With the development of the times, the level of leadership has become higher and higher. In the early years, to be honest, when superiors and subordinates sent people to the unit or lower-level departments, if the leader sent by the superiors was not an expert, really, the people below could deceive him as a fool.
There is a joke in the medical circle that a hospital purchased some equipment and seemed to spend less money than those in other areas. In an instant, the hospital went from being the last to go in one area to becoming a local benchmark.
The leaders were happy because they spent much less money than other regions to build benchmarks, so they sent people there. The leaders of the hospital served the people sent by their superiors with delicious food and drinks.
As soon as I asked, I started reporting data, such as ISS900 and international standards. Anyway, the data on paper was quite good. The people sent down ate and drank well, and went back to celebrate with the materials that the hospital had used to mess with him.
As a result, the equipment dealer was arrested in other areas, and then the hospital leaders here were implicated. After asking, I found out that the data can be pieced together.
When people buy sticks, the data is much better than the stuff from Germany and the country of meatballs, but the use of this thing is two-pronged.
This is what you suffer from being unprofessional, and you still leave others unable to do anything. Therefore, many leaders later assigned the position of authoritative consultant. Moreover, in the subsequent procurement, not only the model and data of the machinery and equipment must be clarified, but also the trademark must be determined, for fear that the people below will fool the leaders.
The leaders in the venue were really in a state of confusion after being deceived by a bunch of gossips. It was not easy for them to get to this position. To be honest, no one could be too cautious.
Therefore, he didn’t want to be surrounded by the talkative people who wanted to start the car from time to time, nor did he believe in the technology he saw with his own eyes. He went to ask Uncle Zhang Fan.
He knows that gossips may deceive him, and his own eyes may deceive his brain. But Mr. Wu doesn't know how to do it, and Zhang Fan is Mr. Wu's nephew. If something happens, Mr. Wu is just a shield after all!
Is it difficult to do this technically? It's difficult, it's really difficult, but getting around within the system is even harder. The driver-leader of the Ministry of Health immediately found a well-founded way to advance and retreat within a few minutes, which is not what ordinary people can think of.
A scholar in Golden Retriever once ridiculed the difference between the two countries, saying that the top talents in Golden Retriever are all on Wall Street, while the top talents in China are all taking public office exams.
After receiving Mr. Lu's affirmation, the leader returned to the venue. A few seconds before he sat down, he stood in front of his seat, turned his head with a look of contempt, and shot a bunch of mouthfuls, as if he had a thorough understanding of medicine in an instant. , I will never be fooled again!
King's contempt?
On the display screen in the venue, Zhang Fan and Zack Stein had entered the critical moment of the operation. Binding a rabbit also uses the power of a tiger, not to mention that neither of them treats the other as a rabbit.
Vaguely, Zhang Fan versus Zuckerstein was like Hua Guo versus Golden Retriever. The more they looked at each other, the more they looked like each other.
Zuckerstein, a golden retriever, pays more attention to the recovery of spinal nerves. In fact, he relies on detailed anatomy diagrams that others do not have, and strives to restore the neurospinal cord to the patient's original state after injury.
Most treatments are actually like this. In orthopedics, there are two terms, physiological anatomy and functional anatomy.
The anatomical position means that this thing is originally here. Just like many children's penis, it is crooked. This is the physiological anatomical position.
The functional anatomy position is for example, if a bone is broken, the doctor directly performs a manual reduction. Although the healed bone looks slightly crooked, at this time, it does not affect the function of the patient's bone at all. This is a functional position. anatomical position.
Which is better, the physiological anatomical position or the functional anatomical position? This requires detailed analysis of specific situations.
If open reduction is performed, physiological and anatomical reduction is required as much as possible, but the damage is quite huge.
Many people know that a broken bone requires a steel plate. But few people know how the steel plate is installed, and doctors will not explain it to you in detail.
First of all, when a bone is broken and cut, the first thing to do is to check whether the surrounding blood vessels and nerves are good. If they are damaged, whether they can be repaired. If they cannot be repaired, ligate them as soon as possible. If they are damaged, the nerves are ligated. Once the damage is not complete, there will be residual neuralgia that will always feel like an electric shock. If this symptom is on the surface of the body, a second surgery will be required.
If it is deep inside the body or on important organs, it is a disease that can never be cured and the patient will need to take painkillers all year round.
After removing the rotten flesh, blood vessels and nerves around the broken end, it is time to deal with the bones.
First of all, the bones themselves have no blood vessels and nerves. Don’t think that this thing is just a stick based on calcium carbonate. In fact, this thing also needs to eat and drink.
It eats and drinks against a layer of periosteum on the surface of the bone. The large blood vessels are hidden in various grooves and ravines in the bones. In order for the bones to better protect them, they need to pay a protection fee.
