Those years when I hung up and upgraded in the hospital

Chapter 207 Chen Shengwu’s old business (please subscribe)

After arriving at Huai City First People's Hospital, Fang Yun's first feeling was that it was crowded and blocked.

The location of Huai City First People's Hospital is really not very good, and parking is quite difficult.

In the end, someone from our hospital freed up a parking space, allowing Chen Shengwu's car to stop smoothly, while the young man didn't know where to park.

After getting off the car, three or four people exchanged greetings with Chen Shengwu, and then Chen Shengwu introduced Fang Yun. Just like that, the group went straight to the operating room.

On the way, Director Ding from Huai City First People's Hospital smiled and said, "Director Chen, I have been thinking about you for iliac bone reconstruction and joint replacement surgery for a long time. This time I finally found a suitable opportunity."

"After Director Chen's surgery, please don't leave in a hurry. We still need to ask you to give us a lecture, have a meal, and then go back. Do you think that's feasible?"

Director Ding is very fat, with a big belly, and is quite tall, about [-] meters tall.

He looks extremely strong, but underneath his strong physique, he has a very humble heart.

"Director Ding has made arrangements, so Xiao Chen can only follow the arrangements." Chen Shengwu said with a smile.

Director Ding is older than Chen Shengwu, but Chen Shengwu doesn't put on airs at all, but considers himself a junior.

"Professor Chen, you are being a little too modest. I am a few years older than you, but in the profession, those who are masters come first, so Director Chen should not be too modest."

"Xiao Hu, you go and prepare to debug the computer in the classroom, and make sure it's OK before coming down for surgery." Director Ding immediately arranged for an attending physician in the department to debug it.

The person who called Xiao Hu immediately nodded and ran upstairs quickly.

Obviously, the fact that Chen Shengwu agreed to give lectures was not in the original schedule.

Director Ding asked casually, but Chen Shengwu agreed, so they had to make corresponding preparations in advance.

After entering the operating room, Director Chen and Director Ding rushed to the image reader to read the images.

As for Fang Yun, he was at the back of the crowd, taking time to watch the movie.

This person was from the First People's Hospital. Seeing that Fang Yunyuan was a guest, he showed some humility.

This is joint surgery, not sports medicine, and not someone from a subspecialty. Who would pay attention to your ability as an attending physician and your ranking in a medical association.

Everyone is very busy.

It's like Fang Yun doesn't know which young people are particularly good in trauma surgery and joint surgery.

There are many films.

X-rays, CT, MRI, etc., to name a few.

The patient was an elderly patient with a pelvic fracture and a collapse fracture of the femoral head, and the acetabulum of the pelvis was a comminuted fracture.

If you want to do a conventional total hip replacement, it will definitely not be able to handle it. You must perform an acetabular reconstruction. The current surgical plan is to use titanium mesh and bone cement to form a reinforced cement soil to reconstruct the acetabular end.

Then the femoral stem end is also made of bone cement.

Chen Shengwu had read the basic information before, and he frowned at this moment: "Director Ding, why didn't you think of asking Professor Meng to come over for surgery? He is an expert in bone cement, and he also had a pelvic fracture. .”

"This kind of surgery is what he is best at."

Director Ding said: "I have asked, but Professor Meng has other arrangements and has not been able to spare time in the past half month. Moreover, Professor Meng suggested that Director Chen, you also suffered from a pelvic fracture, so you can handle it well." cases.”

"Aren't I thinking about Director Chen's proximity to you?"

"Speaking of which, this patient's condition is really complicated. Look at the fracture classification of the acetabulum?" Director Ding himself smiled bitterly, knowing that although Chen Shengwu came over, he couldn't take this job. It's not a good life either.

And the price is not high, Director Ding himself is embarrassed. If Professor Meng was asked to come, the fee would be around [-], but Chen Shengwu only received less than [-].

"This situation is indeed quite complicated, and one titanium net may not be enough by then."

"And you also have to see the patient's femoral end, which has already been ruptured. It will probably have to be tied three or five times, and it will also be wrapped with a titanium mesh."

"Otherwise, the femur will easily split. This patient must use an extended handle. Are you ready for the extended handle instrument?" Chen Shengwu asked after a brief analysis.

"Don't worry, Director Chen. Even if it's a hip tumor, I've already prepared it. As long as it's common on the market, just give me a shout." Director Ding invited Chen Shengwu over and was fully prepared.

"That's okay, there's basically no other problem." After Chen Shengwu said this, he looked at Fang Yun behind him.

Bringing Fang Yun out this time will give Fang Yun some sense of presence.

"Xiao Fang, what do you think?"

Fang Yun is currently browsing the patient's MRI and CT scans with the people behind him. The boss only looks at X-rays, but Fang Yun feels that his understanding of the surgery is not thorough enough, so he wants to read more and try to understand everything. detailed inspection results.

Hearing what Chen Shengwu said, the group looked at Fang Yun.

Fang Yun thought for a moment and said, "Director Chen, I must listen to your opinion!"

"But there is one thing. This patient has a split fracture in the middle of the femur. I don't know if this will affect the joint replacement at that time."

"Look here." Fang Yun pointed at Chen Shengwu.

When Fang Yun said this, everyone's expressions changed instantly, because the position Fang Yun pointed to was already the fixation point of the extended handle. If there is a split fracture here, then the patient's activity time after surgery will be shortened. It will be very late.

The bone fracture is not very obvious on X-ray and CT, but on MRI, a hidden edema line can be seen.

This requires clarifying the various layers and passing through two to four levels to determine the content.

After Chen Shengwu got Fang Yun's MRI film, he said, "That's true, Director Ding, so this patient's condition is too complicated?"

"The speed at which he rides this motorcycle is a bit fierce."

"Have there been any other inspection results?" Chen Shengwu's face immediately darkened.

From what Fang Yun has seen, the amount of violence the patient will receive will increase by at least about [-]%, which is very likely to cause damage to other organs.

It has to be done with caution.

"Yes, we have done all the cardiopulmonary, abdominal and cerebral examinations. Director Chen, what are your thoughts?" Director Ding quickly asked someone to take out everything in the film bag.

Chen Shengwu said: "You must be careful. To be honest, Fang Yun's MRI reading skills are very high. Currently, the comprehensive ability of the sports medicine specialty of the Provincial Medical Association can be ranked in the top [-]. Everyone participates. ranking."

"His reading skills are even better than mine in terms of MRI, so we must take Fang Yun's opinions into consideration."

Chen Shengwu was already important himself, and when he mentioned Fang Yun's current comprehensive ability, he instantly aroused the consternation of many people, but after being astonished, he quickly put the films into Fang Yun's hands.

At such a young age, if he can rank among the top [-] in the province's professional ability rankings, he must have a lot of things.

However, when Fang Yun watched the fourth film, Fang Yun's expression immediately changed.

His voice trembled slightly: "Has this patient been consulted by someone from cardiovascular surgery? Ah?"

"What's wrong, Doctor Fang?" Everyone was in a slightly bad mood at the moment, but when Fang Yun said this, everyone's expressions instantly changed.

Could it be that?

(End of this chapter)