Chapter 123 Bone correction technique, enemies are narrow in the road

Author: Fisherman by the River

Chapter 123 Bone correction technique, enemies are narrow in the road

Not long after, a new surgical patient advanced to the operating room.

This time, Zhou Can is the only one who is a regular trainee, so there is no need to take the exam again.

Dr. He took the initiative to display the patient's examination report on the light curtain.

"The patient had an arm bone fracture surgery at the beginning of last year. At that time, two steel nails were fixed. Judging from the patient's recovery, the fracture healed well, and now surgery is needed to remove the steel nails."

Dr. Shan took the initiative to introduce the patient's condition.

Generally speaking, surgery in the operating room is arranged in advance.

When will the surgery be performed today, the main surgery, assistant, and nurse know what kind of surgery are.

It is not particularly difficult to remove the internal bone fixation.

But the risk is very high.

Improper operation or removal is too early, which may lead to a refractory fracture or infection of the patient.

The patient was brought in soon.

The steel nails at the right elbow joint position need to be removed.

Doctor single seems cautious in performing surgery.

Even though she had already checked the patient, she still conducted a series of examinations and inquiries on the patient. After evaluation, she felt that the steel nails could be removed, so she started the operation.

Zhou Can naturally took the anesthesia injection prepared by the nurse and gave four injections to the patient's right arm and armpit.

The puncture site for brachial plexus anesthesia is not actually fixed.

Make actual choices according to the needs of the surgery.

Sometimes the upper and lower part of the clavicle, the muscle-shoulder groove is also the site for injecting anesthetics.

The purpose is only one, to block the conduction of arm nerves.

In fact, the principle of painkillers is very similar to that of anesthetics, and they also block nerve conduction.

Many people are too unwilling to bear the pain, but they are unwilling to use painkillers. They believe that painkillers can cause harm to the body and have sequelae.

It will make people become stupid and stupid.

In fact, these are all nonsense.

As long as you master the dosage, it will hardly cause the so-called "negative effect" on the body.

In ancient times, Guan Yu scraped his bones to treat poison without using anesthetics. He could also undergo Hua Tuo's surgery while playing chess with others. Perhaps there was such a tough guy, and it was more likely that the anesthetics of that era were not mature.

He dared not take it.

There is really no need for modern people to imitate Guan Erye to suffer that crime.

Some pain can really make people dizzy.

Zhou Can's injection is at the main level. He will take local anesthesia and the effect will be faster and better.

"Doctor Shan! The anesthesia is successful and the surgery is ready."

"Um!"

She nodded slightly.

The nurses are very professional in secondary disinfection of the surgical site.

The wound position and the steel nail position have been drawn on the patient's arm.

Dr. Shan skillfully and lightly cut a wound, and Zhou Can cooperated to stop bleeding tacitly. This part was actually a layer of skin, and the bones were exposed directly.

Metal steel nails can also be seen.

She seemed cautious during the whole process.

Zhou Can stood by and helped, and learned a lot.

There are two steel nails in total.

Take out this one first, check and confirm that the bone has healed quite firmly. There is no risk in removing it, and then take out the other one.

Sometimes, for safety reasons, doctors often remove internal bone fixation equipment in multiple times.

"I'll leave it to you!"

Dr. Dan was also very tired after successfully removing two steel nails.

Thanks to Zhou Can's help, it was so smooth.

"no problem."

Zhou Can agreed happily.

He would not miss any opportunity to earn medical experience points.

With such a small hole, he completed the debridement and suture in just a few minutes.

I have done so many first-level surgery in the emergency department, but it is not a waste of time.

In terms of the speed of the surgery, I'm afraid few people can be faster than him.

"Tsk tsk, Dr. Zhou's suture technique is really good! It's fast and good!"

She couldn't help but praise.

"Actually, my anatomy skills are OK, when will I give you a chance to exercise!"

Zhou Can is already very modest.

Because he still has many medical skills that have reached level three or above.

"There is a suitable opportunity, I'll look at it!"

She didn't say enough.

After all, according to the safety rules of the operating room, interns generally require off-line operations, which means operations that pose a safety risk to the patient. Interns can only watch.

You can only stand by and learn.

For regular training, you can give some piercing, skin sewing and other work.

Using a knife on a patient, you must at least reach the level of a senior inpatient in order to gain a very small number of opportunities for exercise.

Dr. Shan was able to let go of his mouth a little, which was already a great trust in Zhou Cantian.

After the patient who took the steel nails was sent out, a nurse stood behind the second door and asked, "Doctor Shan, there is a child with a dislocated arm here. Can you join a team to help him do it?"

There are various human relationships in any hospital.

For example, when a nurse helps the child go to the line, he is either an acquaintance or a certain background relationship.

"You should let him go to the manual reset room when your arm is dislocated!"

Dr. Shan did not refuse explicitly.

Dislocation, unless a very small number of them are particularly serious and require surgery, most of them can be reset manually.

This is also a compulsory skill for orthopedic surgeons.

"It's time for get off work there, and there will be no one at 2 pm. The child's grandfather works in the Health and Family Planning Bureau and takes the child over in person. Look..."

Although the nurse did not say it clearly, the meaning of the words was basically clear.

This child is the grandson of the relevant leader of the competent department.

For Tuya Hospital, the level of the director and others is not low. When ordinary leaders of the Health and Family Planning Bureau come, they cannot even reach the level of the director receiving them personally.

But for a lower-level nurse, even if she is just an ordinary clerk of the Health and Family Planning Bureau, she is still a leader.

In fact, no matter how you can survive, you can at least survive as a section-level cadre.

"Since I am the grandson of the superior leader, I should take care of it. The leader is so busy at work, how can he wait until after two o'clock in the afternoon? It just so happens that I am not very busy here, so bring the child in!"

Dr. Shan immediately changed his tone.

Zhou Can couldn't help but open his eyes. Today, he has gained some knowledge.

No matter how proud a doctor is, it is basically the same when facing a leader.

At most, the degree of licking is different.

The child was quickly taken into the operating room, and his grandfather followed him into the first door outside.

This is an old man with white hair and a pretty energetic old man.

"Who is Dr. Single?"

"I am! Hello!"

Dr. Shan lowered his posture.
To be continued...