Chapter 10, The Aftereffects of Perfect Skills

Because today, Director Cai Dongfan did not take a rest and went personally to the operating room

The physique of an average person is generally acceptable, but in the event of encountering someone weighing 280 pounds or over 300 pounds with large, heavy legs, it truly requires considerable strength, and moreover, sustained strength

After completing the shift handover and checking the rooms, Zhou Chengcai understood how much preparation Du Yanjun had made in order to secure the opportunity to be the lead surgeon.

Otherwise, even if another opportunity is given, it ultimately remains a surgery. If an accident occurs, the supervising physician will also bear responsibility

Although Director Cai Dongfan leads the team, Luo Yun serves as the attending physician and is the superior, while Du Yanjun, Zhou Cheng, and Zhang Zhengquan are all parallel subordinates. However, according to past practices, one can serve as the first assistant for their own surgery, and even if other colleagues from the team take the stage, they will still hold the position of second assistant.

Then, subconsciously glancing at the operating table, Cai Dongfan immediately furrowed his brows

Since the six people outside have come to the department so early, and they do not seem to be on duty like Du Yanjun, they certainly would not easily let go of the computers in their hands to wait outside and put pressure on others. It would be much better for them to comfortably lie down for a while instead

The heavy physical labor has been taken away.

Then he said: "Zhou Cheng, have you had breakfast? Shall we order some noodles together?"

Zhou Cheng felt a deep bitterness within, his expression feigned surprise, yet he still nodded in agreement

However, Zhou Cheng could only see through it without speaking out, silently following the crowd into the operating room

Luo Yun also noticed something was amiss and immediately exclaimed: "Zhou Cheng, what are you doing? What is this leg you have wrapped? What we need to do is an open reduction for a tibial plateau fracture. What have you left out here?"

Du Yanjun continued, "Brother Zhou Cheng, perhaps you did not understand my meaning; this surgery will only involve the two of us on stage."

Since Du Yanjun has already facilitated communication between Luo Yun and Cai Dongfan, Zhou Cheng no longer needs to feel that he is caught in the middle playing the villain

Disinfection, laying out towels, and a series of other actions were executed in one seamless motion

Just as the legs were perfectly wrapped and the surgical area was left untouched, Luo Yun and Cai Dongfan walked in from outside the operating room after washing their hands

Moreover, as Zhou Cheng entered the operating room, he instinctively glanced at the patient's imaging, immediately formulating a relatively thorough plan for the surgery

Zhou Cheng shook his head and said, "I came over only after I had eaten. Yan Jun, you can eat by yourself; I will take a short nap."

However, Zhou Cheng did not expose it, but instead followed Du Yanjun's lead and said: "Perhaps it is because Lin Lin and Min Chaoshuo both have a solid clinical foundation."

Moreover, Zhou Cheng is already in his third year of standardized training, and Du Yanjun is in his second year of graduate studies, also in his second year of standardized training. They have long become skilled practitioners in preoperative preparation, and they are not worried at all

This type of fracture surgery, which involves crushing, is considered a routine procedure within the department. Luo Yun is capable of performing it and usually takes the lead in such operations. Director Cai Dongfan handles more complex fractures, such as those of the humerus, femur, and calcaneus, which are beyond Luo Yun's capabilities.

Although it is said that Zhang Zhengquan is part of a social training program and does not have his own surgical patients, there should still be opportunities to learn in the operating room right

If Du Yanjun can persuade Zhou Cheng here, he may attempt the closed reduction and Kirschner wire external fixation for a distal fibula fracture

... ...

After the two junior doctors, Du Yanjun and Zhou Cheng, completed the disinfection and draping, they ascended the stage again, which is their right

What is the LL approach

Zhou Cheng did not say much; it would be better if things could be more relaxed, as the events that follow are already destined.

After all, participating in training programs is akin to being low-cost labor

The people of Shashi have a unique affection for having a bowl of noodles in the morning. The noodles are flat rice noodles, preferably served in the original broth, with a bit of pickled mustard greens added, creating a smooth sensation upon entry

Zhou Cheng, possessing perfect skills, was completely taken aback; this was not a surgery he was leading, but rather one performed by Director Cai Dongfan. Therefore, all surgical habits had to be in accordance with those of Cai Dongfan.

