Great doctor starts with adding points

On the way back to the hotel, Qi Qiaowen was accompanied by Associate Professor Zhou Xiaoning and Huang Yaolong.

Huang Yaolong also asked with a smile: "Master? Wu Xie in our department, did you really know each other before?"

Huang Yaolong was in the driver's seat, while Qi Qiaowen and Zhou Xiaoning were in the back seat. Although Zhou Xiaoning's memory was not as good as Qi Qiaowen's, she still remembered what happened at that time.

"Yaolong, you can still doubt Master's memory. The bad things you did in the past, Master will definitely remember everything."

"This Wu Xie, I also have a little impression. After the teacher came back from the big class that time, he mentioned this matter to me, saying that if he meets trainees and interns, he will pay attention to him at that time."

"I knew at that time that the teacher might have found some good seeds, but it's a pity that I didn't wait."

"Master, is this Wu Xie you were talking about at the time?"

Qi Qiaowen nodded slightly, but he didn't pay attention to Huang Yaolong and Zhou Xiaoning, but was looking at his own information.

"Master? That's Wu Xie you mentioned at that time, right?" Huang Yaolong asked again seeing that Qi Qiaowen didn't reply.

"Yes, I met him in our hospital's big class, and I knew he must be interested in studying for a master's degree in orthopedics, so I prepared in advance. The depth of knowledge is amazing at his age."

"At that time, what I thought was, what sub-specialty would he go to study? from the Clinical Academy."

"Empty hug."

Although Qi Qiaowen didn't listen, after turning off the phone's screen, he looked at Huang Yaolong who was driving: "Yaolong, you said that Wu Xie belongs to your department, are you sure?"

"Ah?~" Huang Yaolong was slightly taken aback when he heard this.

"Master, didn't Director Fu tell you that Xiao Wu is coming to work?"

The power of personnel is in the hands of Fu Jinjin. Although Huang Yaolong is the deputy chief physician, he is also a deputy senior doctor, and Wu Xie is not his relative. How does he know so much?

"Then if I want to take him away, will you support your director or me?" Qi Qiaowen said suddenly.

Huang Yaolong's body twitched, causing the steering wheel to move slightly. Fortunately, the speed of the car was not fast, so there was no change, just a small S-shaped movement.

Zhou Xiaoning, who was sitting in the back seat, was slightly puzzled by these words: "Master, is Wu Xie in love?"

Although Zhou Xiaoning said something nice about Wu Xie to her teacher, it wouldn't make her teacher take Wu Xie away directly, would she?

Or does the teacher never forget Wu Xie?

"Take it away to raise a baby for someone else, but if you don't take it away, it's a pity. I'm also tangled in my heart now. This Duan Hong? It's really good at playing the emotional card."

"It's because he plays so well that I'm bothered. I'm afraid he's not familiar with him." Qi Qiaowen scratched his head.

"Director Duan of the Trauma Surgery Department of Tongji Hospital." Zhou Xiaoning revealed Duan Hong's identity.

"Not only him, but also the old director Xue Yuhui, also begged for mercy, hoping to exchange a place with me. I hope that this time, I can break the rules and accept Wu Xie to occupy a doctorate place in advance, come in the advanced academic system, and then free it. Tube."

"Next time, if I have someone I want to keep, he can also give me two vacancies, which is equivalent to an exchange, as a host student."

Qi Qiaowen said something that neither Zhou Xiaoning nor Huang Yaolong knew about.

Then explain the reason: "This Wu Xie, when he was in Tongji Hospital, Professor Duan Hong had already had a relationship with the graduate department and the medical office once, and broke the rules once. It is not good to break the rules again, so he wants me to do it again Go to our Xiehe Hospital and give him a chance to break the rules."

"Where do you want me to reason?"

While talking, Qi Qiaowen weighed the pros and cons.

Huang Yaolong and Zhou Xiaoning are both his own people, so he is not afraid of them leaking secrets. Moreover, as long as Wu Xie is capable enough, it is Qi Qiaowen's freedom to recruit him. , and has a great reputation across the country, how about breaking out of a single unique recruitment quota?

