Those years when I hung up and upgraded in the hospital

Chapter 199 No less than an associate professor (please subscribe)

Fang Yun finally diverted Liu Haihua's curious baby away, and then drove all the way to the underground parking lot of Fengxian People's Hospital. After getting out of the car, he locked the car and ran directly to the ward.

This is what Fang Yun told Shen Tao, Xie Jin and others. There is no need to go to the underground parking lot every time. Such a cliché pick-up and drop-off is actually unnecessary and a waste of time.

Once or twice was okay, but the more times it happened, Shen Tao and Xie Jin also felt that it was a bit cumbersome to get out of the parking lot to pick them up every time, and they were disrespectful.

When we arrived at the ward, everyone from Director Shen Tao's team was there. After seeing Fang Yun, Shen Tao said again: "Doctor Fang, we are more naughty. If you said you won't let me go downstairs to pick you up, I will take it seriously." ”

"Thank you for your hard work. Who is this?"

"It's okay, Director Shen, isn't it all as familiar as going home? Anyway, if you get lost and arrive in Feng County, I will definitely call you, Director Shen." Fang Yun replied jokingly and introduced. Liu Haihua.

"Dr. Liu Haihua Liu, a top student at Shonan University Affiliated Hospital. He used to specialize in joint and sports medicine!"

Hearing Fang Yun's introduction, Director Shen Tao was immediately a little surprised: "Isn't Xiao Liu a student of Dean Luo?"

Liu Haihua nodded a little sheepishly, "Hello, Director Shen, Teacher Luo is my mentor, but I have no sense of presence in the teacher's place."

Fang Yun also felt a little surprised.

Even though he is not very familiar with the figures in the province, he still knows that the two most influential figures in the orthopedics department in the province are the two deans of the Shonan University Affiliated Hospital and the Second Hospital.

They all have orthopedic backgrounds and have been nominated as academicians. They have done excellent research and clinical work.

Professor Luo is very famous. If Professor Luo is willing to come forward to help Liu Haihua, Liu Haihua will have a chance to stay at the Provincial People's Hospital in Shashi. He has such great energy.

"I dare not say that. Every year, there are not a hundred people who are willing to apply for Dean Luo's postgraduate examination, but there are fifty or sixty, but only a few can get online in the end, and even fewer can successfully become his students. "

"Dr. Liu must be very good." Shen Tao is from the province and knows that Dean Luo's scientific research and expertise are very good, so he is quite tricky when selecting students.

Liu Haihua must be outstanding.

Immediately afterwards, after a while of greetings, a group of people read the films first, and then went directly to the operating room.

It was a simple anterior cruciate ligament rupture and lateral collateral ligament injury.

The required surgical methods are anterior cruciate ligament reconstruction and anatomical reconstruction of the lateral collateral ligament insertion point. Fang Yun plans to use the modified Karlsson surgery.

When asking Shen Tao for his opinion, Shen Tao and Xie Jin both said: "Dr. Fang, you are a professional in this, so I will listen to you."

Fang Yun knew from the expressions of the two men that the depth of understanding of ligament reconstruction surgery might be a bit beyond the cognitive scope of Shen Tao and Xie Jin.

Simply, Fang Yun asked Liu Haihua again: "Haihua, which reconstruction method do you think is better for the isometric and isotonic anterior cruciate ligament?"

Equal length means that the lengths are equal.

Isotonic means the tensions are equal.

Literally, it seems that isotonic reconstruction is definitely chosen.

Liu Haihua scratched his head again. To be honest, such a problem would not be considered in depth before the surgeon. This is already a very in-depth knowledge structure.

Orthopedics is the first level, sports medicine is the second level, knee arthroscopy is the third level, then the diagnosis and approximate treatment plan for knee anterior cruciate ligament injury is the fourth level. On this basis, the fifth level is The understanding of the entire surgical process of the anterior cruciate ligament of the knee joint will be the sixth level of knowledge structure if we continue to refine it to the isotonic and isometric levels.

This is not high-end or deliberately pretentious, but you must reach the sixth level of knowledge structure before you can consider this issue, and without previous accumulation, you cannot answer it.

"Wait for Zhang." Therefore, Liu Haihua chose the one he understood better. "In fact, it should be isometric, anatomical reconstruction, to a certain extent greater than tension reconstruction. Because all the fine structures of our human body are originally the best, and all surgeries are just to move closer in this direction." Fang Yun explained .

It was not only an explanation, but also a way to reassure Shen Tao and Xie Jin that although they had not done it themselves, the corresponding theoretical reserves were sufficient and I could do it.

Experience and understanding are not on the same level.

After this, the stones in Shen Tao and Xie Jin's hearts finally fell to the ground, and they followed Fang Yun down to the operating room.

However, on the way, Fang Yun still explained to Xie Jin that there was no need to use arthroscopy to reconstruct the insertion point of the lateral collateral ligament of the patient's ankle. Open surgery was only a one or two centimeter opening.

There is no need to make your operation more difficult.

After Xie Jin heard this, he arranged for another resident doctor in the team to communicate with the patient's family.

Reconstruction of the anterior cruciate ligament of the knee is actually a very common operation, but it is commonly seen in top tertiary hospitals. In county hospitals, this is one of the first few cases.

In the past, it was done by the deputy director of the Provincial People's Hospital who provided counterpart assistance.

Naturally, when he came to help, he was still the attending physician, but now he is the deputy chief physician, and he is probably very close to becoming an associate professor...

After Fang Yun's anterior cruciate ligament surgery, he checked the patient's knee joint stability function up, down, left, and right on the operating table. There was no compression or looseness, and the range of motion in all directions was excellent.

Seeing this, Fang Yuncai said: "That's enough. You can cut off the stump of the ligament in front of the tibia and the cord."

"Rinse it thoroughly and sew it up. It's no problem." Fang Yun said to Shen Tao.

Although Shen Tao has never done it, he has seen others do it and knows about the quality assessment.

Fang Yun was able to place the loop steel plate in place, under the skin of the medial condyle of the femur, and it fit perfectly with the femur. At the same time, the extrusion fixation screws at the tibial end of the cruciate ligament were also fixed in place.

There were no obvious loose bodies or debris in the knee joint, and the ligaments were fixed in place after reconstruction. There were no errors as mentioned by Director Qin...

"Doctor Fang, your skills are really good, not worse than Director Qin's." Shen Tao praised.

"Thank you, that's not necessarily the case. I don't know what Director Qin's abilities are, but he should be pretty good." Fang Yun was also a little confident.

First, it is very reliable due to postoperative exploration and examination of the patient's activity function.

Secondly, Fang Yun saw that his current level of anterior cruciate ligament reconstruction surgery had reached 3% of level 37. This level of strength was not necessarily better than that of Director Hu Jun, but it was not much different.

Fang Yun estimated that Director Hu Jun's ligament reconstruction skills were only about this level.

It's enough, that's all I have now.

Although it is not the best in the province, it is already Fang Yun's best ability. There is no problem in making patients satisfied with the treatment effect.

"It should be good, Director Shen, let's go take a rest." Fang Yun also felt a little tired, so he said so.

"Okay!" Shen Tao blushed slightly.

Fang Yun basically had to support the entire operation by himself, and none of them could help.

Xie Jin and Liu Haihua were suturing the incisions and doing post-operative finishing work, as if they were used to the position of junior doctors...

(End of this chapter)