Chapter 3 Your hands are steady and your foundation is solid
When Lu Cheng noticed his panel again, he saw that there was a plus sign behind the level and skills.
It seems that detailed information can be seen generally.
After opening them one by one, I saw relatively detailed information.
"lv12.445/1200! Physician. (Title: General physician lv10-1v20, lv20-lv30 attending physician...)
(Note: The evaluation standard for physician titles is based on the top tertiary teaching hospital in the country where the player is located.)"
"Skill: Debridement and Suture (Intermediate) (Skill levels are divided into: Beginner, Intermediate, Advanced, Top, Expert, Summit, Breakthrough, and Lead.)
"Note: The evaluation standard for physician titles is based on the top tertiary teaching hospital in the country where the player is located."
“The junior level corresponds to ordinary physicians, the intermediate level corresponds to attending physicians, the senior level corresponds to senior attending physicians and associate professors, the top level corresponds to professors, the expert level corresponds to the top professors in the province, the peak level corresponds to national level professors, the breaking level corresponds to world-class professors, and the leading level corresponds to the leader.
Being a pioneer is the highest level and the highest honor."
"After your skills reach advanced levels, there is a certain chance of obtaining some special effects."
After reading these explanations, Lu Cheng was stunned.
Originally, he thought that the book page that had just been revealed had only upgraded debridement and suturing to an intermediate level, and it was just a simple upgrade.
But if we follow the current assessment model,
Doesn’t it mean that my current suturing level is comparable to that of the attending physician in a provincial teaching hospital?
After knowing this, Lu Cheng wanted to practice his skills with a few more emergency patients who needed suturing.
It's just a pity that the night passed, and it was a peaceful night, and he had a peaceful sleep.
This is also a good thing.
The next day, Lu Cheng finished his shift as the doctor on duty and hurriedly followed the superior doctor down to the operating room.
Although Lu Cheng had just finished his night shift, as a surgeon, there was no such thing as a day off.
You have to be on duty, you have to go to the emergency department, you have to perform emergency surgeries, you have to rewrite the medical records.
Elective surgery still cannot be postponed...
The department where Lu Cheng works is the Third Ward of Orthopedics. In Changshi First People's Hospital, the Third Ward of Orthopedics belongs to the Department of Lower Limb Orthopedics and Traumatology. The main patients treated are patients with lower limb trauma and fractures.
Cone is divided into three groups in total.
Ward director Chen Bing, deputy chief physician, has a doctorate degree and became the ward director before he was forty years old. He has a good chance of becoming the director of orthopedics. He has an attending physician and a regular trainee under him.
The chief physician who leads the other team is Director Zang, a very experienced director.
Lu Cheng followed Chief Physician Wang Chengxian. Under Chief Physician Wang Chengxian, there was also an old attending, Cai Xuan.
There are three groups, there are a total of 60 beds in the ward including extra beds, and there are 20 beds for each person, which is almost full.
And even according to the slowest mode of producing one batch of patients every half month, two batches of patients need to be processed in one month, which is equivalent to completing operations on forty patients.
In this way, even if we perform surgeries every day, we still need to do at least two surgeries every day.
very tired.
When we arrived at the operating room, there were only three people.
Lu Cheng, the attending physician Cai Xuan and another trained physician, Guo Xiaoyong.
Chief physician Wang Chengxian was the previous chief director of the Department of Orthopedics. Except for particularly serious fracture surgeries, he would personally perform the surgery. Normally, only Lu Cheng and Guo Xiaoyong would perform surgeries under the leadership of chief physician Cai Xuan.
In fact, Cai Xuan could have been promoted to deputy chief physician very early. It's just that he made some money from stock trading and investment in the early years. I heard it was more than 100,000 a month, so he kept working in the hospital as a boring job.
That's a rich man who doesn't take his measly salary from the hospital seriously.
The surgery was performed very seriously and attentively. As a result, I applied for the associate senior professional title eight times, but only passed the exam once, and I still haven't passed it.
But recently I heard that he was defrauded of more than 3 to 4 million yuan of his money, and he is preparing for the deputy position this year.
There were two surgeries today, both were simple fracture surgeries, so Chief Dr. Wang Chengxian did not need to come to the operating room at all.
Lu Cheng had to hand over his shift and write a handover book, so he came down a little late.
Cai Xuan and Guo Xiaoyong have already completed the preparations for disinfecting and spreading towels.
When Lu Cheng came down, he washed his hands and dressed, and then gathered around the operating table.
