Chapter 66: Massive Points!
Chen Gong suddenly felt that it seemed to ...... It's too important to think of yourself!
But if you think about it carefully, it's just like what Zhao Xi said.
If the hospital is determined to introduce Professor Qiao Dingcai now, it must need to add some bargaining chips.
And you are likely to become one of the key bargaining chips as well!
If so, then ...... What should I do?
Chen Gong is not worried that there is no place for himself!
It's not that I'm worried that if I leave here, I won't have a better chance.
It's just that......
No one likes to be dispensable.
You introduced Professor Qiao Dingcai, I don't reject it, I don't resist it, but ...... Don't hurt my rights and interests again and again.
That's not necessary!
Chen Gong didn't mind showing his strength for everyone to see.
Chen Gong has always felt that he belongs to the high-quality and inexpensive, and the director of the hospital Li takes good care of him, and Director Jiao Liming does not treat himself as a superior at all.
The members of the department are positive and cohesive.
In this way, you can make a career out of it.
But now it seems......
Not really.
Some people just think that expensive is expensive.
After listening to Zhao Xi's words, Chen Gong smiled: "Okay!" β
"I know what I know!"
"Don't worry."
Zhao Xi heard the sound and nodded: "Hmm." β
"I'm not worried, I know you have such strength, I'm worried that the hospital will be unfair to you."
"Don't be used as a gun in the hospital."
Chen Gong suddenly smiled and looked at Zhao Xi: "Do you think I am the one who is a gun for others?" β
Zhao Xi smiled: "Anyway, it's not very smart!" β
Suddenly, Chen Gong also laughed.
When Zhao Xi was busy, Chen Gong also sorted out the things in his hands.
When he was tidying up the space of the system, he found a lot of things.
At present, he has 890,000 points.
Most of it comes from the influence of the three-carboxyl cycle under his own translational medicine after it appeared on the cover of the Lancet.
Whether it's translational medicine or not.
The tricarboxyl cycle is also fine.
All of them have brought rich points rewards to Chen Gong.
These days, although Chen Gong has consumed a lot, there are still nearly 900,000.
These points are enough for Chen Gong to accomplish a lot of things.
In addition, Chen Gong also has a stack of double and triple experience cards, as well as various treasure chests and props.
Chen Gong didn't open everything.
And now, he's decided to clear the space.
It took a lot of time, and Chen Gong finally sorted out a lot of things in the space.
Energy Potion, Focus Potion, Stamina...... and other potions are placed in one area.
Experience cards are placed in a separate section.
In addition to this, some special card-type items have also been opened.
[Enlightenment Card], [Analysis Card], [Recovery Card]...... Wait a minute.
However, Chen Gong's most surprising thing was that he got three upgrade props.
These three props are enough for Chen Gong to upgrade any entry-level skill to the lv4 backbone level.
Looking at these things, Chen Gong also had a plan in his heart.
These things can help him cope with a lot of things.
After dealing with all this, Chen Gong didn't think about the hospital's considerations, but took out his mobile phone and began to preview the tendon suturing in the finger amputation replantation operation.
There are many methods of tendon suturing, and Chen Gong has not studied it before, so he wants to lay a good foundation as much as possible.
After the surgery today, at least I can understand the other party's operation.
Moreover, relying on the system, Chen Gong can also judge the strength of the other party, and even analyze and learn.
When the time comes...... You can master this technology yourself.
And with the help of experience cards and upgrade cards, you can quickly reach the backbone level.
Although it is not as good as those experts and academic leaders, it ...... A minimum of surgical and operational skills is sufficient.
There is no problem in coping with the clinic!
You must know that in clinical practice, even if it is a professional hand surgery or a top hospital, it is impossible for everyone to be an expert.
It's already thankful to have a backbone.
Chen Gong felt that if he mastered it, it would not be very difficult.
When it was close to getting off work in the morning, Qiao Ding arrived in Shanyang City, Shanhe Province.
Many of the hospital's leaders went to greet them.
Jiao Liming was actually urged by the leader, but ...... But he didn't go.
