Chapter 264 The sexy operation begins! (Please subscribe!)
Zhou Cheng carefully separated a section of the blood vessel and saw that the shape of the blood vessel was already in a state of severed segments.
Thinking back to the general picture he saw on the ppt before, Zhou Cheng really used his hometown dialect to describe it in his heart.
One leg was numb and torn.
Zhou Cheng had some pain in his head and the operation was temporarily interrupted.
Opposite Zhou Cheng, Li Xuande did not blame Zhou Cheng, but said with a deep heart: "The condition of the blood vessels is very worrying. Maybe our previous estimate of the wound was conservative. The previous blood oozing was not from the muscles.
There is leakage in the blood vessel segment, but this kind of blood vessel segment."
The condition of the blood vessels was not caused by Zhou Cheng's operation. On the contrary, it was very difficult for Zhou Cheng to be able to find the blood vessel segments from the muscle tissue so quickly.
(Note: A little popular science experiment, you can buy pork in every household. There are nourishing blood vessels in the pork muscles...)
"Xiao Zhou, do you want to go out and discuss amputation directly with the family?" Li Xuande quickly calmed down.
They worked hard, and they did their best. From ten o'clock to three o'clock in the morning, five hours were used for debridement, carefully peeling out all the debris inside one by one, and connecting the soft tissue bed.
Well, we also asked a vascular surgeon to suture the larger blood vessels.
But sometimes, hard work may not necessarily lead to very satisfactory results. Learning to face all disasters honestly and letting yourself go is also a kind of salvation for yourself.
When your manpower is limited, there is no need to worry about everything. Even if such a thing falls on you, it will still be the same. When you make things difficult for others, you may not be happy, but others will definitely be miserable.
Zhou Cheng knew that this was not Li Xuande's original intention. If he didn't want to do it for this college student, he would have amputated his leg long ago. However, since he has worked hard to reach this point and everyone has stayed up late for so long, he still needs to work harder.
He raised his head and said, "Professor Li, let's take a look at the specific situation inside. I've only just begun. It's just that you have to work hard for a while."
Li Xuande smiled and didn't care: "It's time to get through it anyway."
At this point, everyone understood what the other person meant and tried their best to make the final struggle.
Then, Li Xuande saw that after Zhou Cheng put the tiny forceps inside again, he took out another blood vessel segment. It was still bloody inside, and the blood vessel wall was broken and rotten.
However, Zhou Cheng did not give up and continued to take out such blood vessel segment tissue from other places.
This crushed soft tissue is really shocking. The blood vessel segments inside are all crushed like this, which is a bit too scary.
Even after Zhou Cheng took out the vascular tissue from three muscles, it was still the same.
Li Xuande felt that it was better to look at it first and not to make things more difficult for Zhou Cheng: "Xiao Zhou, please stop the operation. I will go and talk to the family. This leg cannot be saved. If it is saved, it may be useless."
Recognizing the limitations of modern medicine and knowing how much human power is when manpower is limited is an essential basic skill of modern medicine.
Li Xuande felt that it was better to let Zhou Cheng go. With such an organizational structure, not to mention how to rebuild the blood supply was a difficult problem. Even if it was rebuilt, it would still be a useless leg and could not function.
Zhou Cheng's ability and strength have reached a limit, but this limit cannot reverse the consequences of the current trauma. This is a living and cruel reality.
Li Xuande is the supreme controller of this operation, and he has absolute decision-making power.
This time, it was Zhou Cheng who reached out to stop Li Xuande, who was about to step down, and said, "Professor Li, wait and see, there may not be anything we can do."
Zhou Cheng's mind was spinning rapidly, and then he asked: "Professor Li? Has this patient discussed the possibility of making an incision on the healthy side of the limb before the operation?"
Li Xuande's movement to step down was stagnant, and he asked slightly confused: "Xiao Zhou, what do you want to do?"
As the Chief Director of Orthopedics and the Director of Trauma Surgery at Renji Hospital affiliated to Jiaotong University in Shanghai, it is his goal to bring up the strength of Renji Hospital’s Department of Orthopedics. However, at the same time, Li Xuande has the responsibility and courage that a Chief Director should have.
