âDoor-type nail!â Song Zimo preserved the exposed shin tendon and fixed it on the front surface of the proximal tibia with a door-type nail.
As they chatted, the surgery was completed, Song Zimo withdrew the instruments, preparing to suture the skin.
âUse a number four thread?â Zhou Can asked.
Song Zimo said: âUse a number one thread! Itâs a girl, use a finer thread.â
He took the needle holder with threaded needle, and began to suture the two small surgical incisions, as well as the incisions from the semitendinosus and gracilis muscle removal. Once he was done, he bandaged the wound, applied a splint, and Little Five took the patient back.
The cleaning lady came in to handle the surgical waste and clean up. Usually after cleaning, there would be a sterilization process which took about fifteen minutes before the next surgery could be done.
Zhou Can stayed behind to tidy up the instruments while the rest went to the operating room next door to rest.
The next surgery was an arthroscopic cleaning procedure on a knee joint with osteoarthritis. Osteoarthritis of the knee is a common disease in the elderly. In the early stages when the cartilage wear is not too severe, arthroscopic cleaning can be used. Itâs minimally invasive and the results are generally good.
Song Zimo asked: âNow, many scholars believe that arthroscopic cleaning is ineffective. What are your thoughts?â
Yang Ping disagreed: âAn article in the New England Journal of Medicine said that percutaneous vertebroplasty doesnât have a significant statistical difference from a placebo. Do you believe that? Now, evidence-based medicine is promoted, itâs correct, medicine is evidence-based science, but itâs definitely not purely evidence-based science, or just because itâs evidence-based science, it denies that medicine is empirical science. This procedure is effective, even if statistics claim itâs ineffective, it is still effective.â
âThat makes sense. Many patients with osteoarthritis have poor long-term results after arthroscopic cleaning, but they have good short-term effects because the painful inflammatory mediators have been washed away, loose bodies have been removed, and partially resected shaped torn meniscus. For small areas, microfractures can be done. Although what regenerates after a microfracture is fibrocartilage and not hyaline cartilage, itâs better than nothing.â Song Zimo also agreed with Yang Pingâs view.
âAfter wearing the gowns and gloves, keep your hands between your chest and waist, never go beyond this safe area, your hands can only touch the sterile area with the same level, and cannot touch areas outside. If you touch or even suspect contact with an other area, itâs defined as contamination!â
Zhang Lin brought the interns in, they had already washed their hands, their hands were shaped like arches as they waited for Xiao Su to open the sterile package on the instrument cart for them to practice gowned and gloved.
Xiao Su opened the outer layer of the sterile package and then used the sterile forceps to open the inner sterile cover sheet, revealing the neatly folded surgical gown inside.
âDonât push, pay attention to the concept of asepsis, donât contaminate it.â Zhang Lin saw them being a bit chaotic and shouted.
âYouâre holding it too high, itâs above your shoulder, and you, keep a distance between the two of youâ.â
Zhang Lin corrected their positions and began to demonstrate how to pick up and wear the gown: âWhen you reach out for it, make sure you canât touch other parts, you can only directly touch the gown you want. Pick it up, open it, give it a gentle shake so that the inside faces you and the collar is up. Give it another gentle toss, insert both hands into the sleeveâs openings, and at this point, call a circulating nurse for help!â
Song Zimo was the closest to him, so he went over to help tighten the gown and tie the belt.
The students followed suit. As one student shook the gown, it dropped to the floor, and he bent down to pick it up.
âHey, young man, Iâve shouted till my throat is hoarse for nothing, can you pick up a gown thatâs fallen on the floor?â Zhang Lin looked at him sternly.
The student immediately realized his mistake and stopped bending down. Zhang Lin said, âBending down to pick it up instinctively shows that your sense of asepsis is lacking. Things that fall on the floor are contaminated, how could you pick it up? Go wash your hands again and start over.â
The student went out dejectedly to wash his hands again.
âNever make these beginnerâs mistakes, remember everyone, asepsis, asepsis, asepsis, repeat the important things three times. Whoever doesnât remember, after work return to the ward and practice gowning a hundred times.â Zhang Lin spoke loudly.
