205 There are no shortcuts to technological growth

The road to simplicity is only focus, and the system is like an addiction that makes Zhang Fan obsessed. From the initial confusion, to worrying that the system would disappear at any time, to mastering a little orthopedic knowledge and then clicking on Kaipuwai, Zhang Fan's medical technology has grown rapidly, and his mentality has also changed constantly.

Now Zhang Fan is more and more focused on the improvement of medical care, and there is no anxiety like before, he has a girlfriend, a house, a car, and a stable life. No more worrying about life, no more worrying about daily living expenses.

Maybe Zhang Fan, who has lived an ordinary life since he was a child, does not attach much importance to material requirements, but now his life has satisfied Zhang Fan, and the rest is the pursuit of his dreams.

Although the system can't open new subjects, Zhang Fan keeps exercising and honing in the system, and the best way for medical technology and level is to keep learning and practicing. Day after day, the little bits come together, and the sapling will always become a towering tree. Shao Hua, who is already good at studying, is also refueling the review, a proud woman!

Human beings have evolved from crawling on all fours to standing and walking, and the ankle joint is actually an enlarged version of the wrist joint.

Wang's former teammates decided to have surgery anyway, and the chronic pain in the ankle joint was too torturous. This kind of surgery is also a favorite surgery in private hospitals, first of all, it has less consumables, less drugs needed before and after the operation, and in addition to the doctor's labor, the rest is almost pure profit. So this also represents the reason why no one in public hospitals is researching and no one is doing it.

The space in the ankle joint is so small that it usually takes several surgical windows to see the injury clearly. Moreover, the operating space is too narrow, and the first complication of this operation is the broken instrument! You can imagine how difficult this operation is.

These former professional athletes, compared with the general population, they still have a relatively wide range of contact, and the more famous the athletes, the wider the contact area. Wang Yongyong's teammate had a particularly detailed understanding of Ma Wentao's hospital before the operation, and only learned Ma Wentao's identity after inquiring, so he was particularly relieved to prepare for the operation.

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

Family members talking, signing, and preoperative examinations no longer need Zhang Fan to worry about, the hospital's surgical system is already sound, and several doctors, these people are not only Ma Wentao's surgeons, but also Zhang Fan's team.

Every Zhang Fan knows and has dealt with these doctors, from character to business level. At present, Li Liang wants to study arthroscopy in depth, so the patients who undergo arthroscopic surgery are all in Li Liang's bed.

"You have to be careful with this surgery, because the space is small and it is easy to damage the cartilage articular surface of the joint, so you must be clear about the tissue structure here. Zhang Fan explained to Li Liang while preparing for the operation.

Li Liang's talent is average, but he is valuable in working hard, once in the county hospital, in order to practice knotting, Li Liang directly tied black silk threads on the head of the steel tube bed in the dormitory, and he couldn't beat five boxes of silk threads in one night, and his talent was not hard enough to make up, medicine is like this!

At the beginning of the operation, this anesthesia is epidural anesthesia, tying the hemostatic balloon on the leg, Zhang Fan starts the operation, if according to the usual habits, Zhang Fan rarely speaks when he does the operation, there is no need to try not to speak.

One is for aseptic operation, and the other is due to personality, but now it can't be done, not to say it, because Zhang Fan is going to take Li Liang now, so he has to explain to Li Liang while doing it.

"This surgery is generally done with the anterolateral approach of choice, at the lateral end of the ankle line, at the lateral border of the third peroneal muscle and extensor digitorum longus, and it is important to note that here the terminal branch of the superficial peroneal nerve passes. As Zhang Fan spoke, he had already put the mirror into the cavity of the joint.

Although Li Liang had previewed the textbook several times before the operation, when Zhang Fan began to explain, Li Liang was still confused, the explanation in the textbook was very basic and simple, and if he wanted to keep up with Zhang Fan's rhythm, he had to come down to find more professional books to review and practice!

In ankle arthroscopic surgery, in order to facilitate the need for surgery, a joint retractor is generally used, and Zhang Fan slowly debrides under the microscope, excises the synovium, and removes some bone spurs. If you want to completely clear the pain, you need to adjust the inside of the joint accordingly.

Arthroscopic surgery is difficult, because it is not macroscopic, you must be familiar with the tissue structure, the space is just a little bit, after the lens enters, you have to know that this place is that tissue, that area, what kind of tissue is the front and back, left and right, up and down, and it must be clear. And you need to know how to adjust it is the best and most reasonable.

A more high-end point is to combine the patient's usual walking posture and force characteristics to individualize the differential treatment, which is also lacking in Huaguo at present, the patient base is too large, and the doctors in Huaguo can be said to be very powerful in the field of basic surgery, but it is difficult to go further.

There was once a joke that a doctor from New Zealand came to China for exchange, and an ordinary undergraduate resident doctor did gallbladder better than him. But ten years from now, if we compare it again, the residents in China may still be working on the gallbladder, and they may have already begun to study liver transplantation! This is the gap, the gap in the medical system, and the meaning of the doctor in a foreign language is originally a learned meaning, and because of the population factor, these doctors are just technicians.

Repeating some basic surgeries day after day, talk about improving, is just a basic operation, more and more proficient, because there is no condition for him to study. Once the golden period is over, he is just a surgical craftsman.

Zhang Fan repaired the old damage little by little, "We must pay attention here, there are many nerves, blood vessels and tendons here, and we must avoid them during surgery." The more Zhang Fan said, the more special things to pay attention to in an operation.

Li Liang can't wait to record the operation process, Zhang Fan said that the knowledge points, he can learn at most one percent, Li Liang is not depressed now, because he is used to it, after every different operation, he has to study for a long time before he can integrate the knowledge points Zhang Fan said.

At present, there are two theories about ankle surgery, one is that the ankle joint is not sutured after surgery, so that the blood and fluid in the joint cavity flow out naturally, so that the incision heals naturally, and Zhang Fan will not do this, because he believes in his surgical level and only puts a drainage strip to suture.

After the operation, a compression bandage is performed on the lower leg, "This bandage is released after two days." Zhang Fan explained some postoperative matters to Li Liang.

The operation went well, and after the operation, Zhang Fan sat in Ma Wentao's office, because Ma Wentao had something to say to Zhang Fan.

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