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

Chapter 174 This is genius!
They are all experts who have been famous for many years, and have accumulated clinical experience to a certain extent!

In fact, many times, it is just like practicing martial arts.

Not everyone can have three flowers gathered at the top and enter the innate state.

But... everyone's understanding of this subject has become their own experience and insights.

Although Chen Gong felt that Qiao Dingcai did not have the ability to become a subject leader, he did not deny that Qiao Dingcai was an excellent expert and talent from beginning to end.

Although he did not agree with the emergency center hospital spending huge sums of money to invite Qiao Dingcai to join.

but!

The most critical reason is that the emergency center hospital has insufficient foundation and cannot pay for a failure!
That's the point.

What Chen Gong said just now about Qiao Dingcai's inability to find loopholes was not because he looked down on others.

On the contrary, he knew that the opponent's Tang's tendon suturing method was above expert level.

At this point, it can even be said that Qiao Dingcai has devoted his whole life to this.

He has been seeking the pinnacle of Town's Tendon Suture Technique all his life!

but……

In this life, even at the age of 55, he still has not found a chance to break through.

Therefore, instead of doing this, Qiao Dingcai might as well choose another method.

Is Qiao Ding the bad guy?
It doesn't count!
If he wants to make money, he can choose many ways.

When a doctor loses the glory that this profession brings and the ethics that this profession should follow, he will not be short of money!
Qiao Dingcai was not angry at this time!

Even... He looked up at Chen Gong with solemn eyes, without saying a word!

In the eyes of everyone around him, Qiao Dingcai looked very unhappy as he stared at Chen Gong!
Even Lin Zhanhai, who has always been bold, is like this!

To be honest, Lin Zhanhai was also shocked by Chen Gong's words!

He knew that Chen Gong would not give Qiao Dingcai face, but... he didn't expect that he would say it so directly in front of so many people.

You know, right now!

How many people are watching today's surgery outside.

It even includes provincial and municipal leaders!

and experts within the industry.

Although these words were not a rude slap in the face, but...compared to a slap, the lethality was at least ten times higher!
On the side, Zeng Hui, who finally entered the operating room, was also shocked by Chen Gong's words.

good guy...

You kid, are you too tough?

He actually said that about Qiao Dingcai!

For a while!

Not just in the operating room.

Even the conference room was completely silent, and many people could not help but gasp!
Liu Guisheng, who was sitting next to Li Sicheng, even said angrily:
"Speak wild words!"

"It's really... it's too much!"

"How can you say that Director Qiao is also an expert we personally invited? He has traveled thousands of miles to help with the surgery. How can he say such a thing?"

"This Chen Gong is really... too much!"

"Isn't his words destroying the relationship between Director Qiao and us?"

"Now the negotiation has reached a critical moment...Isn't this...isn't this nonsense?!"

Liu Guisheng's words naturally attracted the attention of many people.

There was also a bit of uneasiness on many people's faces.

Even some leaders looked at Chen Gong with a bit of displeasure.

At this time, Chen Gong saw that everyone around him fell silent.

Suddenly he turned around and looked at Qiao Dingcai and asked: "Director Qiao, have you carefully looked at the things I drew for you last time?"

Qiao Dingcai suddenly blushed and sighed slightly: "I've seen it all!"

"I watched it that night."

Chen Gong was a little surprised and asked curiously: "Since you saw it..."

"Then I'm curious, why didn't you contact us later?"

"It stands to reason that I have clearly pointed out the shortcomings of Tang's tendon suture method in the last scene!"

"Even the solution was mentioned."

"Why didn't you ask me?"

When Qiao Ding heard this, he felt extremely guilty.

to be frank!
He didn't take Chen Gong to heart at all at that time. How could he seriously consider Chen Gong's plan?
Just when everyone was confused, curious, and a little confused.

Qiao Dingcai suddenly spoke:

"Hey!"

"Director Chen, I was wrong!"

"I am too confident and too dependent on the Towns tendon suture method."

"I even think that there is no perfect surgical technique, only perfect operation, and only when the operation is completed to perfection, the effect of the Town's tendon suture method can be exerted."

"This is the highest level of surgery."

"As you said...I really can't fault it."

"Because this is something I have been proud of my whole life. How could I find fault with it, or... why should I find fault with it?"

"Hey!"

"I'm...narrow-minded!"

"Actually, Director Tang also talked with us and asked us to improve some aspects of Tang's tendon suturing method..."

"I went the wrong way!"

"Director Chen, hey... thank you!"

"Without you, I might not be able to get out of this circle for the rest of my life."

Qiao Dingcai's originally solemn and serious face now looked a little relaxed in his eyes.

Yes!

