Great doctor starts with adding points

"X-ray reading experience (proficient 28/38)"

"CT reading experience (proficient 17/34)"

"NMR reading experience (specialization 5/490)"

"Ultrasound reading experience (proficient 0/50)"

"Supervisor beds: 5! (Knowledge point gain: 5 points/day)"

"Patient in charge: 5. (Knowledge point gain: 19 points/day)"

"Learning points: 89. (The gain of learning points has been settled.)"

Today is indeed a fruitful day——

In terms of NMR reading experience, Longyuan raised the upgrade limit to more than ten points, so Wu Xie chose to add points to become a specialization level, and then was reduced to 490 by the upper limit.

It's very comfortable.

And ah, the accumulation of knowledge points, in the process of continuous application, has accumulated to 89 points.

This is very good. This kind of accumulation speed is likely to contribute to his participation in the young physician skills competition in the state next month.

The Third Hospital doesn't want me, so I can understand, but don't be convinced.

But the No. 3 Hospital of Hubei Province doesn’t want it, which may represent the attitude of most hospitals in Han City, and it does not represent their true strength, but it should also be used as a point of motivation.

Improve your ability more, if your previous wind assessment or other aspects can reach a normal level, it won't be difficult for the teacher to intercede.

But when Wu Xie was thinking about this, Tang Yuewei took the initiative to send him some information.

It is the list of surgical arrangements for the Trauma Surgery Department of Minda Hospital Affiliated to Minda Hospital of Hubei Province in the past year. And it was also made into an Excel table.

And it was no more than two hours since I and Tang Yuewei brought it up.

The form was definitely not made by Tang Yuewei. Even if she is related, others will not do it so well. Wu Xie has read these details.

Receive and Download is selected.

Reply at the same time: "Thank you."

Tang Yuewei: "Are you still asleep?"

"How can I find out that you are not asleep when I am asleep? If you are asleep, you will not be able to find out that I am not asleep." Wu Xie tactfully sent a tongue twister to the other party at that time.

"Rest early. Otherwise bald."

The eight-character weapon made Tang Yuewei hate him.

"If you don't know how to thank you, why not thank you!"

"The dog's head is safe, rest." Tang Yuewei continued to send a blank stare.

She felt that staying up all night to make forms was a waste of time.

Wu Xie sent a few bouquets of flowers in the past, but did not continue to reply to the text.

Then, after clicking on the Excel form, it was found that in the trauma surgery department of Minda Hospital, the main operations were intramedullary nail fixation for fractures and plate and screw fixation for fractures.

Then add some infected debridement operations, emergency external fixation of fractures, occasionally mixed with schwannoma resection, subcutaneous soft tissue cyst resection, internal fixation device removal, etc.

Basically, fracture-related operations are comprehensive, from pelvis to humerus, femur and other common fractures, all of which can be regarded as solving most trauma and emergency patients.

Seeing this, Wu Xie felt confident.

In other words, the Trauma Surgery Department of Minda Hospital can basically undertake the diagnosis and treatment of all emergency trauma patients, which is a bottleneck period in the development of Trauma Surgery.

Doctors who are really proficient in trauma surgery, of course, do not perform these operations. Otherwise, my teacher and a top hospital like Tongji Hospital will definitely starve to death if they only rely on fracture surgery for food.

Then, I have to think about how to find some operations for trauma surgery outpatients, and then bring them to Minda Hospital to carry out.

Replantation of severed limbs in hand surgery!

Complex pelvic fractures with multiple fractures. (Surgeries that traditional trauma surgery dare not do)

Complex nonunion.

Neurovascular repair and reconstruction.

Flap transplantation.

Hey, these are some diseases that are separated from the traditional trauma surgery, but the level of development in prefecture-level city hospitals is not high. If they can be taken down, then the whole source of disease in southwestern Hubei can be attracted.

Let them solve the problem in Enshi without having to go to Hanshi.

