Great doctor starts with adding points

"Brother, I'm sorry, I also drank too much yesterday." The next day, Wu Xie apologized to Long Yuan, who had a dark face at the door of the department.

He didn't send Long Yuan back to the dormitory yesterday, so something big happened.

Long Yuan was already in a bad mood, and now his face was even darker: "You are the only one who talks too much."

Long Yuan's bile is oozing out now, and he can't express his suffering.

This time, there are a total of four people from Tongji Hospital's counterpart support program to Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, two in internal medicine, one in obstetrics and gynecology, and the other is Longyuan.

The eldest sister in the obstetrics and gynecology department is Wang Jing, Long Yuan is not very familiar with her, and the other person in the internal medicine department is Long Yuan's good brother Dei, besides that, it is Huang Yan!

The rumors are a bit gossip, but Longyuan has always stuck to his heart.

But yesterday, Huang Yan himself did not misunderstand, and then called brother Zheng Jianyi who went to the internal medicine department with her for support, and took Long Yuan to the dormitory.

But with Zheng Jianyi, Long Yuan couldn't explain clearly.

This morning Zheng Jianyi also sent a message asking: "Have you figured it out? If you figure it out, you should be more proactive when you meet a good girl..."

Wu Xie quickly shifted his focus to today's operation: "Brother, the pre-operative talk has been completed for today's two operations, one for femur fracture with intramedullary nail fixation, and one for fibula fracture with Kirschner wire fixation surgery. The intramedullary nail is arranged in the first one.”

"And the anesthetist today is Deputy Chief Physician Qin Hong from Minda Hospital."

Return to work, so that Longyuan's embarrassment can be alleviated.

In the office, Luo Wei, He Ling, and Lu Junyin also had dark faces, each holding a computer, without saying a word.

The matter of Longyuan is the matter of Longyuan. Yesterday, the three of them almost worshiped in the street, and even quarreled with the neighbors on the street, and then they were sent back to each other. They are well-known in the town.

In the morning, Luo Wei was the least affected by himself, but when Lu Junyin and He Ling were on their way to the hospital, many people kindly asked how much they drank yesterday...

This incident can be regarded as covering up the fact that Longyuan went to the wrong dormitory, went to the female workers' dormitory, and went to the stairs to sleep hugging the iron guardrail.

As soon as eight o'clock arrived, Lu Junyin routinely presided over the early shift. Before the early shift, Lu Junyin symbolically mentioned the matter of the pennant, and also said that Wu Xie was rated as a small emergency wrench.

Then he said emphatically: "The head nurse, and Dr. Long, after a week of hard work, the anesthesiology department of our hospital finally invited the deputy director of the anesthesiology department of Minda Hospital, deputy chief physician Qin Hong, to come to our hospital to practice on a designated basis."

"Our hospital's approval form for tertiary surgeries has also been passed. Starting today, our hospital can routinely carry out tertiary skilled surgeries. At present, the most important operations are related to orthopedics."

"Dr. Long will have to work hard for you then." Lu Junyin smiled politely towards Long Yuan.

Long Yuan nodded and said: "Brother Wei, Dr. He Ling, and Director Lu, you all have solid basic skills, and you can perform such an operation very quickly. I will be free later."

Lu Junyin confessed to Xu Yahui: "Nurse, you still have to explain this to your nursing department. The postoperative patients in our department will have different recovery plans. Don't promote and learn from each other. Be sure to listen carefully. The explanation at the time of the room."

"Among the patients, because the orthopedic surgery is different, the rehabilitation plan is also different, which is different from before, so some of the things that were explained in the department before can no longer be said."

"If it's a general surgery patient, the details are pretty much the same. You need to pay attention to this." Lu Junyin actually discussed it with Xu Yahui in private, but for the sake of formality, he checked it carefully again in front of everyone.

Intramedullary nail fixation, in Longyuan's understanding, can get out of bed on the same day, if it is plate screw fixation, it will be delayed for a few days.

Lu Junyin did not carry out intramedullary nailing before, so naturally he explained the same thing and could communicate with each other.