When you put down all honors and look at a problem objectively, you will feel much more relaxed!

Lin Zhanhai looked at Qiao Dingcai in disbelief and hesitated to speak.

He knew very well what kind of person Qiao Ding was.

But now... is it really confirmed by Chen Gong?
Lin Zhanhai felt that all this was too...unbelievable.

Chen Gong shook his head: "Okay, let's discuss this issue after we get off the operating table. Let's continue the operation!"

After hearing Chen Gong's words, Qiao Dingcai nodded quickly.

So far, he is still much better physically and energetically than Lin Zhanhai.

At this moment, when helping Chen Gong perform the operation, it was much smoother than when Lin Zhanhai assisted.

Qiao Dingcai remains in good condition.

Although it is going downhill, it is obvious.

However, the muscle memory formed is still functioning.

In contrast, Lin Zhanhai did not take the credit, but carefully thought and observed Chen Gong's questions just now. He hoped... to get some good answers.

And this time in the meeting room.

Everyone was stunned.

it is good!
good guy!

Liu Guisheng's thumb could create a luxurious flat floor.

Well, you are noble, you are amazing...

I'm here to think of a way for you, you'd better... take the initiative to surrender to the enemy, but still want to "recognize the thief as your father?"

Liu Guisheng felt like he had really fed the dog!

But the surrounding experts and leaders were very excited.

Everything calmed down so smoothly that Chen Jiazhong, who was originally worried, almost doubled over.

Even Li Sicheng breathed a sigh of relief and laughed.

He knew that Chen Gong was not trying to please Qiao Dingcai, but trying to conquer him!
There is no doubt that this effect seems better.

Because Li Sicheng clearly saw a trace of ambition in Qiao Dingcai's eyes!
This is not a bad thing!

But a good thing.

For Qiao Dingcai, nothing is more important than ambition.

At his age, if his status in the academic circle can be further improved, wouldn't it be more important than money?

As a human being, who doesn’t have dreams?

Especially Qiao Dingcai, who seemed to be honored but was still sinking for half his life. In his later years, he suddenly found hope.

……

……

operating room.

Chen Gong continued the operation.

With Qiao Dingcai's serious help, Chen Gong was relieved.

To be honest, Chen Gong was also worried that the other party had a glass heart.

This is bad.

Facts have proven that few of those who have managed to get through this far are useless!
It took two hours to successfully connect the first surgery.

With previous experience, the middle finger surgery will be much smoother.

Sure enough, Qiao Ding was just fixing the K-wire.

First drill out from the medullary cavity of the stump toward the fingertip, and then drill retrogradely into the medullary cavity of the proximal stump.

And this time...

Chen Gong raised a question again.

"Isn't this unstable?"

This time, Qiao Dingcai was suddenly stunned.

Because this was the second time Chen Gong raised this question to him.

The first time was when Qiao Dingcai went to the emergency center hospital for surgery for the first time.

At that time!
Chen Gong also had the same problem. At that time, he just glanced at Chen Gong contemptuously and didn't care.

And this time...

Qiao Dingcai stopped seriously.

He carefully observed the patient's tissue structure, suddenly widened his eyes and said: "Actually... more than one joint is more stable!
But the need to pass through joints and the ease of rotation are its drawbacks. "

"Director Chen, is this what you are talking about?"

Chen Gong nodded: "Yes, I always feel that this will affect the prognosis of the surgery."

"Although there is fixation here after surgery, it is still easy to rotate through the joint. I feel this is a flaw."

Hearing this, Qiao Dingcai became excited inside.

Because he felt...this time, his mentality changed.

Not only Qiao Dingcai, but even Lin Zhanhai on the side couldn't help but widen his eyes:

"Makes sense!"

"It makes sense!"

"Why didn't I notice it before?"

"This technique has been used for more than 40 years, and it has always been like this."

"We're probably all used to this pattern."

"To improve the replantation surgery of severed fingers, we also improved the neurovascular and tendon anastomoses."

"However, little thought is given to the fixation of the phalanges."

Lin Zhanhai and Qiao Dingcai both breathed a little quickly.

The two of them looked at Chen Gong in unison: "Director Chen, is there anything you can do?"

Chen Gong heard this and nodded calmly:

"I've actually been thinking about this issue for a long time."

"If there are other options... there aren't many."

"I'm not sure exactly what works best."

Hearing this, Lin Zhanhai and Qiao Ding couldn't help but laugh: "You can think of this, which is more than many people!"

"Besides, the method...how can it be that easy?"

Before he finished speaking, Chen Gong said straight to the point:

"The first one: sew 1 stitch on each side of the digital flexor tendon sheath to make it more stable.

Second: Cross-threading of fine Kirschner wires is used to fix the phalanges more firmly without penetrating the joints.

