Chapter 190 The gods want to fight! (Please subscribe!)
"Hip joint infection." Zhou Cheng turned his head and said after thinking for a while.
Luo Yun took another look at the film sent by Professor Song, and asked again without directly asking the reason:
"What about the first ones? What are your considerations?" Asking the specific reason for a flat film is not the main purpose of Professor Song taking out this set of flat films.
Zhou Cheng's memory does not have a photographic memory, but the characteristics of the previous flat film are still in his mind. Zhou Cheng is not completely sure of the answer, so he said:
"The first case should be hip tuberculosis, and the second case is, as Professor Liu said, DDH and femoral head necrosis."
"The third picture, I would consider bilateral hip synovitis."
"In the third plain film, do you want to consider synovitis?" Luo Yun frowned.
The reason why he asked Zhou Cheng was that he actually had an answer in his mind, but he couldn't confirm it. However, he also thought that the set of films Professor Song showed was very interesting, so he wanted to explore it with Zhou Cheng.
It can not only confirm your own guess about the diagnosis, but also teach Zhou Cheng.
However, when taking the third plain radiograph, Luo Yun was considering bilateral hip osteoarthritis!
This seems to be a bit inconsistent.
However, after Luo Yun thought about it for a moment based on Zhou Cheng's prompts, he suddenly realized it!
With a half-smile on his lips, he said: "You boy, Professor Song has led others into the trap, and you are still standing outside the trap?"
The cases Professor Song brought were naturally joint surgery cases, and they were all hip joint cases.
Hip tuberculosis, hip osteoarthritis, hip dysplasia and avascular necrosis of the femoral head, hip infection!
These are four classic cases of differential diagnosis of hip joints. To complete the diagnosis, you need to rely on many auxiliary examination methods to confirm the diagnosis.
But that’s for ordinary doctors. For top joint surgeons, hip tuberculosis, osteoarthritis, dysplasia and infection all have different symptoms, and they are even displayed in the amount of information.
Among the least flat films.
If you can make a diagnosis through this, that's all it takes.
It's just that Zhou Cheng's thinking is quite extraordinary when it comes to detecting synovitis from ordinary plain films.
Zhou Cheng pursed his lips and said, "Teacher Luo, this kind of hip synovitis was something you specifically pointed out to me when we were in the clinic together. We also checked the information together later."
The incident happened on the weekend of last week. At that time, Luo Yun had not seen an outpatient clinic for a long time, and it was Zhou Cheng's first time visiting an outpatient clinic at that time, so Luo Yun explained the cases that Zhou Cheng didn't understand.
However, another situation is that Luo Yun was licked to death by Zhou Cheng in the simulated world!~
He also passively gave out an academic gift package, which contained knowledge points such as plain radiograph reading of synovitis. It's just that Luo Yun may not have called it out in time, but Zhou Cheng now has a perfect level of skills of up to 50+
!
It can be said that the knowledge reserve is extremely rich, so there is no problem in mobilizing these knowledge structures, and only then can I see something different.
"That's MRI. The signs of synovitis on MRI are completely different from the signs on ordinary X-ray films." Luo Yun was very satisfied with Zhou Cheng's talent, but, Zhou Cheng's
Modesty and stability were things he had never liked.
Even though I have clearly seen it, I still have to find a reason to explain it away. Although this is a consensus among all disciplines at present, everyone has to live with it...
But you have to know that if you give more face in daily communication, you may feel that you are very powerful during the process of complimenting each other, and you will not study or delve into it in depth.
"No one raised their hands?"
Professor Song looked around and saw that no one raised their hands anymore. He was quite satisfied with the effect of this set of flat films he had brought.
Of course, Professor Song didn't know whether Mr. Xu and Mr. Kong saw it, but he probably saw it and wouldn't say anything.
Luo Yun touched Zhou Cheng: "You raise your hand to answer the question?"
Zhou Cheng quickly shrank back and said with a slight tremor: "Teacher Luo, me? Now?"
