As soon as I returned to the ward, the system announced that the task was completed.
"Ding dong! The surgery was perfect, the task was completed, and I got 16,000 points! A lot of trust points were increased in reality."
The points currently total 26,000. Although it is not much, it is much better than before. If we have been struggling below the poverty line before, we have now been lifted out of poverty, solved the problem of food and clothing, and are moving towards a moderately prosperous society.
The system is much more generous, and the mission rewards can easily exceed 10,000 points. A rising tide lifts all boats, and the price of surgical training in the mall is also much more expensive.
At present, Yang Ping is like a poor pseudo-middle class. The rewards for each mission are very high, but various high surgical training expenses make it impossible to have more savings on hand.
After Song Zimo finished writing the operation record, he began to study Yang Ping's operation pictures and recalled today's operation process. He had never seen Yang Ping practice at all, but as soon as the operation was performed, it was such an incredible effect.
"In order to achieve high-quality suturing in this kind of surgery, the distribution of each stitch must be planned before the operation. You can draw a diagram to draw the meniscus tear situation before the operation, and simulate the distribution of the number of suture stitches on the drawing." Yang Ping felt that he should be given some guidance to help him progress faster, so that the entire team would progress faster.
"How to control the tension of each knot?" Song Zimo thinks the most critical question is this.
"Tension is difficult to control. If you are not sure when locking, don't cut the thread first, manage the tail thread, and then lock the knot after the final stitching. Each knot is in place step by step, lock it bit by bit, and several rounds
After a few stitches, the tension will be much more balanced."
Song Zimo listened attentively, and his heart became a lot brighter after being prompted by Yang Ping. He didn't know that this was Yang Ping's summary of thousands of arthroscopic surgeries, and he taught it to him so easily.
"When suturing, turn off the water inlet pipe to eliminate the turning of the meniscus by the running water. If there is water flowing out of the entrance, it is best to block the entrance?" Song Zimo broke the casserole and asked the end.
Yang Ping nodded: "Yes, if you want to sew to perfection, you must minimize interference. Running water is the biggest interference, which will affect the judgment of inlay and tension during suturing."
Song Zimo said with admiration: "I understand."
"In any operation or diagnosis and treatment activity, do it right first, and then do it well!" Yang Ping summed it up incisively.
"Distributing the number of suture needles well means doing things right. Without good distribution, no matter how you control the tension, you cannot achieve this perfect effect; if the number of suture needles is distributed reasonably, the only thing left is to control the alignment and tension well.
, this is the category of getting things done."
Song Zimo is very smart and has great comprehension.
"Just like the liver cancer patient in Huaqiao Tower, we must first determine the correct method - nerve root block, and then work hard to implement this method. First, the method is correct, and then we work hard, otherwise our efforts will be counterproductive."
Yang Ping continued to explain with examples.
Song Zimo was very happy. He learned a lot today. It seemed that he was very satisfied with his assistant. He finally started to communicate with him. In the past, he didn't say a word after the operation.
Zhang Lin was busy making posters for the academic conference on the computer and improving the introductions of the participating guests. Xiaowu leaned over and said, "Do you search for beautiful women during work hours?"
Zhang Lin got angry: "Fifth brother, look clearly, this is a guest attending the meeting, a Japanese doctor!"
Xiao Wu opened his eyes wide: "This is a doctor, no, why is he so beautiful?"
This Japanese woman is indeed beautiful. I don’t know if it’s because of the beautiful photos on her profile, or if she’s really that beautiful in person.
Zhang Lin glared at Xiao Wu with disgust: "Brother Wu, there's no need to look so close. You wouldn't say she looks familiar, would you? She is really a doctor, not related to the Japanese women you are familiar with. Look, she is a top student who graduated from the Faculty of Medicine of the University of Tokyo.
Yeah."
"This guy named Pu is Korean, right?" Xiao Wu sat aside and looked at Zhang Lin's poster, which Zhang Lin had already changed.
"Can you be a little educated? This word is pronounced Pu piao!" Zhang Lin said with a look of disdain.
"Is Israel considered Asian? Isn't it European?" Zhang Lin changed another picture, and Xiao Wu saw that it was an Israeli doctor.
Xiaowu became even more angry: "Brother, you'd better not open your mouth and lower the quality line. Israel is an authentic Asian country, but you moved it to Europe?"
"Fat man, what delicious food are you bringing? Bring some." Xiao Wu stopped talking to Zhang Lin and saw Fatty Liang coming in with a bag of things.
The fat man hurriedly put the bag behind his back and hid it: "You can't move this. It's for me to lose weight. Now I decide to only eat two meals a day, breakfast and lunch. If I don't eat dinner, I will eat this."
"Fat man, let me see if you are serious." Xiao Wu quickly grabbed his hand and opened the bag.
"Chocolate balls!"
Xiao Wu laughed so hard that his stomach hurt. I have never seen anyone who lose weight skip eating at night and eat chocolate.
---
After Jiahui completed the operation, she didn't stop for a second. She sent the instruments for anterior and posterior cruciate ligament reconstruction to the operating room and handed them over to Su Yixuan.
The equipment was placed in her home. One bedroom of the three-bedroom and two-living house was specially used as a warehouse. All kinds of equipment were stored in the warehouse and could be sent there at any time whenever Yang Ping needed it.
