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Is this the second or third time?

……

Chapter 71 You, you!

Zeng Yi, who was reading the novel on his mobile phone, quickly stood up and looked around, feeling a little dazed.

Then I saw Liu Yan, with the help of Zhang Zhengquan, pushing the C-arm machine towards the operating table. At the same time, the handwashing nurse, Cai Dongfan and others were walking towards the isolation room.

Looking at his students again, he straightened his back and stood there dumbfounded.

Zeng Yi patted An Ruo on the shoulder: "Go out, I need to see through."

An Ruo recovered from the numbness in his heart after a shock. He frowned fiercely and muttered something in his mouth, but he still didn't dare to take the radiation and walked towards the isolation room.

Before going out, she deliberately looked at the timing panel in the operating room.

There are two lines, one line shows the actual time, which is what time.

12: 01!

The second line is the operation timer, which starts to count down from the moment the operation starts.

00:22:51!

Just under 23 minutes.

It's over, I met my nemesis today.

I must be exhausted to death, An Ruo heard Zeng Yi explain clearly, the next two sets are reset again...

I will never come to the orthopedics department for anesthesia in the future, and whoever likes it will come.

I went out for a X-ray. This X-ray has two main purposes. One is to evaluate the reduction of the fracture, and the other is to check whether the intramedullary nail is in the bone marrow cavity and whether it has penetrated into the soft tissue.

Intramedullary nail fixation, as the name suggests, is actually the fixation of intramedullary fixation devices. If it is not in the bone marrow, it is wrong.

Just look at it for safety reasons.

Looking at the display screen of the C-arm, you can see that the intramedullary nails are all in the bone marrow on the two films in the positive and oblique position, and there is no angle with the femur.

Why should the thigh be taken in a frontal oblique position, but the calf is in a sideways position?

The calves can be further apart, while the thighs are restricted.

Can't break the ditch...

After reading it, Zhou Cheng breathed a sigh of relief, then bowed his head respectfully, and said, "Mr. Cai, the intramedullary nail is fixed in place, and you will come to the proximal and distal locking nails yourself." do it!"

I thought to myself, the effect of this reset is not bad, within the horizontal range!

However, Cai Dongfan hasn't returned to Zhou Cheng for the time being, and is still looking for the fracture line with his small eyes. After searching for a long time, he couldn't find the fracture line that should be there, so he turned his head and glanced at Zhou Cheng.

The cheeks covered by the mask trembled slightly.

I would like to say something, Xiao Zhou, if you are like this, if our hospital does not have pre-operative examination data, the patient may use the post-operative film to sue us for over-medication, believe it or not?

Of course, this is impossible, and there are preoperative films.

Cai Dongfan just nodded: "Well, yes, the intramedullary nail is placed well."

This operation is a strict third-level operation. What Cai Dongfan authorized Zhou Cheng to do was only to make an incision. Strictly speaking, when Zhou Cheng stripped the tensor fascia lata to the greater tuberosity of the femur, he should stop and give way to Zhou Cheng. Cai Dongfan was the chief surgeon.

Because of the third-level surgery, Luo Yun's current operation can barely be considered a leapfrog operation, let alone Zhou Cheng, who has a hundred and eight thousand miles with Luo Yun.

Moreover, it is still such a critical operation as intramedullary nailing. Before placing intramedullary nails for fixation, the fracture must be reset.

The two keys to fracture treatment are reduction and fixation, which is what Cai Dongfan should do.

However, I don't know whether Zhou Cheng was in high spirits or something, and he did all these key steps.

Next, the proximal and distal locking nails, what is that operation?

Operation records must be written in this way.

In the formula or under the aiming aid, screw in the helical guide pin, place the proximal helical blade, and lock in the interlocking pin distally!

Focus, aim aids, alias formulas...

That is, after the intramedullary nailing is finished, it can be done directly with eyes closed.

Iron tool man, under normal circumstances, Cai Dongfan can step down and throw it to Luo Yun if he can do this.

Now it was thrown to him by Zhou Cheng.

But Cai Dongfan still couldn't refuse. If he didn't do any operation for the third-level surgery, it would be difficult to deal with it.So I can only be a tool man.

With the help of formulas, it is a bit exaggerated to say that you can play with your eyes closed, but it is a bit simple and mindless.

As soon as the aiming aid is installed, the electric drill is used to click the guide and rotate the guide pin, and then install the rotating blade, the distal locking nail, and a set of combined punches.

7 minutes to resolve the battle...

After finishing, Cai Dongfan didn't feel the slightest sense of accomplishment, so he took off his gloves and said, "Luo Yun, you and Du Yanjun put down the tails and put in two drains."

"Zhou Cheng, come down with me, I have something to tell you." Cai Dongfan said bluntly.

Zhang Zhengquan in the audience was taken aback, huh?

Brother Zhou Cheng is going to be led into alleys by Cai Dongfan again?

Luo Yun nodded and replied: "Okay, Director!"

Du Yanjun remained silent the whole time, with his head slightly lowered.

If it was incredible that Zhou Cheng could restore such a rare fracture in the manipulation of the first patient before, then the operation completed by Zhou Cheng now is simply a dimensionality reduction blow to him!

Du Yanjun always thought that he and Zhou Cheng's clinical strengths were only a little behind.

But now it seems that this billion points is a bit difficult to chase, and maybe I may not be able to see Zhou Cheng's position in ten or eight years...

