boyutpedia Chapter 9 Help!
Chapter 9 Help!
Dong Anhua looked up: "Zhuo An, you're oversimplifying the problem."
"To survive is easier said than done."
"To reverse life and death is to reverse the rules of nature!"
"You can leave now, the teacher won't blame you."
"I will answer any questions you may have in the future as soon as possible."
"Just tell me what you want to learn as soon as possible."
This is very much like Dong Anhua. In his previous life, Chen Zhuoan was able to return to a top-tier teaching hospital after going to a small tertiary hospital, thanks in part to the help of his teacher, Dong Anhua.
Chen Zhuoan sat motionless: "Teacher, you've overcomplicated my words."
"First of all, having more people know about this patient's specific situation will not impose any subjective burden on him."
"Secondly, I want to explain to you, teacher, that you were unaware of my situation, and that my desire to help was simply my subjective reason. It does not mean that you did not do a good enough job."
"Finally, even if your student Chen Zhuoan is not very capable, I can still help by pasting up examination forms, organizing medical records, and writing medical records. That would be a form of help."
"If we resolve this issue sooner, you'll have more time to teach us and to work on the treatment of patients in our department."
Dong Anhua was so angry at Chen Zhuoan that he laughed: "What did you say?"
"You're saying my treatment in the department wasn't meticulous enough?"
Chen Zhuoan nodded readily and then offered his suggestion: "Teacher, please think about it again. Can patient in bed 23 have the surgery?"
"What's the point of performing this surgery now?"
"This must be because you're too busy with work, which is why you missed making a judgment."
Dong Anhua's brow immediately furrowed: "Bed 23? Shouldn't patient 23 have surgery?"
Which patient?
Chen Zhuoan: "A patient with a massive, irreparable posterior superior rotator cuff tear!"
Dong Anhua asked, "What problems could this patient possibly have with his latissimus dorsi transposition surgery?"
Chen Zhuoan: "The latissimus dorsi is an internal rotator muscle. The transposition technique requires it to replace the external rotation function, and it is used to replace the infraspinatus and teres minor muscles."
"This 'reverse' muscle transposition means that patients need long-term, complex biofeedback training after surgery to relearn and activate the muscle to simulate external rotation!"
"Secondly, compared to the better alternative of trapezius transposition, the latissimus dorsi has a lower external rotation torque and overall force line."
"Most importantly, this patient has developed rotator cuff tear joint disease."
"What's the point of performing a transposition on him at this point?"
"He will eventually opt for a reverse shoulder replacement."
"Why don't we get a replacement now?"
In my 10 years of orthopedics experience, the subspecialty classifications are still not that detailed.
The comparison of the advantages and disadvantages of lower trapezius transposition and latissimus dorsi transposition is a new knowledge point that was only introduced in 16.
Although Chen Zhuoan remembered that this was the exact wording from 16.
Once proposed based on the principles of mechanics and basic anatomy, professionals will quickly understand it.
"So what you mean is?" Dong Anhua's brows furrowed again.
"Patient surgery, or local puncture and injection, is performed while the patient's condition continues to progress until the rotator cuff tear arthropathy matures."
"His current stage is similar to stage III of knee osteoarthritis. Performing arthroscopic surgery at this point would only be scratching the surface."
"Of course, I know, teacher, you must have been too busy to think about such details."
"Therefore, we need to free up some time as soon as possible."
After careful consideration, Chen Zhuoan added, "Of course, it's not that latissimus dorsi transposition is absolutely impossible, it's just that its useful lifespan is too short."
"To achieve temporary pain relief, it's better to inject a 'cocktail' locally, as both methods have equivalent effects."
"The latter costs only a fraction of the former, perhaps a hundredth or a thousandth."
Chen Zhuoan was demonstrating his professional knowledge to Professor Dong.
Professional knowledge that is within the scope of the curriculum, based on current basic theories, literature, papers, or guidelines, and is just the right amount of professional knowledge.
He wanted to tell his teacher that he really had a certain level of expertise, and asked the teacher to let him see the patient's current medical records.
This patient's medical records can only be accessed by a senior professional account holder. The account that Chen Zhuoan and others are currently using to write medical records is just a sub-account under Associate Professor Zeng Tianfang's account.
You do not have permission to view this.
