Great doctor starts with adding points

While the operation was still going on, Director Lin and the Chen Luo he was talking about directly regarded Wu Xie as Meng Tang's proud disciple.

While boasting: "Director Meng, it seems that your team, besides Dr. Gong, will soon have another mature hand surgeon."

"Xiao Wu is quite young this year, right?"

Lin Bin looked at Wu Xie enviously. Although he felt that his current surgical skills would not be worse than Wu Xie's, the age difference between the two meant that their upper limits were extremely different.

Meng Tang didn't reply at the moment, but when he let Wu Xie try to deal with the remote debridement, he was also watching Wu Xie's debridement process.

Perhaps in the eyes of outsiders, Wu Xie's debridement operation is currently only satisfactory, but as a professor of hand surgery, Meng Tang has seen details that many people have not noticed——

For example, when Wu Xie cleans up the ruptured tendon, he will thin it slightly, but he will not completely remove the surface layer of the tendon, but will notice some tiny blood vessels.

For example, when Wu Xie was dealing with skin wounds, it seemed that he had only roughly trimmed a few parts, like a novice who dared not debride the wounds.

But Meng Tang knew that Wu Xie was corresponding to his proximal end after debridement.

When dealing with the tendon, he noticed the tiny blood vessels at the end. His current student Xiao Gong couldn't understand such details, and the corresponding details of the proximal end required a certain level of debridement skills to be able to accomplish.

Being able to spontaneously notice many details and discover more detailed operations when replanting amputated fingers is a level and insight brought to Meng Tang as a professor by the cognitive domain.

Therefore, in Meng Tang's view, Wu Xie's current operation skills and cognitive level are uneven and not parallel.

Wu Xie's understanding of microstructure processing is higher than his operation level, which is already progressing to a more mature state. If he can standardize his operation and train it, he will definitely be a hand surgeon. good seedlings.

It's a pity, this person is too deeply involved with Duan Hong, otherwise Meng Tang would turn Wu Xie into his favorite disciple.

The best uncut jade is definitely a material that can be made.

After Wu Xie completed the debridement, Meng Tang did not continue to let go in an attitude of being responsible to the patient. Although Wu Xie may be able to complete the entire process of severed finger replantation under his own guidance, the real foundation is still there. slightly lacking.

So Meng Tang took over with Kirschner wires to complete the bony apposition and fixation.

Even in the replantation of severed fingers, the treatment of fractures is still reduction, fixation, and rehabilitation.

And because it is a severed finger, it is very simple to reset and not difficult to fix.

However, after the fixation was over, Meng Tang asked Wu Xie a difficult question: "What do you think should be done next? Suture tendons, suture nerves, or deal with blood vessels?"

"Treat the tendons, and then deal with the nerves and blood vessels?" Wu Xie replied according to the prompt given by Meng Tang.

Professor Meng said before that if the disconnection takes a long time, the blood supply should be dealt with first, and if the disconnection time is short, the tendons and nerves should be dealt with first, and the blood supply should be restored last.

"Why? The key and core of replanting a severed finger is to see if the blood supply is smooth." Meng Tang was obviously not satisfied with such a simple answer.

Wu Xie frowned slightly: "Mr. Meng, is it because there is a certain time window for limb ischemia and necrosis?"

This question is too professional, beyond Wu Xie's knowledge reserve, but Wu Xie still gave a proper understanding based on his own knowledge reserve.

Meng Tang smiled, confirming Wu Xie's current level in his heart.

He began to operate and suture the tendon, and replied: "The key to replanting a severed finger is whether the blood supply is smooth, but the ultimate destination is whether the severed finger can survive."

"After the blood vessels are sutured, the key to good recovery of blood supply is that the polishing of the vascular bed should be appropriate to avoid subsequent scar entrapment, causing blood pressure to be compressed, affecting or even directly leading to vascular closure. Therefore, post-processing is required when there is sufficient time. Blood vessel."

"Secondly, the anatomical location of the blood vessels in the fingers determines its order of operation. If it is not necessary to restore the blood supply first to ensure the activity of the distal limbs, then its treatment order should be placed later."

