Under Mr. Zhou's resolute arrangements, an operating room was quickly arranged on the second floor.

For this round of medical visits, two operating rooms had been prepared.

Of course, the equipment and equipment are not as comprehensive and advanced as those in the city's first hospital. However, what Tanglou performed on Mr. Zhou was a small auxiliary operation, and the main treatment was still focused on the one-finger meditation massage method.

After Tang Lou and Mr. Zhou entered the operating room, there was already an anesthesiologist waiting. Since it was a very small auxiliary operation, there was no need for an instrument nurse, so Tang Lou could handle it by himself.

...

While Tang Lou was performing surgery on the side, Qing Ping was anxiously looking for Tang Lou. After all, he had heard from doctors from other departments of the First City Hospital that Professor Shi had done so in front of all the doctors in the medical team.

He was inviting Tanglou to their traditional Chinese medicine hospital in an upright manner.

"What the hell is this brat doing? Why don't you answer the phone?"

Qingping was worried. After all, Professor Shi was still very influential in the medical circle. Moreover, he had met Professor Shi's granddaughter. Her appearance, personality, and medical skills were all top-notch. The key was that she was more beautiful than Cheng Sisi.

Mature.

Qingping was afraid that the Tang Tower would be captured by Professor Shi, his ancestors and his grandson.

During this health checkup, Cheng Jian arranged for Tanglou to come here, which was just for gold plating, that is, just to go through the motions. Who would have known that this kid Tanglou really shines no matter where he goes.

After not looking at him for a day, Professor Shi fell in love with him.

If Tanglou is really poached by Professor Shi this time, then Director Cheng will not give himself a good life both publicly and privately.

"Oh, my little ancestor, you should answer the phone."

Qing Ping was as anxious as an ant on a hot pot. He had already visited the room in the Tang House and asked Yu Feng about it, but he still didn't know where the Tang House was.

"Oh. Why do I feel so afraid of my daughter that I won't go home at night. I'm afraid that she will be deceived by some wild boy outside."

Qingping was a little depressed, a little worried, and a little proud.

...

...

In the operating room.

Tanglou arranged for Mr. Zhou to lie down and ordered the anesthesiologist to use brachial plexus block anesthesia.

At the same time, he tied the pneumatic tourniquet to Mr. Zhou's right upper arm.

Afterwards, Zhou chose the ulnar side of the palmaris longus muscle and made a precise transverse incision of 1.5cm, quickly exposing the digital flexor tendon and the proximal edge of the transverse carpal ligament.

In the operating room, somewhere Tang Lou didn't notice, a camera clearly recorded Tang Lou's surgical procedures.

After all, the patients who undergo minor surgeries here are all important people with special status. They are afraid of accidents later and it is also convenient to hold them responsible later.

However, Tanglou didn't pay any attention to this and didn't care at all.

With his talent and concentration, Tanglou devoted himself entirely to the operation.

The anesthesiologist stood quietly beside him. In addition to anesthesia, he was also on a mission to supervise and observe the operation process in the tenement building. If there was any problem in the tenement building, he would stop it immediately.

However, what he has seen so far is pleasing to the eye. Although it is only a minor operation, the incision and exposure of the tenement building are still very skillful.

Next, under the anesthesiologist's attention, Tanglou began to distinguish the long tendons.

There are no assistants or equipment nurses in this surgery hall, so all the operations are completed by one person, but it still gives people a smooth and smooth feeling.

Tanglou picked up the scissors from the spare area on one side and separated the transverse carpal ligament, or LCT, laterally from proximal to distal in the direction of the ring finger.

After that, he picked up the scalpel with very consistent movements and began to incise the proximal edge of the LCT longitudinally. The size was very precisely controlled at 1.5CM.

After that, Tanglou changed the hemostatic forceps and began to carefully lift the superficial and deep flexor tendons to remove the edematous tendon and synovium.

"Awesome."

Seeing this step, the anesthesiologist finally couldn't help it. Small incision carpal tunnel mobilization is very common in the field of "paralysis". Especially for carpal tunnel syndrome, they often choose to directly remove the edematous flexor tendon synovium in the patient's carpal tunnel.

and loose connective tissue.

However, after all, the field of view of this kind of minor surgery is limited, and the instruments in the operating room of the Academician Building are relatively simple, so it is easy to not completely remove the diseased tissue.

However, under Tanglou's operation, the separation was perfect, the anatomy was clear, and the excess diseased tissue was cleanly removed.

While the anesthesiologist was amazed, Tanglou continued to separate the LCT while controlling Mr. Zhou's wrist dorsiflexion at 30° with his somewhat atrophied palm facing upward.

Due to his natural toughness, Tanglou's subtle operations are very closely connected. If he were an ordinary doctor, due to the endurance of the muscles, he would have to leave some rest time between operations in order to maintain precise movements, so there would be some problems with the connection.

However, Tanglou does not have this problem at all. One person can switch operations and change surgical instruments faster and smoother than two people working together.

In a blink of an eye, the anesthetist realized that Tang Lou had picked up the narrow metal plate and used his index finger and the first knuckle of his ring finger to control the metal plate to depress the flexor tendons.

"Holy shit, are his fingers so powerful?"

Tanglou controlled the long metal plate with two knuckles, along the defensive line of the central axis of the ring, and with his other hand, used scissors to completely cut open the LCT.

