medical simulator

Chapter 273 Teacher, I am enlightened (please subscribe!)
After the three orthopedic surgeons showed their talents, the topic returned to the right track.

Yu Heng said: "I'm not kidding anymore, Brother Zhou Cheng, do you have any other ideas about the topic we discussed last time?"

"My teacher intentionally asked me to come to you to inquire about it, but I know you must be very busy these days. I don't want to disturb you. I planned to ask you after you have finished your work."

"I'm stuck in a dead end now. If I want to make a detour, I don't know when I will do it." Yu Heng didn't forget his reason for coming.

Zhou Cheng took the initiative to invite, which meant that Zhou Cheng was free.

Another level of adult thinking is to consider other people's feelings. Now that Zhou Cheng has his own project in progress, the time is not completely at his disposal. If he is distracted by himself, it is naturally not good.

Zhou Cheng glanced at Su Min first, although he is a shameless person, he should not be underestimated, if he has a better opinion, he might be able to comprehend it better.

Su Min said: "I just got a general idea of ​​what you are talking about. Brother Cheng, you should give your opinion, and I won't get involved."

"You are attacking the needle." Zhou Cheng added.

The corners of Su Min's mouth twitched, as expected he had distorted the atmosphere after coming here.Seriously speaking, it can also be misunderstood.

Zhou Cheng tilted his head and said to Yu Heng: "Yu Heng, sometimes, we should not only focus on theory, but limit all our vision to operations."

"The root cause of human progress is the use of tools. We are good at using tools, and then using tools to transform nature to a certain extent and conform to nature is the most appropriate way."

"If it is not feasible to rely solely on tendon transposition, tendon repair and other theories to balance deformities and scars, why don't we borrow another set of tools from plastic surgery?"

Yu Heng raised his head, looked left and right, and felt that he was being suppressed.

Frowning tightly: "Plastic surgery? What tools do you borrow?"

Zhou Cheng currently has a high reserve of skills and a solid reserve of knowledge and theory systems. He has many perfect-level skills, so he naturally knows that from proficiency to perfection lies in the perfection of the theoretical system. Most of the redefinitions are multidisciplinary, even interdisciplinary.

Why can small incision open reduction and internal fixation be implemented?
It is because of the assistance of the equipment. Without this equipment, it is basically difficult for you to perform such an operation. Only specific fractures are suitable.

After pure theory can't go any further, you have to borrow tools. This is where Zhou Cheng hid Yu Heng and Hu Xianhe.

An objective substitute for patents, precisely because of this.

"Sutures. But they are not ordinary sutures, nor are they cosmetic sutures, but special sutures for muscles. Think about it, where is the most difficult part of tendon reconstruction and muscle reconstruction and repair?"

"Sewing."

Zhou Cheng went on to talk eloquently: "The reconstruction of bone defects lies in the assistance of internal fixation. The repair of fractures lies in bone grafting. The reconstruction of tendons lies in suture fixation."

"Sports medicine has a nail row system, which can also be used for reference."

"But the more important part is the suture, and the suture method is also more important, but if the suture can achieve tension without cutting, we must start from this direction."

Yu Heng understood, and his understanding of the subject was not superficial: "But isn't this the task of materials science? Where is such a suitable suture now? Tendon suture?"

"But tendon sutures are not suitable for muscle sutures. Tendon sutures are too tense. Tendons are very tough and can withstand cutting forces. If ordinary sutures are used to suture muscles, there will be a lot of scar tissue."

"After the skin scar is removed, it is not easy to use cosmetic sutures."

"Yes." Zhou Cheng said casually.

"This thing, I can give you some pointers at that time. You can try to do animal experiments first to see if this suture is feasible."

"Are you willing?" Zhou Cheng was waiting for him here.

In fact, Zhang Zhengquan can find someone to do this kind of thing, but it's not good. Yu Heng's participation is equivalent to something from Huashan Hospital, and Huashan Hospital will definitely come forward to help.

At that time, under the combined factors of advertising effect, college effect, Hu Xian and professor's team effect, hospital effect, etc., it will be difficult for his sutures to become popular.

And it is based on Huashan Hospital going out. It is not so easy for ordinary people to crack down on counterfeiting.

The cooperation of adults lies in reciprocity.

"Can you really find this kind of thing?" Yu Heng's eyes continued to scan Zhou Cheng up and down.

"Didn't you know this thing a long time ago, and then wait here for me?"

Yu Heng is not stupid, but very smart.

During the discussion before, Zhou Cheng put forward the idea.

Now that he encountered a problem, Zhou Cheng proposed a solution and tools. Isn't this a pit waiting for him to jump into?

