wuxiaspot.com~ almost everyone's face changed drastically.

What is the supervisor? That is what the professor in charge and the attending physician should do. It means that Lu Cheng can decide the patient's operation time, discharge time, and all doctors' orders!

For Lu Cheng, who just came to the orthopedics department for a few days, he was a little too brave, right?

Lu Cheng is still so young, if he was too open to him so early, it would not be good for his growth.

As the only one in the department, Lin Hui could overpower Min Hong, although only in scientific research. But he can at least persuade.

"Professor Min, this is not appropriate. Xiaolu is a graduate student and is in charge of patients. This will put too much pressure on him!" Lin Hui said quickly, hoping that Min Hong could withdraw his orders.

Even the patient’s husband was a little scared when he heard it, and hurriedly asked: "Professor, Dr. Xiao Lu is very good. We are also very grateful to him for discovering the problem on my wife’s leg as soon as possible. However, after all, Dr. Xiao Lu is still a student. Ah! We came to the name of your professor. Do you think this is a bit inappropriate?"

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