Great doctor starts with adding points

As a person who used to be in Tongji Hospital, although Wu Xie doesn't have much professional handover with others, after all, in his vision, he is a younger brother, maybe an individual, he is better than himself, and he doesn't have much communication .

But society is where there are people, and the same is true for graduate students, who may not be as cruel as the workplace.

However, Wu Xie is very clear. In Tongji Hospital, he vividly interprets the principle that different ways do not seek each other——

It's not that they kill each other or make small moves behind the scenes, but that the academic concepts and professional concepts are different, so they will definitely not be able to get together.

For example, for this patient, I think joint replacement is needed, but you think it only needs to do a unicompartmental replacement, or even a fibular osteotomy or correction.

Then what do you think we can talk about?

If you want to argue whose surgical method is better, it will be very time-consuming.

For another example, for some fractures, some people think that intramedullary nail fixation is more suitable, but another professor thinks that plate screw fixation is more suitable.

This is because professional concepts and academic concepts are different, so it is difficult to get together.

Under such circumstances, if the philosophy of the professor and the associate professor are different, it will be very troublesome. The life of the associate professor will be very difficult. He has to survive the period of the associate professor and become a leading professor before he can develop his own philosophy.

Or just go to the laboratory first and get to the professor level.

However, at that time, Professor Duan Hong said that in prefecture-level city hospitals, if the positions are different, the experience and treatment will be completely different.

There is no right or wrong here.

For example, in the current Department of Trauma Surgery of Minda Hospital, Director Fu Jinjin actually does not want to enter the nerve and blood vessel suturing of hand surgery, but wants to engage in major trauma surgery.

However, Deputy Chief Physician Huang Yaolong wanted to engage in hand surgery. This was due to a different philosophy, different positions and choices.

If you want to say who is right and who is wrong, it is impossible. After all, they are only different in the development direction of the hospital, and the departments are limited. The hospital will not allow unscrupulous division of departments, and there are not so many resources.

Under such circumstances, as a junior doctor, I must stand up.

Wu Xie had every reason to suspect that Guan Yun was Director Fu Jinjin who came to ask him what he thought. Guan Yun, as Director Fu Jinjin's master's student, was of course one of his own and was similar in age to him.

"Brother Yun, did Director Fu say anything?" Wu Xie didn't answer, but asked Guan Yun first, hoping that Guan Yun could reveal something to him.

Because no matter what, as the director of trauma surgery, Fu Jinjin must be in charge of the development direction and beds of trauma surgery. This is true at the hospital level or at the department level.

"What my teacher means is that no matter what you choose, brother Wu Xie will support you. Now that the department has the support of Professor Qi and Professor Zhou Xiaoning, the development of hand surgery in our department will definitely be very fast."

"Of course, the foundation of trauma surgery is definitely higher than that of hand surgery. Now there are some patients in the department, most of whom are defected to Professor Zhou and Professor Qi. It is really necessary for the hand surgeons in the hospital to mature. It still needs time to settle." Guan Yun didn't hint anything to Wu Xie, just said the truth.

Wu Xie didn't know how to answer for a while——

Wu Xie secretly speculated that some kind of unspoken deal may have been reached between Deputy Chief Physician Huang Yaolong and Director Fu Jinjin. For example, if Huang Yaolong made surgery a provincial key specialty, then Director Fu Jinjin would become the chief orthopedic department just around the corner.

After Fu Jinjin took over the position, it was a matter of course to separate out the hand surgery department in the fifth ward of the orthopedics department.

Maybe this is how the route develops, and I just happened to step in at such a fork in the road, so I still have to make a choice.

Seeing that Wu Xie was not easy to answer, Guan Yun smiled: "Brother Wu Xie, don't worry, you're going to stay here anyway, and it won't be too late to make a decision after reading it slowly."

"That's what my teacher meant too."

Guan Yun knew that Wu Xie was difficult to choose, because Wu Xie was not Guan Yun. If it was Guan Yun, he would definitely follow Fu Qian without hesitation. But Wu Xie came to work, and work has its own focus and focus. professional direction.

There is no right or wrong.

However, before the branch division, Fu Jinjin must ensure the normal operation of the trauma surgery department, so it is necessary to attract more people, some confirmed personnel, to operate in the trauma surgery department.

