"Director Fu, you also want to send a message to Dean Leng and Director Xiong, saying that I thank you and accept their kindness, but I'm just going to save you from this, okay?"

"When will Xiao Wu go back?" Qi Qiaowen asked Wu Xie again after finishing speaking.

Wu Xie nodded: "Teacher Qi, I'm going back tonight too. I'm driving back with my friends."

Qi Qiaowen asked directly: "Girlfriend?"

Then he answered by himself: "You are now old enough to find a girlfriend. You are older than before."

His tone was slightly sinister, and he was probably still thinking about that incident back then.

In fact, Qi Qiaowen is deliberately giving Wu Xie a stick and asking your master to tie you so tightly with emotional threads that there will be no leaks!

"She's my girlfriend, and she's still the same one as before!" Wu Xie admitted openly.

A group of people walked into the locker room. Since there was no surgery on the weekend, the clothes boxes of the four big men were adjacent to each other.

Since the surgery was over and there was plenty of time, Qi Qiaowen took a look at Wu Xie's figure. Compared with Fu Qianjin's slightly fat figure, it was too straight. Compared with Associate Professor Zhou Xiaoning's fair figure, it was much darker.

"You are so thin. If you meet a strong man lifting his leg, can you lift it?" Qi Qiaowen asked jokingly.

"It should be okay. I used to help out with farm work at home from time to time, so I have a little strength." Wu Xie knew he was joking with himself, so he replied casually.

"Eat more meat and build up your muscles!" Qi Qiaowen bulged his muscles.

But after seeing Professor Meng Tang who was doing bodybuilding, Qi Qiaowen's muscles were dwarfed by him, but Wu Xie still said hello.

After changing clothes, we entered the underground parking lot and got in the car to go to the place to eat.

"Xiao Wu, please take my car." Fu Qianjin was ready to talk to Wu Xie. After all, he was the new brother in the department and his subordinate.

"Director Fu, Xiao Wu is sitting in our car, just in time to chat with me. I like to chat with young people, they are active thinkers. Zhou Xiaoning is old and his thinking is not advanced enough." Qi Qiaowen said.

What else did Fu Qianjin dare to say? He thought Qi Qiaowen was a talker, so he nodded and said yes.

"Xiao Wu, stay with Professor Qi."

"This is a political task given to you by the department, haha!" Fu Qianjin joked and got into the car first.

After closing the car door, Qi Qiaowen and Wu Xie sat in the back seat together.

"Xiao Wu, I see you are nodding frequently during the operation. Do you know the operations of the following surgeries? What are their indications and contraindications?" Qi Qiaowen got in the car and slapped Wu Xie on the head.

.

ah?

This professional question comes without any warning.

After all, the psychological construction that Professor Qi Qiaowen had given him before was just a casual chat, but now?

Why are you asking professional questions?

I don’t know if I can still get guidance, extract key points, and gain knowledge points.

Wu Xie pondered for a while and then asked: "Professor Qi, do you want to talk about all four surgeries?"

Although, in the process of clinical communication, only three surgical techniques were discussed: intrinsic extensor tendon transposition of the little finger, volar capsuloplasty of the metacarpophalangeal joint, and superficial flexor tendon transposition.

But there are actually four types, and the other one is tenodesis using tendon grafts.

However, this kind of operation is not considered a surgical procedure. It can only be said to be a type of operation, or a concept. However, in academic exchanges or teaching exchanges, it can be listed and discussed.

However, it would be long enough to explain all four of these in detail.

"Take a look and tell me." Professor Qi Qiaowen waved his hand casually.

Wu Xie organized his speech and said: "Professor Qi, let me first talk about the key points of the flexor digitorum superficialis tendon transfer surgery."

"First of all, there are two types: the improved Bunnel method and the Zancolli lasso method. What we use today is the improved Bunnel method."

"I will talk about this one first. Indications: 1. Claw-like hand deformity caused by dysfunction of the interosseous muscles and lumbrical muscles, but the metacarpophalangeal joints and interphalangeal joints have basically good movement."

"2. For mobility reconstruction patients, the muscle strength of the displaced muscles should reach level 4 or above."

However, for the sake of caution, Wu Xie added another sentence to Qi Qiaowen: "The indications are not strict, and it should be done with muscle strength of level 3 or above."

After all, the muscle strength of this surgery patient is only level 3. It would be inappropriate for me to say that he does not meet the indications for surgery. After all, Professor Qi Qiaowen's level is too high, so it is not easy to offend him.

Qi Qiaowen really didn't expect Wu Xie to know, so he frowned.

This surgery was indeed performed according to the principles, and the indications for surgery were not strictly followed according to the guidelines, but he was already used to it.

People who understand won't pick on them, but people who don't understand don't know and only praise them for doing a good job.

"The contraindications are: 1. Those who are accompanied by systemic diseases and cannot tolerate surgery. 2. Those who have local infection focus and may be infected after surgery."

"There are no contraindications for this surgery."

"We chose a longitudinal incision on the radial side of the proximal segment of the ring finger; a transverse incision on the proximal palmar crease; and a radial incision on the proximal segment of the index finger, middle finger and little finger."

"So, after exposing the tendon sheath at the proximal ring finger, incise it from the outside, cut off the flexor digitorum superficialis tendon at the proximal interphalangeal joint plane, and then extract it through an incision in the proximal palmar crease and divide it into four strands."