But that will inevitably become an old calendar. Lu Junyin is afraid that the nursing department will not know when the time comes to order the patients to learn from each other. If something goes wrong, the department will be quite troublesome. Even if the patients communicate with each other, they should pay attention to it and dissuade them from it!

Xu Yahui didn't think that Lu Junyin was long-winded, so she nodded and agreed.

He also made a joke and smiled: "Everyone heard clearly, this is what the director personally confessed, I didn't deliberately make things difficult for you, everyone should be more careful in their work."

"Director Lu, I think you're a bit biased. On the day of duty on Saturday, our nursing department worked so hard. You don't even praise our sister Xu Rong. You are too partial."

Xu Yahui complained for her nurses.

Lu Junyin really didn't expect this, so he took advantage of the opportunity and invited everyone to applaud Xu Rong who was on duty on Saturday and Liao Jia who came to the department to help out, and promised that he would treat everyone to eat delicious food at that time, and then let it go .

After the jokes, get to work.

Continue to sort out the inpatients in the hospital, and ask Xu Yahui to call the patients and family members who have been discharged from the hospital to make up beds, so that they can come to the hospital for review and treatment in time, and also do a good job of sorting the registered inpatients in the department .

Then get ready to check the room.

Just going out, Lin Xia, who was transferred from surgery to obstetrics and gynecology on Saturday, and her parents and boyfriend helped Lin Xia walk down the stairs slowly. She looked very weak.

But in front of everyone, he bowed for Wu Xie.

Because if the ectopic pregnancy ruptures, the situation is serious, and the fallopian tubes, fallopian tubes and ovaries must be removed. Not to mention it is a woman's second life, but losing one side will also seriously affect fertility. Wu Xie can warn in advance, Avoid this out.

One is that she really avoided the risk, and the other is that it may have a great impact on her future life.

Lin Xia's boyfriend also cupped his fists and bowed to Wu Xie, saying, "Doctor Wu, before Xiaoxia and I leave the hospital, I must treat you to a meal. I am inviting you in front of so many people." Yes, you can't refute our face, right?"

His tone of voice was pertinent and cheerful.

In fact, although Lin Xia's accident this time was very dangerous, for him, there was another surprise.

Lin Xia is pregnant, and Lin Xia's parents have rushed over. Knowing about this, it's on the surface. What else do you want to say? Hurry up and get married, and the request is not too high. It made him, who was not particularly well-off, feel so happy...

The only fly in the ointment is that my girlfriend has suffered!

Lu Junyin smiled and said, "Why don't you talk about the meal in private? Thank you for trusting Dr. Wu in our surgery department. We also feel your sincerity. But we are working now, and we still have surgery today, so I'm sorry." I can't give you a special reception."

"This lady is not feeling well right now. Why don't you go back and rest? Thank you." Lu Junyin clasped his hands together twice, without nodding or bowing, but speaking in such a way seemed very airy.

Upon hearing this, head nurse Xu Yahui came out of the nurse's office to help explain.

The previous achievements are the past. After turning over, it will become history. No matter how good it was in the past, we must continue to work hard in the follow-up. Patients who are currently hospitalized and emergency patients that may be encountered must still be treated with caution.

Although they couldn't receive Lin Xia or accept a more formal thank-you from their family members, such an accident made everyone feel better.

Sometimes, being in a good mood doesn't necessarily require special rewards and gifts. All you need is a look, a word, or an action to make people feel a certain sense of pride.

In this way, the process of the rounds was very smooth, and the speed of the rounds was a little slower, but it was still within twenty minutes, and fifteen beds were swept.

After this, Wu Xie took the initiative to propose that he be in charge of changing the patient's doctor's order and changing the dressing in the department, and let Guo Lixiang and Zhong Yusheng go to the operating room to receive the influence and study of surgery at close range.

After all, Wu Xie did it himself last time, so it's not easy to take up all the opportunities.

Lu Junyin originally wanted to refuse, but Long Yuan directly agreed: "Okay, Xiao Wu, after you finish handling the affairs in the department, come down to the operating room."

