My medical skills are a billion points

He didn't want to tell the truth, if, in this case, he told the patient the truth.

The man's mood swings will be very large, which is not good for the upcoming operation.

Xiao Chu comforted him: "Don't worry, I will check up on you before I can find out exactly how your condition is."

After comforting the man a few words, his mood gradually settled down, and he also cooperated with Xiao Chu to go to the MRI room for an MRI examination.

After the examination, Xiao Chu arranged the man to live in the emergency ICU.

Although the patient's consciousness is clear, but after all, his spinal cord was injured.

Now the cervical spinal cord edema in the acute stage is more serious and may affect breathing and heartbeat.

That's why Xiao Chu arranged him to the intensive care unit.

In case his breathing and heartbeat were affected.

Then the nurse can also find out the situation in time, so that the rescue can be carried out in time.

If you are in a general ward, everyone is very busy now. If something unexpected happens and you can't find it in time, it will be a bad thing.

Of course, the MRI film of this patient will not come out so soon.

But on the computer, Xiao Chu can already see his inspection video.

It was clearly displayed on the computer that the patient's neck six and neck seven were fractured, and the cervical spinal cord was compressed.

There is no doubt that this situation requires surgery as soon as possible to decompress the compressed spinal cord in order to maximize the recovery of function.

With luck, this man still has the possibility to stand up.

If the recovery is not good, then this man is likely to spend the rest of his life in bed.

Xiao Chu handed over to Liu Qing a series of examinations that needed to be prepared for surgery.

The patients sent by the ambulance were properly placed after everyone's efforts.

Those who need surgery are sent to the operating room after a definite diagnosis.

Those who don't need surgery will live in the general ward after debridement and sutures.

After communicating with the family members, Xiao Chu signed the consent form for the operation, and began to prepare for the operation on the patient with cervical spine fracture.

All spinal surgery is not a minor operation, and it is not a small operation.

Usually tertiary surgery.

And this patient suffered a cervical spine injury, which caused compression of the cervical spinal cord and paralysis.

This operation is a level 4 operation.

Under normal circumstances, this kind of operation is only performed by the director of spine surgery.

But since Xiao Chu didn't say to transfer this patient to spine surgery, others thought that Xiao Chu would definitely do this operation.

Zhou Ziqiang even volunteered to be Xiao Chu's first assistant.

After all, he is the attending physician, and all the patients brought by the ambulance have already been treated by subordinate doctors.

But now that he has free time, he sees that Xiao Chu is going to undergo spinal surgery, so of course he has to volunteer to be an assistant.

Originally, Gao Yingjun also wanted to rush to the stage, but he had a patient on hand that hadn't been treated well, so he could only watch helplessly as Zhou Ziqiang won the position.

Now as long as Xiao Chu performs the surgery, the doctors below will all scramble to be his assistant, hoping to learn a little bit of Xiao Chu's skills.

Currently, Xiao Chu's surgical skills, in the eyes of all the doctors in the emergency department, are simply god-level operations.

As long as he can learn [-] to [-]% of Xiao Chu's surgical skills, he will make great progress.

So as long as Xiao Chu performs an operation, the doctors below would like to break their heads and take the position of first assistant.

If you can't compete for the first aid position, it's okay to hope for the second aid position.

However, the position of the second assistant is at most just pulling the hook, cutting a line or something, without much technical content.

When it comes to the final suturing, the first assistant is also responsible for sewing the skin, and generally it is not the turn of the second assistant.

Of course, sometimes it is really impossible to grab the position of the second assistant, and the doctors below also hope to be the third assistant.

Even if there is no chance to do it, it is good to see Xiao Chu's operation.

If the comprehension is high, there is also the possibility of improvement.

Chapter 159 Doesn't the second assistant deserve a name?

Because residents such as Gao Yingjun and Zhao Fangshu were dealing with newly arrived patients, Xiao Chu's second assistant on the operating table was a trainee doctor.

If it weren't for the many trauma patients coming to the emergency department today and the lack of manpower, then the position of the second assistant would not be the turn of the trainee doctor.

Usually, Gao Yingjun or Zhao Fangshu snatched them away.

After everything was ready, the patient was wheeled to the operating room.

Seeing that all the patients had been treated, Chen Bin naturally followed up with the operating room.

The operations performed by Chen Bin are mainly general surgery.

It cannot be said that he knows nothing about spinal surgery, but if he is asked to perform the operation, he will definitely not be able to do it.

What's more, what Xiao Chu is doing today is the most important cervical spinal cord surgery.

So even as the director, he still had the cheek to observe how Xiao Chu performed cervical spine surgery.

He is now such an old age, and he will soon reach retirement age.

Even after watching the operation, it is impossible to do orthopedic surgery in the future.

But in short, watching Xiao Chu's technique is also beneficial to my future operations in general surgery.

Under normal circumstances, such cervical spine surgery must be transferred to spine surgery for surgery.

Fortunately, this patient was treated in a timely manner. After the diagnosis was confirmed, Xiao Chu immediately decided to have an operation.

If you stay for a day and a half, and the news reaches the ears of the director of spine surgery, and sees that the patient who belonged to you has been snatched away by the emergency department, you must be in a hurry.

