Gao Qiao, Xu Zhiliang, Zhang Lin, Xiao Wu and Fatty drank several boxes of beer.
There are empty bottles next to it, and the combat power is almost released.
When the show was about to end, Xiao Wu remembered: "Zhang Lin, aren't you preparing for pregnancy?"
Zhang Lin squinted his eyes: "I already have it, why are I still preparing for pregnancy? Look at those here today, whoever hasn't drank is preparing for pregnancy."
These words reminded everyone, and they immediately turned their attention to Yang Ping and Song Zimo, and then looked at Xiao Su and Tang Fei.
As soon as Zhang Lin said this, everyone fell silent immediately, with strange eyes. The two girls, Xiao Su and Tang Fei, blushed.
"Zhang Lin, has your brain been damaged by alcohol? We never drink." Song Zimo explained immediately.
Zhang Lin giggled: "I didn't say anything. Even if I said something, I can't remember it clearly. Don't take it for granted."
"Why are you looking at me again?" Yang Ping felt uncomfortable.
After Song Zimo finished explaining, everyone looked at Yang Ping again. Gao Qiao came up and said, "Dr. Yang, come! I congratulate you. How do you say it in Chinese?"
Takahashi drowsily picked up the empty cup and thought for a long time: "I wish you a baby soon!"
"Takahashi---" Miyuki looked at Takahashi's drunken eyes and immediately reminded him that he had lost his composure.
Takahashi's brain reacted quickly. After being reminded by Miyuki, he suddenly woke up and realized that he had said the wrong thing when he looked at the red faces of Yang Ping and Xiao Su.
However, Miyuki was still blushing no matter what. Takahashi really didn’t understand what her business was.
Zhang Lin immediately urged Gao Qiao: "Xiao Gao, red envelope, give out the red envelope quickly, two hundred and one, quickly---
The change of 100,000 yuan is not given out in red envelopes now, but kept to earn interest. There is no interest in the change wallet.
Everyone was noisy like this, and it took a while before they were willing to go back.
But there is no need for surgery the next day, so there is nothing to worry about. During the competition, there will be one day of surgery and one day of rest.
This is the suggestion given by Professor Zhang, so that you can spare a day to reflect and summarize, and check the preparations for the next batch of surgeries to avoid mistakes.
On a day off, Corey will hold a discussion meeting. Professor Zhang and Director Han will be present and will give some suggestions, but they are only suggestions for young people to use as a reference.
On the first day of surgery, many hospitals only perform one surgery as a start, to explore the path, and most of them are open reduction and internal fixation of both forearm fractures.
On the second day of the discussion, the website of the Golden Knife Award was opened on the high-definition screen. On the first day of surgery, all the judges’ scores had been completed.
Song Zimo received full marks from all judges. On the score ranking list in South China, Song Zimo from the third level, Su Nanchen, Lin Hao, Chen Ge, Cao Qian, Su Fengyu from the first level, Yan Jiejun from the second level, Tian Xu from the Provincial People's Hospital,
These teams are currently tied for first place with full scores.
Other hospitals, including the Provincial Traditional Chinese Medicine Hospital and several affiliated hospitals of the University of Traditional Chinese Medicine, had points deducted to some extent, mainly because it was difficult to take into account all the details of the surgery.
The comprehensive orthopedics team summarized the first operation, and then carefully checked the second batch of operations, including perioperative management, surgical operations, case writing, etc., paying no attention to every detail.
You can rest assured if you haven’t found any problems.
At the beginning of the competition, Fuyi also adopted this strategy, allowing the surgical team to perform surgery for one day and then rest for one day.
They are also summarizing the first day of surgery, taking the operation of a double fracture of the forearm and radius as an example to analyze what should be paid attention to during the surgery, from the general framework to the details.
Among the eight teams with perfect scores in the standings, only the Sanbo team’s surgery was completed by one assistant.
