I Spent Those Years In the Operating Room Fighting Monsters

The road of medical students is very long, and each step is accumulated over time.

From an ordinary high school student, after four long years of study, occasionally half a semester in clinical practice,

Then I practiced for another year and a half, and I graduated successfully, but I initially touched the threshold of medicine, and many people even stayed outside the doctor's door.

Even if you are a graduate student, regardless of the differences in special departments such as internal and external women and children, oral cavity, and ear, nose and throat,

Even in the same department, between different subspecialties, there are blind spots in knowledge. This is something that cannot be avoided. A person's life is only so long. Even if he spends his whole life, he can only blame one subspecialty. Study slowly, and there is basically little spare time to master and familiarize yourself with the operations and knowledge of other sub-specialties.

Because each subspecialty is deep enough.

Not to mention the large scope of orthopedics, neurosurgery can be divided into stroke, hemangioma, malignant tumor...

If orthopedics is to be truly subdivided, the current classification of the Second Hunan University Hospital is far from being a true subspecialty.

Microsurgery, Trauma, Oncology, Osteopathy, Spine, Joints, Sports Medicine; are these broad categories really enough?

No, it's not enough, I really need to subdivide it, and it can be divided.

Foot and Ankle, Orthopedics, Chronic Injury, Nerve Transplant, Sports Rehabilitation…

Each subject is enough for a physician to study for a lifetime.

There are not so few diseases in medicine, and every kind of disease is not so simple, and it is not as typical as it is written in textbooks.

In fact, Lu Cheng also became more afraid the more he learned, and felt more and more confused.

Although his confusion was far better than Pang Lin's, he still felt small compared to the vastness of medicine.

Compared with the complexity of people, his current thinking is still too simple.

Therefore, Lu Cheng can understand Pang Lin's current sense of powerlessness.

Lu Cheng also had absolutely no right to blame Pang Lin for not being able to seize the opportunity, and said, "It's a bit outlandish to talk like this. Pang Lin, everyone has their first time. If you haven't seen it, see you slowly. Today we'll be together. Hit, the next time you meet, you will."

"For fractures of the tibial shaft, a ring-shaped external fixation bracket can be applied, or a triangular bracket formed by two crosses can be applied."

"We're going to put on a tripod today."

"You can let go of your hand and help me find something about the external fixation bracket."

Lu Cheng said it very euphemistically. He had never used an external fixation bracket before, so he might not even recognize the things used for the external fixation bracket.

Pang Lin's heart was mixed and tangled for a while, then he regained his anger and followed Lu Cheng to study seriously.

He still felt that he didn't work hard enough, and he still had a lot of time. He stayed at home and watched live games and played games. This would not work. If he passed the stage of a doctoral student like this, he might not be so good in his whole life. Great learning opportunities and such a leisurely study time.

It doesn't matter if you don't know, everyone never knows how to start.

Start to learn, learn slowly, learn one, get one, understand one, and more.

I was admitted by Pang Lin as an undergraduate in 1985, and graduate students and doctoral students from well-known medical schools in the country were also admitted.

After correcting his mentality, Pang Lin felt a lot more free and easy in an instant. He looked carefully at Lu Cheng's search for a set of external fixation brackets, and remembered them one by one.

Bone fixation nail, connecting rod, connecting rod fixing cap.

Lu Cheng only took one bone fixation and cap, and while walking back, he said, "Pang Lin, bring seven more."

"We need to place three fixation pins at the proximal and distal ends of the fracture at the same time, and then form a triangle and insert two fixation pins,"

"After connecting with two connecting rods, two stable incomplete triangles are formed, which can achieve the best fixation position."

Pang Lin nodded frequently, and quickly got the two connecting rods and the remaining seven fixing nails and fixing caps.

Lu Cheng has already connected the fixing nails with the electric drill, and has also made the holes that need to be driven into the nails with a sharp knife at the same time, so he said: "Pang Lin, I will hit the top two first, and then I will give you the rest. Come fight!"

"Okay!" Pang Lin took a deep breath and stopped saying thank you.

Now Lu Cheng has become his teacher, not his classmate.

"When fixing the nail, you must pay attention to the needle perpendicular to the cortex of the bone, choose the position of the anterior tibia, from front to back, this can best avoid hitting the nerves and blood vessels, but be careful not to hit the outside of the tibialis anterior muscle. , because this is where the anterior tibial artery takes its shape."

Pang Lin still remembers the basic anatomy very clearly.

Look at Lu Cheng's precise delivery of the nail into the bone. After two breakthroughs, stop the nail immediately, and then use a special handle to completely bury the screw thread under the skin. fixed effect.

Pang Lin became a little more active this time: "Brother Xiaocheng, I can see it clearly, it should be fine."

Lu Cheng explained again in detail: "Okay, then you can hit the remaining two nails at the distal end of the tibia first, remember to make a straight line with the nail I hit, and save the position of the final fixed cap. .And because we are going to make two half-open triangles, the position of the fixing cap should be reserved on the inside of the fixing rod.”

