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Doctor Chen, Don't Be a Coward! Chapter 300
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Doctor Chen, Don't Be a Coward! Chapter 300

  Chapter 300 Three minutes? !

   Chen Nan's words were not loud, but they were not deafening. On the contrary... the directors and doctors present all frowned.

  Why?

  Because this acupuncture anesthesia, in the eyes of many people, is just a gimmick!

  What do you mean?

  Acupuncture anesthesia has been developed to this stage. Although it has been around for a long time, it still lacks a systematic regulation.

What does that mean?

  Acupuncture and moxibustion anesthesia, in fact, it is not a day or two, and I don't know how many years.

   Generations of famous experts are clamoring for acupuncture anesthesia, but who can do acupuncture anesthesia well?

  If you really have such strength, why do you need the anesthetist?

   Over the years, how many surgeries have you heard of using acupuncture anesthesia?

   To put it bluntly, acupuncture has the effect of anesthesia, but... this operation anesthesia is not as simple as acupuncture anesthesia!

   After all, surgery involves many tissues.

  From epidermis, to soft tissue, fascia, ligament, to neurovascular, to visceral tissue...etc.

  So, in general, if anesthesia is to be successful, all-round anesthesia must be achieved, or... the pain will not work, which will affect the operation. Who can afford the consequences?

  Luo Qiping looked at Chen Nan with a serious face. Originally... after reading Xiao Li's paper just now, he felt that Chen Nan was not a person who just talked about it. After all, there was a paper to prove it.

   This shows that people have personally done related research, and achieved remarkable results!

   Moreover, with a 97% excellent rate, this thing cannot be faked!

  In addition to what Chen Nan just said about Zhang Xiao's method reset, it was very detailed without any reservation, Luo Qiping even believed in Chen Nan's strength!

But…

   At this time, what do you mean by acupuncture and anesthesia?

   You should know that orthopedic anesthesia is sometimes more troublesome than the anesthesia for those operations.

  Because of the work done with a screw and a shovel, in case...if the patient's mental quality is not good, coupled with the pain, it will be fatal!

  But now that he said that after acupuncture anesthesia, he felt a little bit more unhappy in his heart.

   "Director Chen, acupuncture and anesthesia...is still immature, and our hospital doesn't have a unified charter, so... needless to say."

   "Let's think about other ways!"

  Luo Qiping did not embarrass Chen Nan in public, but said something vaguely.

  However, Tao Lianghui, the agent at the side, seemed to see hope.

"do not!"

"wait…"

   "This... Director Chen, is it?"

   "May I ask, can acupuncture anesthesia be used?"

   Meng Si saw Tao Lianghui's heart moved, and his face was a bit ugly, because he felt that Chen Nan had given the patient's family an unrealistic expectation, and this expectation was not a very good thing.

  Meng Si didn't hesitate at all, and explained directly to Tao Lianghui:

   "Miss Tao, regarding acupuncture anesthesia, I think it's better not to use it!"

   "Zhang Xiao's situation is more complicated, and there are many details in the middle of the operation that need to be considered."

   "If there is an accident or a slight error in the operation due to pain during the operation, it will be troublesome!"

   "Acupuncture anesthesia, I know something!"

   "Let me explain."

   "Acupuncture, indeed, can have an anesthetic effect. This idea was even proposed in the 1960s."

   "However, our Department of Acupuncture and Moxibustion and Department of Anesthesiology have conducted research for many years, but we still cannot form a unified charter."

"why?"

   "There are three problems!"

   "In other words, these are the three major problems of acupuncture anesthesia. If there is no way to solve these three problems, I think... there is no need to consider this problem."

  Tao Lianghui looked at Meng Si curiously, and even Chen Nan looked at him in surprise.

  Unexpectedly...there has really been research on acupuncture anesthesia?

   I have to say, this time I really came to the right place.

  In this place, what fists and feet cannot be used?

  Chen Nan also looked at Meng Si with great interest.

  Tao Lianghui hurriedly asked at this time: "Director Meng, what questions do you have?"

  Meng Si glanced at Tao Lianghui first, then stared at Chen Nan, with a blank expression on his face, and began to speak.

   That look seemed not to Tao Lianghui, but to Chen Nan, wanting to teach Chen Nan a lesson!

  Let him know, don't learn something from hearsay, just come here to teach others!

