"Dean Chen, which group of us will come first?"
Ask the director about Chen Wenqiang."
Xiao Li and I will come first.You've rested for a while. ”"Okay, you're welcome."
Twist the director's neck and get out of the way.The others immediately moved out of the way and gave Chen Wenqiang and Li Min their places.Chen Wenqiang is very keen to successfully complete this broken arm replantation and at the same time want the patient's arm function to be restored as much as possible.Although from a technical point of view, the patient's injury is too severe and the chances of successful reimplantation are slim, it is safe to do so: to save his life, give up the severed limb, do a simple debridement suture, and then install the prosthesis later.This is the easiest, most convenient, and least risky way to deal with it.It avoids the blow of long-term replantation surgery to patients with shock, and can also avoid the embarrassing outcome of broken arm and death due to surgical blows after replantation.But Li Min first went to the outpatient clinic to see the injured and decided to take the risk to rejuvenate the injured person's limb, and Lao Liang also supported her choice.Chen Wenqiang decided to fulfill Li Min.Because from a small point of view, he wanted to encourage Xiao Li, the child, to be kind to the injured.From a general point of view, if this operation can be successful, it marks a new level of surgery in the provincial hospital.
*Director Xiang heard about this case, and on the way to the hospital, he decided to do this broken arm replantation.He didn't believe in Li Min's judgment, nor did he believe in the general inpatient of his orthopedics, he believed in Director Liang, the director of the night shift tonight.Director Liang dared to inform himself to decide whether to have surgery after seeing the injured person, that is, after seeing the injured person, he thought that there was a possibility of taking the job.Director Xiang, who has successfully completed dozens of finger amputation replantations, urgently needs to make new achievements in orthopedics, so that the medical staff of the hospital can think of himself when he mentions surgery like he did ten years ago.Instead of thinking of Xie Xun first, nor thinking of Li Min again.He debrided the proximal end of the broken arm very carefully and meticulously.The quality of debridement is the cornerstone of the next step of surgery.He handed over the stump arm to Director Liang and Director Wang to deal with, and he was very relieved.He believed in their character and ability, and believed that they would not cause trouble for the operation that had a chance of being completed.As for the surgery of Chen Wenqiang and Li Min's group, he is even less worried.Once the blood vessels taken are unqualified and insufficient, you can definitely provide yourself with good materials to laugh at Chen Wenqiang for decades for the rest of your life.Even if he was the dean of surgery, he was not recruited.* Giving up his position to the director, he stood behind Chen Wenqiang, who was sitting on a round bench.He hadn't seen Chen Wenqiang have surgery for several years.The last time I saw Chen Wenqiang have surgery, it seems to be in 86, and it should be the first craniotomy when he just returned from the south and returned to the provincial hospital......
Thinking about it like this, he realized that so much time had passed inadvertently.Chen Wenqiang's craniotomy left a deep impression on him.But in the past few years, Director Xiang thinks that he is diligent, and in his heart, he feels that his surgical skills have already surpassed Chen Wenqiang.Especially in the past year, after doubling the number of orthopedic beds, his surgical volume has also doubled.How did the surgeon's surgical skills come about?
Hasn't it been honed from practice, from clinical surgery?
Like Li Min, who has done other people's surgeries for three years a year; Like him Chen Wenqiang, how many surgeries does he only have a week now?
Sometimes he does more in a day than he does in a week.But when Chen Wenqiang and Li Min did it, with the proficiency of the two of them in fiddling with microscopic instruments, the neat and beautiful vascular debridement, and the impeccable vascular anastomosis, he found that he had made progress in the past few years, and Chen Wenqiang did not stand still.And people are not slow to move forward.Chen Wenqiang only symbolically matched a few stitches, and then handed over the work of the surgeon to Li Min.Then everyone watched as Li Min sat in the assistant's position, holding the needle holder with his left hand, and began to anastomoses the blood vessels.Director Xiang wore microscopic eyepieces, staring critically at the needle distance, staring at Li Min's depth of needle insertion and needle output, and he stared at Li Min's 5 zero sutures, the force exerted on the 3mm blood vessel wall, and did not let go of every thread knot that Li Min had laid.No slip knots!
couldn't find fault with it, so he could see that the hope of catching the broken arm was increasing; couldn't find fault with it, and it also made him depressed and increasing.He originally wanted to use this operation to teach Li Min a few words.Let Li Min stop interfering in orthopedic finger amputation surgery in the future.A little girl, young, bold enough to dare to touch any surgery!
