Gou in the operating room to add some upgrades

Chapter 266 Open a little vest (please subscribe)

"Can you operate this thing?" Lin Jiemo reacted when he saw Fang Xian approaching.

What kind of person is Fang Xian? Even if he sees a rabbit, he may not give up.

"Okay, Professor Deng." Fang Xian looked at this familiar instrument and felt that Zhongzheng Company was quite humane, so he directly moved the instrument he had been tinkering with at Ci County People's Hospital. .

But Fang Xian didn't know why he wasn't notified.

Otherwise, it is estimated that Professor Lin Jiemo would not directly call and curse people.

"That's good, can you give it a try? I've already had a few patients admitted from the outpatient clinic." Professor Lin Jiemo asked.

Shonan University Affiliated Hospital generally does not allow patients with fractures to be admitted directly to the hospital because the surgery for fractures is relatively simple and they are too lazy to occupy a bed.

However, patients with fractures will still choose to come to Shonan University Affiliated Hospital for diagnosis and treatment of fractures, but the general hospital will consider whether they can be reduced by manipulation.

"Yes, Professor Lin, but when choosing fracture classification, you should not be too harsh. The upper limit of manual reduction proficiency that such a manual reduction aid can currently provide is level 3." Fang Xian explained.

In the department, other professors and associate professors were all amazed.

When Associate Professor Song Yu heard this, he said: "Good guy, how many things have you hidden? After entering the trauma center, Professor Yang and Professor Zhou fed you a lot, right?"

This is something that many people really cannot envy.

Fang Xian was able to enter the trauma center through trauma surgery because Fang Xian had won it himself.

Just because you go to a trauma center, you may not be able to stay.

People like Fang Xian, who walked in and out of the trauma center, are the rare ones who jump out directly now.

Although, at present, the pinnacle of specialty and operation is in the specialist, as a doctor, in the trauma center, treating patients and saving lives, this sense of accomplishment that is incomparable to other specialties, is sometimes not something that specialist doctors can envy.

The trauma center is tiring, but the profession is not easy either.

Professor Lin Jiemo just called the hospital manager, and the fracture patients who had been prepared long ago were taken from the emergency department to the operating room of the trauma surgery department one after another.

However, when I first looked at this patient, I suddenly became nervous because there were more than 20 white coats standing in the department, including young, middle-aged and elderly people.

"No, doctors, professors, you guys? Is my illness serious?"

This battle is really scary.

"No, no, don't worry. We are just testing a relatively new instrument today. You just have a small fracture, so it's no problem." Professor Lin Jiemo took two steps forward and approached the wheelchair.

When Associate Professor Song Yu saw this, he immediately took the family members aside and started talking and signing.

This method of resetting the auxiliary system is currently a new thing, and there are many things that can be developed. Anyone with a slightly more sensitive sense of scientific research knows that many large and small projects can be developed.

Joking aside, Professor Deng Yong still patiently explained the purpose of this instrument to the patient, and briefly introduced how many people were standing in the department.

After listening to Professor Deng Yong's explanation, the patient's mood improved slightly.

"So that's it. It scared me. I thought I fell somewhere I shouldn't have fallen and my life was in danger." The man patted his chest and forgot about the pain for a short time.

Compared to the emergency department, where many doctors were basically indifferent, suddenly so many white coats came out to greet him alone.

Most people feel that they are dying soon.

After Associate Professor Song Yu brought the informed consent form, Fang Xian saw the signature on it and said, "Okay, uncle, please lie down because you have a fracture on the left tibia."

"Yes, don't exert force on your affected limb!" Fang Xian supported him while approaching the lying flat surface of the manual reduction assist system.

Fang Xian was already very familiar with his X-ray photos during the conversation and signing, so there was nothing special about him. After telling him to lie down patiently, Fang Xian immediately turned on the infrared bone imaging system.

As soon as he lay down on it, Fang Ziye found the fixing slot for the tibial fracture and the cushioned rubber slot for the operating position. After the fixing slot fixed the medial and lateral femoral condyle planes, Fang Ziye found it.

