medical simulator

Chapter 268 A New Milestone (Subscribe)
In the second operation, he returned to the long bone fracture of the upper limb and the comminuted fracture of the middle section of the radius that Professor Xue Xiude should have assigned.The first operation was a fractured tibia, but Xue Xiude was still admitted.

However, Xue Xiude has long said that the so-called agreement is just a verbal agreement, everything is based on the patient, if the agreement is a kind of shackle, then it is worth not to follow.

After all the preoperative preparations were completed, both Mao Yuxuan and Chen Shengwu stared at each other for the hand reset.

However, Xue Xiude waved his hand, and after putting on the sterile surgical gown, he automatically stood in the main operator's seat: "Xiao Zhou, let me set up the second operation for you."

According to the previous arrangement, Zhou Cheng completed the first three sets, and Xue Xiude tried the last two sets. The technique reset is a relatively important part, so you should get familiar with the feel in advance.

Zhou Cheng naturally didn't dare to say more, Mao Yuxuan and Chen Shengwu both turned their heads in astonishment, the master went off in person, and dared not take another chance.

Associate Professor Gu Zhongliang greeted a group of students: "On weekdays, I told you that fractures and trauma are the foundation of orthopedics, and you didn't believe it."

"Ms. Xue hasn't touched fracture surgery for many years. It's not challenging. It's not the kind of incompetence that you rumored. Take a good look today."

Even Shen De was among Gu Zhongliang's greetings.

On weekdays, when a fractured patient came, Xue Xiude didn't even move his eyelids, and he never went on stage, and there were certain rumors among junior doctors.

Xue Xiude has a master's degree in joints and a doctorate in trauma, but he is actually not good at fracture treatment.

But when Associate Professor Gu Zhongliang entered the department, it was Professor Xue Xiude who was attending. At that time, there were many patients with fractures, and Xue Xiude was about to vomit.

I don't care about gossip, so I didn't show it, but it's not that I'm not proficient in fractures.

Xue Xiude turned his head and glared at Gu Zhongliang, his eyes were full of power. Gu Zhongliang said sincerely, "Mr. Xue, I haven't seen you undergo a fracture operation for many years, and I still admire you in my heart."

"You're trying to set me up on the fire." Xue Xiude rolled his eyes, then took a deep breath.

As a professor of trauma surgery, there is no reason why fractures are such a basic entry-level surgery.And because the main surgeon is going to operate today, he has spent a lot of time before the operation, and he is very familiar with the patients of today's four operations, so he doesn't need to read the images repeatedly.

Manipulative reduction of fractures is also one of the foundations. In fact, it is also useful in open reduction and internal fixation.

Therefore, without much effort, Xue Xiude reset the fracture under the watchful eyes of everyone. After finishing, the thumbs of both hands were still touching the broken end of the fracture, and then made a slight adjustment.

Xue Xiude breathed a sigh of relief: "It's a good thing I didn't forget the basic skills, otherwise Professor Gu would really put you on the kang today."

Gu Zhongliang hurried back and dared not, and then called the specially hired C-arm master to push the C-arm machine.

In the process of walking out, Zhang Zhengquan looked at Zhou Cheng suspiciously, as if he didn't quite understand it, and he hesitated.

Zhou Cheng gently touched Zhang Zhengquan with his arm: "The principle of manual reset is just that, but who is Professor Xue? He has his own experience and perception, which is slightly different from mine."

When Xue Xiude was operating just now, Zhou Chengcheng saw that Xue Xiude's hand reset technique was more than proficient, not perfect.And the choice of reset method is also slightly different, which does not affect the final effect.

Different theories lead to the same goal, but the ends of the roads are different. Xue Xiude's method of resetting the concept can reach the end of perfection. Zhou Cheng's redefinition of perfection is an improvement based on this.

There is no distinction between high and low in treatment.

Hearing this, Xue Xiude nodded slightly, looked at Zhou Cheng, and then at Zhang Zhengquan: "It seems that Boss Zhang's experience in the world of reset is quite broad."

Zhang Zhengquan didn't dare to make a high-profile statement: "Professor Xue, you misunderstood me. I was so ignorant that I didn't understand it. Otherwise, I didn't understand it. I followed Zhou Chengge all the time, thinking that this was the only way to reset my technique."

