The training is carried out in an orderly manner.
However, many things cannot be improved in a short time. Just try your best and hope not to be too far behind.
The Comprehensive Orthopedics Department now accepts almost no patients, and a few members of the training team are doing full-time training.
Other doctors have different free time due to duty, surgery and other reasons. In addition to regular training every night, the training team also conducts training for free colleagues from time to time during the day.
Director Han has been frowning. There is a powerful enemy in front of him. If he is asked to lead the powerful troops of Moliu to compete with the University of Tokyo Hospital, he may not have a chance of winning, let alone the weak Sanbo.
Director Tan now regrets it. It was all his own fault. Originally, he wanted to use the academic conference to show off the strength of Sanbo Traumatology and Orthopedics. Unexpectedly, Fujiwara Shenhe came in and stumped Director Han.
Stumped, it’s hard to get off the tiger.
If we only compare doctors' personal skills, Director Tan will never regret his unwillingness to admit defeat. No matter he wins or loses, he will fight hard.
But now, what is competing is the strength of a team, the quality of doctors, team collaboration, equipment, institutional processes, medical concepts, etc.
In the afternoon, when no one came for training, Director Han called Yang Ping and several people from the training team into the office. Director Tan was also there. Director Tan's face was not very good and he was a little haggard.
Director Han turned his computer screen around, faced everyone, and played another video for everyone to see. This video is of Fumiya Takahashi's surgery.
"This was sent by a friend of Director Tan from Tokyo. This is their recent surgery video. The video you have seen before was already a few years ago. The video of Masao Fujiwara was more than 20 years ago.
."
Director Han wanted to tap the table with his fingers, but did not knock down. He said: "Everyone, please take a closer look and learn from it. This time we have a learning attitude. In the future, five years later, ten years later, twenty years later
, I hope to surpass them."
The implication is that this time it is impossible!
This is not to enhance others' prestige and destroy one's own ambition. This is to seek truth from facts. There is no use shouting slogans at the top of your voice. Scientific things are all real.
Fumiya Takahashi, one of Masao Fujiwara’s several outstanding students.
In the video, he is performing an operation. His hands, whether operating alone or with the cooperation of an assistant, are like a magician, steady, accurate, light and fast. He is as familiar with anatomy as a cook is undressing a cow. The instruments are
It's like it's stuck in his hand, and it won't come off no matter how much you play.
Yang Ping stared at the screen. Director Han adjusted the video to slow-forward. For this operation, Takahashi only had one assistant. The assistant was almost only responsible for exposure, which was equivalent to Takahashi operating alone.
Suturing! One-handed suturing, there are continuous ones that are knotted at the end; there are also intermittent ones that are knotted with each needle; there are also double-threaded two-hand sutures; different tissues use different sutures, one operation has been performed
At least three superb suturing techniques.
Late last night, Yang Ping and Song Zimo were still discussing suturing methods. Now, each of the three suturing methods Takahashi has performed is more advanced than what Yang Ping and Song Zimo discussed.
Song Zimo looked at Yang Ping, and Yang Ping looked at Song Zimo with big eyes and small eyes. How to do this? I studied it for a long time before I came up with one. Others have already deduced three types, and they are obviously simpler and more effective than the ones I created. p>
What kind of suturing method with two hands, one hand holding a needle, it's dizzying, the inside is bloody and bloody, it's hard to tell how to suture from the movement of the hands, but it can still be sutured like this?
Suturing is just one item of surgery, and it has already shown the difference. Continue to look back.
Around the operating bed, there are several things like transmitters and receivers, which seem to be capturing some information from different angles.
"This is the latest infrared surveillance equipment. It is at least one generation ahead of the latest products on the market. It was designed in cooperation between the University of Tokyo Hospital and Toshiba. It is still in the experimental stage and there are no products on the market." Director Han explained.
A high-definition screen hangs in front of Takahashi, just like Yang Ping usually does arthroscopy, a screen hangs in front of him. On the screen, a three-dimensional digital human body graphic can be rotated to any angle.
On the image, the direction of the blood vessels is clear, the damaged part is also clear at a glance, the bleeding part, the bleeding speed, and how much blood has been lost are clearly displayed.