Fang Ziye roughly adjusted the patient's parameters and explained: "Professor Deng, here we need to roughly calculate the patient's bone diameter based on the patient's gender, age and weight, and we can also measure the result."

"Then after adjusting the corresponding data according to the formula, the operating position will release the traction value from zero to the minimum."

"The upper limit of the emergency braking is double the traction force. There is no need to worry about causing damage to the patient." Fang Xian pressed two buttons while talking.

I saw that the mattress between the operating position and the fixed position was moved to both ends and suspended in the air.

After being fixed separately, the force is gradually beating at a speed of 2N-3N...

After probably seeing on the infrared monitor that the broken ends of the fracture had been completely loosened and separated, and that the broken ends had shifted away from each other, Fang Xiancai used auxiliary instruments to design the alignment of the proximal and distal ends of the fracture.

After about ten seconds of processing, the operating position began to move up, down, left, and right. When the pre-designed pattern diagram on the display screen indicated that the reset and docking were close to anatomical reduction, the traction force slowly relaxed.

When the separation and displacement of the broken end was only three millimeters, it was adjusted again...

After 2 minutes, all the traction force was relaxed, and the broken end was tightened.The fracture was successfully reduced.

At the same time, the load-bearing plate below has been removed and closed in time, firmly catching the weight of the affected limb and preventing the affected limb from hanging in the air.

The next operation is plaster external fixation.

Professor Lin Jiemo did not let Fang Xian do this operation himself. Instead, he asked one of Fang Xian's former juniors to put a plaster on the patient. Lin Jiemo only gained some knowledge.

Question: "So, for the current auxiliary system for manual reduction, the steps we need to operate are to turn on the machine, use the infrared sensor to sense the fracture site, and then the two points of the operating position and the fixed position will rotate 360 ​​degrees without dead ends?"

"Yes, Professor Deng."

"The previous design was only 180 degrees and could not identify complex fractures, but now it has been corrected."

"The operation process is also very simple. The weight parameters, the width of the fracture, and a rough measurement of the traction force are obtained, and then the manual reduction auxiliary device can be used for automatic reduction."

"The instrument now has three emergency braking points."

"One is excessive force. Not only is the traction force too large, but the pressure between the fracture ends exceeds 30N, there will also be an emergency pause to avoid compression fractures."

"The second is that if the size of the dislocation exceeds one-tenth of the bone diameter, emergency braking will occur." "After all, functional reduction is not the final standard of the manual reduction auxiliary system."

"Third, if any occult fractures are discovered during the operation, emergency braking will be performed. Therefore, this set of instruments requires a rough analysis and statistics on the classification of fractures before surgery."

"It can be directly connected to the image reading system of the imaging department..." Fang Xian explained carefully.

After hearing what Fang Xian said, Professor Lin Jiemo was stunned, and then said: "Were you involved in the whole design process? How do you know so clearly?"

Impossible. Where did Fang Xian get so much time?

Generally speaking, it will take at least one year or even ten years from the emergence to clinical application of such an operation reset assistance system. How could Fang Xian have such time.

That is for ordinary people to develop. How can Fang Xian's current level of manual reduction be average?

This is the best rough experience in teaching. Basically, there is nothing that Fang Xian cannot replicate and simulate. Fang Xian can even understand a disease from the other party’s level and perspective, thereby getting to his doubts and accurately Provide guidance or correction.

Fang Xian even has good reason to guess that level 5 skills may be the pinnacle of clinical operations and treating diseases and saving lives, but moving up to level 5 skills means purely theoretical and teaching abilities will be improved.

Almost all scholars, or people who know something about the activity of learning, know this.

There are three modes of teaching. One is for students to learn by themselves, and it doesn’t matter who takes the class. The second is for someone to go up and follow the textbook, or another alternative to follow the textbook.

The third type, those who can see through students' perspectives and know what students need and what state they are in, are very rare and almost only exist in theory.

In China, most teachers, no, it should be the vast majority of teachers in the world, use high-energy irrigation in their teaching.