After speaking, Long Yuan looked at Lu Junyin and said, "Director Lu, let's go down, it's getting late..."

Everyone got out of the operating room. He Ling was on duty today. Although Zhong Yusheng and Guo Lixiang had switched shifts, Guo Lixiang's next shift would be Tuesday tomorrow, that is to say.

Although He Ling is on duty today, when Wu Xie is still in the department, he can go down to watch one of the more critical intramedullary nail fixation, and then come up to be on duty on the second one.

The reason why Longyuan made such an arrangement was to let Wu Xie perform the second operation today, that is, Kirschner wire internal fixation for fibula fracture.

Give and take is the balance.

...

While Wu Xie was prescribing a doctor's order, his cell phone rang.

"You won't get lost, right? Why didn't I see you coming to the operating room?" It was Tang Yuewei who asked in a message. They had chatted yesterday, and Wu Xie was not on duty today.

Therefore, Tang Yuewei still looks forward to seeing Wu Xie early in the operating room today.

Perhaps to others, meeting in the operating room seems absurd, but to her, the time she spends most with Wu Xie is in the operating room. Such an encounter is special to them meaningful.

"After a while, the department has to deal with patients." Wu Xie picked up the phone and edited like this.

After answering, Wu Xie added another sentence: "Today's operation is expected to be completed at noon. Let's have lunch at noon, and we will settle our dinner separately. Or if we are on an empty stomach, I will read for a few hours before we go to eat teppanyaki?"

Wu Xie is not a procrastinator, what he didn't get yesterday, he will get today.

One thing is, he has to study now, and he has to arrange for Senior Brother Longyuan, so he has to spare the night and time for reading, but such a schedule is not a big deal for Wu Xie.

Wu Xie then continued to edit the doctor's order.

After more than ten minutes, Tang Yuewei sent an ok gesture.

Wu Xie breathed a sigh of relief, and saw that the first expert-level skill was clicked on the panel, and the knowledge points increased to more than ten points again, and he felt extremely fulfilled...

"Physician level: intern doctor 75%."

"Basic Anatomy (Proficiency 35/50), Surgical Infectious Diseases (Expert (Pharmacology School) 0/2000)"

"Skills: suture (skilled 11/50), dressing change (skilled 31/50), debridement (skilled 0/50), incision (skilled 2/50), puncture (skilled 1/50) "

"Splenectomy (Proficient 0/50)"

"Manipulative reduction of joint dislocation (proficient 26/47)"

"Antibiotic Empiric Use: (Proficient 23/50)"

"Rehabilitation training guidance experience for stroke patients: (proficient 6/50)"

"Psychological Guidance Rehabilitation Experience for Stroke Patients: (Proficiency 8/50)"

"Orthopedic Internal Fixation Device Removal: (Proficiency 1/50)"

"Experience in operating common internal fixation instruments (proficiency: 2/50)"

"X-ray reading experience (proficient 15/46)"

"CT reading experience (proficient 17/47)"

"NMR reading experience (proficient 4/26)"

"Orthopedic physical examination (proficient 29/47)"

"Common Orthopedic Disease Medication Program (Proficient 12/48)"

"Fracture Manipulation Reduction (Specialization 23/500)"

Looking at the changes in the panel, although only debridement has crossed the level through self-growth, the proficiency of many skills has also been greatly improved because of the super blessing of expert-level skills and the close to 30 patients received the night before yesterday. growing.

The experience in basic anatomy, joint dislocation and manual reduction of fractures, and the experience in medication for common bruises have all increased by a full third, which is real.

Wu Xie speculates that it may be that in a short period of time, when receiving a large number of emergency cases, his brain turns quickly, and he needs to extract the corresponding knowledge points in a short period of time, which will make it easier for him to sort out the existing knowledge. more systematic.

With such potential squeezed, the growth of proficiency has exceeded the usual reception.

The most obvious thing is that the current level of 'assessing physicians' has reached 75% of intern physicians!

Wu Xie knew that this 75% was based on his knowledge of other surgeries except orthopedics, which was not a special understanding, and that he had not systematically studied surgery and internal medicine.

