ebookslot Chapter 35 The real sword has arrived!
Chapter 35 The real sword has arrived!
Monday, October 9.
It was 2:30 PM.
The cold air from the central air conditioning in the operating room blew right onto Guo Ziyuan's ear as he was about to step out of the operating room through the "airlocked door".
Suddenly, Professor Ma Chuanfeng, who had been patiently listening to Dr. Zheng Jicong report on the basic conditions of the patients for the next surgery, pointed and shouted.
"Hey, aren't you that kid with the knife?"
Guo Ziyuan's left foot had already stepped onto the airlock, and the operating room door slowly swung open, waiting for him to walk out.
My junior colleague Liu Guanghui's surgery was scheduled as the third one, and it has now been completed. All patients have been sent back to the recovery room.
Unable to get many more opportunities to perform on stage, he planned to go to Liu Chuntao's place to use a wound cleaning machine.
Guo Ziyuan pulled his foot back, turned around, and forced a smile, revealing his crow's feet: "Teacher Ma, are your hands cold again?"
Ma Chuanfeng reached out and slapped Guo Ziyuan in the air: "Stop shamelessly bringing up these same old things."
"Teacher Huang contacted me the day before yesterday."
"The next surgery is also for a small bone defect. Your bone harvesting technique and theoretical knowledge are both excellent. Come on in and help!"
When Ma Chuanfeng mentioned Professor Huang, his tone was exceptionally respectful.
There's nothing we can do, even though Ma Chuanfeng is currently fifty-seven years old.
But when he came to the department to study, Professor Huang Zhao was already an associate chief physician.
Ma Chuanfeng followed Professor Huang Zhao for a full twenty years, until he led his own group.
Huang Zhao was not his teacher, but he was no different from a mentor.
Ding Xianqi's choice to follow Professor Ma Chuanfeng also has this reason.
Guo Ziyuan immediately straightened his expression and stopped joking: "Okay, Teacher Ma."
A single joke or clever remark shows quick wit, but constantly resorting to such cleverness indicates a wicked heart.
Guo Ziyuan was not unaware of this principle, but the difference in status between him and Professor Ma Chuanfeng was too great, and he simply did not have the right to have a normal conversation!
"Come here and listen carefully to the case." Ma Chuanfeng beckoned to Guo Ziyuan.
There were other people in the operating room.
For example, Ding Xianqi just sat on the stool, motionless, as if he hadn't heard anything.
For example, Professor Ma Chuanfeng's doctoral students Huang Yantong and Zhu Xiande, and Guo Ziyuan's classmate Wang Hai.
For example, Wang Hai's direct junior brother Gu Yuanqiao, and Zheng Jicong's eldest disciple Qin Liangjue.
Of course, they were not surprised by this.
Professor Ma Chuanfeng still remembers Guo Ziyuan after so long because he has a memory of Guo Ziyuan.
Guo Ziyuan's skills were already quite good.
Guo Ziyuan obediently went to the side and stood with his hands at his sides.
Zheng Jicong continued pointing at the X-ray and said, "Teacher Ma, for this patient, I plan to remove the fibula for bone setting."
"Based on preoperative measurements..."
Ma Chuanfeng interrupted Zheng Jicong again, saying, "Take a look at this X-ray. Measure the length of the bone defect."
Upon hearing this, Zheng Jicong immediately said, "Teacher Ma, there's a CT scan. Xiao Guo only has a master's degree."
"I didn't ask you to see it!" Ma Chuanfeng glanced at Zheng Jicong, not caring that Zheng Jicong didn't know Guo Ziyuan.
There are many subordinates like Guo Ziyuan in the department, and Zheng Jicong also has his own students, so it's perfectly normal that he can't keep track of them all.
However, when Ma Chuanfeng was chatting with An Luming some time ago, he happened to hear about Guo Ziyuan from An Luming.
Although An Luming is a junior, he is currently the director of trauma surgery and is at the peak of his career at the age of fifty.
For Guo Ziyuan to remember the film review and for Teacher Huang to come to him personally, there must be something special about it.
Ma Chuanfeng handed Guo Ziyuan a very simple X-ray!
Using X-rays to accurately measure bone defects is pure nonsense; you can't do that during surgery.
However, it is just right for use as an exam question to test film reading skills.
Guo Ziyuan held it in his hand and habitually shook it.
Experienced doctors instinctively feel like they've never held a film before if they don't shake it when they receive it.
Ma Chuanfeng and Zheng Jicong both instinctively rolled their eyes, but they also found it strange.
Although Guo Ziyuan was not very old, his movements as he shook the film were skillful and experienced, as if it were a real thing.
Guo Ziyuan read it carefully and could only make a visual assessment using the scale: "Proximal tibia defect."