Then Zhou Cheng suddenly shook his head and shook his head like a rattle.
Just kidding, when facing Yan Haihan in the department on weekdays, he felt as if he were looking at a mountain, trembling with fear. Although Yan Haihan has now resigned from the position of director, Zhou Cheng saw that Yan Haihan was still a little nervous.
fear.
And if Yan Haihan, the director of No. 8 Hospital, is a landowner, then he has to admit it when facing Ding Changle. Ding Changle is currently the leader of trauma surgery in Hunan Province.
Ding Changle is just the director and professor of trauma surgery in one of the three hospitals affiliated with Xiangnan University. Compared with the resume of a senior director and dean like Lei Zhong, it is a little less interesting.
This Professor Song, according to Luo Yun’s introduction, is currently the administrative vice president of the Second Affiliated Hospital of Xiangnan University and Professor Li’s senior!
Professor Li and Professor Lei Zhong are the same generation!
Even Professor Liu Yiping will be respectful to Professor Song. Will he answer this question?
Let's forget it, there are too many levels of difference.
"Teacher Luo, you answer." Zhou Cheng waved his hands repeatedly and lowered his head.
Luo Yun sighed and said: "What are you afraid of? Just say it if you know it. If you say something wrong, of course an old professor will come and correct it for you. You can remember it for the rest of your life."
But Zhou Cheng still doesn't dare to be in the limelight, mainly because he is not used to it yet. He has never taken a class in the department and has been in such limelight. Now that he is asked to be in the limelight, Zhou Cheng is really unwilling.
Through the simulated copies, Zhou Cheng came to know more and more how difficult it is to promote the development of a subject.
Although the skills Zhou Cheng has acquired so far may be the perfect point for this era, in a few decades, the ceiling of these skills may be redefined.
I have a simulated copy, so I can take shortcuts, while everyone else has achieved fame through their own hard work and talent.
Zhou Cheng can stand up and answer questions, and he can also attract everyone's attention, but showing off his skills is not Zhou Cheng's original intention.
Zhou Cheng rubbed his hair and didn't say much.
…
When Professor Song saw that no one raised their hands, he stopped wasting time and took the initiative to clear up the confusion:
"The surface of this plain radiograph is very similar to the first plain radiograph I listed. However, it is only similar, not the same plain radiograph of the same patient."
"As you can see, these four plain films have a wide range of enhancements, which can also be called whitening!"
"This wide range of whitening phenomenon will basically consider the infection of the joint cavity! It is not enough to simply see the infection step."
"At this time, we can use some other special factors to make detailed distinctions one by one."
Professor Song said, flipping through the plain films to the first one: "The last case just now, the medical history only lasted for one year!"
"And there are no symptoms of tenderness around the hip joint! This shows that the articular surface in our joint cavity has not been severely eroded, and it may not even have invaded the pain layer."
"But in this first picture, we can also see extensive enhancement, but its history has lasted for more than 20 years!"
Professor Song said, holding up two fingers.
"It has not been discovered for twenty years. This means that the patient does not have the symptoms of high fever, chills and other symptoms associated with ordinary hip joint infections. Otherwise, this infection focus may have been discovered long ago."
"If it's not a hot infection, then it can only be a cold infection focus."
Hot infection will have traditional infectious symptoms after infection, but cold infection focus is not necessarily the case. Often the patient does not have many symptoms and is ignored.
"No matter how cold infection lasts for more than ten years before getting worse, we have to consider whether this patient has tuberculosis."
"Tuberculosis in the joint cavity may not be detected by a complete set of ordinary blood tests for tuberculosis and tuberculosis antibody and antigen tests."
"There will not even be corresponding typical symptoms, and the diagnosis can only be confirmed by biopsy and culture."
"So, how can we make a diagnosis through this film?"
"It can only be distinguished through medical history."
As Professor Song spoke, he turned to the fourth picture and apologized to the person who answered the diagnosis:
"When we doctors read the films, we not only have to look at the plain films, but we also have to take into account the patient's medical history and age."