The replantation of severed limbs has been returned to the hand surgery department. Don’t deal with it for the time being, and don’t make such a mess. Complex pelvic fractures and multiple fractures are very dangerous. If you dare to do it yourself, Minda Hospital may not dare to accept it.

Skin flap transplantation is a very complicated procedure.

However, nonunion, as well as repair and reconstruction of neurovascular, can be carried out.

Nonunion surgery is, in principle, fracture surgery. It can be a second or third type of operation. If you fight for it yourself, you can get the permission for the operation.

As for the suturing, replantation and repair of nerves and blood vessels, it is a relatively exotic and highly difficult type II operation. For such a disease, the patient's symptoms are severe and the operation is difficult, so most people dare not perform it.

But its classification is actually a second-class operation. This is actually a loophole in the current rating of orthopedic surgery.

They are also the two techniques that Longyuan is good at.

That's it for them!

Wu Xie immediately settled down, and then found these skills from his skill list.

"Nonunion reduction and internal fixation (trainee 0/5)"

"Nerve exploration, suture, repair, transposition surgery (trainee 0/5)" (Note, this surgery is actually quite complicated, with a lot of classifications, the author does not want to delay the rhythm too much, so this surgery is normalized, please read Friendly understanding.)

"Nerve exploration, suture, repair, transposition (trainee 0/5)"

These types of operations are very difficult, and Wu Xie has never had a chance to touch them before. It is precisely because of such difficult operations in Tongji Hospital, Wu Xie has no way to start learning when he lacks basic skills.

After unscrewing these skills, Wu Xie thought about it for a while, and decided to increase them a little bit.

It took fifteen points of knowledge to get all these skills to the entry level!

Because Long Yuan is good at it, if he encounters such a case, he can definitely give a lot of advice, starting from the beginning!

If I can gain something, if I have the opportunity, I will go to Minda Hospital and have a good talk with the director of trauma surgery there.

Of course, before that, Wu Xie had to make one more preparation, which was to set the arthrotomy to the specialization level.

The previous patient with syphilitic arthritis will also undergo arthrotomy tomorrow. Longyuan plans to hand over this operation to Wu Xie.

This is also the only operation tomorrow.

Although this Chu Yuming has syphilis, he also has infectious arthritis. When penicillin is used to treat syphilis, joint infection must also be treated at the same time.

In fact, if you are irresponsible, you can just throw Chu Yuming away and treat the joint infection after the syphilis is cured, but this is particularly unfriendly to Chu Yuming.

In the operation of patients with syphilis, as long as the principle of asepsis is strictly controlled, and the operator is not cut during the operation, the infection will still not be...

After making such preparations, Wu Xie fell asleep soundly, feeling that the future is promising.

Early the next morning.

Wu Xie sent a message to Tang Yuewei in advance, explaining the special situation of the patient in today's surgery, and told her to be more careful. If she came for anesthesia, then she must protect herself.

Tang Yuewei replied: "Mr. Qin Hong and Mr. Dong Chun personally performed the anesthesia for this operation. I just watched from the sidelines."

"The two teachers are very nice, in order to protect me."

Then he replied with a smiley face.

"That's fine, you can remind them again when the time comes."

"This morning, I still have to have breakfast with my senior brother and Brother Wei, and I have to rely on him to support me!" Wu Xie said directly, which was also an explanation to Tang Yuewei of what happened yesterday morning.

"I know. I'll go to the department to prepare first. You can wait for your senior brother and them." Tang Yuewei replied.

And when Wu Xie, who saw this message, raised his head and looked into the distance again, Tang Yuewei actually had breakfast in advance, and went to the hospital before Wu Xie arrived at the noodle shop.

This move made Wu Xie feel quite warm.

How cute is this girl who got up early and went to bed late to avoid the embarrassment of yesterday?

When eating noodles in the morning, Long Yuan asked.

"You dare not break your mouth today?"

Luo Wei: "What's the matter, Brother Yuan?"

