Those years when I hung up and upgraded in the hospital

Chapter 58 Looks comfortable now (please collect and read)

Fang Rui came back just in time carrying a box. Seeing Wang Xuemei questioning Fang Yun, he said, "What are you two doing? Why do you talk like you are quarreling."

Wang Xuemei said: "Your son is going to Shanghai to be his son-in-law. Let me ask him if he has not forgotten his ex-girlfriend. Has the relationship collapsed again without a blind date?"

Fang Rui's eyes flashed slightly, and when he came closer, he gently gave Fang Yun a shudder.

"You're talking nonsense, and you still come to your door." Fang Rui is a relatively traditional person.

Fang Yun pretended to cover his head: "Dad, you also believe my mother's words. Let me tell you the truth. My ex-girlfriend is from Han City. I went to the Magic City just as a metaphor."

"How many years have it been since we broke up? She had to say that."

"I mean……"

Fang Yun told the story of the blind date again, and instantly put the pressure on Wang Xuemei.

Fang Rui opened the express box and took a look: "Why is it so heavy? Why are there so many books so thick?"

Fang Rui looked at Wang Xuemei: "What does this have to do with our son? Others don't want to work in Enzhou, but my son wants to go, so he has to make do with it. You are the same, and you are never unreasonable!"

"Son, I support you, go to a big hospital."

Wang Xuemei put her hands on her chest and snorted: "Huh? What did you just say? I'm unreasonable?"

Fang Rui immediately coaxed his wife to go, and the family position had reached the ceiling level.

Fang Yun was too lazy to pay attention to his father who was seeking death, and hurriedly opened a box of sports medicine-related books he bought. There were four books in total, which were related to shoulder joint, hip arthroscopy, knee arthroscopy and ankle arthroscopy.

In any case, the book is a pirated version and it’s not particularly expensive. I’ll buy it and read it first.

In fact, it's not that Fang Yun doesn't want to support the genuine edition, but the genuine edition is too expensive. With Fang Yun's current salary, it feels painful to buy it. If all four books are genuine, it will cost four to five thousand.

It is an English textbook.

Fang Yun checked that there were no misprints or omissions and then put them away.

Fang Rui finally coaxed Wang Xuemei's mood back: "Can you understand these things?"

"Read it slowly. If you don't understand it, don't read it. Then you will never understand it. There are a lot of things you need to know to be a doctor."

"Hey, Mom, you always say that there is a golden house in the book. Come, can you take a look?"

"If you understand all these and can do it, your annual salary will be at least 40 yuan." Fang Yun joked with her.

That's not it.

Being able to master all these major arthroscopes and earning an annual salary of hundreds of thousands is not bragging, at least it has reached the level of a provincial-level professor.

Wang Xuemei often said this when she was a child.

Wang Xuemei came up and rewarded Fang Yun again: "Your mother is reading to you, not so that you can embarrass your mother and me. I have read the book, and I can also read it."

Fang Yun tilted his head and said, "It's never too late to learn for life. All my textbooks are there, and online courses are also developed now. From the first year of junior high school to the third year of high school, and then to undergraduate..."

Wang Xuemei has already gone to the bedroom.

Fang Rui immediately gave Fang Yun a thumbs up...

Time flies like water, and the National Day holiday passed quickly.

After the relaxing moment, it’s time for an intense workday.

Due to the accumulation of a holiday, the elective surgeries in the department were almost full.

On the Longquan team, there are a total of twelve pre-operative patients, but only one postoperative patient, and there are two arthroscopic surgeries. They are also admitted today. It is expected that they will have a pre-operative examination today and a talk tomorrow. Director Chen Shengwu will come up the day after tomorrow. One day of surgery.

However, the number of surgeries today was relatively large. Directors Long Quan and Peng Nanbo performed them separately, with a total of six surgeries scheduled. The orthopedics department had two operating rooms exclusively for its own use in the operating room.

Can be opened at the same time.

