The genius doctor starts from the game

Chapter 161 Meeting Teacher Lu is our blessing!
After Huang Yu and others left, Lu Cheng gave up his seat, and the professional graduate student started the "cocktail" injection in the shoulder joint cavity!
After the beating, he also gave up his seat. These small openings were stitched up with one stitch, and he handed them over to Zhou Xiaosheng's interns.

Said: "This cut is very simple, try to sew it first, it doesn't matter if you don't know it, I can teach you."

It was Qin An and Zhou Xiaosheng who took the stage, both of them were a little silly, maybe they didn't expect to be able to sew for themselves.

Qin An and Zhou Xiaosheng are both insurance research parties, and they are different from other insurance research parties in that many other insurance research parties think that they don’t want to take the exam anyway, so they stay in clinical practice every day, and then after graduation Get a job early.

But they had greater pursuits, so they were directly locked in the laboratories of their respective teachers for further study.

But in fact, they have very few opportunities to do it clinically.

But even though they were few, they didn't have any fear. They nodded to Xia Qing and said thank you.

The graduate student is Xia Qing, and his supervisor is in the second department of orthopedics, but for professional graduate students, all departments must rotate, so he came to the third department of orthopedics.

He didn't step down from the stage, but just chatted with Lu Cheng: "Ms. Lu, you are so awesome. I have been in the Department of Orthopedics for three months. This is the first time I have seen such a fast rotator cuff suture operation."

Hearing this, Lu Cheng couldn't help asking, "Then do you know what the diagnosis of this patient is?"

"Huge rotator cuff." Xia Qing replied. Associate Professor Qin Qiguo said this during the ward rounds. He is a bed doctor, so he naturally remembered it.

"What's the definition of a huge rotator cuff?" Lu Cheng recalled this question again. Professor Wang Xiaodong once asked Chen Zhuoyuan and Lu Cheng, but Lu Cheng answered.

Xia Qing was stunned immediately, and said falteringly: "The opening should be bigger, right?"

Xia Qing did not read the book in detail and systematically.

At this time, Qin An, who was stitching up, raised his head and said casually: "Mr. Lu, it should be that the rotator cuff is shortened by more than 5cm after the injury, or the damage of two or more rotator cuffs is called a huge rotator cuff, right?"

Zhou Xiaosheng can also answer this question.

And this is their strong point. To be honest, he and Qin An have basically memorized all the textbooks for undergraduate and all departmental training, and they have also read all the textbooks for the eight-year system, so when it comes to theory.

They are good at it.

Xia Qing turned his head directly, with an expression of beeping a dog.

Then I saw such a scene again, I saw Qin An holding the needle holder in his right hand, the posture was very standard, the tweezers twisted the surface of the skin, and passed the needle and thread, very neatly.

Then there is instrument knotting. The standard surgical knot does not need thread support, so the thread knot is well attached to the surface of the needle entrance.And the strength is very appropriate, the skin is not wrinkled, the incision is not loose, and they fit together firmly.

This shows that Qin An's position of inserting and exiting the needle is extremely suitable and standard, just matching the two parts of the incision, meticulously.

This is not an operation that ordinary undergraduates, or even graduate students, cannot complete.

So Xia Qing lowered her voice and asked, "She has been to other surgeries before, and has she been stitched for a long time?"

Zhou Xiaosheng seemed to enjoy Xia Qing's feeling of asking, and shook his head with a dull expression: "Qin An has never been here for clinical practice."

Immediately saw something wrong in Xia Qing's eyes.

Zhou Xiaosheng said again: "But she is the grand prize winner of the National Undergraduate Medical Skills Competition."

Xia Qing: "Excuse me."

It's just that my face is a little red, as I said before, you sew it first, if you don't know it, I will teach you.

These words were still slapping his face beside his ears.

Although the gold content of the National Undergraduate Medical Skills Competition is not particularly high, it is not easy to get the special prize.

Qin An didn't expect it.

Zhou Xiaosheng feels that today is not conducive to going out, let alone undergoing surgery.

This surprised Lu Cheng a little. This was what he was going to teach Xia Qing, but unexpectedly, Qin An answered it.Moreover, Xia Qing was also the grand prize winner of the National Undergraduate Medical Skills Competition. He had heard of this competition when he was in Seoul University before, but his school seemed to only get No. 1.

