Outside the operation room, Huang Haitao asked Wu Guonan again: "Director Wu, aren't you joking with me, this little party, you really didn't know before?" ”

If it weren't for the fact that he had been friends with Wu Guonan for many years, Huang Haitao had enough reason to suspect that Wu Guonan was deliberately digging a pit for him, and the depth of the pit almost buried him in about 75 meters.

Wu Guonan immediately realized: "Director Huang, then you mean that this Xiaofang's operation level is very high, especially in the manual reset?" ”

"Yes, it's almost, but how high it is, I can't comment on it for the time being, and he can't say it himself."

"I originally thought that he was from a family of traditional Chinese medicine, and I wanted to communicate and communicate with him thoroughly, but he didn't know much about ingenuity and instinct, so he shouldn't be our practitioners of traditional Chinese medicine."

"But I can try, the 13 beds in our department, according to my understanding, can be solved by manual reduction, but with my current level of operation, I can't reach this step, but I can make a try."

"If Fang Ziye can complete the reset through my description, then I can only congratulate you, Director Wu, this Fang Ziye next to you is definitely a super potential stock." Huang Haitao also said more formally.

But Wu Guonan smiled bitterly: "Director Huang, you misunderstood. ”

"Dr. Fang only came to the countryside for exchange, not an employee of our hospital, and he has to go back after half a year, so I can only say that he may not agree with Director Zhang's philosophy and came to our group by mistake. I have such a fate. ”

Wu Guonan said it thoroughly, people are their own, so Wu Guonan doesn't mind listening to such sycophants, and people are not his own, so there is no need to cause any trouble.

This is an attempt, an attempt to detect the level of operation of Fang Ziye.

Huang Haitao personally talked to the patient and explained the specific situation.

"Not necessarily, but we'll try our best to reset it, and you shouldn't get your hopes up too much. Of course, if you don't want to, just treat it as if you didn't say anything, I just think it's a pity to go straight to surgery and not give a chance for conservative treatment. Huang Haitao said it thoroughly.

Patients and their families are naturally happy.

I was already hospitalized in the hospital bed, just waiting for the operation, and if the doctor didn't say anything, then the operation would naturally be done.

But for the sake of a chance, the doctor is willing to try a cheaper and more reliable manual reduction for you, which is a rare virtue.

As for what to do if it fails, if it fails, it will be reoperational.

Huang Haitao is still a little famous in the field of orthopedics in Enshi, but the 13 beds are outsiders, so I don't know, and even if you are a local, it is impossible to go to the Minmin University Hospital.

But the 14th bed is a local, so he persuaded him: "This Director Huang has excellent medical skills, and many of our fractures are treated by Director Huang in the Minmin University Hospital." ”

"This time, Director Huang was able to take time from Minmin University Hospital to come to En's Central Hospital, which means that the patients transferred by Minmin University Hospital have all been dealt with, so he is free."

"Eldest sister, you're in luck."

"Director Huang, I'm a ......" 14 beds took the opportunity to hope that Huang Haitao would take a look at himself.

Huang Haitao shook his head decisively: "If your fracture can be reduced manually, then the sow will go up the tree, and the pelvis will be fractured, so let's honestly wait for the operation." ”

When the 13th bed heard this, he nodded in agreement.

A few minutes later, Huang Haitao and Wu Guonan introduced the 13 beds into the operating room, and Huang Haitao went first to explain the situation to Fang Ziye, probably how to reset it after dismantling and waiting for a while, and what kind of conditions should be achieved, and the reset will be successful.

Outside, Wu Guonan continued to calm the emotions of the patients and their families, explaining: "Wait a while, it is Director Huang's operation, and the doctor in our department is the doctor Fang who was reset yesterday, assisting in the operation." ”

"Don't get me wrong."

This is the form of expression, it must be made clear, anyway, the patient does not know, whether the anti-traction force of Huang Haitao doing the reduction belongs to the main operating force, or the traction force of Fang Ziye's active traction operation is the main operating force.