Not lacking.
He did not personally interview the family members, but he could instruct someone to do so, but he had to know Zhou Cheng's specific ideas first.
"The unaffected limb has rich blood circulation. Even if I remove several arteries, I can still provide blood supply by rebuilding collateral circulation."
"The nutrient arteries we take out can be used as a vascular bed between the muscles on the affected side to provide arterial use. It will not affect the condition of the patient's healthy side and is the best substitute for the nutrient arteries." During the operation,
Don't say too much, but express your meaning appropriately.
Therefore, Zhou Cheng only told half of the story and left the other half in vain.
But what kind of person was Professor Li Xuande? He immediately understood what Zhou Cheng meant. Blood vessel transplantation was a nutrient artery transplantation. Likewise, it was an intramuscular vascular reconstruction.
Vascular arterial transplantation is a combination of blood vessel suturing and cutting, and it is also a variant, and reconstruction surgery is still the same. However, most of the surgeries performed by vascular surgery are on large blood vessels, and there is no time to take into account small arteries.
Such an operation is not difficult in principle, but it is extremely difficult to find such a small artery. Finding the complete anatomical structure requires a lot of patience, and the transplantation process is even more unimaginable.
Such a difficult technique is something people can imagine, but is it possible for people to complete it?
It is theoretically possible to build a tall building that reaches directly into space, lay tiles on the Great Wall, and fill the sea with sand, but the amount of work is huge and requires very detailed micro-operations.
When Zhou Cheng was speaking, the hand of the chief resident standing directly opposite Zhou Cheng shook. He was really frightened by Zhou Cheng's thoughts.
His eyes were a little bulging, and he sniffed inexplicably, and then he immediately came back to his senses, tightened his hands, and looked carefully at the surgical field, for fear that his unnecessary activities just now would cause irreversible damage.
Fortunately, Li Xuande was a battle-hardened man and had seen a lot of things in the world, so he turned to look at the chief resident and asked, "Xiao Fu, have you discussed this before?"
The name of the chief resident is Fu Qiangxue. His Adam's apple rolled up and down twice as he swallowed: "I didn't talk about it specifically, but I told my family that we can't rule out taking bone from the unaffected side for bone grafting."
And tendon harvesting for tendon transplantation."
"If necessary, I can go out and talk again."
This is an operation method that Fu Qiangxue could not even imagine. How could he predict things so well?
The operation Zhou Cheng is proposing now is an impossible surgical technique within theory and outside of operation. Is he a god? Can he predict it.
"Then you go out and talk later!"
"Xiao Zhou, let's make a muscle first to test the possibility and operability. Which one is more suitable to take first?" Li Xuande immediately made a decision.
He is a professor-level doctor. When this patient was brought in, he had no immediate family members and his condition was urgent. Therefore, the chief on duty gave the order to operate immediately. When encountering difficult operations, he has a certain degree of authority to perform operations first and then perform operations.
of.
Otherwise, what should we do if the patient's family members fail to arrive? Naturally, if we don't go out to talk at this time, we still don't want to give too many expectations to the patient's family members, lest they be even more disappointed and have violent mood swings.
Zhou Cheng understood what Professor Li Xuande meant. If you can do this kind of thing, do it. Don't do it.
Since you have such an idea, let's try it first. If it can be established, then go and talk to the family members. If not, just ampute the leg from the thigh and cut it off to save your life!
Zhou Cheng said without hesitation: "Professor Li, otherwise, the impact force of this patient should be from the front, so the vasa vasorum in the biceps femoris muscle at the back may be relatively intact."
"Let's take one of the inner strips and rebuild it to test it out."
The feasibility of the experimental operation of removing the affected side first was below the amputation range and would not cause unnecessary wounds to the patient. Naturally, Zhou Cheng would not embarrass Li Xuande.
"This is the best." Li Xuande took a deep breath.
If the leg is not saved and the healthy side is cut, it is not easy to explain to the patient's family. Although it can be explained that it is an effort to save the limb, it can be avoided and should be avoided as much as possible.