"Later, incisions were made on the radial side of the index finger, middle finger, ring finger and little finger to expose the lateral bundles respectively. The four ends of the flexor digitorum superficialis tendon of the ring finger were introduced through the lumbrical tube, and the metacarpophalangeal joints were flexed 80°, and the interphalangeal joints were extended

In the straight position, the wrist is flexed at 30° and braided and sutured with the side bundles."

"This is the first type." After Wu Xie finished speaking, with his eyes closed, he once again retrieved the relevant operating memory and knowledge reserves, and felt that his answer was correct.

"But if the preoperative FowLer test is positive (press the dorsal side of the proximal phalanx of the claw-shaped hand with your fingers to extend the metacarpophalangeal joint, the interphalangeal joint can be straightened at this time), it means that on the premise of stabilizing the metacarpophalangeal joint

, the action of the digital extensor muscles can be moved forward to the interphalangeal joints.”

"At this time, the four ends of the flexor digitorum superficialis tendon of the ring finger can be fixed to the A2 pulley of the 4th finger respectively at the 45° flexion position of the metacarpophalangeal joint, thus helping to prevent hyperextension deformity of the proximal interphalangeal joint."

"The Zancolli Lasso method is used at this time, and the indications and contraindications are the same as the modified Bunnel method."

He spoke nearly a thousand words in one breath, which was more than ten minutes, and it was not a casual chat, so Wu Xie also felt a little dry.

But Qi Qiaowen didn't say that he would only talk about one thing, so Wu Xie was ready to continue organizing the language campaign.

Qi Qiaowen waved his hand: "That's enough. The rest is during the operation. Let's talk about the techniques. Orally speaking to this point is enough."

"But one thing is that memorizing the book too hard is to make the application more flexible." Qi Qiaowen gave Wu Xie some advice. The general meaning is that when you get started, you must start with books, and when you go out, you must get out of textbooks.

"Thank you, Teacher Qi."

Qi Qiaowen smiled, sighed, then patted his clothes casually, and asked: "Xiao Wu, you have prepared so much, do you want to come here to study for a doctorate in hand surgery?"

Zhou Xiaoning drove seriously and did not reply or interrupt.

He had already tested Wu Xie's basic skills, and this was just another confirmation that Wu Xie's understanding was deeper than his, so he was not shocked.

Moreover, Qi Qiaowen had already told him about accepting Wu Xie as his student.

Wu Xie's expression froze for a moment and he replied with a grin: "Teacher Qi, I can't study for a Ph.D. for the time being. I failed the regular training exam, so the regular training certificate hasn't been issued yet."

"Cough! Cough!"

Hearing this, Zhou Xiaoning, who was driving, choked on her saliva. She coughed twice, thinking she had heard a joke.

Even Professor Qi Qiaowen looked stunned, with a question mark on his forehead, swaying from side to side. He didn't expect that the reason Wu Xie gave him was this!!!

There was a stalemate of silence for more than ten seconds.

Qi Qiaowen swallowed a sip of saliva, grinned until the corners of his mouth were torn apart, and then asked: "Let me ask, the theory of the residential training examination is that the paper is graded by machine and people are selected to review it. I don't know."

"Who is the examiner of your operational examination? I would like to find an opportunity to visit him." Qi Qiaowen's voice changed, and there was a deliberate tone.

What the hell, Wu Xie failed the residential training test?

Wu Xie is a resident trainee in orthopedics, and he happens to be a professor practicing in orthopedics. He wants to ask the examiner what happened.

"Professor Qi, this is my own reason and has nothing to do with the examiner. So?" Although Wu Xie felt that this reason was very reluctant, he could only explain it this way.

You can't say that a loyal minister will not serve two masters, and a virgin will not marry a second husband, right?

"Don't be so, it was your teacher, Professor Duan Hong who suggested it." Qi Qiaowen sighed and did not embarrass Wu Xie, knowing that the relationship between Wu Xie and Duan Hong was difficult to break up.

Qi Qiaowen then lowered his head, took off his collar, and said slowly: "Your teacher, Duan Hong, said he wanted me to take you to the doctoral program, and he put you in the National People's University Hospital to study your major.

You have to figure out your own graduation essay."

"This way you can enter the school year in advance. Regarding student status and enrollment quota, I will find a way for you to send you to study under my name. You will also call me master when you see me in the future. Do you agree?"

Wu Xie's mouth opened slightly.

He began to quickly calculate the cause and effect relationship in Qi Qiaowen's words in his mind, and did not dare to reply.

This TM bows to the master and carries it for life. What should I do if Professor Qi Qiaowen cheats me? How will I explain to Duan Hong then?

Of course, if Professor Duan Hong knew about it, then Wu Xie would be willing to have one more master.

Seeing Wu Xie hesitate, you know that Wu Xie is a fierce woman.

"Forget it, you can go back and ask your master. Don't worry about this now. Huazhong University of Science and Technology is recruiting doctoral students, and the time limit is not over yet, so go and apply."

"I don't care about other procedures and relationships. I only care about your admission." Qi Qiaowen said it lightly, but it still requires a lot of relationships and effort!

"Thank you, Teacher Qi." Wu Xie thanked him sincerely, but he still had to ask his master about the details of this matter first.

After this, Qi Qiaowen said nothing more and expressed all his thoughts.

During the meal, Wu Xie really toasted Qi Qiaowen a few more times, without looking at his phone or sending any messages the whole time!
To be continued...