Before Lu Cheng and Li Dongshan left the emergency department together, Lu Cheng had actually completed the battle in the scene skills.

The combat scene skills of the game system are definitely not able to cause the patient to use this antibiotic in addition to the sensitive antibiotic when he himself has not used it.

This is also the reason why Lu Cheng proposed to add meropenem, and Lu Cheng could not directly say to stop using amikacin and ciprofloxacin. These two antibiotics currently have indications supported by bacterial culture results.

Lu Cheng is not an expert in the Department of Infectious Diseases, nor is he a professor. He has not directly stopped using this antibiotic with high evidence support, but he still has the power to recommend an increase.

The results of the battle can only be said to be so-so. In the case of meropenem intravenous infusion every 8 hours, at least it will not ensure further bacterial reproduction, but the specific effect is unclear whether it will be reduced and by how much.

For this kind of obvious infection, simple antibiotic treatment is definitely useless. However, the use of obvious antibiotics can further localize the infection focus. This is also one of the principles of treatment for post-fracture infection.

Use antibiotics with bacterial culture and drug sensitivity results before surgery!

After the infected lesions are localized, it is more conducive to complete removal during debridement. Only through comprehensive treatment can we finally kill the monster that is already a mythical level.

…

All the above happened in the blink of an eye. After Lu Cheng completed the battle command after the first infusion of meropenem, subsequent battles would also copy the pattern commanded by Lu Cheng, with different intravenous injections on the same day.

achieve the same effect.

Comrade Li Dongshan definitely doesn't know this. He is currently focused on how to get Lu Cheng the authority to perform surgery later.

Can Lu Cheng pass the three assessments?

Although Lu Cheng got good results in the competition, real clinical practice is different from clinical practice after all. There are too many surprises that may occur in clinical practice.

Surgery authorization is granted by the medical office based on the professional title level of the practitioners in the unit. There can be exceptions, but in most cases, junior professional titles can only perform first-class surgeries, and can barely perform second-class surgeries that are not difficult.

The attending physician's intermediate professional title can perform Category II to Category III surgeries. Associate senior and above can perform Category III surgeries. After obtaining special authorization from the Medical Office, he can perform Category IV surgeries.

Senior professional titles can routinely perform three types of surgeries and some new technologies.

In the elevator before arriving at the medical office, Li Dongshan seriously warned Lu Cheng: "Don't be nervous when you meet the teachers at the medical office later. Huang You and Min Hong have already taken care of the other procedures for you.

OK, you just have to do what you have to do."

"Okay, Master." Lu Cheng replied seriously.

The medical office of the Second Xiangya Hospital is located on the seventh floor of the teaching building and is a relatively large department.

Responsible for the professional titles of all medical staff in the hospital, surgical authority, antibiotic use authority, patient complaint reception, arranging the general hospitalization, registering and canceling employees of the unit, and other matters.

He is also responsible for the control and supervision of the hospital's medical business, medical quality, and medical technology implementation.

There are three small offices, 707-709.

Lu Cheng and Li Dongshan came to the 709 office, and they directly faced Xiang Xuewen, the chief of the medical department.

"Section Chief Xiang, I'm Li Dongshan." After knocking on the door, Li Dongshan immediately announced his name, even though they had known each other for a long time.

Before Li Dongshan arrived, Xiang Xuewen was still rubbing his temples and looking at the surgical permission proposal and surgical permission application form in front of him.

The proposal was written by Professor Huang You from the Department of Orthopedics, and was co-signed by Hu Xuanyi and Dong Zuolin, two professors from outside the hospital. The application for surgical permission was written by ‘Lu Cheng’. It is said that he is currently a graduate student in the Department of Surgery.

"Professor Li, you are here. Please sit down for a moment. Professor Huang just called and said that he has ordered someone to pick up some review professors and experts from other colleges."

"This must be Lu Cheng, a classmate from your department, right? He is indeed a very talented person, young and promising." Xiang Xuewen said this without hesitation in such a situation.

Li Dongshan said: "I still need to cause trouble to Section Chief Xiang."

"What are you talking about? What our hospital needs is this kind of young talent who can carry the banner. Even Professor Huang You, the professor of sports medicine in our hospital, is a highly recommended talent. We are in the auxiliary department, so of course we can

Carefully considered.”

"We will try our best to give the talents in our hospital the opportunity to use their own advantages. This is what our principal often says, and we should appropriately give some rights to particularly outstanding young people."

"I think Xiao Lu is a good fit." Xiang Xuewen said with a kind smile.

If Li Dongshan was not familiar with Xiang Xuewen, he would definitely have fallen into his trap. Don't look at Xiang Xuewen, who is about fifty years old. He has a short, shiny black hair and is dressed in a suit and leather shoes. He looks like a human being.

This bad old man is so bad that most of the doctors in our hospital were punished by him personally. When dealing with people, he doesn’t even frown or show mercy to you, as long as you are in the medical department.

Even the vice-dean dares to challenge matters within the scope.

Otherwise, if Xiang Xuewen was so enthusiastic, he would have been recommended by three major professors and given the authority directly. Why would there be any need for such an assessment?

"That's a ridiculous compliment to Section Chief Xiang. Young people are shallow-minded, so we might as well take it seriously." Li Dongshan said with a smile.

Then several people started waiting.

