Chapter 4 Is this the patient I just had surgery on?
"Congratulations on helping your team to kill the monster: left femur fracture, soft tissue contusion, skin trauma: lv24!"
"Congratulations on killing the monster: skin surgical incision wound: lv9!"
"Experience gained: 608! (Contribution is 2%, kill monsters by leapfrogging, and get 200% experience reward.)"
"Experience gained: 240!"
"Get gold coins: 102!"
"Get gold coins: 64!"
"Get the book page: Fracture Reduction (Intermediate) (Including open prying reduction of fractures, closed reduction of fractures and manual fracture reduction). (No prerequisites for use, can be used directly.)"
"Get the book page: Cosmetic Suture (Elementary) (no prerequisites for use, can be used directly)"
"Acquire passive skills: Beginner (passive, no level, cannot be upgraded, cannot be dropped). Reading medical-related books can activate 200% reading speed and 1,000% memory."
"Wish you a happy game."
"Your level has been improved. The current level is lv13! 93/1300!"
"Get gold coin reward: 130!"
Good guy!
Lu Cheng looked at the two glowing pages and suddenly felt his eyes light up.
He already knew the power of the previous intermediate debridement and suturing.
Even the attending physician Cai Xuan recognized that it was the strength of an attending physician at the teaching hospital level.
Lu Cheng directly selected the two pages for use. In an instant, the skills related to fracture reduction came in like an enlightenment. Lu Cheng could think of some special details just by thinking about them.
Looking at the beginner's passive skills, Lu Chengyi was even more delighted.
Medical books are inherently boring and difficult to remember. With this, wouldn't it be possible for me to learn quickly even if there are no pages?
Exam later?
Isn’t that just casual?
I also got 296 gold coins, which is 296 oceans.
Real money.
Well, don’t transfer the money yet, keep it first, and deposit it and withdraw it together when the time comes. That would be a wonderful feeling.
Seeing Lu Cheng giggling, Guo Xiaoyong was unhappy.
I thought to myself: Teacher Cai, even if you praise Lu Cheng, you don't have to do it at the expense of me, right?
Look at Lu Cheng's snickering look,
Guo Xiaoyong secretly swore in his heart, MD, I will buy pig skins tonight, and I will eat pig skins today, and I will also have a portion of skin jelly...
More than forty minutes later,
The second patient was also admitted to the operating room. After the spinal anesthesia was completed, Lu Cheng was disinfecting and Guo Xiaoyong was lifting his legs.
While carrying it back, he said: "Brother Cheng, you just said you were really inviting me to dinner tonight, weren't you kidding me?"
"I was actually just joking."
Guo Xiaoyong is a trained doctor, and Lu Cheng is just a temporary worker. There is not much difference in the nature of the two people. The only difference is that Lu Cheng has a medical qualification certificate and he does not, so he cannot be on duty alone.
The money received by the two people was almost the same.
After all, the night shift pay is pitifully low. A 24-hour shift only costs 60 yuan, which is not even enough for takeout.
So actually speaking, Lu Cheng was even more 'miserable' than him.
Lu Cheng said: "Of course it's true. Can I still lie to you? When have I ever lied to you?"
"I'm in a good mood today, so I'll eat wherever you want."
Guo Xiaoyong said to himself that he didn't knock Lu Cheng's bamboo pole every day. It seemed that it was not a bad idea to go out and give him a massage. He could just invite him back next time.
We all work together as a team. Although the patients are managed separately, they often help each other.
Well, I want to eat pig skins and skin jelly.
"Let's make an appointment at six o'clock in the evening to have skewers. It's nearby. We'll add two bottles of cold beer and enjoy it." Guo Xiaoyong has already thought of a place.
"OK."
"Forget the beer, it's cold here." Lu Cheng replied casually, but he was not slow at all in disinfecting his hands.
I just harvested nearly 300 yuan, so it is still feasible to make a bunch of skewers.
…
After Lu Cheng and Guo Xiaoyong completed the disinfection, they were about to prepare the towels. Before starting the disinfection, they called Cai Xuan.