Wu Xie raised her head and said, "Brother, my classmate has had breakfast a long time ago, and now she is probably starting work."

Long Yuan was stunned when he heard the words, feeling that his happiness was gone.

He muttered in a low voice: "You have failed such a girl before, no wonder you are called a scumbag."

Wu Xie put on a hard face and didn't answer.

Luo Wei continued to ask Long Yuan for advice, and after learning the truth of the matter, he looked at Wu Xie: "That's a little bit of scum."

Very tactful.

Wu Xie continued to remain expressionless.

Because of the operation, the speed of rounds will be slightly faster.

It was only in front of the old man with the swollen lump yesterday that he stopped.

Lu Junyin, who has always been very cautious, had twinkling eyes at this moment, and confessed to Zhong Yusheng who was on duty today: "Yusheng, this old man, the preoperative examination must be in place, and special attention should be paid to heart function and past medical history."

"Then, regarding your father's situation, you have to arrange a car to send the sliced ​​specimens to the county hospital. Our hospital rarely performs such operations, and our hospital does not have a pathology department."

Lu Junyin's words were very reserved, almost as if he wanted to drive the patient away.

In Lu Junyin's view, there is no need to worry about such diseases in the department. It is thankless to perform such an operation.

Such a large tumor, and it is said to be an intussusception cyst, has a high recurrence rate. If it is not handled well by then, it will be a medical dispute. I can't bear it, but it was taken in by Longyuan.

Longyuan Yigao is bold.

But if he can persuade the family or the patient to quit, then it's not that he doesn't want to operate on Longyuan, it's the patient's own choice.

"Director Lu, okay, Doctor Long told me about this matter before, don't worry, I can arrange it myself." She came here for Longyuan, and she definitely wouldn't leave so easily.

Long Yuan knew what Lu Junyin meant, but he didn't expose it, he just said: "Eldest sister, don't take it to heart, your father's situation is indeed quite complicated, we are also considering it carefully, just in case. "

The woman continued to nod when she heard the words: "I know Dr. Long, thank you."

Then he looked at Lu Junyin, and obviously regarded Lu Junyin as the kind of bastard who was not strong and didn't want to take responsibility.

However, Lu Junyin has Lu Junyin's worries and considerations. He is the director of surgery, and even if Longyuan has a problem during the operation, he is still responsible.

After explaining the detailed preoperative examination, Long Yuan led the team to the operating room.

Then I saw that the nurses in the operating room, such as Chen Chen and Fan Qingqing, were extremely cautious, looking at Chu Yuming on the operating table, avoiding it.

Naturally, I was afraid, syphilis is contagious through blood, if one is careless, it is hard to explain for those who have a family, and for Fan Qingqing who is not married, there may be misunderstandings when looking for a partner in the future.

After being recruited, even if the antigen is negative, the antibody is positive.

Antibodies mean that you have been tricked and cannot be removed for a lifetime.

However, the nurse in the operating room does not have the right to arrange the operation. In a large hospital, the operating room is a separate department and may have the right to refuse the operation, but it cannot be refused because the patient has syphilis.

Maybe he knew it, so Long Yuan offered to propose: "Director Lu, let me do the operation for this operation. Everyone wears two pairs of gloves. Joint operations must be done with double gloves."

"Sister Chen, please prepare a few more pairs of gloves, we may have to change them many times during the operation."

When Chen Chen heard this, he felt a little embarrassed, but for his own sake, he still didn't take the initiative to stand up and suggest that he continue to work as an equipment nurse.

Disinfecting shop towels is a basic skill.

And because Long Yuan went to the stage as an equipment engineer, Guo Lixiang also came on stage.

Wu Xie stood at the chief surgeon's position, holding the lancet before starting, and said to the itinerant nurse and anesthesiologist in the operating room: "Right knee arthrotomy + right knee joint infection debridement, start now, the operation starts at 8 Forty-one."

