Doctor Chen, Don't Be a Coward! Chapter 410

  Chapter 410 This is very simple!

   Chen Nan's words obviously quieted down the entire operating room.

   Even Luo Qiping couldn't help but stop what he was doing.

   Good guy!

  This...what is this for?

   On the other side, Ichiro Gangsong also stared at Chen Nan with wide-eyed eyes full of inconceivable small eyes.

  Originally, Ichiro Okamatsu's mentality exploded because of this sensitive "nerve potential monitoring technology".

  Now hearing Chen Nan's words, his expression became even more uneasy.

   Everyone is a boss in the operating room, so naturally they are not unfamiliar with such a scene.

  In Japan, their hospitals call this behavior "unloading the knife".

   To put it bluntly, it is because your technology is not good enough that the experts on the side can't stand it and forcefully replace it.

  Okamatsu Ichiro was born in a poor family, as can be seen from his name, the Japanese used to have no surnames, but later the state had to register them, and many people chose their names carelessly.

  The name of Ichiro Gangsong is very simple. There is a hill opposite their house, and there is a pine tree next to it, so they took the surname Gangsong, and Ichiro means the eldest in the family.

  Okamatsu Ichiro is fifty-six years old this year, and he is currently the absolute top ranked person in the field of spine surgery in Japan.

The reason for the frequent "beep, beep, beep" sound is not that Ichiro Okamatsu's level is very poor, but because of the neuroelectrophysiological detection technology, the operator needs to be more standardized, and the nerve damage needs to be more careful. Pay attention to.

   And Okamatsu Ichiro has never performed similar exercises and operations, so it is difficult to adapt.

  As a leader in the field of spine surgery in Asia, Ichiro Okamatsu was very confident before he came.

   But now?

   Now, I don't know how many people are watching this operation, but now I am being "unloaded".

  If this is spread, it will be really shameful and thrown to the world.

   If this person returns to Japan, will he be disgusted to death?

  Okamatsu Ichiro himself came this time, and Kosuke Shenshan placed high hopes on him, thinking that he would definitely stand out in this operation, not to mention, at least make the chief surgeon in Huaxia pale in comparison.

   Now it's better...

   Mistakes one after another made Kamiyama Kosuke feel ashamed.

  He really didn't expect that Luo Qiping's surgery was done so well.

   You know, Ichiro Okamatsu knew Luo Qiping, both of them are experts in the field of spine surgery in Asia, and they often attended conferences together, but... Luo Qiping didn't seem to be very outstanding before?

  Can now...

  For a while, Ichiro Okamatsu stood awkwardly, and it was not right to leave, but...if he refused to let him, he would keep making mistakes, which would affect their international influence of Japanese spine surgery even more!

what to do?

  Actually, it's not that Huaxia's surgeons are not good enough, it can even be said to be the opposite. Why?

  Because the development and origin of Huaxia Surgery are much later than those developed countries in the world, and we have been in a background that lacks high-tech instruments for a long time.

  Although it is said that we have not made any world-wide innovations in terms of surgical innovations, but...we are definitely not bad in terms of technical polishing.

  First of all, because our patient base is too large, we have given many doctors a platform to exercise.

  So, Huaxia Surgery is not bad, what is bad is... the assistance of modern instruments.

  And this time, Luo Qiping and Sun Haigang Qihuan made great progress under Chen Nan's 0.1 unit neuroelectrophysiological detection technology!

   Naturally, this is not a one-day cold, but a process of accumulation.

But!

   At this time, when Ichiro Okamatsu was hesitating, another Japanese expert beside him couldn't help but said: "Aren't you an anesthesiologist?"

   Hearing the other party's words, Ichiro Okamatsu was even more confused, and he suddenly woke up and looked at Chen Nan.

   "Yeah, aren't you an anesthesiologist?"

   "Can you do this operation?"

  Okamatsu Ichiro's words were transmitted through the camera in an instant, so that countless people were dumbfounded after seeing this picture.

   And many domestic audiences are even more dumbfounded.

   "Director Chen, stop making trouble!"

   "Yeah, people were already nervous, but now... they are even more panicked!"

   "Hahaha...International friends, international friends, communication comes first!"

   "Director Chen, don't make a fuss...you just have to be your Chinese medicine practitioner."

"Yeah, Director Chen, don't make trouble. You are a Chinese medicine doctor. You must remember that although you have played a cameo role as an anesthesiologist and also as an instructor of this nerve electrophysiological testing technique, we still have to think about this operation. of!"

  At this time, Qi Huan, Teacher Sa and others who were in charge of the commentary were all stunned.

  At this time, Gu Haiming couldn't help asking:

   "Well, excuse me..."

   "Director Qi, this Professor Chen, can still perform surgery? This is going to unload the knife for Ichiro Gangsong directly at the surgery site!"