The patient's injury was destructive, and the quadriceps muscle was almost to pieces. This was after being rested, so the biceps femoris muscle behind the femur was naturally exposed.
It was cut by the fractured fragment of the femur and has not been sutured yet. Because the blood vessels in the upper segment are clamped, there is not much blood leakage, but there is also a small amount of blood leaking out of the collateral circulation.
After Zhou Cheng found one of the branches of the biceps femoris muscle, he was not in a hurry to get the blood vessel. Instead, he carefully sorted out and recalled the anatomy, especially the groundbreaking anatomical theory, and then took a deep breath.
tone.
Said: "Give me the sharp knife, please."
Zhou Cheng entered the state, concentrated on it, and no longer paid special attention to the names. He had to put all his energy on his hands and the arrangement of the surgery.
No one cared that there was no title in Zhou Cheng's instructions. Professor Li Xuande personally handed the handle of the sharp knife to Zhou Cheng's hand. Zhou Cheng held it, and then carefully moved it from the broken end position, so that the tips of the knife faced upward.
He needs to find the completed nutrient artery first, and the nutrient artery is very thin and can easily be injured with the tip of the knife pointing downward. At this time, controlling every variable factor will increase the success rate, although one operation is not much.
However, if accumulated, the improvement obtained will be very considerable.
It didn't take Zhou Cheng too long, about a minute, to find the trophoblast artery. Professor Li Xuande knew that there was such a trophoblast artery, but when he usually looked for it, he always found it based on the shape of the artery, from large arteries to small arteries.
I found it this way.
Like Zhou Cheng, he has never challenged the method of directly picking out the muscles.
Therefore, I was quite shocked. I felt that if the surgery reached a sophisticated level, it would be possible to achieve such a surprising and numb scalp.
It definitely couldn't be cut with one knife. After Zhou Cheng carefully exposed the vasa vasorum, which was slightly smaller than the diameter of wool, he did not dare to clamp it directly with a vascular forceps. Instead, he cut a sterile glove and used it to cover it.
Then it was handed over to the chief resident.
Fu Qiangxue carefully pinched both ends of the rubber band, not daring to exert force at all. He was afraid that if he was not careful with this fragile blood vessel, even its mother would be overthrown...
Blood vessels are actually very fragile.
Zhou Cheng then used a sharp knife to carefully follow the alignment of the blood vessels and continued to walk inside. This is not called a direction, but a alignment.
The anatomy of vasa vasorum is not as clear as that of large blood vessels. Small branch-like blood vessels that are almost invisible to the naked eye are crawling around the lumen of blood vessels and can be easily broken.
However, Zhou Cheng's sword would always carefully avoid them.
No one dared to speak. Even Professor Li Xuande's eyes were extremely focused at this moment. He secretly held his breath. One was worried about Zhou Cheng, and the other was secretly wondering why Zhou Cheng did this?
He continued to explore, and after reaching a certain length, the hole Zhou Cheng made was about six centimeters long.
This time, Zhou Cheng chose to clamp the proximal blood vessel. Then, Zhou Cheng did not cut it off with a sharp knife, but chose to continue to slowly peel off the branches of the vasa vasa layer.
When Zhou Cheng performed this operation, even Li Xuande, who had just watched Zhou Cheng perform the operation on the nourishing artery, still felt his scalp numb.
If dancing on a sharp knife is an art, then the process of Zhou Cheng using a sharp knife to find the branches that nourish the arteries is also an art.
They all seemed a little nervous, unbelievable, and worried about Zhou Cheng's operation.
But Zhou Cheng's hand was like a stone fixed in the air, very stable, without shaking up and down, and just followed the shape of the branches very carefully.
After about two centimeters, Zhou Cheng cut off the branches with a sharp knife.
Well, such a small blood vessel can be cut off directly without affecting it at all. You can cut it off at will, and there is no need to perform any operations to stop bleeding.
One, two, everyone gradually got used to it...
You know it in your mind, but your hands are ready to move and ask you what on earth you are thinking about.