This kind of special trick is, if I want to recruit, I will recruit. If I don’t occupy the quota of the general recruitment, I will bring it myself. You can figure it out, will you give this quota.

Zhou Xiaoning knew that her teacher had this ability, but she rarely used it. After all, old professors cherish their names and feathers.

"Master, what do you think about it?" Zhou Xiaoning asked.

Whether Wu Xie is his junior or not, even if it is just a name, his attitude will be completely different when we get along in the future, the teacher has to make it clear.

The teacher comes here occasionally, but Zhou Xiaoning is a permanent resident. He is determined to make the hand surgery department of Minda Hospital a provincial-level key department and fill the gap in the quality of hand surgery in Southwest Hubei.

In fact, as far as Qi Qiaowen is concerned, he doesn't need any icing on the cake.

If Wu Xie was a free man with good talent, then it would be good to be recruited, and he could have a great development in hand surgery, but Wu Xie is not, so Qi Qiaowen can actually ignore it.

However, Duan Hong made such a proposal, which made Zhou Xiaoning and Qi Qiaowen very entangled.

The word mentor seemed to be engraved on Duan Hong's face.

"I'm still struggling, and I hope to give young people a chance, but I hope to give my own young people a chance."

"It mainly depends on his later study attitude. If he is still as foolish as before, then I will definitely not consider it." Qi Qiaowen touched his face.

Zhou Xiaoning scanned Huang Yaolong and said, "Master, Xiao Wu's learning attitude is sure to please you. His current basic skills are more solid than Yaolong who hasn't practiced hand surgery for a long time. This is the truth."

Huang Yaolong lowered his head.

My heart is bitter, my mother.

Did Director Fu Jinjin find a little brother? He found a big brother.

Senior brother is close to people, saying this in front of his face, although it is a beating, but it is also an encouragement, and it must be the truth. It's been ten years since Huang Yaolong hadn't had any hand surgery, and he hasn't lost his basic skills, but he hasn't made much progress.

"What do you say about this?" Qi Qiaowen asked while arresting, Zhou Xiaoning is not easy to deceive, there must be a basis.

"First point, Xiao Wu was able to find the biceps brachii muscle branch of the musculocutaneous nerve through MRI!"

"Second point, he can roughly analyze it, acute and chronic injuries."

"Thirdly, Xiao Wu has a particularly holistic framework for his surgical operations."

"It shows that he has mastered the general process of MRI reading skills, replantation of severed limbs, or a technique of hand surgery. Moreover, if he can analyze acute and chronic injuries, it proves his basic anatomical knowledge and pathology. The integration ability between MRI reading techniques is very good." Although Zhou Xiaoning has fair skin, she will not boast in vain.

When Huang Yaolong heard this, his mental state was in a state of depression.

He can also do these three points, but what age is he, and what age is Wu Xie, big brother?

And recently, I have a senior brother who specially feeds with a bowl, and Wu Xie is wild.

Hearing this, Qi Qiaowen took a deep breath: "It's okay, let him do a neuroanatomical examination tomorrow, and you can see it."

"This is the most untrue thing to do."

"Yaolong, do you dare to do it now?" Qi Qiaowen asked Huang Yaolong.

Huang Yaolong shook his head repeatedly: "Master, it will be a while before I feel stable enough."

It can be done barely, but it may affect the quality of the operation and the operation process. In front of Qi Qiaowen, who has always been strict, Huang Yaolong dare not force it.

...

Lying on the bed, the half-drunk Wu Xie knew that Tang Yuewei's identity was 'bound' to him, and after being rejected, although he felt guilty, he also felt a little happy, and his emotions were intertwined.

Although, whoever really wanted to be with Tang Yuewei, Wu Xie would feel pressured.

But when he said he wasn't picky about food, Wu Xie thought it was a little too much.