   If you want to talk about the means and progress of the modernization of traditional Chinese medicine and the integration of traditional Chinese and Western medicine, how can our local hospital compare with yours?

   Meng Si raised the first finger:

  "The first problem: Insufficient analgesia, insufficiency of muscle relaxation, failure to fully control the stretch response, that is, the organ stretch response.

  Second problem: the method of acupoint selection fails to adapt to the multi-level and multi-directional noxious stimulation of the tissue by surgery.

  The third problem: There is no unified standard for the acupuncture techniques used in acupuncture anesthesia, and there is no credible reference value in terms of quantity. "

   After finishing these three questions, Meng Si said solemnly:

   "These unresolved problems are not conducive to the standardization, standardization and popularization of acupuncture anesthesia operations, but also limit the improvement of acupuncture anesthesia efficacy to a certain extent."

   “So, that's why acupuncture anesthesia is not recommended.”

   "Director Chen, I believe you must be very familiar with this, right?"

  After Meng Si finished speaking, he asked Chen Nan!

  Everyone at the scene also looked at Chen Nan, the new deputy director of the ward.

   Meng Si doesn't need to give Chen Nan face, even if Chen Nan is the deputy director of the ward, so what?

  Meng Si is Luo Qiping's old subordinate, belonging to the direct line, and has followed Director Luo for so many years, so it can be said that he is a right-hand man.

   These words really did not leave any room for Chen Nan.

   It is equivalent to directly rejecting Chen Nan's opinion.

   Luo Qiping was not angry, but said to Chen Nan:

   "Director Chen, this is the director of our Department of Orthopedics, Meng Si."

   "Director Meng's words are also reasonable. Acupuncture anesthesia is still not safe..."

  For a while, the atmosphere at the scene was somewhat delicate.

   Everyone can see it!

   Director Chen is here for the first time today, and Meng Si is so direct, isn't it inappropriate?

  After all, the new official took office three fires, and this director Chen just came, if it was said that this problem could really be solved.

   This will be of great benefit to his future work!

  But... who would have thought that this person would die before he could finish his mission...

   Even... This is somewhat embarrassing!

  However, everyone did not sympathize with Chen Nan. After all, you are a newcomer. If you want to get everyone's approval, you must at least show some strength, right?

   This territory is the capital, and this is the National Model Hospital of Integrated Traditional Chinese and Western Medicine, and the experimental site!

   It's not like just randomly coming to a Chinese medicine doctor will be able to dominate the world here!

   Isn't this everyone's pride?

  Luo Qiping didn't speak, because...he never wanted to sharpen Chen Nan's spirit?

   Just when everyone looked at Chen Nan, thinking that he was going to be angry or unhappy.

  Chen Nan suddenly laughed. He was not angry. Instead of being angry, he gave a thumbs up and nodded to Meng Si in praise:

"it is good!"

   "Very well said!"

  "Acupuncture anesthesia does have three problems."

   "It seems that our integrated traditional Chinese and Western medicine ward is developing really well!"

  Everyone was a little surprised when they saw Chen Nan's operation.

  Chen Nan laughed at himself: "I come from the hospital below. After coming here today, it really opened my eyes."

   "A master like a cloud!"

   "Long experience."

   "But... this, Director Meng, and Director Luo."

   "Our hospital is small, and it is also a local hospital. It is incomparable with our ChinJapan Friendship Hospital. I also admit this. This time, I came here with apprehension, and I was ordered in the face of danger."

   "However, our hospital also has an integrated traditional Chinese and Western medicine ward, and the development is not bad, and some achievements have been made!"

   "Although there are not many, but... a coincidence."

   "I have another paper here, and I want to show it to everyone."

   "It is an operation case of acupuncture anesthesia!"

   "About acupuncture anesthesia for ankle joints, I actually wrote a paper. This paper was published in the latest issue of "England Annals of Anesthesia."

   "Everyone can look it up, um... it's called "Clinical Application of Acupuncture and Anesthesia in Orthopedic Facet Joint Surgery."

   "This article, if everyone searches now... Well, you should be able to see the online version."

   "Ankle joint, we really haven't done big data statistics, and we don't have enough samples to support it."

   "However, I, Chen Nan, can still handle it. Our hospital has also tried acupuncture and anesthesia for ankle orthopedic surgery!"

  Chen Nan didn't really decide the outcome with the opponent.

   Not necessary either!

