There is no need to be too normal to be a doctor.

Chapter 169 Massive Points!

Chen Gong suddenly felt that... he seemed to take himself too seriously!

But if you think about it carefully, it's just like what Zhao Xi said.

If the hospital is determined now and wants to introduce Professor Qiao Dingcai, it will definitely need to increase its leverage.

And he is very likely to become a key bargaining chip!
If this is really the case, then... what should I do?
Chen Gong is not worried that there is no place for him!
It’s not that I’m worried that I won’t have better opportunities if I leave here.

only……

No one likes to be treated as dispensable.

I don’t object or object to your introduction of Professor Qiao Dingcai, but... don’t damage my rights again and again.

This is no longer necessary!
Chen Gong doesn't mind showing off his strength for everyone to see.

Chen Gong has always felt that he is of high quality and low price, and that Director Li of the hospital takes good care of him, while Director Jiao Liming does not regard herself as a subordinate at all.

The members of the department are positive and cohesive.

In this way, you can definitely make a career.

But now it seems...

it's not true.

Some people just think that expensive things are expensive for a reason.

After hearing what Zhao Xi said, Chen Gong smiled: "Okay!"

"I have a plan!"

"Don't worry."

Zhao Xi heard the sound and nodded: "Yes."

"I'm not worried. I know you have such strength. I'm worried that the hospital will treat you unfairly."

"Don't let the hospital use you as a weapon."

Chen Gong suddenly smiled and looked at Zhao Xi: "Do you think I'm just a gunman?"

Zhao Xi smiled: "It's not very smart anyway!"

Suddenly, Chen Gong also started laughing.

When Zhao Xi went to work, Chen Gong also sorted out the things in his hands.

When he was sorting out the system space, he discovered a lot of things.

Currently I have 89 points.

Most of them come from the influence after the tricarboxylic cycle under his translational medicine appeared on the cover of The Lancet.

Whether it's translational medicine or not.

The tricarboxylic cycle is worth mentioning.

All brought Chen Gong rich points rewards.

Although Chen Gong has consumed a lot these days, he still has nearly 90 left.

These points are enough for Chen Gong to accomplish many things.

In addition, Chen Gong also has a stack of double and triple experience cards, as well as various treasure chests and props.

Chen Gong didn't open everything.

Now, he also decided to clear some space.

After spending a lot of time, Chen Gong finally organized a lot of things in the space.

Different potions such as energy potions, concentration potions, and stamina potions are placed in one area.

Experience cards are placed in another section.

In addition, some special card props have also been released.

[Enlightenment Card], [Analysis Card], [Recovery Card]...etc.

However, what surprised Chen Gong most was that he got three upgrade props.

These three props are enough for Chen Gong to upgrade any entry-level skill to the LV4 backbone level.

Looking at these things, Chen Gong also had a plan in mind.

These things can help him cope with many things.

After handling all this, Chen Gong no longer thought about the hospital's considerations. Instead, he took out his mobile phone and began to preview the tendon suture in the replantation surgery of the amputated finger.

There are many methods of tendon suturing, but Chen Gong had never learned it before, so she wanted to lay as good a foundation as possible.

After today's surgery, I can at least understand what the other person is doing.

Moreover, relying on the system, Chen Gong can also judge the opponent's strength, and even analyze and learn from it.

By that time... I will also be able to master this technology.

And with the help of experience cards and upgrade cards, you can quickly reach the backbone level.

Although it is not as good as those experts and academic leaders, but... the minimum surgical and operating skills are enough.

There is no problem in coping with clinical practice!

You must know that in clinical practice, even in professional hand surgery and top hospitals, it is impossible for everyone to be at the expert level.

It’s already a blessing to have a backbone level.

Chen Gong feels that if you master it, it is not difficult.

Before getting off work in the morning, Qiao Ding arrived in Shanyang City, Shanhe Province.

Many leaders of the hospital went to greet him.

Jiao Liming was actually urged to go by his leader, but...he still didn't go.

Instead, he came to the office, saw Chen Gong, and waved his hand: "Director Chen, are you done?"

