The genius doctor starts from the game

Chapter 159 Dimensionality Reduction Strike!

Chapter 159 Dimensionality Reduction Strike!

In less than half an hour, Luo Suyi arrived.

The fish was already cooked, and Lu Chenghao ordered a few side dishes, all of which Luo Suyi liked.

After watching it, Luo Suyi smiled and said, "You really know how to choose dishes. I also want to eat these few dishes."

Of course, Lu Cheng would not say that he still remembered what Luo Suyi liked to eat. Generally speaking, unless there were special circumstances, his favorite taste and cuisine would not change much.

"I ordered a catfish, I don't know if you are used to eating it." Lu Cheng first made a bowl of soup for Luo Suyi, and said as he handed it over.

"I don't care much about fish. The main reason is that the soup base here is delicious. Although it's not as spicy as the hot pot, it's quite comfortable to drink." Luo Suyi replied and said thank you.

In fact, catfish is a relatively expensive fish. Usually, Luo Suyi would not eat catfish when he invites others to eat, but Lu Cheng is a big dog. He saved more than one million five years ago. No matter how squandering it is in five years Can't spend too much.

And now I still have a house in Seoul, and I guess if I sell it, I will buy another house in Shashi. After all, the house price in Shashi is the lowest among all the provincial capital cities.

"How did your trial work go? Did the department director tell you that you can stay?" Luo Suyi asked.

She didn't need to try a job at that time, after all, she got her PhD here, and signed a contract to stay after graduation.

The conditions for entering the Second Hunan University Hospital are very harsh.

Undergraduate must be 211 or above, the second is a doctoral degree, the third is overseas experience, and the fourth is that the cumulative SCI impact factor exceeds 20, or a single article is greater than 15. And the type of article can only be Article, meta analysis of these water journals is not Calculated.

These are not a problem at all to Luo Suyi, but to Lu Cheng, it is probably a trivial matter.

But Luo Suyi didn't know what Lu Cheng's clinical level was.

Lu Chengcheng said: "I just came here yesterday, and I had an emergency consultation with Ban, which was okay. However, Professor Huang hasn't made any statement yet, so it's probably not so soon."

Then Lu Cheng looked at Luo Suyi and asked, "You didn't need a trial job before, did you? But someone in your department must have tried a job. Is there any inside story?"

In fact, Lu Cheng is not afraid of comparing with others, but he is afraid that he will not even have the chance to compare.

Luo Suyi shook her head and said: "There is an inside story, I don't necessarily know."

"That's true. Come on, eat, let's eat, if it's not enough, let's add another one." Lu Cheng said generously.

Luo Suyi frowned, and said: "Are you trying to support me to death or fatten me to death. I don't want to call another hospital chief to wash my stomach today. I may not be able to finish this big pot."

Then Luo Suyi saw that Lu Cheng really ate up the whole pot of fish...

……

The next day, it was Professor Huang's operation day.

There is not much nonsense about handing over shifts, and Professor Xu in the other group will not be bored. After checking the room, they will do their own things.

The joint surgery department of Xiangda Second Hospital is quite similar to that of the previous Hannan University. Basically, joint replacement is performed in the morning, and after the joint replacement is completed, arthroscopy is performed separately.

Lu Cheng simply used all five of the top pages of the Almighty book as arthroscopic treatment techniques.

Includes: Ankle, Knee, Shoulder, Elbow and Hip.

In addition to these shutdown mirrors, there are actually wrist arthroscopy, but wrist arthroscopy is less developed, so the other ones are more widely used.

For the joint replacement in the morning, Professor Huang Yu personally performed all the procedures.

Lu Cheng is the boss of the class, so there is no place to stand on the table.

Huang Yu is the chief surgeon, Associate Professor Qin Qiguo is the first assistant, Associate Professor Zhou Ren is the second assistant, Zheng Liu is the third assistant, and the bed doctor is the fourth assistant.

Lu Chengcheng didn't compete with the bed doctor for the opportunity to study.Lu Cheng's current hip replacement is at the top level.The top level is equivalent to the professor level of a large teaching hospital. Although it is definitely not as good as Huang Yu, it may be slightly better than that of Qin Qiguo and Associate Professor Zhou Ren.

It's just that there's no need for Lu Cheng to fight. He will have more chances to have surgery in the future.

And the few interns who followed Lu Cheng honestly followed Lu Cheng to watch the surgery all morning, and they seemed to be very interested in orthopedics.

There were so many observers in the operating room all of a sudden, Huang Yu really wanted to add a few more emergency operations for joint replacement to teach.

It's just that the operation has already been arranged, so it is definitely impossible to do so.