Instead, he came to the office, and after seeing Chen Gong, he waved his hand: "Director Chen, are you done?" β
Chen Gong smiled and got up: "Director, I'm done." β
"What's the matter?"
Jiao Liming smiled slightly: "It's okay, let's have a meal together at noon?" β
Chen Gong suddenly laughed: "Okay, let's go, I'm in for a treat?" β
Jiao Liming nodded: "Haha, it's easy to say!" β
"Just eat something."
The two soon arrived in a private room on the second floor of the hospital cafeteria, and the two ordered a few simple dishes.
"There's something important to do in the afternoon, or else...... Have a few drinks with you kid! β
"Haha!"
Jiao Liming laughed.
Chen Gong nodded and smiled slightly: "It's a trivial matter, find a night that is not busy another day, let's sit down." β
Jiao Liming nodded, took the initiative to pour Chen Gong a cup of tea, and said to Chen Gong pointedly:
"You...... I guess you've heard something, right? β
Chen Gong nodded: "Well, you're talking about Professor Qiao Dingcai, right?" β
Jiao Liming nodded: "That's right!" β
"This Qiao Dingcai is Vice Dean Liu's classmate, and this time, Vice Dean Liu has made a lot of effort."
"But, I'll be honest, Qiao Dingcai is 55 years old, and the treatment given to the discipline leader level is a bit too high!"
"Let me go to meet me today, I didn't go."
"We've been working together for a few months, and I have something to say directly."
"I always feel that consuming so many resources in the hospital, and overdrawing Qiao Dingcai who will be invited in the future, is a bit worth the loss!"
"It's better not even to invite!"
"Hand surgery is indeed an important discipline that we currently lack in our province, and Qiao Dingcai, as Professor Tang's team, is indeed the top."
"But what we need now is not a top-level subject leader."
"Moreover, I know you very well, your vascular anastomosis, nerve repair surgery, are all top-notch!"
"It's just a tendon suture skill!"
"I think it's better for us to train ourselves than to give resources to others."
"It's a pity that the hospital can't wait, and the top doesn't want to wait."
"That's where we are today."
"This Qiao Dingcai came to have surgery this time, it is very likely that he is a dismount, he is here to show his strength."
"When the time comes, there will definitely be a price increase!"
"When the time comes...... Nine times out of ten, the hospital will follow up. β
"And you are the biggest loser, because whether your blood vessels are anastomosed or nerve repair, Qiao Ding can complete it."
"And you don't have the tendon suture that the other person is good at!"
"So, in this way, the hardest part is here."
"Vice Dean Liu's meaning, I also heard some of it, they may attack you then!"
After listening to this, Chen Gong said calmly:
"Director Jiao, I won't compromise."
"It's Qiao Dingcai today, who is next time?"
Jiao Liming looked at Chen Gong's resolute tone, and was suddenly stunned for a moment, and then suddenly laughed:
"Hmm!"
"Dean Li just asked me to tell you something."
"He supports all your decisions and tolerates your mistakes!"
"Be bold and do it!"
"This afternoon, you went to the operating table, which is what President Li meant, and our hospital attaches great importance to your opinion."
"If you think the other party's strength is average, you can say it!"
"For the afternoon operation, there will be leaders from the province and experts from hand surgery, including those from inside and outside the province."
"Don't worry, say it boldly!"
"Your words may save our hospital a lot of money."
"Hehe......"
Chen Gong nodded and agreed.
Soon......
It was just after two o'clock in the afternoon.
There are a lot of cars parked at the entrance of the hospital, many of which are the leaders of the province, and in addition, there are many experts.
And Qiao Dingcai was greeted to the hospital by the leaders of the emergency center hospital at this time.
There were several huge banners hanging in the courtyard.
are all welcomes to Qiao Dingcai.
Such a big battle did give Qiao Dingcai the treatment that only the leader of the discipline has.
When Qiao Ding saw this scene, he was naturally satisfied in his heart.
I came here in person today just to talk about the conditions.
Surgery is naturally done well, and it is done with all its might.
Qiao Dingcai went straight to the operating room and began to observe the patient's condition.
