Chapter 5, Start with the Small Things in the Rat Race

Du Yanjun manages six beds alone, and the extra one is because Du Yanjun is a graduate student in the department, thus requiring more opportunities for study

"Alright, Teacher Luo. I have no surgical patients tomorrow, so I am available at any time today." Zhang Zhengquan immediately raised his hand, volunteering himself.

You know that one should not easily attempt to perform surgery or make jokes at the expense of a patient, so you decide to bide your time and cultivate your skills.

The level of surgical skill you have demonstrated is on par with that of the department head, and you have begun to embark on the procedure of closed reduction and intramedullary nailing for fractures. Your supervising physician is greatly impressed by your surgical talent and has recommended you to the hospital

Zhou Cheng smiled

Six months later, you successfully obtained the opportunity for a position at the institute

Furthermore, it is necessary to further enhance the mentoring work for our department's resident trainees and graduate students

However, he has a natural advantage; the head of the group is a teacher, so Luo Yun and Cai Dongfan will definitely feel more at ease entrusting him with responsibilities. As for myself and Zhou Cheng, we do not possess such a natural identity advantage, and everything still has to be fought for on our own.

In the first month, your supervising physician believes that you are capable of performing surgery independently, and thus is willing to give you the opportunity to lead the operation

Luo Yun, after all, is a chief physician following Cai Dongfan, and must also take into account that Du Yanjun is a student of Cai Dongfan. Moreover, Luo Yun himself holds a medical practitioner qualification certificate, so there is nothing wrong with him being on duty alone

Then I returned to the dormitory

However, in order to balance the feelings of Zhang Zhengquan and Zhou Cheng, Luo Yun added: "Zhou Cheng, Zhang Zhengquan, after you finish the preoperative preparations for tomorrow's surgical patients today, do not wander too far away."

You began collaborating with the senior physician on an open reduction and internal fixation of fractures using plates and screws. During the collaborative surgery, you performed exceptionally well, impressing your senior physician.

However, having many beds does not necessarily mean there are more learning opportunities. Currently, the patients in the department are not at full capacity; in the group where Zhou Cheng is, there are only a total of twelve patients.

Yan Haihan's words clearly encouraged many people. Zhou Cheng noticed that the expressions of Zhang Zhengquan and Du Yanjun from his team had noticeably brightened.

... ...

In contrast to Zhang Zhengquan's proactive approach, Zhou Cheng was slightly slower to respond, and he also nodded to Luo Yun

Du Yanjun is reassuring Luo Yun, as he is capable of handling the routine common emergency patients in the department, thus not causing any trouble for Luo Yun

There are three teams in the department, with a total of forty-eight beds including the extra beds. The three teams are evenly divided, with each team having sixteen beds

It is!

The head of the ward is Yan Haihan, a middle-aged man around fifty years old, of medium height, with a slightly thin build and somewhat dark skin. He has a somewhat fiery temper and holds considerable prestige within the department

Zhang Zhengquan frowned slightly upon hearing this, thinking to himself

You have treated many patients with fractures

Has Du Yanjun, this scheming boy, started to desperately engage in the rat race from now on

Due to Du Yanjun's duty, Luo Yun, as Du Yanjun's supervising physician, is required to follow the second shift. The schedule is not fixed

In the afternoon, Du Yanjun reported that the postoperative blood test results of the patient were good, which relieved Zhou Cheng's mind

The bed assigned to Cai Dongfan is Bed 25 to Bed 36, and Bed +9 to Bed +12

Then Luo Yun looked at the duty roster again and said, "Isn't it your turn to be on duty today, Yan Jun?"