Looking at the patient's skin and subcutaneous tissue that were constantly being opened, the familiar light curtain and scene appeared again.
"Left femur fracture, soft tissue contusion, skin trauma: lv24! 24254/24694!"
Then Lu Cheng also saw that as the skin was cut, the damage seemed to be further deepening.
When the field of vision is exposed to the fracture, the monster's level has even increased by one level, reaching lv25.
Looking at this red monster, Lu Cheng wanted to fight it, but after looking at his own level of lv12, he decided to forget it.
This is not a battle of magnitude.
"Bone Knife,"
Cai Xuan shouted to Lu Cheng.
Lu Cheng quickly sent the bone knife over,
This case is actually a simple fracture of the long bone of the femur. After prying and reduction, internal fixation with steel plates and screws is enough. But before that, part of the soft tissue and periosteum around the femur needs to be peeled off near the fracture for better alignment.
"Sucking blood, what are you doing standing still?" Cai Xuan asked Guo Xiaoyong again.
There were only three people performing the surgery, not even a handwashing nurse following the stage.
Everything can only be done by the three of them,
Guo Xiaoyong quickly sucked up the blood that seeped out, exposing Cai Xuan's vision.
prying to reset,
Steel plate screws are temporarily fixed in two places,
Look at the fracture location on C arm,
The position is okay and anatomical reduction has been basically achieved.
Cai Xuan quickly drove in all the remaining screws, and after placing a drainage tube, he said to Lu Cheng: "Xiao Lu, today's surgery is relatively simple. Come and try to sew it. Anyway, you have plenty of time."
."
The next day for the team of the night shift doctor is the surgery day. The surgery can be scheduled in the morning so that the doctor on duty can go back to rest. This is one of the better systems in the hospital.
"Okay." Lu Cheng felt happy.
In order to save time, Cai Xuanna usually sews by himself.
At most, the last skin sutures should be left for myself and Guo Xiaoyong.
But there were only two surgeries today, so he had more time, so Cai Xuan actually gave himself the opportunity to sew from the inside.
This is a good thing. Guo Xiaoyong is only in his second year of training and he has already completed the training.
So the opportunity was given to myself.
Lu Cheng narrowed his eyes slightly,
I started to sew from the inside to the outside, the innermost fascia layer, holding the needle holder in my right hand, very steadily and very quickly, puncturing left and right.
Knotting with both hands, the little finger of the left hand hooked the suture scissors. When it was time to cut the thread, the scissors slid in a circle along the buttocks. After cutting, the scissors slid around again and were held by Lu Cheng's palm.
Then there is the subcutaneous layer, including fat.
The suturing of this layer is very important. If this layer is not sutured well, the surface of the wound will become uneven, causing cat ears.
Lu Cheng didn't pause too much and still chose the most classic vertical interrupted suture.
Needle after stitch, the needle goes in and out quickly and very steadily. Fast in and fast out is the first principle of suturing. This can not only protect the needle, but also make the operation look very skillful.
He is also very skilled in tying knots with instruments.
Guo Xiaoyong looked at Lu Cheng who was suturing with some confusion, and thought to himself, did Lu Cheng take the wrong medicine today? Is this the same Lu Cheng who had been pecking at each other with him a few days ago?
He must have gone home and secretly bought pig skins!
This scheming guy didn't even tell me.
The relationship between Guo Xiaoyong and Lu Cheng is actually very good. He has already seen a meal waving to him.
Cai Xuan was also a little entranced,
He has been quite busy recently. Most of the time, he has done the suturing himself, so he didn't know it. Unknowingly, this Xiao Lu's ability in suturing is already as good as his own.
Looking at the very flat incision surface on both sides of the skin at the end,
Cai Xuan immediately breathed a sigh of relief and said: "Xiao Lu, your hands are very steady and you can sew very well. I will not interfere with the suturing of wounds in the future."
"Guo Xiaoyong, you should also study hard. Lu Chengcheng is only two years older than you. Look at what you sewed last time. What is that thing called?"
Last time, when Lu Cheng was on duty, Cai Xuan and Guo Xiaoyong completed an operation. It was Guo Xiaoyong who performed the suturing. Halfway through the suturing, Cai Xuan kicked him out of the surgeon's position and questioned him for a long time. This fascia layer
Is this how you sewed it?
Obviously, Cai Xuan has approved Lu Cheng's suturing techniques and effects.
Lu Cheng had just finished sewing,
Chapter completed!