Professor Dong Anhua pressed his tongue against his lips, thought carefully for a moment, and said, "Local injection is just scratching the surface, isn't it?"
Chen Zhuoan nodded frankly: "Yes, it's the same principle."
"It can save patients some money."
"It would be better if it were earlier, or if he hadn't developed joint disease yet."
"Given the current situation, I personally feel that the economic benefits of 'latissimus dorsi transposition' are not strong."
Dong Anhua slammed his hand on the table again: "Chen Zhuoan, are you sure you want to talk to me like that?"
Although Dong Anhua was persuaded by Chen Zhuoan, Chen Zhuoan's tone made him feel particularly uncomfortable.
Chen Zhuoan immediately shrank his neck and gently withdrew his hand to calm himself down.
Don't get angry, don't get angry. You're just a little Chen Zhuoan, and you can't 'dare' your teacher yet.
"Teacher, please let me see the medical records!" Chen Zhuoan's tone softened.
"Currently, we only have paper copies, and we have to go to the ICU to make them."
"The medical records have been blocked, and our department has no right to interfere," Dong Anhua said.
Chen Zhuoan: "Okay, I'll go down and ask."
Chen Zhuoan could have sneaked over on his own, but it would have been better to prepare his teacher mentally first.
Looking at something with the teacher's approval and secretly browsing it on your own are two different things.
In fact, Chen Zhuoan could roughly guess what dangers the patient was currently facing, but he needed to see the actual materials in order to analyze the treatment plan based on the specific situation.
Just by listening to the initial surgery and then hearing that the patient is about to die, can one immediately pinpoint the cause of the patient's illness and find the right treatment plan?
That's the skill of a god!
After giving in a little, Dong Anhua finally asked, "How many books have you actually read?"
"I sense something's wrong with you."
Chen Zhuoan smiled and said, "Teacher, I just looked at some textbooks and papers, all of which are readily available."
"I have a good memory."
Dong Anhua's eyes flickered: "Remembering and thoroughly understanding after memorizing are not the same thing."
"Are you trying to fool me because I'm an amateur?"
Dong Anhua has a sharp eye and is not easily deceived.
Chen Zhuoan thought for a moment before calmly saying, "I've remembered it, I understand it, I've read it, that's it."
Dong Anhua immediately crossed his arms and said, "Do you believe I'll slap you?"
"Try speaking in that tone again?"
Chen Zhuoan shrank back and touched his chest: "Teacher... I'll go to the ICU to print out the materials first."
After running out the door, Chen Zhuoan politely closed it behind him.
Standing at the door of the director's office, he began another round of mental preparation.
Stay calm, stay calm, and you'll be fine soon.
At that moment, Su Xiheng sent a message.
"An'an. Lunch? Want to have lunch together?"
Chen Zhuoan: "I have to go run errands for my boss now, let's eat together this afternoon."
"Don't share the thing I sent you last night..."
Su Xiheng actually wanted to talk to Chen Zhuoan about this: "An'an... you really don't need to spend a lot of time on me, I can handle it myself."
"I heard that your GPA has dropped a bit compared to previous years."
"Is it because of me?"
Chen Zhuoan: "That's not true!"
"My GPA dropped because I felt those exam scores weren't that important anymore. In the end, what matters to us doctors is our ability to treat patients."
"In the end, research success comes down to the quantity and quality of publications. Aside from recent graduates looking for jobs, do employers even consider your GPA?"
"Who cares about your GPA anymore?"
"Besides, no matter how good your GPA is, can it compare to two top-tier SCI papers?"
Chen Zhuoan continued, "You have... and I have too."
"That's good... I'll continue with my experiments."
"I love you." Su Xiheng is still very naive and easily fooled.
Chen Zhuoan smiled casually.
Actually, Chen Zhuoan in his previous life wasn't stupid.
Compared to GPA and scholarships, Su Xiheng's life plan is definitely more important.
For two people to go further, they must be connected at heart and support each other, not one person using the other's emotions to prop themselves up and pretend to be happy.
Chen Zhuoan has always been a part of her life plan.
What right does Chen Zhuoan have to make her lose?
In the end, Chen Zhuoan only lost because he changed teachers and research directions midway, not because of Su Xiheng.
But that was in a past life.
Chen Zhuoan patted the front pocket of his white coat, pulled out a pen, and twirled it on his thumb:
"Come on... let me see how this patient will die next..."