Today's patients are prepared on an ad hoc basis, and this surgery is basically a daily occurrence in Shanhe Province.
Therefore, this just shows the scarcity of such talents in Shanhe Province.
Qiao Dingcai was studying the case.
The leaders of the hospital, with the leaders and experts in the province, came to the outside conference room to discuss.
On the huge TV in front of me, there is a picture of the operating room, everything is ready, waiting for the operation to begin.
And Chen Gong also brought the staff to the operating room.
The patient's condition has been sent, and everyone is observing in the operating room.
In addition to Chen Gong, the province also sent Chang Shihong, an expert in hand surgery from the orthopedic hospital.
Professor Chang Shihong is also an expert in hand surgery, but he ...... Whether it is strength and ability, it is far worse than Qiao Dingcai.
Today's surgery, he is the second assistant.
Facing Chen Gong, Chang Shihong smiled slightly: "Don't be nervous! β
"In fact, hand surgery is not life-threatening, and the test is subtle grasp."
"As a microsurgery, it can be said that what we really care about is the repair effect of tendons, blood vessels, and nerves."
"It can be said that it is a small difference, a thousand miles away!"
"As a helper, you can see Director Qiao's surgery more, it's a rare opportunity!"
"Learn more."
After Chang Shihong finished speaking, he nodded at Chen Gong: "Come on!" β
Chen Gong naturally gained a lot of favor for this gentle, humble and enthusiastic Director Chang, and immediately nodded with a smile:
"Thank you, Director Chang."
"I think you're also an expert in this field."
"Why bring in talent?"
Chang Shihong suddenly winked at Chen Gong, lowered his voice and smiled slightly: "Don't you dare to talk nonsense!" β
"Hahaha......"
"You probably don't know much about hand surgery for this."
"Hand surgery, just talking about the success rate of surgery, is very high!"
"However, the key lies in the postoperative effect, many people will have sequelae after poor tendon treatment, such as inability to bend, such as excessive adhesions, tenosynovitis continuous, or simply decreased function, decreased reaction, and ...... operation Wait, there are so many differences. β
"And the key factor influencing these is the tendon sutures."
"Hand surgery does not have high requirements for vascular anastomosis, and although the difficulty of nerve anastomosis is high, it is ...... This area is not difficult. β
"The most difficult thing is how to reduce the adverse effects of tendon sutures."
"You may not know about the tendon suture law, and there are really not many people in China who can master the tang-stitch law."
"And the tang-suture method is the top technique in the international tendon circle."
"Professor Tang Jinbo is a global subject leader in this industry."
"So, that's the key."
"And I can indeed complete the operation, but it is difficult to guarantee the postoperative recovery effect, this is a fact, so I support the introduction of masters."
"However, the premise is that the other party can convince me!"
As he spoke, Chang Shihong's face became solemn, how could he not be one of the examiners appointed by the province?
Soon!
At this moment, the surroundings instantly fell silent, and Qiao Ding came in.
Chen Gong turned around and looked, the other party was a medium-sized fat man, in his fifties, the middle of the top of his head had been lifted, and the hair on the side was very delicately groomed, while the other party looked full of kindness, and under a pair of gold-rimmed glasses, it gave people a shrewd feeling.
"Hello Director Qiao!"
Chang Shihong took the initiative to nod and say hello.
At this time, the patient was also sent and fixed on the operating table, and the operation was about to start today.
Qiao Dingcai nodded and smiled at the people around him: "Thank you for your cooperation!" β
"Thank you!"
After saying that, he walked to the patient's side.
The patient's condition is not complicated, it is a simple middle finger cut off by a cutting knife.
The fingers are placed inside the refrigerator.
The middle finger of the hand is bandaged to stop the bleeding.
Seeing this scene, Qiao Dingcai did not take the lead in opening the bandage, but began to observe the patient's three-centimeter-long middle finger carefully.
Because the patient's finger does not fall for a long time, only three hours, this is completely within the time that the wound can be recovered.
The time limit for finger replantation is affected by the ambient temperature.
