Auto chess in the operating room

Chapter 35 The Collapsed Liu Tong

[Deck refresh: diagnosis (one star, 3), suture (one star, 1), appendectomy (one star, 2), suture (one star, 1), incision (one star, 2 )]

Tang Lou directly selected the diagnosis technique (one star, 3) and two suture techniques (one star, 1).

View panel:

Host: Tang Lou

Level 2: Upgrade 6
Operation column (2/2): Suture (two stars, 3), diagnosis (one star, 3)

Gold: 2
Fetters: None
Talent (1/1): Stitching Assembly Line (Inactive)
Storage slot (4/9): Suture (3 star, 1), Suture (1 star, 6), Suture ([-] star, [-]), Debridement ([-] star, [-])

Exchange another suture (one star, 1) to synthesize a suture (three stars, 9). Tang Lou is full of expectations.

Directly shouted loudly: "Next surgery!"

"Xiao Tang, it's almost two o'clock in the afternoon. You've already had five hours of surgery, or you'd be here today." Li Fan looked at Tang Lou who was still full of energy, his legs were a little weak, and he couldn't I'm ashamed to say I couldn't bear it.

"I'm not tired. There are so many patients waiting for our operation. The next one is ready!"

Tang Lou said firmly.

"Okay." Li Fan said weakly.

In the observation room, several directors are not very tired, so let these interns have an unforgettable observation experience.

Even the surgeons haven't reached their limit yet, so it's impossible for them in the observation room to shout tired first.

For doctors, not to mention starvation, even if they can hold back their urine for a day, it is right for the interns to experience the intensity of the operation in advance.

Liu Tong at the side silently took out his mobile phone, checked that the time was almost up, and after sending a WeChat message to the resident doctor below, the old god started to wait.

There was just a trace of treachery in his eyes.

Soon, the patient was brought in. The patient was a man in his 40s. His entire shoulder was directly cut off by a piece of iron that was shattered during the explosion.

While the patient was being sent to the operating room, the previous routine examination was also sent to Director Huo in Tanglou and the observation room:

Patient: Male, 44 years old, with an iron plate cut on the left neck

Physical examination: shoulder joint movement disorder, biceps femoris muscle strength grade 0, triceps muscle strength grade 3.The forearm and hand muscles were normal.

The shoulder and upper arm are mainly paralyzed, and the hand movement feels basically normal.

Preliminary diagnosis: upper brachial plexus injury, requiring surgical repair.

After reading this case, Huo Tong breathed a sigh of relief, the operation difficulty of this case is not low.

Nerve repair is divided into epineurial suture, perineurial suture and combined perineurial suture.

Apparently this case involved the suturing of the epineurium and perineurium, as well as the suturing of the tendon and skin, which is extremely comprehensive and extremely difficult.

Huo Tong looked at the case, and immediately recalled it. He knew this patient, and it was sent to the surgery before. Liu Tong should have been in charge, but he said that the nerve suturing was too difficult, and he didn't think too much about it. Due to more experience, it needs to be reviewed by departments and rescheduled.

Huo Tong, who is familiar with the intrigue in the department, naturally sees through Liu Tong's intentions. He has always wanted him to win Tang Lou to enter the surgery.
Huo Tong directly threw the case on the table: "Liu Tong, what's the matter with you?"

Liu Tong and Huo Tong just looked at each other, and knew that their thoughts had been completely seen through, and the cold sweat broke out all of a sudden: "Director Huo, this case was originally intended to be guided by Director Cheng."

"Director Cheng's guidance is good, but what are you doing now? Let an intern be the chief surgeon?"

Huo Tong sprayed directly.

Seeing that something was wrong, Shen Jun picked up the case and looked at it. After a look, he suddenly understood, paused, and glanced at the crowded observation room:

"Okay, today's observation is over. All interns go to their own departments to teach doctors. The rest of the doctors and family members are invited out. The next case is more difficult. Director Huo and I need to open a small Yes, redo the surgical plan."

Shen Jun immediately started to push people away. The interns and residents were very curious and reluctantly left the observation room.

"Snapped!"

Shen Jun closed the door of the observation room and handed the case to Cheng Jian.

Cheng Jian glanced at Liu Tong with deep meaning, but it was inconvenient for him to comment on the family affairs of Yu County Hospital, so he stepped aside.Watching the nose with the eyes and watching the heart with the nose are arranged by these two directors.

