There is no need to be too normal to be a doctor

Chapter 164 Weird hypotension

Zhao Xi's words moved Chen Gong for a long time.

to be frank……

He really didn't expect such a scene.

Looking at a 20 check in Zhao Xi's hand, Chen Gong suddenly laughed.

"So much money!"

"Are you trying to support me?"

Zhao Xi rolled his eyes: "Besides, the prerequisite for keeping me is that you have to be pretty, at least you have to be a pretty boy!"

"You're not even close to that."

When Chen Gong heard this, he couldn't help laughing.

"That's a pity!"

"Hey... give it back to you!"

While talking, Chen Gong handed the check to Zhao Xi.

"Put it away, this is your dowry. If you can't get married in the future, this money can attract many people!"

Zhao Xi suddenly became angry: "You can't get married!"

"Chen Gong, I found out why you owe so much?"

Chen Gong then explained: "Don't worry!"

"The matter on my side has been resolved and I don't need any more money."

After Zhao Xi heard this, he couldn't help but nodded: "Yes!"

"If you have money, you don't need people like me anymore. Hey... I can't help it."

"I saw it, the paper, in the Lancet."

"Is Yang Li also a member of your research team?"

"She's the third author!"

"The third author of the cover work of "The Lancet", tsk tsk tsk... With such gold content, at least there are no obstacles before reaching the associate professor level, right?"

"I'm the same age as them, but I don't have such good luck!"

As Zhao Xi spoke, there was a bit more smile in his eyes.

She and Yang Li knew each other last time after the guide dog had an accident.

Later, Zhao Xi did research on interstitial medicine in school and often ran into each other.

The two also chatted happily. Yang Li was more enthusiastic and helped Zhao Xi a lot, who had just arrived at the school to conduct experiments, so the two left their contact information.

at first...

Zhao Xi didn't feel anything yet. Later, Zhao Xi suddenly discovered that Yang Li always asked about Chen Gong's affairs.

This made Zhao Xi a little more vigilant.

She thinks Yang Li is interested in Chen Gong!
Originally it was nothing, but... when Yang Li asked these questions, Zhao Xi found that he didn't want to tell everything.

……

When Chen Gong saw this, he immediately coughed and tried to cover it up.

"Well... I didn't set up a studio here, I am the secretary!"

"Besides, the papers are all written by others. If you don't give them to others, who will give them to them as the third author?"

Zhao Xi was actually quite happy when he saw Chen Gong's explanation.

However, his expression remained unchanged, and he even said with a hint of sigh: "That's right!"

"Hey!"

"I'm such a loser. I worked so hard to write the paper, and I still have to name someone as the first author."

"When I applied for the project, someone was the first person in charge."

"Tsk, tsk, tsk, the gap is really big."

"That's it, people still ignore me, I'm so angry!"

"Why can't you compare this person with others?"

"Hey……"

"I feel uncomfortable talking too much!"

While speaking, Zhao Xi lowered his head and ate the tofu in one bite, as if he was venting something.

Chen Gong was stunned when he saw this.

Good guy!
This... something happened.

Chen Gong looked at Zhao Xi who was lowering his head to eat, and was a little at a loss. He had no experience in this kind of thing...

However, at this time, Chen Gong suddenly thought of something and said to Zhao Xi: "That's right!"

"What is your subject?"

"Let me see?"

"Interstitial medicine has great research value, isn't it the Lancet? When the time comes, you will also write an article, and you will be the first author!"

Zhao Xi was not angry at first, he just wanted to deliberately anger Chen Gong. After hearing this, he felt a little more happy.

In fact, it can be said that she completed this topic independently.

And when I applied for this topic, it could almost be said that it was approved very quickly.

Because this topic is very new and the effect is very significant.

You can even dig deeper, and you will definitely be able to achieve results by then.

As for the upper limit, Zhao Xi couldn't even imagine it.

Zhao Xi saw Chen Gong's curious look and suddenly laughed. She was just teasing Chen Gong, joking:
"You are the first person in charge!"

"How can I thank you?"

Chen Gong smiled: "Come on!"

"It's up to you, just give me whatever you want."

Zhao Xi handed a piece of information in his hand to Chen Gong: "Hey, that's it."

"This is the paper."

"This is the subject."

Chen Gong heard the sound and quickly took it over.

