I Spent Those Years In the Operating Room Fighting Monsters

The end of January is approaching the end of the year.

Lu Cheng's personnel arrangement is still in the fifth ward of the Department of Orthopedics, and is still a student of Professor Qu Hongsheng, Associate Professor Ling.

However, because of the arrival of Professor Ling, most of the patients in the department were transferred to osteology, and the students of Professor Ling and Professor Qu Hongsheng also transferred, so Lu Cheng did not have many chances to take office.

Of course, Professor Qu Hongsheng asked Lu Cheng to discuss this topic. That is to let Lu Cheng replace Associate Professor Ling Xue in the second-line consulting class. The coefficient of performance is still given according to the previous calculation.

Professor Qu Hongsheng also said that Lu Cheng's current technical foundation is already very good, and he should leave more opportunities for other young doctors. Although Lu Cheng came to the department later than the others, Lu Cheng's level had already reached the level of an ordinary vice-high.

Let Lu Cheng not have any thoughts in his heart.

Of course Lu Cheng won't have any special ideas. He is a newcomer, but the growth curve is a little faster. However, when they were in Professor Min Hong's group before, Associate Professor Zhu Lihong and Associate Professor Chang Weilong made way for him and allowed him to undergo more surgeries.

Lu Cheng still kept it in his mind.

The Second Xiangya Hospital is a comprehensive tertiary first-class teaching hospital. In the hospital, there are professors and associate professors, and there are attending and general inpatients. There are also a large number of postgraduate and doctoral students waiting in line for study opportunities.

In the eyes of ordinary people, it is like Lu Cheng's 'former brother' at the end of the season, Professor Chang Weilong's students, Xie Jian, and even a doctoral student in the Second Department of Orthopedics, Lu Cheng's old classmate, Pang Lin, they all still In the tube bed, even for the opportunity of multi-point clinical operation, it is hoped that there are more multi-tube beds.

In November and December, Pang Lin and Xie Jian stayed with Lu Cheng in the fifth ward of the Orthopedics Department for two months, and Lu Cheng gave them a chance to get started. Only in January, because of the arrival of Professor Ling, both of them returned to their tutors.

When Lu Chengzai led the team, Lu Cheng had a lot of freedom, and he was able to cover the bottom for them, so he had more opportunities to get started.

However, as soon as Professor Ling came, Professor Qu's students also followed. Even if they took turns, it would be difficult for the two of them to get their turn, so the two of them naturally went back.

Lu Cheng just felt that if he couldn't contact more patients, his own improvement would slow down, and the others would be fine.

It's just that, with my current improvement, I can't support a few patients. It must be accumulated by a large number of patients.

This opportunity has to be slowly grinded and boiled.

When Lin Hui left Shashi, he actually said that once Lu Cheng graduates, everything will change. Lu Cheng is no longer a student, he is just a simple employee who has to face the workplace.

And the workplace has its own set of applicable rules.

As a teaching hospital, the Second Xiangya Hospital also has its own teaching tasks. Lu Cheng is a member and needs to teach, and the same is true for others.

Moreover, compared to Lu Cheng, other people need more opportunities to operate and get started.

Therefore, Lu Cheng in January was quite busy.

Of course, they were not completely out of the clinic. For some particularly difficult patients, such as the other emergency departments who were unable to handle the hospitalization, Lu Cheng would be arranged to rescue them. For example, Fang Nixin and Chen Ding would not feel it. It would be embarrassing to call Lu Cheng to the rescue.

Instead, it will be a great learning opportunity.

Especially Chen Ding, Chen Ding has a traumatic background, and even some complicated patients that he can handle, also call Lu Cheng to the operating room, just hoping to get more exposure to the new topic Lu Cheng has been working on recently, the theory of lacunar debridement .

In addition to emergency surgery, in the department of orthopedics, where there is a particularly difficult infection case, when an infected patient appears, Lu Cheng will also be called to help.

In this way, Lu Cheng can accumulate experience, and it can also allow these difficult infected patients to be dealt with as soon as possible.

It is equivalent to an almighty brick, where it needs to be moved.

On this day, Fang Nixin and Cao Xiaohe were very envious.

Because after Cao Xiaohe came back, he was also directly arrested by Professor Li Dongshan and returned to the emergency trauma center to be the general inpatient of Li Dongshan's group.

There are a lot of new recruits, so if there are enough new staff, although there is only one general hospitalization in each ward in name, in fact, people like Cao Xiaohe and Fang Nixin who are newly recruited to the department are all It is used in front of the total hospitalization, which is equivalent to most groups in each ward, and has its own total hospitalization.

