Chapter 108 Top anatomy, just kidding?
The reason why Chang Weilong persuaded Professor Min in this way was mainly because Lu Cheng perfectly jumped over the pit set by Professor Min. This kind of self-limiting disease does not need treatment at all, and Professor Min seductively asked Lu Cheng how to treat it, which was very
It is easy for Lu Cheng to talk a lot.
According to Chang Weilong's understanding of Professor Min, Lu Cheng avoided a pit, and it was easy to set up a few pits for Lu Cheng to find out where Lu Cheng's foundation was. Only in this way can he teach students in accordance with their aptitude, which is Professor Min's consistent approach.
I'm used to it, but it's usually normal. Today is indeed the day of surgery. The surgery must start on time at eight o'clock!
Professor Min could only let Lu Cheng go with some reluctance...
…
Operating rooms, 18 rooms.
The Department of Orthopedics has four operating rooms, namely 5, 6, 17, and 18, which correspond to the four wards of the Department of Orthopedics.
The allocation of operating rooms is also very particular. The earliest surgical building of the Second Xiangya Hospital only had twelve operating rooms. At that time, the division of specialties was not as detailed as it is now, so there were only five or six rooms. Later, three orthopedic diseases were separated.
After the district was added, a 17-room building was added.
Later, after the fourth ward of orthopedics was separated, there were originally 29 rooms. However, the fourth ward of orthopedics is also the joint surgery and sports medicine that were separated from the third ward of orthopedics. In order to facilitate communication between the two parties, it was exchanged with the 18 rooms that originally belonged to neurosurgery.
An operating room.
There are 18 operating rooms in the fourth ward of the Department of Orthopedics, which are used by Professor Min and Professor Hu in rotation.
Professor Min is the head of the department, and his rotation is one, three, and five. Professor Hu is on the second and fourth. The operation day here has nothing to do with who is the doctor on duty. It only has something to do with which day belongs to which professor. Even if you have just finished your shift, you still have to do it.
The patient had surgery, but he had to hold on even though he was sorry.
Today is Wednesday, so it is Professor Min’s surgery day.
After the group checked the room, they found that there were no surgeries that needed to be scheduled on Thursday, so almost everyone crowded into the operating room.
At the end of the quarter, as a second-year graduate student, I was familiar with the road.
From the beginning of helping with positioning, to the end of washing hands, disinfecting and spreading towels, there were a total of five people standing on the stage: Professor Min, Associate Professor Chang Weilong, attending physician Zhu Lihong, Chief Resident Lin Hui and Ji Mo.
The earliest one was joint replacement surgery, and Professor Min was usually used to six people working together.
He was the surgeon, Chang Weilong raised his leg to adjust the position during the operation, three people pulled the hook, and one person adjusted the bone cement during the operation.
"Deng Zhi, there is a new face in our department today, why don't you take a break first and let him come on stage to try it out?" Professor Min said to Deng Zhi politely.
There are two purposes. The first is to let Lu Cheng feel the warmth of the fourth ward of the Department of Orthopedics. The second is to continue to test Lu Cheng’s bottom line. When he comes to the department, as a professor and ward director, he has the responsibility to teach
Although Lu Cheng may have been a graduate student for three years, Professor Min still likes to teach more.
As a professor, he doesn't just have to be nice to his patients. He must take on the teaching tasks of leading graduate students, training doctors, and regular training doctors.
Deng Zhi is already involved in clinical practice. An extra surgical assistant will not improve him much.
But for newcomers, it can well cultivate their cooperation level.
"Okay, then Professor Min, I will just be lazy for a day." Deng Zhi also understood that Professor Min is a real scholar who likes to ask questions and does not criticize others, but likes to guide. He also inquired about these characteristics of Professor Min below.
, I just came to Professor Min for further study, and before entering the department, I specifically asked to come to the fourth ward of Orthopedics to study.
"Come up, Xiaocheng." From this morning's question, Professor Min directly named him.
Obviously judging from Lu Cheng's performance in the morning, he left a deep impression on Professor Min. Lin Hui's eyes flashed when he heard this, and he thought to himself, what if Professor Min is also interested in Lu Cheng?
manage?
"Okay, Professor Min." Lu Cheng immediately went out to wash his hands.
Being able to watch the surgery on the stage is an excellent opportunity.
Lu Cheng immediately understood that in the department, he should not be too arrogant, but he must not be humble when it comes to things. This will increase his opportunities. And he also really wanted to see the professor's level up close.
Especially joint surgery, which he is very unfamiliar with, is very helpful in broadening his own knowledge and has many benefits.
