medical simulator

This is not simply based on age, professionally, but on who goes further, when two people meet, who is looking back or condescending, and who is looking up or forward...

To be honest, Zhou Cheng felt that this process was not impressive at all.

Zhou Cheng even felt that Du Yanjun's hand holding the knife trembled a little. This kind of incision would cause the skin to be zigzag to a certain extent, which would affect the blood supply and increase the chance of skin necrosis.

Similarly, it may lead to poor alignment, folds or pulls during the postoperative suturing process, resulting in more scar hyperplasia, or even serious ones.

There may also be small bumps...

The operation begins with an incision.

When making an incision, one of the big taboos is that the knife must be ruthless and decisive, and you should not hesitate to poke here and there.

The knife movement must be steady, not crooked, and the knife must be flat!

The knife must be retracted vertically so as not to waste every inch of skin cut, and once the incision is made, it must be used as much as possible.

But considering that Du Yanjun is a beginner...

Forget it, Zhou Chengcheng took a few steps back, and then went under the timing panel in the operating room, and started to look at his official account.

In case, after watching Du Yanjun and Zhang Zhengquan's two surgeries, I could write a long review of their surgeries and suggestions for revision after I went back.

Start from scratch.

Zhou Cheng stood on the top floor and looked down. There was not much difference between him and a toddler learning to run in essence.

However, Zhou Cheng still put on a face and would occasionally appear beside the operating table, looking inside curiously.

After all, Luo Yun asked him to come down to the operating room to avoid the embarrassment of getting along with Pang Dingkun on duty at the same time. In addition, he still listened to Cai Dongfan's teaching in name.

If they were too dismissive, they would not even show up on stage, which would be a disrespect to Du Yanjun and Zhang Zhengquan, and a disrespect to Cai Dongfan.

Orthopedics is an inherent arena. There has never been fighting here, but there are still necessary sophistication.

The patients prepared for Du Yanjun are naturally not complicated patients, but simple fractures in the middle of the tibia, AO type A1.2.

If Zhou Cheng's treatment method was followed, it would be impossible for this patient to appear in the ward, and he might be sent away by Zhou Cheng in the emergency department.Not to mention going to the operating room.

Of course, any type of fracture can be treated surgically, and this principle is correct.

For Du Yanjun to grow up, he naturally needs a patient to practice, this patient.It just so happened that he was willing to have surgery, and on the premise that Cai Dongfan didn't ask Zhou Cheng to do the manipulation reset, it was impossible for Hu Ming to come over and cause trouble.

Of course, the only way is surgery.

Time continued to walk slowly.

It quickly came to ten past two.

The operation had been going on for an hour, but Du Yanjun still only exposed the periosteum of the fracture, and he used the bone peeling very hard and jerky to expose the broken end of the fracture there.

Strip a bone-bonding space for the steel plate to fit in...

At 25:[-], Du Yanjun put the steel plate in.

At 35:[-], Du Yanjun finally adjusted the angle at which the steel plate was lying.

At [-]:[-], the formula for the first screw was driven, and the first screw was driven in after the depth measurement.

An Ruo was at the side, almost falling asleep out of boredom.

But Zeng Yi didn't let her sleep, he patted An Ruo's shoulder, and whispered, "Cheer up."

"It's not Director Cai who is performing the surgery. You have to be very careful about your vital signs, and you must not make any mistakes. Pay attention to the depth of anesthesia and oxygen saturation."

An Ruo immediately opened her eyelids, feeling so bored.

Then he looked under the timing panel in the operating room, and Liu Yanan quietly leaned against the wall, resting.

I'm really envious.

Then he glanced at Zhou Cheng. Zhou Cheng had been flipping through his phone, as if he was waiting for the progress of the operation, looking bored.

At [-]:[-], Du Yanjun finally finished driving a set screw above and below the fracture line.

Then Liu Yan was called to stand up and started to push the C-arm machine for a while!

After the translucence, Cai Dongfan immediately pointed to the plain film in the operation, and began to preach to Du Yanjun: "Do you see it clearly? These are the fixing screws you made."

"There is such a big gap between the steel plate and the bone, can this work?"

"The steel plate and the end of the bone must fit together tightly. This is the middle part of the tibia, there is no curvature, and you don't need to leave space for decompression!"

"Think about it, when I usually teach you, how should I kill this seam?"

Cai Dongfan taught from the beginning to the end of the operation, first let Du Yanjun try it himself, and if he made a mistake, he gave a solution.

Luo Yun immediately said: "When you fix the screws, ask the assistant to firmly fix the steel plate and the bone."

"When director Cai and I usually do it, we know it well, so we didn't ask you to do this step. We did it directly, but you have to pay attention to the details of every step in our operation process. These details have their uses. of."

"Think carefully, try to reduce what you think, what you see, the useless operation of the professor or director during the operation, so that you can improve the quality of the operation..."

Du Yanjun was taught immediately and nodded obediently.

Then he ran to the operating table, removed the fixing screws, asked Zhang Zhengquan to fix it, and then re-inserted the screws...

Then in a C-arm perspective, it was found that the separation between the steel plate and the bone end was resolved.

Then his eyes turned to Cai Dongfan, as if he was waiting for a compliment.

Cai Dongfan said abruptly, "Zhang Zhengquan, go in and raise the affected limb, Liu Yan, adjust the angle of the C-arm and take a lateral view."

Zhang Zhengquan and Liu Yan immediately took orders and left.

Then the fluoroscopy results of the C-arm came out.

Sure enough, the happy look on Du Yanjun's face disappeared, and his head facing the sky almost went to find his head facing the ground for company.

