Chapter 846 Very difficult

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 Penang is less than 100 kilometers away from Fucheng in a straight line, and there are many injured people gathered there, especially a group of seriously injured people who are still waiting for surgery.

Liu Muqiao, Su Yajuan, and Professor He arrived in a helicopter in just over 20 minutes. As soon as they got off the plane, they were picked up by the leaders of Penang Hospital.

Today's three surgeries are all very difficult, and the headquarters directly named Liu Miqiao as the surgeon.

The first one was a compression fracture of the cervical spine, severe contusion of the spinal cord, and obvious bleeding. This was an operation close to level five difficulty.

Liu Muqiao and his party went directly to the ward.

Liu Muqiao did a physical examination and couldn't help but frown.

Not all spinal cord injuries can be sutured together. In this patient, the nerve fibers around the spinal cord can barely be maintained, but the nerve fibers in the center are severely damaged. This kind of surgery is very troublesome.

The anterior horn and lateral position of the spinal cord are mainly where neuron cells are located. If a part is damaged, a part of the nerve function is also missing. However, this is staged and partial, and the impact on the human body as a whole is not great.

On the other hand, the middle part of the spinal cord and the back of the spinal cord are channels for up and down nerve fibers. Damage to this part will cause extensive damage to the body's functions.

Injury to the cervical spine may lead to paralysis of all four limbs.

The purpose of Liu Muqiao's visit today is to ask the patient to stand up. This task is very difficult.

He is at the master level in spinal surgery, but has not reached the master level, which limits Liu Miqiao's space for innovation.

Generally speaking, the master level is more about implementing existing theories into practice, and innovation is a secondary task. As a master level, it is difficult to have groundbreaking and breakthrough innovations.

The master level is mainly engaged in pioneering work. For example, the most famous people in the scientific community, Qian Lao and Chen Lao, are almost exclusively engaged in pioneering work.

In other words, Liu Miqiao's current cervical spine technology does not allow him to invent a new surgical technique or a new theory. He can only synthesize existing theories and combine other people's practices to do certain pioneering work.<

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Liu Muqiao stared at the MRI film and fell into deep thought.

It is difficult for this patient to stand up. If he replaces it with a metal cervical spine or adds bone cement, the problem of the cervical spine itself can be solved.

The key issue now is to destroy the normal spinal cord and enter the central part for nerve suturing. This is no joke, it is extremely difficult.

He worked hard to collect the knowledge in his mind, especially relevant information about major hospitals in the United States, Britain, and France, as well as articles in magazines such as "BMJ" and "NEJM".

No relevant knowledge found.

"It's difficult, right?"

The director of the spine department of the Penang District Hospital stood aside and saw that Liu Muqiao had been reading the MRI film for half an hour, so he couldn't help but ask.

"Well, I'm thinking of a way."

Liu Muqiao was not happy to be disturbed.

He is searching for relevant knowledge.

When the medical command system gave Liu Muchiao master-level spinal surgery skills, it also gave him the corresponding level of theoretical knowledge and other people's practices, and relevant medical information also entered his head at the same time.

In the past half hour, Liu Miqiao had browsed through almost half a row of books on the bookshelf.

I really haven’t found any useful knowledge or methods.

Just when he was about to give up, the knowledge about neurosurgery came to mind.

Yes, neurosurgery, isn’t spinal cord neurosurgery?

In neurosurgery, Liu Muqiao has long been at the master level.

"Well, okay, we have a solution. How is the level of neurosurgery here? Is there a chief physician?" Liu Maqiao asked the director of spine surgery.

"The level of neurosurgery here is not bad. We have a chief physician who was promoted last year. He studied at the Neuropsychiatric Hospital of Shanghai Medical University for half a year in the past few years."

"Half a year of study? Half a year of study is of no use!"

Professor He said loudly that he had a deep understanding that for further study, you should either study for one year or simply study for three months. During these six months, neither better nor worse will most easily cause confusion and the value of further study is the lowest.

Most people will have an experience when doctors are training in high-level hospitals. After three months of training, you will feel that you are very good and the purpose of training has been achieved.

However, when you have been studying for half a year, you will feel that you suddenly no longer know how to see a doctor. Even for the simplest diseases, you will doubt the correctness of the diagnosis. You have been feeling like this for several months.<

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When you have been studying for almost a year, you will find that suddenly, your eyes suddenly become enlightened, and you will say, it turns out that this is what this subject is like!

At this time, your level will be raised to a higher level and your knowledge will leap forward. In other words, you will have a true understanding of this subject.

Therefore, there is a saying in the medical field that you should never study for half a year.

"Invite this doctor over and see if he can be my assistant." Liu Miqiao said.

"You want him to be your first assistant, aren't you me?" Professor He was anxious.

"You misunderstood. This operation is divided into two operations. The first operation is on the cervical spine, and you will be the first to assist. The second operation is the spinal nerve repair operation. In order to make the patient stand up, I can only try this method. According to

With routine cervical spine surgery, the patient will never be able to stand up again."

The chief physician of neurosurgery is here.

His surname is He, He Liufu, and he is 45 years old this year.

"This cervical spine surgery expert, Dr. Liu, wants to see you. He is a well-known cervical spine surgery expert and was recommended to come to our hospital for surgery." The director of spine surgery introduced.

"Uh, my name is He Liufu, hello Dr. Liu."

He Liufu was a little confused about the young man in front of him. How dare you call him an expert at such a young age? The leaders above are really bureaucratic.

"Let me ask you, how is your neurosurgery level? How is the development of microsurgery?" Liu Miqiao was not too polite.

"Our neurosurgery is very famous. Among the more than a dozen prefecture-level cities in our province, we should be ranked among the top five. Microsurgery has been carried out since the year before last."

"I'm asking you, instead of ranking prefecture-level hospitals, can you tell me specifically what kind of surgeries can be performed?" Liu Muqiao asked.

"Hematoma removal, meningioma removal, glioma radical surgery, pituitary tumor removal. That's the main thing." He Liufu said.

"Well, why did you only study for half a year last time?"

"Because I think half a year is enough. In fact, three months of training is enough. I persisted until half a year and found that there was nothing worth improving on my level."

"Well, do you know Zhu Yaguang?"

"I know him. He is the leader of our group. I have had surgery with him. His surgery is amazing. I guess he will be the director of the department in the future."

Liu Muqiao signaled Su Yajuan to ask Zhu Yaguang to see what level this He Liufu was.

"You want me to be your assistant, right? No problem, we often invite superior doctors to perform surgeries, and I will also be an assistant."


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