Three minutes later, Lu Cheng changed his clothes.
He stood in Professor Min's starting position and was mainly responsible for passing the equipment.
Professor Min already had enough people on the stage and had already cut his skin in.
However, when Professor Min's incision was opened, Lu Cheng's eyes were like eagle eyes, collecting information within the surgical incision.
Professor Min likes to do the posterolateral approach, so behind the subcutaneous fascia layer is the tensor fascia lata layer. At this moment, Professor Min has peeled off the tensor fascia lata muscle and is exposing the gluteus medius muscle and the greater trochanter of the femur...
Lu Cheng is very familiar with the anatomical structure. After all, top-level limb anatomy is no joke. Lu Cheng can even know that next, Professor Min will also follow the anterior 1/3 of the gluteus medius and gluteus minimus.
Cut downward.
Lu Cheng didn't know what kind of feeling he was in now. It was as if he was extremely aware of every step Professor Min made, and he could clearly see every detail of Professor Min's knife cuts, including the incision of soft tissue.
direction.
According to Campbell Orthopedics' experience in surgical hip joint approach, Lu Cheng knew that the gluteus medius retractor would be used now, so he naturally asked the nurse for hand washing equipment.
"Teacher, please help me get the gluteus medius retractor."
The nurse brought the equipment over.
When Professor Min heard this, he paused deliberately: "Xiao Cheng, what do you want the gluteus medius retractor for?"
Lu Cheng paused for a moment and thought to himself, could it be that he just had a high surgery and his self-understanding after being immersed in it was wrong?
Did Professor Min have an opinion about himself?
Lu Cheng once again responded based on his memorized anatomy knowledge and Campbell's basic description: "Professor Min, I didn't take it on purpose."
"It's just that I saw Professor Min that you did not cut off the gluteus medius muscle in your previous step, and the muscle fibers of the gluteus medius muscle were blocked and the joint capsule was exposed, so the gluteus medius muscle retractor is more appropriate at this time."
“Because of the gluteus medius retractor, the assistant can perform the retractor on the outer and upper part of the hip joint without blocking your operation.”
After explaining, Lu Cheng asked: "Professor Min, did I understand it wrong?"
Professor Min could see that Lu Cheng was nervous and was afraid that he would be angry.
After working in the hospital for so many years, Professor Min's vision and understanding are naturally beyond the reach of ordinary people.
Professor Min then asked Ji Mo: "Have you seen these details?"
This is regarded as acquiescing to Lu Cheng's statement.
Ji Mo puffed up his mouth and said to himself, Master, I didn’t say anything, why are you asking me these things? He said: "Master, after I perform the operation, I will go to see the details of the operation. I only know how to use it."
Yeah, I don’t know why I use it.”
The end of the season is very challenging. If you know there is something you don’t understand, then learn it right away. It’s not too late!
Professor Min had a good idea of the end of the season. The foundation for the end of the season was also very solid. In his generation, Professor Min was particularly satisfied with the end of the season. However, now it seems that the newly arrived Lu Cheng
The foundation and foundation are slightly deeper than at the end of the season.
Professor Min then said: "Come on, Xiaocheng, you come on top of me."
"Okay, thank you Professor Min." Lu Cheng was overjoyed when he saw that he was not scolded, but was lifted from the fifth assistant to the position of the third assistant to pull the hook.
Lu Cheng stood on Professor Min's upper hand position, naturally tilted his waist, and used his left hand to pull the hook on the gluteus medius muscle without using any force. With the other hand, he naturally took over Professor Min's small curve.
The right elbow joint naturally sunk down, exposing the field of vision to the greatest extent while leaving room for Professor Min.
Professor Min suddenly brightened up again.
Lu Cheng studied it?!
The reason why he asked and affirmed was that he felt that at Lu Cheng's age, it was certain that he had some experience because he had worked before, but being able to master the details of the technique so well was not something he should have at his age.
.
But Professor Min was still not particularly curious and continued the operation, but his eyes involuntarily glanced at Lu Cheng a few more times.
Ji Mo, Zhu Lihong and others also looked at Lu Cheng but said nothing.
A small doctor is not worthy of much attention in the first place. There are many undergraduates who graduate across the country, but similarly, among undergraduates, if they have a solid foundation and deep understanding, they only studied anatomy and undergraduate orthopedics. If you look at it again
some books.
After being divided into majors, that talent was revealed.
From this morning's questions to his current performance during the operation, Lu Cheng is remarkable. At least, he shows that he understands the operation rather than remembers it.
These are two big differences.
No one thought that Lu Cheng was a little abnormal.
Chapter completed!