When Zhou Cheng was in the No. [-] Hospital, he did a lot of fracture reduction techniques, and also taught Zhang Zhengquan, but Zhang Zhengquan's qualifications were limited, and he didn't have a deep knowledge of it, but he probably knew the theory.

While talking, everyone arrived in the isolation room, and then the results of the C-arm fluoroscopy came out. The initial classification of the fracture had already been imprinted in everyone's minds. Zhang Zhengquan may need to spend a certain amount of time to refer to the plain film after the reset at this moment. Plain film before reset.

The rest of the people kept nodding, and just about to praise, Xue Xiude's words came ahead of time: "It's just quite satisfactory, and it's not as good as Xiao Zhou's. Your skill is insufficient, so don't make me laugh at you."

After blocking Gu Zhongliang and others' flattery, Xue Xiude smiled at Zhou Cheng: "Xiao Zhou's talent in studying medicine is really enviable."

Zhou Cheng was only so young, he said he was not too old, he said he was not young, logically he started to learn after he was born in the womb, and he still did not have as many cases as Professor Xue Xiude.

But it is still possible to reach such a high level, this can only be due to talent, Xue Xiude has long seen that Zhou Cheng's reset method is unusual, but Gu Zhongliang and others may not be able to see that if they still flatter him, it will only embarrass him.

Zhou Cheng smiled and said: "Ms. Xue has not been in contact with fracture cases for a long time, maybe he is a little unfamiliar."

"My qualifications are still young. I used to be exposed to fracture cases every day, so I am naturally familiar with them. Moreover, there are not many patients with simple fractures in the Ninth Hospital."

"Mr. Xue, you are too modest."

This is the truth.

However, Xue Xiude replied with a different meaning: "Xiao Zhou has been in contact with a lot of patients with fractures, but he still has special insights in the treatment of complicated cases of infection. This is not just familiarity."

"I won't talk about Hu Qian's words anymore. The operation has progressed so far, and the next step is up to you, Xiao Zhou."

It was agreed long ago that Zhou Cheng would complete the first two sets, and Professor Xue Xiude would complete the last two sets. This was Xue Xiude's preparation for himself as the main surgeon, and it was also a disguised statement to Zhou Cheng.

I, Xue Xiude, are no more old than Jingjing Xing. I am not in a hurry, but I also have my own skills. In fact, I can try it in private. It’s not that I don’t understand it at all.

Zhou Cheng had never thought of this before, so he nodded and said, "Thank you, Professor Xue."

The effect after reset is quite good, although it can be adjusted again, but it is no longer necessary.

The following equipment is fixed. Although Xue Xiude, Gu Zhongliang and others have watched it many times, and Zhou Cheng will explain it every time, it is a new technique after all, and practice makes perfect. Every time you hear the explanation, you will have a new understanding.

The design of small incision open reduction and internal fixation instruments is to reduce the difficulty of operation, but there are also certain operating skills. If you cannot deeply understand it, it is difficult to achieve a good reduction.

Zhang Zhengquan happily watched Zhou Cheng skillfully put the internal fixation device into the patient's body, and he felt better.Although these devices are all free now, this is an initial investment.

The more one case is released, the more opportunities will be increased by [-]% for charging and exporting patents.Now that this new technique came out, due to some accidents, not only the professors in Shanghai knew about it, but also professors in Kyoto, Guangdong Province and other places knew about it.

I have contacted other tool companies in private, and they are also doing some activities secretly, but fortunately, there is the size of Lao Zhang's company rushing forward to shield Zhang Zhengquan from the wind and rain.

But Zhang Zhengquan also wants to grow up as soon as possible and feed back his father's company. Although this investment is not all-or-nothing, it will also have a slight impact on Lao Zhang's company. If it benefits more in the end, then Wanqing will not And more gossip.

One operation will end soon. The entire operation time, including the anesthesia time, does not exceed one hour. Such a turnover rate is not too slow in the Shanghai No. [-] Hospital.

But the anesthesiologists here are more knowledgeable. After the operation, the anesthesiologist who taught him asked his students to take care of the aftermath, and said to Professor Xue Xiude: "I ran out to take a look, and I thought I had a wrong operation. In the meantime, I went to the operating room of obstetrics and gynecology or ophthalmology."

