After some polishing, the fractured end finally revealed healthy cancellous bone.
At this time, orthopedic surgery diagnosis comes in handy, which can help him distinguish whether the polishing is in place.
Avoid asking Professor Wu for everything.
It is best not for junior doctors to ask for advice on everything unless they encounter a project that they do not understand or that is risky. On the one hand, it is annoying, and on the other hand, it will make the superior doctors think that this young doctor has poor independence.
No difficult task would be entrusted to such a young doctor.
There are some "baby-mom" young doctors who are most likely to make this mistake.
I feel that the more consultations I have with superior doctors, the closer the relationship will be.
This is pure nonsense.
When you encounter a senior doctor who has a bad temper, if you ask three irrelevant questions in a row, you will most likely be criticized.
After being scolded once, the next time you really have a problem and want to ask for advice, you won’t dare to open your mouth.
After Li Jingsheng finished polishing, his health value surged by 105 again.
Today's surgery was obviously just a second-level 'minor surgery', and the harvest was beyond imagination.
In fact, this is also because he has never performed this kind of bone surgery.
It just so happened that the surgical items this time were extremely rich, so it made him feel like he had crashed into a nest of gold and silver.
It's like picking up fish at the beach and finding a puddle full of fish.
There is a certain element of luck.
Next, he began to explore the area from the radial styloid process to the articular surface.
After examination, it was found that there was an obvious defect in the cartilage, and the styloid process had obvious spikes. It is also what causes great pain to patients.
Direct resection of the radial styloid process.
At this point in the treatment, it’s time to reset the scaphoid.
This is Li Jingsheng’s strength.
After manual repositioning, only Dr. Xu in the entire Second Hospital could suppress him. And he is catching up with Dr. Xu at an alarming rate.
For example, bone palpation is now at the same level as Dr. Xu.
It was also this patient's good luck that he met Li Jingsheng to perform this surgery.
If it were another doctor to reset the scaphoid, it would probably be extremely complicated.
This patient has some defects in the palmar cortex, which will make the reduction more difficult.
Other doctors need to use the cortical bone surfaces on the dorsal, ulnar, and radial sides to guide reduction.
Li Jingsheng, however, skipped these procedures and helped the patient complete the scaphoid reduction easily.
Of course, it seems easy because of his high level of rehabilitation techniques.
I actually used massage, Duanqi and other techniques just now.
"Dr. Li's reduction technique is well-deserved and can be widely used in many extraosseous surgeries."
Professor Wu watched with envy.
Although he had always despised bone setting as a superficial technical job, he was extremely envious of it in his heart.
Dr. Xu's income is much higher than that of his chief physician.
"I am over-flattered!"
Li Jingsheng said a few words modestly, and took out a Kirschner wire to temporarily fix the reset scaphoid.
At this time, according to the program, a C-arm X-ray machine will be used to determine the reset situation.
Li Jingsheng actually doesn't need this.
His ability to touch the bone and restore it manually can completely eliminate this step.
Out of process and respect for Professor Wu, he still looked at Professor Wu and said, "Please use the X-ray machine to check. If there is no problem, I will start the next step, remove the bone flap and prepare for transplantation."
When I watch Professor Wu perform the surgery, I feel that bone grafting and bone flap removal are quite difficult.
Now that he has actually tried it himself, he feels that it is not as difficult as he imagined.
As long as you master the four basic skills of surgery, you may feel a little unfamiliar when doing these tasks, but there won't be any big obstacles.
Li Jingsheng is now quite accomplished in basic skills such as suturing, incision, hemostasis, and knotting. When doing these things, he has rehearsed them many times in his mind. So I didn't find it difficult.
At most, they are trembling with fear.
After all, it is the first time for many of them to do it, and they are a little worried about messing up.
Just because you've seen a superior doctor do it many times doesn't mean you know how to do it yourself.
It is easy to see things but difficult to do things.
When you really get started, the technical requirements and knowledge requirements in all aspects are very high.
Professor Wu took the C-arm X-ray detector to check the scaphoid reduction.
"It's incredible, it's incredible! It's been restored so perfectly, wow, this level is really enviable!"
For one of his professors to be so full of praise shows how well Li Jingsheng's scaphoid reduction was done.
