medical simulator

Chapter 291 Talk about the key, stop pretending! (Fourth update, please subscribe)

After a while, Li Chongyue sent a message to Zhou Cheng. It was a few documents, followed by some text.

"Senior Brother Zhou, in fact, I usually collect some ideas for the type of article you mentioned. I took the time to write these articles. Brother, do you think it is suitable?" Li Chongyue's tone was extra cautious.

one two three four!

Four documents, each with a title.

One is a case report.

letter!

Systematic review and meta-analysis.

Clinical RCs (retrospective studies), Department of Hematology.

Zhou Cheng was taken aback, and began to edit the information, asking: "When are you free and have written so many articles? Aren't you working part-time?"

"When I have free time, Senior Brother Zhou, the data collection, data processing, and drafting of these articles are all done by me alone. I own all the copyrights, and I didn't copy anything." Li Zhongyue thought Zhou Cheng was thinking about this. Aspects of the problem, so reply with caution.

you fuck?

Zhou Cheng suddenly had a feeling that he was hit by dimensionality reduction. You have a part-time job, study, and still have time to write so many articles. How dare you slip away?
"Okay, I'll take a look first, and then I'll talk to you." Zhou Cheng finally realized the benefits of someone below 'contributing' articles to review for himself.

There is only one article he has written so far, and others are writing data, but Zhou Cheng reads a lot of literature. Usually, when expanding the simulation direction and simulation ideas, there are at least a thousand articles .

However, reading articles written by yourself is completely different from reading literature.

Zhou Cheng, who is proficient in grade-level medical professional English, quickly read this case report.

A very interesting case was a case in which an oxygen embolism suddenly occurred during a shoulder arthroscopy, and was identified in time and rescued.

Extremely rare.

The definition of embolism is that an embolus blocks the lumen of a blood vessel, causing embolism and affecting blood circulation.Embolus can be different, the common ones are thrombus, fat and so on.

Air is also a relatively rare type of embolus, and oxygen embolism is even rarer. As a case report (case report), it is quite satisfactory.

The structure of the article is very proficient. Li Chongyue should have written the article before, but his English expression is a little bit not authentic, but it is harmless. Zhou Cheng drew it out, put it in review mode, and then typed it back for Li Chongyue , modified a bit.

The key part of the case report is the description of the symptoms after the onset of the disease and the analysis of the ideas of diagnosis and treatment, so that it can be used as a reference for others who have encountered similar situations during surgery!
Zhou Cheng has seen the most case reports, because all kinds of strange and special cases are just the materials he studies and refers to. Basically, both common and uncommon cases in clinical practice can be found.

Li Chongyue should have never written a case report, so some formats are slightly wrong.

After Zhou Cheng reviewed the first article one by one, he sent back the first article, saying: "The overall structure of this article is fine, and the viewpoints are also very innovative. In terms of data, you must double-check it yourself. It’s good to take out the original data at any time.”

"In addition, this article has a problem with its ownership. In the process of handling this case, you should not be in the dominant position, right? Have you discussed it with the professor who handled this patient?"

This is a very important question. According to the principle, these data are private cases under the professor's group. If you are given open permission in the case database and you can query it, it is naturally good, and others will not say anything.

But if you can’t find it, if you don’t reach an agreement with the professor when you provide the original materials, there will be problems, and others will not give you this information.

Li Chongyue said: "Senior Brother Zhou, I was the first to identify this patient's oxygen embolism, so the professor I followed at that time gave me all the data of this case."

"I just kept procrastinating and saying that the manuscript was not yet finished. When I asked the teacher again later, he almost forgot about it."

Zhou Cheng's expression flashed, that's why.

Li Chongyue is unusual, this kind of oxygen embolism, he was able to think about it at the first time, if this is the case, then it is not surprising that the professor who is in charge of the surgery will give him the case.

"You should discuss it with that professor again. This kind of case report, the article has little effect on us personally, it can only be used as the number of articles, and it will not be published in a journal with a high impact factor, so it is unnecessary." Zhou Cheng still decided to persuade.