After a full ten minutes passed, Zhou Chengcai carefully opened up such a nourishing artery and came out. The branches were all there, and the shape was relatively complete.
Then, Zhou Chenggong moved the "blood vessel he found somewhere" to the previous muscle bed. Just when Professor Li Xuande was about to ask what Zhou Cheng should do next.
Surprisingly, he saw that Zhou Cheng had used tweezers with extremely small tips to bring a silk thread over for some reason. After sending it over, Zhou Cheng used a tiny needle to sew a stitch into the blood vessel. It only went through without tying a knot.
What just happened?
No one saw it clearly.
Then, he saw Zhou Cheng holding both ends of the thread with both hands to prevent the thread from getting knotted or tangled. One of his hands gently pulled.
In an instant, the nutrient blood vessels with branches actually got into the hole. Moreover, Zhou Cheng's choice was just right. The end of the tube he pulled the thread on had a relatively large lumen, and it was like smoothing the hair.
The blood vessels were stuffed into the cavity of the nourishing artery that Zhou Cheng originally removed.
After doing this, Zhou Cheng carefully tied the other end of the nutrient artery he had just removed with a thread, leaving the thread outside for easy pulling later.
"Huh!~" After doing this with all his concentration, Zhou Chengcai breathed a sigh of relief.
Said: "Professor Li, I will suture this nutrient artery to the blood vessel next. If it is unobstructed, then the vascular reconstruction of this muscle is basically completed."
Li Xuande was stunned. Zhou Cheng seemed to have said it casually, but in fact, it was almost impossible to repeat it. His skill had not yet reached this level: "Aren't the branches going to be sutured?"
Zhou Cheng shook his head: "No need. The arterial blood flow that nourishes the arteries has a very small lumen, and the blood volume is actually quite limited. Moreover, even the blood that seeps out from the branches is mostly distributed in the muscle layer."
"The rich tissue in the blood will promote blood vessel reconstruction. When a certain amount of blood reaches the muscle tissue, it will form a blood clot to a certain extent. The blood clot will form thrombotic substances and block the branches of the blood vessels."
"Furthermore, the diameter of the thrombus is quite small. Even if it refluxes into the blood circulation, the reaction will be quite limited. We will routinely conduct half-dose anticoagulation after surgery, so we are not worried at all."
"Furthermore, after the blood flows, the tissue has a certain blood supply. After the blood supply, a new collateral circulation or capillary network will be formed. This capillary network established by the muscle tissue itself will be more suitable for itself."
"Furthermore, because the initial communication between blood supply and muscles is not large, this is equivalent to delaying the duration of re-irrigation damage to a certain extent. We all know that re-irrigation damage is actually the decomposition of necrotic muscle tissue.
Metabolic limits are exceeded."
"us……"
Damn it!
Zhou Cheng is really amazing. His operations are not improvised. Moreover, the theories he mentioned are actually common theories in medicine and surgery. He just dismantled them in detail. The theory can basically be considered.
Yes, everything has been considered thoroughly.
After explaining, Zhou Chenggong began to suture the proximal end. The suturing of the proximal end can be done relatively casually, so Zhou Chenggong chose an artery with relatively good muscle nourishment, cut it off, and grafted the blood supply over it.
After suturing in this way, this muscle bed is still not completely guaranteed, but it still needs to be seen to see if it is unblocked.
The big blood vessels need to be opened to see if it can be passed.
However, when letting go, the more distal end of the small artery from this nutrient artery must be clamped to prevent serious bleeding.
After all preparations were made, Professor Li Xuande and others basically ignored Zhou Cheng's quick suturing of the blood vessels, but felt that such an operation was trivial for Zhou Cheng.
Even if it looks difficult.
But as people's knowledge increases, they will be able to understand the strangeness and say: "I let go of the proximal vascular clamp."
"Yeah! Thank you very much." Zhou Cheng nodded slowly, calmed down a little, and began to rest slowly.
Taking advantage of every opportunity to recuperate is what the surgeon must do. Otherwise, he will really die suddenly and from exhaustion.