This is because there is a problem with the scaphoid. If it is a newly fractured scaphoid, Li Jingsheng does not need surgery at all and can directly reset it, which is guaranteed to be much better than this.
"If there is no problem, then I will start to remove the bone flap."
Li Jingsheng asked for instructions.
"OK!"
Professor Wu has gone from being nervous at the beginning to extremely looking forward to the results of this surgery.
He had a hunch that this patient who had entered the uterus for the second time would probably recover after receiving the second surgical treatment.
The medial femoral condyle bone flap was removed because it required an incision in the thigh and the wound was quite large.
For safety reasons, Li Jingsheng decided to upgrade the epidermal incision method as he gained a lot of health this time.
I just used the cutting method many times, and its proficiency has risen to mastery 112\\\/500.
A full 12 points of proficiency were gained.
It feels like it's rising so fast.
The fastest way to increase health and skill proficiency is by hanging out in the operating room.
He planned to wait until the clinic relocation was completed and the clinic was completely back on track, and he would consider coming to the second hospital to participate in more surgeries.
Now that he has proven his surgical ability and gained the trust of superior doctors, he will definitely be able to get many important surgical tasks in the future.
Besides, Director Hua and Professor Wu both hope he can do more surgeries.
As long as Li Jingsheng comes over, isn't he being trained to die?
He spent 388 health points and successfully upgraded the epidermal incision method from the proficient level to the minor level.
This time, he already has the incision level of a senior surgeon, who is equivalent to a veteran in the operating room. If he cuts the patient's thigh again, the safety factor will definitely be much higher.
The incision will also be more neat, which is conducive to suturing and healing.
The incision method can also be used when removing bone flaps.
The knife position has been drawn on the patient's thigh near the knee.
Li Jingsheng confirmed that it was correct and then executed the knife.
There is a very fine artery inside the thigh called the femoral artery.
Many cardiovascular interventional surgeries are performed through the femoral artery.
If it is cut, the consequences will be no different from cutting the aorta in the neck.
The risks of surgery are self-evident.
But then again, the carotid artery was cut and it was difficult to stop the bleeding. But if the femoral artery is ruptured, as long as it is not at the root of the thigh, there are basically many ways to stop the bleeding quickly.
For example, the most commonly used bandage is used to stop bleeding.
There is also compression to stop bleeding, which can effectively stop bleeding.
Large blood vessels cannot be stopped by electrocoagulation, and blood vessel repair is the most common means of stopping bleeding.
Professor Wu looked a little nervously as Li Jing angrily and calmly cut open the skin of the patient's leg. Then the knife continued to draw downward.
"This monster, his incision skills have obviously and qualitatively improved, he is so monster!"
Professor Wu's eyes were dazzled.
Whether it was Li Jingsheng's mentality, technique, or the wound he made, he was more skillful than when he made the wound on the side of his wrist. This kind of progress is really scary and makes all doctors feel sour.
Can it not be sour?
To jump from the proficient level to the junior level, they need to train for at least three to five years. They must be good at understanding and hardworking.
Looking at Li Jingsheng again, he achieved a jump in incision level with just one operation.
Li Jingsheng simply ignored the envy of these people.
He maintained a stable mentality and was carefully feeling the feedback from the knife.
That meticulous knife feel has become clearer than ever before.
In other words, the knife sense has obviously become sharper.
Now if you ask him to cut A4 paper and close his eyes, he should cut as many layers as he wants within three layers.
This is not to brag, but I have this confidence based on the feedback from the knife feel.
At this moment, he was carefully distinguishing the feedback of the knife sensation caused by cutting different tissues when the scalpel passed through the patient's body.
Because of this, he would always finish one cut, then stop and 'rest' for a long time before making the second cut.
Outsiders thought he was resting and adjusting, but in fact he was not.
Instead, he is trying to distinguish each kind of knife feedback and remember them.
When cutting the skin, the knife will feel astringent, like scratching on kraft paper.
That's because human skin looks smooth, but is actually rough.
In addition, he can also get a more accurate thickness of the skin through feedback from the knife feel.
When cutting the fat layer, the knife feels sticky.
Their thickness is not uniform, some fat layers are thicker and some are thinner.
This kind of keen knife sense is obviously not comparable to the proficient level cutting method.