Zhou Cheng knew that Li Chongyue had so few articles, and the reason why he didn't use them as a nomination certificate was probably because of the previous articles. The rewards he had awarded were lost, and he was short of money, so the negotiation failed.

However, some money and some data can be taken and used, and some controversial data, it is better not to make trouble on yourself.

"Well, yes, senior brother. I understand." Li Chongyue replied.

Zhou Cheng then continued to instruct Li Chongyue to take a good look at his review comments. He can modify them or discuss them with him...

At noon, Zhou Cheng was only reviewing the second article, and felt his head was a little big.

The second one is letter.

Letter, in fact, is to find faults, to find errors in articles published in well-known articles, and then, Li Chongyue is so forceful, to find some errors in an article published in nature!
This can't be written indiscriminately. Although Li Chongyue himself found references, sometimes, the references you refer to may not be credible.

Compared with the review strength of the nature editorial department, articles in some other water journals are not credible.

After carefully reading the original text, and then reading several articles quoted by Li Chongyue, Zhou Cheng frowned.

It's very troublesome, the weight of the references is enough, very classic, but these references lead to many other points of view, so you need to read the references of the references.

The existence of the letter itself is to correct the article and make the quality of the article better, not to find fault.

However, the teams that can publish nature are not small people. You can find trouble with others, but there are very good reasons.

Therefore, Zhou Cheng was in trouble for the review of this article.

While An Ruo was resting and eating, I chatted with An Ruo for a while.Speaking of Li Chongyue.

An Ruo heard the words and sent a message saying, "Li Chongyue? Why do I think this name sounds familiar?"

"Zhou Cheng, wait for me."

An Ruo is actually familiar with Li Chongyue?what's the situation?
In fact, Zhou Cheng didn't gossip about other people's private affairs, including getting along with Zhang Zhengquan before. For more than two years, he never asked about Zhang Zhengquan's family background.

About 5 minutes later, An Ruo wrote back: "Zhou Cheng, why does Li Chongyue belong to your younger brother?"

"This person has a bad reputation. One of my classmates said that he had reported his teacher before, so in fact, he is very utilitarian."

"I don't know the specific reason. It seems to be because of the school's distribution of rewards for the article after it is published. The ownership of the article belongs to the corresponding author. This is an unspoken rule in the circle!"

"Later, although the professor was dealt with, he didn't spit out any money."

"Li Chongyue was supposed to graduate last year, but after graduation, no one dared to ask him to take the postgraduate entrance examination. Why was he assigned to the Eighth Hospital this year?"

Zhou Cheng was stunned, did Li Chongyue have such a past?
However, Zhou Cheng didn't think Li Chongyue was like this kind of person.

However, in his case, for the sake of money, it is possible.

Then you have to be careful, lest you be forced to sell it!

"I don't know. Anyway, it was given to Teacher Cai Dongfan. Now he is my junior, and I am taking him. I have met him, and I feel that he is a pretty good young man. He goes straight, without any twists and turns."

"An Ruo, from what you said, this Li Chongyue is quite famous?"

An Ruo edited the message and said: "He's from Baoyan. He was in the same class as me, so of course he is famous, and the professor he reported was planning to accept him as a master's tutor, but he was suspended for several years."

"I think it's better for you to keep an eye out for such a person."

"Okay, I see." Zhou Cheng did not force An Ruo to instill other concepts.

Seeing people's hearts over time.

It does not rule out using the greatest malice to speculate on people's hearts, and there is another sentence that does not rule out using the best intentions to consider the reasons behind it.

If the soul does not desire, the madman must have something to send.

Li Chongyue doesn't seem to be crazy, what could make him report his teacher?

"This afternoon, I will go with Mr. Luo to meet a few people, that is, when I was in Shashi, I told you that I want to visit a few senior brothers or teachers."

"I won't be able to have dinner with you again." Zhou Cheng honestly reported his itinerary.

An Ruo said: "After going home for a few days, I have gained weight. It happens that I lose weight at night and eat a diet meal."

