Path of Medicine With a System

The only way to be simple is to focus, and the system makes Zhang Fan obsessed like an addiction. From being confused at the beginning, to worrying that the system would disappear at any time, to mastering a little knowledge of orthopedics and then clicking on the general knowledge, Zhang Fan's medical technology has grown rapidly, and his mentality has also continued to change.

Now Zhang Fan is more and more focused on the improvement of medical care, and he no longer has the anxiety he used to have. He has a girlfriend, a house, a car, and his life is stable. No need to worry about life anymore, no need to worry about daily living expenses.

Maybe Zhang Fan, who lived a normal life since he was a child, didn't pay much attention to material requirements. Now Zhang Fan has satisfied his life, and the rest is to pursue his dream.

Although the system cannot open new subjects, Zhang Fan keeps practicing in the system. For medical technology and level, the best way is to keep learning and practicing. Day after day, little by little, the saplings will always become towering trees. Shao Hua, who is already good at studying, is also reviewing hard, proud woman!

Humans have evolved from crawling on four limbs to standing and walking. The ankle joint is actually an enlarged version of the wrist joint. Let alone the complex nerves, the bone composition of the ankle joint is very complicated.

Wang Yongyong's former teammate decided to undergo surgery, because the chronic pain in the ankle joint was too tortured. This kind of surgery is also a favorite of private hospitals. First of all, it requires less consumables and less medicines before and after surgery. Except for the doctor's labor, the rest is almost pure profit. So this also represents the reason why no one in public hospitals does research.

The cavity of the ankle joint is too small, and it usually takes several surgical windows to see the damage clearly. Moreover, the operating space is too narrow, and the first complication of this operation is that the instrument breaks! One can imagine the difficulty of this operation.

Compared with the general population, these former professional athletes have a wider range of people, and the more famous athletes, the wider their contact range. Wang Yongyong's teammate had a very detailed understanding of Ma Wentao's hospital before the operation, and only after inquiring about Ma Wentao's identity did he know Ma Wentao's identity, so he prepared for the operation with special peace of mind.

People are like this, constantly despise all kinds of second generations, and can't help but follow the second generations! If he was an ordinary businessman, he would never make up his mind to have an operation so quickly. This is not a joke. This can be regarded as Ma Wentao's advantage!

There is no need for Zhang Fan to worry about family members talking, signing, and preoperative examination. The hospital's surgical system is already sound. There are several doctors. These people are not only Ma Wentao's surgeons, but also Zhang Fan's team.

Zhang Fan knows each of these doctors well, and has dealt with them before, from their character to their professional level. At present, Li Liang wants to learn more about arthroscopic surgery, so all the patients who undergo arthroscopic surgery belong to Li Liang.

"This operation must be done with care.

Because the space is small, it is easy to damage the cartilage articular surface of the joint, so we must be clear about the tissue structure here. "Zhang Fan explained to Li Liang while preparing for the operation.

Li Liang's talent is mediocre, but he is working hard. When he was in the county hospital, in order to practice knotting well, Li Liang directly tied black silk thread on the steel tube bedside of the dormitory. He tied no less than five boxes of silk thread in one night. Work hard, medicine is like this!

At the beginning of the operation, the anesthesia was epidural anesthesia. After the hemostatic airbags on the legs were tied, Zhang Fan started the operation. According to his usual habits, Zhang Fan seldom spoke during the operation.

One is for aseptic operation, and the other is because of personality, but now it can’t be done, and it doesn’t matter if you don’t talk about it, because Zhang Fan is going to take Li Liang with him now, so he has to explain to Li Liang while doing it.

"The anterolateral approach is generally chosen for this kind of operation. At the outer end of the ankle joint line, the lateral edge of the peroneus tertiary muscle and the extensor digitorum longus, it must be noted that this is where the terminal branch of the superficial peroneal nerve passes." Zhang Zhang When he speaks, he has already inserted the mirror into the cavity of the joint.

Although Li Liang previewed the textbook several times before the operation, when Zhang Fan started to explain, Li Liang was still confused. The explanation in the textbook was very basic and simple. More professional books to review and practice!

Under the ankle arthroscopic surgery, in order to facilitate the operation, a joint retractor is usually used. Zhang Fan slowly debrides the wound, removes the synovium, and removes some bone spurs under the microscope. This is the difficulty of this old injury. It's just that it's hard to recover. If you want to completely eliminate the pain, you need to make corresponding adjustments inside the joints.

Arthroscopic surgery is difficult, because it is not macroscopic, and you must be familiar with the tissue structure. The space is only a little bit. After the lens enters, you have to know that this place is that tissue, that area, front, back, left, and right, up and down What kind of organization is it? It must be clear. But also know how to adjust is the best and most reasonable.

The more high-end point is to combine the patient's usual walking posture and force characteristics to individualize the differential treatment. This is what Huaguo currently lacks. The patient base is too large, and the doctors in Huaguo can be said to be very good in the field of basic surgery. Yes, but it is very difficult to go further.

There used to be a joke that a doctor from New Zealand came to China for an exchange, and an ordinary undergraduate resident doctor was better at gallbladder than him. But ten years later, for comparison, the resident doctors in Huaguo may still be working on gallbladders, and they may have already started to study liver transplants! This is the gap, the gap in the medical system, the meaning of a doctor in a foreign language is a knowledgeable meaning, but because of the population factor, these doctors are just technicians.

He repeated some basic operations day after day, so there was no improvement, but he became more and more proficient in a certain basic operation, because there was no condition for him to study it. Once the golden period is over, he is just a surgical craftsman.

Zhang Fan repaired the old damage bit by bit, "Be careful here, there are a lot of nerves, blood vessels, and tendons here, and you must avoid them during surgery." There are so many special places.

Li Liang can't wait to record the operation process. He can learn at most 10% of the knowledge points Zhang Fan said. Li Liang is not depressed now, because he is used to it. After each different operation, he has to study for a long time It took a long time to integrate the knowledge points Zhang Fan said.

At present, there are two theories for ankle joint surgery. One is to let the blood and fluid in the joint cavity flow out naturally and allow the incision to heal naturally. Zhang Fan will not do this because he believes in himself. Surgical level, only put a drainage strip and suture.

After the operation, a compression bandage was performed on the calf, "The bandage will be loosened after two days." Zhang Fan explained some postoperative matters to Li Liang.

The operation went well. After the operation, Zhang Fan sat in Ma Wentao's office, because Ma Wentao wanted to tell Zhang Fan again.

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