In addition, his sense of blood vessels is obviously sharper and more nuanced.
In the past, it would only be able to sense when it was about to cut into a large blood vessel, but now this ability has been further improved.
The blade was close to the blood vessel. As long as he pressed it or scratched it gently, he would know immediately. And he can further distinguish whether the blood vessel wall has been cut.
This is equivalent to another layer of insurance.
He couldn't feel the walls of blood vessels before.
"In the process of surgery, every time you advance, you will have completely different new abilities. It's amazing."
Because he can now feel the presence of blood vessel walls, he can also detect smaller blood vessels when cutting them. But there is no way to avoid them in time.
The hands are often faster than the brain, and when the cut is made, the brain can get feedback from the knife feeling of the fingers.
Removing the bone flap is much easier than imagined.
It brought him another 102 points of health, and his proficiency in the cutting method also increased a bit.
After removal, bone grafting is performed.
"Dr. Li, can you let me suture the leg wound?"
Doctor Qin looked at it with envy.
In fact, Dr. Qin and Ruan Xiaoqin are the only two people under Professor Wu who are qualified for the task of suturing skin.
Now that Li Jingsheng is the chief surgeon, Dr. Qin wants to seize this training opportunity, so he has to ask Li Jingsheng in a low voice for instructions.
"Ask Professor Wu about this. He thinks you have the ability to suture the patient's leg wounds, so this opportunity can be given to you. The tension in the legs is quite high, and you must take it into consideration when suturing."
Li Jingsheng's current ability has indeed surpassed that of Dr. Qin.
I'm really qualified to give him some advice.
"You try it!"
Professor Wu has many shortcomings, but he still trains his doctors very hard.
Unlike some doctors who are afraid of this and that, they keep everything in their hands and do it themselves.
"Thank you, Director Wu! Thank you Dr. Li for giving me this opportunity to exercise. I will definitely sew well."
Doctor Qin was overjoyed after hearing this.
Originally, he had a certain chance of being promoted to attending physician this year.
Because I will be working as the chief resident for one year soon.
According to the rules of the department, you usually study first, then come back to work as a general resident and stay in the hospital for a year, and then you start queuing up to get the appointment letter as an attending.
As long as the quota is not tight, the attending physician can be hired within three months at most after the total hospitalization is over.
At present, due to poor performance, the orthopedic surgery department cannot compete with other powerful departments, and only two attending seats are allocated.
There are too many monks and too little food, so we can only choose important doctors to train first.
Li Jingsheng's importance to orthopedic surgery is self-evident.
I am really proficient in outpatient manual reduction, inpatient diagnosis of difficult cases, and surgery.
Therefore, Director Hua overcame all opinions and directly gave an attending position to Li Jingsheng this time.
Eleven doctors are fighting for the remaining one. You can imagine how fierce the competition is.
Dr. Qin is actually a progressive person.
Seeing that Li Jingsheng had performed so well and had already obtained the doctor's seat, he was not only envious but also a little jealous. But more of it inspired the inner fighting spirit.
He wants to become stronger and strive to catch up.
…
Nearly an hour later, Li Jingsheng successfully completed the bone grafting and reduction surgery.
Because he has a lot of proficient and even junior level medical skills, the entire operation process was completed smoothly without any surprises.
With stitches on his wrist, he has no prosthetic hand for others.
I sewed it on the patient myself.
Intradermal suturing is used to speed up wound healing and reduce infection.
By the time he finished suturing, Dr. Qin was almost done.
In addition to testing stitching skills, suturing is also very important.
For example, Ruan Xiaoqin's knot-tying skills are extremely weak.
Then the sewing was obviously good, but it was ruined by a knot.
Because after suturing the patient, it is impossible for the patient not to move! If the knot is not stable and cannot fit tightly to the skin, the patient will loosen it after just a few movements.
At this time, wound healing will become difficult.
If you sweat easily in summer, the wound may become infected and eventually suppurate.
It would be bad if the wound becomes infected.
Because it can easily lead to suppuration.
When it comes to suppuration, you can think of it with your toes, and the result will definitely be extremely bad.
Definitely need to debridement and secondary suturing.
Doctors with excellent communication skills can still handle patients, but if they encounter a doctor who is stupid, he will most likely be scolded by the patient.
