"Dr. Fang, do you want to have a joint replacement?"

In the operating room, Wen Xueyi was already preparing, and when he saw Fang Han coming in, he asked.

"The patient is not yet 40 years old, and he is a migrant worker, and the impact of joint replacement is too great, so the small incision is reduced and fixed, so that the patient can leave no sequelae as much as possible. "Fang Han has already checked the patient's condition just now, and if the patient is reduced by manual reduction, the postoperative stability is not guaranteed, and it is easy to cause secondary displacement.......

At present, most of the patients targeted by knee arthritis are patients with knee arthritis, knee deformity and deformity caused by severe knee arthritis, and patients with ineffective or insignificant effects of conservative treatment.

In the case of femoral trauma, total knee replacement is also mostly for elderly patients, and if the patient is younger, try not to consider joint replacement unless there is no other way.

When he came to the operating room just now, Fang Han learned about the patient's situation, the injury is relatively serious, and joint replacement is definitely the simplest and most direct and effective solution, but the patient is not yet forty years old, and he is the main labor force in the family.

On the premise of ensuring the patient's life, we should take into account the actual situation, the patient's family background, whether the patient can afford the high cost of surgery, the patient's age, work, etc., which need to be considered when conditions permit.

It cannot be treated simply for the sake of treatment, the patient's life is saved, and the patient's life can be seriously affected in the future, whether this treatment is compassion or another situation needs to be considered.

There is a saying that life is worse than death, for a family, the loss of the main labor, the family has lost the source of income, for the patient himself, is not yet 40 years old, some too strong physical work can not be done, this situation, the impact on the patient can not be underestimated.

Even some patients with fragile minds may have suicidal thoughts.

"Well, Dr. Fang, you are more thoughtful. Wen Xueyi nodded.

"Let's prepare, let's see the situation first, if you can rely on manual reduction, reduce it as much as possible, and make the wound as small as possible......"

Saying that, Fang Han went to wash his hands and disinfect first, and then changed into a surgical gown.

........

In the Department of Orthopedics and Traumatology, Lu Changping came out of the treatment room and asked as he walked: "Did the emergency department call just now?"

"Well, a construction site scaffolding collapsed, bringing in four or five injured people...... "One of the attending doctors nodded.

"Who went?" Lu Changping asked.

"Director Chen!"

"Chen Youmin?"

Lu Changping asked, the attending doctor nodded, and then Lu Changping didn't say much, and walked towards his office.

"Director Lu, this kind of emergency, our orthopedic traumatology department still has to cooperate. The attending doctor said more.

I didn't say anything. ”

Lu Changping smiled and said, "Okay, let's get busy." ”

entered his office, Lu Changping sat behind his desk, leaning on his back, not to mention, the taste of being a section director is indeed very refreshing.

After sitting in the office for about three minutes, Lu Changping left the office and headed for the emergency department.

"Director Lu!"

Lu Changping went directly to the bone injury area, and a nurse recognized Lu Changping and hurriedly greeted him.

"Where are the patients who were sent just now?" Lu Changping nodded slightly and asked.

"In the treatment room, Director Chen, Dr. Chen and others are inside. The nurse replied.

Lu Changping nodded slightly, then walked towards the treatment room, pushed the door and entered.

"Steady, don't move!"

In the treatment room, Chen Youmin held the patient's calf with both hands and ...... hard

"Click!"

With a slight sound, Chen Youmin let go of his hand: "Fix it......"

As he was talking, he heard someone coming in, and when he turned around, he found that it was Lu Changping.

"Director Lu!"

"Director Lu!"

Chen Yuan and Lin Guangliang also hurriedly greeted each other.

"How many patients, Fang Han is not here?" Lu Changping looked at and asked.

"Five patients were brought in, Dr. Zhai was in another treatment room, Dr. Fang was in the operating room, and there was a patient with comminuted fracture of the knee joint and multiple fractures of the lower knee joint. Chen Yuan said hurriedly.

Lu Changping came suddenly, and Chen Yuan couldn't figure out Lu Changping's thoughts.

"In the operating room?"

Lu Changping asked, and then asked, "Do you need my help here?"

"Thank you, Director Lu, no need, I can handle it here. Chen Youmin said with a smile.

Although Chen Youmin is not afraid of Lu Changping, there is no need to take the initiative to provoke the authority of the director of the department, this is not afraid, it is only within the rules, such as he has a good relationship with Fang Han, such as being willing to get close to the bone injury division, which is reasonable.

Even if Lu Changping didn't like it in his heart, he couldn't put it on the table, after all, Director Chen didn't do anything illegal, but if Chen Youmin provoked Lu Changping at every turn, it would be a matter of respect and inferiority.

When the leader is happy, he can treat you as a friend and a brother, but if you don't know what to do and really think that you and the leader are friends and brothers, then you will die.

As the saying goes, a companion is like a tiger, and the leader is the same, if you are happy, you are a friend, if you are unhappy, you are a subordinate, and the mentality must be correct.

