I Spent Those Years In the Operating Room Fighting Monsters

Guo Xiaoyong is naturally not stupid, and a little clever, besides occasionally likes to be clever, he also works hard enough. Otherwise, he wouldn't be able to say that he was valued by Chen Bing, and then he would become the only one brought from the third department of orthopedics to the fourth department of orthopedics.

The reason why his mentality has changed before is that he made an appointment with Lu Cheng yesterday, but the old director Chen Bing took his place. Wouldn't he have no chance to get started?

But in fact, as long as you think more deeply, you can know that Chen Bing was never a fool. He was watching Lu Cheng doing the operation so seriously. There must be a problem. At least it shows that Lu Cheng has one point better than Chen Bing. Good.

Chen Bing rarely visits Liu Deqian for surgery, so this question can be understood.

It's just that although he wanted to understand, Guo Xiaoyong still couldn't understand where Lu Cheng was better than Chen Bing, and where Chen Bing was worth learning.

Guo Xiaoyong’s current level is only a rough understanding of some parts of the arthroscopy. After changing the position, for example, he only saw the attachment point of the joint capsule on the humeral head.

These more obvious tissues of the biceps tendon.

However, Lu Cheng inspected the rotator cuff at the stop point of the trochanter, the back of the rotator cuff and the bare area of ​​the humeral head, the posterior articular surface, the posterior labrum, the posterior recess and the posterior joint capsule, the biceps labrum complex, Guo Xiaoyong was confused at the time when the subscapular tendons and subscapular recesses were relatively unconventional places.

This is because Chen Bing rarely visits these places during shoulder arthroscopy. Ordinary rotator cuff injuries will probably go directly to the subacromial space after looking at the shoulder joint without injury, so there is nothing at all. It depends on these things.

For the standard shoulder joint lysis with frozen shoulder, it is necessary to find the tissues with inflammation and hyperplasia in various positions and deal with them one by one.

This requires a very comprehensive shoulder arthroscopy. If you don't have enough accumulation in normal times, you want to understand these things and go dream.

So, after Guo Xiaoyong focused his attention for a while, he distracted him a bit boredly.

It's really hard to be attracted if you don't understand and read.

Chen Bing may have noticed Guo Xiaoyong’s current state, and after a slight sigh in his heart, he asked: "Xiao Lu, when you operate, can you reduce the speed a little bit, and then bring a little explanation, otherwise, I will see you The operation is a bit laborious."

When this was said, the pupils of the hand-washing nurse shrank slightly.

Oh!

This is what Chen Bing should say as the head of orthopedics?

It turned out that I was misguided before. It wasn't that Director Chen took the lower-level doctors to perform the operation at all?

After taking a closer look at Chen Bing's earnest and earnest eyes, she once again confirmed this fact, and immediately moved her eyes to Lu Cheng's body, taking a deep breath of cold air in her heart.

This person looks so young. Where did Director Chen find the professor?

No, Director Chen, did you ask someone to come down for the operation and you didn't say hello to us in advance?

Suddenly, the attention of the hand-washing nurse became more focused. Although she is not a specialist in orthopedics, since she has come to set up the stage, she naturally can't shame Chen Bing.

At the same time, the anesthesiologist and itinerant nurse also secretly put down their mobile phones, and then carefully watched the operation in the display screen, pricked up their ears, as if they could really understand the operation being done.

After hearing this, Lu Cheng turned his head and looked at Chen Bing. He absolutely didn't believe that Chen Bing didn't understand his operation.

What he is doing now is the most basic and also the most basic shoulder arthroscopy. Of course, it is not easy to do the most basic shoulder arthroscopy. Every operation that looks extremely beautiful is actually a step by step, and it is done step by step. After every step is taken, some small skills are combined to shorten the operation time.

However, on the basis of shortening the time, if the quality of the operation is reduced, it is absolutely undesirable.

Since Chen Bing can perform shoulder arthroscopic surgery alone, these basic procedures will definitely not be a problem, otherwise he would not dare to perform surgery on patients alone, and he can't handle the accident. What should I do after stepping down?

It is estimated that it is to let me tell Guo Xiaoyong.

Lu Cheng simply said: "Director Chen, then I'll just talk about it casually, maybe it's not very good..."

(Note: The teaching steps of shoulder arthroscopy have been written before, so I won’t go into details and waste time.)

With the introduction of Lu Cheng's explanation, Guo Xiaoyong immediately felt refreshed, because he knew the anatomical structure, but he didn't quite understand what the anatomical structure looked like in the arthroscopic display.

