Chapter 367 He is also going to be a teacher!

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

Two surgeries were performed. The patients who just arrived in the ward last night were two patients with comminuted fractures. One was a patient with a comminuted fracture of the humeral head of the shoulder joint, and the other was a patient with a comminuted fracture of the middle part of the femur.

For patients with comminuted fractures of the humeral head, because there are too many fracture fragments, intramedullary nailing and internal fixation are definitely not possible and can only be done through incision. For patients with comminuted fractures of the middle part of the femur, they can still struggle a little and use titanium

The combined treatment of mesh + intramedullary nail internal fixation can reduce the surgical incision.

Speaking of which, when Lu Cheng was arranging the operation, he couldn't help but think of the time when he was a resident doctor at Changshi First People's Hospital.

Obviously he also knew about the current treatment of fractures, especially simple fractures, or in other words, the gold standard of internal fixation is intramedullary nail internal fixation. However, when he was at Changshi First People's Hospital, except Chen Bing

Occasionally, a few intramedullary nails were installed, but other old directors, including Director Wang, still continued the old method of open reduction and internal fixation of fractures with plates and screws.

It’s not that the steel plate is not well fixed and the effect is not strong. It’s that the intramedullary nail internal fixation can use small incisions and multiple small incisions to complete the operation. Moreover, the effect of internal fixation is relatively stronger than that of the steel plate.

Less prone to breakage.

However, intramedullary nail internal fixation is actually a closed reduction, and the grasp of the fracture end is naturally not as accurate as open reduction. The entire operation process also requires a strong hand feel. Especially when the golden finger enters the vicinity of the fracture.

When it comes to the end and the far end, if the feel is wrong, it will be absolutely ecstasy!

Small incisions, which are relatively minimally invasive, are a major trend in the development of surgery. Because small incisions mean easier recovery of postoperative wounds, less chance of infection, and minimal damage to soft tissues. Together with these many benefits, the patient's own experience will also be

Much better.

At least you won’t see the large centipede incisions seen in traditional open surgery.

Professor Li Dongshan's group where Lu Cheng is working has four bedside doctors in September, namely Xie Jian, Guo Dongming, Chen Xuanhai and Lin Ruili. Xie Jian is a graduate student in orthopedics and a new graduate student this year. Guo Dongming and Lin Ruili are respectively a chest

Graduate students in surgery and neurosurgery, Guo Dongming is a third-year graduate student, and Lin Ruili is a second-year graduate student. Chen Xuanhai is a regular trainee in the Department of Urology, and this is also his second year.

There are also four interns, namely Zhou Linli who is studying in the 8th year of Xiangnan University, Luo Wen who is studying in the 5th year of Xiangnan University, Peng Shanquan who is studying in the 7th year of Xiangnan University, and Dong Zhen who is studying in the 5th year of Xiangnan University of Traditional Chinese Medicine.

Zhou Linli is a bachelor, master and doctoral student. This year is the fifth year of the eight-year program. He is about to choose a tutor, so he chooses the department and tutor he likes when interning in various departments.

Luo Wen is a candidate for graduate school. She has already confirmed that she will be admitted to graduate school. She has not yet decided which university she will go to. However, according to her, she may go to Jiaotong University in Shanghai or affiliated with Kyoto University. Now she is rotating through various departments to find her.

Intended department.

Peng Shanquan is in a similar situation at the seven-year program. He is currently studying for a bachelor's degree and a master's degree. He is now in his fifth year and has to choose a tutor and a major. Among the four interns, Dong Zhen, a young girl from the University of Traditional Chinese Medicine, felt that she was different from these few.

Practicing as an individual in a group feels like being hit by dimensionality reduction.

In fact, she is also a very outstanding student in our school. She is always ranked in the top 15 in her grade. She is also qualified for postgraduate study. However, her university can only guarantee the admission qualifications of our school, Hunan Normal University and Xiangnan University.

Their school doesn’t have it yet!

But compared with these others, Dong Zhen seems a little less good-looking.

So after Lu Cheng arranged the tasks of other bedside doctors, when he looked at the several interns, Dong Zhen was the first to stand aside. The others looked at Lu Cheng curiously. After all, they were

As a student of Shonan University, I almost vomited when I saw the information about Lu Cheng in the group and circle of friends during the holidays.

I also know that Lu Cheng is one of the most perverted students in Xiangnan University. He has a lot of student fans and teacher fans. He is even famous throughout the country. He is only two or three years older than them at most. Not only does he have

When I got my Ph.D., I also received the top talent introduction award from Shonan University!

This is the smell that they, as top academics, smell very keenly. No matter how the rumors spread, they are still a little bit unconvinced in their hearts.

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

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

"If there are no special circumstances, everyone must attend the ward rounds in the morning."

"Dong Zhen, just follow me first." Lu Cheng added at the end.

As soon as Lu Cheng finished speaking, he saw that the expressions of Zhou Linli and the three people immediately became slightly confused. The three of them were assigned to graduate students, but Lu Cheng took Dong Zhen with him personally. This was because

What?

Zhou Linli immediately raised his hand and asked: "Teacher Lu, can we apply to follow you?"

He didn't mean to be timid at all, and he didn't think he needed to be timid. He was here to learn. Lu Cheng was now the chief resident, so as long as he asked questions that were not the lowest level, there was no mistake.