Zhou Cheng's heart moved: "Can we have a late-night snack together?"

"Okay, okay." An Ruo nodded in reply.

woman!

No matter how sensible she is, she is still a woman, and now Zhou Cheng has slowly figured out the psychology of this snack foodie.

……

At one o'clock in the afternoon, Luo Yun got up, pushed open the door, and then saw Zhou Cheng in the living room with a sad face, and subconsciously walked towards the refrigerator, which was empty.

Zhou Cheng was disturbed by opening the door of the refrigerator, Zhou Cheng quickly raised his head: "Mr. Luo, there is a bowl of rice in the microwave. It may be a little cold, you can beat it a little."

Zhou Cheng was still very careful, Luo Yun went straight to the kitchen, pressed the microwave oven, and then made another glass of water before walking towards Zhou Cheng.

"What's the matter, are you so sad?" Luo Yun sat down and looked at the computer screen in front of Zhou Cheng.

"A letter. I feel something is wrong, but I don't know how to say it." Zhou Cheng slightly turned the computer around.

Luo Yun has published a lot of articles, and he should have read more articles than him.

"Who is so unlucky to be targeted by you. Kerswill (Kerswell)?" Luo Yun was slightly taken aback when he saw the corresponding author of the article.

"Is this article the one published in Nature? What are you doing to find fault in his article?" Luo Yun turned his head puzzled.

Generally, as long as articles in the industry are published in top journals, practitioners will usually download and read them as soon as possible, so as to understand the latest research and professional progress in the industry.

Therefore, this article, which Luo Yun also read, is a multi-center big data analysis article, which is a comprehensive analysis article, and it is quite well written.

"Does Teacher Luo know this professor?" Luo Yun was very knowledgeable, so Zhou Cheng asked one more question. If he knew him, he had to think carefully about whether to send this letter.

Networking in academia is also important.

Luo Yun shook his head: "I really want to get to know each other, but people may not be willing to do so. I have never studied abroad, but I am quite famous. When I held the Asian Orthopedic Conference in Australia, it seemed that Professor Keswell was doing it too. report."

"But at that time, the difference in level was too high, so we had no chance to know each other." Luo Yun shook his head.

"This letter was not written by me, but by a younger brother of mine. It is precisely because the impact factor of this article is relatively high that I feel embarrassed." Zhou Cheng replied.

"Your brother?"

"Du Yanjun wouldn't dare to write a letter for a journal of this level. Your junior at the Third Hospital of Kyoto wouldn't submit an article to you, would he?" Luo Yun was curious and puzzled.

Then he directly moved the computer to face himself, and after reading for a while, he also became sad like Zhou Cheng.

"This way of thinking is a bit strange. It's just that it's easy to offend people." Luo Yun turned his head in astonishment.

Zhou Chengcheng said: "Mr. Luo, but I think the starting point and concept are good."

"It's Teacher Cai's new graduate student, Li Chongyue."

Luo Yun moved his eyes to the computer screen again, and while watching, he said, "Teacher Cai is also quite difficult. This Li Chongyue, if I remember correctly, should have caused quite a stir in Shashi circles last year." That lad."

"Last year, because his own tutor lost the qualification to lead a master's degree, others can have a reason not to accept it, but this year, if he still doesn't accept it, he will start to complain."

"This student is ruthless enough. If he reports to the Ministry of Education's mailbox with the school, it will be very difficult. After all, there are precedents."

Zhou Cheng couldn't help but look sideways at Luo Yun's indifferent tone.

It turned out to be based on this consideration, Li Chongyue's talent is not low, you can't let him not enter, so Cai Dongfan has become a trash can, what's wrong, just throw it at him?

Luo Yun then said: "However, Teacher Cai's luck has always been really good. He picked up your fault first, and then he was sent a treasure."

"I'm a little jealous."

Zhou Cheng was busy bragging to each other: "Mr. Luo, in fact, you are the biggest leak that Mr. Cai picked up. If it wasn't for you, I wouldn't be here."

