Doctor Chen, Don't Be a Coward!

For surgery, there is a situation called "perfect surgical state".

What is the perfect surgical state?

For example, cholecystectomy, in general, cholecystectomy is not a big problem, but because of the recurring cholecystitis and the existence of special circumstances, there will be a large area of ​​adhesion in the gallbladder triangle area.

This will make the entire triangular area a mass of paste, how to separate the gallbladder triangle, how to take out the gallbladder, how to separate the adhesion relationship between the gallbladder and other tissues...

wait!

These are the key factors that increase the risk of surgery, change the operation process, and even increase the difficulty of surgery proportionally!

same……

Orthopedic surgery is no exception, especially when it comes to fractures in the joint area.

Ankle joint fractures will lead to chaos in the joint cavity, such as tense tendons, limiting the surgical area, first incision and then repair, such as large-scale entanglement of ligaments, falling into bone cracks, such as damage to blood vessels and nerves or changes in anatomy structure and more...

Any accident will make the operation more difficult. The operation itself is a process of destruction and correction.

Any damaged soft tissue needs to face a repair process after surgery.

Therefore, the speed of recovery, the degree of recovery, and whether the recovery level reaches the expected value all have a lot to do with the degree of damage to the patient's fracture area!

The so-called perfect state means that during the operation, for the tissues and blood vessels and nerves that do not need to be treated, there is no need to perform too much intervention, and the damaged tissue is simply repaired and removed. This is the perfect state!

Performing surgery in a perfect state, several articles have been reported in the foreign journal "The Lancet", which is about good perioperative management, allowing patients to perform surgical repairs in a perfect state, and in a perfect state of surgery, the patient's prognosis, There will be a significant improvement in recovery and later stages!

Therefore, in recent years, the further research on surgery is often a discussion on how to make patients perform perfect surgery in the perioperative period.

For example, why are you not allowed to eat during gastroscopic surgery? After eating, you can’t see the condition of the gastric mucosa clearly, so you are not allowed to wash it? Will the difficulty of surgery increase?

One reason!

And at this very moment!

Luo Qiping, Meng Si, Li Ke and others looked at Zhang Xiao's damaged joint area and were silent for a while.

Everyone stared at the scene in front of them dumbfounded, a little unbelievable!

"This... is this... the perfect operation state?"

"But...how is it possible?!"

Li Ke couldn't help saying something excitedly!

Following his words, several people around, no matter what master's or doctoral tutors or expert professors, all became excited.

You know, everyone knows what Zhang Xiao's situation was like before.

How could it be possible to present the situation of perfect operation state? !

But, the facts are right in front of you, what can you question?

The perfect operation state is directly related to the postoperative recovery of the patient and the recovery of the patient!

Meng Si also nodded excitedly: "Yes!"

"This is the state of perfect surgery!"

"Director Chen, you...you are really amazing!"

Luo Qiping's face turned red, his eyes were fixed on the patient's ankle joint capsule, and there was also some excitement in his eyes.

Luo Qiping, as a big boss in the field of orthopedics, he naturally quickly thought of the relationship between Chen Nan's previous manipulation reset and the perfect operation state at this time!

What an amazing young man!

I still underestimated this young man... really amazing.

Manual reset is manual reset.

The perfect state of surgery is the perfect state of surgery.

However, Chen Nan used manipulation to reset the bone setting technique of traditional Chinese medicine and combined it with the perfect surgical state in modern surgical theory to achieve such an amazing picture!

This is simply... amazing!

Luo Qiping feels that he has lived with dogs for so many years. He has been engaged in orthopedic research and clinical work for decades, and he has a deep understanding of bone marrow.

But... why didn't I have such an idea?

Through bone-setting techniques combined with reset techniques, patients can achieve perfect surgical conditions before surgery. Isn't this what I pursue? !

for a while!

Luo Qiping was very excited.

Because he seems to have found the secret to success.

This is a feasible, but also a bright road ahead!

