Doctor Chen, Don't Be a Coward!

Chapter 299 Why is this difficult? !

Chen Nan took the lead in visiting Dean Ge Yerong.

For Chen Nan's arrival, Dean Ge gave enough face and promised many things with a smile.

"Xiao Chen, this integrated traditional Chinese and Western medicine ward is our key ward and the main ward for future development!"

"You may not know much about our hospital, as a national demonstration site of integrated traditional Chinese and Western medicine hospitals and a key research center."

"Here, but the superior department has given enough attention!"

"I also know a little bit about you. The fire acupuncture combined with percutaneous superficial veins for the treatment of varicose veins in the lower extremities has also increased my knowledge!"

"Our hospital needs talents like you!"

Chen Nan smiled awkwardly, this... After coming here, he will become an idle person, this is the future... what kind of talent is he?

"Dean Ge, I'm new here, and I'm not familiar with many of them, and our hospital is a small hospital, so we need to learn more from the experts here."

"Currently, I have no specific work arrangements."

Although Ge Yerong didn't have a deep understanding of Chen Nan's affairs, who was he? Can you not know how many doors are behind it?

He smiled: "Yes, learn more, don't rush!"

"Our department is very mature, and the three generations of old, middle-aged and young people are considered stable. It is indeed difficult to give you a precise position when you first come here."

"But don't worry!"

"This kind of thing, don't rush!"

"It's gold, it will shine sooner or later."

After chatting for a while, Chen Nan didn't get Dean Ge's approval, so he could only go back and transfer to another department with nothing to do.

What Dean Ge said is good, what Director Luo said is also reasonable, after all... I am an outsider.

It's a good thing that I didn't bring Zhao Jianyong here this time, or...the two of us came to serve as a bench together and enjoy the blessings?

He shook his head, and simply followed a staff member arranged by Luo Qiping to wander around the ward.

I have to say that this China-Japan Friendship Hospital is really rich and powerful.

Although there are only nine departments, they occupy a building with 21 floors!

The staff member is Hu Min, assistant to the director of the ward, and a staff member of the Orthopedics Department of Integrated Traditional Chinese and Western Medicine. He has been here for seven or eight years, and he knows enough about this place. He is an authentic capital native.

Chen Nan staggered and followed the other party around seven or eight floors, thinking that he was wandering around blindly.

After all, this time, whether it is long or short, I went to the department. At this point, the director is not there. After I go, it will be exactly the same as traveling.

But... who travels to the hospital?

But Chen Nanquan must have recognized the family!

I don't care either!

Before we knew it, the group arrived at the orthopedics department.

The Department of Orthopedics is very large, with 5 floors, and it is the most successful department in the integration of traditional Chinese and Western medicine.

The 7th floor is the headquarter of the Department of Orthopedics, which is also the department where Director Luo Qiping works. The hall is full of various honors.

"National Key Specialty of Integrative Traditional Chinese and Western Medicine", "National Orthopedics Demonstration Base of Traditional Chinese and Western Medicine", "National Key Specialty of Bone and Joint"...etc!

Hu Min smiled and introduced to Chen Nan: "Director Chen, it's the department of orthopedics, and it's the best department in our integrated traditional Chinese and Western medicine ward."

"There are many types of diagnosis and treatment here. Our department is also a contract unit of the National Sports Bureau. If you see a sports star here, don't make a fuss. It is a common thing here."

"This is the result of joint efforts under Director Luo's leadership!"

"Even those international stars, there are even those who come here in admiration."

"You watch the NBA, don't you? Do you know which teams in the NBA, the Suns team doctor is the best, right? Then you know... do they cooperate with our unit?"

"So, not only domestic, but also many international sports stars, our department has quite a few!"

"Director Luo, he is a well-known figure. He is the 28th generation descendant of Luo's bone setting. His technique of reset is absolutely amazing!"

"Ordinary people have fractured joints. Director Ren Luo doesn't need surgery at all, and he doesn't even need X-rays. The manual reset is awesome!"

"Now, the world-renowned Roche technique has been reset, and it has been used in the Lancet several times!"

"That level, even the people from the International Orthopedic Research Association have to give a thumbs up to praise!"

