I Spent Those Years In the Operating Room Fighting Monsters

When Lu Cheng returned to the department, he immediately made arrangements for the patients in his group.

For the two operations, the patients who had just arrived in the ward last night were two patients with comminuted fractures, one was a comminuted fracture of the shoulder and humeral head, and the other was a patient with a comminuted fracture of the middle femur.

For patients with comminuted fractures of the humeral head, because the fracture fragments are really a bit too much, the intramedullary nail internal fixation is definitely not effective and can only be cut. For comminuted fractures of the middle part of the femur, you can still struggle a bit, and the combined treatment with titanium mesh + intramedullary nail internal fixation can reduce the surgical incision.

Speaking of it, when Lu Cheng is arranging surgery now, he can't help but think of the time when he used to be a resident in Changshi No.1 People's Hospital.

Obviously he was also aware of fractures, especially simple fractures. The current treatment, or in other words, the gold standard of internal fixation is intramedullary nail internal fixation. However, when he was in Changshi No.1 People's Hospital, except for Chen Bing Occasionally a few intramedullary nails are used, and other old directors, including Director Wang, are still continuing the old operation of open reduction, steel plate and screw internal fixation of fractures.

It is not that the steel plate is not fixed well and the effect is not strong. Instead, the intramedullary nail can be fixed with small incisions and multiple small incisions to complete the operation. Moreover, the effect of internal fixation is relatively stronger than that of steel plate, and it is less prone to breakage.

However, intramedullary nail internal fixation is actually a closed reduction. The grasp of the fracture end is naturally not as accurate as open reduction. The entire operation process also requires a stronger hand feeling. Especially when the golden finger enters the proximal and distal ends of the fracture, the hand feels wrong, and you will be absolutely ecstatic!

Small incisions, relatively minimally invasive, are a major trend in surgical development. Because the small incision represents the recovery of the postoperative wound, the chance of infection is small, and the damage to the soft tissue is minimal. The combination of so many benefits will make the patient's own experience much better.

At least you can't see the large centipede incision of traditional open surgery.

In September, Lu Cheng's Professor Li Dongshan's group had four tube bed doctors, namely Xie Jian, Guo Dongming, Chen Xuanhai and Lin Ruili. Xie Jian is a graduate student in orthopedics and this year's graduate student freshman. Guo Dongming and Lin Ruili are postgraduates in thoracic surgery and neurosurgery respectively. Chen Xuanhai is a regular training in urology, and this year is also the second year.

There are also four interns, namely Zhou Linli from the eight-year program of Shonan University, Luo Wen from the five-year program of Shonan University, Peng Shanquan from the seven-year program, and Dong Zhen from the five-year program of Shonan University of Traditional Chinese Medicine.

Zhou Linli is a continuous undergraduate, master and doctoral program. This year is the fifth year of the eight-year program. Instructors are about to be selected. Therefore, when doing internships in various departments, he chooses the departments and instructors he likes.

Luo Wen is a member of the research party, and has confirmed that she can guarantee research. She has not yet decided which college to go to. According to her, she may go to Magic City Jiaotong University or the affiliate of Kyoto University. Now she comes to each department to find herself in rotation. Intention to the department.

Peng Shanquan in the seven-year program is also in a similar situation. He is in the fifth grade and he has to choose a tutor and major. Among the four interns, Dong Zhen, a young girl from the University of Traditional Chinese Medicine, felt that doing internships with these people was like a dimensionality reduction blow.

In fact, she is also a very good student in this school. She ranks in the top 15 of her grade all the year round, and also has the qualifications for postgraduate, but her university can only guarantee the qualifications for postgraduates from this school, Xiang Province Normal University, and Shonan University. Their school does not currently have it!

But when compared with these few, Dong Zhen looked a little less attractive.

So after Lu Cheng arranged the tasks of the other bedside doctors, when he looked at the interns, Dong Zhen was the first to stand a little aside, and the other people looked at Lu Cheng curiously, after all. As a student of Shonan University, when I saw information about Lu Cheng in the group and in the circle of friends during the holiday, I almost vomited.

I also know that Lu Cheng is currently one of the most abnormal students in Shonan University. He has a lot of student fans and teacher fans, and he is even quite famous throughout the country. At most they are only two or three years older than them. Not only did they get a doctorate, but they also received the top talent introduction award from Shonan University!