So the two of them were almost ready, and Cai Xuan stepped in just in time. He had already washed his hands, and the cooperation was quite tacit.
This patient suffered a comminuted fracture of the middle part of the lower leg.
However, Cai Xuan was not afraid at all. After applying the tape for the surgical incision, he quickly found the surgical incision and quickly reached the cortical bone of the tibia and fibula.
Take a look at the situation inside,
messy,
Blood was pouring out from the wound that had been broken for several days.
After all the suction by the suction device was completed, the broken bone residue came out.
The smashing was really outrageous,
Lu Cheng looked at the monster's level: "lv35!"
It is directly 11 levels higher than the previous fracture.
I can't afford to offend the big monster for the time being.
As expected, both Cai Xuan and Guo Xiaoyong frowned.
Cai Xuan may have seen that such a shattered fracture would be difficult to reset, while Guo Xiaoyong saw that,
This surgery is estimated to take more than two or three hours. It will be a long time before I get off work. After get off work, I have to go to the department to write medical orders and write medical records.
I definitely won’t be able to sleep during the nap, and I won’t have lunch either…
"Lu Cheng, Yuan Dao, we need to enlarge the incision." Cai Xuan made a decision immediately.
Originally, Cai Xuan thought that the inside was as shattered as it looked in the film, so he tried to make as small a hole as possible.
However, complex fractures cannot be treated with a small incision. This is common sense. It is better to expand the incision early, expose the field of vision, make the operation more refined, and make the incision larger. Compared with the final effect of the operation,
That pales in comparison.
There are not many soft tissue attachments in the calf, and the bony structures are very prominent.
After almost completely opening it,
Finally, I could see all the bone fragments clearly. They were shifted forward and backward, so they were obscured and blurred on the X-ray, making it difficult to see clearly.
Oblique, T-shaped, wedge-shaped, broken...
The originally smooth and smooth backbone was completely out of shape.
"Prepare two steel plates. Let me compare them first." Cai Xuan said to the operating nurse.
The first operation was a simple fracture, so it was not suitable for the operating nurse to attend, but this was not the case. Cai Xuan had already anticipated such a complicated operation and had already given Lu Cheng and Guo Xiaoyong a greeting.
"Okay, Brother Cai!" The surgical nurse quickly handed over steel plates of different lengths.
After just a slight comparison, Cai Xuan put down the steel plate.
The approximate length is known, but how to reposition these bone fragments is a troublesome problem. Moreover, the tendons above and below the broken end also pull the broken end to move left and right.
He needs to think it over carefully.
Looking at these broken bones, Lu Cheng's hands felt very itchy. He wanted to push Cai Xuan's hand away and said, "How about I do it?"
It's like a patient with obsessive-compulsive disorder who sees something being disrupted and can't help but want to restore it to its original state, and has the confidence to restore it to its original state.
But Lu Cheng didn't do that,
On the operating table, crowding the surgeon and rushing to operate are absolute taboos in medicine.
Unless you don’t want to mess around on this road, if it happens, no superior will want to take you, and no one will set up a stage with you. You have no place to learn surgery, how will you grow?
Lu Chengcheng just did his best to pull the hook.
Cai Xuan was fiddling there,
Ten minutes later, Cai Xuan looked up at the shadowless lamp and seemed to be still thinking about what to do.
Then he lowered his head to look at the broken bones, and walked aside to look at the tools.
See if you have suitable pliers to clamp and fix these fragments. Then, fix the screws from the long bones on both sides of the broken end, and then use the bone itself to clamp the fragments.
Later, the scab will slowly form and be reshaped.
At this time, Lu Cheng secretly thought that his chance might have come.
He used his left hand to pull the hook, and after playing with it for a while with his right hand, as if he had enlightened himself,
Guo Xiaoyong's eyes suddenly straightened. He didn't have time to think too much and said quickly: "Teacher Cai, Teacher Cai, come here and take a look!"
Cai Xuan thought it was bleeding or the patient had an accident, so he came over with a bone knife.
Look into the incision with both eyes,
Suddenly many question marks popped up in my head.
This is?
Chapter completed!