Medical road

Generally speaking, as long as you bring the name of an expert in the medical profession, many teenagers are already in their forties. When Zhang Fan appeared in Ma Wentao Hospital, Wang Yongyong's wife was about to collapse.She didn't have a job, and everything in the family relied on Wang Yongyong. If Wang Yongyong made a few shortcomings, the family would be over.

But there is no way, Wang Yongyong insists on doing it, she has nothing to do except worry.Today, the hospital only had his husband performing an operation. In the dim light on the promenade outside the operating room, the poor and helpless woman sat alone on the bench at the door and wept to herself.

In the operating room, Zhang Fan sat in the corner slumberingly. It was not that he wanted to sleep, but that he constructed a three-dimensional image of Wang Yongyong's knee joint in his mind.Even if he wanted to do some preparations before the operation, Li Liang would rush to finish.

The biggest difficulty of old injuries is the restructuring of scar tissue and blood vessels, which leads to unclear tissue relations. Scars are formed in such a small area inside the knee joint, and the knee joint pain is caused by expansion and compression, and because the blood supply inside the knee joint is not very sufficient. So the pain will get worse.

Disinfection, hand brushing, aseptic operation, the foundation of the surgeon.The anesthesia started, after Zhang Fan adjusted the equipment, he started the operation.The difficulty of this operation is much higher than that of Gulistan.

The first is the old damage, and Wang Yongyong is not too young.It is not like Gulistan is still in the growth stage, some damage will be automatically adjusted and perfected by the body after time. Arthroscopic surgery damage is much smaller than that of conventional surgery, and the later recovery is also fast.

Zhang Fan starts the operation. First, he selects a tendon and cuts it into the shape and length of the ligament with a scalpel. This is a meticulous job. You have to be patient with a little bit of repair. When you are in a hurry, your room will be short. People generally can't do it, too anxious!

Zhang Fan controlled the mirror and cut slowly.If the knee joint wants to have flexible range of motion, it must adapt to the rotational force and absorb the impact, and then immediately be able to make buffer preparations.

The knee joint is a pivot joint. The human body has evolved a special science. When the knee joint is stretched, it is subject to the locking mechanism of the knee joint, and the rotation of the knee joint is limited. This function determines the stability of the human body. If there is no locking mechanism, A standing human body will turn left and right when it receives a slight impact!

Wang Yongyong was a professional basketball player back then. He had a huge amount of exercise and often suffered some strong rotation or extension of his knee joints. Therefore, he not only suffered damage to the ligaments, but also the meniscus.

The current injury is related to pain caused by the imbalance of the patellofemoral joint complex.The purpose of Zhang Fan's operation is to repair the deformed and damaged tissue.

The degree of injury is not small. If you want to adjust, you must be very familiar with knee mechanics and the whole kinematics of the human body. This is why doctors in sports medicine can see orthopedic diseases, while orthopedic doctors may not be able to treat sports injuries.

Special treatment for special people not only refers to the restoration of their general life functions, but also must reach a certain level of competition. This requirement is very high.

Almost all the really powerful sports medicine experts are in the United States. The operation of sports medicine requires as little damage as possible. After all, no matter how precise the operation is, it may not be able to achieve the original state.

Second, consider the athlete's special career. An athlete who has signed tens of millions of contracts with the team would not dare to do it without a certain degree of technical expertise after injury.Because surgery not only has to solve the athlete's pain, but also ensure the professional life of others, it is really too difficult.

After repairing and adjusting, Zhang Fan combined with Wang Yongyong’s weight to thicken his ligaments. Now he does not need to do extreme sports, but his weight has increased, and his knee joints have been affected by years of illness. There is a certain deformation.

This operation has to test the doctors’ skills in a large number of evidence-based medicine. Chinese medicine is catching up with the West very fast, but evidence-based medicine cannot be developed.

Almost all those engaged in evidence-based medicine across the country are part-time. Why?It takes too much time and money, and no results can be seen in a short period of time. Evidence-based medicine requires a lot of time and a large number of patient numbers to establish a scientific file, and to track the number of a disease all the year round, perhaps to track the number of the disease. Until his death.

This kind of work, in the current economy-centered society, few people can lean down and do it desperately.Evidence-based medicine does not see any advantages in the short term, but it has great significance for the long-term treatment of a disease.

For example, does Wang Yongyong's surgery need to thicken or reduce the thickness of ligaments?How can he make his knee joint work better.The establishment of this system requires a country to support its development, relying on a certain hospital or doctor, only a drop in the ocean.

To solve Wang Yongyong's pain, find a top three orthopedic associate high school, but to restore and maintain his exercise at a certain intensity, it is not what doctors in ordinary hospitals can do.

At this time, Zhang Fan, who has the system, has a huge advantage, and future medical care has paid great attention to evidence-based medicine.Zhang Fan is equivalent to having a lot of the best results that have been successfully summarized for surgery.

Surgery is very slow. Knowing how to do it and doing it well is the hard work phase. Without a lot of practice, you can't reach the result even if you know the result.

Zhang Fan has been using the liver system for two years, and there are still many operations that have not yet reached the level of proficiency. One can imagine the complexity of medicine.Li Liang watched the electric knife in the monitor slowly cutting. The knee joint was too complicated, and he could not understand it at present. If the assistant was Lao Gao, she would discuss with Zhang Fan, why did he do this?

After the ligament is repaired, there is still debate in the medical community as to whether the posterior cruciate ligament is sutured, but it has been proven in the future that suture is necessary.This is the advantage, this is the genius!

Although the operation was slow, it went smoothly.Hemostasis, pressure dressing and plastering, follow-up work is done by Li Liang."Brother, this operation is too difficult. I didn't understand what I did today during the whole process. I saw you cut and sew, sew and sew. I really didn't understand.

"Well! For this operation, you must first engrave the structure of the knee joint in your brain, and then understand the patient's knee joint force habits. It is a bit difficult. Take your time! Don't worry." This process is really not good. There is no system, you can only fill it up with your own efforts and time.

If Li Liang works hard and can still enter a large tertiary hospital, he may be able to perform this kind of surgery when he is about thirty-five years old. Although he is not up to Zhang Fan's level, he can still achieve normal recovery. To reach Zhang Fan's level in this era, you have to go to the most advanced hospital, and you have to let you do it, at least you have to be around fifty to reach this level.

Cruelty, medicine is so cruel. When the technology is fully developed, doctors are old. Young scholars in many disciplines can make some achievements around the age of thirty, but medicine is not good, and they only start at thirty.

The doctors sleeping on the floor of the operating room at the major hospitals are extremely tired. They are not showing off. In fact, there are even more pitiful things that cannot be known to laymen.

Some of the photos that came out are just rare.Yes, the current medical treatment in China is dissatisfied, with various malpractices, and various hidden rules, but are these things that doctors can decide?It is not because these doctors cannot change the cause to deny those doctors who have struggled to survive the liver.They are really hard.

Was SARS scary?The layman only knows that the infection will be fatal, but when those doctors with a family and a mouth know that they might die when they go in, they write their wills one after another and enter the epidemic area without hesitation. Are they afraid?Those who are not afraid are fools.

After SARS is over, the reward for doctors who have entered the epidemic area is the child's college entrance examination plus 10 points, which is very precious!This is the result of the life of the child's parents.

None of the doctors said that they had taken off their lab coats and said they stopped doing it!No!This kind of disease, if the doctor does not die, who will die!It is really not easy for employees in national special industries, and there are many things in it that cannot be determined by the insiders of the industry.