Western medicine can also set bones, but... how can their three-legged cat kung fu understand the essence of our rubbing, pinching, touching, kneading, pinching and pressing?

Not to mention far away, just using this energy can stump a group of people!

The more Luo Qiping thought about it, the more excited he became!

but……

When he saw the patient's condition, he suddenly frowned.

Because he found that when the joint capsule was exposed, the posterior tibial blood vessels and nerve bundles were well preserved, and the anatomical distance was good.

this……

He suddenly recalled Chen Nan's previous method of reset...

Immediately!

He finally understood.

I see.

You know, in ankle surgery, you need to pay attention to two very important and difficult points.

First: When exposing the joint capsule, do not damage the posterior tibial blood vessels and nerve bundles!

Second: with anterior tibial talar ligament and anterior and posterior tibiofibular ligament damage, primary repair is required.

However, there is no such picture in Zhang Xiao's joint capsule area at this time.

This is a bit powerful!

At this time, Luo Qiping finally realized that this perfect surgery state was not unexpected...

But can't do it!

To maintain such tension and position of the posterior tibial blood vessels and nerve bundles in the joint capsule area, the technique...is not easy.

What is needed is no longer pure smooth energy and soft energy, but a strength that combines energy.

Only in this way can the positions of the posterior tibial blood vessels and nerve bundles be adjusted at the same time without the anterior and posterior ligaments being damaged!

This is strength!

For so many years, I have never been able to achieve such a perfect surgical state for patients through manual reduction.

Amazing!

Luo Qiping nodded and said, "Director Chen, it's really...remarkable!"

"When we met for the first time, you really gave all of us present a complete blow!"

"Long experience!"

"Luo has really learned a lot!"

"Everyone should take a look, this fucking is the real way to reset."

"No, to be precise, this is a modern traditional Chinese medicine reset that combines modern anatomy and surgery!"

"Everyone, take a good look and study hard!"

"The opportunity is too difficult!"

"Director Chen, you have to forgive my negligence for not greeting you well!"

"Don't worry, I don't know what to do with other departments. The orthopedics department absolutely supports you as the deputy director of the ward!"

Chen Nan heard the sound and smiled: "Director Luo is serious!"

"Don't worry about it, everyone."

Meng Si smiled: "Director Chen, you are too modest, but you are proud!"

"Your strength, we recognize!"

"In our hospital, or in our ward, nothing else is easy to use, and nothing can compare to real kung fu!"

"For you, we are all convinced!"

Li Ke and others nodded in agreement: "Yes!"

"Director Chen, you are really skilled! Let me... increase my knowledge!"

Chen Nan smiled: "It's nothing!"

"real!"

"It's just a little trick!"

"Didn't I teach you? You can learn it too!"

"Really trivial."

As soon as these words came out, a group of experts and professors in the operating room were all speechless.

this……

Just finished saying that your excessive modesty is pride.

You just say it's a trick! ?

Luo Qiping blushed, you are playing tricks, what am I?

But... Thinking about it carefully, Chen Nan really taught everyone everything without reservation.

You can't argue yet!

This kid... is interesting...

Hearing everyone talking and laughing, Zhang Xiao on the operating table was a little confused.

Or panic!

He even regretted it a little now, is it too late to say general anesthesia?

I'm fucking lying on the hospital bed, you... can you respect me a little?

It is said... those doctors like to chat during the operation. One of his seniors had an operation last year. He said that when the group of doctors operated on him, they discussed where to go to eat hot pot at night. Stick bones or something... He shuddered when he heard it.

At this moment, Zhang Xiao really felt the slightest empathy.

He couldn't help but said, "This... Excuse me!"

"Am I... serious?"

"Director Luo, Director Chen."

Luo Qiping suddenly laughed: "Seriously?"

"Zhang Xiao, if you ask me, you have to thank Director Chen very much."

"I can tell you responsibly that you can resume training in less than two months!"

"And, your physical fitness, your athletic ability, will never be compromised!"

"Director Chen's method just now solved many problems!"

