Great doctor starts with adding points
Chapter 153 Don't understand (Second update, please subscribe)
Back in time, before today's second operation started.
Dong Chun took advantage of the gap to find Lu Junyin, and the two hid and lit one, and then Dong Chun said: "Director Lu, I don't think your previous worries are necessary. I don't think Dr. Long is here to visit the hospital." of."
"Looking at this first operation, isn't it a little too much to worry about?"
Before the start of today's operation, Lu Junyin greeted Dong Chun in advance, telling him to strictly control the duration of anesthesia and make complete preparations.
But in fact, Long Yuan's surgery skills were much better than Lu Junyin and Dong Chun's expectations, and Long Yuan really wanted to do something, not just passing through the scene and treating the support here as a tourist.
However, Dong Chun could also understand Lu Junyin's thinking. He was really the last great master of hepatobiliary surgery who came here to support him.
He dared to teach, but Lu Junyin didn't dare to learn it anymore, and he would never dare to perform minimally invasive surgery to protect his gallbladder in the future.
This time, Lu Junyin is also prepared in advance to take over the operation at any time, so I hope that Dong Chun can extend the anesthesia time a little bit, and don't be too anxious.
Lu Junyin nodded in response: "Old Dong, this Dr. Long is different from the previous Dr. Huang, but for the next operation, you should follow what I said."
"I just chatted with Dr. Long. I guess there is a high probability that Dr. Long wants to let Xiao Wu try again. Xiao Wu's situation is quite special."
Hearing this, Dong Chun's right hand shook, the soot fell, and his tone was strange: "Is Xiao Wu's situation still special?"
I thought to myself, you don't have a long memory, after you tricked me last time, you forgot to invite me to dinner.
"The removal of the internal fixation device is the simplest entry-level surgery in orthopedics. During the ordinary residency training period, as long as the superior dares to let go, it can be done. This is definitely different."
"This operation is a real internal fixation of femoral fracture with plate and screw, which can be classified as a second-level operation that can be classified as third-level. We still have to be careful."
"Xiao Wu is Dr. Long's younger brother. He came here to teach. Old Dong, you should work harder!" Lu Junyin cupped Dong Chun's fist.
"Be careful and make no big mistakes."
When Dong Chun heard Lu Junyin's explanation, he raised his heart a little bit: "Okay. What you said makes sense, and there is no big mistake in being careful. I will try to prolong the anesthesia time."
Then Dong Chun prepared several groups of medicines.
...
In fact, it was true. Long Yuan was feeding Wu Xie as soon as he came in, and he also wanted to let Wu Xie try it.
But it turned out that there is something wrong with the two of you. The operation that Lu Junyin usually couldn't complete in more than an hour or even two hours, you sutured in less than half an hour.
Of course, Dong Chun didn't dare to bully him.
Surgery is not as fast as possible, but those who dare to perform fast surgery are generally of a very high level.
And whether the operation process is smooth or not, and whether the quality of the operation is good or not, all those involved in the operation are aware of it.
After Wu Xie's fracture reduction, both Long Yuan and Luo Wei felt that there was nothing wrong with it. Coupled with the shock in their eyes, even if Dong Chun didn't understand the quality of orthopedic surgery, he knew about the reduction this time. Very well done.
Before the surgical incision, the fracture has been reset, which is equivalent to making an incision, and then putting in the plate and screw for internal fixation. To a certain extent, this is the retrograde operation of the internal fixation device removal operation, and it is also very simple.
In this way, Dong Chun was tricked by Lu Junyin again.
The anesthesia fee is charged according to the type and duration of the anesthesia. Now that I have prepared the medicine in advance, but I don’t need it, I have to pay for it, and the pharmacy will not find you, Junyin Lu!
Dong Chun was depressed.
As the saying goes, there are only three things.
This happens to be the third time.
Dong Chun's eyes and emotions looking at Lu Junyin at this moment are extraordinarily complicated.
Because there is another point, that is, as an anesthesiologist, the drugs he uses are basically controlled drugs. You overdose again and again, and the prescription is useless. There are many such things, and it is not ruled out that there may be You know if the police came to your door...
Lu Junyin deliberately stood upright and looked at Dong Chun for dozens of seconds, then lowered his head to observe Wu Xie's stitching.
Wu Xie's stitching is extremely well-regulated, even if He Ling does the stitching, it can only be made like this.
Although the fracture of the femur has a relatively deep opening, the internal fixation of the fracture performed by Longyuan is the place where the steel plate is placed on the broken end of the fracture. The opening is about five centimeters wide. The method of point cutting and screwing is adopted.
One stitch of superficial suture is enough, so all the time of the whole operation is finally accumulated to only forty minutes, and the suture, bandage and plaster external fixation are completed.
After the operation, the anesthesia will also end, so we can't continue the surgery.
The patient was a middle-aged woman in her forties. She didn't fall asleep. When she felt her surgical drape was lifted, her face turned pale with fright, and she asked, "Dr. Dong, my surgery won't go wrong. Is there a problem? Before the operation started, you told me that it would take about two hours."
"But I think it's only two hours?"
When she was about to pass the bed, she looked left and right, asking questions from her soul!
