Chapter 195: Making money (please vote for me)

Author: Jiangdi Youbai

Chapter 195: Making money (please vote for me)

"Neurolysis, in fact, fundamentally means to relieve compression and dissect the compression of nerves by surrounding tissues. The focus is on the central or eccentric compression of nerves by the surroundings."

"Obviously, this is central oppression..." Professor Qi Qiaowen's voice was not loud. When explaining, he was not as talkative as when chatting.

Therefore, it is more concise.

But if you understand it carefully, there are many things in these words that can be understood in an extended way, and some of these concepts can also be combined with the knowledge points of trauma surgery.

However, Wu Xie did not have this opportunity to slowly understand it, so he could only quickly extract the key points.

I have a rough understanding, so my knowledge points are +1!

But there are so many——

Qi Qiaowen moved and pulled with his bare hands and said:

"Release, release means to resolve oppression, and release means liberation. Anything that is conducive to the release operation can be used in neurolysis."

"It does not necessarily require the use of instruments, nor does it necessarily require the use of instruments. For example, this case of nerve compression necrosis has other diagnoses. So is this a release or lithotripsy?"

"There seems to be no better noun or verb to describe it." Qi Qiaowen said, paying attention to the changes in Wu Xie's eyes with his peripheral vision.

Wu Xie's eyes were bright and motionless. He was meditating, listening, thinking, and extracting.

Occasionally, you can see Wu Xie's upper and lower eyelids opening, and it seems that there is light in his eyes. It should be that he combined his own words and his own knowledge reserves, and at that moment, he resonated, so he suddenly became enlightened.

feeling.

I don’t know if Wu Xie really understands or is just pretending.

It's just that he pretends, but doesn't show off to others, so it doesn't look like he's pretending.

"..."

"Transposition of the intrinsic extensor tendon of the little finger, volar capsuloplasty of the metacarpophalangeal joint, and flexor digitorum superficialis tendon transposition are the key to neurological reconstruction. This is not nerve reconstruction, but functional reconstruction."

"Well, actually, the so-called shifting and forming are basically two operations."

"One is exposure and exploration, and the other is suturing. Right?"

"Eh!~" Qi Qiaowen became more and more interested as he spoke, because he was standing at a high enough height, so he could go in depth and speak briefly. These words were basically meant for Wu Xie.

The other part is for Huang Yaolong and Guo Xiaoning to summarize.

Tell Wu Xie that the introduction to functional reconstruction is incision and suturing.

At the same time, I also summarized it for Huang Yaolong and Guo Xiaoning. You have studied for so long, but in the final analysis, after so many twists and turns, the fundamentals are cutting, exploring and sewing.

It's just that the location of the sutures is different, so the functional reconstruction is also different.

The other part is for Fu Qianjin and other people who are not particularly in-depth in hand surgery. Don’t think that hand surgery is difficult. Hand surgery is not difficult. It is just about the incision and suturing of tendons and nerves.

Application, you need to get started with this, you know?

With such a level of teaching, one can really be called a professor.

The same teaching tool can be targeted at multiple groups of people at once. Different groups of people have different experiences. This is to crush this piece into pieces. It can do both the heavy lifting and the light weight, and it can also conduct similar philosophical principles.

A general summary is the only step that can be done.

"Then, let's do it one by one. At this time, we need to combine it..."

…

During the operation, Qi Qiaowen slowed down his operating speed and appropriately increased the amount of teaching.

Of course, the amount of teaching was a bit too intense at once, so by the end, Wu Xie felt a little dizzy.

As evidenced by the gain in knowledge points——

"Learning points +0.4!"

This was the first time that Wu Xie saw the knowledge points appear in the form of decimal points. He probably swallowed them too much and couldn't hold them anymore, and his head was numb.

A large number of synaptic applications have caused the synapses to become immune, making it difficult to form new synapses.

Moreover, in just seven hours, Wu Xie gained a whopping 131.4 knowledge points!

This is an explosive data.

Of course, this is the first time Qi Qiaowen communicates with Wu Xie, so Qi Qiaowen will deliberately tell Wu Xie more. When they have contact again, he probably won't be interested in it, and will only talk alone and explain the cases.

It will not be as comprehensive as it is today.

From a high level, he led Wu Xie to lead the common surgical procedures and principles of the entire hand surgery, as well as the basic components of these surgeries.

This is a large framework, like a palace of hand surgery. Qi Qiaowen took Wu Xie to take a tour around it.

(Note: Because this part of the content will be repeated later, I will list it separately when the time comes and talk about it slowly, otherwise it will come out all at once, which will give all book lovers a headache and make you uncomfortable.)