It has reached such a point that if I go through all the common medical textbooks by myself, I will definitely be able to reach the level of an ordinary resident doctor. What is lacking is basic knowledge, not specialist knowledge.

With the blessing of such a background, the resident standardized training exam will no longer be a problem, as long as you read the book carefully and do the questions.

Therefore, although my current overall level is only an intern, my skill tree is actually very narrow, similar to a triangle. Although the highest height is very high, the overall area is actually not large.

Because my bottom length is too short, so in the following period of time, my main strength is to lengthen my bottom first...

Wu Xie rushed to the operating room after completing the doctor's orders, dressing changes, and postoperative rehabilitation changes for the patients in the department.

It's a pity that when Wu Xie put on his hand sanitizer and entered the operating room, the operation was already coming to an end.

Long Yuan was summarizing the advantages and disadvantages of this operation to He Ling, Luo Wei, and Lu Junyin: "Director Lu, this operating room is a relatively easy operation for intramedullary nailing of the femur. .”

"The main time we spent was on the fracture manipulation. It took more than ten minutes. The rest of the time was actually going through the process step by step."

"Intramedullary nailing for mid-femoral fractures, the skill in operation is actually the part where the guide wire and the 'golden finger' pass through the fracture line..."

Gold finger is actually another name for a surgical instrument. It is a centrally controlled instrument that assists temporary fixation during fracture surgery. After passing through, it is temporarily fixed. The function is similar to the application of bone peeling and Kirschner wire in open surgery.

After the golden finger passes through, the long guide pin can pass through the hollow part and directly cross the fracture line, so that the intramedullary needle can be sent to the fixed part along the direction of the guide pin.

"Knowledge point +1!" Wu Xie did not catch up with the coincidence, so he could only collect such a little information.

Of course, this is because Wu Xie didn't prepare well in advance. He wanted to gain more knowledge points. In fact, he should learn a little bit about the skill level of intramedullary nail fixation for fractures, but Wu Xie knew that he would not be able to do it today. After the operation, I didn't order it in advance, which is equivalent to having no basis for learning.

...

The reason why intramedullary nail internal fixation has an advantage in the application of fractures is that it is fixed in the marrow and will not cause entrapment of soft tissue outside the bone, and the stabilization effect is relatively more stable than that of the steel plate, and the opening is small, so it is widely accepted. Favored by patients and most orthopedic surgeons.

A small opening means that the suture is fast after the core operation. Basically, it only takes a few stitches to suture, and a plaster cast is applied for external fixation, and the operation is completed.

Long Yuan, Lu Junyin and Luo Wei stepped off the stage, and He Ling continued to lead Zhong Yusheng and Guo Lixiang to complete the follow-up operations on the stage.

After stepping down, Longyuan and Luo Wei continued to ask Longyuan about some more specific operating procedures and corresponding skills, and asked questions about what they didn't understand.

Wu Xie also happened to be able to take the opportunity to repeat with them. Of course, before going to listen to the lecture, Wu Xie spent fourteen points of knowledge to improve the skill level of intramedullary nail fixation from novice to proficient, laying the foundation knowledge reserve.

Because there are seventeen knowledge points for one day's settlement, which is just right. After the settlement, there are only three points left.

...

After most of the people left, He Ling habitually said to Dong Chun: "Dr. Dong, our operation is over, you can wake up from the anesthesia."

He was actually speaking to Tang Yuewei, a new girl, and Tang Yuewei's teacher, deputy director Qin Hong, but the visitors were guests, so it was not easy to rush.

To say one more thing, it can be regarded as strengthening the communication and communication between the anesthesiology department and the surgery department, so as to facilitate the follow-up operation turnover.

But after He Ling asked this question, before Dong Chun from the anesthesiology department of the hospital had time to reply, the chubby deputy director Qin Hong said: "It's okay, you can rest assured and continue to do it. We choose to reduce the dose for this patient." Numb back."

"The estimated anesthesia expiration time is about the same as the surgery cutoff time."