In the Department of Obstetrics and Gynecology of Shanghai No. 3 Hospital, the fastest operation can complete the cesarean section within ten minutes, and the high-end ophthalmology professor can even complete the key part in two to three minutes.

"Thank you, Professor Du." Xue Xiude clasped his fists slightly after stepping down.

Professor Du shook his head and said, "What's the trouble? You are doing new surgery, which is equivalent to sending a new topic to our anesthesiology department. I don't know how many people are staring at my position."

The problem lies in variables.

With the development of new surgical procedures, the Department of Anesthesiology can also take the opportunity to write an article on anesthesia with surgical procedures that no one else has ever touched before, which has a great impact.Professor Du was able to earn this opportunity because of his own background and dozens of SCI papers, so he was able to win it from the director.

Department of Anesthesiology and Department of Orthopedics are parallel departments as well as partners.

Xue Xiude said: "Professor Du, there will be more cooperation opportunities in the future, and there may be emergency patients. Naturally, it will be more difficult, and I will definitely be tired by then."

But Du Xiadong said: "Professor Xue, our anesthesiology department is very cooperative with your clinical department. I will only follow your surgery for a long time in the future, and it is not too hard, haha."

Xue Xiude suddenly looked weird, and secretly said that this Du Xiadong is really capable, and that he can get such a privilege, which is also a plus, and he doesn't know what the director of the anesthesiology department and Su Guoyuan are thinking about.

Turning around, I didn't see Zhou Cheng, thinking that Zhou Cheng's first station was taken away by me, and now I might go to catch up with that good friend of Boss Zhang, and I went to the office alone again, calm down, and have a good rest. Go through the operation process of the next two sets.

As far as he knows, there are currently two people, Jing Xing and Tong Dahe, who are doing Waterloo in this kind of technique, but they bypass Zhou Cheng and do it secretly.It would be even more ridiculous if something happened to him even though Zhou Chengcheng was in the Ninth Academy.

The pressure is not small, but the pressure is also a motivation, Xue Xiude has his own considerations...

In the common room of the operating room, Zhou Cheng was lying there, slowly drinking water from a paper cup, then tilted his head and asked, "You are not qualified as an equipment dealer, you stepped off the stage before the operation was over. "

Zhang Zhengquan rolled his eyes: "The Ninth Hospital has not been in the hospital for many years without equipment guidance, and there are at least ten people waiting in line in the audience. Do you still need me to work?"

"I just happened to have a little freshness, otherwise, I would just send the instruments to the operating room and have to go."

Device companies need to send guides to hospitals, usually prefecture-level city hospitals or county hospitals, as well as small private hospitals, to provide certain technical guidance and serve as labor force.

But in a place like the Ninth Academy of Shanghai, if they come to power, it is a waste of learning resources. The lower levels are not allowed, and the higher level professors don't need it either.

You go to guide them, what are you kidding?
"Isn't this just leisure?" Zhou Cheng smiled, a little envious.

"Idle ass, you think you can really be idle if you don't go on stage. The competition is big. Right now, other things from our company want to enter the Ninth Academy's Professor Yu's side, and they have to queue up."

"But there is no way. There are too many equipment suppliers, and patients have the right to choose independently. But the only advantage is that our price has a certain advantage. Therefore, since last week, there are also two or three equipment, which is better than none."

When Zhang Zhengquan said this, he turned his head and said: "Oh, yes, I heard from the person in charge of Shashi Company that our company has entered the operating room of the Affiliated Hospital of Shonan University, and has a certain relationship with you."

"I'm here to thank you."

"But the current price is too low. If you don't pay the amount, you won't make any money, so I can't give you a special discount. So I thought, report the rent you are renting now."

"Don't refuse. This is Lao Zhang, my brother, and my mother. If you don't agree, they will have problems with my public relations and business capabilities."

"It's not much money, but it's interesting." Zhang Zhengquan replied.

Zhou Cheng thought that his rent is not too expensive now, and one month's rent is not enough for him to attend a class, so he agreed.

