Chapter 598 Book
Dormitory for advanced students.
Robert bought a box of cards and invited August and Takahashi to complete a game of Solitaire.
But Takahashi had to pack his things. After finishing his class on Sunday, he would fly back to Japan on Monday. August was busy writing a diary to record what he had learned every day, and sending emails to instruct Marcus on how to prepare for his junior year. Once the Duke's surgery is ready, August and Yang Ping will fly to Germany to perform the surgery on the little Duke.
Because of August's psychological shadow, he has always kept an appropriate distance from the Japanese.
Especially the recent incident of a girl throwing her underwear in the dormitory made August even more prejudiced against Takahashi.
In his eyes, all Japanese men are wretched and like to steal underwear, and Takahashi's appearance is indeed a bit wretched, which adds to August's suspicion and rejection.
So August was not enthusiastic about this classmate.
Takahashi also didn't understand why this roommate was always lukewarm towards him, as if there was a barrier, and he didn't offend him.
Since there was no one to play games with, Robert played Idiom Solitaire by himself and had a great time.
In accordance with Robert's request, Barrer went to Chinatown and ordered twenty pennants, ten of which were hung in the office of the Hospital for Special Surgery in New York, and ten of which were hung in the clinic office of Long Island. They were all exactly like the photos.
This made Robert very happy. When he returns to the United States after completing his further studies, it will be pleasing to look at these banners.
After August finished writing the letter, he took out the little Duke's spine model from his room, which he had borrowed from the department.
The coffee table was divided in half, August taking one half and Robert being forced to take the other half.
The model was placed on the coffee table. August studied the spine of the model alone and digested the knowledge explained by Yang Ping.
August pulled out the hand-drawn sketches he got from the department today and studied every detail of the operation.
These sketches were temporarily drawn by Yang Ping during his explanation.
Before spinal correction, thoracoscopy or laparoscopy is used to loosen the suspension of the organs in a targeted manner, so as to avoid interference of organ function due to traction.
In particular, thoracoscopic release is very important to reduce the impact of orthopedics on cardiopulmonary function.
Preoperative laparoscopic release is often used by Auguste during scoliosis correction surgery, but it is limited to the anterior release of the thoracic and lumbar spine and does not target the organs. However, thoracic and general surgeons do not treat scoliosis. The displacement and compression of the internal organs caused by it are not solved, and I don’t know how to relieve it.
When a disease involves multidisciplinary collaboration, the various specialties are generally separated and will not be organically integrated.
When performing scoliosis surgery, the cooperation between spine surgeons, thoracic surgery and general surgery is also loose and exists in name only.
Professor Yang's comprehensive consideration is the real overall concept.
Could it be that Professor Yang knew all about the malleability of these visceral frenulum, otherwise how would he know which ones needed to be loosened and which ones did not?
August was analyzing and talking to himself in his mind, and unknowingly bumped Robert's card with his elbow.
"You've come to my side. Please come over here." Facing the nagging August, Robert was a little impatient. The dragon he had just connected was messed up by August.
"You two, can you stop? Let's discuss something." Takahashi finished packing some things and remembered something important.
That is the internal teaching material that Song Zimo and Xu Zhiliang usually use.
This internal teaching material, called a bible, must be of extraordinary value.
The two young boys under Professor Yang just chewed the book all day long. Under Professor Yang's personal guidance, at such a young age, their skills were as good as those of the three present. Especially the aloof Song Zimo, whose level was higher than theirs. above.
After all, they are also world-class professional leaders.
August and Takahashi stopped what they were doing to hear what Takahashi wanted to say.
"I think we should try to get the professor's internal textbook. It is the most cutting-edge knowledge."
Takahashi thought that before returning to Japan, he should coordinate the efforts of two classmates to obtain internal teaching materials.
"The professor said that now is not the time. If you come into contact with it too early, the existing knowledge will easily conflict with the scriptures. For example, this is spinal orthopedics. My own knowledge now conflicts with the professor's knowledge. I am a little confused." Augustus I can really understand that different ideas will conflict. When thinking about problems, I will unconsciously apply the original ideas. This kind of new and old knowledge will cause contradictions when applying it. Because of the inertial effect of old knowledge, it is easy to have disbelief in new knowledge. , or even rejection.
