Fang Ziye ran into the bathroom, pulled a lot of tissues, and washed the blood stains on his face without wiping them.

It's not that the patient's blood is dirty, but it will affect the field of vision and facial expression, and similarly, this mask can't be wanted.

After washing a few times, Fang Ziye began to rinse, and then wiped clean with a paper towel. And looked in the mirror.

The young man inside was a little tired, and his eyes also brought out some more growth breath.

Fang Ziye didn't have time to think about other things, but before coming to Enshi, Master Professor Deng Yong had some explanations, and now his understanding of them has become more in-depth.

To sum up, the world is very big, there are prosperous, and there are also complex, and the real world is not only the ivory towers that I have been exposed to, but also the pure side that students experience in the relative protection of teachers and schools.

Tempted by money, people are in the rivers and lakes, and they can't help themselves......

Sometimes, some things, some people, are difficult to see right and wrong from the surface.

Some things that happen in reality will be more magical than in TV series and movies.

Thinking about it further, Fang Ziye looked at the ceiling.

The feelings of Professor Deng Yong and Professor Duan Hong are not entirely unreasonable.

In China, the status of doctors is not high, and it is rare to want to be a pure doctor, unless.

But that step was still a bit too far, and Fang Ziye didn't plan to take it to heart.

In the past few days, I have encountered a lot of things, I have met more people, the reversal and the gap are also a little big, and even many places are not clear and understandable to Fang Ziye.

But it's also good to be confused and not understand, maybe it's also a blessing.

Be yourself, help if you can, do whatever you can, do your best, and play a little role, which is all you can do now.

Fang Ziye went down to the door of the operating room again, asked the administrator of the operating room for a new set of handwashing clothes, pants, hats and masks, put them on again, and then returned to the handwashing station at the door of the operating room and began to wash his hands and disinfect again.

This time, it is the fifth time that Fang Ziye has washed his hands in a short period of time, and the hand sanitizer is stained on the skin, slightly stinging, but the principle of sterility is still strong, if you want to go on stage, you must wash your hands and disinfect them, otherwise it will be a devastating blow to the patients.

After putting on the sterile surgical gown and two layers of sterile surgical gloves again, Fang Ziye came to Professor Deng Yong's side again.

And the person who gave way to Fang Ziye was Director Fu Qianqian of the Minmin University Hospital.

He took a few steps back before saying, "Professor Deng, Professor Duan, there are enough people here, and I can't help much, there are still some things in the hospital, so I'll go back first!" ”

"It's hard work for the two professors."

Fu Qianjin is the director of the trauma surgery department of the Minmin University Hospital, and if there is something in the hospital, he will definitely rush back.

However, Fu Qianqian's explanation, only Director Zhang Mingcan of En's Central Hospital thanked him, whether it was Deng Yong or Duan Hong, they were carefully looking for broken bones from the pelvic flesh and blood pile, and they didn't have time to pay attention to it at all.

At the same time, even Dr. Wu Xuanqi from the National University Hospital of China is also carefully doing some bony compression opening actions at this time, which is actually the flexible application of manual reduction in comminuted fracture compression.

Common fractures are actually typical, relatively regular, and can be described as typed fractures, even if they are complex, they are just local comminuted fractures.

However, Huang Kai's fracture, because it was a fall injury from a height, led to a disruptive fracture of the half of the lower limb and soft tissue damage, and in the pelvis, even the fracture fragments of the femur could be seen.

It is not an exaggeration to describe it as flesh and blood.

Director Zhang Mingcan just thanked Director Fu Qianqian, and then nothing else, returned to the lower leg and knee joints of the lower limbs again, and did debridement meticulously.

However, now Huang Kai's calf and knee joints are just the calf and knee joints in the concept, the skin and flesh are connected, the bones have long been missing, and the blood vessels and nerves are also a mess.

Therefore, the follow-up of this operation, how to deal with it, is still a mess at the moment.

Even the most basic debridement stage has not yet been completed.

After Fang Ziye approached the operating table, what Professor Deng Yong gave him to do was to count the broken bones that had been turned out of the flesh and put them in a quadrangular tray, mixed together.