Wu Xie breathed a sigh of relief, narrowed his eyes slightly, clasped his fists with a naive smile, and said, "Thank you Brother Yun for telling me so much. I'm new here, and I really don't understand anything. I hope Brother Yun will take care of you in the future!"

There is no hand surgery in the hospital, Huang Yaolong wants to do hand surgery, this must be a good idea.

On the other hand, Fu Jinjin thinks that the development prospect of trauma surgery is huge, and he does not want to rashly transform the entire department, and the starting point is also good. It is better to improve the quality of surgery and improve the quality of surgery than to expand the surgical business. important.

It's certainly a good idea.

Of course, through Guan Yun's words, Wu Xie knew that the current Fu Jinjin didn't even know that Professor Qi Qiaowen would have a mentor-student relationship with him.

...

While speaking, large troops broke into the department one after another, and the voice came from the corridor.

Wu Xie hurried to the door after hearing the voice, and then saw Fu Qianjin greeting Associate Professor Zhou Xiaoning with a smile on his face: "Professor Zhou, dinner is over, I was going to invite you to have a drink together, but you said you were going to meet friends , I didn't bother you?"

"Just finished eating, Director Fu, go to the state hospital to meet some classmates..." A group of people exchanged pleasantries together.

Seeing this scene, Wu Xie scolded Fu Jinjin for being an old idiot. He guessed that Fu Jinjin had come to the department a long time ago, but he just asked Guan Yun to test his attitude, but he just didn't make it clear that he would stand on Fu Jinjin's side .

Fu Jinjin would definitely know about this matter, maybe even Fu Jinjin already knew about it.

In addition, Wu Xie discovered that Cao Zhiyuan did not appear in the department at this time, but was another social trainee, hanging out with Associate Professor Zhou Xiaoning and Wu Longshan.

Li Yongxing, during the operation last Saturday, Li Yongxing was on duty, that is, the person who was arranged to treat the patients in the department with Wu Longshan, the attending physician.

But judging from the current relationship between Li Yongxing and Associate Professor Zhou Xiaoning and others, they probably know each other.

Or, the old classmate that Associate Professor Zhou Xiaoning went to see has inextricable relationship with this Li Yongxing, even though he is a social trainee.

As a prefecture-level city hospital, the relationship between Minda Hospital is more complicated than that of People's Hospital.

Next to Li Yongxing, stood a young man who looked a little strange, close to thirty, looked about the same age as Wu Xie, slightly fat, unusually tall, with very conspicuous eyebrows, broken eyebrows, and the eyebrows facing the ears were like curves Hook, it looks a bit chilly.

At this moment, he greeted Fu Jinjin enthusiastically, bowed slightly, and said politely: "Director Fu, my teacher has mentioned you many times. I am a student of Professor Qi, Zhang Luheng, and a native of Enshi."

"Dr. Zhang is also from Enshi? Where is Enshi from?" Fu Jinjin's eyes lit up when he heard this.

"Director Fu, my hometown is Ba County. I live in Enshi, and I also studied in Enshi in high school." The man named Zhang Luheng replied politely.

Then Zhang Luheng greeted Wu Longshan...

At this moment, Wu Xie seemed to be an outsider, no one recognized him, but Wu Xie had a thick skin and took the initiative to go up to say hello to Fu Jinjin.

Seeing Wu Xie coming, Fu Jinjin hurriedly introduced Wu Xie to this Zhang Luheng: "Dr. Zhang, this is Dr. Wu Xie Wu, who belongs to our hospital, and you should be in the same Olympics as you."

Hearing the words, Zhang Luheng glanced in Wu Xie's direction, nodded hurriedly, glanced over, then stared at him again, squinting his eyes: "You are the special prize!"

Wu Xie slightly stretched out his hand stiffly, but he still passed it over: "Hello, Doctor Zhang. My name is Wu Xie."

He really didn't know Zhang Luheng.

But Zhang Luheng's words aroused Zhou Xiaoning's interest: "What special prize?"

"Brother, this is the one I told you before, the one who won the individual special prize in the first year of research, and the one who won't go to the national competition after winning the special prize." Zhang Luheng said it smoothly, and blurted out.