"Okay, I'll go to the operating room. ”

Lu Changping didn't say much, turned around and walked out of the treatment room, and walked towards the operating room.

In the emergency department, Lu Changping used to come occasionally, but since Fang Han arrived in the emergency department, Lu Changping has not been here much, and he has not come for a long time, and the changes in the emergency department are really big.

The entire department has expanded a lot, and the operating area is even more enviable.

Now the research institute is also in the planning, according to the above meaning, the research institute is built behind the Jiangzhong Academy, the original site of the Jiangzhong Institute is a new construction, although some of the surrounding land is not easy to take, but if you really want to take it, it can still be discussed.

After all, it is something that the province attaches great importance to, and unlike private individuals, the leader really wants to speak, and if it doesn't work, it has to be done.

When he arrived at the operating room, Lu Changping stepped on the door and walked in, there were surgical gowns and brush gowns at the door, Lu Changping put on his clothes, put on a mask, and walked into the operating room.

"Doctor Fang, it seems that Director Lu from the Department of Orthopedics and Traumatology is here. ”

Someone came in the operating room, so naturally it was impossible for no one to find out, and a little nurse leaned next to Fang Han and said a word.

"Hmm!"

Fang Han nodded, didn't say anything, and continued to do the operation, Lu Changping came when he came, and he was not a tiger.

Lu Changping entered the operating room, stood still on the edge of the observation line, and watched Fang Han's operation.

Fang Han grabbed the patient's leg with both hands, and slowly used force, using top to bottom, palm up, thumb force, and first performed preliminary reduction on the patient......

"Electric drill!"

Lu Changping was on the side, Fang Han was not affected, what to do, just do it.

To be honest, Fang Han has never done this kind of small incision reduction and fixation surgery, but to Fang Han's level, as long as the operation is not too complicated, even if it is the first time, he can do it.

It is also a bone injury surgery, which is actually simpler than joint replacement, and the most troublesome thing is actually fixation to avoid unstable reduction and secondary displacement.

Fang Han was doing the operation, and Lu Changping stood on the side and watched, and he didn't say a word.

Time passed minute by minute, and before you knew it, it was forty minutes.

"Alright, put on the plaster cast. ”

Fang Han gave Wen Xueyi an explanation and walked off the operating table: "Director Lu!"

"I heard that you came back the day before yesterday, and you were on vacation yesterday?" Lu Changping asked with a smile.

"Yes, I had a day off yesterday, and today is the first day of work after I came back, and I am ready to leave work and send so many patients. Fang Han smiled politely.

"Haha, this is God knows that Xiao Fang is back. Lu Changping said with a smile.

Director Lu was joking. ”

"I'm not kidding, I looked at it just now, Xiao Fang, did you do a good job in this operation, a combination of Chinese and Western medicine?" Lu Changping asked with a smile.

"Sort of, the past two years have also yielded. Fang Han nodded.

The operation just now was actually not a format operation, it was indeed the surgical plan that Fang Han thought of himself, but it was not complicated.

"It seems that the emergency department has achieved a lot of results in the past two years. ”

Lu Changping smiled and said, "Go out, talk while walking." ”

"I changed my clothes. Fang Han nodded.

When Fang Han changed his clothes, Lu Changping had already taken off his brush clothes, stood at the door and waited, and the two went out of the operating room together.

"Doctor Wen, what do you mean by Director Lu?" Lin Guangcai on the side was a little puzzled, didn't he say that this Director Lu was not interested in bone injuries, but looking at the attitude just now, it was not like ah, the other party was quite polite.

"I don't know. ”

Wen Xueyi shook his head, Fang Han was not in this formation, anyway, he could feel that the attitude of the orthopedic department had indeed changed.

Out of the operating room, Lu Changping and Fang Han chatted while walking, and when they arrived at the bone injury area, Chen Youmin had just finished his work, and was talking in the duty room.

Seeing Lu Changping and Fang Han talking and laughing, Chen Youmin and Chen Yuan were a little stunned, Director Lu didn't seem to be too good with Doctor Fang.

"It's not early, it's time to get off work, so I'll go first, I was going to see if I can help. ”

When he arrived at the duty room, Lu Changping looked at the time, smiled, and greeted Chen Youmin: "Director Chen is not together?"

"Xiao Fang, then I'll go first. Chen Youmin also said hello, and then left with Lu Changping.

As the two of them walked, Lu Changping asked with a smile, "Do you feel a little confused?"

"No, I don't. Chen Youmin shook his head.

Lu Changping said with a smile: "I said that you people just like to think wildly, I didn't say anything, your own brain is very powerful, Fang Han is a student of Guo Lao, and his seniority is higher than mine, and his level is also high......"

Chen Youmin suddenly realized that Lu Changping was rigid and obedient, Fang Han was Guo Wenyuan's student, and he was higher than Lu Changping in terms of seniority, and this alone made it impossible for Lu Changping to be unhappy with Fang Han.

Thinking of this, Chen Youmin also smiled bitterly in his heart, it is indeed the doctors below who like to think nonsense.

If there is something today, there will be two shifts