medical simulator

Chapter 263 The Bet Is Right (Subscribe)
After saying goodbye to Yang Yifeng, Yang Yifeng arranged his own time, and Zhou Cheng did the same.

Back in the rented room, Zhou Cheng found his own notebook, which was filled with densely written words. However, Zhou Cheng opened a new title page and wrote down a sentence.

If all scientific research results cannot be applied to clinical practice, then the scientific research results are false.

Then Zhou Cheng wrote down another sentence: Apply what you have learned.

After writing, Zhou Cheng sighed in a low voice: "Skills need to be realized, but one's own accumulation is too narrow. The road to go is still too far and too difficult."

He has no shortage of good things, but the development and promotion of this small incision open reduction and internal fixation will take a lot of time, which is much more difficult than him simulating this skill.

In the past, Zhou Cheng thought of this problem simply, thinking that he only needed to figure out the theory.

However, considering that Yang Yifeng had been studying alone for so long, but still not making satisfactory progress, Zhou Cheng knew that he should not think too optimistic about such things.

Thinking of this, Zhou Cheng flipped forward a few pages in his notebook, and found a note.

What is recorded here is Zhou Cheng's thinking on the applicable model of the simulator, and this article records how to teach students.

The only way for a professor to grow up is teaching. If you can't take on the task of teaching, just be the chief physician of a department as soon as possible, and don't blame students.

A good student or even a good student is not necessarily a good teacher.

Not everyone is Yang Yifeng, so this thing still needs to be used.

Who stipulated that the use of the simulator can only be used for your own learning, not for teaching?Zhou Cheng has a lot of tricks in his head, but if it is not necessary, he is more willing to improve his strength instead of wasting the number of simulators.

Three times a day seems like a lot, but if you want to extend the skills of other departments, it doesn't count as much.

Let's slow down the progress of his own study first, Zhou Cheng made another major decision to temporarily put the basic anatomy theory (creation-incomplete) on hold.

It is quite difficult to improve the progress of fracture surgery. It is not appropriate to bring out such fundamental things like this now. It may be better to wait until you have students.

……

In the evening, An Ruo finally had time to have dinner with Zhou Cheng.When Zhou Cheng is free, he lights up at the reserved restaurant first, and when he sees An Ruo, he asks, "How are you? Are you busy today?"

An Ruo put down the white shoulder bag, restrained himself from the down jacket and sat down: "It's okay, every day is about the same. The patient size of the No. [-] Hospital in Shanghai is not comparable to that of the No. [-] Hospital. Today there is another patient who almost passed away." Fortunately, Teacher Su is stable."

"What's wrong?" Zhou Cheng asked hurriedly.

In the operation, the operation depends on surgery, and the life-saving depends on anesthesia.

"There was a sudden myocardial infarction during the operation, the operation was temporarily called off, and thrombolysis was performed immediately..."

Speaking of this, An Ruo immediately put on the apron when she saw the hot pot: "The final result is good. Let's not talk about this, what I actually want to express is that the skills anesthesiologists must master are not just good anesthesia. "

An Ruo spoke casually, obviously much more confident than before.

Zhou Cheng's expression changed, and he said, "Then eat first."

After the two of them finished the hot pot and were sitting for a rest, An Ruo secretly touched his stomach on the table with a sense of guilt, glanced at Zhou Cheng slyly and asked, "How is your project going? I heard you say it."

In fact, An Ruo wanted to ask, don't you think your steel plate approval process runs very quickly?

"The progress is not bad. I have also obtained the authorization for surgery. The professors who came to participate in the evaluation last time were also very interested. Now Professor Xue Xiude and Professor Yu Qiuhua are looking for suitable cases. Now we are waiting for the official clinical project to start. "Zhou Cheng briefly summed up the matter.

An Ruo was a little bit disappointed, but she didn't want to show it off: "That means it's going well, congratulations, brother."

Zhou Cheng knew that An Ruo had helped in secret, which was also one of the reasons for today's meal, and said with a smile, "Thank you for your help too. Zhang Zhengquan said that someone helped in secret, so I guessed it was you .”

