medical simulator

What Zhen Xing thought was, MD, luckily nothing went wrong, otherwise, it would be a bit too embarrassing if the operation was worse than that of Yu Heng before.

But also very thrilling!

It was only after I watched Yu Heng's operation that I discovered the mistakes in his operation, and I avoided these mistakes. If I operated before Yu Heng, would there be such a healing effect?

I'm afraid not necessarily!

Then Zhen Xing looked at Peng Peng!

Mr. Peng, do you call him the one with the worst foundation?

You are a little too guilty, right?

Three surgeries, and that's it.

The printed postoperative pictures of the three shoulder arthroscopes are being compared one by one.

At first glance, it is still the operation of Yu Heng and Zhen Xing, which looks more pleasing to the eye.As for the patient treated by Peng Peng, it can't be said that it can't be done.

However, it doesn't look so pretty, it's like a dish, the taste is equally delicious, but if the appearance is not very good, it may involve the taste problem!

"Not bad, very good. The foundation of the two students is very good." After the operation, Peng Peng praised without shame.

This is quite shameless.

You are the worst person, how dare you say such a thing?

A funny guy!

Academic boss, clinical? ? ?

It's quite satisfactory!

This is everyone's impression of Peng Peng.

……

Then, Peng Peng took Zhou Cheng and others back to the demonstration classroom and started the content of the second section.

The second section is still shoulder arthroscopy, but the content has become related to rotator cuff injury.

The rotator cuff can be said to be a separate part of shoulder arthroscopy. If you take it out and write a book, it is not difficult. Although there are only four muscles in the rotator cuff, it is handled, and complications, etc. are added. If so, it is a very huge content!

Immediately afterwards, it is still the same as the previous mode.

Peng Peng took people to the ward rounds, and then, Peng Peng was still the same, before he started to say anything, Yu Heng and others began to pretend, even this time, Zhou Cheng also participated in the part of the diagnostic process for a patient!

Diagnosis is really not difficult.

This is the entry threshold for clinical medicine. Basically, all clinical medicine students learn in this way!

The hard part is diagnosis.

The diagnosis is clear, the indications for surgery are obvious, and there are no obvious contraindications for surgery. The patient has a strong desire for surgery and is suitable for surgery!

And this time, it's still the same.

Peng Peng started to be the chief surgeon, and then Su Min and Zhen Xing were in charge of the assistants. As assistants, they helped Peng Peng with some chores in cooking.

The suture of the rotator cuff injury needs to be sutured with double outer row of staples.

But this process is more complicated and more difficult, and it is an extremely complicated type of surgery in Class III. During the suturing process, handling sutures is a very troublesome process.

Threading, threading, and people who can read and understand are a little confused and don't know why.

However, Peng Peng was able to complete the operation easily, and Zhou Cheng also noticed that this Peng Peng is currently involved in the debridement of the shoulder joint capsule and subacromial space in the rotator cuff suture.

It is about the same level as the cleaning technique made by Zhen Xing and Yu Heng before!

This level is not the level of the operation, but the quality of the operation, it is quite!

This is quite weird.

You must know that it is extremely difficult for a person who has reached a certain level of technology to deliberately lower his level of technology without being able to see the traces from others, and at the same time meet the purpose of treatment.

This is healing, not pretending to be poor, or buying things with money!

I have 100 million, I only have one dollar, is that okay?

can.

However, I have a perfect level of skills, I want to lower my skills to the entry level, this is not an easy task!

It should be said that this kind of ability does not simply belong to the category of skills, because ordinary people would not think of doing so.

They all want to do the best surgery, who would deliberately hide their strength?

The teachers on one side would all say: Hey, it’s good to do this, look!

very good!

Right, that is it!

Without this idea, it is naturally difficult to have this ability.

But, this Peng Peng!

He's not right!

Under his shoulder arthroscopy before, the frozen shoulder debridement technique, the ability and strength he showed himself is not his real strength, but an example he set for this teaching, which is equivalent to his Think that the bottom line is reached!

Proficiency = bottom line! ? ? ?

After the rotator cuff is sutured, the stump of the suture is cut off with a special set of scissors.

Then Peng Peng said: "How much time?"

He looked at the timing panel in the operating room.

"It's almost the same as before!"

"Let's sew it up, just put on the shoulder brace." Peng Peng said while taking out the shoulder arthroscopy instruments...

And Peng Peng's words once again surprised everyone a little bit!

Peng Peng is not only controlling his own strength, he is also controlling time!

Is this what people do?

Logically speaking, no.

After that, Yu Heng became a little self-contained.

It turned out that I was really the most disheveled one.

Because Mr. Peng Peng said I was the best.

Then, Zhen Xing's heart was agitated——

Yu Heng is the best, and I am not much better than him, so does that mean that I am also the second best?

My junior brother is slightly stronger than myself, so what about him?

Zhou Cheng?

Su Min?

How strong are these people?

Now, only Yu Heng and Zhen Xing showed their strength, and Zhou Muyun was only his junior brother on the surface, and had no real in-depth contact, so he knew nothing about the strength of the others.

"Su Min! The next one, you are the chief surgeon." Peng Peng didn't wait for everyone to have too much reaction time, and immediately began to order.

Yu Heng, Su Min, and Zhou Cheng are a team.

Peng Peng, Zhou Muyun, and Zhen Xing are a team.

In each lecture, there are three cases, one of which is Peng Peng, and two of the five can perform the surgery. This is something that has been prepared before.

"Ah? Good!" Su Min was a little nervous.

