medical simulator
Chapter 271 When you take away old chaff, give them new rice
Chapter 271 When you take away old chaff, give them new rice
Professor Jingxing chatted with Zhou Cheng for a while, and then discussed some professional issues with Zhou Cheng.
After calculating that the time was about the same, the two went to the operating room again.
Landscape star turned sideways and said: "Xiao Zhou, I need your advice later. This is my first experience with this kind of surgery, and I'm not as proficient as Professor Xue."
Zhou Cheng saw that the landscape star surface did not change, and he secretly admired it: "Professor Jing, your level, overall, must surpass mine. It's just that I took a chance on the fracture."
"Xiao Zhou, the trick you took is not ordinary. If ordinary people want to achieve such a skill, I don't know how many years it will take to accumulate." Landscape Star smiled, but didn't take it seriously.
In the operating room, Associate Professor Gu Kaifa and others have already done all the preparations before the operation.
The first operation was a fracture of the humerus, which was a fracture of the tibia. It was given spinal anesthesia, and the patient was awake.
At this moment, with the large surgical order on his face, he lost all vision, and asked nervously, "Is Professor Jing here?"
"Master, don't worry, I'm here. This operation." When Jing Xing wanted to appease the patient's emotions.
But the patient interrupted him: "Professor Jing, we still think, why don't we continue to work hard on this operation, Dr. Zhou? I'm very nervous."
After walking around the Ninth Hospital and coming to the Sixth Hospital, even he understood that the young-looking Doctor Zhou is not a small doctor in the traditional sense. Professor Jing from the Sixth Hospital invited experts to treat Zhou Cheng Called to the Sixth Hospital for surgery.
On the contrary, looking at it, it was the first time for Jingxing to have such an operation, and it was also the first time for him to have an operation. Thinking about it, Zhou Cheng might as well do it for him.
At any rate, Zhou Cheng had at least a few operations in the Ninth Hospital for practice.
Landscape star's expression was suddenly awkward, and the corners of his mouth twitched.
He was despised.
The patient's own request should not be careless, so Landscape Star looked at Zhou Cheng. If the patient had the initiative, he would rather let Zhou Cheng be the surgeon than make trouble.
Otherwise, if there is any accident, the patient can go from the ninth hospital to the sixth hospital, and it will be difficult for him to sleep.
Zhou Cheng thought for a while and said, "Master, thank you for your trust in me. I will also be on the operating table. This operation is performed by me and Professor Jing. Professor Jing is a well-known great professor."
"I have eaten more salt than the rice I have eaten. The quality of the operation is not bad. The operation cannot be done by one person. Now we have to form a temporary team."
The uncle's muscles are still trembling, and the sterile drapes are also trembling slightly.
After thinking about it for a while, he said, "Then Doctor Zhou, you have to pay attention to how hard it is. Sigh, if I knew it was like this, I would just stay in the Ninth Hospital."
Going back to the Ninth Court now, one is tossing, and the other is that the Ninth Court may not have an empty bed to accept him, so that's the only way to go.
I can only hope that Landscape Star can give him some help, and don't spend a big hole on him, planting a centipede.
Jing Xing secretly scolded Xue Xiude and Yu Qiuhua for not talking about martial arts, and did not speak again.
The patient has dispelled most of his worries, and it is time for the operation to begin.
Professor Jingxing is four or five years older than Professor Xue Xiude, and has a big belly, but he is not fat.After all the preparations were completed, Landscape Star continued to look at Zhou Cheng and patiently asked for advice.
"Xiao Zhou, for this operation, do we still need to perform closed reduction first?" If you take the trouble to ask one more question, you won't make a big mistake.
Zhou Cheng nodded: "Professor Jing, basically, except for the very few cases I listed, you need to make preparations for fixation first, and then reset them. Most of the fractures still follow the principles of fracture treatment."
Reset, immobilization, rehabilitation training.
The same goes for the sequence.
Landscape star took a deep breath, and then said: "Then I will start, Xiao Zhou, don't laugh at me, I haven't had a fracture operation for a long time."
Long time no fracture surgery?
"Professor Jing was joking." Zhou Cheng replied with a pun.
The landscape star knows that his words are wrong, and words can't cover up what he has done. Everyone is not a fool, but there is no need to uncover that fig leaf.Still learning is the most important thing.
With a calm mind, Landscape Star quickly found his own rhythm, and said in a cold tone: "Professor Gu, help me do a good job of reverse fixed traction."
Gu Kaifa is the old partner of Landscape Star, and he has a deep knowledge of the reset technique, so he found a suitable position without much hesitation.
Zhou Cheng's eyes frowned slightly, and Jing Jingxing's method of reset concept was different from Xue Xiude's.
The rivers and lakes are so big, it turns out that my knowledge is too short, and the simulator can only bring me skills, but not detailed knowledge.
Same way.
The strength of the Sixth Hospital is not blown out by itself. As the director of orthopedics department, Professor Jingxing, who enjoys special allowance from the State Council, is not easy to match.
After a while, Landscape Star finished resetting the technique. Zhou Cheng was thinking about things, but he lost his mind for a while and didn't see the principle clearly.
After resetting, to be on the safe side, C-arm fluoroscopy was used.
As soon as the result came out, Landscape Star laughed: "Fortunately, after so many years, I haven't lost my basic skills. Xiao Zhou thought that internal fixation is appropriate for such a reset situation?"
Zhou Cheng's face froze slightly, and the secret road landscape star can become the leader of the trauma group in the magic city, and he really has his own way.
If Xue Xiude's skill is more than mastery, but not perfect, this landscape star has already reset the fracture technique and practiced to the extreme in this world.
As far as his philosophy is concerned, it has reached the level of perfection, but it is slightly inferior to Zhou Cheng's redefined perfection!
Zhou Chengcheng joked: "Professor Jing, after opening my eyes, is he coming to test my criteria for judging fractures after reduction?"
Anyone with a little experience can see that the reset effect of Professor Jingxing's technique is excellent.
The landscape star blushed slightly: "I'm showing my ugliness. In front of you, Xiao Zhou, I dare not say the word evaluation. I really learn from you."
Gu Kaifa interjected and said, "Professor Jing ended up many fracture emergency cases for me during his treatment. It's a pity that we don't do fracture reduction anymore, and we have only learned a little bit."
Landscape star said: "The times are different. When I was working, there were many patients with fractures, but now, medical resources are divided, and patients with fractures have rarely come to our hospital."
"This is something that is not necessary to teach you, but if graduate students are interested, you can get in touch with it a little bit."
In the end, there are not many masters who can study for a Ph. D., and even fewer can stay in the hospital. It will be useful to go out to work.
Gu Kaifa hurriedly said to a group of students: "Why don't you thank Professor Jing quickly? Professor Jing's manual reset operation is quite impressive to the three hospitals in Kyoto."
A group of masters and doctors were also overjoyed when they heard the words, and expressed their attitudes one after another. After organizing the group meeting, Professor Jingxing was invited.
The focus is still back on the operation.
Zhou Cheng found that Professor Jingxing was very familiar with the operations of opening windows, placing mirrors, and placing internal fixtures, so he didn't speak all the way.
Accompanied silently by the side, Jing Xing put one side of the internal fixation into the bone marrow cavity, only to find out that he had just had an operation and was having fun. Doesn't this reveal that he had done the operation secretly?
But I still asked politely, and the tone was not special: "Xiao Zhou, how do you think the second internal fixation should be placed?"
"Or based on what you said earlier?"
Having revealed all the details before, Zhou Cheng nodded: "Professor Jing, you can try this as much as you want."
According to what Zhou Cheng said, Landscape Star tried to stick to the distal end of the fracture as much as possible, and no longer strictly placed the internal fixation at the very center, and then when he held the forceps with both hands at the same time, he really felt a snap.
Clicking and bouncing, as if all the doubts before Landscape Star were bounced away, he said: "Experts look at the details, Xiao Zhou's comprehension of this technique is really very deep."
Zhou Cheng smiled and said, "Professor Jing's operation is also extremely sophisticated."
