medical simulator
Chapter 195 Innocent audience! ~
Chapter 195 Innocent Spectators! ~ (Please subscribe!)
Ding Changle has a lot of things to do, this matter, speaking and explaining it, is a matter of lip service, but to actually implement it, Ding Changle still has to do a lot of preparations!
First of all, some vice chairmen of the Trauma Surgery Branch should communicate with each other, just in case, even if something happens, let them stand up and take this responsibility with me.
And to do such a thing, you have to run around.
There are currently several branches of trauma surgery in Hunan Province: trauma, hand, and ankle!In fact, there are other smaller branches that can be done, but these are the hot ones. Only when the hot ones are done well can we dare to touch the unpopular ones.
He knows all three groups of the trauma surgery department at the First Affiliated Hospital of Shonan University, so it's easy to talk about.
Professor Chen Tingye of Hand Surgery and Professor Zhi Xuan of Foot and Ankle Surgery.
Zhi belongs to Shao’s surname, and Professor Zhi Yu is not from Hunan Province, but from Nanhe Province. After coming to Shashi to study, he stayed here as a professor. He is currently one of the leaders in the Department of Foot and Ankle Surgery in Hunan Province.
It's easy to talk about the professor in his own hospital and department, as long as he mentions it, he will be fine. However, the deputy chairman of the trauma surgery department is not alone.
As far as trauma is concerned, the Second Affiliated Hospital of Shonan University has Professors Ni Hong and Du Haibo, Professor Deng Lianggen in Hand Surgery, and two professors in Foot and Ankle Surgery, Professor He Linjiang and Professor Teng Yuan Liteng.
This is only at the professor level, and there are some associate professors...
In the trauma surgery department of Shonan University, Professor Ling Lin, who also has the title of professor of trauma, and Professor Zhang Yuechao, a professor of surgery, foot and ankle surgery has not yet formed a large-scale development in the Third Affiliated Hospital of Shonan University.
There are also two professors from Provincial People's Medicine.
Based on this calculation, Ding Changle had to have a good breath with at least seven people before he dared to make proper arrangements for the replacement of the operator in the operation at noon.
After Ding Changle calculated their respective arguments in his mind, he first found Professor Chen Tingye.
Chen Tingye is a member of the department. When Ding Changle mentioned Zhou Cheng, Chen Tingye knew Zhou Cheng, but Chen Tingye was still a little shocked: "Director Ding, do you really want to arrange this? It's a bit risky. .Although I think Xiao Zhou is good, can't we just wait and see for a while?"
Ding Changle is enthusiastic and wants to do good deeds, Chen Tingye can understand, but he can wait and see more, anyway, Zhou Cheng is not in a hurry for this moment.
"Zhou Cheng will go to Shanghai next month. This is what I promised. It's better to implement it as soon as possible, so as not to be always worried about a stone in my heart." Ding Changle has always been used to not breaking promises when he promised others. Treat it as nonsense, or owe it to others.
Chen Tingye was stunned when he heard the words, looked at Ding Changle seriously, and said honestly: "Director Ding, why bother?"
People are leaving, you are busy here, there is no benefit, isn't this a pain in the ass?
Even if you don't care about it now, Zhou Cheng dare not make a fart. What kind of promise is it because I think you are my student so I promise you, otherwise who are you?
But Ding Changle is not such a person: "What you promised, you still have to do, and it's not impossible."
"What did the professor say?" Chen Tingye wondered if Ding Changle didn't have the guts to be a director, nor did he have the guts to be a professor.
Just one sentence is not good, I am running around here and there to sell my face.
To do such a thing, you must first open up more than half of the relationships among the vice-chairmen, and don't let them trip you up.
In addition to selling face, this still requires favors.
"I haven't told Zhi Xuan yet, let's talk to you first." Ding Changle said.
Chen Tingye said with a serious look: "Well then, Director, I'll go and tell Zhi Xun, you can go to other professors to ask, it's better to ventilate in advance for this kind of thing."
In other hospital professors, Chen Tingye can also do things to sell face, but the relationship between Zhou Cheng and him is like that, they are both people who are going to leave, Chen Tingye has spared no effort to cultivate the habits of students in other schools.
It is a favor to help, and it is duty not to help, but it is reasonable to be a favor and talk to Zhi Xun. After all, Ding Changle is the director, and it is his decision.
Even if all the other professors disagree, he can stand up, at most, his attitude will be tougher, and others will give face.
"Thank you for your hard work, Professor Chen." Ding Changle said politely.
Chen Tingye said: "It's okay, Director, you can go to work first..."
After Ding Changle said goodbye to Chen Tingye, he approached Professor Ni Hong, the director of trauma surgery at the Second Affiliated Hospital of Shonan University, and talked about it.
When Ni Hong heard this, his expression tightened: "Professor Ding, why are you doing this again? Didn't you get a special authorization last year?"
In front of people from other provinces, the Affiliated Hospital of Shonan University and the Second Hospital are one and the same, but in private, there is still a competitive relationship.On this occasion, the hand surgery in the second hospital is slightly inferior to that in the first hospital, and Ni Hong and others are trying their best to catch up.
Competing with each other to improve, but Ni Hong did search all the young people in the department but failed to find anyone who could fight Yang Yifeng, so he thought of going to the Third Affiliated Hospital of Shonan University to poach people, and he almost got back from the wall up.
Now Ding Changle is going to do something again, no, what kind of shit luck did you, Ding Changle, have?How can such talents be mass-produced batch by batch?
Ding Changle didn't care about explaining Zhou Cheng's whereabouts to Ni Hong, but just cupped his fists and said, "Professor Ni, do me a favor. If you see that the operation can pass later, please support me. If there are unforgivable mistakes in the operation, You can object as much as you want."
Ni Hong is not a professor of this school, but he is an old acquaintance. It is impossible for him to let go of Zhou Chengshu's principled mistakes, but just don't hold onto the pigtails.
At their level, find some associate professor's pigtails, and they can kill each other.
But it’s not necessary, it’s obviously a Class III operation, you said he didn’t suture it properly, isn’t that intentional to find fault, Ding Changle is here to get rid of this relationship.
Ni Hong rolled his eyes and said, "Professor Ding was joking, right? If you dare to release students who have wrong principles, I dare not look at them."
What are you kidding, if you don't have a certain understanding of the students in advance, and you don't even understand the basic principles, you will drag the next year's meeting for a walk?
If it is really possible to do this, Ni Hong also has students, and he has a lot of them in his hand, and he will also pull out to walk the baby.
Certainly not possible, he was just angry that Ding Changle's luck was so good that outstanding people gathered to him.
"Then I'll leave it to Professor Ni, thank you for your hard work."
Then Ding Changle went to several other trauma surgeons alone to show off his old face. Naturally, during the communication, almost everyone thought that Ding Changle was just pretending.
Envy, jealousy and hatred almost didn't swear directly, thinking that Ding Changle was deliberately slandering.
But in fact, Ding Changle himself was suffering in his heart and couldn't express it, and he didn't explain it, he just settled the matter.
Not for other things, but to do good deeds, don't ask about the future!
The scene of Ding Changle wandering around the venue was noticed by Du Yanjun, Zhang Zhengquan and Cai Dongfan, and even Zhang Zhengquan, a big black face, complained: "Brother Yan Jun, although I know Brother Zhou Cheng very well, But I just had the urge to think he was a traitor."
"There is an illusion of being shameless."
Du Yanjun nodded solemnly.
Cai Dongfan glanced at Zhang Zhengquan, and Zhang Zhengquan immediately shut up.
Cai Dongfan said: "If you curse a few more times, I will feel at ease after hearing it..."
Cai Dongfan is the one who has lost the most, okay?
Luo Yun wanted to leave, and Zhou Cheng also wanted to leave, all of which were scraped from his body.