According to the rules of the Golden Knife Award, all surgeries in the regional competition can be performed by an assistant, so the arrangement of Sanbo does not violate the regulations, but no team really dares to do this.
There is still a big gap in strength between the chief surgeon and the first assistant. Occasionally, one or two surgeries will be performed by the first assistant, so that the first assistant can shine, and there will be no problem.
All surgeries are performed by Ichisuke. If something goes wrong and the points are lost, it will be very difficult to recover the points against strong opponents.
Moreover, no one has the courage to perform the first surgery on Ichisuke. The first battle can build confidence. Once a mistake is made, it will directly affect the mood of subsequent surgeries.
Currently, among the five major competition regions, except for Sanbo Hospital in the South China Division, there is no other hospital that allows Yishu to perform the first surgery.
The first operation of Moliu in the East China Division was also performed by Wen Rentao, and he had no intention of letting Yishu perform the operation.
Lin Hao has been paying attention to Yang Ping's results, but now Song Zimo is the surgeon for all the surgeries in Sanbo, and Yang Ping has not shown up at all.
What does this mean?
Give up the Golden Knife Award? Treat it as an experience?
But it's not like the first operation, where they got full marks again. Looking at the scores, it's obvious that they came here for the top few.
For the second batch of surgeries, each team has prepared several surgeries. Femoral shaft fractures, tibial fractures, and humeral shaft fractures are all scheduled.
Each case's preoperative preparation, surgical plan, and postoperative precautions must be reviewed by several directors to check for any omissions.
The second batch of operations began, and some people gradually began to fall behind. Some of the eight perfect score teams could no longer hold on.
Tian Xu from the Provincial People's Hospital, during closed reduction and PFNA internal fixation of intertrochanteric fracture of the femur, the position of the spiral blade was not completely centered on the lateral X-ray, so he was deducted and lost full marks.
Yan Jiejun in Attachment 2, the preoperative bone traction for femoral shaft fracture was not enough, and the intraoperative reduction took too long, almost more than ten minutes. At exactly ten minutes, the reduction was successful, and the full score was saved.
If you can do these basic operations without deducting points, it means that both the theory and the operation are impeccable.
This requires the surgeon to receive standardized training from the time he graduates and enters clinical practice, and develop good habits and a meticulous attitude.
Relying on the surprise training before the competition, it is possible to achieve perfect scores for one or two surgeries, but it is very difficult to achieve perfect scores for every operation. If you are careless, your scores will be deducted.
All of these surgeries can stably maintain full scores, which is entirely due to the accumulation of deep skills.
For example, in surgery for femoral shaft fractures, intraoperative closed reduction must be rapid, and scoring requires intraoperative reduction to take no more than ten minutes, and points will be deducted if more than ten minutes is required.
Being able to reduce the fracture to normal alignment, length and rotation within ten minutes is all based on the accumulation of daily surgical experience.
Of course, if the reduction exceeds this time, there can be many reasons to explain it: for example, the level has not been exerted, the anesthesia muscle is not relaxed enough, or the bone is inserted into the muscle.
In the words of Professor Zhang, whether you are nervous, careless, or perform poorly, it all comes from lack of proficiency.
In fact, there is no such thing as nervousness, carelessness, or poor performance. They are all excuses for being unskilled.
One plus one equals two. How can we not make mistakes due to nervousness, carelessness and poor performance?
On the third day of the competition, Song Zimo also completed three types of operations: femoral shaft, tibial shaft, and humeral shaft. Each operation received full marks and was very stable.
Open the judges' scores, there is a reason why these surgeons received perfect scores.
A patient from the Sanbo team with a tibial shaft fracture is a foreigner. Due to religious beliefs, he often kneels down.
In this case, a transverse tibial shaft fracture, there is no doubt that the gold standard is closed reduction and interlocking intramedullary nail fracture.
