godfather of surgery

Chapter 321 Brain-computer interface
Gao Qiao arrived at the department on time at six o'clock in the morning. According to Zhang Lin's request, after finishing his work, he started to make tea for him.

He weighed 29 tea grains with an electronic scale and wrote them down in his notebook. He decided to start from today's weight and add or subtract according to Zhang Lin's satisfaction until he found the best tea weight.

Takahashi also recorded and calculated the time of making tea, the time of making tea, the time when Zhang Lin went to work, and the cooling speed of a cup of tea. But not hot tea.

In Japan, Takahashi also has a little knowledge of the tea ceremony, but after all, China is different from Japan, and Dr. Zhang’s simple tea making requires meticulous experience to make a satisfactory taste.

"Gaoqiao, you bought the electronic scale just to make tea?" Li Guodong thought he was doing an experiment.

After making tea, Takahashi was very satisfied with his work, rubbed his hands together and said, "Yes, these tea leaves are of different sizes, and it is difficult to achieve accurate measurement by counting the particles, only by precise weighing can we achieve accuracy. "

The Japanese are too determined to do things. They only make tea, but they actually use an electronic scale with an accuracy of 0.001 grams. This is an experiment to make a cup of tea, which is an eye-opener for Li Guodong.

Takahashi devoted himself to helping Zhang Lin make tea without any complaints. From the previous arrogance to the present humility and obedience, Li Guodong couldn't believe it.

Xu Zhiliang also came to the department early to report that he is a doctor of orthopedics, but he couldn't find a decent professional job after graduation. In order to stay in a better hospital, he changed his family and entered the emergency department. Today, he finally got his wish. Opportunity to enter the orthopedics department and return to the profession.

He greeted everyone with a nod and a smile. Some nurse girls and those who knew him covered their mouths and snickered, because he stuttered, and I heard that the pants he was wearing had holes in his buttocks. , but covered by a white coat, I don't know if there is really a hole.

Professor Zhang Da's life is very nourishing now. When he sits at his desk, the tea has changed from boiling hot to warm tea, and it has been placed on the desk. Progress, still a little thicker."

Standing aside, Takahashi listened attentively to Zhang Lin's feedback, immediately wrote down the feedback in his notebook, and started to reduce the amount of tea leaves tomorrow.

Being scrutinized secretly, Xu stammered disapprovingly, and automatically stood in an inconspicuous corner, studying the erected human skeleton alone.

When Yang Ping came in from the door, everyone immediately stopped their work, stood up, and said in unison: "Good morning, Dr. Yang!"

Over time, a thing called prestige gradually settled in everyone's hearts. Xu Zhiliang, who was bowing down to study the skeleton, also got up and stood upright, greeting him with reverence.

To be able to show his talents under such a person and have no regrets in this life, Xu Zhiliang suddenly became energetic and excited.

There were several surgeries in the morning, including lumbar disc herniation, cervical spondylosis, pelvic tumors, and a percutaneous kyphoplasty. Yang Ping asked Xu Zhiliang to be the chief surgeon in order to see his surgical skills. Look, there won't be any security issues either.

Once Xu Zhiliang had the operation, he looked like a different person, confident and calm, he spoke and moved neatly, without stuttering at all.

Zhang Lin couldn't believe it. This was Xu Jieba. Several times Zhang Lin didn't listen to the command of the chief surgeon and was severely scolded by Xu Jieba. Yang Ping just laughed while watching on the stage.

After a few operations, Xu Zhiliang not only performed well, but also performed very quickly. His basic surgical skills were also very good, almost catching up with Song Zimo.

Yigao people are bold, no wonder they can extend the abdominal wound at the emergency scene, reach in to block the aorta, and stop the bleeding with bare hands.

Immediately, Yang Ping felt like he had found a treasure. He went to the personnel department to interview several doctors, but none of them were satisfied.

A few surgeries showed the level, and there was no need for a three-month probationary period. After the surgeries, Yang Ping said to Xu Zhiliang in the locker room: "I'll make a call later, and you can go to the Human Resources Department to go through the transfer procedures tomorrow." .”

"No--three-month trial-use-use-use period?" Xu Zhiliang was already ready for a three-month trial.

Yang Ping shook his head: "No, others have to try it out for three months. You, Xu Zhiliang, only need to try it out for one day. In the future, you can work hard in the Department of General Orthopedics. If you need anything, just tell me. If you think WeChat is convenient, you can send WeChat."

Xu Zhiliang nodded gratefully: "This is--passed-?"

Excited for a while, I uttered the last word and held it in for a long time before spitting it out.

"Passed with full marks!" Yang Ping said with satisfaction, and Takahashi also gave Xu Zhiliang a thumbs up.

Zhang Lin has the desire to put on a show for newcomers, but on the operating table, Xu Zhiliang scolded him so badly that he lost his temper, and his anger has not subsided yet. How dare he show such a stammering show, Xiao Wu snickered aside , Zhang Lin is pretending not to pretend, he has become a coward.

In the afternoon, the General Orthopedics Department discussed Yu Shuilian's case in the conference room, learned about the rescue and operation of this patient, and discussed the next treatment plan.

Yu Shuilian's condition is temporarily stable, and Song Zimo also took time to participate in the case discussion in the department. Everyone gathered together and the atmosphere was very good.

Xu Zhiliang was very excited when he saw Song Zimo: "Doctor Song, Jiu——"

"A long time!" Song Zimo shook hands with him.