  It's the world of adults, so it's enough to speak with facts, but for theory, hehe… It's useless to talk about hype.

  Didn't you say our hospital is small?

   Say I'm from a small place?

hehe…

  Then I will show you how our small place does it.

   Aren't you a big hospital?

   Isn't it an international general hospital? Isn't it a demonstration site for the integration of traditional Chinese and Western medicine?

Well!

   Then come, come and make gestures with real knives and guns.

as predicted!

   After Chen Nan said these words, the room fell completely silent.

  Everyone around looked at each other with serious faces, and even Meng Si was a little embarrassed.

  Everyone was thinking about your small hospital just now, so you should listen and watch more.

  It's good now, people directly showed the evidence.

Look?

   Still don't watch! ?

  Luo Qiping glanced at Chen Nan, his expression was a little more dignified and complicated.

  He didn't expect that Chen Nan... actually had several brushes!

   Don't say anything else.

   Let's talk about the excellent rate of manual reduction combined with surgery of the ankle joint.

   And this paper...

  However, Luo Qiping still glanced at Li Ke, who was about to speak.

   Li Ke handed over the paper directly: "Director Luo, the paper."

  Luo Qiping nodded, took the computer, and looked at it.

   While reading the thesis, everyone at the scene didn't say a word.

   Meng Si blushed a little at this time.

  He originally wanted to show off Director Chen.

   Now it's better...

  The dismounted majesty did not give it away, but...the steps were given to someone else, and he stepped on the steps and did not dismount, but stood up and slapped himself.

   This slap!

   That's sour.

  However, this Meng Si is not an idle person, he has no capacity to tolerate others, he opened a paper on his own, and after spending 49 dollars, he finally subscribed to this article.

  Overseas papers are not cheap, and the price of a paper remains high!

  The "England Annals of Anesthesia" is a well-known influence factor in the anesthesiology circle.

   After Meng Si finished reading, he fell silent for a moment.

  Because of this paper, a detailed analysis was carried out from the perspectives of anatomy and anesthesia, as well as the effect of acupuncture anesthesia.

   Among them is the ankle joint!

  Meng Si was also frank. After reading it, he said to Chen Nan with a solemn expression: "Director Chen, I am the one who is watching the sky from a well!"

   "On behalf of our Department of Orthopedics, Director Chen is welcome to join us!"

  Luo Qiping naturally also finished reading the article. He looked at Meng Si's operation with relief in his eyes.

  Chen Nan doesn't hate Meng Si!

  For this kind of outspoken person, on the contrary, he likes this kind of outspoken person. He can say whatever he wants, and speak with theory and facts. If he is wrong, he is wrong, and if he is right, he is right.

   This kind of person is not tiring to get along with!

   Zhao Jianyong and Yang Hongnian are this type of people. They can't let go of things in their hearts, and they are straightforward. Seeing that you, Chen Nan, are upset, they just speak out.

   It will be fine if you say it out. This kind of people generally don't hold grudges.

   On the contrary, people like Zhou Qinzheng and Liu Quan are narrow-minded, but keep things in mind, and when they encounter a critical moment, they will pick you up or trip you up.

   Chen Nan never wants to deal with this kind of person!

  After Meng Si came here, it would be good to find an opportunity to talk about you directly.

  Now seeing Meng Si admitting his mistake and apologizing to welcome him, Chen Nan also smiled:

   "Everyone is laughing."

   "Our hospital is relatively small, with many topics and ideas, and there is no way to put them into action."

   "So, this time, I came here with an attitude of learning and cooperating with each other."

   "Don't take offense!"

   "Director Meng, what you just said is indeed a shackle of acupuncture anesthesia."

   "This point, I think, we need to think about it and study it in the future."

  When Meng Si heard this, he immediately felt happy.

  Chen Nan like this is very appetizing to him.

   "Director Chen, you're welcome!"

   "Miss Tao, I think that with Director Chen around, Zhang Xiao's operation should not be a big problem."

   "Director Chen, can we discuss the treatment plan and process in detail?"

  Chen Nan nodded quickly: "Okay!"

  Meng Si said to Li Ke: "Xiao Li, you will make the clinical pathway."

   Li Ke nodded quickly, how could he be disrespectful at this moment?

  Luo Qiping nodded at Meng Si, smiled, and did not speak.

   It is a good thing that Chen Nan can start working as soon as possible.

   It seems... this time, a nice person came.

