Yu Zhiming was busy until nearly six in the afternoon. After completing the breast cancer screening work for the very early cancer project, he returned to the large office next door and unexpectedly found several people waiting for him.
There are Dr. Hou and Dr. Lin from our hospital, Dr. Tong Yu from Oriental Hospital, and Dr. Yu Shiquan from Peking Union Medical College Hospital.
"Doctor Yu, aren't you coming tomorrow morning?"
Yu Shiquan smiled and explained, "I felt it was necessary to meet and discuss tomorrow night's surgery, so I came here early."
Yu Zhiming asked doubtfully, "Compared to the previous ones, Chen Long's surgery tomorrow night will be a little more complicated, but it should be less difficult, right?"
Yu Shiquan smiled and said, "This is Brother Chen Long's surgery. We should pay more attention to the star effect."
"It's absolutely necessary to meet a day in advance to discuss and refine the surgical plan to ensure everything goes well."
Yu Zhiming couldn't help but roll his eyes and sat down on the office chair that Duan Yi had given up.
Yu Shiquan looked at Yu Zhiming's private office with the soundproof door wide open, and saw several workers busy inside.
"Doctor Yu, will you be doing the online video training on internal bleeding hemostasis in your office tonight?"
Yu Zhiming hummed, then continued, "To ensure the effectiveness of the training, the hospital will temporarily set up a live-streaming teaching room in my office that is said to be quite professional."
Tong Yu chuckled and said, "Doctor Yu, with your ability, there will be a lot of online teaching or online diagnosis in the future. It is necessary to build a fixed multi-functional room."
Yu Zhiming said, "The space here is a bit small and there's no room to move around. Once Huashan Second Hospital is completed, there should be space."
Tong Yu smiled again and said, "I saw the hotly discussed video online today and learned that Doctor Yu, you have shown your prowess again and saved a pregnant woman with your extraordinary pounding method."
Yu Zhiming waved his hand and said, "Let's not talk about this. I was just impulsive at the time and punched the pregnant woman subconsciously."
"After I threw that punch, I was stunned myself."
Yu Zhiming added bluntly, "To be honest, the effectiveness of that punch was largely due to luck."
Yu Shiquan said, "In an emergency, responding subconsciously or intuitively is often the best option."
"I myself have experienced two such memorable experiences: one at a disaster relief site, and the other when I was helping the injured in a major accident at the hospital."
"My brain didn't realize what I had done until my hands had completed the movement."
"At the time, I thought I was distracted and was very nervous, but when I thought about it, I realized that I had handled the emergency perfectly and brilliantly."
After a pause, Yu Shiquan continued, "Doctors doing emergency work on the front lines have many such experiences."
"In a race against time for emergency treatment, sometimes thinking is superfluous and you have to rely on your instinct-driven speed to save lives from death."
Yu Zhiming said in an exaggerated tone, "After hearing what you said, Doctor Yu, I find that I am not so guilty anymore."
Yu Shiquan smiled and said, "What's there to feel guilty about?"
"The fact that the pregnant woman is still alive and well and is in good health is the best proof of your perfect response."
Yu Zhiming opened his mouth but ultimately did not tell her that the pregnant woman did not agree with his method of treatment by beating and wanted an explanation.
He changed the subject and said, "Since you are all here, please take a look at the young man's right knee injury."
Yu Zhiming got up and went to the soundproof office, took out two A4 papers from the desk drawer and came back.
He took out the first A4 paper and made three copies.
"This 18-year-old boy, a former basketball player, suffered an accidental right knee injury over two years ago. After surgery, his daily life remains normal, but he is unable to engage in strenuous exercise."
"This young man wants to continue playing basketball. Do you think his wish is likely to come true?"
While introducing the situation, Yu Zhiming distributed the post-operative X-ray images of the boy's knee joint to Yu Shiquan and others.
Yu Shiquan took the diagram, glanced at it, and asked, "Did Dr. Cai Yongxian perform the surgery?"
"You can tell?" Yu Zhiming was a little surprised.
Yu Shiquan chuckled and said, "Just like handwriting, every surgeon has his or her own surgical style."
"I've carefully studied several of Dr. Cai's surgeries, and I have a pretty good understanding of some of his surgical details."
Yu Zhiming let out a soft "oh".
Yu Shiquan, Tong Yu and others each held the blueprint and looked at it thoughtfully for a few minutes.
In the end, it was Yu Shiquan who spoke first. After all, treating joint injuries was his area of expertise.
"Doctor Yu, I'm going to disappoint you."
Yu Shiquan said frankly: "In my opinion, although Dr. Cai's treatment of this knee injury cannot be called perfect, it is also of high standard."
"I'm repairing it based on his foundation..."
Yu Shiquan looked at the blueprint in his hand again and shook his head. "We can only make some minor improvements. The improvement will be limited. There's no need to let that young man suffer or take risks any further."
Tong Yu spread his hands and said, "Doctor Yu has no idea, and I can't think of anything."
Doctor Hou and Doctor Lin met Yu Zhiming's gaze and shook their heads slightly.
Seeing this, Yu Zhiming could only sigh, understanding that many things are limited by human power.
"Doctor Yu, what is that picture in your hand?"