The winter is cold, ischemia for more than 10h at outdoor temperature, and even dozens of hours can still be replanted, but in summer, at room temperature for 7~8h, the severed finger tissue can be degenerated and necrosis, and purulent matter appears on the wound, and it is difficult to survive replantation.
If the severed finger is placed in a plastic bag and stored in a refrigerated manner, the time limit can be extended.
Therefore, for now, the operation time is relatively abundant.
At this time, there is an X-film hanging on the screen on the side, multi-angled.
After waiting for anesthesia.
Surgery is about to begin!
The first thing to do is to clean the distal wound.
The distal end is the area where it falls.
"Proximal debridement."
When Qiao Dingcai dealt with it, he said something to Chen Gong and Chang Shihong.
As he spoke, he suddenly glanced at Chen Gong with interest.
"What a young lad!"
"Hehe, how old are you?"
Although he was speaking, Qiao Dingcai's gaze was focused on the severed finger.
Chen Gong was slightly stunned: "21 years old." β
Qiao Dingcai heard this, and was stunned for a moment: "So young!" β
At this time, Chang Shihong had already opened the patient's proximal wound, and when debridement, he directly used a balloon to stop the bleeding.
After disinfection and sterilization, Chang Shihong carefully began the debridement, very seriously, without saying a word.
On Qiao Dingcai's side, he took a microscope and easily found the blood vessels.
Seeing this scene, Chang Shihong on the side was slightly surprised!
And not only him.
The people who were observing outside couldn't help but say:
"This is a master!"
"How long has it been? The severed vein was found. β
"How?" A leader couldn't help but ask.
The expert explained with a solemn face:
"The finger veins are relatively thin, located in the fascia, and often retracted, especially at the distal end of the broken end, the blood vessels are no longer bleeding and it is difficult to find, and inexperienced physicians often spend a long time looking for the finger veins, and even give up replantation because the veins cannot be found."
"And as soon as this Director Qiao makes a move, he is a master!"
"I found the blood vessels in an instant."
"This is really a master!"
"The Affiliated Hospital of Nantong University, Professor Tang's subordinates are really powerful!"
"yes!"
The surrounding crowd exclaimed.
When the leaders heard this, they were also relieved, at least ...... This Qiao Dingcai's level is high, even if it is expensive, it will not be wasted.
At this time, Liu Guisheng on the side suddenly laughed:
"You probably don't know."
"The tang-sewing method is not just a research developed by Professor Tang."
"As a member of Professor Tang Jinbo's team, Director Qiao has made a high contribution, with rich experience in finger replantation surgery, with clinical experience in more than 3,000 surgeries, and nearly 100 difficult surgeries!"
"He and Professor Tang have won many awards overseas."
"It can be said that he is the hero of the tang-sewing law!"
"It's really hard to invite me this time."
Hearing Liu Guisheng's words, those leaders nodded one after another.
This is off to a good start, and it suddenly makes everyone have a little more recognition of Qiao Dingcai.
The finger arteries are better to find than veins.
It didn't take much to get up, and the digital artery was found, located in the fascial adipose tissue above the outside of the flexor tendon.
The subsequent digital nerve was found directly at a 1cm incision in the lateral skin, and then the severed end was tied with a long line and stretched outward.
Less than ten minutes of effort!
Nerves, blood vessels, and tendons were all found.
At this time, Chang Shihong was obviously dragging his feet, and compared with Qiao Dingcai, he was obviously clumsy like a newcomer.
The gap between the two was instantly revealed.
Although Chang Shihong is also the director of hand surgery, Qiao Dingcai is also the director.
But the same director, the gap is so obvious.
For this reason, Qiao Dingcai deliberately waited for the other party for a few minutes, and chatted with Chen Gong with a smile.
"Little comrade, so young, come to help, it seems that the hospital values you very much!"
"Study hard!"
"The future is your world."
Chang Shihong's face was red at this time, and in front of many leaders, he knew that he had lost someone.
But...... The difference in strength can not be explained clearly in half a word.
"Sorry for the delay."
Chang Shihong said with a slight apology.