After the group chat, Wu Xie continued to chat with Tang Yuewei in private, but Tang Yuewei probably didn't know about it, so he typed lightly: "My cousin is okay, he's only three years younger than me Four years old, it won't scare you."

"He is a very good person. Next time, I have to treat guests. Maybe he will be my cousin in the future." After reading it, Wu Xie suppressed the five feelings in his mind.

In fact, it's nothing. Whoever said that he is picky or not has nothing to do with him. The most important thing is that he can make Tang Yuewei not feel wronged.

I just wish I could hold this in my mind.

"You are not allowed to compete with me for the bill?"

Tang Yuewei covered her mouth and snickered: "I'm sure I won't steal it. You and my cousin both have jobs. I'm still a student. It depends on whether you can snatch him away."

"Today I also brought rice cakes, which will be fried tomorrow morning, and I'll bring them to you to try in the evening."

"You have to go to the operating room to learn surgery tomorrow, so you should rest early, don't be depressed then, and give Professor Qi a very bad impression, which is not good."

"And it's rare for Professor Qi to come here once, so you have to seize the opportunity." Tang Yuewei just checked Qi Qiaowen's resume, and felt that Wu Xie must seize the opportunity. Maybe Professor Qi can give Wu Xie a lifetime of advice. .

Just like that Professor Xiong pointed out.

"Come on! Go to sleep and go to sleep."

"The dog's head is safe." Wu Xie knew that Tang Yuewei had acquiesced to this matter when she saw that Tang Yuewei wasn't angry because of his words.

...

The next day, Wu Xie got up early and took a shower to wash away the mild hangover.

Fold the quilt, and then throw the dirty clothes into the washing machine, and use the dryer when you come back from the operation. If there is no chance, you can take it back to dry after shaking the water.

After going downstairs for a hasty breakfast, Wu Xie arrived in the department ahead of schedule.

At this moment, there is no one else in the department, only a doctor on duty who is not from Fu Qianjin's group, but the nurse in the operating room has already come to the department to pick up the patients.

This is the advantage of a large tertiary hospital like Minda Hospital. There are nurses who transfer patients. Whether they are doing an examination, returning from the operating room, or going to the operating room, there are nurses to help push the bed.

This is an impossible configuration for Xuan County Hospital of Integrated Traditional Chinese and Western Medicine.

Wu Xie didn't have his own white coat, so he just put it in the office to read medical records.

At 7:50, the doctor on duty came to the office. Seeing Wu Xie in casual clothes, he asked, "Who are you? Why are you in the office?"

"Family members of the doctor's office are not allowed to enter."

Wu Xie hurriedly turned her head, leaned slightly, and saw that the other party was younger than herself, he should be a regular trainee or a graduate student, so she said, "Brother, I am from the director group of Fu Jinjin, and I forgot to bring my white coat. It is not easy to use other people's , I’ll just look at the medical records of the patient who is going to be operated on today.”

"The account and password are all from our group!" Wu Xie explained.

The other party was busy apologizing, but still approached cautiously to see that the account Wu Xie used was indeed that of Deputy Chief Physician Huang Yaolong, so he felt relieved.

But still suspicious: "No, big brother, it's not the beginning of the month now. You?"

"I don't think I've seen it before."

"What's your name, big brother?"

It's only the end of November now, and it's not yet December before the turnaround of regular training courses. He is a resident trainee for undergraduates, and he has never met Wu Xie.

"Brother Sheng, my name is Wu Xie, and I only come here occasionally on weekends!" Wu Xie explained, then looked at the other party's badge, and knew that the other party's name was Dong Qisheng.

Dong Qicheng also smiled. Although he didn't understand what kind of existence Wu Xie was, he probably really was a doctor.

After a while, Guan Yun and Cao Zhiyuan arrived in the department, and seeing them, Dong Qisheng went up to greet them, and after some questioning, he nodded immediately: "Oh, that's right, I just said how do I get out of here?" I haven't seen Brother Crab."

Wu Xie laughed along.