In the blink of an eye, the Tanglou entered the next process, which was sewing layer by layer.

Looking at Tanglou's three-star suture technique, especially the treatment of the flexor tendon, the anesthesiologist sighed inwardly: "I have met a master. No wonder he is so bold and dares to perform surgery on Mr. Zhou privately without going through the treatment team.

"

There are unwritten regulations in health inspections. Physicians can treat academicians and veteran cadres in a private name in addition to group diagnosis by the medical team.

However, this requires a very experienced and well-known reputation, so that these big guys can safely allow you to diagnose, treat and perform surgery.

After several such surgeries, the big bosses will recommend and endorse among the big bosses, and more big bosses will be diagnosed and treated. It is foreseeable that Tanglou has begun to make a name for itself in the upper class society of Hecheng. As long as every time

The operation was successful and it is foreseeable that his future is bright.

"He is still so young, I envy him."

The anesthesiologist sighed sadly. In fact, this is also a purpose of health inspections, to connect these big guys and famous doctors to help each other.

"Mr. Zhou, the assisted surgery was very successful. Next, I will get to the point. I will give you the one-finger meditation massage method."

Tanglou said to Mr. Zhou.

Since it was only local anesthesia, Mr. Zhou was of course thinking clearly and smiled slightly to express his approval.

While Tanglou was operating, he continued to explain the principles to Mr. Zhou, making him feel more at ease and trust him.

During the introduction in the tenement building, the camera flashed on and off and continued to record.

"Mr. Zhou, from the perspective of tissue biology, analyzed the pathogenesis of carpal tunnel syndrome: acute and chronic injuries to the wrist lead to an increase in inflammatory secretions produced by local tissues in the carpal tunnel, slowed blood flow, deposition of metabolites, intracanal tissue, and tendon pathology.

Sexual hyperplasia increases the pressure on the median nerve, thereby causing abnormal sensation and dysfunction of the wrist joint... And my small incision carpal tunnel relaxation book is to remove the edematous flexor tendon synovium and loose connective tissue in the carpal tunnel.

.”

"Next, I will perform one-finger meditation massage. From the perspective of traditional Chinese medicine, carpal tunnel syndrome belongs to the category of "Bi syndrome". This disease is mainly caused by the weak Wei Yang and the invasion of wind, cold, dampness and heat into the body. Because the body

Obstructed meridians, qi stagnation and blood blockage can lead to numbness and pain in the wrist joints, and malnutrition of the meridians and joints can lead to soreness and pain in the hands. In severe cases, hand movement disorders may even occur.”

"The one-finger meditation method I use can not only replenish deficiency but also strengthen the body and eliminate evil. It can effectively improve the blood supply of the patient's wrist, promote the movement of qi and blood in the meridians, eliminate the inflammatory reaction in the wrist, and reduce the risk of inflammation.

The pressure inside the carpal tunnel can promote the recovery of wrist joint function and improve the mobility of the wrist joint."

Under the gift of listening, not only did Mr. Zhou seem to understand but not understand, but even the anesthesiologist beside him nodded frequently.

The aura of Tanglou is really like that of an old Chinese medicine practitioner with decades of experience in treating patients.

Moreover, while narrating, Tang Lou’s hand did not stop. Under Fetters: Complete Map of Meridians and Acupuncture Points (Level 1, 2/2), Tang Lou very accurately placed on the patient’s:

Yanggu point, Yangxi point, Shenmen point, Daling point, and Yinqie*guan point are the main points for massage treatment, and acupoints are allocated according to different symptoms.

Because Mr. Zhou's palms often hurt, he added massage at Laogong and Yuji points.

However, Zhou Lao's thumb would also experience numbness and pain, so after Tanglou completed the massage, he also performed massage on the Kongzui point and the Meridian Qu point.

In response to Mr. Zhou's numbness and pain in his index finger, Tanglou added Hegu and Erjian points.

For numbness and pain in the middle finger, massage on the Jianshi and Erbai points was added.

...

During the entire treatment process, Tang Lou always sat upright in front of Mr. Zhou, keeping his shoulders down, elbows down, and wrists hanging. His right hand was half-clenched in an empty fist shape, with the tip of his thumb as the point of emphasis.

Press the above-mentioned acupoints, and always keep your thumb vertical to the surgical site near the wrist joint.

With his talent, toughness and concentration, Tang Lou continued to produce steady output without any pause in the middle. Sweat continued to flow from Tang Lou's forehead and back, but Tang Lou was not affected at all.

The anesthesiologist on the side looked at it with admiration in his heart. Although he was young, Tang Lou really had the demeanor of a general when he actually performed massage!

Tanglou held Mr. Zhou's affected forearm with his left hand, and then swung his affected forearm, while simultaneously driving his wrist joint to swing.

Driven by the swing of the wrist joint, assist Mr. Zhou in passive extension and flexion of the metacarpophalangeal joint or interphalangeal joint of the thumb. Each acupoint is treated for 1 minute, and the frequency of swinging the wrist joint is 160 times/min.

After a full hour, Tanglou completed the entire process perfectly.

"Mr. Zhou, the entire treatment was very successful. After that, I will arrange your prognosis for rehabilitation scores. Specifically, they are: score of ulnar deviation function of wrist joint, score of radial deviation function of wrist joint, score of dorsiflexion function of wrist joint, score of wrist joint function.

Scores for palmar flexion motor function and total wrist function scores.”
Chapter completed!