Thousands of wears, no flattery.

After Luo Yun browsed several articles downloaded by Zhou Cheng one by one, he pushed the computer.

"This letter, to be written, is very complicated, and the text should not be too much. It needs a high-level summary and people can understand it. It can be regarded as a fire."

"My suggestion is that you can contact the original authors of the articles you intend to refer to in your letter and ask for their opinions. Abroad, the academic circle is very aggressive."

"I believe these two professors are very happy to let you be a shit-stirring stick and withdraw an article on nature. Moreover, they will give you a certain amount of help." Luo Yun suddenly gave Zhou Cheng such a suggestion.

Zhou Chengcheng was curious: "Didn't you say that there is academic freedom abroad? The competition is still so big?"

"If you don't fight, how can you form an academic circle? There is no right or wrong in academics, and there are different ideas. Whoever can dominate will become a classic."

"The pursuit of fame and fortune is the same no matter where it is." Luo Yun suggested this for a while.

He also said: "Just you have to tell this Li Chongyue, maybe this kind of letter may not be able to get the reward for publishing an article, but it is of great significance, and it will be very beneficial to his future growth and the improvement of his academic status."

"Although such a person is a genius, he is too extreme. You still have to be careful, lest he be misunderstood that you are greedy for his money or something."

"This person should have sold articles before." Luo Yun added another sentence.

Well, it seems that I still know too little about Li Chongyue.

After that, Luo Yun returned the phone to Zhou Cheng, and then stayed aside to eat.

Zhou Cheng continued to look at the system review and meta-analysis, while Luo Yun kept eating without saying anything.After eating, he yelled in the group.

After a while, he said to Zhou Cheng: "Everyone is almost here, let's go too."

"Whether you can convince them with your strength depends on you." Luo Yun directly threw Zhou Cheng a particularly important task.

Zhou Cheng was stunned: "The tumor model of this nude mouse has not had time to build yet?"

"Whatever we want to build, we all have an experimental team. We can build any model, just take a ready-made one." Luo Yun said lightly, as if it was a very small matter.

Anytime?

How much money does your team have?
Inhumane!
Zhou Cheng knew how much it would cost to raise a nude mouse. It might be cheaper than rabbits and pigs, but it was also very expensive.

And once the rats are raised, it is a batch, and a batch is ten thousand as the basic number.

Zhou Cheng didn't dare to say much, and silently followed behind Luo Yun.

Luo Yun and Zhou Cheng took a taxi there, and after making many detours, they came to a mysterious laboratory in the Ninth Academy.

Zhou Cheng only knew it was on the 24th floor, but he completely forgot how he got there.

At the door of the laboratory, Luo Yun opened the lock with his fingerprint, and said, "This laboratory is now Chu Hanbo's personal laboratory. Even the professors have not been able to compete with him."

"The main reason is that the impact factor of Chu Hanbo's previous articles is too high. It's a big move. Otherwise, someone would have forced him to graduate."

"But after graduation, this laboratory will also be given to Chu Hanbo." Luo Yun looked at Zhou Cheng's curious expression and explained.

Zhou Cheng had entered Zeng Lao's laboratory before, it was bigger than here, but there were a lot of people, but here, it was empty and cold like a haunted house.

Luo Yun's words are not incomprehensible. It is not uncommon for some powerful doctors to lead their own teams.

Just at the doctoral level, you can have your own laboratory, and the treatment is comparable to that of an ordinary associate professor.

Luo Yun and Zhou Cheng did not go to the experimental area, but to the office.

There were three people inside. Coincidentally, Zhou Cheng knew two of them.

One is the direction!

Direction, a name specifically given by Chen Shengwu. Before that, he was not a student of any of them. He was in the eight-year program. He hadn't selected a tutor yet, and he hadn't even decided on a department.

I am only in the fourth grade of university this year, and will soon be in the fifth grade. I have been lurking in the orthopedics department of the No. I started to mix in the clinic.

