Of course, what Min Hong said was not just for Lu Cheng, it was also very useful for Ji Mo and Lin Hui.

Because what Min Hong is talking about now is to stand at a higher level of the three people and help them sort out their knowledge structure and system!

This is not only an introductory course in orthopedics, but also a kind of skeleton support, just like building a house. This is the foundation and skeleton. Once the skeleton and foundation are built, the general frame of the house will come out, but as for the final effect,

It all depends on how the construction is done and how the individual decorates it.

However, once the foundation and frame are solid, as long as you don’t cut corners, the habitability and stability will definitely not be a problem.

Lin Huidu became more and more serious. Obviously, what Min Hong said greatly improved him! Although he had his own knowledge system before, he still couldn't stand the height that Min Hong had reached now!

Although Ji Mo has his own foundation, there is a big gap between him and Lin Huibi, let alone being on par with Min Hong. They are not on the same level at all, but are several orders of magnitude behind.

This is the power of Min Hong.

However, at this point, Min Hong still didn't stop.

Instead, he continued: "Okay, after we have seen the model of the palace, how should we fill in the palace skeleton now?"

"The palace must not be empty. No one can help you in this process."

"I believe you can understand. What you can understand now is how to repair the framework of these palaces. This means that you know how to treat them."

"But we have to divide this treatment. The first one is to remove the original part, and the second one is to modify the appearance!"

"Let's talk about the second one first, which is also the performance modification we usually come into contact with the most. Let me give you an example as well."

"It's like we're hungry and have hypoglycemia."

"From a human perspective, dizziness, dizziness or even fainting caused by hypoglycemia are external manifestations. When we modify the performance, the simplest way is to infuse the patient with glucose or give him

Supplement with foods high in sugar.”

"Refining it a bit, what we see in this process is just supplementation!"

"Okay, let's go deeper. Why does hypoglycemia occur? There is no doubt that when our body's consumption of blood sugar is much greater than our intake of sugar, do we suffer from hypoglycemia? So for

As far as our body is concerned, it is a loss."

"The way to deal with losses is to make up for it. It may sound like you're cutting losses, but it's not. If I eat ten meals in one meal, can I go without eating for three days?"

"The reason for this is actually that our body will consume itself in order to maintain life. Without this deficit, we would not be able to live, so the correct way is to eat three meals a day normally. This is the only way to eliminate this problem.

!”

"So to summarize, does it mean that appropriate training is the most important way to eliminate costs?"

"Okay, let's review again, why did we have hypoglycemia? That is because we didn't eat, or we took too many drugs that lower blood sugar. For example, diabetic patients injected too much insulin."

“The internal cause is the lack of supplements, the external cause is our body’s need to consume, the external manifestation is lowered blood sugar, and the pathological manifestation is dizziness and falls caused by hypoglycemia.”

"Then, if you don't eat, hypoglycemia will occur. This is the cause. Once this process occurs, can we reverse it? No, as long as you don't eat, as long as we are still alive, no matter how tough you are, you can't.

Hypoglycemia will occur, it is a destiny!”

"Then hypoglycemia occurs, which is almost a destined result."

"As a doctor, you can't prevent people who don't eat from having hypoglycemia without disturbing them. Is this true?"

Although Min Hong paused for a moment when he said this, he knew that Lu Cheng and the others were listening carefully and had no time to respond, so he continued: "It must be true!"

"Okay, what I'm talking about now is hypoglycemia, a sub-pathological state."

"Let's continue to analyze it, and it's like the occurrence of traumatic arthritis."

"What are the external manifestations of this disease: pain, abnormal alignment, mobility impairment, and even abnormal limbs, right?"

"So why is this happening?"

"I just said that from the inside of our body, it is after the continuous accumulation of micro-fractures that the lines of force change, osteophytes continue to form, the joint spaces continue to narrow, and the articular cartilage continues to degrade, which leads to the deformation of our joints.

These are clinical symptoms of pain, right?”

"Okay, let's go back to the early stage of the disease, that is, when the disease is young, and see what it looks like?"

"When it was born, it might just be a simple bone crack, plus a rupture of cartilage. A small part of the cartilage ruptures may only bring slight pain to us, but it does not affect our activities. So when we move

During the process, the joints are still moving, right, but the joint surface where the hole has appeared is not so smooth, right?"

"Then the joint surface that is not smooth and has holes will have friction when the joint linkage occurs. The friction will wear the joint surface that is linked to it, causing damage to it. After it is damaged to a certain extent, it will wear in turn.

The joint surface where we have the opening goes back and forth over and over again!"