"The value of MRI anatomical landmarks in the parotid gland and its surrounding space for tumor localization"

This article immediately made Chen Gong’s eyes light up.

Chen Gong is actually very interested in interstitial medicine.

Moreover, he always feels that interstitial medicine is a misunderstanding of human anatomy.

With the development of clinical research on anatomy, everyone's understanding of the body itself has improved a lot.

but……

The gap in research has not been fully utilized. This is a shortcoming!
However, after seeing Zhao Xi's topic, Chen Gong's eyes suddenly widened!

He suddenly discovered that Zhao Xi had discovered such a wide road without knowing it.

This article is not very technical, the key is practicality.

Using modern imaging technology, the effectiveness of interstitial medicine can be better utilized.

In fact, many tissues on the human face have imaging shadows.

This means that many inspections cannot fully exert their due effect.

However, Zhao Xi cleverly used the gaps between the human head and facial tissues, combined with the parotid gland area, and determined the tumor location through MRI anatomical landmarks!
In this current era, whether it is the development of imaging or treatment methods, they are all very fast!
Laser technology, spectrum technology, etc...

It can be treated without surgery.

"Hitting the tiger across the mountain" is a completely achievable treatment method.

then!

Likewise, a problem also arises!
The level of science and technology is developing rapidly, and neither technology nor applied science has kept up!

As a result, many embarrassing things happened.

And Zhao Xi's thinking is very clever. He cleverly made use of the originally neglected interstitial medicine, and then combined with nuclear magnetic technology, it can help the tumor to be accurately located!

Isn't this an innovation?

In other words... isn't this scientific research?

Chen Gong continued to pick up Zhao Xi's topic.

The topic that Zhao Xi is applying for right now is to study the auxiliary functions of clinical interstitial medicine under imaging.

Chen Gong was a little surprised by this topic.

Chen Gong really didn't expect that Zhao Xi would provide a new way of thinking for his gap research!

No... not only that!
In fact, this is not a new model and new model of "translational medicine".

Currently, Chen Gong’s biggest “famous position” comes entirely from translational medicine.

It’s not that Chen Gong pursues academic status.

Rather... he hopes to expand the impact of translational medicine.

Chen Gong is not sure how fast his current research on the tricarboxylic cycle on chronic diseases will be.

When Chen Gong returned to clinical practice this time, she actually wanted to find a suitable opportunity.

Let’s see if we can increase the influence of “translational medicine”.

Not that he wants to compete.

It's just...what happened last time proved everything.

If you don’t have the strength, you don’t have the right to speak.

Even Sun Guangzeng and his like can slander and slander themselves at will.

After the Lancet vindicated its name, everyone shut up. According to the news from Teacher Xu Tongxu, the higher authorities even began to pay attention to translational medicine.

As a result, Chen Gong felt that he had to make some achievements.

The key is... Teacher Xiao Zhao gave me such a big gift when I first came here.

For a moment, Chen Gong was excited!

Zhao Xi's research on interstitial medicine is obviously very suitable for translational medicine.

Even...the research on chronic diseases is better than that of the tricarboxylic cycle!

Interstitial medicine is highly transformative and can enhance existing medical technologies and approaches.

There is no doubt that this is definitely the best plan that Chen Gong can think of at the moment!
"You are really my gospel!"

"Oh, this is so timely!"

"Cattle!"

“This subject is awesome!”

"Teacher Xiao Zhao, you are indeed Teacher Xiao Zhao!"

After reading it, Chen Gong looked excited.

He even almost stood up excitedly.

Zhao Xi was a little confused by Chen Gong's words.

This... what is this situation?
Chen Gong stood up and suddenly asked: "Are you full?"

Zhao Xi nodded.

"go!"

"Hurry up and follow me to the office!"

"The population here is mixed, and it's easy to chat when you go there."

After saying that, Chen Gong directly pulled Zhao Xi towards the office.

Zhao Xi followed behind and saw Chen Gong holding his hand, his face suddenly turned red and he was extremely shy.

Fortunately, Chen Gong walked quickly and was in front, otherwise he wouldn't know what to do when he saw Zhao Xi like this.

…………

The emergency center has been developing well during this time.

Faintly, the reputation is improving. Although the speed is not fast, but... everything is developing in a good direction.

In the past few days, Chen Gong began to think about the transformation and development of interstitial medicine in clinical practice.

