Falling behind at the start, the first surgery shocked the world.
Chapter 14 Fracture Surgery
Inside the emergency room office, Director Zhang Ming looked at the X-ray films, his brows furrowing deeply.
"The tibia was broken in three places, breaking four segments directly."
"Migrant workers really have it tough."
Director Zhang sighed, put down the paddle, and said to the interns.
"Wang Xiaobei went to notify the operating room. Also, he notified Director Liu of the orthopedics department to come for a consultation. The patient's fracture is quite serious, so he asked Director Liu to come to the operating table with me."
"Arrange for a nurse to perform a complete blood count on the patient."
The patient is young, has no other underlying diseases, and has good brain CT imaging. No further examinations are needed; a blood test is sufficient for surgery.
Xia Tian glanced at Director Zhang and asked cautiously.
"Doctor, how should the surgery be performed?"
Zhang Ming picked up his water glass, took a sip of tea, and, adopting a teacher's demeanor, slowly addressed a group of interns.
"Although the patient's fracture was closed, the tibia was broken into four segments, so conservative treatment was not an option."
"An open treatment is necessary, with the fracture site fixed with a steel plate."
"This patient needs three steel plates for fixation."
Routine surgery for fractures.
A stainless steel plate is attached to the broken bone to allow the fracture to heal. A year later, another surgery is performed to remove the plate, which is considered a complete cure.
The prices of steel plates also vary.
Ordinary domestic steel plates cost three to four thousand yuan each.
Imported ones cost twenty to thirty thousand.
Most patients use domestically produced products.
The patient has three fractures and needs three steel plates, which will cost 10,000 yuan just for the materials.
Moreover, another surgery will be needed a year later to remove the steel plate, causing secondary pain.
Recalling the images in my mind.
Xia Tian looked at Zhang Ming, seemingly wanting to say something but holding back.
Zhang Ming glanced at him and said with a smile, "What's wrong? You have something to say?"
"Just say what you want to say. You came to the hospital to learn, so feel free to ask any questions you may have."
Zhang Ming still vividly remembers the scene of saving a life at McDonald's in the summer. He liked the young man before, and now he finds him more and more pleasing to the eye.
Once the director spoke, Xia Tian felt confident and boldly shared her thoughts.
"Doctor, the patient has a closed fracture. If we use manual reduction and apply a cast, we can avoid surgery and the need for a metal plate. This will not only reduce costs but also eliminate the need for a second surgery to remove the metal plate."
"The recovery time is about the same whether you have a cast or a metal plate."
"Plaster casts do not require incisions, which reduces patient pain."
"So... I was wondering if manual repositioning could be used as a treatment method?"
Manual reduction, as the name suggests, involves using manual techniques to reconnect broken bones to their original joints.
To put it simply, it's about straightening out the broken bones.
Inserting a steel plate is to fix the fracture. Both methods have the same purpose: to reconnect the bone. Once the broken bone is reconnected, it will gradually connect.
However, manual reduction does not require steel plates or a second surgery. After reduction, a cast is applied, and the patient can recover gradually.
Director Zhang smiled and spoke gently to Xia Tian.
"First of all, I want to commend you. The fact that you raised this question shows that you are truly thinking about it and genuinely care about the patients."
"However, the patient has three broken bones, and manual reduction of these types of broken bones is extremely difficult."
"When Director Liu comes over in a little while, I can share your thoughts with him and hear his opinion. Director Liu is an orthopedic expert with 20 years of clinical experience in orthopedics. If he can perform manual reduction, then manual reduction is definitely more beneficial for the patient."
Director Zhang was all smiles and gentle in his eyes.
Xia Tian nodded after listening and thanked Director Zhang.
At this moment, Wang Xiaobei came over and asked Zhang Ming with a grin.
"Director, that cancer patient from yesterday, the oncology department said it's cancer. If it is cancer, then he..."
Before he could finish speaking, Director Zhang glared at him and scolded him.
"Cancer patients have been handed over to the oncology department. If you have any questions, go ask the oncology doctors."
"Can't you see I'm busy?!"
"Besides, you've graduated with a master's degree and studied medicine for eight years. When you encounter problems, go and look up the literature yourself. Don't come to me asking about everything. Only by carefully looking up the literature can you retain the knowledge. I'm not your mother, and you keep coming to me asking about everything."
"Go away, don't make me late for work."
This……
Didn't you say, "Feel free to ask any questions"?
That's not how the story goes.
Why is there such a big difference between two interns?
Wang Xiaobei wanted to cry but had no tears.
I hugged my chubby friend with heartache...
Ten minutes later, Fatty Yang brought back the blood test report.
"Doctor, the blood routine test is normal, liver and kidney function are normal, there is no hepatitis B, and no HIV."
"The surgery can be performed now."
"Okay." Zhang Ming slowly got up, took a sip of tea, took off his white coat, and prepared to walk towards the operating room.
Seeing this, all the interns in the office stood up, their eyes burning with passion as they looked at Director Zhang. At such times, the interns looked at the director with the same adoring gaze a lovestruck young woman would give to her sweetheart.
When the chief surgeon performs surgery, he will bring two or three interns to observe. During the surgery, the chief surgeon will explain the procedure while performing it.
Observing in person and experiencing it firsthand is the best way to learn.
Zhang Ming glanced at the eagerly awaiting interns.
He spoke softly.
"Summer, Fatty, Li Xiaohong, the three of you come with me."
The three were extremely excited and quickly went to wash their hands and change their clothes to prepare, while the interns who were not selected were crying.
Intern #1: "Why didn't the head doctor choose me? Is it because I'm short?"
Intern #2: "You're not only short, but also ugly. The head doctor is afraid he'll throw up when he sees your face during surgery."
Damn it!
Intern #1, pouting, asked, "Then tell me why the head doctor didn't choose you?"
Intern #2: "Because I'm too beautiful, when I'm concentrating so much during surgery, my beauty might affect the head surgeon."
Hey!
I threw up!
After joking around for a while, Intern #1 looked like he was unhappy and muttered something.
"The director is too biased towards Xia Tian."
"We all graduated together, we're all interns. How are we supposed to learn if the head doctor is so biased?"
"I calculated that during my three-month internship, I had an average of two opportunities to work on stage each week in the summer. The rest of us only had one opportunity a week at most, and sometimes only once every two weeks."
Why is there such a huge difference between people?
"On what grounds?"
As they were talking, the office fell silent.
He looked up and saw everyone staring at him menacingly, which startled him so much that he immediately changed his tune.
"Brother Tian is awesome!"
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