This is the breath they smelled very keenly as the school tyrants. No matter how the rumors are heated, they are more or less unconvinced in their hearts.

Lu Cheng looked at the four interns, and after chatting for a while to understand the basic situation, he said: "Zhou Linli, Luo Wen, and Peng Shanquan, the three of you should follow Xie Jian, Guo Dongming and Lin Ruili respectively."

"I don't force you to write medical records or anything. You can just take a look at it. If you have an operation, follow them to the operating table. If you have something to do on your own, you can ask me for leave."

"If there are no special circumstances, the rounds in the morning must come."

"Dong Zhen, follow me first." Lu Cheng added this to the end.

As soon as Lu Cheng finished speaking, seeing the expressions of Zhou Linli's three people immediately became a little confused. The three of them were assigned to graduate students, but Lu Cheng took Dong Zhen personally. Why?

Zhou Linli immediately raised his hand and asked, "Mr. Lu, can we apply and follow you?"

He didn't mean to be timid at all, and he didn't feel that he needed much timidity. He was here to learn. Lu Cheng is currently in the hospital. As long as he asks questions that are not the lowest level, there is no error.

When Zhou Linli asked, Luo Wen and Peng Shanquan both nodded, indicating that they had similar meanings.

After hearing what Zhou Linli and others said, Dong Zhen's expression changed slightly and said, "Ms. Lu, or I will follow Brother Xie Jian and the others."

It is not the first time for Dong Zhen to practice in a group with Zhou Linli and others. So she knows her school background, and her basic skills are not as solid as these people, and she usually asks these people some questions. Showcasing the limelight, so he carefully gave a suggestion to take the second place.

Lu Chengcheng said to Dong Zhen: "You just follow me. If you want to follow me, you can, but if there are more people, I may not be able to take care of it, and it is very hard to follow me. I am now I'm always hospitalized, and there are a lot of emergency operations to be performed."

"The reason why I call you to follow the graduate students is mainly because I am afraid that each of you will have your own things to do. My arrangement can give you more free time."

"Because you are either at the stage of selecting a mentor, or at the stage of a resume for an insurance research institution. You have to think clearly."

"Luo Wen is planning to have the possibility of taking the postgraduate entrance examination, so basically she only needs to read the book by herself."

Lu Cheng spoke out what was in his heart.

For postgraduate entrance examinations, you only need to read carefully, but other graduates or continuous students are different. Lu Cheng also made better arrangements based on their corresponding situations.

When Zhou Linli heard what Lu Cheng said, he frowned slightly, and finally decided: "Mr. Lu, for me, it is not too urgent to choose a tutor and department at the moment, so I still want to follow you to see more, emergency surgery More can make me know more about orthopedics."

Zhou Linli really didn't want to follow Xie Jian. Xie Jian didn't say so well, and he didn't necessarily have his knowledge reserves. When he followed Xie Jian, wouldn't he be pecked by a rookie? Is he leading me or me leading him?

Zhou Linli's words only represented his own thoughts, while Luo Wen nodded and said: "Teacher Lu, then I will listen to you and follow Brother Guo."

Luo Wen wants to go to the Department of Endocrinology at Shanghai Jiaotong University, so she needs time instead of staying with the more mysterious Lu Cheng. Valley

Lu Chengneng may have taught her a lot, but he didn't need it.

Peng Shanquan is a boy who is more interested in surgery. He came to the orthopedics department to see if he would find it interesting, so he said, "Mr. Lu, I'll follow you too! Anyway, I also have strength."

Peng Shanquan's figure is quite burly, with a height of 1.75 meters and a length of one hundred and eighty catties of flesh, he looks very sturdy, so he joked.

Dong Zhen didn't refute it. She actually wanted to learn more from Lu Cheng, but she was afraid that she would be pushed out by the people in the group.

Lu Cheng actually knows that those who can come to Hunan University and can read consecutively generally have a certain plan for their own life and study, so he respects the choices of these people and gives them the freedom to learn.

This is the freedom given to him by Professor Min Hong and Professor Li Dongshan. He is now a teaching teacher, and he will naturally give students who follow him, although only interns have certain freedom of choice.

Lu Cheng listened and said: "Then set it down like this first. If you follow me, I have one request. That is, the rounds must be in the morning, and if there is no surgery, you still have your own freedom."