"If she had hip osteoarthritis, she would have been in pain for more than 20 years!"
"Will she still have joint space? But when we look at this film, the gap is only slightly narrow, but we can see some small insect-like cavities, so we have to consider infection, right?"
"So on the first plain radiograph, we can also initially consider hip tuberculosis and septic hip arthritis."
In this regard, Professor Song made a point and made it clear the identification of tuberculosis and common joint infections. Professor Song did not stop any longer, but continued to read the second and third plain films.
"Next, let's look at the second picture. This picture is the best one among today's group of pictures. It's about congenital hip dysplasia and femoral head necrosis. This should be our joint surgeon.
Essential basic skills.”
"First of all, we can see that the CE angle of the hip joint is outside the normal range. At the same time, we can also see that the bone quality on the femoral head is uneven, with local and regular decreases, necrosis and collapse.
The possibility is higher.”
"Let's not worry about this film. If you don't know how to read it, you should go home and study it hard. Don't forget about the entrance of joint surgery after we have been engaged in joint surgery all our lives. That would be ridiculous!"
"The third picture! This is a very interesting flat picture."
"We should consider patients with intermittent claudication."
"In addition to neurogenic and vascular diseases, we also need to consider our own orthopedic diseases,"
"Hip synovitis."
"The tenderness in the front of the hip joint has lasted for 8 years and worsened for two years. We cannot see the narrowing of the joint space and the formation of osteophytes. Instead, we can see that the local imaging density in the joint space has increased."
"In this way, sciatic neuritis caused by compression of the sciatic nerve by the hip joint can be temporarily ruled out. Although synovitis is relatively rare, if we also consider..."
Professor Song's in-depth and simple analysis directly won a wave of applause...
When Luo Yun heard Professor Song give the final answer, he couldn't help but glance at Zhou Cheng again: "Look, I asked you to raise your hand to answer the question, but you didn't dare. What are you afraid of? What you said is right.
.”
"Do you think you will never stand there for the rest of your life? If you don't even have the most basic courage and the courage to admit your mistakes, how can you study well?"
When Luo Yun was scolding Zhou Cheng.
Professor Song's lecture on the stage is over.
He is not young to begin with, so he does not need to prepare too much content.
As the beginning of the second half of today's meeting, Professor Song has already laid the lead, and it is a lead that many people rarely see, such a case!
Presenting it at the same time, and being able to explain it in detail, maybe only someone from the older generation like Professor Song has a lifetime of experience as a reserve.
Able to isolate each disease individually and explain the simple theorem of this particularly complex case in a simple and easy-to-understand manner.
If it is a young professor, he may know the diagnosis himself, but cannot analyze the differential diagnosis. Instead, he must rely on various laboratory tests, so the impact of this sharing will not be so strong.
"Teacher Luo, wouldn't it be great to just listen to a normal class?" Zhou Cheng also felt that Luo Yun's thinking was strange.
If this was an operating table, Zhou Cheng could go up and complete an operation without hesitation, and it would not harm him.
But this was Zhou Cheng's first time participating in such an academic conference. He didn't even go through the principles and procedures, so he just asked and answered questions casually, which would offend others, because Zhou Cheng was afraid of the questions he asked.
No one could answer by then, so of course the venue was down.
How bad that is.
Moreover, the speakers here are all Zhou Cheng’s target, how could he possibly offend the other party? I wish I could hear more of their private talk, and it would be great to even throw out some seemingly outrageous conjectures.
.
"Me?" Luo Yun suddenly had an expression that made him hate iron.
Back then, when his teacher asked him to give a lecture, he rushed forward without hesitation.
At that time, he couldn't keep up with Zhou Cheng?
Just push yourself!
It can be said that if Mr. Zeng hadn't forced Luo Yun to give lectures at various venues and forced him to prepare too many things as a foundation, he wouldn't have learned so quickly!
Zhou Cheng is obviously capable and strong, but he seems to be mute.