   From this incident, Luo Qiping saw a lot.

  Not long!

  The plan was drawn up.

  Luo Qiping looked at Chen Nan's plan, and smiled in relief: "Have you seen it?"

   "Director Chen, he is really capable!"

   "This is the first day of taking office, and the work is about to start."

   "Here... the head nurse, you can make some arrangements tonight to clean up Director Chen."

  Chen Nan smiled quickly and said, "Director Luo, you are welcome, let's go see the patient first."

   "Although this film is clearly shot, but... us Chinese medicine bone setters, we still have to touch it ourselves to know the truth."

  “There are many things that cannot be photographed on film, but can be seen with hands.”

  Hearing Chen Nan's words, Luo Qiping gave a thumbs up: "I didn't expect... Director Chen is still a bone-setting master!"

   "This makes sense!"

   "The eyes of our Chinese orthopedics practitioners are all on these hands."

   "With such a touch, the doorway is naturally clear."

   "The eight bone-setting methods, the first method is to touch!"

   "Let's go, Director Chen, this way please."

   While speaking, a group of people walked towards the ward.

   And this time!

  Luo Qiping is at the head, and Chen Nan is on his right.

   Behind is a group of directors and attendings.

   Meng Si took the initiative to be one position behind Chen Nan.

  Sometimes, respect is earned by one's own strength, and face is not given by others, but earned by oneself.

   While talking, Chen Nan saw the patient Zhang Xiao on the hospital bed.

   This is the difference between the capital and the locality!

  When I was in Yuancheng People's Hospital, although I could occasionally meet some local people, but... this kind of big sports star is not so easy to meet, it depends on luck.

   But here, even that Hu Min is very calm, obviously...you get used to it after seeing it a lot.

   There is no such rare energy.

  People are not chasing stars sometimes. Most people are just that rare when they see a star.

  Agent Tao Lianghui said to Zhang Xiao: "Zhang Xiao, this is Director Chen."

   "After several experts discussed your plan just now, they gave a better method."

   "No need for general anesthesia!"

   "Just need acupuncture anesthesia."

   "It won't affect you too much."

"and…"

  After Tao Lianghui finished speaking, Chen Nan walked over, observed his ankle, and put his hand on it.

   "It may hurt, when you hurt, if it hurts, just talk!"

  Zhang Xiao nodded quickly: "Okay."

  Use the touch method to make a preliminary diagnosis, and touch the injured part of the patient with your hands. This is the most important link.

  Experienced bone setters can use this to judge whether it is a fracture, bone fragment, crack or dislocation and whether there are complications.

   And those masters know the ankle joint like the back of their hands, and can clearly grasp the changes in fascia, muscles, tendons, nerves, blood vessels, and other tissues.

  Combined with the X-ray nuclear magnetic resonance of modern equipment, and the judgment of touch method is mutually confirmed, it is of great help to the orthopedic department.

  After making the diagnosis, Chen Nan said to Luo Qiping: "Director Luo, arrange the operation!"

   "I can now do manual reset."

  Luo Qiping nodded, and Meng Si quickly went out to make a phone call to call the staff to prepare for the operation.

   While he returned to the ward, he noticed Chen Nan's tricks.

  Luo Qiping also looked solemn at this time, looking at Chen Nan, without saying a word.

  Chen Nan has strong hands, which is a natural advantage for him to set his bones.

  The ankle bone, below the bone, above the tarsus, and the high bones protruding from both sides. The inner one is called the medial malleolus, and the common name is the joint bone;

  The one outside is the lateral malleolus, commonly known as the nuclear bone!

  The method is simple, and the key to the operation lies in a soft word.

  Because it is necessary to completely relax the main tendons on the basis of manipulation.

  Then the soft tissue is peeled and separated.

  The ankle joint is fractured backwards, and the difficulty is nothing more than a few points.

  First: more damage to soft tissue.

  Second: rich blood vessels, easy to damage blood vessels.

  Third: The tendon is tense, the strength is not smooth or soft, it is easy to damage the tendon and form tendonitis, which is very troublesome in the later stage.

   And these, Chen Nan didn't care at all!

  He grasped the foot with his right hand and pulled it far away. At the same time, he pressed the lower end of the fibula with his two thumbs, and turned the foot with the remaining fingers.

   Then, pinch the tendon with both left hands straight down.

