"You know how to operate this thing?" Lin Jiemo saw Fang Xian take the initiative to approach, but he also reacted.

What kind of person is Fang Xian, he may not be an eagle when he sees a rabbit.

"Yes, Professor Deng." Fang Xian looked at this rather familiar instrument, and felt that Zhongzheng Company was still quite humane, so he directly moved the instrument he had been tinkering with in Cixian People's Hospital.

It's just that Fang Xian didn't know why he wasn't notified.

Otherwise, it is estimated that Professor Lin Jiemo would not have called and scolded people directly.

"Okay, can you give it a try? I've had a couple of patients come in from the outpatient clinic. Professor Lin Jiemo asked.

At the Shonan University Hospital, patients with fractures are generally not allowed to be hospitalized directly because the surgery for fractures is relatively simple and they are too lazy to occupy a bed.

However, patients with fractures will choose to come to the Shonan University Hospital for diagnosis and treatment of fractures, but the general hospitalization will see if it can be reduced manually.

"Yes, Professor Lin, but when choosing a fracture type, don't be too ruthless. The upper limit of proficiency that can be provided by such a manual reset aid device is level 3. Fang Xian explained.

In the department, other professors and associate professors were amazed.

When Associate Professor Song Yu heard this, he said, "Good guy, how many things are you still hiding, after entering the trauma center, Professor Yang and Professor Zhou have fed you, right?" ”

This is really something that many people can't envy.

Fang Xian was able to enter the trauma center through trauma surgery, which Fang Xian had won by himself.

It's just that if you go to a trauma center, you may not be able to stay.

Like Fang Xian, in the trauma center, one in and one out, now it is even more direct to jump out, and there are even fewer of them.

Although it is said that at present, the pinnacle of specialties and operations is in specialties, but as a doctor, in a trauma center, treating patients and saving people, this kind of sense of accomplishment that is incomparable to other specialties is sometimes not something that specialists can envy.

The trauma center is very tiring, but the profession is not easy.

Professor Lin Jiemo just called the general manager of the hospital, and the fracture patients who had been prepared for a long time were taken from the emergency department to the operation room of the trauma surgery department one after another.

It's just that when this patient looked at it, good guy, there were more than 20 white coats standing in the department, young people, middle-aged people, and old people, and he was nervous all of a sudden.

"No, doctor, professor, here? Am I sick? ”

It's a bit scary.

"No, no, don't worry, we're just testing a relatively new instrument today, you're just a small fracture, no problem." Professor Lin Jiemo took two steps forward and approached the wheelchair.

Seeing this, Associate Professor Song Yu immediately took the family members aside and began to talk and sign and wait.

This manual reset assistance system is currently a new thing, and there are many things that can be carried out, and anyone who is a little more sensitive in scientific research knows that many large and small topics can be developed.

Jokes aside, Professor Deng Yong patiently explained to the patients the purpose of this instrument, and roughly introduced how many people were standing in the department.

After listening to Professor Deng Yong's explanation, the patient's mood improved slightly.

"I see, but it scared me, I thought I had fallen somewhere I shouldn't have fallen, and my life was in danger." The man patted his chest and forgot about the pain for a short time.

Compared to in the emergency department, many doctors basically ignore the attitude, and suddenly so many white coats came out to greet him alone.

Most people feel that their lives are short.

After Associate Professor Song Yu brought the informed consent form, Fang Xian saw the signature on it and said, "Okay, uncle, you have to lie down hard, you have a fracture of the left tibia." ”

"Yes, don't use your affected limb!" Fang Xian supported him while approaching the lying tablet of the manual reset assistance system.

And Fang Xian was already very familiar with his X-ray photos during the time of the conversation and signing, so there was nothing special about it, and after telling him to lie down patiently, Fang Xian immediately turned on the infrared bone imaging system.

Before he lay down, Fang Ziye first found the fixed design card slot for the tibial fracture and the padded rubber card slot for the operation position, and waited for the fixed position to fix the medial and lateral condyle plane of the femur.

