212 Too Much
"That Ling Ran is going to have surgery. The surgeon will do it."
"So fierce? You are a surgeon in your early 20s?"
"The monks from outside are good at chanting sutras. The cabbage from home is thrown away, and the wild cabbage is worth a lot of money if you pick it up."
In the small group of residents, fellow residents at the same time were talking about it.
The residents of the Center for Bone, Joint and Sports Medicine come from a complex background. Although they are the best in each school, not many can seize the opportunity to be promoted. Most of the residents will eventually be trapped by low salary or
Mastering technology is too slow, or there are too few opportunities to get started, etc., and they are constantly lost.
Zhu Tongyi's research center is different from large tertiary hospitals. The channels for advancement are very narrow. Those who cannot rush forward will sink and continue to encounter challenges from outside the institute. Doctors like Ling Ran, for example, are likely to be
It will occupy a position that was finally vacated.
"I'm going to take a look. Is there anyone with you?" a resident doctor typed in the small group.
"Together." Several other people agreed.
In a short while,
Nearly 20 people poured into the demonstration classroom, including not only residents, but also several available attendings and deputy directors.
Because Zhu Tongyi was in the front row, everyone didn't talk or chat. They just found their seats and sat down, waiting for the operation to begin.
The display room of the Orthopedic, Joint and Sports Medicine Center cost a lot of money. It is connected to multiple operating rooms and operating room microscopes at the same time. It can not only see the surgical field of ordinary surgery, but also the surgical field of microsurgery.
Moreover, it is very convenient to switch and can also conduct real-time voice communication. It is an excellent way to "demonstrate technology" and do teaching demonstrations.
Within the research center, whether you dare to perform surgery in the operating room connected to the demonstration classroom is also a reference item for everyone to evaluate the level of a doctor.
However, the most terrifying use of the demonstration classroom for doctors is actually to invite family members of patients to visit.
The operating rooms of ordinary hospitals are all in a black box state. The family members input a patient, and the black box outputs a patient who returns after the operation. The family members only know the state before entering the operating room and the state after leaving the operating room. They have no idea what happens in the operating room.
What it is, I don’t understand.
Inviting the patient's family members into the operating room is obviously not an appropriate method and can easily interfere with the surgeon's operations. Using a demonstration classroom model will make it relatively easier and more controllable.
Of course, it is not easy to enter the demonstration classroom in the current research center. It always requires some special ways.
Dr. Qu gently opened the door, walked silently to the corner of the teaching classroom, touched the bare part in the middle of his head, and sighed softly.
He cared more about the operation than the residents.
After all, he was also involved in the design of Liu Weichen's surgical plan.
Therefore, he also knows the technical level requirements of Liu Weichen and the plan itself best.
Dr. Qu nodded to the doctors who saw him and sat at the back, staring at the dark screen in a daze.
After an unknown amount of time, the screen suddenly lit up. Everyone couldn't help but stop chatting and looked at the screens in the middle. There were both the surgical field of view shown by the surgical field camera and the operating room scene shown by the panoramic camera.
The camera connected to the two-man microscope was still dark, and at the same time there was a voice coming from the room.
"Dr. Ling, let me help you put on surgical clothes."
"Dr. Ling, please take a look at the equipment list and see if there is anything that needs to be added."
"What are Dr. Ling's surgical habits? Do you need to drink water during the operation?"
The first voices that came were those of the circulating nurse and the equipment nurse.
The doctors in the classroom looked at each other in confusion.
One resident doctor couldn't help but asked: "When did they become so easy to talk to?"
"When they see a handsome guy." The 200-pound resident doctor said self-indulgently: "You haven't seen them talking about the male idol."
"That's not the case, what's the point of being so proactive?"
"What's the point of helping the goddess carry her bag?"
It showed that the classroom had calmed down again, and when everyone looked at the screen again, they all felt the same hatred and hatred.
Orthopedics is a department with very few female doctors. In the professional orthopedics operating room, male nurses are indispensable. Seeing the few female nurses smiling with Ling Ran, a group of residents felt unhappy.
…
Operating room.
Ling Ran stared at the patient's feet for a long time.
It was the first time for him to see this foot, but through MRI, he was far more familiar with this foot than its owner.
Ji Tianlu looked at Ling Ran with interest for a while and asked, "Doctor Ling, what should we do now?"
"Oh... let me draw a line." Ling Ran came back to his senses, reached for a pen, and drew a few lines on the patient's foot. He then asked for a pen of another color and drew a new one.
"How is this divided?" Lu Wenbin asked nervously. He was working as the second assistant today, but he knew the least about Achilles tendon repair. If he had any understanding, most of it came from textbooks and videos.
If there is no system and the sense of coolness is not strong, this understanding is approximately equal to nothing.
Ling Ran glanced at Lu Wenbin with some confusion: "For what?"
"Draw the line, there are two colors."