  Accompanied by the sound of a soft "wave", Chen Nan relieved his strength instantly.

   And at this time!

  The originally swollen ankle seemed to look "beautiful" from an anatomical point of view at this moment!

  Actually, this good-looking is not really good-looking, but a kind of structure in anatomy.

   That is to say, the patient's ankle area at this time is more in line with the anatomical structure.

but!

   It doesn't end there.

  Next is the supple treatment for the tendon.

  Just now, Chen Nan pulled out the embedded tissue.

   Acute tendon injury, tissue tearing, bleeding, and swelling around the tendon. Chronic strain, degeneration and necrosis of the peritendon tissue can lead to adhesions between the layers of the tendon tissue or between the peritendon and the Achilles tendon.

   Therefore, the principle of treatment is to promote blood circulation and remove blood stasis, relax tendons and collaterals.

  However, the treatment site is not the ankle.

   "Treat the core, first treat the legs!"

   "Soothe the collaterals, relax the tendons first!"

   "Director Luo, you are the successor of Roche Orthopedics. For posterior ankle fractures, the most important treatment is actually the tendon."

   "Here is the difficulty."

   "I'm making a fool of myself here."

   "Here, massage techniques should be used."

   "Selection of acupoints: Chengjin, Chengshan, Painpoint, Xunyang, Kunlun, Taixi, Pushen!"

   "And the technique of operation is: pushing, rolling, kneading, kneading, pinching, holding, and moving."

   While speaking, Chen Nan directly started his own operation.

  Hands alternately push the calf to the heel a dozen times from top to bottom, and then use the hypothenar or metacarpophalangeal joints of one hand to gently and steadily roll along the middle of the calf to the heel for several minutes.

   "This is called rolling the calf Achilles tendon method. The relationship between the tendon and the Achilles tendon is very close. In this way, it helps to stimulate the chain reaction between the tendon and the Achilles tendon in the patient."

   "The next step is called kneading, kneading and combining method!"

  Chen Nan did it meticulously and slowly.

   "Here, the frequency of suppleness, pinching, and kneading is emphasized. The strength should penetrate into the tendon, but not deep into the muscle."

   "It is necessary to maintain an even and supple softness, and keep the temperature of the tendon at all times."

   "In this way, an efficient state will be formed. I call this state a warm state."

   "In this warm state, the blood circulation of the tendon will be smoother."

   "Persist for 10 minutes, and the patient's hematoma will also evacuate."

  With Chen Nan's operation, as expected, after 10 minutes, the patient's hematoma really spread out a little!

   Even the tense tendons just now were completely stretched.

   Chen Nan said with a smile: "This is just the beginning!"

   "After the tendon is stretched, there is no need to cut the tendon and suture it again, which reduces the damage of the operation."

  "Surgery, although there are many benefits, but... every operation is actually a kind of damage to the human body."

  "The damage is actually the body's self-defense, it wants to protect the damaged tissue."

   "What we have to do is actually follow the trend and go with the force!"

   "So, the next step is to use Shun Jiner!"

   "After an ankle fracture, ankle tunnel syndrome will form, which is the most difficult and troublesome point of prognosis."

"The ankle canal, also known as the plantar canal, is located on the inside of the ankle joint. It is a canal formed by the bone fibrous tissue between the back of the calf and the deep honeycomb tissue of the sole. Its superficial surface is between the medial malleolus and the calcaneal tubercle. Split ligaments, deep to the calcaneus, talus and joint capsule.

  In the ankle canal, from front to back, the posterior tibial tendon, flexor digitorum longus tendon, flexor hallucis longus tendon, posterior tibial nerve, posterior tibial artery and vein pass through. When the tibial nerve exits the plantar canal, it divides deep into the medial plantar nerve and the lateral plantar nerve through the split ligament. The two terminal branches enter the plantar, the muscular branch innervates the muscles, and the cutaneous branch distributes to the skin of the plantar. "

  “Fracture will lead to relatively narrow ankle canal, and due to the increased pressure in the canal, symptoms of compression of the inner and outer plantar nerves will occur.

  Split ligament degeneration and thickening, calcaneal spur formation and fracture in the ankle canal, etc. "

   "This is a fatal problem for athletes!"

   "The key to the technique I have mastered is here."

   Speaking of this, Luo Qiping suddenly glanced at Chen Nan solemnly: "Director Chen... this..."