An Ruo was startled for a moment, fearing that Zhou Cheng would be misunderstood: "Actually, my brother happens to work in Shanghai and has some acquaintances."

She tried her best to throw away the sense of importance she hoped to have before, otherwise, if Zhou Cheng retreated in spite of the difficulties, it would be bad, after all, her family didn't have such intentions.

"Is brother still hospitalized now?" An Ruo changed the subject again.

Zhou Cheng nodded and said, "Yes, I'm temporarily serving as the chief inpatient of Professor Xue Xiude's group, but I actually have nothing to do. Teacher Mao Yuxuan has taken over the main tasks."

"That's just a good time for you to take a rest, brother, you were very busy yesterday." An Ruo comforted.

She knew that Zhou Cheng actually wanted to participate in clinical work, and he was more suitable for clinical work.But thinking about what Zhou Cheng has done recently, maybe Zhou Cheng's thoughts and thinking have changed again, An Ruo is also thinking about whether there is anything he can do to help.

It's just that Zhou Cheng's level of contact with her is a bit out of touch with her, so she has to hurry up to say this.

"Besides, this is the Ninth Hospital of Shanghai, and the general hospital is very busy with work. If they want to, they would rather get rid of everything. It may be that Teacher Mao Yuxuan thinks that you should do more in other things, so he will do it for you. Take care of these chores." An Ruo comforted again.

Zhou Cheng actually thought it was okay, he had experienced more than one incident of loud thunder and little rain.Last time, he thought that Lu Ganzhou would give him a chance to make a big splash, but when the critical moment came, he didn't show up.

Still the same this time, and nothing.

No background, no background, if you want to make a career, you just have to go slowly.Zhang Zhengquan's family has a lot of money, but it is still very difficult to start his own business.

Zhou Chengcheng asked: "An Ruo, is there anything you want to help? For example, if you encounter a problem or something. Or something else."

An Ruo didn't take the initiative, and Zhou Chengcheng never used An Ruo as a simulation object in the simulator.

It's just that the latter sentence is not what he wanted to say, it's a passive skill that comes with it...

An Ruo blushed, and quickly shook her head: "No need, brother, I've been too full recently, and I'm about to explode if I add something, your affairs are already very troublesome."

"If I have a problem that I can't solve, I will definitely take the initiative to tell you."

An Ruo thought that Zhou Cheng had noticed her menstrual period, but she also slowly became bolder.

Zhou Cheng didn't dare to say any more, he had too much contact with An Ruo, who knows when he will come out with some flirty words again?In the operating room for so long, meat and vegetables, mixed speed, I will always learn a lot.

……

Zhou Cheng thought that he could make better plans for the future, but after returning to the rented house, he unexpectedly received a call from Professor Xue Xiude.

Xue Xiude invited him to dinner, and Zhou Cheng had already eaten, but after all, he was still under Xue Xiude's group, so he said, "Okay, Professor Xue, I'll be right there."

When I took a taxi and came to the box that Xue Xiude said, there were two people Xue Xiude and Chen Shengwu sitting in it. Looking to the side, Mao Yuxuan, Associate Professor Gu Zhongliang and others were not there.

Zhou Cheng couldn't understand what Xue Xiude was trying to do.

Professor Xue Xiude can drink, but he is not good at alcohol, but there is still a bottle of wine on the wine table today, which is one of the specialties of Zhou Cheng's hometown - alcoholic.

"Professor Xue, Brother Wu." Zhou Cheng greeted hurriedly.

Chen Shengwu immediately stood up and said, "Zhou Cheng, just call me by my name. We are about the same age. You can call me Chen Shengwu or Xiao Chen."

Xue Xiude didn't care about the title, it was a matter between Chen Shengwu and Zhou Cheng.He only greeted Zhou Cheng and said, "Xiao Zhou, come and sit down. Today is just the three of us. Let's drink as much as we want, and we will not persuade you to drink."

"This Hunan restaurant was recommended by a friend before, but I have never tried it because of the taste. It's a good time for you to judge whether it is authentic or not."

Zhou Cheng took his seat generously, and in today's society ruled by law, he is not afraid that Xue Xiude will sell him out.