Then he said: "Quanzi, my basic living security is basically fine now, and you don't need to have too much psychological pressure. I invested in technology based on technology, and I will definitely make a lot of money in the future."

"However, I still want to immerse myself in learning for a while. So after a while, you can call another 'engineer' to Shanghai, and I can negotiate with him remotely."

The things that Zhou Cheng has to do now are not small. The clinical application of the topic is a relatively long route, so it really doesn't take a lot of time.

"Naturally, I've thought about it a long time ago. I've already transferred him to Shanghai. MD, a Ph.D. from the Affiliated Hospital of Yueshan University, with an annual salary of [-]w, was hired here. The other party originally planned to join this hospital." Zhang Zhengquan was quite fleshy. It hurts to say.

Zhou Cheng himself had never seen so much money, he just envied: "You have money, this is just an initial investment."

Zhang Zhengquan sighed, and then said: "So, I don't know how to pay you for the time being. As far as I know, there are headhunting companies looking for you, and some companies offer you an annual salary of 5000 w."

"But I dare not make any moves, because you are still a student, Academician Gui Yuanping, you can still suppress some people."

Zhou Cheng's eyes lit up immediately when he heard the words, and he joked, "Don't worry, the annual salary is 5000 million. If I work for one year, I will be able to lie flat in Shashi. When the time comes, I will work behind Teacher Cai's ass. Life will be so beautiful."

To be honest, the annual salary of 5000 million has far exceeded Zhou Cheng's expectations.However, Zhou Cheng had expected that when he released the small incision open reduction and internal fixation, the potential profit would be far more than that.

It's just that since Zhang Zhengquan happens to be engaged in this business, then naturally he won't take advantage of others, and this is only the early stage, and Zhang Zhengquan will definitely not treat him badly in the future.

Mapi, a person with tens of millions of interest a year, can shamelessly take advantage of someone with a monthly salary of several thousand. Such a person is untrustworthy. Where can you find a credible person?
"Cut~~~"

Zhang Zhengquan couldn't deny it: "Don't think I don't know, your girlfriend can make you lie down in minutes. And you must know about it. If you just want to lie down, let her sit on it." Already."

Zhou Chengcheng knew that the dog couldn't spit out ivory, so he really wanted to pour water on Zhang Zhengquan's face, but he held back.

Cursed: "What the hell are you?"

Zhang Zhengquan rolled his eyes: "Who told you to cheat me first. Damn, I've been annoyed recently. There are a lot of junk."

"Why did I cheat you?" Zhou Cheng was stunned and asked.

Zhang Zhengquan sat up directly: "You haven't tricked me yet? Let me tell you, didn't you ask me to play tricks on you last week? I really saw the effect."

"But that bitch has a classmate and best friend, she's a real tiger, and she didn't know why she found out about it. Niang Xipi, you've been bothering me every day lately."

"Here." In order to express his difficulties, Zhang Zhengquan handed the phone to Zhou Cheng.

He also complained: "Besides, this bitch is a student of the director of the Sports Medicine Department of the Ninth Academy, so it's not easy for me to block her directly."

Zhou Cheng looked at the conversation between Zhang Zhengquan and the other party, and then looked at the profile picture, boy, isn't this a little bit?
Oh, well, it turns out that Chen Shengwu's girlfriend is Ding Dian's classmate and best friend.Then Zhang Zhengquan's trickery was caught by Ding Dian, with Ding Dian's temperament and grueling effort?
Zhang Zhengquan took the phone back and murmured: "I called her yesterday and scolded her a few times, and she even cried. Damn it."

"I coaxed me for more than five minutes. I'm not good at doing this kind of thing."

You tiger!

Zhou Cheng silently pretended that he didn't know Ding Dian at all, so he didn't interrupt.

After a while, Zhou Cheng patted Zhang Zhengquan on the shoulder and said, "Let's go to the operating room. Professor Xue Xiude is the only surgeon in this operating room. We still have to go and have a look, especially you."

"That's natural. All my equipment is free, and Professor Xue Xiude didn't ask me for money. This is enough favor for me."

"Oh no, it's Brother Zhou Cheng's face, you are my big brother." Zhang Zhengquan put away the phone and started to lick it again.

Zhou Cheng stood up, ignoring him.

