medical simulator

Chapter 221 Am I Being Beaten? (Please subscribe!)
"Theoretically speaking, the rear fork has the ability to repair itself, but the anterior cruciate ligament does not have the ability to repair itself, and surgical intervention is required."

"However, the self-healing potential of the posterior cruciate ligament also has its inherent limitations..."

"In most perceptions..."

Professor Mo sorted out the reconstruction of the entire anterior and posterior cruciate ligament rupture from shallow to deep, and Zhou Cheng and others nodded frequently.

However, even though Professor Mo gave the lecture, Zhou Cheng still heard from Professor Mo's lecture that there were many gaps left and the problems and directions that could be pursued further.

This made Zhou Cheng smile involuntarily, hey, his heart is really getting bigger and bigger now, it seems that such questioning and thinking patterns have become instinctive.

According to the rules, the class is first, and after the class, the bedside rounds are performed. After the rounds, the operation begins.

Professor Mo didn't bother and waste time. After checking the room, he led Peng Peng and others into the operating room.

Peng Peng instinctively wanted to come to help and become an assistant, but he was disgusted by Professor Mo.

"If you don't come to be an assistant, this small class has nothing to do with you. Get out of the way." Professor Mo gave Peng Peng a merciless blow.

It seems that Peng Peng was beaten by a group of students before, which was very embarrassing, and it meant that Professor Mo disliked him very much.

Peng Peng sneered a few times, then smiled awkwardly at Zhou Cheng and the others, and silently stepped back a few steps, leaning against the wall of the operating room, sitting upright, very obedient.

I almost squatted down to draw circles and count ants.

In fact, Peng Peng felt embarrassed and unconvinced.

Although he said that, he also felt that the seedlings in this small training class opened this time were quite good, and they were a small group of extremely talented people.

However, whether it's Yu Heng or Zhou Muyun, it's just like this. At most, they are much better than when he was their age, but they are not much better than themselves, right?
Why, my teacher ran out and replaced me.

Peng Peng was a little unconvinced, so his eyes focused more on the culprit——Zhou Cheng.

It was precisely because of Zhou Cheng's 'appearance' that his 'teaching career' was temporarily put on hold.

When I was playing with Pao Yu Heng, Zhou Muyun and others, Zhou Cheng was playing with Pao by himself?
No matter how you look at it, why shouldn't it be something a student can do?
Hey, no, if you have the ability and strength, you can do it. What do you mean by benchmarking against me?
Zhou Cheng still had an amiable expression, chatting and laughing in the crowd very harmoniously, as if he was involved in how to allocate the three surgeries this afternoon——

That's the main thing.

In the first section, the arrangement of the three surgeries is: Peng Peng as the chief surgeon, Zhou Muyun and Zhen Xing as assistants.

The second operation was performed by Yu Heng!

The third operation was performed by Zhen Xing.

In the second section, Peng Peng is the chief surgeon, and Zhou Muyun and Zhen Xing are assistants.

The second surgery was originally performed by Su Min, but was replaced by Zhou Cheng.

The third surgeon was performed by Zhou Muyun!
Calculated in this way, Zhou Muyun and Zhen Xing participated in a total of four of the first six operations today as surgeons and assistants!
Zhou Cheng, Su Min, and Yu Heng only participated in two operations in total, which is a little unfair!

Professor Mo brought this matter up on his own initiative, and said, "That's why I think so. I won't be on stage for the last three surgeries. Su Min, Yu Heng, and Zhou Cheng are in charge of two surgeries. Su Min, Zhou Muyun, Zhen Xing, the three of you are in charge of one operation."

"What do you think of this proposal?"

Zhou Cheng and the others looked at each other in blank dismay.

Professor Mo was quite looking forward to it. His eyes stayed on Zhou Cheng's body the longest, but he couldn't explain it clearly.

In fact, Professor Mo's division now just sounds quite fair.

But who are Zhou Cheng and others?
There are a total of nine surgeries today. If there are three surgeries in one surgeries, then there are 27 surgeries. The total number of students is only five. Even if there is a teacher, there are only six surgeries. It is impossible to divide them equally.

Soon, Zhou Muyun gave the most correct answer: "Professor Mo, according to the calculation you just made, then the number of times Teacher Peng Peng participated is four times, and we have a total of five people, then you should be in the next Participated in all three surgeries."

"Only then can 27 people become an average chance of being divisible by five."

"So, Professor Mo, to be fair, you still have to be on stage in each of the next three operations. Teacher Peng Peng has used up all the times that you can not be on stage before."

Zhou Muyun seems to be serious, but in fact he is a chicken thief.

Are you kidding me, Professor Mo is going to step down to watch?

