Great doctor starts with adding points

Longyuan knew that Luo Wei might not have such a detailed understanding of this aspect, so he explained: "Brother Wei, in your opinion, in the reduction effect of this operation, there is only an error of about 1mm in the edge of the bone, which is considered Anatomical reset or functional reset?"

"It must be an anatomical reduction!" Luo Wei replied very firmly.

The definition of functional reduction of long bone fracture reduction in textbooks is: under X-ray, alignment and alignment must exceed 2/3, at least 1/2, separation and displacement must be eliminated, and lateral displacement must not exceed 2/3. Rotation and displacement of 1/3 of the fracture cross section should also be eliminated. If it is an angular displacement, the upper limbs should not exceed 5°-10°, and the lower limbs should not exceed 10°-15°.

According to the upper limit, as long as the lateral displacement does not exceed one-third of the fracture cross section, as long as the displacement is less than 5 mm, it can definitely be qualified as an anatomical reduction.

Even some open resets can't reach this level!

Luo Wei continued: "The reason why manual reduction of fractures exists is that functional reduction can correct itself during the healing of fractures, and such a large error can be allowed. This means that fractures can be treated by manual reduction and plaster external fixation. root cause."

"Generally speaking, as long as anatomical reduction can be achieved, it proves that there is a certain level of skill in manual reduction, and being able to approach anatomical reduction requires years of accumulation to have such skill."

"This kind of manual reduction of fractures, which is absolutely similar to anatomical reduction, should be practiced specially! Not everyone can achieve it after mastering the method of manual reduction."

"I can't do this." Long Yuan shook his head honestly, and then the corners of his mouth rose and fell a few times.

He just saw Luo Wei's expression, and knew that Luo Wei had misunderstood. Did he think that as long as he was a doctor of Tongji Hospital, no matter if he was a graduate student, or anyone else, he could do this?

actually not.

Because there is surgery to cover the bottom line, on the contrary, when Longyuan practices manual reduction, he will not practice particularly deeply. In the worst case, he will use surgery to cover the bottom line. Under direct vision, the fracture can be reset by prying and manual traction to achieve the level of anatomical reduction.

Who would deliberately reset and practice non-direct-sighted techniques to such a level?

"Ah? This?" Luo Wei was stunned for more than ten seconds, and then said incredulously, "Brother Yuan, are you kidding me?"

"What is there to joke about? My master and I, including the trauma surgery department where I work, only a very small number of people can achieve this level of reduction by manipulation under occasional circumstances, and will not deliberately pursue this kind of anatomical reduction by manipulation. .” Long Yuan spoke seriously.

Manipulative reset and surgical reset are both one of the reset methods. It is not necessary to save tools to help and use them just to pretend to be aggressive. Instead, tools can be used to achieve a better reset effect. This is the most normal way of thinking.

Then Luo Wei didn't understand: "But Xiao Wu?"

Wu Xie can do what you can't do?

This doesn't make sense, the green out of the blue is better than the blue, isn't it?

Long Yuan himself is also looking for the underlying reason for this phenomenon: "Wu Xie had contact with the old Chinese medicine doctor Xiong Yao before, maybe it has something to do with him. I don't know much about Chinese medicine, but I also know some powerful old Chinese medicine practitioners. , has many years of attainment and experience in the study of traumatic injuries."

"The bruises in Chinese medicine are similar to our trauma surgery. Xiao Wu has a good understanding, and it is only natural that he can experience and understand."

"But what I'm most worried about is that Xiao Wu won't be able to get out after he enters the current door and can't find a deeper door..."

When Luo Wei heard this, all he could do was smile bitterly.

In fact, he really wanted to say, Wu Xie did such a good job of resetting his technique, why would he come out?

However, Luo Wei also knows that different people have different requirements for themselves and the depth of a certain specialty. If you want to become a great doctor, you must do a lot of things to the extreme. Climb to the highest peak.

Luo Wei is different. He only wants to be able to do better with his own technology. It is a dream to be able to achieve excellence in the county. Being able to do what others cannot do will become a kind of word-of-mouth. No worries. It is enough to eat and have a certain status.

But Wu Xie is different. It is estimated that Long Yuan wants to train Wu Xie in the direction of a top professor, so the current level must not be enough, and if he can't follow the further route, it is not suitable for him.

The gap between people is sometimes so realistic.

This is like, some people think that if they got 985 in the exam, they failed in performance.

Some people took the second degree and felt that there was smoke from the ancestral grave. Some people got a master's degree and couldn't get a doctorate and felt depressed. Some people got a bachelor's degree and felt that they had reached the upper limit.

"Maybe there are other ways." Luo Wei could only persuade him in this way, he had identified his own position in his heart, and he came here to learn, not to compare, nor to learn from Long Yuan and Wu Xie what is good for him Upper limit positioning.