After the three of them bumped into each other first, Xue Xiude invited Zhou Cheng to eat. After eating for a while, Xue Xiude got to the point.

"Xiao Zhou, I called you here privately today, but I actually want to ask you something."

"I had a private chat with Chen Shengwu, and he was also quite interested in the fracture restoration method you shared earlier. It's just that Chen Shengwu's aptitude is average, so you may need to spend more time thinking about it." Xue Xiude said slowly. Tun said with sincere eyes.

Hearing this, Chen Shengwu immediately stood up and raised his glass to Zhou Chengcheng.

Zhou Cheng sighed in his heart, this fucking is the teacher, not the so-called cheap teacher.In the past, when Cai Dongfan and Luo Yun were together?
But the teacher Zeng Diwei later, the current Gui Yuanping, or Lu Ganzhou who doesn't know if he is a teacher, who are these people?
Zhou Cheng didn't even know if he made the right choice to come out, but now that he's come to this point, he can only bite the bullet and go outside.

Zhou Cheng could only stand up, and said with a smile: "Professor Xue, Brother Wu, there are only three of us today, so we don't need to engage in these polite things. Otherwise, it would be quite inconvenient to stand up all the time."

Hearing this, Chen Shengwu took a look at Xue Xiude, then sat down slowly, and then drank it down with Chen Shengwu.

After reading it, Xue Xiude said: "Xiao Zhou, in fact, we all know that the manual reduction of fractures is in the same line as the small incision open reduction and internal fixation."

"However, every hospital and even every professor actually has a certain understanding of manipulation reduction. Therefore, your previous proposal may not be taken seriously by anyone."

"But I have been in touch with you for quite a long time. I believe that your method of reset must be different from others. Chen Shengwu, including Mao Yuxuan from our group, are all like this."

"I don't know if other professors have had contact with you, but Chen Shengwu has this idea, and I believe in you, so I hope you can bring Chen Shengwu along."

Speaking of this, Zhou Cheng's eyeballs rolled around a little, so it was like this.

When other professors came into contact with shit, after adding friends, they asked Zhou Cheng the most about poaching. When asked if Zhou Cheng would like to go to their side to manage the subject, Zhou Cheng naturally declined all of them.

Then he politely invited them to come and exchange the reset method, but no one responded.

Zhou Cheng then replied: "Mr. Xue, thank you for your trust. I will try my best. I have also been with Chen Shengwu for a while. In fact, Brother Wu's qualifications are quite good."

Chen Shengwu's aptitude is naturally good, not much worse than what he is now, otherwise, how could Xue Xiude attach so much importance to him and personally set such a table?
When Chen Shengwu heard the words, he immediately said: "Master, Zhou Cheng is flattering me, don't believe it, I have been working hard."

I struggle in my heart, I have never been lazy, Master, don't think that I am lazy just because Zhou Cheng is so powerful.

Well, Zhou Cheng really didn't consider such an angle, so he obediently shut up.

Xue Xiude smiled, he didn't really misunderstand Zhou Cheng's words, this matter, he has other things: "Xiao Zhou, let's just talk about this matter, Chen Shengwu, I will completely leave it to you gone."

He didn't know whether the previous Yu Heng had secretly helped Zhou Cheng or not.However, he felt that he could take a gamble. If Zhou Cheng really had the ability to bring Chen Shengwu out, he would make a profit. At most, he would just lose time.

Chen Shengwu still has a lot of time.

"I just don't know how you, Xiao Zhou, are about the subject arrangements and plans of other hospitals? I heard privately that someone said that the secret of your small incision open reduction and internal fixation is actually yours. equipment."

"So someone has already started to search for the source of this device."

"But I think it's definitely not limited to this." Professor Xue Xiude told Zhou Cheng another explosive thing.

Zhou Cheng's scalp was slightly numb.

Fuck, people are scary!How could anyone think so?

No wonder Zhang Zhengquan is not free today.

Watching the meeting and hands-on meeting are not necessarily the same thing, right?
Of course, after thinking about it for a while, Zhou Chengcheng understood the key elements, please pay attention to Professor Yu Qiuhua, the lineup of judges who authorized his operation this time is a bit huge.