Chen Nan was a little surprised at Luo Qiping, he didn't expect... this Director Luo is actually the descendant of Luo's Orthopedics Department?

This is the bone-setting technique of traditional Chinese medicine known as the intangible cultural heritage!

Bone setting in traditional Chinese medicine is commonly known as the eight methods of bone setting, but each school has its own understanding. On this basis, it has developed into a mature discipline!

Manipulative reduction is also recognized internationally, and even many joint operations basically do not require surgery, and foreign doctors can also set bones.

Manual reset is not exclusive to China!

Even in the West in recent years, various techniques have emerged. Every year at the annual meeting of the International Association for Orthopedic Research, improvements to the techniques can be seen.

Director Luo turned out to be a member of the International Orthopedic Research Association.

Hu Min's introduction made Chen Nan feel certain that this place was not in vain!

The platform here is no longer just a simple hospital!

The top domestic hospitals are usually research centers for certain diseases in the country.

Many guidebooks in China have been circulated from these places.

It can be said!

Here, it's not just a hospital, it can even be said to be a research institute.

Chen Nan was really right. This China-Japan Friendship Hospital is the National Institute of Integrative Traditional Chinese and Western Medicine.

It can be said that here is the national demonstration site for the integration of traditional Chinese and Western medicine.

Chen Nan's visit this time, if it wasn't for the strong recommendation of his teacher Lu Pingren and others, how could he come to this kind of place and take up the position of deputy director of the ward?

After this stroll, Chen Nan's mood became much more at ease.

Being able to come here to be the deputy director of the ward is definitely a high climb. To be honest, regardless of qualifications or other things, Chen Nan can come here to be the deputy director of the department because he thinks highly of Chen Nan.

But what about now?

He directly gave the title of deputy director of the ward!

Although it seems to be a false position at present, it is even a position of public criticism.

But so what?

If this is said, those leaders or celebrities and rich people, who can't be kind to themselves?

To put it bluntly, there are only so many beds here, but it doesn't mean that you can come if you want!

At this time, Chen Nan suddenly thought of the meeting with Master Lu when he left the source city. The other party had a smile in his eyes when he talked about this job.

Chen Nan now understands that this position is also an assessment of the teacher for himself!

It depends on whether you can do it well!

Chen Nan immediately clenched his fists. This time, he not only had to do a good job, but also to do it wonderfully. What he did was so convincing that he applauded it!

This is a worthwhile trip!

Thinking of this, Chen Nan turned to Hu Min and said, "Take me to the clinical pathway center of the Department of Orthopedics."

The Clinical Pathway Center is also unique here.

The so-called clinical pathway center refers to the specific treatment process for a certain disease.

The clinical pathway, to put it bluntly, refers to the relevant treatment plans that patients need to undergo when they enter the hospital for treatment.

Each department of the integrated traditional Chinese and Western medicine ward has a dedicated center, and clinical scientific research personnel are in charge of sorting it out.

Hu Min nodded after hearing this and said, "Okay, Director Chen, this way please."

Naturally, Hu Min couldn't neglect Chen Nan. No matter what he said, Chen Nan was the deputy director of the ward, and the lower level was the executive vice president.

People look at the center of the path, why not?

...

And at this time!

inside the office.

The atmosphere is tense.

Meng Si, deputy director of the Department of Orthopedics 1, said solemnly: "I think it's more appropriate to use anesthesia."

"After all, the patient's condition is a backward dislocation of the ankle joint, and manual reduction is not realistic."

"There is soft tissue embedded in the joint; the joint is unstable after reconstruction, or there are bone fragments that need internal fixation."

"Although the operation is not major, in order to repair it better, an open surgery must be performed."

"Surgery requires anesthesia. Local anesthesia cannot solve the problem."

"My suggestion is to use general anesthesia."

When Zhang Xiao's manager heard this, he immediately became anxious: "It's all numb?!"

"Is this appropriate?"

"Zhang Xiao is a national-level athlete. He only has three months to recover from this surgery, and these three months also include post-exercise."

"Although general anesthesia won't affect you, but... I'm worried..."

