medical treatment

Busy until nearly six o'clock in the afternoon, Yu Zhiming completed the breast cancer screening work for the very early cancer project. When he returned to the large office next door, he unexpectedly found several people waiting for him.

There are Dr. Hou and Dr. Lin from our hospital, Dr. Tong Yu from Dongfang Hospital, and Dr. Yu Shiquan from Beijing Union Medical College.

"Doctor Yu, aren't you coming here tomorrow morning?"

Yu Shiquan smiled and explained: "I think it is necessary to meet and discuss the surgery tomorrow night, so I came here in advance."

Yu Zhiming asked doubtfully: "Compared with the previous surgeries, Chen Long's surgery tomorrow night, apart from being a bit trivial, the difficulty of the surgery should be relatively low, right?"

Yu Shiquan smiled and said, "This is Brother Chen Long's surgery. We should pay more attention to the star effect."

“It’s a good idea to have a discussion meeting one day in advance to refine the surgical plan and make sure everything is foolproof.”

Yu Zhiming couldn't help but rolled his eyelids and sat down on the office chair given by Duan Yi.

Yu Shiquan looked at Yu Zhiming's exclusive office with the soundproof door wide open, and could see several workers busy inside.

"Dr. Yu, are you doing that online video training on internal bleeding and hemostasis in your office at night?"

Yu Zhiming hummed, and then introduced: "In order to ensure the effectiveness of the training, the hospital will temporarily set up a live teaching room in my office that is said to be quite professional."

Tong Yu chuckled and said: "Dr. Yu, with your ability, there should be no shortage of online teaching or online diagnosis in the future. It is necessary to build a fixed multi-functional room."

Yu Zhiming said: "The space here is a bit small and cannot be moved. When the Huashan Second Hospital is completed, it should be available."

Tong Yu said with a smile again: "I saw the hotly debated video on the Internet today and found out that Dr. Yu showed your power again and saved a pregnant woman with an unconventional beating method."

Yu Zhiming waved his hands and said: "Don't talk about it. At that time, my mind was so hot that I punched the pregnant woman subconsciously."

"After that punch was thrown, I was stunned."

Yu Zhiming said bluntly: "Frankly speaking, the effect of that punch has a lot of luck."

Yu Shiquan said: "In emergencies, subconscious or intuitive responses are often the best choice."

"I myself have experienced this kind of memorable behavior twice, once at a disaster relief scene, and once at the hospital to participate in the first aid of the injured in a major accident."

"It wasn't until my hand completed the movement that my brain realized what I had done."

"At the time, I thought I was distracted and felt very uneasy, but when I thought about it, I realized that I had done a wonderful and perfect emergency response."

After a pause, Yu Shiquan added: "Doctors who do emergency work on the front line have many such experiences."

"In the race against time for first aid, sometimes thinking is superfluous. You have to rely on instinct-driven speed to fight against death."

Yu Zhiming pretended to be exaggerated and said: "After hearing what you said, Dr. Yu, I find that I don't feel so guilty anymore."

Yu Shiquan smiled and said, "What is there to feel guilty about?"

"The pregnant woman is still alive and well and her body is fine. This is the best proof of your perfect response."

Yu Zhiming opened his mouth, but in the end he did not tell the story that the pregnant woman did not approve of his beating treatment method and wanted an explanation.

He changed his words: "Since you are all here, let's take a look at the injury of a young man's right knee joint."

Yu Zhiming got up and went to the soundproof office, took out two A4 papers from the desk drawer and came back.

He took out the first A4 paper and made three copies.

"This 18-year-old boy was a basketball player. His right knee joint was injured accidentally more than two years ago. After undergoing surgery, it does not affect his daily life, but he can no longer do strenuous exercise."

"This young man wants to continue playing basketball. Take a look, is it possible for his wish to come true?"

While introducing it, Yu Zhiming distributed the fluoroscopic view of the boy's knee surgery to Yu Shiquan and others.

Yu Shiquan took the drawing, looked at it twice, and asked: "Dr. Cai Yongxian performed the surgery?"

"Can you tell?" Yu Zhiming was a little surprised.

Yu Shiquan chuckled and said: "Just like handwriting, every surgeon has his own surgical treatment style."

"I have carefully studied several of Dr. Cai's surgeries, and I have a relatively clear understanding of some of the details of his surgeries."

Yu Zhiming let out a light oh.

Yu Shiquan and Tong Yu each held the drawings and looked at them in deep thought for several minutes.

In the end, it was Yu Shiquan who spoke first. After all, the treatment of joint injuries was his area of ​​expertise.

"Dr. Yu, I want to disappoint you."

Yu Shiquan said frankly: "In my opinion, Dr. Cai's treatment of this knee injury, although not perfect, is still of a high standard."

"I will make repairs based on his work..."

Yu Shiquan looked at the drawing in his hand again, shook his head and said: "We can only make some minor improvements, and the improvement effect is limited. There is no need to let the young man suffer and take risks."

Tong Yu spread his hands and said, "Doctor Yu can't even think of anything, and I can't even think of anything."

Dr. Hou and Dr. Lin met Yu Zhiming's gaze and shook their heads gently.

Seeing this, Yu Zhiming could only sigh softly, understanding that many things are limited by human power.

