Chapter 437 Open the door!

The end of January is approaching the end of the year.

Lu Cheng's personnel arrangement is still in the fifth ward of the Department of Orthopedics, and he is still following one of Professor Qu Hongsheng's students, Associate Professor Ling.

However, due to the arrival of Professor Ling, most of the patients in the department were transferred to the Department of Osteopathy, and the students of Professor Ling and Professor Qu Hongsheng also transferred, so Lu Cheng did not have many opportunities to take the stage.

Of course, Professor Qu Hongsheng specifically discussed this topic with Lu Cheng. He asked Lu Cheng to replace Associate Professor Ling Xue and serve in the second-line consulting class. The performance coefficient is still calculated according to the previous calculation.

Professor Qu Hongsheng also said that Lu Cheng's current technical foundation is already very good, and more opportunities should be left to other young doctors. Although Lu Cheng came to the department later than them, Lu Cheng's level has already reached

Ordinary deputy high level.

Let Lu Cheng not have any thoughts.

Of course, Lu Cheng didn't have any special ideas. He was a newcomer, but his growth curve was a little faster. However, when he was in Professor Min Hong's group, Associate Professor Zhu Lihong and Associate Professor Chang Weilong made way for him to make way for him.

This scene during the surgery.

Lu Cheng still kept it in mind.

The Second Xiangya Hospital is a comprehensive tertiary-level teaching hospital. In the hospital, there are professors and associate professors, attending physicians, general inpatients, and a large number of master's and doctoral students waiting in line for learning opportunities.

In the eyes of ordinary people, just like Lu Cheng's 'former senior brother' Ji Mo, Professor Chang Weilong's student Xie Jian, and even a doctoral candidate in the second department of orthopedics, Lu Cheng's old classmate Pang Lin, they all still

In terms of tube beds, I even hope to have more tube beds in order to have more opportunities for clinical operations.

In November and December, Pang Lin and Xie Jian stayed with Lu Cheng in the fifth ward of the Department of Orthopedics for two full months. Lu Cheng gave them ample opportunity to get started. Only in January, because Ling

The professor arrived, so both of them returned to their mentors.

When Lu Cheng is here to lead the team, Lu Cheng has considerable freedom, and he can also hold them back, so there are more opportunities to get started.

However, as soon as Professor Ling came, Professor Qu's students also came. Even if they took turns, it would be difficult for them to get their turn, so the two of them would naturally go back.

Lu Cheng just felt that if he couldn't have more contact with patients, his improvement would be slower, but the rest was fine.

However, my current improvement will definitely not be supported by just a few patients. It will definitely require a large number of patients to accumulate.

This opportunity must be worked on slowly and endured slowly.

When Lin Hui left Shashi, he actually said that once Lu Cheng graduates, everything will change. Lu Cheng will no longer be someone's student, he will just be a simple employee facing the workplace.

And the workplace has its own set of applicable rules.

As a teaching hospital, the Second Xiangya Hospital also has its own teaching tasks. Lu Cheng is one of them and needs to teach, and so does everyone else.

Moreover, compared to Lu Cheng, other people need more opportunities to operate and get started.

Therefore, Lu Cheng was quite free in January.

Of course, they are not completely divorced from clinical practice. For some particularly difficult patients, such as several other emergency cases that cannot be handled by the general hospital, Lu Cheng will be arranged to come to the rescue. For example, Fang Nixin and Chen Ding will not think so.

It would be embarrassing to ask Lu Cheng to come to the rescue.

On the contrary, it will be a good learning opportunity.

Especially Chen Ding. Chen Ding has a background in trauma. He even called Lu Cheng to the operating room for some complex patients that he could handle on his own, just in the hope of getting more exposure to the new topic Lu Cheng was working on recently, the theory of lacunar debridement.

.

In addition to emergency surgeries, whenever there are particularly difficult infection cases within the orthopedics department, if an infected patient appears, Lu Cheng will be called to help.

This would allow Lu Cheng to accumulate experience, and also allow these difficult infected patients to be dealt with as soon as possible.

It is equivalent to an all-purpose brick that can be moved wherever it is needed.

This day made Fang Nixin and Cao Xiaohe very envious.

Because after Cao Xiaohe came back, he was directly captured by Professor Li Dongshan and sent back to the emergency trauma center to serve as the general inpatient of Li Dongshan's group.

There are many new people, so if there are enough new staff, although there is only one chief inpatient in each ward in name, in fact, people who are newly promoted to the department like Cao Xiaohe and Fang Nixin are all

It is used for the general hospitalization, which means that most groups in each ward have their own general hospitalization.

Once such a configuration comes out, senior doctors with intermediate professional titles and above will not be able to say how happy they are, as long as they keep an eye on the outpatient clinic and perform surgeries.

There is no need to worry about anything in the department or medical records.

Today is January 27th, the twentieth day of the twelfth lunar month.

After Fang Nixin came back from get off work, she collapsed on the sofa and said, "Xiao Lu, I won't help you cook today. I'm tired and I need to rest more."

"Okay, it's okay. You need to rest first. I'm almost done here." Lu Cheng now suspected that he was almost a freelancer and basically got off work on time every day.

