Dao Zhi Jian can only focus, and the system makes Zhang Fan obsessed with it like an addiction. From being confused at the beginning, to worrying that the system would disappear at any time, to mastering a little orthopedic knowledge and then ordering general surgery, Zhang Fan's medical technology has grown rapidly, and his mentality has been constantly changing.
Now Zhang Fan is focusing more and more on improving his medical treatment. He no longer has the anxiety he had before. He has a girlfriend, a house, a car, and a stable life. No need to worry about life anymore, no need to worry about daily living expenses.
Perhaps Zhang Fan, who has lived a normal life since he was a child, does not pay much attention to material requirements. Zhang Fan is already satisfied with his current life, and all that remains is the pursuit of his dreams.
Although the system cannot open new subjects, Zhang Fan keeps practicing in the system. Regarding medical technology and level, the best way is to keep learning and practicing. Day after day, little by little, the saplings will become towering trees. Shao Hua, who is already good at studying, is also studying hard, what a proud woman!
Humans evolved from crawling on all fours to standing and walking. The ankle joint is actually an enlarged version of the wrist joint. Not to mention the complex nerves, the bones of the ankle joint alone are very complex.
Wang Yongyong's former teammate decided to have surgery because the chronic pain in his ankle was too torturous. This kind of operation is also a favorite operation in private hospitals. First of all, it requires less consumables and requires fewer drugs before and after the operation. Apart from the doctor's labor, the rest is almost pure profit. So this also represents the reason why no one does research and no one does it in public hospitals.
The cavity of the ankle joint is so small that it usually takes several surgical windows to see the damage clearly. Moreover, the operating space is too narrow, and the first complication of this surgery is instrument breakage! You can imagine how difficult this operation is.
Compared with the general population, these former professional athletes have a wider range of people they come into contact with. The more famous the athletes, the wider their contact range. Wang Yongyong's teammate had a very detailed understanding of Ma Wentao's hospital before the operation. After asking about it, he found out Ma Wentao's identity, so he prepared for the operation with peace of mind.
People are like this, constantly despising all kinds of second-generation people, and can't help but follow the second-generation people! If he were an ordinary businessman, he would never make up his mind to undergo surgery so quickly. This is no joke. This can be regarded as Ma Wentao's advantage!
Zhang Fan no longer needs to worry about family conversations, signatures, and preoperative examinations. The hospital's surgical system is already sound, with several doctors. These people are not only Ma Wentao's surgeons, but also Zhang Fan's team.
Zhang Fan knows and has dealt with every one of these doctors, and he understands them all very well from their character and temperament to their professional skills. At present, Li Liang wants to learn more about arthroscopy, so all patients undergoing arthroscopic surgery are managed by Li Liang.
"You must be careful during this operation because the space is small and it is easy to damage the cartilage articular surface of the joint, so you must be clear about the tissue structure here." Zhang Fan explained to Li Liang while preparing for the operation.
Li Liang's talent is average, but hard work is valuable. When he was in the county hospital, in order to practice knotting well, Li Liang tied black silk thread directly on the bedside of the steel pipe in the dormitory. He could not tie five boxes of silk thread in one night. He was not talented enough. Work hard, that’s what medicine is!
The operation started. This type of anesthesia was epidural anesthesia. After the hemostatic balloon was tied on the leg, Zhang Fan started the operation. If he followed his usual habits, Zhang Fan rarely spoke during the operation. There was no need to speak as much as possible.
One is for the purpose of aseptic operation, and the other is due to personality, but now it is no longer possible, and it is impossible not to say it, because Zhang Fan now has to take care of Li Liang, so he has to explain it to Li Liang while doing it.
"This kind of surgery generally chooses the anterolateral approach. It is at the outer end of the ankle joint line, the lateral edge of the peroneal third muscle and the extensor digitorum longus muscle. It must be noted that the terminal branch of the superficial peroneal nerve passes here." Zhang Whenever he speaks, he has already put the mirror into the cavity of the joint.
Although Li Liang previewed the textbook several times before the operation, when Zhang Fan started to explain, Li Liang was still confused. The explanations in the textbook were very basic and simple. If he wanted to follow Zhang Fan's pace, he had to come down to find out. More professional books to review and practice!
During ankle arthroscopic surgery, in order to facilitate the operation, a joint retractor is usually used. Zhang Fan slowly debridement, synovectomy, and some bone spurs were removed under the microscope. The difficulty of this kind of old injury It’s just that recovery is difficult. If you want to completely eliminate the pain, you need to make corresponding adjustments to the inside of the joints.
Arthroscopic surgery is difficult because it is not macroscopic. You must be familiar with the tissue structure. The space is only small. After the camera enters, you have to know which tissue and area this place is, front, back, left, right, up and down. It must be clear what kind of organizations they are. And you also need to know how to make adjustments that are the best and most reasonable.
The more advanced point is personalized differential treatment based on the patient's daily walking posture and force characteristics. This is also what China currently lacks. The patient base is too large. Doctors in China can already be said to be very powerful in the field of basic surgery. , but it is very difficult to go further.
There was once a joke that a doctor from New Zealand came to China for exchange, and an ordinary undergraduate resident doctor could do gallbladder better than him. But ten years later, for comparison, residents in China may still be doing gallbladder surgery, while others may have already started researching liver transplantation! This is the gap, the gap in the medical system. Doctor in foreign languages originally means knowledgeable, but because of population factors, these doctors are just technicians.
Repeating some basic surgeries day after day, there is no improvement. He is just getting more and more proficient in a certain basic surgery, because there is no condition for him to study it. Once the golden period is over, he is just a surgeon.
Zhang Fan repaired the old damage bit by bit, "You must pay attention here. There are a lot of nerves, blood vessels, and tendons here. You must avoid them during the operation." The more Zhang Fan talked, the more attention he had to pay attention to during the operation. There are so many places that are very special.
Li Liang wished he could record the operation process. He could learn at most 10% of the knowledge points mentioned by Zhang Fan. Li Liang is no longer depressed because he is used to it. After every different operation, he has to study hard for a long time. It took a long time to integrate the knowledge points Zhang Fan said.
There are currently two theories for ankle surgery. One is to not suture the ankle after surgery, allowing the blood and fluid in the joint cavity to flow out naturally, and allowing the incision to heal naturally. However, Zhang Fan will not do this because he believes that he At the same level of surgery, only one drainage strip is placed and sutures are performed.
After the operation, the calf was compressed and bandaged. "This bandage will be loosened after two days." Zhang Fan explained some postoperative matters to Li Liang.
The operation went smoothly. After the operation, Zhang Fan sat in Ma Wentao's office because Ma Wentao had something else to say to Zhang Fan.
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