godfather of surgery

Chapter 147 Big Scene

In fact, the case discussion started at two o'clock, and the case discussion of the Sports Medicine Center began at about three o'clock.

This patient with a loose Achilles tendon has won the gold medal in the women's 5000 meters in the Olympic Games and is still in the golden age of sports, so Fu Yi pays special attention to it.

If this patient's operation is done well, the sports medicine major of Attached One may reach the top of the industry pyramid just like spine surgery.

After seeing the patients, Su Nanchen took Yang Ping to the conference room on the [-]th floor, where the weekly orthopedic case discussions were held.

In the second row of the conference room, there were two vacant seats reserved. Su Nanchen took Yang Ping to sit down.

Sure enough, it was a big scene. The first row sat the directors of various departments of the orthopedic center, all of whom were doctoral supervisors, experts receiving special government subsidies, and several of them were well-known national leaders.

For example, the director of the spine center, Professor Zou, is a national leader in scoliosis correction. He used to follow Professor Su. After Professor Su became the dean, he paid less attention to clinical work and focused on scientific research and administrative work. The spine center Most of the operations are entrusted to Professor Zou. The first editor-in-chief of "Scoliosis Surgery" is Professor Su, and the second editor-in-chief is him.

Professor Huang, the director of the Orthopedic Trauma Center, is also a well-known professor in the country, and one of the chief translators of "Principles of AO Fracture Internal Fixation".

Professor Guan Sheng of the Sports Medicine Center, the favorite student of the sports medicine leader of the No. [-] Hospital of the Imperial Capital, was recruited by Su Qingyun, and he made sports medicine flourish in a few years.

General doctors sitting in this venue will definitely feel a sense of shock and oppression.But Yang Ping didn't, he was very calm, after all, he was a person who had worked hard in the system space.

He sat calmly, and Su Nanchen observed secretly. This calmness, this calmness, is by no means something ordinary people can have, and he admired it even more.

The hierarchy of doctors is fully reflected here. Even if there are vacancies in the first row, no one who is not qualified can sit in it.

The second row is the professors leading the group, all of whom are chief physicians or deputy chief physicians; the third row is other deputy chief physicians, and the fourth row is the outstanding ones in the younger generation.

From the fifth row onwards, you can sit freely, but they are still divided into camps spontaneously. For example, doctors and attending doctors are at the front, masters and residents are at the back, and advanced students and regular training are at the back. No one is foolish. Squeeze hard in front.

Sitting in the second row is Chen Ge, the leading professor of sports medicine. This guy is also a character. He usually likes to compare with Su Nanchen. He is a doctor of Guan Sheng. He was eager to win, but was always suppressed by Su Nanchen.

When he saw Su Nanchen leading a stranger in, he glanced sideways.

Chen Ge knew that Su Nanchen invited a doctor from an outside hospital to come for consultation, and he kept wondering who the hell was, but Su Nanchen invited him for consultation, and now he saw the real person.

I thought it was some kind of professor, but judging by his face, he was only in his twenties. It was interesting for a young doctor to come to the attached one for consultation. Chen Ge touched his chin and sneered in his heart.

Su Qingyun looked back and saw that Yang Ping was already sitting with Su Nanchen. Seeing him as stable as Mount Tai, he secretly admired him.

The discussion of the case was very intense, and everyone's face was red. Although the voice was loud, the speaker was not noisy or engaged in personal attacks. Instead, it was a purely academic debate with reasons and evidence, and academic problems were solved in an academic way.

Everyone has the right to speak, and there are no consequences for speaking!There are grades for doctors, and there is no grade for speaking. This is the rule set by Su Qingyun. The free academic atmosphere is also one of the magic weapons for the rapid development of Fuyi Orthopedics.

Usually, the general case discussions are internal discussions in each department. The cases discussed at the orthopedic center level are either difficult, high-risk, or some new surgical procedures, or are patients in important positions and have certain social influence.

Yang Ping also listened to it, and one of them with scoliosis almost turned over in half, his nose was almost touching his toes, and he was about to undergo orthopedic surgery to straighten his spine.

Finally, it was the turn of the case from the Sports Medicine Center. The Sports Medicine Center brought out two cases for discussion, one with an unstable knee joint and one with Achilles tendon laxity.

This knee joint is unstable, professional football players, well-known football stars, dislocated knee joints, resulting in rupture of the anterior cruciate ligament, posterior cruciate ligament, posterolateral structure, and posteromedial structure, all of which need to be reconstructed, and the four structures that need to be reconstructed, of which There are several structures to be reconstructed in the posteromedial and posterolateral structures, which are like nesting dolls, and the complexity can be imagined.

The surgery is very complicated. The reconstruction of this case is the top surgery for knee sports injuries. There are only six hospitals in the country that can do this surgery, and there are only a handful of doctors who can do it.

Most of the surgery in sports medicine is not life-saving, the goal is directed at the function, and the most important thing is the quality of the operation. It is not to solve the problem of whether or not, but to solve the problem of quality. It is the same as the goal of plastic surgery.

"What do you think of this case?" Su Nanchen whispered.

"There are too many structures to rebuild, and we must grasp the static balance, dynamic balance, short-term balance, and long-term balance." Yang Ping also lowered his voice.