"Don't underestimate our Dr. Tang. The general anesthesia operations that Dr. Tang is in charge of can wake up at any time in parallel with the surgery!"

"Last week, Xiao Tang carried out thirteen sets of general anesthesia in our hospital. Eleven of the patients woke up within ten minutes after the operation, two patients woke up and returned to the ward within twenty minutes, and none of them underwent surgery. in the post-anesthesia recovery room."

Tan Hong smiled, with a strange look in her eyes.

The objective data expressed by Tan Hong made He Ling startled, blinked his eyes, and took a light breath.

ShenTM spinal anesthesia is reduced in dose, and spinal anesthesia is a one-time anesthesia. If something goes wrong in the operation, the anesthesia fails before the operation is over, what should I do?

On the contrary, Tang Yuewei said with some embarrassment: "Director Qin, don't praise me too much. If I make a mistake in the future, wouldn't it appear that you have lost face?"

"This will put a lot of pressure on me." Tang Yuewei knew her level was acceptable, but it was not at such a top level.

Compared with his own tutor, Professor Feng, he is more than a little bit worse.

But with such a level, Tang Yuewei transferred to Minda Hospital for a week, and after evaluation, he found that his level should be between the attending and deputy director.

However, Minda Hospital didn't pay much attention to the precise control of anesthesia time, so it looked amazing, but in fact, they didn't have such awareness at all, and it wasn't that their level was particularly high.

He Ling smiled and continued to carry out his operation.

Tan Hong smiled, and said, "Stress is also motivation, Xiao Tang, what pressure do you have?"

...

Then He Ling discovered that after he finished putting on the plaster cast, Tang Yuewei was already preparing to turn the patient sideways and remove the catheter for continuous spinal anesthesia. Afterwards, there was no need to do any other operations, just push the patient directly. went out.

He also picked up the anesthesia order, and a series of actions flowed smoothly, without delaying the operation process at all.

Moreover, when pushing out the bed with Guo Lixiang and Zhong Yusheng, he turned around and confessed: "Doctor He, you can let the master who cleans the operating room come in to clean the other patient's spinal anesthesia. beat."

"Then you're pretty much ready to instrument, sterilize, and drape for the next procedure."

Tang Yuewei arranged for He Ling the most time-saving procedure for surgical turnaround.

It seems that the pressure is put on the side of the surgeon. It is up to you when this operation and the next operation will start. Our anesthesiology department is very powerful.

He Ling was instantly dumbfounded.

"This?" He Ling looked around in a daze, at Dong Chun and Tan Hong.

Qin Hong explained: "When Xiaotang was providing anesthesia at Tongji Hospital, he could arrange eight or nine patients a day, but their conditions are good and there is a pre-anesthesia room, so between the previous operation and the next operation The pre-anesthesia work for the next anesthetized patient can be completed.”

"It is a very scientific arrangement to reduce the surgical turnaround time in the shortest possible time."

"The sanitation master cleans the operating room, the roving nurse team cleans the instruments and transfers the instruments for the next operation at the same time, and the surgeons simultaneously perform the catheterization required during the operation."

"After the three are completed, it's time to wash your hands and start disinfection, to achieve the most standard seamless connection..."

"And I also heard from Xiao Tang that her teacher, Professor Feng, is still studying, that is, at the beginning of the previous operation, he was able to choose the next operation according to the surgical techniques and habits of the familiar surgeon team. The patient's entry time into the operating room, pre-anesthesia time and operating time."

"The transfer of surgery in the entire operating room is not decided by the surgeon, but by the anesthetist."

After these words, Dong Chun and He Ling, who had been urged by the surgeon to quickly administer anesthesia, felt a little bit numb.

The anesthesiology department is so fierce, the surgeon should obey the anesthesiologist's orders?

That's right, others have the ability to take charge of the overall situation, have the ability and arrangement to speed up the operation turnaround, and have the ability to ensure that there is nothing wrong with the operation. What can you do if you don't listen?

The turnover of nine surgeries a day is almost all running at full speed, and the operation is good, and they are off work on time.

