Chapter 167: Training Course
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"Wipe the sweat!"
After sucking out a piece of cholesteatoma, Luo You let out a low cry, and the nurse hurriedly stepped forward and wiped a handful of sweat on his forehead, and after he blinked his eyes vigorously, he came back to the eyepiece of the microscope.
The operation has been going on for four hours.
Even though he was used to doing this kind of marathon surgery, Luo You still felt a trace of fatigue at this moment, his eyes leaning on the eyepiece were sore, and he hurriedly moved away, ready to take a break, but he commanded: "Check the endoscope again!"
Hearing the instructions of the chief surgeon, the assistant Tian Lu hurriedly prepared the endoscope and carefully probed in.
"There should still be residue in the Meckel cavity. β
Before the endoscope reached in, combined with the prompts in his head, Tian Lu whispered his judgment. Regardless of whether Tian Lu is the chief surgeon or the first assistant, the system is dutifully playing its role.
Looking up and glancing at Tian Lu, Luo You didn't answer, and observed the situation under the mirror by himself. Sure enough, the part that penetrated into the Meckel cavity still had a small piece of cholesteatoma remaining, exactly like what Tian Lu said!
For this situation, Luo You was almost numb.
At the beginning, he may have some disdain in his heart, there will be doubts, and there will be the urge to "teach" young people with facts, but when Tian Lu said exactly what he said every time, Luo You's mentality gradually transitioned to shock, and finally to the current numbness: this young first assistant is like having a pair of perspective eyes, and the pontine cerebellar region with an unusually complex anatomy is exquisite. Never said miss once!
After exploring with an endoscope, Luo You paused for a moment, and in one fell swoop, he peeled out the tumor that was deep in the brainstem side and gently peeled it out in pieces, but the cyst wall, which was very close to the brainstem adhesions, was not forcibly peeled off, pushing the trochlear nerve behind the pontine horn and behind the cerebellum. The tentoria of the cerebellum is incised, and the tumor that protrudes into the interfoot fossa is dissected and sucked out.
This time, under the gaze of Luo You's somewhat strange gaze. Tian Lu nodded and didn't say anything more.
Luo You examined it with an endoscope, and the results of the excision made him very satisfied. Cover the hemostatic veil in the local bleeding area to stop the bleeding. Exploratory surgical field, oculomotor nerve, trigeminal nerve, abducens nerve, facial auditory nerve, posterior cranial nerve intact, brainstem cerebellum, supracerebellar nerve and other structures are intact, and then Luo You nodded to the two assistants, indicating that the cranial closure can begin.
Nemot rinses the field repeatedly with saline. The dura mater is sutured tightly, the skull is repaired with titanium mesh, and the muscles are sutured subcutaneously and the skin in layers. The work of Guan Cranio, Li Qiang naturally handed it over to Tian Lu. And Tian Lu did not disappoint Luo You, who had been waiting to see him operate again. The hands are like a mechanical arm that has been programmed, fast, steady, accurate, and clean, whether it is speed or quality, Luo You is full of praise and amazementγγγγγγ
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"The surgery went smoothly and the tumor was removed cleanly. β
Out of the operating room. Facing Liu Ming, who was looking forward to it, Luo You first said the result he was most concerned about, and then said with some emotion: "But to be honest, Dean Liu, it is really a bit too much for you to let me come over for this operation this time." β
"What do you mean?"
Liu Ming was a little confused and asked in surprise.
"It means that we are enough to complete this operation!"
Luo You shook his head with a wry smile and said, "And I'm afraid it's not worse than what I did, so it's a bit redundant to let me come." β
If Tian Lu's answer at the beginning still made Luo You a little skeptical, then Tian Lu's accurate judgment of various situations during the operation, and the operation of the surgical field area when the skull was finally closed, made Luo You understand: This Tian Lu can really complete this operation, and it is likely to be not bad!
Following Luo You's gaze to see the field road that had just come out, Liu Ming quickly understood what he meant, and couldn't help but be surprised: "You meanγγγγγγ I know he'll probably do this surgery, but he'll be just as good as youγγγγγγ Unlikely, right?"
Smiling slightly, Luo You did not continue to explain, but smiled at Tian Lu, who was walking towards him: "Xiao Tian, the operation went well, but the follow-up treatment can only be handed over to you." β
"Hehe, Director Luo rest assured. β
Tian Lu replied with a smile. Postoperative patient management is nothing more than routine anti-inflammatory, rehydration, anti-epileptic, hemostasis, swelling reduction, gastrointestinal protection and electrolyte supplementation. Tian Lu has specially written a standardized postoperative treatment process, and there is definitely no problem.
After this operation, Tian Lu and Luo You felt a little sorry for each other.
Although the two are about ten years apart, they both admire each other's abilities, especially Tian Lu, who knows that without systematic prompts, he can perform the operation to such an extent, and Luo You's personal ability is beyond doubt. For Luo You, Tian Lu, a young doctor can complete such a difficult neurosurgery, what does it naturally mean needless to say.
Only Liu Ming stood beside him, looked at Luo You, who was specially invited, and then looked at Tian Lu, who he didn't dare to trust, and the feeling in his heart was difficult to tell for a while whether he was surprised, confused or happyγγγγγγ
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"Director Luo, you should order first! Our dean has spoken, we must entertain you well, but don't be polite!"