"Oh, the black one is the incision line, and the white one...the tendon is broken here." Ling Ran pointed to the marked line and twisted his body a little so that Lu Wenbin could see more clearly.
Ji Tianlu, who had not taken it seriously at first, was stunned for a moment, and then he suddenly realized that he had not read the instructions from the imaging department, so he had forgotten to determine the location of the Achilles tendon rupture. Only now did he realize that Ling Ran really had no support.
For the imaging department, I read it myself.
Ji Tianlu looked at Ling Ran intently and then lowered his head.
The children who get 85 points in the test know best how strong the children who get 100 points in the test are.
Doctors like Ji Tianlu know best how skilled Ling Ran is.
When magnetic resonance is used to diagnose Achilles tendon rupture, it can not only determine the severity of the Achilles tendon rupture, but can especially evaluate the shape of the two broken ends and the distance between the breaks.
This is very clinically significant information and is also the power of NMR.
Ji Tianlu couldn't help but feel deep jealousy in his heart.
Ling Ran had this ability when he was in his twenties, and his talent was really great.
Ji Tianlu asked himself, even if he was given half a year of free time, he would not be able to increase his MRI reading ability from 85 points to 100 points. Not to mention half a year, two years would not be enough. Unless he did nothing,
Just watch the movie wholeheartedly. In that case, even if the time is tight, half a year can be passed.
However, is it possible?
Ji Tianlu has climbed up the science and technology tree of orthopedics until now, spanning the two directions of bone joints and sports medicine. His feet have been extended even longer, and he can no longer run.
Ling Ran paid attention to the expressions of Lu Wenbin and Ji Tianlu, and decided to speak more clearly to his assistant, and said: "From the magnetic resonance film, on t1i and t2i, there are localized high signals in the tendons, and the tendon bundles are rough and irregular. , this is a characteristic of partial damage, and the location can be seen from t2i. When its signal increases significantly, it is the most obvious part of the tear."
Ling Ran directly pointed out the location to Ji Tianlu and Lu Wenbin, then asked the anesthetist about the situation and ordered an incision.
This time, Ling Ran's speed was much faster.
After slicing the knife open with two swipes, Ling Ran ordered "pull it open" and put the knife on the tray.
Ji Tianlu hesitated for a few seconds before he realized that the operation had begun.
Compared to him, Lu Wenbin, who is the second assistant, is more familiar with Ling Ran's style. Ling Ran has never liked to talk, and he is not like those surgeons who lack self-confidence. He keeps confirming this and that with his assistants. Just do whatever you have to do.
Moreover, Ling Ran is a typical "one-man-does" type of doctor. He has a back-up strategy for most operations. Occasionally, when the assistant cannot handle it or his attention is distracted, Ling Ran will still remain silent. The one who sent me took over the work.
This kind of concentration is now gradually affecting Lu Wenbin, Ma Yanlin and Yu Yuan, especially the surgical careers of the first two, which will inevitably have a great impact.
At this time, Lu Wenbin automatically stretched out his hand and said: "Hook."
The nurse glanced at Ji Tianlu and handed the hook to Lu Wenbin.
Lu Wenbin carefully and laboriously pulled apart the muscles around the Achilles tendon and exposed the Achilles tendon. This step is almost the same as the Tang method of suturing, except that the tendon becomes thicker and the muscle tissue becomes larger.
After a brief rinse with normal saline, the ruptured tendon was indeed exposed in the center.
Ji Tianlu raised his head slightly, regretting not listening to the imaging department's explanation. Otherwise, he would have been able to determine the correct position and would not have been controlled by Ling Ran.
"Suture them end to end." Ling Ran reminded him. He didn't have anything to say, so he used the modified kessler that Dr. Qu used the day before to quickly sew them up.
Before that, Dr. Qu had been smoothing out the mesotenon, saphenous vein, and sural nerve for a long time that day, but Ling Ran smoothed it over and threw it aside.
End-to-end suturing is the simplest form of suturing.
The two severed sections of the Achilles tendon are debrided, then brought back together, and then tightly sutured together.
Because the Achilles tendon is thick enough, there is no room for delicate sutures such as the Tang suture. The modified Kessler method, or the ordinary Kessler method, is used by novice doctors, attending doctors, and expert doctors. It works, but the effects are different.
Ling Ran opened his posture and stitched quickly.
Ji Tianlu tried his best to cooperate with Ling Ran, which was as fast as he could catch up with Ling Ran.
In the demonstration classroom, Dr. Qu seemed to be suffering from dementia for a long time.
He used the modified Kessler method for suturing all year round, and he wanted to use this method to shock Ling Ran before.
In Doctor Qu's heart, he felt that he performed well in front of Ling Ran.
However, now that Doctor Qu was deeply shocked when he saw his assistant Ling Ran become the surgeon Ling Ran and perform the Kessler method.
Too much!
Man, this is too much!
Chapter completed!