"Third, blood vessels determine whether it can survive, but the functional repair of nerves determines whether survival has kinematic significance. Therefore, if the blood supply can be completely guaranteed and the limbs survive, it is critical to deal with the nerves first."

"Fourth, whether a severed finger is replanted or a severed limb is replanted, it's a continuous process from limb to limb. You can experience this sentence slowly, and you don't have to understand it now."

Meng Tang took the opportunity to give Wu Xie a lot of advice.

Then in Wu Xie's vision, these words became.

"Learn more..."

"Learn more..."

"Learn more..."

Four sentences, six points of knowledge.

Oh no, I probably didn't understand the last sentence, so it's the six points of knowledge in the first three sentences.

Professor Meng is awesome.

It can be said that every word is pearls.

"Thank you, Teacher Meng." While raising six knowledge points, Wu Xie's overall understanding of limb replantation increased, so the upper limit of experience points for upgrading became 494!

Wu Xie continued to watch Professor Meng Tang's operation.

Wu Xie discovered that he, who has a professional level of severed finger replantation and tendon and nerve suture, is full of details in the process of watching Professor Meng Tang's operation.

For example, when suturing the tendon, Wu Xie knew that the key to the first step in suturing the tendon is to be able to stitch the tendon together, and then avoid unevenness and ridges, which is the level that the proficiency level should reach.

Although he is proficient, it is actually an introduction to amputated finger replantation, a real introduction to tendon suturing, not suitable for mixed in amputated limb replantation, only suitable for ordinary tendon rupture.

Then go a step further, to his current specialization, it is necessary to clarify a certain sense of hierarchy, and tendons actually have their own hierarchy. It is to grasp and repair some sequelae of tendon sutures during the operation, identify some functionally limited tendon sutures, and carry out reprocessing.

Professor Meng Tang's operation seems to be able to repair the tendons or muscle cushions while retaining the original anatomical structure during the suturing process. This kind of understanding and operation are more advanced, and he can only see that A little clue.

While admiring, there is light in the eyes.

I can see some tricks, but I don't know what it is or how to do it, so I am at a loss. At this point in time, it is not suitable to ask questions.

However, Wu Xie thought that he had no chance to operate, but.

After Professor Meng Tang completed most of the operations, Wu Xie was left with a suture of the proper digital artery.

Wu Xie looked at Professor Meng Tang in astonishment.

"Come on, it's okay. It means that the proper anastomosis on one side of the artery can provide blood supply to the distal end. This part is for you." Professor Meng Tang said to Wu Xie with a smile, in order to relieve Wu Xie's psychological pressure.

Director Lin and others have no opinion, and the person named Dr. Chen has already asked about it. The patient over there is currently being treated by Dr. Gong, and his life is not in danger, so there is no rush on time.

When Wu Xie heard this, he looked at the proper digital artery on the radial side (outer side) of the middle finger left for him. The proximal and distal ends had been exposed, as if it was just waiting for him to suture it.

Director Lin was also very encouraging and handed over the 10-0 stitches.

The needles are small, as are the needle holders and tweezers.

However, Wu Xie did not take it directly, but looked at the proper digital artery on the radial side of the middle finger, and then cut off a section of the proper digital artery near the proximal end that Professor Meng Tang had previously handled.

After this, he began to clean the outer membrane.

Seeing this, Director Lin looked slightly astonished, and the needle in his hand seemed to be at a loss. I don't know where to put it.

"Not bad, not bad!" But seeing this, Professor Meng Tang laughed and was in a good mood.

He left an opportunity for Wu Xie, but he also left a hole.

"Ribbon sign" is a sign that the blood vessel loses its normal elasticity and becomes soft and curved due to vascular traction or rotational sprain. In the replantation of severed fingers, such blood vessel segments must be cut off in a more meticulous principle.

He found out, so he stayed here on purpose to see if Wu Xie could find out, if Wu Xie picked it up and sewed it up, then don't think about it, Wu Xie definitely didn't know.

But if Wu Xie went to deal with the vascular ribbon sign on his side again, it means that Wu Xie really worked hard before coming to beg him.

