godfather of surgery

Chapter 134 He Has A Way
Just after returning to the ward, the system announced that the task was completed.

"Ding dong! The operation was perfect, the task was completed, and I got [-] points! In reality, the trust value has increased a lot."

There are currently [-] points in total. Although it is not many, it is much better than before.If we have been struggling under the poverty line before, we have already lifted out of poverty, solved the problem of food and clothing, and are moving towards a well-off life.

The system is much more generous, and the task rewards are always more than 1 points. As the tide rises, the price of surgical training in the mall is also much more expensive.

At present, Yang Ping is like a poor pseudo-middle class. The rewards for each task are very high, but the various high surgical training expenses make it impossible to have more savings at hand.

After Song Zimo finished writing the operation record, he began to study Yang Ping's operation pictures, recalling today's operation process.Usually, I have never seen Yang Ping practice at all. Once the operation is performed, it is such an unbelievable effect.

"In order to achieve high-quality sutures in this kind of surgery, the distribution of each stitch must be planned before the operation. You can draw a picture, draw the situation of the meniscus tear before the operation, and simulate the distribution of the number of stitches on the drawing."

Yang Ping felt that he should be instructed to make him improve faster, so that the whole team would improve faster.

"How to control the tension of each knot?" Song Zimo thinks this is the most critical question.

"Tension is difficult to control. If you are not sure when locking the knot, don't cut the thread first, manage the tail thread, and finally lock the knot after sewing. Each knot is in place step by step, locked bit by bit, several rounds Down, the tension of a few stitches will be much more balanced."

Song Zimo listened very carefully, and after Yang Ping called him so, his heart became much brighter.He didn't know that this was Yang Ping's summary of thousands of arthroscopic operations, and he was taught it so easily.

"When suturing, turn off the water inlet pipe to eliminate the turning of the meniscus by the running water. If there is running water coming out of the entrance, it is best to block the entrance?" Song Zimo broke the casserole and asked the end.

Yang Ping nodded: "That's right, if you want to stitch it perfectly, you must minimize the interference. Running water is the biggest interference, and it will affect the judgment of alignment and tension during stitching."

Song Zimo said in admiration, "I understand."

"For any surgery and diagnosis and treatment activities, do things right first, and then do things well!" Yang Ping summed up brilliantly.

"To distribute the number of suture stitches well is to do things right. If the distribution is not good, no matter how you control the tension, you will not be able to achieve this perfect effect; if the number of suture stitches is distributed reasonably, all that remains is to control the fit and tension well." , which is the domain of getting things done.”

Song Zimo is very smart and has super comprehension.

"Like the liver cancer patient in the Overseas Chinese Building, you must first determine the correct method - nerve root blockade, and then work hard to achieve this method. The method is right first, and then work hard, otherwise the hard work will be counterproductive."

Yang Ping continued to explain with examples.

Song Zimo was very happy. He learned a lot today. It seemed that he was very satisfied with his assistant. He finally talked with him. Before, he didn't say a word after the operation.

Zhang Lin was busy making posters for the symposium on the computer, perfecting the profiles of the participants, Xiao Wu leaned over and said, "Did you search for beauties during working hours?"

Zhang Lin became angry: "Fifth brother, look clearly, this is a guest attending the meeting, a Japanese doctor!"

Xiao Wu opened his eyes wide: "This is a doctor, no way, why is she so beautiful."

This Japanese woman is really beautiful. I don't know if it's because the photo on the profile is beautiful, or because she is really so beautiful.

Zhang Lin stared at Xiao Wu with disgust: "Brother Wu, you don't need to look so close, you won't say that you look familiar, right? He is really a doctor, and he has nothing to do with the Japanese women you are familiar with. Look, he is a high-achieving student who graduated from the Faculty of Medicine of the University of Tokyo." ah."

"This guy with the surname Pu is Korean, right?" Xiao Wu sat aside and looked at Zhang Lin's poster, and Zhang Lin had already changed one.

"Is it okay to be a little cultured, the word is pronounced simple piao!" Zhang Lin looked contemptuous.

"Israel is also considered Asia? Isn't it Europe?" Zhang Lin changed another one, and Xiao Wu saw that it was an Israeli doctor.

Xiao Wu became even more angry: "Brother, you'd better not open your mouth and lower the quality line. Israel is an authentic Asian country, but you moved it to Europe?"

"Fatty, what delicious food are you carrying, bring some here." Xiao Wu stopped talking to Zhang Lin, and saw that Fatty Liang came in with a bag of things.

The fat man hurriedly put the bag behind his back and hid it: "I can't move this one. I use it for weight loss. Now I have decided to only eat two meals a day, breakfast and lunch. I don't eat dinner, so I just eat this."

"Fatty, are you real? Let me see." Xiao Wu quickly grabbed his hand and opened the bag.

"chocolate ball!"

Xiao Wu laughed so hard that his stomach ached, he had never seen a person who lost weight and skipped meals at night and ate chocolate.
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Jiahui followed the operation without stopping for a second, and sent the anterior and posterior cruciate ligament reconstruction equipment to the operating room and handed them over to Su Yixuan.

The equipment was kept in her home. In a house with three bedrooms and two halls, one bedroom was vacated and used as a warehouse, where all kinds of equipment were stored. As long as Yang Ping needed it, he would send it there at any time.