How is that possible? Watching the operation and formally participating in the operation have completely different perspectives and identities. On the operating table, even if you are an assistant, scolding will help you. If you don't have something, you will never do it!

Moreover, the level of the next surgery is very high. Although the third hospital will definitely be responsible if something goes wrong, it is best to say it only when he is on the stage, so as to maximize the fault tolerance rate.

Professor Mo's expression at the moment is a bit ugly. What he wants to do more is to take a good look at what kind of guy Zhou Cheng is from the perspective of a bystander. But what he didn't expect was that he generously gave up the opportunity to Zhou Cheng. Kindness out there.

Zhou Muyun, the "master of calculations", used his frequency to retort his words.

Since we want to talk about equal opportunities, it can only be the most average.

After Zhou Muyun said this, Su Min immediately thought of another question, but this matter was about him, so he didn't really speak, but whispered in Zhou Cheng's ear for a while.

Zhou Cheng's eyes widened for a moment, and he asked Su Min in a low voice, "Is that okay?"

However, all of Zhou Cheng's actions were in the eyes of Professor Mo and others. Seeing Zhou Cheng make such a big move all of a sudden, and still whispering, Professor Mo asked: "If you have any thoughts, just say it face to face." Come out and discuss together."

"What did you say in private?"

Hearing this, Zhou Cheng turned his head and said, "Professor Mo, what Su Min said just now, according to Professor Mo's thinking and Zhou Muyun's calculation method just now, for the three surgeries this afternoon, you have to perform two surgeries." .”

"In this way, you performed the surgery twice, and Mr. Peng Peng performed the surgery twice, for a total of nine patients. For the remaining five patients, it happened that the five of us performed the surgery once each."

"I think what Su Min said makes sense." Zhou Cheng said in an unhurried voice, but the eyes of Professor Mo and Peng Peng grew wider and wider.

The expressions of Zhou Muyun and Zhen Xing were also a little stiff, that is to say, these three cases are only related to Su Min's surgery?And the rest of us, okay?

Upon hearing this, Professor Mo said, "I'm just making a suggestion, and now you're starting to seriously calculate?"

"Learning lies in acquiring knowledge, not in the so-called fairness of form. Since no one has any better suggestions, let's continue with our own arrangements!" Professor Mo finally changed the subject, which can be regarded as a step back .

Then he looked at Zhou Muyun and Su Min, and gave them a meaningful look.

Zhou Muyun must have calculated it too, but he did not bring this up, it must be selfish, and Su Min knew that everyone might have calculated such an arrangement, but he was the only one who secretly told Zhou Cheng, which proved that this Su Min?

Is the mind really quite 'delicate'?
Is it possible that he is not a man but a woman?
……

Professor Mo wants to conduct traditional teaching, so if he wants to see Zhou Cheng as the surgeon again today, he can only use his own privilege.

Because after he performed one operation, the remaining two operations should be performed by Zhou Muyun's group and Su Min's group, one for each person.

But because there are only two people in Zhou Muyun's team, it is impossible to truly achieve complete equality, and there can only be one person performing two operations.But if Professor Mo gave up his own one, two people would be able to perform one more operation, and it would not be a special exception...

No one doubts the strength of Professor Mo, whether it is his teaching ability or professional ability.

Although, Zhou Muyun and Zhen Xing are not Professor Mo's subordinates.This is also their first cooperation.

However, during the following ACL reconstruction operation, the cooperation of the three people was very stable, and the operation process was orderly, fast and orderly, especially Professor Mo, who was extremely smooth in all the procedures of the operation!
Microscopic examination first, the procedure of microscopic examination is very detailed, but not cumbersome. The knowledge points that should be mentioned are not missed, but there is no excessive repetition.

After the microscopic examination, during the process of taking the autologous tendon, the action was quick, and the process of taking the tendon was decisive and straightforward, without any sloppiness.

The work of weaving the tendons was also naturally handed over to Zhou Muyun, and then he took Zhen Xing to explain in detail when dealing with the tibial and femoral tunnels.

For the positioning of the femoral side, the isometric reconstruction of the stump was used.

Isometric reconstruction means that the lengths are equal. Correspondingly, there is isotonic reconstruction. Both have their own advantages and disadvantages, but isometric reconstruction is more popular at present.

Calculation of loop plates, calculation of tibial and femoral angles...

Everything can be called perfect!
Because of the tendon extraction and weaving, the operation time was finally fixed at 49 minutes.It can be regarded as the slowest one among all the surgeries performed today.

However, as far as the whole operation is concerned, an autologous tendon graft reconstruction of the anterior cruciate ligament under knee arthroscopy can be completed within one hour, which is already very fast. Can be of extremely high level.