In the basic medical school, 35 courses were selected in one semester, and the scores of each course were above 90. The first semester was either an exam or on the way to the exam.I don't know how he convinced the Basic Educational Affairs Department.

Zhou Cheng was quite surprised to meet him here.

The other one is also an old acquaintance, the king of papers in the general hospital, who graduated one year ago and became a master tutor directly. He used to be in Professor Lin Ziyuan's group, and the following Gongsun Su is Han Xiaoming's student!

Another one should be Chu Hanbo.

Chu Hanbo's age was about the same as Zhou Cheng expected, and was about the same age as Luo Yun.

Luo Yun and them are also quite familiar: "Old Chu, Xiao Ming, Xiao Xiangfang, has you come to the laboratory today?"

"This is Zhou Cheng." Luo Yun introduced to everyone.

Han Xiaoming took two steps forward and looked at the time: "We met Xiao Zhou in the department before. Brother Luo, I'm on duty today, so I won't have much free time."

Fang Xiang also rushed to greet Zhou Cheng: "Brother Cheng, long time no see!"

Chu Hanbo was the only one who didn't know Zhou Cheng, so he looked him up and down.

After Zhou Cheng went back to Han Xiaoming one by one and got directions, he solemnly thanked Chu Hanbo and said, "Senior brother Chu, thank you for your previous guidance."

Although he had never met Chu Hanbo, he had called him, and he still had his phone number.

Chu Hanbo, who belongs to the most legendary brother of the Ninth Academy of Shanghai, has heard of it for a long time.

"Luo Yun, you told me that Zhou Cheng is very young, did you expect him to be so young?"

"Let's all sit down and talk." Chu Hanbo's figure is relatively thin, but there are many spots on his face, and he looks very mature.

"Xiao Zhou, you should be 27 already?" Luo Yun asked.

"Come on, Mr. Luo, I invite you to celebrate your birthday together in a few days." Zhou Cheng was taken aback, it seemed that it was almost his birthday, March 21, today is NO.19.

If Luo Yun hadn't mentioned it, Zhou Cheng himself would not have remembered it.

"Oh, that's just right, our group hasn't been together for a long time." Chu Hanbo said suddenly.

"Old Chu, you've been sneaking around in the lab and you don't go out. Who are you hanging out with? Mice?" Luo Yun rolled his eyes, looking like a big brother.

The direction is here, the youngest one, when he heard this, he said, "Brother Cheng, I heard from Mr. Luo that you designed the experimental idea that was posted in the group last night?"

"Why haven't I heard you mention it before?"

Zhou Chengcheng said: "Xiang Xiang, you and I are almost a few years old, so don't use your name to address you."

"I was a newcomer before, so I didn't dare to play tricks."

"It happened that during the defense process this time, I learned something, so based on my clinical experience, I pondered for a long time before I came up with the current idea."

"After reading it with Mr. Luo, Mr. Luo thinks it is acceptable, otherwise, it can only be regarded as a summary and put into the graduation essay library, and it will be dusted." Zhou Cheng gave Luo Yun face very much, and was also a little 'humble' .

Luo Yun confessed, it can be a proper Versailles.

After writing the thesis, I had such an idea, are you angry?

Chu Hanbo and Han Xiaoming immediately rolled their eyes, glanced at Luo Yun, and knew that it was Luo Yun who secretly taught Zhou Cheng such ordinary things.

However, Zhou Cheng's talent and achievements are obvious to all, saying this is not out of touch at all.

To be able to open reduction and internal fixation through small incisions, to be so mature and to open up such a big situation, if he said it too modestly, that would be hypocrisy.

Han Xiaoming joked, "Xiao Zhou's experience in the clinic is indeed quite a lot."

"Small incision open reduction and internal fixation is almost being talked about by Professor Lin Ziyuan in the department. This is competing with our sports medicine for food."

Sports medicine, why did it develop.

Its core essence is still to deal with soft tissues such as ligaments, menisci, and rotator cuff. Open reduction can also be done, so why is it a separate department.