Hearing this, Long Yuan raised his head slightly, looked at Dong Chun, his eyes flickered, as if he was asking, did you say this? No wonder your hospital can't carry out tertiary surgery.
The standard treatment for fractures of the middle and lower femur is femoral intramedullary nailing. However, all intramedullary nailing operations are tertiary operations, so they cannot be carried out, and can only be replaced by plate and screw internal fixation.
In fact, plate and screw internal fixation is also a third-level operation, but it is managed as a second-level operation. Compared with intramedullary nail internal fixation, it is simpler, so the grading is different in different hospitals.
It's a sideshow.
It is the same as open reduction, plate and screw internal fixation for tibial fractures on the first day of operation.
Dong Chunwen said with a smile and explained: "That's not it. The experts in Tongji Hospital are good. Elder sister, I explained to you in the safest time, so don't worry."
"Doctors with high skills will perform operations faster."
"Doctor Long, right?" Dong Chun also asked Long Yuan to explain to the elder sister a few times.
Long Yuan didn't care about what Dong Chun had said to the patient, and explained along the way: "Don't worry, the operation process and operation quality are things that our doctors should consider. If you do well, you dare to end the operation."
"You, what you need to pay attention to in the future is to manage the wound well, eat more and exercise more, and cooperate more, right?"
"The division of labor between our doctors and patients still needs to be clear. We can't ask you where to cut when we are performing an operation. Isn't this a joke?" Long Yuan's tone was medium and full of confidence.
No matter where this operation is taken, no one will dare to say bad word after seeing the postoperative fixed film. The quality of the operation is guaranteed, so the speech must be confident. If there is no operation with doubts, then the operation The prognosis is relatively good.
Long Yuan is not worried at all.
Hearing Long Yuan's explanation, the eldest sister hurriedly said: "Hey, Doctor Long, don't get me wrong, I just don't understand, so I just asked casually, there is no other meaning."
She came here for surgery, but did not choose to go to the county. In fact, she came here for the expert of Longyuan Tongji Hospital. Tongji Hospital is a top hospital in the province, and it is considered a top hospital in the whole country. How dare she question their technology.
That is better than the township and the county, isn't it a matter of course? Otherwise, how could someone be an expert.
"It's all right. If you have any questions, just ask. Let's communicate and solve them face to face, right. Except for professional questions, you may not need to understand in detail about how to do surgery. In other aspects, if you have any questions, you can ask , and you have to ask."
"After all, in fact, you and your family members are the best monitors of your condition. None of us doctors can handle a disease like yours."
"Relax after the operation..." Long Yuan has his own way of communicating with patients, which is different from Wu Xie and Lu Junyin and others.
Let active and active patients participate in the overall treatment, which is also a new plan of humanistic care and treatment plan developed by modern medicine!
When the words came to this point, Wu Xie took the initiative to say: "Madam, don't worry, the operation is over, you should rest and move around, and pay attention to the things we told you before the operation not to do. Other than that, you can do as usual."
"Let's go out of the ward first, the uncle and younger brother outside must be waiting anxiously..."
"Director Lu, Brother Wei, Senior Brother, Sister Xi and I will take the patient back to the ward, you go to rest first." Sending the patient back to the ward is usually the job of the lowest-level doctor. On the stage now, he is the only resident doctor, and the others They are all attending or deputy chief physicians, so it must be him.
After Wu Xie finished speaking, he and Huang Xi sent the patient out.
At the door of the operating room here, only the patient's family members, that is, her husband, parents, in-laws, etc., are waiting outside, but there are no other surgical patients.
When they saw her being pushed out, everyone was stunned for a moment. They didn't dare to recognize her when they stood up. They were afraid that it was a corpse that was pushed out, and the operation ended so quickly.
"Xiao Wu, Wu, Doctor Wu, who is my wife?" The leading middle-aged man was at a loss.
"Uncle Qin, ma'am is done with surgery..."
"Changgui..." The woman also called out to her husband, Qin Changgui, in a tough voice, and everyone approached one after another.
"How do you feel? Why is it so fast? The operation of the cousin on the previous table was much slower than yours..." Qin Changgui hurriedly asked. Wu Xie explained while pushing the bed, and everyone gradually felt relieved.
Everyone had a good time, and the laughter on the way back was like waves.
...
In the dressing room of the operating room, there were only Long Yuan and Luo Wei, and Lu Junyin was once again left behind by Dong Chun.
He Ling first ran to greet and prepare lunch in advance.
Today's surgery went so smoothly, it must be earlier than the scheduled lunch time, at least before twelve o'clock.
Luo Wei said with a sneer: "Brother Yuan, you are really amazing. You brought Xiao Wu on the road so quickly. Xiao Wu's comprehension is really terrifying."
"Compared to you, I'm really a student. I really want to change my name and keep calling you Teacher Long."
Hearing this, Long Yuan's eyelids twitched for a moment, and he asked back: "Brother Wei, how do you know, I actually didn't understand how Xiao Wu's technique reset?"
"Ah?" Luo Wei was stunned for a moment, and then said, "Brother Yuan, are you kidding me?"
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