Not to mention half of Huaguo's trauma surgery, but one-fourth and one-fifth of it.These professors are all excellent people and well-known outside the world.

And the knowledge reserves are extremely strong, and I feel that the trick and the key part are in the ingenious equipment design.And there is also the support of theory, especially unwilling to be manipulated by others, this is a perfectly normal thing.

Zhou Cheng rolled his eyes immediately, and asked in a low voice: "Professor Xue, I'm asking an inappropriate question. If there is a problem with this subject elsewhere, will the progress of this subject in our hospital be affected?" what?"

A professor level, a senior professional title, has the ability and strength to carry out the exploration of new surgical methods by default, let alone a large teaching hospital of the same level as the Shanghai Ninth Hospital?

Zhou Cheng has no control over what other people do or think.

However, if it really affects the progress of your subject, then there is a big problem.

Xue Xiude's expression froze immediately, MMP, I knew Zhou Cheng, you still had a hand, you can ask this question well.

However, Xue Xiude couldn't fully confirm this issue, he just said: "It depends on what link went wrong. If it's just a problem with the simple operation process and you can't get off the stage, it's the professor's own problem, not the subject's problem."

"But if there is a problem with the postoperative equipment, it will have a big impact."

"But don't worry, these other professors are all human beings, and they have to be very cheeky. If there is really something that hurts the feathers, they will definitely call you."

He thought to himself, it's a good thing Zhou Chengcheng is in the Ninth Courtyard of the Demon City, otherwise, Xue Xiude also felt that he would think so, and was unwilling to be bound by others.

If what Zhou Cheng said really happened, it would be too funny and embarrassing.

"That's good. If it can be inserted into the bone marrow cavity according to the standard method, there must be no problem. I'm afraid that the placement process is not that simple."

"Of course, it's correct. The criteria for the evaluation are already there. You can see the images during and after the operation. I believe that the abilities and operation techniques of other professors will definitely reach that level." Zhou Cheng could only Think good.

It doesn't mean that I feel guilty for hiding the key hand.

Of course, it wasn't hidden on purpose, but there are some things that need to be taught hand in hand. How can it be possible to cover everything in just two small lessons and directly make people soar in place?
Xue Xiude smiled and said meaningfully: "Are you really watertight?"

Chen Shengwu listened a little dull, always felt that Zhou Cheng and his teacher Xue Xiude had already hinted at something, but also felt that such hints were a little too hot and inconceivable.

……

Zhou Cheng drank alcohol without eating anything, but not much, and he was not drunk at all.But Chen Shengwu drank more to show his sincerity.

Chen Shengwu did not ride back with Xue Xiude, but left with Zhou Cheng.The general meaning is to take Zhou Cheng to see the night scene, even though Zhou Cheng has already seen it with An Ruo, it is not easy to refuse.

Walking halfway, the heat of the wine dissipated a little, Chen Shengwu turned his head and asked, "Zhou Cheng, are you really? Did you hide it?"

Does this count as a professor of computing?
Zhou Cheng rolled his eyes: "Chen Shengwu, you can learn a skill with a few words and a set of theories. Do you believe that?"

"But don't worry, in the process of our communication, I will definitely explain everything I know in detail."

Chen Shengwu hurriedly explained: "Zhou Cheng, you misunderstood me."

Zhou Cheng didn't say anything more, and Chen Shengwu didn't dare to dwell on this sensitive topic.Because thinking about it carefully, Zhou Cheng didn't do anything wrong, he just depends on how other people choose.

Recalling the conversation between his teacher and himself, Chen Shengwu gradually understood that this is the benefit of relying on the mountain to eat the mountain, relying on the water to drink the water, and there is no need to worry.

Then Chen Shengwu went elsewhere: "Brother Zhou Cheng, by the way, my master told me to come and walk with you because he told me to tell you something."

"A student of Academician Zeng Diwei, that is, Senior Brother Luo Yun, left Shanghai, saying that he went on a study tour. But I don't know whether he is in China or abroad."