Moreover, Lu Cheng's operation is very standardized, so it is in the process of Lu Cheng's explanation.

Hey, itinerant nurses, hand-washing nurses, and anesthesiologists all feel that they can keep up with Lu Cheng’s rhythm, at least knowing which parts Lu Cheng is cleaning now, and Lu Cheng will talk a little while operating. If you don't loosen it here, what might happen later.

Although it was just a mouthful, this is the embodiment of solid basic skills.

Whether surgery can be performed and whether surgery can be taught are two realms; whether surgery can be taught clearly is another matter.

So, the itinerant nurses and hand-washing nurses had a deeper idea that Lu Cheng was a young professor invited by Chen Bing. Although Chen Bing still shouted one by one, it must be a personal education. Can someone who can explain surgery so clearly?

Therefore, when Lu Cheng asked for something, the hand-washing nurse would reply very enthusiastically: "Okay, Professor Lu."

"Okay, Professor Lu..."

Chen Bing would give her a strange look at first, but after seeing her, he missed the steps of Lu Cheng's operation, and he stopped to look at it later.

The lysis of frozen shoulder is actually a very basic operation, which is very basic. However, people who can really do a very good job of frozen shoulder lysis are basically in the field of shoulder arthroscopic surgery. Other operations It will not be bad.

Lu Cheng took the explanation, so the speed of the operation was slower. It took a full hour and 20 minutes to finally complete the shoulder joint capsule release + synovial debridement + acromioplasty.

After the operation, Lu Chengcai asked, "Director Chen, should I step down first or should I also do the stitching and injecting cocktails?"

There is a lot of synovial hyperplasia before freezing shoulder surgery, and inflammation in multiple parts can cause severe pain. Although it is loosened during the operation, the postoperative pain will make the patient very reluctant to cooperate with functional exercises.

If you don't move, you will be stiff. If the postoperative rehabilitation exercise is not good, then no matter how thorough the intraoperative relaxation is, it will not help.

The recovery speed of soft tissues of normal people is extremely fast. If **** are kept together for a long time without being separated, at least one finger has a small opening, and the **** can grow together.

After the release, the release site is similar to this kind of opening and together, so.

In the course of treatment of frozen shoulder, surgery may account for only 40% of the final curative effect, 10 to 20% of analgesia, and the remaining 40% to 50%. Rely on the patient's own function exercise!

Chen Bing said: "It's okay, leave it to Guo Xiaoyong to fight the cocktails."

"How will this patient recover at that time? You have to talk about it. You are the chief surgeon now. You have to finish the whole process."

Chen Bing is a person who really understands sports medicine. He naturally knows that Lu Cheng must have his own model of rehabilitation exercise, so he hopes that Lu Cheng can bring something different to the department.

After all, Chen Bing has left sports medicine for at least five years. If he doesn't touch this thing for a long time, he can't keep up with the rhythm of the times.

Although I picked it up recently, there are too many new things coming out, and he is busy with chores, so he doesn't have so much time to study how to catch up with the latest rehabilitation training mode.

As for Lu Cheng, he actually had his own ideas, but he didn't dare to mess around, so he said, "Director Chen, how do rehabilitation training is usually done in the department? NS."

Chen Bingxu kicked him: "You are all huo-ovate (nonsense). I let you say you just say it."

"Damn it's been out for less than half a year, and you have become a bitch, right? I don't know, I thought you went to Thailand."

Lu Cheng avoided, ran a few steps, and said with a grin: "Director Chen, I don’t mean that. The main reason is that the thoughts and reality in my heart are not aligned with each other. I think the patient can recover and exercise at will after the operation, but this In fact, it does not meet the guidelines."

Lu Cheng did research on rehabilitation training after shoulder arthroscopy. Before Lin Hui called him to pay attention to this, he did research.

Postoperative immobilization is because the activity will cause a devastating blow to the operation, but in fact, as long as the rotator cuff is not damaged, casual activities will not cause accidental injury, but in the past, including the current view, it is thought that after the operation Excessive activity can cause secondary injury, so it will partially brake the rehabilitation exercise.

However, Lu Cheng felt that as long as the rotator cuff and meniscus were not damaged, he could exercise quickly.

But Lu Cheng feels that it is Lu Cheng that reality is reality. According to the latest and his own ideas, everything will be fine for the patient, but you are not good. If anything happens, you just don't follow the guidelines.