Li Jingsheng took the opportunity to count the harvest, and his health points increased to 428 points.
There is absolutely no problem in upgrading a master-level medical skill to a minor one.
The operating room is simply his blessed place, and he will definitely come there more often in the future.
"Dr. Li, thank you for your hard work! You can see that you completed today's difficult operation almost completely independently. Your performance is really remarkable. I believe that after Director Hua learns about the situation, he will also hope that you can do it in the future. Participate more in our orthopedic surgeries."
Professor Wu was all smiles.
From this tone, he must be hoping that Li Jingsheng can spend more time to help his group perform surgeries.
Because his group is indeed a bit 'scumbag'.
Surgical skills cannot be improved just because you want to.
It can only be done step by step, and it takes a long time to grow.
Therefore, Professor Wu particularly hopes to bring Li Jingsheng into the second group.
"Yes, yes. Dr. Ou is here, I will definitely participate more! It would be better if you could give Dr. Ou more opportunities to exercise and let her work as my medical assistant. I think, I will partner with her , the operation efficiency will be even higher.”
Li Jingsheng smiled and helped Ou Qinglan get training opportunities.
The implication is that love is very powerful. As long as Dr. Ou serves as my medical assistant, I will definitely help you two.
"Haha, Dr. Li is quite infatuated! No problem. If there is a surgery in the future, I will try my best to arrange for Xiao Ou to do as many practical operations as I can. I will try to train her to be a qualified first aid as soon as possible."
Professor Wu readily agreed.
Today, after seeing Li Jingsheng's independent surgical ability, his intention to win over Li Jingsheng became even stronger.
This guy is so evil.
The future prospects are limitless.
The room for growth is even more amazing.
Professor Wu now doesn't even dare to have any ideas about Ou Qinglan anymore. Because he knew very well that if something really happened, the hospital would probably abandon him as a pawn and keep Li Jingsheng.
Not to mention the future, just now, Li Jingsheng's status in Director Hua's mind is already frighteningly high.
"Can Dr. Ou get off work?"
Li Jingsheng asked.
"Can!"
Professor Wu and Dr. Qin answered in unison.
Dr. Qin is the chief resident and has the slight power to arrange doctors on duty.
Just now, Li Jingsheng gave him a training opportunity, and he wisely began to work hard to show his kindness to Li Jingsheng.
"Then we're off work! Doctor Ou, let's go! Go home!"
Li Jingsheng greeted Ou Qinglan.
Hearing this, Professor Wu, Doctor Qin and others' eyes widened instantly.
"You, you guys are living together so soon?"
Doctor Qin's heart was broken.
No chance, no chance.
This guy surnamed Li was too cruel. Not only did she catch Ou Qinglan with lightning speed, but she also announced that she was Ou Qinglan's girlfriend in front of everyone. And it has only been less than two months, and they have directly developed into living together.
Doctor Qin was already despairing.
What a beautiful flower, so admired by others.
"No, no, don't get me wrong!"
Li Jingsheng and Ou Qinglan almost explained in unison.
It's okay if the two of them don't explain.
This explanation turned out to be a cover-up, with ambiguous smiles on everyone's faces.
"I understand, we all understand. You should go back and rest early! Doctor Li, please pay attention to your health!"
Ruan Xiaoqin, a flatterer, really hit the horse's leg with this flattery.
He may think that Ou Qinglan is too beautiful, and he is worried that Li Jingsheng will easily cause problems if he overindulges his body.
He meant well at first, but he just turned Ou Qinglan's face into a monkey's ass.
Li Jingsheng is quite thick-skinned, and he is someone who has been there anyway.
After he changed his clothes and came out of the operating room, he saw Ou Qinglan still looking shy, with her head lowered and her face red.
But she didn't leave first, but waited for him outside. ,
"Let's go, I'll take you home or go to my clinic."
Li Jingsheng tried to hold her hand.
Unexpectedly, she didn't dodge.
It's just that his head is lowered and he doesn't dare to look at anyone with his eyes. Li Jingsheng grinned, this little girl is already in love, why should she be ashamed?
Now in the Orthopedic Surgery Department of the Second Hospital, which medical staff does not know that they are a couple?
(End of chapter)