Li Xuande slowly released the blood vessel clamp, and the blood vessels immediately filled up.
However, because it was a nutrient artery, it took more than ten seconds for blood to slowly seep out from the other end of the nutrient artery.
The amount is very small and the blood is very red.
The surgeon is very happy when he sees blood.
"Does this count as a success?" Li Xuande asked with a happy face.
Zhou Cheng nodded: "Although we did not seal the branch ends of the vasa vasorum layer, the blood seeping out of the vasa vasorum layer will naturally be distributed to the polished muscle bed through the internal channels."
"Therefore, it will be ensured to a certain extent that some muscle cells will not undergo necrosis. After being decomposed by the phagocytes arriving in the blood, the partially necrotic muscle tissue will instead become nutrients for active cells."
Hearing this, Chief Resident Fu Qiangxue couldn't help but interrupt: "The theoretical system of enhanced activity of tumors? The physiological characteristics of fibroblasts?"
As the chief resident of Xinxing, Fu Qiangxue has naturally read a lot of literature. As the most popular tumor theory article in orthopedics, he naturally has to read a lot, so that he can more easily grasp the topics above.
Zhou Cheng nodded: "Teacher Fu is right, but I think it is not limited to tumors and fibroblasts. Muscle cells can also have such a drive."
This is pathophysiological content, and Zhou Cheng suddenly took the theory to this step, which is really shocking.
The knowledge is broad and thorough, and the operation is so sophisticated that it is shocking. What else can be said? It proves that Zhou Cheng's knowledge reserve and knowledge pool have really reached a certain level.
To convince knowledgeable people, layman's theory and simple folk theory are not enough.
Li Xuande took a deep breath, and then said: "Xiao Fu, go outside and talk to the patient's family."
"Xiao Zhou, should we continue or should you take a short break?"
Regardless of the careful operation just now, it is not a drastic move, but it is actually a slow operation and a surprise operation, which is very labor-intensive and energy-consuming.
But what Li Xuande didn't know was that Zhou Cheng was actually very mature, so it was okay if he was used to it. He hadn't used the knife like this for a long time.
When doing fracture surgery and joint surgery, you don’t need to pay attention to so many details.
The operation continued quickly...
With the previous test, and it was a successful test, during the operation, everyone disinfected the healthy side and re-draped it.
Then, Li Xuande discovered that Zhou Cheng's operation of removing the vasa vasorum on the tendon side was smoother than the operation of removing the vasa vasorum on the affected side, because at least a third of the apparent time was saved.
Perhaps seeing the stunned looks of Li Xuande and the associate professor next to him, Zhou Chengcheng explained: "The quadriceps is a muscle that I come into contact with more often, and it belongs to the superficial layer and is on the healthy side, so there is not much burden when removing it."
It's definitely true. The muscles on the unaffected side are all good. It doesn't matter if you take some nourishing arteries. It doesn't matter if you cut off all the muscles. Naturally, there is no psychological burden.
Li Xuande remained silent.
The associate professor next to him smiled slightly and said, "Teacher Xiao Zhou, no wonder Professor Liu Zhibin and Director Li insist on inviting you here."
"It really opened our eyes. What if every patient with severe injuries could meet a doctor like you, Xiao Zhou?"
Having said this, he shook his head again: "That means too many people are very lucky."
Zhou Cheng didn't take such bragging seriously: "Teacher, you are exaggerating."
Associate Professor Jie Fan hurriedly introduced himself: "My surname is Jie, which is the same character as answer. I pronounce it xie!"
Zhou Cheng didn't reply, he continued to sink into the operation...
After Fu Qiangxue came back from the conversation, he also brought back a new informed consent form for surgical risks. After putting it in the medical record book, he washed his hands again before he came up to the stage, stood opposite Zhou Cheng seriously, and carefully
Looking at the surgical field.
Time passes slowly...
It was a little after six o'clock before Zhou Chengcai completed the arterial reconstruction of more than a dozen muscles.
After this, Zhou Cheng himself felt that his hands were a little sore, and when he came off the stage, his steps were a little wobbly.