As soon as this configuration comes out, senior doctors with intermediate professional titles and above, not to mention how refreshing they are, as long as they are optimistic about the outpatient clinic and do the surgery.

The affairs and medical records in the department are ignored.

Today is January 27, the twentieth day of the twelfth lunar month.

After Fang Nixin came back from get off work, she collapsed onto the sofa and said, "Little Lu, I won't cook for you today. I'm tired, so I need to rest for a while."

"Okay, it's fine, you rest first, I'm almost done here." Lu Cheng now suspects that he is about to be a freelancer, and he can get off work on time basically every day.

But Fang Nixin can't do it. Now at 6:20, she has only completed the discharge medical records that must be handed over to the medical record room tomorrow.

After cooking, Fang Nixin still helped Lu Cheng to serve the rice.

After sitting down at the dinner table, Lu Chengcheng asked, "Senior sister, is the rhythm of the fourth ward of the Orthopedics Department very fast recently? Xie Jian also complained to me on VX recently, saying that he went back to the Fourth Department of Orthopedics, which is better than being in the emergency room with me. When you're in a trauma center, you're even more tired."

Fang Nixin nodded sharply, and said, "Don't mention it, now the rhythm of the four majors of bone has been completely on par with that of the Nine Academy of Magic Capital."

"Surgery on the meniscus, discharged on the second day, patient with ligament reconstruction and rotator cuff suture, discharged on the third day."

"In the day ward, there are at least seven to eight surgeries per day. Since I came back in December, 163 surgeries have been performed in 20 working days, and 172 patients have been discharged. "

"Do you know what the concept is? I have to review seven or eight discharge medical records almost every day, see seven or eight new patients, and then follow the daily operations, and I have to be on duty in the emergency department. I run sports medicine consultations!"

"Take interns, train students with regulations, take exams, and perform daily attendance."

"Don't mention it, students are counted from 8:00 a.m. every day until the afternoon, and there is basically no free time."

"Oh, after I finish my meal, there is an emergency operation. Now the doctor on duty in the department is preparing for a pre-operative conversation. I have time to come back for a meal, and I have to go back."

"But it's just a simple debridement. It's estimated to be back soon."

After listening to Fang Nixin's introduction, Lu Cheng felt very tired.

It is not an easy task to review the medical records of discharge. It is not an easy task to teach interns, and also to conduct teaching ward rounds, teaching discussions and other tasks.

Lu Cheng said, "It's very tiring and hard work."

"Fortunately, it's easier than when you were in the department before." Fang Nixin waved her chopsticks quickly, regardless of her image as a lady, she ate meat and gulps, finished surgery early, and was ready for the emergency that came at any time. class.

"Senior sister, I sent the tender you wrote to my master. He reviewed your tender and said that you can write in the direction of Ewing's sarcoma."

"And now Ewing's sarcoma, when it is generally diagnosed, is in a relatively advanced stage, and there are even more distant metastases."

"My master's previous topics, as well as targeted drugs, are more aimed at early cases. Although the survival rate of advanced patients after chemotherapy has improved, there is still room for further research."

"My master suggested that you take the time to follow up on the chest X-rays and abdominal CT scans of these patients. You also know that the most common metastatic sites of Ewing's sarcoma are the lungs and kidneys."

Lu Cheng’s own application for the Surface and Surface Youth Fund is a clinical subject, but what Fang Nixin wrote is a solid basic subject, and it is a subject after Lin Hui has made a targeted drug for Ewing’s sarcoma. Great to do, but doable.

Therefore, Fang Nixin naturally called Lu Cheng to send her bid to Lin Hui, who knew the most about Ewing's sarcoma.

Fang Nixin said: "Help me say thank you and hard work to Teacher Lin. It really bothers him. In fact, I also know that he has a lot of things to do, and he is very busy. Your wife has been sending messages to me recently to complain about you. Master."

Fang Nixin gossips on the side.

"what?"

"My wife sent you a message?" Lu Cheng was a little surprised.

Fang Nixin said as it should be: "Otherwise? I am your wife's bridesmaid group, and now we are still best friends. Teacher Huang is about the same age as us, and her mentality is very young. She also invited me to the president. After the hospitalization, we went on a trip together."

Fang Nixin thought that Lu Cheng thought that Huang Xu was too old and should not play with Fang Nixin, or that Fang Nixin should not have a common chat topic with someone of Huang Xu's age.

Lu Chenglian explained, "Senior sister, I didn't mean that."

"I think you are quite busy in the clinic now. If you are going to follow up on the chest X-ray and CT of Ewing's sarcoma, I will help you. Anyway, I have nothing to do recently, and you don't suggest me to do more. Let’s develop on basic experiments.”