"If you do it, will it be a fractional operation or a single operation?" Su Nanchen wanted to sound out his tone.

"Once! Only in this way can a real balance be achieved." Yang Ping replied without thinking.

One time? To balance, this kind of difficulty is very difficult, and Su Nanchen is ashamed.

The second case was a female long-distance runner with a loose Achilles tendon. Dr. He came to the stage to report the medical records, and the attending doctor was on the side to help, adding at any time. The video data was marked with a prominent date and displayed on a huge high-definition screen.

"This patient is a professional athlete. The problem of the Achilles tendon is related to sports performance and future career. We plan to shorten the Achilles tendon, so we use the classic surgery to cut the Achilles tendon in a Z-shape or transversely, and then perform shortening sutures. This solves the problem of looseness, but it leads to a new problem. After the Achilles tendon is cut and re-anastomized, there will be some scars, even if there are few, and a small amount of scar healing will reduce the strength and endurance of the Achilles tendon. The patient has been to the UK. Seeing a doctor, the treatment plan given is the same, so please discuss it with everyone to see if there is a better plan?"

After the report of the medical records was completed, Su Nanchen pointed out the purpose of the discussion as the professor leading the group.

"As for suturing the Achilles tendon, any orthopedic resident doctor can suture it skillfully. How much we shorten is the core of the problem. If there is too much, the Achilles tendon will be tense; if it is too little, the Achilles tendon will still be loose. As for scar healing, it cannot be avoided. The operation is performed under a microscope, and the Achilles tendon is quickly cut with a sharp knife, and the sutures are as neat as possible to reduce scar healing." Chen Ge spoke very positively.

"Then how to judge the shortening?" Guan Sheng, director of the Sports Medicine Center, asked.

Chen Ge said proudly: "Every millimeter shortened, how much the tension of the tendon increases. I am doing animal experiments, and the data is being compiled."

"Orangutans crawl on four legs, while humans walk upright. The thickness of the Achilles tendon fiber structure of orangutans is different from that of humans. It is difficult to apply animal experiment data to humans." Another professor of sports medicine who led the team objected.

"Why do animal experiments have to be done? Can't we directly find reliable data from the healthy side?" A postdoctoral fellow at the station put forward his own opinion.

"During the operation, the skin on the healthy side was directly incised, the Achilles tendon was exposed, and the tension in the same posture was measured, and then this data was applied to the affected side and shortened step by step until the tension matched the data of the healthy side!" The postdoctoral continued to explain.

He nestled in the fourth row, looking slovenly, with one of the buttons of his white coat missing, holding a bottle of milk in his hand, and the straw had been chewed to pieces.

Drinking milk and eating is allowed as long as you don’t make too much noise. Because of the case discussion in the afternoon, many doctors may have just had an operation and didn’t eat Chinese food.

"The tension adjustment that everyone says is static, and the patient's running is dynamic. We must analyze the patient's movement state. After all, the patient's Achilles tendon and triceps have slipped relative to each other. Is it still in accordance with the previous standard? To determine the tension? This data must be obtained from dynamics." Su Nanchen also expressed his opinion.

The verbal war, the intense discussion, has been going on, the voices expressing opinions come and go, from different directions, the contest is all real talents, the people who speak are frothing, the listeners are engrossed, no one looks at the mobile phone, Nor did the phone ring.

"Everyone's speeches were very active, and the opinions were relatively unified. The surgical method of Achilles tendon shortening, the difficulty lies in how much the shortening distance is. This data must be accurate, otherwise the operation will fail, and even the patient's sports performance is not as good as before the operation. Everyone Many methods have just been proposed, such as animal experiments, healthy side reference, and exercise state analysis, so our next step is to figure out the exact length of the shortening, Professor Su, look, can you?"

Professor Su got up and said: "Everyone's opinions are very good, and they have put forward their own unique opinions, which shows that everyone is thinking seriously. This is what academic discussions should be like, free and equal dialogue! Today, for this patient, we are honored to have Sanbo Dr. Yang Ping from the hospital consulted, Dr. Yang has unique experience in sports medicine, what good advice does Dr. Yang have?"

Professor Su applauded, and everyone else applauded. Everyone in Sanbo Hospital knew about it, and everyone in a city and several major hospitals knew about it.

But what is Dr. Yang Ping's background, I don't know him!Never heard of it!To be invited to the attached one for a consultation?
Su Nanchen got up: "Dr. Yang, please!"

If stage fright occurs on such an occasion, it will dampen Su Nanchen's enthusiasm and disappoint the high expectations of others.

Yang Ping remained calm as always, got up and greeted everyone.

"Xiao Yang, go to the podium and talk about your own views." Professor Su encouraged.

"Who is he? Where did he come from!" Everyone looked around, hoping that someone would know him and give him a message.

A few people who followed him to check the house just now said: "Dr. Su's classmate, this guy is really awesome!"

One of them is very honest, has already taken out his notebook, and is ready to take notes: "Brother, take notes carefully. I just went to see this patient with him in the ward round. He talked for a while. After listening to it, I suspect that I have a fake doctor."

The person who asked the question also took out his notebook and took out a pen.

"Su Shao's classmate studying in the United States?"

"[-]% yes!"

Yang Ping was extremely calm, walked to the podium, and bowed slightly to everyone.

(End of this chapter)