Gou in the operating room to add some upgrades

Chapter 211: Serious academic discussion (please subscribe)
"I'm sorry, Dr. Liang, I'm really worried about the rise and fall of the plane!~" When the plane was about to land, Xu Fengnian could no longer answer the question and simply returned to his previous posture.

Before I even finished speaking, I felt dizzy and nauseous, so I quickly closed my mouth.

Fang Xian quickly opened the mouth of the garbage bag, and the fact that Professor Xu Fengnian got airsick was firmly engraved in his heart. If there is a need for Professor Xu Fengnian to invite an academic conference in the future, he must remember to buy it for him. High-speed rail tickets.

When leaving Chengdu Shuangliu Airport, Fang Xian and Professor Xu Fengnian both took the walking stairs.

Slowly, Professor Xu Fengnian's discomfort eased slightly.

"It's better, Xiao Fang. Let's take exit 1 of T6. Once we get out, we can get on the bus and go back." Xu Fengnian explained to Fang Xian.

"The weather in Chengdu is still colder than that in Shashi, right? Professor Xu, you don't seem to be wearing much clothes." Fang Xian asked.

"I'm just dizzy with acceleration, not because I'm old." Xu Fengnian said angrily, not accepting old age at all.

After Fang Xian and Professor Xu Fengnian left the airport together, he saw two or three people coming to pick him up, and they were driving business cars.

"Professor Xu, Doctor Fang, thank you for your hard work." The three of them came out at the same time. One person took a suitcase to put it in, and the other quickly opened the car door.

"Go directly back to Ward 39." Xu Fengnian said after getting in the car.

Ward 39 is the urology ward.

But the driver said: "Professor Xu, Dr. Lin and Dr. Zhong are in the operating room now. They are not in the ward. Professor Zhang and Professor Chi also went to the operating room."

"Why did you go to the operating room? Are you afraid that my knee is too good?" Xu Fengnian frowned when he heard this.

The operating rooms of West China Hospital are mostly located on the top floor, unlike Shonan University Affiliated Hospital, which are mostly located on the second floor.

But the operating room of the Trauma Center of West China Hospital is on the second floor, corresponding to the ICU.

"Let me ask, if this operation is over, I will ask Dr. Zhong to come back to the ward."

"No, Professor Xu, we borrowed a demonstration classroom. The demonstration classroom is on the second floor, shall we go directly to the demonstration classroom?" The driver had many suggestions.

Xu Fengnian nodded, feeling finally better: "Let's go then. Remember to invite Professor Zhang from the Department of Urology and Professor Lei from the Department of Neurosurgery."

At this moment, the other two young doctors got on the bus and each extended their hands: "Doctor Fang."

"Wu Hua."

"Dong Chengxuan."

When the two introduced themselves, there was a person's name that was very reminiscent of the beginning of this century.

"I'm Fang Xian, Dr. Wu, hello Dr. Dong." Fang Xian shook hands with the two of them.

If they can enter West China Hospital, their strength must be good.

"I've heard Dr. Fang's name for a long time, and it's like thunder." Wu Hua smiled and handed Professor Xu Fengnian a bottle of mineral water.He called Master in a low voice.

Xu Fengnian then introduced: "Xiao Fang, let me introduce to you, Wu Hua, my fourth student, is now an associate professor, and he is okay."

"Dong Chengxuan, who used to work in vascular surgery, was recruited by me. As an assistant in the reconstruction of damaged blood vessels, both of them are very good."

Wu Hua and Dong Chengxuan were both about 34 or [-] years old, so Fang Xian smiled and said, "Hello, two eldest brothers."

However, the two of them did not dare to accept the words.

Professor Xu Fengnian explained: "You can't call them eldest brother. You are now Professor Gui's student. Just call them by their names, or just call them Dr. Wu and Dr. Dong."

"This generation can't be particularly chaotic."

At this point, the car started to start. The start was relatively smooth. There was no deep or shallow accelerator. Whether it was starting or stopping at traffic lights, it was relatively smooth.

During this period, Fang Xian discovered that Wu Hua and Dong Chengxuan were both very talkative and good at asking for advice. They constantly asked Fang Xian about issues related to specialized debridement, suturing, and reconstruction of injuries.

Fang Xian didn't even have time to reply. It took a long time to answer each one.

"We're here." The driver said with a smile.