After reacting, he quickly interrupted: "Oh no, no, that great god!"

Then everyone turned their heads to look at Wu Xie, and acted thoughtfully.

Guan Yun, who came later, frowned bitterly and became confused.

Zhang Luheng then formally introduced himself to Wu Xie immediately: "Zhang Luheng, bow leader Zhang, Lu of Lu State, perseverance of perseverance."

"Wu Xie." Wu Xie could only reply like this.

On the next occasion, Zhou Xiaoning, Fu Qianjin and the others deliberately asked Zhang Luheng what was going on.

In fact, Wu Xie led a team to participate in the postgraduate skills competition in Hubei Province when he was a graduate student, and he won the second prize of the team!

Personally, he won the special prize and did not participate in the national competition. This incident made many participants feel that it was outrageous.

After asking the facts clearly, Zhou Xiaoning let out a sigh of relief: "Xiao Wu had such glorious deeds before, and I haven't heard you mention it before."

Wu Xie said with a sneer: "Professor Zhou, it's been a long time. In the end, I didn't bring back any trophy for our province. Instead, I took up a quota and didn't use it. It was a waste, so I dare not talk about it."

At that time, Wu Xie didn't dare to go to the national competition to be ashamed. It would be embarrassing at that time. Maybe it was another accident. He thought Wu Xie was a related family and was forcibly promoted to the special prize seat. And Wu Xie's teammates also knew that Wu Xie, the captain, had an accident and was hospitalized, so how dare they mention going to the game?

After all, the body is the most important thing.

...

After some understanding, I came back to the topic. In order to save time for tomorrow's operation, I will have a pre-operative discussion tonight to plan some detailed issues during the operation.

Of course, this is the business of the bosses, whether it is Wu Xie, Guan Yun, or Dr. Zhang, they are all bystanders.

And halfway through the talk, Zhang Luheng invited Wu Xie to go to the bathroom together, and then brought Li Yongxing along.

Zhang Luheng made an appointment with good intentions, and it was hard for Wu Xie to refuse.

So I went to the bathroom with Zhang Luheng and Li Yongxing. Then Li Yongxing and Zhang Luheng lit one and gave it to Wu Xie. Wu Xie didn't know how to smoke, so he refused.

The two hesitated, and Li Yongxing said, "Brother Crab, Brother Heng, you will all be my big brothers from now on, please take care of me!"

Zhang Luheng immediately said: "This is the real master, Brother Xie, you don't have a Ph. D., and now you work in Minda Hospital?!"

"You are all great gods." Li Yongxing interjected.

Wu Xie nodded: "Well, I didn't get a Ph.D. I started working after I graduated with a master's degree. Those who haven't come to Minda Hospital are still in their original unit, so I'm just messing around."

"I'll come later."

"Brother Heng, are you here at Minda Hospital?" Wu Xie was not sure about Lu Heng's intentions.

"I followed my senior brother to increase my knowledge. Isn't there a competition next week? My senior brother said that there are a few cases here that can be practiced, so I came here for a week in advance."

"Oh, by the way, Brother Xie, have you also entered the competition? Or did you sign up for our hand surgery competition?" Zhang Luheng remembered the entry list, but he didn't match Wu Xie's name with the real person before, so he just asked.

"Well! It turns out that the director of the unit asked me to go to the competition to gain knowledge." Wu Xie said so.

"How can you increase your knowledge, Brother Crab, if you don't give us a way to survive, then it's better to abuse us lightly."

"If I had known that you were also participating, I wouldn't have come." Although Zhang Luheng is tall and strong, he has a very easy-going temper and likes to joke, and his export is business bragging.

"Brother Heng, it's not that bad. I was tortured by you. After all, you are professionals in hand surgery, and I am a layman. I have always been in trauma surgery." Wu Xie replied with a smile.

He faintly felt it from Zhang Luheng's eyes. He should know that he was about to enroll under Qi Qiaowen's school and become a classmate with him, but now that Li Yongxing was here, and the matter had not yet been fully concluded, it was not convenient to tell Director Fu Jinjin.

So Zhang Luheng didn't say anything about it.

"I believed in your ghosts, I believed in your evil. Don't be a bitch." Zhang Luheng rolled his eyes.