Landscape Star took a deep breath, stopped talking, and controlled the forceps to stretch the internal fixation. After the fixation effect was achieved, he took out the forceps, and then he evaluated the way of surgical alignment by himself as before, and conducted a physical examination .
Feeling the broken ends, the fit is very good, even the broken bone fragments of comminuted fractures are tightly clamped to the broken ends under the stretch of the internal fixation.
"Xiao Zhou, I think it's all right. What do you think?" Landscape Star asked Zhou Cheng again, hoping that Zhou Cheng would not hold back any more.
Zhou Cheng had already simulated the landscape star through the simulator on the way here, and knew that the landscape star was actually very proficient in this technique, and he could learn the essence of this technique with a little hint.
Thinking secretly, Landscape Star's clinical talent, or such reserve, is actually deeper than that of Xue Xiude.
Zhou Cheng didn't refuse, and did a physical examination on his own, saying, "Professor Jing, this is great."
"When placing the internal fixation, if it is only limited to the center of the insertion tube, the position will be deviated, and it is most suitable to operate close to the distal end."
"Some other problems can also be solved in one go."
"Then reveal one first!" Landscape star turned to look at the time of the operation timing panel, which was only ten minutes.
After comparing it secretly, Zhou Cheng can shorten this time to less than 10 minutes, or even five or six minutes.Although today is teaching, I still can't reach Zhou Cheng's height.
However, I am new to this technique, so I don't need to insist on speed, I will have the opportunity to understand it slowly in the future.
After further fluoroscopy, the result of the fixation is excellent, and the alignment is also perfect, which fully demonstrates the skill that a top professor should have.
Landscape star walked into the operating room again, and said to the uncle: "Master, the operation is over, it went well, and the postoperative effect is also very good, don't worry, ah."
"Tomorrow, you will probably be able to get out of bed with crutches. But don't use too much force on the affected limb. The main thing is to get off the ground with the help of crutches."
A good fracture open reduction and intramedullary nail fixation can get out of bed the next day. Landscape Star has seen the compression resistance measurement of this new type of internal fixation, and it is not weak, so I am not worried about getting out of bed with crutches .
This is the understanding of the principle of fracture treatment in each hospital.
"And that's it?"
"Did the operation go well?"
"Thank you, thank you Professor Jing, thank you Dr. Zhou. Oh, it's better not to get sick. Look, my trip..." He began to chant again.
Then Gu Kaifa and the others took over the conversation, and then began the finishing work of the operation.
Landscape star stepped down with Zhou Cheng again, and then walked all the way back to the ward.
It is a basic common sense that after the operation, the surgeon should inspect the patients who were operated on that day. The newer the operation, the more so.
The total duration of the two surgeries did not exceed one hour, and Landscape Star and Zhou Cheng naturally had this time.
After Jingjingxing entered the department, he called Zhou Cheng to the director's office, and handed him an envelope, which was a bit thick.
Zhou Cheng didn't move.
Jing Jingxing said: "Xiao Zhou, today's operation is not only the consultation fee for the operation, but also the tuition fee for teaching. This is a matter of duty. Don't refuse it."
"Nowadays, the training cost of a training class is more than that. You may not be able to learn good things."
To be honest, Zhou Cheng loves money, and he is also very short of money, but today, he really didn't come here for this thing, so he said: "Professor Jing, this is too much, I really can't take it."
"Besides, Professor Jing's operation is also a clinical project for cooperation. I feel really sorry for taking it."
"Professor Jing, let's see the patient."
Landscape star took a serious look at Zhou Cheng, saw Zhou Cheng's serious expression, and said, "Then send me your basic personal information, including your bank card number."
"Since it is cooperation, it must look like cooperation. As a technical director, our clinical research team should give you some allowance."
"The money given by the hospital is not my personal, it is open and aboveboard."
"If you still refuse this Xiao Zhou, you won't treat our Sixth Academy as a formal unit."
There is no free lunch in the world, and it is normal to pay for knowledge. Every year, every university will pay at least tens of millions or even hundreds of millions of dollars for the students and teachers in the school to consult papers.
This week's achievement really can't be pushed away. Landscape Star has raised this matter to a certain level, and pushing it further would be a bit contemptuous.I secretly admire Landscape Star's measure and cheekiness.
He laughed and said, "Then I'll send it to you later, but I hope Professor Jing won't be too outrageous. I'm still young, but I can't stand the temptation of money, and I'm afraid I'll go down."
Zhou Cheng was laughing, but Jing Jingxing kept this sentence in his heart.
Others said that he would only take it as a joke, but Zhou Cheng rejected Xu Dashan's invitation to work in Jishuitan on the grounds of learning.In full view.
"Don't worry, Xiao Zhou, let's not talk about this anymore, let's go see the patient first." Landscape star took the envelope back, put it in the drawer, and locked it.
When the two moved to the ward where the patient was, what a guy inside, a lot of people gathered and were amazed.
Due to the spread of teasing, everyone is curious to see it.
Many people are exaggerating: "This wound is small, these two band-aids are like a joke, right? I saw the one next to my son's bed, the wound is so big."
Exaggeratedly made a gesture.
"No, one of my patients has undergone seven or eight operations. The wound is getting bigger and bigger, and it's still infected. I don't know when it will go away. There is still a bone defect."
"His surgical incision is not as big as when I cut vegetables with a knife. It's really incredible."
Another person said: "The current technology and medical level are getting more and more developed. How dare you think before that the incision for surgery is so small. It is not as big as a buttonhole, and this can also be used for surgery?"
"I also heard that the openings for vascular surgery and neurosurgery are also small..."
While talking, Jingjing Xing and Zhou Cheng paused outside for a while, then walked in.
Landscape Star took the initiative to greet and said: "Well, all patients and their family members, the patient has just finished the operation and needs to rest a little longer, so you don't want to get together to watch strange things anymore."
"Someone just had an operation today, so you have to wait until tomorrow if you want to see it, right?"
Then Jingxing greeted the person named Zeng Bai and said: "Your family members should also pay attention to it. The operation is not a joke, nor is it a show off and comparison. The patient still needs to rest more."
Good guy, the patient returned to the ward and almost became a vegetable market, what's the matter?
Seeing this, Zeng Bai hurriedly nodded, and began to call the family members of the patients. When he came forward, naturally no one said anything more. It is common knowledge that ordinary people need to rest after surgery.
Jingjingxing and Zhou Cheng walked to the bed, Jingjingxing asked patiently: "Sister, are you okay?"
The aunt is still quite energetic, because the anesthesia has not yet passed, the fracture has been fixed, and the pain and stimulation of the fracture fragment friction and scratching the muscles have already been reduced without knowing it.
At this moment, I don't know if I have heard the envy of others, and my complexion is quite good. I am about to sit up with the support of my healthy side. Seeing this, Landscape Star hurriedly said: "Eldest sister, lie down and rest."
"Although you are under nerve block anesthesia, not general anesthesia, please trust the level of our Ninth Hospital, there is no need to take risks, right, lie down and have a good rest."
Only then did the aunt speak, her silver hair was half white, and she looked at Jing Jingxing with a smile: "Professor Jing, Doctor Zhou, thank you. I have never felt so good since I was injured."
"Except for this hand, I can't do it anywhere. I also ate and drank water. I feel much more comfortable now."
Landscape star nodded, nerve block anesthesia, no need to fast and drink, anesthesia has minimal stimulation to the gastrointestinal tract, but it will take some time to recover consciousness and exercise.
"Well, it's under anesthesia. There may be pain at night, but don't worry, we will properly add some painkillers to your hanging water."
"The faint pain will disappear soon, and don't be afraid of the side effects of painkillers, just the right amount, so you can perform functional exercises after surgery without fear."
"Doctor Zhou and I just came up to check on your situation."
Landscape star then looked at Zhou Cheng, meaning you should also talk about it.