On the way back, I felt very hungry. It turned out that I had not eaten breakfast, but I was very happy. I finally used my product today, and I can continue to use it later.
Ruixing's products have never opened up the market in first-tier cities. After a lot of effort, they finally entered several major hospitals and became a backup supplier. However, the instruments sent in were shelved and were about to expire.
, they are all useless.
There are many reasons for this, the most important of which is that there is indeed a gap in the product. This must be admitted. It is said that the director of a hospital used it once and the gun jammed. He was so angry that he finally cut off the money and re-sewed it after working for a long time.<
/p>
The director was so angry that he threw the suture gun on the ground and smashed it in front of the Ruixing people on stage: "Don't come here again!"
Translated into foul language: "Get out!"
When I was receiving training, the teacher who gave the lecture said that some directors have bad tempers and swear at others. When encountering this kind of situation, you must hold back and always have a smile on your face.
Jiahui has always been uneasy, fearing that she would be scolded, but Dr. Yang did not curse a word. Although he did not have much enthusiasm, he did not curse or complain, and the operation was completed in ten minutes.
My brother said that Yang Ping is a person who is short-term and short-term, but must have a long-term plan! He also repeatedly told him not to care about anything else and to follow Yang Ping's surgery wholeheartedly.
Before she knew it, she had arrived home, and Jiahui started taking notes again.
The position of the instrument trolley can be adjusted today. When others are watching films in front of the reading light or observing the operation on the screen, do not send stools. Ask them to withdraw to the corner and prepare to rest before sending stools. Dr. Yang exits
On the operating table, you should immediately follow him to help untie the straps of the surgical gown, instead of waiting for him to start doing it himself.
There are also 24 meniscus suturing guns in stock at Sanbo. I will bring a few more with me next time I go there, making sure to have at least 30 in stock.
What else is missing?
Well, breakfast, I must remember to have breakfast next time.
It's almost done. He will check it again before going to bed at night. Jiahui closed his laptop and encouraged himself to make this business line stable and bigger.
---
At noon, Su Nanchen had a meal after surgery. He saw Yang Ping’s WeChat and enlarged the picture.
A picture says it all. The quality of this kind of meniscus suture is perfect, neatly aligned and without wrinkles. This requires very accurate prediction of the tension of several sutures. Without the accumulation of thousands of surgeries, it is not possible at all.
It's possible.
He calculated the time and found that the operation should start at half past eight. The time when the pictures were received was less than nine o'clock, and the operation time was less than half an hour. At this speed, the tension of several needles must be adjusted, and it is estimated that it can only be done at one time.<
/p>
If you do it yourself and adjust it bit by bit, it's still possible, but it's difficult to get it right at once.
His level is above his own, Su Nanchen admits this fact.
Su Nanchen was thinking, now that he has a difficult case in hand, should he discuss the treatment plan with Yang Ping?
This patient is a female 5,000-meter long-distance runner and a member of the national team. She was previously injured at the junction of the Achilles tendon and the triceps, and now the Achilles tendon is loose, which seriously affects her athletic performance.
The diagnosis is clear and the treatment method is clear. Achilles tendon shortening surgery is required.
However, there is a problem with the shortening surgery. The Achilles tendon needs to be cut off in a Z shape, and then part of the tendon is cut off and re-anastomized.
Once the Achilles tendon is ruptured, even if it is severed, no matter how high the level of suturing, no matter how good the healing is, it cannot rely 100% on the original fibrous tissue for healing. There must be partial scar healing. Scars are connective tissue and do not have the toughness and elasticity of fibrous tissue.
.
The result of this is that the ingredients of the Achilles tendon have been adulterated. The impact on ordinary people is negligible, but the impact on long-distance runners is very large.
Why do some athletes have poor results no matter how they treat Achilles tendinitis due to chronic injuries?
These athletes, many of whom are top-notch and well-known athletes, have the best medical resources, the best surgeons in the world perform surgeries, and the best rehabilitation teams help them recover, but in the end the results are still poor.
Because no matter how you treat it, the Achilles tendon has deteriorated. It is like a broken rope that has been soaked in water for too long. It needs to be knotted and connected. No matter how good your knotting skills are, it is useless. The problem is not your knot, but the rope.
It no longer works, it breaks as soon as I pull it.
Because of this concern, the patient has not made up his mind to undergo Achilles tendon shortening surgery. He went to seek medical treatment abroad several times but returned in despair.
Because the patient is from G city, Professor Musu came to Annex 1 this time, hoping to find the best solution.
"Nan Chen, eat quickly, there are a few surgeries in the afternoon." Professor Su saw Su Nanchen looking at his phone in a daze.
"Look at this patient's meniscus suture?" Su Nanchen handed over the phone.
After reading it, Professor Su said with appreciation: "The progress is very fast. The quality of this suture is perfect, there are no wrinkles at all, the joining is very smooth, and the distribution of the six needles is reasonable."
Su Nanchen blushed: "This was not done by me, but by Dr. Yang from Sanbo Hospital."
"Yang Ping? Is it Director Han's student who suggested sniping through walls during our consultation last time?" Professor Su looked surprised.
Su Nanchen said with a heavy face: "Yes! I was thinking just now that our long-distance runner is going to have Achilles tendon shortening. I want to hear his opinion. I think he has a way!"
"Yes, you can contact him!" Professor Su supported Su Nanchen's idea.