The operating room next door was also ready, the patient had been brought up, and the surgery continued.
Song Zimo was quite fast, the surgery was always steady, and several surgeries were completed quickly with this continuous operation.
After the surgeries, everyone returned to the ward office, and Little Five was writing medical orders. The HIS system was a bit unstable, and Little Five was banging the table.
Zhang Lin was explaining to the interns how to use the HIS system and write orthopedic medical records. However, as the system was unstable, he couldnât proceed and asked everyone to go to lunch.
A few of the interns were murmuring something. It seemed they were saying that a pediatrician had been beaten up, that a patient had been admitted, the doctor didnât reduce the fever, didnât use anti-inflammatory medicine, and was slapped twice and kicked once.
Pediatrics? Zhang Linâs girlfriend was in pediatrics, so he was naturally more concerned than others.
Zhang Lin asked the intern who got the news: âA pediatrician was beaten up, whatâs her name?â
The intern shook his head: âI donât know, itâs a female doctor.â
A female doctor, Zhang Lin was even more concerned, feeling a sudden jerk in his heart: âIs the news reliable?â
âItâs reliable, our classmate is interning in pediatrics, and just posted it in the group. The family member who hit the doctor has been restrained by the security, and the hospital has called the police. The police are questioning them, I heard she was slapped twice and kicked once, and she rolled on the floor. Itâs horrible, that relative is said to have connections and is very arrogant.â
Zhang Lin grabbed the phone and dialed the phone number of the pediatriciansâ office. Perhaps they were busy, no one answered. He then called his girlfriendâs number, but she didnât answer either. He said to the intern: âCan you find out the name of the doctor who was beaten?â
âThereâs a video, take a look.â The intern passed over his phone. There were several videos in their intern group, taken by different people.
The intern opened the video right in front of Zhang Lin. Damn it, wasnât that his girlfriend? She was kicked and flew a bit, and she was also slapped twice. The force of the slaps made her face swell.
A surge of hot blood shot up to his forehead, Zhang Lin stood up in a flash, took off his white gown and threw it on the office table. He didnât say a word as he charged out the door. Little Five tried to stop him but couldnât. Little Five followed and ran out as well, stopping at the door, he too took off his white gown and threw it onto a chair.
âWhatâs going on?â Yang Ping asked the interns. The interns shook their heads: âWe donât know, Teacher Zhang watched this video and then stormed out, he looked really terrifying.â
âWhat video?â
The intern showed the video to Yang Ping and told him about the pediatrician being beaten up. Yang Ping watched it and understood instantly why he charged out, the one who got beaten up was his girlfriend. Watching the video, it was appalling, the doctor was explaining something to the patient, probably saying: below 38.5 degrees, it can be temporarily unmanaged, observed, blood drawn for testing, considering viral infection, no need for antibiotics.
The patient didnât say a second word, and slapped her twice across the face immediately, and then kicked her in the lower abdomen. The doctor was kicked directly to the ground, and almost hit her head on the floor.
âLetâs go, follow him!â Yang Ping immediately took Song Zimo towards pediatrics while calling Director Han to urgently report the situation. Director Han was at the administration building, and immediately rushed over too.
Zhang Lin ran over, with Little Five running behind him. When they reached the elevator of the internal medicine building, Little Five caught up with him. Zhang Lin remained silent, taking big breaths, his chest visibly heaving.
âZhang Lin? Zhang Lin? Calm down!â
Zhang Lin still didnât say a word, he quickly fixed his hair with both hands, his eyes were red, he looked like an enraged bull, and it was genuinely terrifying.
âZhang Lin! Zhang Lin!ââ No matter how Little Five called him, there was no response.
Little Five answered his phone: âWe are waiting for the elevator now and are going to pediatrics.â
The elevator opened, Zhang Lin rushed in, followed by Little Five. The people inside saw Zhang Linâs state and instinctively moved towards the corner, one of them even directly got out early.n/o/vel/b//in dot c//om
âZhang Lin!â Little Five stood beside him.
The Novel will be updated first on this website. Come back and continue reading tomorrow, everyone!