He is as timid as a mouse! He has no trace of his former demeanor and is also a strange flower.
Zhou Cheng pursed his lips and continued to listen.
Luo Yun also sighed and gave up his inner struggle. He didn't feel that Zhou Cheng was hopeless, but he felt that Zhou Cheng's edges and corners had almost been smoothed away. At his age, he would think about too many things.
.
Zhou Cheng knew very well at this moment what he should say and what he shouldn't say.
Although in the past, it was common for different professors to fight each other.
But who are those people?
Who are you? Ordinary training without a teacher or foundation.
He is going to cause trouble. Someone may stand up here randomly. Cai Dongfan has been crushed. Does he dare to say anything more?
Don't dare.
Luo Yun is different, his master can make him have an unbridled temper.
…
Next, Professor Chen from West China called a group of speakers from prefecture-level hospitals in Hunan Province to share the cases they talked about. The first quarter of the second half of the annual meeting was finally over!
After a short tea break, Professor Zhuang, the director of the Department of Joint Surgery at the Second Affiliated Hospital of Shonan University, finally came to the podium and became the chairman of the conference.
The second half of the meeting has just begun.
Professor Zhuang emphasized in a very loud voice:
"Welcome all comrades, experts, professors, and teachers to our joint surgery venue again."
"Next, Professor Dong He is a professor of the Department of Orthopedics at the People's Hospital of Hunan Province and a member of the Orthopedics Committee of Hunan Province. He is also a top expert in our Orthopedics family of Hunan Province. Welcome!"
After listening to Professor Zhuang's words, Zhou Cheng read the resume above carefully and found that Dong He was actually just an associate professor. The writing was so correct and correct, but when Professor Zhuang read it out, he was still a professor.
I don’t know if this is Professor Zhuang’s slip of the tongue or if it has a deeper meaning.
At this moment, Luo Yun began to knock on the table again to highlight important points!
"Listen carefully, there will definitely be some big melons in this show!"
"What big melon?" Zhou Cheng was a little curious.
"Just watch." Luo Yun turned out to be a little too secretive!
Zhou Cheng first squinted his eyes. Dong He was only the deputy director of the Xiang Provincial People's Hospital, but he was praised so highly by Professor Zhuang. Luo Yun also said that there was a big melon. It seemed that something was not right about the system here.
Is there any grievance between Professor Zhuang and Professor Dong He?
No time to think about it.
Dong He quickly walked to the stage, bowed amidst the applause of the crowd, and said:
"Thank you all, thank you teachers for the applause."
"But it's a pity." Dong He is very talkative, speaking clearly and speaking in a coherent tone.
"Today, the experts brought us all successful cases to teach us lessons."
"But I came here today to trouble all the teachers. Mainly because I brought a failure case that we encountered today. I was really at my wits' end, so I came here specifically to ask for your advice."
"But I may have better luck. Professor Zhuang Zhou from Xinjiang Medical University happened to be at the scene today. Professor Zhuang Zhou is a master of joint infection. He is a big shot. It is impossible to say that he can help us. I lead
This case is related to joint infection."
"I hope that Professor Zhuang will be able to speak eloquently after listening to it."
Then, Dong He opened the ppt.
Under the stage, Professor Zhuang Zhou sat with his hands behind his hands, leaning his stool back, as if he was listening carefully and was ready for battle at any time.
Dong He came here with a request. In such a venue, he took a hundred steps back at the beginning and "humbled" into the dust.
If the request cannot be answered at this time, then it will be called not giving face, which will naturally not work. Moreover, Zhuang Zhou was also curious, this Dong He is also interesting, bringing the failed cases to the annual meeting?
What does he want to do?
Medical history: A middle-aged female, 58 years old, had pain in her right knee joint for 10 years, which had worsened for two years.
X-ray showed: Stage 4 osteoarthritis of the right knee joint.
Dong Hedao: "Everyone has seen the case information. It is actually not complicated. The patient was admitted to the hospital for the first time, and we performed a routine preoperative examination on him. There is nothing special."