Li Xuande, who came off the stage with him, stepped forward, put his shoulder on Zhou Cheng's back, and asked with twinkling eyes: "Xiao Zhou, do you want a bottle of sugar water?"
At the same time, he began to wink at the anesthetist. The high-intensity surgery lasted for three hours without any slack or interruption. Even steel must be soft.
"No, thank you Professor Li. I'll just go out and make a bowl of noodles later." Zhou Cheng replied.
Li Xuande didn't understand what Zhou Cheng meant for a while, but after a while, he said: "Yes, I have forgotten that Xiao Zhou, you are from Hunan Province. It is more popular to eat rice noodles in Shashi, but I don't know where to get it here in Magic City."
Authentic rice noodles.”
"Yuanfen is quite rare, but there are a lot of noodles. Let's go out and eat some together."
Zhou Cheng didn't pretend to be polite. He needed to eat very much at this moment. At this point, after being tired for half a night, he was already hungry.
Li Xuande did not take Zhou Cheng to meet his family members. He just brought such good news to the family members at the door. You can see that a couple at the door who seemed to be from a fairly good family almost knelt down.
He thanked Li Xuande profusely, but fortunately, Li Xuande had quick eyesight and quick hands, and helped them up. He said: "We should do our best, but we still have to look at the recovery situation later. Moreover, this is the first operation, and there will be many more to come.
It’s going to be a tough battle.”
However, even though Li Xuande said this, they had known for a long time that their son's legs were so rotten that it was unimaginable that such a leg could be saved, which was beyond their imagination.
In fact, this is also the case.
Li Xuande didn't stay long, walked in, met Zhou Cheng again, and said, "Xiao Zhou, I didn't take you out to meet your family just now. I listened to their words of thanks. You won't blame me, right?"
Zhou Cheng was stunned, shook his head, and said with a smile: "How could it be possible? Professor Li?"
A person's ability and strength are not reflected by being thanked or flattered by others, but by what they have done and whether it is beneficial to others.
Because you want to listen to flattery or words of thanks, you can hire a bunch of actors if you have money.
Li Xuande later explained: "This student's family is well off, and his parents seem to be company executives in other cities, so they are not short of money. They know better. If they know, it is you who is in charge."
"It may cause unnecessary trouble and misunderstanding. So I hope you don't mind, Xiao Zhou."
"And I guess they may have secretly asked an acquaintance to see their son's photos and injuries to doctors in many hospitals, but the answers they got were not satisfactory, so they were so excited."
Zhou Cheng didn't want to continue to struggle with this topic, so he didn't take it and just smiled innocently.
Then Zhou Chengcheng and Li Xuande walked to the dressing room downstairs. It was now past six in the morning, and there were a lot of hand-washing clothes on the floor. They were all in a mess, and they were not collected into buckets. There was no one there.
Therefore, Li Xuande didn't know if he had prepared it in advance, so he stuffed an envelope into Zhou Cheng and went into his alley.
When Zhou Cheng was about to turn around and say something, Professor Li Xuande said: "It's very few, but it's a rule. I can't break this rule."
"And without you, this operation is indeed impossible. You are not from our hospital, so you won't get a cent of the platform fee. However, the cost of this operation is not low. This is what you should get."
"This copy is intended for Professor Liu Zhibin, but Professor Liu doesn't think he can get it."
"You can get it because of your ability. It's a bit small. But in principle, our hospital does not accept consultation surgeries from outside hospitals, so we can only give you so much."
Renji Hospital is a large teaching hospital. The hospital does not allow you to ask people from other hospitals to perform consultation surgeries, so as not to be embarrassed. It will only allow the people in the hospital to further improve their abilities and qualities.
However, this is only in principle. When it is time to ask, you still have to ask.
Li Xuande did not take the formal consultation application route, so he could not apply.
Zhou Cheng thought for a while and then returned: "Professor Li, I still think this is not appropriate."
You can get the money for lectures, which is fair and aboveboard. But the money for applying for consultation and surgery, which is not very formal, is arrogant and should not be taken.