Just two words, minimally invasive!
Trauma surgery is now beginning to engage in minimally invasive surgery. As a sports medicine that relies on minimally invasive surgery, it is natural to be prepared for danger in times of peace. In case one day, after small incision open reduction and internal fixation, another small incision ligament treatment operation is performed, then sports Medicine has to find another way out.

Of course, Han Xiaoming also added some weight to Zhou Cheng.

Everyone is not stupid. Although Mr. Zeng took the lead in that matter and asked them to do it, there must be risks. Although the overall situation is the most important thing, if we can take a step back and avoid its edge.

Everyone still cherishes their lives, but if they can really benefit the country and the people.

Chinese people, no one is confused!
The people of Huaguo are so stupid, they don't have to die just for the unity of the two characters of the center, this is engraved in their bones.

If you are rich, you will help the world, and if you are poor, you will benefit yourself. This is integrated into the blood.

It has left a name in history, and no one has been able to escape from ancient times to the present.

"Let's not talk about other things, Xiao Zhou, just talk about your current thinking and specific details, and we will slowly study them later. Then, we will perform tumor surgery on a group of mice."

"Look at the supporting equipment you need, whether our laboratory can prepare it."

Luo Yun, he didn't come here today to listen to business bragging. He came here for more important things.

Zhou Cheng had already prepared his train of thought. During his defense before, he had explained to Mr. Gui and Mr. Zeng that he didn't know why they still had follow-up arrangements.

Maybe it was because he was not particularly optimistic about himself, but Zhou Chengcheng sorted it out anyway.

"Mainly through the following three aspects..." Zhou Cheng briefly explained.

Everyone must have read the specific content, and Zhou Chengcheng did not repeat it.

"The above is my general idea. However, I haven't actually operated it yet. Based on some previous clinical operations, I think it is worth putting in some confidence." Zhou Cheng scanned several people one by one.

Chu Hanbo, direction, Han Xiaoming!

They are all first-class talents. If these people can live well, they will definitely have a greater future. There is no need to sink their halberds here!

The thinking is very clear, if it is not clear, there is no need for Zhou Cheng to come today.

"What about the equipment used?" Chu Hanbo asked.

Zhou Chengcheng said: "Gather local materials, use whatever is available, today is just an initial trial of the plan, and I haven't made any special preparations."

"Mr. Luo, what do you think?"

This is the core skill of the teacher Cai Dongfan you taught me, Versailles.

No preparation is required, my coming is the greatest preparation.

The corner of Luo Yun's mouth twitched slightly, wondering if he had taught Zhou Cheng too hard?
However, since we have all said this, we still have to continue!
There are two kinds of laboratories, one is the basic laboratory, and the other is the in vivo laboratory, which is the animal laboratory, but it is upstairs.

Chu Hanbo only has his own basic laboratory, and the animal laboratory is shared, but everyone raises a lot of animals.

All the way to the animal laboratory, through layers of passages, put on the "armor" of the whole body, after spraying alcohol to disinfect, Chu Hanbo asked the laboratory staff to drag his mice over.

In the animal laboratory, there is an "operating room", but it is very simple, and you have to operate aseptically yourself.

It's really a bit crude, Chu Hanbo explained: "Generally speaking, this kind of operating room is used to kill mice. It's really not enough for tumor removal or tumor treatment."

"Next time, I will find a more professional animal experiment center. The equipment there is more complete."

Zhou Chengcheng looked at the equipment around him, and then said: "Brother Chu, it seems that the only equipment that can be used here is a syringe. Although it is a bit violent, it is enough."

"What I need is a case of intraosseous tumor formation, not mice with subcutaneous tumor formation. Because the mice with subcutaneous tumor formation are too easy to operate. Is this batch all?"

Zhou Cheng pointed to the cage, where some mice were running around. They seemed to be fine, but they were actually eroded by tumor cells, and death was a matter of time.

"Naturally, before you came, we had made the corresponding choice. Skin tumors, just cut them open. If osteosarcomas were all this long, then it wouldn't be as scary as it is now."

