Although Sun Lien has never heard of Chen Tianyang's name, as long as he is a doctor who is engaged in foreign medicine in China, basically everyone has heard of this name. In the field of burn treatment and basic medicine, Chen Tianyang is also a name that cannot be bypassed.

Director Chen Tianyang's supervisor during his graduate studies was Academician Ju Gong, the founder of neuroanatomy in China, and his doctoral supervisor was Academician Zhong Shizhen, the founder of applied anatomy in China.

The disciples cultivated by two academicians with extremely high attainments in anatomy naturally cannot be inactive. With his superb skills and research spirit, Chen Tianyang left the system of the former First Military Medical University and Xiangya Medical College and came to Yunhe City alone. He started as an ordinary university lecturer at Tongde Medical College in Yunhe City, and two years later, he became the youngest associate professor of Tongde Medical College at the age of 31.

Those who have the ability will shine wherever they are. Chen Tianyang's research at Tongde Medical College did not follow the old path of basic research of the two mentors, nor did he develop in the direction of orthopedics and mechanics like other brothers and sisters, he turned his attention to organ transplantation, vascular diseases and digestion.

Although it is often said that the Tongde Medical School has declined, Chen Tianyang has always been quite dissatisfied with this argument. Old man Qiu Fazu is the old director of our department, and the family business he left behind, even if our group of unscrupulous juniors can't carry it forward, at least it won't fall, right?

With the purpose of "expanding influence and increasing exchanges", Chen Tianyang almost did not refuse to come to various exchange meetings. As long as there are no experiments or patients on his side that he can't leave, he will fly all over the world to go to meetings. Actively share cases and share your own experience in the process of practicing medicine. In any case, we must also play the brand of Tongde Medical College, so that others will know that my Datongde has not fallen yet!

As I said before, the progress of medicine is based on adequate communication. There is also a limit to the number of patients a doctor can see in his or her lifetime. But through the exchanges, doctors were able to gain experience and valuable lessons from their peers from all over the world. Such unreserved communication is the main source of motivation for the progress of modern medicine. And Chen Tianyang, who actively communicates with each other from all over the world, has gradually become famous and authoritative. The whole circle knows that there is a very capable young professor from Tongde Medical College.

Young professors have become middle-aged and older professors over time, and they may be on the threshold of "old" professors at the moment. And Chen Tianyang has indeed gained considerable fame and achievements. But in his bones, he is still the young doctor who left his comfort zone with a lot of enthusiasm in his arms and stepped on the green car to Yunhe City alone.

The most valuable spirit of a young doctor is to dare to fight.

Chen Tianyang, who has played tricks with Liu Tangchun, knows that the humanoid self-propelled excavator has no other skills, and the ability of people to know people can be regarded as a must. Don't look at Lao Liu is also a serious professor, and there is only one master's and doctoral student recruited every year. Sometimes there are no suitable students, and Lao Liu would rather leave his quota empty - even if Ningyuan Medical College stipulates that if it fails to recruit students for four consecutive years, it will have to cancel the qualification of doctoral supervisors.

Since he is a student that Liu Tangchun has a crush on, he must have some great advantages. And after seeing Sun Lien diagnose Li Fengmin's external iliac vein rupture almost "out of nothing", Chen Tianyang admired Liu Tangchun more and more - this old bastard's vision is really accurate! Such a doctor, let alone the big emergency department of Ningyuan Fourth Central Hospital, as long as it is a hospital, will rush to ask for it.

Excellent diagnosis requires a great deal of medical knowledge, especially when it comes to the manifestations of various diseases and the methods of diagnosis. At the same time, it also requires excellent observation and reasoning skills. It can be said that knowledge reserves, observation skills, and reasoning skills are all indispensable.

In Chen Tianyang's view, a doctor with a high level of diagnosis must be a figure like Sherlock Holmes. Recruit a Sherlock Holmes to work for him? Chen Tianyang felt that his heart was a little itchy, the itch was extremely deep, and the itch was extremely deep to the bone. So he opened his mouth to dig Liu Tangchun's corner, and the treatment he gave was not too good. "As long as you come, I will give you a position in charge first, and there will be no problem at all in being promoted to deputy director within five years. ”

Sun Lien blinked his eyes and smiled bitterly, "But...... Dr. Chan, I haven't finished my training yet. ”

"Special talents, special treatment. Chen Tianyang patted his chest proudly, "I'm also a vice president, so it's no problem to open a green channel for you." ”

"I don't have a medical certificate either. Sun Lien has no idea of changing jobs at all, and now he and Hu Jia are in the same long-distance relationship in a hospital, how can this really be a long-distance relationship? Besides, as long as he works hard in the Fourth Central Hospital, Sun Lien's promotion to the attending or even deputy director is a logical thing. I really can't afford to make a job change in order to do something that I can definitely do - it's not cost-effective.