Dare to be so fast.

Any operation speed without operation quality is meaningless. As a professor, Mo Chengkong, it is impossible to give up the quality of his operation for the sake of such speed.

"This is done. We can immediately see on the operating table that the patient's current range of motion in all directions of the knee joint is stable."

After the operation, Mo Chengkong began to use the patient's knee joints to move in all directions. The range of motion is so large and the angle of motion is off-limits, it seems that this Mo Chengkong is the same as the one from the previous surgery. Cheng Kong has a grudge, just deliberately trying to find fault.

It's like trying to break the ligament that was just rebuilt.

But it is a pity that Mo Chengkong is very clear that the reconstruction surgery he performed is very solid, unless it is a violent injury, such a torsional non-violent factor cannot cause events such as breakage or loss of the loop plate .

Because of confidence, so the courage is big enough!

At the end of the operation, this is definitely a very high standard knee arthroscopic teaching operation of anterior cruciate ligament autologous tendon graft reconstruction.

After the operation, Mo Chengkong took a look at Zhou Cheng and the others, and said, "The key points of the reconstruction of the anterior cruciate ligament are the following. One is to do a good mirror examination, and the other is to..."

While talking, Zhou Chengcheng noticed that this Mo Chengkong began to focus on himself.

It seems that all the words are speaking to himself.

Zhou Cheng looked left and right, as if he and others were standing in a pile, so no matter who Mo Chengkong was looking at, they were all looking in the same direction, and it wasn't that Mo Chengkong was looking at him on purpose. .

And just after Mo Chengkong had summed up all the main points, the second operation was about to begin.

This time, it was the turn of Zhou Cheng, Su Min and Yu Heng's team.

And because the reconstruction of the anterior cruciate ligament this time is a common operation in the department, although it is not difficult, Su Min is not so afraid. After the patient came in, he began to do it in a regular manner.

Both Zhou Cheng and Yu Heng are working as assistants.

They are so proficient that even Yu Heng and Su Min don't know that Zhou Cheng is actually in the real world!
And after he was relieved of such and such burdens, and felt that it was a matter of course, Zhou Cheng's mentality gradually became a little more relaxed. He looked at Zhen Xing and Zhou Muyun before focusing on the operation.

The main surgeon of the operation was naturally Su Min.

However, after the tendon harvesting operation of the anterior cruciate ligament is completed, the surgical team needs to be divided into two parts, one side is to continue to make the passage of the femur and tibia, and the other side is to do the suturing and braiding of the autologous tendon.

Zhou Cheng and Yu Heng discussed it for a while, and Yu Heng took the initiative to say: "Zhou Cheng, Su Min and I are not as good at foundation as you, you go to weave tendons, and Su Min and I learn more about it?"

Zhou Cheng was taken aback by Yu Heng's words.

How could this tyrant show weakness?
When Peng Peng said he was the worst, Yu Heng wasn't like that?
Yu Heng went on to say: "If you think it's not possible, then I'll braid tendons."

Zhou Chengcheng hurriedly said: "It's okay, I thought I heard it wrong, but I didn't realize it. I'll go."

To be honest, Zhou Cheng came here because he was rather curious. Who really needs to rely on someone to teach some simple skills?
Zhou Cheng felt that he might be a little disappointed this time, and he wouldn't have much professional improvement, but he would definitely improve his vision.

Because if he hadn't come here, Zhou Cheng would definitely not have known that there are really people who are geniuses like Yang Yifeng and Luo Yun, and there are more than one or two.

……

Peng Peng and Mo Chengkong still paid more attention to Zhou Cheng, but they saw that Zhou Cheng did not assist in the operation of the femoral and tibial passages, but turned around to do the work of weaving tendons .

A little disappointed.

Braiding tendons is just a very basic and simple job, which is of the kind that has no technical content. Compared with the establishment of femoral and tibial channels, it is far behind.

Although it is also a very important part of the operation, but?
Forget it, let's pay attention to the operations of Su Min and Yu Heng.

……

Because the operation occupies a different proportion in the operation, although both Peng Peng and Mo Chengkong know that Zhou Cheng's operation ability is very strong, they can't lose sight of the other and forget the original intention of this small class teaching.

It is teaching, and it is a non-profit teaching, otherwise, it will not only recruit five people, and the tuition fee for each person is only [-]!

Therefore, what Peng Peng and Mo Chengkong didn't know was that after Zhou Cheng walked to the stage dedicated to weaving tendons, several people focused on a certain display screen in a certain place.

"Are you looking at the way we weave tendons, is it different from what we see every day?"

"This is?……"

Each operation has its specific professional name and its indications.

