Chapter 299 What’s so difficult about it !

Chapter 299 How difficult is this? !

Chen Nan took the lead to visit Dean Ge Yerong.

Regarding 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 and key research center of integrated traditional Chinese and Western medicine hospitals.”

“Here, but the superior department has given enough attention!”

“I also know something about you. The fire acupuncture combined with percutaneous superficial veins for the treatment of varicose veins of the lower extremities has also increased my knowledge!”

“Our hospital needs talents like you!”

Chen Nan smiled awkwardly, this…after coming here, he becomes 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.”

Ge Yerong didn’t have a deep understanding of Chen Nan’s affairs, but 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, with three generations of old, middle-aged and young people, and it is considered stable. It is indeed difficult to give you a precise position when you first come here.”

“But don’t worry!”

“There is no rush for this kind of thing!”

“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 make 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, an assistant to the ward director, 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 just wandering around.

After all, this time, whether it is long or short, went to the department. At this point, the director is not there. After going there, it is completely the same as traveling.

But… who travels to the hospital?

But Chen Nanquan must have recognized the family!

I don’t care either!

Unknowingly, 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 headquarters of orthopedics department, 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 Orthopedic 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 can be regarded as 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 contracted unit of the National Sports Bureau. If you see any sports stars here, don’t make a fuss. It is a common thing here.”

“This is the result of joint efforts under the leadership of Director Luo!”

“Even those international stars, there are even those who come here for fame.”

“Do you watch the NBA? 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 himself is the 28th generation successor of Luo’s bone setting. His technique of reset is absolutely amazing!”

“Generally, Director Luo doesn’t need any surgery, not even a film, for common people with fractured joints. 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 praise it with a thumbs up!”

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

Director Luo was originally a member of the International Orthopedic Research Association.

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

The platform here is no longer just a simple hospital!

The top hospitals in the country are generally the research centers of certain diseases in the country.

Many guides in China are spread from these places.

It can be said!

Here is 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 exactly the National Institute of Integrative Traditional Chinese and Western Medicine.

It can be said that here is the national demonstration site of 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 such a place and serve as the deputy director of the ward?

After this stroll, Chen Nan felt much more at ease.

Being able to come here to be the deputy director of the ward is definitely a tall order. 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?

Directly gave the title of deputy director of a ward!

Although it seems to be a false job at present, it is even a position targeted by everyone.

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. When the other party talked about this job, there was a smile in his eyes.

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

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.

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 out.

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

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

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

…

And at this time!

Inside the office.

The atmosphere is tense.

Deputy Director of Orthopedics Department 1 Meng Si said solemnly: “I think it is 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 require internal fixation.”

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

“Surgery requires anesthesia, and 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 it is said that the use of general anesthesia does not affect, but… I am 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, there is a big problem with spinal anesthesia.

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 goes through many layers into the spinal canal, 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 infection, coagulopathy, 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 an international competition.”

“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 fracture is a type of fracture with a high incidence rate.

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

And, 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 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 too many factors to consider!

Generally speaking, under normal circumstances, 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 what Luo Qiping is most worried about.

It’s not like he hasn’t done similar operations.

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

What should I do?

Surgery is absolutely impossible without anesthesia.

If 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 only local anesthesia, but now it is general anesthesia…

Why!

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

If there is no other way, anesthesia is required!

And they are now thinking, is there 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 the joint capsule is cut, these local anesthesia can’t solve the problem.”

“Not to mention, if the muscle is tense, the tendon is tense, we have to cut the tendon, and that makes the recovery period…longer.”

“The tendon is cut 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.”

“Besides, you see, the soft tissue here is also embedded in the joint cavity. If you don’t hurry up and do the surgery, it will easily lead to neurological disorders and blood vessel damage. It will only be more troublesome at that time!”

Tao Lianghui’s face was a little ugly at this time!

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 reflex 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.

Tao Lianghui was silent for a while when she saw Luo Qiping not speaking for a long time!

At this time, Luo Qiping suddenly said:

“Actually, there is a relatively safe and effective method.”

