Lin Hui didn't say anything more. Lin Hui had heard about what the Department of Orthopedics was doing. He mentioned it casually, just thinking that Li Dongshan was familiar with him after all. Li Dongshan was very familiar with him when he was studying in the past.

I also have a lot of support, if you can bring Professor Li Dongshan with you.

At least the emergency department can have a reputable person to engage in sports medicine after losing the trauma business. Otherwise, even if the emergency department personnel are granted surgical authority, they will have to be solely responsible for the sports medicine business.

Just like in a lower-level hospital, even if the chief surgeon has the authority to perform level IV surgery, if the anesthetist and operating room cannot keep up with the authority, it will not be possible to carry out the operation.

Min Hong didn't think much and took Lu Cheng and his party into the first and second custody beds.

The beds in Prison 1 and Prison 2 are both managed by Ji Mo.

He was also the most familiar with the disease. After entering the door, he said: "Master, this is a patient with tuberculous hip arthritis who was transferred last night. He originally planned to transfer to the infectious disease hospital for surgery after being discharged, but the patient did not agree.

If he didn’t agree to take anti-tuberculosis drug treatment after discharge, the endocrinology department had no choice but to transfer the patient.”

"We asked the infectious disease department to adjust the use of tuberculosis drugs, and we are currently taking them. We have completed the CT and MRI tests. Do you want to see if we need to continue to do some more tests?"

"The culture result of the joint puncture also came out, which is Mycobacterium tuberculosis."

Min Hong's eyes brightened slightly after hearing this, and he said: "This patient is very interesting, because of the popularization of anti-tuberculosis and the promotion of free tuberculosis treatment. Nowadays, there are fewer and fewer patients with tuberculosis that has developed into tuberculous arthritis.

"

"Show me the film."

Min Hong picked up the plain radiograph of the pelvis instead of looking at the patient's CT scan immediately.

After looking at the plain X-ray of the pelvis, Min Hong suddenly turned around and said: "Lin Hui, you transferred this patient to me. Please analyze this patient for everyone. Anyway, there are not many operations today. We can put it a little bit better."

The process of ward rounds is a little more detailed and does not waste time."

Min Hong understands this. Teaching rounds is a gradual process from bottom to top. The process of deepening and supplementing knowledge can gradually expand the horizons of lower-level doctors.

The usual ward rounds are a kind of analysis and instillation from top to bottom. In fact, it is also a learning process.

Lin Hui touched his hair with a Mediterranean tendency and raised his head and said: "Professor Min, this patient was being treated by Xiao Lu at the time. I have another emergency consultation to see, and I am not familiar with the patient's medical history. In order to save money,

Give us some time, or you can analyze it for us."

Reading a film is not as simple as just taking a casual look.

You need to quickly extract key information, connect it with professional knowledge, and then observe points that others cannot observe. This is professionalism!

Min Hong looked sideways at Lin Hui.

That seems to be saying, how about you become my director?

Lin Hui quickly reached out to take the film, but Min Hong just put his hand away.

Then facing Lin Hui, Chang Weilong said: "You all like to use the surgery day as an excuse to be lazy, so I won't look for you. Xiao Lu, come and tell us about this film."

"Tell me about your own diagnostic thinking."

Lu Cheng looked at Chang Weilong and Lin Hui. They were both licking their lips at the film, and Ji Mo also said in a very low voice behind him: "Xiao Lu, please speak up quickly, otherwise the master will be angry."

Min Hong was not deliberately targeting Lin Hui and Chang Weilong, he even liked them very much. Chang Weilong and Zhu Lihong were in charge of sports medicine, so they didn't let him worry about it, and Lin Hui was in charge of the ward, so they didn't let him worry about it.

Just being a simple surgeon, how happy he is in clinical work. On Mondays, Wednesdays and Fridays, he goes home after the morning operation, and he goes to the outpatient clinic for half a day on Tuesdays and Thursdays, and rests on weekends. If Min Hong didn't like to go to the flying knife

Surgery. His actual working time is only two and a half days a week.

But, who is Min Hong? Can a person who can scan all the books in the library bear to be so leisurely?

In fact, what he misses most is the time when he was an associate professor. At that time, he had to perform surgeries all day and had many books to read. Now there are not many books to read. If he doesn't teach, what can he do? And

He really wants to build his team into a stronger team.

Wherever the eyes go, they are no longer simply limited to looking at each other.

In the central part of China, there is Huake Hexie Hospital, and in the southern part of China, there are the Affiliated Hospital of Yueshan University and the Second Xiangya Hospital of Guangdong Province. The development in recent years has been really slow!

It’s time to accelerate, and this kind of acceleration cannot be achieved by one or two people. It must be improved from top to bottom and more people can be promoted.

Lu Cheng immediately took the plain film of the pelvis and said, "Master, this is what I thought when I saw the patient's film. We all know that the imaging of the X-ray film is actually whether the X-ray can

A dark shadow forms on the opposite side. In this process, the less tissue passes through and the sparser the density, the more dark shadows can be hit."

"We can see that there is a cloudy feeling in this film. This is at least caused by the absorption of black shadows after synovial hyperplasia. Then, the evenly distributed white shadows are a sign of infection."

"Let's look at the acetabular socket roofs on the left and right sides of the pelvis. They are on the same plane. The patient's lower limbs are not shortened, and the greater trochanter is also on the same plane, so there is no joint stenosis. Then the possibility of osteoarthritis

It’s not that big.”

