After saying goodbye to Yang Yifeng, Yang Yifeng arranged his own time, and so did Zhou Cheng.
After returning to the rental house, Zhou Cheng found his notebook, which was filled with dense writing. However, Zhou Cheng still opened a new page and wrote down a sentence.
If all scientific research results cannot be applied clinically, then the scientific research results are false.
Then Zhou Cheng wrote another sentence: Apply what you have learned.
After Zhou Cheng finished writing, he sighed in a low voice: "To realize my skills, my own accumulation is too narrow. The road to go is still too long and too difficult."
He has no shortage of good stuff, but the development and promotion of open reduction and internal fixation with this small incision will take a lot of time, and it will be much more difficult than him simulating this skill.
In the past, Zhou Cheng thought of this problem simply, thinking that he only needed to come up with the theory.
However, considering that Yang Yifeng had been studying alone for so long and still not making satisfactory progress, Zhou Cheng knew that he should not be too optimistic about this kind of thing.
Thinking of this, Zhou Cheng flipped forward a few pages in his notebook and found a note.
What is recorded here is Zhou Cheng’s thinking on the applicable modes of the simulator, while this article records how to teach students.
The only path for a professor's growth is teaching. If you are unable to take on the teaching task, just be the chief physician of a department as soon as possible, so as not to harm the students.
A good academic master or even a great scholar may not necessarily be a good teacher.
Not everyone is Yang Yifeng, so this thing still needs to be used.
Who stipulated that the use of the simulator can only be used for one's own learning and not for teaching? Zhou Cheng has a lot of tricks in his head, but he is more willing to improve his own strength when it is not necessary.
No simulator times will be wasted.
Three times a day seems like a lot, but if you want to extend your skills to other departments, it actually doesn’t add up to much.
Let's slow down the progress of his own learning first. Zhou Cheng once again made a major decision and temporarily shelved the basic anatomy theory (creation-incomplete).
The progress of surgery to improve fractures is quite difficult. It is not appropriate to bring out something like this that subverts the basics now. You may have to wait until you have students to start working on it slowly.
…
In the evening, An Ruo finally had time to make an appointment with Zhou Cheng for dinner. Zhou Cheng was free, so he lit up the restaurant he had booked. When he saw An Ruo coming, he asked, "How are you? Are you busy today?"
An Ruo put down her white shoulder bag, calmed down her down jacket and sat down: "It's okay, it's about the same every day. The volume of patients in the No. 9 Hospital in Modu is not comparable to that in the Eighth Hospital. Today there is a patient who almost died.
Fortunately, Teacher Su is stable."
"What's wrong?" Zhou Cheng asked hurriedly.
In surgery, surgery depends on surgery, and life-saving depends on anesthesia.
"Myocardial infarction occurred during the operation. The operation was temporarily suspended and thrombolysis was performed immediately..."
Speaking of this, An Ruo put on her apron immediately when she saw the hot pot: "The final result is good. Let's not talk about it anymore. What I actually want to express is that the skills an anesthesiologist needs to master are not just good anesthesia.
"
An Ruo spoke casually and was obviously much more confident than before.
Zhou Cheng's expression changed and he said, "Then let's eat first."
After the two of them finished the hot pot and sat down to rest, An Ruocai secretly touched his belly on the table with a sense of guilt, glanced at Zhou Cheng slyly and asked, "How is your project going? Nothing.
I heard you talk about it."
In fact, An Ruo wants to ask, don't you think your steel plate approval process runs very quickly?
"The progress is going well. I have also obtained the authorization for surgery. The professors who came to participate in the evaluation last time are also very interested. Now Professor Xue Xiude and Professor Yu Qiuhua are searching for suitable cases. Now we are waiting for the formal clinical project to start.
"Zhou Cheng concluded the matter briefly.
An Ruo was a little disappointed, but she didn't want to show off: "That means the progress is going very smoothly. Congratulations, senior brother."
Zhou Cheng obviously knew that An Ruo was helping secretly, which was one of the reasons for today's meal. He smiled and said, "Thank you for your help too. Zhang Zhengquan said that someone secretly helped, so I guessed it was you."
