Chapter 365: Master Can't Afford to Play Too! (Ask for subscription)
After the preoperative preparations for the fourth operation were completed, Fang Ziye habitually planned to stand in the main surgical position again.
Deng Yong immediately coughed: "What do you want to do?" Rebellion?! ”
Fang Ziye's eyes rolled smartly, reacted, and quickly explained: "Master, I thought that today's several surgeries were all prepared for the assessment, and the right to perform the surgery naturally belonged to me, but I didn't react just now that the examiners left." ”
In Zhongnan Hospital, objective rules are as big as the sky.
Previously, Fang Ziye had temporary surgical authority, and he was applying for surgical permission in an exceptional way, so he obtained temporary authorization, after all, if Fang Ziye was not allowed to perform third-level surgery, how could he be sure that Fang Ziye could have such ability.
But now it's different, the assessment is over, and ending it early is also over.
Fang Ziye's temporary authorization for surgery was lost due to the departure of the assessment team!
At this time, if Fang Ziye comes to the stage to take charge of the surgery, if the patient has a lost problem, it will be retrospective, and it will be a hat for skipping the operation, which may turn Fang Ziye over.
If there was a slight mistake in the previous operation, it didn't matter, because the hospital had a regular filing procedure and the supervision of the assessment team on the side, the hospital would come forward to calm the matter, and it would not affect Fang Ziye......
Rules are a kind of protection for doctors, but also a kind of protection for patients.
Hearing this, Yuan Weihong also learned from Deng Yong's appearance, coughed twice, snatched Fang Ziye's position as one of the assistants, and said: "Ziye, the more you are happy about the present, the more you can't mess up your brain, but the more sober you must be." ”
"What's the hurry? The procedure of surgical authorization has come to this day, at most it is a matter of three to five days, and after three or five days, if you stand in the main surgical position regularly, who can say anything about you? Right? ”
Teachers, so those who preach and teach and solve doubts!
Hearing this, Fang Ziye hurriedly nodded, indicating that he already knew.
Similarly, Deng Yong swept over the other people in the operating room one by one, and after seeing everyone nodding frequently, this instant education class ended here.
Excellent "geniuses" such as Fang Ziye must behave in the face of principles, and everyone can only abide by the rules more well, so as to make the department develop benignly.
"Round knife, prepare intramedullary nail internal fixation instruments."
Deng Yong sat in the chief surgical position, and after giving such an order to the instrument nurse, he said: "Today, our department has completed a feat, as a resident doctor, we have obtained the surgical authority of the third level of surgery at two levels, which is unprecedented in the hospital. ”
"But whether there is anyone who comes or not, it depends on the performance of these little guys, and we, the superiors, are very happy to see that you have the ability and strength to win the exceptional authority."
"In order to celebrate and motivate, Yuan Weihong and I personally performed the fracture open reduction and intramedullary nail internal fixation, I haven't done such a small tertiary surgery for a long time, and I feel quite unaccustomed! ~”
Deng Yong's words are a bit "crazy", but he does have arrogant capital. This kind of femoral fracture incisional reduction and intramedullary nail internal fixation is indeed a long time ago, when Deng Yong was younger than Yuan Weihong, the conventional chief surgeon.
More than a decade has passed since now.
Soon, Deng Yong began to explain in detail and began to operate at the same time.
"For fractures in the middle of the femur, the first choice is femoral inverted intramedullary nail fixation, and intramedullary nail fixation, in fact, is the same as plate screw internal fixation, and the focus is reduction."
"It's just that the fixed form is different."
"The principles of treatment of fractures, a six-word introduction but sums up everything: reduction, fixation, rehabilitation!"
"You can find that intramedullary nail fixation is the most routine operation in many prefecture-level city hospitals, but it is not easy to operate well."
"Its lower and upper limits are extremely high, before the insertion of the guide needle, if the reduction can be completed relatively well, then the operation of the insertion needle, for example, will be particularly convenient, for example, like this......" Deng Yong said, while cooperating with Yuan Weihong to complete the manual temporary reduction of the femur.
It seemed that he deliberately squeezed Fang Ziye aside and ignored it.
Soon, the two of them completed the manual reduction, and seemed to be quite satisfied with the result of the reduction.
Looking at the shape of the femur, the deformity caused by the displacement of the fracture has disappeared. This proves that the contra-alignment reduction of the fracture is done very well, so that there is no displacement of the fracture.
But the two of them had just finished doing it, and they were about to get up and let people see through.
Fang Ziye whispered: "There is still a little displacement, the convergence of the fracture line has not been done well, it should be ......"
Deng Yong's words were instantly held back when he reached his throat, and he turned his head and glared at Fang Ziye, wanting to speak again.
If it was other surgeries, Fang Ziye would really not be forced because he didn't understand enough.
Fang Ziye is familiar with the fracture incision reduction and internal fixation: "Master, really, you can reduce it again, and after traction, reduce it about 0.5cm more medially, so that the bone marrow cavity of the femur can be better aligned." ”
"And the bone fragment in the middle of the femur ......"
When Deng Yong heard this, his smile instantly stiffened, and the corners of his mouth grinned, but fortunately, most of his expression was covered by the corners of his mouth, so he was not known by outsiders.
Fang Ziye's voice was very small, and what was said in Deng Yong's ear was actually not heard by others.