Zhang Zhengquan immediately started cursing: "Zhou Cheng is simply not a son of man..."
At the end of the scolding, I was really a little angry, but I was angry that Zhou Cheng wanted to run to the magic capital, and let him run and mess around for a long time.
In fact, Zhang Zhengquan knew that he was reluctant to leave Zhou Cheng in his heart, but he was also happy for Zhou Cheng. After all, going to Shanghai Jiaotong University to study for a Ph.D. is the dream of every medical student.
I don't want to give up such an atmosphere, and I can't delay the future of others.
At every bifurcation in life, there will be parting. Gradually realize this kind of parting, and perhaps this can make people mature slowly.
Friends don't always stay by your side and rot together in the nest. It's when the sea is wide and the fish leaps, and the sky is high and the birds fly. When we meet again in the rivers and lakes, we are still old friends.
You can't fly out, and you can't block the path of others flying out.
……
Ding Changle finally sat next to Chen Tingye again. It was already [-]:[-], and he looked a little tired, but he didn't know if it was more mental or physical.
Chen Tingye had already greeted Zhi Xun to the side, because the live broadcast surgery at noon was arranged by the Affiliated Hospital of Shonan University. As the three professors in the department, they should speak up later to avoid finding fault.
Whether it's Qin Tianzhu or Zhou Cheng, they are all following the signboard of the Trauma Surgery Department of the Affiliated Hospital of Shonan University!
After looking at Ding Changle, Professor Zhi Xun asked, "Director Ding, is this Zhou Cheng the one that Director Lei said was the only orthopedic comrade who was the only first-aid pioneer in the last emergency accident? "
"It sounds familiar to me, and I only realized it not long ago."
Ding Changle nodded: "That's him."
After being confirmed, the corners of his mouth grinned: "To avoid suspicion, Director Lei removed all the orthopedic professors and gave him the things. He has to leave. Isn't that unreasonable?"
Zhixuan is very strong, with an authentic northern temper, say what you want, and don't hide it!
Lei Zhong is the dean of the Affiliated Hospital of Shonan University and the chief director of the Department of Orthopedics.In order to avoid suspicion, he didn't even mention any professors in orthopedics, whether they were from his own hospital or from other hospitals.
Even among all the professors leading the team at the Shonan University Affiliated Hospital, there is only one place.
The quota will be given to Zhou Cheng. Zhou Cheng has made a contribution, but there are still some other factors in it. Lei Zhong also ran around before he was convinced of this decision.As a result, Zhou Cheng got the honor, and he turned around and ran away. Isn't this a pain in the ass?
If you want to leave, how good would it be to tell me directly in advance?
Ding Changle whispered a few more words next to Zhi Xuan's ear, and Zhi Xuan's face slowly calmed down, and the slightly angry expression also faded away.
Said in a particularly complicated tone: "Oh!~"
"Actually, I've thought about it for a long time. It would be a disadvantage to do so. If a company is a family business, it will eventually become lonely, let alone a hospital."
The voice was not loud, but both Lei Zhong and Chen Tingye could hear it.
Every time during the postgraduate entrance examination and doctoral examination, there will be staff of the school wandering around the campus. This is human nature. They have done it before, and they will do it when they encounter it. Just do it and do it, the final result...
It's quite complicated, one side is your own child, and the other side is another.
It's also quite tangled. If you want to say that you can get a master's degree and a Ph.D., and go online, you are definitely not stupid. There are abilities and intelligence, but it is inevitable to squeeze out some people who are truly talented and capable.
Dilemma, hard to choose!
I don't know if Lei Zhong will make some more resolute adjustments during his term of office because of this incident.
The study of medicine is not a one-day effort.
Three years.
All were wiped out, this is definitely not a simple matter of luck that can be explained clearly, and there is another person next to Zhou Cheng who is connected to the sky, so if Zhou Cheng is the one who can be sure, of course choose more I'm sure.
To be honest, isn't it possible to be more sure about wandering relationships on weekdays?
Human affection, human nature, is also one of them.
"I'm still not decisive enough." Ding Changle murmured back.
He felt that if he had been more determined and hadn't thought about who Zhou Cheng was brought to become a student, and had made a decision early on and put it under his own name, then there might not be so many things going on later.
However, Ding Changle felt that he was quite tired of teaching Yang Yifeng, and really couldn't spare so much time for Zhou Cheng. Of course, Zhou Cheng was also very capable, so he didn't know how to teach him.
So to find a more suitable place for Zhou Cheng, after such hesitation, Zhou Cheng left.
It's impossible, for Zhou Cheng's sake, to give up Yang Yifeng directly.
Bringing a good seedling is to be a master with all your heart and soul, not just to be a nominated teacher!
……
And when Ding Changle and Zhi Xun were complaining about Zhou Cheng and what happened to Zhou Cheng.
A chat group in the Orthopedics Department of the Second Affiliated Hospital of Shonan University became restless.
"Brother Meng, I'm fucking cracked. Just now I received a call from Master for no reason, and I was scolded all over my face! Autistic! ~~~"
"Damn it, Zhou Bo, have you been scolded too? What a coincidence, brother and brother, I'm also in a daze, please comfort! I never knew that the teacher's ability to output is so fierce!"
"Output?"
"Output?"
"..."
Chat group, everyone in it is talented, nice to speak, and sharp in thinking.
However, after playing solitaire for a while, a big brother posted a screenshot of their group chat!
Good guy, it was Professor Ni Hong who went crazy in the group, not only scolded him, but also all the students of Professor Ni Hong, Datongmen, were all scolded, and everyone in the group replied tremblingly!
"Received!~"
"Received!~"
"It's over, the teacher is really angry. In this group, the biggest senior brother is already the deputy high. Even the one from our hospital has been scolded?"
"I found that something is wrong. Does anyone know what happened?"
"@周博?"
"Call Zhou Bo!"
"..."
Zhou Bo is considered a legend in the graduate student group, because after all, he is the one with the largest number of published articles in this session, and the current cumulative SCI has more than 20.
After Zjjl sent two cracked emojis, he said: "I know, when my teacher called me specifically, he mentioned it, saying that it was Attached One, and that he was going to go through another emergency surgery authorization. The last time was in the quarterly review. Yes, this time at the annual meeting."
"what?"
"I rely on @!!? #¥!"
"????"
"Another academic lunatic or a big clinical lunatic?" Because that incident happened last year, they were particularly impressed by this incident.
It was uniformly approved once before, why?
Because they didn't give the teacher a face. The resources that the Affiliated Hospital of Shonan University can do, the Second Hospital can do at any time, but they can't find such a person to stand up.
It's almost the same, in fact, Yang Yifeng is not particularly good, and all depends on the foil of his classmates.
Then in the process of inquiring about Yang Yifeng.
The reputation of "madman" spread like wildfire!
Originally, everyone heaved a sigh of relief when they heard that Yang Yifeng was going to drop out of school. Unexpectedly, this time, the fuss was even bigger, and the pretense scene was moved to the annual meeting .
What is the fight at the annual meeting?
Academic achievements, clinical strength, and background are all fighting, as long as they can be used to pretend to be aggressive, they will all fight bayonet.
If others dare to show it, it means they have the ability and strength to show it, just like Zhou Bo and Zhou Jianlin. Isn’t it because of his academic performance that he came to the orthopedic annual meeting to give a keynote speech?
This is the platform of the Second Affiliated Hospital of Shonan University, which can be used as a support for them. You can play as you like, and you can only be excellent. I will arrange the opportunities and time points for pretending to be aggressive.
The second hospital can think so, and the first hospital can do the same. Originally, the graduate students of the second hospital felt that after Yang Yifeng, the orthopedic department of the first hospital, fell silent this year, there would be no masters and doctors to show up.
Only the Second Hospital and the Third Hospital started the show, but I didn't expect that the scalp was numb after being shown.
