godfather of surgery

Chapter 598 Collection
Dormitory for advanced students.

Robert bought a box of cards and invited August and Takahashi to complete a game of Solitaire.

But Takahashi needs to pack his things. He will fly back to Japan on Monday after finishing his shift on Sunday. August is busy writing his diary, recording what he has learned every day, and sending emails to instruct Marcus on how to prepare for the elementary school. Once the Duke's operation is ready, Auguste and Yang Ping will fly to Germany to perform the operation on the young Duke.

Because of August's psychological shadow, he has always kept a proper distance from the Japanese.

Especially the recent incident of a girl throwing her underwear in the dormitory made August even more prejudiced against Takahashi.

In his eyes, all Japanese men are wretched and like to steal underwear, and Takahashi's appearance is indeed a bit wretched, which further increases August's suspicion and rejection.

So August couldn't be more enthusiastic about this classmate.

Takahashi also didn't understand why this roommate was always indifferent to him, as if there was a gap, and he didn't offend him.

Since no one is playing games with Robert, Robert plays idiom Solitaire by himself and has a great time.

According to Robert's request, Barrell went to Chinatown to order twenty pennants, ten of which were hung in the office of the Hospital for Special Surgery in New York, and ten in the office of the clinic in Long Island, all exactly like the photos.

This made Robert very happy. After finishing his studies, when he returned to the United States, looking at these pennants must be pleasing to the eye.

After writing the letter, August moved out from his room the model of the little Duke's spine, which he had borrowed from the department.

The coffee table was divided into two halves, August occupied half, and Robert was forced to occupy the remaining half.

The model was placed on the coffee table, and August studied the model spine alone, digesting the knowledge Yang Ping explained.

August dug out the hand-drawn sketches he brought from the department today, and studied every detail of the operation.

These sketches were temporarily drawn by Yang Ping when he was explaining.

Before spinal correction, thoracoscopy or laparoscopy is used to release the suspension of the organs in a targeted manner, so as to avoid the interference of organ functions caused by traction.

In particular, thoracoscopic release is very important to reduce the impact of orthopedics on cardiopulmonary function.

Preoperative laparoscopic release is often used by Auguste in scoliosis correction surgery, but it is limited to the release of the front side of the thoracic and lumbar spine, and does not target organs, while thoracic surgery and general surgeons treat scoliosis The resulting visceral displacement and oppression lack a solution, and I don’t know how to release it.

When a disease involves multidisciplinary collaboration, the specialties are generally separated and will not be organically combined.

When performing scoliosis surgery, the cooperation between spine surgeons, thoracic surgery and general surgery is also loose, existing in name only.

And Professor Yang's overall consideration is the real overall concept.

Does Professor Yang know about the ductility of these visceral frenulums? Otherwise, how would he know which ones need to be released and which ones don't.

While analyzing, August talked to himself in his heart, and unknowingly bumped Robert's card with his elbow.

"You have come to my side, please go over." Facing the nagging August, Robert was a little impatient, and the dragon he had just picked up was messed up by August.

"You two, can you stop? Let's discuss something." After packing up some things, Takahashi remembered an important matter.

That is the internal textbook used by Song Zimo and Xu Zhiliang.

This internal teaching material called a treasure must have extraordinary value.

The two brats under Professor Yang just gnawed at the treasured book all day long, and under the guidance of Professor Yang himself, at a young age, their level was no less than that of the three present, especially Song Zimo, who was aloof and cold, whose level was even higher than theirs. above.

Anyway, they are also world-class professional bosses.

August and Takahashi stopped what they were doing, wanting to hear what Takahashi wanted to say.

"I think we should strive to get the professor's internal textbook. It is the most cutting-edge knowledge."

Takahashi felt that before returning to Japan, he would coordinate the efforts of the two classmates to obtain internal textbooks.

"The professor said that it's not the time yet. If you get in touch too early, the existing knowledge will easily conflict with the classics. For example, the orthopedic spine, my own knowledge now conflicts with the professor's knowledge. I am a little confused." Augustus I can really understand that different concepts will produce conflicts. When thinking about problems, I will unconsciously use the original concepts to apply them. This kind of new and old knowledge will cause contradictions when applying them. Because of the inertia of old knowledge, it is easy to have disbelief in new knowledge. , or even rejection.