Maybe it was because Wu Xie was drunk yesterday, so he and Cao Zhiyuan got closer. Cao Zhiyuan said: "Brother Xie will be brothers when he enters the department, and everyone will be workers."

"It's just that Brother Crab's starting point is much higher than ours."

"That's definitely not the case. Graduate students from Tongji Hospital are more than enough to enter our hospital."

Then there was another burst of business bragging among the people, which counted as mutual acquaintances.

Wu Xie was also unassuming, so he integrated quickly. After agreeing to have a meal together in the future, the superiors arrived.

"..."

In the end, Wu Xie used Guan Yun's summer short-sleeved white coat that was placed in the department, and followed the crowd to round the ward. Because an operation was needed, and the patient had already been admitted to the operating room, the speed of the ward round was also very fast.

After the ward inspection, Cao Zhiyuan was left to work in the department, while the rest followed Qi Qiaowen and Fu Qianjin to the operating room.

This operation is regarded as nerve reconstruction surgery, strictly speaking, it is ulnar nerve reconstruction surgery.

However, in a broader sense, this operation is actually a functional reconstruction of the ulnar nerve: ulnar nerve repair + extensor tendon transfer of the little finger + volar joint capsuloplasty of the metacarpophalangeal joint + superficial flexor tendon transfer surgery.

Ulnar nerve reconstruction is actually an expression during communication, a spoken language to facilitate communication, not a real operation for chronic ulnar nerve injury.

If it is a traumatic rupture of the ulnar nerve, then ulnar nerve suture and ulnar nerve reconstruction are the real procedures.

After entering the operating room, Wu Xie consciously walked towards the film reader area.

The patient's course of illness was very long. Wu Xie was reviewing the films in the office before, and he could only see the last MRI examination after he was hospitalized, but the previous MRI examination was an MRI film from another hospital.

During the ward rounds, the patient had already left the operating room, and Wu Xie had no chance to see it.

Therefore, while Professor Qi and others were doing preoperative preparations and dissection of the ulnar nerve, Wu Xie could also learn and experience the MRI changes of the chronic non-traumatic injury of the ulnar nerve through the changes of the front and rear MRI images.

Prepare for your own MRI reading skills to go one step further.

Reading anatomy on MRI is only at the level of specialization, and the level is a step further, and a further step is to read the principles and theoretical changes of diseases.

Although it was an MRI reading skill that was two levels higher than his own, since his brother mentioned it, Wu Xie can also explore it by himself, after all, take your time.

However, after Qi Qiaowen saw Wu Xie walking in the direction of the film reader, he hurriedly said: "Xiao Wu, don't go, you should wash your hands first, and later you will do a skin incision and ulnar nerve inspection."

"Ah?~" Wu Xie was completely unprepared for this kind of mentality, and didn't know that he would have the opportunity to do it today.

In his opinion, maybe next time and next time, after a few contacts, he can do it himself.

After all, with Zhou Xiaoning here, Huang Yaolong under Zhou Xiaoning, Fu Qianjin and Wu Longshan, it's never my turn.

"Wash your hands, you can do the exposure, can you do it? The exposure of the ulnar nerve at the lower part of the humerus." Qi Qiaowen asked again.

If Wu Xie refuses, then this matter will not be mentioned.

Fu Jinjin didn't do such a psychological construction well either, he turned his head to look at Qi Qiaowen, and was about to speak. But Associate Professor Zhou Xiaoning explained a few words to Fu Jinjin in a whisper.

Only then did Fu Jinjin smile and look at Wu Xie who dared not move or speak: "Xiao Wu, you can answer truthfully, with Professor Qi around, as long as you don't go too far, you are fine."

"Teacher Qi, did you really call me?" Wu Xie turned around and approached Qi Qiaowen to make sure.

Wu Xie didn't directly refuse, which meant that Wu Xie really came prepared.

Qi Qiaowen waved: "Come wash your hands with me."

Wu Xie followed up honestly, and then Zhou Xiaoning, Fu Qianjin and the others continued to prepare for the disinfection and laying of towels before the opening of the stage.