A hospital directly regards the annual meeting as the scene of authorized surgery, where are you going to make trouble?
"I don't know, I haven't heard anyone mention it."
"do not know!"
"..." The group replied immediately.
"Hey!~" Suddenly, Zhou Jianlin remembered the accident that happened when he was leaving the venue last night. It was two cute babies who came to the venue to give thank you candies. At that time.
Yang Yifeng and the so-and-so from the Eighth Hospital were all in the limelight, and even the professor showed envy.
However, after Zhou Jianlin thought about it, he felt that this was impossible.
It's fine to give up the honorary title, it's impossible to hold a solo show for the training boss of the Eighth Hospital, it's absolutely impossible.
"Zhou Bo, hurry up if you have something to say!~~~"
Zjjl: "It's nothing, I just liven up the atmosphere."
"@周博, do you know how there was a man who died?"
"That's what you did."
This is a trick.
However, the chat topic in the group quickly shifted to which venue it was, so they could go and observe it, and finally it was determined that it was still the trauma surgery venue, so everyone started to gather at the trauma surgery venue stand up……
In the Trauma Surgery meeting place, interested people suddenly discovered that when the morning session was about to end, something different from yesterday happened.
Originally, near the end of the meeting, the normal situation should be that the flow of people gradually receded and it was time to eat.
But today, from [-]:[-] a.m., a large number of people are crowding into the joint surgery venue!
Most of them are young people, but there are still a small number of people, people from other venues, who came to watch the excitement.
None of them look like students.
……
On the stage, Ding Changle was already ready to go on stage at [-]:[-] and explain the live broadcast of the surgery at any time.
However, after seeing people coming in one after another.Ding Changle still found that something was wrong, so he hurriedly reported to Lei Zhong, something might happen.
As a native of Shonan University, how could Ding Changle not know that there are many people in the province who hope to break the medical monopoly of several hospitals affiliated to Shonan University, even those with ulterior motives.
I don't want to improve myself, I just want to kill and stink a few hospitals, and then find a chance to get a job.
It probably means that I can't compete with you, I don't have a strong foundation like you, I don't develop as fast as you, and I can't attract talents like you.
But if I kill you and maim you, my status will rise.
Therefore, after learning about this situation, Lei Zhong also started to contact people, and when the venue was about to end, he began to move to the trauma surgery venue.
Although, it is still too late to stop Zhou Cheng's live broadcast of surgery.
However, if the Affiliated Hospital of Shonan University can't even fulfill what has been decided, it will be a different kind of retreat!
There are too many people, and fish and dragons are mixed.
An accident may happen, but if it happens, more people will come to the soles of their shoes to be rubbed. Although rubbing them is not pleasant, this is also Lei Zhong's courage.
Now he is not only the director of the Department of Orthopedics, but also the dean of the administration. If he is not brave enough to be "challenged" by others, how can he take the Affiliated Hospital of Shonan University to challenge those Mount Tais and come back to Huaguo Medicine? The ranks of the highest palace?
However, just to be on the safe side, Lei Zhong still gathered the veterans of the orthopedics department to the trauma surgery venue.
Hey, after explaining the situation, these old teachers, including Mr. Xu and Mr. Kong, all laughed and went down with a cane and a wheelchair.
They even gave Lei Zhong a thumbs up, saying that Lei Zhong was brave enough to do things that they didn't even dare to do.
can not?
Is Lei Zhong brave enough to hold a good academic annual meeting to hold a certification meeting for special surgery authorization?
That's certainly enough.
……
Seeing more and more people gathered, the pressure on the last few speakers, those from prefecture-level hospitals, suddenly doubled. I was afraid that someone would ask him questions, so when he was speaking, he began to bite Wenjue.
The sweat on the back and the sweat on the forehead are all covered, even the shirt is soaked!
However, others didn't come here to find fault with him.
After their lectures, no one asked questions. Instead, the people off the field were all looking for acquaintances and arranging the old professor's seat.
No one asked questions, and the speakers all had a sense of gratitude for having survived the catastrophe.
I hurried off the stage, then went straight to the bathroom, washed my hands and rubbed my face, and even wished I could go back to the room to take a shower, it was so f*cking scary.
Because he saw his ancestors in the audience!
Finally, under the eyes of everyone, the time came to ten past twelve.
After the chairman of the conference announced that the session ended on time in the morning, the large screen in front of the venue was directly connected to an operating room of the Department of Orthopedics at the Affiliated Hospital of Shonan University. , just waiting for the venue to announce the start of the surgery.
Ding Changle jumped onto the stage, picked up a microphone, and said eloquently: "This year's orthopedic annual meeting, our department has prepared a set of inverted intramedullary nail fixation for C3 mid-femur fractures. Comrades, experts, and seniors can learn and discuss together!"
"Next, I will briefly introduce the patient's preoperative information and related preoperative examinations."
"Preoperative inspection, no surgical contraindications, obvious indications for surgery."
"This is the preoperative plain film, and there is only plain film. We can see that this is a classic C3 fracture. Manipulative reduction is definitely not possible. The only treatment is surgery and internal fixation."
"For the sake of insurance, we decided to use the surgical method of reverse intramedullary nailing."
"This is the intraoperative C-arm fluoroscopy image taken from the operating room 5 minutes before the skin incision. It can be seen that after preoperative traction, the fracture did not shorten and the fracture fragments did not shift in any way. The pre-inspection is basically the same."
"Next, I will officially announce the start of the operation. I hope to participate in the evaluation together with my colleagues. I wonder if you have anything else to know?"
Naturally, the preoperative situation is simply introduced. The key is the surgical process, which is what everyone pays attention to.
There must be nothing special in the preoperative examination. If there is something special, this operation will not be performed.
However, the Affiliated Hospital of Shonan University is very well prepared. The reason why the temporary C-arm fluoroscopy is required during the operation is to avoid the situation of showing off and avoiding the situation that the peers think that the operation is performed after the reset has been done!
It is equivalent to only going through the surgical process, not the surgery itself.
With the C-arm fluoroscopy 5 minutes before the operation, which was consistent with the results of the preoperative examination, it was a real wild operation. Everyone knew how to do it, so naturally they would not be picky. This is a real live broadcast of the operation, not a show.
No one spoke, but some people were discussing with their heads tilted left and right, as if they were pointing out the difficulty of the operation and the complexity of the fracture.
It’s not too small, it’s C3, basically it’s an extremely difficult and complicated case of a long bone fracture, and if it’s more difficult, it’s a joint operation.Or surgery for complex pelvic fractures.
A white-haired person in the audience said: "Let's start the operation. There is nothing to talk about before the operation. The diagnosis before the operation is clear and the indications for the operation are obvious."
He said that mainly to avoid wasting time and to avoid encountering idiots.
There are too many people, and there are everyone.
Ding Changle immediately used the microphone to contact the operating room: "Start the operation!"
After giving an order, a voice came from the other party: "Professor Ding said to start the operation..."
Then, everyone saw that the hands in the operation began to move.
No skin cutting, originally prepared to be internally fixed directly after skin cutting, but after careful consideration and after the exchange and communication between Ding Changle and Zhou Cheng, it was decided to start the live broadcast directly from the skin cutting!
However, before the skin incision, everyone saw the picture in the operating room, and first switched to the pre-operative C-arm perspective picture.
"This is the plain film of the fluoroscopy just now, and the time is recorded at [-]:[-]. Now, we are going to try to do a preliminary manual reset..." In the operating room, a simple explanation was also brought.
At the same time, Ding Changle also said: "The traction before the operation and the simple reset before the operation, I believe all colleagues can understand, I will not say more, let's look at the operation carefully."
but!
Just when everyone saw the screen, after a few hands simply reset their hands, they saw everyone leaving the operating room again!
Everyone at the scene was stunned!
What is this for?
Intraoperative C-arm fluoroscopy?