But Qiao Dingcai shook his head with a smile: "Don't get in the way, you're already fast." β
"If you have a specialization in the art industry, it's good to be proficient."
Then he looked at Qiao Dingcai: "Take a look." β
"When we were young, we didn't have such a good opportunity as you."
"At that time, let alone being an assistant, I didn't even have the qualifications to go to the operating room!"
"You young people now, there are so many opportunities!"
In Qiao Dingcai's tone, although it seemed humble, it made people feel a little uncomfortable.
Qiao Dingcai obviously thought that Chen Gong was a person who went through the back door.
This is followed by the fixation of the phalanges.
The phalanges are not very difficult.
Adhering to the principle of simplicity, speed and stability.
Quickly use a K-wire with a diameter of 0.8~1mm, first drill out from the bone marrow cavity of the broken end to the direction of the fingertip, and then drill retrograde into the medullary cavity of the proximal broken end, and more than one joint is more stable.
This step was completed by Qiao Dingcai independently.
And when Chen Gong saw this scene, he suddenly couldn't help but say:
"Is that all right?"
Qiao Dingcai was slightly stunned: "Yes!" β
Chen Gong said with a puzzled expression: "In this way, it is easy to rotate through the joints and will not affect the stability?" β
"Does the instability of the phalanges affect the recovery effect after suturing?"
Qiao Dingcai heard this, and immediately frowned: "It doesn't matter." β
"Okay, let's not talk about this, next step!"
"Preparation for tendon sutures."
Qiao Dingcai couldn't help but deny Chen Gong's train of thought, and directly started the next step!
Tendon stitches!
Chen Gong didn't say much at this time.
Tendon sutures are the key to surgery.
His focus on Qiao Dingcai's tendon suturing is the focus of attention.
Soon!
Qiao Ding took the 1-0 nylon thread and was ready to start suturing the tendon.
Chen Gong's attention suddenly focused.
The extensor tendon of the fingers is sutured in a double figure-of-eight pattern, and the flexor tendons can be sutured intratendon using the Kessler modified method.
The tang-suture method is a modification of the flexor tendon.
It is not necessary to use the Koch suture method.
I have to say that Qiao Dingcai's methods are very skillful.
Thousands of surgeries have allowed him to form a unique muscle memory.
Accompanied by needles and threads through the tendons.
Chen Gong's eyes stared at each other carefully.
γDing! Lv5 expert-level special suture method was found to be tang-suturing method (peak; lv5+, the level of the state is declining), do you spend 50,000 points to learn? γ
When Chen Gong heard this, he was stunned.
What is the sewing method of lv5+?
Sure enough, the tang stitch is high.
Chen Gong immediately chose to study.
And at this time!
The same voice rang in my ears.
γDing! It was found that the declining severed finger replantation tendon suture method, the current level lv4+ (peak lv5+), did it cost 30,000 points to learn? γ
Chen Gong was stunned for a moment?
What do you mean?
The overall tendon suture technique is only LV4+?
This is a bit of a low score!
Chen Gong naturally knew the meaning of the system very well.
The tang-sewing method is very powerful, but the other methods of the other party are not top-notch, only lv4+.
Moreover, the strength of the other party has already declined a lot.
A rank.
Chen Gong suddenly realized that the other party came here not for no reason.
The state has begun to slip.
In fact, it is very easy to understand, because tendon suture, nerve anastomosis, and vascular anastomosis are all precision work, and these are all declining with age, finger dexterity, and stability, and they will definitely decline!
And the surgery continued.
About two hours later.
Chen Gong heard the chime again.
γDing! Surgical evaluation: three and a half stars. γ
[Do you spend 50,000 points to conduct an in-depth analysis of the surgery?] γ
γDing! Reminder, spend 100,000 points and have a chance to get relevant skills! γ
After Chen Gong listened, he didn't hesitate at all!
I chose Krypton directly!
No way, so many points, if you don't use them, when will they stay?
Thinking of this, Chen Gong immediately began to review the operation!
At this time, there was continuous applause outside!
(End of chapter)