Chen Gong smiled and stood up: "Director, we are done."

"what's up?"

Jiao Liming smiled slightly: "It's okay, let's have lunch together?"

Chen Gong suddenly laughed: "Okay, let's go, can I treat you?"

Jiao Liming nodded: "Haha, easy to say!"

"Just eat something simple."

The two quickly arrived at the private room on the second floor of the hospital canteen, and ordered a few simple dishes.

"I have important things to do in the afternoon, otherwise...have a few drinks with your kid!"

"Ha ha!"

Jiao Liming laughed.

Chen Gong nodded and smiled slightly: "It's a small matter, let's sit down some other time on a less busy night."

Jiao Liming nodded, took the initiative to pour a cup of tea for Chen Gong, and said to Chen Gong pointedly:
"You... must have heard something, right?"

Chen Gong nodded: "Well, you are talking about Professor Qiao Dingcai, right?"

Jiao Liming nodded: "That's right!"

"This Qiao Dingcai is a classmate of Vice President Liu. Vice President Liu has put in a lot of effort to come here this time."

"But, to be honest, Qiao Dingcai is already 55 years old, and the treatment given to a subject leader is a bit too high!"

"I was asked to greet you today, but I didn't go."

"We have been cooperating for several months. If I have anything to say, I will tell you directly."

"I always feel that consuming so much of the hospital's resources and overdrafting Qiao Dingcai, who will be invited in the future, is not worth the gain!"

"It's even better not to invite!"

"Hand surgery is indeed an important discipline that we currently lack in the province, and Qiao Dingcai, as Professor Tang's team, is indeed top-notch."

"However, what we need now is not a top subject leader."

"Besides, I know you very well. Your vascular anastomosis and nerve repair surgery are all top-notch!"

"The only thing missing is the skill of tendon suturing!"

"I think that instead of giving resources to others, we should cultivate it ourselves."

"It's a pity that the hospital can't wait any longer, and the higher-ups don't want to wait anymore."

"That's what happened today."

"Qiao Ding just came for the surgery this time. It is very likely that he is showing off his power. He is here to show off his strength."

"The price will definitely have to be increased by then!"

"When the time comes... the hospital will most likely follow suit."

"And you are the biggest loser, because whether it is your blood vessel anastomosis or nerve repair, Qiao Dingcai can complete it."

"And you don't have the tendon suturing skills that the other party is good at!"

"So, with that, that's the hardest thing."

"I also heard some of what Vice President Liu meant. They may take action against you then!"

After hearing this, Chen Gong said calmly:
"Director Jiao, I will not compromise."

"Today it's Qiao Dingcai, who will be next time?"

Seeing Chen Gong's resolute tone, Jiao Liming was suddenly stunned for a moment, and then he laughed:

"Ok!"

"Dean Li just asked me to tell you something."

"He supports all your decisions and tolerates your mistakes!"

"Go for it!"

"This afternoon, you went to the operating table because of Director Li's wishes. Our hospital attaches great importance to your opinion."

"If you think the other party's strength is average, you can definitely say so!"

"For the afternoon surgery, leaders from the province will come, as well as experts from hand surgery, both from inside and outside the province."

"You can say it with confidence!"

"Your words may save our hospital a lot of money."

"Ha ha……"

Chen Gong nodded and agreed.

soon……

It was almost two o'clock in the afternoon.

There were many cars parked in front of the hospital, many of which were cars of provincial leaders. In addition, there were many experts.

At this time, Qiao Dingcai was welcomed to the hospital by the leaders of the emergency center hospital.

There were several huge banners hanging in the yard.

They are all welcome to Qiao Dingcai.

Such a big battle indeed gave Qiao Dingcai special treatment for a leader in the discipline.

When Qiao Dingcai saw this scene, he was naturally satisfied in his heart.

I came here in person today just to negotiate terms.

The surgery must be done well, and it must be done with all one's strength.

Qiao Dingcai went straight to the operating room and began to observe the patient's condition.