August agreed with Professor Yang's point of view. At present, he just wanted to absorb and digest the knowledge in front of him. He wanted to do it step by step.
"I know a few pages of that manual. First of all, we don't have enough relevant anatomy knowledge. The anatomy in the manual is very detailed. For example, for the spine, many new functional anatomy concepts are proposed for orthopedics, such as stretch points, tension bands, tension limits, Distraction optimization, etc. These distraction points are the basis of osteotomy for orthopedics using Ilizarov's theory, and the tension bands are the soft tissues that cannot be extended to the required length during the orthopedic process," Robert said mysteriously.
"Are there these things?" August had no idea about the book at first, but now he was very curious.
Robert nodded and said: "I have seen with my own eyes that in sports medicine, the anatomical positioning of the insertion points of the anterior and posterior cruciate ligaments is different from any current method. The positioning is very precise, and the positioning of other ligaments is as mature as the positioning of the anterior and posterior cruciate ligaments. This is currently Not found in monographs and papers.”
August thought about Robert's words. If he really had these concepts, it meant that he was now exposed to the idea that one plus one equals two, and there was a complete set of Peano's axioms in the book.
In fact, the so-called internal teaching materials are nothing more than Yang Ping's systematic summary of some anatomy and surgeries in the system space.
Because although these things are all the sublimation of his experience, when they are put into reality, they must be supported by a certain number of cases before they can be promoted legally and reasonably, otherwise others will think that these theories are created out of thin air.
For some knowledge, when a certain number of real-life cases were gathered, Yang Ping published a paper so that all doctors could share his results. However, there was still a lot of knowledge that was not supported by enough real-life cases for the time being. Yang Ping could not share it in the form of a paper, but only It can be summarized, formed into a theory, and then written into an internal textbook for Song Zimo and Xu Zhiliang to learn from, so that they can master it in advance and expand their application.
Takahashi also knew something about this internal textbook, such as hemostasis commonly used in trauma and orthopedics. It contains systematic discussions on anatomy, physiology, pathophysiology, and a systematic theory on how to stop bleeding. In the discussion, active temporary occlusion has also been studied in detail, and the tolerance of various organs by occlusion at different locations in the aorta and the effect of occlusion on hemostasis have been studied.
"In this way, the content the professor teaches us comes from internal teaching materials. In fact, we also study at ordinary times, but we just don't study systematically. What we learn is part of the knowledge suitable for our majors. At a certain time, the professor Nature will show it to us," Robert analyzed.
But when exactly it happened, none of the three training doctors knew.
——
After Li Jun woke up, he slowly regained consciousness. It seemed that he had not been deprived of oxygen for a long time, and the rescue was timely, and there were no brain sequelae.
His cousin left him a letter, and Dr. An handed it to Li Jun according to Qin Xiaowei's instructions. Li Jun was silent after reading the letter. He should know what his cousin was doing.
Although he has woken up, he cannot wean himself off ECMO. His lungs are still completely white. His lung function cannot support normal gas exchange. It is not yet known when he will be able to be weaned off ECMO.
Whether you can survive or not is the second hurdle.
Director Liu of the Kidney Transplant Center came back from time to time to check on Li Jun's condition. He was not even weaned off ECMO, so he naturally did not consider kidney transplantation.
Qin Xiaowei signed a kidney transplant donation agreement before leaving. He originally planned to complete the kidney transplant surgery and then go rock climbing with his bare hands, but the sponsor could not wait any longer and did not leave time for him.
Therefore, the kidney transplant can only be postponed until the task is completed. Moreover, Qin Xiaowei communicated with Director Liu that in case of an accident during rock climbing, his kidney would be left to Li Jun. If both kidneys are intact, the other one can be left to People in need.
There are too many people waiting for kidney donors.
No one wants something to happen to Tan Xiaowei, but as a doctor, he always looks at problems from a medical perspective. Director Liu told Tan Xiaowei seriously: If there is an accident and he falls from a height, it is very likely that his kidneys will be bruised or strained. , not suitable for transplantation.
This is a very serious question.
If he really wanted to save his cousin, Director Liu suggested that Qin Xiaowei cancel the free climbing or postpone the climbing.
But Qin Xiaowei seemed to have no choice. He had to go rock climbing and get the money. Without the money, Li Jun would not be able to survive until he got out of the ICU, and everything would be in vain.
