Chapter 223 De-theorizing(1/3)
Chapter 223: Go theorizing! (Please subscribe!)
There are red flowers and green leaves, but whether it is the Department of Orthopedics at Kyoto University School of Medicine or the Third Affiliated Hospital of Kyoto University, when have they ever been green leaves for others?
Therefore, Gui Lao's words made Zhou Cheng and others panic.
This is not a good compliment, nor can it even be regarded as flattery, and it is just a one-sided attempt to attract hatred. Zhou Cheng and others did not even have an adult to answer the conversation, so they could only listen to what Gui Lao said throughout the whole process.
It's hard for them to interrupt.
Immediately afterwards, Zhou Cheng and others saw that the onlookers began to be unconvinced one by one, but perhaps because Gui Lao, Pin Lu and others were still there, they restrained themselves a little.
Otherwise, someone will definitely come up and beat you right away!
Why?
No one in my family could eat my own cabbage, it was all eaten by others. It turned out to be a guest, and I have never seen a guest squatting on top of his head to shit...
After a long time, when Mr. Gui finished speaking, he was actually just trying to attract hatred.
Zhou Cheng and the other five people all bowed down in a polite manner. Starting from Zhou Muyun and continuing to Zhou Cheng, the five people introduced themselves in a formal manner, and then performed the apprenticeship ceremony to all the superior doctors from Peng Peng and above.
Then he lowered his seniority in a flattering manner to doctors and graduate students, hoping not to be targeted.
Although Zhou Muyun's move was a bit undermining the suspicion that Gui Lao and Pinlu had set up for them before, he didn't say much. I guess they didn't take their words seriously, and they probably hoped that Zhou Muyun and others would take them seriously.
If I take my words seriously, I really feel that I am awesome.
However, the reason why it is not easy to really put five people on the stand is because after all, Zhou Muyun and Zhen Xing are local students in Kyoto. One is from Hexie and the other is from Jishuitan. If you beat the younger one, the older one will be better soon.
Come, then there is no need.
After Zhou Cheng and others had introduced themselves, it was the Kyoto University students' turn to introduce themselves. However, at this time, Gui Lao said again: "Forget your names, there is no need to introduce them. You are not famous or famous."
special."
"For the next surgery, you should take a closer look from beginning to end to see how others perform surgery, how others learn, and what the gap is between you and them."
After saying that, Mr. Gui turned his head and looked at Zhou Chengdao: "Let Dr. Zhou perform the surgery for you casually."
Mr. Gui was the first to point at Zhou Cheng 'casually'.
Seeing what Gui Lao pointed out, Pinlu and others who knew what was going on began to mourn and pity the students in their department.
This Zhou Cheng doesn't look very 'serious' and has a lot of hidden abilities.
Zhou Cheng was stunned for a moment and looked at Peng Peng and Mo Chengkong. Peng Peng stood up and explained: "The surgery Zhou Cheng performed before was the most difficult among the five of you. Therefore,
This surgery is an extra surgery.”
"You should have no objections to Zhou Cheng being the surgeon, right?"
There is nothing wrong with Peng Peng's words. In terms of the difficulty of the operation, the transposition of the biceps tendon and supraspinatus muscle performed by Zhou Cheng was the most difficult.
Under such circumstances, Su Min was too timid to perform the surgery.
It was Zhou Cheng who rose to the challenge. Under such circumstances, it would definitely be no problem to have more than one surgeon.
Zhou Muyun and Zhen Xing raised their hands at the same time: "Teacher Peng, I apply to follow Zhou Cheng on stage."
Zhou Muyun's hands are very tall and strong, and they don't look much taller than Zhen Xing.
After Zhou Muyun and Zhen Xing said these words, Su Min looked very alert and said sharply: "Teacher Peng, follow the previous team allocation."
"Zhou Muyun and Zhen Xing were in the same group as the teaching teacher, so they took advantage!"
“You can’t always take advantage!”
A smart person will be very keen to catch any calculation that is beneficial to him. Whether he can trust it or not depends on whether it is worth it.
Everyone knows that Zhou Cheng's operational ability is very strong, but they all hope to be on the same stage with Zhou Chengduo, study at a close distance, and be able to notice more details.
Zhou Muyun and Zhen Xing were already on the same team as Peng Peng and Mo Chengkong, and they wanted to come to Zhou Cheng's place to compete in the autumn wind. How could they agree?
Yu Hengze said: "Teacher Peng, neither Su Min nor I are tired."
Another possible loophole has been filled, and all suspicious roads have been blocked.