Zhang Xiao is a national-level sprinter. This time, he was injured during a training camp in the capital, but... Zhang Xiao's situation is quite special. After the trauma, his lower back was infected.

In this case, spinal anesthesia presents a big problem.

Generally speaking, spinal anesthesia is a relatively routine treatment, and the technology is very skilled at present.

But……

Spinal anesthesia is performed through a lumbar spinal puncture. The skin enters the spinal canal through many layers, including skin, subcutaneous tissue, supraspinous ligament, and ligamentum flavum. During the puncture, the nerves and blood vessels on this path may be damaged, resulting in corresponding complications.

However, if the puncture site has an infection, coagulation disorder, or neurological disease, try to avoid doing this puncture.

Therefore, Zhang Xiao has no way to perform spinal anesthesia at this time.

This caused a certain amount of trouble for the operation!

Zhang Xiao's manager Tao Lianghui suddenly thought of something, he hurriedly looked at Luo Qiping beside him:

"Director Luo, I know you have a way, aren't you good at this method of reset?"

"Can Zhang Xiao not have surgery?"

"At the end of the year, he will participate in international competitions."

"With surgery, the recovery will definitely be slower."

"Manipulation reset, can you do it here?"

Luo Qiping looked solemn, because Tao Lianghui was not without problems.

Ankle fractures are one of the most common types of fractures.

Because the ankle joint is in the pressure-bearing part of the human body, it plays a key role in the blood circulation and movement of the foot.

If in general, open reduction of ankle dislocation is suitable for internal and external dislocations of the ankle joint, it is easy to be repaired by manipulative manipulation, but it is difficult to be manipulatively repaired for backward dislocations, so open reduction should be performed and the damaged ligaments should be repaired.

Moreover, for athletes, the situation is even more special.

They have to consider more factors!

For example, the recovery time of the patient and the state after recovery are very critical.

The career of an athlete is not long, and anyone who has followed sports events knows very well that an ankle fracture may directly scrap the athlete's career!

In a place like the NBA basketball league, how many people fell from the top because of a broken ankle?

Carter, the trapeze man, Duncan, who is known as the devil in the air... There are too many cases. After an ankle injury, can he still fly?

so!

It is also an ankle operation, but here, it is no longer as simple as a simple minor operation.

There are so many factors to consider!

Generally speaking, if the ankle is broken, you only need to reset and fix the ankle, and then with the nourishment of blood, the bone will heal, and that will be fine.

but!

For athletes, their soft tissues, joint membranes, tendons, ligaments, blood vessels, nerves, etc. are all crucial things.

This is exactly what Luo Qiping is most worried about.

It's not like he hasn't done similar surgeries.

But... There is another point, Zhang Xiao cannot perform spinal anesthesia.

What should I do?

Surgery is absolutely impossible without anesthesia.

If it is anesthetized, although Zhang Xiao and his manager can agree, but...they are not very willing.

Those national-level athletes often need to apply for anesthesia even when extracting teeth.

This is still just local anesthesia, but now it's general anesthesia...

Why!

Although, in most cases, it will not be affected, but... what if?

If there is no other way, you have to anesthetize!

And now, they are thinking about whether there is a better way.

There are many people in the office, and everyone is discussing this plan.

Meng Si said at this time: "Director, if you don't anesthetize, it will be very troublesome!"

"After cutting the joint capsule, these local anesthesia can't solve the problem."

"What's more, if the muscle is tense, the tendon is tense, we have to cut the tendon, so ... the recovery period is longer."

"The tendon is incised and then stitched, which has little effect on most people, but...the opponent is an athlete, and the stitching of the tendon will also affect the athlete's state."

"Indeed, if the technique is reset, that would be the best!"

"But... look at this film, there are bone fragments now, and it needs to be fixed!"

"So, surgery is the only way."

"Also, look, the soft tissue here is already embedded in the joint cavity. If you don't hurry up and perform the operation, it will easily lead to nerve disorders and blood vessel damage. It will only be more troublesome at that time!"

Tao Lianghui's expression was a little ugly at this moment!

As a professional agent, she has seen too many cases of athletes falling from the altar after accidents.