At that time, Lu Cheng was not interested in medicine, so he naturally did not participate.

These undergraduates are very good.

Lu Cheng thought about it for a while, and immediately wanted to find out more about them, and asked, "What about the classification of rotator cuff injuries?"

Lu Cheng was very interested in orthopedics before, so he read a lot of more professional textbooks on orthopedics, so he learned about the giant rotator cuff.

If these few people are interested in orthopedics, they must know a lot. If so, they can add some better talents to postgraduates in orthopedics.

When Qin An and Zhou Xiaosheng heard Lu Cheng's question, they immediately began to hesitate.

This Lu Cheng doesn't play by the rules. It's good if they know the definition of a huge rotator cuff. The definition of a rotator cuff injury is simply a professional among professionals, right?
Only when you really start to engage in sports medicine, will you understand these things in depth.

So although they didn't know how to do it, they didn't feel ashamed. They just felt that Lu Cheng's professional knowledge was really strong.

They are just students, not as good as doctors in this hospital like Lu Cheng, isn't this normal?

Lu Chengcheng immediately said: "Rotator cuff injuries can be divided into two categories: injury degree and classification. The degree of injury can be divided into whole tear and partial tear, and then the classification can be divided into star-moon type, U-type, L-type, inverted L-type and other complex forms;”

"This patient is the type of total tear and star-moon type."

"So I will choose double outer rows of nails to suture. If it is another shape, the suture method will be different. According to the classification, we can guide our operation. For example, if it is a star-moon type, we can use..."

Lu Chengcheng began to speak, assuming his own responsibility.

Lu Cheng's level is already very high. Even if Qin An and the others don't have a certain foundation, they can hear very clearly.

Medical knowledge is very messy, but there is still an inner hidden logic in it.

During Lu Cheng's internship, the knowledge system formed its own structure, and it was screwed up and rebuilt by Professor Wang Xiaoyang. Now it has reached the top level, and the way of thinking is completely walking step by step.

I understand it very clearly, and there is such a process, so the explanation is naturally very clear.

When the sense of hierarchy and theory are combined, it will be completely different after listening.

Even when Lu Cheng took Xia Qing and the others to the operating room, he kept saying that occasionally Xia Qing would add that he was a graduate student in orthopedics after all, and the basic knowledge of orthopedics still needs to be relatively solid.

So it sounds more refreshing.

But when it comes to the basic knowledge of medicine as a whole, Qin An and others are better than Xia Qing.

Therefore, after Lu Cheng continued to explain and built up the knowledge structure of Qin An and others, Qin An and the others instantly felt that their own knowledge system seemed to have begun to faintly build a context.

Although it's just a context, they, as academic masters, know how great its benefits are.

Qin An immediately said: "Mr. Lu, what you mean is that this rotator cuff injury can not only help us understand the treatment of rotator cuff injuries, but also serve as a springboard and basis for understanding shoulder arthroscopic treatment? A fundamental aspect of all disease?"

Lu Cheng replied, "Of course."

"Let me make an analogy like this. What is rotator cuff injury? It is a disease. It happens that the rotator cuff is composed of four muscles, and the four muscles form the rotator cuff. If the rotator cuff injury is removed, you will It is natural to feel that I am familiar with the anatomy of the shoulder joint muscles."

"Then extend it a little bit, take the rotator cuff injury as a point, and extend it, if there is no rotator cuff break?"

"What if there is no history of trauma? Is it just a simple shoulder sprain? Frozen shoulder, acromion impingement these diseases?"

"After these diseases constitute a fundamental aspect, and then extend it three-dimensionally, how can shoulder arthritis be treated as osteoarthritis resulting from the development of the above diseases?"

"Re-stretching, if the shoulder joint inflammation is not treated for a long time, how will it develop?"

"The labrum and cartilage are worn away. There is no joint space, is it the friction between the bones? Is the nerve originally hidden under the bone cartilage squeezed, can it not hurt?"

"Pinch a handful of sand in your hand, or how do you feel when you touch the sand? The feeling of frost, this is the last stage of osteoarthritis of the shoulder joint, after the osteophytes proliferate and become unstable, our palpation Feel!"

"Well, now that we have come to the palpation session, do we have to look at several other palpation sites? The acromioclavicular joint? The front and outside of the shoulder joint? The tenderness at the insertion point of the tendon of the rotator cuff that we knew before?"