Zhou Cheng turned his head and stopped.

Chen Shengwu was a little frightened by Zhou Cheng's stare, and he didn't dare to look at Zhou Cheng: "My teacher just mentioned it casually. Teacher Zeng Diwei knew about this matter."

Zhou Cheng heaved a sigh of relief. If there are only two people who are his most important teachers now, one is Cai Dongfan and the other is Luo Yun, these are the people who really care for him.

Luo Yun is obsessed with studying for a Ph. D. After coming to Shanghai, he is much happier than before.Now that Mr. Zeng Diwei knew about this, Zhou Cheng wouldn't push him too much.

Then Zhou Cheng suddenly asked: "Brother Wu, you said that such a big place as Shanghai, can it accommodate ordinary people like us?"

Chen Shengwu looked at Zhou Cheng strangely, smiled and said: "I am an ordinary person, but you are not Zhou Cheng. It should be okay. If you can stay in the hospital, try to save money. If two people are burdened with mortgages, You can fight hard."

"But I guess I don't want to stay here and work hard. I'm from Yun Province. When I go back, I can directly settle down in the provincial capital. There's no pressure. That's great."

"But I think Brother Zhou Cheng, you can definitely give it a go."

It is almost impossible for Chen Shengwu to compete for the opportunity to stay in the hospital in Shanghai. He has known this for a long time, so he never arranged it, but Zhou Cheng definitely can, there are many choices.

But in fact, that's not what Zhou Cheng meant, it's just that Chen Shengwu didn't understand what he said.But he didn't care about it. It would be useless to ask Yang Yifeng such a question. Yang Yifeng can stay in Shanghai now, as long as he wants.

But Zhou Cheng's own circumstances were different from theirs.

"Oh, by the way, Brother Zhou Cheng, Brother Mao asked me to tell you something." Chen Shengwu said suddenly again.

Why do you talk so much?Talking madman?
Chen Shengwu didn't hold back: "Brother Mao said, because he and I have to start learning the technique reset, and Brother Cao also needs to start learning, but there are four general hospitalizations in the department, and the number of patients is far from enough."

"Brother Mao and Brother Cao said that they want to go to the grass-roots community hospital to find some cases, and would like to ask Brother Zhou Cheng if you have time."

Patients with fractures are indeed scattered.Chen Shengwu might be arranged to go to the prefecture-level city hospital at that time, but Mao Yuxuan and Cao Lin left, that would be impossible. Without the chief housekeeper, Professor Xue Xiude and Professor Yu Qiuhua's team would be in chaos.

Zhou Cheng frowned. His current time was already very tight.But still the same sentence, if there is no way to realize the skills and scientific research, then the existing ones are all fake.

After thinking about it again, he replied: "Look, the cases of fractures are quite scattered. You may not be able to spare time on weekdays, and you can only spare time on weekends."

"I'll talk to Teacher Mao and Teacher Cao then."

Chen Shengwu hurriedly said, "No need, Brother Zhou Cheng, I'll just go and talk about it."

In the teaching hospital, if you ask for advice from others, you still have to take the people who teach you here and there. Do you think that others have no students?No, there are many students.

There are also many people with talent and strength.

……

Zhou Cheng said goodbye to Chen Shengwu, and when he returned home to take a shower, his mobile phone rang rather inappropriately. It was not a phone call, but a voice call from WeChat.

When Zhou Cheng quickly came out of the shower, the voice phone rang three times in a row.

At this time, it was still ringing, Zhou Cheng wiped his head with a towel, and connected: "Hello, Professor Li. I was just taking a shower."

The caller was Professor Li Xuande from Renji Hospital Affiliated to Shanghai Jiaotong University.Li Xuande is not only the director of trauma surgery, but also the chief director of orthopedics.

Li Xuande's tone was quite cramped: "Xiao Zhou, I'm really sorry to bother you so late. But I did encounter difficulties. So?"

"Can I trouble you to come to our hospital? I've already arranged for a car to go downstairs to you." Li Xuande's voice was very low, and there was breath in it, so he probably said it while holding hands.

Hearing this, Zhou Cheng calmed down with a shudder.