Zhang Xiao is only 21 years old this year, at his peak, he is a young sprinter.

For them, the start of the command gun and the speed of nerve reflexes are very critical.

Zhang Xiao is expected to win an Olympic medal in the future!

He really can't get hurt...

If this matter is not handled well, or even not handled properly, Zhang Xiao's future will be ruined forever.

Seeing Luo Qiping not speaking for a long time, Tao Lianghui was silent for a while!

At this time, Luo Qiping suddenly said:

"Actually, there is a relatively safe and effective method."

"That is the traditional Chinese medicine method of reset, plus surgery."

"We have done relevant clinical research, that is, the research on simple surgery and surgery combined with manual reduction!

In this study, the excellent and good rate of treatment in the observation group was 91.22%, which was much higher than that in the control group (71.43%), and the fracture healing time and hospitalization time in the observation group were shorter than those in the control group.

The VAS score at 3 days after operation was lower than that of the control group!

Using TCM bone setting combined with surgery to treat ankle fractures has an ideal effect and can effectively promote postoperative fracture healing and reduce postoperative pain in patients.

Moreover, for the recovery effect, it is also very good! "

"Miss Tao, I think you can study it."

"By the way, Xiao Li, you go to the route center and bring that specific plan over."

The doctor on the side nodded quickly, got up and ran towards the center of the path.

After hearing this suggestion, Tao Lianghui couldn't help but nodded.

"Then trouble the director!"

...

And at this time!

Inside the Pathway Research Center.

After Chen Nan selected some and read them, his expression was dull and he began to think.

Hu Min on the side laughed and joked, "Director Chen, how is it compared to your hospital?"

Hearing the sound, Chen Nan immediately laughed: "Hehe, Dr. Hu, I don't know how to answer the question you asked!"

"hehe!"

"Besides, don't I belong to the China-Japan Friendship Hospital now?"

"However... for your ankle fracture, the effective rate of manipulative reduction combined with surgery is really 91.22%?"

Hu Min nodded seriously: "Director Chen, I can't promise anything else!"

"However, there is absolutely no problem with the authenticity of our data."

"These things are all led by our director himself, and it is impossible to fake them."

Chen Nan snorted and nodded.

The China-Japan Friendship Hospital is indeed much better than their source city people's hospital.

Judging from the good rate of 71.34% in the operation group, it far exceeds the 58.22% in their source city!

Don't underestimate the gap of less than 15%!

This represents cutting-edge strength.

It is the control of the details of the operation, the technique of more angles... and so on!

This is a difficult gap to bridge!

And... what others are doing is the excellent rate, but what they are doing is the obvious efficiency.

There is a completely different difference between the two.

After Wu Xinke became the dean, as the director of the Department of Orthopedics, he is very concerned about the construction of the Department of Orthopedics that integrates traditional Chinese and Western medicine.

Chen Nan also cooperated with the other party in the study of manipulative reduction plus surgery.

Chen Nan also participated in ankle surgery.

but……

Chen Nan was a little puzzled.

Because, their manual reduction combined with surgical therapy has an excellent and good rate of 97.11% for patients!

This is the reason why their surgery is not as good as others...

Where is the problem?

It goes without saying that it is in the reset of the technique.

It seems that my method of reset is not bad!

Chen Nan couldn't help laughing inwardly.

At this time, Li Ke suddenly walked in in a hurry and frowned when he saw Hu Min leading a young man standing in the center of the path.

"Doctor Hu... who is this? How did you bring it here?"

Hu Min quickly said: "Group Leader Li, this is the new deputy director of our ward, Director Chen Nan."

"The director asked him to show him around."

After Li Ke heard it, he looked at Chen Nan curiously, and nodded quickly: "Hello, Director Chen!"

Li Ke didn't expect... the new deputy director of the ward is so young?

She is much younger than Hu Min!

This little one is a bit outrageous!

Li Ke is the deputy chief physician and the team leader.

Naturally, he would not offend the new deputy director.

"I'm the leader of the joint group of Department of Orthopedics 1, Li Ke, Director Chen, just call me Li Ke."

Let him be called Xiao Li, but Li Ke can't tell...