In fact, when Yu Heng and Su Min said this, they didn't notice that they had actually regarded Zhou Cheng as a very important figure in the small team, even as a backer.
Peng Peng waved to Zhou Muyun and Zhen Xing: "The operation has begun, follow the rules..."
Yu Heng and Su Min immediately stood at the first and second assistant positions, helping to put the patient on the operating table and do pre-operative preparations. It was a great pleasure.
Zhou Muyun and Zhen Xing could only stand aside and watch quietly, knowing that it would be impossible to snatch things from Yu Heng and Su Min through informal means.
They were just thinking secretly, since they couldn't rob them, how could they take their things away through formal means?
…
Around the operating table, Gui Lao, Pin Lu, Mo Chengkong, and a few people whom Zhou Cheng and others did not know or were familiar with for the time being, gathered around and pointed.
There are also a large number of students who are thoughtfully there.
Even because they lost the pressure from Gui Lao and others, there were already whispers.
"Brother, are all these people awesome?" asked a junior who seemed to have just joined the department.
"Very good!"
This is the answer.
No matter how reluctant you are to admit what Mr. Gui said, one fact is certain, that is, the strength of Yu Heng and others cannot be matched by ordinary people in the department!
Even Teacher Peng Peng may not be much better than their clinical abilities.
And you know, Peng Peng is Corey’s deputy senior professor and doctoral supervisor?!~
The preoperative preparation finally came to an end in an orderly manner, and then it was time for the formal surgery.
The nursing team here is no worse than the team Zhou Cheng met at the No. 9 Hospital in Magic City. They are quite professional and almost always prepare equipment sets one or two items in advance.
Yes, their instruments are arranged in sets, which proves that they are very proficient in the surgical process!
Zhou Cheng was naturally not bad either. Without much verbal communication, he filled the knee joint directly with the syringe, and also left a skin at the surgical approach to avoid excessive blood loss.
These are all small details. The inverted blade cuts through the skin, reaches outside the joint capsule, and bluntly breaks through the joint capsule. Then the cored sheath of the arthroscope directly enters the joint cavity. Under the protection of the arthroscope sleeve, the arthroscope is
The view inside the knee joint was done.
After adjusting the angle, go in and out of the water to disperse the blood stains in the field of vision. The refreshing field of vision makes the surgery smoother.
In all arthroscopic surgeries, the first step is always a microscopic examination.
The arthroscopy equipment here is similar to that in Shanghai. The surgeon can operate the semi-automated equipment to take photos during the operation.
"Synovial folds, medial meniscus rupture, anterior fork rupture, and bone marrow edema are a relatively typical medial triad."
"Let's remove the tendon first."
The diagnosis must be made first. Only after the diagnosis is confirmed can the indications for surgery be determined, and autologous tendon transplantation of the anterior cruciate ligament is required.
Tendon harvesting is also a basic skill. Basically, the parts selected are similar, with the gracilis and adductor muscles selected first, and then braided...
There is a special tendon remover for tendon removal, so the process of tendon removal becomes extremely smooth and silky.
Zhou Cheng basically took out the two tendons in a very short time.
However, the two tendons that Zhou Cheng took out were completely different from the tendons that Su Min took out before. Su Min's tendons carried part of the muscle tissue and needed to be rested.
However, what Zhou Cheng took out was only a very small amount of muscle tissue remaining. This means that the angle at which Zhou Cheng cut the tendons was extremely appropriate, minimizing the damage to the muscles and only removing the tendons.
Describing tendons as thin as cicada wings may be a bit exaggerated, but like a white hairtail fish, it is very appropriate.
The total time to remove the two tendons was less than a minute.
Simply, old and spicy.
…
"Did you see it?"
"This method of removing tendons is cleaner than a butcher cutting meat."
Pinlu murmured: "This is a disaster for how many people have learned this skill?"
Everyone was silent.
Technology is the general term for skills and techniques.
"Skill" is a kind of experience gained through specific practice, and its expression is a series of operational behaviors of practitioners during the practice process!
"Skill" is a summary of certain essentials of the aforementioned series of operations (including the basic procedures of operations and the basic steps of behavior).
In the medical field, whether it is internal medicine or surgery, the real master does not have too many fancy operating skills, which looks thrilling. Even compared with jugglers, the doctor's operations look mostly ordinary.
Nothing special.
In other words, they are just very simple operational skills, but it is such simple operational skills that are often the content that creates miracles.
Techniques are more important than skills. This has always been an unspoken rule in medicine.
Technique, from another level, is a kind of cognition.
Technique is just a manifestation of your technique, a reality or operational manifestation of how you achieve your own cognition, nothing more.
To be continued...