Wu Xie's tone was straightforward, and after informing the operation method and start time of the operation, the incision began...

The itinerant nurse rushed to register on the operation sheet, and the three of them began to cooperate with the operation at the same time, such as installing the negative pressure suction device for the suction device, preparing the electrocoagulation knife, and possibly installing some new equipment, silk thread Knot etc...

Under the operating table, in front of the anesthesia machine, Dong Chun and Qin Hong were talking, and secretly glanced at Tang Yuewei.

Tang Yuewei has an exquisite figure, and the washing clothes and warm back clothes still can't cover her figure. However, Tang Yuewei's eyes are quite blurred at the moment, as if there is a feeling that she is all right, and there is a feeling that she has not seen her for a long time. a feeling of.

Such eyes appeared on middle-aged people, so naturally they didn't notice anything, but when they appeared on Tang Yuewei, who was still very young, it seemed a little bit out of the ordinary.

However, at this moment, the person who really understands Tang Yuewei is Long Yuan.

Because both Long Yuan and Tang Yuewei had seen Wu Xie's charm and confidence at his peak.

In the first year of the master's degree, he has already started to be the chief surgeon, and he has begun to bring in fellow doctors. In front of the graduate students of the same level and even in front of the master's brothers, he is very outstanding. .

At that time, Wu Xie was also so confident, mature and steady, he started the stage as soon as he said it would start, with solid basic skills, he grasped every step of the operation clearly, and arranged it clearly.

It has been more than two years since they remembered this scene.

Long Yuan didn't participate, mainly because he wanted to observe Wu Xie's current basic surgical skills.

This is an arthrotomy + joint debridement.

The treatment principles for intra-articular infection are: sensitive antibiotics, thorough debridement, joint drainage, analgesia, anti-inflammation, and postoperative joint fixation. This is a holistic treatment philosophy.

Among them, thorough debridement and joint drainage are the focus and core of the entire operation.

Only after figuring out what is the core can we go to see Wu Xie's operation.

In Longyuan's vision, it can be seen that Wu Xie's basic skills have recovered a bit, although not as good as at the peak period, at the peak period, Wu Xie can enter the joint cavity within two minutes, and there is almost no bleeding , can control each cut according to the level of anatomy.

But it is already very solid, and I have a systematic understanding of incision.

One cut goes to the subcutaneous layer without removing the fascia layer, so as to ensure that the blood vessels are damaged during the incision of the lancet and the blood flow is increased.

Then use electric coagulation to slowly stop the bleeding to the muscle layer, and bluntly break the muscle layer to the joint capsule layer.

After reaching the joint capsule layer, bluntly puncture the joint capsule again, open a very small opening, and use a negative pressure suction device to first suck out a large amount of pus in the joint cavity to avoid contamination of the external open wound.

The overall thinking is very clear and hearty, the operation process is capable, and the surgical field is extremely refreshing.

This exposure process shows very solid basic skills and understanding of joint infection. Unfortunately, no one can appreciate it at present. From the perspective of Lu Junyin and others, this may be a routine operation.

It's a good thing I came here, otherwise, Wu Xie would have mixed with people like Lu Junyin, even if he was mixed with people from the county hospital represented by Luo Wei, it might be that although I am invincible, no one can understand.

It's hard to find a confidant, let alone study?

Then continue to read——

After Wu Xie sucked out a large number of abscesses in the joint cavity, he did not rush to break the joint cavity, but first separated the existing incision completely, and then chose to incise the knee joint capsule, and carefully performed debridement .

Joint cavity infection, joint effusion and various cavities inside must be cleaned up.

Moreover, because of the infection, the joints inside were closed, stained with a large amount of pus, and there were gummas formed by syphilis.

Debridement is an important follow-up operation.

In fact, many people know how to do debridement, and it is also a basic skill of surgery, but the skill of debridement operation is to pay attention to whether the level of debridement is just right.

This is like, if it is onychomycosis on the toes, if you just cut off the toes and amputate them, is it a cure?