But Li Min's beautiful stitching made him unable to teach people.What followed was his irrepressible envy."
M, Lao Chen, why is your old boy so good!"
Director Xiang couldn't control it, and blurted out the truth."
I'll be reincarnated.It's useless for you to envy. ”Chen Wenqiang wore microscopic eyepieces, relying on the fact that no one dared to touch him a little, so he was very angry.Director Xiang, who was standing behind him, was really angry.Through the mask, the instrument nurse could hear his heavy breathing.Chen Wenqiang was proud.Very proud.He understood what he meant by what he meant to the director.The quality of an operation depends not only on the skill of the surgeon, but also on the assistant who not only determines the speed of the operation, but sometimes even determines the success or failure of the operation.The former is easy for everyone to understand.The latter is that the assistant is not effective, in case of "stabbing Lou Zi" during the operation and causing secondary damage, the surgeon has to put down his business to make up for the loopholes......
In fact, in the area of vascular anastomosis, Chen Wenqiang knew that he had long been inferior to Li Min.Even in the eyes of Lao Liang and Lao Li, he has more clinical experience, is more stable than Li Min, is psychologically stable, and may be less affected by the outside world.He did not waver in his judgment.Because in fact, he himself understands that in terms of psychological stability, he is even worse than Li Min.Li Min can be unhindered, can be wholeheartedly, dare to think about any operation, dare to compete in any operation, and rush forward with indomitable progress, because Li Min is sure that everything has her own pocket.But who carries it for himself?
To the extent and height of oneself now, to consider the impact of failure, to consider, alas!
There are too many things to consider...... * After Chen Wenqiang retreated to Li Min as an operator, everyone in the operating room thought: This Dean Chen, in order to train Li Min, dared to give Li Min a chance for such a big operation.Isn't it too risky?
But as the vascular anastomosis progressed, everyone applauded the skills of this equal master and apprentice.It is not only the personal skills that are good, but after Li Min is the surgeon and Chen Wenqiang is the assistant, the speed of the operation is faster.The fast and steady tacit cooperation produces high-quality vascular anastomosis results, which is simply a visual feast for surgeons.Breathtaking.Xiang turned his head to the director and said that his orthopedic resident doctor Wang."
Xiao Wang, if you have a vascular anastomosis technique like Dr.
Li, I will let you do it if you have a severed finger replant."
Dr.
Wang put his hands in his chest pockets, looked up at the director and said, "Director, I want to too."
Dr.
Li has been embroidering and doing needlework since he was a child, and the needlework requires hard work, and it is not slow for me to practice it in five years. ”Director Wang of the Department of Orthopedics answered: "It's not too late to practice in five years, you are only 35 years old, which is the best time for a surgeon." ”"Practice well."
Director Liang also encouraged Dr.
Wang."
Let us old guys see you take over Director Xiang's class before we retire."
M eggs!
How to speak."
Lao Liang, are you looking forward to me being pushed down before I retire?"
Xiang Director was indignant."
Our surgeons rely on their ability to eat.You have enough ability, who can withstand you?
Confessed to the seed?
”"You're a seed."
Director Liang laughed and said, "That's it, when did you always admit that your skills are not as good as others?"
Besides, orthopedics will have to be divided sooner or later.The Affiliated Hospital of the Medical University can be separated from spine surgery and hand surgery as soon as possible.Didn't our provincial hospital also separate thoracic surgery from the general surgery?
”The instrument nurse noticed that Director Xiang's breathing had become thicker for another minute.
*Director Zhou had the help of Director Hong of the ICU to adjust the vital signs and general status of the injured, and he was much more relaxed.He felt that today's operation was a complete visual enjoyment for him.No matter which group you look at, the debridement is more perfect than ever.After seeing Li Min's vascular anastomosis, he bumped Director Hong with his elbow and said, "The medical university is really willing." ”The implication is that a girl like Li Min did not stay in the surgery department of the affiliated hospital at the Medical University, and she went away.Director Hong said: "It was Dean Chen who made great efforts.If he hadn't given Xiao Li a chance and cultivated Xiao Li, Xiao Li might not have done as well as Xiao Huang in surgery. ”"That's it.Lao Hong said a word of conscience. ”Chen Wenqiang answered with satisfaction."