"So, we did a total knee resurfacing."
"On the third day after the operation, the patient's wound began to ooze clear fluid without bleeding."
"On the day we discovered the exudate, we immediately conducted a general microscopy and bacterial culture on the exudate. There were no pus cells and no bacterial growth."
"It is routine to extend the duration of antibiotic use to the fifth day after surgery, and we will take fluids and send them for examination again, and review inflammatory indicators."
"The results showed that the inflammatory indicators were normal and there was still no bacterial growth."
"However, at this time, the patient's exudate not only did not decrease, but actually increased."
Dong He put a photo here, which recorded a large amount of exudation. The gauze and cotton pads inside were dyed dark yellow.
"We consider that the patient's BMI=27.5, which means he is slightly obese. We consider that the patient may have liquefied fat."
"On the sixth day after the operation, the exudation still failed to stop, so the first debridement and suturing was performed."
Here, Professor Dong He posted another photo with an explanation:
"We can see from the pictures that there is a large amount of clear, non-turbid, colorless liquid in the anterior surgical field."
"During the operation, we took synovial fluid and sent it for bacterial, fungal and special bacterial culture. The results were all negative! After debridement, we performed continuous drainage."
"This time after debridement and suturing, the patient's exudate disappeared. On the 15th day after debridement, the sutures were removed and he was discharged."
"However, in the third month after the operation, the patient's knee joint became swollen, the skin temperature increased, and the floating patella test was positive. The synovial fluid was extracted and sent for bacterial culture, which showed that it was Staphylococcus aureus infection."
"We immediately performed articular cavity debridement and gasket replacement for knee surface replacement. We placed a catheter after the operation and added gentamicin solution for irrigation and drainage until the bacterial culture was negative."
"The patient improved again and was discharged."
When Professor Dong He said this, he reluctantly turned to the next picture: "Sixth month after the first operation, and three months later, the patient again presented with the same symptoms of swelling and elevated skin temperature.
Admitted to the hospital."
"But this time, when we extracted the synovial fluid and sent it for culture, it showed Mycobacterium tuberculosis infection."
"Let's review the previous preoperative examinations and culture results. No growth of Mycobacterium tuberculosis was found. Laboratory tests and a complete set of tuberculosis tests were all negative."
"For the sake of safety at this time, we obtained the patient's consent and performed joint fusion."
Having said this, Dong He walked away from the podium and said, "But just last week, the patient said that her skin temperature increased at the joints of her affected limbs."
"There may be suspicion of reinfection."
"So I would like to take this opportunity today to ask Professor Zhuang Zhou whether there was anything inappropriate in our handling of this case? I hope Professor Zhuang can give me some advice."
Dong He even talked to this extent. Although Professor Zhuang Zhou had already withdrawn his body when Dong He mentioned tuberculosis bacilli and was extremely unwilling to wade into this difficult muddy water, Dong He also named him by name. .
He had no choice but to stand up and said:
"The patient's existing case data showed that during his first operation, there was exudation but no bacterial growth. In the second operation, Staphylococcus aureus grew. In the third operation, Mycobacterium tuberculosis was directly cultured."
"This is clinically quite uncommon and I have never encountered it myself."
"But one thing is that ordinary infections will basically not transform into special bacterial infections. Special bacterial infections generally persist."
"But in this patient's first two preoperative examinations, the cultures of Mycobacterium tuberculosis were both negative, which is a bit difficult to explain. Now that the patient has undergone joint fusion, I don't think there is much comparison on my side. Great advice!”
"I rarely encounter patients with joint fusion nowadays."
Although Professor Zhuang Zhou deals with joint infections, they are just simple joint infections. Where have you ever encountered Staphylococcus aureus and Mycobacterium tuberculosis?
Can you be more professional about your infection? Can you be more dedicated and stop changing things around?
Joint fusion was actually the destination of patients with joint infections in the early years. Now, it has long been abandoned over the years. But in the case Dong He encountered, it seemed that there was no fusion, and he didn't know how to get it done.