For long bone fractures of the lower limbs that do not involve the articular surface, according to the scoring rules of the Golden Knife Award, as long as minimally invasive surgery is not used, points will be deducted directly from the surgical procedure. If you want to get a high score, it must be minimally invasive and not incision.
Percutaneous minimally invasive technology, for long bone fractures in the lower limbs, the first choice is interlocking intramedullary nails, followed by steel plates. The specific choice depends on the condition.
In this case, Song Zimo abandoned the preferred intramedullary nail fixation and chose the long locking plate percutaneous technique. As can be seen from the comment area, many people opposed it.
"For tibial shaft transverse fractures, closed reduction and internal fixation are the first choice for interlocking intramedullary nails rather than locking plates. Compared with the eccentric fixation of intramedullary nails, the stability of central fixation of intramedullary nails is significantly better."
"Indeed, the chief surgeon and first assistant of Sanbo Hospital are still too young. They may be deducted points for making wrong choices, and the points deducted will not be too small."
"One less person is missing from the perfect score position."
Many of the comments in the comment area are experienced orthopedic surgeons with high professional titles, and there are also young doctors who are studious and active.
"Don't worry, I have participated in the academic conference of Sanbo Hospital. The chief surgeon of this team, Yang Pingda, is by no means an ordinary person. How could there be a mistake in the selection of internal fixation in such a simple surgery? There must be something hidden." p>
"What's obvious, what else is hidden? From Campbell's to Orthopedic Surgery to the AO Internal Fixation Manual, interlocking intramedullary nails are the first choice for this kind of surgery everywhere. This is not the time to be unconventional."
"Keep watching. The chief surgeon of this team is really a master. There is no need to draw conclusions too early."
Except for a few who have reservations, others are completely one-sided, thinking that it must be a mistake in the pursuit of originality and internal fixation.
This is not an uncommon thing. In order to be different and get new ideas, some doctors come up with some weird surgical methods.
For example, for open reduction and internal fixation of humeral shaft fractures, the anterolateral incision is the gold standard. Some people just make an anteromedial incision and point out many advantages.
There are so many nerves and blood vessels on the anteromedial side, extending upward to the axilla. They are all emanations of nerves and blood vessels. How can it be better than the anterolateral side?
How to write a paper without being innovative?
But this is a surgery competition, not writing a paper. An inappropriate and unconventional approach may make you unable to stand up.
Finally, the first judge started to score, and everyone stared at the displayed scores.
Every step is a perfect score, until the last step, it is still a perfect score, the total score is a perfect score!
"What's going on?"
"What's our problem?"
"Why not deduct points?"
"---"
"Read the scoring instructions carefully!"
The scoring description clearly states: Because of religious beliefs, the patient often has to kneel down, and an interlocking intramedullary nail is used for tibial fractures. The complication probability of anterior knee pain is higher, which may seriously affect the patient's kneeling movements.
Long locking plate percutaneous technology does not have such complications. Therefore, some professional athletes who are required to kneel frequently, and others who cannot accept the possible complications of anterior knee pain, should try to avoid interlocking intramedullary nail fixation. "Master, you have noticed this. We didn't know this before."
"Let me tell you, this is the real great team."
"At the provincial hospital, there was a case of a professional athlete, and points were deducted because of this."
On the full score list, there were eight perfect scores, but now only seven are left, and Song Zimo is still on it.
They actually escaped this case without being deducted points. This is an issue that most orthopedic surgeons would not consider.
A football player once suffered a transverse fracture of the tibial shaft in the middle. He underwent surgery in a provincial hospital in East China. The chief surgeon thought over and over again and abandoned the interlocking intramedullary nail method and chose a long locking bone plate. The pre- and post-operative X-rays
It was posted on a garden website and was questioned by many people.
Finally, a master came out to solve the problem, and everyone understood what was going on.
The surgical thinking from a high position is based on the strong theory and experience of the science and technology.
Lin Hao was analyzing the surgeries at Sanbo Hospital again. He wondered how long they could continue to dominate the list with him.
