"Blunt dissection from the space between the extensor carpi radialis brevis and extensor hallucis longus … Subperiosteal dissection … No problem …" Zuo Cidian muttered the steps, and after he was done, he laughed happily.
The houseman looked at Zuo Cidian as if he was an idiot. He had just started the surgery, and he had only completed one-tenth of the work. Why was he so happy? Could it be that he was too old, and there was something wrong with his brain? When he thought about it, it was not strange for a forty-year-old resident doctor to have something wrong with his brain.
Zuo Cidian turned to look at the houseman. "Are you wondering why I'm laughing?"
The houseman's heart tightened. "How did you know?"
"The three housemen before you were all like this." Zuo Cidian looked as if he had everything under control.
The houseman's heart tightened even more. "Where did the three housemen before me go?"
"They probably didn't find a job, so they left." Zuo Cidian smiled.
The houseman showed a shocked expression. Then, he slowly said, "Didn't they say that there's a high chance of finding a job if you learn in Doctor Ling's treatment group?"
"There's such a legend? But even so, you should at least let Doctor Ling know your name, don't you think? " Zuo Cidian flashed a smile that covered his entire face. "How can Doctor Ling help you find a job if he doesn't even know your name?"
The houseman's eyes widened even more, and he asked, "Didn't you say that I'm going to learn a skill?"
Zuo Cidian lowered his head and looked at his patient with Colles' fracture. He chuckled and asked, "Did you learn it?"
'Did I learn it? Did I learn it? Did I learn it? '
Zuo Cidian's voice made the houseman tremble …
Zuo Cidian chuckled again and continued to work with his head lowered.
He cleared the accumulated blood at the end of the fracture, performed a reduction, and said, "C-arm, eat radiation."
The houseman started to decorate the C-arm in a daze. He put on a bag and was busy all the way.
Zuo Cidian also followed suit. This was how it was for patients with Colles' fracture who could not be reduced by manual reduction. The workload was much greater than manual reduction, and when internal fixation was used, they had to be very careful not to have any hidden risks of infection.
Paying attention to infection was also the only weapon that the Orthopedics Department could use to fight against the discrimination of the General Surgery Department.
Compared to surgeries in the General Surgery Department, the Orthopedics Department paid more attention to infections. The operating theaters they used were all high-end laminar flow operating theaters. Zuo Cidian also needed to report to Ling Ran before he could apply for an operating theater on the surgical floor.
The Orthopedics Department of Yun Hua Hospital did not care about this. Yun Hua Hospital was too big. Compared to other tertiary Grade A hospitals like the Second People's Hospital of Yun Hua Hospital, Yun Hua Hospital had more patients, and their workload was greater. Hence, doctors were more willing to … perform freelance surgeries.
Since the Orthopedics Department did not even have enough time to complete hip replacement surgeries, if the Emergency Medical Center was willing to perform minor surgeries like Colles' fracture, the Orthopedics Department would just treat it as if they had found someone to do odd jobs for them. They did not support it, nor did they object to it.
Of course, this was also because the Emergency Medical Center of Yun Hua Hospital had quite a high status. If the two parties' strengths were reversed, the Orthopedics Department might not be so easy to deal with.
Zuo Cidian knew the twists and turns of the surgery better than Ling Ran, so he cherished the opportunity to perform the surgery very much. He completed every step carefully and experienced it carefully.
The difficulty level of orthopedic surgeries had always been low. Orthopedic surgeries were easy to learn and easy to master.
Zuo Cidian put in time and energy, and he had quite a lot of opportunities, so he felt that he had improved very quickly.
After performing a surgery, he would only run into some trouble when he was bending the steel plates.
The steel plates provided by pharmaceutical companies were all industrialized products, but the growth of human bones was often not so standard. Therefore, orthopedists needed to bend the steel plates into a suitable angle by hand.
There was a reason why orthopedists were known as carpenters. Young orthopedists might be lifting people's thighs every day, but experienced orthopedists could not avoid bending the steel plates themselves, just like training their arm strength.
Zuo Cidian, who was forty-three years old, could still do this. After all, when fifty-year-old chief physicians needed to bend the steel plates, they would do it themselves.
When Zuo Cidian imagined himself as a handsome doctor, he did not feel so troubled when he was bending the steel plates.
* Shick. *
The door of the operating theater opened, and a handsome doctor walked in.
"Doctor Ling." The houseman's legs tensed up, and he immediately greeted him with his eyes.
The nurse also looked at Ling Ran with sparkling eyes, and her eyes were full of joy.
"Let me take a look." Ling Ran nodded at Little Yun and asked Zuo Cidian, "Did it go well?"
"It went quite well. Anatomical reduction." Zuo Cidian was a little proud.
Anatomical reduction meant that the fracture returned to its normal anatomical relationship, and it could be understood as a complete recovery. However, not every surgery, or rather, every injury could be anatomically reduced. Most of the time, either due to the limitations of reality or the limitations of skills, only functional reduction could be achieved.
From a practical point of view, functional reduction should not affect the patient's life, but in terms of the effect, it was not as perfect as anatomical reduction.
For a surgery for Colles' fracture, the result of anatomical reduction could at least be given a score of more than seventy-five points. If it was a little more relaxed, eighty points could also be seen as the starting line.
Ling Ran nodded slightly and covered his mouth with a mask. He watched the two of them operate from the furthest distance and read the X-ray scan. Then, he nodded and left.
Zuo Cidian and the houseman breathed a sigh of relief at the same time.
"I'm so scared." The houseman's body was trembling.
Zuo Cidian frowned. "What are you afraid of?"
"I'm afraid that Doctor Ling won't find me pleasing to the eye. Wouldn't it be difficult for me to find another job?" The houseman's expression was a little bashful. In recent years, there had been more graduates. As the number of authorized personnel shrank, the number of housemen increased. Everyone could feel that the competition was getting fiercer.
Zuo Cidian glanced at the houseman with a strange gaze. "Doctor Ling doesn't even know your name. Is there such a big difference if he finds you pleasing to the eye or not?"
"He … he will know." The houseman insisted.
"Are you so sure?" Zuo Cidian smiled.
"Yes."
"Why?"
The houseman stared at Zuo Cidian for a while before he whispered, "You can learn from Doctor Ling. It doesn't make sense that he doesn't want someone younger and healthier …"
Zuo Cidian put down the bent board that he had just picked up to break the steel plate. He was afraid that he would open the houseman's skull on the spot if he was too excited.
The houseman also knew that he had made a slip of the tongue. He quietly lowered his head.
The scrub nurse who was standing by the side saw that there was an awkward silence, so she livened up the atmosphere and said, "Doctor Zuo, tell me a joke."
Zuo Cidian, who was still a resident doctor, was instantly very happy when the nurse took the initiative to ask him to tell a joke. He quickly said, "Let me think. I got it. Let's say that when I was young, I was poor, and I couldn't eat meat all year round. There was an old man who stood at a meat stall during Chinese New Year. He gritted his teeth and bought some meat, but he didn't know how to eat it. He was afraid that he would waste good food, so he asked the butcher to write a list of how to cook meat and what seasonings to add. He was going to go home and watch …"
"Hahahaha." The scrub nurse was already laughing. "Doctor Zuo, you're really old."
The circulating nurse also laughed until she cried. "Writing a list of how to cook meat? The internet has been around since the 90s, right? Can't you check online? If you don't have it, you can use other people's, right? "
Zuo Cidian, who still had not finished his joke, twitched his mouth. "Now that I think about it, I actually quite like the operating theater where Doctor Ling is."
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