Chapter 63 A Gift from Heaven!
Chapter 63 A Gift from Heaven!
Guo Ziyuan inserted the guide wire through the fracture ends and, after feeling the distal end reach the distal cavity of the tibial bone marrow, exclaimed, "Give me a boost, you 'golden finger'!"
The difficulty of intramedullary nailing is mainly concentrated in three aspects.
First, the choice of needle entry point.
Second, reposition the needle and insert it.
That is, the guide pin passes through the fracture ends.
Guo Ziyuan has already completed all the procedures.
The "golden finger" that Guo Ziyuan mentioned is not a cheat code from a novel, but a detector.
The standard surgical procedure should be to first insert a probe, and after the probe's "golden finger" passes through the fracture ends, a guide wire should be inserted.
However, experienced operators can directly insert the guidewire and then use a detector to determine whether the guidewire is inside the medullary cavity, thus proving the operation is effective.
This is a program whose order can be reversed, but cannot be omitted.
Huang Zhao handed the "detector" to Guo Ziyuan and pressed it down slightly: "Your handling is excellent!"
Guo Ziyuan replied honestly: "Master, it's all thanks to the teachers' instruction. It's all about accumulating knowledge and experience before unleashing its full potential."
"The procedure of penetrating the fracture ends with a guidewire is actually a flexible application of puncture techniques. It requires careful hand control to manage the guidewire's movement and direction!"
"Bone fracture surgery, which may seem like a process of repositioning a fracture, is essentially about the surgeon's control over their own hand."
"Including resetting, detection, and guidewire insertion."
"Director Liu performed the reset perfectly and provided me with the best operating conditions. I was just going through the motions."
Guo Ziyuan explained the reason for his smooth operation, which he attributed to his understanding and knowledge of surgery.
Liu Jun clicked his tongue in amazement: "Professor Huang, this young Guo is truly blessed with natural talent!"
"Cognition, theory, operation, and the brain—it's all this same thing."
After the guidewire and detector are lowered, fluoroscopy is performed again!
This is the third time it has been confirmed that the guidewire and detector are inside the medullary cavity, and not in some other random place...
This is to maintain a minimum standard of quality control for the surgery!
Upon entering the room, Huang Zhao said, "Director Liu, the surgery has progressed this far, and the key and difficult parts have all been dealt with. Let Xiao Guo handle the rest of the procedures."
Liu Jun immediately greeted him with a smile, "I'll do whatever you say, Professor Huang!"
Huang Zhao will inevitably have to involve Liu Jun when he takes his students to perform surgery.
Although Liu Jun is only an associate chief physician, he is also the director of the orthopedics department at Changqu People's Hospital, and he is ultimately responsible for the quality of surgeries performed there.
If Guo Ziyuan is only talented but his current abilities are average, he certainly wouldn't dare to be so bold as to let Guo Ziyuan go through all the procedures of fracture surgery!
Intramedullary nailing is a standard level 3 surgery and is quite challenging.
Whether or not orthopedic specialists can perform their duties according to standards depends on individual aptitude and learning progress.
This ability is not granted by the title of attending physician, but must be learned and practiced by oneself.
Guo Ziyuan wasn't modest, but his manner was measured: "Then thank you, Director Liu. After I finish the spinal cord expansion and the implant test, I'll come over to help my legs!"
"The final crucial process will still be overseen by you, Director Liu."
Guo Ziyuan was only a junior doctor, not the chief surgeon.
The surgeon can only be either Liu Jun or Huang Zhao.
Liu Jun then scolded in a low, indulgent tone, "Are you sure the final step is the most crucial?"
"Are you treating me like a treasure?"
There are three key difficulties and challenges in intramedullary nailing surgery.
First, the needle insertion point.
Second, the guidewire passes through.
Third, manual repositioning and continuous traction.
The rest are actually fixed procedures summarized by countless predecessors. You just need to follow the procedures step by step.
This surgery is not difficult, and the disease is not complicated. You don't need to be flexible.
"The main course is usually at the end." Guo Ziyuan insisted on this point and began to "expand his marrow"!
Guo Ziyuan had already given Liu Jun all the information he needed to say, so Liu Jun couldn't admit that he was useless. He could only watch Guo Ziyuan's skillful operation with admiration.