Of course, without toenails, how can there be onychomycosis, but the toes are missing.

Of course, this is an analogy, the lack of toes and the incomplete function are obvious at a glance.

In fact, the debridement in the body is also similar, but the degree of manifestation is different.

Moreover, although Longyuan doesn't know much about joint infection, which is assigned to joint surgery in Tongji Hospital, he knows that during the debridement process, there are many details that need to be controlled, and there are many points that need to be paid attention to on the joint surface. .

Such as femur, tibial plateau are cartilage surface.

When you debride the wound, whether to remove all the cartilage surface is a choice, and partial removal is also a choice, and if the cartilage surface is injured, it is definitely easy to induce osteoarthritis in the later stage.

One of the biggest manifestations of knee osteoarthritis is damage to the cartilage surface.

Naturally, there are many attachment surfaces such as the anterior cruciate ligament, meniscus, and how to deal with these ligament gaps and meniscus gaps.

Long Yuan is watching, and intends to make a point at the right time, don't just be a hands-off shopkeeper, just let it go in order to evaluate Wu Xie's ability!

However, in the process of Wu Xie's debridement, he discovered that Wu Xie's debridement method was micro-surface scraping, and even some necrotic tissues were not completely removed.

It looks like an absolute novice, the kind of performance that is reluctant to remove necrotic tissue.

When Wu Xie progressed for 20 minutes, Long Yuan coughed and moved closer to the operating table: "The debridement must be thorough, otherwise, it is easy to continue to be infected later. There will be residual infection lesions."

Thorough debridement, the main fundamental is to be thorough, no residual infection focus.

The reproduction ability of bacteria is beyond your imagination. If you leave a little bit of it overnight, it can develop to make you doubt your life, and the whole operation is for nothing. This is not alarmist.

No one asked, so Wu Xie didn't explain on his own.

However, since his senior brother asked, Wu Xie still needs to explain a few words.

"Brother, the main sources of blood supply to the knee cartilage include: periarticular blood vessels and synovial blood supply, including the blood supply distribution of the meniscus, which is also in a similar form."

"The difficulty in the treatment of intra-articular infection lies in the existence of hidden cavities and very little blood supply, so it is difficult to reach through intravenous antibiotics and intra-articular antibiotic flushing, so this is the theoretical principle of thorough debridement of joint infection. "

"However, the distribution of blood supply in the knee joint still has certain characteristics. For example, the synovium near the anterior cruciate ligament does not need to be polished particularly clean, especially this kind of small joint that has blood supply and can deliver intravenous antibiotics. Thin blood vessels cannot be electrocoagulated."

"Cartilage can obtain part of the blood supply from the synovium. Synovial blood vessels can provide some nutrients by diffusing to the surface of the cartilage. When delivering nutrients, some antibiotics can also be delivered."

"On the other hand, during the washing process of the joint, most of the antibiotics in the joint cavity are located at the back and lower part of the knee joint under the action of gravity."

"Therefore, we can make some reservations when removing the posterior wall of the knee joint capsule in the knee joint cavity, but for the soft tissue on the patella surface, it needs to be removed more thoroughly, and all relatively small blood supply points should be removed."

"Senior brother, look, in the process of joint irrigation, the entry point we choose for irrigation is generally below the patella surface, and the recovery point is on the inner side, forming a structural form that goes up from the outside and goes out from the inside."

"Under this premise, the concentration of antibiotics in the outer lower and outer cavities can reach the standard, but the inner lower, inner part is an absolute blind spot. If bacteria colonize and multiply here, it is difficult for antibiotics to affect arrive."

"Of course, there is also a solution to this. We can attract some small ruptured blood vessels nearby and not close them for treatment. This is also the reason why I have a little bit of soft tissue left."

While explaining, Wu Xie conducted an experiment for Long Yuan, that is, after he cut open an attachment, a small amount of blood leaked out of it, and when it reached the glove, the bright red blood liquid was quite glaring.