Chen Tianyang's eyes widened, he couldn't believe that what Sun Lien said was true, "You don't have a medical certificate, you haven't completed the regular training?"

"I've just been training for three months. Sun Lien smiled embarrassedly, "Teacher Liu accepted me to study for a master's degree, but I won't be able to enroll until next year." ”

Chen Tianyang was still depressed about his plan to poach people and was stillborn, while Lin Hua ended his communication with Hu Jia. After answering the phone, he said to the two of them, "Teacher Li's wife has also arrived at the hospital, she has signed the consent form for surgery, and we are now ready to reopen the abdomen - Director Chen, Dr. Sun, and Nurse Hu, are you interested in visiting and guiding us?"

Sun Lien grinned, "It's really not suitable for us to visit in this dress...... he planned to refuse Lin Hua, and then hurriedly took Hu Jia back to the hotel. But Chen Tianyang took over Sun Lien's words, "So, if you can give us three sets of hand washing clothes before the operation starts, let alone guidance, it's no problem for me to go on stage for surgery." ”

Chen Tianyang's occupational disease that seized every opportunity to communicate committed again.

"It's easy to do. Lin Hua agreed to Chen Tianyang's request with a smile, "This is my negligence, let the three of you wait here in bathrobes for so long, I will call the operating room now and ask them to prepare three new sets of hand washing clothes." ”

Hospitals are not like the Fourth Central Hospital, where the doctors' handwashing clothes are changed regularly in a short cycle. In fact, many doctors choose to buy their own hand washing clothes and then hand them over to the hospital for cleaning and disinfection. However, the disinfection method used in the operating room-level disinfection will certainly not be at the level of "caring for clothes and taking care of health". 84 disinfectant is soaked round by round like no money, no matter how good the hand washing clothes are, soaking them two or three times will basically become a dry board. As for the crotch worn out, the rotten belt is even more commonplace. So Lin Hua made a phone call to ask the operating room to prepare three new sets of hand washing clothes, which was indeed not easy.

Hu Jia is very interested in visiting the surgery, in fact, the biggest difference between nurses and doctors is here - doctors can often go out to communicate and learn, but nurses don't have that kind of time. So basically, the nurses are at most engaged in cross-departmental communication and learning in the hospital. Some advanced nursing experience and knowledge must be promoted by the director of the nursing department. And this time, Hu Jia, who was planning to go on vacation, suddenly found that he had the opportunity to observe the work of the equipment nurses of the Sanya Branch of the General Hospital of the Army, and this kind of good opportunity was simply a once-in-a-lifetime opportunity. After exchanging a look with Sun Lien, she happily agreed to the invitation to visit the operation.

Anyway, his girlfriend is by his side, and going to the operating room to visit the operation is essentially no different from going out shopping - anyway, Hu Jia has always only shopped and not bought, and Sun Lien's job is to accompany him - to stand together, to watch, to go shopping. Entering the operating room to observe the operation is basically no different from this escort.

The three of them changed into their hand-washing clothes in the preparation room of the operating room, and Sun Lien always felt a little uncomfortable wearing wet swimming trunks. After much consideration, he decided to simply fly it once and let his little brother come out of the water to breathe. I can't see it in pants anyway.

The style in the operating room of the Sanya Branch of the General Hospital of the Army is not quite the same as that of the Fourth Central Hospital. The foot-operated airtight door gave Sun Lien a feeling that he was a countryman entering the city. Seriously, while the spring doors in the Fourth Central Hospital are also very useful, they are not as handsome as this spaceship-style method of opening the door. How do you say that? Life should have a sense of ritual!

entered the operating room with a sense of ceremony, and Sun Lien and Hu Jia chose to stand a little farther away to observe the operation. And Chen Tianyang, whose hobby is to engage in communication, came directly to Yisuke's side, looked at Li Fengmin's belly that he had sewn, and then nodded vigorously. "It's a nice belly sew. ”