   "Although it is true that Ichiro Okamatsu made continuous mistakes, but... he may not have been exposed to such operations, and he may be a little nervous."

   "However, as far as I know, Director Chen is a Chinese medicine doctor, right? Isn't he a surgeon?"

   Teacher Sa was also a little at a loss.

  He claims to be a genius, but... this kind of Chen Nan who strides so fiercely makes him somewhat at a loss as to how to explain it.

   At this time, Qi Huan was also taken aback for a moment, but he still said:

   "Director Chen is indeed a Chinese medicine doctor, but...Chinese medicine does not distinguish between internal and external. It stands to reason that acupuncture, moxibustion, massage and surgery are all surgery. It is not unreasonable that Director Chen is good at it."

   "Moreover, the hospital has specially approved the scope of surgery for Director Chen."

   "To be honest, I have never seen Director Chen perform an operation by himself."

   "But... It is obviously wrong to say that Director Chen does not know how to perform surgery."

"You may not be clear, Director Chen's surgical scope is specially approved. When he was training in Dongzhimen Hospital a few years ago, he obtained the special qualification of Dongzhimen. Then...Professor Chen's improved fire acupuncture combined with percutaneous superficial vein Surgery, in Surgery in Tokyo, Japan, won the Best of the Year award."

   "Although it is said that Director Chen has never had surgery since he came to the ChinJapan Friendship Hospital, but...it is undeniable that he may really be able to do surgery!"

   Speaking of this, Qi Huan actually didn't have enough confidence in his heart.

  However, now that so many people across the country are watching the live broadcast, he is now in a difficult situation.

   And to be honest, he himself didn't know whether Chen Nan could complete such a difficult spinal surgery.

  Damn it...but Ichiro Okamatsu!

  Genius surgeon known as the left hand of the Japanese spine surgery god.

   Teacher Sa could only remain silent at this time.

   After all, the current script has completely exceeded everyone's expectations.

  Even Teacher Sa has endorsed today's live broadcast many times, but he still didn't expect such a plot.

actually!

   Not just domestic live broadcasts.

  The live broadcast circle in Japan is even more heated.

   At this time, Kamiyama Kosuke was sitting in the conference room, staring at the big screen with an extremely ugly expression on his face!

  The expert he personally brought is going to be unloaded on the spot in the operating room. If it spreads, how shameless it is?

  Where should I put the face of Japanese medicine?

  You **** Chen Nan!

   You have to make trouble with us, right?

  First, our Kampo medicine was criticized.

  Now, even our genius spine surgeons are humiliating on the spot. What else is there that you, Chen Nan, dare not do?

  One time!

  Kamiyama Kosuke's face was very ugly, he couldn't help but snort coldly with his dark face.

   Qin Shiming on the side was actually a little confused after seeing this scene.

  Fucking Chen Nan... Can't you really save me some snacks?

  This is a good operation, we just need to complete it successfully.

  What a great start!

  Qin Shiming has received feedback, acupuncture anesthesia has now attracted the attention of many people.

   This is a big start, if after surgery, it proves that their nerve electrophysiological detection technology is also effective.

   Today's task has been successfully completed.

  But now you...suddenly grab a knife on the spot, somewhat...some...some people can't stand it!

as expected.

  In this conference room, everyone's expressions were a little strange.

  Ge Yerong was so embarrassed that he didn't know what to do.

  As for Zhang Yuancheng, he was extremely happy in his heart at this time.

   Originally, today, Zhang Yuancheng really didn't want to see Chen Nan pretending to be aggressive, but it was obviously impossible not to come, so he came here.

   But when he saw that Chen Nan was disregarding the overall situation, and didn't even care that this was a global live broadcast, he directly wanted to grab Matsuichiro's sword.

   This is obviously destroying the friendly medical communication between the two countries.

  Looking at the angry face of Kamiyama Kosuke, Zhang Yuancheng couldn't help being happy.

   After all, Chen Nan is obviously a situation where the king is blown apart.

   And in the live broadcast room in Japan.

  The experts who hosted and commented were already very angry.

   "Isn't this Chen Nan a Chinese medicine doctor? How could he remove the knife for Mr. Ichiro Okamatsu on the spot? What kind of qualifications does he have?!"

   "There are less than three people in Asia who can remove the knife from Professor Gangsong, which is an insult!"

   "Besides, this patient from our country, how can he do such a thing casually?"

  Experts stood up excitedly and accused Chen Nan angrily.

   "I doubt the ability of Huaxia ChinJapan Friendship Hospital now. No, this is no longer a question of ability, but a question of principle!"

   "How could they allow an anesthetized Chinese medicine doctor to perform a high-precision and difficult spinal surgery?"

   "And, is it true that Chen Nan is allowed to unload Professor Gang Matsuichiro?"