Wu Xie pondered and said, "Brother Heng, your words are too modest. Compared with the great doctor, we are all losers."

"Stop kidding, are you free tonight, let's have a late-night snack together, Brother Yongxing too?" Zhang Luheng suggested, and then took another sip.

Li Yongxing shook his head quickly when he heard the words: "I can't go, I have something to do tonight."

Wu Xie also said: "I have something to do too, Brother Heng, how about tomorrow night?"

Wu Xie invited Tang Yuewei's cousin to have supper tonight, so naturally he would not make another appointment with Li Yongxing and Zhang Luheng.

"Okay, let's talk about it tomorrow night!"

"..."

When Wu Xie and the others entered the office again, the preoperative discussion came to an end. Then it seemed that Director Fu Jinjin planned to arrange a midnight snack, and Zhang Luheng naturally followed Associate Professor Zhou Xiaoning.

Wu Xie asked for a leave of absence for Director Fu Jinjin, so he had to get away.

Then, after seeing the location sent by Tang Yuewei's cousin 'Swen', Wu Xie hurried over.

After getting off the car, Wu Xie didn't know who the other party was, but the other party sent the table number. After Wu Xie asked the waiter, he was brought to a round table, and Wu Xie saw a small crew cut.

He is about 1.7 meters tall, about the same height as Tang Yuewei, but his ears are very big, especially the earrings are thick, he looks very lucky, and he wears a small gold chain.

Dress and groom are quite formal. Medium-thick shirt, trousers, leather shoes, playing with the phone there.

Wu Xie walked over and called out, "Brother Yong."

Wang Yong immediately raised his head, put away his phone, and the corner of his mouth changed from a blank smile: "Xiao Wu, sit down quickly, I ordered some barbecue, do you want to add some?"

"It's okay, Brother Yong, let's eat first, and add more later when we don't have enough." Wu Xie explained with a smile, and then sat down by himself!

Wang Yong got up slightly, sat down again, and then looked at Wu Xie, jokingly said: "He is handsome and has a calm temperament. No wonder he can fascinate my little Yue."

Wang Yong is the son of Tang Yuewei's aunt's family, and also Tang Yuewei's only cousin. The other two are cousins, who are a few years older than Wu Xie.

Wu Xie smiled and said, "Brother Yong, thank you for your compliment!"

"Thank you, Yuewei, for not giving up." Although Wu Xie thought he was handsome, he couldn't make such a joke in front of Tang Yuewei's family.

"I won't talk too much about the scene. You are handsome if you can drink. If you can drink, we can make some white. If you can't drink, we can make some beer." Wang Yong took the initiative to give the sex, anyway, he wanted to drink.

"Brother Yong, let's cut down on the nonsense. The main reason is that you have an operation tomorrow, so you can't drink too much. It was the same last week. I'm really sorry. It's really not because I'm trying to trick you and I don't want to come!" Wu Xie shook his hands slightly, So explain.

"I know that. As a man, you must pay more attention to your career. It is a good thing to be self-motivated and dare to learn. Especially you and Yuewei are highly educated and high-level talents. If you want to study, I will definitely not bother you."

"It's just that drinking is a communication tool, and it's quite interesting. Even if you become a doctor, you can use it in the future." Wang Yong has an air of an elder.

"Thank you Brother Yong for your understanding." Wu Xie explained.

Hearing this, Wang Yong immediately took out a bottle of wine from behind. It was Moutai, but which one it was. The box was gone, and Wu Xie couldn't tell. After Wang Yong took it out, Wu Xie started to fill it up.

While saying: "Xiao Wu, you don't drink much?"

"I drank a little at parties after graduating from high school, and then I seldom drank it after college. After work, I occasionally drank a little, not much." Wu Xie told Wang Yong thoroughly.

"Then let's have a drink, and we'll make up for beer if we don't drink enough later." After Wang Yong said this, he saw the passing staff and said, "We can serve food here, and the drinks are empty when we are done." !"

"Okay, come right away~" the waiter roared.

Wang Yong then said: "Xiao Wu, are you as old as Yuewei?"

"It should be only a month's difference. I'm a little older than Tang Yuewei." Wu Xie replied, Wu Xie was not restrained.

