medical simulator

But Zhou Cheng's current operating mode?

What the hell?

"Then why don't you call?" Old Gui urged.

There is a specialization in the art industry, and there is a time to attain the Tao.

Orthopedics and vascular surgery have certain interdisciplinary subjects. It is impossible for Mr. Gui to be completely ignorant of vascular surgery, but he knows that the knowledge he has mastered is not superficial in vascular surgery.

But in fact, in ordinary prefecture-level city hospitals, it is still more than enough to be a deputy director and director.

……

The operation is still going on, but no one who understands has come yet.

Moreover, even if Pin Lu called, the other party had his own business, and the professor who was the fastest to step down came to the operating room after more than 20 minutes.

And when he arrived in the operating room, some fresh blood had already appeared on the operating mirror.

Seeing these bloodstains, Zhou Chengcheng let out a long sigh of relief, and then began to clean up some necrotic cysts on the femoral head...

The professor who came over was quite old, 62, a top professor of vascular surgery. After greeting Mr. Gui, he watched it carefully for a minute.

Then he turned his head and asked, "Old Gui, Professor Pin, what are you asking me to come over to see?"

"Is this your sports medicine surgery?"

"Does the patient have a blood clot?"

When talking, Qin Xuansheng felt so innocent. He is already a 60-year-old man, and he originally said that he would call him to have a look.But after I arrived, I watched the operation for a while and didn't understand it.

Gui Lao was also a little embarrassed, and hurriedly said: "Professor Qin, no, in fact, the thing is like this, before, Zhou Cheng..."

Although Gui Yuanping is an academician of orthopedics, he is of the same generation as Qin Xuansheng, so when facing Qin Xuansheng, he still treats him politely.

However, after Gui Yuanping finished speaking, Qin Xuansheng was completely confused.

He opened the mouth and said: "Then this access is made from the common access of your orthopedics department? It should be your orthopedics department to determine which bone flap is the nutrition or nourishing blood vessel?"

"It shouldn't belong to our vascular surgery problem? And I didn't see his operation process."

"Let me see, is this?"

"Equipment for thrombectomy..."

"I didn't understand it either." Qin Xuansheng admitted his cowardice first, and said it very bluntly, he didn't understand it, and he didn't understand it either.

Qin Xuansheng has already said that, but now, the problem is embarrassing.

Qin Xuansheng didn't come when he was doing vascular surgery. They didn't understand and didn't know how the surgery was going.

Now that the person came, Zhou Cheng started to only do orthopedic surgery again, but he still didn't understand.

These two groups of fools got together.

And Qin Xuansheng still feels that he is very innocent, why did he drag him here?

A few minutes later, Qin Xuansheng suddenly had a bad premonition, and quickly got up and said, "Old Gui, why don't I go back first, we still have some things to do in the operating room."

But how could Gui Yuanping let Qin Xuansheng go, he held Qin Xuansheng enthusiastically, and said: "Professor Qin, you are so old, you should let it go. Don't do everything yourself, pay attention to your body."

"Please sit down, please sit down, we still have a lot of questions to ask..."

Qin Xuansheng can't leave, otherwise the scene will be even more embarrassing later.

Chapter 232 Within the theory, the operation cannot be done!

Qin Xuansheng, the Third Affiliated Hospital of Kyoto University, professor of vascular surgery, doctoral supervisor.Although in terms of scientific research, he did not climb to the top of the highest hall and become an academician like Gui Yuanping.

But it's not bad to be in the department of the Third Affiliated Hospital of Kyoto University.

Perhaps not as well-known as Fuwai, the top university in vascular surgery, but the number and scale of patients are not small.

There is such a person who sits next to him. Even if Zhou Cheng analyzes the operation later, if he doesn't understand a little bit, he can ask Qin Xuansheng to explain it.To avoid unnecessary embarrassment.

Qin Xuansheng was forcibly pulled by Gui Yuanping, and he couldn't escape after pulling twice, so he could only sigh: "Old Gui, don't pull me, I won't leave, okay. You have a bad temper, and it's the beginning of being an academician." It’s amazing, I’m going to the dean to file a complaint.”

Qin Xuansheng deliberately stimulated Gui Yuanping, hoping that Gui Yuanping would let him go.

The reason for doing this is that Qin Xuansheng is a little bit out of touch with orthopedics.The main reason for the diaphragmatic response was that in Kyoto before, there was a young man who beat most of their vascular surgery staff.

He is also an orthopedic person.

The most important thing is that this young man only went to the orthopedics department after listening to Gui Yuanping's tricks. This made Qin Xuansheng wary of Gui Yuanping from then on, for fear of being cheated by Gui Yuanping again.