On the way back, I felt very hungry. It turned out that I hadn’t had breakfast yet, but I was very happy that my product was finally used today, and I can continue to use it later.

Ruixing's products have never opened up the market in the first-tier cities. It took a lot of effort to enter several large hospitals and become a backup supplier, but the devices sent in were shelved and would soon expire. , everyone is useless.

There are many reasons for this, the most important of which is that there is indeed a gap in the product. This must be admitted. It is said that the director of a hospital used it once and got stuck.

The director was so angry that he threw the suture gun on the ground and smashed it in front of Ruixing's followers: "Don't come here again!"

Translated into foul language: "Get out!"

During the training, the teacher who gave the lecture said that some directors would have a bad temper and would swear at others. When encountering such a situation, one must hold back and always keep a smile on his face.

Jiahui was always anxious, afraid of being scolded, but Dr. Yang didn't say a word of cursing. Although she wasn't very enthusiastic, she didn't scold or complain, and she finished the operation in ten minutes.

My brother said that Yang Ping is a man who cares about short-term benefits and must have long-term plans!He also repeatedly told him not to care about anything else, and to follow Yang Ping's operation wholeheartedly.

Before I knew it, I had already arrived home, and Jiahui started to record again.

Today, the position of the instrument trolley can be adjusted; when others are watching a film in front of the reading light or watching an operation on a screen, do not send the stool to him, but ask him to withdraw to the corner and prepare to rest before sending the stool; Dr. Yang gets off On the operating table, he must follow up immediately to help untie the straps of the surgical gown, instead of waiting for him to start doing it himself.

There are still 24 meniscus suturing guns in stock in Sanbo, and I will bring a few more when I go next time, and make sure to stock at least [-].

What else is missing?
Well, breakfast, I must remember to eat breakfast next time.

It's almost there, and I have to check it again before going to bed at night. Jiahui closed the notebook, and he cheered himself up. He must stabilize and expand this business line.
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At noon, Su Nanchen was having surgery for dinner, saw Yang Ping's WeChat, and enlarged the picture.

A picture speaks for itself. The quality of this meniscal suture is perfect, with neat alignment and no creases. It is very accurate to predict the tension of a few stitches. There is no accumulation of thousands of operations. possible.

He calculated the time. The operation should start at 08:30. The time to receive the pictures was less than nine o'clock, and the operation time was less than half an hour. At this speed, the tension of several needles needs to be adjusted, and it is estimated that it can only be done at one time.

If you do it yourself, it is still possible to adjust it bit by bit, but it is difficult to do it in one go.

His level is higher than his own, Su Nanchen admitted this fact.

Su Nanchen was thinking, now that he has a difficult case in his hands, should he discuss the treatment plan with Yang Ping?

This patient is a women's 5000-meter long-distance runner who belongs to the national team. He was injured at the joint between the Achilles tendon and the triceps, but now the Achilles tendon is loose, which seriously affects his sports performance.

The diagnosis was clear and the treatment was clear. Achilles tendon shortening surgery was needed.

However, there is a problem with the shortening operation. The Achilles tendon must be cut in a Z shape, and then a part of the tendon must be cut off and re-anastomized.

Once the Achilles tendon is broken, even if it is cut, no matter how high the level of suture is, no matter how good the healing is, it does not rely [-]% on the original fibrous tissue for healing. There must be some scar healing. The scar is connective tissue without the toughness and elasticity of fibrous tissue. .

The result of this is equivalent to the adulteration of the Achilles tendon. This has negligible impact on ordinary people, but it has a very large impact on long-distance runners.

Why some athletes suffer from Achilles tendinitis due to chronic injuries no matter how well they are treated.

These athletes have many top famous athletes, have the best medical resources, the best surgeons in the world perform operations, and the best rehabilitation team to help them recover, but in the end, the results are still poor.

Because no matter how you treat it, the Achilles tendon has deteriorated, like a broken rope that has been soaked in water for too long and needs to be connected with a knot. No matter how good your knotting skills are, it is useless. It is not your knot, but the rope. It's no longer enough, it will break when you pull it.

Because of this concern, the patient has not made up his mind to undergo the Achilles tendon shortening operation for a long time, and he went abroad to seek medical treatment several times but returned in regret.

Because the patient is from G city, this time Professor Musu came to Attached One, hoping to find the best solution.

"Nanchen, eat quickly, there are still a few operations in the afternoon." Professor Su looked at Su Nanchen staring at the phone in a daze.

"Do you see this patient's meniscus sutured?" Su Nanchen handed over the phone.

After reading it, Professor Su admired it and said: "The progress is very fast. The quality of this suture is perfect, there is no wrinkle at all, the fit is very smooth, and the distribution of the six stitches is reasonable."

Su Nanchen blushed: "I didn't do it, it was done by Dr. Yang from Sanbo Hospital."

"Yang Ping? It's Director Han's student who we proposed to attack through the wall last time during our consultation?" Professor Su looked surprised.

Su Nanchen said with a serious face: "Yes! Just now I was thinking that our long-distance runner is going to have his Achilles tendon shortened. I want to hear his opinion. I think he has a way!"

"Yes, you can contact him!" Professor Su supported Su Nanchen's idea.

(End of this chapter)