.”
An Ruo was slightly startled, fearing that she would frighten Zhou Cheng and cause misunderstanding: "Actually, my brother happens to work in Shanghai and has some acquaintances."
She tried her best to throw away the sense of importance she had hoped to have before, otherwise it would be bad if Zhou Cheng gave up due to difficulties. After all, no one in her family had such intention.
"Senior brother, is he still in the hospital?" An Ruo changed the subject again.
Zhou Cheng nodded and said: "Yes, I am currently temporarily serving as the chief resident of Professor Xue Xiude's group, but in fact I have nothing to do. The main tasks have been taken over by Teacher Mao Yuxuan."
"That's good for you to get some more rest. Senior brother, you were very busy yesterday." An Ruo comforted her.
She knew that Zhou Cheng actually wanted to participate in clinical work, and he was more suitable for clinical work. But thinking about what Zhou Cheng had done recently, maybe Zhou Cheng's thoughts and ideas had changed again, and An Ruo was also thinking that he had
There's nothing you can do to help.
It's just that Zhou Cheng's current level of contact is a bit out of touch with her, so she has to rush before she can say this.
"Moreover, this is the Ninth Hospital of the Magic City, and the chief resident is very busy with work. If they wanted to, they would rather get rid of everything. Maybe Teacher Mao Yuxuan thinks that you should do more on other things, so he did it for you.
I took care of all these chores." An Ruo comforted her again.
Zhou Cheng actually felt that it was okay. He had experienced the situation of loud thunder and small raindrops more than once. Last time, he thought that Lu Qianzhou would give him a chance to show off his ambitions, but when the critical moment came, he did not appear.
It's still the same this time, and it's okay.
With no background and no foundation, if you want to start a career, you have to work hard. Zhang Zhengquan's family has a lot of money, but it is still very difficult to start his own business.
Zhou Chengcheng asked: "An Ruo, do you need help? For example, if you encounter any problems or something, or something else."
An Ruo didn't take the initiative, and Zhou Chengcheng didn't use An Ruo as a simulation object in the simulator.
It's just that the last sentence is actually not what he wanted to say. It's the passive skill that comes with it...
An Ruo blushed and shook her head: "No, senior brother, I have been too full recently. If I add a few more things, I will explode. Your things are already very troublesome."
"If I have a problem that I can't solve, I will definitely tell you about it."
An Ruo thought Zhou Cheng had noticed his menstrual period, but she gradually became bolder.
Zhou Cheng didn't dare to talk anymore. He had too much contact with An Ruo. Who knows when he would say something rude again? After being in the operating room for so long, whether it was meat or vegetables, or how to speed up, he would always learn a lot.
…
Zhou Cheng thought he could plan the next steps carefully. However, after he returned to the rented house, he unexpectedly received a call from Professor Xue Xiude.
Xue Xiude invited him to dinner. Zhou Cheng had already eaten, but after all, he was still under Xue Xiude's group, so he said, "Okay, Professor Xue, I'll be there soon."
When I took a taxi and came to the box that Xue Xiude mentioned, two people, Xue Xiude and Chen Shengwu, were sitting inside. Looking to the side, I saw that Mao Yuxuan, Associate Professor Gu Zhongliang and others were not there.
Zhou Cheng was a little confused about what Xue Xiude wanted to do.
Professor Xue Xiude can drink, but is not good at wine, but today there is still a bottle of wine on the wine table. It is one of the specialties of Zhou Cheng's hometown - Drunkard.
Chen Shengwu stood up immediately and said, "Zhou Cheng, just call me by my name. We are about the same age. You can call me Chen Shengwu or Xiao Chen."
Xue Xiude ignored the issue of address. This was a matter between Chen Shengwu and Zhou Cheng. He only greeted Zhou Cheng and said: "Xiao Zhou, come and sit down. There are only three of us today. Let's drink as much as we can.
Don’t encourage drinking.”
“My friends have recommended this Hunan cuisine restaurant before, but I have never tried it here because of the taste. It’s time for you to comment on whether it is authentic or not.”
Zhou Cheng sat down generously. In a society ruled by law, he was not afraid of Xue Xiude selling him out.