Li Qiang handed over the menu to Luo You and said with a smile.
Luo You glanced at the menu a few times, ordered two dishes at random, and then handed the menu to Tian Lu, and said with a slight smile: "Xiao Tian, come on." β
Tian Lu came to this restaurant twice, ordered a signature dish without looking at the menu, and then transferred the menu back to Li Qiang. Compared with the "stinginess" of the two, Li Qiang was much more generous, and directly ordered three dishes and one soup, and asked for a good bottle of red wine, looking like he was going to do a big job. It's just a pity that Li Qiang received a call from home just after serving the food, and it seemed that he was in a hurry, so he left in a hurry, leaving only Tian Lu and Luo You facing a table of wine and food. After smiling at each other, they each buried their heads in hard work.
From 10 a.m. to 6 p.m., the entire operation lasted a full eight hours, and the two of them were indeed tired and hungry, so the meal was extraordinarily sweet. Luo You even cooperated with the meal and drank half a bottle of red wine. It was only when the hunger in their stomachs eased a little that the two slowed down their meals. They began to talk and laugh.
"Hehe, if this person is hungry, he will eat everything deliciously. β
Pick up a chopstick of fish. Luo You said with a smile: "Usually I rarely eat fish, but today I think it tastes very good, and I eat a lot, haha!"
"It's been a hard day, Director Luo, you eat more!"
Tian Lu smiled slightly and lifted his chopsticks.
In fact, for Tian Lu, he pursues the principle of being full at most seven or eight points per meal, and now he has eaten almost enough. However, at the dinner table, he acted as a party to the guests, in order to avoid the embarrassment of the guests. Naturally, I couldn't stop the chopsticks, I ate and drank slowly, chatting with Luo You.
"When eating, you should chew and swallow slowly. Timed and quantitative. My wife always complains that I don't eat on time, and when I eat, it's like a war, and I get sick with my stomach. β
Luo You sighed with emotion: "But she doesn't want to think about it, surgeons, especially our neurosurgeons, who dare to guarantee that they can eat on time every day? Or even for more than ten hours, the patient can wait on the operating table for you to finish eating?"
Regarding Luo You's words, Tian Lu nodded with deep feelings. Because of the systematic help, he rarely has a particularly long time to do surgery, but for the general neurosurgeon, if the anatomy of the lesion is complex and the operation is very difficult, it often takes a long time, not to mention eating, I am afraid that I have to endure it even if I want to go to the toilet!
In this regard, I'm afraid most surgeons are the same.
"Oda, I heard you came back from San Francisco Medical Center?"
After taking a sip of red wine, Luo You suddenly asked with some curiosity.
Tian Lu nodded and smiled: "Yes, I have been in San Francisco for seven or eight years, and I just returned to China last year. β
"San Francisco Medical Center, that's a great place!"
Luo You raised his wine glass and said with some emotion: "When I was studying in Pittsburgh, I once went to San Francisco to attend an academic conference on neurosurgery, and I still remember the conditions there vividly, and I envy them!"
Smiling, Tian Lu didn't answer. Speaking of which, he still sometimes misses the conditions of San Francisco, the good medical environment, all kinds of advanced equipment and equipment, and the abundant medical resources, so that doctors can only focus on their own work and research, and do not have to think about other things at all. It is true that there are some aspects of being a doctor easier than in China.
Some emotion rose in his heart, and Tian Lu heard Luo You laugh in a low voice: "Xiao Tian, I have a training class at the base of the skull in October, are you interested in making a guest appearance as a lecturer?"
"Instructor?"
Tian Lu was slightly stunned when he heard this, pointed to himself and asked, "Me?"
"That's right!"
Luo You blinked his eyes and smiled: "The scale of this training class is very small, there are only twenty or thirty people, and I am the only one who lectures, how about it, are you interested?"
With such an explanation, Tian Lu immediately understood: "Oh, you're talking about training done in cooperation with enterprises, right?"
There are only twenty or thirty people in the training course, whether it is the name or the profit, it is not very meaningful, the only possibility is that there is funding from the enterprise, and the people who come to listen to the lecture are also the customers of the enterprise. Of course, the only hospitals that will come to participate in such a small training course are those hospitals below whose neurosurgery is not particularly strong.
"That's right, it's a training course sponsored by Oku. β
Luo You didn't hide it, and said with a generous smile: "I want to ask you to talk about the anatomy of the skull base, which is about two classes, about an hour and a half, how about it?"
Judging from the situation during the daytime operation, Tian Lu's understanding of skull base anatomy was even far greater than that of Luo You himself, so he also sent an invitation to Tian Lu on a whim.
"No problem!"
Since this is the case, Tian Lu also happily agreed: "As long as I have time at that time, I will definitely go!"
Tian Lu is quite interested in this kind of small training course in cooperation with enterprises, because it is a good way to promote himself before the neurosurgery department of the Second Affiliated Hospital is strong enough. For example, when the time comes, we can talk to Weisen Company and use this small training class to promote the set of surgical instruments designed by Tian Lu.
Thinking of Weisen Company, Tian Lu's heart moved, and he smiled at Luo You and said: "Speaking of which, Director Luo, do you have any feeling that the surgical instruments we are using now, such as rongeurs or something, are they a little too bulkyγγγγγγ β
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