"You try to sort these bones together."

"At present, we can only classify it according to long bones and irregular bones, and how much bone can be left in the end." Deng Yong said.

"Yes, Master!" Fang Ziye turned around and went to the sterile instrument table where the instrument nurse was.

Surgery is the same as emergency treatment, all actions are commanded, find your own position, and do a good job of the tasks assigned to you, which is the greatest help, not just on the operating table, showing your might.

Fang Ziye just swept it roughly, and it could be roughly found that the broken bones in the tray came from a lot of sources.

There are ilium, ischium, sacrum, and coccygeal vertebrae.

There must also be irregular bones in the femur, tibia and fibula, as well as the ankles, which are staggered and completely irregular.

What Fang Ziye has to do now is to divide these fractures into pieces according to the most basic systematic anatomy, such as long bones and flat bones.

This is not a routine fracture treatment that requires an operating process, but it is very necessary for Huang Kai's current condition.

There is no special skill in selecting bones, and you can only look at your basic skills and understanding of bone shape and bone type.

The best way to distinguish between the sacrum and the coccyx.

Because the shape is relatively special, it is an oracle bone structure with holes. Even after it is broken, it still retains its most basic shape.

Fang Ziye carefully selected these bone pieces one by one and found another square tray.

In the operating room, there are five or six instrument nurses, N such trays, which are filled with various tissues, and there are also spare and excess trays, so Fang Ziye has enough space to distinguish them.

Then there are the long bones.

Long bones are also easier to find, if you don't distinguish whether it is the femur or the tibia and fibula, then as long as you see the bone marrow cavity surface, you can directly treat it according to the long bones.

Fang Ziye didn't take a long time to distinguish it.

Then there are flat bones such as the iliac bones and ischia, as well as irregular bones such as tarsus and metatarsals of the feet.

It's a bit of a hard thing to do.

There are a lot of bones in the foot, and they are all comminuted fractures, without their original shape, and it is very difficult to distinguish them from the flat bones after they are comminuted.

If Fang Ziye had been asked to do such a thing a month ago, it was estimated that Fang Ziye would have thrown away the things in his hand directly.

However, Fang Ziye has a junior brother named Lan Tianluo, Lan Tianluo, who collected a large amount of detailed data about bone when he carried out pure data modeling of manual reduction and new classification of fractures.

It includes its shape classification, volume, length, width and height, axis and other basic measurement data, which are the most basic data in the field of basic anatomy.

It basically has no application in clinical practice, because during the surgical procedure, you are exposed to it, how big it should be, how big it should be, what shape it should be, what shape it should be.

In the process of modeling the manual reduction of fractures, if you do not have enough real patients as data sources, if you want to distinguish the force of the fracture, you can only model and analyze it yourself according to these basic data.

Ordinary teachers of basic anatomy would not do such a thing, but Lan Tianluo did, and Fang Ziye, as the initiator, had seen it very carefully, and even remembered a lot of things about these basic data.

Although he didn't form any new skills, such as basic anatomy (new) or bone anatomy (new), after all, Fang Ziye had a certain impression of these things.

This is the basic skill that is particularly pure and basic.

For example, the metatarsal bones are originally long bones, with a total of 5 pieces, and the 1st ~ 5th metatarsals are in order from the inside to the outside, and the shape and arrangement are roughly the same as the metacarpal bones, but they are thicker than the metacarpal bones.

The proximal end of the talus is the base, which is connected with the tarsal bone, the middle is the body, and the distal end is called the head, which is connected with the base of the proximal phalanges. Each metatarsal can be divided into three parts: base, body, and head......

This is something that many orthopedic surgeons memorize and focus on, because only then can they be recognized.

In addition, there are tarsal bones, phalanges, etc. in the foot.

However, the general orthopedic surgeon focuses on the angle between the bones, not the size and diameter of the tube, after all, different people have different sizes.

However, this kind of thing, his junior brother has paid attention to it, and he has also counted it, if Fang Ziye is not mistaken, when Lan Tianluo calculates the diameter between the femur, tibia, fibula, and phalanges, there will be a certain fixed proportion in the diameter ratio of adult men.