Zhou Cheng also said: "Grandma, don't worry, your operation process is relatively smooth, but there are some precautions after the operation. You should know that you can't fall down, and there are other ways to pay attention. When the time comes, Professor Jing When they round the room, they will definitely explain it in detail."
"In addition, you can eat more food appropriately to speed up the recovery of wounds and fractures..."
Zhou Chengcheng only said some clichés. Among the principles of fracture treatment and rehabilitation training, each hospital has its own experience.
"Yeah, okay, okay." The aunt nodded hurriedly. It seemed that she was also a bit of a cultured person.
"Don't worry, I just heard that I have such a good operation, and ordinary people can't meet it. Professor Jing, Doctor Zhou, you are all my nobles. I am so old and injured, you I don’t know how to scare me.”
"I've seen a lot of people. After a fall, the person disappears. My..."
After Zhou Cheng and Professor Jingxing patiently listened to a paragraph, they said goodbye to the aunt. In fact, there was nothing special about it.
There is nothing wrong with being careful.
When I walked out again, the family members of the previous patients gradually left, but there was a family of three waiting at the door.
The man was talking with Zeng Bai, and when he saw Landscape Star and Zhou Cheng, he immediately raised his head: "Professor Jing, Professor Jing, can I bother you for a moment to discuss something?"
At the same time, the middle-aged woman holding her daughter at the back also raised her head at this moment, and looked over with burning eyes. In her arms, there was also a little girl in a plaster cast.
The little girl was about seven or eight years old, with a pair of ponytails tied up, her eyes were very agile and she waved to Landscape Star: "Good afternoon, Grandpa Jing."
She wanted to raise the other hand again, but after a little movement, she frowned and couldn't lift it anymore.But the smile remains the same, she is a very polite, generous and bold girl.
Jing Jingxing walked out of the ward, frowned slightly, first shook hands with the little girl, and the little girl wanted to shake hands with Zhou Cheng, Zhou Cheng was also surprised by her courage.
Zhou Cheng also played naughty with her curiously.
Landscape star said to the man: "Your Pao Pao is really not afraid of strangers."
Pao Pao is a nickname for a little girl. Papa Pao smiled when he heard that, "Professor Jing is mainly because you are approachable. Professor Jing, in fact, I came to you today because of Pao Pao."
Landscape star nodded, knowing his purpose of coming, he is his own patient, he has an impression.
"I heard that you have started minimally invasive surgery for fractures here, but I don't know, my Pao Pao, can you also do minimally invasive surgery? She is a girl, and I heard that even with cosmetic sutures, the scars will not be short. "
"And what about my Paobao?" His eyes were full of anticipation.
Hearing this, Landscape Star sighed, and said, "Papa Pao, actually, it's not that I don't want to, it's mainly because the indications for small incision open reduction and internal fixation have its special features. "
"I've already inquired. Currently, this device is only suitable for adults. Bubble is too young."
"There is no equipment suitable for her, and new equipment needs to be polished and designed. It will not happen overnight. It is impossible to wait."
Papa Pao was taken aback when he heard the words, he was a little dumbfounded, and didn't quite believe it: "How is this possible?"
Landscape star said: "This is a fact. I can't say that I will not perform such a small incision operation on Bubbles if there are equipment and can do it. The main reason is that we don't have such equipment."
"This device is a new thing nowadays. It is mainly designed with reference to adults. The bone marrow lumen of children is very small, and it changes every year. If it is specially designed, it will take a lot of effort."
"You can imagine the difference between the bubble three years ago and the current one. How tall will the bubble be three years later?"
"Without equipment, you can cook without rice."
After hearing this, Papa Pao still didn't give up, so he looked at Zhou Cheng. He didn't simply rush to Jingjingxing, but heard that Jingjingxing invited a very young but very powerful doctor.
Now there are rumors about this in the department, and he has been waiting outside for the sake of his daughter's less scars.
"Doctor Zhou? Do you have a solution?" Dad Pao Pao was already impolite, and asked Zhou Cheng directly over the landscape star.
In fact, Zhou Chengyou heard the conversation between Landscape Star and him, and he just sighed slightly and said, "Papa Pao, I can understand and empathize with your mood and your wishes."
"But this operation is indeed a new operation. Medicine is not a child's trick. Every step needs to be verified."
"For the current operation, we have been preparing for at least a month before it can be carried out. If you count the device design and so on, it will be even longer."
"The anatomy of children is not more complicated than that of adults, but the bone changes in children are much more than that of adults, so there is indeed no applicable device for the time being. This will have to wait for device companies to slowly develop it before it can be popularized."
"Ah?" Zhou Cheng said that, gradually shattering Papa Pao's last hope.
Zhou Cheng could see the disappointment on his face, so he could only say helplessly: "The road has to be walked step by step. Nothing can be accomplished overnight. This is really an objective reality."
"If you want to design a device suitable for Bubble Kids, you have to go through many tests, and it will not happen overnight."
Zhou Cheng then asked: "Professor Jing, what's going on with Pao Pao?"
"Left forearm, comminuted fracture of radius and ulna, C2 subtype, the situation is very complicated!"
"Actually, the classification of the C2 subtype is not very clear. They were in a lower-level hospital, and the hospital didn't dare to perform surgery. They went to the Children's Hospital. The director of the orthopedic department of the Children's Hospital also felt a headache, so I took her in. , I plan to sharpen my surgical thinking at an optional time."
Landscape star continued: "By the way, Dad Pao, take out the film of Pao Pao and show it to Dr. Zhou. Dr. Zhou is also a very experienced doctor in our trauma surgery department. One more person for reference, one more opinion .”
Papa Pao hurriedly agreed to go back and get it, then rushed out quickly, turned to this side, and held it towards Zhou Cheng with both hands.
Zhou Cheng could tell that he loved his precious girl very much, and for her, being humble was nothing.
Zhou Cheng took the film and watched it, curious about what Jing Jingxing had just said.
But as soon as the plain film came into his eyes, Zhou Cheng couldn't help but let out a low voice.
Then he rubbed his eyes and turned his head to look at Professor Jingxing: "Professor Jing, this kind of case is really rare. His radius and ulna are basically displaced from each other?"
What is mutual displacement is that the radius is displaced to the ulna, and the ulna is displaced to the position of the radius, and it is still comminuted.
For this kind of fracture, even if there are instruments, I dare not do small incision open reduction and internal fixation.
"Even if it has the effect of the interosseous membrane, it will be difficult to cause the current injury."
It's very strange.
Professor Jingxingxing nodded slightly when he heard the words, and said, "It's relatively rare, so lower-level hospitals dare not move, just because they are afraid that there will be something strange in it, and they are also afraid of damage to blood vessels and nerves."
"I'm also afraid of muscle rupture."
but!
When Professor Jingxingxing said this, Zhou Cheng suddenly remembered that when he shook hands with little friend Pao Pao, the muscles of little Pao Pao seemed to be different from those of ordinary children.
This made Zhou Cheng think of a very strange possibility, that is, the ligaments of Little Bubbles are loose, which makes the muscles more extensible and tough, so the current torsion is actually formed in the body. A kind of bow balance.
Thinking of this possibility, Zhou Cheng tilted his head and asked, "Professor Jing, kid Bubble, have you ever done an MRI?"
Ligament laxity is not actually a trauma.
Landscape star said: "Patients have CT and peace films, so it is a waste not to take MRI. What's the use of MRI?"
It is true that it is a waste to use MRI to diagnose fractures. MRI is not as clear as plain X-rays to see fractures. However, if you want to support Zhou Cheng's conjecture, you must have objective evidence from MRI.
When Pao Pao heard this, he didn't quite understand it, so he just said, "Doctor Zhou, if you think you need an MRI, you can take it. Pao Pao and I just hope she is well, and it doesn't matter if you spend some money."
gave support.
MRI is not expensive, and for his one day's wages, it is no problem to take a whole body scan.
I just haven't found a place where spending money can have a good therapeutic effect.
Zhou Chengcheng said: "In fact, this is not a matter of spending money. It is just a guess, and it may be useless. Are you willing to accept it?"