If you do another revision, the bacteria will eat again, which will be a financial loss to the patient. If you fuse it, the patient's joint mobility will disappear, and the quality of life will be greatly reduced.
Zhuang Zhou didn't have much to say. He was not an immortal.
He didn't get any useful answers, but Dong He still nodded gratefully: "Thank you, Professor Zhuang, for clarifying my doubts. Perhaps, this patient had a latent Mycobacterium tuberculosis infection from the beginning. It's just something I can't understand. "
"Why can't Mycobacterium tuberculosis be cultured?"
After Dong He finished speaking, he was ready to return to the center of the podium.
Because when he was replying to Professor Zhuang Zhou's words before, he walked out of the podium table to show respect.
But at this time, Professor Zhu from the Second Affiliated Hospital of Shonan University suddenly raised his hand!
He was the referee himself, so after raising his hand, he asked directly:
"Professor Dong, I have two questions. Can you please consult me?"
Professor Zhu is quite polite.
Dong He's expression remained unchanged and he stretched out his hand: "Professor Dong, please tell me."
"First, after you discovered Staphylococcus aureus for the first time, why didn't you choose joint revision?"
"Second question, after culturing tubercle bacilli, why did you do joint fusion directly instead of choosing to do primary joint cleaning and secondary replacement?"
"Joint fusion is equivalent to making the patient lose all range of motion to control infection. Compared with the problems solved by this kind of surgery, the impact on the patient's quality of life seems a bit unfair."
Um.
The purpose of joint fusion is to control infection, but the price is loss of all mobility, which is not worth the gain!
Zhou Cheng's expression suddenly darkened. The question Professor Zhu asked was indeed a bit sensitive.
Moreover, Zhou Chengcheng discovered that when these two questions were asked, the eyes of everyone present immediately lit up. Even Luo Yun, who was watching the show and saw a climax, rubbed his hands and said to Zhou Cheng:
"here we go!"
This question was more fierce and direct than the previous questions asked to Zhuang Zhou, Chen Xueliang and others. It was like going straight to the point. I almost slapped Dong He in the face. Why did you do this?
But when you think about it, the reasoning becomes more obvious.
In Hunan Province, the medical resources and status are dominated by Shonan University, and other hospitals cannot stand out. So they will definitely join forces and try to break the 'monopoly'.
The Xiang Provincial People's Hospital is the eldest brother besides the Affiliated Hospital of Hunan University. If he doesn't take the lead in fighting, how will the others fight?
More than once and on various occasions, they began to squirt at each other.
Although I haven’t squirted before, I squirted myself between the fourth and third positions!
The three hospitals affiliated to Xiangnan University should reasonably be ranked first, second or third in Hunan Province, but there are rumors in private that Xiang Provincial People's Hospital is better than the third hospital. It relies on fighting!
If you want to hit me, can I not fight back?
At this time, the professors from the Shonan University Affiliated Hospital and the Second Hospital stopped fighting each other and agreed to deal with the outside world. After solving the external problems, they would then argue about who is the eldest brother.
In this way, when Professor Zhu asked this question, he figured it out.
…
The discussion below began to boil—
The case brought by Dong He is indeed full of doubts.
The content of the discussion was just as Professor Zhu said.
Don’t do it when you should have a joint revision!
Joint fusion was done when it shouldn't have been done.
If you bring it to such an occasion, isn't this asking for trouble?
Everyone's eyes were focused on Dong He.
Dong He didn't feel too uncomfortable, his face was just a little embarrassed for a moment. After adjusting his collar,
He said slowly: "Thank you, Professor Zhu, for your question."
"I will not explain these two issues yet."
"Please also wish the professor to continue listening."
"I'm not done yet."
As soon as Dong He said these words, almost everyone in the audience could see Dong He's hidden embarrassment, and some didn't quite understand? No, you should answer, what do you mean by continuing to talk?
What's the use of hiding all this embarrassment?
Can you hide it?