After the three people touched each other first, Xue Xiude invited Zhou Cheng to eat food. After eating for a while, Xue Xiude got to the point.
"Xiao Zhou, I called you here in private today because I actually wanted to ask you a favor."
"I have had a private chat with Chen Shengwu. He is also quite interested in the fracture reduction technique you shared before. However, Chen Shengwu's qualifications are average, so you may need to put more thought into it." Xue Xiude said slowly.
He said swallowingly, his eyes sincere.
Hearing this, Chen Shengwu immediately stood up and raised his glass to Zhou Chenggong.
Zhou Cheng sighed in his heart, this guy is a teacher, not a so-called cheap teacher. In the past, when Cai Dongfan and Luo Yun were here?
But then Teacher Zeng Diwei, today's Gui Yuanping, or I don't know if Lu Qianzhou is a teacher, these people are all?
Zhou Cheng didn't even know if his choice was right, but now that he had reached this point, he could only bite the bullet and go outside.
Zhou Cheng could only stand up and said with a smile: "Professor Xue, Brother Wu, there are only three of us today, so we won't engage in such courtesy. Otherwise, it would be quite inconvenient to stand up all the time."
When Chen Shengwu heard this, he glanced at Xue Xiude, then slowly sat down, and then drank with Chen Shengwu.
After reading it, Xue Xiude added: "Xiao Zhou, in fact, we all know that the manual reduction of fractures and small incision open reduction and internal fixation are in the same vein."
"But every hospital and even every professor actually has a certain understanding of surgical reduction. Therefore, your previous proposal may not be taken seriously by anyone."
"But I have been in contact with you for a long time, and I believe that your reset method must be different from others. This is true for Chen Shengwu, including Mao Yuxuan in our group."
"I don't know if other professors have contacted you, but Chen Shengwu has this idea, and I believe in you, so I hope you can bring Chen Shengwu along with you."
Speaking of this, Zhou Cheng's eyes rolled slightly, and it turned out to be like this.
The other professors were so indifferent and after becoming friends, the most asked questions were about poaching. They asked Zhou Cheng if he would like to work with them to supervise the project, and Zhou Cheng naturally declined all of them.
Then I tactfully invited them to discuss reset techniques, but no one responded.
Zhou Cheng then replied: "Teacher Xue, thank you for your trust. I will try my best. I have also been with Chen Shengwu for a while. In fact, Brother Wu's qualifications are quite good."
Chen Shengwu's qualifications are naturally good, not much worse than what he is today. Otherwise, how could it be possible for Xue Xiude to pay so much attention to him and put such a table in person?
Chen Shengwu heard this and immediately said: "Master, Zhou Cheng is flattering me, don't believe it, I have always worked hard."
I was struggling in my heart, I have never been lazy, Master, don’t think that I am slacking off just because Zhou Cheng is so powerful.
Well, Zhou Cheng really didn't consider this angle, so he just shut up.
Xue Xiude smiled, obviously he had not misunderstood Zhou Cheng's words. He had other things to do about this matter: "Xiao Zhou, let's just talk about this matter. Chen Shengwu, I will leave it completely to you."
Already."
He didn't know whether Zhou Cheng secretly helped Yu Heng before. However, he felt that he could take a gamble. If Zhou Cheng was really capable, he would make money by bringing Chen Shengwu out. At most, he would only lose time.
That's all.
Chen Shengwu still has a lot of time.
"I just don't know, Xiao Zhou, what are your arrangements and plans for other hospitals? I have heard privately that some people say that the secret to your small incision open reduction and internal fixation is actually yours.
Equipment used.”
"So some people have already begun to search for the source of this device."
"But I think it's definitely not limited to this." Professor Xue Xiude told Zhou Cheng another explosive thing.
Zhou Cheng's scalp was slightly numb.
Damn it, people’s hearts are terrible! Why would anyone think like that?
No wonder Zhang Zhengquan is not free today.
Watching and holding hands are not necessarily the same thing, right?
Of course, after thinking for a while, Zhou Chengcheng understood the key ingredients. Thanks to Professor Yu Qiuhua's attention, the jury that authorized his surgery this time was a bit large.