When he returned to the operating room, Professor Xue Xiude was already sitting upright, carefully reading the films again, and then constantly calculating.

Beside, Professor Gu Zhongliang and Shen De's attending physician directly drove Chen Shengwu and other students to the side, leaving only Mao Yuxuan on the stage, and personally began to disinfect and spread the towels.

Xue Xiude is the person who leads the group, they are a team, Professor Xue Xiude is in charge of the new surgery today, naturally he wants the most proud assistant.

"Teacher Xue, we're ready here." Gu Zhongliang stopped laughing and scolding on stage, and his address and wording became formal.

"Xiao Zhou, Boss Zhang, wash your hands and go on stage together."

"Especially Xiao Zhou, you have to stop thinking that your words are expensive and give more pointers." Xue Xiude himself was in a good mood, joking with Zhou Cheng and Zhang Zhengquan.

Zhang Zhengquan smiled apologetically, while Zhou Cheng said, "Mr. Xue, let's wash our hands."

He heard so much flattery that Zhou Chengcheng didn't bother to respond anymore. He should do things well first, and it would not be too late to do these things later.

Washing hands, dressing, and on the stage, Zhang Zhengquan immediately spread out the corresponding instruments one by one. Professor Xue Xiude could only order them. In fact, the appropriate size of the instruments was measured on the plain film long before the operation began.

However, Zhang Zhengquan still prepared four more models of instruments for emergencies, although he still had to take these instruments back for disinfection, wasting time and cost.

Professor Xue Xiude continued to be in charge, still following the principle of fracture treatment, first reset and then fix.

Method reset!

However, to be on the safe side, Xue Xiude didn't pursue speed, so he cleared and reset three times in a row!Every time, the alignment of the broken ends can be made more appropriate.

After the last time, Professor Xue Xiude said: "That's all right. I'm not you, Xiao Zhou. If you think it is barely suitable, then you can fine-tune the reset by placing the equipment. I have to make all the favorable factors more in place. Row."

Professor Xue Xiude's cautiousness made Zhou Cheng's heart tremble: "It should be so, Mr. Xue. It's because I'm too aggressive in my daily life."

Xue Xiude shook his head and said, "You have made so many sets, what is there to say about menglang and not menglang? With all the favorable factors, it is a lookout from the platform."

"You are looking down, so naturally you care about it. There is no high or low level of learning, but the skills are uneven. My experience does not apply to you. If you apply it, it is a bondage to you."

"You don't have to follow my train of thought."

Zhou Chengcheng smiled: "The principle of prudence still needs to be learned a lot."

In fact, now is more suitable to flatter Xue Xiude, but Gu Zhongliang and Shen De didn't say a word. This is the critical moment of the business, who is going to laugh?
The jokes on weekdays were because Xue Xiude knew what he was doing, and he was sure of everything. He could drive very fast on the operating table, but it was obviously not suitable for him at this moment.

Zhou Cheng said: "Professor Xue, at this moment, we still take the four to five centimeters above and below the fracture line, after the opening to the fascia layer, after breaking the fascia layer, enter the intermuscular space to the surface of the periosteum, take the same axis, different It can be achieved by punching holes in the axial position, separating the instruments and putting them down, and then collecting the instruments above and below the fracture naturally."

Xue Xiude is not Zhang Zhengquan, so there is no need to talk about the anatomical level and which muscle gap, so the teaching will naturally be very simple.

Xue Xiude closed his eyes slightly, and then ordered: "Give me the round knife. Prepare blood vessel forceps and opener."

The round knife is held in the hand, and the standard pen-holding style is used to make two incisions. The incisions are not large, and the skin and subcutaneous fat are directly incised, and the fascia layer is not easily injured. Then Zhou Cheng uses tweezers to assist, and the power of electrocautery is used for electrocoagulation. Slowly stop the bleeding.

Controlling the vision is the most important thing.

After the electrocoagulation broke through the fascia layer, the muscle layer was exposed. Xue Xiude quickly used the hemostatic forceps to slightly open the muscle, exposing the gap between the muscles. Among them, the ranking is at the top.