Yu Heng is not Yang Yifeng either, Yu Heng will ask questions that Yang Yifeng knew but didn't ask.

And this made Yu Heng very frustrated. If the things he pursued and researched hard were all under the design and arrangement of others, and he was just a tool man, then what's the point?
Zhou Cheng couldn't deny it: "This is not waiting, is it?"

"Yu Heng, you told me about this before, so I did the calculations. You gave me an idea of ​​inspiration, so I found my friend and designed such a thing."

"Now you say that I'm waiting for you, you think too highly of me."

People have five needs, and self-realization is one of the more important links and parts. If Yu Heng has no sense of participation and value, in such a person's heart, he will not be interested.

On the contrary, it is a manifestation of disrespect.

Yu Heng looked at Zhou Cheng thoughtfully, "Is what you said true?"

"I have a good project, I will do it for you for nothing, I am not Su Min, I was reminded by Lang."

"And this kind of suture, I have already had the idea of ​​designing it, it was last year, but at that time my friend and I prepared it based on another subject, and now the preliminary prototype has come out."

Zhou Cheng flickered slowly.

Sometimes it’s not a bad thing to take a step back properly. Don’t take up all the good things. It’s good to have a big head and make friends.

"However, as for where this suture will be used, you will know when the time comes, and I won't reveal it in advance. Of course, if you don't want to try it, it's okay."

Yu Heng thought about Zhou Cheng's words carefully, and there were no loopholes.

The design of sutures is not something that happens overnight, unless Zhou Cheng has planned it long ago, and his own research direction has not yet come out at that time, how is this possible?

It is impolite to ask Zhou Cheng about the direction of the project. The reason why he asked Zhou Cheng to talk about his project was because Zhou Cheng was the one who suggested it, and so was Yang Yifeng. benefit.

Su Min rolled her eyes: "Don't get involved with me, I'm very serious."

Yu Heng and Zhou Cheng ignored Su Min. After thinking about it for a while, Yu Heng sighed and said, "There is such a good thing, I want to see it."

"Brother Cheng, is it convenient for you to tell me, where did you plan to use this suture?"

Zhou Cheng smiled faintly, pointed to his arm, and said, "Interosseous membrane."

"The interosseous membrane is more easily damaged than muscle, and it is a purer fibrous structure. The repair of the interosseous membrane actually has a great impact on the function of the forearm. I can only say this."

Yu Heng didn't ask too much.

There is an interosseous membrane between the ulna, radius, and tibia and fibula, but in the process of fracture surgery, most of them are not able to complete this. The current theoretical system is that once the interosseous membrane is damaged, it will be damaged.

If you probe more carefully, it is not to test Zhou Cheng's true heart, but to steal secrets.

The interosseous membrane and muscle are both fibrous structures. On the contrary, compared with the interosseous membrane, the muscle fiber has a certain degree of toughness. It is reasonable to use it by analogy.

Yu Heng then smiled: "Then thank you Brother Cheng."

Then he straightened his expression: "But Brother Cheng, please rest assured, I will never leak any secrets before your subject is released."

After finishing speaking, Yu Heng will start to work hard on the next test plan. If there is a tool that can help him overcome the difficulties of the current project, then the next step is to go through the various procedures of the test. .

……

Hearing this, Su Min said enviously, "It's so good to lie down and win."

The interosseous membrane tool is applied to the muscle tissue, which is a shortcut. It can only be said that Yu Heng's luck is really good.

Yu Heng just lowered his head and ate, not listening to Su Min's half-envious, half-envious words.

Zhou Cheng immediately rolled his eyes at Su Min, and asked, "Haven't you considered that there are actually loopholes that can be exploited in the project idea designed by Yu Heng?"

Su Min and Yu Heng raised their heads at the same time and looked at Zhou Cheng.

"Where do the substitutes come from for muscle and tendon repair and reconstruction?" Zhou Cheng asked.

"Take autologous tendon instead?" Yu Heng, who is familiar with joint surgery and hand surgery, said without hesitation.

"Bone grafting can be divided into autologous bone and allogeneic bone. Isn't it possible for tendons and muscles?"

"The tendon structure itself is inactive. Muscles can also replace crawling. Muscles have size, and they can completely heal and crawl with fractures. Isn't it very similar?"

Some muscles are non-renewable, but some cells are not!
Su Min, you idiot!

Zhou Cheng saw that Su Min had no intention of participating in the question at all. In fact, it was most appropriate for Su Min to ask this question.

"How can this be a substitute?" Su Min was slightly taken aback.