But, even if he knew that the emergency department robbed patients from their department.

He also had no choice but to laugh it off.

Now Xiao Chu's limelight is known to everyone in the Provincial People's Hospital.

In terms of surgery, he is even recognized as a monster by the directors of various departments.

Even if Xiao Chu snatched the patients from the spinal surgery department, their director could only deal with it with a wry smile, and there was nothing he could do about Xiao Chu.

Because there is no regulation, the emergency department cannot perform spinal surgery.

As long as the doctors in the emergency department dare to do it, the emergency department can accept any patient, after all, it is an emergency department.

The emergency department has such innate conditions that it can accept all kinds of patients, as long as the doctors can treat them, they can accept them.

Therefore, Xiao Chu can treat all kinds of patients and perform various operations in the emergency department with confidence.

And the directors of other departments couldn't say anything.

After all, what Xiao Chu did did not cross the line.

If it is changed to another department, it will not work.

A group of people quickly entered the operating room and began to operate on the patient with a fractured cervical spine.

The sooner the patient is operated on, the better the pressure on the cervical spinal cord can be relieved to maximize the recovery of nerve function.

Since Zhou Ziqiang is the first assistant, he must be responsible for the preparatory work of disinfecting and laying towels.

Although Xiao Chu is only a resident doctor in terms of professional title, but there is no way, he is now the chief surgeon, and his skills are unmatched.

Naturally, Xiao Chu couldn't let Xiao Chu do this kind of work of disinfecting and laying towels.

Soon everything was ready and the anesthesia took effect.

Xiao Chu started to do it.

Everyone opened their eyes wide, watching Xiao Chu's operation.

Because it was the first time to do spinal surgery in the operating room of the emergency department.

And it's Xiao Chu, a monstrous genius, who will do it. This is a once-in-a-lifetime opportunity.

The exact diagnosis of this patient is: 1. Cervical subluxation C6/C7. 2. Cervical spinal cord injury with paraplegia.

Surgeon: Xiao Chu, Assistant 1: Zhou Ziqiang, Assistant 2: Second Assistant.

Device nurse: Qin Min.Itinerant nurse: Zhang Xing.

Type of anesthesia: general anesthesia, anesthesiologist: Wang Teng.

Seeing this surgical lineup, as the second assistant's trainee doctor, tears flowed down my face.

My heart is crazily complaining!

The second assistant doesn't deserve a name!

Estimated blood transfusion volume: 4U.

Equipped with 4 units of suspended red blood cells, just for preparation, may not be used.

The operation begins.

The patient is placed in a prone position, the cervical spine is slightly flexed, and the skin care film is applied after the drape is disinfected.

Xiao Chu incised the skin, subcutaneous tissue, and fascia layer by layer, thoroughly exposing the surgical field of view.Postoperatively, it was found that the left lamina and lateral mass of C6 and C7 were fractured and unstable.

Lateral mass screws were injected into the right lateral masses of C5, 6, and 7, pedicle screws were injected into both sides of T1, lateral mass screws were injected into the left lateral mass of C5, the lamina of C6 was removed, and the spinal canal was enlarged and decompressed.

Xiao Chu's series of movements didn't stop at all, they were so smooth that everyone was dazzled and their eyes could hardly keep up with Xiao Chu's movements.

"Ah! So fast!"

The equipment nurse couldn't help sighing.

Even Chen Bin, who was watching from the sidelines, nodded repeatedly.

"Xiao Chu's technique is really amazing!"

There is still a word in my heart, but I haven't said it.

"Anyway, I can't catch up!"

As a first aid, Zhou Ziqiang couldn't keep up with Xiao Chu's rhythm.

As a last resort, Xiao Chu had to control his speed at key points, waiting for Zhou Ziqiang to catch up.

Xiao Chu glanced at Zhou Ziqiang, who was somewhat lagging behind, and didn't speak.

But Zhou Ziqiang blushed and was a little ashamed.

Na Na said: "Hehe, Director Xiao, I'm getting old, and I can't keep up with my hands and feet!"

Your grandma has a leg when you are old!

Xiao Chu really wanted to kick Zhou Ziqiang.

This guy is only in his 30s, in the prime of his life.

He actually made such a lame excuse, Xiao Chu was speechless.

However, Xiao Chu certainly wouldn't say anything.

He can't ask everyone to be as evil as him.

The movements of Xiao Chu's hands slowed down a little, so that Zhou Ziqiang could barely keep up with his rhythm.

The others also tiptoed one by one, staring wide-eyed, watching Xiao Chu's next operation meticulously.

The titanium rods on both sides are fixed with screws, which is the last step in the posterior cervical surgery.

The C-arm fluoroscopy was satisfactory, and the wound was rinsed, a wound drainage tube was placed, and the wound was sutured and bandaged in turn.

The first stage of decompression of cervical spinal cord by posterior cervical approach and open reduction and internal fixation of this patient is considered to be completed, and the speed is very fast, and the operation is extremely perfect.

What needs to be done next is intervertebral fusion and internal fixation from the anterior cervical approach.

However, the patient needs to be repositioned.

Turn the patient over to the supine position.