There are only three joint replacements in total. After the completion, it was already around one o'clock in the afternoon, and then the operation was divided into different sets.

There are also three arthroscopes, of which Associate Professor Zhou Ren is in charge of two and Associate Professor Qin Qiguo is in charge of one.

Qin Qiguo directly called Lu Cheng over, after all, Lu Cheng was quick in his hands and feet.

Associate Professor Zhou Ren's qualifications are lower than Qin Qiguo's, so even if he dislikes Zheng Liu a little, especially after Lu Cheng came, he has no choice but to bring the doctor in charge of the bed.

After Associate Professor Qin Qiguo came to the operating room with Lu Cheng and the interns, Qin Qiguo asked directly: "Xiao Lu, I heard from Zhou Ren that you have learned arthroscopy before, and your skills are not bad?"

Lu Cheng said: "Just understand a little bit, Professor Qin."

Qin Qiguo said: "There are not many people who can be praised so much by Zhou Ren, so don't hide your clumsiness. Today's arthroscope is for suturing rotator cuff injuries. You bring the bed doctor and interns up to play Play."

"Let me see, if I can't sit down, I will come up."

"If it's okay, I'll share all the arthroscopy for you in the future." Associate Professor Qin Qiguo actually said such a sentence.

This made Lu Cheng stunned for a while, looked at Qin Qiguo, and found that he was not joking, but serious.

Lu Chengcheng didn't know what kind of medicine Associate Professor Qin Qiguo was selling in this gourd, so he could only nod his head and say, "Professor Qin, I will do my best for this operation. Let's talk about the future."

Lu Cheng felt that, as a newcomer, it would be better to avoid pitfalls.

Now associate professor Qin Qiguo can't do joint replacement, if he gave up the arthroscopy, what would he do?If he doesn't use the knife, what will he eat? Become a saint?
If something goes wrong, there must be a demon, Lu Cheng still feels that he should not accept the trick.

Qin Qiguo thought for a while, and then said: "Then let's talk about it later!"

Then he said to the interns who stared at Lu Cheng with wide eyes: "Aren't you going to wash your hands and help?"

Several interns suddenly realized, but there was some buzzing in their heads.

Lu Cheng is much older than them, um, maybe five or six years old.

Five or six years old, do you want to perform arthroscopic surgery alone?

They have never heard of anyone who started performing surgery when they first started working.After all, everyone was studying before. Wherever there is an opportunity to perform real operations, they basically need to learn and practice for three or four years before slowly starting with small arthroscopic surgeries.

There are four types of surgery for rotator cuff injuries, which is the largest level of surgery.

And Lu Cheng didn't look like he was lying at all.

They came to find out about Lu Cheng's situation. This is not good, but they stepped on a thunderstorm.To be honest, they are very familiar with the theory and in-depth, but the specific operation.

What is that?

Where do they have the opportunity to operate?
All of a sudden, they directly entered their blind spot.

Lu Cheng took the lead to wash his hands, and then called the bed doctor to raise his hand.

He came to disinfect.Then he said to several interns: "You guys watch me disinfect a few times first, and you can try it next time if you are interested."

After the few interns got dressed, they really became interns, and Xiao Chickie nodded his head a little bit.

About 15 minutes later, Lu Chengcai and the bed doctor worked together to suspend the patient's arm and apply 3000ml of saline for traction.

Then Lu Chengdao: "Teacher Tour, please adjust the operation time."

"Syringe, saline!" Although Lu Cheng is now very familiar with the operation of shoulder arthroscopy and can infuse the joint cavity without saline. However, Lu Cheng now does not just perform surgery to complete the operation, he also needs to undertake the task of teaching.

So he had to follow the most standardized procedure to fill the joint cavity, and it didn't take much time.

Lu Cheng just used his left hand to touch the greater tuberosity of the humerus and the acromion a little bit. With his right hand, after washing the syringe handed by the nurse to suck up the normal saline, he inserted it directly into the patient's skin.

Surgical timing starts from the moment the patient is invasively operated.

Qin Qiguo looked on and was stunned for a moment. Although his usual shoulder joint surgery did not fill the joint cavity, Lu Cheng inserted the syringe so neatly and neatly, which made him a little frightened.

There are complicated blood vessels and nerves under the shoulder joint. Wherever it is pierced, there will be big problems.

But after seeing Lu Cheng sucking out the joint fluid, he was relieved. There was something wrong with Lu Cheng.

It is definitely not as simple as knowing a little bit.

Then Lu Cheng quickly used a sharp knife to make an opening for the field of view. After widening the opening with straight forceps, he immediately inserted the arthroscope directly into the shoulder joint space without any bias.

With a slight turn of the camera, you can directly see the whole picture of the shoulder joint gap!