Not to mention half of the trauma surgery field in China, but one-quarter and one-fifth. Each of these professors are talented and well-known.
Moreover, I have a very strong knowledge base, and I feel that the trick and key part lies in the ingenious design of equipment. And with the support of theory, I don’t want to be manipulated by others. This is a normal thing.
Zhou Cheng's eyes immediately rolled around and he asked in a low voice: "Professor Xue, I want to ask an inappropriate question. If there is a problem with this subject elsewhere, will the progress of this subject in our hospital be affected?
ah?"
Professor level, with a high professional title, it is assumed that you have the ability and strength to carry out the exploration of new techniques, let alone a large teaching hospital of the same level as the No. 9 Hospital of Shanghai?
Zhou Cheng has no control over what others do or think.
However, if it really affects the progress of your project, then it’s a big problem.
Xue Xiude's expression immediately froze, MMP, I knew Zhou Cheng that you still had something to offer, so you asked this question.
However, Xue Xiude could not fully identify this issue. He only said: "It depends on what link caused the problem. If there is a problem with the simple surgical process and you can't get off the stage, that is the professor's own problem, not the problem of the subject."
"But if something goes wrong with the postoperative equipment, it will have a big impact."
"But don't worry, these other professors are all human beings and they have to be very shameless. If something really hurts their feathers, they will definitely call you."
He secretly thought that it was a good thing that Zhou Cheng was in the Ninth Courtyard of the Demon City, otherwise, Xue Xiude felt that he would think so and would not want to be bound by others.
If what Zhou Cheng described really happened, it would be too funny and embarrassing.
"That's good. If it can be placed into the bone marrow cavity in a standard way, there will definitely be no problem. I'm just afraid that the placement process is not that simple."
"Of course, whether it is correct or not, the evaluation criteria are already there. You can see the pictures during and after the operation. I believe that other professors' abilities and operating techniques will definitely reach that level." Zhou Cheng could only
Think positive.
I don’t feel particularly guilty for hiding the key.
Of course, I didn’t hide it on purpose, it’s just that there are some things that need to be taught step by step. How can it be possible to cover everything in just two small lessons and make people soar directly on the spot?
Xue Xiude smiled and said meaningfully: "Are you really watertight?"
Chen Shengwu listened a little dull, always feeling that Zhou Cheng and his teacher Xue Xiude had hinted at something, but he also felt that such a hint was a bit unbelievable.
…
Zhou Cheng drank without eating anything, but the amount was not large and he was not drunk at all. However, Chen Shengwu drank more to show his sincerity.
Chen Shengwu did not take a ride back with Xue Xiude, but left with Zhou Cheng. The general idea was to show Zhou Cheng the night view. Although Zhou Cheng had already seen it with An Ruo, it was difficult to refuse.
Halfway through the walk, the heat of the wine dissipated slightly. Chen Shengwu turned around and asked, "Zhou Cheng, are you really hiding something?"
Does this count as a calculation professor?
Zhou Cheng rolled his eyes: "Chen Shengwu, with just a few words, you can learn a technology from a set of theories. Do you believe this?"
"But don't worry, during our communication, I will definitely explain everything I know in detail and slowly."
Chen Shengwu hurriedly explained: "Zhou Cheng, you misunderstood me."
Zhou Cheng didn't say anything more, and Chen Shengwu didn't dare to dwell on this sensitive topic. Because after thinking about it carefully, Zhou Cheng didn't do anything wrong, he just looked at what other people would choose.
Recalling the conversation between his teacher and himself, Chen Shengwu gradually understood that this is the benefit of relying on mountains and rivers, and there is no need to worry.
Then Chen Shengwu went on to say something else: "Brother Zhou Cheng, by the way, my master asked me to come with you for a walk. He told me that I wanted to tell you something."
"A student of Academician Zeng Diwei, Senior Brother Luo Yun, left the Magic City and said he was going on a study tour. But I don't know whether he was in China or abroad."
Zhou Cheng turned his head and stopped.