Not long after this time, at almost 9:10, the phone in Xiang Xuewen's office rang. After answering it, he hung up, and then Xiang Xuewen stood up and said:

"Professor Li, Xiao Lu, Professor Hu Xuanyi from the first affiliated hospital, Professor Dong Zuolin from the third affiliated hospital, Associate Professor Chang Weilong from the fourth orthopedic ward, Dr. Zhu Lihong from the fourth orthopedic ward, Professor Guang Qing from the Provincial People's Hospital, Shasha Central Hospital

Professor Tian Jintian from the hospital and Professor An from the Provincial Cancer Hospital all arrived at the third ward of the Orthopedics Department and said they were ready to rush to the operating room."

"You take Lu Cheng to the operating room first."

"I immediately called Chief Liu of our department and rushed to the operating room."

After listening to this, Li Dongshan was deeply troubled. What was this? When Fang Nixin was given the authority to operate, Chang Weilong took care of it before Huang You arrived. Why does Lu Cheng need the authority to operate now?

, so complicated?

Li Dongshan deeply felt that there was something fishy in this, but for a while he really couldn't think of what it could be.

People had to bow their heads under the roof, and Li Dongshan could only follow the procedures of the Medical Department. Otherwise, he would veto it with one vote, and it would be useless even if you move the Health Commission.

Then Li Dongshan, whose buttocks were still hot from sitting, took Lu Cheng to the operating room. On the way, Li Dongshan called Zou Qian in the department to be ready to send the patient to the operating room at any time.

Lu Cheng was a tool all the way, but when he saw Xiang Xuewen, he called out to Section Chief Xiang, and he immediately became a dull gourd.

After arriving at the operating room, we went directly to the 9 operating rooms where a special arthroscopy session was prepared for ‘Lu Cheng’ today.

The staffing inside is very complete, including two arthroscopic operators, two hand-washing nurses, and two circulating nurses. This treatment is comparable to asking a professor from another hospital to come in to perform surgery.

Min Hong from the Department of Orthopedics is still very good, and his public relations in this aspect is perfect. After all, these surgical nurses are all specialist nurses in the Department of Orthopedics. They are all on leave today and working overtime.

It is not easy to be able to scream, and there are no such specialist nurses in the emergency department. They have to be borrowed from the orthopedics department, or sometimes they are not available at all.

After entering, Huang You and others were all wearing observation clothes and sat in various corners of the operating room. Some were playing with their mobile phones and some were talking to each other. They looked very casual.

Look.

On the operating table, two doctors from the fourth department of orthopedics have already begun disinfecting and draping the patient.

Obviously, the first surgery was knee arthroscopy.

After seeing Lu Cheng and Li Dongshan who had put on surgical gowns come in, the conversation inside immediately stopped, and even those who were playing with their mobile phones put down their mobile phones.

Although Li Dongshan is not an insider in the Department of Orthopedics, his position in the Department of Orthopedics in Hunan Province is high. He is the leader in the field of trauma, and he must be given the honor!

Lu Cheng didn't talk nonsense. After looking at the two people in the stands, one was Lonely and the other was his master Lin Hui, he quickly put on a sterile glove and was ready to help.

Lin Hui whispered: "What are you doing? Today you are the chief surgeon and I am the assistant. Go and do your own thing."

Lu Cheng then stopped approaching and walked out to wash his hands.

He washed his hands and came in. After getting dressed, he worked with Lin Hui, who had already put on a light blue waterproof suit, to wrap his legs. On the other side, the two circulating nurses and the hand-washing nurse all connected all the related arthroscope instruments very skillfully.

Get up, just wait for the plane to land and go up.

This is top-notch treatment.

Lu Cheng thought that if he had such treatment in normal times, the time of sports medicine surgery could be shortened by at least twenty minutes. Unfortunately, the resources are still not enough.

After applying the surgical membrane, Lu Cheng took a deep breath and prepared to follow the standard procedure.

First, I held my hands up and looked at the patient's MRI again. After I found out that this patient only had a meniscus injury, and that it only needed plastic surgery, I breathed a long sigh of relief. If sutures were needed, it would be a bit more difficult.

"Syringe, add physiological saline to the accessory kidney." Lu Cheng shouted.

The two hand-washing nurses were extremely calm. They seemed to have prepared this mixture a long time ago and handed it to Lu Chenghou.

Lu Cheng only touched the patient's knee joint with his left hand a little, then inserted the syringe through the knee hole. After thoroughly filling the joint cavity, he pulled out and made a small leather bag at the needle entrance.

The accessory kidney has the function of constricting blood vessels and can also reduce bleeding when the skin is broken with a sharp knife later.

Lu Cheng's current endoscopic skills are intermediate, but his treatment experience is advanced, so he is extra calm. However, in fact, Lu Cheng's control of arthroscopy is definitely not just intermediate.

Lu Cheng wondered if there was a problem with the game system, so he didn't have time to update it. Because during the previous competition, his fluency was not the speed that an intermediate cameraman should have, although this speed was enough.

Beat others up.

But if there is such a big gap, it is still not enough.

Use a sharp knife to break the skin of the knee just outside the earth bag until outside the joint capsule, and then use straight forceps to bluntly puncture the joint capsule into the joint cavity and expand it.

The series of actions was very coherent and never lasted more than twenty seconds.

Then the core of the arthroscopic sleeve is inserted into the joint cavity and the arthroscope is applied.

Lin Hui cooperated very skillfully with Lu Cheng to slowly straighten his legs from flexion to flexion.

Because one of them is also extremely smooth

A series of operations were extremely smooth. Lin Hui was watching from the side and felt that Lu Cheng's operation fluency seemed to be slightly better than his own.

This freak!

Then start sliding the mirror to observe the internal conditions of the knee joint.

For any arthroscopic surgery, wherever you go, you must first look, then explore, and finally do the surgery.
To be continued...