Zhang Xiao couldn't understand the techniques and joint capsules, but he understood the previous sentence, which means... Can he recover better?

Will it not affect training, let alone cause damage to your athletic ability?

This... is it true?

Zhang Xiao couldn't help getting excited: "Really?"

Hearing Zhang Xiao's question, everyone couldn't help laughing.

Luo Qiping even smiled and said, "Can I still joke with you?"

"hehe!"

"real!"

"believe us!"

After speaking, Luo Qiping said to Meng Si and Li Ke beside him: "Okay, you two, get ready to start!"

Meng Si nodded quickly and smiled: "To be honest... I can't wait!"

"It's like seeing a plate of braised pig's trotters when someone has been hungry for days!"

Zhang Xiao: "???"

I'm still awake, brother!

Can you consider how I feel?

Is it a little...a little bit too much? !

While speaking, everyone was preparing for the operation.

And Sha Guangzhong on the side finally had time to observe the patient's reaction to anesthesia.

He wanted to see how effective the acupuncture anesthesia was.

If... it can relieve the pain without so many side effects of anesthesia, if it is stable and long-lasting, this... will be extraordinary!

After the operation begins.

Along with incision of the joint capsule, the soft tissues and fractured ankle are observed and inspected.

Zhang Xiao didn't show the pain that he should have. On the contrary, the patient's reaction was not much worse than spinal anesthesia.

Sha Guangzhong couldn't help looking at Chen Nan who was observing the operation, and asked with a smile:

"This... Director Chen, hello, I am Sha Guangzhong, the director of the anesthesiology department in our ward."

Chen Nan turned around and looked at Director Sha who was wrinkled when he smiled, and smiled: "Director Sha, hello."

Sha Guangzhong smiled slightly: "This...Director Chen, I have also done some research on acupuncture anesthesia."

"However, it really can't achieve your effect!"

"How do you do it for different levels of anesthesia and pain relief?"

Chen Nan said with a smile: "Different acupuncture points have different effects, but for the anesthesia of the joint area of ​​the lower limbs, there are actually not many acupuncture points."

"After the operation is over, I'll sort it out and send it to you."

"Let's go back and think about it together."

"After all, I am from Yeluzi, and many things are not very systematic."

Upon hearing this, Sha Guangzhong quickly waved his hands: "Director Chen, you don't need to be modest!"

"You are a dragon crossing the river and a tiger descending the mountain. You are so powerful!"

"To be honest, Director Luo rarely gives such a high evaluation."

"Don't be humble."

"I have a lot of questions here, and I want to consult."

"I just noticed that the waveform, wave width, frequency, intensity, and combination of your electroacupuncture adjustments seem to be different from ours."

"Is this different for the effect of anesthesia?"

Chen Nan took a good look at Sha Guangzhong, who observed him quite carefully.

He nodded and agreed: "That's right, for acupuncture anesthesia, I usually use high frequency (40-200HZ) at the incision points, and low frequency (2-8HZ) at distant points."

Sha Guangzhong heard the sound and nodded thoughtfully: "This should be the reason why the muscles are completely loosened!"

"The high-frequency waveform, frequency, and intensity will strengthen the stimulation of acupuncture points, and at the same time help to accelerate the secretion of neurotransmitters, making the suppression of the central nervous system more obvious."

"The remote assistance is to help the surrounding organs and tissues not be involved!"

"This is a good way!"

"However... I have a question, Director Chen, how did you manage to stimulate the organization's multi-level and multi-directional damage?"

"This is something I have never understood!"

"I am an anesthesiologist. In order to learn this acupuncture, I also worshiped a teacher and studied it for more than ten years."

"Since the establishment of our integrated traditional Chinese and Western medicine ward, I came here and started to learn acupuncture."

"Hey... It's been a while since I found out the practice, I'm a little anxious!"

"When I have time, I have to ask for advice."

Chen Nan smiled and nodded: "Yes!"

"Exchange and learn from each other."

