Chapter 281 Physician Tang, Physician Guo, then I will ask you
The Tang Building directly found Guo Caier who was still in the duty room.
Seeing the Tang Building coming in, Guo Caier's intern was very sensible and picked up the notebook and went out to check the room.
The Tang Building was speechless. Guo Caier brought the Tang Building in, carried his back and gave a thumbs-up to the intern.
The intern stuck out his tongue at the Tang Building and ran around step by step.
Guo Caier closed the door with one hand, locked the Tang Building inside, raised his eyebrows. After all, after several massages, even the most private voice was heard by Tang Building, so Guo Caier became bolder.
Besides, she was always on the side of Tang Building in terms of age and qualifications: "Which gust of wind blows Dr. Tang over?"
Seeing Guo Caier so naughty, Tanglou was also very angry and didn't talk nonsense to her: "I have a surgery and need a help, please help me."
"I'm not your group."
When Guo Caier heard that Tanglou was just coming to her to cooperate with the operation, he was a little disappointed and walked over from the door, saying no, but his body was still very honest.
"The situation is very urgent. The patient is a firefighter. He fell from a height and broke his bones during the rescue activities. He is only 18 years old. If he does not have the surgery in time, he may have to spend it in a wheelchair in the future." Tanglou is still very rigorous and serious about the surgery. "Dr. Guo, I owe you a favor."
"That's OK."
Guo Caier nodded. Of course, it was not because of the favor of Tanglou, but because of the patient's identity and age. It was also her honor to be able to cure such a young hero.
"Then we'll prepare for surgery right away."
When Tanglou saw Guo Caier agreeing so happily, he didn't expect it.
"Um."
Guo Caier followed the Tang Building without hesitation.
On the other hand, the instrument nurse and Ma En have made preoperative preparations for the patient, and then they can complete the communication and signature with the patient.
When Tanglou and Guo Caier came to Du Sanduo, the young man had already become much more awake.
Seeing Tang Lou and Guo Caier, Du Sanduo smiled silly: "Doctor Tang, I heard from Dr. Ma that your surgery is very good. Can you really help me with it?"
After all, he was still an 18-year-old boy. Although he was not afraid, his eyes were still full of desire to get a positive answer from Tanglou.
"Of course. I will definitely make you heal."
Tanglou said without thinking about it, and he said with certainty that under the three-star lumbar fracture anterior decompression and internal fixation finial bone fusion surgery, Tanglou's level is already among the top three in Jiangxia Province.
Moreover, with the blessing of other bonds and talents, it can be said that if even the Tang Building cannot be done, then no one in Jiangxi Province can do it.
"Well, Dr. Tang, I believe in you."
When Tanglou and Du Sanduo promised, Guo Caier also checked his condition and his face changed suddenly.
He moved directly to the edge of the Tang Building, pulled his white coat, then gave him a wink, and walked directly outside the ward.
Tanglou smiled at Du Sanduo: "Sanduo, don't worry, I will definitely cure you. Dr. Guo and I will say something."
Tanglou quickly followed him out and saw Guo Caier in the corridor. He looked at him with some dissatisfaction.
Of course, Guo Caier was more worried: "Tanglou, do you know the severity of this young soldier's condition? A thoracic and lumbar fracture and a third degree of flexural and compression fracture. Even if it is placed in our Union Hospital, it must be treated with a doctor or above."
At first, Guo Caier thought that the fracture that Tanglou mentioned was an ordinary broken hand and foot, but he didn't know that it was such a dangerous thoracic vertebrae fracture.
"Don't worry, I have a clue." Tang Lou knew that Guo Caier was entirely for his own good, but whether it was completing the task or letting Du Sanduo recover, he was the best candidate for the lead.
"I don't agree. Tanglou, you are making trouble. I suggest you let the chief physician of orthopedics do this surgery."
Guo Caier also sticks to her own position. As a doctor, she has her own judgment.
"Doctor Guo, I'm not joking with you anymore. I dare to do this surgery because I am fully confident. You should be clear about my abilities."
Tanglou looked at Guo Caier very seriously.
"But..."
Guo Caier hesitated for a moment, after all, Tanglou has never disappointed people.