Moreover, Xue Xiude's technique is very sophisticated, he quickly drilled through the intermuscular space and reached the periosteum layer. After clamping the periosteum with vascular forceps, he felt the blunt rupture with his hand, and then inserted a 2.5mm diameter tube The Kirschner wire was fixed at the end of the bone under the exposure of the vascular clamp.

This is a line that serves as the gag to the end of the bone and also serves as a marker for the second incision.

Zhou Cheng is very familiar with it and doesn't need this operation, but Xue Xiude needs it. If the upper and lower Kirschner wires are parallel, they must be on the same axis.

Borrowing all favorable factors to perform surgery is what Xue Xiude must do for the first time.

After inserting a Kirschner wire in parallel with the same method, Xue Xiude let out a long sigh of relief, and said, "It can be regarded as successful. When you actually practice, you will realize how stable your hand is, Xiao Zhou, and you don't need a Kirschner wire." As an auxiliary line for the opening."

Zhou Cheng smiled stupidly, he didn't think so thoroughly before, so he used too much force.At this moment, Xue Xiude re-disassembled the awesomeness of this hand feeling, which made Zhou Cheng blush a little.

He never thought of being so pretentious...

At this time, Associate Professor Gu Zhongliang and others intuitively recalled Zhou Cheng's seemingly careless operation before, but in fact there were so many details and difficulties hidden. After careful consideration, they still felt that they were learning. Still have to follow the path that Xue Xiude is taking now.

Then came the opening.

With the auxiliary approach, the opening is not difficult, followed by the placement of two tubes similar to arthroscopy.

After this, Professor Xue Xiude introduced the mirror to one end through the mirror tube, and the tube at the other end is the way to place the instruments, which can be operated intuitively under the mirror.

The instrument is unique, suitable in size, like an umbrella, and it is not difficult to place into the bone marrow cavity.

However, next, there is another difficulty. The mirror tube at one end has been occupied, so one end needs to be operated blindly. In fact, the best backup method is to open a third hole, and then see the instrument placement process intuitively. .

This is also an alternative, but it's still hard!

Under the blind operation, the difficulty of the operation is doubled. It is at this step that Jingxing Xing and others are in Waterloo. As a result, the instruments at the two ends cannot be folded in the lumen, and the placement fails. They can only withdraw and repeat the operation.

Moreover, they placed the third mirror tube, which is equivalent to seeing the entry of the second instrument, but it is still not easy to align.

Seeing this step, Zhou Cheng hurriedly said again: "Professor Xue, when the second instrument is reinserted, it can be placed slightly at the distal end of the fracture, and does not necessarily need to be placed in the center of the catheter."

"After inserting the device into the lumen, first pull out the back holder of one device, then put the mirror in, operate the operable device end, and open a segment of the mushroom after the devices at both ends are anastomosed."

"After the last end is shaped and fixed, the tail end of the instrument is naturally in the center of the bone marrow cavity, then the mirror is withdrawn, the back holder of the fixed instrument is put in, the mushroom is opened, and finally the mushroom end is naturally grasped into the bone marrow cavity Inside, you can achieve a fixed effect!"

Xue Xiude smiled: "I'm afraid this is what you have hidden, Xiao Zhou?"

While talking, while doing so.

Zhou Cheng just kept silent, not intentionally, but for self-protection, he only knew its shape but not its quality, so it was naturally difficult to copy, Zhou Cheng didn't do it on purpose.

However, it is simple to say, but short to say, the process of operation is still not easy.

All the professors with the same skills are in Waterloo, therefore, Xue Xiude's first operation still failed to combine the two ends of the equipment.

It is not easy to operate under direct vision, let alone blind operation.

Seeing this, Zhou Cheng said, "Professor Xue, you don't need to worry about whether your hands are shaking or not. Just imagine the feeling when you close your eyes and operate the two ends of the instrument. It's not difficult."

Before Xue Xiude operated, he had already made a lot of preparations, and Zhou Cheng also used auxiliary training methods.

Closing eyes is also a kind of blind exercise. Xue Xiude has practiced countless times, and one failure does not mean anything.He is hanging on the body!
And for this step, he has been practicing blind exercises for more than ten years in the simulated world!
That's why he has the power he has today.

Xue Xiude breathed a sigh of relief, and continued to follow Zhou Cheng's instructions slowly.