"Bone grafting, is the fully active bone implanted? Is it to provide support, or is it actually a prototype to wait for the bone cells to crawl?"

"Joint surgery involves a lot of content. Some ligaments are cut off during the joint replacement process and left untreated."

"Su Min, haven't you thought about this? Although I'm not a joint surgeon, I've always had doubts about it." Zhou Cheng continued to feed Su Min.

There is no way, if he doesn't take the initiative, Zhou Chenglai can only provoke it.

Su Min's eyes sank: "But after the joint replacement, the ligaments are left alone, so it won't affect the patient's mobility and other functions?"

"Joint replacement surgery is already a very mature procedure, how about digging into the details?"

"Is it unnecessary?" Su Min also considered the disadvantages of this idea.

Zhou Chengcheng retorted: "Open reduction and internal fixation of fractures has matured as early as 80 years ago."

"Manual reduction of fractures has been around for thousands of years."

"If it is not for the pursuit of perfection, to give patients better opportunities for recovery and postoperative experience, what is the significance of our orthopedic surgery? What is the significance of sports medicine?"

"If we just limit our thinking to these established mature techniques, then what's the point of our further research? Is it simply repetition?"

Zhou Cheng couldn't deny it, and his temperament changed.

Su Min immediately became stunned, and after thinking for a while, frowned bitterly.

Yu Heng excitedly ran back to the home of his mentor Hu Xianhe, and brought a bag of fruit, which he picked up at a nearby fruit shop. The quantity was not much, but it was a thought.

I made a call in advance to visit, so I went straight to the door.

Hu Xianhe has a son who is now studying for a master's degree in Kyoto. He is not a medical major and has already gone to school, so the master and his wife are at home.

It was Hu Xianhe who opened the door. He stood a meter away with long hands and opened the door.

Seeing Yu Heng carrying something, Hu Xianhe frowned, scanned the contents, and then stretched out a little: "Come in, follow me to the study, your teacher is watching TV."

Yu Heng walked in and greeted his wife.

The teacher's wife looked at it enthusiastically: "Xiao Yu, there are still fruits in the refrigerator, you can take them yourself, and there are some snacks on the second shelf in the study. After I finish this episode, I will make you a midnight snack." .”

My teacher is a TV drama fan.

And I don't like to watch it on my phone, but I like the feeling of waiting for the drama. Yu Heng couldn't understand it, so he obediently accompanied Hu Xianhe into the study. His teacher didn't dare to disturb his wife while watching the drama, so he just Even more afraid.

"Teacher, I understand."

After entering the study room, Yu Heng immediately briefly talked about all the content of the chat with Zhou Cheng, but almost concealed the part of Zhou Cheng's project.

When Hu Xianhe heard this, his jaw was so angry that he raised his jaw: "Is this the solution you came up with?"

"You have fallen into someone else's trap, working for someone else!" Hu Xianhe covered his forehead, unable to express his anger.

Where there are so many, it is probably Zhou Cheng, who thought that someone should promote that kind of suture for him, so he found Yu Heng.

Yu Heng licked his lips, looked at Hu Xianhe, was stunned, and explained: "Teacher, I have thought about what you said, but my current subject has little to do with that suture. "

"And Zhou Cheng didn't say that he wanted to join in. This is also a private achievement of our research group."

Hu Xianhe raised his brows and cursed: "My ass, I was strangled by someone. What would I do if I didn't have this kind of suture? I was restrained like this, don't you know?"

However, after taking a few deep breaths, Hu Xianhe tapped the table with his fingers again, and said, "But Zhou Cheng is a person who thinks about things more deeply."

"Although it will be suppressed by others, things belong to my family, and so do the subjects. It's just that the most critical part is held by him. We don't have to follow his path, but he pointed out a shortcut for us."

"Do you know where the most essential meaning of the existence of the subject is?"

Yu Heng pushed his nose: "It's about benefiting patients."

Hu Xianhe trembled again in anger.

I didn't ask you about the ultimate meaning!
"Then what's next?" Hu Xianhe said again.

Yu Heng frowned, not knowing how to answer.

"It lies in patents, or in other words, in the actual substitutes of patents. New medicines, new devices, and all new tangible objects that can carry value in reality."

"The reason why the code can be borrowed is because it is not a tangible thing. Why can the chips be controlled by people? Because its patents can be transformed into reality."

"The improvement of a new technique can only bring you a certain amount, um."

"The improvement of academic accumulation."

Yu Heng blinked his eyes and thought to himself, isn't academic improvement not good enough? What other improvements are needed?