When Wu Xie spoke, Long Yuan's eyes were slightly astonished, and he was so emotional.

But in the eyes of Lu Junyin and others, what Wu Xie said at this moment is simply destroying their three views. What kind of fairy idea is this?

Did you do the surgery?

In principle, isn't it?

However, Wu Xie's understanding of infection has Wu Xie's understanding of infection, and Wu Xie's understanding of infection is far beyond theirs. What is thorough debridement and why is it necessary to completely debride, Wu Xie knew it clearly.

Furthermore, the surgical infectious disease of the medical school is not a joke. Even if others have used the medicine to the extreme, you still have to be convinced.

Seeing that Long Yuan said something to himself, Wu Xie pretended to be a coward!

It wasn't a big deal at first, and no one else asked, so it's just you talking too much.

Now the entire operating room is silent, knowing that I have to explain: "That's fine, you do it according to your own understanding!"

Wu Xie glanced at Long Yuan, and continued to explain: "Brother, after the operation, this patient must still undergo knee joint cavity puncture and local injection of antibiotics in the joint cavity, and when we perform joint cavity injection, One of its most important medicinal points."

"We can choose the inner and lower side of the knee joint, so in this way, we can ensure that the concentration of antibiotics in the knee joint is not suitable for the growth of bacteria, and there is no blind zone."

"Compared with absolute debridement, it is better than absolute debridement but with relative blind spots, in my understanding!"

Wu Xie's expression is very easy to understand.

Relatively absolute debridement means that it is always under control.

Absolute debridement is to use a strong dose of medicine at once, and then in the follow-up process, it will not meet the standards of prevention or treatment, so it can only be managed for a while, and for the bacteria, it will pass immediately , revived.

This is the biggest chokepoint where bacteria and intra-articular infections are difficult to control.

When Wu Xie left this patient at the beginning, in fact, the debridement plan he considered was not like this, but since his surgical infectious disease skills have been upgraded to the expert level, then he should use it, and if Long Yuan wants to learn, he has to learn it. Teach it.

This kind of diagnosis and treatment thinking is also malleable to Longyuan's diagnosis and treatment thinking.

Longyuan frowned and nodded: "Okay, this is very good. Relatively absolute debridement ensures continuous drug concentration, but absolute debridement cannot guarantee continuous drug concentration and drug distribution."

Long Yuan continued to make Wu Xie's words more popular.

Hearing this, Luo Wei couldn't help it: "Mr. Long, can you still use medicine like this?"

Even Luo Wei is a professional doctor, but his usual medication is to either throw it locally, or inject it into the vein, or continue to drain it, and the follow-up is left to fate.

This is the first time he heard that when using a medicine, in addition to the dose, the concentration distribution of the medicine must also be considered.

Damn, are we reading a book? Are we studying a subject?

Medicine in internal medicine can't be so meticulous, can it?

Indeed, this knowledge does not belong to internal medicine, nor does it belong to surgery, nor does it belong to the department of infection, but only to surgery of infection. Only doctors of infection surgery, and very experienced and mature professors, can form such a concept.

Otherwise, how can others be so awesome and become a big boss in infectious surgery?

The word "expert" cannot be called in vain.

Of course, Wu Xie also knows that the current medical treatment school may not have formed a system, it is only after he added points, the system gave him feedback, and he has not had time to check the relevant literature to see if there is any corresponding academic ideal.

Seeing Long Yuan's speechless reply, Wu Xie explained: "Brother Wei, this is just my personal understanding, not all of them are like this, maybe I'm not right."

"But this patient will definitely undergo a second debridement, and it will be changed at that time."

Wu Xie made it clear.

Neither Luo Wei nor Lu Junyin dared to answer.

This kind of attempt to do new treatments or diagnosis and treatment ideas is the prerogative of the big bosses. They dare not say that it is wrong, but they certainly dare not do it themselves, thinking so.