At the same time, he also introduced himself: "Dr. Fang, I was driving just now. I didn't have time to introduce myself to you. My name is Xue Gongzhang."

Xue Gongzhang is slightly younger than Wu Hua and Dong Chengxuan.

"Hello, Doctor Xue." Having learned from the past, Fang Xian immediately changed his title to the other party.

When Professor Xu Fengnian, Fang Xian and others arrived at the demonstration classroom, they found that there were already many people sitting inside. Fang Xian did not recognize most of them, but Fang Xian was particularly familiar with the half-Mediterranean teacher Lin Hui.

I recognized this teacher at first sight after being away for more than two months.

When Professor Xu Fengnian entered, everyone stood up.

Including Lin Hui, who walked out from the third row on the edge of the classroom: "Teacher Xu, thank you for your hard work."

However, Xu Fengnian just glanced at Lin Hui with complicated eyes and said nothing. Then he looked at the podium, where a person was playing a ppt book and giving a lecture. After it stopped abruptly in the middle, he waved and said: "You continue to talk about yours, we They are all listeners now.”

"This time, I brought Xiao Fang with me, and we happened to discuss in more detail how to reconstruct the patient's life-related functions and sports-related functions during the specialist treatment of the disease. "

"Professor Zhang and Professor Lei, I hope you can express your opinions more. We have always been a team."

The person named Professor Zhang looks like a Maitreya. When he stands up, he has a big belly and a kind face. He looks like a big fat man, but his eyes are bright and he looks extraordinary.

Professor Lei, on the other hand, is thin, upright, and quite serious. There is a very obvious large mole on the bridge of his nose. The diameter of the mole is at least 4mm. I don’t know why he didn’t remove it. After all, it affects his appearance. .

After Fang Xian entered, he was greeted one by one under the guidance of Lin Hui.

Then Lin Hui took Fang Xian and found a seat on the edge to sit down.

Even if Fang Xian has too many questions at this moment, he can only suppress them first and listen slowly——

The person sharing on the stage said: "Currently, with the in-depth study of our existing team, we have implemented a standardized rescue process for this new disease, as well as an emergency rescue process."

"Currently, the mortality rate in our hospital has dropped to about [-]%, and the on-site mortality rate has also dropped to about [-]%."

"During emergency treatment, we have reached a critical point, so the disease type of damage also means that it is about to enter the specialized treatment process and the advancement of treatment methods."

"Currently, the Medical Association's classification of the difficulty and danger of damaging injuries is still level four to five, and even the danger of some patients is defined as level six." "High mortality rate and functional loss rate The patient's prognosis is poor, which is still a big problem that needs to be solved."

"According to statistics, the three points that currently have the greatest impact on patients' quality of life are urinary and defecation functions, motor functions, and hemiplegia caused by comprehensive damage to the spine."

"Currently, regarding the issue of hemiplegia, the neurology and neurosurgery departments of our hospital have entered the research stage on neurofunctional rehabilitation. It is difficult for our trauma surgery department to get involved."

"But regarding the daily functions of defecation and defecation, teachers from both the Department of Nephrology and the Department of Gastroenterology obviously said that surgical intervention may be needed to ensure the patient's quality of life after surgery."

"During the early research and discussion, Dr. Lin Hui and Dr. Zhong Zhuzi each proposed a certain surgical design plan. We rehearsed it many times in the early stage."

"Currently, in the animal injury function reconstruction test, according to the plans proposed by Dr. Lin Hui and Dr. Zhong Zhuzi, within half a month after the operation, we detected a difference in the number of active contractions of the detrusor muscle in rabbits. It’s statistically significant.”

"However, the difference in the number of active detrusor contractions between the two people's designs and traditional suture reconstruction is statistically significant."

"This brings our current topic into a relative plateau."

"Which direction to choose to go deeper is obviously a difficult question..."

As soon as Fang Xian entered, the lecturer in charge of the lecture first laid a certain background for Fang Xian. It sounded very follow-up and very immersive.

After he said this, during the pause, Lin Hui raised his hand: "Dr. Ning, you are only counting the difference in the number of active contractions. Are you not counting the relationship and ratio between the number of active contractions and the number of urinations?"

"Then such statistics are actually not very reliable."

"Urine function is divided into two types: active urination and unconscious urination. Even if the rabbit has continuous urination, then counting the number of active contractions has no clinical significance."