Today's patient was temporarily prepared, and Shanhe Province basically performs this kind of surgery every day.

Therefore, this just illustrates the scarcity of such talents in Shanhe Province.

Qiao Dingcai is studying cases.

The leaders of the hospital brought leaders and experts from the province to the conference room outside to discuss.

On the huge TV in front of him was a picture of the operating room. Everything was ready and waiting for the operation to begin.

Chen Gong also brought the staff to the operating room.

The patient's condition has been sent over and everyone is observing in the operating room.

In addition to Chen Gong, the province also dispatched Chang Shihong, an expert in hand surgery from the Orthopedic Hospital.

Professor Chang Shihong himself is also an expert in hand surgery, but... in terms of strength and ability, he is far behind Qiao Dingcai.

Today's surgery, he is the second assistant.

Facing Chen Gong, Chang Shihong smiled slightly: "Don't be nervous!"

"Actually, hand surgery is not life-threatening. It tests the subtleties."

"As a microsurgery, it can be said that what we really care about is the repair effect on tendons, blood vessels, and nerves."

"It can be said that the slightest difference is a thousand miles away!"

"As the first assistant, you can see more of Director Qiao's surgery. It's a rare opportunity!"

"Study more."

After Chang Shihong finished speaking, he nodded to Chen Gong: "Come on!"

Chen Gong naturally gained a lot of favorable impressions of this gentle, humble and enthusiastic Director Chang, and immediately smiled and nodded:

"Thank you, Director Chang."

"I think you are also an expert in this field."

“Why should we bring in talents?”

Chang Shihong immediately blinked at Chen Gong, lowered his voice and smiled slightly: "Don't dare to talk nonsense!"

"Hahaha..." "For this, you may not know much about hand surgery."

"Hand surgery, the success rate of surgery alone is very high!"

"However, the key lies in the postoperative effect. Many people will have sequelae after their tendons are not properly treated, such as being unable to bend, excessive adhesion, constant tenosynovitis, or simply a decline in function, reaction, operation...etc., the difference Too much."

"The key factor that affects these lies in the tendon suturing."

"Hand surgery does not have high requirements for vascular anastomosis. Although nerve anastomosis is difficult,... this area is not difficult."

"The most difficult thing is how to reduce the adverse effects of tendon suturing."

"You may not know about the tendon suture method. At present, there are really not many people in China who can master the tang-suture method."

"And the tang-suture method is the top technique in the international tendon circle."

"Professor Tang Jinbo is a global academic leader in this industry."

"So, that's really the key."

"And I can indeed complete the operation. However, it is difficult to guarantee the recovery effect after the operation. This is a fact. Therefore, I support the introduction of experts."

"But, the premise is that the other party can convince me!"

As he spoke, Chang Shihong's expression became solemn. Isn't he one of the examiners appointed by the province?
quickly!

At this moment, the surrounding area suddenly became quiet, and Qiao Ding came in.

Chen Gong turned around and looked at the other person. He was a medium-sized and fat man in his fifties. He was already bald in the middle of his head. The hair on one side was very delicately taken care of. The other person looked kind-hearted and had a pair of golden hair. Under the rimmed glasses, it gives people a shrewd look.

"Hello, Director Qiao!"

Chang Shihong took the initiative to nod and say hello.

At this time, the patient was also brought and fixed on the operating table. Today's operation is about to begin.

Qiao Dingcai nodded and smiled at everyone around him: "Thank you everyone for your cooperation!"

"Thank you!"

After saying that, he walked to the patient's side minding his own business.

The patient's condition was not complicated, it was just a simple middle finger that was cut off by a cutting knife.

The finger is placed inside the cooler.

The middle finger of the hand was bandaged to stop the bleeding.

Seeing this scene, Qiao Ding did not take the lead in opening the bandage, but began to carefully observe the patient's three-centimeter-long middle finger that was cut off.

Because the patient's finger fell off for a short period of time, only three hours, which is completely within the time for the wound to recover.

The time limit for replanting a severed finger is affected by the ambient temperature.