Both Guan Yun and Wu Longshan showed envy and complicated expressions on their faces.

The envy is that Wu Xie has this opportunity, and the complication is that Wu Xie really dares to agree. If you don't have deep anatomical knowledge and corresponding experience, you can't do nerve exploration.

This Wu Xie?

Either bold, or really awesome.

Of course, Guan Yun and Wu Longshan didn't even know why Qi Qiaowen gave Wu Xie a chance.

...

When washing his hands, Wu Xie felt flattered: "Professor Qi, I was young and ignorant before, and disturbed Professor Qi in your class. Thank you for not forgetting."

"Who hasn't been young?"

"You agreed so readily, did you have an ulnar nerve probe done before?" Qi Qiaowen asked calmly.

"When there is an open fracture, the first two things to do are generally to do blood vessel and nerve exploration." At this time, Wu Xie stopped being obedient and pretended that he didn't know how to do it anymore. In terms of background.

Increase your accumulation thickness.

"Not bad. It's good if you have experience." Qi Qiaowen didn't ask any more questions.

He is not stupid. Now Duan Hong, as the director of the trauma surgery department of Tongji Hospital, since he was able to talk to him for Wu Xie's sake, it proved that Wu Xie must have something special.

Then, this extraordinary feature, Duan Hong's trust, will definitely allow him to see a bright spot from Wu Xie.

...

Everything was ready, Wu Xie stood on the main knife position, a little nervous.

However, after picking up the lancet, the tension in my heart gradually eased. Now I have a specialized level of incision technique and a specialized level of neurotomy exploration technique, which is more than enough to deal with this situation.

You only need to deal with some details in the operation patiently and meticulously.

If the entry-level incision is to strictly master the basic skills, the proficiency-level incision is to master the anatomical level of incision, to avoid damage to blood vessels as much as possible, and to strictly control the amount of bleeding.

So there are no special detailed requirements for incision at the specialized level.

Specialized level of cutting can grasp the details of cutting, and can be particularly proficient in clarifying the level and structure of cutting. Under such circumstances, the speed of cutting will be pursued to a certain extent!

At present, Wu Xie, who has incision surgery, has a kind of confidence in his heart that he can reach the fracture end of trauma surgery or the joint cavity of joint surgery within ten minutes.

Moreover, the whole operation process does not damage muscles, blood vessels and nerves, and the bleeding volume is controlled within 200ml.

This is a holistic concept, which is the pursuit of speed.

The entry-level and proficient level of incision is about stability and is aimed at elective surgery.

The incision at the specialized level pays attention to stability and speed, and it can be used for emergency surgery!

Neurotomy and exploration is another level, and I don't need to apply it today, so Wu Xie has no aftertaste.

After Wu Xie recalled the details of the operation in this way, Professor Qi Qiaowen explained: "Mr. Qi, Director Fu, I'm sorry, I'm a little nervous. Shall we start now?"

Fu Jinjin looked at Qi Qiaowen, Qi Qiaowen smiled casually and nodded.

At the same time, Qi Qiaowen and Zhou Xiaoning, who is proficient in surgery, helped Wu Xie draw the best position for the incision and the lines of the incision.

Wu Xie's smile faltered in an instant: "At 08:54:34 in the morning, the operation begins!"

Wu Xie said this sentence to the itinerant nurse and anesthetist, then bowed her head and began to operate very skillfully.

Before the operation began, Qi Qiaowen used tweezers to draw the trace and length of the incision on the outside of the sterile membrane. Wu Xie himself judged it from his heart, so he entered the knife along Qi Qiaowen's arc without hesitation.

Entering the knife vertically, walking the knife obliquely, and exiting the knife vertically, these are the most basic skills, which are entry-level, and Wu Xie completed them almost without thinking.

After the walk, the depth of the incision can be controlled because of the proficient level of incision. Therefore, after the knife is completed, the skin looks the same, and there is no blood seeping out. This means that Wu Xie has controlled the depth of the incision. .