What Xue Xiude said is correct.

It's just that Zhou Cheng didn't expect that the first call came in today.

However, Zhou Cheng was now in a dilemma. He rubbed his hair violently and said, "Professor Li, I drank at night and cannot go on stage."

Drinking alcohol on stage is a taboo in surgery, and it is killing yourself.It is absolutely impossible for Zhou Cheng to gamble on his own future just to wipe Li Xuande's ass.

Li Xuande was stunned for a while, and then explained: "Xiao Zhou, you must have misunderstood me."

"This patient didn't ask you to come on stage, it's just that the patient raised a certain level of requirements for follow-up surgery and rehabilitation, and I thought of you. It's just that we haven't thought of a better solution yet."

"So, can I ask you to come over and refer to it?"

"It's just for reference by our internal staff. Oh, by the way, Professor Liu Zhibin is also here."

Well, Li Xuande hasn't started the stage yet, instead of calling him on the stage to call for emergency, that's okay.

"Professor Li, as long as it doesn't violate the principle, there is nothing wrong with it." Zhou Cheng breathed a sigh of relief.

"That's natural. I would not ask for an emergency consultation at this point, unless it is an exceptional situation." Li Xuande suddenly explained.

……

Zhou Cheng put on his clothes, went downstairs again, and found the car that Professor Li Xuande mentioned at the gate of the community. It must have stopped for a while, and the driver was 'confronting' the security guard at the gate.

After Zhou Cheng got into the car, he said politely to the security guard, "I'm really here to wait for someone. Look. Thank you."

Then in a flash, stepped on the gas pedal, and left.

The driver didn't talk too much after getting in the car, but simply introduced himself and told Zhou Cheng familiarly that he was from a certain equipment company, and hoped that Mr. Zhou would take care of him in the future. It was a random contact.

Zhou Cheng didn't talk to him too much. He just brushed his teeth before going out, and he also wore a mask. There was still a slight smell of alcohol, but it didn't affect Zhou Cheng's thinking.

When they arrived at the underground garage of Renji Hospital, Zhou Chengcheng pushed the door and went down.Then the driver took the initiative to take Zhou Cheng to the elevator, helped him press the trauma surgery floor, and said, "I won't go up, I have to go to the operating room and wait."

Zhou Cheng didn't say much. In fact, emergency surgery is not only tiring for the doctors in the hospital, but also for equipment manufacturers to temporarily adjust or mobilize surgical equipment according to the patient's condition.

However, Zhou Cheng was sure that this operation would not be very simple, otherwise, Professor Li Xuande would not have asked him to come here.

After getting off the elevator, Professor Li Xuande probably received a message from the driver, so he waited at the elevator door, and quickly led Zhou Cheng to an office.

There were not many people in the office, perhaps because Zhou Cheng had been drinking, and there were only four people including Zhou Cheng and Professor Li Xuande.

On the large PPT screen, there are photos of the patient's lower limbs and imaging studies.

Professor Liu Zhibin and an associate professor under Professor Li Xuande's group were discussing in detail there, and the content was more about the issue of amputation or not.

Li Xuande quickly said: "Xiao Zhou, thank you for your hard work. I invite you to come here today because I heard what you and Yu Heng said about muscle and tendon reconstruction during the day."

"Look, this patient's lower extremities were severely damaged, and the muscles and tendons were seriously injured. The fractures were multiple comminuted fractures. Professor Liu Zhibin and I have already considered the issue of fracture reconstruction."

"However, for the damage to the hip joint, if we fix the fracture, can the soft tissue be salvaged? Is there any significance for this patient to undergo limb salvage surgery?"

Limb salvage is an eternal topic in trauma surgery. In case of injury, the first consideration is whether to salvage the limb, and then whether the limb salvage is good or not.

Seeing Zhou Cheng and Li Xuande coming in, Professor Liu Zhibin didn't move, and the associate professor smiled very kindly at Zhou Cheng.Both Liu Zhibin and Li Xuande attached great importance to Zhou Cheng, and he didn't despise Zhou Cheng because he was young even if they called him so late.