Chen Shengwu was suddenly a little frightened by Zhou Cheng's eyes, and did not dare to look at Zhou Cheng: "My teacher just mentioned it casually, and Teacher Zeng Diwei knew about it."
Zhou Cheng breathed a sigh of relief. If we say that there are only two people who are his most important teachers now, one is Cai Dongfan and the other is Luo Yun. These are people who are really good for him.
Luo Yunyou was obsessed with studying for a Ph.D., and after coming to the Magic City, he was much happier than before. Since Teacher Zeng Diwei knew about this, Zhou Cheng would stop fooling around.
Then Zhou Cheng suddenly asked: "Brother Wu, do you think a place as big as the Demon City can accommodate ordinary people like us?"
Chen Shengwu looked at Zhou Cheng strangely and said with a smile: "I am an ordinary person, but Zhou Cheng you are not. It should be okay. If you can stay in the hospital and save money hard, if two people have to bear the mortgage,
You can give it a try."
"But I guess I don't want to stay here and work hard. I'm from Yun Province. It would be great to go back and settle down directly in the provincial capital without any pressure."
"But I think Brother Zhou Cheng, you can definitely give it a try."
It is almost impossible for Chen Shengwu to compete for the opportunity to stay in the hospital in Shanghai. He has known this for a long time, so he has never made arrangements. However, Zhou Cheng can definitely do it and there are many choices.
But in fact, Zhou Cheng didn't mean this. It's just that Chen Shengwu didn't understand what he said. But he didn't care. Asking Yang Yifeng such a question was useless. Yang Yifeng could stay in the magic city now, as long as he
willing.
But Zhou Cheng's own circumstances were different from theirs.
"Oh, by the way, Brother Zhou Cheng, Brother Mao also asked me to tell you something." Chen Shengwu said suddenly.
Why do you talk so much? Are you a crazy talker?
Chen Shengwu didn't show off: "Brother Mao said that because he and I both have to start learning manual reduction, and Brother Cao also has to start learning, but there are four general residents in the department, and the number of patients is far from enough."
"Brother Mao and Brother Cao said they want to go to grassroots community hospitals to find some cases, and they want to ask Brother Zhou Cheng if you have time."
The patients with fractures are indeed scattered. Chen Shengwu may be arranged to go to the prefecture-level city hospital by then, but Mao Yuxuan and Cao Lin are gone. That will not work. There is no chief steward, Professor Xue Xiude and Professor Yu Qiuhua on the team
It will be messy.
Zhou Cheng frowned. His time was already very busy. But again, if there is no way to monetize skills and scientific research, then all the existing ones are fake.
After thinking about it again, he replied: "Look, the cases of fractures are quite scattered. You may not be able to spare any free time during the working day, but you can only find it on the weekends."
"I'll talk to Teacher Mao and Teacher Cao then."
Chen Shengwu hurriedly said: "No, no, brother Zhou Cheng, I'll just go and explain."
In a teaching hospital, you seek advice from others, and you have to lead your tutors here and there. Do you think others have no students? No, there are many students.
There are many people with talent and strength.
…
Zhou Cheng said goodbye to Chen Shengwu and had just returned home to take a shower when his cell phone rang at an inappropriate time. It was not a phone call, but a voice call on WeChat.
When Zhou Cheng quickly took a shower and walked out, the voice phone rang three times in a row.
At this time, the sound was still ringing. Zhou Cheng wiped his head with a towel and answered the call: "Hello, Professor Li. I was just taking a shower."
The caller was Professor Li Xuande from Renji Hospital affiliated to Jiaotong University in Shanghai. Li Xuande is not only the director of trauma surgery, but also the chief director of orthopedics.
Li Xuande's tone was quite awkward: "Xiao Zhou, I'm really sorry to disturb you so late. But we have indeed encountered difficulties. So?"
"Can I trouble you to come to our hospital? I have arranged a car to arrive at your downstairs." Li Xuande's voice was very low, and it was mixed with breath. He was probably talking while holding it.
When Zhou Cheng heard this, his back calmed down for a moment.
What Xue Xiude said is right.
But Zhou Cheng didn't expect that the first call would come in today.