August agrees with Professor Yang's point of view. At present, he only wants to absorb and digest the knowledge in front of him. He wants to take it step by step.

"I know a few pages of that book. First of all, we don't have enough relevant anatomical knowledge. The anatomy in the book is very detailed. For example, for the spine, many new concepts of functional anatomy are proposed for orthopedics, such as stretch points, tension bands, tension limits, Stretch optimization and so on, these stretch points are the basis of osteotomy using Ilizalov's theory, and the tension zone is the soft tissue that cannot be extended to the required length during the orthopedic process." Robert said mysteriously.

"There are these things?" August had no idea about the book at first, but now he is very curious.

Robert nodded and said: "I have seen it with my own eyes. Regarding sports medicine, the anatomical positioning of the insertion point of the anterior and posterior cruciate ligaments is different from any current method. The positioning is very precise, and the positioning of other ligaments is as mature as the positioning of the anterior and posterior cruciate ligaments. There are no monographs and papers."

When August thought about Robert, if he really had these concepts, it meant that what he was dealing with now was that one plus one equals two, and there is a complete Peano axiom in the Grimoire.

In fact, the so-called internal textbooks are nothing more than Yang Ping's systematic summary of some anatomy and surgery in the system space.

Because although these things are all the sublimation of his experience, they must be supported by a certain number of cases in reality before they can be legally and reasonably promoted. Otherwise, others will think that these theories are created out of thin air.

For some knowledge, Yang Ping will publish papers when real cases gather a certain number, so that all doctors can share his achievements. However, there is still a lot of knowledge, and there are not enough real cases to support it. Yang Ping cannot use papers to share. It can be summarized to form a theory, and then written into an internal textbook for Song Zimo and Xu Zhiliang to learn from, allowing them to master it in advance and expand its application.

Takahashi also has some understanding of this internal textbook, such as hemostasis commonly used in trauma orthopedics, which contains systematic discussions, from anatomy, physiology, pathophysiology, to form a systematic theory on how to stop bleeding.

In the dissertation, there are also detailed studies on active temporary blockage, the tolerance of various organs blocked at different positions of the aorta, and the effect of blockage on hemostasis.

"In this way, what the professor taught us came from the internal textbooks. In fact, we are also studying at ordinary times, but we don't study systematically. What we learn is part of the knowledge suitable for our major. When a certain time comes, the professor Naturally, it will be shown to us." Robert analyzed.

But when exactly, none of the three trainee doctors knew.
-
After Li Jun woke up, he slowly regained consciousness. It seems that the lack of oxygen was not long at that time, the rescue was timely, and there was no brain sequelae.

The cousin left him a letter, and Dr. An handed the letter to Li Jun according to Qin Xiaowei's instructions. After reading the letter, Li Jun remained silent. He probably knew what his cousin was going to do.

Although I have woken up, I can't get off ECMO, my lungs are still white, and my lungs can't support normal gas exchange. I don't know when I can go off-line.

Whether you can survive or not, offline is the second hurdle.

Director Liu of the Kidney Transplant Center came back to check on Li Jun's condition from time to time. He didn't even leave ECMO, so he naturally didn't consider kidney transplantation.

Before leaving, Qin Xiaowei signed the kidney transplant donation agreement. He originally planned to complete the kidney transplant operation before going rock climbing, but the sponsor was impatient and did not give him time.

Therefore, the kidney transplantation can only be postponed until after the task is completed. Moreover, Qin Xiaowei communicated with Director Liu that in case of an accident during the rock climbing, his kidney will be left to Li Jun. If the two kidneys are intact, the other one can be left to people in need.

There are too many people waiting for a kidney donor.

No one wants Qin Xiaowei to have an accident, but as a doctor, he always looks at problems from a medical perspective. Director Liu told Qin Xiaowei very seriously: If there is an accident and falls from a high place, it is very likely that his kidneys will be contused or stretched. , are not suitable for transplantation.

This is a very serious question.

If he really wanted to save his cousin, Director Liu suggested that Qin Xiaowei cancel this freehand rock climbing, or postpone the rock climbing.

But Qin Xiaowei seemed to have no choice. He had to go rock climbing to get the money. Without the money, Li Jun wouldn't be able to survive until he got out of the ICU, and everything would be in vain.

