Lu Gang was assigned a bed and placed under the supervision of Xu Zhiliang and Zhang Lin.
Song Zimo will participate in the competition, and Xu Zhiliang's team will be responsible for Corey's daily work.
Each group is assigned several trainees, plus interns, so the operation is stress-free.
This kind of top-notch service is only available in comprehensive orthopedics, and other departments are not eligible to enjoy it.
Some people had objections and reported to the dean. Dean Xia said: "Whenever you make achievements like the comprehensive orthopedics department, you will be assigned a few doctors to manage the beds and write medical records. I will personally bring them to you. How about it?"
?"
The person who made the report had no choice but to leave in despair. If he continued talking, he would be asking for trouble.
Gui Peisheng pushed Lu Gang to the ward, stopped the wheelchair, and put Lu Gang on the bed. Xu Zhiliang wanted to conduct a detailed medical history inquiry and physical examination.
But when Dr. Xu saw this little brother, who was as tall as a bean sprout, he was afraid that his hands would slip while holding him, causing him to fall or break his own waist.
"Zhang Lin!" Dr. Xu's tone was slightly angry.
Zhang Lin, who was standing by and watching, immediately started to help. He was honest and his usual taunting attitude had long since dissipated.
When Dr. Xu asked about the medical history, Zhang Lin kept writing and took notes.
How dare he be lazy? He didn't even dare to miss a word. This Xu stuttered. Later, he would randomly check the medical history he recorded in front of the trainees and interns.
If there are any omissions or inaccuracies, they will stutter and criticize them seriously on the spot.
This man stutters, but he has a good brain and a very good memory. He can remember everything clearly and clearly.
After Dr. Xu asked about the medical history, Zhang Lin dared to close his notebook.
Dr. Xu stretched out his hand, and Zhang Lin handed over the tape measure. After completing the physical examination measurements, he stretched out his hand again and handed over the percussion hammer. He moved slowly, and Zhang Lin could see sweat from his stern eyes.
After checking various shallow and deep reflexes, Zhang Lin kept up with the rhythm, took back the percussion hammer, and handed over the stethoscope.
Cardiopulmonary and abdominal auscultation must be performed. Spinal deformity can cause extrusion and displacement of chest and abdominal organs, leading to cardiopulmonary and digestive function problems.
After completing a complete set of physical examinations, Xu Zhiliang stood still, Zhang Lin was a little trembling, and now he was about to ask questions.
Every time at this time, Zhang Lin was most afraid. Xu Zhiliang's questions were like playing chess, each step was linked to another.
"Brother, can you give me some face? There is an intern from Guipei." Zhang Lin's eyes seemed to be praying.
Xu Zhiliang did not ask questions, but just said: "Let's review the chapters about ankylosing spondylitis and scoliosis in "Clinical Orthopedics" and "Orthopedic Surgery".
Lu Gang suffered from severe deformity of the spine, hip and knee joints caused by ankylosing spondylitis.
Brother Liang was very generous this time, and Zhang Lin breathed a sigh of relief.
——
Xu Zhiliang moved quickly, importing the CT three-dimensional reconstruction data into the 3D printer host, and printed out a model of Lu Gang's entire skeleton. The model was already placed on Yang Ping's desk.
Yang Pingping studied the model repeatedly and formulated a surgical plan.
The spinal deformity is too severe, with kyphosis in the sagittal plane, rotational deformity in the cross section, and scoliosis in the coronal plane. This is a three-dimensional complex deformity.
Surgery needs to correct deformities on three sides, which is many times more difficult than correcting general spinal deformities.
To correct the spine, it also straightens the spinal cord in the spinal canal.
Once straightened, some parts of the spinal cord will be stretched and some parts will be squeezed.
These pulling and squeezing can damage the spinal cord, causing death or paralysis. Where is the critical point of tolerance for correction? No one knows, it can only be based on experience.
Although instruments can now be used for neuroelectrophysiological monitoring during surgery, the effect is limited, and the effect on such serious cases is even less.
The entire operation can be easily understood. Lu Gang's spine was broken into many sections and rebuilt.
The pelvis is cut into several pieces and reassembled. The hip and knee joints are sawed off and artificial joints are installed.
For such a huge project, in addition to spinal cord injury, there are also risks of bleeding, infection, osteotomy, and screw placement.
For example, the risk of screw placement is that due to the existence of deformity and failure of bony landmarks, the original standard pedicle screw placement technology loses its effect. The placement of each pedicle screw is unique.
Lu Gang's bones took shape in Yang Ping's mind, and then began to change, rotate, stretch, and compress.
The soft tissues attached to the bones stretch, shrink, and twist.
The blood vessels, nerves and internal organs in front also undergo changes and begin to shift.
The entire dynamic process was demonstrated in Yang Ping's mind. According to the demonstration, some osteotomy lines began to be drawn one by one.
I had just finished studying Lu Gang's surgery and wanted to take a break when my classmate Ou Lichun called.
He has already registered at Annex 1. The Spinal Surgery Department of Annex 1 took great care of him and placed him in the medical team of Associate Professor Fan Jiguang, Professor Zou’s favorite student.
The director of the Medical Education Department personally took him to the spinal surgery department, and Professor Fan was very kind to him. He asked him about his welfare and even asked about the relationship between Ou Lichun and Yang Ping.
In order to express his gratitude to Yang Ping, Ou Lichun brought some specialties from his hometown and made sure to come to Sanbo Hospital to give them to Yang Ping.
Yang Ping made an appointment with him to get together. The classmates would help each other if they could, and everyone would make progress together.
Someone knocked on the door, Yang Ping opened the office door, and Gao Qiao stood at the door with a strange expression.
