Great doctor starts with adding points

"Director Lu, is this Dr. Xiong? Are you familiar with Xiao Wu? Can I find a chance to visit?" Long Yuan calmed down and asked cautiously.

A person who has entered the Huaguo Medical Association, even if it is Chinese medicine, but related to bruises, Long Yuan thinks that he can still learn a lot from there, and if he has the opportunity to get in touch with him, his strength will be further improved.

This time I came to the countryside to support, so I made money!

This level is slightly higher than my own teacher. My teacher is only a national committee member, not a core authority.

Lu Junyin was apologetic when he heard the words and said: "Doctor Long, Old Doctor Xiong, he left our town a few days ago and went to Shanghai. There are some misunderstandings..."

Lu Junyin explained briefly.

Hearing the words, Long Yuan's face was full of disbelief, and he looked at Lu Junyin, really wanting to see Lu Junyin's expression and eyes dealing with him, as if to say, am I crazy or are you crazy?

Can such a person be beaten?

What do the leaders in the town and county eat?

Lu Junyin replied with an apologetic smile: "Doctor Long, although this sounds unbelievable, it is the truth. In fact, I don't want such a thing to happen."

"But? He just happened."

Long Yuan can only sigh with emotion that troublesome people come out of poor mountains and rivers.

Such a doctor was beaten away, and his heart was chilled. This was an irreparable loss for Sha Town and even the entire Enzhou.

Then Long Yuan was taken by Lu Junyin to the office of the department to rest for a while, and then chatted for a long time, mainly talking about the diseases that Shazhen Surgery had served in the past, and the embarrassment he was in now situation.

...

About twenty minutes later, the preoperative anesthesia preparations for the second operation were almost ready.

Long Yuan and Lu Junyin slowly rushed to the operating room, Lu Junyin went to wash his hands first, Long Yuan went directly into the operating room, and saw Wu Xie and Luo Wei watching a film in front of the film reader.

In front of the film reader, Long Yuan also looked at it calmly for a while, then tilted his head slightly, saw that Wu Xie was also reading the film seriously, and asked, "Can you understand it?"

Wu Xie nodded: "I can understand a little bit."

"How much do you understand? What is your understanding of fracture diagnosis and surgery?" Long Yuan continued to ask, from a professional point of view.

Just now I heard from Lu Junyin that Wu Xie rarely had contact with fracture diseases in surgery, and Wu Xie performed very well in the last operation, so Long Yuan wanted to systematically investigate what Wu Xie's basic skills are. Location.

In fact, this is the case. Traditional Chinese medicine and modern medicine belong to different systems. In different systems, the ideas and routes of diagnosis and treatment and learning are different. Yao, an old Chinese doctor, was biased.

It is quite difficult to correct it again.

This is not aimed at or looking down on Chinese medicine, but Longyuan asked, the old doctor Xiong Yao is no longer in Shazhen, he has gone to Shanghai.

If Xiong Yao can take it all the time, then yes, Wu Xie can learn the theory and operation of Chinese medicine systematically from one angle, but Xiong Yao took half of it, took Wu Xie half of the way of Chinese medicine, and then Do not continue to take it down.

Isn't this bullshit?

Without systematic learning, it will be counterproductive.

Wu Xie turned his head slightly when he heard the words, and saw that Long Yuan's expression was serious at the moment. He was not lamenting life or joking. After organizing the language a little bit, he replied: "The diagnosis of fracture, by definition, is the continuity and A break in integrity."

"In terms of imaging examination, we can see the discontinuity of the bone."

"From the physical examination, swelling at the fracture site and deformity of the limbs were seen. Bone friction at the fracture site was palpated, and abnormal movements could occasionally be seen."

"Surgical indications?" Obviously, Long Yuan couldn't just let Wu Xie go. What Wu Xie said was the most basic basic skill.

Wu Xie frowned suddenly, and recalled the key part: "Manipulative reduction failed, unstable fractures, fractures that cannot be stabilized by plaster external fixation, and surgical treatment is required."

"The fracture type belongs to B2.21 type, which is an unstable fracture type, or a femoral fracture. Even after manual reduction and plaster external fixation, it is still difficult to achieve the fixation effect."

Wu Xie didn't make a long speech, but picked the key points. There are some things that he already knew about Long Yuan when he was in the outpatient clinic yesterday.

"Fracture treatment?" Long Yuan seemed quite satisfied with Wu Xie's answer, so he continued to ask.

"The principle is reset, immobilization, and rehabilitation exercises."

"Reduction includes manual reduction and surgical reduction. Fixation is divided into external fixation and internal fixation with internal fixation. Rehabilitation treatment is a follow-up rehabilitation training plan for patients after reduction and fixation." What Longyuan taught yesterday, Wu Xie Impossible to forget.

"Manipulative reset and surgical reset, are they completely separate? How to reset?" Long Yuan was still asking, he had to know what level Wu Xie had reached so that he could teach in a targeted manner.

Now these problems are generally considered by the chief surgeon and the associate professor, but Long Yuan believes that since Wu Xie was able to go far in a short period of time before, he can still do it now, and it is time for him to consider such problems.

Lu Junyin walked in, heard Long Yuan's question, and then saw Zhong Yusheng and Guo Lixiang, who had rushed down from the department to watch the excitement, trembling.