"That's right, I'm very envious of you college students. I can't do enough to study, and I didn't even go to a serious university." Wang Yong said.

"Brother Yong, college is just a degree, and a degree is actually a learning experience. Learning experience is not linked equally to learning results and abilities."

"I still have a deep understanding of this..." Wu Xie said to Wang Yong, Wang Yong must know this kind of thing, it just depends on whether he believes it or not.

"Humble." Wang Yong replied with a smile, and then raised his glass.

"Come on, let's go!"

...

The barbecue was on the table, Wu Xie and Wang Yong took about half of a glass of wine away before Wu Xie took the initiative to mention: "Brother Yong, I have seen the person you mentioned."

Wang Yong was taken aback when he heard the words, and his eyes suddenly became a little dodge: "Did you go to the devil to look for it?"

Wang Yong knew that Wu Xie was referring to the person he mentioned to Wu Xie last time who had a blind date with Tang Yuewei, and this blind date was arranged by his uncle and aunt. Wang Yong didn't know it at first, but it was Tang Yuewei's mother I was too angry, so I complained a bit when I came back.

Only then did Wang Yong know what happened. At that time, Wang Yong was also angry...

"No, this person is from our town. I saw him when I was a child. I think there may be some misunderstanding?" Wu Xie said, looking at Wang Yong with a little anxiety.

Wu Xie carefully considered Xu Hai's matter, and felt that Wang Yong was a little too radical.

When he saw Xu Hai last time, he could tell that Xu Hai was not a very radical person.

Wang Yong nodded.

Then he raised his wine glass, licked his lips slightly with his tongue, and said, "Yes, Xiao Wu, I only found out about this later."

"At the first time, I didn't know much about it, so I told you about it, but in fact, it's our fault."

"But I didn't expect him to know you. I thought it was not too late to talk about it. I didn't expect you to have met that Xu Hai."

Wu Xie also picked up the wine glass, looked at Wang Yong, and said nothing. Waiting quietly for Wang Yong to say the follow-up.

"Let's put it this way, this Xu Hai came here to find a place for his sister. He deliberately found a relationship and found Tang Yuewei, so they had a blind date."

"It's not an accidental factor, it's just that everyone didn't know about it before..."

"You should be able to understand what I mean." Wang Yong hesitated to speak.

Wu Xie really felt a little convoluted, but based on the information revealed by Wang Yong, Wu Xie could probably guess that the blind date between Xu Hai and Tang Yuewei was related to Xu Hai's sister?

Xu Rong?

Could it be that Tang Yuewei approached Xu Rong and had sex with Xu Rong alone, and then Xu Hai found out about this, so he was taking revenge?

Wu Xie thought it was possible, because Tang Yuewei was not a relatively weak person, but Wu Xie didn't know what happened between Tang Yuewei and Xu Rong, but Wu Xie could also feel it. During such a period of time, Xu Rong's dramatic change.

From the back, she specially adjusted the class, and Wu Xie could roughly guess it.

However, Wu Xie didn't think about this at all before.

"Brother Yong, if you don't mind this matter!~" Wu Xie bumped into Wang Yong, and then took another sip.

"You didn't have a conflict, did you?" Wang Yong asked after finishing his drink.

Wu Xie shook his head: "This Xu Hai is considered to be an older brother in our town, and he didn't mention this matter, but I think he is quite decent overall, and he shouldn't be a person who can chew his tongue."

"That's why I asked Brother Yong."

"If you haven't talked about it, don't talk about it again. Let's not take the initiative to provoke things that don't make sense!~" Wang Yong smiled, feeling very embarrassed.

In fact, from his point of view, he and Xu Hai are in the same position, so when the same thing happened to his sister, he felt very uncomfortable. Let's just say, Tang Yuewei didn't do anything to Xu Rong.

But Xu Hai didn't do anything to Tang Yuewei, maybe he just wanted to win face, so that you don't bully others casually, dog eyes see people as inferior, no matter what education or status, they are all external things.

Of course, my younger sister is also a little tiger-like.

Wang Yong also felt strange, why did Tang Yuewei just meet such a blind date!

...