Unlike in the Xuanxian Hospital of Integrated Traditional Chinese and Western Medicine, where an hour is the norm between one operation and the next, half an hour is considered fast, and twenty minutes is impossible...

He Ling hurried to tell Long Yuan and Lu Junyin about this.

From now on, whether the operation will be arranged mainly in surgery or anesthesiology, this matter must be agreed in advance, otherwise, the rhythm will not keep up, it will still be very troublesome, the surgeon team has been urged to leave, That was obviously not conducive to the progress of the operation.

...

After He Ling left the operating room, Dong Chun asked curiously: "Director Qin, if you want to say that this little Tang has stayed in our hospital for a long time, it's nothing more than knowing Director Lu's surgical style and technical level. Doctor, can she also know when he will be able to end the operation?"

"Have you mastered the overall operation rhythm?"

Qin Hong nodded and said, "Well, Xiao Tang seems to have known Dr. Long before, so he may be familiar with him, but even if he is not, he can still evaluate whether the operation is going well or not based on the performance during the operation."

"Speaking of which, this is the anesthesiologist who escorts the surgical operation." Qin Hong said with emotion in her tone. She really didn't expect that an anesthesiologist who just got a doctor's degree would have such insight and level.

Tongji Hospital teaches well, and her own level is also high enough.

"Then I'll pick up the patient?" Dong Chun nodded and said.

"You can come in. Although there is no pre-anesthesia room here, you can also confirm some things in advance. In an operating room, eight or nine operations can be performed a day. The skill of the anesthesiologist is still very commendable. This is not ordinary. Outpatient surgery." Tan Hong was also curious, if she could learn the essence.

Then after she goes back, it will definitely be of great help when she competes for the director and deputy director of the anesthesiology department of Minda Hospital.

It is even possible to come up with a fringe topic and publish the SCI in the suburbs, but even the SCI in the suburbs is enough to attract many people to fight in the Minda Hospital.

Ten minutes later, Tang Yuewei returned.

Seeing that Qin Hong and Dong Chun were cooperating with anesthesia, they patiently watched from the side without urging them.

Dong Chun signaled that he would give up the seat to Tang Yuewei, but Tang Yuewei didn't agree, and waved his hand to indicate that she would just take a look, and didn't mean to show off her skills.

Dong Chun continued to help, saying: "Director Qin, in fact, this patient chose spinal anesthesia at first, but yesterday, Director Lu told me that the fracture of the fibula in the second operation today should be performed by Dr. Wu." Responsible, so the progress of the operation may be a little slower, let us be patient."

"Continuous neuraxial anesthesia, ready for surgery that may take over an hour."

Qin Hong nodded and said, "That's fine too. The duration of spinal anesthesia is about two or three hours after anesthesia. After continuous spinal anesthesia ends, the time to recover feeling and motor function is even shorter."

Spinal anesthesia is a one-time quantitative injection, and anesthesia cannot be injected again during the operation. The anesthesia usually lasts for 2-3 hours, and the operation time is strictly controlled.

Reduced dose anesthesia can control the anesthesia time more precisely, which means showing off skills.

To evaluate the overall operation time, the duration of anesthesia is only half an hour beyond the end of the operation. After half an hour, the patient will recover motor and sensory functions.

It can save money and trouble, and more importantly, it can strengthen the patient's immediate recovery after surgery and reduce the burden of anesthesia.

Epidural anesthesia can also be supplemented with anesthesia during the operation. Generally, the action time of anesthesia can be adjusted by itself, which is more suitable for complex operations.

Even if the occasional time is short, it can be removed in advance, but even after the removal, the anesthesia will last for a period of time, which is longer than the precise spinal anesthesia recovery time, and the cost will be relatively higher.

Tang Yuewei's crescent eyebrows were slightly frowned, and she sighed slightly, thinking to herself, I'm afraid one hour is not enough.

He smiled and said, "Anyway, take your time, it's still early, two teachers."

The reason why she doesn't go up now is that it's hard to assess how long it will take for Wu Xie to complete the operation, and she can't control it well. In order to prevent Dong Chun and Qin Hong from thinking that she is deliberately delaying time for Wu Xie, they simply don't The anesthesia was started, and Dong Chun and Qin Hong were asked to follow the operation schedule and follow the traditional way.