I still know Xu Jieba from the emergency department, but I haven't had much contact with him. I just played chess a few times. I heard from Yang Ping that he has joined the orthopedics department.

"What—when—together—play—a blindfold game?"

"You still play blindfold chess with me?"

In the chess and card game at Sanbo Hospital, Wen Zhong of the spine surgery department lost to Song Zimo in chess, and Xu Jieba in the emergency department also lost to Song Zimo in go.

Xiao Wu came over with a few puzzle pieces and put them on the table in the conference room.

"What are you doing with these?" Zhang Lin asked.

"Wait—the teaching aids for the lecture." Xu Zhiliang said angrily.

Zhang Lin glanced at him, he was afraid of him, so he had to stay away from him, not daring to sit next to him.

Doctors, graduate students, trainees and interns were all present, and the case discussion started on time at [-]:[-] pm. First, the next treatment plan was discussed, and then Yang Ping explained the key points of the operation.

Song Zimo has been taking care of this patient in the ICU. As the doctor in charge, he reports the case: general condition, medical history, physical examination, auxiliary examination, diagnosis, treatment process, current difficulties, and next treatment plan.

"The main risks she faces now are infection and organ failure. Fortunately, so far, there has been no infection or organ failure." Song Zimo raised a question.

"If she can overcome the two life-and-death hurdles of infection and organ failure, then she will consider the second-stage surgery to reconstruct her anus and urethra, and establish her urination and defecation functions." Xu Zhiliang is very active and does not stutter.

"For the reconstruction of the urethra, I suggest multi-bend reconstruction. From the perspective of normal anatomy, the female urethra is shorter and straighter than that of the male. Bacteria invade the urethra from the outside, and the path to enter the urinary system is short and easy. This is why women are prone to urinary tract infections. The reason." Takahashi rushed to express his opinion, and in the middle of speaking, he looked at Yang Ping.

Yang Ping nodded to encourage him, and he continued: "This patient's urethra has been damaged. If we rebuild it in a straight and short way, it is still prone to urinary tract infection. Her ability to resist infection is worse than normal people. In order to reduce the probability of urinary tract infection in the future, I recommend the use of multi-curved long-path urethral reconstruction to reduce the probability of urinary tract infection in the future.”

The general case discussion is based on the professional title of the doctor, from resident doctor to attending doctor, then to deputy senior high, and then to senior high, gradually escalating, and finally the director of the department summarizes.

But in the case discussion of comprehensive orthopedics, Yang Ping broke the rules, and the participants were free to speak regardless of their grades. Finally, Yang Ping came to summarize everyone's opinions.

"The patient finds it difficult to accept his own disability and needs to rebuild his mental state. I suggest that according to the individual situation of this patient, please ask the psychology department to designate a complete psychological counseling plan for a long period of psychological counseling and reconstruction." A graduate student spoke.

"Very good! Everyone spoke very enthusiastically, don't be afraid of making mistakes." Yang Ping encouraged everyone.

A Gui Peisheng plucked up his courage: "This, that, the patient is still in the ICU. I think it's better to let her son and her husband visit her in the ICU ward once a day. It's better to let her son be a little messy, so that she can see the poor son. I can't bear it, and muster the courage to live on, which is more useful than any psychological counseling."

Another girl rushed to say: "I know, there is a disabled person who lost both lower limbs from the base of the thigh, and later became a calligrapher, quite famous, you can contact this calligrapher, let them meet, let Yu Shuilian use real examples I know that if I live by myself, I am not a waste, it has the value of life, it is valuable to the family and to the society."

"Teach her to train the strength of her upper limbs early, and walk with her upper limbs in the future."

The discussion was very active, everyone started to associate, tried their best, and spoke freely.

"Actually, we can be more optimistic. If she can pass the dangerous period smoothly, she can use the armpit and chest wall as support in the future and use the brain-computer interface powered prosthesis." Song Zimo looked more optimistic.

Xu Zhiliang was not to be outdone: "Musk has a company that is researching brain-computer interfaces, and it is at the forefront of the world. They use monkeys for experiments, and they can use brain-computer interfaces to train monkeys to use robotic arms to eat."

"The Institute of International Telecommunications Basic Technology (ATR) in Kyoto, Japan, has produced a practical robot arm. If necessary, I can contact ATR. We have cooperated with them to develop a power brace for patients with paralysis of the lower limbs. It has been used on patients, and the experiment is very successful." Takahashi's participation is getting higher and higher.

"The Stanford team in the United States also has a successful case. The article was published in Nature. They have entered the human experiment. The subject of the experiment is a paralyzed patient. When the patient tries to move his hand, he performs functional magnetic resonance imaging of his brain to determine the movement. The precise area of ​​the cortex. Then a chip is implanted in this area of ​​the patient's brain. When the patient wants to move the hand, the motor nerve signal is translated into electrical impulses to drive the muscles on the arm, stimulate the electrodes, and let the arm muscles contract as desired. Flipping palms, flexing and stretching, grasping and other movements, and even playing games and playing the guitar." Song Zimo's effect of attracting jade was very good, and he actively kept up.

Originally, I just wanted to discuss the next step of the second-stage reconstruction surgery. I didn't expect that everyone was so enthusiastic, and they kept discussing how to make Yu Shuilian stand up and walk.

It seems that they are all big cow-level figures, seeing high and far, Yang Ping is very happy.

(End of this chapter)