Still see through?
Brother, this is a live broadcast of surgery, you can do another perspective!
What means?
The normal process of surgery is fluoroscopy, many times, but this is a live broadcast, so why don't you show us the fluoroscopy?
"???"
I'm here to watch the operation, not to watch you play in the operating room.
The venue began to riot.
However, in the operating room, the operation was still going on normally, and they started the operation process on their own.
About 2 minutes later, the screen came to the intraoperative C-arm perspective panel again.
However, this moment.
The situation that appeared on the C-arm perspective panel is no longer the previous picture, but the broken ends of the fracture, somehow connected together inexplicably, although there are also broken bones. across the middle.
but.The marrow cavities at the distal and proximal ends of the fracture have been aligned relatively well.
What to look at for a fracture, look at the fracture line.
The previous fracture line was a mess of wool balls, but the current fracture line is quite neat broken ends.
At this point, the picture is divided into two parts, one picture focuses on Qiepi, and the other picture focuses on the display panel of the C-arm machine during the operation, and it seems that Qin Tianzhu is adjusting the display screen and looking at it. Explanation, the picture clearly shows the perspective time.
"Everyone at the venue, teachers, hello, this is this surgery. The X-ray results three times before the operation. The time of the first X-ray is at 45:[-], and the time of the second X-ray is at [-]:[-]. Minutes. The third perspective time is [-]:[-]:[-]!"
"This is also the fluoroscopy situation before and during the operation that we witnessed together. In fact, I don't need to say it, everyone should understand that this operation has come to an end..."
puff!
With Qin Tianzhu's unhurried tone and the way he said the most awesome words, even Ding Changle couldn't help but spit.
Although he thought about it, the operation process this time would definitely surprise people.
Unexpectedly, in this situation, even my father is about to fall off!
Ding Changle noticed the stunned eyes and expressions of everyone in the venue, and he was in a good mood!
Second Olympic!
It turns out that Zhou Cheng still has this ability. He is simplifying the complicated fractures. He turned the complicated fractures into simple fractures. In this situation, it is a matter of iron and nail to perform follow-up operations. It's just a formality!
However, seeing many people below the stage looking at each other with bewildered expressions on their faces, even some old seniors and old teachers in his own department were adjusting their glasses and wiping their eyes, Ding Changle felt that it was so fucking weird!
After Qin Tianzhu finally explained the plain film after reset, he ordered the live broadcast staff to focus the picture on the operation.
Then, everyone saw that the operator in the operation was already using his golden finger to get in.
Isn't this still peeling just now?how?
Although Qin Tianzhu was also in shock, he still said in a calm tone: "We just saw that, we have already completed the skin incision, and the approach from the side of the patella is exposed..."
When Qin Tianzhu said this, everyone in the venue scolded their mothers——
What do you mean just saw it, did you see it?I didn't see it!
I haven't even seen clearly how the previous fracture was made into what it is now!
Of course, I can think so in my heart, but the operation is already going on in an orderly manner. It’s just that the process of the operation, because before the internal fixation operation, the reduction of the fracture has been done quite well, so, During the operation, everyone felt the smoothness of the operation process!
It's just that such silky smoothness does not have a very good viewing experience.
Because, if the fracture is repositioned, there is really no need for a professor at the Affiliated Hospital of Shonan University to do this operation, just find a deputy director of a prefecture-level city hospital to do it!
There is not much room for displacement, and guide pins and golden fingers can be inserted with eyes closed. What's so good about it?
After the golden finger goes in, put the guide pin in, and the operation of reaming is just a few steps!
Until the intramedullary nail is fixed, there are no mistakes, because there can be no mistakes.
However, noisy discussions began to sound in the venue, because after the fixed blade of the intramedullary nail was installed, the operation can be declared over, and there is nothing to see. The whole operation process was quite satisfactory, and there was nothing profound Level, I can only say that this reset is really well done!
Before opening the stage, firstly, the difficulty of the operation was reduced by several geometric levels!
What else is there to say?
Awesome!
"Crash!" There was applause, the process of surgical fixation was not bright, but the process of reset was enough to blind most people's eyes! ~
Even Ding Changle secretly applauded Zhou Cheng, when he was about to cut off the operation scene and start talking.
All I saw was that Zhou Cheng actually made a small incision in the middle of the patient's femur after the intramedullary nail was installed.
Moreover, in the operating room, Qin Tianzhu began to explain: "Teachers, don't worry, this operation has only completed four-fifths so far, and there is still one-fifth left, let us wait and see!"
Qin Tianzhu's tone was calm, without any signs of panic, but Ding Changle was a little flustered at the moment, what does Zhou Cheng mean by superfluous this week?
Is this what Qin Tianzhu meant before, adding a little drama to the live broadcast of the surgery?
Looking at the camera again, we saw that the main knife was at the broken end of the fracture, and made an incision about 2.5cm long. After peeling off layer by layer to the muscle tissue layer, everyone did not see the main knife moving the knife, but passed through Through the muscle gap, a pair of curved forceps was inserted.
The curved forceps went there, blocked by the muscle gap, and there was no color ultrasound monitoring during the operation, so everyone didn't know what the chief surgeon was doing now.
However, the main knife is almost 2 minutes later.
The scene also followed dead silence and ignorance for 2 minutes!
Those who can sit here and participate in the meeting are either the deputy directors or the attending physicians with rich experience in surgery. It is completely unexpected that this operation has already ended. Why is it so superfluous!
Moreover, the field of surgery is not big, and they don't know what the main sword is doing. Qin Tianzhu and Ding Changle, who are in charge of explaining, are too closed to explain.
Let everyone be puzzled!
Finally, the chief surgeon pulled out the curved forceps, covered it with a sterile cloth, and said, "Perspective! Sideways!"
Then another 2 minutes later.
The postoperative plain film appeared in front of the big screen in the middle of the meeting again. The picture inside directly stunned most people!
A femur that was almost anatomically restored stood upright.If the only difference is that the location of the fracture is slightly larger than other locations, other than that, it is difficult to see the trace of the fracture!
and! ~
in particular!
Those free bone fragments that were obviously before the operation disappeared.
From the side view, you can't even see it!
You should know that intramedullary nail fixation only fixes the proximal and distal fractured ends of the fracture. Everyone ignores such free bone fragments and lets them disappear by bone resorption, because there is no way to remove them. Tube.
But it seems?
here!
The little hole just now was doing this.
"Wow!~" There was an explosive thunderous applause in the venue.
If the previous operation was a step-by-step operation, then this scene just now was a surprise in the live broadcast of the operation prepared by the Affiliated Hospital of Shonan University!
There is no room for ostentation in medicine!
However, in order to allow patients to obtain better treatment results, some technologies themselves are a show of skill!
Even when Ding Changle saw him, he immediately saw several professors from the Affiliated Hospital of Shonan University standing up, or raising their hands, or directly asking the people next to them for a microphone, and they were about to start asking questions.
However, because of the previous communication, Ding Changle said: "Dear comrades, teachers, professors, this is the end of today's live broadcast of surgery at noon! ~ It is also the end of the first half of the meeting, I know everyone agrees There will be many questions, but for this question, I still hope that everyone will stay and answer it together after the practitioners arrive at the venue."
While talking, Ding Changle looked at the time and said, "It's time for meal now, don't delay everyone's meal time."
Ding Changle is full of smiles, very satisfied with the current effect, but what he said sounds like he cares about everyone, but he is!
Sell off and sell half of it-no more.
In the midst of an orgasm—suddenly cut off!
The main show is here, I have taken off my pants, you give me the health exercises...
There was an urge to beat Ding Changle to death, but what Ding Changle said was right, if you have any questions, ask the chief surgeon, Ding Changle is just an explanation at the venue.
No one knows an operation better than the chief surgeon, this is the common sense of surgery!