Zhou Cheng and Zhang Zhengquan, each has five beds

Alright, Teacher Luo

Yes, Teacher Luo." Du Yanjun nodded

Because you possess a skill level classified as proficient, you successfully completed the first complex fracture surgery with remarkable precision, even surpassing the performance of your supervising physician, who holds you in high regard

Then proceed to safely start the simulation of the simulator

Then, inform the patient about the relevant risks associated with the surgery and obtain informed consent

Begin, begin

Then he said: "It's nothing, Teacher Luo. If anything comes up, I can call you at any time. You can come over whenever you want."

Are you sure you want to start the simulation with the skills: Open reduction and intramedullary nailing for fracture (Proficient), and Open reduction and internal fixation with plate and screws for simple fractures (Beginner)?

In the third month, you once again gained the trust of the supervising physician, and you began performing the surgery for open reduction and internal fixation of complex fractures using plates and screws.

In a month, I will begin performing fracture surgeries on stage, and this time it should not be very poor.

Zhou Cheng has exactly one preoperative patient, scheduled for surgery tomorrow. It is a simple distal fibula fracture, five days post-injury. The swelling in the calf has subsided, and the surgery can proceed. Zhou Cheng's tasks include conducting the routine preoperative discussion and obtaining signatures.

Your supervising physician believes you have great potential and has encouraged you to begin studying the surgical procedure for open reduction and internal fixation of complex fractures using plates and screws

One year later, you have made significant achievements in the field of basic limb fractures and have established a solid foothold in the department. However, your progress in the area of pelvic fractures remains quite slow. Your supervising physician believes that the department is holding you back, and thus decides to send you for further training

There are only three attending physicians, with each averaging five to six beds.

Only after that can the corresponding actions be taken

There are a total of 10 people in the department, and each person has 3 shifts per month

The conversation signature has a template, and the risks related to fractures are manageable for Zhou Cheng. Therefore, Zhou Cheng completed the conversation signature before 11 o'clock and informed the patient and their family of the relevant precautions. Since Du Yanjun was on duty, he could assist in tracking the postoperative blood test results.

If there is an emergency surgery, you may need to go on stage

Your knowledge of anatomy and the fundamentals of traumatic fractures is quite solid, and you quickly gained the appreciation of your superiors

Of course, asking this is also a test. If Luo Yun dares to let go more, then he will have more opportunities for operation. More opportunities for learning and operation mean that the chances of obtaining a residency spot in the future will be greater.

Your supervising physician has begun to develop a practice focused on pelvic fractures. Although your understanding of pelvic fractures is somewhat limited, your supervising physician continues to encourage you, hoping that you will not give up

The ward round is a routine check-up, during which, under the leadership of Luo Yun, a detailed review of the existing twelve patients was conducted.

I am not the only one who harbors such thoughts; there are indeed others with a lingering desire.

Seeing this, Zhou Chengcai let out a slight sigh of relief, finally getting back on track and beginning to go out to learn

After the on-duty doctor and nurse handed over the general situation of the new admissions and surgical patients from yesterday, the authority to speak was transferred to the director

Yan Haihan stated: "Let me emphasize once again, safety is paramount, safety is paramount, the heads of the teams must take responsibility."

The hospital now places great importance on the teaching situation of each department

After Zhou Cheng familiarized himself with the patients, it was time for the morning shift handover

Zhou Cheng was quite looking forward to it, as he now started with two skills. Surely, he wouldn't end up in a very miserable situation, would he

Continue, continue...

Regardless of the circumstances, Luo Yun must attend the 9th session of the secondary consultation class, primarily to handle emergency patients

... ...

Finally, after the shift change was over, Luo Yun took Zhou Cheng and Du Yanjun to check the wards. Chief Physician Cai Dongfan was on outpatient duty today, arriving punctually at 8:00 AM, and therefore did not attend the morning shift handover.

Even the hospital has allocated admission quotas; our orthopedics department has a total of two quotas. Colleagues in our residency training program, you must work hard, as this is an opportunity that your seniors from previous cohorts did not have

Luo Yun thought for a moment, nodded, and said: "Alright, I won't go far. If there are any issues, feel free to call me at any time"