"Since there are no big problems in the overall structure, we have to start with the details. Let's look at the patient's trabecular bone structure."

"From the part below the greater trochanter, the trabecular bone structure is very neatly arranged, which proves that the patient has not had any signs of fracture before. Then the possibility of traumatic arthritis can also be ruled out, because if the patient has had a fracture in the past, then

The trabecular bone structure is bound to be disordered."

"If we look at the trabecular bone structure above the greater trochanter, it is not disordered, but has disappeared. This means that the bone on the surface of the femoral head has been destroyed!"

"The bone has been destroyed, and combined with the patient's symptoms of severe pain, we are almost certain that the patient's femoral head ligament attachment may have been eroded by bacteria. In this case, in order to improve the patient's quality of life,

Surgery is very necessary."

"I later performed a hip puncture on the patient, and the culture fluid showed the presence of Mycobacterium tuberculosis, so the diagnosis of tuberculous arthritis was also very clear."

“The treatment principle for tuberculous arthritis is early diagnosis and early anti-tuberculosis treatment!”

After hearing Lu Cheng's analysis of the film reading, Min Hong smiled and nodded.

Being able to have such a subtle and systematic ability to read pictures proves that Lu Cheng has gradually supplemented the theoretical part.

Min Hong said: "Xiao Lu said it very well. The last time I was in the clinic, we met a patient with traumatic arthritis. At that time, Li Hongxing didn't even understand how we could detect traumatic joints.

Inflamed."

"Li Hongxing is a doctor, but he still doesn't understand it. This proves that we still have certain blind spots in the process of teaching and learning."

"However, obviously just talking about the principles of surgery is definitely not enough for this patient. Xiao Lu, please talk about it again. If, I mean if, this patient is yours, and you have to be responsible for her.

In this case, how would you consider treating her?"

As soon as Min Hong finished his question, Chang Weilong said: "Professor Min, is it too early to ask Xiao Lu to talk about this? Isn't the details of the treatment of tuberculous arthritis a bit too unfamiliar for them?

"

When an undergraduate graduates, what he needs to master is some principles and application indications of some common drugs, so that he can assist superior doctors in treatment.

If you can accomplish this step, you will be able to obtain a medical practitioner qualification certificate, cooperate with the superior doctor in practicing medicine, and have the authority to give medical orders.

However, for some more difficult diseases, we only have a superficial understanding. At this time, directly asking Lu Cheng such a profound question is obviously too harsh.

Min Hong said: "How do you know Xiao Lu but you definitely don't know?"

However, Min Hong thought for a while and then said: "Xiao Lu, you can say as much as you know, and don't feel any psychological pressure."

"This is not an exam, this is just an understanding of the depth of your current understanding. Only when we know what level you are now can we know which things are the essence, what needs to be told to you, and which things are nonsense. You can avoid saying it.

of."

Lu Cheng thought for a while and said: "Master, I think the treatment of tuberculous arthritis needs to be divided into three steps."

"The first step is preoperative anti-tuberculosis treatment. This process varies from person to person, but it usually takes one to two weeks before surgery."

"The second step is surgery. Surgery can currently be divided into one-stage debridement, two-stage joint replacement, or direct one-stage debridement and joint replacement surgical treatment."

"The third step is postoperative anti-tuberculosis treatment. The period of postoperative anti-tuberculosis treatment is generally about three months to one year, and it also varies from patient to patient based on the results of the patient's laboratory tests."

"However, based on the latest research and the latest approved treatment methods, it is still believed that no matter which grade of tuberculous arthritis, the complications and recurrence rates of primary joint replacement and secondary joint replacement are the same.

Therefore, I think as long as we strictly implement the preoperative and postoperative anti-tuberculosis treatment plan, we can perform joint replacement in one stage."

"This can greatly shorten the patient's hospital stay. What do you think?"

These things are from the literature about tuberculous infection after fracture surgery that Lu Cheng had read before. In the discussion part, someone quoted the theory of tuberculous arthritis. Lu Cheng also went to check the relevant information about tuberculosis at that time.

This is a review of the treatment of arthritis, so I will talk about it according to the latest results in the review.

Of course, this is just his opinion. It is up to Min Hong to make the final decision.

After all, Min Hong is the professor and the one who leads the team!

Okay!

After Lu Cheng finished speaking these words, Chang Weilong and Zhu Lihong didn't know what to say.

I just secretly said in my heart, you, Xiao Lu, seem to be Min Hong No. 2. When Min Hong was in the department, he was also known for being knowledgeable. When I asked him questions, there were rarely times when he didn’t know. , which is why people who are skilled in art are brave.

Where is Lu Cheng?

It seems that since Lu Cheng entered the department, Lu Cheng can answer any question asked of him, and he can answer it so well.

What should they do?

With Lu Cheng’s growth rate!

Wouldn't it soon be possible to throw them all behind?

Regarding this, Ji Mo was numb. He had already convinced himself not to compare with Lu Cheng.

But Tong Gaobo and Fan Cheng had already decided that they would go for bone disease, which is a subspecialty of joints. Unlike Lu Cheng, a pervert who is too lazy to compare. If you are not in the same subspecialty, you can't crush me. Got it!

There is no way!
To be continued...