Zhou Cheng did not explain his guess.
"I am willing. I have checked. MRI has almost no damage to the body, and there is no radiation. I have taken CT scans. It doesn't matter. Doctor Zhou, if you need it, I can arrange my friend to help you." He is very generous. say.
"It's just a possibility, and it's possible."
When Zhou Cheng heard this, he could only say that she is a cowhide from Modu, and it is her blessing that Pao Pao has such a doting father.
Zhou Cheng looked at Landscape Star again.
Landscape Star frowned.
But Pao Pao's father really hoped that his daughter would be better, and he didn't want to let go of the slightest possibility, so he made his own decision first: "Doctor Zhou, Professor Jing, please wait for me, I will make a call to arrange it, a little Waste your time."
"Xiaoxin, follow me to the MRI room and take an MRI." He immediately said to his wife.
"But?"
"Nuclear magnetism has no radiation. If there is a chance to make Pao Pao suffer less, what are you afraid of spending some money? Even if you are disappointed, it is just another disappointment."
"Pao Pao is still young, she is still the same age, a teenager..." He said with firm eyes.
It's nice to have money.
After seeing the person leaving, Jing Jingxing went to the director's office with Zhou Cheng to discuss the matter again.
When Zhou Cheng expressed his conjecture, Landscape Star flashed his expression and asked, "Xiao Zhou, what is your major? I heard Yang Yifeng say that you were traumatized?"
You MB!
There are multiple lax ligaments all over the body, it is from sports medicine, Mr. Zeng's joints, and Mr. Gui is from sports medicine, he is almost confused.
Zhou Cheng said a little shyly: "Professor Jing, I originally studied trauma, and I also have a little contact with sports medicine."
The landscape star took a breath for a moment, and contributed another contribution to global warming.
I don't know how to speak up.
Papa Pao spoke very quickly, really fast, probably because he has a strong relationship in the courtyard, so he came up in just over ten minutes, and found Zhou Cheng and Queen Jingxing.
Landscape Star immediately read her NMR plain film.
Then he saw the twisted muscles in it, reaching a delicate balance with the broken end of the broken earthworm, and looked at Zhou Cheng with a complicated expression.
Is this a freak?Can this also be imagined with the naked eye?
Landscape star continued to ask: "Xiao Zhou, the guess is almost the same as what you thought, but this just let us know that there is such a situation, and it just reduces the difficulty of the operation. What else are you going to do?"
Zhou Cheng glanced at Papa Pao, then at Professor Jingxing, and said, "Professor Jing, have you heard of the step-by-step reduction method for fractures?"
"Reset step by step?" Landscape Star's pupils shrank slightly.
Well, this is Zhou Cheng’s groundbreaking theory for redefining the manual reduction of fractures. Complex fractures are reset step by step, and then gradually reach a level that can be fixed.
After Zhou Cheng roughly explained the principle, Papa Pao and Ma Pao Pao next to him were confused.
Zhou Cheng just asked: "This needs to be done in the operating room, and anesthesia is required, but it is manual reduction. You can try it. If it succeeds, because the middle section of the radial and ulna fractures is continuous and intact, you can expect no incision surgery. treatment can be achieved.”
"Of course, it is also possible that the reduction failed, and then the traditional open reduction is still required. This will not increase the difficulty of the operation, but will reduce the difficulty of the operation even more."
This was just Zhou Cheng's rather bold suggestion, and the reason why he made such a suggestion was naturally not because of a fever in the head, but because only Professor Xue Xiude sent a person for his current fracture restoration technique.
Such a good thing, if there is no way to release it, it is really a waste. This is a basic skill, and the more people who learn it, the better. The best way to publicize it is to show the benefits of this reset method through the diagnosis and treatment of special cases .
Papa Pao was stunned for a moment, his brows furrowed tightly.
It doesn't matter to do a non-invasive examination, but he can't bear to have his precious daughter undergo a trial manual reset.
It’s okay to spend money, but if you suffer and may be useless, then it’s better not to move.
When he was struggling, Pao Pao himself said, "Dad, I want to go. I don't want to have an operation."
The little girl made her own decision. She was usually very bold, but now her eyes turned red.
Paopao's parents looked at her at the same time.
"I'm afraid of surgery, I'm afraid of leaving scars. I'm afraid of being laughed at by my classmates." Bubble, who had persuaded her parents to be more courageous, cried softly.
Thanks to her parents' way of education, she is very bold and has her own ideas.
……
Zhou Cheng suddenly felt a little guilty. If Pao Pao's parents had made the decision, he would have thought it would be fine, but he was like a strange sorghum who abducted a child.
This put him under a little pressure, but it seemed that Pao Pao's parents respected her decision quite a bit.
So, after signing, Bubbles was temporarily dragged to the operating room by Zhou Cheng and Jingxing Xing. When entering the operating room, Bubbles proudly waved goodbye to his parents and watched his daughter disappear into the The door of the operating room.
Their hands were tightly clamped together, the man's eyes were like a torch, and the woman's eyes were also firm, saying: "Pao Pao has always had her own ideas, we must respect her, right?"
"Yeah." The man nodded.
Cultivating his daughter's ability to think independently is what he has been doing all along, and he still thinks it should be done...
Time passed by every minute and every second, and the days seemed like years.
Perhaps after an unknown period of time, at a certain moment, they heard the voice of their baby Bubbles.
"Mom and Dad." When she pushed out from the operating bed, she greeted them again, her happy expression was much happier than when she entered.
Seeing a new plaster cast on Bubble's arm, and then at the door of the operating room, Landscape Star and Zhou Cheng, who were wearing surgical gowns and hats, also came out.
The two were very orderly, one went to hug Bubbles, and the other asked, "Professor Jing, is my daughter?"
"It was very successful. I have taken the C-arm fluoroscopy pictures of the intraoperative reset. You see, this is the first reset. It was shifted and twisted, and it was adjusted."
"This is the second reduction, and we replaced one of the cuneiform bone fragments."
"This is the fifth reset. We can see from this picture that the anatomical reset has basically been achieved. Although there is a slight irregularity at the opposite end, the bubble is still small. When it grows in the future, it can be restored by itself. "
"During the operation, we added a very small Kirschner wire and fixed it temporarily. After two months, when the fracture is full, just pull it out."
"Doctor Zhou, you saved Pao Pao from this supposedly complicated operation."
The man hurriedly thanked Zhou Cheng and Jingjing Xing, and then asked: "Dr. Zhou, thank you. I must add you on WeChat!"
Zhou Cheng was a little embarrassed.
"Don't worry, I won't disturb you at all, it's just for the convenience of contacting later." The man's tone was sincere.
Considering their extraordinary knowledge, Zhou Cheng also gave WeChat to the past.
Then, after the man bowed to Jingjing Xing and Zhou Cheng again to thank him, he turned back to accompany Bubble, without saying any other nonsense.
Watching the family of three leave, Professor Jingxing said: "This young man is the owner of a company and has his own ideas. He also added me on WeChat."
"I haven't given a gift, but I have been treated to a meal, and the arrangement is very proper."
"Xiao Zhou, don't worry, the family members of the patients who shouldn't be added, I won't let them bother you."
Zhou Cheng hurriedly said, "Professor Jing, I didn't mean that."
Landscape Star nodded, closed his eyes a little, and said in a slightly heavy tone: "Xiao Zhou, it seems that we have underestimated your fracture reduction and internal fixation."
"If this kind of good thing can be perfectly combined with Kirschner wire closed reduction and internal fixation, it will be of great benefit to the patient."
Zhou Cheng smiled when he heard this, and walked back while saying, "I'm about to smash my job, and I don't know whether it's right or wrong to exist."
After hearing the words, Landscape Star turned around and asked Zhou Cheng: "Xiao Zhou, the reason why you are so generous with open reduction and internal fixation of the small incision, is it because of this that you are preparing for it?"
When you take away old chaff, give someone new rice.
Zhou Cheng tilted his head, still smiling casually: "Professor Jing, how can I have such a big plan? I'm just a little doctor now."