"I'm in neurosurgery, and I've finished my defenses in the two departments of vascular surgery, so there's only one emergency surgery left, but I plan to put the defense in emergency surgery later in the year."

"I just have free time now, you shouldn't mind, I'll rub against your subject." Lu Cheng joked.

Fang Nixin glanced at Lu Cheng and was silent for ten seconds.

Then he nodded: "Actually, I don't want any overlap between our work. Working in a research group, it is easy to have differences and quarrels."

"However, further research on Ewing's sarcoma is relatively slow now, and it can only start from more complex cases. It will take a certain amount of time to find such patients. We may need to find patients with distant metastases first, and then target them. The tumors they excised were taken for biopsies and laboratory examinations.”

"In addition, I want to take the time to do a bio-signal analysis, which is about this distant metastatic Ewing sarcoma, and then find a popular target, and then go to the tumor for targeted target detection. "

"But you can find the target patient first, remove the specimen, and freeze it."

"Remember to ask the patient to sign."

Lu Cheng nodded and said, "Okay, you are an expert in this area, I will listen to you."

"Recently, I have been relatively free, and I have also looked for a lot of basic articles to read, only to find out that in fact, basic articles seem to be very complicated, and they are a mess and have no clues. Much harder to read."

"Do you have any more targeted articles there?"

Lu Cheng himself looked for articles related to basic experiments, and he found a lot, but after searching, he found that most of the articles in top journals were mainly based on basic experiments. It's just that, whether it is a tumor or an inflammatory-related disease, there are too many disease-related targets and pathways.

Lu Chengcai had just come into contact with these, so he really couldn't find a way for a while, so there was one. Look at this, it makes sense.

Looking at the other one, it also makes sense.

Fang Nixin said: "It's a natural, clinical subject, and it's all highly directional. Basically, it's related to the clinic. If we spend more time, we can understand it all. But basic experiments, that It’s just a mess, and there’s no such thing as directionality at all.”

"You can even see several teams working on a project at the same time, and the conclusions may be different."

"As the source of textbook theory, basic experiments have a staged progress, which is very, very difficult."

"If it is related to tumors, I suggest you start with articles related to breast and thyroid tumors."

"Because breast cancer and thyroid cancer are one of the two types of tumors that are relatively well-studied at present, they are clinically recognized, and there are a few tumors with better prognosis and longer survival time after treatment."

"So it's good to start from this aspect as a research framework for our orthopedic oncology."

"As for orthopaedics, you should ask your master, he must have a lot there."

"Yeah! Okay, thank you, Senior Sister." Lu Cheng used to think that he had a thorough understanding of orthopedics, but recently, after removing the basic-related articles, he felt that.

It seems that some of the theories written in the textbook before are also a little vague. Those so-called knowledge points and so-called guides are just summaries of the current relevant experimental processes, and can only be used as textbooks at this stage.

[To tell the truth, recently I have been using Mimi to read and read books to keep up with updates, switch sources, and read aloud tones, which can be used by Android and Apple. 】

When it may be changed or overturned, it is very likely.

If you want to get in touch with basic experiments and topics, you must start with the article. UU Reading www.uukanshu.com

Of course, Lu Cheng also has a very convenient condition that he can directly participate in Fang Nixin's upcoming basic topics related to Ewing's sarcoma, can participate in the whole process, and from a relatively high perspective, go to Overlooking the full framework of basic experimental topics.

This kind of opportunity is not available to most people.

Among all the current professors of Orthopedics, except Professor Qu Hongsheng and Associate Professor Liu Jun of the Second Department of Orthopedics, none of the other professors have opened the door to the basic experiments of orthopedics oncology.

Of course, Lin Hui used to be counted as one, but now Lin Hui is not in Shashi, nor in the Second Xiangya Hospital.

Fifteen minutes later, Fang Nixin put the bowl and chopsticks away, then took out a tissue, wiped her mouth, and said, "Little Lu, you wash the dishes today, I'm really busy here."

"It's okay, I'll clean it up, you go to emergency surgery." Lu Cheng replied.

There is a strange feeling of 'underappreciating talent', having no place to use the ability, and devoting all my energy to being a home cook.

But this is not too bad. After all, the salary is paid, and I can calm down more and polish my scientific research thinking.

Then really get into the door of the most difficult and unsolved disease in orthopedics and even all departments to see what is going on there.

So, do what you want. Before that, Lu Cheng has to go to the imaging department to discuss with the people in the imaging department, so that Lu Cheng can obtain the permission of the film reading system, and also need to apply for an account, so that he can find one by himself. Find the target patient requested by Fang Nixin...

Chapter 434 Push the door open! Click to download this site APP, massive novels, free to read!