However, Zhou Cheng was in a dilemma now. He rubbed his hair violently and said, "Professor Li, I drank wine tonight and cannot go on stage."
Drinking on stage is a taboo for surgery, as it is seeking death. There is absolutely no way Zhou Cheng would use his own future as a bet just to wipe Li Xuande's butt.
Li Xuande was stunned for a moment, and then explained: "Xiao Zhou, you must have misunderstood me."
"This patient didn't ask you to come on stage. It's just that the patient made certain requirements for subsequent surgery and recovery, so I thought of you. But right now, we haven't thought of a better solution."
"So, can you please come over and help me refer to it?"
"It's just for reference by our internal staff. Oh, by the way, Professor Liu Zhibin is here too."
Well, it's not bad that Li Xuande hasn't started the show yet, instead of calling him on the stage to call for emergency services.
"Professor Li, as long as it doesn't violate the principles, there is no problem." Zhou Cheng breathed a sigh of relief.
"That's natural. Normally, you wouldn't call for an emergency consultation at this point, unless it's an unexpected situation." Li Xuande suddenly explained.
…
Zhou Cheng got dressed, went downstairs again, and found the car that Professor Li Xuande had mentioned at the gate of the community. It must have been parked for a while, and the driver was 'confronting' the security guard at the gate.
After Zhou Cheng got on the bus, he politely said to the security guard: "I'm really here to wait for someone, just look at it. Thank you."
Then in a flash, he stepped on the accelerator and left.
The driver didn't say much after getting in the car. He simply introduced himself and told Zhou Cheng that he was from a certain equipment company and hoped that Mr. Zhou would take care of him in the future. It was a casual connection.
Zhou Cheng didn't talk to him much. He just brushed his teeth before going out and wore a mask. There was still a slight smell of alcohol, but it didn't affect Zhou Cheng's thinking.
Arriving at the underground garage of Renji Hospital, Zhou Cheng pushed the door open. The driver then took the initiative to take Zhou Cheng to the elevator, helped press the button for the trauma surgery floor, and said, "I won't go up, I have to go to the operating room first and wait."
With."
Zhou Cheng didn't say much. In fact, emergency surgery is not only tiring for the doctors in the hospital. The equipment dealers also have to temporarily adjust or mobilize surgical equipment based on the patient's condition.
However, Zhou Cheng was sure that this operation would not be very simple, otherwise Professor Li Xuande would not ask him for help.
After getting off the elevator, Professor Li Xuande probably received the message from the driver, so he waited at the elevator door and quickly led Zhou Cheng to an office.
There were not many people in the office, perhaps because Zhou Cheng was drunk, and there were only four people including Zhou Cheng and Professor Li Xuande.
On the large PPT screen, there are photos of the patient's lower limbs and imaging photos.
Professor Liu Zhibin and an associate professor under Professor Li Xuande's group were discussing in detail there, and the content was more about the issue of amputation or not.
Li Xuande said: "Xiao Zhou, thank you for your hard work. I asked you to come here today because I heard the problem of muscle and tendon reconstruction that you and Yu Heng talked about during the day."
"You see, this patient's lower limbs were damaged, and the muscles and tendons were seriously injured. The fractures were also multiple and multi-segment comminuted fractures. Professor Liu Zhibin and I have already considered the issue of fracture reconstruction."
"But for this damage to the hip joint, if we fix the fracture, can the subsequent soft tissue be rescued? Is there any significance in performing limb salvage surgery on this patient?"
Limb salvage surgery is an eternal topic in trauma surgery. When destroying an injury, the first consideration is whether to salvage the limb, and then whether the limb salvage is good or not.
Seeing Zhou Cheng and Li Xuande come in, Professor Liu Zhibin did not move. The associate professor smiled at Zhou Cheng very kindly. Both Liu Zhibin and Li Xuande valued Zhou Cheng very much, and they had to call him in so late. He did not think it was because Zhou Cheng was young.
Just despise it.
He did not attend a small academic conference yesterday, but had other personal matters. He was on duty at the second-line consultation class today. The first-line chief resident felt that he could not handle it, so he called him. He also called Professor Li Xuande to the department.