You want to fight back, why do you continue to lecture?
Also, how long is your stinky basket? You haven’t finished talking yet?
Dong He just opened the follow-up slowly and slowly:
"After the second culture of Staphylococcus aureus, we sent the case to Shanghai."
"And we invited Academician Zeng for a consultation."
"At that time, Academician Zeng's suggestion was to replace the gasket directly without having to perform joint revision."
"Moreover, after the patient was admitted to the hospital for the third time and Mycobacterium tuberculosis was detected, Academician Zeng considered that the patient might have multiple infections. Joint fusion would be safer than joint revision and would be more beneficial to the patient in terms of economic benefits."
"We communicated with the patient for a long time, and finally the patient decided to stay in our hospital for joint fusion."
As soon as these words came out, everyone's mouths opened slightly.
Then he directly shifted his attention that was originally focused on Dong He to Professor Zhu Zhu Jinshan.
Now, are they a little embarrassed?
The two sharp questions Zhu Jinshan asked at the right time directly hit Academician Zeng's body, and they hit the bull's-eye...
This Dong He, oh no, is from the Xiang Provincial People's Hospital!
It's like killing a wolf. He didn't explain the situation for so long, and even asked Professor Zhuang Zhou if there was anything wrong with the handling. Wasn't this just a deliberate attempt to lure Zhu Jinshan out?
Then?
Where is this asking for advice? This is a big fire pit just waiting for people to jump in!
Perhaps their original purpose was to wait for people affiliated with Shonan University here.
Xiang Provincial People's Hospital is not an affiliated hospital of Xiang University and is not in the same system. It is a medical institution second only to the Xiang University system in Hunan Province.
It is normal for two families to have friction with each other.
Even from the First Hospital of Hunan University and the Second Hospital of Hunan University, it is rare to see people from both of them sitting in the same venue at the same time and having friendly discussions on the same issue, let alone outside the system.
Of course, this is internal, if it is external,
When you talk about the sophomore year of Hunan University, don’t mention Hunan University. Once you mention it, the first affiliated school of Hunan University will definitely support you.
Similarly, people outside should not directly upgrade any hospital in Hunan Province to the provincial level.
Internally there is competition, and there is no progress without competition.
If there is struggle outside, then progress is slow and that means regression.
If there is no competition, then it is impossible to compete with others outside.
Although I know this, it is quite unkind to dig a hole for the Second Hospital of Hunan University at this time, and this hole also involves an academician.
If you are an academician of our school, then if you talk to him privately, nothing will happen.
They are academicians from other schools. If this is not done well, it will affect the relationship between the two schools.
Academicians, even at the highest universities in China - Huaqing University, Kyoto University, and the University of the Chinese Academy of Sciences, are still treasures and cannot be obtained casually.
After seeing this slide, Professor Zhu’s expression changed slightly, and then he immediately said:
"Professor Dong, I'm just discussing the matter."
"Because according to the guidelines and all current clinical and statistical evidence, joint replacement is more suitable for patients with joint infection than joint fusion, even for joint tuberculosis."
“The suggestions given by Academician Zeng are Academician Zeng’s personal thoughts!”
"You still haven't answered my question directly."
Professor Zhu’s voice is still full of energy.
But in fact, what I added later is not enough to alleviate the current embarrassment of others.
Dong He could naturally tell from the expressions of other people present that they were not very satisfied with Zhu Jinshan's answer.
So naturally, he answered very easily: "I would like to answer Professor Zhu from the following two aspects,"
"First, as I said before, we have fully explained the related risks and complications to the patient and his family before joint fusion, and the patient's family chose joint fusion on their own."
"Second, we must also consider that the patient has undergone multiple surgeries and the financial affordability of the patient's family is limited. Under this premise, I think it is understandable that the patient will choose joint fusion once and for all."
"So, that's what we did."
Dong He didn't mention anything about the academician consultation, but only answered from the side, which seemed to give Professor Zhu Jinshan enough face.