The heart naturally answered yes.
……
(End of this chapter)
Professor Jingxing chatted with Zhou Cheng for a while, and then discussed some professional issues with Zhou Cheng.
After calculating that the time was about the same, the two went to the operating room again.
Landscape star turned sideways and said: "Xiao Zhou, I need your advice later. This is my first experience with this kind of surgery, and I'm not as proficient as Professor Xue."
Zhou Cheng saw that the landscape star surface did not change, and he secretly admired it: "Professor Jing, your level, overall, must surpass mine. It's just that I took a chance on the fracture."
"Xiao Zhou, the trick you took is not ordinary. If ordinary people want to achieve such a skill, I don't know how many years it will take to accumulate." Landscape Star smiled, but didn't take it seriously.
In the operating room, Associate Professor Gu Kaifa and others have already done all the preparations before the operation.
The first operation was a fracture of the humerus, which was a fracture of the tibia. It was given spinal anesthesia, and the patient was awake.
At this moment, with the large surgical order on his face, he lost all vision, and asked nervously, "Is Professor Jing here?"
"Master, don't worry, I'm here. This operation." When Jing Xing wanted to appease the patient's emotions.
But the patient interrupted him: "Professor Jing, we still think, why don't we continue to work hard on this operation, Dr. Zhou? I'm very nervous."
After walking around the Ninth Hospital and coming to the Sixth Hospital, even he understood that the young-looking Doctor Zhou is not a small doctor in the traditional sense. Professor Jing from the Sixth Hospital invited experts to treat Zhou Cheng Called to the Sixth Hospital for surgery.
On the contrary, looking at it, it was the first time for Jingxing to have such an operation, and it was also the first time for him to have an operation. Thinking about it, Zhou Cheng might as well do it for him.
At any rate, Zhou Cheng had at least a few operations in the Ninth Hospital for practice.
Landscape star's expression was suddenly awkward, and the corners of his mouth twitched.
He was despised.
The patient's own request should not be careless, so Landscape Star looked at Zhou Cheng. If the patient had the initiative, he would rather let Zhou Cheng be the surgeon than make trouble.
Otherwise, if there is any accident, the patient can go from the ninth hospital to the sixth hospital, and it will be difficult for him to sleep.
Zhou Cheng thought for a while and said, "Master, thank you for your trust in me. I will also be on the operating table. This operation is performed by me and Professor Jing. Professor Jing is a well-known great professor."
"I have eaten more salt than the rice I have eaten. The quality of the operation is not bad. The operation cannot be done by one person. Now we have to form a temporary team."
The uncle's muscles are still trembling, and the sterile drapes are also trembling slightly.
After thinking about it for a while, he said, "Then Doctor Zhou, you have to pay attention to how hard it is. Sigh, if I knew it was like this, I would just stay in the Ninth Hospital."
Going back to the Ninth Court now, one is tossing, and the other is that the Ninth Court may not have an empty bed to accept him, so that's the only way to go.
I can only hope that Landscape Star can give him some help, and don't spend a big hole on him, planting a centipede.
Jing Xing secretly scolded Xue Xiude and Yu Qiuhua for not talking about martial arts, and did not speak again.
The patient has dispelled most of his worries, and it is time for the operation to begin.
Professor Jingxing is four or five years older than Professor Xue Xiude, and has a big belly, but he is not fat.After all the preparations were completed, Landscape Star continued to look at Zhou Cheng and patiently asked for advice.
"Xiao Zhou, for this operation, do we still need to perform closed reduction first?" If you take the trouble to ask one more question, you won't make a big mistake.
Zhou Cheng nodded: "Professor Jing, basically, except for the very few cases I listed, you need to make preparations for fixation first, and then reset them. Most of the fractures still follow the principles of fracture treatment."
Reset, immobilization, rehabilitation training.
The same goes for the sequence.
Landscape star took a deep breath, and then said: "Then I will start, Xiao Zhou, don't laugh at me, I haven't had a fracture operation for a long time."
Long time no fracture surgery?
"Professor Jing was joking." Zhou Cheng replied with a pun.
The landscape star knows that his words are wrong, and words can't cover up what he has done. Everyone is not a fool, but there is no need to uncover that fig leaf.Still learning is the most important thing.
With a calm mind, Landscape Star quickly found his own rhythm, and said in a cold tone: "Professor Gu, help me do a good job of reverse fixed traction."
Gu Kaifa is the old partner of Landscape Star, and he has a deep knowledge of the reset technique, so he found a suitable position without much hesitation.
Zhou Cheng's eyes frowned slightly, and Jing Jingxing's method of reset concept was different from Xue Xiude's.
The rivers and lakes are so big, it turns out that my knowledge is too short, and the simulator can only bring me skills, but not detailed knowledge.
Same way.
The strength of the Sixth Hospital is not blown out by itself. As the director of orthopedics department, Professor Jingxing, who enjoys special allowance from the State Council, is not easy to match.
After a while, Landscape Star finished resetting the technique. Zhou Cheng was thinking about things, but he lost his mind for a while and didn't see the principle clearly.
After resetting, to be on the safe side, C-arm fluoroscopy was used.
As soon as the result came out, Landscape Star laughed: "Fortunately, after so many years, I haven't lost my basic skills. Xiao Zhou thought that internal fixation is appropriate for such a reset situation?"
Zhou Cheng's face froze slightly, and the secret road landscape star can become the leader of the trauma group in the magic city, and he really has his own way.
If Xue Xiude's skill is more than mastery, but not perfect, this landscape star has already reset the fracture technique and practiced to the extreme in this world.
As far as his philosophy is concerned, it has reached the level of perfection, but it is slightly inferior to Zhou Cheng's redefined perfection!
Zhou Chengcheng joked: "Professor Jing, after opening my eyes, is he coming to test my criteria for judging fractures after reduction?"
Anyone with a little experience can see that the reset effect of Professor Jingxing's technique is excellent.
The landscape star blushed slightly: "I'm showing my ugliness. In front of you, Xiao Zhou, I dare not say the word evaluation. I really learn from you."
Gu Kaifa interjected and said, "Professor Jing ended up many fracture emergency cases for me during his treatment. It's a pity that we don't do fracture reduction anymore, and we have only learned a little bit."
Landscape star said: "The times are different. When I was working, there were many patients with fractures, but now, medical resources are divided, and patients with fractures have rarely come to our hospital."
"This is something that is not necessary to teach you, but if graduate students are interested, you can get in touch with it a little bit."
In the end, there are not many masters who can study for a Ph. D., and even fewer can stay in the hospital. It will be useful to go out to work.
Gu Kaifa hurriedly said to a group of students: "Why don't you thank Professor Jing quickly? Professor Jing's manual reset operation is quite impressive to the three hospitals in Kyoto."
A group of masters and doctors were also overjoyed when they heard the words, and expressed their attitudes one after another. After organizing the group meeting, Professor Jingxing was invited.
The focus is still back on the operation.
Zhou Cheng found that Professor Jingxing was very familiar with the operations of opening windows, placing mirrors, and placing internal fixtures, so he didn't speak all the way.
Accompanied silently by the side, Jing Xing put one side of the internal fixation into the bone marrow cavity, only to find out that he had just had an operation and was having fun. Doesn't this reveal that he had done the operation secretly?
But I still asked politely, and the tone was not special: "Xiao Zhou, how do you think the second internal fixation should be placed?"
"Or based on what you said earlier?"
Having revealed all the details before, Zhou Cheng nodded: "Professor Jing, you can try this as much as you want."
According to what Zhou Cheng said, Landscape Star tried to stick to the distal end of the fracture as much as possible, and no longer strictly placed the internal fixation at the very center, and then when he held the forceps with both hands at the same time, he really felt a snap.
Clicking and bouncing, as if all the doubts before Landscape Star were bounced away, he said: "Experts look at the details, Xiao Zhou's comprehension of this technique is really very deep."
Zhou Cheng smiled and said, "Professor Jing's operation is also extremely sophisticated."