"It's okay, I'm going to file a complaint after the operation is over, it's cold outside now."

"Professor Qin, let's go through the operation first, and I sincerely ask for advice." Gui Yuanping looked at Pin Lu and Lu Ganzhou seriously.

Then, when he turned his gaze to the screen of the operation field again, he saw that Zhou Cheng had already cleaned up the surface of the joints.In addition to cleaning, Zhou Cheng also made a small puncture.

Then it was discovered that even at the cartilage level, there was a little blood oozing out.

Seeing this, Gui Yuanping truly sighed: "Sure enough, Xiao Zhou's thinking is similar to what we imagined before. He hopes to improve the current state of the joints and reverse the femoral head by rebuilding the blood supply. state of avascular necrosis."

The root cause of most arthritis and aseptic femoral head necrosis is ischemia caused by local embolism.

All the theoretical basis of hip-preserving treatment is basically to solve the embolism state and improve blood supply. If it is only for the treatment of the cause, it is to relieve pain.

Reasonable, everyone understands.

However, for the time being, Gui Yuanping has not thought of how Zhou Cheng rebuilt the blood supply.

After hearing Gui Yuanping's words, Lu Ganzhou frowned fiercely.

A patient who is basically impossible to undergo hip preservation surgery, at the moment of seeing the blood supply, has basically announced the success of the hip preservation surgery performed by Zhou Cheng.

And he still hasn't fully understood the whole process.

The principle is understood, that is, the blood vessels are unblocked and the blood supply is rebuilt, but how is it unblocked and which one is unblocked.Because Zhou Cheng didn't explain it, so he doesn't know yet, and can only guess based on the principles of anatomy.

Even if Qin Xuansheng from the vascular surgery department was invited, he didn't see the part that Zhou Cheng operated himself, so he couldn't get the correct answer.

"It's difficult!" According to the surgical anatomy and the various operating systems currently available, Lu Ganzhou still finds it incredible.

Through hip arthroscopy, recanalize the blood vessels in the femoral head marrow?

What kind of unprecedented thing is this?

Qin Xuansheng saw that Lu Ganzhou dared to answer in this scene, so he looked him up and down seriously, and asked, "Who is this?"

Although Qin Xuansheng asked Gui Yuanping, Pin Lu quickly explained: "Xiaolu. Qianzhou."

When Qin Xuansheng heard the words Lu Ganzhou, his shoulders trembled involuntarily, and his pupils shrank slightly: "He still dares to come back to China now?"

Then he touched Gui Yuanping: "Old Gui, enough wrists!~"

Gui Yuanping is really top-notch. Lu Ganzhou, as a Chinese, started to collect patent fees from China after he changed his nationality. Now, he has been collecting patent fees for more than ten years. Who knows how much money he earned?

Basically, the official media and various self-media have blocked him!

If it weren't for the fact that he was a medical student and a special profession, he would probably have 'fucked' others long ago.

The medical-related technology industry only makes money, and there is no way to directly threaten other things.

Lu Ganzhou knew that if his current reputation in the country was the same as before, he would have ignored Qin Xuansheng's words.Qin Xuansheng is just a professor of vascular surgery and has nothing to do with him.

However, after today, I'm afraid it will be different, and I have to find a way to start coming back.

Regardless of whether Zhou Cheng has explained it or not, for the same type of surgery, Zhou Cheng was able to complete a case that he and others recognized as being in the surgical indications. treat.

This is winning.

Winning or losing is very straightforward, there is no so-called routine.

And this kind of operation is something that Lu Ganzhou cannot do.

Since I have said what I said before, I must do what I say, and I still have to return to my country.

"Professor Qin, you are laughing at me. I still need a teacher like you to take care of me." Lu Ganzhou was very polite and made a junior salute.

Qin Xuansheng quickly turned his body and squinted: "Don't, don't, it's inconvenient for me. You are a distinguished guest, and I dare not bear big or small gifts."

Full of fear.

Lu Ganzhou's reputation is too bad. If he didn't hold too many patents, he might be the kind of bug that everyone shouts and beats.

But in the country, most people would not dare to provoke such a person, a proper thief!

Huaguo pays attention to loyalty and filial piety!

I just hope to keep a distance from Lu Ganzhou, so as not to be misunderstood, and then accidentally injured, it is not worth it.He's 62, he's about to retire, and he needs a lot of trimming.

I don't even want to take advantage of Lu Ganzhou, I just hope that Lu Ganzhou will not come to harm.