After finishing the chat with Wang Yong, Wu Xie was thoughtful on the way back to Tang Yuewei's 'rented' house.

It's a little funny, but also a little warm, Wu Xie is indeed warmed.

At least from Wu Xie's point of view, he still thinks Tang Yuewei is quite cute, but he is so cute, he thinks cute because of Xu Rong's discomfort.

But this is everyone's perspective is different.

"What are you doing?" Wu Xie opened WeChat and asked Tang Yuewei.

"Puncture, injection. My hands are numb. We all got PUA just now." Tang Yuewei edited a message.

Then reply: "Wait a minute, we don't finish until ten o'clock."

"Okay! Then go to bed early, and if it's too late, go to bed directly." Wu Xie hurried back.

Slightly took a breath, this time when Tang Yuewei went out, it seemed that the small training class she entered was a bit ruthless, and she was PUA when they first met.

It is estimated that everyone was disgusted, and then Tang Yuewei was practicing acupuncture operation without admitting defeat.

Tang Yuewei did not reply.

...

Then, at 11:40, Tang Yuewei replied: "I just finished taking a shower and I'm putting on a facial mask. I'm exhausted!"

"Where do you think there is such a thing? Needling can also control how many centimeters you want to insert, and you can directly insert into any gap you want?" Tang Yuewei's tone was a little aggrieved, maybe I feel hit.

"You meet the kind of old master who cuts paper with a scalpel and wants to cut a few pages like our surgery?"

"Does it look fierce?" Wu Xie asked.

"One old man is very kind, and the other is a postmenopausal old hag! ~ Do you know?"

"I rarely slander people like this, but she doesn't look like a teacher, let alone a professor." Tang Yuewei excused herself, proving that she was really angry now.

"It's to learn something, anyway, it's only two days!"

"If it's a big deal, use your strength to conquer her." Wu Xie hurriedly comforted her.

Professors are also different. Everyone has a different temper and a different teaching philosophy. My teacher is more easy-going, but that doesn't mean everyone is easy-going.

It's like Professor Feng, with his violent temper, he is very gentle towards Tang Yuewei, but towards his teacher, Professor Duan Hong, he always fights with fists and kicks.

"Yes, I'm just not convinced."

"But after the practice tonight, I am convinced again. This female professor, she can perform puncture of the anterior coronary artery of nude mice with bare hands!!!!" Tang Yuewei's series of exclamation marks expressed her final shock.

Wu Xie asked: "After the practice is over?"

"Yes, she did it on purpose."

"Well, let's obey her age, skills and knowledge, but not her temper." Wu Xie cheered Tang Yuewei up.

Pericardial puncture is actually a difficult operation, such as anterior coronary artery puncture in nude mice, this TM sounds a bit theological.

"Okay, I'm going to sleep first, I don't know what will happen tomorrow, you work hard, and I will do my best." Tang Yuewei took the initiative to end the chat.

...

The next day, Saturday, after Wu Xie arrived at Minda Hospital, a group of people went straight out of the operating room. They didn't even check the room.

Physician Wu Longshan led a few bed doctors to make ward rounds to deal with patients, while associate professor Zhou Xiaoning and others started the operation directly.

The surgery this time is similar to the nerve transposition surgery performed by Professor Qi Qiaowen last week, but this time the transposition surgery is the transposition of the phrenic nerve.

Moreover, the person who opened up the neurological investigation is that Dr. Zhang from Xiehe Hospital, who is also the junior of Associate Professor Zhou Xiaoning, and also the junior of Huang Yaolong.

However, before Zhang Luheng started to make the incision, Zhou Xiaoning gave him psychological 'construction': "Xiao Zhang, we did a nerve exposure last week, which was performed by Xiao Wu, and it was not bad. There was almost no bleeding overall. quantity."

"You have to work hard, otherwise, if you participate in the skill competition of hand surgery at your level, then you will be the green leaf."

"Really, Wu Te?" Zhou Xiaoning joked.

What the hell is Wu Te?

Wu Xie narrowed his eyes and just smiled.

But it’s okay if Zhou Xiaoning didn’t mention it. As soon as Zhang Luheng said that, Zhang Luheng became nervous, and his hands that were about to use the knife stopped: “Senior brother, don’t scare me, Brother Wu Xie’s basic skills have already reached a very high level a few years ago. level."