Moreover, Takahashi's surgical instruments were also displayed on the screen. Takahashi did not need to look at the patient at all. He looked at the image and directly found the blood vessel with the highest priority and successfully stopped the bleeding.
"This infrared surveillance equipment is simply a magical tool for trauma first aid. They have mastered many kinds of infrared contrast agents. You see, this is the blood vessel imaging on the image. It uses a unique contrast agent that can be used closely.
Hemoglobin, they inject this contrast agent into the patient. On the infrared monitoring screen, the direction of the blood is clear. You can see it clearly. Their image is real-time, dynamic, and functional. It not only reflects anatomy, but also functions. You
The flow rate, amount of bleeding, and the degree of ischemia and hypoxia in each of the patient's organs are monitored. The time that the human body can sustain life is monitored. They have a calculation model that can perform calculations based on the monitored data, make judgments, and guide doctors to rescue.
”
Takahashi is very familiar with the use of these devices, and has almost achieved the integration of man and machine. He can treat a blood vessel in a few seconds under the supervision of the equipment.
If trauma surgery can deal with the problem of bleeding, it can save almost half of the patients. The other deaths caused by damage to vital organs such as the lungs, heart, brain and brain only account for the other half.
Judging from the video, the patient was bleeding heavily in multiple places throughout his body. Among them, the subclavian artery was ruptured and the blood vessels retracted. Under surveillance, Takahashi directly inserted the vascular clamp into the wound, clamped the blood vessels, and stopped the bleeding.
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In this way, he dealt with a bleeding point in a few seconds, first controlled the bleeding, and then anastomized the blood vessels where they should be anastomotic, and ligated the blood vessels where they should be ligated. The order was clear and the rhythm was clear. A wound that seemed unrescuable was in his hands.
It’s a piece of cake.
It seems that the opponent is stronger than imagined. With high-quality doctors and advanced equipment, the gap seems impossible to fill.
"Don't put too much pressure on everyone and do what we should do. There will definitely be a gap in this live broadcast and it will not be evened out in a short time. They are world-class. We must correct our mentality and adopt a learning attitude.
Show your strength."
Everyone here disagrees with Director Han’s opinion, and it’s helpless to say this. It’s like if you look at a house worth tens of millions, but you only have tens of thousands in hand, you can only say: “Work hard and buy it later.”
Come down!"
Apart from that, there is no other way. Should you shout: "I can definitely buy it!" The real estate developer will be merciful and sell it to you at a discount of 10,000 yuan?
Facts are facts. Well-trained doctors, leading equipment, and advanced concepts cannot be surpassed by just training, but training must be done. Even if there is a gap, the gap must be dignified.
It took Takahashi only a few seconds to find a large bleeding point. Yang Ping didn't dare to say it was so fast. After all, there is a certain gap between imaging and reality. Imaging is static, while the patient's injury is dynamic.
Yang Ping can use imaging examinations to create an image in the brain to guide him to perform surgery, but there are still deviations and it is impossible to monitor in real time like them.
Sanbo's infrared navigation is cumbersome to operate and cannot clearly image blood vessels at all. It is even less possible to produce a three-dimensional digital human figure like they do, showing clearly where the body is injured, what the condition is, and the anatomy and function. Doctors like Takahashi operate under infrared surveillance. The cooperation of the three hand and brain devices is no different from Yang Ping's arthroscopy. You can do whatever you want.
Watching Takahashi look for the subclavian artery, looking directly at the screen, the large curved forceps went in, clamped the broken end of the blood vessel, and pulled it out. The other broken end was also pulled out in the same way, and then the blood vessel anastomosis was performed. It only took a minute or two. After controlling the bleeding all over the body, they immediately began to repair the damaged tissues and organs. I felt that the operation was done with certainty, and the chest and abdominal cavities were still performed using a laparoscope.
Although thoracoscopy and laparoscopy are both laparoscopy and arthroscopy, they are still very different. Without thousands of surgical experience, Takahashi would not be so skilled.
Yang Ping has not been exposed to thoracoscopy and laparoscopy yet, and Director Han understands this.
In addition to Fumiya Takahashi, there is also Jiro Sasaki, who is said to be more talented than Takahashi.
