Zhou Cheng found that most of the people who came to the trauma surgery department were of two types. One was for internal fixation, and the other was for patients who were transferred from lower-level hospitals. The surgery was not done well, or there were postoperative pain and other sequelae.

of.

In addition to the above two categories, others are patients with sports injuries or multiple infections, and the infections are difficult to control.

During the visit to the outpatient clinic, Lu Bin and others also asked Zhou Cheng what to do with these cases of difficult-to-control infections. Zhou Cheng knew what to do, but he didn't answer or give any suggestions. He still sat there.

Watch.

Because only under such circumstances, the situation in the outpatient clinic is the most real.

After classifying the general structure of the disease, Director Zhang Jin gathered Zhou Cheng, Yang Yifeng, and Qin Tianzhu together on the weekend.

Zhang Jin said: "Yi Feng, Tianzhu, and Dr. Xiao Zhou, I'm looking for some of them today. The main reason is that I hope you can give a more specific measure. I think that at present, in our prefecture-level city hospitals!"

“There are some patients who do not have a strong desire for surgery, but in fact, many patients’ diseases have reached the level of indications for surgery. In such cases, whether it is traditional Chinese medicine or Western medicine, it is basically very difficult.

It’s difficult to treat.”

"Some patients spent a lot of money on various drugs and health care products. In the end, they spent the money but had no effect at all. However, they are very taboo about surgery."

"Actually, if we can use the money for surgery, we may be able to return to normal after the surgery!"

"In response to this situation, I think we can take some better measures? For example, optimize some surgical plans and separate some operational steps in the surgical plans through minimally invasive or other methods.

To achieve partial treatment or delay the progression of the patient’s disease.”

After listening to Zhang Jin's words, Yang Yifeng said nothing, but Qin Tianzhu frowned and said: "Director Zhang, I can understand what you mean. You hope to combine sports medicine and trauma surgery."

“However, only a small number of traumatic surgical diseases can be applied to sports medicine to delay the progression of the disease.”

"Even if it is a simplified operation, it is actually a kind of surgery in a strict sense. It is unlikely that the patient can accept such a degree of operation, right?" Qin Tianzhu asked.

Twisting out part of the surgery is used as a treatment method to delay the progression of the disease, but is it still surgery to twist it out?

If you can prepare the patient mentally, you might as well prepare the patient mentally for the operation.

Zhang Jin said: "Tianzhu, after all, we have to do it step by step. Some patients just watch too many short videos on the Internet and always feel that you only need to let them perform surgery to make money from them."

“I didn’t even consider what convenience the surgery would bring to me or what problems it would solve.”

"Then, there are some people who are superstitious about surgery and think that surgery can solve all problems. There are also some people who are more superstitious about tradition and feel that the culture accumulated over thousands of years must be better than the development of modern medicine over hundreds of years.

, the foundation is deeper.”

"I won't care about other aspects for now. As for the so-called fractures we receive in our outpatient clinic, some of the so-called fractures are injuries caused by falls and injuries. Doctors of traditional medicine have treated them well. What kind of fracture healing is that? Everyone knows it well, right?"

"I met a patient, an old woman, who spent no less than 5,000 yuan on traditional medicine every year. She persisted for more than ten years, but in the end she still couldn't escape the step of surgery."

Everyone was silent when they heard what Zhang Jin said.

In fact, everyone understands some truths, but not everyone necessarily understands them. Traditional medicine and some medical concepts are very mysterious. Consider the overall situation, combine the timing, combine the four seasons, and adopt a holistic view.

This is correct, and is highly consistent with the holistic concept in modern medicine.

Now, many practitioners of modern medicine have set their sights on the field of traditional medicine to absorb those concepts.

But there is also a good saying that exists objectively and cannot be changed by willpower.

Like fractures and osteoarthritis, they are objective. The actual wear and tear of joints caused by long-term walking. If you want to reverse it through drugs, it is beyond the current medical level and cannot be understood. That is also true.

Impossible.

Has the country really not paid attention to the so-called various plasters and miracle patches?

It's just useless. It can only be used to relieve symptoms. Relieving symptoms does not solve the cause of the disease. Sometimes, patients themselves can't understand this principle. They just think that it will be fine if it doesn't hurt, but in fact, the lack of pain is just a symptom.

, some intrinsic disease processes are irreversible.

And when the pain cannot stop, it is the terminal stage.

Some people say that pure Chinese medicine has no so-called side effects. However, as far as Zhou Cheng is concerned, he has seen many cases of gastric ulcers caused by insisting on drinking pure Chinese medicine. How do you say that?

Plants, herbs, herbal medicines, and traditional Chinese medicine are actually a form of treatment and a type of medicine. There is no need to mythologise, but there is no need to belittle them either!

"Director Zhang, your idea is better, and I agree with it. Even the implementation process is still relatively difficult. How can we separate one of the surgical methods from the overall surgery and still achieve treatment or treatment?

The purpose is to delay the progression of the disease.”

"It's very difficult to peel off alone."

"For example, for arthritis, or some diseases in our trauma surgery, such as tenosynovitis, if you go for injections or physical therapy, they can only treat the symptoms and not the root cause."

"Moreover, for some patients with fasciitis, the course of the disease itself is self-limiting. After a period of time, the symptoms will disappear, but the pathology will not regress."

"In other words, if fasciitis progresses, the tendons will calcify or even atrophy..." Zhou Cheng also gave a suggestion based on his own knowledge base.

Zhou Cheng actually disagrees with some patients' medical concepts, but there is no way. Everyone has the right to choose their own treatment method, and the best may not be the most appropriate.