"It's true, it's only half past nine. It's still Dr. Dong's leisurely life, so you can get off work so early." Tan Hong said enviously.

"No, Director Qin, I usually need two sets of anesthesia, at least until the afternoon. After Dr. Long comes, it can be finished at noon, but if someone has a baby at any time, I have to come here urgently."

"Indeterminate, indeterminate bomb." Dong Chun smiled wryly.

He is on call at any time by himself, and he has surgery at any time, so there is no leisure as Tan Hong said.

The three of them just finished anesthesia.

After receiving the notice from He Ling, Long Yuan and others rushed to the operating room again. Long Yuan was not surprised. After seeing the patient's continuous anesthesia in the spinal canal, he said: "Wash your hands, disinfect the towels, and start the operation early." get off work."

Although Lu Junyin was on the way to wash his hands outside the operating room after hearing Long Yuan's words, he was still amazed: "It's really anesthesia and it's over, the efficiency is terribly high."

"It's worthy of being Director Qin of Minda Hospital." Taking advantage of the situation, he also praised Qin Hong.

Qin Hong explained with a smile: "Director Lu, our hospital does not have such a fast pace. This is all arranged by Xiao Tang based on her experience and the actual situation of your hospital."

"It's her skills." Tan Hong didn't put this honor on her face.

"Doctor Tang's skills are even higher than her beauty, and a woman will never give up to a man." Lu Junyin gave Tang Yuewei a thumbs up again.

Tang Yuewei only smiled sweetly, not wasting time modestly, and trying to minimize her presence in this operation.

While washing his hands, Long Yuan asked Wu Xie: "Have you gone through the operation process several times in advance?"

Wu Xie nodded: "This patient's fibula fracture is not complicated. The complicated point is that his fracture is an unstable fracture and he is young. If he does not have high requirements for postoperative recovery, he can go home with plaster and recuperate directly after manual reduction. "

"But the patient is young. In order to avoid malunion after conservative treatment and affect the relationship between the tibia and fibula, internal fixation was chosen."

"The key points of this operation are reduction and Kirschner wire fixation, and the most important thing is fixation."

Extracting the main points and key points of surgery is just the ability that every skilled person will have. Only after solving all the key points can he be able to know it well and deduce it in advance.

And whether you can grasp the key points is an element of whether you are accurate in this operation, and this is also a kind of greeting from Long Yuan in the examination of Wu Xie's level.

Others may just listen to what is said casually.

Sure enough, Lu Junyin didn't react, so he said: "Doctor Long, thank you for your hard work, you have to take little Wu Ha with you later."

Long Yuan nodded: "The operation is simple and will be very fast."

But he thought in his heart that Lu Junyin is not a professional orthopedic surgeon at all, and he can't even do such a basic assessment. He might be more suitable for general surgery, which he is more familiar with.

Wu Xie said that the main point is not reset, but fixation, which proves that Wu Xie has confidence in reset.

The two main points of fracture treatment are reduction and fixation. Reduction is the difficulty, and fixation is the key point.

The difficulty is not a problem here for Wu Xie, how can the main point be repeated?

Of course, these words also need a certain level to understand, so let’s take it slowly later.

Luo Wei didn't wash his hands anymore, because the operation was simple and didn't need too many people at all, and when Zhong Yu was born, Guo Lixiang was sent to take over He Ling's duty temporarily, watching in the ward, so he couldn't be vacated directly .

After washing their hands, Wu Xie and Long Yuan quickly cooperated to disinfect and spread the towels.

Orthopedic handwashing needs to lift the leg to complete the aseptic principle of disinfection around the calf and the whole foot.

Therefore, Wu Xie chose to take the initiative to lift the leg, because during the process of lifting the leg, Wu Xie was able to complete the traction reduction process, and the reduction of this patient is not complicated. The reason why he did not choose conservative treatment was that plaster external fixation could not achieve fixation. Require.

It's not that hard to reset.

