Chapter 66: The Chief
Monday, half past seven in the morning.
As soon as Li Xiyang arrived at the emergency department, he saw Mo Kai walking out of the operating room with a tired face.
"You're here!"
"Well, the teacher stayed up all night again?"
"Okay, don't talk about me, today is the first day of your project, are you nervous?"
Li Xiyang scratched his head, "A little!" ”
"Stinky boy, it's not the first day of surgery, cowardice!"
"By the way, I can't accompany you this time, come on!"
Originally, Mo Kai planned to be a helper, after all, he was his own apprentice, so he had to help him get off to a good start.
But yesterday, I suddenly received a call from the director, saying that the assistant had been decided.
Attending physician Li Hua.
It is said that it was Liu Qiti's request, and the condition was that the project was included in the extraosseous and emergency department.
Such a good thing, Zhang Zhenhua naturally agreed happily.
Besides, Li Hua's original profession is outside the bones, and it is very suitable for him to be Li Xiyang's assistant.
After that, Mo Kai explained a few more words before yawning and leaving the hospital.
……
Coming out of the changing room, Su Xintong also arrived.
"Xiao Su!"
"Ah, Dr. Li, you're here!"
"Well, how's the OR ready?"
"You're all set!"
"What about the patient?"
"I sent it this morning, in Ward 1, I'll take you there now."
"Good!"
When the two entered the ward, they were surprised that Li Hua was already there.
Li Hua glanced at Li Xiyang and did not speak.
Examining the patient on his own.
Li Xiyang walked up and asked, "How is the patient?" ”
Li Hua still ignored it, and the atmosphere was a little awkward.
Seeing this, Su Xintong hurriedly said, "The patient, male, 25 years old, suffered from a fall that caused swelling and pain in his right calf, and his activity was unfavorable for 5 hours, and he was admitted to the emergency department with a fracture of his right tibia and fibula. ”
"Fibula fracture?"
Li Xiyang thought it was patellar surgery.
"Is the inspection done?"
"It's already been done, and we're still waiting for the results!"
At this time, Li Hua said lightly, "The patient is conscious, painful, and his right calf is interrupted and swollen with purple and obvious deformity.
impaired mobility, marked tenderness,
longitudinal axis percussion pain is positive, bone fricative can be reached, abnormal movement, and acral sensorimotor blood circulation. ”
After speaking, he glanced at Li Xiyang, his eyes full of provocation.
Probably mean, you can't even see this?
In fact, Li Hua didn't sleep all night yesterday.
He couldn't figure out why he wanted to be an assistant to a resident doctor.
Is my uncle crazy, or is Zhang Zhenhua crazy?
So I came to the emergency room early today, planning to give Li Xiyang a dismount.
Seeing that the latter stared at the patient without speaking, he succeeded in his thoughts.
However, in the next second, "I don't wait for the test results, now push the operating room!" ”
"Huh??"
Su Xintong and Li Hua were stunned.
……
The lights in the No. 1 operating room are fully turned on,
Li Xiyang brushed his hands clean and quickly stood on the operating table!
Although this is not the first time he has been on the operating table, as Mokai said, this time it means differently.
There were some ups and downs in my heart for a while.
"Doctor Li, why don't we wait for the examination report?"
Su Xintong was still a little worried.
She has been in the emergency department for three years, followed at least 100 surgeries, and has never seen an operation with unequal test results.
What if this is ......
Li Xiyang shook his head, "There's no time!" ”
Turning to the anesthesiologist, he said, "Let's get started!" ”
The anesthesiologist nodded, then walked onto the operating table.
Initiation of anesthesia,
Complete
Laying towels,
Disinfect...
During the whole process, Li Hua only watched but did not speak.
He wanted to see what Li Xiyang could do.
But when Li Xiyang picked up the scalpel and made a medial incision along the medial malleolus of the tibia, Li Hua couldn't be calm.
The patient's fracture of the fibula continuity and tendon insecurity due to an external blow should be made with a lateral incision along the fibular head.
Does this kid understand?!
There is also this knife skill, slowly drawing down layer by layer, pure novice Xiaobai!
Lao Tzu is a hundred times stronger than this even if he closes his eyes!
Li Hua's most confident thing is his gorgeous knife skills!
Looking at the crooked scratches on the patient's skin, Li Hua wanted to open his mouth several times,
But I couldn't help but think about it.
Hmph, it's better to mess up.
Anyway, a small operation like a fibula fracture can't make it difficult for me, so when the time comes, I will turn the tide and let this kid know who is the master.
Finally, the incision opened.
Li Xiyang seemed to be very tired and let out a long breath.
Su Xintong hurriedly stepped forward and wiped the sweat on Li Xiyang's forehead.
Seeing this scene, Li Hua rolled his eyes directly,
This kid is not only a dish, but also a void!
"Pull the skin to the sides."
Li Xiyang clamped the open cortex with tweezers, and then handed it to Li Hua.
Li Hua looked impatient, but still reached out to take it.
With a gentle tug, the cortex is hung on the side.
At the same time, the patient's leg fascial tendons were all exposed to the surgical field.
But Li Hua stared at Shuye and was suddenly stunned, "What's the situation?" ”
"That's..."
During the operation, the patient's myofascia was raised high, and the nerves and blood vessels on the left and right sides were severely squeezed or pulled, showing a crimson purple.
At this time, Li Xiyang said lightly, "It's compartment syndrome." ”