The genius doctor starts from the game

Chapter 10 This Lu Cheng!has a problem!
"Okay, then you go to help first, and you can learn simple disinfection drape and arthroscopic preparation with your senior brother. You can always learn something by doing more." Li Hui interrupted the conversation.

And also mentioned Lu Cheng,
Lu Cheng has an accident department, and the skyscrapers are built on the ground. He can't think about doing surgery from the beginning. He doesn't even know how to sterilize the drape before the operation, so he directly starts the main operation mode.

Which surgeon didn't work his way up from a junior doctor and a low-level employee?
Without all these troubles, even the principle of asepsis may not be clear in the end, so how to do surgery?

Lu Cheng also nodded and said yes, with the stimulation of more than 200 oceans before, Lu Cheng's positive personality was exceptionally high, thinking in his heart, if I get some more gold coins, then I can earn three hundred in one day.

Surgery, sterilized drape before surgery, these are the most basic,
The most basic one doesn't mean that he is born with it. Although Lu Cheng went to two surgeries before, he is an intern, who will teach him?He has no chance to do it, how can he put the theory into practice?Theories that cannot guide practice, no matter how much you learn, others will not know whether you will know it or not.

Lu Chengcheng told Chen Zhuoyuan his thoughts, maybe it was Lu Cheng's outstanding performance before, and Chen Zhuoyuan immediately agreed.

Moreover, for a graduate student like him, what he does every day is to disinfect drapes and suture. He has long been tired of doing such things. He is now in his second year of graduate school and is about to enter his third year of graduate school. If such things can be done Let go, that is the best.

Of course, the main reason is Li Hui's information——

The reason why Chen Zhuoyuan was able to be assured of pre-operative preparations was that he was quite careful.

Follow Lu Cheng all the way starting from washing his hands, then open the surgical bag, take out the sterile disinfection tray, and then carefully instruct Lu Cheng how to use the oval forceps, and then point out the scope of disinfection.

Although this young man only had the first day of surgery with Brother Hui, he had already left a deep impression on Brother Hui's heart. Chen Zhuoyuan could understand the reason why he was able to leave such a deep impression. If it weren't for Lu Cheng, This patient later had a huge rotator cuff and was fine without symptoms.

If there is, it is a medical dispute. Although evidence can be provided, through objective imaging evidence and arthroscopy as the diagnostic standard of sports medicine, the huge rotator cuff that has not been seen under the microscope cannot be regarded as a misdiagnosis. Is there any legal dispute,
But this is a rather troublesome thing after all, and now, it is because of Lu Cheng's unintentional words that it is completely avoided,
This is also where Li Hui is so concerned. Moreover, Brother Hui is not very clear now whether Lu Cheng has seen the diagnosis from the MRI, that's why he made such a directional and unintentional request.

Seeing Lu Cheng start to disinfect the towels a little clumsily, Chen Zhuoyuan pointed out a few small flaws, but overall, it was quite satisfactory.

So Chen Zhuoyuan said: "It can be seen that you should have done disinfection and draping in other departments before, but the disinfection and draping of our orthopedics department are relatively unusual."

"You have to tell me to raise your hand, otherwise you'll always be left with a blind spot in contact with the contaminated area."

"But you've done a good job, much better than the last batch of interns."

Lu Cheng smiled naively, and flashed his eyebrows in embarrassment. This was his first time disinfecting the towel, and he didn't make any mistakes in principle. When disinfecting drape and performing surgery for the first time, some principled mistakes will be made.

For example, the sterilized sterilized tray is directly held by hand instead of oval forceps. For example, after sterilized, the sterilized tray is directly put into the instrument bag, which pollutes the entire instrument. Some people even saw the instrument dropped during the operation, and then "kindly" 'Picked up the instrument on the stage, and let the whole operation again.

After about 10 minutes of preparation, Li Hui and Cheng Cheng walked in after a rest, talking and laughing, and then began to hang their arms, pack waterproof sheets, etc...

After another ten minutes, the formal surgery began.

This time, Li Hui was in charge, Cheng Cheng was the first assistant, Lu Cheng was the second assistant, and Chen Zhuoyuan was in charge of watching.

The main reason is that the second assistant basically has nothing to do, except for occasionally helping the mirror.

This operation is still shoulder arthroscopy, and it is a relatively simple acromial impingement and frozen shoulder. It only needs to clean the entire labrum, and then do a joint release.

The operation is not complicated to say, but it is more cumbersome to actually sit up.

The standard anterolateral approach is still used as the observation approach. After the joint space is opened, the lateral approach is used as the entry approach for the planer and plasma knife.

And Li Hui started his explanation again: "Frozen shoulder is a very common disease, and the age of occurrence is concentrated around the age of 50. The general manifestations are shoulder joint pain, limited mobility, and stiffness."

"We can see that they have pain because of the massive synovial hyperplasia in the joint cavity and the narrowing of the subacromial space, which is also the reason for their limited mobility. And as for the stiffness, we can see that these hyperplasia A lot of tissue fibrosis has been found in the synovium."

"It is equivalent to a lot of nylon-like structures in the joints, which greatly reduces the range of motion of the joints,"

"What we have to do is to perform a comprehensive release of the labrum. This operation is simple to say, but it is not easy to perform. We usually start from the top of the labrum..."

Following Li Hui's explanation, Lu Cheng's experience skyrocketed again. This rhythm was really exciting.

Moreover, Li Hui is also explaining the clinical manifestations and pathology of this disease, visually explaining its internal structure, and corresponding treatment measures.

In clinical practice, standing at the bedside to learn and treat, this may be the way of clinical learning.

Lu Cheng was immersed in it wholeheartedly, and Li Hui's actions of operating the arthroscope before were like deep pictures printed in the system, and after being processed by the system, they were fed back to Lu Cheng .

After cleaning the upper part of the glenoid labrum, Li Hui needs to make a new incision to deal with the front of the glenoid, because the previous operation approach was posterolateral, and now a new frontal approach is needed.

Li Hui said: "Come on, help me hold the mirror, I will make a new entrance."

"Actually, it can be done from the posterolateral approach to the front, but this is very awkward, and when operating below the labrum, it is still necessary to re-open the mouth, so we don't need to do unnecessary things in order to show our operation skills. Step savings."

"Sharp knife!" Li Hui shouted at the handwashing nurse.

Then he thought about it and said: "When we do the arthroscopic approach, we usually need to break the joint capsule sharply first, and then expand it bluntly."

"The best thing then is that we can see our knife entry under direct vision and be sure it's the joint capsule where it ends up breaking and not somewhere else."

"Look outside!" Lin You shouted habitually.

Then he was about to make an incision with a knife, and the incision reached the joint capsule, and then he remembered that it was not Chen Zhuoyuan who was holding the mirror this time, and Chen Zhuoyuan had promised him to practice the mirror sense before.

Then he had to operate the knife himself, but he only stretched his hand halfway, and found that the mirror was shaken to the outside by Lu Cheng as if strangely, and his previous action of piercing the joint capsule was under the magnification of the arthroscope ,A bird's eye view.

Seeing this scene, Chen Zhuoyuan on the side suddenly widened his pupils and turned to look at Lu Cheng.

Even Cheng Cheng slowly turned his head away with a flash of expression.

This is Lu Cheng!
has a problem!
He's not a serious trainee.

(End of this chapter)