That is to say, the teacher's cognitive scope far exceeds the students' cognitive scope, and then provides irrigation in the form of narrative. Basically no one can transform into the students' perspective, control their cognitive ability to the students' level, and know what they need.

The same goes for the development of technology. The reason why many technological and theoretical breakthroughs require genius to promote is because only talent is the factor that determines a person's absolute upper limit, not just hard work.

Under the same circumstances, if you work equally hard with someone who is better qualified than you, you will only pull him further and further away.

Therefore, under such circumstances, if you want to teach and correct a machine, the difficulty will be even greater.

But Fang Xian is different. In terms of manual reset technique, he can suppress his own cognition, and then tear open the suppressed cognition gauze.

The manual reset technique in this realm cannot communicate with the gods, but it can play a huge role in teaching.

Naturally, Fang Xian also feels that it may be possible to improve beyond the level 5 manual reset technique, but currently there is no such understanding and level, and further development is needed.

In addition to improving the level of science and technology, the way to expand such breakthroughs is to make theoretical breakthroughs.

But each one is difficult, and all one can achieve is the highest standard of the current era.And it is impossible to jump to thousands or even tens of thousands of years later.

Immediately afterwards, Professor Lin Jiemo became curious.

The first patient was immediately sent away, and Associate Professor Song Yu was asked to follow him to review the plain radiographs of the postoperative review, and then Fang Xian was asked to teach him step by step how to use the machine.

This time, it was teaching without patients.

Fang Xian also said it very carefully. The cost of introducing such a machine into the department is not small. If it cannot be used, it will be a waste. But if it can be used, putting it in the operating room or the emergency department's operating room will be a waste. Excellent value for money.

About 10 minutes later, under Fang Xian's guidance, Professor Lin Jiemo started a manual reduction procedure step by step.

To be honest, the first time Professor Deng Yong performed manual reduction was 20 years ago. At that time, he was very excited after completing a manual reduction.

But after so many years, Professor Deng Yong has long been numb.

Not to mention manual reduction, even if it is to reconstruct a pelvis, it is just a daily routine operation.

Just like the first time you earned a thousand a day, you must have been very excited.

But if his regular monthly income is [-] yuan, and suddenly one day he only has [-] yuan, he will feel that it is nothing.

It's a truth.

After Professor Lin Jiemo operated two machines, he felt that the fun and meaning had been lost. He just sighed: "Human beings, laziness is the driving force for progress."

"Just play, you should be able to do it by now."

As soon as Lin Jiemo left, another professor would be next in charge, Professor Guo, who had just retired from the position of administrative director of trauma surgery. Professor Guo would later become an associate professor in their group...

Lin Jiemo and Fang Xian walked side by side and went downstairs first.

"Xiao Fang, are you busy doing some work on your own?" Lin Jiemo asked with concern.

"Fortunately, Teacher Lin, I'm a little busy." Fang Xian is not hypocritical. It would be a lie to say that he is not busy, but he has to do things one by one and cannot become a big fat man in one sitting.

"If you need manpower to help, although the trauma surgery department is relatively short of manpower, we can still provide you with a few more."

"In fact, it's better to lead the team with your own people." Lin Jiemo suggested.

The people Fang Xian is currently leading, except for Qin Long and Zhong Kangqing, are Wang Yang and Yang Luoguan.

Fang Xian knew that the teachers in the Department of Orthopedics all remembered that he was from trauma surgery, and maybe he would return to the Department of Orthopedics in the future.

Then he turned around and said, "Teacher Lin, it's okay. If necessary, I will definitely speak up."

"Currently, our team is quite good and we have enough manpower."

"Although Teacher Wang Yang may have had a bad reputation before, he has slowly learned to restrain himself."

"Senior Brother Yang Longguan, I have also gotten along with Senior Brother Wang Yang recently, and they have been very active in discussing each other."

"It would be nice if they could just settle down and stop bickering."

Lin Jiemo turned his head suspiciously, his voice astonished: "How did you do it? Can you control the tempers of these two gods?"

Fang Xian thought about it seriously and replied: "Maybe it's because I'm younger!"

(End of this chapter)