So, in such a situation, how to distinguish between the phalanges and the small long bones such as the fibula is easy to deal with.

Moreover, even if there is an irregular fracture of the femur and tibia, as long as there is a round surface, it is possible to determine its size.

"Take the vernier ruler!" Fang Ziye thought of this, and asked the instrument nurse.

On the operating table, there is generally no ruler.

However, orthopedics, especially during fracture surgery, requires the measurement of the length of the screw.

In addition to the screw's own model, there is generally a vernier ruler, and there is also a sounding gauge for the screw channel.

"Vernier ruler? To give! Although the instrument nurse was puzzled, she was an orthopedic specialist nurse and knew what Fang Ziye wanted, just because she was a professional specialist nurse.

Knowing that it is far from this fixed step now, I don't know what Fang Ziye is going to do.

But even if she was puzzled, at this moment, she didn't dare to show her experience or anything!

During ordinary surgery, there are talking and laughing, making jokes, blowing that you are very powerful, ordinary instrument nurses and rovers can do it, and you can even bully the new doctor, but it is really an emergency.

Even if it is a regular training, when they ask for something at a special time, this is also to be given, and the division of tasks must be clear, which is the most basic quality.

Fang Ziye was not on the operating table, so no one paid attention to what he did.

No one pays attention to it, it doesn't mean that Fang Ziye won't do it, on the contrary, Fang Ziye wants to complete his task better.

First, the general classification of fracture fragments is distinguished, and then their proximal and distal ends are distinguished.

It would be best if the fractures could be spliced together to distinguish the distal and proximal ends, and if not, the ratio of the medullary cavity to the bone diameter should be measured.

And this ratio, the entire lower limb, is different, and it is also one of several indicators to measure the quality of fracture reduction.

Fang Ziye is just not very good at qualifications, and he is not a dish, so when he applies it flexibly, he will not frame his thinking.

Fang Ziye did it silently.

Just as he was about to sort and clean all the bone pieces that had been taken out, he sat silently at the sterile instrument table, waiting for the newly taken bones to be divided into different trays.

After reading it, the instrument nurse swallowed a few mouthfuls of saliva, looked at Fang Ziye, and asked in a low voice: "You have this ability, go and play with the children, it is estimated that a kindergarten will be played and cried by you." ”

She was joking, and she didn't even dare to speak loudly, so she could only talk to Fang Ziye in the lowest voice.

Fang Ziye also raised his head slightly: "Thank you for the compliment." ”

"Can you break it open? Do you want to come to Ziye? At this moment, suddenly Professor Duan Hong asked Wu Xuanqi, who was operating.

"Call, I feel a little unstable, the broken bones below this are uneven, and the force is difficult to assess." Wu Xuanqi was on the operating table, doing the bone breaking work in the debridement operated by Fang Ziye before.

Hearing this, without waiting for the chubby Duan Hong to take the initiative to call, Deng Yong looked back at Fang Ziye after a green-clothed man took the initiative to get out of the way: "Ziye, pass!" ~”

Before Deng Yong finished speaking, when he turned around, he saw the things in the tray in front of Fang Ziye.

The sound stopped immediately.

Then he blurted out the quintessence of the country from the heart: "Lie ~ groove!" ~”

Speaking from the heart, although the voice is low, it is still caught by the green clothes next to it.

Fang Ziye was assigned to classify the broken bones, everyone knew it, but most of the attention was on the operating table, and it felt like a waste of time in the blink of an eye.

The sterile instrument table is behind their backs and behind their buttocks, and the eye in the butt cannot have a vision, except for the instrument nurse, no one has found out what Fang Ziye has done.

The instrument nurse didn't dare to joke or be loud in such a scene, so she could only appreciate it herself, and then secretly joke with Fang Ziye.

Therefore, in the sound of Professor Deng Yong's groaning, several people looked back and immediately felt that the general was lying in the groove, and the situation was instantly unsolvable.

"Master!" Fang Ziye stood up very calmly, clasped his hands in front of his chest, and walked towards the operating table.