But Huang Haitao got started, so the main operation was Huang Haitao, for example, Xue Tao and Fang Ziye reset together, which was also done by Xue Tao.

This is the superior, this is the person with a high title, and the pot should be carried.

Even you can't justify it, even if it's bad, you say that Fang Ziye operated it.

During the inspection, others will ask you, are you dead, let a resident operate alone? Do you have the face to say something like that?

……

After a few minutes, Fang Ziye nodded thoughtfully.

However, Fang Ziye also understood what Huang Haitao meant: "Director Huang, the operation you said is not difficult, are you testing me?" ”

Huang Haitao couldn't deny it: "Xiaofang, this is not a temptation, the main thing is that you can't understand it." ”

"Being able to do a good job of manual reduction, and if I have the opportunity to carry it forward, this is my promise to my master, and it is also a promise to my seniors, and I have to do it."

"Abandoning the idea of a gateway and passing on the teachings is the first step in opening the door to our traditional medicine."

"Don't talk about inheritance and portals, use the wisdom of the ancestors on the patient, whether it is ordinary people, high-ranking officials and nobles, as long as the patient benefits from the wisdom handed down by the ancestors, it is a good technology, and it will live up to the culture of many years." Huang Haitao said with emotion.

But he also did not continue to sensationalize.

The patient was called in.

This patient has a double fracture of the ulna and radius, and it is a rotational fracture of the ulna and radius, and the location of the fracture is in the lower part of the ulna and the upper part of the radius, and the principle of the fracture is actually a double fracture caused by the traction of the interosseous membrane.

The situation is very complicated, and there are fracture fragments, whether it is the difficulty of reduction or the difficulty of achieving a certain fixation effect through reduction, it is constantly rising.

But Huang Haitao analyzed the specific theory and the basic structure that can achieve a fixed effect for Fang Ziye, and Fang Ziye thought about it for a while, if he passed the operation, he would indeed be able to do this step.

The basic composition of reduction is still traction and reduction, and traction is at most different from the diversion of strength, and reduction is either to press the fracture together by manipulation, or to push the fracture together through prying, or through muscle gaps, or soft tissues, to squeeze the broken end of the fracture and fracture fragments into it.

The forms of expression are different, but the elements involved are different, and the difficulty is also different.

After Fang Ziye started the traction, he felt a tightness in his scalp.

The reduction of double fractures is not as simple as that of a single fracture, mainly because the muscle activity models that need to be considered and the angles at which they rotate are different.

Therefore, at the time of reduction, it is necessary to add not only continuous traction, but also rotational traction that antagonizes muscle stretching, and antagonizes the muscle retraction force that would otherwise produce rotational force, creating balance.

This requires that, in the process of traction, it is necessary to continue the power of multiple directions and dimensions.

That's a bit of a mess.

But fortunately, Huang Haitao talked about certain skills before.

First down and then up, first outside and then inside, little by little to find a balance point, so that the muscle strength around the fracture is like a cord-like non-contractile structure, and then to reduce.

Let the muscles return to their original nature, just muscles, not contracted muscles, not stretched muscles, after finding a balance point, the displacement of the fracture will naturally form and reduce to its original position.

Perhaps, Huang Haitao has another relatively simple way to describe it, but at least, Fang Ziye only knows that Huang Haitao's description of the principle of the operation process is not simple.

After three or four minutes, Fang Ziye finally found a balance point, and through the same point of force, the resistance added by multiple forces at the same time made the patient's muscles become soft to a certain extent, as if this time was just an ornament.

Fang Ziye hurriedly took advantage of this opportunity and began to spin a little harder!

The reduction of a single fracture can be done by prying, but the reduction of multiple fractures, especially the reduction between several broken ends, must be handled by the model of rotational reduction if you want to reset all the fracture fragments and fracture fragments and achieve the fixation effect.

It didn't take long, that is, a few seconds, for Fang Ziye to see that the deformities of the two positions that had existed before were actually antagonized just right.