If it were in the Second Xiangya Hospital, that would be okay. Lu Cheng and the others had already passed the approval of the Ethics Society, and they could do clinical trials in the clinic.

But the test site was at Xiangya Second Hospital, not at Changshi No.1 People's Hospital. Therefore, even if Lu Cheng said it, Chen Bing would not dare to follow suit unless he was brave.

Sure enough, Chen Bing frowned slightly: "You mean, just move it, so you can use the forearm sling and triangle scarf?"

Forearm slings and triangles are actually simple versions of shoulder braces. Shoulder braces are the most formal with rehabilitation exercises.

"Director Chen, the braces and forearm slings all play the role of partial braking. In the case of free movement, partial braking is meaningless. This is our understanding." Lu Cheng said.

Chen Bing nodded, sighed, and smiled bitterly: "That can only be you. Xiaoyong, do you still have to put on a forearm sling for the patient at that time? In the case of rehabilitation, we should follow our usual practice."

"Before lifting, practice outreach a week later!"

"Okay, Director Chen." Guo Xiaoyong frowned, his heart confused.

If you can't do it, you still ask, isn't it for nothing?

Chen Bing patted Lu Cheng on the shoulder and said seriously, "Xiao Lu, you don't actually need to be so conservative. Whether you can do it is one thing, but knowing what to do is another thing."

"I know that if the latest concept is not used, it is useless to me. These are two different things."

"I hope you can bring me and Xiaoyong more different things. Even if we can't use these things now, we can try to use them and provide patients with the most advanced and highest quality of service. It's fundamental."

Before Lu Cheng could reply, he was led to the operating room by Chen Bing.

Guo Xiaoyong was on the stage, crying listlessly. The shoulder arthroscopy had been removed. Although he could put it on again, he would not dare to do it alone without Chen Bing and Lu Cheng.

Chen Bing is the deputy chief physician and the director of the orthopedics department. He has level 3 or above surgical authority. Lu Cheng was invited to practice in a different place registered at the Second Xiangya Hospital, but Guo Xiaoyong did not have it.

This happened.

However, Guo Xiaoyong thought for a while, and suddenly his eyes lit up again.

Yes, Director Chen just said that whether it can be used is one thing, but whether it is useful is another matter.

Brother Xiaocheng, you wait for me, I have to hollow you out!

...

Twenty minutes later, Guo Xiaoyong pushed the patient out of the operating room and sent to the recovery room.

Patients under general anesthesia need to be resuscitated in the resuscitation room, which can save the turnaround time of the operating room and allow each operating room to perform one or two more operations per day.

When Guo Xiaoyong left the recovery room, it was only 11:40.

At that time, Guo Xiaoyong called Lu Cheng and asked, "Brother Xiaocheng, where is it? Shall we make an appointment for a meal together?"

Lu Chengcheng replied, "I'm at the entrance of Chengdong Valley Duck Restaurant, with Director Chen, and Teacher Cai is also there. Come here."

"Later, there will be an operation on Teacher Cai's side, and the two of us have to go up and have a look."

When Guo Xiaoyong heard this, he mumbled: "Master Cai is there too?"

"Yeah, come hurry up, I'll hang up first."

...

When Lu Cheng and the others were going to eat, a middle-aged man wearing a mask and a cap and a surgical gown stepped on the door of the nineteenth room. The door opened, but the inside was dark.

Suddenly, his face was happy, and he secretly said, oh oh, Chen Bing's surgery has been cancelled, let me just say, how can the tour and hand washing of vascular surgery be followed by orthopedic surgery?

Then he went down to the second floor and was going to have a meal. The passage on the second floor was facing the nursing department of the operating room. Ji Youyou, the director of the nursing department, sat there~www.wuxiaspot.com~ and flipped through today’s surgery schedule. Watch, show eyebrows slightly frowned.

Liu Deqian asked smoothly: "Yoyou, how did Director Chen's surgery be cancelled? Didn't you say that you want to take his surgery? I'm still going to learn."

Ji Youyou is the director of the nursing department of the operating room, and Liu Deqian naturally knows her very well.

Ji Youyou himself didn’t know which operation was performed, and which operation was not performed, so he immediately turned back and looked at it, and then wondered: “No, I saw that Director Chen’s two operations were received here. , Is it all done?"

"Juxiang, Juxiang, is the operation in the nineteenth room finished?"

"Yes, it's done."

Liu Deqian was embarrassed at the time, nodded, and then turned and walked towards the top of the stairs, feeling particularly messed up.

I only finished the first operation. He Chen Bing finished two operations?

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