After Director Liu came to the ICU several times to see Li Jun, he realized why Qin Xiaowei was so persistent and had to take risks to rock climb, because if Li Jun did not successfully come out of the ICU, he would have no chance of a kidney transplant.
The marketing of "Surface Warriors" is successful. Tan Xiaowei's free climbing has not yet begun, and this news has become a hot search topic.
Qin Xiaowei has carried out rope climbing more than ten times and selected the route more than ten times. He has not missed any detail, including how to pass the difficult points in the route, how to distribute the physical strength throughout the journey, and where to set the rest points. Including how to deal with urination during climbing and how to replenish water.
Don't look at these details, many of them are fatal. For example, the Achilles heel of women's free climbing is that they cannot urinate as easily as men.
The video platform will track the preparations every day to arouse netizens' sense of expectation. When the sense of expectation accumulates to a certain level, the actual climbing with bare hands will begin.
The traffic is slowly gathering invisibly, and more and more people are waiting for this risky rock climbing.
"Brother Xiao Wei, how are you preparing? Netizens' expectations are like a parabola, and they will decline when they reach the peak." Boss Zhou sat beside him, a little impatient.
Tan Xiaowei was studying the rock climbing route map carefully and ignored Boss Zhou.
After a few minutes, Qin Xiaowei said: "Don't worry, the popularity can still be gathered. No matter what, I can only succeed and not fail. If I climb up successfully, the surface warriors will become famous. If I fall down, not only will I Shattered to pieces, the surface warriors will also be scorned by netizens across the country, saying that if you use human lives to gain popularity, even stocks that rise will fall. Therefore, we try to be fully prepared."
Freehand rock climbing requires a strong mental quality, and you must not be impatient, otherwise Tan Xiaowei would have received a box lunch by now.
"Brother Wei, how are you? When will it start?" Aaron also asked.
Qin Xiaowei pointed at the route map and said: "This difficult point is all smooth rock walls. The convex part can only be stepped on half of the foot. I am not completely sure yet. I need to study it further. There is also here, one rock point leads to the next. The rock point was beyond the distance of my arms. I relied on the length of my body to hang upside down from the golden hook. I hung it with my feet and turned my body upside down. Then I rolled up my body and grabbed the rock point above with both hands. It was very dangerous. This long gap, I also want to walk a few more miles, Boss Zhou, if you give me some more time, I will ensure that the whole process is thrilling and will make you surface warriors famous.”
This young man who usually kept silent seemed to make sense now.
If he really wasn't prepared enough and fell and was shattered to pieces, he would not only have to lose money, but he would also be attacked by a group of netizens who would fall out if they said they would.
If he really does a thrilling free climbing without success, the video will be popular on the Internet for a long time, and of course, the Surface Warrior brand will follow suit for a long time.
The Warriors' brand connotation will be meaningless if something unexpected happens.
"Okay, in that case, you can follow your own plan. I am a businessman. I only need results and my brand will be promoted." Boss Zhou agreed with Tan Xiaowei's opinion.
As long as Tan Xiaowei doesn't turn off the engine midway and slows down a bit, Boss Zhou can still accept it.
After all, things have unfolded now, the heat has risen, and the company's stock is showing signs of rebounding.
People like Qin Xiaowei who engage in outdoor extreme sports are actually very clear-headed, because as long as they are a little confused, they will pay the price with their lives.
So he is not in a hurry, he must be absolutely sure before he really takes action, and he will never take any chances.
He loves rock climbing and devotes all his energy to this sport.
Moreover, if something happens to him, Li Jun probably won't survive, so he must succeed.
While Aaron was chatting with Boss Zhou, Qin Xiaowei began to review his rock climbing process again, studying the difficulties just now, hoping to create some moves to solve them.
During the entire rock climbing process, there can be no mistakes, otherwise you will be shattered into pieces.
PS: I’ve been busy for another day today, and I promised to update more today, but I didn’t do it, so I’ll update a little more, and I’ll update more when I have time, thank you all! The last time I recommended it, it gained a lot of favorites and orders. Thank you all, and I promise you again: I won’t be a eunuch, it won’t be unfinished, and I will calmly write the entire story according to the outline.
(End of chapter)