The first surgery today is for Du Yanjun's patient, who has a comminuted and displaced fracture of the tibial plateau. On the fifth day of hospitalization, the swelling has subsided, and the patient is currently suitable for surgery

I thought to myself, this is a disaster, I have made a mistake regarding the optimal surgical approach for Schatzker type V tibial plateau fractures— the LL approach. Very few people are aware of this now, and perhaps Cai Dongfan and Luo Yun have never even heard of it. They are more accustomed to the combined approaches of anteromedial and anterolateral.

Du Yanjun's question was somewhat direct

Zhou Cheng suddenly realized.

Even if one seeks to seize opportunities to demonstrate their abilities, it should not be pursued in such a confrontational manner

Today, there are a total of two surgeries. One is for Du Yanjun, involving an open reduction and internal fixation with plates and screws for a tibial fracture. The other, a smaller procedure, is for Zhou Cheng, which involves closed reduction and external fixation with Kirschner wires for a fibular fracture

I am not foolish, how could I not understand

Du Yanjun nodded, his face showing great tension, as if he were about to perform the surgery himself

However, in orthopedic disinfection, it is necessary to have an assistant lift the patient's affected limb after anesthesia, while another surgeon completes a thorough 360-degree disinfection of the limb to achieve strict sterility

Zhou Cheng felt that Du Yanjun was hinting to him that Director Cai Dongfan might let him take the lead in the surgery, hoping that Zhou Cheng would not overthink it

Shall we go on stage together then

In less than four minutes, Zhou Chengjiu and the nurse completed the draping procedure, sparing Du Yanjun from the toil of labor

Upon entering the operating room, Cai Dongfan and Luo Yun, as senior physicians, naturally went to the lounge to lie down first

Moreover, before entering the operating room, Cai Dongfan personally ordered that Zhang Zhengquan, who had no surgery scheduled for today, be sent away... instructing Zhang Zhengquan to fetch some materials for him

Then Du Yanjun went out to call his mentor Cai Dongfan and Luo Yun, while Zhou Cheng, after putting on the sterile surgical gown, completed the remaining actions of laying out the large cloth and wrapping the legs

Zhou Cheng, after listening, thought seriously for a moment and replied: "Teacher Luo, the LL approach to the tibial plateau is like this, right?"

In surgery, there is a rumor that orthopedic surgeons are all strongmen, and this is actually where it all began

Take your time, and you will eventually have your own opportunity

Zhou Cheng felt a slight bitterness in his heart, but he still nodded with relative kindness and said: "Sure, this patient is mine. Are you coming with me or are you going to help me out?"

Moreover, determining which surgical approach is the best cannot be clearly explained in just a few sentences

After Du Yanjun entered the operating room, he proactively said: "Brother Zhou Cheng, today I will lift the legs, you go wash your hands and disinfect first."

Moreover, Cai Dongfan has the task of running materials, so it should be your turn, Du Yanjun, right? How did it end up on Zhang Zhengquan's shoulders instead?

The preoperative disinfection in orthopedics is somewhat different from other disciplines. In other surgical fields, it may suffice for the patient to maintain a fixed position while the surgeon disinfects the surgical area three times.

The difference between the first assistant and the second assistant is not that significant; it is estimated that Du Yanjun will be the lead surgeon

Luo Yun's lips twitched: "Quickly expose the inner side and reapply the film"

Zhou Chengjiu quickly admitted his mistake: "Alright, Teacher Luo, Teacher Cai. I am sorry, I will correct it immediately"

Du Yanjun felt a bit disappointed upon hearing Zhou Cheng say that he had already had breakfast

Zhou Cheng now possesses perfect skills in fracture surgery, and he is naturally extremely proficient in the sterilization and draping process

It is certain that Luo Yun has agreed, which is why Du Yanjun is now inquiring about his own statement. Otherwise, it would be impossible for Zhou Cheng to simply let go of the opportunity to assist.

Du Yanjun's face immediately lit up with joy, and he said, "Brother Zhou Cheng, I will treat you to lunch at noon."

It is necessary to proceed gradually and with careful consideration

However, after some consideration, Du Yanjun still candidly said: "Brother Zhou Cheng, I remember you have a surgery today, right? It is a distal fibula fracture?"

Zhou Cheng soon understood Du Yanjun's meaning, and it is possible that Du Yanjun had privately discussed it with Luo Yun.