Doctor Chen, Don't Be a Coward!

Chapter 410 This is very simple!

Chen Nan's words obviously quieted down the entire operating room.

Even Luo Qiping couldn't help but stop what he was doing.

Good guy!

What... what is this for?

On the side, Ichiro Gangsong also stared at Chen Nan with wide-eyed eyes full of inconceivable small eyes.

Originally, Ichiro Okamatsu's mentality exploded because of this sensitive "nerve potential monitoring technology".

Hearing Chen Nan's words now, he couldn't hold back even more.

Everyone is a boss in the operating room, so naturally they are not unfamiliar with such a scene.

In Japan, their hospitals call this behavior "unloading the knife".

To put it bluntly, it is because your skills are not good enough that the experts on the side can't stand it and forcefully replace you.

Ichiro Okamatsu was born in a poor family, as can be seen from his name. Japanese people used to have no surnames. Later, the state had to register them, and many people chose their names very hastily.

The name of Ichiro Gangsong is very simple. There is a hill opposite their house, and there is a pine tree next to it, so they took the surname Gangsong, and Ichiro means the eldest in the family.

Ichiro Okamatsu is fifty-six years old this year, and he is currently the absolute top ranked person in the field of spine surgery in Japan.

The reason for the frequent "beep, beep, beep" sound is not that Ichiro Okamatsu's level is very poor, but because of the neuroelectrophysiological detection technology, the operator needs to be more standardized, and the nerve damage needs to be more careful. Pay attention to.

And Ichiro Gang Matsu had never performed similar exercises and surgeries, so it was difficult to adapt.

As a leader in the field of spine surgery in Asia, Ichiro Okamatsu was very confident before he came.

But now?

Now I don't know how many people are watching this operation, but now I have been "unloaded".

If this gets out, it would be really shameful to throw it around the world.

If you go back to Japan, you won't be disgusted to death?

Kosuke Kamiyama placed high hopes on Ichiro Okamatsu himself when he came this time, thinking that he would definitely stand out in this operation, not to mention, at least make the chief surgeon in Huaxia pale in comparison.

It's better now...

Mistakes one after another made Kamiyama Kosuke feel ashamed.

He really didn't expect that Luo Qiping's surgery was done so well.

You know, Ichiro Gangsong knew Luo Qiping, both of them were experts in the field of spine surgery in Asia, and they often attended conferences together, but... the previous Luo Qiping didn't seem to be very outstanding at all?

But now...

For a while, Ichiro Okamatsu stood awkwardly, and it was not right to leave, but... If he refused to let him, he kept making mistakes, which further affected the influence of their Japanese spine surgery in the world!

what to do?

In fact, it's not that Huaxia's surgeons are not good enough. It can even be said to be the opposite. Why?

Because the development and origin of Huaxia Surgery are much later than those of the developed countries in the world, and we have been in a background that lacks the assistance of high-tech instruments for a long time.

Although we have not made any world-wide innovations in terms of surgical innovations, but...we are definitely not bad in terms of technical polishing.

First of all, because our patient base is too large, it has given many doctors a platform to exercise.

Therefore, Huaxia Surgery is not bad, what is bad is... the assistance of modern instruments.

But this time, Luo Qiping and Sun Haigang Qihuan made great progress under Chen Nan's 0.1 unit neurophysiological detection technology!

Naturally, this is not a one-day cold, but a process of accumulation.

But!

At this time, when Ichiro Okamatsu was hesitating, another Japanese expert beside him couldn't help but said, "Aren't you an anesthesiologist?"

Hearing the other party's words, Ichiro Gangmatsu was even more confused, and he suddenly woke up and looked at Chen Nan.

"Yeah, aren't you an anesthesiologist?"

"Can you perform this operation?"

The words of Ichiro Gangmatsu were transmitted through the camera in an instant, so that countless people were dumbfounded after seeing this picture.

And many domestic audiences are even more dumbfounded.

"Director Chen, stop making trouble!"

"Yeah, people were already nervous, but now... they're even more panicked!"

"Hahaha...International friends, international friends, communication comes first!"

"Director Chen, don't make a fuss...you just have to be your Chinese medicine practitioner."

"Yeah, Director Chen, stop making trouble. You are a Chinese medicine doctor. You must remember that although you have been an anesthesiologist once and also served as the technical instructor of neurophysiological testing once, we still have to think about this operation carefully." Thought!"

...

At this time, Qi Huan, Teacher Sa and others who were in charge of the commentary were all stunned.

At this time, Gu Haiming couldn't help but ask:

"Here, excuse me..."