"Doctor Yu, what is the picture in your hand?" Facing Yu Shiquan's inquiry, Yu Zhiming said: "This is my own idea. Regarding the current situation of the boy's knee joint, if he can run and jump, it needs to be repaired. What does it look like?”

When he saw Yu Shiquan reaching over, he handed over the drawing in his hand, and added: "This is my idea. I don't know if the operation can be done."

"Even if the surgery is done, I don't know whether the effect will be as I imagined."

During Yu Zhiming's introduction, Tong Yu, Dr. Hou and Dr. Lin all stood up, gathered around Yu Shiquan, and looked at the new drawings in his hands.

A few minutes later, Yu Shiquan raised his head and looked at Yu Zhiming with piercing eyes, even his breathing became heavier.

"Dr. Yu, I must say that this is a genius surgical design, especially the repair and adjustment of the anterior cruciate ligament, medial collateral ligament, and articular cartilage. It is a stroke of genius."

Yu Zhiming asked confirmingly: "Is it really as good as you say? Doctor Yu, I'm young, don't fool me."

Yu Shiquan said, somewhat dumbfounded: "Doctor Yu, if I have the courage, I wouldn't dare to deceive you."

After a pause, he said excitedly: "This is an amazing plan. I am certain that after the anterior cruciate ligament and medial collateral ligament are repaired and strengthened, it should be enough to support the teenager to do strenuous exercise."

"One question is whether to use artificial ligaments for repair and reinforcement, or autologous tendon repair."

Currently, for surgical repair or reconstruction of severely torn or broken ligaments, grafts are mainly used, including autologous tendons and artificial ligaments.

Autologous tendons available include the most commonly used semitendinosus and gracilis tendons, peroneus longus tendon, quadriceps tendon, and bone grafts.

As for artificial ligament, it is a synthetic polymer material that can be directly used to replace damaged ligaments.

This kind of ligament has the advantages of avoiding the need to cut autologous tendons, minimal rejection reactions, and fast recovery time. However, there are also shortcomings such as high cost and lack of long-term efficacy observation.

Yu Shiquan pondered again and said: "Because it needs to be highly integrated with the existing ligaments, and because I still want to continue playing basketball, I recommend using autologous tendon transplantation."

After a pause, Yu Shiquan touched his chin and said, "Dr. Yu, in order to realize your surgical design, the requirements for precise operation are not very high."

He looked at Dr. Hou and said, "Dr. Hou, you are the best at microsurgery. I need your help."

Before Dr. Lin and Dr. Tong could speak, Yu Shiquan continued: "You two will not be idle, you will both be active."

Yu Zhiming interrupted: "Dr. Yu, I have already said this design, but I think it is feasible. I cannot guarantee the actual effect."

Yu Shiquan laughed and said: "Such a beautiful design, it will definitely work, and it will definitely work."

"I really didn't expect, Dr. Yu, that you have such talent in designing surgical plans for knee joint injuries. I can only sigh, a genius is a genius."

Yu Zhiming said modestly: "This is probably because I know a lot about the body, and also because I had a sudden inspiration."

The next moment, he said solemnly: "Surgery is surgery after all. It is very difficult to repair problems after they are performed."

"Unless there is a lot of confidence in this design..."

Yu Shiquan took over and said: "Dr. Yu, please don't worry, I will have people do intelligent simulation of this design."

"At the same time, I will also make 3D physical models. If I am not confident enough, I will not rush into it..."

Next, several people forgot about Chen Long's surgery and had a heated discussion about the juvenile knee joint repair surgery plan designed by Yu Zhiming.

As for dinner, they made do with box lunches...

It wasn't until nearly seven o'clock in the evening, when Yu Zhiming was about to start online teaching, that the discussion between several people had to end.

Yu Zhiming walked into the brand-new soundproof office, looked up at the wall-sized high-definition screen, and was stunned.

I saw that the big screen in front of me was divided into at least twenty small pictures.

Every small screen is full of people.

There were so many teaching sub-venues, which really exceeded Yu Zhiming's expectations.

He thought there was only one Qilu Hospital, two or three from the military, and another two or three to be arranged by the National Health Commission.

Yu Zhiming coughed twice and was about to start when he suddenly noticed that the big screen had turned into a sub-conference scene.

There were dozens of military doctors sitting neatly.

"All rise!"

"salute!"

Dozens of people stood up and saluted him. Yu Zhiming was at a loss for a moment, and even responded with a nondescript salute in a panic.

After eight classes of military doctors saluted Yu Zhiming one by one, Yu Zhiming announced the start of the training class.

"Forgot to say one thing..."

Yu Zhiming picked up a stethoscope on his desk and said: "If a worker wants to do his job well, he must first sharpen his tools. For you, you must use a stethoscope to stop internal bleeding, and ordinary stethoscopes are not enough."

"Let's put it this way, mid-to-low-end stethoscopes worth less than three to five thousand will basically have no effect on you."

He shook the stethoscope in his hand and said, "This is the latest master-level customized version of the stethoscope produced by Yuyue. It is the most affordable one among all the products available."

Yu Zhiming put down his stethoscope and faced the camera and said: "Let's officially start. Let me first talk about the identification of the celiac artery..."

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