“That is traditional Chinese medicine reset, plus surgery.”

“We have done relevant clinical research, that is, 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!

Traditional Chinese medicine bone setting combined with surgery has an ideal effect in the treatment of ankle fractures, which 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!

Path Research Center.

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

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

When Chen Nan heard the sound, he suddenly laughed: “Hehe, Doctor Hu, you asked this question, but I don’t know how to answer it!”

“Ha ha!”

“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 let out a cry and nodded.

The China-Japan Friendship Hospital is indeed much more powerful than their source city people’s hospital.

Judging from the good rate of 71.34% in the surgery 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…etc!

This is a difficult gap to bridge!

And… what others do is excellent rate, but what they do is marked efficiency.

The two are completely different.

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.

Ankle surgery, Chen Nan also participated.

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 in his heart.

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

“Doctor Hu… who is this? How did you get 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?

Much younger than Hu Min!

This small 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 in the lower back, and spinal canal anesthesia is not available.”

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

“Besides, the opponent is still dislocated backwards, and manual reset cannot be performed.”

“The director is also very worried!”

“Let his agent help to see the situation.”

After Chen Nan heard it, he suddenly thought: “Can I go and see?”

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 reading it, Tao Lianghui 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, and 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 reduction can effectively help recovery, but… the posterior dislocation of the ankle joint has a limited effect. This requires attention!”

“Secondly, surgery requires anesthesia, 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.

ponder it up!

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

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 surgery, 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 also just arrived, I haven’t had time to introduce you.”

“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 shameless young man turned out to be the deputy director of their ward!

For a while, everyone whispered to each other, a little surprised!

However, Luo Qiping still looked at Chen Nan with a serious expression: “Director Chen.”

“you…”

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

Chen Nan heard the sound, 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 establishing and developing the integrated traditional Chinese and Western medicine ward of our hospital!”

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

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

“The excellent rate of our experimental group reached over 97%!”

“However, that is based on the excellent and good rate of only 58% in our surgery group.”

“I believe that if my method, combined with your operations, can make the excellent and good 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 data, you can’t joke!

Director Luo is very strict with clinical data, and also very disgusted with 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 nervously at Chen Nan, and nodded quickly: “Okay, Director!”

One time!

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!”

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

is true or false!

You can see it at a glance!

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

level, indeed some commendable ah!

Luo Qiping looked at Chen Nan in the eyes at this time, which softened a little.

but…

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

Chen Nan laughed inwardly.

he knows!

The opportunity is here!

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

“Director Luo, 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 methods of bone setting, but also need to cooperate with massage to restore the soft tissue, this is the key.”

“Here, the tendon is tense, and even surgery needs to be cut open, but we can use soft strength and Huajin 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 to use lifting methods to lift the sunken tissues and restore them to normal.”

“Here…with…”

“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 misplaced bones and tissues on the body surface through TCM bone setting can promote the improvement of the injured part.

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 fell silent instantly!

These words cannot be said casually.

Even Luo Qiping’s attitude towards Chen Nan changed greatly.

He closed his eyes, quietly thinking about what Chen Nan just described.

If you follow what he said, it does work!

but…

The operation difficulty is too high.

Chen Nan can do it?

What level is this Chen Nan?

Luo Qiping couldn’t help being curious!

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

“Director Luo, is this… is this method feasible?”

“Does it work well?”

Luo Qiping did not slander Chen Nan, but said truthfully: “It is difficult, but… the effect is really good!”

“It all depends on the level of manipulation reset!”

Tao Lianghui’s eyes lit up immediately, and she said excitedly, “Then… can we not have surgery?”

“Or…what about anesthesia?”

“Can I use general anesthesia?”

Luo Qiping hasn’t spoken yet.

Chen Nan blurted out: “Anesthesia?”

“What’s the difficulty!”

“Acupuncture anesthesia, the effect is remarkable!”

“No need for general anesthesia.”

Immediately!

Chen Nan’s words fooled everyone.

Acupuncture anesthesia? !

This… will work?

…

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(end of this chapter)