Li Xuande was stunned for a moment, and did not continue to insist. He just said: "Okay, next time I invite you to give a lecture, I will give it to you together. You can't break the rules, and I can't break them. Otherwise, others will think that I, Li Xuande, am not very sensible.
.”
"Xiao Zhou, you are really surprising. I think my decision was right."
After hearing this, Zhou Cheng turned to look at Li Xuande: "Professor Li, what do you mean?"
"It's hard to explain clearly. Let's not talk about this anymore. Let's go have breakfast together!" Li Xuande said inexplicably.
Zhou Cheng felt that there must be something in Li Xuande's words, and it might be related to the incident that Professor Xue Xiude told him yesterday. However, Zhou Cheng couldn't take the initiative to ask about this kind of thing, so he could only hide it silently in his heart.
I smiled casually and thought it would be understandable. If these professors were all so harmonious on the surface, not competing with each other, and all following Professor Jingxing's overall arrangements.
How is that possible?
Real healthy competition is not playing house, nor is it a child's play. There is no distinction between good or bad and right or wrong. It only depends on each person's position.
After eating the powder, Zhou Cheng was arranged to be sent to the Ninth Courtyard of the Magic City.
During this period, Professor Li Xuande made several phone calls specifically to apologize to Zhou Cheng. He said it was hard work and affected his rest time.
He also told Zhou Cheng about the patient's outcome. Currently in the ICU, the vital signs are quite stable, the wound is recovering well, and there is a high possibility that the muscle tissue will survive in the future. If tendon repair or other procedures are to be performed in the second phase, it will still be possible.
I hope Zhou Cheng can come and participate again.
Zhou Cheng agreed. This was an invitation sent to him by Professor Li Xuande, and it also gave him face.
After returning to the department, there were still not many things Zhou Cheng could do. Finding cases was not something that could be found in a short while.
Chen Shengwu quickly approached Zhou Cheng again and said: "Brother Zhou Cheng, all my tasks in the department have been handed over by my teacher. The teacher said that during the time you are in the Ninth Hospital, I will follow you to calm down.
study."
"Then when you think I am good enough, you will arrange for me to go to a prefecture-level city hospital to practice and formally carry out clinical subjects."
Zhou Cheng smiled and said, "Let's learn from each other. I will definitely encounter some blind spots that I don't quite understand, and I will ask you directly."
"Does our team have any surgery arrangements today?"
"Yes, but they are all caused by infection. The teacher said that for such complicated cases, it is better to let Associate Professor Gu Zhongliang and Brother Shen Dede practice, and your surgery will be arranged next week."
"This is a teaching hospital. In addition to conducting new clinical topics, training professors and junior doctors, and even teaching interns and graduate students are also unavoidable." Chen Shengwu explained to Zhou Cheng in detail.
This is only natural. If the whole world revolves around one person, then this is not called the Ninth Hospital of the Magic City. Professor Xue Xiude wants to develop new clinical topics and can make overall arrangements, but it is impossible for one person to do it.
Just put all your energy together.
"So, I made you become an idler, right?" Zhou Cheng made a joke.
Chen Shengwu waved his hands hurriedly: "No, no, no, brother Zhou Cheng, I want to learn from you. Do you think I should read all the theories first and then get started, or should I focus on one first?"
Zhou Cheng lamented that graduate students like Chen Shengwu from Shanghai Jiao Tong University have good qualifications and have already had their own study habits and ideas. Even without his guidance, they would definitely be able to immerse themselves in it for a long time.
What you learn is just a matter of speed.
It's just that Zhou Cheng hasn't simulated how to quickly bring Chen Shengwu out, so he has to give Chen Shengwu ideas and arrangements for teaching and learning tomorrow.
He said: "Since I finally have time to rest, let's play for a day first."
"Don't be anxious, just try to keep your mind at ease." Zhou Cheng himself was a little tired. He had to catch up on his sleep, otherwise, he would really die suddenly.
Don't make it on the news then, that would be inappropriate.
It is still necessary to balance work and rest. If Professor Xue Xiude insisted on him having surgery today, it would make Zhou Cheng feel a little nervous.