The operation that Zhou Cheng is performing now is officially called tendon braiding and suturing.

Indications: It is suitable for braided suture of 2 tendons of slightly different or equal thickness, and is mostly used for tendon transplantation.

A small hole was poked with a knife on the transplanted tendon, and the stump of the grafted tendon was pulled out from the hole with vascular forceps and sutured; then another hole was poked with a blade on the far side, the direction was perpendicular to the front hole, and the The stump of the grafted tendon is pulled out from the hole and sutured, the excess part is cut off, and the grafted tendon is buried in the grafted tendon...

However, this is a relatively traditional tendon braiding and suturing operation. Basically, this braiding method is quite popular in China at present.

What Zhou Cheng took out suddenly here is quite fresh.

"What's the child's name? Is there any relevant information?" Old Gui asked his assistant.

There are only five people here this time, so naturally there is no need to search through the files deliberately.

"His name is Zhou Cheng. He is from Hunan Province. He was strongly recommended by Yang Yifeng, who was originally invited by Hunan Province. I have reported to Mr. Gui. Since you and Xiao Yang are old acquaintances, I know that he is not a person who serves the rich and powerful. I think this kid is not bad, he might not come to this training." It was Gui Lao's assistant who spoke.

But in fact, he is the current director of the sports medicine department, the current vice chairman of the Kyoto Sports Medicine Professional Committee, and the vice chairman of the Huaguo Sports Medicine Professional Committee...

"Is it from the Affiliated Medical College of Shonan University?" Old Gui asked.

In the previous generation when he was active, Beijing Association and Nanxiang University were still a golden sentence widely circulated in China.In the past, when there were leaders in Hunan Province, apart from the accompanying doctors from the Health Bureau, most of the accompanying health doctors from Hunan Province were in charge of the Affiliated Hospital of Hunan University.

It is an old-fashioned school with a profound foundation, and it is not surprising that one or two freaks and evildoers occasionally appear.

On the contrary, if it has been declining like this, it is not like the development direction and trend that this ancient medical school should have.

"Look at the information, no." The other person narrowed his eyes and said.

"No?" Elder Gui's tone was strange.

Another person thought about it seriously: "I will never remember such an important thing wrong, unless the information is wrong. This Xiao Zhou is not a student of the Affiliated Hospital of Shonan University, and this is what I admire."

To be able to hand over the quota to other people, this kind of generosity is really very human.

"Let's go, let's go to the operating room." Old Gui said after thinking for a while.

The other person's tone was immediately very surprised: "Old Gui, didn't we come forward on the fourth day of our arrangement?"

"In the first three days, there are more?" What I want to say in my heart is that this Mo Chengkong has only just played, I haven't shown up yet, and the former director of our department, that is, your student, hasn't shown up yet, so let's just break out like this out?
Isn't it a bit inappropriate?

Otherwise, how to arrange the course schedule for the next few days?
Gui Lao said: "It's time to go out. Since we have set up a game and these children have come to play, then don't break your promise and pretend to be advanced."

"Young people are scary, you haven't learned how to admit it yet!" Old Gui's upper and lower lips were slowly moving together, he walked outside, and then went straight to the operating room.

This made the little middle-aged man a little unhappy, what the hell?
I still don't know how to admit that young people are awesome?
No, Mr. Gui, do we want to be so evil and make it so mysterious?Although, this Zhou Cheng is a little bit capable and a little bit unpredictable, so why don't you just talk about me?

Isn't it a bit inappropriate?

……

Mo Chengkong suddenly noticed that people began to enter the operating room.

He was wondering if some ignorant intern walked into the wrong operating room and came over by accident, and when he was about to say something, he realized that the door of the operating room was pushed wider and wider, and finally walked out A large group of people.

Crowded together, the front row is an old man who looks energetic, with slightly white eyebrows. Behind this old man, there is a fat man with greasy wrinkles at the corners of his eyes, bending over slightly.

Trying to be as tall as a short man next to him, but still looking down at him...

After Mo Chengkong and Peng Peng saw these people coming, they immediately realized what was going on. Mo Chengkong hurried up to say hello: "Old Gui, Director, Director!"

Because they are both directors, it is only the difference between the old director and the new director, so there is no need to separate them.

"Well, you guys continue." Gui Lao waved his hand at the operating table, signaling for everyone to continue.

Peng Peng hurriedly washed his hands and put on his clothes, while Mo Chengkong hurriedly grabbed his director and asked, "Director Pin, what's going on? Is it me?"

Mo Chengkong didn't say it clearly, but he pointed to himself, obviously asking, am I being too high-profile?

Was it beaten?

(End of this chapter)