Landscape Star took a deep breath, stopped talking, and controlled the forceps to stretch the internal fixation. After the fixation effect was achieved, he took out the forceps, and then he evaluated the way of surgical alignment by himself as before, and conducted a physical examination .
Feeling the broken ends, the fit is very good, even the broken bone fragments of comminuted fractures are tightly clamped to the broken ends under the stretch of the internal fixation.
"Xiao Zhou, I think it's all right. What do you think?" Landscape Star asked Zhou Cheng again, hoping that Zhou Cheng would not hold back any more.
Zhou Cheng had already simulated the landscape star through the simulator on the way here, and knew that the landscape star was actually very proficient in this technique, and he could learn the essence of this technique with a little hint.
Thinking secretly, Landscape Star's clinical talent, or such reserve, is actually deeper than that of Xue Xiude.
Zhou Cheng didn't refuse, and did a physical examination on his own, saying, "Professor Jing, this is great."
"When placing the internal fixation, if it is only limited to the center of the insertion tube, the position will be deviated, and it is most suitable to operate close to the distal end."
"Some other problems can also be solved in one go."
"Then reveal one first!" Landscape star turned to look at the time of the operation timing panel, which was only ten minutes.
After comparing it secretly, Zhou Cheng can shorten this time to less than 10 minutes, or even five or six minutes.Although today is teaching, I still can't reach Zhou Cheng's height.
However, I am new to this technique, so I don't need to insist on speed, I will have the opportunity to understand it slowly in the future.
After further fluoroscopy, the result of the fixation is excellent, and the alignment is also perfect, which fully demonstrates the skill that a top professor should have.
Landscape star walked into the operating room again, and said to the uncle: "Master, the operation is over, it went well, and the postoperative effect is also very good, don't worry, ah."
"Tomorrow, you will probably be able to get out of bed with crutches. But don't use too much force on the affected limb. The main thing is to get off the ground with the help of crutches."
A good fracture open reduction and intramedullary nail fixation can get out of bed the next day. Landscape Star has seen the compression resistance measurement of this new type of internal fixation, and it is not weak, so I am not worried about getting out of bed with crutches .
This is the understanding of the principle of fracture treatment in each hospital.
"And that's it?"
"Did the operation go well?"
"Thank you, thank you Professor Jing, thank you Dr. Zhou. Oh, it's better not to get sick. Look, my trip..." He began to chant again.
Then Gu Kaifa and the others took over the conversation, and then began the finishing work of the operation.
Landscape star stepped down with Zhou Cheng again, and then walked all the way back to the ward.
It is a basic common sense that after the operation, the surgeon should inspect the patients who were operated on that day. The newer the operation, the more so.
The total duration of the two surgeries did not exceed one hour, and Landscape Star and Zhou Cheng naturally had this time.
After Jingjingxing entered the department, he called Zhou Cheng to the director's office, and handed him an envelope, which was a bit thick.
Zhou Cheng didn't move.
Jing Jingxing said: "Xiao Zhou, today's operation is not only the consultation fee for the operation, but also the tuition fee for teaching. This is a matter of duty. Don't refuse it."
"Nowadays, the training cost of a training class is more than that. You may not be able to learn good things."
To be honest, Zhou Cheng loves money, and he is also very short of money, but today, he really didn't come here for this thing, so he said: "Professor Jing, this is too much, I really can't take it."
"Besides, Professor Jing's operation is also a clinical project for cooperation. I feel really sorry for taking it."
"Professor Jing, let's see the patient."
Landscape star took a serious look at Zhou Cheng, saw Zhou Cheng's serious expression, and said, "Then send me your basic personal information, including your bank card number."
"Since it is cooperation, it must look like cooperation. As a technical director, our clinical research team should give you some allowance."
"The money given by the hospital is not my personal, it is open and aboveboard."
"If you still refuse this Xiao Zhou, you won't treat our Sixth Academy as a formal unit."
There is no free lunch in the world, and it is normal to pay for knowledge. Every year, every university will pay at least tens of millions or even hundreds of millions of dollars for the students and teachers in the school to consult papers.
This week's achievement really can't be pushed away. Landscape Star has raised this matter to a certain level, and pushing it further would be a bit contemptuous.I secretly admire Landscape Star's measure and cheekiness.
He laughed and said, "Then I'll send it to you later, but I hope Professor Jing won't be too outrageous. I'm still young, but I can't stand the temptation of money, and I'm afraid I'll go down."
Zhou Cheng was laughing, but Jing Jingxing kept this sentence in his heart.
Others said that he would only take it as a joke, but Zhou Cheng rejected Xu Dashan's invitation to work in Jishuitan on the grounds of learning.In full view.
"Don't worry, Xiao Zhou, let's not talk about this anymore, let's go see the patient first." Landscape star took the envelope back, put it in the drawer, and locked it.
When the two moved to the ward where the patient was, what a guy inside, a lot of people gathered and were amazed.
Due to the spread of teasing, everyone is curious to see it.
Many people are exaggerating: "This wound is small, these two band-aids are like a joke, right? I saw the one next to my son's bed, the wound is so big."
Exaggeratedly made a gesture.
"No, one of my patients has undergone seven or eight operations. The wound is getting bigger and bigger, and it's still infected. I don't know when it will go away. There is still a bone defect."
"His surgical incision is not as big as when I cut vegetables with a knife. It's really incredible."
Another person said: "The current technology and medical level are getting more and more developed. How dare you think before that the incision for surgery is so small. It is not as big as a buttonhole, and this can also be used for surgery?"
"I also heard that the openings for vascular surgery and neurosurgery are also small..."
While talking, Jingjing Xing and Zhou Cheng paused outside for a while, then walked in.
Landscape Star took the initiative to greet and said: "Well, all patients and their family members, the patient has just finished the operation and needs to rest a little longer, so you don't want to get together to watch strange things anymore."
"Someone just had an operation today, so you have to wait until tomorrow if you want to see it, right?"
Then Jingxing greeted the person named Zeng Bai and said: "Your family members should also pay attention to it. The operation is not a joke, nor is it a show off and comparison. The patient still needs to rest more."
Good guy, the patient returned to the ward and almost became a vegetable market, what's the matter?
Seeing this, Zeng Bai hurriedly nodded, and began to call the family members of the patients. When he came forward, naturally no one said anything more. It is common knowledge that ordinary people need to rest after surgery.
Jingjingxing and Zhou Cheng walked to the bed, Jingjingxing asked patiently: "Sister, are you okay?"
The aunt is still quite energetic, because the anesthesia has not yet passed, the fracture has been fixed, and the pain and stimulation of the fracture fragment friction and scratching the muscles have already been reduced without knowing it.
At this moment, I don't know if I have heard the envy of others, and my complexion is quite good. I am about to sit up with the support of my healthy side. Seeing this, Landscape Star hurriedly said: "Eldest sister, lie down and rest."
"Although you are under nerve block anesthesia, not general anesthesia, please trust the level of our Ninth Hospital, there is no need to take risks, right, lie down and have a good rest."
Only then did the aunt speak, her silver hair was half white, and she looked at Jing Jingxing with a smile: "Professor Jing, Doctor Zhou, thank you. I have never felt so good since I was injured."
"Except for this hand, I can't do it anywhere. I also ate and drank water. I feel much more comfortable now."
Landscape star nodded, nerve block anesthesia, no need to fast and drink, anesthesia has minimal stimulation to the gastrointestinal tract, but it will take some time to recover consciousness and exercise.
"Well, it's under anesthesia. There may be pain at night, but don't worry, we will properly add some painkillers to your hanging water."
"The faint pain will disappear soon, and don't be afraid of the side effects of painkillers, just the right amount, so you can perform functional exercises after surgery without fear."
"Doctor Zhou and I just came up to check on your situation."
Landscape star then looked at Zhou Cheng, meaning you should also talk about it.
Zhou Cheng also said: "Grandma, don't worry, your operation process is relatively smooth, but there are some precautions after the operation. You should know that you can't fall down, and there are other ways to pay attention. When the time comes, Professor Jing When they round the room, they will definitely explain it in detail."