His current basic skills are qualification reserves and technical reserves, and knowing, distinguishing and handling ribbon signs are attitude reserves.

Wu Xie used tweezers to lift the adventitia around the anastomotic stoma, like taking off a sleeve, pulled the adventitia out of the anastomotic stoma, and cut it off. After cutting it off, you can see that the adventitia retracted naturally to a place 2-3mm away from the anastomotic edge...

Then Professor Meng Tang began to explain to Director Lin and the others, letting go of their psychological guard.

Director Lin and Dr. Chen felt relieved when they heard the words. Director Lin scolded Meng Tang for being an old urchin in his heart, but he smiled and said, "Professor Meng's examination method is still too level and deep."

Meng Tang glanced at Director Lin and stopped talking.

Then when Meng Tang continued to watch Wu Xie's follow-up blood vessel suturing operation, he was still quite satisfactory and could watch it, but that was it. Considering Wu Xie's age, he was already considered quite excellent.

He is slightly worse than his student Xiao Gong, but slightly stronger than the general doctors in the department.

well!

Meng Tang felt a little astringent in his heart.

After the operation, the follow-up medication and the operation of going back to the ward belong to Director Lin and others. Of course, although Director Lin is in charge, he does not need to go in person.

So Meng Tang took Wu Xie and Director Lin directly to the operating table where the amputated limb was replanted.

Only then did Gong Yangming deal with the broken ends.

This is a broken limb of the forearm, so the treatment of the fracture is much more complicated than the replantation of a severed finger.

Meng Tang personally sewed up a small severed finger, and he would step down quickly, as he expected.

"Master." Gong Yangming subconsciously called out when he saw someone approaching the opposite side.

Just looking up, he found a very familiar figure standing next to Meng Tang, and when he saw him, Gong Yangming recognized him at a glance.

"Xiao, Xiao Wu?" Gong Yangming's tone was unbelievable.

Gong Yangming is now attending the doctor, but two years ago, he was only a doctor, a third year doctor, and he was about to work hard for his stay in the hospital. At that time, he was the chief follower of Gong Yangming's group!

At that time, Wu Xie had been to the group, and it was only then that Gong Yangming finally realized the bitterness from Senior Brother Longyuan, and what made him even more bitter than Longyuan was that he was not as talented as Longyuan, so he felt dominated. It is extremely thick.

"Xiao Wu followed us to take a look around and continue the operation." Meng Tang quickly took over the operation, and began to explain while doing it.

Because he also knew the general level of Wu Xie, so he took care of Wu Xie appropriately, and lowered the level of explanation slightly compared to usual, so he seemed more nagging.

Wu Xie listened quietly, and at the same time saw Meng Tang's extremely harsh demands on Gong Yangming, and her heart trembled.

According to the current level of Gong Yangming, he would be scolded. In fact, according to Professor Meng Tang's habits, he should have complained about his previous suturing. He just took into account his age and experience, so he saved a lot of face.

Just getting started, pride has nothing to do with me.

Replantation of amputated limbs takes a long time.

Until eight o'clock in the afternoon, Professor Meng Tang's mouth was dry, but he was still explaining carefully and carefully! During this process, Professor Meng Tang got off stage several times to drink water.

Of course, after Professor Meng Tang stepped down for the first time, Wu Xie also stepped down, went to the canteen below, and bought a few bottles of drinks for Professor Meng Tang to refresh his mouth.

...

Perhaps it was too late, at 9:30, the seven and a half hours long replantation of a severed forearm injury was finally over!

Then Meng Tang didn't bother anymore, and directly took Wu Xie and Gong Yangming to dinner.

Of course, the meal was arranged by Director Lin, and Wu Xie also suggested drinking, but Professor Meng Tang's throat was slightly hurt, so after Professor Meng Tang refused, everyone stopped drinking.

Later, Gong Yangming and Professor Meng Tang sent Wu Xie to the hotel where he was staying, because they were on the way, and then went home.

Although Wu Xie had thanked Professor Meng Tang many times in the operating room and in the car, after getting off the car and before falling asleep, Wu Xie still sent a thank you message to Professor Meng Tang.

