Chief Physician Hongdu is probably close to sixty years old, 1.6 meters tall, thin but upright.

The forehead is broken and the temples are white, and the whole person is introverted and low-key.

At least in the past few days that Fang Ziye has been here, few people have mentioned the old chief physician of Hongdu, but as soon as the chief physician of Hongdu opened his mouth, even Director Zhang Mingcan was full of promises, and Wu Guonan, the new chief physician, had no intention of refusing.

Fang Ziye stayed, and after approaching Director Hongdu, he explained: "Director Hong, it's okay for me to help, but all I can do now is the routine, as for what to do, I may not understand." ”

This is like, in fact, the power of manual reset, every adult man has, and the general routine is also simple.

But how to reset, this kind of understanding, knowing how to reset, is valuable.

If you want to say that the surgeon competes with the fitness party with absolute strength, it is still a bit too much to compare.

The director group of Hongdu is full of talents, including Huang Kai, the oldest deputy chief physician in the department, and Zhang Jinchuan, who Fang Ziye has seen a few times before, that is, the doctor on duty when Fang Ziye first came.

There is Cao Zhen, a master's student from the Affiliated Hospital of China Three Gorges University, and another ordinary social training. There are enough people in the group.

Fang Ziye talked to Director Hongdu, but he also nodded and greeted Huang Kai and others, but he didn't call people directly.

Hearing Fang Ziye's explanation, Chief Physician Hongdu didn't give an explanation, but Deputy Chief Physician Huang Kai laughed.

Huang Kai's mouth was very big, and he spoke with an indescribable glutinous energy: "Ziye, you don't know something, Director Hong standing in front of you is the real pillar of our trauma surgery." ”

"The orthopedic department of our En Central Hospital, the reason why it has its current scale, is that it was all built by Chief Physician Hongdu."

"Director Hong can perform surgery on the atlas of the cervical vertebra to fracture the small phalange. External-to-external fixation braces and internal-to-intraosseous tumors are all what Director Hongdu is good at. ”

"Director Hong has been engaged in spine surgery for the past 12 years, and spine surgery is the first in Enshi. In the middle fifteen years, I have been doing joints, and now the joint surgery department of our department is the first in Enshi, and after the new trauma center was opened, Director Hongdu ......"

When Huang Kai was still blowing each other in business, Hong Du patted him on the shoulder: "Come on, Huang Kai, do you think Dr. Fang is the person you usually see?" ”

"Isn't it a shame for you to take what I have done and talk about it in front of the top orthopedic department in Hubei Province like Zhongnan Hospital?"

"Xiao Fang, let's go, let's get out of the operating room first, and then talk as we go."

"After all, I also have a certain friendship with Chen Lao, a Chinese medicine doctor who went out of our city, and we worked together when he sorted out the manual reduction technique and the clinical application of modern medicine."

"It's just that I started late and can't catch up with Dr. Chen's strong operating position, but I may still have a little experience in what kind of fracture can be reduced." Hongdu threw a bombshell rather low-key.

There is an old man in the family, if there is a treasure.

Although the surgeon is old, he does not rely on his muscles and bones, but who can ignore his knowledge in clinical practice for so many decades?

When Fang Ziye heard this, he immediately nodded and followed, and glanced at Director Wu Guonan and the others from afar, they should do what they should do.

I didn't even think about the fact that I was no longer in the group.

It can be seen from this that Hong Du, the inconspicuous old director, is the absolute right to speak in the department, at least, in terms of status, even if it is Zhang Mingcan, it is estimated that he has to give seven or eight points of courtesy.

On the way down the operating room, Fang Ziye got to know Huang Kai, Cao Zhen and Zeng Weihang again.

Fang Ziye's deepest impression of Huang Kai is that he has a big mouth, thick lips, and although his figure is not wide, his muscles are strong, and he is a diehard fan of fitness.

In the group inside and outside the trumpet cocked mouth.

The other Cao Zhen is relatively low-key, with medium-long hair, and his hair usually covers his eyes, only in the operating room, he will coil up his hair and stuff it into his hat to avoid blocking his vision.

