Busy until nearly six o'clock in the afternoon, Yu Zhiming completed the screening of breast cancer in the very early cancer project, returned to the big office next door, and unexpectedly found several people waiting for him.

There are Dr. Hou and Dr. Lin from this hospital, Dr. Tong Yu from Dongfang Hospital, and Dr. Yu Shiquan from Beijing Union Hospital.

"Doctor Yu, aren't you here tomorrow morning?"

Yu Shiquan explained with a smile: "For tomorrow night's surgery, I think it is necessary to meet and discuss, so I came over in advance." ”

Yu Zhiming asked suspiciously: "Chen Long's surgery tomorrow night, compared with the previous ones, except for the trivial, the difficulty of the operation should be relatively low, right?" ”

Yu Shiquan smiled and said, "This is Brother Chen Long's surgery. The star effect, we should pay more attention to it. ”

"It is better to meet a day in advance to have a discussion and refine the surgical plan to make sure that nothing goes wrong."

Yu Zhiming couldn't help but roll his eyelids and sat down on the office chair that Duan Yi let out.

Yu Shiquan looked at Yu Zhiming's exclusive office with the soundproof door wide open, and could see several workers busy inside.

"Doctor Yu, you are in your office at night, doing that online video training on internal bleeding and stopping bleeding?"

Yu Zhiming hummed, and then introduced: "In order to ensure the effectiveness of the training, the hospital wants to temporarily set up a live lecture room in my office, which is said to be quite professional. ”

Tong Yu chuckled and said: "Doctor Yu, with your ability, there should be no shortage of online lectures or online diagnoses in the future, and it is necessary to build a fixed multi-functional room." ”

Yu Zhiming said: "The space here is a little small, and I can't move it. When the second courtyard of Huashan is completed, there should be. ”

Tong Yu said with a smile: "I watched the hot discussion video on the Internet today and found out that Dr. Yu, you are very powerful again, and you saved a pregnant woman with an unconventional hammering method. ”

Yu Zhiming waved his hand and said, "Don't talk about it." At that time, my brain was hot, and I subconsciously punched the pregnant woman. ”

"After that punch came out, I was confused."

Yu Zhiming said bluntly: "Frankly speaking, that punch can have an effect, and there is a lot of luck. ”

Yu Shiquan said: "In an emergency, subconsciously or intuitively made responses are often the best choice. ”

"I myself have had this kind of behavior that I remember twice, once at the scene of a disaster relief and once at a hospital to participate in the first aid of the injured in a major accident."

"It wasn't until my hand was done that my brain realized what I had done."

"At the time, I thought I was distracted, and I was very apprehensive, but after a little reflection, I realized that I had done a wonderful and perfect emergency treatment."

After a pause, Yu Shiquan said: "Doctors who do emergency work on the front line have many such experiences. ”

"In the race against time, sometimes thinking is superfluous, and it is necessary to rely on the speed driven by instinct and the god of death to rob people."

Yu Zhiming pretended to exaggerate and said: "Listening to what you said, Dr. Yu, I found that I was not so weak-hearted. ”

Yu Shiquan smiled: "What's there to be empty-hearted? ”

"That pregnant woman is alive and well, and her body is fine, which is the best proof of your perfect coping."

Yu Zhiming opened his mouth, but in the end he still didn't tell the pregnant woman that he didn't approve of his thrashing treatment method and wanted to ask for an explanation.

He changed his words and said, "Since several of you are here, a teenager has a right knee injury, you can take a look together." ”

Yu Zhiming got up and went to the soundproof office, took out two pieces of A4 paper from the desk drawer and came back.

He took out the first A4 sheet of paper and made three copies.

The 18-year-old was a former basketball player who injured his right knee in an accident more than two years ago. After the surgery, it does not affect my daily life, but I can no longer do strenuous exercise. ”

"This boy wants to continue playing basketball, take a look, is it possible for him to realize this wish?"

Yu Zhiming introduced while distributing the perspective of the teenager's knee surgery to Yu Shiquan and others.

Yu Shiquan took the drawings, looked at them twice, and asked, "The operation done by Dr. Cai Yongxian?" ”

"Can you tell?" Yu Zhiming was a little surprised.

Yu Shiquan chuckled and said, "Just like handwriting, every surgeon has his own surgical style. ”

"I have carefully studied Dr. Cai's surgery, and I have handled some of the details of his surgery more clearly."

Yu Zhiming sighed lightly.

Yu Shiquan and Tong Yu each held the drawings and looked at them for a few minutes with a deep face.

In the end, it was Yu Shiquan who took the lead in speaking, after all, the treatment of joint injuries is his area of expertise.

"Dr. Yu, I'm going to disappoint you."

Yu Shiquan said frankly: "Dr. Cai's treatment of this knee injury, in my opinion, although it is not perfect, is also a high-level work. ”

"I'll build on him and fix ......"

Yu Shiquan looked at the drawings in his hand again, shook his head and said, "You can only make some slight improvements, the improvement effect is limited, there is no need to let that young man suffer and take risks." ”

Tong Yu spread his hands and said, "Doctor Yu can't do anything, and I can't think of it." ”

Doctor Hou and Dr. Lin also shook their heads gently when they met Yu Zhiming's gaze.

Seeing this, Yu Zhiming could only sigh lightly, understanding that many things are exhausted by manpower.