Although this is the truth, it is quite uncomfortable if it does not go up or down...
(End of this chapter)
Ding Changle has a lot of things to do, this matter, speaking and explaining it, is a matter of lip service, but to actually implement it, Ding Changle still has to do a lot of preparations!
First of all, some vice chairmen of the Trauma Surgery Branch should communicate with each other, just in case, even if something happens, let them stand up and take this responsibility with me.
And to do such a thing, you have to run around.
There are currently several branches of trauma surgery in Hunan Province: trauma, hand, and ankle!In fact, there are other smaller branches that can be done, but these are the hot ones. Only when the hot ones are done well can we dare to touch the unpopular ones.
He knows all three groups of the trauma surgery department at the First Affiliated Hospital of Shonan University, so it's easy to talk about.
Professor Chen Tingye of Hand Surgery and Professor Zhi Xuan of Foot and Ankle Surgery.
Zhi belongs to Shao’s surname, and Professor Zhi Yu is not from Hunan Province, but from Nanhe Province. After coming to Shashi to study, he stayed here as a professor. He is currently one of the leaders in the Department of Foot and Ankle Surgery in Hunan Province.
It's easy to talk about the professor in his own hospital and department, as long as he mentions it, he will be fine. However, the deputy chairman of the trauma surgery department is not alone.
As far as trauma is concerned, the Second Affiliated Hospital of Shonan University has Professors Ni Hong and Du Haibo, Professor Deng Lianggen in Hand Surgery, and two professors in Foot and Ankle Surgery, Professor He Linjiang and Professor Teng Yuan Liteng.
This is only at the professor level, and there are some associate professors...
In the trauma surgery department of Shonan University, Professor Ling Lin, who also has the title of professor of trauma, and Professor Zhang Yuechao, a professor of surgery, foot and ankle surgery has not yet formed a large-scale development in the Third Affiliated Hospital of Shonan University.
There are also two professors from Provincial People's Medicine.
Based on this calculation, Ding Changle had to have a good breath with at least seven people before he dared to make proper arrangements for the replacement of the operator in the operation at noon.
After Ding Changle calculated their respective arguments in his mind, he first found Professor Chen Tingye.
Chen Tingye is a member of the department. When Ding Changle mentioned Zhou Cheng, Chen Tingye knew Zhou Cheng, but Chen Tingye was still a little shocked: "Director Ding, do you really want to arrange this? It's a bit risky. .Although I think Xiao Zhou is good, can't we just wait and see for a while?"
Ding Changle is enthusiastic and wants to do good deeds, Chen Tingye can understand, but he can wait and see more, anyway, Zhou Cheng is not in a hurry for this moment.
"Zhou Cheng will go to Shanghai next month. This is what I promised. It's better to implement it as soon as possible, so as not to be always worried about a stone in my heart." Ding Changle has always been used to not breaking promises when he promised others. Treat it as nonsense, or owe it to others.
Chen Tingye was stunned when he heard the words, looked at Ding Changle seriously, and said honestly: "Director Ding, why bother?"
People are leaving, you are busy here, there is no benefit, isn't this a pain in the ass?
Even if you don't care about it now, Zhou Cheng dare not make a fart. What kind of promise is it because I think you are my student so I promise you, otherwise who are you?
But Ding Changle is not such a person: "What you promised, you still have to do, and it's not impossible."
"What did the professor say?" Chen Tingye wondered if Ding Changle didn't have the guts to be a director, nor did he have the guts to be a professor.
Just one sentence is not good, I am running around here and there to sell my face.
To do such a thing, you must first open up more than half of the relationships among the vice-chairmen, and don't let them trip you up.
In addition to selling face, this still requires favors.
"I haven't told Zhi Xuan yet, let's talk to you first." Ding Changle said.
Chen Tingye said with a serious look: "Well then, Director, I'll go and tell Zhi Xun, you can go to other professors to ask, it's better to ventilate in advance for this kind of thing."
In other hospital professors, Chen Tingye can also do things to sell face, but the relationship between Zhou Cheng and him is like that, they are both people who are going to leave, Chen Tingye has spared no effort to cultivate the habits of students in other schools.
It is a favor to help, and it is duty not to help, but it is reasonable to be a favor and talk to Zhi Xun. After all, Ding Changle is the director, and it is his decision.
Even if all the other professors disagree, he can stand up, at most, his attitude will be tougher, and others will give face.
"Thank you for your hard work, Professor Chen." Ding Changle said politely.
Chen Tingye said: "It's okay, Director, you can go to work first..."
After Ding Changle said goodbye to Chen Tingye, he approached Professor Ni Hong, the director of trauma surgery at the Second Affiliated Hospital of Shonan University, and talked about it.
When Ni Hong heard this, his expression tightened: "Professor Ding, why are you doing this again? Didn't you get a special authorization last year?"
In front of people from other provinces, the Affiliated Hospital of Shonan University and the Second Hospital are one and the same, but in private, there is still a competitive relationship.On this occasion, the hand surgery in the second hospital is slightly inferior to that in the first hospital, and Ni Hong and others are trying their best to catch up.
Competing with each other to improve, but Ni Hong did search all the young people in the department but failed to find anyone who could fight Yang Yifeng, so he thought of going to the Third Affiliated Hospital of Shonan University to poach people, and he almost got back from the wall up.
Now Ding Changle is going to do something again, no, what kind of shit luck did you, Ding Changle, have?How can such talents be mass-produced batch by batch?
Ding Changle didn't care about explaining Zhou Cheng's whereabouts to Ni Hong, but just cupped his fists and said, "Professor Ni, do me a favor. If you see that the operation can pass later, please support me. If there are unforgivable mistakes in the operation, You can object as much as you want."
Ni Hong is not a professor of this school, but he is an old acquaintance. It is impossible for him to let go of Zhou Chengshu's principled mistakes, but just don't hold onto the pigtails.
At their level, find some associate professor's pigtails, and they can kill each other.
But it’s not necessary, it’s obviously a Class III operation, you said he didn’t suture it properly, isn’t that intentional to find fault, Ding Changle is here to get rid of this relationship.
Ni Hong rolled his eyes and said, "Professor Ding was joking, right? If you dare to release students who have wrong principles, I dare not look at them."
What are you kidding, if you don't have a certain understanding of the students in advance, and you don't even understand the basic principles, you will drag the next year's meeting for a walk?
If it is really possible to do this, Ni Hong also has students, and he has a lot of them in his hand, and he will also pull out to walk the baby.
Certainly not possible, he was just angry that Ding Changle's luck was so good that outstanding people gathered to him.
"Then I'll leave it to Professor Ni, thank you for your hard work."
Then Ding Changle went to several other trauma surgeons alone to show off his old face. Naturally, during the communication, almost everyone thought that Ding Changle was just pretending.
Envy, jealousy and hatred almost didn't swear directly, thinking that Ding Changle was deliberately slandering.
But in fact, Ding Changle himself was suffering in his heart and couldn't express it, and he didn't explain it, he just settled the matter.
Not for other things, but to do good deeds, don't ask about the future!
The scene of Ding Changle wandering around the venue was noticed by Du Yanjun, Zhang Zhengquan and Cai Dongfan, and even Zhang Zhengquan, a big black face, complained: "Brother Yan Jun, although I know Brother Zhou Cheng very well, But I just had the urge to think he was a traitor."
"There is an illusion of being shameless."
Du Yanjun nodded solemnly.
Cai Dongfan glanced at Zhang Zhengquan, and Zhang Zhengquan immediately shut up.
Cai Dongfan said: "If you curse a few more times, I will feel at ease after hearing it..."
Cai Dongfan is the one who has lost the most, okay?
Luo Yun wanted to leave, and Zhou Cheng also wanted to leave, all of which were scraped from his body.
Zhang Zhengquan immediately started cursing: "Zhou Cheng is simply not a son of man..."