Luo Wei believes that as long as he can learn the art of intramedullary nailing for fractures, then he can walk freely in the whole of Enzhou in this life!

"Brother Yuan, are you free this afternoon? I want to ask you some questions about tibial intramedullary nailing." Luo Wei continued to smile and said so.

"Should be in the evening, I have to make a phone call with the teacher in the afternoon." Long Yuan also replied straightforwardly.

Wu Xie half-stepped into the reset of the traditional Chinese medicine technique. Wu Xie and Lu Junyin had never mentioned it before, so Long Yuan didn't know, and Long Yuan estimated that Wu Xie's depth was not small.

So he had to ask the teacher how to deal with it, because he couldn't solve it himself.

Fortunately, when I first came here, Wu Xie had to think about how to reset the fracture, and asked Wu Xie to prepare for the subsequent fracture surgery, but Wu Xie had already run ahead of me.

Isn't this embarrassing?

"Then I'll come over later to bother you." Luo Wei continued to laugh.

I am envious.

This is a closed disciple. I am not even a registered disciple, so the treatment is completely different.

...

When Wu Xie came to the ward, he saw Zhong Yusheng and Guo Lixiang who came out of the operating room and returned to the department, and they became extremely silent.

Wu Xie knew that they were disappointed that they didn't have a chance to be on stage today: "Yu Sheng, Xiao Guo, today is the first day, maybe my senior brother let me go on stage to take care of me, there must be more in the future Chance."

Zhong Yusheng and Guo Lixiang were busy shaking their heads, and Zhong Yusheng said directly: "No, Brother Xie. We are not thinking about today's matter, we are thinking, Brother Xie, if Teacher Long or Teacher Luo Wei asks you to When you are performing the surgery, can we just watch from the sidelines?"

"Because Li Xiang and I both feel that Brother Xie, you learn faster than us, but the learning process is still at the current level, which is closer to ours, so if you can see your growth throughout the process, there will Where we make mistakes in the learning process, we can also give feedback to ourselves and deepen our impression.”

"Do you think this is appropriate?" Zhong Yusheng suggested nervously.

Because it is actually relatively impolite to directly say that you need to see your mistakes, but Zhong Yusheng thinks that if you can see a person grow up slowly, and follow the cat and the tiger, at least you can avoid some pitfalls.

"It's definitely possible!" Wu Xie nodded immediately.

"If you can think of active learning and find the most suitable learning method for you, you must use it."

"And yesterday, I thought of one more thing, that is, you can go to Weige and Yuange's outpatient clinics separately, because you can learn and see more things in the outpatient clinics. "

"My brother has two outpatient clinics every week, Wei Ge also two days, Director Lu one day. Brother He Ling two days, in fact, you can go there every day if you have time." Wu Xie thought of when he was in the outpatient clinic with Longyuan , Longyuan taught a lot of things, so he thought of giving the two little brothers a hand.

Whether they are willing or not, Wu Xie doesn't know, but he still wants to give them this opportunity.

Zhong Yusheng said in a low voice: "But isn't Wei Ge also going to the outpatient clinic with Teacher Long? If we go again, there will be more people."

"What are you afraid of when there are too many people? As long as it doesn't block the normal order of other people's outpatient clinics." Wu Xie replied with a smile, thinking, then you have never seen a professor's outpatient clinic.

The row of interns, the row of graduate students, and the row of Ph.D., that battle is majestic, and most people dare not lose their temper.

If you start a fight, there are a bunch of orthopedic surgeons. If you don’t have enough family members, you won’t be able to do it, don’t you know?

"Alright then, we'll follow from now on!~"

"Thank you Brother Xie." Zhong Yusheng and Guo Lixiang also responded happily.

At the same time, Lu Junyin was once again stopped by Dong Chun in the operating room...

Lu Junyin was stopped by Dong Chun, and Lu Junyin immediately said: "Old Dong, today is mine. I can drink them!"

Speaking of which, Lu Junyin was going to get those things as a joke.

Dong Chun patted Lu Junyin and said bitterly, "Did you drink? You want to send me in?"

When patients use anesthetics for treatment, if normal people inject some anesthetics, then the anesthesiologist is breaking the law.

"Don't make trouble, let's talk about business with you!"

"President Chen called yesterday and said that Director Qin from the Department of Anesthesiology of Minda Hospital agreed to practice more, and because the volume of operations in Minda Hospital is relatively limited, he will come to our Xuan County Hospital of Integrated Traditional Chinese and Western Medicine in the near future. Stay for a while."

"The hospital has already submitted the corresponding procedures and materials. It is estimated that the approval materials for the third-level surgery submitted before will be processed in a day or two."

"Director Qin Hong will come to us the day after tomorrow. You and Director Xiao from the Department of Gynecology will accompany me to pick you up. We will work together in the future, so we need to get acquainted with each other in advance." Dong Chun asked Lu Junyin to talk about business, but It's not about money.