Third: It is difficult to penetrate the phalangeal cortex diagonally with only a hand drill, so I think thin steel wires and screws can also be used for fixation. "

"Of these three methods, to me, the first is the simplest, the second is the most convenient, and the third is the strongest!"

"These three methods have all been tested on animals, and it turns out that they need to be determined according to specific protocols."

"If the damage to the phalanges is obvious and the fracture is serious, the third option is the best!" "If the damage around the patient's broken finger is not high and the phalanges are not damaged, the second option is the most convenient."

"The first type is suitable for patients with defects similar to the current patient's, but not many."

"So, I suggest trying the first one today."

After hearing Chen Gong's words, both Qiao Dingcai and Lin Zhanhai were stunned!

Are you kidding us?

Originally, both of them thought that Chen Gong was not sure because it was difficult!
Now it seems...the reason why Chen Gong has not determined it is...there are too many ways?

Moreover, follow Chen Gong's thinking carefully.

They suddenly felt that Chen Gong was already far ahead of everyone at this step.

He has even chosen this kind of surgery for different types of replantation of severed fingers.

Speaking of which, can the two of them not be shocked?

At this time, Qiao Dingcai even had an idea in his mind.

don't go!
That's right.

Qiao Dingcai suddenly felt that if he stayed, he would have more opportunities and be more suitable.

He even felt that under the leadership of Chen Gong, he seemed to have a real chance to rejuvenate his life!
He had never heard of anyone who could think of three solutions in one month!

This kind of strength is really...too scary.

The more Qiao Dingcai thought about it, the more he felt... it was possible!

Take a pay cut and stay!

Even if you work as Chen Gong's assistant, it's not impossible!

Lin Zhanhai's eyes were a little more profound at this time, and he seemed to be thinking about a problem.

Chen Gong wasted no time.

Instead, he said to Qiao Dingcai: "Let's start!"

While talking, Chen Gong directly took the needle and thread and fixed them separately next to the tendon sheath of the flexor tendon of the middle finger!
When all this is done.

The next step of tendon suturing is about to begin.

Repair tendons.

Qiao Dingcai saw the operation just now clearly and clearly.

This time, Chen Gonger still chose No. 0 cotton thread. He had to deal with the extensor tendon first.

It's not difficult to extend the tendon.

It’s still a double-needle bunnell suture.

Double figure-8 sutures can effectively increase the tension of tendons while ensuring stability.

And the key lies in the flexor tendons.

It's also a tendon. Speaking of which...the flexor tendon is like a pretentious little princess.

A little rubbing and bumping can easily lead to infection.

The extensor tendon is a rough guy.

A simple and crude double figure-8 suture can fool you.

Of course, the main reason is that for the fingers, the flexor tendons have more activities.

If you want to make your fingers dexterous, your flexor tendons are key.

Just when Qiao Dingcai was preparing to assist Chen Gong in the operation.

Suddenly exclaimed!
"My God!"

"Director Lin, look!"

"Look, what's going on?"

Within their field of view, they suddenly discovered that the difficulty of the operation had been reduced because the axial alignment of the flexor tendons was very high!
You know, the degree of axial alignment often determines the recovery effect of surgery.

But now, it seems that Chen Gong doesn't need any help at all.

Lin Zhanhai seemed to have discovered this problem and quickly frowned: "What's going on?"

Chen Gong also looked around in surprise.

suddenly!

His eyes lit up, he looked at the two needles and threads on the side and said with a smile:

"I didn't expect...it would have such an effect!"

"Look, one stitch is fixed on both sides of the digital flexor tendon sheath. The operation we just fixed when fixing the phalanx, I didn't expect... to have such an effect!"

Qiao Dingcai almost jumped up excitedly at this moment.

To be honest!

He hadn't felt the surprise and climax of surgery for many years.

This kind of excitement is really intoxicating!
"This...this is too unbelievable!"

"so amazing!"

"Who would have thought of such an idea?"

Lin Zhanhai also muttered to himself: "I'm just... convinced!"

"Who would have thought that fixation of the phalanges could lead to such an effect!"

"This can completely make up for the shortcomings of Town's tendon suture method!"

“Especially the double-needle cross-stitch method combined with the bunnell suture method.”

"Great!"

"Too good!"

"quick!"

"Start the operation quickly, Director Chen."

Qiao Dingcai also nodded quickly: "You have to be careful!"

"It would be a real pity if such a perfect test failed."

"I feel... if we continue at this pace, the recovery effect score will reach 95 points!"

"It's not impossible!"

Lin Zhanhai's eyes trembled slightly, and he couldn't help but swallowed excitedly: "95 points..."