Moreover, Luo Wei's expression was quite serious, so he paused temporarily, not going to prepare for the disinfection steps, and listened slowly.

Wu Xie didn't feel the pressure, and he didn't feel nervous because of the many gazes. His tone was still slow: "Surgical reduction is actually a combination of manual reduction and internal fixation device-assisted reduction. The difference is only manual reduction under direct vision and non-direct vision. The purpose of reduction is to achieve anatomical reduction and restore normal bone structure.”

Wu Xie's current fracture reduction technique has reached the level of specialization, so he naturally knows that during treatment, the principle of treatment is actually the same, and everything changes.

"Repositioning of fractures, different levels, how do you distinguish them?" Long Yuan was secretly horrified, feeling that Wu Xie's current level seemed to be a little bit out of control, but he still chose to ask.

Wu Xie frowned immediately: "Brother, what I learned is not about clinical medicine, how should I answer?"

Wu Xie's current understanding of reset is mostly at the level of traditional Chinese medicine, including the specialized level of fracture manipulation after adding points, which is more of the route left by Xiong Yao when he instructed him.

"You answer directly." Long Yuan waved his hand, indicating that he didn't mean to find fault now.

Wu Xie lowered his head slightly, and glanced at Long Yuan's expression from the corner of his eye: "Resetting is the purpose, and the principle of resetting is to fully pull, and the broken ends of the fracture are separated to achieve resetting. In this process, the borrowed force is what makes the difference." The results of the reset will also be different."

"Blind strength can be used to antagonize the contraction of muscles with the pure physical strength of the surgeon, so that the affected limb can be fully pulled, and the fracture ends can be separated before performing a reduction operation. In general, functional reduction can be achieved, and simple fractures can be reduced to anatomy. "

Functional restoration is functional, but the anatomical shape of the bone has not been completely restored. It can be used, but it is not good-looking and looks abnormal.

This generally corresponds to the entry level.

"You can use ingenuity. Experienced and skilled surgeons will skillfully use part of the muscle strength of the patient's affected limb and analyze the shape of the muscles. Through ingenuity, four or two moves will make the reset easier. To a large extent, anatomical reset can generally be achieved. function reset."

This corresponds to the level of proficiency, and it can be reset with ingenuity, which saves effort and has a good reset effect.

"Then you can use your original strength. In the non-anesthesia state, the patient's own pain stimulates many muscle contractions. With this force, you can achieve the reduction without much effort. If it is during the operation and under anesthesia, the operator must find a suitable position to stimulate the natural strength of the muscle."

"I don't know about it later..." Wu Xie looked at Long Yuan, and his voice became lower and lower.

The teaching process is a process of mutual examination. In the process of Long Yuan's teaching, Wu Xie can also judge Long Yuan's level. Wu Xie estimates that Long Yuan's current understanding of technique reset is the level of proficiency, and he resets under direct vision. When, can go to anatomical reduction.

The reason why Wu Xie thinks so is because he just used the method of stimulating muscles to borrow force and relieve force in the specialization-level technique reset skill, which made the last operation a little easier. Longyuan did not do this, It proves that he may not have reached such a level.

After Wu Xie finished speaking, he found that everyone looked at each other in dismay.

This freak?

How should this be taught?

Both Luo Wei and Lu Junyin immediately looked at Long Yuan, expressing with their eyes that the big brother is awesome, the big brother is mighty, and I will leave the teaching of this little awesome thing to you.

Long Yuan was also very disturbed at the moment, as expected, that Xiong Yao must have said something to Wu Xie, which made Wu Xie's current theoretical and cognitive level very high.

But Long Yuan quickly changed his mind: "Knowing what it is, knowing why it is. In the study of medicine, it is a level."

"The theory is achieved, and the operation is also in place. That is another realm."

"Can you do it?" Long Yuan asked casually, shamelessly.

Wu Xie could only shake his head decisively——

As we all know, the prerequisite for you to master a skill is that you have been in contact with it many times. You know how to unload force, but it can be understood that you often exercise when you do rehabilitation exercises for patients, but the restoration of fractures?

You have never been in contact with it and have taken the initiative to do it, so you say you will?

When facing Xiong Yao before, Wu Xie can say that he has seen it in school, but Long Yuan knows everything.

Furthermore, this fracture is a complex fracture, the same fracture, one word difference, thousands of differences, and the difficulty has increased exponentially.

I can only confess for the time being, although Wu Xie thinks that he may have solved him.

Hearing this, Long Yuan laughed and groaned, as if he had found a step down: "I know a lot. But I still need to practice my kung fu."

"Manual reduction of fractures is a kind of operation. It is very simple. After anesthesia, you can experience the feeling of manual reduction before surgery. This is also an excellent and natural practice method." Long Yuan explained carefully, and at the same time, deep in his heart, There are some evil tastes left behind that everyone else can't understand——

Pretending to be aggressive in front of Wu Xie.

In the past, when Wu Xie and Long Yuan had surgery together, they pretended to coerce each other.

Professor Duan brought Wu Xie here, as if he deliberately brought up the urgency of Longyuan. After a while, he crushed Longyuan, and then he lost face again, and then he would find it again, feeling very proud.

But ever since Wu Xie fell into a slump, Long Yuan has always been unilaterally crushed, and lost this unique fun, but now, since Wu Xie has returned partly, Long Yuan feels that he can finally use it again. Think of the good junior + whetstone who competed with each other.

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