But Fang Nixin couldn't do it. At 6:20, she had just finished approving the discharge medical record that must be submitted to the medical record room tomorrow.

After cooking, Fang Nixin still helped Lu Cheng serve the rice.

After sitting down at the dinner table, Lu Chengcheng asked: "Senior sister, is the pace in the fourth ward of the Department of Orthopedics very fast recently? Xie Jian also complained to me on VX recently, saying that returning to the Fourth Department of Orthopedics is better than being in the emergency room with me.

I was even more tired when I was in the trauma center."

Fang Nixin nodded sharply and said, "Don't mention it now. Now the rhythm of the four bone departments has completely matched that of the Ninth Academy of the Demon City."

"Patients undergoing meniscal surgery are discharged from the hospital on the second day, while patients with ligament reconstruction and rotator cuff suturing are discharged from the hospital on the third day."

"The day ward has at least seven to eight surgeries per day. Since I came back in December, I have performed 163 surgeries in 20 working days and discharged 172 patients.

"

"Do you know what the concept is? I almost have to review seven or eight discharge medical records every day, see seven or eight new patients, follow up on the daily surgeries, be on emergency duty, and run sports medicine consultations!"

"Teaching interns, coaching trainees, taking entrance exams, and taking daily attendance checks."

"Forget it, every day starts from eight o'clock in the morning to count students, and lasts until the afternoon. There is basically no free time."

"Oh, after I finish eating, there will be an emergency surgery. The doctor on duty in the department is preparing for the pre-operative talk. I have to come back for a meal if I have time to go back."

"But it's just a simple debridement. I'll probably be back soon."

Lu Cheng felt very tired after listening to Fang Nixin's introduction.

Reviewing discharge medical records is not an easy task. It is also not an easy task to teach interns and also perform teaching rounds, teaching discussions and other tasks.

Lu Cheng said: "It's very tiring. It's been a hard work."

"Fortunately, it's more relaxed than when you were in the department before." Fang Nixin waved her chopsticks quickly, not caring about her ladylike image, eating meat and eating in large quantities, finishing the surgery early, and preparing for the emergency room that was coming at any time.

class.

"Senior sister, I sent the bid document you wrote to my master. He reviewed your bid document and said that the Ewing sarcoma you wrote can be written in this direction."

"Moreover, current Ewing's sarcoma is generally in a relatively advanced stage when diagnosed, and most of the cases have even metastasized to distant places."

"My master's previous projects, including targeted drugs, were more focused on early-stage cases. Although the survival rate of late-stage patients after chemotherapy has improved, there is still room for further research."

"My master suggested that you take the time to follow up on these patients' chest X-rays and abdominal CT scans. As you know, the most common metastasis sites of Ewing's sarcoma are the lungs and kidneys."

The general and general youth funds that Lu Cheng applied for were clinical topics, but what Fang Nixin wrote about was a solid basic topic, and it was a topic after Lin Hui had already developed a targeted drug for Ewing sarcoma.

It’s too easy to do, but it can be done.

Therefore, Fang Nixin naturally asked Lu Cheng to send his bid document to Lin Hui, who currently knows the most about Ewing's sarcoma, for guidance.

Fang Nixin said: "Help me say thank you and hard work to Teacher Lin. I really bother him. In fact, I also know that he has a lot of things to do and is very busy. Your teacher's wife has been sending me messages recently to complain about you.

Master."

Fang Nixin said while gossiping.

"ah?"

"My wife sent you a message?" Lu Cheng was a little surprised.

Fang Nixin said as a matter of course: "Otherwise? I am your wife's bridesmaid, and now we are still best friends. Teacher Huang is about the same age as us, and her mentality is very young. She also invited me to always

After being hospitalized, we went on a trip together."

Fang Nixin thought that Lu Cheng felt that Huang Xu was too old and should not play with Fang Nixin, or that Fang Nixin should not have common chat topics with people of Huang Xu's age.

Lu Chenglian explained: "Senior sister, I didn't mean this."

"I think you are quite busy in clinical practice right now. Why don't I help you with the follow-up of chest X-ray and CT for Ewing's sarcoma? Anyway, I don't have much to do recently, so why don't you suggest me more

Let’s develop it through basic experiments.”

"I have completed my defenses in neurosurgery and vascular surgery, leaving only the last department of emergency surgery. However, I plan to postpone the defense of emergency surgery until after the year."

"I happen to have some free time now, so you don't mind if I give you a lesson." Lu Cheng joked.

Fang Nixin glanced at Lu Cheng and was silent for more than ten seconds.

Then he nodded: "Actually, I don't want our work to overlap. When we work in the same research group, it's easy to have disagreements and quarrels."

"However, the current further research on Ewing sarcoma is relatively slow. We can only start with more complex cases. It will take a certain amount of time to find such patients. We may need to find patients with distant metastases first, and then target them

The tumors they removed were taken for biopsy and experimental examination."

"In addition, I will take the time to do a biochemical analysis on this kind of distantly metastasized Ewing sarcoma. Then, after finding the popular targets, I will conduct targeted detection of the target targets in the tumor.

"

"But you can first find the target patient, remove the specimen, and freeze it."
To be continued...