Fang Ziye roughly adjusted the patient's parameters, and explained: "Professor Deng, here you need to roughly calculate the patient's bone diameter according to the patient's gender, age and weight, and the results can also be measured. ”

"Then, after adjusting the corresponding data according to the formula, the operating position releases the traction value from zero to a minimum."

"The upper limit of emergency braking is double the traction force, so there is no need to worry about causing damage to the patient." As he spoke, he pressed two buttons.

I saw that the mattress between the operating position and the fixed position was withdrawn and suspended at both ends.

After fixing them separately, the force is gradually beating at a speed of 2N-3N......

Probably on the infrared display, I saw that the broken end of the fracture had been completely loosened and separated, and after the broken end was formed away from the displacement, Fang Xiancai operated the auxiliary instrument to design the proximal and distal ends of the fracture.

After about ten seconds of processing, the operating position begins to move up and down, left and right, and the pre-designed pattern diagram thinks that the reduction docking is close to the anatomical reduction on the display screen, and the traction force is slowly relaxed.

At a time when the break-end separation displacement was only three millimeters, it was adjusted again......

After two minutes, the traction force was all relaxed, and the broken end was tightened. Fracture reduction was successful.

At the same time, the load-bearing plate has been removed below, and it is also closed in time to catch the gravity of the affected limb steadily, and the affected limb is not suspended in the air.

The next operation is the external fixation of the cast.

In this operation, Professor Lin Jiemo did not let Fang Xian do it himself, but found a junior brother of Fang Xian before to apply a plaster cast to the patient, and Lin Jiemo had a little way.

Question: "So, now the auxiliary system of manual reduction, the steps we need to operate are to turn on the machine, go to the infrared instrument to sense the fracture site, and then the two points of the operation position and the fixed position will be rotated in place at 360 degrees without dead angles?" ”

"Yes, Professor Deng."

"The previous design was only 180 degrees and could not identify complex fractures, but now they have been corrected."

"The process of operation is also very simple, the weight parameters, the width of the fracture, get a rough measurement of the traction result, and then hand it over to the manual reduction assistant to reset it by itself."

"The instrument now has three emergency braking points."

"One is that the force is too large, not only the traction is too large, but the pressure between the broken ends of the fracture exceeds 30N, and it will also be urgently suspended to avoid compression fractures."

"The second is that the scale of the misalignment is more than one-tenth of the diameter of the bone, and it will also be urgently immobilized."

"After all, functional reset is not the ultimate standard for manual reset assistance systems."

"Third, if any occult fracture is found during the operation, emergency immobilization will be carried out. Therefore, this set of instruments needs to conduct a general analysis and statistics on the classification of fractures before surgery. ”

"It can be directly connected to the imaging department's reading system......" Fang Xian explained carefully.

Hearing Fang Xian say so much, Professor Lin Jiemo was stunned, and then said, "Did you participate in the whole process of design?" How do you know so clearly? ”

Impossible, where did Fang Xian get so much time?

Generally speaking, it will take at least a year or even ten years for such an operation reset assistance system to appear and clinical application, how can Fang Xian have such time.

That is the development of ordinary people, how can Fang Xian's current level of manual reduction technique be average?

This is the best teaching experience rough embryo, basically there is no Fang Xian can not reproduce and simulate, and even Fang Xian can stand at the other party's level and angle to understand a disease, so as to get his doubts, and accurately point out or correct.

Even Fang Xian has very reason to guess that level 5 skills may be a pinnacle of clinical operation and treatment and saving people, but if level 5 skills go up, it is a purely theoretical and teaching ability improvement.

Almost all scholars, or anyone who knows something about learning about this activity, knows about it.

Teaching is either three modes, one is that students learn by themselves, and it doesn't matter who attends the class, and the second is which person goes up to read the textbook, or the other is to read the textbook.

Third, there are very few people who can penetrate the student's perspective, know what the student needs, and what state they are in, and almost only exist in theory.

In China, most of the teachers, no, probably the vast majority of teachers in the world, use high-energy irrigation in their teaching.