At the end of the scolding, I was really a little angry, but I was angry that Zhou Cheng wanted to run to the magic capital, and let him run and mess around for a long time.
In fact, Zhang Zhengquan knew that he was reluctant to leave Zhou Cheng in his heart, but he was also happy for Zhou Cheng. After all, going to Shanghai Jiaotong University to study for a Ph.D. is the dream of every medical student.
I don't want to give up such an atmosphere, and I can't delay the future of others.
At every bifurcation in life, there will be parting. Gradually realize this kind of parting, and perhaps this can make people mature slowly.
Friends don't always stay by your side and rot together in the nest. It's when the sea is wide and the fish leaps, and the sky is high and the birds fly. When we meet again in the rivers and lakes, we are still old friends.
You can't fly out, and you can't block the path of others flying out.
……
Ding Changle finally sat next to Chen Tingye again. It was already [-]:[-], and he looked a little tired, but he didn't know if it was more mental or physical.
Chen Tingye had already greeted Zhi Xun to the side, because the live broadcast surgery at noon was arranged by the Affiliated Hospital of Shonan University. As the three professors in the department, they should speak up later to avoid finding fault.
Whether it's Qin Tianzhu or Zhou Cheng, they are all following the signboard of the Trauma Surgery Department of the Affiliated Hospital of Shonan University!
After looking at Ding Changle, Professor Zhi Xun asked, "Director Ding, is this Zhou Cheng the one that Director Lei said was the only orthopedic comrade who was the only first-aid pioneer in the last emergency accident? "
"It sounds familiar to me, and I only realized it not long ago."
Ding Changle nodded: "That's him."
After being confirmed, the corners of his mouth grinned: "To avoid suspicion, Director Lei removed all the orthopedic professors and gave him the things. He has to leave. Isn't that unreasonable?"
Zhixuan is very strong, with an authentic northern temper, say what you want, and don't hide it!
Lei Zhong is the dean of the Affiliated Hospital of Shonan University and the chief director of the Department of Orthopedics.In order to avoid suspicion, he didn't even mention any professors in orthopedics, whether they were from his own hospital or from other hospitals.
Even among all the professors leading the team at the Shonan University Affiliated Hospital, there is only one place.
The quota will be given to Zhou Cheng. Zhou Cheng has made a contribution, but there are still some other factors in it. Lei Zhong also ran around before he was convinced of this decision.As a result, Zhou Cheng got the honor, and he turned around and ran away. Isn't this a pain in the ass?
If you want to leave, how good would it be to tell me directly in advance?
Ding Changle whispered a few more words next to Zhi Xuan's ear, and Zhi Xuan's face slowly calmed down, and the slightly angry expression also faded away.
Said in a particularly complicated tone: "Oh!~"
"Actually, I've thought about it for a long time. It would be a disadvantage to do so. If a company is a family business, it will eventually become lonely, let alone a hospital."
The voice was not loud, but both Lei Zhong and Chen Tingye could hear it.
Every time during the postgraduate entrance examination and doctoral examination, there will be staff of the school wandering around the campus. This is human nature. They have done it before, and they will do it when they encounter it. Just do it and do it, the final result...
It's quite complicated, one side is your own child, and the other side is another.
It's also quite tangled. If you want to say that you can get a master's degree and a Ph.D., and go online, you are definitely not stupid. There are abilities and intelligence, but it is inevitable to squeeze out some people who are truly talented and capable.
Dilemma, hard to choose!
I don't know if Lei Zhong will make some more resolute adjustments during his term of office because of this incident.
The study of medicine is not a one-day effort.
Three years.
All were wiped out, this is definitely not a simple matter of luck that can be explained clearly, and there is another person next to Zhou Cheng who is connected to the sky, so if Zhou Cheng is the one who can be sure, of course choose more I'm sure.
To be honest, isn't it possible to be more sure about wandering relationships on weekdays?
Human affection, human nature, is also one of them.
"I'm still not decisive enough." Ding Changle murmured back.
He felt that if he had been more determined and hadn't thought about who Zhou Cheng was brought to become a student, and had made a decision early on and put it under his own name, then there might not be so many things going on later.
However, Ding Changle felt that he was quite tired of teaching Yang Yifeng, and really couldn't spare so much time for Zhou Cheng. Of course, Zhou Cheng was also very capable, so he didn't know how to teach him.
So to find a more suitable place for Zhou Cheng, after such hesitation, Zhou Cheng left.
It's impossible, for Zhou Cheng's sake, to give up Yang Yifeng directly.
Bringing a good seedling is to be a master with all your heart and soul, not just to be a nominated teacher!
……
And when Ding Changle and Zhi Xun were complaining about Zhou Cheng and what happened to Zhou Cheng.
A chat group in the Orthopedics Department of the Second Affiliated Hospital of Shonan University became restless.
"Brother Meng, I'm fucking cracked. Just now I received a call from Master for no reason, and I was scolded all over my face! Autistic! ~~~"
"Damn it, Zhou Bo, have you been scolded too? What a coincidence, brother and brother, I'm also in a daze, please comfort! I never knew that the teacher's ability to output is so fierce!"
"Output?"
"Output?"
"..."
Chat group, everyone in it is talented, nice to speak, and sharp in thinking.
However, after playing solitaire for a while, a big brother posted a screenshot of their group chat!
Good guy, it was Professor Ni Hong who went crazy in the group, not only scolded him, but also all the students of Professor Ni Hong, Datongmen, were all scolded, and everyone in the group replied tremblingly!
"Received!~"
"Received!~"
"It's over, the teacher is really angry. In this group, the biggest senior brother is already the deputy high. Even the one from our hospital has been scolded?"
"I found that something is wrong. Does anyone know what happened?"
"@周博?"
"Call Zhou Bo!"
"..."
Zhou Bo is considered a legend in the graduate student group, because after all, he is the one with the largest number of published articles in this session, and the current cumulative SCI has more than 20.
After Zjjl sent two cracked emojis, he said: "I know, when my teacher called me specifically, he mentioned it, saying that it was Attached One, and that he was going to go through another emergency surgery authorization. The last time was in the quarterly review. Yes, this time at the annual meeting."
"what?"
"I rely on @!!? #¥!"
"????"
"Another academic lunatic or a big clinical lunatic?" Because that incident happened last year, they were particularly impressed by this incident.
It was uniformly approved once before, why?
Because they didn't give the teacher a face. The resources that the Affiliated Hospital of Shonan University can do, the Second Hospital can do at any time, but they can't find such a person to stand up.
It's almost the same, in fact, Yang Yifeng is not particularly good, and all depends on the foil of his classmates.
Then in the process of inquiring about Yang Yifeng.
The reputation of "madman" spread like wildfire!
Originally, everyone heaved a sigh of relief when they heard that Yang Yifeng was going to drop out of school. Unexpectedly, this time, the fuss was even bigger, and the pretense scene was moved to the annual meeting .
What is the fight at the annual meeting?
Academic achievements, clinical strength, and background are all fighting, as long as they can be used to pretend to be aggressive, they will all fight bayonet.
If others dare to show it, it means they have the ability and strength to show it, just like Zhou Bo and Zhou Jianlin. Isn’t it because of his academic performance that he came to the orthopedic annual meeting to give a keynote speech?
This is the platform of the Second Affiliated Hospital of Shonan University, which can be used as a support for them. You can play as you like, and you can only be excellent. I will arrange the opportunities and time points for pretending to be aggressive.
The second hospital can think so, and the first hospital can do the same. Originally, the graduate students of the second hospital felt that after Yang Yifeng, the orthopedic department of the first hospital, fell silent this year, there would be no masters and doctors to show up.
Only the Second Hospital and the Third Hospital started the show, but I didn't expect that the scalp was numb after being shown.
A hospital directly regards the annual meeting as the scene of authorized surgery, where are you going to make trouble?