"Is something wrong?" Yang Ping saw that he was worried.
Takahashi wanted to speak, but seemed very embarrassed.
"Come in?" Yang Ping welcomed Takahashi into the office.
Takahashi sat down and said: "Dr. Yang, unfortunately, the University of Tokyo is unwilling to cooperate and is worried about technical leaks. I have worked hard to win."
Takahashi argued hard, but still failed to convince the die-hards at the University of Tokyo.
Yang Ping thought it was a big deal and didn't care: "Takahashi, thank you, it doesn't matter. It's just a small matter. Don't be so nervous. If you cooperate, you can save me a few months. If you don't cooperate, it will only cost me a few more months." Yang Ping does not have high hopes for the University of Tokyo, and he has already begun his own layout.
Takahashi felt that this was a pity. If he did not cooperate with Yang Ping, he would lose the opportunity to occupy the top of the field.
It is foreseeable that as long as Dr. Yang invests in this field, the advantages of the University of Tokyo and Duke University will soon disappear.
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It can also be seen from Yang Ping's expression that he has no reaction at all, as if this matter has never existed and the cooperation of the University of Tokyo is dispensable to him.
As Miyuki said, Yang Ping is a man standing on the top of the mountain.
In Takahashi's eyes, Yang Ping is like, if you don't draw your sword, you will be fine. Once you draw your sword, you will have no opponent.
"Is this Lu Gang's skeleton model? Are there any surgical drawings?" Takahashi looked at the skeleton model on the table and a stack of drawings next to it.
Takahashi did not expect that Yang Ping was an all-rounder in orthopedics. Not only were his abilities in traumatology and orthopedics and sports medicine unattainable, but his attainments in spine surgery were also so unfathomable.
First, the cervical spine deformity must be corrected to facilitate intraoperative tracheal intubation and positioning for subsequent surgeries.
Then correct the deformity of the thoracolumbar spine, then perform pelvic rotation osteotomy and correction, knee joint osteotomy and correction, and alternative hip and knee joint replacement.
Various soft tissue loosening, tightening and balancing techniques are interspersed.
The surgical steps are sober and clear, step by step, each osteotomy is extremely clever and precise, all the osteotomies are brought together, the bone deformity is completely corrected, and a kind of surgical beauty is presented before your eyes.
I am lucky to be able to learn from such a person!
"Dr. Yang, you will create miracles again." Takahashi said with admiration.
"No, I'm just doing my own thing." Yang Ping leaned on the back of his chair and said calmly.
——
Song Zimo is preparing a patient for thoracolumbar fracture surgery.
In the Southern Division, Song Zimo, Su Nanchen, and Lin Hao still maintain perfect scores.
The teams in each competition area are like a torrent, gradually clearing up and heading towards the national competition area.
In each competition area, the top few are still the old hospitals, with Imperial Capital Jishuitan, Imperial Third Hospital and 301 still firmly occupying the top spot with full scores.
The Sixth Hospital of Shanghai, Huashan and Changzheng stood out, while other hospitals began to fall behind.
West China and Xijing outperform the rest, and other hospitals can only lag behind.
Xiangya and Tongji Dugu seek defeat. Their brother hospitals can still compete, but other hospitals have no chance of winning.
Except for the Sixth Hospital of Modu and the First Affiliated Hospital of Nandu, no one paid much attention to Sanbo Hospital. Even Moliu only paid a little attention because of curiosity.
Only Su Nanchen in Nandu Affiliated One understands that Sanbo is the real winning team, but he cannot say more, as it is useless to say more.
Yang Ping glanced at the list and saw that Song Zimo had been strong and had nothing to do for the time being.
If he couldn't stand firm, he wouldn't be Song Zimo. Yang Ping was very satisfied with his strong fighting power.
For this Golden Knife Award, if it weren't for obtaining the system reward laboratory, for Director Han to fulfill his wish back then, and for the enthusiasm of his friends, Yang Ping really didn't have much interest. With this time, he could do a lot of things. p>
The next round of surgery is posterior surgery for thoracolumbar fractures. There are relatively few cases of rollover. If rollover is required, most of them are performed on pelvic and acetabular fractures.
As long as Song Zimo can hold his own, qualifying with full marks won't be a big problem.
Song Zimo is trustworthy in terms of both his surgical skills and his psychological quality.
The website of the Golden Knife Award was unprecedentedly lively, and fans from major hospitals spontaneously formed groups.
For example, those who like Magic Six, those who have studied there, and graduate students who have graduated from Magic Six will naturally become fans of Magic Six.
Another group of people became fans of Huashan, and these fans started fighting crazily in the comment area.
But they are all academics, and even fighting a war is like discussing a case. Academics use academic methods to fight.
No swearing, no foul language, no personal attacks, all the fighting passion turned into rigorous comments like a paper.
Sanbo Hospital has also gained many fans, who are active in Sanbo’s comment area.
Most of this group of people are doctors who have personally participated in the Sanbo Academic Conference.
"The chief surgeon hasn't even appeared yet. Are you scared? Let Issuke fight to the end?"
"Joke! Killing a chicken with a bull's-eye?"
"If the great guy you talk about doesn't play again, I'm afraid he won't be able to do anything later. Look at what kind of surgeries are performed in the national championships? Even if you give him all the surgeries that Sanbo has done over the years, he won't be able to feed him, right? It's a good thing to have passion, but you also need to
If you have an IQ, who will be spared the learning curve?"
"If you don't talk about efficiency in the learning curve, it's just a joke. If you add the efficiency factor, the difference in curvature will appear. For the same operation, one person will have ten times the effect, while the other person will only have one time the effect. The difference in magnification makes the learning curve unfair. p>
The competition was exciting and so were the comments.