Those years when I hung up and upgraded in the hospital

Chapter 109 The real surgical player (please collect and read)

The diagnosis of 'frozen shoulder' was abandoned after frozen shoulder, a type of frozen shoulder, was described.

To say that the surgical operation of frozen shoulder is extremely difficult would be difficult to say.It’s just that the procedure for releasing a frozen shoulder can be quite cumbersome.

There are many parts that need to be completely loosened——

To put it simply, in the release of frozen shoulder, the parts that need to be released include the removal of the rotator cuff space and the extensive proliferation of inflammatory synovium in the front joint cavity, followed by the release of the rotator cuff space, superior glenohumeral ligament, coracoid ligament, The anterior joint capsule, the middle humeral ligament, the periarticular and inferior subscapularis tendon, and the anterior half of the inferior humeral ligament.

Then use the posterior arthroscopic approach as the operating approach to release the posterior and inferior joint capsules and the second half of the inferior glenohumeral ligament in sequence, and clean the inflammatory synovium in the posterior joint cavity.

Finally, a subacromial tunnel is established, and the arthroscope is inserted into the subacromial space from a posterior approach.Establish a standard lateral approach to the shoulder joint with the puncture needle positioned, clean the subacromial inflammatory bursa and hypertrophic synovial membrane, and explore the narrowing of the subacromial space and the presence of hyperplastic osteophytes on the lower surface of the acromion, if there is acromial impingement. If the problem appears under the microscope, acromion shaping is performed.

The basic mode of surgery consists of shoulder arthroscopy exploration and debridement, and you only need to follow the steps.

Fang Yun can master it with level 3 arthroscopy experience and proficiency. Now his arthroscopy experience has been improved, it is less difficult and he will be slightly more proficient.

But even so, the entire operation process still took a full hour and 35 minutes, which was closer to two hours than before, saving about 10 minutes.

However, even so, Director Hu Jun still looked at it more carefully, and while Fang Yun was operating, he relatively humbly asked for advice on tips for operating angles that were not so smooth.

Although Fang Yun's operating experience has improved, he cannot actually crush Director Hu Jun in all aspects. However, in some tricky angles, his vision and operation may not be as smooth as Fang Yun's.

Such a process of seeking advice can be described with caution as mutual discussion and exchange.

This is the first time that Director Hu Jun has felt like a peer in the industry in Xiangzhou in the past ten years he has been working at Xiangzhou People's Hospital.

After getting off the stage, the patient asked Guo Jinxi, the circulating nurse and the anesthetist to move to the ward. Hu Jun sat quietly under the timing panel in the operating room, his expression was obscured by a mask, and his eyes were quite complicated.

If Hu Jun didn't admit his own shortcomings, Wei Zhaoliang wouldn't be able to tell that Fang Yun's operating level would be just a hair higher than Hu Jun's. But Hu Jun himself admitted it, and Wei Zhaoliang didn't know it at this moment. How to speak.

But when he looked at Fang Yun, he was full of doubts and shock.

Fang Yun naturally doesn't want to say too much. Talking too much would be a mistake!
Hu Jun, Chen Shengwu and Long Quan, the former director of Longxian People's Hospital, have different identities. Chen Shengwu is a professional joint surgeon, Long Quan is a trauma surgeon, and Fang Yun is better than them in the new direction of sports medicine. Faster and further is reasonable.

After all, it is something new.

But Hu Jun himself is a professional sports medicine doctor and the deputy director, and he founded the sports medicine section of Xiangzhou, so even if Fang Yun has the experience of being more skilled than his superior doctors, it is difficult to speak at the moment.

The atmosphere between the three of them was slightly silent.

Then, it was Hu Jun who broke the silence and asked: "Doctor Fang, before September last year, you worked in Li Town."

Although Li Town is a town in Long County, it is not far from Jishi in Xiangzhou and is closer than the distance from Long County to Li Town.Because Qin bamboo slips were unearthed in Li Town, it is currently a relatively well-known place in Xiangzhou.In addition to tourist attractions such as Feng County and Furong Town, the reputation outside may be slightly greater than that of the inner town.

"Yes, Director Hu, I worked in the town for four years before." Fang Yun put his feet together and didn't know what to say, so he silently counted the holes in the green rubber hollow slippers. He found that the holes in the slippers on his left foot would There are two more holes than the holes in the right foot. I don’t know what the reason is.

"Ninety ten 12, one or two."

"Six months! Only half a year."

Hu Jun sighed: "Previously, when communicating with colleagues, Director Chen Shengwu of the Joint Surgery Department said that you were delayed. You have enough talent but not enough training materials. I actually only believed half of it."

"After all, the improvement of surgical operations is all a matter of time and effort, but now I finally understand what Director Chen means. Dr. Fang, you should have been exposed to clinical practice as early as possible."

"If this is the case, in the four and a half years since I graduated from undergraduate degree, we in Xiangzhou may have one more director who is very proficient in surgery."

"Surgery is also about talent. If others don't mention it, let's just say that Mr. Wu, the father of hepatobiliary surgery in our country, only graduated with a bachelor's degree at the age of 27. Ten years later, he is already at the forefront of the world!"

Hu Jun couldn't help but think of this late academician.

Graduating a bachelor's degree at the age of 27 is considered old, right?
But in ten years, just ten years, he went to the forefront of the world, giving reports on hepatobiliary surgery.For such achievements, apart from talent, pure hard work is of no use.

As a medical student, Fang Yun had naturally heard of Mr. Wu's legendary deeds, and hurriedly said: "Director Hu, you are exaggerating. I would not dare to compete with Mr. Wu!~"

"It's just a little bit of talent."

Although Fang Yun could not fully know the level that Mr. Wu was at back then, and what level of operating level he was at, Fang Yun knew that as far as he was concerned, even if he relied on plug-ins, it would be difficult to catch up and surpass him within ten years. .

Upgrading skills to level 4 can be achieved within a year by hanging up, but it is estimated that it will take a year or two to improve again.

Then if you improve, you may be able to see the world, which will take you who knows how long.

And this is still a skill, but back then, Mr. Wu was a master of all things.

"No matter what, people like you, Dr. Fang, are real surgical contestants. We are randomly participating."

"Talent is really something you are born with, and you can't envy it."

"Work hard and strive for a position as a member of the Chinese Sports Medicine Committee in the future. Then we will have talented people in Xiangzhou!" Hu Jun's expectations are not small.

Don’t think that it is very simple for a prefecture-level city to join the Chinese Medical Association and the Sports Medicine Branch Committee. It can be said that there are so many professors in the entire Hunan Province who have entered the Chinese Sports Medicine Branch Committee. Looking at In the past so many years, there are only a handful of them!
Very valuable.

(End of this chapter)