"In the department, I will ask someone to supervise your operations. If there are no problems, I can also give you a certain opportunity to operate."

"In addition, if you really have other things and ideas, you can still communicate with me at any time. Your internship is half a month, neither long nor short. I hope we can spend it happily together."

After Lu Cheng arranged all of these, Luo Wen went directly to Guo Donghai, and after explaining the situation, Guo Donghai began to order Luo Wen to do things...

Lu Cheng didn't care about how Luo Wen and Guo Donghai get along. As long as they don't cause medical disputes and malpractices in clinical practice, Guo Donghai can still take Luo Wen to see them.

Then, Lu Chengcheng made arrangements for the patients in the group.

The patients of the open reduction and internal fixation of the humerus were managed by Lin Ruili. Lu Cheng only called him to send the operation, and explained the operation method, preoperative and postoperative doctor's orders in detail, and the type of documents signed by the conversation. , Are explained in detail one by one.

The other patient with a femoral fracture was Xie Jian. Lu Chengcheng called the three interns to the seat where Xie Jian was sitting, looked at Xie Jian, and asked: "Xie Jian, come here and start the operation. ."

When Xie Jian heard this, he immediately turned his head and said, "Hey, Brother Lu, all right."

When I met for the first time before, Xie Jian thought it was polite and sensible to call Teacher Lu, but now that he gets along for a while, he thinks it is better to call Lu Cheng as Brother Lu in accordance with the orthopedic practice, and he looks kind!

"What kind of surgery?" Xie Jian asked while opening the page for surgery.

Lu Chengcheng said, "What kind of surgery do you think? What kind of surgery should I get?"

Lu Cheng mainly feels that the time is not urgent, and of course he can spend more time teaching Xie Jian to a certain extent. Because if he regards Xie Jian as an ordinary Lunke Zhunpu, he is just a worker, there is absolutely no need to talk nonsense with him!

"Uh!~?" Xie Jian was stupid at the time, how can you ask this question?

Are you embarrassing yourself?

Xie Jian touched his head: "Open reduction, plate screw internal fixation?"

Said a name that was the same as that of Lin Ruili's fracture.

This is the second month for Xie Jian to go to the clinic. Last month, he was in the sports medicine department where Chang Weilong is located. Before the postgraduate entrance examination, he actually didn't understand many problems in orthopedics, but only knew the basics of orthopedics.

Indications for surgery are an advanced issue of orthopedics!

Lu Chengcheng looked at Zhou Linli and Peng Shanquan.

"Do you two have your own ideas? What kind of surgery do you think this patient should be given? Have you paid attention to this patient's film before?"

In teaching, one needs to teach clinical thinking, and the other needs to learn system thinking.

Lu Cheng’s current skill level is not low, and the clinical thinking and knowledge platform he has laid down, UU Reading www.uukanshu.com is also sorted out before Professor Min Hong, and in the subsequent continuous reinforcement process, he has already had it. Very clear and detailed thinking structure!

For general five-year interns, all they need to know is, oh, what operations are available in this department.

But for people like the eight-year, seven-year program or the Baoyan Party, what they need to understand is what the diagnostic thinking of this department is like, and would they like this kind of diagnostic and therapeutic thinking?

Lu Cheng once answered such a question during an interview, why do you like orthopedics? At that time, Lu Cheng answered the orthopedics reasoning.

Orthopedics is really a very reasonable place. There are detailed planning and indications. For fractures in different parts and different types of fractures, there are corresponding surgical methods and treatment indications!

This is the thinking of orthopedics. Lu Cheng needs to explain to them the treatment ideas and thinking of orthopedics. If they are interested, they know how to study in depth and how to master it. If you find it too troublesome and you are not interested, you can avoid it sooner!

With interns, what Lu Cheng has to do is to open the door of orthopedics for them and let them come in! By the way, let Xie Jian, who has already stood at the door of orthopedics, be brought in to know what is going on in this hall of orthopedics!

This is the current teaching thinking of Lu Cheng as a general inpatient, as an intern and a postgraduate teacher. When Lu Chenggang became a graduate student before, Min Hong, Lin Hui and others directly put the framework of orthopedics on Lu Cheng’s body. The way is somewhat different.

However, the methods adopted are the same, that is, through the problems encountered, to measure the level of these people's skills and knowledge reserves!

Lu Cheng himself is about to start to be a teacher, he is learning to be a teacher.