In response to Yu Shiquan's question, Yu Zhiming explained, "This is my own idea. Based on the current state of the boy's knee joint, I want to see how it would look if he could run and jump again."
Seeing Yu Shiquan reaching out his hand, he handed him the drawing and added, "This is my idea. I don't know if the operation can be done."
"Even if the surgery is done, I don't know whether the effect will be as I envisioned."
During Yu Zhiming's introduction, Tong Yu, Dr. Hou and Dr. Lin all stood up, gathered around Yu Shiquan, and looked at the new drawings in his hand.
A few minutes later, Yu Shiquan looked up and looked at Yu Zhiming with sharp eyes, and even his breathing became heavier.
"Doctor Yu, I must say this is a brilliant surgical plan. Especially the repair and adjustment of the anterior cruciate ligament, medial collateral ligament, and articular cartilage, it is truly a stroke of genius."
Yu Zhiming asked in confirmation: "Is it really as good as you say? Doctor Yu, I'm young, don't fool me."
Yu Shiquan said with a bit of a laugh: "Doctor Yu, even if I had two guts, I wouldn't dare to fool you."
After a pause, he excitedly said, "This is a truly remarkable solution. I'm certain that after the anterior cruciate ligament and medial collateral ligament are repaired and strengthened, they should be sufficient to support the young man's strenuous exercise."
"One question is whether to use artificial ligaments for repair and reinforcement or autologous tendon repair."
Currently, surgical repair or reconstruction of severely torn or ruptured ligaments requires the use of two main types of grafts: autologous tendons and artificial ligaments.
Autologous tendons available include the most commonly used semitendinosus and gracilis tendons, peroneus longus tendon, quadriceps tendon, and bone grafts.
As for artificial ligaments, they are a kind of artificially synthesized polymer material that can be used directly to replace damaged ligaments.
This type of ligament has advantages such as avoiding the need to harvest autologous tendons, minimal rejection, and quick recovery. However, it also has disadvantages such as high cost and a lack of long-term efficacy observation.
Yu Shiquan pondered for a moment and said, "Because it needs to be highly integrated with the existing ligaments, and since you still want to play basketball, I recommend using an autologous tendon transplant."
After a pause, Yu Shiquan touched his chin and said, "Doctor Yu, to carry out your surgical plan, the requirements for precise surgical operation are extremely high."
He looked at Dr. Hou and said, "Dr. Hou, microsurgery is what you are best at. I need your help."
Before Dr. Lin and Dr. Tong could speak, Yu Shiquan continued, "You two won't be idle either. You both have work to do."
Yu Zhiming interrupted, "Doctor Yu, I've already explained my design. I just think it's feasible, but I can't guarantee its actual effectiveness."
Yu Shiquan laughed and said, "Such a beautiful design will definitely work. It will definitely work."
"I really didn't expect, Dr. Yu, that you have such a talent for designing surgical plans for knee injuries. I can only sigh, a genius is a genius."
Yu Zhiming said modestly, "This is probably because I have a better understanding of the body, and it was also because I had a sudden inspiration."
The next moment, he said solemnly, "Surgery is surgery after all. If there are problems after the operation, repairing it will be a very difficult task."
"Unless this design is quite reliable..."
Yu Shiquan took over and said, "Doctor Yu, please rest assured. I will have someone perform an intelligent simulation of this design."
"I'll also be making a 3D model. I won't rush into anything unless I'm confident..."
Next, the few of them forgot about Chen Long's surgery and had a heated discussion about the juvenile knee joint repair surgery plan designed by Yu Zhiming.
As for dinner, they made do with boxed lunches...
It was not until nearly seven o'clock in the evening when Yu Zhiming was about to start his online lecture that the discussion among the few people had to end.
Yu Zhiming walked into the brand new soundproof office, looked up at the wall-sized high-definition screen, and was stunned.
I saw that the big screen in front of me was divided into at least twenty small screens.
Every small screen is full of people.
There were so many teaching venues, which really exceeded Yu Zhiming's expectations.
He thought there was only one from Qilu Hospital, two or three from the military, and two or three more from the National Health Commission.
Yu Zhiming cleared his throat twice and was about to start when he suddenly noticed that the big screen had turned into a sub-venue scene.
Dozens of military doctors sat in a neat row.
"Everyone... stand up!"
"salute!"
Dozens of people stood up and saluted him. Yu Zhiming was at a loss for what to do and returned a somewhat flustered salute.
After eight classes of military doctors saluted Yu Zhiming in turn, Yu Zhiming announced the start of the training course.
"I forgot to mention one thing..."
Yu Zhiming picked up a stethoscope on the desk and said, "If you want to do your job well, you must first sharpen your tools. For you, stopping internal bleeding requires the use of a stethoscope. An ordinary stethoscope won't do the job."
"Let's put it this way. A mid- to low-end stethoscope worth less than three to five thousand yuan is basically useless to you."
He shook the stethoscope in his hand and said, "This is Yuyue's latest master-level customized stethoscope. It's the most affordable one among those that are still usable."
Yu Zhiming put down his stethoscope, faced the camera and said, "Let's officially begin. I'll first talk about distinguishing the celiac artery..."
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