Zhou Cheng's expression flickered a few times and asked: "How is the patient's blood supply currently?"
Zhou Cheng has not encountered such exaggerated injuries for a long time, mainly because he has been away from trauma surgery for a long time.
Blood is the source of life. Without blood luck, everything is empty talk.
"When Xiao Fu was undergoing debridement just now, the news came that the blood supply was okay, but the damaged muscles were crushed to the point of necrosis. Should they be removed? If so, should they be removed?"
"Then from the upper edge of the knee joint to the middle of the femur, more than half of the posterior tibial muscle group needs to be removed. With such a large soft tissue gap, there is absolutely no way to recover after the operation. He has discussed the need for amputation with the patient's family."
"But the patient's family wanted us to fight for it, and they were very sincere, so I tried my best to find a way." Li Xuande said.
Xiaofu is probably hospitalized for the total time.
Zhou Cheng pondered for a moment, then smiled and said: "Professor Li, Professor Liu, I'd better listen to your opinions and opinions first, and then if you know something, I'll ask for advice, but maybe I'm here to listen to the case analysis class."
This is not only Zhou Cheng's modesty, but also a way to position himself correctly.
Obviously, this kind of damage is completely different from the damage Zhou Cheng has seen before. It is more serious and cannot be solved with just a few words. How to fix the fracture? What do Liu Zhibin and Professor Li Xuande think? After he knows
, then you can decide whether to push more.
You won't just get the authorization for a new technique, and then others will think it's very good, and you will float to the sky with a few words of flattery, and then even Professor Liu Zhibin and Professor Li Xuande will not take it seriously.
This is something only idiots would do.
Professor Liu Zhibin quickly explained the ideas compiled by him and Professor Li Xuande. If this patient needs to have limb salvage, the problem of soft tissue preservation must be determined in the first stage, and then the fracture will be temporarily fixed. In the second stage, we will find a way to repair the fracture.
Anatomical reduction and fixation.
Soft tissues do not support the lower limbs, and bones are the main source of support. But soft tissues are more important than bones, because soft tissues, that is, muscles and nerves and blood vessels, determine whether you can move when your bones are connected.
Key ingredients.
Zhou Cheng probably understood the specific situation of this patient after listening to it. The complexity was far beyond his imagination.
Muscle necrosis, nerves and blood vessels have been crushed, and nerves and blood vessels may need to be transposed and temporarily replaced. Subsequent muscle reconstruction, tendon transposition or even tendon transplantation may be required.
"Does Xiao Zhou have any other ideas?" Li Xuande asked.
If you call Zhou Cheng over, you will naturally not ask Zhou Cheng to attend the lecture. Even if Zhou Cheng doesn't say anything, you still have to ask and you won't suffer any loss.
After Zhou Cheng's eyes flickered, he said: "Professor Li, Professor Liu, I have an idea that is not very mature, because the damage to the soft tissue is too serious, that is, only the soft tissue will be preserved in the first stage, and then the bone connection will be done depending on the situation.
"
"Skin problems must be looked at later based on the specific situation. This may require multiple surgeries, but gradually reducing the difficulty of the surgery is a better idea."
"It's very difficult to save soft tissue in such a damaged condition in the first phase."
Zhou Cheng looked at the muscle tissue inside and found that it was basically rotten. And it had to be done in the first period. He could do it, but he couldn't go on stage after drinking.
Li Xuande immediately understood what Zhou Cheng meant. At this critical moment, there was not so much flattery: "Xiao Zhou, I understand what you mean. You are gradually reducing the difficulty of the operation. This idea is advisable."
"But for this soft tissue-preserving surgery, it is difficult to answer the question of who will do it and how."
"With such severe crushing, the blood vessels inside may not be in good condition. It would be difficult to find and suture them one by one."
"And I also asked the vascular surgery department. They can only talk about connecting large blood vessels, but small blood vessels, such as the nutrient arteries of muscles, are almost impossible to operate. We have to do it in the orthopedics department.
.”
In vascular surgery, there are not enough operations on large blood vessels, and there is basically not enough thought to deal with the problems of small blood vessels. Otherwise, people will be exhausted. This is a big gap in vascular surgery...