Passing past Zhou Cheng's unintentional Versailles, Chu Hanbo nodded: "It's just that there is a problem now. There is no MRI or CT imaging equipment, only simple X-ray photos, and?"

Chu Hanbo looked at the other tools and said, "There is no catheter for vascular blockade, so the operation is indeed much more difficult."

Zhou Cheng didn't answer. After washing his hands in a standard manner, he put on the gloves again. Then, after the mouse was marked with a label and number, he caught one and asked someone to find out its corresponding plain film.

The location of the osteosarcoma was probably determined.

When Zhou Cheng simulated the basic anatomical theory, he did not simply simulate only human beings, but started from mice, went to pigs, cows, and finally humans.

Anatomical knowledge related to animals belongs to the content of veterinary medicine.Therefore, Zhou Cheng actually dabbled in this aspect.

Zhou Cheng opened his mouth and said slowly: "The length of this mouse is about 6cm, the length of its tail is 8cm, and its body is medium-sized, and its weight should be about 154g!"

"For a mouse of this weight, the weight ratio of its limbs is..."

"According to the body length and tail length, the length of the bones and joints of the limbs can be roughly calculated. It may not be accurate, but there is also a range..."

"If the variable factor is not considered, the diameter of the blood vessel should be proportional to the diameter of the bone to a certain extent."

"Ms. Luo, let me see what is the scale of this X-ray?"

Probe over, Luo Yun was stunned by this remark.

Needless to say, Chu Hanbo and others, after blinking at Zhou Cheng for a few times, looked at each other, and they could see the confusion from their faces.

Can TM still play like this?
As soon as the experts make a move, they will know if there is any.

I don’t know if I’m right, but it’s quite professional and sounds very high...

Zhou Chengcheng was very satisfied with everyone's reaction, including Luo Yun!

Just kidding, can something that can hit the Nobel Prize be average?

Ordinary Versailles, can bear the title of Cai Dongfan's great disciple and successor of Fanxue?

Luo Yun was unmoved, and Zhou Chengcheng moved on his own: "The affected limb of the mouse is the left lower limb. According to the plain film, the diameter of 1/3 of the tibia of the mouse's leg bone is about 1.2mm."

"The ratio of the diameter of the popliteal artery to 1/3 of the tibia is about one-seventh to one-ninth, so let's say it's 0.14mm!"

"The minimum diameter of our commonly used syringes is 0.55mm. With such a diameter, it is actually impossible to perform vascular blockade." Zhou Cheng analyzed it, and then got such a painful result.

Luo Yun and the others looked at each other.

Well, they didn't consider this before, and it was indeed their mistake.Who would count these things?
However, it seemed that Zhou Cheng would do such a thing.

"but!"

"In fact, we now have a needle for injecting insulin with a diameter of only 0.18mm, which is just suitable for the current operation."

"When I came over, I just bought a box." Zhou Cheng twisted his buttocks, motioned to put it in his trouser pocket, and asked Luo Yun to help him take it out.

Luo Yun took a deep breath and said, "When did you buy it, why don't I know?"

You are too stupid, you don't even discuss such an important matter with me?
Zhou Cheng was a little aggrieved, it wasn't you who said it, should I show it a little bit, if I discussed it with you in advance, wouldn't I lose my authenticity, these people are not stupid.

"Ms. Luo, I bought it when I went down for breakfast this morning."

"Thank you for your hard work."

Luo Yun immediately took out the so-called needle like a tool man.This kind of needle actually requires a prescription before it can be purchased.

But insulin injections are routine supplies. Zhou Cheng also tried to find a way to reveal his identity as a doctor, saying that he bought it for his family members and wrote the doctor's order on the spot!
Everything is ready, after changing the needle.

Zhou Cheng's show operation started again: "According to the mouse model built in the past, to find the popliteal artery and popliteal artery of the mouse, our reference position is still the popliteal fossa, but the structure of the mouse is quite special..."

"We probably insert the needle from here, which happens to be the position of the deviated popliteal artery. If you feel it carefully, you can feel a little pulsation of the blood vessel."