Winter is cold, and replantation can still occur after ischemia for more than 10 hours at outdoor temperature, or even dozens of hours. However, in summer, degeneration and necrosis of the severed finger tissue can occur within 7 to 8 hours at room temperature, and purulent material appears on the wound surface, making replantation very difficult. Hard to survive.

If the severed finger is placed in a plastic bag and refrigerated, the time limit can be extended.

Therefore, at present, the operation time is relatively sufficient.

At this time, X-ray films were hung on the screen nearby, showing multiple angles.

After waiting for anesthesia.

The operation is about to begin!
The first thing to do is to clean the distal wound.

The so-called far end is the area where it falls.

"Debridement the proximal end."

When Qiao Dingcai was dealing with it, he said something to Chen Gong and Chang Shihong.

While talking, he suddenly glanced at Chen Gong with interest.

"What a young man!"

"Haha, how old are you?"

Although he was talking, Qiao Dingcai's eyes were focused on the severed finger.

Chen Gong was slightly startled: "21 years old."

When Qiao Dingcai heard the sound, he was stunned for a moment: "So young!"

At this time, Chang Shihong had already opened the patient's proximal wound and used a balloon to stop the bleeding during debridement.

After disinfection and sterilization, Chang Shihong carefully started debridement, very seriously and without saying a word.

Qiao Dingcai, on the other hand, brought a microscope and easily found the blood vessels.

Seeing this scene, Chang Shihong on the side was slightly surprised!
Not only him.

The people observing outside couldn’t help but say:
"This is a master!"

"How long did it take? We found the broken end of the vein."

"How do you say it?" One leader couldn't help but ask.

The expert explained with a solemn expression:
"Finger veins are relatively thin, located within the fascia, and often retract, especially at the distal ends. It is difficult to find the blood vessels when they are no longer bleeding. Inexperienced doctors often spend a long time looking for finger veins, and even because of No vein could be found and replantation was abandoned.”

"And this Director Qiao is a master once he takes action!"

"The blood vessel was found instantly."

"This is really a master!"

"Nantong University Affiliated Hospital, Professor Tang's subordinates are really powerful!"

"Yes!"

There were bursts of exclamations from the people around.

When the leaders heard this, they also breathed a sigh of relief. At least... Qiao Dingcai's skills were high, and even if it was more expensive, it would not be wasted.

At this time, Liu Guisheng on the side suddenly laughed:
"People may not know."

"The tang suture method was not only developed by Professor Tang alone."

"As a member of Professor Tang Jinbo's team, Director Qiao has made great contributions. He has rich experience in finger replantation surgery. He has clinical experience in more than 3000 surgeries, and nearly 100 more difficult surgeries!"

"He and Professor Tang have won many awards overseas."

"It can be said that he is the hero of tang suture method!"

"It took a lot of effort to invite me here this time."

After hearing Liu Guisheng's words, the leaders nodded one after another.

This good start immediately gave everyone a little more recognition for Qiao Dingcai.

Digital arteries are easier to find than veins.

It didn't take much to stand up, and the digital artery was found, located in the fascial fat tissue above and outside the digital flexor tendon.

The subsequent digital nerve was directly found at a 1cm lateral skin incision, and then the broken end was tied with a long thread and pulled outward.

Less than 10 minute of work!

Nerves, blood vessels, and tendons were all found.

But at this time, Chang Shihong was obviously lagging behind. Compared with Qiao Dingcai, he was obviously as clumsy as a newcomer.

The gap between the two was instantly revealed.

Although Chang Shihong is also the director of hand surgery, Qiao Dingcai is also the director.

But they are both directors, and the difference is so obvious.

For this reason, Qiao Dingcai deliberately waited for the other party for a few minutes, smiled and chatted with Chen Gong for a few words.

"Comrade, you are so young and you are here to help. It seems that the hospital values ​​you very much!"

"study well!"

"The future is your world."

Chang Shihong was blushing at this time. In front of many leaders, he knew that he had lost people.

But... the gap in strength cannot be explained clearly in just a few words.

"Sorry for wasting your time."