"Director Qi, this Professor Chen, can still perform surgery? This is going to unload the knife for Ichiro Gangsong directly at the surgery site!"

"Although it is true that Ichiro Gangmatsu has made continuous mistakes, but... he may not have been exposed to such operations, and he may be a little nervous."

"However, as far as I know, Director Chen is a Chinese medicine doctor, right? Isn't he a surgeon?"

Teacher Sa was also a little at a loss.

He claims to be a genius, but... this kind of Chen Nan who strides so fiercely makes him somewhat at a loss how to explain it.

At this time, Qi Huan was also taken aback for a moment, but he still said:

"Director Chen is indeed a Chinese medicine doctor, but...Chinese medicine does not distinguish between internal and external. It stands to reason that acupuncture, moxibustion, massage and surgery are all surgeries. It is not unreasonable that Director Chen is good at it."

"Moreover, the hospital has specially approved the scope of surgery for Director Chen."

"To be honest, I've never seen Director Chen perform an operation by himself."

"But...it is obviously wrong to say that Director Chen does not know how to perform surgery."

"You may not be clear, Director Chen's surgical practice scope is specially approved. When he was training in Dongzhimen Hospital a few years ago, he obtained the special qualification of Dongzhimen, and then...Professor Chen's improved fire acupuncture combined with percutaneous superficial surgery Vein surgery, in surgery in Tokyo, Japan, won the Best of the Year award."

"Although it is said that Director Chen has never had surgery since he came to the China-Japan Friendship Hospital, but...it is undeniable that he may really be able to do surgery!"

Speaking of this, Qi Huan actually didn't have enough confidence in his heart.

However, now that so many people across the country are watching the live broadcast, he is now in a difficult situation.

And to be honest, he himself didn't know whether Chen Nan could complete such a difficult spinal surgery.

Damn it...but Ichiro Okamatsu!

A genius surgeon known as the left hand of the Japanese spine surgery god.

Teacher Sa could only remain silent at this moment.

After all, the current script has completely exceeded everyone's expectations.

Even Teacher Sa has endorsed today's live broadcast many times, but he still didn't expect such a plot.

actually!

Not just domestic live broadcasts.

In the live broadcasting circle in Japan, there is even more excitement.

At this time, Shenshan Kosuke was sitting in the conference room, staring at the big screen, with an extremely ugly expression on his face!

The expert he personally brought was going to be unloaded in the operating room on the spot. If it spread, how shameless it would be?

Where is the face of Japanese medicine?

You fucking Chen Nan!

You have to have trouble with us, right?

First, let our Kampo medicine be criticized.

Now, even our genius spine surgeons are humiliating on the spot, what else is there that you, Chen Nan, dare not do?

for a while!

Kamiyama Kosuke's face was very ugly, he couldn't help but snorted coldly.

Qin Shiming on the side was actually a little confused after seeing this scene.

This fucking Chen Nan... Can't you really save me some trouble?

It's a good operation, we just need to complete it successfully.

What a start!

Qin Shiming has received feedback, and acupuncture anesthesia has now attracted the attention of many people.

This is a good start, if after surgery, it proves that their nerve electrophysiological detection technology is also effective.

Today's task is successfully completed.

But now you... suddenly grab the knife on the spot, somewhat... some... some people can't stand it!

as expected.

In this conference room, everyone's expressions were a little strange.

Ge Yerong was so embarrassed that he didn't know what to do.

As for Zhang Yuancheng, he was extremely happy in his heart at this time.

Originally, Zhang Yuancheng really didn't want to see Chen Nan pretending to be aggressive today, but it was obviously impossible not to come, so he came here.

But when he saw that Chen Nan was disregarding the overall situation, he didn't even care that this was a global live broadcast, and directly wanted to grab Matsuichiro's knife.

This obviously undermines the friendly medical communication between the two countries.

Seeing Shenshan Guangsuke's angry face, Zhang Yuancheng couldn't help but feel happy.

After all, this Chen Nan is obviously a situation where the king bombs are split.

And in the live broadcast room in Japan.

The experts who hosted and commented were already very angry.

"Isn't this Chen Nan a Chinese medicine doctor? How could he remove the knife on the spot for Mr. Ichiro Gangsong? What kind of qualifications does he have?!"

"There are less than three people in Asia who can unload Professor Gangsong's knife. This is an insult!"

"Besides, this patient from our country, how can he do such a thing casually?"

The experts stood up excitedly and angrily accused Chen Nan.