In the morning, after the shift was handed over, Director Peng Nanbo briefly briefed the hospital on the contents of the regular meeting and the arrangements for the second half of the year, and then started working.Basically they are all patients with fractures.

During the National Day holiday, due to increased travel, the frequency of car accident injuries increased several times.

There are more minor fractures that do not require surgery, but they are all sent home. After all, not all fractures require surgical treatment.

……

"Qin Chaowen, you do the fixation and I'll do the reduction." During the operation, Long Quan stood at the surgeon's position and ordered when the operation reached the point of fracture reduction.

The three main principles of fracture treatment are reduction, fixation and rehabilitation.

Surgical treatment is actually open reduction if manual reduction cannot achieve the effect, and then internal fixation with intramedullary nails or plate screws.

This surgery is a comminuted fracture of the tibia, and intramedullary nailing is not suitable. For example, a special 7-shaped tibial plate can achieve the fixation effect.

But before fixation, manual reduction must be performed.

"Okay, Director Long. Xiaofang, Fan Youhua, you two, be careful not to let the patient's legs fall off the stage." Qin Chaowen said in reply.

Fang Yun and Fan Youhua both nodded.

Orthopedic manual reduction requires continuous traction and then reduction. After reduction, Kirschner wires are used for temporary fixation. The principle of this operation is a surgical process, and they are all familiar with it.

Of course, the ability to reset is a reflection of personal effort.

Although the difficulty of resetting under direct vision will be reduced, it still requires certain skills.

"Hey!~" Qin Chaowen and Long Quan fought against each other and continued traction for three or four times. The reduction of the fracture was still not satisfactory, there were still gaps, and there was no particularly good alignment.

After Long Quan finished the operation, he stood next to the operating table and asked, "Is there something stuck inside?"

The manual reduction of fractures requires multiple reductions and even multiple prying operations during the operation. Continuous X-ray fluoroscopy is the most difficult and time-consuming part of the entire operation.

It can be said that the key operation in fracture treatment is to see whether the reduction is done well.

If the reduction is satisfactory, the plate and screw internal fixation is just a matter of procedure. How can it be difficult to drive the screws in?
As long as you can find the right location and let the masters at the construction site operate it, it will be better than the trauma surgeon.

Trauma surgeons mainly know where to cut, how to place the plate, and where to insert the screws, instead of driving the screws into the proximal and distal ends of the fracture.

At this moment, everyone was relieved.

Fang Yun stood on tiptoes: "It seems that the debridement was very clean, and there were no bone fragments or muscle compression. Maybe the fracture fragments were compressed during the traction process, right?"

"Fang Yun, come and pull me, my hands are a little sore." Long Quan shouted.

Qin Chaowen hurriedly said: "Director Long, why don't you let Fang Yun stand in the operating position? I'll continue to do fixed traction. My hands are a little sore and I probably can't pull it anymore."

"Okay!" Long Quan waved his hand and asked Fang Yun to stand over and help.

Fang Yun carefully thought about his level 2 level 46% proficiency in manual reduction. He grabbed the patient's ankle with his right hand and held it up and down with his left and right hands. After seeing Qin Chaowen fix it with his hands.

With a steady pull, Fang Yun instantly felt that the fracture had been shortened and shifted away, and while continuing to pull, Fang Yun just put the patient's foot in the normal position.

I saw that the disobedient fracture fragments had been tightly sewn together.

And such a move immediately stunned Qin Chaowen. It was simply unbelievable that Fang Yun could enter the soul with one shot.

Long Quan didn't even have time to be shocked. He quickly took advantage of the perfect restoration stage and picked up the nurse's electric drill with a Kirschner wire. He directly found a suitable angle and inserted it in, completing the temporary fixation.

After the Kirschner wire was passed through to complete the temporary fixation, Longquan added another stitch to form a cross fixation.

Look at the shape of the lower limbs again.

He murmured: "I feel comfortable now."

But when Long Quan spoke like this, the word "pervert" wormed in Qin Chaowen's mouth.

(End of this chapter)