"The length is approximately 4.8cm, the front-to-back diameter is approximately 3.2cm, and the inner-to-outer diameter is approximately 2.7cm..."
Guo Ziyuan could only make a rough measurement. After reporting this, he asked, "Professor Zheng, what is the patient's tibial index?"
Zheng Jicong hadn't expected Guo Ziyuan to suddenly ask about such a technical topic as the tibialis index, and instinctively answered, "69.33."
"Then bone transport surgery would be the best option, right?" Guo Ziyuan said softly.
The tibia index is measured at the upper third of the tibia, using two diameters:
Lateral diameter (transverse diameter): The width of the tibia in the left and right direction.
Anteroposterior diameter (sagittal diameter): The thickness of the tibia in the anterior-posterior direction.
Generally speaking, women tend to have wide shins, while men tend to have short shins.
This patient's tibial defect had been present for too long and had become deformed, making autologous bone grafting and fibular transplantation unsuitable.
Zheng Jicong instinctively shuddered, glancing nervously at Guo Ziyuan, his heart trembling:
"Are you fucking here for me?"
Ma Chuanfeng nodded slowly: "Yes, that analysis makes sense."
He then reassured Zheng Jicong, "This patient's bone structure has become quite unique because the problem has been left untreated for so long!"
"Therefore, it becomes more difficult to analyze specific surgical techniques."
"I only finalized this plan with Xianqi the day before yesterday."
Zheng Jicong didn't think there was anything wrong with Ma Chuanfeng and Ding Xianqi changing the surgical plan. There is no standard answer to the treatment of bone defects, otherwise it would not be a routine disease at the Provincial People's Hospital.
only?
He looked at Guo Ziyuan.
Guo Ziyuan had already inserted the film into the viewer again. The white light shone, making the white shadow of the fracture even brighter.
Ma Chuanfeng then said to Guo Ziyuan, "I'll give you the knife later; you can speak up for me then!"
"You like playing with knives so much, you probably won't refuse, right?"
Guo Ziyuan certainly wouldn't refuse. He wasn't even guilty or afraid that his actions would significantly lower the quality of the surgery.
"Thank you, Teacher Ma!~"
"What are you standing there for? Do you want me to disinfect the drapes?" Ma Chuanfeng demanded.
Guo Ziyuan glanced at it, smiled, and said, "Teacher Ma, the patient isn't fully anesthetized yet. I'd like to hear your and Teacher Zheng's instructions again."
To be honest, he had never seen anyone as shameless as Guo Ziyuan at his age.
Guo Ziyuan's thick skin, and the way he can be so smooth, is rare, even putting aside his age.
Ma Chuanfeng didn't chase him away and continued to explain the surgical plan and thought process to Zheng Jicong.
These are Professor Ma Chuanfeng's own unique experiences, things that even Ding Xianqi in his previous life had not mastered in such detail.
A doctor's high skill level is actually a disguised accumulation of time and the number of cases.
This accumulation forms a high barrier that is very difficult to break through.
You can only climb up by relying on your personal talent and hard work!
Therefore, Guo Ziyuan found the lecture very helpful.
It feels so good to have knowledge entering your mind.
However, medicine is ultimately too vast and profound, and even for this specific surgery, Professor Ma Chuanfeng could not share all of his knowledge and skills.
It can't even integrate one percent; it can only be fragmented knowledge.
After disinfecting and draping the wound, Guo Ziyuan picked up the scalpel again.
This time, it wasn't about taking shortcuts or being clever!
Although Guo Ziyuan's knife was merely a puppet of the techniques taught by Ma Chuanfeng, he did whatever Ma Chuanfeng told him to do.
However, currently only three people are qualified to become Professor Ma Chuanfeng's regular puppets in this operating room.
Associate Professor Ding Xianqi, Attending Physician Zheng Jicong, Chief Resident Liu Chuntao.
Among the students, only his two doctoral students could occasionally be considered Professor Ma Chuanfeng's puppets...
Their puppets are nothing more than skin cuts and localized wound cleaning.
It's not like Guo Ziyuan is doing now, where he's responsible for speaking the whole time...
Bone transport surgery requires making many incisions.
Operation time, almost like being the main surgeon...
It was only when the crucial autologous bone osteotomy was about to be performed during the final bone transport procedure that Ma Chuanfeng found Guo Ziyuan's operation so appalling that he called Ding Xianqi to take over personally.
Guo Ziyuan put down his knife and stood like a lackey.
Associate Professor Ding Xianqi picked up a scalpel; even though he was capable of leading a team in a prefecture-level city hospital, he was still considered a low-level henchman.
This is the Provincial People's Hospital.