Lu Cheng swiped around, took a quick look and said, "The labrum is basically undamaged, the bankart is intact, the long head tendon of the biceps is in place, and there is no injury or rupture. Teacher, please take a photo for me."

This hand speed, this fluency, Qin Qiguo was dumbfounded at the time.

Is this the level that a trial doctor should have?
Is this Lu Chenggong the legendary academic boss?
Immediately afterwards, Lu Cheng opened another operation hole under direct vision, and after poking it in with a planer, he cleaned and polished the gap under the shoulder joint a little.

It seems to be a simple polishing, but Lu Cheng's technique is very rhythmic.

Associate Professor Qin Qiguo couldn't help asking: "Xiao Lu, where did you learn this technique? It seems that I have never seen it before."

Ordinary people clean the joint cavity, that is, clean it casually, where is there any way to say it?
But unfortunately, Lu Cheng managed to make the cleaning steps very fast, and basically did not hurt any cartilage surface and muscle layer!
This is a bit scary. Most people will be hurt more or less. After all, it is direct contact. Who can make such micro-operations to the point of no more or less?
Professor level?

But the professors of the Second Xiangda Hospital, except for Professor Xu, have not been doing arthroscopic surgery.

Now Professor Xu is doing less. He basically does joint replacements. He has money and technical content. They are doing it all over the country, so he can get it out!
Lu Chengcheng replied: "Master taught some before, but I don't know what it's called."

Lu Cheng's method was obtained after eating the top-level book pages. Judging by Associate Professor Qin Qiguo's expression, it is estimated that the effect is not bad.

Lu Cheng is too familiar with arthroscopy, he has been the chief surgeon during his internship.

What's more, what about now?Lu Cheng's mentality has changed a long time ago compared to before.

Cleaning the shoulder joint space, starting from the placement of the observation mirror, took less than 10 minutes in total, and it was done!

Then Lu Cheng immediately opened a third hole.

As a viewing approach, to the subacromial space.

The suture position of the rotator cuff injury needs to be completed within this gap.

After putting the mirror in, Lu Cheng put a little water to fill and clean up the blood, and then drew it around again, saying: "The gap under the acromion is rough, no abnormal acromion, and no signs of rotator cuff rupture for the time being."

"Hook detection!"

The hook was handed over.

After Lu Cheng took the probing hook with one hand, he put it into the gap under the shoulder like a finger. Even Qin Qiguo didn't quite understand the speed.

When he looked a little stunned, he saw Lu Cheng using the claws of the probing hook to dig a few points on the rotator cuff, then dug and pulled, and immediately opened a hole, and then saw the break in the supraspinatus muscle.

Moreover, the supraspinatus muscle retracted by more than 3cm, completely ruptured!
Lu Chengcheng said: "Teacher, take a picture, huge rotator cuff."

"Planer!"

Before Qin Qiguo could react, Lu Cheng had already cut away the fracture surface with a planer, completely exposing the broken end.In addition, the synovial membrane was also cleaned with electrocoagulation.

This time is only about 15 minutes, and then the stitching can start.

At this speed, both the itinerant nurses and the handwashing nurses were confused.Where have they encountered such a fast operation setup before?

"Two nails on the outer row, with thread."

"casing!"

"I'll take it right away." The itinerant nurse hurriedly said.

She usually prepares these things temporarily, which is the habit of associate professor Qin Qiguo, because each associate professor has different habits when sewing the rotator cuff.

Lu Chengcheng could only wait first, and then began to teach the interns the operation and dissection inside.

Only then did the interns begin to understand what Lu Cheng was doing, and they looked like you were amazing.

Yes, they know the anatomy of the shoulder joint, but they have never had any surgery on the shoulder joint. They even know the general procedure of the surgery, but they don't know what Lu Cheng has done.

Theory and practice are two different things.

They also noticed Associate Professor Qin Qiguo's expression, and instantly felt that not only their interns were hit by dimensionality reduction, but even Associate Professor Qin Qiguo's expression was a little weird.

Lu Cheng didn't think there was anything special about it. Since Associate Professor Qin Qiguo asked him to come, he would come if he could.Anyway, he had the certificate and he was working on a trial basis. Associate Professor Qin Qiguo was right next to him to test his clinical abilities. There were no violations, so there was nothing to be afraid of.

Just do your own thing.

Even Lu Cheng knew that Associate Professor Qin Qiguo might not be able to do what he did, but so what?

Did Lu Cheng want to take care of Associate Professor Qin Qiguo's feelings, and then reduce the level of surgery that he could have done better?
To be honest, Lu Cheng can't do it. He hasn't reached the point where he deliberately lowered his level and still hasn't been noticed.

(End of this chapter)

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