In fact, the case discussion started at two o'clock, and the case discussion at the sports medicine center began at about three o'clock.

This patient with lax Achilles tendon has won the gold medal in the women's 5,000 meters at the Olympic Games, and is still in the golden age of sports, so the attached one attaches special importance to it.

If this patient's surgery is done well, it is possible for the sports medicine specialty of Appendix 1 to enter the top of the industry pyramid like spine surgery.

After seeing the patient, Su Nanchen took Yang Ping to the conference room on the twentieth floor, where the weekly orthopedic case discussion was held.

In the second row of the conference room, there were two vacant seats left, and Su Nanchen took Yang Ping to sit down.

Sure enough, it was a big scene, and the first row sat the directors of various specialties of the orthopedic center, all of whom were doctoral supervisors, experts who received special government allowances, and several of them were well-known bigwigs in the country.

For example, the director of the spine center, Professor Zou, who is the national scoliosis orthopedic boss, he has been following Professor Su before, after Professor Su became the dean, the clinical work has paid less attention, the focus is on scientific research and administrative work, most of the surgeries in the spine center are handed over to Professor Zou, the first editor-in-chief of "Scoliosis Surgery" is Professor Su, and the second editor-in-chief is him.

Professor Huang, director of the Trauma Orthopedic Center, is also a nationally renowned professor and one of the chief translators of "Principles of AO Fracture Internal Fixation".

Professor Guan Sheng of the Sports Medicine Center, the proud protégé of the sports medicine boss of the Third Hospital of the Imperial Capital, was poached by Su Qingyun, and in a few years, sports medicine has become prosperous.

When ordinary doctors sit in this venue, there is definitely a sense of shock and oppression. But Yang Ping didn't, he was very calm, after all, he was a person who had been tempered in the system space.

He sat calmly and calmly, Su Nanchen secretly observed, this calmness, this calmness, by no means ordinary people can have, even more admiration in his heart.

The hierarchy of doctors is vividly reflected here, and even if there are vacant seats in the first row, there are no unqualified people sitting on them.

The second row is the professor who leads the group, all of whom are chief physicians or deputy chief physicians; The third row is for the other deputy chief physicians, and the fourth row is for the outstanding people in the younger generation.

Starting from the fifth row, you can sit freely, but you still spontaneously divide into camps, such as doctors and attending doctors in the front, masters and resident doctors in the back, and those who study and train in the back, and no one stupidly squeezes to the front.

Sitting in the second row, there is also Chen Ge, the professor of sports medicine, this guy is also a character, he usually likes to compare with Su Nanchen, he is Guan Sheng's doctor, he graduated and stayed in the attached one, arrogant and competitive, but he has been pressed by Su Nanchen.

He saw Su Nanchen lead a stranger in, and secretly glanced sideways.

Chen Ge knew that Su Nanchen had invited a doctor from an outer hospital to come for a consultation, and he had been thinking about what was sacred, but he was actually invited by Su Nanchen for a consultation, and now he has seen the real person.

I thought it was a professor, looking at this face, why is it only in his twenties, a young doctor, come to the attached one for consultation, this is a bit interesting, Chen Ge touched his chin, and sneered a little in his heart.

Su Qingyun looked back and saw that Yang Ping was already sitting with Su Nanchen, looking at his appearance, he was as steady as Mount Tai, and he secretly admired it in his heart.

Although the voices were loud, the speakers were not noisy or engaged in personal attacks, but were reasonable, purely academic arguments, and academic problems were resolved in an academic way.

Anyone has the right to speak, and there are no consequences for speaking! Doctors have ranks, and there is no hierarchy in speech, which is the rule set by Su Qingyun, and the free academic atmosphere is also one of the magic weapons for the rapid development of the Department of Orthopedics.

Usually, the general case discussion is the internal discussion of each department, and the cases discussed at the level of the orthopedic center are either difficult or high-risk or some new procedures, or they are patients who are in important positions and have a certain social impact.

Yang Ping also listened, one of the scoliosis was almost folded in half, his nose was about to touch his toes, and he was ready to do orthopedic surgery to straighten his spine.

Finally, it was the turn of the sports medicine center to discuss two cases, one with knee instability and the other with lax Achilles tendon.

This knee joint instability, professional football player, well-known football star, knee dislocation, resulting in anterior cruciate ligament, posterior cruciate ligament, posterolateral structure, posteromedial structure all rupture, all need to be reconstructed, and the four structures that need to be reconstructed, of which the posteromedial structure and the posterolateral structure to be reconstructed are several, which is like a nesting doll, and the complexity can be imagined.

The surgery is very complicated, and the reconstruction of this case is the top surgery for knee sports injuries, and there are only six hospitals in the country that can do this surgery, and there are only a handful of doctors who can do it.

Most of the surgeries in sports medicine are not life-saving, the goal is to focus on the function, and the most exquisite quality of surgery is not to solve the problem of whether there is or not, but to solve the problem of quality and inferiority, and the goal of plastic surgery is to directly target the appearance, and the results are clear at a glance.

"What do you think of this case," Su Nanchen whispered.

"There are too many structures to rebuild, and we must grasp the static balance, the dynamic balance, the short-term balance, and the long-term balance." Yang Ping also lowered his voice.