After all, when he just got teacher Peng Peng's unfathomable strength, he wanted to use the first one as Peng Peng's comparison system. At this time, it was easy to embarrass himself, and Su Min was a little nervous.

The others were also very nervous, with complicated eyes, and they very much hoped that Su Min could break the baseline set by Peng Peng, and they didn't want him to exceed it, because if Su Min exceeded it, wouldn't it mean that he was much stronger than himself and others? ?

Everyone has different minds!

But Peng Peng is very satisfied with the effect in front of him. He still remembers the little eyes of these geniuses before.Especially just before leaving the operating room, the little ones.

The audacity to want to drive him out of the position of teacher. He is bold enough and has a good idea. He is young, aggressive, and has the demeanor of his past. But, if I can be squeezed out by you so easily?

So haven't I been a fool for so many years?

Those people I 'killed' also died unjustly?

Chapter 217 Brother, you still know how to play!

The sports medicine department of the Third Affiliated Hospital of Kyoto is a very mature department that operates very quickly. There is a pre-anesthesia room between the turnover of the previous patient and the next patient.

Moreover, after leaving the operating room, there are multiple recovery rooms that can be used for the recovery of patients under general anesthesia, which greatly speeds up the turnover of operations.

As soon as the last patient left, Peng Peng said to Su Min, who was about to perform the surgery, "Do you want to confirm the patient's diagnosis and operation method before the operation?"

This question, Peng Peng will ask this question before each operation, and everyone has checked it very carefully in the previous few times.

The diagnosis is definitely okay.

Their current school system is to study theory first, then do rounds at the bedside, and then perform surgery immediately.

It is equivalent to only three patients at a time, and all the medical history and examination results of each patient are familiar by heart, and there is no possibility of mistakes or misremembering!

Of course, Su Min, as the chief surgeon, went through all the patient's preoperative examination results again!

"It's okay, Mr. Peng. I'm going to start the preoperative preparation." Su Min's tone was completely different from before.

Before, he had some scruples, but in fact, the number of patients he had dealt with was not a small number of similar patients, and he was not so nervous when he really stood beside the bed and the operating table.

Maybe this surgery can't reach Peng Peng's level, but I can still guarantee good quality, and it's good to do it according to my ability, and it's not shameful!

After being fully prepared mentally and physically, Su Min continued, "Zhou Cheng, Yu Heng, thank you for your help."

The mask and hat can cover Su Min's long hair and short beard, but they can't cover his white skin and eyes, and if you look closely, you will find that Su Min's eyelashes seem to be a little long, long Not quite like a man.

However, in fact, his voice is of that kind that is particularly vigorous.

"Okay." Zhou Cheng also nodded, and then looked at Yu Heng beside him.

It was discovered that Yu Heng's eyes suddenly became very sharp, as if he really wanted to have a feeling of surpassing Su Min.

I don't know if it's because of the first meeting last night that Yu Heng's aloofness was directly torn apart by Peng Peng ruthlessly. Today, he has become a lot more kind. Although he seldom talks, at least he dare not leave the crowd too far.

It's just that he still has a sense of superiority that he doesn't know where it came from, and a feeling of not giving in and not admitting defeat.

However, apart from being so complicated, his eyes on Zhen Xing were very complicated, and he seemed to realize that Zhen Xing's last operation was better than him, and also realized that Zhen Xing avoided losing The mistakes he made were the mistakes he made, and there were also some small flaws that Zhen Xing didn't understand.

However, overall, it is better than him.

According to this inference, he may really have the worst foundation among the five.

He didn't know Zhen Xing and Zhou Muyun very well, and this was the first time they had met, but Su Min, who was from Jiaotong University in Shanghai, had never had a positive response before, but Yu Heng could tell during the quota competition.

Although in the end, Su Min's ranking was slightly lower, but in fact, Yu Heng didn't know what Su Min's comprehensive ability was.

Therefore, although he was not convinced, he still had an unknowing hint in his heart——

What Peng Peng said may not be true.

Routinely sterilized towels, bound hands with sterile gauze and suspended, with sterile film on the outside.

Only after such an operation can we really start the operation of shoulder arthroscopy.

Before the operation of shoulder arthroscopy and knee arthroscopy, the joint cavity needs to be filled. However, there are about ten common approaches to the shoulder joint.

Su Min finally chose to insert the needle from the posterior approach to fill the joint cavity.

The posterior approach is often used as an observation approach and is the first approach established in shoulder arthroscopic surgery. It is located approximately 1.5 cm downward from the posterolateral border of the acromion and 1–1.5 cm inward, that is, the “soft spot” behind the shoulder joint.

Therefore, before the operation, you must first find the acromion. Finding the acromion is the simplest basic skill for a sports medicine doctor. Zhou Cheng just touched it a little, and then along the posterolateral edge, each 1.5cm lower and inner , select Needle Insertion.

Put the hand above the shoulder, press the coracoid process with the index finger or middle finger, press the soft spot behind with the thumb, rotate the humerus with the other hand, and feel the position of the glenohumeral joint line behind with the thumb.

After the joint cavity was filled to about 60ml, the skin was broken with a sharp knife, and the subcutaneous tissue was bluntly separated with straight forceps and penetrated to the glenohumeral space, which is the space between the humerus and the glenoid of the shoulder.

During shoulder arthroscopic surgery, there are two gaps, one is the glenohumeral space, and the other is the subacromial space...

As a routine surgical procedure, it is necessary to start from the glenohumeral space first.