Pang Lin smiled and said, "I still know that."

After speaking, Pang Lin picked up the sharp knife, and broke the skin firmly with his hand. Then, he used curved forceps to bluntly separate the subcutaneous tissue to the bone surface, and then accurately inserted the fixation nail with an electric drill.

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The rattling sound of the fixing nail rubbing against the bone kept ringing, but Pang Lin's hand didn't shake, and he paid attention to the change in the voice.

After two breakthroughs, he stopped immediately, and then used the handle to feed the nail into the tightest position.

After doing this, he breathed a sigh of relief. In fact, it was not that difficult to get on the external fixation bracket.

And with the first nail, the second nail is also simple. He carefully looked at the X-ray again, and after determining the location of the fracture, he took the fracture line about 3cm below the fracture line and broke the skin again...

Six minutes later, Pang Lin finished the six fixation pins in the anterior region of the tibia.

Lu Chengcheng said: "Let's put the fixing cap and the connecting rod up first. Fix one side, and then drive in the remaining two fixing rods from the direction of about 45-90 degrees to the side of the connecting rod that is being played now. Nail, and then fix the connecting rod."

"Okay! ~ This fixed cap looks very good. Let's come together, which can save the patient's operation time." Pang Lin said.

Although he is practicing his hands, the first principle is to reduce the operation time of the patient.

The most critical part of the upper external fixator is the selection of the positions of these nails. He has already done it, and there is no need to make the patient suffer more, prolong the operation time and bleed more.

Although the time is a little longer, the blood flow of dozens of milliliters has no effect on the patient at all, but this is unnecessary time.

Lu Cheng was quite relieved to hear this. He was also a little worried that Pang Lin would completely ignore the operation he was doing in order to practice his hands. The object of the operation was a patient. living people.

After the two quickly put all the external fixation brackets on, they started debridement again.

The debridement operation is quite simple. The two people basically operate in separate areas at the same time. Although Lu Cheng finally gave Pang Lin a tail sweep, it also saved the operation time to a certain extent.

It was not until the VAC was connected to the negative pressure suction, and the patient crossed the bed to the push bed that he could be sent directly to the department, and Pang Lin said with a hearty smile, "Brother Xiaocheng, this feeling is really cool."

"Oh? Is it okay?" Lu Cheng looked at Pang Lin, what he saw in the other party was the temperament of an ordinary medical student.

At this moment, the excited and happy look can't be concealed at all.

This should be the first operation in which he actively participated in the most critical operation.

And he also noticed that Pang Lin's operational ability and talent are not bad at all, but the chances he usually get may be too few;

Perhaps in the second ward of the Orthopedics Department, he can cut a simple cyst alone under his own teacher, but compared with this three-type open fracture surgery, the sense of achievement is completely incomparable.

Pang Lin's hand is also very stable, and basically does not shake much. Such a chief surgeon has a strong psychological quality. After he works in the future, he will

Definitely an excellent surgeon.

If he didn't have the help of the plug-in, at most he was only slightly stronger than him, which could be ignored, and definitely not much more than that.

Just a slightly better normal person.

"Yes, no wonder my master always said that only emergency surgery is the best way to train a person. Only after getting the temper of emergency surgery can you better carry out other elective surgeries. I was skeptical before, but now I finally feel it."

"But I'm still a little tired." Pang Linhan wiped the sweat from his forehead with a smile.

The first time I got on the external fixation bracket, I must have pretended that I was not nervous. In fact, my forehead was already covered with fine sweat.

"It's okay, take your time." Lu Cheng led Pang Lin towards the sink outside the operating room, and said, "Pang Lin, we are classmates, and we were brothers who got along better in the past, so there is no need to be too restrictive in the future. ."

"Everyone can get along more naturally. Would you like to run hard with me?"

"You are currently studying for a Ph.D., if you want, I will call my master to send you to me, and you will tell your master." Lu Cheng thought to himself, he is really busy now, if he can have an old classmate as his role If you are a follower, you can kill two birds with one stone.

Of course, Pang Lin himself had to agree, and Pang Lin's teacher agreed.

"Of course I'm happy, Brother Lu. You don't know. In fact, my teacher has mentioned your clinical abilities more than once. I thought it wasn't you before, and we don't have any photos of you in our ward."

"If I had known it was you, I came to find you when I re-examined."

Lu Cheng smiled bitterly when he heard the words, and said, "Look for me when you retake the test. No one here knows me yet."

Pang Lin was startled, and his face became more complicated.

It seemed that Lu Cheng was telling the truth. Lu Cheng’s time in the Second Xiangya Hospital was not particularly long.

Pang Lin immediately called his teacher. Pang Lin's doctoral supervisor was Professor Liu Jun from the Second Department of Orthopedics. When Liu Jun heard about the relationship between Pang Lin and Lu Cheng, he immediately agreed, and said that it was exactly two of them. Individuals can help each other.

…

After about an hour and a half.

Lu Cheng and Pang Lin walked out of the seventh operating room, and then sat limply outside the operating room.

Emergency surgeries are generally scheduled from operating rooms 1-10.