The operation progressed quickly, and there was not much to be done. After repairing the patient's talofibular ligament and deltoid ligament, the fracture was fixed with intramedullary ankle screws.

The materials used are also excellent, in order to avoid secondary damage in the later stage.

This is good news for athletes.

The operation didn't last long and it was over!

At this time, Zhang Xiao really wanted to ask the directors how the surgery worked.

He looked at Meng Si with unsatisfactory eyes, somewhat uneasy.

He was about to speak.

Luo Qiping spoke suddenly, he looked at Chen Nan and asked, "Director Chen, how long will this anesthesia effect last?"

"Will it hurt after the needle is removed?"

"This patient has just had surgery, and it will take some time to get used to it."

Chen Nan smiled slightly: "No."

"The acupuncture anesthesia I used just now is actually not a simple anesthesia."

"It's the combination of acupuncture and moxibustion for analgesia during surgery."

"The purpose is to avoid the occurrence of intolerance to wound pain after surgery."

"Take the needle, it will be done right away."

"After the needle is removed, the patient's pain will not be obvious."

"Of course, the feeling of the lower limbs exists, but it only limits the intensity of the pain."

"I'm taking the needle now, and everyone can see the patient's condition."

Meng Si glanced at Li Ke, and both of them saw each other's thoughts from each other's eyes.

I can't stop thinking about it!

They want to do more of this kind of surgery.

After all, the allure of a perfect surgical condition to a surgeon is like a gourmet to delicious food. He is reluctant to eat and wants to savor it carefully, but...unknowingly, after eating, he starts to feel unsatisfied, his stomach is full, and his mouth is not full Same.

At this time, when they heard the news that Chen Nan had taken the needle, they were stunned for a moment!

Meng Si said in disbelief: "To be honest, I am not a patient who has never tried acupuncture anesthesia."

"But... Let me tell you the truth, during the operation just now, I forgot that it was acupuncture anesthesia!"

"The patient's response is not at all, the anesthesia effect is very good, and the response to all organizational levels is very good!"

"If Director Chen hadn't mentioned acupuncture anesthesia just now, I almost forgot about it!"

"Hey……"

"This acupuncture anesthesia, the effect is really good!"

Li Ke nodded in agreement: "Yes, the effect of anesthesia is not inferior to spinal anesthesia at all."

"Director Chen, it really opened our eyes!"

Sha Guangzhong said with a smile: "That's right, I definitely give this anesthesia a thumbs up!"

Luo Qiping originally admired and admired Chen Nan very much, but...now that everyone around him looked like they had never seen the world, he felt a little more embarrassed.

These bastards!

Do you want to act like a country bumpkin?

You are the pillars of the China-Japan Friendship Hospital, okay?

You are the future of the integrated traditional Chinese and Western medicine ward, understand? !

You look at yourselves now?

Luo Qiping can't wait to piss and show these people how he looks at this moment!

shame!

Pooh!

At this time, Zhang Xiao saw that everyone was silent, and was summoning up the courage to ask questions.

Luo Qiping interrupted again.

"Get the needle."

Zhang Xiao's words that came to his lips were held back again.

Chen Nan nodded with a smile, and said, "You are welcome, let's see the effect."

"Actually, my understanding of acupuncture and moxibustion anesthesia for surgical anesthesia is divided into long-acting analgesia and a combination of short-acting analgesia."

"Short-acting analgesia is to strengthen acupoint stimulation, so that patients will not have too much pain response during surgery."

"The long-term mechanism is to use the method of pain relief to reduce the pain."

While speaking, Chen Nan turned off the power of the electroacupuncture, and then began to take the needles one by one.

When all the acupuncture needles are taken out.

Chen Nan nodded to Meng Si: "Director Meng, try it."

Hearing the sound, Meng Si was eager to try, nodded quickly, and gently touched the patient's ankle area with his fingers.

Zhang Xiao closed his eyes.

He understood now.

Myself...is superfluous!

Happiness is theirs, excitement is yours too, and I am just a tool for your happiness...