"Oh, we need to paralyze this lower limb first before we get the needles in."

"So, let's anesthetize the femoral nerve of the mouse first!"

Before the mouse was paralyzed, the direction person went numb first: "Small, the mouse's femoral nerve is blocked and paralyzed? Shouldn't it be directly anesthetized?"

Who TM operated the mice and administered nerve block anesthesia?
When a patient undergoes an operation, there may not be an anesthesiologist who is willing to perform this kind of anesthesia...

However, Zhou Cheng came here today to show the operation, and there is no psychological pressure or guilt to show the operation on the mouse. The most I can say is thank you, Teacher Mouse.

"After local anesthesia, the local capillaries will be punctured, and the blood vessels will be relatively constricted to stop bleeding, which will affect our operation."

"Nerve blocks, starting at the femur, would be more appropriate."

Chu Hanbo and Han Xiaoming were relatively calm, watching Zhou Cheng's performance slowly.

After Zhou Cheng finished the nerve block, one leg of the mouse was immediately paralyzed.

Zhou Cheng said again: "Now, the muscles of the mouse have been relaxed, but the driving force of the blood vessel beating comes from the heart, so the fluctuation of the blood vessel is more clear. You can feel it."

Fang Xiang immediately stretched out his hand suspiciously.

Zhou Cheng slapped the direction's hand, "Disinfect with alcohol!"

Fang Fang immediately retracted his hands with a little grievance, and Han Xiaoming and Chu Hanbo, the corners of their mouths under the masks twitched slightly, looked at Luo Yun complicatedly, and disinfected them in a proper manner.

After searching, it was indeed as Zhou Cheng said, the pulsation was quite strong, and it was actually not difficult to find.

This kind of blood vessel pulsation is a basic skill, and it is the kind of trick that is only used for interns and trainees to experience clinical practice. Zhou Cheng actually used this trick on them. Didn't he mean that he and others can only experience it.

Can't help with anything else?
But hold back!
Zhou Cheng then, no longer forced to escape, but looked very nervous and serious: "The tumor in the middle of the tibia mainly comes from two sources of blood."

"Periosteal Arteries and Nutrient Arteries."

"The lateral periosteum, composed of the anterior tibial artery, the anterior recurrent tibial artery, and the periosteal branches, myoperiosteal branches, and perforating branches of the posterior tibial artery, surrounds the bone surface, and consists of anterior external branches, descending branches, and adjacent arteries. The periosteal artery network and anterior chain. The medial periosteum is composed of anterior tibial artery, anterior recurrent tibial artery, medial inferior genicular artery, and posterior tibial artery. The transverse medial ascending and descending branches are interconnected with the side branches of the descending branch of the tibial nutrient artery to form a periosteal artery network. and medial edge longitudinal chain."

"It's not easy for us to directly judge where the blood vessel origin of the middle bone tumor is, so we start to block from the access end of the tumor nutrient artery..."

"Look everyone..."

Chu Hanbo really hates this sentence, what can I do if I don’t read it?
I thought in my heart, but my body stood on tiptoe honestly. In the end, I happened to actually see that Zhou Cheng blocked it, and it seemed that there was a middle part of the arterial blood flow, which caused the skin of the mouse to bulge.

However, this does not prove that the tumor in the middle of the tibia was just killed.

After completing the operation, Zhou Cheng continued: "This is the entrance to nourish the arterial network. In order to avoid other situations such as arterial backflow, we also blocked the exit. Without the supply of nutrients, we did not have time to establish collateral circulation. forward."

"The life time of osteosarcoma cells is actually quite limited." Zhou Cheng said, and he did not know where to insert the needle and completed the blocking operation.

Seeing everyone's confused eyes.

Then he said: "Oh, the artery I blocked just now is..."

Luo Yun was annoyed by Zhou Cheng's ordinary attitude, so he patted him on the shoulder: "Be normal, talk about the key points, and stop pretending!"

(End of this chapter)