"Hurry... let's start."

Chen Gong couldn't help but shook his head.

good guy...

Who would have thought that one operation would make two experts happy?

Chen Gong smiled.

In fact, why is he unhappy?

This discovery gave Chen Gong a new thought.

Integrity of surgical procedures.

What does that mean?

That is, when a surgical problem is difficult to solve, you can try to operate on the periphery, and you may get special surprises.

And right now!
In the operating room outside, many people stood up with the same excitement.

It was also the first time they had seen such an operation.

Each of the experts was breathing rapidly and even their bodies were trembling.

Did they witness a severed finger replantation operation with a score of over 95?
What is 95 points!
This is the postoperative evaluation for replantation of a severed finger.

With a score of 95, there is a professional term called "perfect surgical state".

This means that in this scoring state, the patient's finger recovery is almost perfect and has no impact on life and work.

So far, there are only a few surgical experts who can reach 95 points!
Not even in China in the past two years.

Professor Tang Jinbo is truly famous in the clinical field when he completed an operation with a score of 95 points during an overseas exchange, and his skills surpassed those of the others.

And now!

Once again they saw 95 points surgery…

How scary is this?
Qin Xuehai's heart almost jumped out of excitement.

Must be successful!
Just at this time……

Qin Xuehai's phone rang.

When he answered the call, he immediately became excited.

"Director, we have received Professor Tang and are rushing to the hospital now!"

Hearing this, Qin Xuehai suddenly became excited.

"it is good!"

"be careful!"

After hanging up the phone, less than half an hour later, a middle-aged and elegant man walked into the conference room.

The moment all the experts saw the man walking in, they all stood up!

The person in front of me is Tang Jinbo, a world-renowned academic leader in the field of hand surgery and the creator of Tang's tendon suture method!
After Tang Jinbo came in, he didn't even have time to greet everyone.

His attention was directly attracted by the operation of the screen!

This is already Chen Gong’s third finger surgery.

And this time!
The surgery went extremely smoothly.

Even Qiao Dingcai and Lin Zhanhai felt a sense of excitement.

Stimulated by adrenaline, almost everyone is trying to see if they can break through!

Tang Jinbo watched the TV without saying a word.

but!

This one finger operation.

Tang Jinbo's eyes were surprised three times in a row!
The first time was when Chen Gong fixed the phalanges and performed suture fixation.

What kind of operation is this?
There is such an operation!

The second time was when Chen Gong was performing tendon suturing and cleverly improved his own Tang's tendon suturing method!
What a skilled Thomson tendon suturing method!
Is this improvement so amazing?

What a powerful thought!

What an amazing angle!

The third time was when Chen Gong performed nerve anastomosis.

This time, Tang Jinbo was really attracted by Chen Gong.

Finger replantation surgery is not just about the tendon!
Nerve anastomosis repair is more important!

The two digital nerves of each finger should be anastomotic, which will not only help restore the sensitive feeling of the finger, but also help the nutrition of the finger, so that the replanted finger will have a plump and rosy appearance.

Therefore, excellent nerve anastomosis can effectively improve the postoperative recovery effect and increase the score!

指神经的吻合应在手术显微镜下，用9-0或10-0连针尼龙线缝合，每条指神经缝合3～4针即可。

but!

That's not what Chen Gong did.

Chen Gong's nerves matched, which he had never heard of!

Chen Gong's operation was very cumbersome. Logically speaking...because the finger nerves are purely sensory fibers, there is no risk of mis-joining. They just need to align them neatly and sew their outer membranes.

But Tang Jinbo couldn't understand Chen Gong's repair.

But he can be sure that this method of repairing nerves...

Seems limited recovery!

This involves a recovery process during the replantation surgery of the severed finger.

If the nerves can recover first, this will be beneficial for re-examination and can increase the sensitivity of the fingers.

For later recovery, the effect is even more significant!
this moment!
Three times shocked!

Tang Jinbo couldn't help but take a breath of air.

how many years?

Tang Jinbo never thought that one day he would be shocked by the surgery of a 21-year-old young man!

He really... had never seen such an excellent tendon suturing operation!
Although Chen Gong’s tendon suturing skills need to be improved!

However, the anastomosis of blood vessels and the repair of nerves are too excellent.

all of these!
Makes up for a lot.

As for the key person's tendon suturing technique, it has surpassed basic skills.

Tang Jinbo couldn't help but take a deep breath.

This trip was not in vain!

After the operation was over, before everyone could recover, the first round of applause rang out in the conference room.

Everyone is looking for a reputation.

If not Tang Jinbo, who else could it be?

this moment!
Nothing more needs to be said.

This round of applause is extremely convincing!

……

(End of this chapter)