He was silently speechless...
The surgery ended at 11:40 a.m., an hour earlier than expected.
After Liu Jun installed the locking pins and Guo Ziyuan completed the skin suturing of the small incision, the patient was sent directly back to the ward.
Liu Jun accompanied Huang Zhao and Guo Ziyuan out of the operating room. Liu Jun politely asked, "Professor Huang, are you not having lunch here again today?"
Huang Zhao nodded: "Xiao Guo and I have already booked a place to eat. We originally planned to leave the stage around 1 p.m."
"I was worried about not finding food if I went out at this time, so I made a reservation in advance."
Huang Zhao's concerns and preparations were reasonable and well-founded. He could not have imagined that Guo Ziyuan's operation would be so skillful.
Guo Ziyuan is a novice; if the surgery were extended by another hour, Huang Zhao would be amazed.
Even though time has been delayed, we still need to eat.
Liu Jun suddenly realized and exclaimed, "Professor Huang, now I understand why you looked down on me before."
"Seeing Xiao Guo, I finally feel at peace with myself."
As Liu Jun spoke, he stuffed the envelope into Huang Zhao's pocket.
Huang Zhao refused this time: "Today I am here to teach Xiao Guo, not to help him. We did not pay the tuition fee for the teacher to practice with, which is already me taking advantage of my seniority."
"This cannot be accepted today!"
"Don't add to the burden on the patients."
Liu Jun quickly explained, "Professor Huang, this is just a personal gesture."
Huang Zhao's attitude was straightforward: "Since it's your personal intention, then it's even easier to talk to you. Take it back yourself."
"I know better than you what money I should and shouldn't take."
Huang Zhao, with his hands behind his back, paced back and said, "Xiao Guo, let's go, let's go catch the next show..."
Guo Ziyuan smiled and said, "Director Liu, a gentleman loves money, but he earns it in a proper way. Thank you, Teacher Liu, for giving me the opportunity to practice."
"I'll definitely toast Director Liu to express my gratitude next time!"
Guo Ziyuan simply recognized his place; he was there to learn.
His learning path involves acquiring skill points.
……
After lunch, when they arrived at the second hospital, Guo Ziyuan realized that his mentor was Huang Yaoshi, not the normal "old professor"!
This time, Professor Huang Zhao arranged a surgery for Guo Ziyuan to treat a complex pelvic fracture.
The extent of the pelvic ring damage left Guo Ziyuan completely dumbfounded!
Guo Ziyuan behaved himself...
In his previous life, when he encountered this type of fracture, he would quickly transfer the patient to a higher-level hospital after confirming that the patient's vital signs were stable.
If the patient's vital signs are unstable, call for help immediately!
Please ask someone to use a flying knife to save the patient's life.
If they can't get anyone to come, then the patient will gamble with his life!
If vital signs are unstable, referral is not possible, and a suitable surgeon cannot be found, then one must bite the bullet and go on the job to try and save the patient's life.
If you can't get it by begging, then the patient should just die!
Of course, Guo Ziyuan wasn't completely ignorant about pelvic fractures and didn't know how to perform any of the procedures.
During the surgery, Guo Ziyuan's assistant operated, and the cavity was still completely emptied.
In his previous life, Guo Ziyuan had never performed such a complex pelvic fracture surgery on his own, but he had performed pelvic fracture surgery independently, and had also performed such pelvic fracture surgery as an assistant to his master Ding Xianqi.
These helpful actions alone were enough to make Huang Zhao, the advisor, sigh with admiration.
"Comparing people will only lead to misery, and comparing goods will only result in them being thrown away."
"You're someone blessed by the gods... why am I still comparing you to people I know?" Huang Zhao's tone was particularly complex after the surgery, and his gaze was deep.
Guo Ziyuan chuckled sheepishly: "Master."
"A person is born into this world, given a physical body by their parents, along with their innate qualities and talents."
Countless geniuses are buried in obscurity; those who are fortunate enough to encounter a good teacher are truly blessed.
"Master, I cannot act like the ancients."
I don't know if I'm talented.
"Only thanks to you and Master, I have this tiny chance to be recognized for my talents." Guo Ziyuan's voice was steady and measured.
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