But in fact, he just didn't want to be known as someone who deliberately bullied people under the guise of academician consultation.
Even though he had already done this in reality, this was the reason why he put the consultation opinions later.
At this time, Professor Zhu Jinshan suffered a direct loss.
However, just as he stopped talking, Professor Xu suddenly raised his hand.
Professor Song from the Second Hospital of Xiangnan University gave a lecture in person today, and Professor Xu, an old teacher from the Affiliated Hospital of Xiangnan University.
He was not a speaker, but had always been an observer. At this time, he took the initiative to raise his hand.
Professor Song didn’t raise his hand. It’s hard to raise his hand because Professor Song is Professor Zhu’s senior teacher!!~
A person from a hospital is helping to show off, and everyone can see that there is a commotion in the family. Is this orthopedic annual meeting a family affair?
Professor Zhu happened to have a chance to change the topic and immediately said: "Professor Xu, please speak."
Professor Xu stood up. His body was slightly stronger than Professor Song's, and his tone of voice was also richer:
"First of all, I'm not here to ask questions."
"Second, no matter what experts or academicians they are, they must have the most sufficient evidence before they can perform surgery."
"In your case, no matter what the situation is, joint cleaning and revision are the best options. Even if Academician Zeng is standing in front of me now, that's the truth."
"Of course, this issue will come to an end here for the time being! The reason why Academician Zeng suggested this is that he must have a reason that he knows and we don't."
After Professor Xu finished speaking, he sat down.
These words immediately silenced the audience.
If we say that among the older generation, Professor Song is the professional master!
Professor Xu is definitely unparalleled in academic and professional fields, and no one in Hunan Province is second to him. He is also very important in the country. He was once the closest to the academician hall.
But close is close.
Originally, Professor Xu had a good chance of being elected as an academician and becoming one of the top people in the country. However, due to other reasons, he was only nominated as an academician.
But to be fair, even an academician would be quite polite to Mr. Xu. This is a sign of respect for his professional and academic contributions.
Dong He could only smile bitterly.
His little tricks were of no use in front of Professor Xu. Not to mention that Professor Xu just said such things, even if he said that Academician Zeng did something wrong, what else could Academician Zeng say after hearing this?
After all, if we follow the most rigorous approach and do not consider economic factors, then what Professor Xu said is right.
Moreover, now that the joint has been fused, it may relapse again.
Dong He's helpless expression was also what everyone was thinking.
No, I just dug a hole for Professor Zhuang to jump into, and he was immediately fished out by Mr. Xu. All the fire was drawn to him. I have to say that with such a treasure, it is really ahead.
No matter what I do, I feel very at ease.
It seems that there is nothing more than bullying.
Of course, Dong He would not say these words to anyone else.
Professor Zhu Jinshan looked happy to have survived the disaster and quickly answered the question: "Thank you, Professor Xu, for clearing up the confusion."
"Now, let's continue the meeting and follow the process. If others have questions, please put it aside for a while and wait for Professor Dong to finish introducing the whole case."
However, when Zhu Jinshan said this, he suddenly saw two people standing up in the audience at the same time.
Surprisingly, it was Liu Yiping and Luo Yun, and they were both ready to reach out for the microphone.
But after hearing Zhu Jinshan ask Dong He to continue introducing the case, he slowly sat down!
But although Liu Yiping and Luo Yun both sat down, Zhu Jinshan still felt a little uneasy.
Who are Liu Yiping and Luo Yun?
One is the eldest disciple of Academician Zeng Diwei, and the other is his core disciple. What did he just pick? Will the big words that Professor Xu just said cause trouble?
Zhu Jinshan looked at Dong He, and his heart began to tremble——
Did Dong He know in advance that Professor Liu Yiping would come to Shashi?
Or did they know Luo Yun’s true identity in advance?
Today's second half session, I'm afraid it won't be a good finish!
…
Zhou Cheng saw Luo Yun sitting down and his body was trembling slightly, because he had never seen Luo Yun's expression so formal before.
Are the gods going to fight?
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