He heard Professor Duan Hong's inquiry and invitation, so he naturally wouldn't hold a shelf.

"Come here!" Professor Deng Yong is not a child anymore.

encountered an accident, and it was enough to lie down in a low voice, and it was quickly suppressed, and the psychological quality was very strong.

Then, Zhang Mingcan, who was next to Professor Deng Yong, gave way to his position again.

Because Zhang Mingcan knew, there was another problem in the debridement and bone extraction of the pelvic position operated by Wu Xuanqi and Professor Deng Yong.

And the gap between the openings was just enough for him to turn around and go to the direction of the sterile instrument table, looked at it seriously, was seriously shocked, and his scalp was seriously numb.

Could this be the strength of the doctors in Zhongnan Hospital, so Deng Yong taught them, and they are really about to become gods?

Such a mess of fracture fragments can still be distinguished by Fang Ziye, not to mention, even the near and distal ends can be distinguished, and there is a tendency to re-splice into the original bone-like shape.

It's too shocking.

It is still difficult to break the mirror.

The mirror, which is only a relatively flat structure and a comminuted fracture, is a cubic structure!!

Professor Duan Hong and Wu Xuanqi didn't wonder who Professor Deng Yong was in the groove before, but just waited seriously for Fang Ziye to use a technique beyond ordinary people's imagination to reset the technique again, and perfectly took out another wedge-shaped 'bone knife'-shaped fragment.

Only then did he breathe a sigh of relief, inspected the field, and found that the removal of the broken bones could finally come to an end, so he asked: "Deng Yong, who do you want to?" ”

Fang Ziye was slowly unloading, letting go of Huang Kai's only remaining ischial bones and ilium connected to his own muscles, bones that did not need to be removed, and then silently took over the hook in Professor Deng Yong's hand and liberated Deng Yong.

At this moment, Deng Yong took a deep breath and didn't have time to pay attention to Duan Hong's words.

Instead, he hurriedly asked Fang Ziye: "So, what you said to Professor Li Guohua before, give you more opportunities for clinical operations, and your improvement will be greater than in the practice room, not to brag to yourself, but to be real?" ”

Boasting about oneself and showing one's abilities and qualifications is a means of negotiation.

Everyone, including Professor Li Guohua, thought that Fang Ziye was Wang Po selling melons and wanted to sell himself, and they didn't want Fang Ziye to really improve as Fang Ziye said after going to the countryside.

As long as you can make normal progress, and then complete the grassroots work experience in advance, so that you can quickly promote the title in the future.

After all, Fang Ziye's progress speed is fast enough, don't be fast, no matter how fast it is, it will be completely unacceptable.

The speed of Fang Ziye's progress before was unacceptable.

Fang Ziye silently, he also understood what the master meant, and nodded lightly: "Master, there must be an element of blowing." ”

"However, the improvement of the understanding of the basis of bone is the trigger point given by Senior Brother Wu Xuanqi, and then the data collected by my Senior Brother and the modeling carried out!"

"After all, in the basic principles and mechanical analysis of reclassification of fracture classification, different matching with manual reduction, the shape and nature of the bone itself are very important data, and I just selected some important data and used it for splicing."

After listening to Fang Ziye's words, Duan Hong handed over the hook and suction device in his hand to Wu Xuanqi, and then took the bone forceps and put them on the curved plate.

With his hands clasped in front of his chest, he took a few steps back, dragged his chubby body, and deliberately ran to the sterile table, and after seeing the contents of the tray and the spliced bones, he fell silent on the spot.

Five seconds later, he tilted his head with a confused expression and asked, "Deng Yong, do you want Ziye to come to me to brag?" I can allow him to brag. ”

"you dam! ~" Deng Yong burst into foul language almost instantly.

Can this Fang Ziye still go to you?

Even if Fang Ziye is bragging, he loves it a lot, not bragging, then you can still snatch it, I'm not dead yet?

"It's better not to brag. We are honest people. Deng Yong whispered to Fang Ziye, and then let Fang Ziye stand by his side and began to debride and take care of the muscles inside.

(End of chapter)