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 she said, "Teacher Lu, why don't I just follow Brother Xie Jian and the others."

This is not the first time that Dong Zhen has teamed up with Zhou Linli and others for internship, so she knows that her school background and basic skills are not as solid as these people. Moreover, she usually asks these people some questions, so it is not too easy.

Being pushy, I cautiously gave the next best thing.

Lu Chengcheng said to Dong Zhen: "Just follow me. If you also want to follow me, you can, but if there are too many people, I may not be able to take care of you, and it is very hard to follow me. I am now

The total hospital stay requires a lot of emergency surgeries."

"The reason why I asked you to follow my fellow graduate students is mainly because I'm afraid that you each have your own things to do. My arrangement can give you more free time."

"Because you are either in the stage of choosing a tutor now, or you are in the stage of applying for a resume in an insurance research school. You have to think clearly."

"Luo Wen plans to take the postgraduate entrance examination, so basically she just needs to read the books by herself."

Lu Cheng expressed what he was thinking.

To take the postgraduate entrance examination, you only need to read books carefully, but it is different for other postgraduate students or students who are studying continuously. Lu Cheng also made better arrangements based on their corresponding situations.

Zhou Linli frowned slightly when he heard what Lu Cheng said, and finally decided: "Teacher Lu, as for me, there is no rush to choose a tutor or department at the moment, so I still want to follow you to see more about emergency surgery."

It will also help me learn more about orthopedics."

Zhou Linli really doesn’t want to follow Xie Jian. Xie Jian may not have the knowledge to put it nicely. If he follows Xie Jian, wouldn’t he be pecked by a novice? Should he lead me or should I lead him?

ah?

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

Luo Wen wanted to go to the Endocrinology Department of Jiaotong University in Shanghai, so what she needed was time, not staying with the more mysterious Lu Cheng.

Lu Cheng might have a lot to teach her, but he wouldn't need it.

Peng Shanquan is a boy and is more interested in surgery. He came to the orthopedics department to see if he would find orthopedics interesting, so he said: "Teacher Lu, I will follow you! At least I have the strength."

Peng Shanquan has a rather burly figure. He is 1.75 meters tall and has gained 180 kilograms of meat. He looks very strong, so he joked about it.

Dong Zhen didn't refute. She actually wanted to learn more from Lu Cheng, but she was just afraid of being ostracized by others in the group.

Lu Cheng actually knew that those who could come to Hunan University and study consecutively usually had certain plans for their lives and studies, so he respected the choices of these people and gave them the freedom to study.

This is the freedom that Professor Min Hong and Professor Li Dongshan gave him in the past. Now that he is a teaching teacher, he will naturally also give certain freedom of choice to the students who follow him, although he is only an intern.

After hearing this, Lu Cheng said: "Then let's settle it like this first. If you follow me, I have one request. That is, you must be there for ward rounds in the morning. If you don't go to surgery, you still have your own freedom."

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

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

After Lu Cheng made all the arrangements, Luo Wen went directly to Guo Donghai. After explaining the situation, Guo Donghai began to tell Luo Wen to do things...

Lu Cheng didn't care how Luo Wen and Guo Donghai got along. As long as they didn't cause medical disputes or accidents in the clinic, Guo Donghai could still take Luo Wen to see them.

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

The patients who underwent open reduction and internal fixation of the humerus were managed by Lin Ruili. Lu Chengcheng just asked him to send the surgery, and explained the surgical method, preoperative and postoperative medical instructions in detail one by one, and also provided the types of documents signed during the conversation.

, all explained in detail one by one.

The other patient with a fractured femur belonged to Xie Jian. Lu Chenggong called the three interns to 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, okay."

When they met for the first time, Xie Jian thought it was polite and sensible to call him Teacher Lu, but now that they have been together for a while, he felt that it would be better to follow the orthopedic practice and call Lu Cheng Brother Lu, which would appear cordial!

"What kind of surgery?" Xie Jian asked as he opened the page for surgery.

Lu Chengcheng said: "What kind of surgery do you think should be done? What kind of surgery should be done?"

Lu Cheng mainly felt that the time now was not urgent, so of course he could spend more time teaching Xie Jian to a certain extent. Because if he regarded Xie Jian as an ordinary rotational trainee, just a person who does things,

There is absolutely no need to talk nonsense with him!

"Uh!~?" Xie Jian was dumbfounded at the time. Is this a good question to ask?

Are you making things difficult for yourself?

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

He said the same name as Lin Ruili’s fracture.

This is Xie Jian's second month of clinical practice. Last month he was in the sports medicine department where Chang Weilong worked. Before taking the postgraduate entrance examination, he actually didn't know much about many issues in orthopedics. He only knew some basics of orthopedics.

Indications for surgery are an advanced issue in orthopedics!

Lu Chengcheng looked at Zhou Linli and Peng Shanquan.

"Do you two have your own ideas? What kind of operation do you think this patient should undergo? Have you paid attention to this patient's films before?"

In teaching, one thing to teach is clinical thinking, and the other thing to learn is systematic thinking.

Lu Cheng's current skill level is not low, and the clinical ideas and knowledge platform he has laid down have also been sorted out by Professor Min Hong. After the continuous reinforcement process, he has developed a very clear and detailed thinking structure.
To be continued...