But in retrospect, many of the patients Wu Xie treated before were the chief physicians of the state hospitals, and they were helpless. Some patients even found it very troublesome in provincial and municipal hospitals.

This proves that Wu Xie has a high level in this area, so they are not good at judging.

What's more, now it's just a hospital of integrated traditional Chinese and Western medicine, or a town hospital. Even if it doesn't get cured, what can I do?

But it can be seen that the angle and height of Wu Xie's thinking about the problem are definitely not parallel to their level in terms of infection.

"Continue with the operation, we can discuss it later." Lu Junyin, as the director, of course has to speak for his employees.

The higher Wu Xie's level, the higher the infection treatment platform that can be cultivated and built in the end, and the more stable the department will be in the future!

The operation was able to continue.

However, in the follow-up surgery, even Long Yuan, with a learning attitude, slowly figured out Wu Xie's surgical thinking, in order to be able to confirm and learn something.

...

Qin Hong and Dong Chun remained silent after hearing this.

About a minute later, Tan Hong turned around and asked Tang Yuewei, "Did you understand what Xiao Wu was thinking just now?"

Qin Hong knew that Tang Yuewei's theoretical level and operational level were both good, especially the theoretical level was higher than hers, but she was relatively inexperienced, so the level of operation was a little lacking.

Moreover, Tang Yuewei has been exposed to many new anesthesia concepts in the anesthesiology department, including controlling time, mastering the whole body, reducing anesthesia and so on.

Tang Yuewei blinked her eyes when she heard this, and then squinted for a while, obviously trying to sort out her thoughts.

Then he said softly, "Teacher Qin, I have never heard of such a concept, but I think Dr. Wu's statement is somewhat similar to the theory of nerve distribution of receptors."

"Our skin receptors are widely distributed, but after the receptors are stimulated, the route back to the brain center is fixed."

"Then based on this theory, it can be inferred that when our brain center issues commands to the surrounding organs, it takes the same route first, then it is accurate to the local area, and finally it is evenly distributed to all the effectors in the whole body."

"However, this is a very basic theory. It is probably difficult to summarize it systematically. But it is actually quite good to have such an idea. It can revise and explore some diagnosis and treatment processes."

Tang Yuewei is not a specialist doctor, so when she understands something, she tends to make analogies with some things in the anesthesiology department, so that it is easier for her to understand.

Dong Chun opened his mouth slightly, but Qin Hong was dumbfounded.

"Basic theory, isn't that easy?" Qin Hong knew that the more basic something was, the more it could be overthrown. Of course, it was more difficult to achieve something.

Medicine may have different disciplines, but when it comes to the depths, they all have similarities. If these similarities can be found, then one study will be a series, and one diagnosis and treatment will cover dozens or hundreds of diseases.

Why the professors have such a wide range of knowledge? That is the state they have reached. They have gone from effectors to nerve conduction tissues, and they can manage a large chunk of effectors at once.

I have learned it thoroughly, so I can take care of this one.

There are also some professors who switch from one department to another at will when they are middle-aged, which is also the corresponding reason. The basic skills are good enough and the understanding of theories is solid.

"Probably, I also read it from the literature!" Tang Yuewei said with a smile.

Ordinary doctors read literature when accumulating basic principles.

...

This operation itself is not complicated, and Wu Xie's operation is not particularly eye-catching. It is very basic and quite satisfactory.

However, Long Yuan's words dug out some in-depth ideas and basic skills mixed in Wu Xie's ordinary operations.

This made Luo Wei, Lu Junyin and others start to be astonished.

Excellent operation means that you have a good surgical talent, but a higher theoretical level and realm means that you have a talent for medicine.

This is not God chasing food, this is that you may chase many people at that time, give them jobs, and benefit patients. Although it is only a possibility, it also represents the upper limit that Wu Xie may be exposed to, which is beyond their imagination. arrived.

...

The operation ended in a satisfactory manner, without fancy operations.

