Path of Medicine With a System

Under normal circumstances, as long as you wear the name of an expert in the medical field, you will be more than forty years old. When Zhang Fan appeared in Ma Wentao Hospital, Wang Yongyong's wife was about to collapse. She doesn't have a job, and everything in the family depends on Wang Yongyong. If something happens to Wang Yongyong, the family will be over.

But there is no way, Wang Yongyong is determined to do it, she has no choice but to worry. Today the hospital only had one surgery for her husband. In the long corridor outside the operating room, under the dim light, the poor and helpless woman sat alone on the bench at the door and wept secretly.

In the operating room, Zhang Fan sat in a corner and dozed off, not because he wanted to sleep, but because he was constructing a three-dimensional image of Wang Yongyong's knee joint in his mind. Even if he wanted to do some preparations before the operation, Li Liang would rush to complete them.

For old injuries, the biggest difficulty is scar tissue and vascular remodeling, which leads to unclear tissue relationship. Scars form in such a small place inside the knee joint, which causes swelling and pressure to cause knee joint pain, and because the blood supply inside the knee joint is not very sufficient. So the pain will get worse and worse.

Disinfection, hand brushing, and aseptic operation are the foundation of a surgeon. After the anesthesia started, Zhang Fan adjusted the equipment and started the operation. The difficulty of this operation is much higher than that of Gu Li.

The first is old injuries, and Wang Yongyong is not young anymore. Unlike Gu Li who is still in the growth stage, some injuries will be automatically adjusted and perfected by the body over time. Compared with conventional surgery, the damage of arthroscopic surgery is much smaller, and the later recovery is also faster.

Zhang Fan started the operation. First, he had to select a tendon and use a scalpel to cut it into the shape and length of the ligament. People generally can't do it, too anxious!

Zhang Fan held the mirror and slowly cut it bit by bit. For the knee to have flexible range of motion, it must adapt to rotational forces and absorb impact, then be immediately ready to cushion.

The knee joint is a pivotal joint. The evolution of the human body is particularly scientific. When the knee joint is stretched, it is limited by the locking mechanism of the knee joint, and the rotation of the knee joint is limited. This function determines the stability of the human body. If there is no locking mechanism, A standing human body will turn left and right when it receives a slight impact!

Wang Yongyong was a professional basketball player back then, he exercised a lot and his knee joint was often subjected to some strong rotation or stretching, so not only his ligament was injured, but even his meniscus was injured.

The current injury is the pain associated with patellofemoral complex dysregulation. The purpose of Zhang Fan's surgery is to repair the deformed and damaged tissue.

The degree of injury is not small. If you want to adjust it, you must be very familiar with the mechanics of the knee joint and the kinematics of the whole human body. This is why doctors in sports medicine can see orthopedic diseases.

And orthopedic surgeons may not be able to treat sports injuries well.

Special treatment for special groups of people not only refers to restoring their normal life functions, but also must reach a certain level of competition, and this requirement is very high.

Almost all the really good sports medicine experts are in the United States. The first requirement of sports medicine surgery is to minimize injuries as much as possible. After all, no matter how precise the surgery is, it may not be able to achieve the original state.

The second is to consider the special career of the athlete. An athlete who has signed a contract of tens of millions with the team will not dare to do it without a certain level of technical skills after being injured. Because the surgery not only needs to solve the athlete's pain, but also guarantee the professional life of the athlete, which is really too difficult.

At the beginning of the repair and adjustment, Zhang Fan combined Wang Yongyong's weight to thicken his ligaments. Now he does not need to do extreme sports, but his weight has increased, and because of years of illness, his knee joint in the affected limb There is a certain deformation.

This operation will test the doctor's extensive knowledge of evidence-based medicine. Huaguo's medicine is catching up with the West very quickly, but evidence-based medicine cannot develop.

Almost all people who engage in evidence-based medicine in the country are part-timers. Why? It is too time-consuming and money-consuming, and it will not be effective in the short term. Evidence-based medicine needs a lot of time and a large number of patient numbers to establish a scientific file, and track the patient numbers of a disease type all the year round, and perhaps track the disease of this patient number Later until death.

This kind of work, in the current economy-centered society, few people can bend down and do it desperately. Evidence-based medicine does not see any advantages in the short term, but it has great significance for the long-term treatment of a disease.

For example, does Wang Yongyong's surgery need to thicken or reduce the thickness of the ligament? How to make his knee joint achieve better effect. The establishment of this system requires a country to support development, and relying on a certain hospital or doctor is just a drop in the ocean.

To solve Wang Yongyong's pain, he can be solved by finding a top-three orthopedic sub-higher, but it is beyond the reach of doctors in ordinary hospitals to resume his exercise at a certain intensity.

At this time, Zhang Fan who owns the system has a huge advantage, and future medical care has already attached great importance to evidence-based medicine. Zhang Fan is equivalent to having a lot of the best results that have been successfully summed up for surgery.

Surgery is performed very slowly. Knowing how to do it and doing it well is another stage of hard work. Without a lot of practice, even if you know the result, you will not be able to achieve it.

Zhang Fan has worked on the system for two years, and there are still many operations that he is not yet proficient in. It is conceivable that medicine is complicated. Li Liang watched the electric knife on the monitor slowly cut. The knee joint is too complicated, and he can't understand it yet. If the assistant is Lao Gao, she will discuss with Zhang Fan, why do you want to do this?

The ligament is repaired. At present, there is still debate in the medical community about whether the posterior cruciate ligament is sutured, but it has been proved in the future that it must be sutured. That's the advantage, that's the genius!

Although the operation was slow, it went smoothly. Hemostasis, pressure bandaging and plastering, and the follow-up work were all done by Li Liang. "Brother, this operation is too difficult. I didn't understand what I did today. I saw you cut and sew and sew. I really didn't understand."

"Hmm! In this operation, the structure of the knee joint must first be engraved in the brain, and then the force habits of the patient's knee joint must be understood. It is a bit difficult, so take your time! Don't worry." This process is really not good There is no system, you can only fill it with your own efforts and time.

If Li Liang works hard, he can still enter a large third-class hospital, and he may be able to perform this kind of operation when he is about thirty-five years old. Although he cannot reach Zhang Fan's level, he can still achieve a normal recovery. To reach Zhang Fan's level in this era, you have to go to the most advanced hospital, and you have to let yourself do it, at least you have to be around fifty years old to reach this level.

Cruelty, medicine is so cruel, when the technology reaches its peak, the doctor is also old, young scholars in many disciplines can make some achievements at around 30 years old, but medicine is not good, it starts at 30 years old.

Those doctors in major hospitals who are extremely tired and sleep on the floor of the operating room are not showing off. In fact, there are more pitiful things that cannot be known to laymen.

Some of the photos that came out were nothing more than rare. Yes, Huaguo's medical care is dissatisfied with various disadvantages and hidden rules, but are these things that doctors can decide? Just because these doctors can't change the cause, we can't deny those doctors who have worked hard and survived the liver. They work really hard.

Was SARS terrible back then? Laymen only know that it will be contagious and fatal, but when those doctors with families know that they may die if they go in, one after another, when they write their wills and walk into the epidemic area without hesitation, are they afraid? It is fools who are not afraid.

After SARS is over, the reward for doctors who have been in the epidemic area is to add 10 points to their children's college entrance examination, which is very precious! This is the child's parents in exchange for their lives.

At that time, no doctor said that he took off his coat and quit! No! This kind of epidemic, if the doctor does not die, whoever will die! It is really not easy for employees in the national special industry, and many things in it cannot be determined by personnel inside the industry.