He didn't go to the small academic conference yesterday, but had other private matters. Today, he was in the second-line consulting class. The first-line general hospitalist felt that he couldn't handle it, so he called him. He also called Professor Li Xuande to the department.

Zhou Cheng flickered a few times, and asked, "How is the patient's blood supply?"

Zhou Cheng hadn't encountered such an exaggerated injury for a long time, mainly because he had been away from trauma surgery for a long time.

Blood is the source of life, without blood, everything is empty talk.

"When Xiaofu was doing the debridement just now, the news came that the blood supply was okay, that is, this kind of muscle that was crushed to the point of necrosis, should it be removed, and if so."

"Then from the upper edge of the knee joint to the middle of the femur, more than half of the posterior tibial muscle group will be removed. There is absolutely no way to recover such a large soft tissue gap after surgery. He has talked with the patient's family about the need for amputation."

"But the patient's family members want us to fight for it, and their attitude is very sincere, so I still try my best to find a way." Li Xuande said.

Xiaofu is estimated to be the total hospitalization.

Zhou Cheng pondered for a while, then smiled and said: "Professor Li, Professor Liu, I'd better listen to your opinions and opinions first, and then if I know something, I will ask for it, but I may also be here to listen to the case analysis class."

This is not only Zhou Cheng's modesty, but also his own position.

Obviously, this kind of damage is completely different from the damage Zhou Cheng has seen before. It is more serious and definitely cannot be solved with a few words. How to fix the fracture? What are Liu Zhibin and Professor Li Xuande's thoughts? , to decide whether to push more or not.

It's not because I just obtained the authorization of the new technique, and then others think it's very good, and after a few words of flattery, I will float to the sky, and then even Liu Zhibin and Professor Li Xuande will be ignored.

That's what idiots do.

Professor Liu Zhibin quickly explained the ideas he and Professor Li Xuande had sorted out. If this patient needs limb salvage, it must be determined in the first stage about the retention of soft tissue, and then the fracture will be temporarily fixed. Anatomical reduction is fixed.

Soft tissue does not play a supporting role in the lower limbs, and bone is the main support.But soft tissue is more important than bone, because soft tissue, that is, muscles and nerve vessels, is the key component that determines whether your bone connection can move or not.

Zhou Cheng probably understood the specific situation of this patient after he had listened to it. The complexity was far beyond his imagination.

Muscle necrosis, nerves and blood vessels have been crushed, nerves and blood vessels may need to be translocated, temporary replacement, followed by muscle reconstruction, tendon transposition or even tendon transplantation.

"Does Xiao Zhou have any other ideas?" Li Xuande asked.

Calling Zhou Cheng over, of course, will not let Zhou Cheng come to attend the class. Even if Zhou Cheng doesn't say anything, he still has to ask, and there is no disadvantage.

After Zhou Cheng's eyes flickered, he said: "Professor Li, Professor Liu, I have an immature idea, because the damage to the soft tissue is too serious, that is, to protect the soft tissue in the first stage, and then do bone connection according to the situation. "

"Skin problems must be looked at in the follow-up according to the specific situation. This may require multiple surgeries, but gradually reducing the difficulty of surgeries is a better way of thinking."

"It is very difficult to preserve the damaged soft tissue in the first phase."

Zhou Cheng looked at the muscle tissue inside, and it was basically rotten.And the first issue is going to be done, he can do it, but he can't go on stage after drinking alcohol.

Li Xuande immediately understood what Zhou Cheng meant. At this critical moment, he was not so flattering: "Xiao Zhou, I can understand what you mean. You are gradually reducing the difficulty of surgery. This idea is advisable."

"But it is this soft tissue preservation surgery. It is difficult to answer the question of who will perform it and how it will be done."

"With such severe crushing, the blood vessels inside may not be very good. It will be difficult to find and suture them one by one."

"And I also asked the vascular surgery department. They can only say to connect the large blood vessels, but small blood vessels, such as the nourishing arteries of the muscles, are almost impossible to operate. We have to be controlled by the orthopedics department. .”