"The cartilage surface becomes more and more bumpy, and the damage becomes more and more serious. And the bones connected by our joints will also deform unnaturally when they are micro-fractured inside. After the deformation, the bone cells will be unevenly distributed.

Then, the disease slowly grows! So it gets to the point where most joint replacements are needed.”

"So! Let's think about it again, how did this initial disease occur?"

"Is it possible that you fell suddenly?"

"This is the internal cause."

"We doctors, can you reverse the trauma that has occurred to the patient? It happened in the past. Once it occurs, how can you reverse it? You can't reverse it!"

"When damage occurs, trauma occurs inside our body itself. This is an irreversible fact!"

"This is also a life, a life belonging to arthritis, from birth to growth."

"When you deal with this disease, you are actually going against nature. Why, the process of life development is also a normal curve. Cause and effect follow nature."

"Others think that what we are doing is removing our roots, but in fact they are telling us to go against the will of God and change our destiny. Can we do it? No one can do it, no one can do it."

“Then if we can’t change our destiny against nature, then we don’t need to do anything else?”

"Of course not."

"So if we treat him as a normal person, the disease will encounter various external factors in the process of growth. If we can slightly interfere with it during this process, it may be that its development process

, it will not go smoothly. Just like a person's growth process, any small thing he encounters in his life will affect his life."

"So if we compare a disease to a life, it has its own growth curve, and even an acceleration curve."

"After we see such a growth curve, we can intervene in the disease. Let it stay on the original course without further development, or let it develop as slowly as possible!"

"When you hear this, do you think the surgeon is helpless? The doctor is also helpless?"

"Simply from the perspective of orthopedics and surgery, do we seem to have a helpless idea of ​​​​diseases?"

"Yes, I have done it before."

"When you are a doctor, your patient is a human being. After he is injured, you cannot tell him to stop moving and exercise. And you know that activities and exercise will cause this series of injuries. So what should we do?"

"Then at this time, you have to think outside of orthopedics, or even beyond the limitations of the disciplinary framework of surgery and medicine. You have to look for solutions from other disciplines and other aspects."

"Although I don't have this method, and I haven't found it yet, but I will find it one day."

"Then when this method appears, it will be time for you to destroy all the frameworks you just built."

"Theories are learned in this way, books are read in this way, and the development of disciplines is also developed in this way. The reason why research is done is also here. Effective scientific research is difficult."

"..."

Min Hong spoke eloquently for nearly twenty minutes. The rice and dishes were almost cold before Min Hong ended his teaching.

There is no doubt that Min Hong is a qualified teacher. His teaching process almost took Lu Cheng and the three of them on a leisurely walk in the field of orthopedics, from the basics of entry into orthopedics to how to overlook the orthopedics circle.

, and then look at how the disease develops in detail.

How should it grow, what can we as doctors do, and then led Lu Cheng and others to see the ceiling and barriers in front of orthopedics, and then pointed out a way for Lu Cheng and others to climb out of this barrier and start again.

Back to reality.

This is a journey, and the process of the journey may not be particularly good, or you may even gain nothing, because there is not a single special knowledge point mentioned in the book.

It's not like other people giving lectures, reorganizing the knowledge points in the entire textbook with your own theory, that's not it.

However, this journey is more useful than a thousand or ten thousand knowledge points.

This is a kind of guidance, and this is the best way a good teacher can lead his students.

After hearing this, Lin Hui was the first to applaud and said very seriously: "Professor Min, thank you. If I had met you earlier, I would have avoided at least 90% of the detours."

"At the end of the season, Xiao Lu, you must have a thorough understanding of the lesson Professor Min taught you today. It may affect you for the rest of your life!"

Ji Mo nodded and said, "Thank you, Master."

Then Ji Mo glanced at Lu Cheng with some jealousy. He knew that if Lu Cheng hadn't been here today, Min Hong wouldn't have taught this class at all. Otherwise, why didn't he take him on a tour in the field of orthopedics before?

A circle, but today is the day?

Most of what doctors do is helpless and cannot change their lives against the odds. In fact, patients and outsiders expect doctors to change their lives against the odds.

What a good summary and summary...

Lu Cheng also nodded and said thank you, Master.

Min Hong raised his eyebrows and said: "Lin Hui, don't give me a high hat here. The teacher you used to follow was Academician Dai! The ideas that Mr. Dai has clarified for you must be much better than mine. I

I think you need to give us a lesson someday."

Lin Hui grinned at that time.

This Min Hong must be poisonous. I praised him and he was able to talk about my class. No wonder the teachers in the Department of Internal Medicine are frightened by you.
To be continued...