And because the muscles were balanced into a soft stomach before, after changing direction again at this moment, they became tight, and such a tight force was not strong, but it was just right to put the ulnar and radial double fractures together.

I fix it and seem to be finished.

Seeing this, Fang Ziye slowly unloaded his strength, only feeling that his hands were a little sore, his brain was a little messy, and his mood was a little better.

I looked at the forearm after unloading the force very nervously, for fear that this unstable fracture would really become unstable again.

It's just that after a few seconds, more than ten seconds, the deformity did not appear, and the patient did not feel any special pain, but felt that Fang Ziye asked after unloading: "Director Huang, is my reset done?" ”

He spoke Mandarin with an inquiring look in his eyes.

After Huang Haitao also relaxed his strength, he began to diagnose the bones.

After touching it, Huang Haitao's whole person took a small half step back, his face was covered by a mask, but his gaze that slowly moved towards Fang Ziye was already extremely shocked and complicated.

The pupils gradually narrowed, and then slowly expanded, as if they had experienced a suffocating life-and-death transition in an instant.

"Okay, let's put a plaster cast first, and then go down to do a plain film review and see the results."

"If the effect of the reduction is worth looking forward to, you can be discharged." Huang Haitao smiled.

But Huang Haitao's heart was constantly beating the drum, I don't know whether it was sour, or envy, jealousy and hatred, just secretly repeated.

Fang Ziye's current level of operation is that realm, and it is definitely that realm.

Fang Ziye actually practiced the operation to that level without theoretical support, which is too unbelievable!

Master, didn't you say that only a very small number of professors, as well as some old professors of modern medicine, were able to practice the technique reset to that level? This requires a long period of polishing.

This TM is not scientific.

What the hell is this?

Brute force, ingenuity, instinct.

Huang Haitao really couldn't imagine that Fang Ziye would feel the incredible realm of the operation of the power of manual reset.

Moreover, Fang Ziye himself didn't realize it, or rather, he didn't have any understanding of it, he just used this manual reduction technique to do the things in modern medicine, which were marked out in the guidelines and the manual reduction adaptations.

This reminded Huang Haitao of a few disgusting words.

The golden rice bowl is filled with, the urine bubbles the big red robe, and the thousand-year-old golden silk nanmu is burned as firewood......

Tyrannical creatures.

Fang Ziye's side, also after Huang Haitao carefully examined it, thought about it carefully, and through his own understanding of the reduction effect of manual reduction, on the surface, the effect of this reduction should be excellent.

Anatomical reduction and near-anatomical reduction are certainly not achieved.

But only two or three millimeters of lateral translation, which is harmless, and many surgical reductions, there is also a certain degree of translational dislocation, rather than absolute anatomical reduction.

Seeing this, Fang Ziye's heart was also quite shocked.

This was the first time he felt the power of traditional medicine, it turned out that traditional medicine, as rumored, can achieve some therapeutic effects that modern medicine cannot do, but it needs a high level of theory and operation to support.

And this kind of reset is not the kind of street goods reset method that some people on the Internet have spread blindly.

A subluxation of the small head of the radius, treated without diagnosis, is regarded as a miracle, and every time Fang Ziye sees it, he doesn't know whether to be happy or sad.

An ordinary joint dislocation, such as a mild hip dislocation, is flaunted after the manual reduction is done.

In fact, this kind of reduction, which hospital has not done thousands of cases, and I don't have the face to say that I did such a reset today and a reset like that tomorrow.

Only particularly typical, super difficult, irreducible joint dislocation, dare to say it outside by writing an article, and dare not talk about it in person.

What a face?

But, this time is different.

Facts are facts.

Huang Haitao just knows that from the perspective of modern medicine, some diseases that are contraindications to manual reduction can be treated by manual reduction, which is a prospect of guideline correction.

In other words, it may be that manual reduction is an underlying disease that can be worth developing, and few people have paid attention to it, or rather, at present, no one has paid attention to such a point.

So, can I go deeper, and then, through publishing articles, summaries, and clinical trials, I can gain a lot of knowledge points?