In vascular surgery, operations on large blood vessels are endless, so I basically don’t pay much attention to the problems of small blood vessels.Otherwise, people will be exhausted, this is a big blank in vascular surgery...

Zhou Cheng immediately thought of asking Yang Yifeng, but quickly dismissed the idea.Due to special factors, Yang Yifeng is not easy to contact with the cases of vascular surgery, and he is afraid of being emotional, so it is a bit cruel to ask him to complete such a big task.

But apart from Yang Yifeng, Zhou Cheng's contacts in the capital are quite limited.

There is no way to think about it, so it is better not to be foolish for the time being.

Seeing that Zhou Cheng didn't speak, Li Xuande asked, "Xiao Zhou, can you rest nearby today? You've been drinking now, but we should be able to rest and make up the muscle bed in the early morning."

"When you come to the stage again, do you have a certain amount of confidence?"

"This kid is a college student who was injured by an accident. There is no need to worry about money, but if he loses a leg, it will have a great impact on his future life."

Hearing Li Xuande's words, Professor Liu Zhibin didn't respond, but the associate professor next to him was stunned. Li Xuande should hand over such a critical and difficult operation to Zhou Cheng?
What the hell is this thinking?

Li Xuande's suggestion is a reference.

After getting drunk, there will be a time for metabolism, and in the early morning, it can basically be metabolized cleanly.Just in this way, it will affect Zhou Cheng's normal work in the Ninth Hospital of the Shanghai Metropolis tomorrow.

After thinking about it carefully, Zhou Chengcai said with a smile: "Professor Li, I dare not speak nonsense about the word confidence. I can only say that I can try my best."

Don't talk too much, this is the rule of the rivers and lakes.

Li Xuande and Professor Liu Zhibin both glanced at Zhou Cheng when they heard the words, and the light in their eyes flashed slightly.

It seemed that he was waiting for Zhou Cheng's words.

Then, Zhou Chengcheng was arranged to go to a nearby hotel to rest, saying that he would call Zhou Cheng at that time.

……

Zhou Cheng fell asleep at about ten o'clock in the evening, but when the phone rang, it was already three o'clock in the morning.

When Zhou Cheng rushed to the operating room again, Professor Liu Zhibin was no longer in the operating room, and then he heard Professor Li Xuande say that Professor Liu Zhibin was on a plane in the early morning and had already landed, so he went home to rest.

Well, Professor Liu Zhibin and others can only stay until Monday at most, each has its own business.Associate Professor Zou Xingkong is the most free.

After waking up from the alcohol, Zhou Cheng got dressed and came to the operating table. After carefully looking at the wounds on the operating table, he breathed a sigh of relief.

I still think a little too much, how can the team where Professor Li Xuande is in can't even make a good debridement and muscle bed?However, the more critical point is whether these muscle beds can be kept.

After Zhou Cheng came to the stage, Professor Li Xuande said it was hard work, and then took the initiative to give up the position of the chief surgeon.

The associate professor of the first assistant became the second assistant, the general hospital of the second assistant became the third assistant, and the doctor in the surgery class of the third assistant went to the fourth assistant to play with "sterile instruments", and there was no time for him.

Several people looked at Zhou Cheng, and Professor Li Xuande said comfortingly, "Xiao Zhou, don't have psychological pressure. The family members of the patient have arrived in Shanghai in time, and are outside the operating room. We have finished communicating with the family members of the patient. The worst thing is amputation, they are also acceptable."

"It's just that we still hope that we can give patients hope. If we can keep a leg."

"Well, do your best." At this time, Li Xuande didn't show off his feelings anymore.

Although the previous Li Xuande was Zhou Cheng's authorized judge expert, he hadn't actually seen many manipulations of anatomical structures by Zhou Cheng.

However, after Zhou Cheng pinched the equipment that Li Xuande had specially brought from the hand surgery department, he stared at him immediately, and understood!

This time, the bet on inviting Zhou Cheng over was the right one.

I saw that Zhou Cheng skillfully used the small blood vessel forceps and forceps specially used for hand surgery to poke in the muscles. It seemed that the size of the extremely small blood vessels was not a problem at all in Zhou Cheng's field of vision...

(End of this chapter)