"In addition, you can eat more food appropriately to speed up the recovery of wounds and fractures..."
Zhou Chengcheng only said some clichés. Among the principles of fracture treatment and rehabilitation training, each hospital has its own experience.
"Yeah, okay, okay." The aunt nodded hurriedly. It seemed that she was also a bit of a cultured person.
"Don't worry, I just heard that I have such a good operation, and ordinary people can't meet it. Professor Jing, Doctor Zhou, you are all my nobles. I am so old and injured, you I don’t know how to scare me.”
"I've seen a lot of people. After a fall, the person disappears. My..."
After Zhou Cheng and Professor Jingxing patiently listened to a paragraph, they said goodbye to the aunt. In fact, there was nothing special about it.
There is nothing wrong with being careful.
When I walked out again, the family members of the previous patients gradually left, but there was a family of three waiting at the door.
The man was talking with Zeng Bai, and when he saw Landscape Star and Zhou Cheng, he immediately raised his head: "Professor Jing, Professor Jing, can I bother you for a moment to discuss something?"
At the same time, the middle-aged woman holding her daughter at the back also raised her head at this moment, and looked over with burning eyes. In her arms, there was also a little girl in a plaster cast.
The little girl was about seven or eight years old, with a pair of ponytails tied up, her eyes were very agile and she waved to Landscape Star: "Good afternoon, Grandpa Jing."
She wanted to raise the other hand again, but after a little movement, she frowned and couldn't lift it anymore.But the smile remains the same, she is a very polite, generous and bold girl.
Jing Jingxing walked out of the ward, frowned slightly, first shook hands with the little girl, and the little girl wanted to shake hands with Zhou Cheng, Zhou Cheng was also surprised by her courage.
Zhou Cheng also played naughty with her curiously.
Landscape star said to the man: "Your Pao Pao is really not afraid of strangers."
Pao Pao is a nickname for a little girl. Papa Pao smiled when he heard that, "Professor Jing is mainly because you are approachable. Professor Jing, in fact, I came to you today because of Pao Pao."
Landscape star nodded, knowing his purpose of coming, he is his own patient, he has an impression.
"I heard that you have started minimally invasive surgery for fractures here, but I don't know, my Pao Pao, can you also do minimally invasive surgery? She is a girl, and I heard that even with cosmetic sutures, the scars will not be short. "
"And what about my Paobao?" His eyes were full of anticipation.
Hearing this, Landscape Star sighed, and said, "Papa Pao, actually, it's not that I don't want to, it's mainly because the indications for small incision open reduction and internal fixation have its special features. "
"I've already inquired. Currently, this device is only suitable for adults. Bubble is too young."
"There is no equipment suitable for her, and new equipment needs to be polished and designed. It will not happen overnight. It is impossible to wait."
Papa Pao was taken aback when he heard the words, he was a little dumbfounded, and didn't quite believe it: "How is this possible?"
Landscape star said: "This is a fact. I can't say that I will not perform such a small incision operation on Bubbles if there are equipment and can do it. The main reason is that we don't have such equipment."
"This device is a new thing nowadays. It is mainly designed with reference to adults. The bone marrow lumen of children is very small, and it changes every year. If it is specially designed, it will take a lot of effort."
"You can imagine the difference between the bubble three years ago and the current one. How tall will the bubble be three years later?"
"Without equipment, you can cook without rice."
After hearing this, Papa Pao still didn't give up, so he looked at Zhou Cheng. He didn't simply rush to Jingjingxing, but heard that Jingjingxing invited a very young but very powerful doctor.
Now there are rumors about this in the department, and he has been waiting outside for the sake of his daughter's less scars.
"Doctor Zhou? Do you have a solution?" Dad Pao Pao was already impolite, and asked Zhou Cheng directly over the landscape star.
In fact, Zhou Chengyou heard the conversation between Landscape Star and him, and he just sighed slightly and said, "Papa Pao, I can understand and empathize with your mood and your wishes."
"But this operation is indeed a new operation. Medicine is not a child's trick. Every step needs to be verified."
"For the current operation, we have been preparing for at least a month before it can be carried out. If you count the device design and so on, it will be even longer."
"The anatomy of children is not more complicated than that of adults, but the bone changes in children are much more than that of adults, so there is indeed no applicable device for the time being. This will have to wait for device companies to slowly develop it before it can be popularized."
"Ah?" Zhou Cheng said that, gradually shattering Papa Pao's last hope.
Zhou Cheng could see the disappointment on his face, so he could only say helplessly: "The road has to be walked step by step. Nothing can be accomplished overnight. This is really an objective reality."
"If you want to design a device suitable for Bubble Kids, you have to go through many tests, and it will not happen overnight."
Zhou Cheng then asked: "Professor Jing, what's going on with Pao Pao?"
"Left forearm, comminuted fracture of radius and ulna, C2 subtype, the situation is very complicated!"
"Actually, the classification of the C2 subtype is not very clear. They were in a lower-level hospital, and the hospital didn't dare to perform surgery. They went to the Children's Hospital. The director of the orthopedic department of the Children's Hospital also felt a headache, so I took her in. , I plan to sharpen my surgical thinking at an optional time."
Landscape star continued: "By the way, Dad Pao, take out the film of Pao Pao and show it to Dr. Zhou. Dr. Zhou is also a very experienced doctor in our trauma surgery department. One more person for reference, one more opinion .”
Papa Pao hurriedly agreed to go back and get it, then rushed out quickly, turned to this side, and held it towards Zhou Cheng with both hands.
Zhou Cheng could tell that he loved his precious girl very much, and for her, being humble was nothing.
Zhou Cheng took the film and watched it, curious about what Jing Jingxing had just said.
But as soon as the plain film came into his eyes, Zhou Cheng couldn't help but let out a low voice.
Then he rubbed his eyes and turned his head to look at Professor Jingxing: "Professor Jing, this kind of case is really rare. His radius and ulna are basically displaced from each other?"
What is mutual displacement is that the radius is displaced to the ulna, and the ulna is displaced to the position of the radius, and it is still comminuted.
For this kind of fracture, even if there are instruments, I dare not do small incision open reduction and internal fixation.
"Even if it has the effect of the interosseous membrane, it will be difficult to cause the current injury."
It's very strange.
Professor Jingxingxing nodded slightly when he heard the words, and said, "It's relatively rare, so lower-level hospitals dare not move, just because they are afraid that there will be something strange in it, and they are also afraid of damage to blood vessels and nerves."
"I'm also afraid of muscle rupture."
but!
When Professor Jingxingxing said this, Zhou Cheng suddenly remembered that when he shook hands with little friend Pao Pao, the muscles of little Pao Pao seemed to be different from those of ordinary children.
This made Zhou Cheng think of a very strange possibility, that is, the ligaments of Little Bubbles are loose, which makes the muscles more extensible and tough, so the current torsion is actually formed in the body. A kind of bow balance.
Thinking of this possibility, Zhou Cheng tilted his head and asked, "Professor Jing, kid Bubble, have you ever done an MRI?"
Ligament laxity is not actually a trauma.
Landscape star said: "Patients have CT and peace films, so it is a waste not to take MRI. What's the use of MRI?"
It is true that it is a waste to use MRI to diagnose fractures. MRI is not as clear as plain X-rays to see fractures. However, if you want to support Zhou Cheng's conjecture, you must have objective evidence from MRI.
When Pao Pao heard this, he didn't quite understand it, so he just said, "Doctor Zhou, if you think you need an MRI, you can take it. Pao Pao and I just hope she is well, and it doesn't matter if you spend some money."
gave support.
MRI is not expensive, and for his one day's wages, it is no problem to take a whole body scan.
I just haven't found a place where spending money can have a good therapeutic effect.
Zhou Chengcheng said: "In fact, this is not a matter of spending money. It is just a guess, and it may be useless. Are you willing to accept it?"
Zhou Cheng did not explain his guess.