If you want to make reasonable use of interstitial medicine in clinical practice, modern medical equipment is very important. Similarly, comprehensive medical literacy is even more rare.

Therefore, Chen Gong had to strengthen the cultivation and improvement of his overall quality.

The first thing that needs to be strengthened is imaging and color Doppler ultrasound.

The difficulty level of these things is not too high.

And theoretical knowledge is more important.

For other people, it may be difficult to learn a basic subject, but for Chen Gong, this is not the case.

With the help of the system and the use of multiple experience cards, the stability of Chen Gong's techniques is improving.

In addition to imaging, Chen Gong also specially communicated with doctors in the imaging department of the hospital.

As such...

During this period, Chen Gong also consumed a lot of money.

Points need to be exchanged for experience cards to use every day.

Moreover, although she participated in many surgeries, Chen Gong did not obtain any imaging data.

However, by chance, when presiding over a nerve repair surgery, he actually received the reward of [Anesthesia Medicine: lv3 (professional level)].

Chen Gong didn't take this reward seriously at first.

but……

On this day, in the anatomy laboratory.

After Chen Gong got off work, he continued to come back to study the knowledge of anatomical gaps.

During the anatomy break, Chen Gong had asked the staff to carefully differentiate them into different categories.

With the help of funds, their research is also going smoothly.

But... there are so many gaps in the human body. Although the anatomy laboratory does not require too many consumables, animal experiments are still required.

I want to conduct human experiments, but there is no suitable opportunity at all.

When conducting animal experiments, it is difficult to find gaps similar to those found in humans.

So... there are still many difficulties.

Chen Gong could only try his best to theoretically break down the organizational structure and function of each gap, as well as what he could think of.

For example, there was a gap that Chen Gong was studying at this time.

It’s called the fascia iliaca space.

The fascial iliac space is a potential fat gap between the iliac fascia and the outer membrane of the iliopsoas muscle. It is triangular in shape. It is composed of the iliac fascia in front and the pelvic iliacus muscle in the posterior part. It is connected to the sartorius fascia in the groin area on the lateral side and the sartorius fascia on the medial side. It is connected to the pectineus muscle; upward it communicates with the extraperitoneal space anteromedially at about the level of L5, and communicates with the fat space under the fascia lata through the FN outlet, and posteriorly it communicates with the paravertebral space.

This gap appears triangular.

Muscle: Iliopsoas.

Blood vessels: Iliac vessels and femoral arteries and veins are in the periphery.

The fascia iliaca forms the floor of the gap.

On the side are the femoral nerve and lateral femoral cutaneous nerve.

This is the organizational structure!
How to conduct research?
First is the anatomical level.

Then there is the spatial dimension.

There is also research under the theory of vascular reconstruction.

And neurological research...

How to translate these research into clinical practice?
And that's the biggest problem!

It is conceivable how large the project volume of this interstitial medicine is.

Anatomy is definitely not only the basis of surgery, but can also be considered the basis of human medicine.

The so-called medicine is not only about treating diseases, but also about letting people understand the human body.

In the early years, there was not much research on the existence of gaps, especially modern research...

Except for a few fascia iliac hernias, Chen Gong found nothing.

But... looking at this area, Chen Gong always felt that it was very meaningful.

After reviewing the information, Chen Gong found that there were very few studies on the iliac fascia.

This is when only a few surgeries and orthopedics can consider this, but... this is simply not enough.

How to do?
Chen Gong took a deep breath.

He actually had no idea what to do now.

He decided to see if the monkey had any?

After going to the laboratory to bring back the monkey, Chen Gong was preparing to anesthetize...

suddenly!

Just at this time……

Chen Gong's body was shocked!
wrong!

Fascia iliaca...anaesthesia!
Yup……

Chen Gong's breathing suddenly became rapid.

He suddenly thought of a possibility.

That’s anesthesia!
The fascia iliaca is simply a natural and perfect anesthesia point!
Even, this can be regarded as a type of lumbar plexus block!
The branches of the lumbar plexus deep to the fascia iliaca include the femoral nerve, lateral femoral skin, and obturator nerve, which are distributed in different locations deep to the fascia iliaca.

These nerves originate from the lumbar plexus T12-L4 and send out nerve branches to innervate the hip joint and proximal femur.

If anesthesia is given...

There are many surgeries that can be performed!

Chen Gong immediately started research from a theoretical perspective and using neurological principles.

