The genius doctor starts from the game

Chapter 45 Knowledge is Dead and Alive
Li Hui heard this voice, although his heart was pounding,
In fact, there are rules of the operating room in the operating room. The decision-making of the surgeon should be less open.
But Li Hui couldn't help breaking this rule and asked, "Lu Cheng, what are you going to do next?"

In the same way, when he was asking questions, Li Hui vaguely thought of a label he wanted to put on Lu Cheng: Create something out of nothing, arrogant madman?

Could it be that Lu Cheng thought that when he found the huge rotator cuff that he hadn't found the first time, he would be able to discover other diagnoses that we couldn't even see on the MRI?
The diagnosis of this patient is very clear, that is, shoulder joint synovitis and loose bodies, and the synovitis should be caused by free bodies.

If it was a knee operation, Li Hui wouldn't say a word, but for a shoulder operation, the patient is under general anesthesia, so it doesn't matter.

Naturally, Lu Cheng couldn't explain it. After he took out the loose body just now, although he dealt a huge amount of damage in a crit strike, the patient's red light cluster has not been eliminated, and he still has 995 blood bars!
Lu Cheng knew that this was something that no one else could see.

However, after searching around the joint cavity, Lu Cheng couldn't find out what happened to the remaining blood, or the disease that caused it.

Therefore, Lu Cheng could only go to another gap in the shoulder joint, that is, the subacromial gap.

So Lu Cheng could only say: "Ms. Li, we haven't looked at the subacromial space of this patient yet, so let's just take a look at it. It may need to be cleaned up."

The shoulder joint, with two gaps,
If it is not clearly seen on the imaging data that there is a diagnosis that requires treatment in another gap, it is not necessary to look at it.

However, in addition to being a means of treatment, arthroscopy was originally invented for the purpose of discovering diagnoses that cannot be found by imaging.Therefore, its first function is actually to confirm the diagnosis.

Li Hui closed his mouth, what Lu Cheng said was similar to his thoughts,

He didn't stop him. If Lu Cheng couldn't admit the fact that his knowledge was limited and his manpower was limited,
He will never grow up,

It is good for the patient to observe one more gap, not harmful.
Only when you have truly experienced the error can you know where the error came from,

This is teaching by doing, self-teaching.

The hand-washing nurse has been staring at Li Hui. She naturally knows which people in the team of Director Wang Xiaoyang of the Third Department of Orthopedics can perform the surgery. Although there was a sudden change of people today, she also heard what the nurse who spoke to the station said in the group on Saturday. ,
There is an intern who is particularly awesome,

One person withstood the pressure in front of the live broadcast, finished the opening of the live broadcast surgery,
This is great.

She also guessed that Lu Cheng might be that intern,
However, whether Lu Cheng can take the lead and whether he should continue with the next step depends on Li Hui's will.

Li Hui didn't speak, so she could only say: "Sharp knife!"

Pang Lin took the sharp knife and handed it to Lu Cheng. He was a little happy in his heart, but immediately calmed down again.

He felt that his current state was very dangerous.
Li Hui obviously felt that Lu Cheng's next move was unnecessary, so Lu Cheng was probably making a mistake.
And he would be delighted that Lu Cheng was about to make a mistake,
This does not seem to be the original self;
Therefore, he hesitated for a moment, but chose to ask: "Mr. Li Hui, do you want a sharp knife?"

"Here!" Li Hui replied, glanced at Pang Lin, and remembered him.

He glanced at Chen Zhuoyuan again, but did not speak.

Chen Zhuoyuan immediately realized Li Hui's eyes, and hurriedly said: "Brother Hui, it's not that I don't want to take a sharp knife, but I'm still thinking about the operation just now! I didn't pay attention."

Chen Zhuoyuan was not actually explaining that he didn't catch the sharp knife, but was explaining to Li Hui that he didn't stop it.

Li Hui nodded and said: "The operation just now is indeed a bit fast. But the effect and quality are not bad,"

"Xiao Lu's operation is still very standardized, and it is worth learning and referring to."

When Li Hui answered Chen Zhuoyuan, he was actually reminding Lu Cheng,
Boy, if you still want to surprise us, then let's call it a day.

I can understand that you want to show off your skills in front of everyone, but you have already done that.

Lu Cheng didn't speak,

He was tactful enough,

In the face of disputes, all kinds of disputes and reasons are not as convincing as facts.

If you just ignore the potential lesions that have happened to you just to ensure your impression in Li Hui's heart, this kind of thing is against the original intention of being a doctor.

Lu Cheng couldn't do such a thing, so even if he understood Li Hui's meaning, he still insisted on doing it.
Of course, on the surface, he still smiled to ease the atmosphere: "This is what Teacher Li Hui taught well."

"I also watched Mr. Li's operation, so I was able to do it so quickly."

No matter whether it's flattering or licking, Lu Cheng can only say that, if it's not necessary, he doesn't want to have any hostility or resistance with his superiors.

But now it is necessary.

Opening an opening is quick, and entering a joint space is even easier for Lu Cheng, who already has advanced camera-handing skills,
The sharp knife pierces the skin, the straight forceps pierces,
Arthroscopy with an arthroscopic sleeve into the subacromial space.

Li Hui sighed secretly, while Chen Zhuoyuan secretly sweated for Lu Cheng, and said to himself: Xiao Lu, Xiao Lu, if you really have this kind of character, you might lose you until now, you have to leave The greatest opportunity on the road of medicine!
Pang Lin was expressionless, but felt a little regretful.

Lu Cheng turned the joint camera a few times, and saw that there was indeed a large amount of synovial hyperplasia in the subacromial space, and there was a very small osteophyte lying there under the acromion!

Seeing this scene, almost everyone's expressions changed.

Except for Chang Guangkun, who looked down at the phone.

Li Hui's expression flickered endlessly,
Gouging in front of Lu Cheng again naturally made him very shameless, but every time Lu Cheng just properly maintained his face, this time he didn't let him say that you don't need to go into the gap under the shoulders at all. Talk!

As for Pang Lin and Chen Zhuoyuan, apart from being shocked,
Nothing else!

My head is full of question marks that only children are rich.

Lu Cheng didn't explain too much, but continued to clean up the aquatic plants again on his own.

Before Lu Cheng performed this step,

In fact, the calculation has already been made!

The first time Lu Cheng saw Li Hui removing a large amount of synovial membrane from his frozen shoulder, he discovered that the blood bars of so much synovial membrane from his frozen shoulder were around 1500.

During the last live broadcast, when the synovial membrane was cleaned apart from the glenoid labrum, the blood bar of the frozen shoulder was still around 1500!

And the blood bar in the subacromial gap is only about 500 and still the same!

Today, before Lu Cheng took out the loose body in the joint cavity, the blood bar for cleaning the synovium was only around 300!

Therefore, through preliminary statistics, it can be roughly calculated: because the synovial membrane of the frozen shoulder is super large, the blood bar is at least about 1500,

The remaining synovial hyperplasia is generally at least less than 1000!

Now that the patient's blood bar is greater than 900, Lu Cheng is very sure that there must be a diagnosis other than synovial hyperplasia in the subacromial space!
He was right.

This time, he is not completely dependent on the system, but also has his own observation and organization, which is his own knowledge and adaptability other than the system bestowed on him.

Knowledge structure and knowledge system are both dead, only flexible use and application,

This knowledge is yours!

Obviously, all this knowledge has become Lu Cheng's!
Please collect and recommend tickets!thank you all!

(End of this chapter)