Wu Xie did not stop, changed the round knife to a small electric knife, and continued to go deeper. With the help of forceps, he cut the superficial fascial blood vessel layer that was not cut by the first round knife. In the electrocautery mode, the small blood vessels were electrocautery It was burning and stagnant, but there was still no blood oozing out, and the incision was as dry as ever.

After these two steps, both Qi Qiaowen and Zhou Xiaoning were amazed.

Fu Jin let out a groan, obviously it was his usual operation process, and he didn't care about the details of the incision process at all.

But no one replied.

Once surgery begins, small talk is unnecessary!

Under the superficial fascia is the fat layer, and after cutting it with the electric knife, Wu Xie ordered: "Mr. Equipment, take the thyroid retractor, thank you!"

Wu Xie ordered that Qi Qiaowen and Zhou Xiaoning receive the instruments and assist in opening the opening to expose the deep fascia layer under the fat layer, and under the deep fascia layer is the muscle layer.

Wu Xie knows that the deep fascia mainly surrounds the muscles, nerves, and blood vessels of the limbs. Because the deep fascia surrounds the musculature and neurovascular, this layer must be broken bluntly.

After Wu Xie put down the electric knife without hesitation, he changed the vascular forceps to pinch the deep fascia, and bluntly punctured it, tearing this layer, exposing the muscle tissue inside.

At this time, the more critical point is still to find the brachial artery, but this time the search for the brachial artery is different from yesterday's operation, because the position of the incision is different——

In yesterday's nerve transfer operation, a skin incision was made in the central part of the biceps groove, and the skin was peeled off to the space between the triceps and biceps, and the brachial artery was explored.

Today's ulnar nerve exploration is performed through an incision on the medial border of the biceps brachii. Open the biceps gap to find the brachial artery.

This is the first step in ulnar nerve exploration.

After the brachial artery is found first, the midpoint of the intermuscular septum on the side of the ulnar nerve can be found. There is a intermuscular septum in the upper arm.

Along this point, the surgical incision is continued down to the surface of the flexor carpi ulnaris.

This time, another round of incision is required.

And this, in fact, is the key for Qi Qiaowen and Associate Professor Zhou Xiaoning to test Wu Xie's basic skills, to see if Wu Xie really understands the detection of the ulnar nerve.

There are pitfalls in the detection of the ulnar nerve. If you go directly to find it, you are a complete layman.

Peel off the skin, subcutaneous tissue and superficial fascia again, and you can see that the ulnar nerve is located in the groove of the ulnar nerve...

The two also noticed that Wu Xie was paying attention to some very detailed issues, which required Wu Xie's solid basic anatomical skills——

The elbow joint branch and the flexor carpi ulnaris muscle branch parallel to the ulnar nerve must be preserved. The consequences of cutting are very serious. Without this awareness, it is easy to tear off.

Here is what Qi Qiaowen wanted to give Wu Xie the bottom line, but before they reminded him, Wu Xie knew it himself and understood everything.

Laymen watch the excitement, while experts watch the doorway.

However, at this point, it is still not the exploration technique of the ulnar nerve, at most it can only be the exposure of the ulnar nerve. To detect it, one more step must be done. This is a test of Wu Xie's detailed handling and handling.

To expose is to find it.

To investigate means to actually investigate, to investigate, there is a difference.

This surgical incision is convenient for surgical exploration, because the ulnar nerve can be seen passing through the muscle of the medial head of the triceps brachii near the incision, which is one of the common compression points of the ulnar nerve.

On the far side of the incision, the ulnar nerve can be seen to penetrate between the two heads of the flexor carpi ulnaris. This is the second point where the ulnar nerve is easily pinched. If there is pinch, it should be released one by one!

And the process of testing and pressing is what Wu Xie needs to do.

Exploration is not difficult, the problem is to have this awareness.

Second, whether Wu Xie is able to grasp the degree, and did the release without further authorization. This patient obviously has compression and adhesion between the two heads of the flexor carpi ulnaris muscle——

However, Wu Xie is naturally clear.