When Cai Dongfan started the operation, Zeng Yi asked An Ruo to start withdrawing the anesthesia, because the subsequent operation time would not be very long.

Although it sounds a bit outrageous to say it like this, Mom opened the door——

Our anesthesia department gave spinal anesthesia for about half an hour, and the operation was over in about half an hour.

The turnover rate of co-authored surgery patients suddenly depends on the speed of our anesthesia?

Does this make any sense?

However, as a qualified anesthesiologist, he needs to cooperate with the clinical department to speed up the turnover and not hold others back.

Hit you mama bio (shashi dialect, cursing)

When did our anesthesiology department start to slow down the pace of surgery?

Zeng Yi ordered, although sister An Ruo was a little physically and mentally exhausted, she could only carry on and do her duty.

But I was muttering in my heart: I will never come to the orthopedics department again.so tired.

……

Cai Dongfan really brought Zhou Cheng into the alley near the operating room this time, and after closing the door, he said, "Xiao Zhou, do you know why I called you out so quickly this time?"

Zhou Cheng nodded hurriedly and said, "Open/closed reduction and intramedullary nailing for intertrochanteric fractures is a grade III operation. I just overstepped the authority."

Cai Dongfan sighed and nodded: "Yes, you are right, you have skipped the surgery."

"You have to remember one thing. It's not that I don't want to let you go for a Class III surgery, but that the rules are like this."

"It's impossible to have only people from our orthopedics department in the operating room. If something happens, who can guarantee that all the doctors who are on tour, washing hands and anesthesia can be blocked?"

Speaking of this, Cai Dongfan closed his eyes again, lowered his shoulders, and said helplessly: "And what? The orthopedics department of our hospital does not have the qualifications and resources for the time being. It grants surgical authority to lower-level doctors. So. You will Still pay attention!"

"Of course, I also have a certain responsibility today. I didn't stop you."

"But I didn't stop you. I mainly want to see what step you can do. It's not a coincidence."

"Let me see that you are really a young man who doesn't see rabbits and doesn't scatter eagles."

Then Cai Dongfan changed his tone and asked, "If it wasn't for the fact that the hospital made a fuss about choosing a group of regular trainees to stay in the hospital, are you really going to keep hiding it from Luo Yun and me?"

Zhou Cheng was taken aback for a moment, smiled foolishly, and didn't reply.

It can't be said that I was actually in the same family as you before, and my surname is Cai, right?

This will be beaten to death.

Cai Dongfan didn't pursue it either, but said lightly:

"Zhou Cheng, you can't ask the superior doctor to chase you and ask you what you know, but you have to take the initiative to communicate with the superior about what you want to learn and what you want to do."

"Otherwise, if you want to help you, you can't just look at your appearance, right?"

Then Cai Dongfan groaned for a moment, then elongated his voice, feeling a little helpless: "Mmm!"

"You, you—"

"The temporarily released quota of orthopedics does not have your share."

"Tell me about you."

"Do you do this?"

"If I want to keep you, I have to run around again just for you. If it was before, it's just for me to say something." After finishing speaking, Cai Dongfan turned around and left.

Leave Zhou Cheng there to digest.

Ten seconds later, Zhou Cheng was overjoyed and said, "Thank you, Teacher Cai!"

It wasn't that loud.

Cai Dongfan has already entered the operating room, and I don't know if he heard it or not.

Chapter 72 Quotations from Anruo: Orthopedics is poisonous!

Zhou Cheng didn't immediately follow Cai Dongfan out, but carefully pondered what Cai Dongfan said——

Fracture closure or open reduction and intramedullary nailing for intertrochanteric fractures is a standard third-level operation in the surgical classification of orthopedics.

In the department, there are only four people who can do it now, and even Luo Yun can't be the chief surgeon yet.

Luo Yun is an attending physician, and has a mid-level professional title, but he has only been promoted recently, so at least he needs to be a senior attending physician.

So, Cai Dongfan is beating himself too.

Terrible!

Perhaps everyone in the orthopedics department can talk easily, but the participants in an operation are not only the orthopedics doctors, but also the itinerant nurses and equipment nurses!

Anesthesiologists belong to the department of anesthesiology, which is parallel to any clinical department.

The nurses in the operating room belong to the nursing department and have nothing to do with the medical department.

If there is nothing wrong, hello, hello, hello everyone, but in case there is any accident, you can tell whether they will sell you or not, what a shame you have!

The consequence of selling Zhou Cheng was that Cai Dongfan wiped Zhou Cheng's ass. After all, Zhou Cheng was only a regular trainee. Even if his status as a regular trainee was resigned, temporary workers were not counted. In the end, what could the patient do with Zhou Cheng?

Are you looking for Cai Dongfan?

Unless the natural father and son or close relatives can tolerate you not reporting it and unconditionally taking the blame for you, otherwise.

The reality is very realistic and cruel.

……

When he entered the operating room, Cai Dongfan was not there, so he might have gone to take a bite.

Luo Yun had already stepped down, and Du Yanjun was the only one doing the finishing work of stitching on the stage...

The anesthetized girl An Ruo shuddered the moment she saw Zhou Cheng coming in.

The steps stopped!

There is a rush that is dominated to the point of nervousness.

The mouth under the mask is pouting, but I am wronged, but I am still doing my own job conscientiously, just like a hardworking bee...

Patients who undergo open reduction and intramedullary nailing for femoral fractures do not need plaster, and intertrochanteric fractures are basically useless unless hip herringbone plaster is applied, so this operation is naturally not needed.