  Seeing this, Chen Nan smiled and waved his hands: "This is something left by our ancestors, not my personal property, Chen Nan!"

   "Everyone, just watch and ask, if you have any questions, be sure to ask!"

   "Otherwise, if you learn seven or eight points, not only will it not be beneficial, it will only cause bad things."

   "Drawing a tiger is not an anti-dog!"

   "That just adds to the joke."

  When Luo Qiping saw Chen Nan's posture, his eyes widened, and his pupils were full of respect!

  Because...ankle tunnel syndrome is difficult!

  The reason why posterior ankle fractures are difficult to reset manually lies in the treatment of ankle tunnel syndrome.

   And Chen Nan shared it without reservation!

   Luo Qiping is convinced by this attitude and pattern!

  He took a deep breath: "Everyone is optimistic!"

   "This thing is not rumored in Jianghu!"

  When Meng Si and others heard the sound, they all looked at Chen Nan in unison, their eyes full of respect!

   Chen Nan waved his hands and smiled, and it started!

   "Everyone remember: the acupoints are Chengjin, Chengshan, Yinlingquan, Sanyinjiao, Taixi, Zhaohai, Shuiquan, Rangu!

  Operation techniques are: pushing, pressing, kneading, dialing, rubbing, moving. "

   "There are three main steps!"

   "First, push and knead the calf ankle canal method!"

   "The second step: rubbing the ankle canal and pressing points!"

   "The last step: hold the foot traction method!"

  After finishing, Chen Nan released the patient's ankle, and said to Zhang Xiao, "Move, try!"

  Zhang Xiao was taken aback for a moment: "This...can this move around?"

  Luo Qiping no longer had the attitude he had just now, he said with a smile: "Since Director Chen said it, it is guaranteed!"

   "You move, feel the feeling!"

  Zhang Xiao was dubious, moved cautiously, and was a little surprised because... because it didn't hurt so much? !

  He stared at Chen Nan with wide eyes, and continued to move: "It seems...it doesn't hurt so much?!"

  Chen Nan nodded slightly: "Well, the operation can be done!"

   "The operation now can allow you to return to walking within one month."

   "Two months later, we can start training."

   "There are very few sequelae and will not affect your state."

   Zhang Xiao felt his nose sore when he heard the sound.

   "Director Chen, you are amazing!"

   "Thank you so much!"

  Chen Nan waved his hand: "Okay, let's talk about these things."

  At this time, Meng Si's phone rang. After he looked at it, he said to Luo Qiping, "Director Luo, the operation is ready!"

  Luo Qiping glanced at Chen Nan: "Director Chen, this... acupuncture and anesthesia, I'm sorry!"

  Chen Nan said with a smile: "What's the hard work to talk about!"

  As soon as these words came out, Luo Qiping immediately laughed.

  Operating room.

  Anesthesiologist Sha Guangzhong looked at Luo Qiping solemnly: "Director Luo, are you sure?"

   "Do you really believe in acupuncture anesthesia?"

   "This patient... is not an ordinary person!"

  Sha Guangzhong is the Director of Anesthesia in the Ward of Integrated Traditional Chinese and Western Medicine.

  He did not expect that Luo Qiping really agreed to use acupuncture anesthesia.

  Luo Qiping smiled: "Isn't there you?"

   "You just need to be escorted by the side!"

  Sha Guangzhong did not need surgery at all, and Luo Qiping personally ordered him to come.

   "We have done so much research on acupuncture and anesthesia, isn't there a breakthrough now?"

   "If Director Chen can really do a good job, wouldn't it be a good thing?"

  Sha Guangzhong sighed: "Hey!"

   "Listen to you!"

  That being said, Sha Guangzhong still organized the tools and medicines for anesthesia.

  Operation begins!

  Luo Qiping gave Chen Nan a look: "It's time to start!"

   Chen Nan nodded with a smile, took the needle, and began to adjust the electroacupuncture parameters, including the waveform, width, frequency, intensity (current and voltage), combination method and stimulation time of the pulse current applied to the acupuncture points.

  Generally, high-frequency (40-200HZ) is used for acupoints in the incision, and low-frequency (2-8HZ) is used for distant acupoints.

   Acupuncture anesthesia is not a panacea!

  Reduction of closed fractures or dislocations of extremities is more effective for reduction of fractures and dislocations within 1 week, but less effective for old fractures and dislocations.

