Dumped At The Start, The First Surgery Shocked The World
Chapter 14 Fracture Surgery
In the emergency room, Director Zhang Ming watched the film, his brows furrowed tightly.
"The tibia was broken in three places, four directly."
"It's not easy for migrant workers."
Director Zhang sighed, put down the beat, and said to the interns.
"Wang Xiaobei went to notify the operating room. In addition, he notified Director Liu of the Department of Orthopedics and asked him to come for consultation. The patient's fracture was relatively serious, and asked Director Liu to go to the operating table with me."
"Arrange a nurse to do a routine blood test on the patient."
The patient is young, has no other underlying diseases, and the brain CT has a good appearance. There is no need to do too many examinations, and the operation can be performed after a blood routine.
Xia Tian glanced at Director Zhang and asked carefully.
"Director, how should the operation be done?"
Zhang Ming picked up the water glass, took a sip of tea, and spoke slowly to a group of interns with the attitude of a teacher.
"Although the patient's fracture was closed, the tibia was broken into four segments, and there was no way to treat it conservatively."
"Open treatment must be done, and the fracture is fixed with a steel plate."
"This patient needs three plate fixation."
Routine surgery for fractures.
A stainless steel plate is attached to the broken bone, and the fracture heals. After one year, another operation is performed to remove the plate, which can be regarded as a complete recovery.
The price of steel plates is also different.
Ordinary domestic steel plate, a piece of three or four thousand.
Imported to two or three thousand.
Most patients are domestically produced.
The patient suffered three fractures, requiring three steel plates, and 10,000 pieces of consumables alone.
Moreover, one year later, another operation is required to remove the steel plate, causing secondary pain.
Recall the image in your mind.
Xia Xia looked at Zhang Ming and hesitated.
Zhang Ming glanced at him and said with a smile: "What's wrong? Do you have something to say?"
"If you have anything to say, just say it. You didn't come to the hospital to study. If you have any questions, feel free to ask."
The scene of McDonald's saving people in the summer is unforgettable to this day. Zhang Ming used to like this young man, but now he is more and more pleasing to the eye.
The director spoke, and Xia Xia boldly expressed his thoughts.
"Director, the patient has a closed fracture. If manual reduction is used, a plaster is applied to the patient, so that there is no need for surgery, let alone a steel plate, which not only reduces the cost, but also eliminates the need for a second operation to remove the plate."
"Gypsum and steel plate, the recovery time is about the same."
"The cast does not require an incision and reduces the pain for the patient."
"So...I'm thinking, is it possible to use the treatment method of manual reset?"
Manipulative reset, as the name suggests, reconnects the broken bone to the interface using manipulation.
To put it bluntly, it is to smooth the broken bones.
Steel plate is to use steel plate to fix the fracture. The purpose of the two is the same, both of which are to connect the bones, and the broken bones will be slowly connected after they are connected.
However, manual reduction does not require steel plates, let alone a second operation. After reduction, cast a plaster and slowly recover.
Director Zhang smiled and said to Xia Tian in a gentle tone.
"First of all, I want to praise you, you can ask this question, it shows that you are really thinking, thinking about the patient from the bottom of your heart."
"However, the patient had three broken bones, and manual reduction of such broken bones is very difficult."
"After Director Liu comes over in a while, I can share your thoughts with Director Liu and listen to what he has to say. Director Liu is an orthopaedic expert. He has 20 years of clinical experience in orthopedics. If he can do manual reduction, of course It is the manual reduction that is more beneficial to the patient.”
Director Zhang has a pleasant face and soft eyes.
Xia Xian nodded after listening, and thanked Director Zhang.
At this time, Wang Xiaobei came over and asked Zhang Ming with a smile.
"Director, the tumor patient yesterday, the oncology department said it was cancer. If it was cancer, he..."
Before he could finish speaking, Director Zhang glared and scolded.
"The cancer patient has been handed over to the oncology department, you have to ask questions, go to the oncologist."
"I didn't see that I was busy!!!"
"In addition, you have also graduated from graduate school, and you have studied medicine for eight years. When you encounter problems, you go to the literature by yourself. Don't come to ask everything, just check the literature with your heart, so that you can have a solid impression. If you come to me and ask me about everything, I'm not you. mother."
"Go, go, don't delay my work."
This……
Didn't you say "if you have any questions, feel free to ask"?
The plot is not like this.
The same is an intern, why is the gap so big.
Wang Xiaobei wanted to cry without tears.
I feel distressed and hug the fat one to send a few...
Ten minutes later, Fatty Yang brought back the blood routine report.
"Director, blood routine is normal, liver and kidney functions are normal, no hepatitis B, no AIDS."
"It's time for surgery."
"Okay." Zhang Ming got up slowly, took a sip of tea, took off his white coat and prepared to walk towards the operating room.
Seeing this scene, the intern doctors in the office all stood up and looked at Director Zhang with fiery eyes. Whenever this time, the intern doctor looked at the director's eyes, like an infatuated girl, looking at her infatuatedly. lover.
During the operation, the director will bring two or three interns to visit. During the operation, the director will explain and perform the operation.
On-site observation and immersion are the best learning opportunities.
Zhang Ming glanced at the interns who were waiting to be fed.
Light mouth.
"Summer, Fatty, Li Xiaohong, the three of you come with me."
The three of them were so excited that they hurriedly washed their hands and changed their clothes to prepare, while the interns who were not selected were all crying.
Intern No. 1: "Why didn't the director choose me? Is it because I'm short?"
Intern No. 2: "You are not only short, but also ugly. The director is afraid of seeing your face spit out during the operation."
Damn chicken!
Intern No. 1 was angrily: "Then tell me why the director didn't choose you?"
Intern No. 2: "Because I am so beautiful, when the operation is so concentrated, my beauty will affect the director."
Ow!
Vomited!
After joking for a while, Doctor Intern No. 1 mumbled with a look of "this baby is not happy".
"The director is too partial to summer."
"We all graduated together. We are all interns. The director is so biased, how can we study?"
"I calculated that I came for an internship for three months. In summer, I have an average of two opportunities to follow the stage every week. For the rest of us, it is at most once a week, and sometimes it is only once every two weeks."
"Why is the gap between people so big?"
"Why?"
While talking, there was no movement in the office.
When he raised his head, he saw that everyone was staring at him, so frightened, he immediately changed his tune.
"Brother Tian is awesome!"
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