401 Start looking up
With the development of the times, the level of leadership has become higher and higher. In the early years, to be honest, when superiors sent personnel to units or subordinate departments, if the leaders sent by superiors were not experts, they would really
, the people below can deceive him as a fool.
There is a joke in the medical circle that a hospital bought some equipment and seemed to spend less money than others in other areas. The hospital suddenly went from being the last to be the best in one area to becoming a local benchmark.
The leaders were happy because they spent a lot less money than other regions to build benchmarks, so they sent people there. The leaders of the hospital served the people sent by their superiors with delicious food and drinks.
As soon as I asked, I started to report data, such as ISS900 and international standards. Anyway, the data on paper was quite good. The people who were sent down ate and drank well, took the hospital's materials and went back to celebrate.
As a result, the equipment dealer was arrested in other areas, and then the hospital leaders here were implicated. After asking, I found out that the data could be pieced together.
When people buy sticks, the data is much better than the stuff from Germany and the country of meatballs, but the use of this thing is a mixed bag.
This is the disadvantage of being unprofessional, and you have nothing to do about it. So many leaders later assigned the position of authoritative consultant. And in the subsequent procurement, not only the model and data of the machine equipment must be clarified, but also the
The trademark must be confirmed, lest the people below will fool the leaders.
The leaders in the venue were really in a state of confusion after being deceived by a bunch of talkers. It was not easy for them to get to this position. To be honest, no one could be too cautious.
Therefore, he neither wanted to be surrounded by the talkative people who wanted to start the car from time to time, nor did he believe in the skills he saw with his own eyes. He went to ask Uncle Zhang Fan.
He knew that the gossips might fool him, and his own eyes might fool his brain. But Mr. Wu wouldn't, and Zhang Fan was Mr. Wu's nephew. If something really happened, Mr. Wu would be a shield after all!
Is it difficult to develop technology? It’s difficult, it’s really difficult, but it’s even harder to work within the system. The driver leader of the Ministry of Health immediately found a well-founded way to advance and retreat within a few minutes. This is not what ordinary people can think of.
of.
A scholar in Golden Retriever once ridiculed the difference between the two countries, saying that the top talents in Golden Retriever are all on Wall Street, while the top talents in China are all taking public office exams.
After getting Mr. Lu's affirmation, the leader returned to the venue. A few seconds before he sat down, he stood in front of his seat, turned his head with a look of contempt, and shot a bunch of mouthfuls, as if he had become knowledgeable about medicine in an instant.
, I will never be fooled again!
King's contempt?
On the display screen in the venue, Zhang Fan and Zack Stein had entered the critical moment of the operation. It was also necessary to use the strength of a tiger to tie a rabbit, not to mention that neither of them treated each other as a rabbit.
Vaguely, Zhang Fan versus Zuckerstein is like Hua Guo versus Golden Retriever. The more they look at each other, the more they resemble each other.
Zackstein, a golden retriever, pays more attention to the restoration of spinal nerves. In fact, he relies on detailed anatomical diagrams that others do not have, and strives to repair the nerves and spinal cord to the patient's original state after injury.
Most treatments are actually like this. In orthopedics, there are two terms, physiological anatomical position and functional anatomical position.
The anatomical position means that this thing is originally here. Just like many children's penises, it is crooked. This is the physiological anatomical position.
The functional anatomy position is for example, if a bone is broken, the doctor directly performs a manual reduction. Although the healed bone looks slightly crooked, at this time, it does not affect the function of the patient's bone at all. This is a functional position.
anatomical position.
Which is better, the physiological anatomical position or the functional anatomical position? This requires detailed analysis of the specific situation.
If open reduction is performed, physiological and anatomical reduction is required as much as possible, but the damage is quite huge.
Many people know that a steel plate is needed for a broken bone. However, few people know how to put a steel plate on, and doctors will not explain it to you in detail.
First of all, when a bone is broken and cut, the first thing to do is to check whether the surrounding blood vessels and nerves are good. If they are damaged, whether they can be repaired. If they cannot be repaired, ligate them as soon as possible. If they are damaged, the nerves are ligated.
Once the damage is not complete, there will be residual neuralgia that will always feel like an electric shock. If this symptom is on the surface of the body, a second surgery will be required.
If it is deep inside the body or on important organs, it is a disease that can never be cured and the patient will need to take painkillers all year round.
After removing the rotten flesh, blood vessels and nerves around the broken end, it is time to deal with the bones.
First of all, the bones themselves have no blood vessels and nerves. Don’t think that this thing is just a stick based on calcium carbonate. In fact, this thing also needs to eat and drink.
It eats and drinks on a layer of periosteum on the surface of the bone. The large blood vessels are hidden in various grooves and ravines in the bone. In order for the bone to better protect it, it needs to pay a protection fee.