This time!
Chen Gong is very fast and efficient.

In less than ten days, Chen Gong confirmed from many theories that it can block three nerves in the lumbar plexus: the femoral nerve, the lateral femoral cutaneous nerve and the obturator nerve.

Of course, the obturator nerve is controversial!
Chen Gong found that from an anatomical relationship, the obturator nerve is located deep to the pectineus muscle, and the iliac fascia is closely integrated with the pectineus tendon (i.e., iliopectineal fascia) under the inguinal ligament. This barrier completely blocks the medicinal solution. Spread deep to the pectineus muscle.

Therefore, when the iliac fascia is intact, the obturator nerve cannot be blocked.

Even so, enough is enough!
Anesthetize the area, more specifically the femoral nerve and the lateral femoral cutaneous nerve.

According to the areas innervated by the femoral nerve and lateral femoral cutaneous nerve, it can be concluded that if this regional anesthesia is performed, the indications are mainly focused on: hip and knee replacement, pelvic fracture, proximal femur and patella fracture as an auxiliary operation. Analgesia.

This discovery is enough for Chen Gong!

Next is the clinical effect.

To be honest... Chen Gong can't guarantee how effective his theory will be.

He originally decided to find suitable experts and discuss it together.

The school also has masters in the field of anesthesia.

On this day, when Chen Gong was at work, a young nurse hurried in.

"Director Chen, there was an accident involving a worker in the Country Garden community on Southwest Road."

"The situation is quite serious. The transfer center hopes that we will send people there quickly."

Chen Gong heard this and nodded quickly.

He decided to go and see for himself.

Here, Chen Gong asked Zhao Xi to go with him.

After arriving, Chen Gong saw a chubby middle-aged man lying on the ground, unable to stand up for a long time.

"Ouch...it hurts me so much!"

"Help, he's dead..."

"Ouch!"

"It hurts!"

When Chen Gong saw this, he couldn't help but smile.

"Don't worry, you're really fine. It's probably just a fracture in your pelvis."

When the man heard the sound, he cried even harder.

"It really hurts, it hurts me to death!"

"Doctor, help!"

"I beg you."

This man, fair and fair, looked like a boss. He finally came to inspect it, but... he didn't pay attention and fell off.

The surrounding staff were frowning.

no way!
This leader came to the construction site and accidentally fell from the third floor. Although it was not very high, it was still quite dangerous for six or seven meters.

Chen Gong couldn't calm down for a long time.

I can't cry!

At this time, another ambulance arrived.

After getting off the car, Qin Xuehai and a staff member rushed over.

The patient was a man in his 50s with a white hat. He fell from the third floor. Fortunately, there was a piece of land below, which acted as a buffer.

The other person was lying on the ground, in so much pain that he was miserable.

After Qin Xuehai came over, he seemed to be familiar with the man and said hello.

"Old Qin, I...I can't die, can I?"

The man saw Qin Xuehai and asked straight to the point.

Qin Xuehai was also helpless. He checked and found nothing unusual, but seeing the other party crying and wailing, he almost thought it was... something happened!
Qin Xuehai said helplessly: "Oh, you are really fine!"

"Let's go to the hospital quickly."

"You may have a fracture. Go there sooner and have surgery sooner. Stop crying. It's really fine."

If it's just a fracture, maybe the risk factor isn't that high.

However, in this way, the patient can be sent to the affiliated hospital, and Chen Gong does not need to undergo surgery.

After all, Chen Gong is not good at many orthopedic surgeries.

Qin Xuehai suddenly said at this time: "Come over and take a look."

"Orthopedics is also a common skill. It would be a good thing if you can learn a little bit."

Upon hearing this, Chen Gong called Zhao Xi back.

I followed him to the affiliated hospital.

It's just... along the way, the patient cried and screamed and was in excruciating pain.

Qin Xuehai was diverting the other party's attention.

"How did you fall?"

"You are such an adult, why are you so careless?"

After hearing Qin Xuehai's words, the chubby man said helplessly:

"Ouch...I know what's going on too."

"Just now, I felt suddenly dazzled, dizzy, and fell down."

"It's just like... just like... low blood pressure."

Chen Gong was also helpless, but... he was observing the patient, but... he frowned immediately after hearing the other party's words.

Low blood pressure? !

No no no!

What's wrong?
Chen Gong looked at the patient with a solemn expression.

(End of this chapter)