"Dr. Yu, what's that picture in your hand?"

In the face of Yu Shiquan's inquiry, Yu Zhiming introduced: "This is my own imagination, in terms of the current situation of the young man's knee joint, if he can run and jump, what kind of appearance will he be repaired." ”

When he saw Yu Shiquan stretching out his hand, he handed over the drawings in his hand, and added: "This is my idea, I don't know if the operation can be done." ”

"Even if the surgery is done, I don't know if the results will be as I envisioned."

In Yu Zhiming's introduction, Tong Yu, Dr. Hou and Dr. Lin all stood up and gathered around Yu Shiquan to look at the new drawings in his hand.

A few minutes later, Yu Shiquan raised his head and looked at Yu Zhiming with blazing eyes, and even his breathing became a little heavier.

"Dr. Yu, I must say that this is a genius surgical design, especially the repair and adjustment of the anterior cruciate ligament, medial collateral ligament, and articular cartilage, which can be called a stroke of genius."

Yu Zhiming asked confirmatively: "Is it really as good as you say?" Dr. Yu, I'm young, don't fool me. ”

Yu Shiquan said with some tears and laughter: "Doctor Yu, borrow my two guts, and I don't dare to fool you." ”

After a pause, he said excitedly: "This is enough to make a shocking plan." I can be sure that the anterior cruciate ligament and medial collateral ligament should be enough to support the teenager to do strenuous exercise. ”

"There is a question of whether to use artificial ligaments for repair and strengthening, or autologous tendon repair."

At present, for the surgical repair or reconstruction of severely torn or ruptured ligaments, grafts are mainly used, including autologous tendons and artificial ligaments.

Autologous tendons are the most commonly used semitendinosus and gracilis tendons, peroneus longus tendons, quadriceps tendons, and grafts with bone masses.

As for artificial ligaments, they are synthetic polymer materials that can be used directly to replace damaged ligaments.

This ligament has the advantages of avoiding cutting the autologous tendon, minimal rejection, and a fast recovery time. However, there are also shortcomings such as high cost and lack of long-term efficacy observation.

Yu Shiquan groaned again: "Because it is highly integrated with the existing ligaments, and I want to continue to play basketball, I recommend using autologous tendon transplantation." ”

After a pause, Yu Shiquan touched his chin and said, "Doctor Yu, if you want to realize your surgical design, the requirements for the fine operation of the operation are not ordinarily high. ”

He looked at Dr. Hou and said, "Dr. Hou, you are the best at microsurgery, I need your help." ”

Yu Shiquan didn't wait for Dr. Lin and Dr. Tong to speak, and then continued: "You two will not be idle, both of you have a job. ”

Yu Zhiming interrupted: "Doctor Yu, I have already said this design, but I think it is feasible, and I can't guarantee what the actual effect will be." ”

Yu Shiquan laughed and said: "Such a beautiful design, it will definitely work, and it will definitely work." ”

"I really didn't expect that, Dr. Yu, you also have such a talent in the design of surgical plans for knee injuries. I can only sigh, genius is genius. ”

Yu Zhiming said modestly: "This is probably due to the fact that I know more about the body, plus a moment of inspiration." ”

The next moment, he said solemnly: "After all, surgery is surgery, and it is very difficult to repair problems after doing it." ”

"Unless the design is ...... a lot of certainty"

Yu Shiquan took over and said, "Doctor Yu, please rest assured, I will let people do intelligent simulation of this design." ”

"At the same time, I will also make 3D physical models, and I will not rush to ...... if I am not sure enough."

Next, several people forgot about Chen Long's surgery and had a heated discussion about the juvenile knee repair surgery plan designed by Yu Zhiming.

As for dinner, they made do with a boxed lunch......

It wasn't until nearly seven o'clock in the evening that Yu Zhiming was about to start teaching online, and the discussion of several people had to end.

Yu Zhiming walked into the new soundproof office, looked up at a wall-sized high-definition screen, and was directly stunned.

I saw that the big screen in front of me was divided into at least twenty small screens.

On every small screen, there are full of people.

There are so many teaching venues, which really exceeded Yu Zhiming's expectations.

He thought that there would only be one in Qilu Hospital, two or three in the military, and two or three more arranged by the Health Commission.

Yu Zhiming coughed twice, and was just about to start, when he suddenly found that the big screen had become a sub-venue picture.

There were dozens of military doctors seated neatly.

"All...... Rise! ”

"Salute!"

Dozens of people stood up and saluted themselves, Yu Zhiming was at a loss for a while, and he was a little flustered and returned a nondescript salute.

Eight classes of military doctors saluted Yu Zhiming in turn, and then Yu Zhiming announced the start of the training class.

"Forgot to say one thing......"

Yu Zhiming picked up a stethoscope on the desk and said: "If you want to do a good job, you must first sharpen your tools, for you, internal bleeding and bleeding must be stopped with the help of a stethoscope, and the general two-dimensional stethoscope is not enough." ”

"Let's put it this way, a mid-to-low-grade stethoscope worth less than three or five thousand will basically have no effect on you."

He shook the stethoscope in his hand and said, "This is Yuyue's latest master-level customized version of the stethoscope, which is the most affordable one among the uses." ”

Yu Zhiming put down the stethoscope, faced the camera and said, "Let's officially start, I'll talk about the ...... of the celiac artery first."

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