"I now doubt the ability of Huaxia China-Japan Friendship Hospital. No, this is no longer a question of ability, but a question of principle!"

"How could they allow an anesthetized TCM doctor to perform a high-precision and difficult spinal surgery?"

"Besides, Chen Nan is really allowed to unload Professor Gang Matsuichiro?"

"There's a big problem with this!"

"I seriously doubt the other party's ability, as well as the principles and attitudes in dealing with things!"

"Also, can a Chinese medicine doctor do such an operation well?"

"It's just ridiculous, it's just a joke!"

"This is such an important operation. I really didn't understand Huaxia's operation!"

"He doesn't value our friendship at all!"

...

Accompanied by the words of the commentator.

The audience of professionals in the professional field and some spectators were all emotionally aroused.

They began to express all kinds of remarks towards Chen Nan.

"Let a Chinese medicine doctor perform spinal surgery? I really have a hard time believing in the order and rules of Huaxia Medical. How is this possible?"

"Yeah, this is a child's play. Professor Ichiro Okamatsu is an expert of the International Association of Spine Surgery. His previous operations are just not suitable for him, and it does not represent his ability!"

"Support, let's go to Huaxia to make trouble?"

"support!"

"+1"

...

More and more people began to respond.

This is no accident!

In Hensley's live broadcast room, Hensley also laughed directly.

"Hahaha……"

"It was really a wonderful live broadcast."

"Can't Huaxia Medicine understand even the most basic division of labor?"

"Chen Nan is just a Chinese medicine practitioner, right? Chinese medicine practitioners know how to operate? And Ichiro Komatsu is indeed a good expert. Isn't it inappropriate to remove the knife on the spot?"

"It really opened my eyes!"

"To be honest, I hope Ichiro Gangmatsu will give this opportunity to Chen Nan, maybe... I can see some unique live broadcasts!"

Obviously, Hensley was mocking Chen Nan.

And the operating room!

Gang Matsuichiro's mentality was indeed unstable at this time.

He made mistakes again and again, but now he was questioned by Chen Nan on the spot, and his mentality had gone a little bit wrong.

but……

He suddenly had a thought and thought of something.

yes!

I can completely let him do it.

Fractures and dislocations of the thoracolumbar spine are inherently difficult surgeries, which are obviously impossible for ordinary people to perform.

He didn't believe at all that this young man could perform such an operation.

After thinking about it, Ichiro Okamatsu suddenly took a step back.

Take the initiative to signal Chen Nan to go over.

This scene!

Everyone around was dumbfounded.

The nurses looked sideways at each other, and Luo Qiping also widened his eyes, looking at Chen Nan in disbelief, his eyes filled with "Can you really do it?"

It didn't matter that Sun Haigang helped Luo Qiping.

On the opposite side, the Japanese expert Junzan Nishida who had been helping Ichiro Okamatsu raised his eyebrows.

He didn't expect that Senior Gang Song actually gave up his position.

but……

Did you really think that unloading the knife was over?

If you forcibly remove the knife, and then do not do well, you will be ridiculed by the entire industry.

After Chen Nan was ready, he said to Junshan Xitian beside him, "Get ready!"

Then he nodded to Luo Qiping!

The operation continues.

The fracture operation of the 5-6 segment of the lumbar spine is currently underway.

Chen Nan and Luo Qiping collaborated.

The operation should center on the fractured vertebral body. Generally, two upper and lower spinous processes should be exposed, the skin, subcutaneous tissue and supraspinous ligament should be incised, and the spinous process, lamina, and transverse process should be exposed sequentially with a periosteal stripper.

The full exposure of the transverse process is conducive to the positioning of the pedicle.

However, during the exposure process, attention should also be paid to the positions of the pedicles of the upper and lower vertebral bodies, that is, the screw-in points, so as to avoid damage to the spinal cord.

This is also the place where Ichiro Gangsong didn't do a good job just now.

And here!

In fact, Chen Nan already had a wealth of experience.

First of all, TCM orthopedics is actually not bad. As early as the Tang and Song Dynasties, there were spine surgeries.

However, because the concept of a sterile environment is not very good, after the Republic of China, it was suppressed instead.

but!

Many things, the essence of TCM orthopedics, have been lost since then!

It is impossible for a subject to be full of dross.

His essence should be learned.

This is also the reason why Chen Nan agreed to Luo Qiping's request to restructure the Department of Orthopedics which combines traditional Chinese and Western medicine.

Huaxia Medicine has accumulated a lot of clinical experience.

These are the precious wealth of Chinese medicine!