"If you do it, fractional surgery or one-time surgery?" Su Nanchen wanted to probe his tone.

"Once! That's how you can achieve a true balance. Yang Ping replied without thinking.

It is very difficult to balance at a time, and Su Nanchen is embarrassed.

The second case is a female long-distance runner with a loose Achilles tendon, Dr. He came to the stage to report the medical records, and the attending doctor was on the side to help, replenishing at any time, and the image data was marked with a striking date and projected on a huge high-definition screen.

"This patient is a professional athlete, the problem of the Achilles tendon is related to athletic performance and future career, we plan to do Achilles tendon shortening, only to use the classic operation, the Achilles tendon Z-shaped or transverse cut, and then do shortening sutures, which solves the problem of relaxation, but leads to a new problem, the Achilles tendon is severed and re-anastomized, there will be a partial scar, even if it is very little, it still exists, a small amount of scar healing will also reduce the strength and endurance of the Achilles tendon, the patient has been to the United Kingdom for medical treatment, and the treatment plan given is also the same, So please discuss it and see if there is a better solution? ”

After the medical record report was completed, Su Nanchen pointed out the purpose of the discussion as the leading professor.

"As for suturing the Achilles tendon, any orthopedic resident can suture it proficiently, and how much we shorten it is the core of the problem, and more, causing tension in the Achilles tendon; Less, the Achilles tendon is still loose. As for scar healing, it is unavoidable, the surgery is done under a microscope, and the Achilles tendon is quickly cut with a sharp knife, and the stitches are as neat as possible to reduce scar healing. Chen Ge spoke very actively.

"So how do you tell how much shortened?" Guan Sheng, director of the Sports Medicine Center, asked.

Brother Chen said proudly: "How much does the tension of the tendon increase for every millimeter shortened, I am doing animal experiments, and the data is being sorted out." ”

"Orangutans crawl on four legs, while humans walk upright, and the thickness of the Achilles tendon fiber structure of orangutans is not the same as that of humans, so it is difficult to apply animal experimental data to humans." Another professor of sports medicine with a group objected.

"Why do we have to do animal experiments, and can't we look for reliable data directly from the healthy side?" A postdoc on site offered his opinion.

"During the operation, the skin on the unaffected side is directly incised, the Achilles tendon is exposed, the tension in the same posture is measured, and then this data is applied to the affected side, which is shortened step by step until the tension meets the data of the unaffected side!" The postdoc went on to explain.

He nestled in the fourth row, looking unkempt, with a button on his white coat, a bottle of milk in his hand, and a straw chewed to pieces.

Drinking milk and eating, as long as it doesn't make too much noise, is allowed, because of the case discussion in the afternoon, many doctors may have just had surgery and didn't eat lunch.

"The tension adjustment that everyone talks about is static, the patient's running is dynamic, and we must analyze the patient's movement state, after all, the patient's Achilles tendon and triceps have a relative slippage, is it still according to the previous standard to determine the tension? This data must be fetched from the dynamics. Su Nanchen also expressed his opinion.

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The war of words, the discussion was very intense, and it continued, the voices of opinions came one after another, coming from different corners, the contest was all real talent, the speakers were foaming at the mouth, the listeners were engrossed, no one looked at the mobile phone, and there was not a single phone ringing.

"Everyone's speech is very active, the opinions are actually more unified, the surgical method to do Achilles tendon shortening, the difficulty is how much is the distance of shortening, this data must be accurate, otherwise the operation will fail, and even the patient's athletic performance is not as good as before the operation, we have just proposed a lot of methods, such as animal experiments, healthy side reference, exercise state analysis, then our next step is to figure out the exact length of the shortening, Professor Su, you see, can you?"

Professor Su stood up and said: "Everyone's opinions are very good, and they have put forward their own unique opinions, which shows that everyone is thinking seriously, and academic discussions are like this, free and equal dialogue!" Today, we are fortunate to have a consultation with Dr. Yang Ping from Sanbo Hospital, who has unique experience in sports medicine, to see if Dr. Yang has any good opinions."

Professor Su applauded, everyone else applauded, everyone knows about Sanbo Hospital, everyone knows about a city, and several big hospitals.

But I don't know where Dr. Yang Ping came from! I've never heard of it! I was actually invited to the attached one for a consultation?

Su Nanchen got up: "Dr. Yang, please!" ”

On this occasion, if you have stage fright, you will be cold to Su Nanchen's enthusiasm and live up to the high expectations of others.

Yang Ping was as calm as ever, got up, and greeted everyone.

"Xiao Yang, go to the podium and talk about your opinion." Professor Su encouraged.

"Who is he, a cow man who came out of nowhere!" Everyone looked around them, hoping that someone would know them and give them a word in return.

A few people who had just followed him to check the room said, "Dr. Su's classmate, this guy is really awesome!" ”

One of them was very sincere, he had already taken out his notebook and was about to take notes: "Brother, take notes seriously, I just made a round with him to see this patient, he talked about a paragraph, and after listening, I suspected that I was studying a fake doctorate." ”

The questioner also took out the notebook he had brought with him and took out a pen.

"Su Shao's classmates studying in the United States?"

"Ninety percent yes!"

Yang Ping was unusually calm, walked to the podium, and bowed slightly to everyone.