Zhou Cheng immediately thought of asking Yang Yifeng, but he quickly gave up the idea. Due to special factors, Yang Yifeng was not easy to contact with vascular surgery cases, so he was afraid of being touched by the situation, so he asked him to complete such a big task.
The task is a bit cruel.
But apart from Yang Yifeng, Zhou Cheng's connections in the Magic City are quite limited.
There is no other way to think of it, so it’s better not to act blindly for the time being.
When Li Xuande saw that Zhou Cheng was silent, he asked, "Xiao Zhou, can you rest nearby today? You are drunk now, but we should be able to rest and lay out the muscle bed in the early morning."
"When the time comes for you to come on stage again, do you have a certain degree of confidence?"
"This child is a college student. He was injured in an accident. There is no need to consider the money issue. However, if he loses a leg, it will still have a great impact on his future life."
Hearing Li Xuande's words, Professor Liu Zhibin had no reaction, but the associate professor next to him was stunned. Li Xuande wanted to hand over such a critical and difficult operation to Zhou Cheng?
What do you think of this?
Li Xuande's suggestion is a reference.
After being drunk, there will be a time for metabolism, and by early morning, it can basically be metabolized completely. However, this will affect Zhou Cheng's normal work at the No. 9 Hospital of Magic City tomorrow.
After thinking carefully, Zhou Chengcai smiled and said: "Professor Li, I don't dare to speak nonsense about the word confidence. I can only say that you can try your best."
Don't talk too much, this is the rule of the world.
When Professor Li Xuande and Professor Liu Zhibin heard this, they each glanced at Zhou Cheng, with a glint in their eyes.
It seemed that he was waiting for Zhou Cheng's words.
Then, Zhou Cheng was arranged to go to a nearby hotel to rest, and he was told that Zhou Cheng would be called by then.
…
Zhou Cheng fell asleep around ten o'clock in the evening, but when the phone rang, it was already three o'clock in the morning.
When Zhou Cheng rushed to the operating room again, Professor Liu Zhibin was no longer in the operating room. Then he heard Professor Li Xuande say that Professor Liu Zhibin had landed in the early morning and was going home to rest.
Well, Professor Liu Zhibin and others can only stay until Monday at most, as they all have their own things to do. But Associate Professor Zou Xingkong is the most free.
After he sobered up, Zhou Cheng put on his clothes and came to the operating table. After carefully looking at the wounds on the operating table, he breathed a sigh of relief.
I still think a little too much, how could Professor Li Xuande's team not even be able to lay down debridement and muscle beds? However, the more critical point is whether these muscle beds can be preserved.
After Zhou Cheng came on stage, Professor Li Xuande said thank you for your hard work, and then took the initiative to give up the position of the surgeon.
The associate professor of the first assistant became the second assistant, the chief resident of the second assistant became the third assistant, and the surgical doctor of the third assistant went to the fourth assistant to play with "sterile instruments" and had no time to give him.
Several people looked at Zhou Cheng, and Professor Li Xuande comforted him and said: "Xiao Zhou, don't feel any psychological pressure. The patient's family members have arrived in Shanghai in time, outside the operating room. We have already communicated with the patient's family members. The worst is
Even amputations are acceptable to them."
"It's just that we still hope that we can give the patient hope. If we can save a leg."
"Well, let's do our best." At this time, Li Xuande stopped showing off his feelings.
Although the former Li Xuande was Zhou Cheng's authorized judging expert, he actually did not see many of Zhou Cheng's operations on anatomical structures. Zhou Cheng's operations were too arrogant, so it was not possible to see Zhou Cheng's basic skills in this area.
However, after Zhou Cheng pinched the instrument specially brought by Li Xuande from the hand surgery department, his eyes immediately widened and he understood!
The bet to invite Zhou Cheng over this time was the right one.
I saw Zhou Cheng very skillfully using small surgical vascular tweezers and vascular clamps to penetrate into the muscles. It seemed that the size of the extremely small blood vessels was not a problem at all in Zhou Cheng's field of vision...