Some patients are just unwilling to solve their problems through surgery. You can't force them, they can only be suggestions. But pure suggestions, those who can listen to them have already listened, and those who can't listen are useless.

.

If you want to have both, it will be difficult to implement and develop.

Zhou Cheng is also thinking about the problem of how to solve the demands of patients who are unwilling to undergo surgery but want to achieve symptom relief and treatment.

But after thinking about it for a long time, there is still no particularly good way. Unless better drugs can be developed that can truly reverse the course of common diseases, otherwise, it will be difficult for a clever woman to make a meal without straw...

Zhang Jin then made some more suggestions, but they were all rejected one by one by Zhou Cheng, Yang Yifeng and others.

Although the ideas are good, they all have drawbacks. For example, Director Zhang suggested using knee or hip joint debridement to solve the problem. But can it really solve the problem?

Not necessarily.

For example, Director Zhang proposed to use sealing to relieve pain in some local areas. However, the regional pain relieved by sealing only solved the corresponding symptoms and caused the sensory nerves in the corresponding areas to degenerate and necrosis, leaving no pain.

The pain still exists, but the symptoms are treated but not the root cause. Perhaps, if there are other complications, it will cause a lot of odor.

For another example, Director Zhang said that injecting sodium hyaluronate into the knee joint can alleviate the progression of arthritis. However, in fact, this has long been denied. It is no longer done abroad. Only China still adheres to this concept.

.

China’s guidelines still include intra-articular injection of sodium hyaluronate as one of the treatment options, but is it really useful?

Existing studies have shown that it is actually a placebo effect. Not only is it useless, but it will increase joint wear and accelerate the progression of the disease because the patient temporarily relieves pain!

…

Although this discussion did not finalize a specific method, raising this issue is a relatively good harvest.

Zhou Cheng could also see that Director Zhang Jin was someone who really wanted to do things.

After the discussion meeting was over, Yang Yifeng invited Zhou Cheng to play together at the amusement park in Chang City. They said they were playing together, but Yang Yifeng and Liu Shiyu were feeding Zhou Cheng dog food.

No, Zhou Cheng was queuing up to buy something, while Yang Yifeng and Liu Shiyu were flirting.

One couldn't help but smile, and the other was pretending to be serious.

Zhou Cheng cursed loudly: "This couple of bitches."

After buying the items and handing them over to the two of them, Zhou Chengcheng made an excuse and said he was going to ride the roller coaster alone without them.

However, before Zhou Chengdu reached the roller coaster, he suddenly received a call from Director Lu Bin.

Zhou Cheng hesitated for a moment and then answered the call.

"Director Lu."

"Dr. Zhou, are you near the hospital now?" Lu Bin asked, his voice a little anxious.

Zhou Cheng replied: "Director Lu, I'm not near the hospital. I'm playing with my friends on Kale Planet. Is something wrong? I can come back."

Zhou Cheng specifically emphasized that he did not want to be abused. This Yang Yifeng was simply not a human being. He did not tell Liu Shiyu in advance that Liu Shiyu had arrived, otherwise he would be in trouble!

If Lu Bin could get him out of the sea of ​​suffering, he would be happy for it.

"Dr. Zhou, can you please come back? We have received a very difficult case here. It is an emergency and may require amputation of both lower limbs." Although Lu Bin's voice was urgent, his mood was relatively stable.

What Zhou Cheng wished for was to escape from the sea of ​​suffering as soon as possible.

I called Yang Yifeng and was about to leave.

However, when they were at the door, Yang Yifeng also came out with Liu Shiyu.

He said: "Okay, there's no need to play anymore. Not only did you receive a call, Director Zhang also called me and asked me to go to your hospital to help see a patient. It seems that the patient has a good background."

"Then you agree?" Zhou Cheng looked at Yang Yifeng strangely.

"I agree, Zhou Cheng. Although I am not doing my job properly, please don't doubt my professional ability and professionalism, okay?" Yang Yifeng rolled his eyes, a little arrogant.

"Shiyu, you can take a taxi back first, Zhou Cheng and I will go together." Yang Yifeng said to Liu Shiyu.

Liu Shiyu was quite sensible. Although she was a bit pestering, she didn't hesitate and just called a car and left.

In the car, Yang Yifeng asked Zhou Cheng: "Do you know what is going on with this patient?"

"Director Lu just said that he would have both lower limbs amputated. I don't know the other details." Zhou Cheng shook his head.

"Then your director is really cheating. Director Zhang finally told me that this patient had multiple blood clots in his limbs and a ruptured blood vessel in his abdomen. His blood pressure is now extremely unstable."

"They asked me to go over and see if they could fix the blood vessel problem," Yang Yifeng lamented.

"What's going on? I'm an orthopedic surgeon and I hang around the vascular surgery department every day."

Zhou Cheng was curious: "Are you in the vascular surgery department every day? What's going on?"

"The director of the vascular surgery department at Changshi First Hospital often invites me to do surgeries, and I can't refuse. Then, I also know the guy who works at the vascular surgery department in our hospital."

"There is nothing special about our trauma surgery department. Even though it was half-sale and half-free, I was sent to the vascular surgery department." Yang Yifeng said helplessly.

"..."

Complaining all the way, the two of them arrived at the door of the hospital.

However, after Yang Yifeng got out of the car, he ran away as if nothing had happened. When Zhou Cheng unpreparedly planned to get out of the car and run to the operating room, he was blocked by someone.

"Dr. Xiao Zhou, Dr. Xiao Zhou, we have found you." The person who came was none other than Xu Kairan. His hands were very strong and he grabbed Zhou Cheng's shoulders, and then he started crying in pain.
To be continued...