At this moment, he wished he could pick up an iron block and smash his other ankle, making them worry about him.

You...you don't treat me like a patient at all, okay?

indeed!

When the operation goes well and there are no twists and turns, the doctor is very happy in the operating room.

If the doctor becomes serious and the atmosphere is serious, it can only explain one problem, this operation may be... dangerous.

Zhang Xiao closed her eyes and ignored the group of people.

Meng Si touched Zhang Xiao's wound lightly with tweezers at this time: "Does it hurt?"

Zhang Xiao closed his eyes and remained silent.

He didn't realize that the other party was talking to himself.

When Meng Si saw this, he was stunned. Several people around him also looked at Zhang Xiao curiously, and then looked at Meng Si.

"You touch it?"

Meng Si was helpless: "I touched it!"

Seeing this, Luo Qiping rolled his eyes: "Give it to me!"

While speaking, I touched myself.

Zhang Xiao: Close your eyes, don't disturb.

Meng Si looked at Zhang Xiao at this time and asked, "Zhang Xiao, do you hurt?"

Zhang Xiao quickly opened his eyes and looked at them excitedly. Did you finally think of me?

"I... hurt? Where does it hurt?"

Meng Si: "..."

People around: "..."

Meng Si: "I said, does your ankle hurt?"

Zhang Xiao was stunned for a moment: "It doesn't hurt, why does it hurt so much?"

Luo Qiping's eyes widened immediately, it's all over, could it be... Acupuncture anesthesia also has an expiration date?

Need to wait for the anesthetic to wear off?

Chen Nan said at this time: "Use some strength!"

Luo Qiping nodded and tried a little harder.

"Oh, I feel it!" Zhang Xiao said hastily, "But...it's not very painful, it's just...the feeling of numbness."

Luo Qiping breathed a sigh of relief: "Oh!"

"it is good!"

"Okay, let's send the patient away."

"Go back and have a good rest."

"Nurse."

The nurse nodded quickly, and everyone moved Zhang Xiao to the hospital bed, about to be transferred.

And Zhang Xiao quickly said: "Wait!"

"Is my operation going well?!"

If he doesn't ask now, he will go back to the ward soon.

Damn... a surgery, and I have no right to speak.

Hearing the sound, everyone was stunned for a moment, then looked at each other, and then laughed hahaha.

Zhang Xiao is at a loss!

I... I asked this question, is it very 2?

What are you laughing at?

At this time, Meng Si said with a smile: "Okay, don't worry, it's a success!"

"The operation went well!"

"Take good care of yourself."

"Nurse, push away."

Zhang Xiao was dumbfounded, just watching himself being pushed away.

That's it?

The joys and sorrows of human beings are not interlinked...

...

...

After returning to the ward, Chen Nan suddenly became a favorite.

Luo Qiping asked Li Ke to prepare the patient's VAS score and test the patient's recovery in three days.

Then he said to Chen Nan: "Director Chen, I really trouble you today!"

Chen Nan smiled: "Director Luo, you already call me Director Chen, isn't this my job?"

Luo Qiping smiled slightly: "Hehe, yes!"

"It makes sense."

"By the way...it's still the same thing. Do you have any department you want to go to? Let's discuss it in the afternoon."

Listening to Luo Qiping's words, Chen Nan pondered for a while and said, "Forget it, let's talk about it tomorrow."

When Luo Qiping heard the sound, he suddenly became curious.

After all, he offered to help Chen Nanlai settle the situation now, but he is not in a hurry?

You can't really hang a title without actual work, can you?

Could it be...Chen Nan wants to work in orthopedics?

Thinking of this, Luo Qiping's eyes lit up, it should be like this...

After all, the work carried out after Chen Nan came today has already been approved by everyone.

This is without a doubt the best place to start your work.

But……

In fact, Luo Qiping also had his own concerns. If Chen Nan went to the orthopedics department, the work in this ward would still involve a lot of internal medicine and massage and acupuncture, which would be a bit inappropriate.