"Du Sanduo's condition is very critical. If the orthopedic director or other doctors come over, the situation will only worsen. It is difficult to recover after surgery to achieve 100% recovery."
The Tenement Building continues to be added.
"You actually think about 100% recovery after the operation? Is it you who are crazy about Tanglou? I'm crazy about me."
Guo Caier still has some understanding of thoracic and lumbar fractures, and has participated in several of them. He dared to boast about Haikou and was confident that he would pursue perfect healing. I am afraid that he would not be able to find three people at Union Hospital, let alone Jiangxia Province.
"Tanglou, do you know that the approach is just that even if the percutaneous nailing procedure with minimally invasive treatment is used, even if it is already small invasive, high in safety, and few postoperative complications, it will still damage the patient's normal muscles and bone tissue. Even if the attending physician of Union Hospital is in charge of the surgery, there will often be problems with incision fat liquefaction after the operation. Even if you are lucky, there will be no complications. But have you ever thought about the defects of the procedure itself?"
Guo Caier became more and more angry as he spoke. She breathed a sigh of relief. She admired Tanglou's courage and his recklessness: "Tanglou, do you know that even if the technique is proficient and skillful, the percutaneous nailing technique has a natural defect. That is, because the percutaneous nailing technique uses pedicle screws to use a long tail, which is inevitable. Because the force arm is longer during the resetting and there is no effective reset fulcrum, the nail tail is propped to the head and tail side respectively during the resetting process. After the force arm of the longer nail tail, the pedicle tail is transmitted as the fulcrum, and the force arms on both sides of the fulcrum are unbalanced, causing the screws in the vertebrae to aggregate each other, and ultimately the support and reset effect is not ideal."
Guo Caier glared at Tanglou angrily: "Tanglou, be careful, this operation is not something we can do."
Tanglou looked at Guo Caier, who was a little red-faced, and Tanglou was both moved and amused. He reached out and touched her ear and listened: "What you said is right at all. So I did not use the percutaneous nailing method, but used the improved transparent paravertebral muscle space approach. It not only avoids the peeling damage to the central axis muscle, but also reduces the damage to the nerves and blood vessels in the surgical area. As for the problem of the trauma reduction height problem you mentioned, because the pedicle screws of the transparent paravertebral muscle space approach are ordinary screws. During the reduction process, the stretcher uses the pedicle as the opening point to directly open the screws in the vertebral body, which can achieve a satisfactory vertebral height recovery effect."
"Prepare for surgery, Dr. Guo."
Tanglou smiled gently and issued an order directly as the chief scientist.
"oh."
Guo Caier, who was in a vain, responded.
Guo Caier only felt that this bastard, who was younger than him, pinched his most sensitive earlobe and then left.
When Guo Caier entered the operation room again, Du Sanduo lay down, leaning against his eyes, reluctantly preparing to sign, agreeing to have surgery on Tanglou.
"Tanglou, are you really sure?"
Guo Caier still didn't give up.
The Tanglou had not spoken yet, but Du Sanduo spoke to Guo Caier.
In fact, when Du Sanduo was in the previous county hospital, he heard the department director's hesitation and refusal with his own ears, and did not dare to treat himself. One was because he was afraid of not being cured, and the other was because he was afraid of taking responsibility.
So, he knew Guo Caier's concerns very well.
After thinking about it, Du Sanduo was completely beyond his age to mature. He said to Guo Caier and Tanglou:
"Doctor Guo, Dr. Tang, I know you are as young as me. I also know that my condition is very complicated and serious. An old doctor dared not perform surgery for me before, but Dr. Tang was willing to perform surgery on me and also informed me of all the situations. Of course, I hope it can be cured. If an accident occurs during the operation, I will not blame Dr. Tang. Dr. Guo, I believe him, don't you believe him?"
"I..."
Looking at the considerate and sensible Du Sanduo, Guo Caier didn't know what to say, and his nose was a little sore.
Du Sanduo wrote a few strokes and smiled embarrassedly: "I'm really not used to writing while lying down, it's so ugly."
After throwing the pen in a casual manner, Du Sanduo's tender face showed a sense of indomitable determination.
Guo Caier was in a daze, as if she saw the brave and fearless figure in the sea of swords and fire.
Chapter completed!