There is no mystery, incomprehensible sutures, etc., just the standard steps, step by step, after completion, vancomycin was stuffed into the joint cavity.

Then, before the joint was flushed and drained, it was clipped and vancomycin was allowed to act for a period of time.

But after the operation was over, Long Yuan began to talk about Wu Xie, and began to explain this operation for everyone!

When he saw something he didn't understand, Long Yuan really wanted to understand it.

Last night, I managed to collect some color Doppler ultrasound reading related materials, and wanted to make up for the shortcomings compared with Wu Xie. Good guy, this is so hard, I jumped again the next day, isn't this just looking for excitement for myself?

How about learning?

Otherwise, if Wu Xie recovers his memory and knows the shitty things the two of them did before, at that time, he was still slightly inferior to Wu Xie, so he would have to rub him on the ground!

The chasing after each other between brothers has nothing to do with hatred, it only cares about face.

I can be proud of your excellence, but I still want to push you down to the ground and rub...

Wu Xie didn't count as being kicked out of the shelves.

If he was asked to talk about other aspects, maybe he felt that his level was quite limited, but since this operation was related to surgical infection, Wu Xie could really talk about a lot.

With expert-level technology, Wu Xie felt that he could at least be comparable to an associate professor, so let's start talking.

And we can't talk about it in general, we can only talk about this operation.

This is equivalent to a propositional composition, which is an introduction point, starting from it, into surgical infectious diseases.

Wu Xie didn't dare to sit down, but dared to stand up and said: "Senior Brother, Director Lu, Brother Wei, Brother He Ling, I'll just say something casually, just to explain my understanding for this patient."

"First, he identified it as a complex infection, and then it was an intra-articular infection. This is its essence, and then it was extracted. This patient is an infection, which is just his manifestation. It is an intra-articular, complex, and compound infection. "

"Actually, our textbooks, surgery, and infectious diseases have already explained the principle of infection and the principle of treating infection very thoroughly."

"Infection is a manifestation of the local settlement, reproduction, and metabolism of germs. Its main body is the germs, and its location is local. If it is the whole body, it is sepsis, right?"

"Then its behavior, in summary, is reproduction, metabolism..."

Expert-level skills support Wu Xie to stand at a certain height, and to give lectures to others through abstract and essential things.

It’s not that they haven’t heard of such a level, they have heard it, but it’s all in the teaching of large classes, or in the teaching rounds, those big professors can have such a deep and self-summarized.

Instead of reading from a book.

Why do some university lecturers have good scientific research results, but the teaching is based on books?

The reason is that it is inconvenient to explain clearly. In fact, the understanding of knowledge is not particularly deep enough, so I can’t sum it up by myself. If I can’t stand at a certain height, I can’t see the overall structure of knowledge clearly.

I can't even see clearly, how can I sum it up? How to unscrew the knowledge structure and explain it to you?

"Then, the process of antibacterial treatment, in fact, is actually a process of eliminating germs. Whether it is the immune mechanism in our body or the use of antibiotics, the purpose is to cause problems in the reproduction and metabolism of germs."

"It doesn't have to be killing in situ. If it can prevent its metabolism, make it unable to reproduce, or limit their range of activities and let them die by themselves, this is the essence of anti-infection."

"For all infections, the germs must die on their own. The reason why we need nutritional training during infection is that our body not only has to fight against the erosion of germs, but also is responsible for providing energy to remove their corpses and digest them Break it down and wait..."

While Wu Xie was talking, even Tang Yuewei came in, but she just stood at the door, silently listening to Wu Xie's explanation, thoughtful.

And at this moment, no one had any other thoughts, they all focused on what Wu Xie said.

At this moment, they all understood.

Maybe I don't understand what infection is at all, but Wu Xie understands...

Ask for a monthly ticket, fellow book lovers. This book is academic, and hard work can bring you a different perspective...

Step by step, restore a different doctor's world and vision for everyone!