"Damn, Director Huang, are you so powerful? That's really going to have to learn a little more from you. In the locker room, when Zhang Jinchuan was giving Fang Ziye a popular science, Fang Ziye knew that the giants of the original trauma center were all concentrated in the Hongdu director group.

It seems that Zhang Mingcan is the administrative director of the ward, but the talents under him are definitely not as good as here.

Huang Kai, don't look at the cheeky mouth, as the deputy chief physician of the prefecture-level city hospital, won the first prize of the Hubei Provincial Young Physician Hand Surgery Skills Competition, with eight first prizes and three special prizes.

In addition, Huang Kai also won the third prize of the National Spine Surgery Minimally Invasive Skills Competition, and there are 50 second prizes in the country, even if there are 20 first prizes and 5 special prizes.

Huang Kai, who can become one of the 100 third prizes, also has a very rich resume, and he must have something to get it.

At present, the main direction of tackling is minimally invasive spine surgery, and the second is arthroscopy.

Huang Kai said: "It's all false names, there's no need to take it seriously, it's the love of the judges, where is there anything powerful or not." ”

"Compared to really good people, I'm nothing, and a lot of people don't bother to compete. You don't have to worry about that. ”

Huang Kai's voice is a little hoarse, but it is not dumb.

The group, after putting on their clothes and pants, rushed to the 9 operating rooms one after another.

In the operating room, today's manpower is also quite abundant, two tours, one instrument nurse, and three people have not come to the stage, it is estimated that the chief physician of Hongdu has already explained.

After seeing Director Hong Du enter the operating room, one of the nurses, who looked a little older, asked, "Director Hong, how many reductions are you going to do today?" If you really don't reduce it, you will have another operation? ”

"I didn't have enough surgical kits for the first time, but I could disinfect them at any time."

"Well, it's okay, Xu Xia, you are with me, I am very relieved." Director Hong Du saw that the anesthesiologist was administering anesthesia, so he sat on the round steel stool and put the mobile phone on the table.

Seeing this, several nurses immediately stood up and gave up their places.

The older nurse also said: "Director Hong, you are joking, I was brought up by you, Teacher Hong, and now I am arranged by the hospital to only study with Director Hong, which is my blessing." ”

There is something in this nurse's words, and it is obvious that this is a specialist nurse who is professionally equipped with a station in Hongdu and does not participate in the duty of this hospital?

There's definitely something too.

After all, Director Hong Du knows the three subspecialties of spine, joints and trauma, and if she can keep up, her knowledge will definitely not be narrow.

Hong Du smiled, then looked at the anesthesiologist, and as soon as he opened his mouth, he directly made Fang Ziye's heart sink.

"Teacher Nie, is anesthesia easy to fight?" Hong Du's tone seemed a little solemn and respectful.

Fang Ziye looked at it when he heard this, thinking that he had heard it wrong.

The person who is taking anesthesia is the most poisonous at the age of thirty-one or twelve, at this age, it is almost the same as the subordinate of the anesthesiology department, Fang Ziye's first impression is that he came to dispense the medicine in advance, and when it is time to give anesthesia, he will call the chief physician or the old attending physician of the anesthesiology department.

Hongdu's sentence of Teacher Nie made him a little confused.

While he was doing nerve block anesthesia, it was estimated that after inserting it into the position, he turned his head and smiled slightly: "It's almost ready, Director Hong." You can wait a few more minutes. ”

"For the next surgical patient, I have already followed, and I am ready to go to the pre-anesthesia room outside for anesthesia."

"It shouldn't delay much of your time, Director Hong."

Hong Du said, "It's okay, Teacher Nie, you're busy with you." We're waiting for you, hehe. ”

The young man turned his head and said, "Director Hong, why don't you change your words and call me Mingxian." ”

"Don't call Teacher Nie."

Hong Du shook his head decisively: "That's not good, a high-achieving student like you, I have to support you." ”

"Oh, by the way, Mr. Nie, this is what your old classmate Dr. Wu came to tell you about yesterday, Dr. Fang from Zhongnan Hospital, a student of Professor Deng Yong."

For a while, Fang Ziye felt that the amount of information was a bit too much.

It needs to be summed up well.

In other words, it was Dr. Wu Xuanqi who came over first to say hello to the old director of Hongdu, and asked Director Hongdu to take him down today to do manual reduction, and at the same time opened up the relationship between anesthesiologists!