"By the way, Dr. Hu, where is the clinical pathway for the ankle joint?"

"Director Luo is waiting for me, give it to me quickly."

"There is a patient who is anxiously waiting."

Hu Min quickly widened his curious eyes: "Is it Zhang Xiao? How is it?"

Li Ke frowned: "Hey!"

"The situation is a bit difficult!"

"There is a large area of trauma infection on the lower back, so spinal canal anesthesia is not available."

"And, you know, what a broken ankle means to an athlete."

"Moreover, the opponent is still dislocated to the rear, and the manual reset cannot be performed."

"The director is also very worried!"

"Let his agent help to see the situation."

After hearing this, Chen Nan suddenly had a thought: "Can I go and have a look?"

While speaking, Chen Nan handed the path in his hand to Li Ke who was beside him.

Li Ke hesitated for a moment!

"this……"

"should be no problem."

"Director Chen, just follow me."

While speaking, Li Ke led the two of them towards the office.

"Director, here you are!"

Luo Qiping didn't turn around, nor did he notice that Chen Nan was following.

He handed the clinical pathway in his hand to Tao Lianghui who was beside him, and began to explain the specific work details.

After Tao Lianghui finished reading, she couldn't help but sighed.

"This...recovery time, will it take 2 months?"

"It's a bit long!"

"Director Luo, is there a better way?"

"There is still surgery. If surgery is necessary, is there another way of anesthesia?"

Luo Qiping immediately shook his head:

"First of all, the first point: the patient must be operated on."

"There is no doubt about it. Manipulative reset can effectively help recovery, but... the effect of posterior dislocation of the ankle joint is also limited. This needs to be paid attention to!"

"Secondly, surgery requires anesthesia, and local anesthesia can't solve the problem at all!"

"Third, we have no way to guarantee the recovery time, we can only do our best!"

After Tao Lianghui finished speaking, she nodded helplessly:

"Thank you, Director Luo!"

"I... I'll discuss it with Zhang Xiao!"

"Hey……"

At this moment, Chen Nan was watching the film hanging on the viewer.

Groaned!

After a while, Chen Nan suddenly felt... In this situation, he has a way to reset it.

It is best for the patient to undergo surgery, because there is a bone fracture. If this is fixed, the recovery may be better.

There is also damage to the nerves and ligaments. In this regard, if the ligaments can be repaired, the recovery will be better and faster.

But... my own technique, combined with the operation, will undoubtedly improve the excellent and good rate of patients!

Thinking of this... Chen Nan spoke.

"actually……"

"I have the means to perform manual reduction on patients."

"It may make the excellent and good rate of patients reach more than 97%!"

As soon as these words came out, the room fell silent.

Everyone looked for the reputation, and suddenly found that it was a young man.

For a moment, everyone couldn't help frowning.

where is this place?

How can an outsider express his opinion casually?

Moreover, no white coat!

"Who are you?"

"Who sent you here?"

Meng Si quickly asked back, although he was not angry, but his voice was very serious.

Luo Qiping also looked at Chen Nan, frowning slightly.

but……

He still made an introduction to Chen Nan.

"Director Meng, everyone, let me introduce you."

"This is the new deputy director of our integrated traditional Chinese and Western medicine ward, Director Chen Nan Chen!"

"Director Chen has just arrived, and I haven't had time to introduce him to you yet."

"After today, he will be the deputy director of our integrated traditional Chinese and Western medicine ward!"

As soon as these words came out, everyone was dumbfounded!

They didn't expect that such a young and somewhat outrageous young man turned out to be the deputy director of their ward!

For a while, everyone whispered, a little surprised!

However, Luo Qiping still looked at Chen Nan seriously: "Director Chen."

"you……"

"You don't know much about Zhang Xiao's situation. He is our national athlete, and the situation is more complicated."

Hearing the sound, Chen Nan nodded and said, "Director Luo, I understand!"

"but……"

"I'm not kidding."

"I do have a way to make the excellent and good rate of patients reach more than 97%."

"I have papers and clinical data to prove it!"

"You may not know me very well."