"It was enough to catch up with him now, otherwise how could it be the special prize?"

"As for the green leaves, I have long been a green leaf, so green that I panic."

Having said that, after calming down for a while, Zhang Luheng began to strike...

After the operation started, everyone's talking stopped.

All eyes followed Zhang Luheng's blade.

At the same time, after taking a few glances, Wu Xie noticed that Zhang Luheng's incision technique is at least proficient. The operation is very stable, the amount of bleeding is very small, and he pays attention to some details and levels.

It may be that the level is not enough, so it seems not so perfect and light weight, so it is necessary to deliberately slow down and pursue quality in the process of operation.

Compared with the incision and exposure of the professional level, it feels a little bit worse.

Wu Xie looked at it thoughtfully.

However, Zhang Luheng didn't seem to be cutting for the first time, so he was not nervous at all, and ordered the two senior brothers to pull the hook methodically.

Then, Zhang Luheng directly found the phrenic nerve and the musculocutaneous nerve where the phrenic nerve was about to be translocated, as well as the organic lesion points of the musculocutaneous nerve.

This move made Wu Xie's eyes brighten up.

This piece of Lu Heng also has something, at least the level of anatomy and understanding of anatomical levels is similar to his. It's just a cut level, a little bit missing.

So if you calculate it like this, you might already be in hand surgery, a little bit ahead of Zhang Luheng, a doctor in hand surgery?

Wu Xie wasn't sure yet, but had such a guess in his heart.

And just after Zhang Luheng completed the operation, Huang Yaolong said: "Lu Heng's basic skills are also very solid, and it feels almost the same as Xiao Wu."

"Director Fu, what do you think?" Huang Yaolong asked proactively.

Now all the patients in the department belong to Fu Jinjin, so it is still necessary to give Fu Jinjin some face.

"The young people nowadays are more evil than one. In our era, if anyone had such good skills at this age, they could walk sideways like a crab." Fu Qianjin said with emotion.

Although Huang Yaolong's general idea and concept of hospital development are different from Huang Yaolong's, he is still serious about performing and learning surgery.

Development is development, thinking is thinking, and learning is learning. Fu Jinjin can still distinguish this point.

Zhou Xiaoning took a serious look at Huang Yaolong, and said, "Director Fu, it's mainly because you didn't have such good learning conditions in your generation, otherwise your generation would definitely be even better."

At the same time, he thought to himself, this Huang Yaolong's major is really unfamiliar, and now he is not even as good as Wu Xie, maybe even Zhang Luheng.

Zhang Luheng's micro-operations and overall processing and understanding are obviously not as good as Wu Xie. Zhang Luheng pays too much attention to details and is too forceful.

But Wu Xie is different.

After stepping down from the stage, Huang Yaolong had to give Huang Yaolong a good beating. If he wanted to start a course at this level, it would be a good idea, but it would be embarrassing!

Associate Professor Zhou Xiaoning then took over for a while. After all, he had to control the key steps of the operation, and after Associate Professor Zhou Xiaoning finished all the operations before the transposition meticulously.

Then he said to Wu Xie and Zhang Luheng: "Lu Heng, Xiao Wu, come on, you two will sew up the outer membrane and the other will sew up the perineum. Feel it."

The key point of this operation is to move the stumps of the phrenic nerve and musculocutaneous nerve to the supraclavicular soft tissue, and suture the adventitial perineurium, which requires no tension!

Nerves actually have their own unique anatomical structure. Nerve fibers make up nerve bundles, and nerve bundles make up the nerves we commonly understand.

The perineurium is a smooth, transparent membrane that separates nerve fibers into bundles. The outer layer is connective tissue, and the inner layer is composed of about 7-8 layers of squamous epithelial cells.

The epineurium is what we call the outermost membrane of the nerve. When the nerve is sutured, it is actually suturing the perineurium and the epineurium, rather than suturing the nerves together in the conventional sense.

There are more perineum, higher suturing requirements, and less adventitia.

Zhang Luheng looked at Wu Xie very apprehensively when he heard the words, and it could be seen from his eyes that he was a little afraid of fighting with Wu Xie. First of all, in terms of temperament, he seemed to lose.