Hiss! ~

Why is that?

Is this another routine?

But no, Dr. Wu Xuanqi didn't ask himself to do anything, compared to Zhang Mingcan, so far, Dr. Wu Xuanqi has given himself far more than he imagined.

And all he asked for was to instruct him on the content related to basic experiments.

Fang Ziye felt a little inexplicable.

The person named Nie Mingxian turned his head to look at Fang Ziye, smiled again, and then withdrew the needle of nerve block anesthesia a little, and injected a little more before saying, "Director Hong, the anesthesia here has been prepared, I'm going to anesthetize the patient outside." ”

"The estimated time is ten minutes later, and then the operating room will be picked up, and then the time for this patient to return to the ward and the next patient to take over the pre-anesthesia room of the operating room, and then enter the operating room, is exactly about 20 minutes."

"It should be about the same."

"You also have time to rest." Nie Mingxian directly and accurately controlled the time at the level of ten minutes, and opened his mouth clearly.

After speaking, Nie Mingxian glanced at the vital signs on the patient monitor again, then turned his head decisively and went out with the medicine basket.

Fang Ziye was still a little confused, his eyelids were flashing rapidly, and his face was full of doubt.

Seeing this situation, Director Hong Du had already stood up and explained to Fang Ziye: "Dr. Fang, this Nie Mingxian used to be a seven-year student in the Third Affiliated Hospital of Kyoto University, and later came to work in our hospital. ”

"He was originally a doctor in the emergency department, but because the anesthesiology department was relatively short of manpower, and Dr. Nie's anesthesia skills were very good, he was introduced by the director of the anesthesiology department, and his understanding of anesthesia and anesthesia duration reached a very university level."

"Basically, if you say you need to anesthetize for fifteen minutes, it won't take more than eighteen minutes, and it's a three-minute error at most."

"At present, in the operating room, I am doing clinical topics such as anesthesia duration, drug dose, and designated anesthesia site."

"Let's get to work, Dr. Nie has already reserved all our time."

"This patient's fracture ......" Director Hong Du is very clear about the patient's fracture, and basically knows everything without watching the film.

Not only from the level of modern medicine, AO and special classification of his fracture classification were carried out, but also in a short period of time, the corresponding theories and techniques of its reduction were presented to Fang Ziye's ears one by one.

After speaking, Hong Du asked: "How about it, Ziye, will you do such an operation?" ”

"In fact, manual reduction is about reduction and fixation, while self-fixation is about the analysis of the pressure point and the focus point."

"Through muscle contraction, insertion of the fracture stump, and other measures, the fracture is self-fixed and reduced at the same time."

"It's more complicated in theory, and it's not easy to operate."

When Fang Ziye heard this, he didn't pay attention to the matter about Nie Mingxian's deeds, what kind of person is he, and he has no relationship with Fang Ziye at present.

To do manual reduction for the patient, there is a point of knowledge in person, and the old chief physician of Hongdu is thoroughly analyzing him, so let's take care of the knowledge first.

Hearing this, Fang Ziye nodded: "It should be achievable." Director Hong, the fracture of this patient is the B2.3 type fracture in the tibia and fibula double fracture. ”

Fang Ziye pointed to the plain X-ray film hanging on the surface of the reader, and said: "In the understanding of modern medicine, after the alignment of the broken end of the fracture is carried out purely by manual reduction, it is still an unstable fracture, and it needs to be completely fixed by internal fixation, preferably with a tibial bone marrow needle and a fibular end steel plate screw. ”

"According to your analysis, in fact, the stability of the broken end can be completed by compressing the fracture stump to the middle fracture in the form of compression, and then with the help of the stretching force of the anterior tibial muscle group and the passive contraction force of the posterior tibial muscle group."

"It's very difficult to do this, you wait a little longer, and I'll see how to arrange the reset." Fang Ziye is not good to accept directly.

Now, he is still a little too shallow in terms of how to reset and why he wants to reset like this.

Because before this, Fang Ziye had never doubted the correctness of the current modern medical guidelines for fracture treatment, and his own ability was not allowed to be questioned.