This protection fee is the large blood vessels branching out into many small capillaries like spider webs crawling in the periosteum. Then rely on these small capillaries to nourish the bones.
When a fracture occurs, a plate is required. The steel plate needs to be tightly attached to the bone, otherwise the thing will break if the patient exerts even a little force.
Therefore, in order for the steel plate to stick to the bone, the orthopedic surgeon needs to take an osteotome, which is the kind of chisel used to cut through stone, and then start removing the periosteum on the side where the steel plate is to be placed.
laugh! laugh! laugh! The white wax-like periosteum was scraped clean.
This periosteum is actually like the bark of a tree. Once there is too much scraping, even if a steel plate is applied, bone nonunion and bone atrophy will occur because there is no one to cook!
Quite cruel. That’s a lot of price to pay for achieving physiological and anatomical positions!
Some doctors perform surgeries, and the X-rays are so beautiful that it makes you happy to see them. The steel plate looks like it was originally on the bone, while some doctors perform surgeries and the steel plate seems to be barely hanging on the bone.
At this time, the beautiful one may not have better results than the ugly one. Maybe the ugly doctor is more skilled.
But now, many doctors, for the sake of their own reputation and to satisfy half-understood patients, scrape the periosteum extremely clean, and then the X-rays look particularly beautiful.
This is typical of treating films instead of treating people!
Zackstein, the way to go now is to reduce the damage, and then allow the damaged nerves and spine to return to their original anatomical position. This is very difficult.
Just like an old Chinese saying, if you want to be a thief and get something for nothing, but you don't want to be beaten, so this is very difficult.
Everyone looked at Zuckerstein's subtle techniques and really saw the gap in their hearts. Not to mention other things, his blood vessel repair put many so-called experts to shame.
"Hey, there is still a gap! It seems that I will go to a special orthopedic hospital for further training when I find an opportunity!" Looking at Zackstein's technique on the screen, the directors of many large tertiary hospitals were secretly planning in their hearts.
This kind of thing must never be said, even if it is obvious, it cannot be said. Then the country of China formed a rule that is not a rule. If a doctor wants to compete for the position of department director, he must have a doctorate degree and be skilled in surgery. These are basic rules that everyone has made clear.
There is another hidden rule that no one ever mentions, which is that you must have experience studying in a Golden Retriever country or studying abroad! Therefore, doctors in many big cities have resorted to all kinds of strange tricks in order to get a place to study in the Golden Retriever Country.
To further study in China, you need to give money to others!
When everyone was looking at Zuckerstein, Zhang Fan slowly let some people with higher technical levels discover his differences.
"Huh? Doctor Zhang seems to have changed his nerve shape again!"
When the surgery reached a fork in the road, Zhang Fan and Zack Stein took different paths.
Zach fixes for the sake of fixing.
Zhang Fan, on the other hand, found many different surgical methods due to the large number of experimental surgeries in the system, and there were many surgical methods that were more advantageous than the original surgery.
This time, he showed one of them, changing the route!
Repairing the original nerves required destroying a large amount of surrounding tissue. Zhang Fan directly used the new technique he found in the system to directly allow the nerves to retain their original functions and took another path.
Whose surgery is more difficult? It’s really hard to say which one is more difficult. Neither is easy to rebuild or repair.
But if one's surgical method is less damaging, Zhang Fan's method is of course the first.
However, Zhang Fan's surgery also has disadvantages, that is, it requires a lot of surgical trials. To be honest, if it was simple, why would so many orthopedic surgeons around the world not think of it?
Maybe some people have thought of it, but to achieve perfection, it is not only a matter of time, but also various related laboratories and test products, all of which are money!
So, at the beginning, everyone was amazed at Zuckerstein's surgical method, "Wow, it's so exquisite."
"Awesome! So awesome!"
"Hey, he is a top orthopedic expert after all. He is so awesome!"
Before everyone could finish feeling impressed by Zuckerstein's technique, the higher-level doctors in the venue stopped talking and stopped watching Zuckerstein's surgery.
These people all looked at Zhang Fan attentively. They didn't even blink their eyes, let alone talking. They just stared so carefully, as if they were afraid of revealing any details about Zhang Fan.
Then, others slowly discovered that the experts were watching Zhang Fan's surgery!
"Let me go, what is this? Why did Dr. Zhang take out this person's nerves? Oh my god, Dr. Zhang, don't make trouble, this thing is not for masturbation!"
Young doctors don’t understand it at all!
But this can't stop some young people who take Zhang Fan as their role model, "Damn, Zhang Yuan is awesome. He pulled out the nerves intact. Do you want to check it?"
When the surgeons in the two operating rooms walked in different directions, the venue became lively.
Part of support for Zack Stein.
Part of them supports Zhang Fan.
However, everyone understood at this time that no matter who wins or loses, both of them are the ones everyone looks up to!
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