The three people walked in wearing brand new hand clothes, masks and surgical towels, and the doctors present knew at a glance that these three people were probably from the outer courtyard and were ready to come to observe and guide. So Yizhu politely followed Chen Tianyang's words and said, "Not only is the stomach sewn well, but this patient has already had an emergency laparotomy when he was sent." The external iliac vein is torn and the amount of bleeding is estimated to be more than 1500cc. I don't know which expert did the emergency laparotomy for him, and the blood vessels were filled with patches. ”

Yizhu wanted to explain the patient's situation, but from Chen Tianyang's point of view, his operation was highly praised by young people. He squinted his eyes and nodded, and asked in a very natural tone, "The analysis makes sense, what else?"

The first half of "Forehead ......" is not bad, but the second half sounds a little wrong. Ichisuke looked at the fat white man in a brand new hand-washing suit, and looked at the body shape, this was definitely not the head of his own department. But this kind of questioning is really exactly the same as the director of their department. "And...... And the specialist chose to have the part sutured in a way that was easy to transport, rather than trying to do the entire surgery and close the abdomen perfectly. This ability to control the situation is also very impressive. ”

"Mainly because there are not enough sutures. Chen Tianyang shirked very politely. "From the analysis of the thickness of the patient's skinfold, it takes about three sutures to achieve a better closure effect. Combined with suture estimation of the epiperitoneum, internal oblique and transverse abdominis muscles, and muscuofascia, a minimum of three models of sutures over 200 cm are required. There are no such good conditions on site, so I can only pick up the most urgent ones to do. ”

The more Ichisuke listens, the more confused he becomes, the current experts have clairvoyance and ears, or can the experts scan the patient's belly and know what happened during the emergency laparotomy?

This is Lin Hua finally entering the operating room. He smiled at Ichisuke and said, "Director Chen, this is teasing you." This patient's emergency laparotomy was done by him. ”

Yisuke first glanced at Chen Tianyang with disdain, and said in his heart that this expert is too slippery, and he actually tried to trick me into praising him with words. Then this trace of disdain was quickly overshadowed by admiration and admiration.

There is no other reason, just because Chen Tianyang's surgery is really beautiful. It can be seen from the incision that each knife is done in one go, from the next knife to the closing of the knife, there is no hesitation in the middle, and there is no supplementary cutting. You know, this is not an operation done in a hospital! There is no shadowless light, no team support, no imaging data, no anesthesia to monitor the patient's physiological condition, and it can still be opened so beautifully, and the bleeding point of the external iliac vein hidden behind the sigmoid colon and inguinal ligament is really found......

"Oh yes, there were no hemostats on site. I am holding the patient's vein with my hand. Chen Tianyang directly skipped the existence of the tourniquet at the base of his thigh, and made a "scissorhands" posture towards the jaw-dropping Ichisuke. "It's just these two fingers, do you want to touch it? ”

"Director Chen, don't bully the newcomers in our department. Lin Hua came over and separated Chen Tianyang from Yi Zhu, who was so messy that he didn't know how to react, "Our hospital is a military hospital, it's more positive, cough cough, it's more serious." ”

"I'm pretty serious, really. Chen Tianyang compared his two fingers to Lin Hua, "When there is no surgical field at all, use two fingers to clamp the external iliac vein to stop bleeding, and then paste a hemostatic patch with the other hand, don't you touch these hands?"

From Sun Lien's point of view, to be honest, the surgeon who was soaked in the water at that time was Chen Tianyang. If you change to another doctor, you may not be able to complete the operation - but any doctor who is a more rigid about the rules and regulations will not be able to accept the proposal of an emergency laparotomy in that environment.

"The patch is quite sturdy, but out of an abundance of caution, I cut it off to make a fit. Chen Tianyang glanced at the reopened abdominal cavity and was satisfied with the result that the blood in the peritoneum did not increase. However, this is the problem when he entered the operating room, and when other doctors came to "observe and guide", they mainly observed, but Chen Tianyang was really "guiding".

"Blood pressure 90/55, heart rate 90, oxygen saturation 92%, signs stable, operable. "The anesthesiologist has been staring at the screen of the monitor, after all, he has to pay attention to the speed of blood transfusion and the level of blood pressure rise to prevent the adhesive patch from falling off again, and the anesthesiologist is very busy.

Sun Lien suddenly frowned.

"Li Fengmin, male, 68 years old, lumbar disc herniation, small pulmonary infarction. ”