Director Liu came to the ICU several times to see Li Jun before he understood why Tan Xiaowei was so persistent and had to take the risk to go rock climbing, because if Li Jun did not come out of the ICU successfully, he would have no chance of a kidney transplant.

The marketing of "Surface Warriors" was successful, but Qin Xiaowei's freehand rock climbing has not yet started, and this news was pushed to the top of the list.

Qin Xiaowei has climbed with cables more than ten times, and selected the route for more than ten times, how to pass the difficult points in the route, how to distribute the physical strength in the whole process, and where to set the rest point. He does not miss any details. Including how to urinate and replenish water during climbing.

Regardless of these details, many of them are fatal. For example, the Achilles' heel of women doing freehand rock climbing is that they cannot urinate as easily as men.

The video platform will track the preparations every day to arouse the sense of anticipation of netizens. When the sense of anticipation has accumulated to a certain level, the real free-hand climbing will begin.

The traffic is slowly gathering invisible, and more and more people are waiting for this risky rock climbing.

"Brother Wei, how are you preparing? Netizens' sense of expectation is a parabola, and when it reaches the peak, it will decline." Boss Zhou sat beside him impatiently.

Qin Xiaowei was seriously studying the climbing route map and ignored Boss Zhou.

After a few minutes, Qin Xiaowei said: "Don't worry, people can gather together. In any case, I can only succeed and not fail. If I climb up smoothly, the surface warriors will be a hit. If I fall, not only myself If you are smashed to pieces, the warriors on the surface will be cast aside by netizens all over the country, saying that you use your human life to take advantage of the heat, even if the stocks that go up will fall, so we try our best to be fully prepared.”

Unarmed rock climbing requires a strong mental quality, and you must not be impatient, otherwise Qin Xiaowei would have received a lunch box by now.

"Brother Wei, how is it? When will it start?" Aaron also asked.

Qin Xiaowei pointed to the road map and said: "This difficulty is all smooth rock walls, and the raised part can only be stepped on half of the sole of the foot. I am not fully sure yet, and need to study further. And here, one rock point to the next. The rock point is beyond the distance of my arms. I rely on the length of my body to implement an upside-down golden hook. I hang it upside down with my feet to turn my body upside down. Then I roll up my body and grab the above rock point with both hands. It is very dangerous. This long gap, I have to walk a few more steps, Boss Zhou, if you give me some more time, I promise that the whole process will be thrilling and exciting, and make our surface warriors a hit."

What this young man who was usually silent seemed to make sense now.

If he really wasn't prepared enough, fell, and fell to pieces, not only would he have to lose money, but he would also be attacked by the netizens, and if the netizens said they would turn their backs, they would turn their backs.

If he really came to a smooth and thrilling free-handed rock climbing, this video will be popular on the Internet for a long time, and of course, the brand of surface warriors will follow for a long time.

The brand connotation of the Warriors, if there is an accident, it will be meaningless.

"Well, in this case, you follow your own plan. I'm a businessman, and I just want results, and I just need to get my brand out." Boss Zhou agreed with Qin Xiaowei's opinion.

As long as Qin Xiaowei doesn't turn off the engine halfway and slows down, Boss Zhou can still accept it.

After all, things have started and the heat has picked up now, and the company's stock is showing signs of picking up a little bit.

People like Qin Xiaowei who are engaged in outdoor extreme sports are actually very clear-headed, because as long as they are a little confused, they will pay the price with their lives.

So he is not in a hurry, he must have absolute certainty before he can really do it, and he will never take chances.

He loves rock climbing and devotes all his energy to the sport.

Moreover, if something happens to him, Li Jun probably won't survive, so he must succeed.

While Aaron was chatting with Boss Zhou, Qin Xiaowei began to review his rock climbing process again, researching the difficulties just now, hoping to create some movements to solve them.

During the entire rock climbing process, there must be no mistakes, and any mistakes will be smashed to pieces.

PS: I have been busy for another day today. I promised to do more today, but I failed to do so. I will update a little bit. I will update when I have time. Thank you!When I recommended it last time, I added a lot of favorites and regular subscriptions. Thank you everyone, and I promise you again: there will be no eunuchs, and there will be no unfinished ending. I will calmly write the whole story according to the outline.

(End of this chapter)