godfather of surgery

Chapter 58
Song Zimo practiced until twelve o'clock in the evening and was still full of energy in the morning.

Seeing Yang Ping in the office, he said in a low voice, "Under arthroscopic peeling grape skins, sewing grape skins, clipping baby crystals, threading needles, I can do it proficiently with my eyes closed now."

These are all arthroscopic training methods. Under the microscope, the grape skin is cut open, peeled off intact, then wrapped again, and stitched up; Crystal baby soaked in water for too long, it is extremely easy to crack, and it is easy to be broken with a little force; threading the needle It is even more delicate operation, threading the thread into the fine needle, and then threading a string of small beads with the needle and thread, which are all difficult techniques under the microscope.

Arthroscopy is a type of laparoscopy, which is a minimally invasive technique. It is specially suitable for joint surgery. It is not necessary to open a knife, and the operation can be completed by punching a few holes the size of chopsticks.

The microscope is the direct cooperation of the hand and the eye, and the arthroscope is the separation of the hand and the eye.

The eyes do not look directly at the area of ​​operation, but look at the video on the screen ahead, and rely on the video to guide the operation of the hand.

Holding the lens in one hand and the instrument in the other, both the lens and the instrument enter the joint through a small hole. The camera records the video inside the joint and transmits it to the screen in real time. The doctor looks at the screen to operate the instrument.

Because the hands and eyes are separated, the learning process is relatively long, and many doctors are still unable to handle the surgery after many years of operation.

Song Zimo's surface is cold, as if he doesn't care about anything, but his passion for surgery is like fire. He never gives up to compete with Yang Ping. Whenever he has a chance, he will swear that he exists like the Lion King.

After checking the room, Director Han deliberately found Professor Zhang about Li Jingshu's technique reset.

"Mr. Zhang, there is something I want to ask for your help?" Director Han stood.

Professor Zhang is sitting on the sofa, the only en-suite ward in the department, the ward inside, the living room outside, the living room has a sofa, coffee table, refrigerator, microwave, etc.

"If you have something to say, when does it take a long time to do things?" Professor Zhang saw that Director Han hesitated.

Although it was embarrassing, Director Han still said: "There is a patient with a comminuted fracture of the left ulna and radius with obvious displacement. He made a special trip to find you for manual reduction, but you are old—"

Professor Zhang waved his hand: "Where is the person now? Where is the movie? Is there a movie? Watch the movie first, and then bring the person."

Director Han knew Professor Zhang best, and didn't mention the mayor's daughter at all, because for others, these words would become a key factor affecting decision-making, and would have no effect on him.

The most useful word for him is the word "patient". No matter who is her daughter, it is enough to emphasize that she is a patient.

"The film is here." Director Han winked.

Song Zimo immediately took out the film from the bag, and bowed to the side to take it, so that Professor Zhang could see it easily.

Professor Zhang carefully read the film: "It can be reset manually, but it is very difficult to reset under anesthesia. I need an assistant."

His eyes swept across, first Yang Ping, then over Yang Ping, and looked at Song Zimo beside him: "Xiao Song came to be an assistant, in fact, this kind of Xiao Song should also be able to."

Song Zimo raised his arrogant head, Yang Ping thought, that's how Gaul chicken looks like.

After watching the film, Professor Zhang seemed to be very impressed. He said: "The current social attitude towards Chinese medicine is either hype or black. It is rarely seen with a scientific attitude. Black Chinese medicine, if you want to destroy it and then quickly, don't have to. Excited, look at the TCM hospital, there are still several doctors who really understand TCM, no need to shout, this day is not far away. For those who are heartbroken that TCM is about to become extinct, you can put away your tears, cheer up, and think about how to use it Modern technology taps the value of traditional Chinese medicine. If something needs to be retained by feelings, then only feelings are left. Traditional osteosynthesis has great advantages for the long bones of the limbs, especially the upper limbs, the humerus and the ulna and radius. For trans-articular Face fractures, complex fractures, to be honest, no. This is the relationship between bows and guns. Are bows and arrows useful? Useful! Small-scale use! Now special forces also have crossbows, which are silent, no gun flames, and suitable for penetration Assassination. But modern warfare, you fight with a crossbow? Either your head is in the water, or you get caught in the door."

Professor Zhang expressed his feelings, calm and pertinent.

Professor Zhang Lao continued: "I wrote a book before, which systematically analyzed traditional bone setting from the aspects of anatomy, physiology and biomechanics."

Director Han said with a smile, "This patient was brought here with your book."