There is a rule in medicine that it is illegal to do it without authorization.

Associate Professor agrees.

Only professors are allowed to walk away between all surgeries in this discipline at will. It is a violation of the rules to carry out surgeries without the authorization of surgeries, including but not limited to the authorization of superiors, hospitals, and professional committees of medical associations.

It's just that this violation is internal, and illegal is against the law.

Therefore, after Wu Xie found the pressing point, he put down the instrument in his hand, put his hands on the same level, and silently half-turned and backed away. He had to do two operations such as back-to-back exchange of positions with Professor Qi Qiaowen, and getting out of the way. .

Seeing that Wu Xie was also very sensible, Associate Professor Zhou Xiaoning smiled.

Qi Qiaowen could see that Wu Xie had mastered the overall situation of the early stage surgery, and he didn't need to give advice from himself and Associate Professor Zhou Xiaoning, so he didn't say much, he just needed to move the position sideways, and Wu Xie had to make a big circle.

However, before Qi Qiaowen picked up the knife, he took a special look at the timing panel in the operating room.

"00:08:34!"

This is the operation time, eight and a half minutes, which is already extremely fast. Wu Xie cannot be required to be faster than Zhou Xiaoning and herself. The smoothness and proficiency of this operation is far beyond their imagination. .

Qi Qiaowen quickly took over the operation and began to speak: "The inflammation caused by the entrapment of this patient's ulnar nerve has formed a continuous scar. This situation is the culprit for his current clawed hand."

(Note: Claw hands and claw hands are nouns with the same meaning. They are both clinically useful, and they are called differently. The meaning is the same as that of claw hands above.)

"Unfortunately, he came too late. It's just a simple nerve release and nerve repair. It can't restore function. It still needs tendon reconstruction and transposition surgery."

"And, Xiao Ning, have you noticed that this scar has not been particularly obvious on the MRI. What does this mean? This means that this scar may have been muscularized."

"Under normal circumstances, only the development of gas and bones on MRI is not very special."

Wu Xie stepped aside, and when Qi Qiaowen took over the position of the hook, Qi Qiaowen gulped it up!

"Get fundamental guidance, knowledge points +3!"

Wu Xie was shocked immediately.

As expected of Professor Qi Qiaowen, Professor Meng Tang may be a student in front of him!

Of course, this is just Wu Xie's guess.

Qi Qiaowen's sentence not only pointed to the next level and the next level of MRI reading technology, but also pointed to a certain skill in hand surgery.

Therefore, Wu Xie observed that the upgrade experience of the three skills has been reduced.

This detail gave Wu Xie another layer of experience.

Perhaps, the big skill line of hand surgery is comprehensively related to nuclear magnetic film reading and nerve suture.

Through the reduction of the experience value of the upper limit of the upgrade, we can analyze the key learning skills of a subspecialty, which is actually conducive to profound and directional learning.

Been taught a lesson.

After Qi Qiaowen finished speaking, he deliberately observed Wu Xie's expression again, and found that Wu Xie's eyes were full of light, and he should have caught his hidden "feeding"!

I feel refreshed.

Maybe others don't feel the joy of teaching, but in fact, they don't know what a confidant is.

Talented students, when extracting your concepts, concepts, academic concepts and knowledge hidden in discourse, are confidantes. In ancient times, there is another word called bosom friend.

A daughter is easy to get, but a confidant is hard to find.

This is the joy of being a teacher in teaching.

Wu Xie, Wu Xie, Duan Hong, Duan Hong.

Qi Qiaowen didn't say a word, but he was full of emotions.

"The knife comes!" During the operation, Qi Qiaowen didn't say anything, but with an inexplicable oppressive force, expressing that he was about to take over the entire operation and grasp the overall situation.

This book is written slowly, and 8,000 words is not too short.

I'm afraid that if you write too much, it will be tasteless, but if you write too much, it will be like chewing wax, and everyone will not be happy to read it.