Chapter 5 What are you doing with all the other stuff?

Lu Cheng was a little panicked in his heart, he was really too vegetable.

I usually follow my superiors to the stage and do a second assistant, but I think the arthroscopy is very simple, but I really want to go on stage to do a help, and I become this bear-like, it seems that I still don't read books and watch surgery carefully.

Whether it is an assistant or a chief knife, every detail needs to be deeply experienced.

The teacher scolded and scolded, but what is certain is that he was giving himself guidance from beginning to end.

It's just that if you are so disliked, will you be disgusted?

With these uncertainties, Lu Chengzhan trembled and assisted Lin You to complete the operation as an assistant, until Lin You said, "Okay, you sew the skin and be responsible for the patient's resignation." ”

As soon as he removed the arthroscopy and the arthroscopic sleeve, he took off his clothes and stepped off the stage directly.

The patient and the doctor are two concepts, the doctor is down, the surgical gown is taken off, and he leaves.

But the patient's resignation is different.

There are several steps that need to be done, such as suturing, bandaging, and passing the bed.

Lu Cheng had only participated as a helper before, and he hadn't operated alone, and it wasn't easy.

After knee surgery, you will need to do a joint puncture again and inject the 'cocktail' into it.

However, the injection of 'cocktail' was originally the same concept as before the opening of the stage, injecting normal saline into the joint cavity, but for a different purpose, and Lu Cheng, who was scolded for doing it once, was not too panicked.

Sewing.

It's just ordinary needlework.

The total number of openings in the arthroscopy is only 0.5cm, 3, and there is no need to use some bells and whistles to close the needle and thread.

The operation of suturing, as long as it is a medical student who has graduated from a bachelor's degree, must have practiced, and this kind of small wound does not have any suturing skills, nor does it require any suturing skills, so Lu Cheng quickly went through the basic skills of arthroscopic wound suturing in his heart.

Forearm force, fast in and fast out, 0.5*0.5 distance.

After the stitches were finished, Lu Cheng saw that Lin You didn't know when he poked his head over, nodded and said, "Well, the technique is okay." If you let me see that your wrist is bent and use the force of your wrist, Master can show you the dislocation and reduction of the wrist joint on the spot. ”

"I'll see you take ropivacaine and betamethasone again. ”

"Okay!" Finally got Lin You's affirmation, Lu Chang exhaled a long breath, took a 10ml syringe, and pushed the patella outward.

But just when he did this, Lin You's cold snort came.

"Huh?"

"How many wounds do you want to pierce the patient? Does the opening where I enter the joint cavity look like a decoration?"

"Oh!" Lu Cheng hurriedly reacted, this is another pit that Lin You made for him, although they are all joint cavity punctures, but according to the principles of surgery, the incision should be minimized to reduce the chance of infection......

Of course, later, Lu Cheng was scolded again.

Because the pit left by Lin You was not a problem with the puncture point of the joint cavity at all, but the 'cocktail', which did not hit the joint cavity at all, but into the skin around the joint.

"Is that how we usually fight?"

"What is the purpose of a cocktail?"

"Huh?"

"Sodium hyaluronate, are you sure you want to fight like a cocktail?"

In addition to the cocktail, there is also the injection of sodium hyaluronate, which needs to be injected into the joint cavity.

Lu Cheng's whole face was completely darkened, he originally thought that Lin You trusted him and asked him to close the wound and be responsible for the postoperative work, but in fact, Lin You was deliberately digging a pit for him, and it just so happened that he, as a rookie, just jumped down.

Lu Cheng was muttering to himself in his heart, what other people's masters are constantly mentioning and guiding, why is my master deliberately digging a pit for me?

You are my master!

But Lin You, after seeing the patient step down, had already paced out of the operating room slowly.

This is the last operation of today, epidural anesthesia, can be sent directly to the ward, because it is meniscus plasty, does not involve sutures, so there is no need for antibiotics after the operation, only stomach protection and analgesia, and the discharge can be handled tomorrow.

Seeing Lin You out of the operating room, Lu Cheng's heart really relaxed.

Secretly, I'm afraid I haven't met a fake master?

