Those years when I hung up and upgraded in the hospital

Chapter 229 I can still hold it down

On the day of surgery, Xiang Wanqiu’s attending physician still had outpatient appointments to see! So, superiors, actually we are not all there yet.

However, even so, Fang Yun did not have the opportunity to bring his intern Lin Xin to the stage. During the disinfection, Fang Yun and Li Jiahua worked together to complete the disinfection and draping operations.

As for Zeng Tai, he actually planned to take the stage.

However, Professor An Luming, who was sitting under the timing panel in the operating room with his legs crossed and rubber slippers drooping, recognized Fang Yun's identity and said to Zeng Tai: "Little tiger, this You won’t go on stage for surgery, and you’ll rest off stage, right?”

When Zeng Tai heard this, he immediately understood: "Okay, Teacher An, would you like to call me Xiao Tai or Xiao Zeng?"

Brother Tai is the name given to him by many people in the department, but such a title is inappropriate for his superiors. How can he dare to call him brother in front of the professor?

"The little tiger is so cute." An Luming said jokingly.

When Chen Zhiyuan heard this, he also put away his mobile phone: "The tiger-headed guy is really cute."

Well, Fang Yun felt that Zeng Tai's status in the department was not as good as his own at Xiangzhou People's Hospital. He was obviously 1.75 meters tall and had very strong surgical skills and abilities. He was also known as a tiger head and a tiger brain.

Also no one.

However, An Luming is more than ten years older than Zeng Tai, and Chen Zhiyuan is also seven or eight years older than Zeng Tai. There is no problem in calling him that.

After all, Associate Professor Chen Zhiyuan is not far away from being promoted to full-time. It is said that he is about to obtain the professional title of chief physician, but he has not yet obtained the teaching title of professor.

After disinfection, draping, etc. were completed, the two professors finished washing hands and dressing, and came on stage to complete the operations of applying sterile films.

Afterwards, Fang Yun and doctoral student Li Jiahua went out to wash their hands and put on clothes. When they came back to the stage, they found that Professor An Luming and Associate Professor Chen Zhiyuan performed the surgery directly without waiting for them.

And it has reached the bone defect section, and the previous plate and screws have been removed.

Debridement is already being done at the moment.

Fang Yun was slightly stunned when he approached, but An Luming said: "Li Jiahua, come to my side. Professor Chen, you and Fang Yun change positions. This surgery is probably something Dr. Fang has never seen before."

Chen Zhiyuan nodded and said yes, moving Yisuke's core position out of the way.

"Xiao Fang hasn't seen it, has he?" An Luming confirmed.

Fang Yun looked at the large broken bones inside and nodded.

When he was at Longxian People's Hospital, Fang Yun had never seen a small bone defect before. A defect of more than three centimeters like this would not be sent to the operating room.

An Luming operated the bone knife and trimmed the non-healing bone stump until a small amount of blood leaked out, then he said: "In the treatment of such non-unions and bone defects, blood supply is very important. part of it.”

"It's just titanium mesh or bone transplantation. Without blood supply, it's all empty talk."

"There is no infection, but the non-healing is probably due to poor stress, so bone resorption occurred."

"But it's not that the previous surgery was bad. I just saw that the fixation was good. Director Xiao from Xianshi People's Hospital has no problem with the surgical technique."

"Doctor Fang, what do you think is the cause of this nonunion?" An Luming began to ask questions.

When Fang Yun heard this, his brows jumped slightly: "The patient has less activity, right? Or did he get out of bed late?"

Fang Yun knows that the less you move and the less stressed you are, the easier it is for bone resorption to occur.

Bone resorption does not mean absorbing calcium into bone, but dissolving ready-made bone into calcium, which is absorbed by the body for nutrition. This is not a good phenomenon. “It is possible, but I still think the location of the fracture is very special.”

"The middle part of the femur is actually very difficult to stress after surgery. When this position is moved after surgery, if it is fixed too tightly, stress shielding will occur due to the force of the steel plate."

"That is, when you move, the steel plate is actually stressed, and the bone is not stressed at all."

"But it's too loose and it's easy to happen..."

An Luming's detailed and deep understanding of diseases is currently unmatched by Fang Yun, so he has a relatively clear understanding of many detailed issues.

Under such circumstances, after the entire operation, Fang Yun only had the opportunity to operate the screw placement of the fracture internal fixation device and the binding of the titanium mesh.

As for other operations, they were all handled by Li Jiahua and Chen Zhiyuan, who were relatively skilled and familiar with surgery.

Fang Yun's current experience with open reduction and internal fixation of fractures and the use of orthopedic internal fixation devices is at more than level 3, which is a certain distance from level 4, but not too far away.

After reading it, An Luming said, "Yes, the doctors in prefecture-level hospitals may be more experienced than us in the installation and placement of internal fixation devices and fracture treatment. Look at their proficiency in this operation."

"Also, when Xiaofang was cutting the titanium mesh before, it clicked all of a sudden. He must have cut it many times."

Fang Yun heard this and said, "Professor An, in the past, many femurs and long bones would suffer from split fractures, so titanium mesh was needed to assist in fixation."

“This is especially true when there are atypical intertrochanteric fractures.”

In fact, Fang Yun has not experienced it many times, and he has learned all by hanging up, but he has to say the same now.

But it seems that no matter what Fang Yun says, as long as it is related to professional skills, An Luming can answer: "Yes, reverse intertrochanteric fractures are more likely to cause split fractures, and the probability of subtrochanteric fractures will be smaller."

"I have seen him many times before when I went to a county hospital in Chishi to go to the countryside."

"Come on, Dr. Fang, you come and finish the wound. I heard that your suturing is very good. Let's take a look!" At the end of An Luming's words, he even asked people to come and observe.

Fang Yun was not polite, picked up the sewing needle, and started to sew up bit by bit.

With proficiency in level 4 suturing techniques, Fang Yun is extremely proficient in the speed of suturing, the quality of suturing, and his understanding of levels of suturing.

Not to mention the second surgical incision, Fang Yun was very handy at suturing even patients with more serious trauma.

After seeing Fang Yun's suture operation, Chen Zhiyuan felt tight in his heart and sniffed: "Professor An, Dr. Fang is so amazing. Fortunately, he didn't go to hand surgery. Otherwise, with this suture, I’ll probably be envied by people in hand surgery.”

"Watch it carefully and study hard. It's just you. I'll let you practice more basic skills on weekdays. If you push back and forth, you think it's not interesting."

"It's such a great platform for a practice room, and everyone is so ambitious."

"The unit where Dr. Fang works does not have a practice room. He has practiced all these in clinical practice, and you have to learn from them." After An Luming finished speaking, he quickly took a small step back.

"I'm going to step down first." Because An Luming continued to watch for a few more times, he found that Fang Yun's suturing skills were almost the same as his own. Don't let Chen Zhiyuan catch him and let him demonstrate again. He would be so awesome. It's time to break.

But the good thing is that he is not worse than Fang Yun, and he can still suppress it.

(End of this chapter)