This protection fee is that many small capillaries branch out from the large blood vessels and crawl like spider webs in the periosteum. These small capillaries then nourish the bones.
After a fracture, a steel plate needs to be applied. The steel plate needs to be tightly attached to the bone, otherwise the thing will break if the patient exerts a little force.
Therefore, in order for the steel plate to stick to the bone, the orthopedic surgeon needs to take an osteotome, which is the kind of chisel that is used to cut stones, and then start to remove the periosteum on the side where the steel plate is to be placed.
Tsk! Tsk! Tsk! The white waxy periosteum was scraped clean.
This periosteum is actually like the bark of a tree. Once it is scraped too much, even if a steel plate is applied, bone nonunion and bone atrophy will occur because there is no one to cook!
Quite cruel. This is a lot of price to pay for achieving physiological and anatomical positions!
Some doctors perform surgeries, and the X-rays are so beautiful that it makes people happy to see them. The steel plate looks like it has grown on the bone originally, while some doctors perform surgeries and the steel plate seems to be barely hanging on the bone.
At this time, the beautiful one may not have better results than the ugly one. Maybe the ugly doctor can do better.
But now, many doctors, for the sake of their own reputation and to satisfy patients who are half-understanding, scrape the periosteum extra clean, and then the X-rays look extra beautiful.
This is typical of treating films instead of treating people!
Zuckerstein, the path we are taking now is to reduce the damage and then allow the damaged nerves and spine to return to their original anatomical position. This is very difficult.
Just like an old Chinese saying, if you want to be a thief and get something for nothing, but you don't want to be beaten, so this is very difficult.
Everyone looked at Zuckerstein's subtle techniques and really saw the gap in their hearts. Not to mention other things, his blood vessel repair put many so-called experts to shame.
"Hey, there is still a gap! It seems that I will find an opportunity to go to a special orthopedic hospital for further training!" Looking at Zackstein's technique on the screen, many directors of large tertiary hospitals were secretly planning in their hearts.
This kind of thing must never be said, even if it is obvious, it cannot be said. Then China has formed a rule that is not a rule. If a doctor wants to compete for the director of the department, he must have a doctorate and be good at surgery. These are basic and everyone
Rules on the surface.
There is another hidden rule that no one ever mentions, which is that you must have experience of studying in the Golden Retriever Country or studying abroad! Therefore, how many doctors in big cities have resorted to all kinds of weird tricks to get a place to study in the Golden Retriever Country.
To further study in China, you need to give money to others!
When everyone looked at Zuckerstein, Zhang Fan slowly let some people with higher technical levels notice his differences.
"Huh? Doctor Zhang seems to have changed the shape of his nerves again!"
When the surgery reached a fork in the road, Zhang Fan and Zack Stein took different paths.
Zach fixes for the sake of fixing.
Zhang Fan, on the other hand, found many different surgical methods due to the large number of experimental surgeries in the system, and there were many surgical methods that were more advantageous than the original surgery.
This time, he showed one of them, changing the route!
Repairing the original nerves required destroying a large amount of surrounding tissue. Zhang Fan directly used the new technique he found in the system to directly allow the nerves to retain their original functions and took another path.
Whose surgery is more difficult? It’s really hard to say whose surgery is more difficult. Neither reconstruction nor repair is easy.
But if one's surgical method is less damaging, Zhang Fan's method is of course the first choice.
However, Zhang Fan's surgery also has disadvantages, that is, it requires a lot of surgical trials. To be honest, if it is simple, why can't so many orthopedic surgeons around the world not think of it?
Some people may have thought of it, but to achieve perfection, it is not only a matter of time, but also of various related laboratories and test products, all of which are money!
So, at the beginning, everyone was amazed at Zuckerstein's surgical method, "Wow, it's so exquisite."
"Awesome! So awesome!"
"Hey, he is a top orthopedic expert after all. He is so awesome!"
Before everyone could finish feeling impressed by Zuckerstein's technique, the higher-level doctors in the venue stopped talking and stopped watching Zuckerstein's surgery.
These people were all looking at Zhang Fan attentively. They didn't even blink their eyes, let alone talking. They just stared so carefully, as if they were afraid of revealing any details about Zhang Fan.
Then, others slowly discovered that the experts were watching Zhang Fan's surgery!
"Let me go, what is this for? How did Dr. Zhang pull out someone's nerves? Oh my god, Dr. Zhang, don't make trouble, this thing is not for masturbation!"
Young doctors don’t understand it at all!
But this cannot stop some young people who regard Zhang Fan as their role model, "Damn, Zhang Yuan is awesome. He pulled out the nerves intact. Do you want to check it?"
When the surgeons in the two operating rooms walked in different directions, the venue became lively.
Partial support for Zuckerstein.
Some support Zhang Fan.
Chapter completed!