Out of the operating room, the patient woke up directly, called the family and went back to the ward, the doctor's order was nothing to prescribe, only a thousand liquids plus stomach analgesia.

Wait until Lu Cheng has finished prescribing the doctor's order, and the first postoperative course and operation record are written and ready to leave work.

The family members walked into the office again.

"Dr. Lu has worked hard, thank you Dr. Lu. The faces of the patient's family members were full of smiles.

When Lu Cheng saw this sincere smile, the haze in his heart seemed to be swept away, as if he was thanking him.

It was like a purifying potion, purifying his mind.

Yes, the sincere gratitude of the patient after the treatment is extremely sincere. It's purifying, so I'm going to study hard...

Lu Cheng encouraged himself so much in his heart.

But in less than half a second, Lu Cheng's face stiffened slightly.

"Dr. Lu, I heard my son say that he still needs a special functional rehabilitation plan after surgery, how should my son move? Can't he bend his legs or get out of bed?" The old man's voice and inquiring tone were extremely sincere and polite.

But this sincere smile directly made the cold sweat on Lu Cheng's back come down.

Here's the problem.

When Mr. Lin came out of the operating room, he didn't tell himself how to exercise, as a rookie, how to answer this question?

It seems that Master is testing his memory and carefulness!

Lu Cheng still remembered the postoperative guidance plan of the last discharged patient, sorted out the language and said: "That's right, the 16th bed is a meniscus surgery, he must not get out of bed today, and he can't bend more than 90 degrees in a month." ”

Of course, you may also need to wear a knee brace to adjust it. Can increase range of motion by 15 to 20Β° every two weeks......"

Lu Cheng's memory is not bad, all the course and discharge records of the previous patient were written by him, and he remembers very clearly, the meniscus patient recovered in this way.

Moreover, he has also seen these functional exercise plans in relevant professional books.

Endorsement, you can't make a mistake??

"The meniscus of the 16 beds was not sutured, but only shaped and partially removed, except for not getting out of bed today, the others can be moved casually. In addition, pay attention to protect the wound, and remove the stitches after 7 days depending on the situation. There was a slight difference from Lu Cheng's statement outside.

Listening to the timbre, it is Lin You.

Lu Cheng and the patient's family members' faces changed slightly, but the patient's family didn't say anything, he knew that Lin You was the superior, so he walked directly towards Lin You and said, "Doctor Lin, my son, he?"

"But?"

Even Lu Chengdu cast some disbelieving glances.

This time Lu Cheng believes that he is absolutely not mistaken, and this is what is written in the book.

Lin You glanced at the two of them and explained, "Old man, what Dr. Lu said must be right, it is also feasible for you to recover according to his methods." That's what the book says. ”

"But that was the exercise method many years ago, and the latest research shows that patients who don't have meniscus sutures can recover quickly, that is, you can move whatever you want, and it is not painful. ”

"This will speed up your recovery and there will be no after-effects, and of course, it's best to get down on crutches with some weights......"

"These things haven't had time to be written in a book yet. ”

"Oh oh oh!" The old man was relieved when he heard this, since there was nothing wrong, then I listened to Dr. Lin's right, because he knew it.

As for Dr. Xiao Lu, he can't blame him, this is something that hasn't been written into the book, and it's normal for him to not know.

The patient's family happily returned to the bedside.

Lu Cheng's face was slightly tight, and he didn't know if it was because of nervousness or something else.

Lin You came in, patted Lu Cheng on the shoulder, and joked intentionally or unintentionally: "What, I can't bear the pressure in my heart? When you were interviewing, you said that your self-regulation ability is extremely high." ”

Lu Cheng said bitterly in his heart, Master, those are all interview clichΓ©s, you should take it seriously? Dismantle my table in front of the patient?

Lin You finally relented and said:

"If you don't read a doctor, you can't do it. ”

"But if you only read books, you're just someone else's tool. ”

"Let's talk about one good thing, the things in the book, other than the concepts. ”

"What are you doing with all that stuff on your back?"

"Let's eat together in the evening, and by the way, you can summarize today's medical records. ”