"Old Gui, why don't I go back. I have average ability and limited level in the surgery on your side, so I can't understand it all. I don't dare to teach you." Qin Xuansheng stood up directly this time.

Obviously to avoid suspicion, I didn't even dare to comment.

For fear of being misunderstood, he seems to have an affair with Lu Ganzhou.

Only then did Gui Yuanping realize that there was Lu Ganzhou sitting next to him. Anyone who really knew Lu Ganzhou would probably be the same as Qin Xuansheng.

Everyone has their own aspirations and cannot be forced.

"Professor Qin, I really want to ask you for advice. There is no other meaning. Qianzhou is the teacher of our teaching training class today, and his teaching ability is still good."

Gui Yuanping's words were interrupted by Qin Xuansheng: "I'm sorry, Academician Gui, I really can't handle it. I still have something to do over there. If you need a consultation, please send a consultation form."

This answer is very official. It probably means that if something happens, follow the normal process, otherwise it will limit the freedom of life.

Although Qin Xuansheng is not an academician, but if you really want to do it, if you control his freedom of life, he can make you doubt your life, at least a few feathers.

After finishing speaking, Qin Xuansheng left in a hurry, and no one stopped him.

Looking at Qin Xuansheng's back, Gui Yuanping couldn't help sighing, Lu Ganzhou, Ganzhou, what are you thinking in your heart?

Did you see that a professor with a status like Qin Xuansheng, the director of a department, is so afraid of you.

Just because you are here, I dare not be with you. Do you know how bad your reputation is outside...

Qin Xuansheng did not leave because he was afraid of seeing Zhou Cheng's operation, and Gui Yuanping knew this.

Seeing Qin Xuansheng's determination to leave, Lu Ganzhou smiled casually, and said calmly to Gui Yuanping, "Mr. Gui, Professor Pin. I think Zhou Cheng's operation is almost finished. The rest of the operation will be done by Yu Heng." It can be done with Su Min."

"How about, let him explain the theoretical basis of this operation in the remaining time?"

Gui Yuanping rolled his eyes at Lu Ganzhou.

You are still big-hearted, cooperating with Qin Xuansheng's performance just now, didn't take it into your heart at all?

"Okay! You are the teacher of this novel, and you can arrange these things yourself."

"In addition, you can tell Zhou Cheng again, just say, you can delay the time appropriately, and explain the process and principle of this operation in more detail."

"If he doesn't want to, you can say that we have to explain to the patient's family. The patient's family is from our hospital, so we have to convince him." Gui Yuanping arranged and explained.

Lu Ganzhou was stunned for a moment, and asked, "Old Gui, didn't you just use this rhetoric when you were asking for advice from other well-known professors?"

Lu Ganzhou used to hang out with Mr. Gui. A big guy like Gui Yuanping, in addition to being professional and scientifically competent, is also extremely particular about getting along with people and dealing with things.

For example, if you want to listen to a class, they will try their best to let you know the whole thing. It is best to take off your whole body and explain it more thoroughly.

Tell people that the patient's family members are colleagues in the hospital, how to persuade the colleagues to change the operation method temporarily, you should help to find a way together.

This reason is really cruel.

"Just go ahead." Gui Yuanping's face collapsed, and he said to himself, you, Lu Ganzhou, have always been shameless, and now you are putting on airs?

On the way of learning, under normal circumstances, as long as it does not violate ethics and morality, and does not act disgustingly, it is valuable.

Immediately afterwards, Lu Ganzhou expressed this meaning in public with a microphone.

As for Zhou Cheng, after hearing the words, he just looked at Lu Qianzhou, and then he left the operating table a little bit, and then slowly said: "Actually, the main indications of the current hip preservation surgery are very limited."

"The three common points are generally young people, aseptic femoral head necrosis, and no narrowing of the joint space. These are three conditions, and none of them can be dispensed with."

"If you are an elderly person, then there is no need to pursue the so-called hip preservation treatment, either conservative treatment or total hip replacement."

"The reason why I think that the indications for hip preservation surgery can be broadened is mainly based on the following considerations—"

"First, for young people, in order to avoid multiple joint replacement surgeries, it is necessary to conduct in-depth research on hip preservation surgery in consideration of the service life of the joint prosthesis."

"The second point is that among the various methods of hip preservation surgery, the core element is actually to allow the patient's own joints to have a certain regenerative ability, to improve symptoms and even reverse the pathological progress of the disease to a healing state."

"The third point is that there may be various reasons for the end of all life activities. But the most indispensable thing for the beginning of all life activities is blood supply. Blood is the source of life. Regardless of whether the heart is alive or not , where there is blood supply, life can take place."