After hearing this, the person named Dr. Ning explained: "Dr. Lin, I understand what you mean. If there is continuous urination, it is actually urinary incontinence. So whether the detrusor muscle contracts or not has no clinical significance."

"The same goes for involuntary urination."

"However, the progress of our project must be step by step. We must first understand whether the detrusor muscle can be controlled by nerves and whether there is neurological function. This is the first step for us to move forward."

"So a more objective recording and measurement mode is the number of contractions of the detrusor muscle."

"The other data you mentioned are too complicated. We naturally have statistics, but the results of the analysis are even more confusing."

"Do you want to take a look?" Dr. Ning asked.

Lin Hui shook his head: "It's okay, you continue, I just want to express the difference of this statistical indicator..."

Lin Hui said more casually.

Then, Dr. Ning continued, mainly reporting on the correlation between the reconstruction of urinary function and the different degrees of damage from the aspects of surgical procedures, current basic scientific research, current research progress and prospective research. .

Immediately afterwards, Fang Xian didn't see any quarrel between Lin Hui and Zhong Zhuzi, nor did he see any irritating scenes. In fact, Lin Hui and the people here got along particularly well.

During the discussion, we came and went and were very polite.

At this point, Fang Xian realized that he had been deceived by Xu Fengnian. What the hell.

Fang Xian had doubted before, how could it be possible.

After all, Teacher Lin Hui had received a higher education, so how could he find someone to quarrel with? What they were discussing was how to reconstruct the urinary function of patients with severe injuries. They made a more detailed study from various aspects such as structure, anatomy, surgery, and drugs. Discuss.

The only difference is that Lin Hui believes that the reconstruction of urinary function must start from the active contraction of the detrusor muscle.

However, Zhong Zhuzi felt that if active contraction of urine is difficult to discharge, the purpose of controlling urination can be achieved by actively relaxing the muscles of the urethra.

The two of them designed a set of surgical procedures from two different perspectives, and are currently testing them on animals, but the results are not very good.

Moreover, the reason why Dr. Ning counted the number of contractions of the detrusor was to show that the plan proposed by Lin Hui could still contract even if it did not deal with the neuroanatomical reconstruction of the detrusor.

In other words, the plan proposed by Lin Hui does not have much clinical significance.

Of course, whether it is meaningful or not does not depend solely on him, but depends on more objective statistical data.

If the rabbit's urinary function is lost, the number of contractions of the detrusor muscle is the same, but if the number of rabbits with urinary incontinence is inconsistent, that is, the urethral muscles continue to relax, resulting in a higher incidence of urinary incontinence.

Lin Hui can directly refute you. Your surgery is getting worse and worse. It is better not to reconstruct it. It will only cause harm and no attention.

Maybe if you don’t do it, the incidence of urinary incontinence will be even lower.

Immediately afterwards, Professor Lei from the functional subspecialty of neurosurgery and Professor Zhang from the urology department also expressed their respective opinions.

Professor Lei, who performs neurological functional reconstruction, mainly starts with drugs and then nerve transposition surgery, hoping to use other nerves to transpose to the bladder, prostate or urethral muscles to complete the reconstruction of muscle contraction function.

The professor of urology still believes that the process of urination is actually the antagonism between the contraction of the detrusor and urethral muscles. If the difference in strength of the two muscles can be balanced, the patient can also complete active urination.

This seems to be slightly different from the idea that gastrointestinal surgery can provide for stool function reconstruction.

After speaking, they asked Fang Xian to express his thoughts.

Fang Xian doesn't have any ideas of his own yet. His skills in urological surgery are still shallow, and he only understands the depth of the surgery, but has not mastered it in depth.

So it was time for halftime.

"Master." Fang Xian called Lin Hui with a slightly complicated tone.

Lin Hui has never taught him until now.

"What are you doing recently?" Lin Hui asked casually.

"I ran between the No. 1 Civil Hospital in Chang City and the Shonan University Affiliated Hospital, and then had a bowel function reconstruction after the damage."

"Oh!" Lin Hui was not surprised at first.

But after carefully understanding Fang Xian's words, Fang Xian was talking about doing it, not doing it.

"Huh? What did you just say?" Lin Hui immediately tilted his head and his pupils shrank by at least a millimeter, just shy of becoming pinpoint-like.

The rest of the people are also extremely sensitive to the word damage.

They all turned their heads and came over!
(End of this chapter)