Perhaps the biggest difference between internal medicine and surgery is that if you have a clear diagnosis in internal medicine, you can diagnose and treat the disease, and if you can't treat it with medicine, you can't do it, and no one can do it.

But surgery is different, and a clear diagnosis is only the beginning. It may not even be the beginning.

This is one of the reasons why the training cycle of surgeons is much larger than that of physicians, however, it is also the reason why the risks of surgeons are greater than those of internists.

Lu Cheng's mind is now full of learning, and he has no heart to think about anything else at all.

In front of patients and their families, as long as they put on a white coat and say that they want to watch the film, there is definitely no problem.

However, when the film was taken to the office, Lu Cheng still didn't understand it, mainly because the anatomical structure on this piece was not the same as what he memorized, it was layered, and the anatomy on the book was directly a general one.

Even the collection system didn't seem to be able to do anything, and it didn't give any hints.

Lu Cheng suspected that this must be because he was not skilled enough in the dissection of the knee joint.

Another reason is that this medical record collection system actually doesn't have any superpowers, it just lets me have a USB flash drive, and then adds a classification processor, it can't let me see through the diagnosis at a glance, nor can I let myself broadcast live, let alone give myself the magical ability of being possessed by a medical master.

As a clinician, and a doctor who likes to read novels, Lu Cheng has read these novels.

It's very cool to read, but it's just refreshing, and other times, it's time to read books, and it's time to read literature and read literature.

The things and statements in it are actually not very applicable.

Lu Cheng always remembered a sentence in his heart, which was said by his mentor when he first entered the department.

"The number of surgeries can determine the lower limit of surgery, and the number of readings and cognition are the keys to determining the upper limit of a surgeon.

Although you may not have any opportunities to operate in the past few years, but in the future, you will definitely step on our 'corpse' and look forward, don't worry, medical skills are not in a hurry, you need to have absolutely enough precipitation. We don't think you can't be a surgeon if you are given a few months of surgery. ”

"But that's certainly not the original intention of taking students. ”

"If there is no cognitive precipitation, no matter how repeated the same thing is, it can only be exquisite. ”

This is where medicine, and even in the future, will never be replaced. ”

……

Lu Cheng put the film back, and there were some gains and losses.

Now that he has been able to determine what kind of system can indeed bring great benefits to himself, Lu Chengcheng doesn't want to worry too much about whether he is sick and let it appear.

The road of medicine is long, and even the teacher said that he did not necessarily push open the door of medicine and walked inside.

can have such a good learning opportunity, even if it is sick, Lu Cheng admits it.

More often than not, it's not that we can't learn and are not interested, but that there is no good way to learn.

The study of medicine, especially one, can only be painstakingly rote memorization......

Since God has given me such an opportunity, then I can't let it go, study hard, and accumulate more.

16 beds were accepted, and Lu Cheng still didn't quite understand why he wanted to have surgery, how to evaluate the indications for surgery, and why he chose these operations.

But Lu Cheng is still very happy, at least, starting today, he has made a qualitative leap in the history and physical examination of the torn meniscus.

I don't dare to say that it's everyone, but at least I have an extremely keen sense of smell.

This operation is Lu Cheng's mentor Lin You.

Well, an attending physician who has just been hospitalized for a total of two months.

Lu Cheng was his first student.

At first, Lu Cheng didn't feel anything, but after entering here, Lu Cheng found that when many associate professors were not qualified to lead students, Lu Cheng seemed to understand what kind of teacher he had.

There are strict hierarchies in hospitals.

Interns, Graduate Students = Trainees = Trainee Doctors, Doctors (Follow-up Resident Officers), Resident Doctors, Attending Physicians (Researchers or Associate Researchers<), Associate Professors, Professors, Department Directors = Laboratory Directors = Clinical Center Directors, Discipline Leaders (Discipline Directors).

Lu Cheng's status is only a little better than that of an intern.

But his own teacher killed a large number of people.

After all, it takes three years to go from graduate school to doctorate.

From the attending to the associate professor, it must have been at least five years, and he was killed.

Under the operating room, Lu Cheng was a little nervous.

In the past two weeks, the teacher has given him the impression that he is rigorous and meticulous in his studies.

Meticulous to the extreme, rigorous to the point of numbness, so that Lu Cheng still does not dare to forget any of the undergraduate surgical experiments. After all, the back of the hand is still a little swollen.

When I arrived at the operating room, the teacher naturally hadn't come yet, and the patient was in the anesthesia preparation room.

Lu Cheng needs to do a lot, meniscus surgery is done under arthroscopy, and he has to make sufficient preparations.

In addition to epidural anesthesia belonging to the anesthesiologist,

Tying a tourniquet, disinfecting, and laying a towel will be Lu Cheng, which is the most basic.

The tourniquet was found, and five minutes later, Lin You came.

Lu Cheng was still looking for a disinfection curved plate, and before he saw Lin You, he could feel a 'murderous aura' coming from behind him.

"Disinfection range, master. ”

"Brush faster, leave no blanks, the second pass is smaller than the first pass. ”

"Next !!"

"Joint surgeons need to wear sterile gloves to sterilize, don't you know?"

"Do you think it's an ordinary cloth towel......?

After the disinfection and towel are finished, the teaching begins with a stern voice.

"My mark is ready, you come to pierce!"

"What are you doing?"

"Is the puncture point here? You have to push the patella outward, and the tip of the needle is close to the patellar surface!

“30ml-40ml。 This remembers that you can. ”

"Position! position!"

"You have to remember that you are Ichisuke!"

"I'm going to have a lateral meniscus now, what position are you going to pose?"

"The little 4 is put up, what are you still doing in a daze?"

……

"Oh, okay. Lu Cheng's voice was extremely brief, and he was a little hurried, and he didn't dare to follow in the slightest carelessness.

"What Ichisuke has to do is to clearly know what the main knife is doing and how to cooperate. ”

"What the main knife has to do is to know how to cooperate with you. ”

"This is the infrapatellar capsule, this is the medial meniscus, this is the intercondylar fossa, and this ligament inside the intercondylar fossa is the anterior cruciate ligament, and the posterior cruciate ligament is behind the intercondylar fossa. ”

"Where is the medial collateral ligament?"

"Is it more medial to the medial meniscus, is it in the joint cavity? where is it? you show me?" Lin You roared.

"Are you there?" roared again.

Lu Cheng didn't dare to speak anymore.

"The medial collateral ligament is in the more medial soft tissues of the medial meniscus, can you find it in the joint cavity?"

Lu Cheng in his heart: Then you still ask me?

“……”

The instrument nurse and the professional nurse in charge of the arthroscopy under the stage looked at Lu Cheng with a pitiful look, and there was a strange look in their eyes.

No?

Is this Lin You?

When did Lin You become so serious? Is this still the car king Brother You?

Also, when is Lin You going to guide a Yizhu so hard?

Logically speaking, shouldn't these things be the work of senior residents in this hospital?

I seem to understand why Lin You invited us to dinner at the beginning, and specially called Chen Hui from this hospital to go out to order food in advance, he is not a drunkard at all, he wants to guide this little rookie alone, so he deliberately separates Chen Hui, otherwise, this work will not be the turn of this little rookie.

I feel sorry for the rookie for a second!

I felt sorry for Chen Hui for two seconds.

Thinking of this, the two looked at each other and remained silent.

The anesthesiologist is only responsible for anesthesia, and it is also an epidural, and there is no need for monitoring at all, just asking the patient if he needs to sleep......

In the operating room, the silence was even more terrifying.