Huo Tong looked at the case, thought for a while, and walked directly to the microphone:

"Li Fan, you have already had surgery all morning. You can rest on this one. I will arrange for Dr. Liu to come over to replace you. He will be the chief surgeon. Director Cheng and Director Shen will guide you online in the observation room."

Huo Tong pondered for a while, and added: "The operation here is very difficult, especially because the nerve and tendon are ruptured at the same time in the wound. The doctor is the chief surgeon, you wait for Dr. Liu to make a judgment and sort it out, and then assist in the later stitching."

"Director, I." Liu Tong felt guilty when he heard that he was the chief surgeon. Although he is the chief surgeon, he is good at ordinary sutures and tendons. It's really impossible not to make mistakes.

Originally, this case was intended to harm Tang Lou, so he lifted a stone and threw it on his own foot.

Seeing Liu Tong's face of resistance, Huo Tong snorted coldly: "A dignified doctor is not as good as an intern? What are you panicking about? There are me and Director Cheng here, and Director Shen will give you online guidance. Worried about not being able to do it?"

"not me."

Liu Tong's old face flushed red.

"Hurry up! Why do you still want me to invite you?"

Huo Tong's tone was serious, and he was on the verge of having a seizure.

Seeing Director Huo's attitude, Liu Tong knew that he had stepped on Huo Tong's bottom line. Tang Lou might not have much weight in his heart at first, but after a morning of suturing operations, the value of Tang Lou has already reached Above all other surgeons.

Not to mention an intern Leng Yunze, even Liu Tong can sacrifice.

As long as he is properly trained, Tang Lou will be his trump card in Huo Tong's hands.

Knowing that Huo Tong is a ruthless person, Liu Tong reluctantly walked out of the observation room to prepare surgical gowns and perform the main operation.

After the grueling preparations for the operation, Liu Tong walked into the operating room with great reluctance.

Looking at Tang Lou who was obediently waiting by the side, Liu Tong wished he could swallow him in one gulp.

Naturally, Tang Lou didn't care whether he was the main surgeon or the auxiliary suture, as long as the suture was completed, it was considered a case. In fact, the high-intensity suture all morning was still a bit depressing.

Liu Tong stood in front of the patient, looked at the shocking wound, and recalled that he deliberately arranged only routine examinations in the morning, without judging and confirming the location of the nerve injury.

Looking at the patient, Liu Tong's back and forehead were dripping with sweat. After holding back for several minutes, Liu Tong finally gave up:

"Director Huo, I need to use electrical stimulation equipment to identify the site of injury, and separate nerves and tendons."

"You calculate the time yourself. How many hours has it been since the patient was admitted to the operating room? You can use the instrument to identify it, how much time do you want? If you don't repair it quickly, the patient's recovery rate will be doubled Decline."

Huo Tong's voice of hating iron for not being strong came from the stereo, saying that Liu Tong was not worthy of lifting his shoes in front of him in terms of punishing people.

Of course Liu Tong knew that this time was deliberately blocked by him, and he originally wanted Tang Lou to fall into a trap.

Now Huo Tong is beating himself in his own way.

"What should I do? I'm not a robot, and I can see the precise breaking point at a glance. Let alone the breaking point, he can identify even a few tendons and nerves carefully, but such a large wound, so many nerves and nerves. The tendons, with his eyesight, could not have been stitched together."

"Doctor Liu, if the tendons and nerves are not identified and cleaned within 10 minutes, the patient's arm will be completely paralyzed."

Tang Lou's faint voice reminded him from the side.

"Urgent, urgent, what are you urging? What do you know? Do you know how to distinguish tendons and nerves? Can you see where the nerves are damaged?"

Liu Tong's mentality was on the verge of collapse. After being urged by Tanglou, he finally broke out. He was afraid of Huo Tong, but he was also afraid that he was an intern?You dare to be nagging in front of him!
"I'm just stating the fact that you still have nineteen minutes."

Tang Lou responded without emotion.

"Who do you think you are? Don't you just know how to suture a few tendons and do what you can, accurate to 9 or [-] minutes? If you are so good, why don't you come?"

Liu Tong shouted hysterically towards Tanglou.

(End of this chapter)