At the beginning, Xiao Li followed Zhang Zhengjie's group, and what he did was to resist thighs, change dressings, and write medical records."
Zhang Zhengjie immediately quit, isn't this provoking his relationship with Li Min in person?"
Dean Chen, which of us didn't do this when we first came to work?
Director Xiang, have I been doing this for more than half a year in the Department of Orthopedics?
”Director Xiang immediately helped Zhang Zhengjie: "Yes, our provincial hospital is this tradition." ”Zhang Zhengjie immediately gained confidence: "Lao Chen, Xiao Li is special, she has only been working for two months, you dare to let her be a craniotomy, and she is the only one in our operating room who has this opportunity." ”Xiao Huang, who was standing on the side, was almost in tears when he heard it.What Director Hong said was really a conscience.But Li Min's opportunity is too good.He was too envious of Li Min's opportunity.I have been in Puwai for more than two years, if Director Cheng is willing to give himself a little chance, when he goes back to the Medical University for further study, he will be scolded by the teacher: "You have graduated for more than two years, have you eaten dry food?"
”This means that I graduated from the medical university, and if I change to another person, I won't even be able to touch the edge of the operating table in the future.But Zhang Zhengjie didn't let him go."
Xiao Huang, it's useless for you to envy Dr.
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Li.If you can't envy it, people will be reincarnated. ”"Haha, not really."
Director Liang answered with a smile: "I don't know how to be reincarnated, and I don't know how many people drop out of school before finishing primary school."
The ability of our people to reincarnate is actually quite good.Lao Xiang, do you say you?
”"What is it?""
If you are going to be born 20 years early, will you have the opportunity to study?""
If I want to be born 20 years early, then I will definitely participate in the Long March and become a red ghost."
The topic is getting farther and farther away.From the Long March to the hike more than 20 years ago, I revisited Jinggang Mountain.Director Hong said, "What a good thing to do.I regret that I was born 10 years earlier, and I should have gone to farm when I should have sat in the classroom and studied hard.I envy Xiao Huang and Xiao Li for being born in a good year. ”"They're good.I didn't eat or drink when I was a child.If you want me to say that it is better for the children now, the rice and white noodles are enough to eat, and there is only one child in the family.Director Zhang, Xiao Liu, your two children are about the same age, isn't that like this?
”Except for Xiao Huang and Li Min, everyone else actively participated in the lively discussion in the operating room about the good and bad of being an only child.* "Heparin sodium." ”Li Min stretched out his right hand.Xu Li quickly put the prepared syringe in the appropriate position in the palm of her hand.This position has also been honed through long-term cooperation.This position allows Li Min to use a syringe to flush the blood vessels directly in the surgical field in front of him after closing the palm of his hand.Zhang Zhengjie looked at the cooperation between the instrument nurse and Li Min with envy.I watched Li Min smoothly insert the needle of the 2ml syringe into the ulnar artery anastomosis.He didn't have eyepieces, he could only see a blurry shadow.But this way, it was enough for him.Li Min carefully flushed the blood vessels, then tied the last two stitches that had been stitched with a needle holder, and Chen Wenqiang stretched out the special thread scissors for microsurgery to cut the threads."
Teacher, you can try loosening the tourniquet.""
Loosen it."
Chen Wenqiang agreed.As Zhang Zhengjie loosened the tourniquet at the proximal end of the stump, bright red arterial blood quickly flowed through the ulnar artery that had just been anastomized.At the same time, Li Min reached out for Wen's forceps and quickly clamped the proximal end of the radial artery, which was filled with arterial blood and then flowed out."
Good!"
Director Hong and Director Liang applauded at the same time.The reason for the applause was that there was no blood oozing from the anastomosis of the ulnar artery.Bright red arterial blood slowly filled the blood vessels that had been shriveled for four hours.Director Liu also probed, and together with Director Zhou, Director Hong, and Director Liang who surrounded the surgical field, she witnessed the pale and deflated distal tissue of the broken arm slowly gaining color.Director Wang of the Department of Orthopedics couldn't help but wear gloves to touch the fingertips of the injured person, and after a while, he shouted excitedly: "Lao Chen, the fingertips are warm." ”The jubilation in the operating room alarmed the head nurse who was sitting on the side and napping, and she couldn't help but say, "Dean Chen, you and our aunt and grandmother hurry up, hurry up and finish the rest of the blood vessels."