"I am willing. I have checked. MRI has almost no damage to the body, and there is no radiation. I have taken CT scans. It doesn't matter. Doctor Zhou, if you need it, I can arrange my friend to help you." He is very generous. say.
"It's just a possibility, and it's possible."
When Zhou Cheng heard this, he could only say that she is a cowhide from Modu, and it is her blessing that Pao Pao has such a doting father.
Zhou Cheng looked at Landscape Star again.
Landscape Star frowned.
But Pao Pao's father really hoped that his daughter would be better, and he didn't want to let go of the slightest possibility, so he made his own decision first: "Doctor Zhou, Professor Jing, please wait for me, I will make a call to arrange it, a little Waste your time."
"Xiaoxin, follow me to the MRI room and take an MRI." He immediately said to his wife.
"But?"
"Nuclear magnetism has no radiation. If there is a chance to make Pao Pao suffer less, what are you afraid of spending some money? Even if you are disappointed, it is just another disappointment."
"Pao Pao is still young, she is still the same age, a teenager..." He said with firm eyes.
It's nice to have money.
After seeing the person leaving, Jing Jingxing went to the director's office with Zhou Cheng to discuss the matter again.
When Zhou Cheng expressed his conjecture, Landscape Star flashed his expression and asked, "Xiao Zhou, what is your major? I heard Yang Yifeng say that you were traumatized?"
You MB!
There are multiple lax ligaments all over the body, it is from sports medicine, Mr. Zeng's joints, and Mr. Gui is from sports medicine, he is almost confused.
Zhou Cheng said a little shyly: "Professor Jing, I originally studied trauma, and I also have a little contact with sports medicine."
The landscape star took a breath for a moment, and contributed another contribution to global warming.
I don't know how to speak up.
Papa Pao spoke very quickly, really fast, probably because he has a strong relationship in the courtyard, so he came up in just over ten minutes, and found Zhou Cheng and Queen Jingxing.
Landscape Star immediately read her NMR plain film.
Then he saw the twisted muscles in it, reaching a delicate balance with the broken end of the broken earthworm, and looked at Zhou Cheng with a complicated expression.
Is this a freak?Can this also be imagined with the naked eye?
Landscape star continued to ask: "Xiao Zhou, the guess is almost the same as what you thought, but this just let us know that there is such a situation, and it just reduces the difficulty of the operation. What else are you going to do?"
Zhou Cheng glanced at Papa Pao, then at Professor Jingxing, and said, "Professor Jing, have you heard of the step-by-step reduction method for fractures?"
"Reset step by step?" Landscape Star's pupils shrank slightly.
Well, this is Zhou Cheng’s groundbreaking theory for redefining the manual reduction of fractures. Complex fractures are reset step by step, and then gradually reach a level that can be fixed.
After Zhou Cheng roughly explained the principle, Papa Pao and Ma Pao Pao next to him were confused.
Zhou Cheng just asked: "This needs to be done in the operating room, and anesthesia is required, but it is manual reduction. You can try it. If it succeeds, because the middle section of the radial and ulna fractures is continuous and intact, you can expect no incision surgery. treatment can be achieved.”
"Of course, it is also possible that the reduction failed, and then the traditional open reduction is still required. This will not increase the difficulty of the operation, but will reduce the difficulty of the operation even more."
This was just Zhou Cheng's rather bold suggestion, and the reason why he made such a suggestion was naturally not because of a fever in the head, but because only Professor Xue Xiude sent a person for his current fracture restoration technique.
Such a good thing, if there is no way to release it, it is really a waste. This is a basic skill, and the more people who learn it, the better. The best way to publicize it is to show the benefits of this reset method through the diagnosis and treatment of special cases .
Papa Pao was stunned for a moment, his brows furrowed tightly.
It doesn't matter to do a non-invasive examination, but he can't bear to have his precious daughter undergo a trial manual reset.
It’s okay to spend money, but if you suffer and may be useless, then it’s better not to move.
When he was struggling, Pao Pao himself said, "Dad, I want to go. I don't want to have an operation."
The little girl made her own decision. She was usually very bold, but now her eyes turned red.
Paopao's parents looked at her at the same time.
"I'm afraid of surgery, I'm afraid of leaving scars. I'm afraid of being laughed at by my classmates." Bubble, who had persuaded her parents to be more courageous, cried softly.
Thanks to her parents' way of education, she is very bold and has her own ideas.
……
Zhou Cheng suddenly felt a little guilty. If Pao Pao's parents had made the decision, he would have thought it would be fine, but he was like a strange sorghum who abducted a child.
This put him under a little pressure, but it seemed that Pao Pao's parents respected her decision quite a bit.
So, after signing, Bubbles was temporarily dragged to the operating room by Zhou Cheng and Jingxing Xing. When entering the operating room, Bubbles proudly waved goodbye to his parents and watched his daughter disappear into the The door of the operating room.
Their hands were tightly clamped together, the man's eyes were like a torch, and the woman's eyes were also firm, saying: "Pao Pao has always had her own ideas, we must respect her, right?"
"Yeah." The man nodded.
Cultivating his daughter's ability to think independently is what he has been doing all along, and he still thinks it should be done...
Time passed by every minute and every second, and the days seemed like years.
Perhaps after an unknown period of time, at a certain moment, they heard the voice of their baby Bubbles.
"Mom and Dad." When she pushed out from the operating bed, she greeted them again, her happy expression was much happier than when she entered.
Seeing a new plaster cast on Bubble's arm, and then at the door of the operating room, Landscape Star and Zhou Cheng, who were wearing surgical gowns and hats, also came out.
The two were very orderly, one went to hug Bubbles, and the other asked, "Professor Jing, is my daughter?"
"It was very successful. I have taken the C-arm fluoroscopy pictures of the intraoperative reset. You see, this is the first reset. It was shifted and twisted, and it was adjusted."
"This is the second reduction, and we replaced one of the cuneiform bone fragments."
"This is the fifth reset. We can see from this picture that the anatomical reset has basically been achieved. Although there is a slight irregularity at the opposite end, the bubble is still small. When it grows in the future, it can be restored by itself. "
"During the operation, we added a very small Kirschner wire and fixed it temporarily. After two months, when the fracture is full, just pull it out."
"Doctor Zhou, you saved Pao Pao from this supposedly complicated operation."
The man hurriedly thanked Zhou Cheng and Jingjing Xing, and then asked: "Dr. Zhou, thank you. I must add you on WeChat!"
Zhou Cheng was a little embarrassed.
"Don't worry, I won't disturb you at all, it's just for the convenience of contacting later." The man's tone was sincere.
Considering their extraordinary knowledge, Zhou Cheng also gave WeChat to the past.
Then, after the man bowed to Jingjing Xing and Zhou Cheng again to thank him, he turned back to accompany Bubble, without saying any other nonsense.
Watching the family of three leave, Professor Jingxing said: "This young man is the owner of a company and has his own ideas. He also added me on WeChat."
"I haven't given a gift, but I have been treated to a meal, and the arrangement is very proper."
"Xiao Zhou, don't worry, the family members of the patients who shouldn't be added, I won't let them bother you."
Zhou Cheng hurriedly said, "Professor Jing, I didn't mean that."
Landscape Star nodded, closed his eyes a little, and said in a slightly heavy tone: "Xiao Zhou, it seems that we have underestimated your fracture reduction and internal fixation."
"If this kind of good thing can be perfectly combined with Kirschner wire closed reduction and internal fixation, it will be of great benefit to the patient."
Zhou Cheng smiled when he heard this, and walked back while saying, "I'm about to smash my job, and I don't know whether it's right or wrong to exist."
After hearing the words, Landscape Star turned around and asked Zhou Cheng: "Xiao Zhou, the reason why you are so generous with open reduction and internal fixation of the small incision, is it because of this that you are preparing for it?"
When you take away old chaff, give someone new rice.
Zhou Cheng tilted his head, still smiling casually: "Professor Jing, how can I have such a big plan? I'm just a little doctor now."
The heart naturally answered yes.
……
(End of this chapter)
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