"In this way, can we extend to the physical examination posture of the shoulder joint through palpation?"

"..."

Qin An and Zhou Xiaosheng were dumbfounded.

Fuck, it turns out that medicine can still be learned like this!
It turns out that medical knowledge is so reasonable!
It turns out that medical diseases are developed in this way, and medical diseases are diagnosed in this way.

The system of the shoulder joint is built like this.

Very interesting.

Lu Cheng continued: "Orthopedics is the subject closest to science. If you are in other medical majors, how do you walk without contact with mechanics? The insertion points of muscles are different, and the movements produced by his contraction are different, right?"

"This is sports medicine. I can't say too much. You need to slowly fill in a part of the system I just talked about. After you have a foundation, if we go deeper, you will definitely be addicted."

"Yeah!" Zhou Xiaosheng and Luo Weihua immediately nodded like chickens pecking at rice.

They all like surgery because there are more operations in surgery.

Unexpectedly, they just thought that orthopedics was a carpenter, and it was a professional orthopedics for reckless people. It turned out to be so delicate and had so many reasons.

This time it really attracted them.

The more reasonable the subject is, the more eager it is to learn.

The more studious you are, the more interested you become.

This is a process that everyone will go through. If one time you did a very good job in a subject, and after being praised by the teacher, you will study it more. If you understand a topic, the more you want to study it Make it clearer.

If you just don't understand halfway, you may give up halfway.

"Okay, that's all. Our classic textbooks need to be savored slowly. After tasting them, you will feel that the experts and professors who compiled these textbooks are really amazing!"

"They wrote everything after they had thoroughly read it."

"The part of orthopedics is not much. It seems that it is not difficult to remember. But it will take time to finish it, and it will become more and more interesting."

Speaking of this, Lu Cheng also felt that Zhou Xiaosheng and the others had a good foundation, and he really wanted to go to the orthopedics department, so he asked, "Imagine, a disease that can be fully recovered, a disease that can be cured only by our techniques, in Which department?"

"Is pneumonia cured? No."

"Is the cough cured? No."

"The fracture is healed!"

"Dislocation, after manual reset, it will be effective immediately. This is the charm of orthopedics! It is worthy of your careful taste, and it can only be tasted in the emergency department. If there is a chance, next time I am on the emergency department, maybe I can meet it." to some."

After Zhou Xiaosheng listened, he immediately said: "Mr. Lu, I don't think my foundation is very solid. Can I take a leave today to go back and read?"

"Tomorrow, the day after tomorrow at the latest, I feel that I can definitely improve a lot."

Luo Weihua also had the same thought. Looking at Lu Cheng, he was afraid that Lu Cheng would not let them go.

Qin An was very hesitant, should I go to internal medicine or surgery?

This was the first time she was so confused and hesitant.

"It's okay, you go back, read the books carefully, learn something in the clinic, go back and read the textbooks to gain something, this is what you can get during the internship, and you can't get it at other times."

"And you must remember your identities."

"You are students and interns at the moment. You can ask questions about basic knowledge that you don't understand. It's not in your nature. You probably don't."

"But when you're a graduate student, ask these questions again. Ask your brother Xia Qing what the consequences will be!"

After Lu Cheng finished speaking, he turned and walked towards the men's changing room.

Qin An and the others hadn't experienced this before, so they looked at Xia Qing, and Xia Qing said, "I'm scolding you, you won't go to school by yourself even after you graduate."

"You are really happy!"

"Teacher Lu."

"Hey, Teacher Lu guides you like this, builds the knowledge structure like this, and teaches like this. If I had a teacher back then, I could have half of his teaching level. I might not be like I am today."

"However, fortunately, I also met Mr. Lu."

Xia Qing looked at the expressions of several people, and said: "I tell you, it is really your blessing to meet a leader like him in your studies!"

"Otherwise, you will suffer a lot and be scolded a lot in the future."

"Of course, it's my good fortune to meet Mr. Lu. From now on, I will definitely stay in the third department of orthopedics and not go anywhere. Or I will go wherever Mr. Lu goes. Anyway, there are too many students under my boss, so I probably don't want to go anywhere." Can't take care of me!"

"I also want to go back and read books, but I still need to get a doctor's order!"

"I really envy you."

Immediately, Qin An and others hurriedly said goodbye and went back to recharge!
(End of this chapter)