Let's all go home and sleep. ”"That's hard to say.When they're done, it's hard to get dawn.If you're sleepy, go home and rest. ”Director Anesthesia Zhou advised the head nurse."
What kind of home am I going back to?
It's the first time I've done such a big operation, and I don't follow how to do it.What are the shortcomings?
”The head nurse yawns with a mask on.After yawning, she felt embarrassed and stood up to find things to do in the operating room.Old, what time is it that you can't stand it?
Alas!
It's no longer the age when you came to power twenty years ago and you can turn it on a pivot.Director Xiang mentally measured the speed of vascular anastomosis between himself and Li Min, and then had to admit that the combination of Chen Wenqiang and Li Min was much faster than the combination of himself and Director Wang, and faster than the combination of himself and the hospital.M's, it's not good to have a good assistant, it's really not good for M.However, for the sake of the effect of the operation, Director Xiang did not hesitate and immediately made the most rational choice.He opened his mouth and said to Chen Wenqiang: "Lao Chen, you hurry up and anastomose the radial artery, you and Dr.
Li are working together quickly." ”Director Xiang's words are simply admitting in front of everyone that he is not as good as Chen Wenqiang.Director Liang joked like a problem: "I know why our Xiao Li did this broken arm replantation."
People have that diamond diamond, and the blood vessels anastomosis quickly and well.Did the fingers of the thirty night survive?
”Dr.
Wang immediately replied in a low voice: "It's alive."
In rehabilitation, it has exceeded 60% of the requirements. ”Chen Wenqiang looked up at Li Min, who kept blinking, rolling his eyeballs back and forth, and taking time to rest his eyes, and said, "Okay."
Xiao Li, let's anastomoses the radial artery.Director Zhang, you can tie the tourniquet later, and I'll clean up the blood vessels on this side of the broken arm first. ”* How Chen Wenqiang arranged, Li Min followed his command to do it.Throughout, she pursed her mouth and didn't say a word that had nothing to do with the operation.With the results of the ulnar artery as the foundation, the success of the radial artery anastomosis again is not as shocking as just now.After the artery anastomosis, Chen Wenqiang stood up and said, "Change, my eyes are spent." ”"Okay, Director Zhang, let's deal with the tendons first.The blood vessels are all left to Dean Chen and Dr.
Li. ”Director Xiang didn't want to touch the blood vessels tonight.With Chen Wenqiang and Li Min's Zhuyu in front, wouldn't it be embarrassing for me to anastomosis the blood vessels tonight and compare them together?
Even in a short period of time, he doesn't want to be on the same stage with Chen Wenqiang and Li Min.It is said that the work of orthopedics is rough, and the delicate work that I am most proud of has been compared to others, and frustration swells up in the director's heart.However, these did not affect his subsequent tendon anastomosis.He kicked the general manager of the orthopedic department and chose Zhang Zhengjie as an assistant.If he wasn't worried about Director Liang's mouth, he would have wanted to pull Director Wang of the Department of Orthopedics to work with him.Director Liang looked up at the electronic clock and said, "Twenty minutes to change, let's hurry up and deal with all the big blood vessels."
That's more important. ”"Okay."
Director Xiang agreed to Director Liang's arrangement.* Chen Wenqiang and Li Min walked to the wall and sat on the stepping stool to make up for their height.The two of them sat in the same position with their backs straight, stretched their legs, and rested with their eyes closed, but the eyeballs under their eyelids kept spinning.It's so tiring.Dry eyes.If you don't change people, you will have a shadow.The head nurse brought two hot towels and said, "Dean Chen, come, put a compress on your eyes." ”"Thank you."
The head nurse took off their glasses and placed the hot towel on their eyes, which were slightly tilted back.said in his mouth: "Look at how good my service is." ”"You prepared it for your aunt and grandmother, I just took the car.""
Oh, you know you're in a ride.That Dean Chen, how are you going to give Xiao Li a holiday?
