This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 20 'Little Follower'!
Chapter 20 'Little Follower'!
Flexor tendon suture method zone comparison table —
Zone I: Distal interphalangeal joints and beyond; First choice: Tsushita method (get); Alternative: Modified Kessler method (get).
Zone II: Inside the pulley tube (no man's land); First choice: Modified Tang method (to be worked on); Alternative: Tsushita method (get it).
Zone III: Palm section (excluding the trochlea); First choice: Tsushita method (get); Alternative: Modified Tang method (to be worked on).
Zone IV: Within the carpal tunnel; First choice: Modified Kessler (get); Alternative: Tsushita method (single bundle) (get).
……
In the training room, the air conditioner blew Lu Cheng's hair. Lu Cheng sat upright in a chair, his phone lying flat on a phone stand, playing a live stream of 'pesticides'.
Lu Cheng held a cup of coffee in his left hand, continuously sucking the beverage from the straw into his mouth, the coolness and pleasure spreading throughout his body.
With a rustling sound, Lu Cheng happily flipped open his notebook with his right hand, then looked at the summary and a maternal smile spread across his face—
Capability Range:
Upper limb, flexor tendons in areas 1234, extensor tendons in areas 23467.
Lower limbs, flexor tendons A4 area, extensor tendons B4/B5 area.
"Hmm? Why isn't a comma used?" Lu Cheng noticed the imprecise usage but immediately shook his head: "Never mind."
“There are many pitfalls in tendon suturing. For example, the patient whose problem was caused by Dr. Peng and Peng Kun last time had extensor tendon zone 8. The best approach is tendon weaving or fascia embedding. If other suturing techniques are used, it is very easy to tear it on the spot…”
With our current capabilities, we can handle 40% of common tendon injuries.
While Lu Cheng was browsing through the documents, the phone rang. It was Zeng Huanqi: "Lu Cheng, we have a patient with a tendon injury, on the dorsal side of the metacarpophalangeal joint in the upper arm. Can you handle it?"
After hearing this, Lu Cheng immediately shook his head and replied, "I can't handle the extensor tendon in Zone 5. Professor Chen said he's too busy to teach today. Brother Zeng, you should just send the patient to the state capital."
"Okay! I'll text Han Xiaoping and ask him to transfer the patient to another hospital."
After Zeng Huanqi finished speaking, he hesitated and said, "Lu Cheng, do you know? Peng Kun from the orthopedics department has come to the emergency department... Director Peng said that he will study tendon suturing with Professor Chen for a period of time."
"I don't know if Professor Chen agreed, but Director Lin did."
Lu Cheng asked with a smile, "Brother Zeng, is there any explanation for Peng Kun's visit to our emergency department for tendon suturing?"
"You're asking me about your orthopedic issues?" Zeng Huanqi said with a playful tone.
Lu Cheng's tone hardened: "Brother Zeng, you're being too polite. We're brothers now. The emergency department is my true home, while the orthopedics department is my former home..."
After saying that, Lu Chengcai said helplessly, "Brother Zeng, actually I only know that a few of the older guys in the department have quite a background, but I don't know exactly what they are."
Zeng Huanqi was not surprised. Lu Cheng knew that these people were related, but if Lu Cheng could figure out the specifics of their relationships, then Lu Cheng's network of connections would be quite extensive.
These people can't possibly keep mentioning their 'uncles and aunts' all the time.
He said, "Executive Director Luo, you can tell from his name, right? He's got quite a background. His uncle works in the province. He's a genuine second-generation rich kid."
"Xiang Kuihua's uncle is the deputy director of the state public security bureau. As for Tian Shan, he's a direct subordinate of our county health bureau..."
"With such a love triangle, it seems like it would be difficult for Kun Shao to stay in the orthopedics department," Zeng Huanqi said in a playful and flippant tone.
There are five associate chief physicians in the orthopedics department, each with an impressive background. They did not take any special "tricks" or "crooked paths." They were all highly qualified but lacked practical skills. It's just that when they were learning these skills, they squeezed out many other people.
Among them, Executive Director Luo specializes in spine surgery, Brother Xiang Kuihua specializes in trauma, and Associate Chief Physician Tian Shan specializes in sports medicine, essentially dividing up all the resources in the ward. Although Peng Haibo is the ward director, the "rules for performing surgeries" were not set by Peng Haibo.