"Knowledge point 101!"

This is the result of Professor Meng Tang's half-day and almost no rest!

An increase of 87 points, if you count the bottom-guaranteed tube bed knowledge points, it will directly increase by 107 points a day.

Very comfortable, just a bit Professor Fei, Wu Xie felt an indescribable touch in his heart, thinking that maybe besides the teacher going to give some gifts to Professor Meng Tang, he would also pay a visit tomorrow... …

After Wu Xie got off the car.

Meng Tang called Wu Xie's teacher, Professor Duan Hong, in front of Gong Yangming, and said in a bleak tone, "Oh! Director Duan!~"

"You student? It's hard to say!"

This long sigh directly confused Professor Gong Yangming in the driver's seat. He slammed on the brakes on the spot, and stepped on the accelerator to slip away before he could stop.

The glass behind the driver's seat rolled down.

There was a very cordial greeting.

"What the hell!~(What?)"

"Pan Ma Day!~(It's more serious than yours.)"

"Ten N M G L B"

...

Meng Tang glanced at Gong Yangming, and then said: "Such a student, I can't handle it. Director Duan, I don't think I can handle it. Otherwise, just leave it alone, it's too difficult."

Gong Yangming immediately rolled his eyes.

Fuck, the teacher must have taken a fancy to Wu Xie, so he is trying every means to make Professor Duan Hong let go, and then he will quit.

Duan Hong once went to the personnel department and graduate school to do special things for Wu Xie. Gong Yangming knew it, and Meng Tang knew it too. Therefore, under such circumstances, if Duan Hong himself does not let go.

At present, no professor in Tongji Hospital dares to rob Wu Xie in private, but if he finds a way to be unethical, such as having a recording or something, then there is no need to be afraid...

Meng Tang could do this kind of thing.

Gong Yangming just said, just now he and Wu Xie were very fond of each other, so why change his face now that he said he would change his face.

"Director Duan, I'm afraid you're tired. You won't be able to carry it, you won't be able to carry it at all." Professor Meng Tang's tone was exaggerated and serious.

"Okay? That's it." Professor Meng Tang hung up the phone.

Then he turned his head to look out the window and wiped his forehead.

"Master, Director Duan hasn't been tricked yet?" Gong Yangming asked directly.

"This section of director is poisoned too deeply."

"I just tried it, and I didn't really think about such a thing. After all, Professor Duan and Professor Feng come from the same family, maybe they really hit someone?" Meng Tang was completely disrespectful. look.

Gong Yangming just kept silent.

...

While Wu Xie was still thinking about what to send Meng Tang, he received a call from Professor Duan Hong.

"Xiao Wu, did you make Professor Meng angry today?" Duan Hong's voice was extremely refined, very peaceful, and did not mean to be angry.

"Ah?~Master, no?"

"Professor Meng and Brother Gong Yangming sent me back to the hotel just now, talking and laughing? You won't be angry?" Wu Xie looked confused.

"Then what did he say to you? Did you not realize it?" Duan Hong asked.

Wu Xie took a rather cryptic breath and replied, "Master, I didn't say anything more cryptic. Professor Meng even asked me if I would like to get his Ph.D., should I?"

"Not counting?"

"Are you angry?" Wu Xie couldn't be sure, because he and Meng Tang were not familiar with each other, so he couldn't figure out Meng Tang's temper at all.

"Beep beep!" While Wu Xie was speaking, he found that his phone had been hung up.

Then when I called again, it turned out that the other party was already on the phone.

...

A neighborhood, living room.

Duan Hong couldn't get through to Meng Tang's phone anymore, so he just sat there and started cursing.

Duan Qin, who was in high school, complained from the study: "Dad, what are you doing? I'm doing a question, can you keep your voice down?"

She knew that her father had always had a good temper.

But Duan Hong's wife knew what was going on: "Go and rest, don't stay up late, your dad is not in a good mood today."

"Your Uncle Meng is messing up again..."

"Isn't Brother Long not in Han City?" Duan Qin felt strange and came over to ask.

Long Yuan is a student of Duan Hong, and he is of the same generation.

"It's another brother..."