  Chen Nan selects Beitiao, Weizhong, Chengshan, Zusanli, Jiexi, and Hegu as acupuncture points.

   When you're ready!

  Luo Qiping asked: "How soon can we start?"

  Chen Nan: "3..."

  Luo Qiping's eyes widened: "Three minutes? So fast?"

  Chen Nan: "2..."

  Luo Qiping: "???"

   Meng Si: "!"

  Chen Nan: "1!"

"let's start!"

  Everyone in the audience: "???"

  Chen Nan said with a smile: "We can start testing."

   "The pain should be gone!"

  Luo Qiping was instantly speechless!

So fast? !

  The anesthetist Sha Guangzhong on the side was even more dumbfounded: "Is this... possible?"

But!

  When Meng Si took the scalpel and tried it on the patient's ankle area, he suddenly found that the patient did not respond!

  He couldn't help but glance at Luo Qiping, a little dazed.

  Luo Qiping nodded: "Let's get started!"

  After they cut it open, the scene in front of them stunned everyone.

  Because...the patient's fracture area and soft tissue are preserved so well!

   This operation is a terrifying good thing!

"this…"

  ps: Hey, happy watching, please ask for a monthly pass!

  (end of this chapter)

Chapter end

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Chapter 440
Chapter 439
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Chapter 437
Chapter 436
Chapter 435
Chapter 434
Chapter 433
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Chapter 427
Chapter 426
Chapter 425
Chapter 424
Chapter 423
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Chapter 420
Chapter 419
Chapter 418
Chapter 416
Chapter 415
Chapter 414
Chapter 413
Chapter 412
Chapter 411
Chapter 410
Chapter 409
Chapter 407
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Chapter 405
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Chapter 403
Chapter 402
Chapter 401
Chapter 400
Chapter 399
Chapter 398
Chapter 397
Chapter 396
Chapter 395
Chapter 394
Chapter 393
Chapter 392
Chapter 390
Chapter 389
Chapter 388
Chapter 387
Chapter 386
Chapter 385
Chapter 384
Chapter 383
Chapter 382
Chapter 381
Chapter 380
Chapter 379
Chapter 378
Chapter 377
Chapter 376
Chapter 375
Chapter 374
Chapter 373
Chapter 372
Chapter 371
Chapter 370
Chapter 369
Chapter 368
Chapter 367
Chapter 366
Chapter 365
Chapter 364
Chapter 363
Chapter 362
Chapter 361
Chapter 360
Chapter 359
Chapter 358
Chapter 357
Chapter 356
Chapter 355
Chapter 354
Chapter 353
Chapter 352
Chapter 351
Chapter 350
Chapter 349
Chapter 348
Chapter 347
Chapter 346
Chapter 345
Chapter 344
Chapter 343
Chapter 342
Chapter 341
Chapter 340
Chapter 339
Chapter 338
Chapter 337
Chapter 336
Chapter 335
Chapter 334
Chapter 333
Chapter 332
Chapter 331
Chapter 330
Chapter 329
Chapter 328
Chapter 327
Chapter 326
Chapter 325
Chapter 324
Chapter 323
Chapter 322
Chapter 321
Chapter 320
Chapter 319
Chapter 318
Chapter 317
Chapter 316
Chapter 315
Chapter 314
Chapter 313
Chapter 312
Chapter 311
Chapter 310
Chapter 309
Chapter 308
Chapter 307
Chapter 306
Chapter 305
Chapter 304
Chapter 303
Chapter 302
Chapter 301
Chapter 300
Chapter 299
Chapter 298
Chapter 297
Chapter 296
Chapter 295
Chapter 294
Chapter 293
Chapter 292
Chapter 291
Chapter 290
Chapter 289
Chapter 288
Chapter 287
Chapter 286
Chapter 285
Chapter 284
Chapter 283
Chapter 282
Chapter 281
Chapter 280
Chapter 279