Clinical topic, am I eligible?

Knowledge +117!

The increase in knowledge points brought about by this reset is explosive.

Before Fang Ziye, he only got close to fifty points when he diagnosed an osteosarcoma, which was enough. It is also the most one.

But in fact, Fang Ziye knows that the diagnosis of osteosarcoma has basically been rotten in clinical practice, and no matter how good you do, no matter how advanced the type of osteosarcoma is, you can't do any kind of innovation.

So?

In fact, in clinical practice, how much benefit does the knowledge gain lie in the degree of development in this direction? If you develop more maturely, such as suture, even if your suture is heavenly, it is only a few or even a few tenths of a point of knowledge.

However, if it is not developed, for example, the occult abdominal aortic aneurysm is not particularly mature in terms of diagnosis, or it is not so mature in terms of physical examination, so it is a huge amount of knowledge?

Fang Ziye felt that his guess was very reasonable.

Because the disease of joint dislocation belongs to the first-level operation.

Logically speaking, such an operation is at most equal to the level and difficulty of cystectomy, but to remove a cyst, you can only get 1 to 2 knowledge points at most, and do a manual reduction, at least from 5 points.

This is a problem in itself, but Fang Ziye doesn't have too many reference materials to summarize.

Thinking, summarizing, doubting everything, and dealing with the problems encountered around them through relatively scientific methods are the things that graduate students need to study, and they are also the questioning thinking that needs to be cultivated.

Fang Ziye is still immersed.

Huang Haitao packed up his emotions, and while completing the plaster external fixation with Xue Tao, he said: "Ziye, you can come with me later, I should hand over my collection of books to you as soon as possible." ”

"It's a pity that you have already walked on the road of modern medicine, otherwise, I will definitely suggest that you go to the Affiliated Hospital of Huaguo University of Traditional Chinese Medicine for further study."

Huang Haitao looked away.

Although Fang Ziye's appearance is like seeing a ghost, talent is talent.

Abandoning the barriers between sects, between modern medicine and Chinese medicine, not taking the initiative to protect Chinese medicine itself, but opening oneself, and even eliminating the scabies, is what his teacher wants to do.

Even, their own teachers are even more extreme.

In addition to the orthodox and powerful Chinese medicine practitioners, other liars who swindle and smear Chinese medicine under the banner of Chinese medicine should all be put to the point of eating and eating......

Huang Haitao vaguely remembers that every time his master saw some small Chinese medicine halls in the town, with signs and slogans that can cure all cancers, swaggering and deceiving there, he was very sad and worried.

However, the current policy is to provide absolute protection for traditional medicine, and even if it exists, it is still 'legal' and not treated.

"Thank you, Director Huang, for your generous kindness." Fang Ziye is also looking forward to what kind of things Huang Haitao can give him.

Fang Ziye's eyes burned.

"Let's do things first."

"All the next fractures, you, me, Xue Tao and Director Wu, the three of us, one third of each person, no one should take advantage of it." Huang Haitao divided it like this.

Fang Ziye nodded.

Huang Haitao is protecting himself, let himself not flash his eyes again, otherwise Xue Tao and Director Wu will have no sense of existence at all.

When you first arrive, just flash other people's dog eyes, this is a kind of showing yourself, but squeezing others where they don't stand, so how do you think others can deal with themselves?

They can't, but they can learn.

If you don't want to study, Wu Guonan called Huang Haitao to the department, is TM just to invite Wu Guonan to dinner?

"Director Huang, Director Wu, Brother Tao, I won't deal with it later, I'm responsible for plastering." Fang Ziye raised his hand and took the initiative to surrender.

I didn't get the knowledge point of the reset, and you didn't realize the wool of the plaster, right?

Hey, it's a lot of work, but it's also mosquito meat.

ps: popular science, schematic diagram of manual reset.

I just figured out the illustration function of the picture.,Everyone will just take a look.,You can leave a message about what you want to see.。

(End of chapter)