"There's no hurry." Hong Du shook his head slightly, and then went to comfort the patient.

"You're not in a hurry, it definitely doesn't hurt, right? If it doesn't hurt, just take a break, squint your eyes, and don't listen to our conversation. ”

"Professional things will be handed over to our professional doctors to do, this Doctor Fang, is what you call Dr. Wu of Minda Hospital, highly recommended. He gives you the operation, you can rest assured, there is still me. Hong knows what his task is now.

When Fang Ziye heard this, his heart sank slightly.

What he was thinking at the moment was that he didn't know if his master knew anything about Chief Physician Hongdu, although Chief Physician Hongdu was more than ten years older than Deng Yong, but with this bearing, he must also know him, right?

Why didn't you mention it?

The patient smiled and said, "Director Hong, I believe both you and Dr. Wu." Dr. Fang, I also believe that after coming to you, I don't plan to think about anything else. ”

"You contribute technology, I contribute money, you are tired, I am painful!" The patient is also more playful.

After about two minutes, Fang Ziye figured out some things, and then said: "Director Hong, I think it's almost over, let's start, it may not be a one-time success, but after your guidance, I think the probability of a successful reset and self-fixation success is very high." ”

Fang Ziye appropriated Director Hongdu's rhetoric.

Manual reduction does not require absolute sterility or sterilization. Because the one that can do closed reduction is definitely not an open fracture.

Moreover!

Just wear sterile gloves and protect yourself from the patient's skin.

Therefore, Fang Ziye, Hong Du, and Huang Kai each took off a pair of sterile gloves. Then the operation begins.

Hongdu personally does the fixed position of traction to provide anti-traction.

Huang Kai is helping to do traction, and the main direction of force and the reset process are controlled by Fang Ziye as a whole.

As soon as the operation began, Huang Kai's eyes lit up instantly, and he looked at Fang Ziye in astonishment and foresight: "Sure enough, it can mobilize the strength of muscles." ”

"It's a perfect combination of modern medicine and traditional medical theories, such an operation."

Director Hong Du didn't speak, because many muscles in the lower limbs originated from the medial and external condyles of the femur, and he did the position of antitraction, and right here, he naturally felt the number of muscles dispatched by Fang Ziye.

The corners of his mouth twitched.

When he really came into contact with the more high-end manual reduction, he was already relatively old, although at that time Dr. Chen asked him if he wanted to study in depth, but Hong Du himself also felt that he could not go much deeper.

"Uh-huh. Xiaofang's operation is still very good. ”

"There is a bit of a demeanor comparable to that of Dr. Wu." Hongdu said so.

Fang Ziye's heart instantly froze.

He knew that maybe this senior brother's level of operation in terms of technique reset would be slightly higher than his own.

But it doesn't matter, senior brother is higher, that's a normal thing.

If Luo Tingzhu has also been in medicine for such a long time, it is estimated that he will be outside level 4, after all, Luo Tingzhu has been in contact with clinical practice, and it has only been less than a year, and he has rushed all the way to level 3 or above.

It is equivalent to two hundred points of proficiency in one year, and when it reaches level 4, it is two or three years, and then in the future, if the opportunity is right, it will be promoted.

"That's why I came to study, Director Hong, I hope you can teach me more." Fang Ziye's attitude is correct.

With a slight click, the patient's fracture was corrected and in place.

Unexpectedly, the other two itinerant nurses very professionally pushed the C-arm machine to approach, and without much guidance, they could go directly to the location where they took pictures.

With this level of proficiency, Fang Ziye couldn't help but have the illusion that he was in Zhongnan Hospital.

After reading the film, Hong Du and Fang Ziye were quite satisfied, Huang Kai naturally didn't dare to have any opinions, and directly took Zhang Jinchuan and a few people to start plastering......

Fang Ziye originally wanted to help, but Huang Kai hinted at him: "Don't you have a question to ask Director Hong?" ”

Fang Ziye honestly sat next to Hong Du again.

asked the doubts in his heart: "Director Hong, this Senior Brother Wu, why did you call you to guide me?" ”

"It is the style of a gentleman to take first and then take, thick to thin, and to take seedlings without picking fruits." Hong Du looked at Fang Ziye and explained with a smile.

(End of chapter)