That is, the teacher's cognitive range is far beyond the cognitive range of the students, and then the irrigation in the form of narration is carried out, and basically no one can translate it into the student's perspective, control their cognitive ability to the level of the student, and know what they need.

The development of technology is the same, the reason why many technological and theoretical breakthroughs need genius to promote, is because only talent is the factor that determines the absolute ceiling of a person, rather than simple effort.

In the same situation, if you work as hard as someone with better qualifications than you, you will only pull away from him.

So in this case, if you want to teach and modify a machine, the difficulty factor is even greater.

But Fang Xian is different, in terms of manual reduction, he can suppress his cognition, and then he can tear off the suppressed cognitive gauze.

The technique of this realm cannot be channeled, but it can play a huge role at the teaching level.

Naturally, Fang Xian also felt that it might be possible to improve above the level 5 manual reduction technique, but there is no such cognition and level at present, and it needs to be further expanded.

And the way to expand such a breakthrough, in addition to improving the level of science and technology, is a theoretical breakthrough.

But each of them is difficult, and what you can achieve is only the highest standard of the current era. And it is impossible to jump to thousands or even tens of thousands of years later.

Immediately afterwards, Professor Lin Jiemo became curious.

Immediately sent the first patient away, asked Associate Professor Song Yu to follow him to review the plain films of the postoperative review, and asked Fang Xian to teach him how to use the machine.

This time, there is no patient case for teaching.

Fang Xian said very carefully, the cost of introducing such a machine in the department is not small, if it can't play a role, it is a waste, but if it can be effective, put it in the operating room or the operation room of the emergency department, it is worth the money.

About 20 minutes later, under the guidance of Fang Xian, Professor Lin Jiemo started a manual reduction operation step by step.

To be honest, Professor Deng Yong did manual reduction for the first time, and the time could be pushed to 20 years ago, and at that time, he was very excited after doing a manual reduction.

But after so many years, Professor Deng Yong has long been numb.

Even if it is a pelvic reconstruction, it is just a routine operation.

It's like the first time you get a thousand a day, you must be very excited.

But with a regular monthly income of 100,000, and suddenly only 2,000 a day, he will feel that it is nothing.

It's a truth.

After Professor Lin Jiemo operated the two units, he felt that he had lost the fun and meaning, and just sighed: "Human beings, laziness is the driving force behind progress." ”

"You guys play, you should be able to do it."

As soon as Lin Jiemo left, the next home was another professor, that is, Professor Guo, who had just retired from the administrative director of trauma surgery, and Professor Guo was followed by the associate professor of their group......

Lin Jiemo and Fang Xian went downstairs first.

"Xiao Fang, tinkering with yourself, are you busy?" Lin Jiemo asked with concern.

"It's okay, Mr. Lin, I'm a little busy." Fang Xian is not hypocritical, it is true or false to say that he is not busy, but things must be done one by one, and he can't become a big fat man in one go.

"If you need help, although the trauma surgery department is relatively understaffed, we can also give you a few."

"Leading the team is actually better than your own people." Lin Jiemo suggested.

The people Fang Xian is currently brought, except for Qin Long and Zhong Kangxuan, one Wang Yang, and the other Yang Yiguan, what kind of things are they.

Fang Xian knew that the teachers in the Department of Orthopedics remembered that he was from trauma surgery, and maybe he would have to return to the Department of Orthopedics in the future.

Then he turned his head and said, "Teacher Lin, it's okay, if there is a need, I will definitely speak." ”

"At the moment, our team is quite good, and we have enough manpower."

"Although Mr. Wang Yang may have had a bad reputation before, he has now slowly learned to restrain himself."

"Senior Brother Yang Yiguan has also gotten along with Senior Brother Wang Yang recently, and they have discussed each other very actively."

"If only they could settle down and not quarrel."

Lin Jiemo turned his head suspiciously, and his voice was stunned: "How did you do it?" These two immortals, you can also restrain their temperament? ”

Fang Xian thought about it seriously and replied: "Maybe I'm younger!" ”

(End of chapter)