Blinking his eyes, he said very apprehensively: "Senior brother, why don't you let Brother Wu Xie come first!"

Zhou Xiaoning knew from his tone that Zhang Luheng was afraid of embarrassment.

"Then Xiao Wu will come first?" Zhou Xiaoning actually felt a bit pained, even if Wu Xie surpassed you in the previous competition, you wouldn't be so scared, would you? Are you a professional in hand surgery?

Wu Xie smiled, and was not flustered, because he was retrogradely amnesiac and was starting from the beginning, so he was not afraid of embarrassment, and he was used to embarrassment, so he had long since discarded the label of saving face.

"Okay, Mr. Zhou! Then I'll throw bricks to attract jade first." Wu Xie smiled, nodded, then moved his position, sat on the main operator's seat, and moved his gaze to the field of vision of the mirror.

After Wu Xie sat in the suture position, Associate Professor Zhou Xiaoning asked, "Xiao Wu, how many nerve bundles are there for suturing the phrenic nerve and musculocutaneous nerve transposition?"

Wu Xie was stunned when he heard the words, the hand that was about to operate it paused slightly, and immediately turned his head: "Mr. Zhou, the phrenic nerve has no nerve bundles!~"

"Neither does this musculocutaneous nerve."

Fuck, this week Xiaoning is too stupid.

Unexpectedly, he actually dug a hole here. In this operation, where is there any perineural and adventitial suture?

The phrenic nerve has no nerve bundles, only nerve fibers and endoneurium!

Therefore, the phrenic nerve does not have a perineurium, while the musculocutaneous nerve may or may not have a perineural structure. In such an operation, the musculocutaneous nerve does not have a perineurium either!

"Then you start sewing!" Zhou Xiaoning was very satisfied when she heard that, and then looked at Zhang Luheng, probably meaning that there is no chance to operate nerve stitches later, so don't blame me.

However, in addition to nerve repair, this operation also includes the reconstruction of the abduction function of the elbow joint, which involves tendon transposition, so Zhang Luheng has other opportunities for operation.

Wu Xie felt that she was being played by Zhou Xiaoning. Of course, Wu Xie also knew that the reason why Associate Professor Zhou Xiaoning asked this question was to study her basic skills, and to test how far her strength was.

Suturing the perineurium is much more difficult than suturing the epineurium.

And if the epineurium can be sutured skillfully without unevenness and few scars, then it is a proficient nerve suture.

It is a specialized level of nerve suture that can clearly align the perineurium and suture the perineurium without causing too many scars after the operation.

The entry-level suture does not distinguish, and it is directly sutured. It is not qualified to participate in and operate the nerve suture. It is only known that there is such a thing that can not disturb the nerve fibers. The significance of suturing is not particularly great.

However, in this operation, there is no particularly clear distinction between the adventitia and the perineum, so suturing is relatively simple and difficult.

The main thing is that you have to properly correspond to the nerve fibers, try to make connections between the nerve fibers, and ensure the postoperative function.

Wu Xie didn't know if Zhang Luheng knew the difference from the beginning, but Wu Xie was not afraid. Moreover, Wu Xie has also mastered the skills of nerve suturing, which is something that a proficient level of nerve suturing will master.

The sewing speed is not fast, but it is not slow either. Zhou Xiaoning, who sat across from Wu Xie and was also looking at the mirror, slowly cut the thread while Wu Xie was threading the needle. one time.

Then he nodded with satisfaction.

In fact, Zhang Luheng seldom participated in suturing before this transposition surgery, because without the blessing of perineurium and adventitia, suturing is actually more difficult, so Zhang Luheng himself has no confidence.

However, I don't know if this Wu Xie is not afraid of tigers as a newborn calf. Zhou Xiaoning is taking care of it carefully.

But looking at Wu Xie's serious look now, Zhou Xiaoning also understood what Wu Xie meant. Wu Xie was not being reckless, but because of his solid basic skills, he was down-to-earth and really knew it.

And it's also well stitched.

During this process, Zhou Xiaoning kept glancing in Zhang Luheng's direction.

That means it seems to say, well, if you don't come, others can come!

It's not that hard either.