"Let's get through one first! ~" Deng Yong had a dark face, showing the majesty of the professor who led the group and the chief surgeon.
Yuan Weihong didn't hear it, and ordered everyone: "Let's go, let's quit first, and see through the perspective." ”
……
Brother Xiong soon pushed the C-arm machine to the operating room, and after completing the fluoroscopy, the renderings of the femur reduction were displayed on the display screen of the C-arm machine, which was operated by Deng Yong and Yuan Weihong as the assistant.
The reduction is quite good, there is basically no displacement, which is far beyond the functional reduction of the fracture.
As Fang Ziye said before, the distal end of the fracture is slightly offset to the outside, and the amplitude is not large, and the broken bone between the distal and proximal ends of the fracture is really still playing next door... Every word was said by Fang Ziye.
The result is already good.
However, the results in the display of the C-arm after the manual reduction of similar fractures today are too perfect, according to the principle that there is no harm without comparison.
Now Professor Deng and Yuan Weihong, who have not had fracture surgery for a long time, have performed manual reduction, and the effect of reduction is a bit spicy.
Everyone fell silent.
The quarantine room was silent.
Huang Xixuan, a little girl who is not familiar with the world in the anesthesiology department, asked her teacher Zeng Quanming after watching it: "Teacher, the film doesn't look as good as before." ”
This sound, like a huge thunder entering the sea, set off a stormy wave, which really shocked everyone's hearts.
Everyone, including Zeng Quanming, looked at Huang Xixuan.
But Huang Xixuan is from the anesthesiology department, the anesthesiology department and the orthopedic department are parallel departments, even if you offend someone, it doesn't matter, no one will stretch their hands so far.
Huang Xixuan quickly realized her mistake: "I'm just a layman, and I can't understand it." ”
Deng Yong's psychology collapsed, and his face darkened: "Ziye, you go in and adjust it." ”
MD, the layman can see that I am much worse than Ziye's method of reset.
Oh my!
Why did they leave, why did they leave halfway, why didn't they stand in the room, if they continued until all the assessments were over, there wouldn't be such a thing.
Duan Hong did it on purpose, this chubby old yin ratio was on purpose, he must have thought of this layer.
If he leaves early, Fang Ziye's temporary surgical authorization will expire, and then he or another person will have to come to power, and after he takes office, the gap will emerge.
Therefore, Duan Hong's thoughts are obvious, everyone is like a bird, and no one should think about it.
Just one move, it seems to be a defeat, but in fact, it is a retreat to advance, and the ultimate trick is a big move!
Because, Duan Hong didn't have the same stage as Fang Ziye, the same operating room before and after, and operated similar surgeries. No contrast, no harm!
That's it!
Because Duan Hong himself held the 'National Hand' level technique, he could understand how big the gap between the two techniques was!
Moreover, Deng Yong also thought that the reason why Duan Hong left at this time was that he was sure that he would be cautious enough to temporarily strip Fang Ziye of his authority.
Moreover, Zhongnan Hospital must have not done ordinary fracture surgery for a long, long time, and has not accepted ordinary fracture patients.
The exceptional assessment of surgical authority can be completed, but the surgery scheduled today must be completed. If Deng Yong doesn't finish it, someone else will finish it.
This contrast to the damage will be eaten to the full! ~
Soon, Fang Ziye and Yuan Weihong went into the operating room to adjust the manual repositioning! ~
After going out again, Brother Xiong pressed the button to take a picture again.
In an instant, the display on the display was comfortable.
The displacement was restored, and the fracture fragments were bounced back to their original position by Fang Ziye through the contraction of muscle tissue, although the fracture line was there, it was almost hidden!
This is a good embodiment of manual reduction, the previous Professor Deng Yong, the quality of the operation is indeed high, and even used to do the live broadcast of the operation, there is a sufficient level.
It can be easy to go from thrift to luxury, and it is difficult to go from luxury to thrift.
I have just watched the national player-level manual reduction technique, how can I still see the few small 'nests' that Deng Yong operated!
After reading it, Deng Yong reacted quickly and nodded: "Not bad, very good!" ”
"As I said just now, reduction is the key to this fracture surgery, and now that reduction is like this, it can be regarded as the key to completing it. Yuan Weihong, you take Xiao Fang to complete the follow-up operation of intramedullary nail internal fixation. ”
Deng Yong commanded, and said: "The next two surgeries are fractures, which are not difficult, you should be handy to do it, I still have something to do here, so I will step down first." ”
Deng Yong said, rushed to the operating room, and at the same time, in the expression of everyone petrified, took off the sterile surgical gown and sterile surgical gloves, and then picked up his mobile phone on the shelf next to the timing panel in the operating room, and walked out of the operating room again, looking at the stunned group of people.
Deng Yong copied his mobile phone with his right hand and greeted: "It's all moving, why are you looking at me?" ”
The corners of Yuan Weihong's eyes and the skin of his eyebrows twitched a few times in an instant, and he couldn't utter a word. In his blank eyes, he was a little suspicious of life.
Deng Yong not only learned his temper, but now he even has to hand over the inheritance of carrying the pot to himself!
Yuan Weihong looked at Fang Ziye again, and the words "deceive the teacher and destroy the ancestors" seemed to be written on his whole body.
Looking at Deng Yong, who left in a chic manner, the words 'can't afford to play' were written on his back! ~
(End of chapter)