"I don't know, I haven't heard anyone mention it."
"do not know!"
"..." The group replied immediately.
"Hey!~" Suddenly, Zhou Jianlin remembered the accident that happened when he was leaving the venue last night. It was two cute babies who came to the venue to give thank you candies. At that time.
Yang Yifeng and the so-and-so from the Eighth Hospital were all in the limelight, and even the professor showed envy.
However, after Zhou Jianlin thought about it, he felt that this was impossible.
It's fine to give up the honorary title, it's impossible to hold a solo show for the training boss of the Eighth Hospital, it's absolutely impossible.
"Zhou Bo, hurry up if you have something to say!~~~"
Zjjl: "It's nothing, I just liven up the atmosphere."
"@周博, do you know how there was a man who died?"
"That's what you did."
This is a trick.
However, the chat topic in the group quickly shifted to which venue it was, so they could go and observe it, and finally it was determined that it was still the trauma surgery venue, so everyone started to gather at the trauma surgery venue stand up……
In the Trauma Surgery meeting place, interested people suddenly discovered that when the morning session was about to end, something different from yesterday happened.
Originally, near the end of the meeting, the normal situation should be that the flow of people gradually receded and it was time to eat.
But today, from [-]:[-] a.m., a large number of people are crowding into the joint surgery venue!
Most of them are young people, but there are still a small number of people, people from other venues, who came to watch the excitement.
None of them look like students.
……
On the stage, Ding Changle was already ready to go on stage at [-]:[-] and explain the live broadcast of the surgery at any time.
However, after seeing people coming in one after another.Ding Changle still found that something was wrong, so he hurriedly reported to Lei Zhong, something might happen.
As a native of Shonan University, how could Ding Changle not know that there are many people in the province who hope to break the medical monopoly of several hospitals affiliated to Shonan University, even those with ulterior motives.
I don't want to improve myself, I just want to kill and stink a few hospitals, and then find a chance to get a job.
It probably means that I can't compete with you, I don't have a strong foundation like you, I don't develop as fast as you, and I can't attract talents like you.
But if I kill you and maim you, my status will rise.
Therefore, after learning about this situation, Lei Zhong also started to contact people, and when the venue was about to end, he began to move to the trauma surgery venue.
Although, it is still too late to stop Zhou Cheng's live broadcast of surgery.
However, if the Affiliated Hospital of Shonan University can't even fulfill what has been decided, it will be a different kind of retreat!
There are too many people, and fish and dragons are mixed.
An accident may happen, but if it happens, more people will come to the soles of their shoes to be rubbed. Although rubbing them is not pleasant, this is also Lei Zhong's courage.
Now he is not only the director of the Department of Orthopedics, but also the dean of the administration. If he is not brave enough to be "challenged" by others, how can he take the Affiliated Hospital of Shonan University to challenge those Mount Tais and come back to Huaguo Medicine? The ranks of the highest palace?
However, just to be on the safe side, Lei Zhong still gathered the veterans of the orthopedics department to the trauma surgery venue.
Hey, after explaining the situation, these old teachers, including Mr. Xu and Mr. Kong, all laughed and went down with a cane and a wheelchair.
They even gave Lei Zhong a thumbs up, saying that Lei Zhong was brave enough to do things that they didn't even dare to do.
can not?
Is Lei Zhong brave enough to hold a good academic annual meeting to hold a certification meeting for special surgery authorization?
That's certainly enough.
……
Seeing more and more people gathered, the pressure on the last few speakers, those from prefecture-level hospitals, suddenly doubled. I was afraid that someone would ask him questions, so when he was speaking, he began to bite Wenjue.
The sweat on the back and the sweat on the forehead are all covered, even the shirt is soaked!
However, others didn't come here to find fault with him.
After their lectures, no one asked questions. Instead, the people off the field were all looking for acquaintances and arranging the old professor's seat.
No one asked questions, and the speakers all had a sense of gratitude for having survived the catastrophe.
I hurried off the stage, then went straight to the bathroom, washed my hands and rubbed my face, and even wished I could go back to the room to take a shower, it was so f*cking scary.
Because he saw his ancestors in the audience!
Finally, under the eyes of everyone, the time came to ten past twelve.
After the chairman of the conference announced that the session ended on time in the morning, the large screen in front of the venue was directly connected to an operating room of the Department of Orthopedics at the Affiliated Hospital of Shonan University. , just waiting for the venue to announce the start of the surgery.
Ding Changle jumped onto the stage, picked up a microphone, and said eloquently: "This year's orthopedic annual meeting, our department has prepared a set of inverted intramedullary nail fixation for C3 mid-femur fractures. Comrades, experts, and seniors can learn and discuss together!"
"Next, I will briefly introduce the patient's preoperative information and related preoperative examinations."
"Preoperative inspection, no surgical contraindications, obvious indications for surgery."
"This is the preoperative plain film, and there is only plain film. We can see that this is a classic C3 fracture. Manipulative reduction is definitely not possible. The only treatment is surgery and internal fixation."
"For the sake of insurance, we decided to use the surgical method of reverse intramedullary nailing."
"This is the intraoperative C-arm fluoroscopy image taken from the operating room 5 minutes before the skin incision. It can be seen that after preoperative traction, the fracture did not shorten and the fracture fragments did not shift in any way. The pre-inspection is basically the same."
"Next, I will officially announce the start of the operation. I hope to participate in the evaluation together with my colleagues. I wonder if you have anything else to know?"
Naturally, the preoperative situation is simply introduced. The key is the surgical process, which is what everyone pays attention to.
There must be nothing special in the preoperative examination. If there is something special, this operation will not be performed.
However, the Affiliated Hospital of Shonan University is very well prepared. The reason why the temporary C-arm fluoroscopy is required during the operation is to avoid the situation of showing off and avoiding the situation that the peers think that the operation is performed after the reset has been done!
It is equivalent to only going through the surgical process, not the surgery itself.
With the C-arm fluoroscopy 5 minutes before the operation, which was consistent with the results of the preoperative examination, it was a real wild operation. Everyone knew how to do it, so naturally they would not be picky. This is a real live broadcast of the operation, not a show.
No one spoke, but some people were discussing with their heads tilted left and right, as if they were pointing out the difficulty of the operation and the complexity of the fracture.
It’s not too small, it’s C3, basically it’s an extremely difficult and complicated case of a long bone fracture, and if it’s more difficult, it’s a joint operation.Or surgery for complex pelvic fractures.
A white-haired person in the audience said: "Let's start the operation. There is nothing to talk about before the operation. The diagnosis before the operation is clear and the indications for the operation are obvious."
He said that mainly to avoid wasting time and to avoid encountering idiots.
There are too many people, and there are everyone.
Ding Changle immediately used the microphone to contact the operating room: "Start the operation!"
After giving an order, a voice came from the other party: "Professor Ding said to start the operation..."
Then, everyone saw that the hands in the operation began to move.
No skin cutting, originally prepared to be internally fixed directly after skin cutting, but after careful consideration and after the exchange and communication between Ding Changle and Zhou Cheng, it was decided to start the live broadcast directly from the skin cutting!
However, before the skin incision, everyone saw the picture in the operating room, and first switched to the pre-operative C-arm perspective picture.
"This is the plain film of the fluoroscopy just now, and the time is recorded at [-]:[-]. Now, we are going to try to do a preliminary manual reset..." In the operating room, a simple explanation was also brought.
At the same time, Ding Changle also said: "The traction before the operation and the simple reset before the operation, I believe all colleagues can understand, I will not say more, let's look at the operation carefully."
but!
Just when everyone saw the screen, after a few hands simply reset their hands, they saw everyone leaving the operating room again!
Everyone at the scene was stunned!
What is this for?
Intraoperative C-arm fluoroscopy?
Still see through?
Brother, this is a live broadcast of surgery, you can do another perspective!