"Let me introduce myself. I am the director of the Department of Traditional Chinese Medicine of Yuancheng People's Hospital. I am also responsible for the establishment and development of the integrated traditional Chinese and Western medicine ward of our hospital!"

"Our orthopedic director is Director Wu Xinke, and he can testify."

"We have also conducted a clinical trial of manipulative reduction combined with surgery in the treatment of ankle fractures."

"And the excellent rate of our experimental group reached over 97%!"

"However, that is still based on the fact that our surgery group only had an excellent and good rate of 58%."

"I believe that if my method, combined with your operations, can make the excellent rate better! Higher, it can also make the patient's recovery time faster!"

"This, I can guarantee!"

As soon as these words came out, the room fell silent!

Everyone looked at Chen Nan in unison, with serious expressions.

Because... this statistic is no joke!

Director Luo is very harsh on clinical data, and he also hates academic fraud.

Luo Qiping turned around and looked at Li Ke: "Xiao Li, check the papers for me right away!"

Li Ke looked a little uneasy, he glanced at Chen Nan nervously, and nodded quickly: "Okay, Director!"

for a while!

The room fell silent.

Chen Nan didn't say anything.

After waiting for five minutes, Li Ke quickly handed the notebook in his hand to Luo Qiping:

"Director, the thesis has been found!"

Only then did Luo Qiping read the thesis. His sensitivity to data is by no means comparable to that of ordinary people.

Is it true or false!

You can see it at a glance!

This paper was published in the "Chinese Orthopedic Yearbook" and belongs to SCI.

The level is indeed commendable!

At this time, Luo Qiping looked at Chen Nan with a softer look in his eyes.

but……

He still looked at Chen Nan and said seriously, "What method do you plan to use?"

Chen Nan laughed inwardly.

he knows!

Here's your chance!

Chen Nan pointed to the film and explained to Luo Qiping:

"Director Luo, please take a look with everyone, the patient belongs to an irregular backward and outward movement."

"The soft tissues around the joints were severely damaged, and ligaments, tendons, nerves, and blood vessels were all damaged to varying degrees."

"And here is a key!"

"Traditional Chinese medicine, although there are many rules, but everything remains the same."

"It's nothing more than the Eight Laws!"

"The eight bone-setting methods need to be combined with massage to restore the soft tissue. This is the key."

"Here, the tendon is tense, and even surgery needs to be incised, but we can use soft strength and strength to work together skillfully to relieve the tendon."

"And here, soft tissue injuries, local numbness, stagnation of blood flow, qi and blood blockage, dysfunction and other diseases, press down and massage slowly with your hands, so that the blood stasis and blocked qi and blood parts can be unblocked, bloated, and can help circulation. legal solution."

"However, the muscles and tendons, as well as the ligaments here, need lifting methods to lift the sunken tissues and restore them to normal."

"Here...use..."

"Using the hand as a body of flesh and blood, its ingenious use can be rolled up and down, relieved from mild to severe, opened and closed, and can relieve the stagnation of blood and qi, swelling and pain of the skin, muscle and bone contracture, and the pain caused by emotion. Utensils are very different from those who restrain them, but those who use techniques are the first task of honesty and integrity!"

"As for this, I think it is more appropriate to use surgery!"

"In this way, correcting the misplaced bones and tissues on the body surface through TCM bone setting can promote the improvement of the damaged area.

Moreover, this treatment method can not only promote fracture healing, reduce limb pain and improve prognosis, but also promote the recovery of joints to normal anatomical structure, restore normal tissues and bones, improve blood circulation at the fracture site, and prevent Tissue ischemia causes venous necrosis and ischemia to form deep vein thrombosis! "

Hearing Chen Nan's words, the scene instantly became quiet!

These words are not something that can be said casually.

Even Luo Qiping's attitude toward Chen Nan changed greatly.

He closed his eyes, quietly thinking about Chen Nan's description just now.

If you follow what he said, it is indeed feasible!

but……

It is too difficult to operate.

Can Chen Nan do it?

What level is this Chen Nan?

Luo Qiping couldn't help becoming curious!

And at this moment, Tao Lianghui who was at the side suddenly asked excitedly.

"Director Luo, is this...is this method feasible?"