Although it has been buried by sand for more than a hundred years.

However, when his true essence unfolds, he will surely amaze the world again.

The most difficult part of spinal surgery lies in the selection of the entry point.

Because after a spinal fracture, screws are needed for fixation.

The selection of the entry point of the screw is very difficult.

Now top experts around the world are also working in this direction.

At this time, it was actually the job of Ichiro Okamatsu just now to find a location.

But now, after Chen Nan took over the second main knife, he was needed to carry it out.

Luo Qiping said: "Let me choose the entry point!"

While speaking, he glanced at Chen Nan and asked.

Chen Nan shook his head: "I'll come!"

TCM orthopedics has rich experience in this area.

The combination of techniques and angles is the essence of TCM orthopedics.

Traditional Chinese medicine does not have modern instruments, but chooses to combine the central axis and the longitudinal axis on the human spine.

And Chen Nan is like this at this time, he is based on traditional experience, with the assistance of modern instruments.

Soon, the midpoint of the transverse process is the horizontal line, and the dorsal side of the superior articular process is the longitudinal axis.

Then, 10°-15° inward from the intersection of the two lines is the entry point.

This position should be close to the best position.

However, this is not optimal yet.

Chen Nan took a deep breath, put his hands between the 5-7 of the lumbar vertebrae, and exerted a little force!

Make the vertebral body close to the inferior articular process of the superior vertebral body.

At this time, he suddenly staggered his hands, and in an instant, there was a crisp sound.

Afterwards, the 5 joints of the lumbar vertebra moved outward by about 3mm from the midpoint.

At this time, the entry point close to the base of the transverse process and 10°-15° inward is the best choice.

After Chen Nan's operation, Luo Qiping's eyes widened.

Looking at Chen Nan in surprise!

He...how did he do it?

Because under normal circumstances, the transverse process is removed with a rongeur at the lumbar spine, which is conducive to positioning.

As for Chen Nan's technique just now, by shifting the angle by 3 millimeters and matching the gap between the spinous processes on both sides, a safe and effective entry point has been made without hurting the spinal cord!

This operation can be called a stroke of magic!

After seeing this scene, Luo Qiping was instinctively stunned.

Not only him!

Xi Tian Junshan, who was about to laugh at Chen Nan, also stared at this scene, full of disbelief.

This... How did this happen?

It was hard for him to believe that the scene in front of him...

This unscientific!

Similarly, Gang Matsuichiro behind him was even more taken aback.

Because the choice of "entry point" is the most difficult part of spine surgery.

Generally, a rongeur is required to remove the transverse process, which facilitates positioning.

But!

After removing the transverse process, it is actually an injury to the spine.

But if you don't remove it, there is no way.

And Chen Nan's operation just now was as if his muscles were split, and all the experts around him were stunned!

And at the same time!

The audience in the live broadcast room didn't realize what happened.

but!

When they saw all the live broadcast rooms, the experts from all over the world who were professionally explaining this operation stood up excitedly, and then stared at the scene without saying a word on the screen with wide eyes... they were all dumbfounded.

How is this going?

So what happened?

Everyone is unbelievable when faced with this problem.

Qi Huan was the most excited, he shouted excitedly: "Damn!"

"Feel sorry!"

"I'm so excited!"

"People may not know what's going on."

"However, what I also said is what happened just now."

"You guys absolutely don't know!"

"Director Chen Nan's technique just now can definitely be called a stroke of genius. This is definitely a great and unprecedented progress in the history of spinal surgery!"

"Amazing!"

"incredible!"

And Gu Haiming hastily explained:

"You may not know that a major difficulty in spinal surgery is to screw in screws at the entry point."

"And the choice of positioning has always been difficult."

"At present, the most ideal way is to remove the transverse process with a rongeur, which is conducive to positioning."

"However, Director Chen's operation just now obviously avoided causing secondary damage, and the positioning is extremely accurate!"

"From this angle, you only need to use a 2mm Kirschner wire parallel to the endplate of the vertebral body, and enter the vertebral body 30mm inward at 10°-15°. You can complete the operation at this stage!"

"Because the anterior wall of the vertebral body is thin, the sense of breakthrough is not obvious, and it is not easy to feel it when drilling through the anterior wall of the vertebral body, which easily causes secondary damage to the spinal cord."

"As for Director Chen Nan, this operation is really amazing!"

"Firstly, resection of the transverse process is avoided, and secondly, secondary trauma from accessing the anterior wall of the vertebral body is prevented."

"This is a great improvement!"

"amazing!"