What means?
The normal process of surgery is fluoroscopy, many times, but this is a live broadcast, so why don't you show us the fluoroscopy?
"???"
I'm here to watch the operation, not to watch you play in the operating room.
The venue began to riot.
However, in the operating room, the operation was still going on normally, and they started the operation process on their own.
About 2 minutes later, the screen came to the intraoperative C-arm perspective panel again.
However, this moment.
The situation that appeared on the C-arm perspective panel is no longer the previous picture, but the broken ends of the fracture, somehow connected together inexplicably, although there are also broken bones. across the middle.
but.The marrow cavities at the distal and proximal ends of the fracture have been aligned relatively well.
What to look at for a fracture, look at the fracture line.
The previous fracture line was a mess of wool balls, but the current fracture line is quite neat broken ends.
At this point, the picture is divided into two parts, one picture focuses on Qiepi, and the other picture focuses on the display panel of the C-arm machine during the operation, and it seems that Qin Tianzhu is adjusting the display screen and looking at it. Explanation, the picture clearly shows the perspective time.
"Everyone at the venue, teachers, hello, this is this surgery. The X-ray results three times before the operation. The time of the first X-ray is at 45:[-], and the time of the second X-ray is at [-]:[-]. Minutes. The third perspective time is [-]:[-]:[-]!"
"This is also the fluoroscopy situation before and during the operation that we witnessed together. In fact, I don't need to say it, everyone should understand that this operation has come to an end..."
puff!
With Qin Tianzhu's unhurried tone and the way he said the most awesome words, even Ding Changle couldn't help but spit.
Although he thought about it, the operation process this time would definitely surprise people.
Unexpectedly, in this situation, even my father is about to fall off!
Ding Changle noticed the stunned eyes and expressions of everyone in the venue, and he was in a good mood!
Second Olympic!
It turns out that Zhou Cheng still has this ability. He is simplifying the complicated fractures. He turned the complicated fractures into simple fractures. In this situation, it is a matter of iron and nail to perform follow-up operations. It's just a formality!
However, seeing many people below the stage looking at each other with bewildered expressions on their faces, even some old seniors and old teachers in his own department were adjusting their glasses and wiping their eyes, Ding Changle felt that it was so fucking weird!
After Qin Tianzhu finally explained the plain film after reset, he ordered the live broadcast staff to focus the picture on the operation.
Then, everyone saw that the operator in the operation was already using his golden finger to get in.
Isn't this still peeling just now?how?
Although Qin Tianzhu was also in shock, he still said in a calm tone: "We just saw that, we have already completed the skin incision, and the approach from the side of the patella is exposed..."
When Qin Tianzhu said this, everyone in the venue scolded their mothers——
What do you mean just saw it, did you see it?I didn't see it!
I haven't even seen clearly how the previous fracture was made into what it is now!
Of course, I can think so in my heart, but the operation is already going on in an orderly manner. It’s just that the process of the operation, because before the internal fixation operation, the reduction of the fracture has been done quite well, so, During the operation, everyone felt the smoothness of the operation process!
It's just that such silky smoothness does not have a very good viewing experience.
Because, if the fracture is repositioned, there is really no need for a professor at the Affiliated Hospital of Shonan University to do this operation, just find a deputy director of a prefecture-level city hospital to do it!
There is not much room for displacement, and guide pins and golden fingers can be inserted with eyes closed. What's so good about it?
After the golden finger goes in, put the guide pin in, and the operation of reaming is just a few steps!
Until the intramedullary nail is fixed, there are no mistakes, because there can be no mistakes.
However, noisy discussions began to sound in the venue, because after the fixed blade of the intramedullary nail was installed, the operation can be declared over, and there is nothing to see. The whole operation process was quite satisfactory, and there was nothing profound Level, I can only say that this reset is really well done!
Before opening the stage, firstly, the difficulty of the operation was reduced by several geometric levels!
What else is there to say?
Awesome!
"Crash!" There was applause, the process of surgical fixation was not bright, but the process of reset was enough to blind most people's eyes! ~
Even Ding Changle secretly applauded Zhou Cheng, when he was about to cut off the operation scene and start talking.
All I saw was that Zhou Cheng actually made a small incision in the middle of the patient's femur after the intramedullary nail was installed.
Moreover, in the operating room, Qin Tianzhu began to explain: "Teachers, don't worry, this operation has only completed four-fifths so far, and there is still one-fifth left, let us wait and see!"
Qin Tianzhu's tone was calm, without any signs of panic, but Ding Changle was a little flustered at the moment, what does Zhou Cheng mean by superfluous this week?
Is this what Qin Tianzhu meant before, adding a little drama to the live broadcast of the surgery?
Looking at the camera again, we saw that the main knife was at the broken end of the fracture, and made an incision about 2.5cm long. After peeling off layer by layer to the muscle tissue layer, everyone did not see the main knife moving the knife, but passed through Through the muscle gap, a pair of curved forceps was inserted.
The curved forceps went there, blocked by the muscle gap, and there was no color ultrasound monitoring during the operation, so everyone didn't know what the chief surgeon was doing now.
However, the main knife is almost 2 minutes later.
The scene also followed dead silence and ignorance for 2 minutes!
Those who can sit here and participate in the meeting are either the deputy directors or the attending physicians with rich experience in surgery. It is completely unexpected that this operation has already ended. Why is it so superfluous!
Moreover, the field of surgery is not big, and they don't know what the main sword is doing. Qin Tianzhu and Ding Changle, who are in charge of explaining, are too closed to explain.
Let everyone be puzzled!
Finally, the chief surgeon pulled out the curved forceps, covered it with a sterile cloth, and said, "Perspective! Sideways!"
Then another 2 minutes later.
The postoperative plain film appeared in front of the big screen in the middle of the meeting again. The picture inside directly stunned most people!
A femur that was almost anatomically restored stood upright.If the only difference is that the location of the fracture is slightly larger than other locations, other than that, it is difficult to see the trace of the fracture!
and! ~
in particular!
Those free bone fragments that were obviously before the operation disappeared.
From the side view, you can't even see it!
You should know that intramedullary nail fixation only fixes the proximal and distal fractured ends of the fracture. Everyone ignores such free bone fragments and lets them disappear by bone resorption, because there is no way to remove them. Tube.
But it seems?
here!
The little hole just now was doing this.
"Wow!~" There was an explosive thunderous applause in the venue.
If the previous operation was a step-by-step operation, then this scene just now was a surprise in the live broadcast of the operation prepared by the Affiliated Hospital of Shonan University!
There is no room for ostentation in medicine!
However, in order to allow patients to obtain better treatment results, some technologies themselves are a show of skill!
Even when Ding Changle saw him, he immediately saw several professors from the Affiliated Hospital of Shonan University standing up, or raising their hands, or directly asking the people next to them for a microphone, and they were about to start asking questions.
However, because of the previous communication, Ding Changle said: "Dear comrades, teachers, professors, this is the end of today's live broadcast of surgery at noon! ~ It is also the end of the first half of the meeting, I know everyone agrees There will be many questions, but for this question, I still hope that everyone will stay and answer it together after the practitioners arrive at the venue."
While talking, Ding Changle looked at the time and said, "It's time for meal now, don't delay everyone's meal time."
Ding Changle is full of smiles, very satisfied with the current effect, but what he said sounds like he cares about everyone, but he is!
Sell off and sell half of it-no more.
In the midst of an orgasm—suddenly cut off!
The main show is here, I have taken off my pants, you give me the health exercises...
There was an urge to beat Ding Changle to death, but what Ding Changle said was right, if you have any questions, ask the chief surgeon, Ding Changle is just an explanation at the venue.
No one knows an operation better than the chief surgeon, this is the common sense of surgery!
Although this is the truth, it is quite uncomfortable if it does not go up or down...
(End of this chapter)
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