At a certain moment, Xue Xiude suddenly felt that the two ends of the equipment were attracted to each other. Seeing this situation, he immediately exerted a little force with his hands, feeling a click.

Xue Xiude opened his eyes: "Push the C-arm, see through once!"

Zhou Cheng also passed it through, but it was the first time, and it was for everyone to see.Later everyone knew that Zhou Cheng basically didn't need perspective.But Xue Xiude still does everything for the sake of safety and prudence.

Nobody has an opinion.

The fluoroscopy results were quickly displayed on the C-arm display screen, and it can be seen that the mushroom instruments inside just fit together in the bone marrow cavity.

"It's done!" Gu Zhongliang was excited.

This step is the most difficult, and there are tricks in it. If it wasn't for Zhou Cheng's guidance, most people would think that the placement process must be centered, and that the alignment process must be meticulous.

But actually?

Professor Xue Xiude breathed a sigh of relief and asked Zhou Cheng: "Xiao Zhou, do you think so, can you proceed to the next step?"

He trained for seven or eight days, almost no surgery, and he trained at home, but he still didn't know what to do.

Zhou Cheng nodded: "Professor Xue, it is already possible. It is still the previous set of theories. First unfold one end. Fix the equipment at one end. In fact, if this end does not fit well with the other end, you can also unfold one end first. fixed."

"Then operate on one side and fix the two ends to reduce the difficulty of operation."

After Xue Xiude finished, Zhou Cheng told him a spare trick.

Xue Xiude looked at Zhou Cheng with some resentment for a moment, as if to say again, didn't you say this earlier?

"However, high-difficulty exercises will further temper the hand feel and proficiency. If you just choose an alternative plan, then if there is an unexpected need, it will be more stressful."

"Professor Xue, if it is not necessary, it is better to align the two ends first, because this will allow you to operate the radius, ulna, and tibia and fibula more easily."

"The femur and the humerus belong to the large lumen in the long bones." Zhou Cheng expressed his thoughts.

Only then did Xue Xiude nod slowly: "Teaching people how to fish is worse than giving them fish. I can understand that you are teaching surgery, not how to do it."

Then Xue Xiude took a deep breath, smiled, and eased his mood: "But do you know how nervous I was just now? I almost lost face in front of the students."

At the same time, I secretly said in my heart, and the operating room is not a law that does not spread to everyone. If it fails this time, Hu Xian and the old man will definitely know tomorrow, and they may call to greet one or two, just like me.

So, luckily, I happened to be able to call them tonight.

This is a completely different story.

After the two ends were joined together, Xue Xiude still slowly fixed one end, then fixed the other end, and after tightening at the same time, Xue Xiude nervously looked through again.

"Success!" Although Professor Xue Xiude was in his fifties, he still couldn't hide his inner joy.He clenched his fist hard and hammered it, and then blew his chest loudly.

"Congratulations, Professor Xue." Gu Zhongliang breathed a sigh of relief.

The success of Xue Xiude's operation as the chief surgeon is not just a simple operation, it represents that the trauma surgery of the Ninth Hospital of Shanghai is about to reach a new level, and!

This also means that Huaguo's trauma surgery is about to usher in a new sub-specialty. This prelude, regardless of whether others accept it or not, is coming.

"Congratulations, Master." Mao Yuxuan and others also congratulated Xue Xiude.

Xue Xiude did not get carried away by the momentary success or failure. After calming down, he said calmly: "Sew up, place a small drainage piece, and prepare for the turnaround of the next operation."

"In addition, for this operation, it is necessary to strictly review the inflammatory indicators after the operation, and review the plain film on the first and fifth day after the operation."

"Confess to the patient and his family members that the plain film should be reexamined regularly one week, two weeks, one month, two months after the operation. We will bear the cost of the reexamination by ourselves, and the registration fee will be paid by the patient himself, and we will register with Shende when the time comes."

"Everyone in the group should make detailed records. When a patient comes for a follow-up examination, they can notify Mao Yuxuan and Shen De's attending physician at any time, or associate professor Gu Zhongliang, or directly notify me."

"Record the blood draw indicators for each re-examination, and measure the changes in the fracture line each time..."