Chang Shihong apologized slightly.

But Qiao Dingcai smiled and shook his head: "It doesn't matter, you are already very fast."

"There is a specialization in the art, just be proficient in it."

Then he looked at Qiao Dingcai and said, "Look more."

"When we were young, we didn't have such good opportunities as you."

"At that time, let alone being an assistant, I was not even qualified to go to the operating room!"

"You young people today have so many opportunities!"

Although Qiao Dingcai's tone seemed humble, it made people feel a little uncomfortable.

Qiao Dingcai obviously thought that Chen Gong was a backdoor person.

Then comes the fixation of the phalanges.

Fixation of the phalanges is not difficult.

Adhering to the principles of simplicity, speed and stability.

Quickly use a Kirschner wire with a diameter of 0.8 to 1 mm, first drill out from the medullary cavity of the stump toward the fingertip, and then drill retrogradely into the medullary cavity of the proximal stump. More than one joint is more stable.

This step was completed independently by Qiao Dingcai.

When Chen Gong saw this scene, he suddenly couldn't help but said:

"Is this all right?"

Qiao Dingcai was slightly startled: "Yes!"

Chen Gong looked puzzled and said: "In this way, it will pass through the joints and rotate easily, will it not affect the stability?"

"If the phalanges are unstable, will it affect the recovery after suturing?"

When Qiao Dingcai heard the sound, he frowned: "It doesn't matter."

"Okay, let's not talk about this anymore, let's go to the next step!"

"Tendon Suture Preparation."

Qiao Dingcai couldn't help but reject Chen Gong's idea and started the next step directly!
Tendon suturing!

Chen Gong didn't say much at this time.

Tendon suturing is the key to the surgery.

He focused on Qiao Dingcai's tendon suturing.

quickly!

Qiao Ding took out the 1-0 nylon thread and prepared to suture the tendon.

Chen Gong's attention suddenly focused.

The digital extensor tendon is sutured using a double figure-of-eight suture, and the digital flexor tendon can be intratendinously sutured using Kessler's modified method.

The tang-suture method is a modified method for the flexor tendon.

Coriolis sutures are not required.

It has to be said that Qiao Dingcai's techniques are very skillful.

Thousands of surgeries have given him a unique muscle memory.

As the needle and thread weave in and out of tendons.

Chen Gong stared at the other party carefully.

【Ding!I discovered the lv5 expert-level special suture method tang-suture method (peak; lv5+, declining level). Should I spend 5 points to learn it? 】

Chen Gong was stunned when he heard the sound.

lv5+ suture method?

Sure enough, the tang suture method is high.

Chen Gong immediately chose to study.

And this time!
The same sound rang in my ears.

【Ding!The method of replanting the tendon of a severed finger that has slipped is found to be sutured. The current level is lv4+ (peak level lv5+). Should I spend 3 points to learn it? 】

Chen Gong was stunned for a moment?
What do you mean?
The overall tendon suturing technology is only lv4+?

This somewhat lowers the score!
Chen Gong naturally knew what the system meant.

The tang-stitching method is very powerful, but the opponent's other methods are not top-notch, only lv4+.

Moreover, the opponent's strength has declined a lot.

A rank.

Chen Gong suddenly realized that the other party came here for a reason.

The status has begun to decline.

In fact, it is easy to understand, because tendon suturing, nerve anastomosis, and blood vessel anastomosis are all precision work. As age increases, the flexibility and stability of the fingers all decrease, and they will definitely decline!
And the surgery continued.

About two hours later.

Chen Gong heard the prompt tone again.

【Ding!Surgery rating: three and a half stars. 】

[Would you like to spend 5 points on an in-depth analysis of the surgery? 】

【Ding!Warm reminder, spend 10 points and have a chance to obtain related skills! 】

After hearing this, Chen Gong didn't hesitate at all!
I directly chose krypton gold!
There is no way, if you don’t use so many points, when will they be used?

Thinking of this, Chen Gong immediately started reviewing the surgery!

But at this time, there was constant applause outside!
(End of this chapter)