Chapter 278
Chapter 277
Chapter 276
Chapter 275
Chapter 274
Chapter 273
Chapter 272
Chapter 271
Chapter 270
Chapter 269
Chapter 268
Chapter 267
Chapter 266
Chapter 265
Chapter 264
Chapter 263
Chapter 262
Chapter 261
Chapter 260
Chapter 259
Chapter 258
Chapter 257
Chapter 255
Chapter 254
Chapter 253
Chapter 251
Chapter 250
Chapter 249
Chapter 248
Chapter 247
Chapter 246
Chapter 245
Chapter 244
Chapter 243
Chapter 242
Chapter 241
Chapter 240
Chapter 239
Chapter 238
Chapter 237
Chapter 236
Chapter 235
Chapter 234
Chapter 233
Chapter 232
Chapter 231
Chapter 230
Chapter 229
Chapter 228
Chapter 227
Chapter 226
Chapter 225
Chapter 224
Chapter 223
Chapter 222
Chapter 221
Chapter 220
Chapter 219
Chapter 218
Chapter 217
Chapter 216
Chapter 215
Chapter 214
Chapter 213
Chapter 212
Chapter 211
Chapter 210
Chapter 209
Chapter 208
Chapter 207
Chapter 206
Chapter 205
Chapter 204
Chapter 203
Chapter 202
Chapter 201
Chapter 200
Chapter 199
Chapter 198
Chapter 197
Chapter 196
Chapter 195
Chapter 194
Chapter 193
Chapter 192
Chapter 191
Chapter 190
Chapter 189
Chapter 188
Chapter 187
Chapter 186
Chapter 185
Chapter 184
Chapter 183
Chapter 182
Chapter 181
Chapter 180
Chapter 179
Chapter 178
Chapter 177
Chapter 176
Chapter 175
Chapter 174
Chapter 173
Chapter 172
Chapter 171
Chapter 170
Chapter 169
Chapter 168
Chapter 167
Chapter 166
Chapter 165
Chapter 164
Chapter 163
Chapter 162
Chapter 161
Chapter 160
Chapter 159
Chapter 158
Chapter 157
Chapter 156
Chapter 155
Chapter 154
Chapter 153
Chapter 152
Chapter 151
Chapter 150
Chapter 149
Chapter 148
Chapter 147
Chapter 146
Chapter 145
Chapter 144
Chapter 143
Chapter 142
Chapter 141
Chapter 140
Chapter 139
Chapter 138
Chapter 137
Chapter 136
Chapter 135
Chapter 134
Chapter 133
Chapter 132
Chapter 131
Chapter 130
Chapter 129
Chapter 128
Chapter 127
Chapter 126
Chapter 125
Chapter 124
Chapter 123
Chapter 122
Chapter 121
Chapter 120
Chapter 119
Chapter 118
Chapter 117
Chapter 116
Chapter 115
Chapter 114
Chapter 113
Chapter 112
Chapter 111
Chapter 110
Chapter 109
Chapter 108
Chapter 107
Chapter 106
Chapter 105
Chapter 104
Chapter 103
Chapter 102
Chapter 101
Chapter 100
Chapter 99
Chapter 98
Chapter 97
Chapter 96
Chapter 95
Chapter 94
Chapter 93
Chapter 92
Chapter 91
Chapter 90
Chapter 89
Chapter 88
Chapter 87
Chapter 86
Chapter 85
Chapter 84
Chapter 83
Chapter 82
Chapter 81
Chapter 80
Chapter 79
Chapter 78
Chapter 77
Chapter 76
Chapter 75
Chapter 74
Chapter 73
Chapter 72
Chapter 71
Chapter 70
Chapter 69
Chapter 68
Chapter 67
Chapter 66
Chapter 65
Chapter 64
Chapter 63
Chapter 62
Chapter 61
Chapter 60
Chapter 59
Chapter 58
Chapter 57
Chapter 56
Chapter 55
Chapter 54
Chapter 53
Chapter 52
Chapter 51
Chapter 50
Chapter 49
Chapter 48
Chapter 47
Chapter 46
Chapter 45
Chapter 44
Chapter 43
Chapter 42
Chapter 41
Chapter 40
Chapter 39
Chapter 38
Chapter 37
Chapter 36
Chapter 35
Chapter 34
Chapter 33
Chapter 32
Chapter 31
Chapter 30
Chapter 29
Chapter 28
Chapter 27
Chapter 26
Chapter 25
Chapter 24
Chapter 23
Chapter 22
Chapter 21
Chapter 20
Chapter 19
Chapter 18
Chapter 17
Chapter 16
Chapter 15
Chapter 14
Chapter 13
Chapter 12
Chapter 11
Chapter 10
Chapter 9
Chapter 8
Chapter 7
Chapter 6
Chapter 5
Chapter 4
Chapter 3
Chapter 2
Chapter 1
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