Medical road

Dao Zhi Jian is only focused, the system makes Zhang Fan obsessed like an addiction.From the initial confusion, to worry that the system will disappear at any time, to mastering a little knowledge of orthopedics and then clicking on Kaipu, Zhang Fan's medical technology has grown rapidly, and his mentality has been constantly changing.

Now Zhang Fan is focusing more and more on the improvement of medical treatment. He no longer has the anxiety he used to. He has a girlfriend, a house, a car, and a stable life.No longer worry about life, no longer worry about daily living expenses.

Maybe Zhang Fan, who has lived a normal life since childhood, didn't pay much attention to material requirements. Now life has satisfied Zhang Fan, and the rest is the pursuit of his dream.

Although the system cannot open new subjects, Zhang Fan keeps training in the system. For medical technology and level, the best way is to keep learning and practicing.Day after day, little by little, the sapling will always become a towering tree.Shao Hua, who is already good at learning, is also reviewing, proud woman!

Human beings have 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 complicated nerves, the bone structure of the ankle joint is very complicated.

Wang Yongyong’s ex-teammate decided to have surgery. The chronic pain in the ankle joint was too torturous.This type of operation is also the favorite operation in private hospitals. First of all, it has less consumables and requires less medicine before and after the operation. Except for the doctor's labor, the rest is almost pure profit.So this also represents the reason why no one in public hospitals is going to study.

The ankle cavity is too small, and it usually takes several surgical windows to see the injury clearly.Moreover, the operating space is too narrow, and the first complication of this operation is broken instruments!One can imagine the difficulty of this operation.

These former professional athletes, compared with the general population, they have contact with a wider group of people, and the more famous athletes have a wider contact surface.This teammate of Wang Yongyong had a very detailed understanding of Ma Wentao's hospital before the operation, and only after inquiring about Ma Wentao's identity, he prepared for the operation with peace of mind.

This is how people are, constantly despising the various second generations, and involuntarily following the second generation!If it were an ordinary businessman, he would definitely not make up his mind to perform the operation so quickly. This is not a joke.This can be regarded as Ma Wentao's advantage!

Family talks, signatures, and preoperative examinations do not require Zhang Fan to worry about. The hospital's surgical system is already sound. There are several doctors, not only Ma Wentao's surgeon, but also Zhang Fan's team.

For these doctors, every Zhang Fan knows and has dealt with, from character to professional level.At present, Li Liang wants to learn more about arthroscopy, so all patients undergoing arthroscopic surgery are now in Li Liang's tube bed.

"This operation must be careful, because the space is small and the cartilage articular surface of the joint is easily damaged, so we 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 he is working hard. When he was in the county hospital, Li Liang directly tied the black silk thread on the bedside of the dormitory steel pipe in order to practice the knot. Work hard, medicine is like this!

At the beginning of the operation, this anesthesia was epidural anesthesia. The hemostatic balloon of the leg was tied, and Zhang Fan started the operation. If he follows the usual habits, Zhang Fan rarely speaks during the operation, and there is no need to speak as little as possible.

One is for aseptic operation, the other is due to character, but now it's no longer possible, it won't work if you don't say it, because Zhang Fan now wants to take Li Liang, so he has to explain to Li Liang while doing it.

"This kind of surgery is generally the anterolateral approach of choice. At the outer end of the ankle joint line, the third muscle of the peroneus and the lateral edge of the extensor digitorum longus muscle must be noted here that the terminal branch of the superficial peroneal nerve passes through." Whenever he said something, he put the mirror into the cavity of the joint.

Although Li Liang previewed the textbook several times before the surgery, when Zhang Fan started to explain, Li Liang was still confused. The explanation in the textbook was very basic and simple. He wanted to follow Zhang Fan’s rhythm and he had to come down to find it. More professional books to review and practice!

In an ankle arthroscopy operation, in order to facilitate the operation, a joint retractor is usually used. Zhang Fan slowly debride the wound, remove the synovium under the microscope, and remove some bone spurs along the way. This is the difficulty of old injuries. It is difficult to recover.If you want to completely eliminate the pain, you must adjust the joints accordingly.

Arthroscopic surgery is difficult because it is not macroscopic. You must be familiar and familiar with the organization structure. The space is just a little bit. After the lens enters, you must know that this place is the organization, that area, front and back, left and right, up and down What kind of organization must be clear.And also know how to adjust is the best and most reasonable.

The more high-end is to combine the patient’s usual walking posture and use the characteristics of the force to personalize the differentiated treatment. This is also currently lacking in China. The patient base is too large. The doctors in China are already very good in the field of basic surgery. Yes, but it is very difficult to go further.

There was once a joke that a doctor from New Zealand came to China to communicate, and an ordinary undergraduate resident doctor was better than him.But ten years later, let’s make a comparison. The inpatient in China may still be working on the gallbladder, and maybe they have already begun to study liver transplantation!This is the gap, the gap in the medical system, the meaning of doctors in foreign languages ​​is a learned meaning, and because of demographic factors, these doctors are just technicians.

Repeating some basic operations day after day, talking about improvement, but just getting more and more proficient in a certain basic operation, because there is no condition for him to study.Once the golden period is over, he is just a surgeon.

Zhang Fan repaired the old damage a little bit. "We must pay attention here. There are so many nerves, blood vessels and tendons here. We must avoid them during the operation." Zhang Fan said more and more, and one operation should pay attention. The place is very special.

Li Liang can’t wait to record the operation process. Zhang Fan said that he can learn 10% at most. Li Liang is not depressed now, because he is used to it. After every different operation, he has to study for a long time. It will take a long time to merge the knowledge points that Zhang Fan said.

At present, there are two theories for ankle joint surgery. One is that the ankle joint is not sutured after surgery, allowing the blood and fluid in the joint cavity to flow out naturally, allowing the incision to heal naturally. Zhang Fan will not do this because he believes in himself. At the same level of surgery, only one drainage strip is used for suture.

Compression bandaging of the calf was performed after the operation. "This bandage will be released 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 wanted to tell Zhang Fan again.