Chapter 111 Bipolar (Please collect and read)

The difficulty in arthroscopy experience lies in inserting and adjusting the arthroscope and its supporting operating instruments without direct vision.

Knee arthroscopy is easy to operate. Basically, it is inserted through the eye of the knee and directly into the joint cavity. As long as you adjust the direction and field of view of the observation mirror, it will always be within the joint cavity.

But shoulder arthroscopy is different. There are two cavities in one joint. You still need mature skills to move the arthroscope sleeve back and forth between the two joint cavities.

Now that Wei Zhaoliang has made the incision, he cannot repeat it with ease, let alone perform the arthroscopic vision slide for the first time.

This is one of the biggest problems in shoulder arthroscopy. If there is no way to switch between the shoulder joint cavity and the subacromial space, then your shoulder arthroscopy will never be entry-level.

Wei Zhaoliang now knew this very well. After slowly calming down, he joked: "Not everyone can do this to surpass their superiors."

Wei Zhaoliang made a pun. In theory, Chai Junye is older than Wei Zhaoliang, but Fang Yun has already surpassed Chai Junye in terms of operational proficiency. Now it is Hu Jun who considers himself inadequate in the simple field of view operation of arthroscopy. .

However, Wei Zhaoliang cannot repeat what Fang Yun can do. At present, Chai Junye is still slightly deficient in shoulder arthroscopy operations, and has not yet routinely performed shoulder arthroscopy-related surgeries. If Wei Zhaoliang wants to catch up, he will I felt how difficult it was.

Hu Jun praised and said: "Wei Zhaoliang, you are already good enough. Now you have gradually become proficient in suturing the meniscus. Your progress is faster than mine back then!"

Wei Zhaoliang replied very sincerely: "Director Hu, you were self-reliant back then, unlike us now, who always have teachers to take care of you..."

Times were different and conditions were different. Wei Zhaoliang did not dare to accept Hu Jun's praise.

The surgery has come to an end here.

After Fang Yun squeezed out the residual saline solution from the shoulder joint cavity with both hands, he immediately injected the diluted Depotoxone in the syringe into the joint cavity.

This time, Fang Yun chose a wider injection method of injecting into the joint cavity and surrounding muscles in order to obtain a different analgesic effect than before.

Hu Jun also knew that Fang Yun was choosing different injection points and different injection targets as small topics.

He knew that Fang Yun was taking a trick, but he also supported it. He just beat Wei Zhaoliang: "Wei Zhaoliang, tell me, we have been undergoing arthroscopic surgery for so long and injected Depotoxon so many times before. Why? Didn’t you think of comparing it like this?”

This small topic can be said to be a relatively simple small topic. Although it is small, if the data is collected well, it is very likely to be published in CSCD or even SCI journals.

Who doesn't love publishing articles? Today's Director Hu Jun only has the title of deputy chief physician. If he wants to be promoted to a senior position, he still has to publish articles.

After Fang Yun finished the injection, he started to suture. When the suturing was completed, he used the 'Xiao Mei' dressing to cover the opening of the shoulder joint in a small circle, and then covered it with gauze!
'Xiaomei' is another name for small dressings in the operating room. They are very cheap and can be used for the first time after arthroscopic surgery. They are very easy to use and cheap.

After all, in the department, just a simple dressing change costs close to 30 yuan. In comparison, such dressings are simply a bit cheap.

"Director Hu, it was just a matter of luck and coincidence. This project was also started by our team." Fang Yun quickly replied.

This article, the communication and the first work, must be Fang Yun himself, the topic is designed by himself, the operation is done by himself, the data is collected by himself, the communication and the first work, Fang Yun will not let it out.

But it doesn’t matter if you bring a few second- and third-level players.

According to the previous meta-analysis, Fang Yun was still the first author and communication, and the second author was Xiao Qinglan. It had no impact or help on her, and it had no impact on Fang Yun.But it’s also good to have a name.

Hu Jun and Wei Zhaoliang have stepped down at this moment, because this operation does not involve rotator cuff damage. Just put a forearm sling and the patient can return to the ward.

At this moment, the two of them took off the straps of the sterile surgical gowns, took off their clothes and gloves, and then touched their stomachs.

"Xiao Fang, if you say that, all three of us owe you a favor." Hu Jun smiled.

The second and third authors are not useless, but the bonus points are not as good as those of the first author. The higher the points, the more ideal.

The second author's paper evaluation title is also useful. Compared with the first author, the first author is more convincing, and it needs to be judged according to the professional title evaluation level. How much can the second author's paper add to the professional title evaluation? points, if the paper cannot be reviewed because the second author has less points.

Fang Yun had almost hung up the patient's forearm sling at this moment: "Director Hu, according to what you said, Brother Xiaojun, Brother Liang and I will not be able to repay the debt we owe you."

"You took the trouble to lead us to the surgery and taught us hard. This is your mentor."

After Fang Yun said this, Hu Jun and Wei Zhaoliang exchanged a few words with each other before giving up.

When Fang Yun took the patient off the stage and returned to the department, Hu Jun and Wei Zhaoliang went to the dressing room.

However, just when Fang Yun was about to go back to the locker room to change into his hand wash clothes, unexpectedly, he was stopped by two patients who came to the department for review.

Fang Yun found out after making some inquiries.

One was just two days out of hospital and wanted to come over and give Fang Yun a banner.On the other hand, I felt that the effect after the operation was not very good. Two months after the operation, I came over and asked Fang Yun why.

This scene was a little awkward for a while.

Fang Yun thanked the patient who was discharged from the hospital two days ago for his kindness, and he would first solve the problem of the other patient.

The patients and their families who presented the banners would definitely not refuse this proposal, and chose to wait and watch, their eyes flickering and looking at each other with hesitation.

Fang Yuncai turned around and said, "Auntie, don't be anxious. Let's talk slowly. What's your situation now? What's wrong with you? I remember you. I performed surgery on you, but I didn't see you during the review. "

This aunt had a frozen shoulder surgery before, which is commonly known as "frozen shoulder".

If Fang Yun remembered correctly, she should have had the surgery on December 28, and she was not among the patients he had followed up on.

"Dr. Fang, I'm not here to cause trouble. It's not like I didn't check again. I did it at Director Hu's place."

"But tell me, my joints are still hurting again. The pain is no less than before." The aunt said while shaking her right shoulder joint intelligently.

(End of this chapter)

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