This is the fourth emergency surgery the two of them have done.

The first one was for open fractures, the other was for exploration of the common peroneal nerve, and the other was for debridement of the buttocks.

After a long period of high-intensity operation, although the operation time has been reduced, the workload will not be less at all.

Especially the tendon suture of the last machine, Lu Cheng operated the whole process. The total number of sutures was at least more than 100 stitches. It was a test for the eyes and hands.

Now Lu Cheng also felt a little twitching pain in his index finger and little finger.

Pang Lin sat for a while, then got up again and said, "Brother Xiaocheng, sit down for a while, I'll buy some drinks, we need to replenish some energy."

Lu Cheng said, "I'll go, you can rest for a while."

What Lu Cheng actually thought in his mind was that I was the one who got the salary, and what you get is the subsidy. If you die three or four thousand a month, I will also invite you for drinks.

But this is irritating.

Pang Lin said: "What are you talking about, Brother Xiaocheng, you have always been the main force. I'm a soy sauce, so I should run errands, and today's harvest is really big. It's not too much to ask for a bottle or two of drinks. Brother invites you to eat a few meals, and there is no pressure."

"Speaking of which, there are so many classmates in this class, you and I are in Hunan Province now. This is fate."

After speaking, Pang Lin walked away.

At this moment, the itinerant nurses from the six operating rooms also came out to get the consumables. Seeing Lu Cheng sitting at the door, he asked with wide eyes, "Are you done again?"

Lu Cheng raised his head and grinned: "Yes, Sister Yuan."

This itinerant nurse is also Tian Yuanyuan who is on duty today. When Jiang Ting, who was on duty in her operating room before, was not there, she helped to pick up the suction device and electrosurgical knife, so Lu Cheng knew her, and she also knew Lu Cheng.

She immediately covered her forehead: "Which **** are you? Can you give some respect to emergency surgery?"

"Doing three sets in two and a half hours, our tour is almost driven to death by you."

"Ah? Who? Who did three emergency rooms in two and a half hours?" When Tian Yuanyuan said this, a man in a green shirt and a blue hat just came out of the operating room.

Tian Yuanyuan unabashedly said: "This orthopedic perverted general is hospitalized. Their orthopedics department occupies two operating rooms today, and the other two have only been connected to two severed fingers. He has finished all three."

"It's not a minor operation, an open fracture."

"The probe of a nerve has been probed from the femoral nerve to the superficial peroneal nerve."

"And the one just finished, it's sutured to the tendons of four fingers, forty-six minutes."

As Tian Yuanyuan said, she also complained: "We went to get sutures and we took a total of 23 sutures."

The green-clothed blue-hat was also taken aback when he heard the twenty-three sutures, and said, "Is it true or false?"

Twenty-three needles, even if it is sewing, may take more than an hour to sew, but Lu Cheng actually completed the sewing and all the operations in two and a half hours.

Tian Yuanyuan exaggerated: "How could it be fake? If you don't believe it, ask Tingting, and he was almost tortured to death by him."

Lu Cheng also apologized a little apologetically: "I also want everyone to get off work earlier, sister Yuanyuan, don't scold me."

Tian Yuanyuan felt embarrassed when she heard Lu Cheng say this, and said sincerely, "Am I scolding you? I'm complimenting you, sincere."

"If you weren't so strong, we might not be able to survive tonight. At least we'll be there until the early morning."

After hearing Tian Yuanyuan's words, the green-clothed and blue-capped man couldn't help but give a thumbs up and said, "Brother, it's ruthless enough, don't be human!"

"There is no way for us emergency workers to move bricks to survive, two and a half hours, three three types of operations!"

"Really cruel."

"How about drinking? Do you smoke?"

"Can you get one betel nut?"

Lu Chengcheng said: "I don't want to do cigarettes and betel nut, no. I can do a little bit of alcohol in the future."

Lu Cheng felt disgusting when he thought of these three things now.

He hurriedly said: "Then what are you waiting for, let's go,"

"It's okay if you can drink, but if you don't smoke, you'll have something to lose."

"With betel nut and smoke, there is boundless happiness. When smoke and wine are mixed, the more you live, the more you will live. With betel nut and wine, you can have everything in your dreams."

Lu Chengdao: "What's the teacher's name?"

Lu Cheng was the chief hospital resident. When he met the chief resident of another department, he called out a teacher. It was definitely right.

"Urology, Zhou Ziyu."

"What kind of teacher, teacher, when did your orthopedics learn such a trick to eliminate people, everyone is a hard worker in mining. Just call me Tzuyu, you are the new chief hospital, right?"

"The surgical system hasn't seen you before." Zhou Ziyu speaks very well.

"My name is Lu Cheng. I was hospitalized at the general manager yesterday, so I might be more angry. Today, seven or eight emergency rooms are about to be opened." Lu Cheng followed Zhou Ziyu to the locker room.

Zhou Ziyu stopped when he took the betel nut, looked at Lu Cheng seriously, and then continued: "Enough! Brother, you are not a human being!"