Seeing Yu Heng's doubts, Hu Xianhe sighed, alas, your vision and perspective are too small.Zhou Cheng, who did he meet?How can you see things so accurately?
Those who hold this kind of thing, and then give out other benefits, are not small.

However, at the current stage, if Yu Heng can do such a project, it will also give him a lot of background accumulation. If everyone is as weird as Zhou Cheng, then the world will be in chaos!
"Okay, what about Su Min? What is he planning?" Hu Xianhe was familiar with this person.

Knowing that Yu Heng went to eat with Su Min today, the only two in Shanghai who were invited by Elder Gui to participate in a special small training class, they are very talented, and Hu Xianhe also appreciates him very much, but if you want to grab , is too difficult.

Yu Heng was sent to test Su Min's situation, which was explained before.

"Su Min said that he planned to do a project on the replacement of tendons." Yu Heng said in a low tone, and then looked at Hu Xianhe.

Hu Xianhe immediately put on a preaching tone: "Look, people will know that if you find a realistic carrier, there is still a gap between your vision platform and his vision platform."

"It's also what Zhou Cheng said." Yu Heng added.

Hu Xianhe's expression sank, and he silently closed his mouth.

Meat can be good or bad, and topics can be divided into essence and dross. There is no way to compare the essence and leftovers. Although it seems that Yu Heng's project is more famous, in fact, Zhou Cheng has grasped the essence of this project. that thread.

This kind of thing is a secret that cannot be passed on. If others want to study it, it is not a simple academic technology blockade, but a patent blockade. No one will say it.

If you are unwilling to explain clearly the operation method, it is purely academic blockade.

Will be crusaded!
The technology of operation is not patented.

"What did he say?" Hu Xianhe continued to ask.

So, Yu Heng recounted the opinions of Zhou Cheng and Su Min's conversation.

Hu Xianhe was stunned, rolled his eyes, and said, "After today or tomorrow, go and greet Su Min well."

"You are all the same age, and you are still friends, you should ask each other about the current situation."

Yu Heng was puzzled, but Hu Xianhe confessed, and he still remembered it in his heart.

Afterwards, Hu Xianhe didn't say Yu Heng was wrong, and slowly planned this project with him. Although the key parts were taken away, the superficial things can still earn a lot of fame!

Leading technology is also leading. This kind of deformed beauty is what some patients need, so there is naturally a market.

There is a market and it is beneficial to patients. This is the driving force behind the development and progress of medicine...

At the same time, in a certain laboratory, in a certain office.

Su, after explaining his design ideas to his teacher happily, his teacher immediately began to beam with joy.

"Su Min, you did a good job, then what?"

"How do you think about this alternative? Is there any part for reference?"

"Then, there is no more. Zhou Cheng said that he would make this substitute, so we..."

Su was rewarded with two chestnuts, and was kicked out of the office with his head buzzing, with an aggrieved look on his face.

The senior brother was also curious, gossiping in a low voice: "Su Min? What did the teacher ask you to say? You won't post another article with a higher score, so the teacher is happy?"

Su Min's eyes were slightly resentful: "Brother, I was beaten by the teacher."

"Ah! Eh~~~~"

The scene was a bit embarrassing for a while, the senior brother looked at Su Min in a weird way, the teacher was clearly laughing just now, under such circumstances, can you still be beaten?
"I'll ask the teacher what's going on, maybe there's a misunderstanding."

2 minute later.

The senior brother touched his head and walked out.

Was beaten double happy!

"Brother?"

"I was beaten too, I don't know anything yet." He was also innocent, rubbing his hair, feeling a little painful.

"The teacher may be in a bad mood today."

Su Min was calculating, so he explained it to his senior brother.

Then he ran away quickly, if the senior brother reacted and hit himself twice, what should he do?

……

After walking down the laboratory building, Su Min became more and more calm.

Maybe the truth of being beaten today is that Zhou Cheng divided up better things and left, and he just got a trick, and then came back to claim credit with his teacher.

However, I guess the teacher misunderstood what I meant. This subject can reach such a level because Zhou Cheng came over, not through our fair exchange.

I also didn't speak clearly enough.

"Oh!~"

"It seems that I have the heart to change the world, but I don't have the destiny to change the world. That's why." Su Min shook her head slightly.

As smart as him, how could he not be able to figure out the real reason for being beaten.

However, after recalling the real reason, and looking back at what Zhou Cheng did, he felt that he, Yu Heng and others were still in the cradle and had never stepped out of the cradle at all. Just a cradle and a quilt.

So the food for me is just that sip of milk.

White and bouncy?
Steamed bun.

bah bah bah.

Thinking of this, Su Min comforted herself, I have absolutely no other meaning...

(End of this chapter)