This step was something that even Professor Meng Tang and Wu Xie could not do.

This is not only related to one's own level, but also related to the level of teaching, which reflects the different levels of teaching ability.

Qi Qiaowen later became tired of talking, so he kept silent, and everyone responded in silence.

Then, with Qi Qiaowen and Associate Professor Zhou Xiaoning firing on all cylinders without saying a word, the operation finally came to an end——

"Huh!~"

"Today's surgery is quite classic. It is a classic claw hand symptom caused by ulnar nerve entrapment. Unfortunately, there is no variation." Qi Qiaowen smiled and expressed his regret with a smile.

You may feel that although you performed a standard teaching operation, it did not give you much experience and it was just a repetitive, mechanical operation.

If it weren't for the instructor's slowdown, Qi Qiaowen felt that the operation time could have been shortened by at least one hour.

Hearing this, Zhou Xiaoning felt the same way, but Director Fu Qianjin frowned deeply and replied with a smile: "Professor Qi, in a hospital like ours, if we do a good job of routine, common diseases will be cured, and strange diseases like that will be cured."

, we just hope we don’t encounter it.”

"Otherwise, I'm afraid it will be difficult for us to step down based on our level."

Fu Qianjin is very clear about his position, and he does not pursue high-tech surgery. As long as he can do a good job, complete the surgery, and do it right.

What kind of curiosity, what kind of rare diseases, what kind of mutations, it’s best not to look for them at all.

Qi Qiaowen smiled: "It's good to get started with common techniques."

"But when you reach a certain level, I'm afraid you won't be satisfied. Director Fu, if you're not interested in fracture surgery now, aren't you just throwing up?"

Fu Jinjin still didn't dare to answer Qi Qiaowen's words: "Professor Qi, I don't dare to say that. I don't dare to say that."

After the operation was over, the finishing work was handed over to Huang Yaolong and Wu Longshan, because for this operation, there must be a person who knows the surgical procedures well to carry out the final finishing work and guide the postoperative medical instructions.

Wu Xie is not suitable. Wu Xie is a junior doctor. He cannot show off as a superior in the department before he joins the department.

On the way out of the operating room, Zhou Xiaoning resumed helping Wu Xie, who had no sense of presence in the late stage of the operation. It sounded like he was trying to find a sense of presence for Wu Xie: "Xiao Wu, does the operation in our hand surgery last too long?

, your butt hurts from sitting, right?"

"Yes, Teacher Zhou, I rarely undergo such a long operation." Wu Xie nodded.

Trauma surgery operations are generally relatively streamlined. Occasionally, such long operations are encountered, and elective operations are even less common.

However, the sensible Director Fu Qianjin immediately said: "Professor Zhou, I will go to the logistics department immediately and ask them to prepare some special stools."

Hand surgery requires the use of a microscope and is usually performed while seated. Ordinary operating room stools are too hard.

Associate Professor Zhou Xiaoning was obviously saying that he did not have the corresponding equipment ready at the first time. The surgical stool for hand surgery should be made of leather to make it softer to sit on.

Wu Xie immediately realized that he was being used by Zhou Xiaoning, but it was harmless.

Zhou Xiaoning said this so that Professor Qi Qiaowen could pay a higher price and be more comfortable. His intention was not for himself.

However, in order to give Director Fu Qianjin some face, Wu Xie said: "Teacher Zhou, there are more advanced equipment, so I am really ignorant."

Upon hearing this, Associate Professor Zhou Xiaoning and Qi Qiaowen both captured the meaning of Wu Xie's words.

It is true?

you do not know?

Just kidding.

You don’t know this, how did you practice your hand surgery skills? Don’t tell me you have never practiced it?

Of course, it is impossible to say this sentence.

Fu Qianjin quickly said: "Professor Zhou, Professor Qi, I have arranged a casual meal. After the meal, we will take you to the airport."

"Thank you for your hard work, and thank you very much for coming to our Department of Orthopedics to guide our work. Originally, Dean Leng and Director Xiong of our Department of Orthopedics were also coming to greet you personally."

"You said it wouldn't be such a bother, so they didn't bother you."

Director Leng is the administrative director of the hospital, while Director Xiong is the director of the Department of Orthopedics, and is currently the ward director of the Department of Joint Surgery.

After Qi Qiaowen had the operation, he returned to his chatty nature and said, "Don't bother me. I just like chatting when I'm eating, and I don't like special formal occasions."

"After all, there are already enough such things in our hospital. How much use are there in favor exchanges, kung fu and face?"
To be continued...