Professor Zhang was surprised: "That book can still be found now? It was written in the 70s, and doctors are not interested in it now. In the past, this was a unique knowledge passed down from generation to generation, and passed down from male to female. It can't be blamed in different times. Doctor, it takes many years of practice to get started with the technique of manipulative reset, and it takes ten or eight years to achieve a small success. After practicing, it took a lot of hard work, and several people were sweating profusely. The fee for one adjustment is only tens of yuan, which is expensive It’s only one or two hundred, count on it, there is no rice at home for the New Year, who would you say is willing to practice. And this thing has a narrow range of applications. In the past, fractures were caused by wrestling and fighting. They were simple fractures. You can do it manually. Now it’s high Energy injuries, such as car accidents, random complex fractures, no matter how advanced your skills are, it’s useless. So I don’t recommend everyone to practice, and the medical environment is not suitable for practice. Pediatric orthopedics can practice, how is the patient’s condition?”

Professor Zhang found that he had gone too far from the topic, and immediately brought the topic back.

Director Han explained the situation: "I fell off the horse when I practiced equestrianism, and my left hand propped up on the ground. The swelling is now severe. It will subside in a few days, and I will operate under anesthesia in the operating room?"

"It's definitely anesthesia. There were no conditions in the past. The bone setting made the patient scream, and he fainted when he was not in good health." Professor Zhang believed that this practice was inhumane at that time.

"Xiao Yang, you have time to take a look. If you are interested in learning it, it's okay if you don't." Professor Zhang told Yang Ping, in fact, the old man was not stubborn, but very open-minded.

Professor Zhang agreed, and Director Han was relieved and took Yang Ping and Song Zimo to the Overseas Chinese Building to see Li Jingshu.

Possibly after the splint was relaxed, the venous return was smooth and the swelling was reduced a lot.

There is a big plush panda doll by her bedside, and dark red round glasses are placed on the bedside table.

Next to him was a well-dressed woman, who should be her mother, the mayor's wife.

Seeing the doctor coming, Mrs. Li got up immediately, and Director Zhuang made an introduction: "This is Professor Han, the director of our orthopedics department."

Mrs. Li bowed slightly: "I'm really bothering you, we also know how this kind of fracture can't be operated on, please, give her another chance, girls are always afraid of scars, we have just discussed, if it is still No, just surgery."

"Professor Zhang currently has a fractured hip. He has just finished surgery and is hospitalized in our department. He just communicated with him and agreed to reduce the swelling and help him restore it." Director Han is neither humble nor arrogant.

Mrs. Li was very embarrassed: "It's too embarrassing for you, too embarrassing for Professor Zhang, this child, do you see how much trouble it will cause everyone, why don't you just perform surgery?"

"Elder Zhang has agreed, try it once!" Director Han also understands that patients, girls, do not want to leave scars. It is human nature. Many girls require cosmetic sutures to minimize scars.

"Xiao Zheng, get ready. Let's go down to visit Professor Zhang and thank him in person. Whatever you want, you should go too. The old professor was hospitalized with a broken bone and troubled others." Mrs. Li criticized Li Jingshu.

Xiao Zheng should be the female assistant who came with Mrs. Li, about 30 years old, standing aside respectfully.

Li Jingshu blushed when her mother said it. She was most afraid of this kind of scene. He really didn't want to live under the protection of his parents, but he had no choice.

During the college entrance examination, she did not take the Finance Department of Renmin University according to her father's wishes, but was admitted to the Journalism Department of Peking University with excellent results.

After graduating, he did not take the civil service exam according to his parents' wishes, but went to the TV station to apply for a job as a reporter, but he still couldn't escape the protection of his parents. As soon as she entered the TV station, it could be seen from the attitude of the leader that her parents had already greeted her behind her back. .

After criticizing Li Jingshu, Mrs. Li said to Director Han, "Professor Han, look, when is it convenient for us to visit Professor Zhang? I feel uneasy if I don't thank you in person."

Director Han said: "Let's do it, wait for the reset, and then go take a look. Let's let the professor rest first."

Mrs. Li thinks it makes sense: "Yes, you are right, then trouble you, my daughter has been spoiled by me and Lao Li, please don't mind, please bear with me."

Li Jingshu was on the side, bowing her head, disagreeing with her mother's opinion.

After leaving the ward, Director Zhuang said, "President Xia has seen her this morning. Would you report the situation to him again? He was also busy and chatted with Cao Ting for more than an hour last night."

Director Han nodded.

He said to Song Zimo, "Talk to the doctor in charge of the bed, and make preparations for the operation. If the reduction is unsuccessful, transfer to the operation immediately. When the swelling reaches the requirements, it will be arranged immediately."

(End of this chapter)