Therefore, Long Yuan saw that Wu Xie had already done the pre-operative reset work before the operation started, before the drape was laid...

The temporary photo of the C-arm operation before the operation just confirmed this point.

After the plain film results came out, except for Wu Xie himself and Long Yuan who discovered that Wu Xie had completed the reset, everyone else looked at each other in blank dismay.

Luo Wei had been looking at the pre-operative photos. On the results of the interim plain film during the operation, the fibula was basically aligned and neat, but the oblique fracture lines were slightly staggered and shortened slightly.

In such a state, Wu Xie can directly inject the Kirschner wire, and there is no need to reset it at all. In fact, the operation of the Kirschner wire injection does not need spinal anesthesia at all, and local anesthesia can handle it?

This is completely different from the preoperative plain film I saw before?

When did Wu Xie reset?

Confused with Luo Wei, there are naturally He Ling and Tang Yuewei who is very familiar with orthopedic surgery.

However, no matter what other people doubted, Long Yuan and Wu Xie walked into the operating room again after two serious glances, and then Long Yuan asked: "I'll do the proper traction, you will give the Kirschner wire, or should I do it?" Come for a K-wire?"

The patient had an oblique fracture, and after the most standard reduction, there was still staggering instability of the inclined plane, so a certain amount of traction had to be added.

"Senior brother, are you going to do the anti-traction?" Wu Xie asked very calmly.

During disinfection before, the patient's anti-traction force comes from his weight, because the patient lies flat, the leg is lifted obliquely, and the stress has an included angle, which is enough for the anti-traction force.

Now that the affected limb is in a flat state, the friction between body weight and the operating table may not be able to balance the traction force. It must be fixed or reversed traction to prevent the patient from being pulled off the operating table.

It's all about details.

"Okay!" Long Yuan knew that Wu Xie's reset method was very good, so he made a quick decision.

After half a minute.

Wu Xie used her left hand for traction, while her right hand held an electric drill with a Kirschner wire, and used the tip of the Kirschner wire to break open the epidermis to avoid agitating the skin with the needle tip during rotation and causing extensive skin damage.

After the fracture line is found according to the body surface marks, the needle is decisively clicked and inserted at a certain angle with the fracture line.

The whole process is proficient in operation.

After being stunned for more than ten seconds, when Lu Junyin, who came late, came in, Wu Xie had already inserted the first Kirschner needle. None of the C-arms need to be pushed away.

Wu Xie and Long Yuan put down the electric drill and said, "Director Lu, the Kirschner wire is done, and we need to take another shot."

Another 20 seconds later, the section of the fibula temporarily fixed by a single Kirschner wire came out, and the previous dislocation was completely restored, turning into a very standard anatomical reset.

If we only talk about the reset result, this result is already the most perfect state.

However, a stable triangle cannot be formed between a single Kirschner wire and the fracture line, so it is necessary to add another Kirschner wire to intersect with the previous one to form a triangle with the fracture line to completely reinforce it!

Wu Xie and Long Yuan walked in skillfully and tacitly again.

This time it was a bit slower, and after a minute, the two turned around and walked outside the operating room, stepping on the induction pedal of the C-arm machine again.

Two intersecting, perfectly positioned images of fracture Kirschner wire fixation came out.

Wu Xie and Long Yuan simply looked at each other and smiled.

"Brother, is it almost there?" Wu Xie asked, her voice was not proud and proud, it was very normal, as if it should be so.

Long Yuan also continued to nod: "Okay, cut off and bend the tail end, and the operation can be ended!"

"Okay!" Wu Xie walked in.

There is no need for Longyuan to go in again, and no help is needed to cut such a 2.0-diameter Kirschner wire.

Then, after Longyuan didn't enter again, Luo Wei asked incredulously: "Mr. Long, do you generally do this kind of surgery in your hospital?"

What are you kidding, a formal operation in three minutes, why don't you play here?

This is a secondary operation, brothers?

Debridement surgery is not so easy for you, is it?

You sent it away in three minutes?

This is Lowe's true thought.

There was a storm in my heart, and my scalp was also faintly numb.