”"More on that next week.There were too many wounded in Corey. ”"Yes, too.This year's Spring Festival has not stopped. ”Zhang Zhengjie was replaced and rested.He walked to the other side of Chen Wenqiang and stood still and asked, "Xiao Li got a marriage certificate?"
”"Hmm.""
It's glorious for military families.""
It's too bitter."
The head nurse answered for Li Min."
Director Liu of the Department of Obstetrics and Gynecology, how hard it has been in those years.Serve the old and take care of the younger.Let's say a word about the backward elements here, who doesn't want the two of them to be together every day, and who doesn't want to be cold and hot, who would rather not want to be glorious, and don't want to work hard for half a lifetime. ”"Look at you, head nurse, Ren Xiao Li just registered you to say such things."
Zhang Zhengjie interrupted the head nurse."
I'll be honest.You said it was twenty years earlier, and there was still a preferential treatment for military families, but now everything has been canceled.There is a headache and brain fever, and there is no one who even carries a glass of water, isn't it chilling?
”"The towel isn't hot."
Li Min reminded the head nurse.The head nurse hurriedly took the towel away: "That Lirong, have you wiped your glasses, hurry up and get them back." ”"Alright, alright.Just send it over. ”"The operating room is a special service today."
Director Liang shouted enviously."
Do you want it?
Give you a compress too. ”"I don't want to, and I don't work with a microscope.Lao Chen is almost there.You and Xiao Li are ready to take over the work. ”Chen Wenqiang raised his face, waited for the head nurse to put on his glasses, stood up and greeted Li Min, and the two went to the nurse to change gloves, wash their hands, and anastomosis veins.* The electronic clock hanging on the wall of the operating room turns around unhurriedly.In the brightly lit operating room, everyone is ignorant of the transition between day and night and the stars.More than seven hours had passed since the last stitches were stitched up in the orthopedic department.Director Zhou looked at the operation record time and said, "The actual operation time is five minutes and seven hours. ”He took off his gloves and carefully touched the fingertips of the injured man.Then he nodded frequently and said, "This temperature is good."
Lao Hong, the rest is all up to you. ”Director Hong nodded.Zhang Zhengjie began to soak in plaster bandages.Director Liang said: "Lao Xiang, you harvest the autumn, I'll go back." ”"Huh?
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Ah, go back, you can still be confused for two hours when you go home. ”"What are you still confused, it looks like it's almost six o'clock.""
It's six o'clock, it's only 5:13.""
You can't walk when you get home, you go to bed without washing, waiting to be kicked off?"
Director Liang and Director Xiang quarreled, but did not delay him in signing the various orders for the operation.And Chen Wenqiang and Li Min left as early as after the vascular anastomosis was completed.Those who are in neurosurgery cannot be handed over to a fellow doctor.They have to go to work at 8 a.m.Because in the director's office on the twelfth floor, Pan Zhi lived tonight, and Chen Wenqiang was on the bench in the dressing room of the operating room, wrapped in two military coats on duty.Li Min went back to the duty room on the twelfth floor.* "I'm back." ”Although Li Min slowed down the movement of opening the door, he still woke up Mu Jie.He sat up and turned on the lamp, grabbed the watch on the desk and looked at it, it was not half past three."
You're doing this very fast.It didn't take 8 hours. ”"Dean Chen and I finished the vascular anastomosis under the microscope.The rest of the tendon anastomosis and nerve anastomosis will be done by other doctors.My eyes are so dry.I'm tired. ”Li Min poured some hot water into the water cup, and after drinking a few big sips, he felt that his whole person was like a seedling in a long-drought drought and relieved a little."
Is there any way to alleviate it?"
Muljay was distressed."
Don't tire out your eyes.""
Sleep.Sleep is the best way to rest your eyes. ”Li Min quickly took off his clothes, turned off the lamp and got into the quilt.She chrysalis twice, found a comfortable position in Mu Jie's arms, closed her eyes and whispered, "Don't call me tomorrow morning."
Too sleepy. ”"Okay."
Mu Jie tucked the corners of the quilt, hugged the fragrant softness in his arms, and closed his eyes in the duty room that had been darkened again.※※※※※※※※※※※※※※※※※※※※ corrected a typo, added a little bit () and the distance is a bit far