Lu Cheng couldn't keep up with these older brothers, but Peng Kun went to get a master's degree and suddenly he can keep up with them? And that he can surpass their abilities?
That can't be done.
If Peng Haibo were to practice nepotism in front of them, then sorry, you're just a director in a hospital, and not even an irreplaceable one.
The orthopedics department has two wards, and many people don't mind changing to a different head of orthopedics...
Hospitals are workplaces, but the workplace within a hospital is unique; such practices are not allowed. Therefore, there's a fixed, hard-to-follow rule: when the number of surgeries is limited, whoever is the strongest goes!
I don't perform the surgeries, but others can do them freely.
Lu Cheng actually knew some other details. For example, he knew that Brother Tian Shan majored in sports medicine and Peng Kun was also a master's student in sports medicine. So why didn't Peng Kun rush to perform the "sports medicine" surgery?
However, Lu Cheng didn't want to ask any more questions. Even Director Peng's own son was "forced" to go to the "emergency department" to try to overtake others by using "hand surgery" as a shortcut. Lu Cheng felt that everything made sense and suddenly understood: "Thank you for your guidance, Brother Zeng. I didn't know enough about it before."
Zeng Huanqi thought for a moment and said, "Xiao Lu, tell me the truth, do you want to go back to orthopedics in the future?"
"If you want, Professor Chen won't bring Kun Shao, but you can bring him along. This will be a very good opportunity. Director Peng will definitely give you his full support."
Lu Cheng replied, "Brother Zeng, I did apply for a transfer, but it's not like I can just come back whenever I want."
"Besides, I quite like the atmosphere in the emergency room, so I probably won't be going back."
The number of patients in the orthopedics department is definitely less than that in the emergency department, as some of the patients in the emergency department are transferred from other departments.
Unless Lu Cheng is out of his mind, he wouldn't think of challenging those orthopedic specialists in the current situation. Even if he won, what would be the point? How much would his skills improve?
"Brother Zeng, I have to go now, Director Lin called me." Zeng Huanqi had just mentioned that Peng Kun could follow him when Lin Qianlong called, the meaning of which was self-evident.
Peng Haibo is the director of orthopedics, and Lin Qianlong is the director of emergency medicine. They should give each other face, even if they don't respect each other.
Although Lin Qianlong could not persuade Professor Chen Song, arranging for Peng Kun to temporarily follow Lu Cheng was also a favor he was doing for him.
The situation at the county hospital will not be changed just because Peng Kun has a master's degree. Moreover, even if Peng Kun goes to the Department of Hand Surgery at Xiangya No. 2 Hospital, it will be of no use. The emergency department at Xiangya No. 2 Hospital has not performed tendon rupture surgery for a long time. Where can Peng Kun practice on simple tendon injury cases?
Moreover, Peng Kun went on to pursue a master's degree in sports medicine and now wants to switch to hand surgery.
"Director Lin!" Lu Cheng took a big gulp of coffee before answering the phone with a smile. "Have any patients come to the department? Brother Han didn't call me?"
Of course, Lu Cheng wouldn't tell Lin Qianlong what Zeng Huanqi had just told him.
"Huh? Isn't that inappropriate?" Lu Cheng exclaimed in surprise, as expected, before politely declining.
Lin Qianlong said, "Xiao Lu, there's really no such thing as suitable or unsuitable. After all, Professor Chen doesn't routinely perform tendon sutures. Now that Dr. Peng is here in the emergency department to learn from you, he'll be your regular assistant."
“He’s eager to learn, so you can guide him… Didn’t you say there are many types of tendon sutures? He can’t possibly learn them all.”
Lu Cheng quickly explained, "Director Lin, you misunderstood me. I'm not worried that Dr. Peng will learn the technique and I won't be able to perform surgeries anymore. I'm worried that I won't be able to mentor him properly."
Lin Qianlong's voice was calm: "The master leads you through the door, but the cultivation is up to you."
"Director Peng doesn't expect you to train Dr. Peng to be an expert, or just give him a basic introduction. He will definitely need to go out and learn new techniques."
"He's already become a student, does he have a choice? He'll learn however you teach him..."
Lu Cheng remained silent after hearing this.
That's right. With Peng Haibo's connections and abilities, if he wanted to cultivate Peng Kun's hand surgery skills, he would definitely send him out for further study soon.
The previous sponsored graduate program was like that.
However, Peng Kun had just returned, so it wasn't appropriate for him to immediately go out for further studies...
(End of this chapter)
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