Cai Dongfan preached again: "Watch the movie!"

"Don't care about the head and the tail, the sides of the steel plate are attached. But one up and one down!"

"Your steel plate is at an angle with the axis, and it is skewed forward and backward, and you don't pay attention to it. You can't fool the patient with the plain film after surgery like this!"

"I let you clamp it, so you only clamp one side at a time? Don't you know how to fix the upper and lower sides at the same time?"

"Waiting for me to feed you all the time, without turning your mind for a while, I say move a little bit?"

……

An Ruo curled her lips when she heard Cai Dongfan's scolding, and then looked at the operating room, as if she felt that the patient was so pitiful, being tossed so hard by Du Yanjun...

And Zeng Yi also took the opportunity to find an opportunity, patted An Ruo on the back of the head, and said, "What are you looking at, listen carefully."

"Do you still remember the last time you had spinal anesthesia and couldn't find the intervertebral space, how did you find a way to solve it?"

"Not enough strength? Is this a solution?"

An Ruo also lowered her head, but only saw the gully...

Zhou Cheng listened quietly, and began to mutter in his heart.

Secretly said, Teacher Cai, in fact, what you said is not quite right...

It seems, it seems, at this moment, Zhou Cheng understands and understands Yang Yifeng a little bit.

Standing tall and walking far may not be a good thing sometimes, you will feel lonely and can't find anyone to talk to and communicate with.

However, Yang Yifeng is not simply unable to find communicators and confidants. He is in the Affiliated Hospital of Shonan University, and has a large number of professors to communicate with him.He has another reason.

And yourself?

Forget it.

Zhou Cheng immediately restrained his small thoughts, and felt that it was better not to be too harsh on others.

I have adventures, adventures, and using them to improve myself is the right way.

If you ridicule others after you have improved yourself quickly, you are going astray.

In this way, didn't he deserve to be ridiculed by others in his heart?

Zhou Cheng didn't know if others had done this before, but at least Cai Dongfan and Luo Yun never disliked him, they just didn't give him enough chances.

Zhou Cheng immediately understood all of this.

What if I ask Du Yanjun to do intramedullary nail fixation now?

I'm afraid he can poke it out of the skin with his gold finger?

……

At 04:30, Du Yanjun carefully watched the film of the postoperative review and announced that the operation of this operation was completely over.

Then I asked Luo Yun, but I didn't dare to ask Cai Dongfan: "Mr. Luo, I think it can be stitched up, what do you think?"

Luo Yun looked at the reexamination plain film, and there were still some problems with the convergence of the fracture line.

Although the problems of looking ahead and looking ahead and looking forward to the future have not been completely corrected, and the alignment is still a little flawed, the resilience after the fracture is extremely strong.

The reset is not good, but if it is fixed properly, it can have a great error tolerance rate.

He said to Cai Dongfan: "Director Cai, should you sew? There is another one behind!"

This operation started at one o'clock and is now coming to an end. It is estimated that the suture will be completed at five o'clock, and the next patient will start at around 05:30.

Today's operation is expected to end at nine o'clock.

Don't do it too late.

Cai Dongfan naturally took this into consideration.

He nodded and said, "Let's sew, the next one will be turned around, so hurry up."

"Director Zeng, please work hard and you are anesthetized." Cai Dongfan said apologetically to Zeng Yi.

Zeng Yi numbly nodded.

"It should be, it's a matter of duty!" Although Zeng Yi also felt a little bit pained.

Today's three surgeries are all about teaching. Originally, if Hu Ming and Cai Dongfan performed at the same time, at most four or five hours, they could get off work earlier, and they had to get more than ten hours to go up.

But there is no way, everyone has to bring students.

When he brought An Ruo before, he would naturally greet the director of the clinical department in advance.

My anesthesia will be a little slower. I will take my students and waste your time. I am sorry?

The anesthesiology department has no patients of its own, so it can only ask the director of the clinical department to slow down the pace of surgery, it's all the same thing...

An Ruo looked at the timer on the operation panel at this moment, and was even more desperate.

When Du Yanjun and others were suturing, he asked his teacher: "Teacher, is there no preparation class in our operating room today?"

Zeng Yi nodded: "The three surgeries in the Department of Orthopedics are expected to be completed before the shift change at [-] o'clock, so there is no anesthesia preparation shift. We will fight the whole audience!"

There are successors in the anesthesiology department. After the operation is arranged the day before, if the operation volume is large and the operation time is long, someone will be arranged to take over.

However, this obviously does not apply to today's orthopedic surgery.

After all, the three simple fracture operations, according to the previous rhythm, should be finished at least a little bit...

An Ruo suddenly thought bitterly.

Get off work at nine o'clock and go home.

It's almost ten o'clock.

Take a shower and wash your hair, the hair can't be washed anymore.

There is not enough time to put on a mask.

Just wash your face, wipe your face, and then read a book, and there is only one hour left.

I……

An Ruo suddenly looked in the direction of Zhou Cheng in a begging manner, but Zhou Cheng was still like an old locust tree, quietly maintaining his temper, watching Du Yanjun and others on the operating table suturing.

Occasionally volunteered to stand up and prepare for them to open sutures, sterile dressings and casts and other chores.

In order to speed up the turnaround of the operation, Liu Yan went down to prepare the surgical instruments for this operation in advance, and eat by the way.

When An Ruo saw Liu Yan go out, she immediately felt abandoned, but she told Liu Yan to hide some tomatoes for herself in the operating room for dinner, and then quietly waited for Du Yanjun and the others to grind tofu.

Cursing inwardly, a man grinds chicken like a woman grinds tofu...

However, no matter how reluctant An Ruo was.