"Now I have to apologize to Director Chen, you are much better than Ichiro Okamatsu!"

...

...

Accompanied by Qi Huan and Gu Haiming's words, the atmosphere in the live broadcast room suddenly climbed to the extreme.

"Damn, damn! Director Chen...you really know how to operate?"

"That's right... To be honest, I was going to read a joke just now..."

"It's too much upstairs. Even if Director Chen made a joke, I wouldn't think it was funny. After all...the patient...well, you know!"

"But, isn't Director Chen a Chinese medicine doctor? Are Chinese medicine doctors so good at performing surgery?"

"Director Chen, tell me honestly, what else can't you do?!"

"I'm a professional spine surgeon. Although I didn't know what happened just now...but...it's really amazing. This will definitely change the miracle of the traditional spine surgery field!"

"I'm also from the Sixth Hospital of the Devil's City, and now I'm... a little worried, such a powerful technique... won't be learned by Wai Guoren, right?"

"Don't worry upstairs, I'm the director of spine surgery at 301. Don't worry about it, I don't even understand it... How could they learn it? I've already slowed it down 21 times. To be honest... If this is not done well, The patient is absolutely in danger, no one dares to try this operation, and no one dares to learn it casually!"

"Damn it, I am surprised to see the boss..."

"..."

...

In the live broadcast room, everyone is extremely excited!

Obviously, Chen Nan's technique brought this operation to a climax.

And all over the world!

At this moment, everyone was dumbfounded.

Hensley couldn't figure out why Chen Nan's "reckless" and "crazy" actions just now didn't trigger the alarm of the nerve potential monitoring?

This is not scientific!

And, how did he do it?

"Technical department, quickly analyze the screen frame by frame!"

"Immediately!"

Hensley could no longer care about the live broadcast, and hurriedly said to the technical department.

At this moment, his mind was full of Chen Nan's crazy actions just now.

Simply amazing!

How the hell did this happen?

After hearing Hensley's words, everyone in the live broadcast room was dumbfounded.

this……

The style of painting seems a bit wrong?

Hensley completely forgot the purpose of today, and kept saying:

"God!"

"incredible!"

"How can this be?"

"No, no, it's impossible!"

...

Everyone who watched the operation in the American live broadcast room was a little dumbfounded after hearing what Hensley said.

Did you just say no?

What's the matter now?

Not just America!

Europe, UK, Germany, France...

Many countries are watching this live broadcast.

And this time!

Suddenly in the headquarters of the World Association of Spine Surgery, in the anchor room of Denmark.

The president of the World Association of Spine Surgery said in surprise:

"If Director Chen Nan's operation can be popularized...it will be equivalent to improving spinal surgery for ten years!"

"This is an accuracy that no instrument can achieve."

"It also reduces the secondary injury caused by spinal surgery to a very low coefficient!"

"Unbelievable, how did he do it?!"

"I have decided now that after today's operation, I will go to Huaxia tomorrow to visit Professor Chen Nan!"

"Huaxia Medicine has really changed a lot!"

...

This series of chemical reactions directly made many people dumbfounded.

As a result, there are more and more people in the Huaxia live broadcast room!

And this time!

Luo Qiping also couldn't help asking: "Director Chen, just now... how did you do it just now?"

"The choice of the entry point!"

"incredible!"

"Amazing!"

On the side, Junzan Nishida and Ichiro Okamatsu, who was making soy sauce, stared wide-eyed.

Chen Nan was taken aback for a moment.

Looking at the seven waists and eight waists: "Are you talking about the entry point method?"

"oh!"

"It's very simple, just take a look."

"You only need to exert force with both hands, and the inch strength will burst out instantly. Using Huajin and the unique properties of the joint cavity, the joint will move 3 millimeters laterally..."

"That's it!"

"Very simple."

"Card!"

Accompanied by the sound of the card.

The misalignment between the second vertebral bodies recovered instantly, and then...the entry point also appeared instantly.

This scene!

Gang Matsuichiro was completely dumbfounded.

this……

Are we shameless?

Chen Nan looked at Luo Qiping: "It's very simple, right?"

Luo Qiping was dumbfounded, what should I say?

Chen Nan explained: "Actually, this is the essence of orthopedics in traditional Chinese medicine."

"They lack sophisticated instruments and rely on the natural mechanics and structure of the human body."

"And formed a set of bone-setting techniques."

"In fact, it seems to be very difficult, but after the meeting, it is very simple."

"Traditional Chinese orthopedics has a lot to offer."

"This is just an entry-level model!"

...

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