"Director Chen, I am straightforward, and you are quick to talk, so let's not go around the bush. What do you think, tell me?"

"Or, which department do you prefer to go to and which department you are good at?"

Chen Nan smiled: "Director Luo, I appreciate your kindness."

"I know what you mean."

"However... as you said before, the three generations of old, middle-aged and young people in each department are very stable, and the structure of the department is also good."

"When I went there, I definitely destroyed the chemistry."

"I'm not here to cause trouble, of course."

When Luo Qiping heard this, he immediately shook his head: "Director Chen, what you're talking about..."

Chen Nan waved his hands and continued:

"I was thinking, since the internal medicine department has a lot of opinions on my arrival, after I go now, it will not please me."

"After all, everyone's work should be focused on business, not on intrigue."

"So, my thinking is, don't schedule work for now."

"Just be the deputy director of this special ward."

"Among the nine departments, I also checked. There are a total of five internal medicine departments in the Department of Pulmonology, Cardiology, Spleen and Stomach, Gynecology, and Medical Oncology."

"I don't know the situation of each department, so I went there rashly, it's inappropriate!"

"What I think is, I will be the deputy director of this ward, and then participate in the big rounds of each department."

"In this process, I think it is more appropriate."

"I can not only participate in the department, but also understand the department."

"Slowly, blend in again."

"To tell you the truth, when I was down below, I was always in charge of the work of the Department of Traditional Chinese Medicine, and I rarely looked at problems from an outside perspective."

"It just so happened that when I came here, I stood in the position of the deputy director of the integrated traditional Chinese and Western medicine ward, and looked at each department."

"Of course, I want to learn more about surgery, but... for now, I still want to focus on internal medicine."

"Relieve some stress!"

Luo Qiping stared at Chen Nan, knowing that the other party was telling the truth, but... because of this, his evaluation of Chen Nan suddenly increased a lot.

This is a young man who knows the big picture.

You can't judge his ability by his age.

And... as Chen Nan said, from different perspectives, the way of looking at and thinking about the problem and the starting point are different.

It's just...he has a doubt.

That is, can Chen Nan solve these problems?

You know, these departments all have something they are good at. Chen Nan's situation... is undoubtedly a test!

"Director Chen...do you want to come one by one?"

"Otherwise, this... involves so many departments, doesn't it..."

Chen Nan smiled: "Director Luo, don't worry about this."

"Since I dare to come, I am ready."

"Don't worry!"

Luo Qiping nodded and laughed, this is really... It's not that the dragon can't cross the river!

"it is good!"

"Spine!"

"I like you!"

"Well, since you just came here, I'll call a few friends tonight, and let's sit down together. After all, we'll all be colleagues from now on."

Chen Nan smiled: "Then I will go with my mouth and stomach!"

Luo Qiping was immediately happy: "Okay!"

"Just bring your stomach and mouth!"

...

On the same day, the news reported by Chen Nanlai spread to all departments in the integrated traditional Chinese and Western medicine ward.

The directors also know that the deputy director of the ward is here.

For a while, everyone's minds were very complicated.

But that night, Chen Nan received a system notification tone.

【Ding! Trigger the system upgrade task! 】

[You successfully took office as the deputy director of the integrated traditional Chinese and Western medicine ward of the China-Japan Friendship Hospital, triggering the system upgrade task: a blockbuster! 】

[Task Requirement: Newcomer, starting today, use your strength to prove yourself, within three days, complete the blockbuster. 】

[After the task is completed, the system will be officially upgraded and a new section will be opened. 】

Chen Nan was stunned for a moment!

System upgraded? !

This...is a bit sudden.

A blockbuster...how amazing?

Chen Nan couldn't help thinking.

...

ps: Thanks to the leader of the alliance for "regardless of it and ignore it" for the heroic reward of 15,000, thank you brother.

Thanks to the old friend "Military Blade" for the heroic reward of 1500, thank you.

Thank you for your support. The new map will be written well. In fact... the protagonist in the source city is already tied up. This map will have more cool points and the writing will be more thorough.