Chen Shengwu's enthusiasm that was finally ignited was slightly extinguished by Zhou Cheng.
However, seeing the sincere look in Zhou Cheng's eyes, he had no doubts and said, "Okay, Brother Zhou Cheng, do you want to go out and play? There are still many places to play in the Magic City."
Saying this, Chen Shengwu also sniffed, with an expression that said you understand.
I'm sorry, Zhou Cheng was stunned and glanced at Chen Shengwu, are you afraid that there isn't enough news?
I didn’t go any further on this topic…
After making an excuse and returning home, Zhou Chengcheng started thinking about non-human simulation.
[Bring initial materials: manual fracture reduction (perfect - redefined), small incision open reduction and internal fixation (perfect - world defined). 】
Simulation goal: teach Chen Shengwu.
【Simulation starts.】
[You now have certain surgical authority and academic status, as well as a certain degree of influence. You have the first person to teach.]
[You started cramming teaching. After a month, your teaching subjects have gained a lot, but the progress is quite slow. But they can already perform some simple fracture reduction techniques. 】
[After three months, your tutor has a certain understanding of fracture reduction techniques, but is still not proficient. You feel that his qualifications are really limited, so you start to make some changes...]
MMP, I have only stayed in Magic City for less than half a year. How can I have so much time to play with you?
Zhou Cheng started his own sexy thoughts.
[After you ordered your friends to successfully abduct the person you taught within half a month, he was in despair for three full days before he finally learned the culprit...]
[After performing some old-fashioned classic back-and-forth insults, your mentor finally started to explode, aiming to crush your friends, and started the "Don't bully young people who are poor" mode. 】
[Four months later, he studied day and night, around the clock, and finally came to a realization, realized part of the essence, and began to take over complex fracture reduction techniques. Such progress will make you quite surprised.]
[After half a year, his learning progress has enabled him to perform common fracture manipulations on a regular basis. However, he suddenly discovered that even after he learned the reduction manipulations, he was still no match for your friend. 】
[So, he gave up, found a new girlfriend, and began to focus on his studies, and then went to work. Your career was quite smooth...]
[Five years later, you successfully became a master's tutor...]
【……】
[The simulation ended and the goal was not achieved.]
[Simulation evaluation: Inhuman.]
[Skill acquired: Various teaching experience (entry). 】
All right.
This cool operation failed. But I also got an unexpected skill, which was a bit unexpected.
It seems that Chen Shengwu is not a romantic type.
However, through this simulation, I at least know that Chen Shengwu's girlfriend is a potential exciting force for him. Moreover, through today's conversation with Chen Shengwu, I know that Chen Shengwu is actually not a particularly serious person.
It is harder to teach others than to learn yourself.
then.
After resting for a while.
Zhou Cheng rearranged his thoughts.
Zhou Cheng started another simulation.
The initial skills carried have not changed, and the goal of the simulation has not changed, but the idea has changed again.
【Simulation begins!】
【……】
[You found out some dirty secrets about your tutor. And he was soon interrogated.]
[When he learned that he might be expelled from school and die in society, he began to plan to ask his tutor for help, but the tutor said that there was nothing he could do about this kind of thing. 】
[He knew that he had to show enough value, so he began to work hard! 】
Isn't this a bit inhumane?
But it’s a simulation anyway, so just treat it as trial and error.
Everyone has a core underlying driving force.
[After one month, your tutor was addicted to learning and quickly understood the essentials of manual reset. The progress was rapid...]
[Three months later, he was finally able to perform common fracture reduction procedures on a routine basis, and was assigned by his teacher to serve as a clinical trial operator for a new subject. He was still anxious, devoted himself to studying, and sought advice from you.
】
[After half a year, you find that he has completely mastered the essentials and began to implement the reset technique independently and skillfully...]
People still need to be pushed. If you don't push them, they won't know how much potential they have.
However, seeing this, Zhou Cheng hesitated.
There is a method, but when it is actually implemented, the damage to Chen Shengwu will be a bit great?