Xue Xiude is a professor. His understanding and in-depth understanding of clinical topics are much more proficient than Zhou Cheng, who is in the first half of the research, and there are more people available. Therefore, he ordered a series of contents.

Then he said: "Mao Yuxuan, Shen De, Lin Yousheng, Xiao He, the four of you are each responsible for a scoring scale, and every time you see a patient, you must re-score all the scoring scales within three days. And mark and record the raw data, don't be careless."

"If the original data is lost, each of you will linger in your original position for one more year."

Mao Yuxuan, Shen De and others nodded their heads. How dare you be careless about such a big matter?

Raw data is lost, that's a big deal.

Mao Yuxuan said: "Master, don't worry, we will have at least four hand-excerpted original data record books, and four or more electronic original data table records, and we will definitely not lose them."

Master's and Ph.D.'s emphasis on raw data is beyond the comprehension of ordinary people.

"Okay, go ahead, don't blame me for being too harsh. This is the focus of our clinical work for a long time to come. Everyone should adjust the time for bias."

"This topic, we have to go to at least four major journals. I won't mention the benefits of signing this kind of article with you."

"Xiao Zhou, let's go down and have a rest."

"Huh!" Xue Xiude, who was highly nervous and focused, let out a long breath of relief.

Zhou Cheng smiled: "Mr. Xue, you have worked hard."

"Harmful." Xue Xiude's mood is completely relaxed now.

While walking out with Zhou Cheng, he took his mobile phone: "What's the hard work, I'm thinking now, how to promote and sink such a good thing."

"Besides, if a good thing can't be applied clinically, then its existence is of little significance. I hope that by then, Boss Zhang can lower the price a little so that many patients can afford it." what."

However, when Xue Xiude said this, he thought of Zhang Zhengquan's initial investment.

He said again: "Let's do it and cherish it. Anyway, it's best that Boss Zhang don't be unable to withstand the pressure of funds, and sell the company!~"

When manpower was limited, Xue Xiude didn't know that Zhang Zhengquan had Lao Zhang behind him.If Zhang Zhengquan sold the company abroad due to too much pressure, it would be JUGG.

This kind of thing didn't happen.

Zhou Cheng didn't reply to such words. He has a certain relationship with Zhang Zhengquan, so it's not easy to intervene.

After a while, Xue Xiude changed the topic: "Xiao Zhou, you shouldn't be staying in Shanghai for a long time, right?"

"It's almost half a year, and it should end in June. It's the beginning of March now, and there are still three months left. When my regular training exam is almost over, it's time to see the teacher." Zhou Cheng replied.

He counted half a year from December last year.

"It's about the same time. After the project of our Ninth Academy progresses smoothly, where do you plan to go next, Xiao Zhou?" Xue Xiude asked.

There are quite a few hospitals in Shanghai. If possible, Xue Xiude hopes that Zhou Cheng can take more care of the affiliated hospital of Jiaotong University in Shanghai.Of course, the subconscious of his question is that he doesn't need to worry about the promotion of this technique in the capital.

Someone would go to Zhou Cheng, a master.

"It should be Renji Hospital." Zhou Cheng replied after careful consideration.

Professor Li Xuande had an invitation long ago, and it was a matter of course.

And Zhou Cheng has other considerations: "Professor Xue, and I think that such specialized fracture treatment should not be carried out by too many hospitals."

"There are not only fractures in trauma, but not all fractures are suitable for small incision open reduction and internal fixation. If all of them are for the sake of innovation, then there are still some patients who have nowhere to treat."

Xue Xiude glanced at Zhou Cheng, and thought to himself, Xiao Zhou, you have a lot of ambition?
However, Xue Xiude did not say clearly that the current Zhou Cheng has already demonstrated his strength. With his calculations and current contacts, the future path of medicine will be smooth.

Moreover, once this world-leading subject and sub-specialty appear, Huaguo's current status in trauma surgery and even orthopedics will disrupt the entire world.

It is this chaos, whether it is good or bad, it is impossible to judge for the time being, but it will definitely stir up the situation, and let Huaguo's orthopedic business reach a new milestone.

At present, none of the major sub-specialties of orthopedics originated from Huaguo!
But this was before.

Ps: Ask for a monthly pass.

(End of this chapter)