   "There's a big problem with that!"

   "I seriously doubt the other party's ability, as well as the principles and attitudes in dealing with things!"

   "And, can a Chinese medicine doctor do such an operation well?"

   "It's hilarious, it's a joke!"

   "This is such an important operation. I really didn't understand Huaxia's operation!"

   "He doesn't value our friendship at all!"

   Accompanied by the words of the commentator.

  The audience of professionals in the field and some spectators were emotionally aroused.

   began to express various remarks towards Chen Nan.

   "Let a Chinese medicine doctor perform spinal surgery? I really have a hard time believing in the order and rules of Huaxia Medical. How is this possible?"

   "Yes, this is child's play. Professor Ichiro Okamatsu is an expert of the International Association of Spine Surgery. His previous operations are just not suitable for him, and it does not represent his ability!"

   "Support, shall we go to Huaxia to make trouble?"

"support!"

   "+1"

  More and more people began to respond.

   This is no accident!

   In Hensley's live broadcast room, Hensley also laughed directly.

"Hahaha…"

   "It was really a wonderful live broadcast."

   "Does Huaxia Medicine not even understand the most basic division of labor?"

   "Chen Nan is just a Chinese medicine practitioner, right? Chinese medicine practitioners can perform surgery? And Ichiro Okamatsu is indeed a good expert. Isn't it inappropriate to remove the knife on the spot?"

   "It really opened my eyes!"

   "To be honest, I hope that Ichiro Okamatsu will give this opportunity to Chen Nan, maybe... I can see some unique live broadcasts!"

   Obviously, Hensley was mocking Chen Nan.

   And in the operating room!

  Okamatsu Ichiro's mentality was indeed unstable at this time.

  Already making mistakes again and again, and now being questioned by Chen Nan on the spot, there is already a problem with his mentality.

but…

  He suddenly had a thought and thought of something.

yes!

  I can let him do it.

  The fracture and dislocation of the thoracolumbar spine is a difficult operation, and it is obviously impossible for ordinary people to do it.

  He didn't believe at all that this young man could have such an operation.

  After thinking about it, Ichiro Okamatsu suddenly took a step back.

   He motioned for Chen Nan to go over.

This scene!

   Everyone around was dumbfounded.

  The nurses looked sideways at each other, and Luo Qiping also widened his eyes, looking at Chen Nan in disbelief, his eyes filled with "Can you really do it?"

  Sun Haigang helped Luo Qiping, but it didn't matter.

   On the opposite side, the Japanese expert Junzan Nishida, who was originally helping Ichiro Okamatsu, raised his eyebrows.

  He didn't expect that Senior Gang Song actually gave up his seat for him.

but…

   Do you really think it's over after removing the knife?

  If you forcibly remove the knife, and then do not do well, you will be ridiculed by the whole industry.

  After Chen Nan was ready, he said to Junshan Xitian beside him, "Get ready!"

  Then nodded to Luo Qiping!

  The operation continues.

  Currently undergoing 5-6 lumbar fracture surgery.

  Chen Nan and Luo Qiping cooperated.

  The operation should center on the fractured vertebral body. Generally, the upper and lower spinous processes should be exposed, the skin, subcutaneous tissue and supraspinous ligament should be incised, and the spinous process, lamina, and transverse process should be exposed sequentially with a periosteal stripper.

  The full exposure of the transverse process is conducive to the positioning of the pedicle.

  However, during the exposure process, attention should also be paid to the position of the pedicles of the upper and lower vertebral bodies, that is, the screw-in point, to avoid damage to the spinal cord.

  This is also where Ichiro Okamatsu failed to do a good job just now.

   And here!

  Chen Nan already has a wealth of experience.

  First of all, TCM orthopedics is actually not bad. As early as the Tang and Song Dynasties, there were spine surgeries.

  However, because the concept of a sterile environment is not very good, after the Republic of China, it was suppressed instead.

but!

  Many things, the essence of TCM orthopedics, have been lost since then!

  A subject cannot be all dross.

  His essence should be learned.

  This is also the reason why Chen Nan agreed to Luo Qiping's request to reform the Department of Orthopedics which combines traditional Chinese and Western medicine.

  Huaxia Medicine has accumulated a lot of clinical experience.

   These are the precious wealth of Chinese medicine!

   Although it has been buried by sand for more than a hundred years.

  However, when his true essence unfolds, he will surely amaze the world again.

  Spine surgery, the most difficult part lies in the selection of the entry point.

  Because after a spinal fracture, screws are needed for fixation.

  The selection of the entry point of the screw is very difficult.

   Now top experts around the world are also working in this direction.

   At this time, finding the positioning point is actually the job of Ichiro Okamatsu just now.

  But now, after Chen Nan has taken over the second main knife, he needs to do it.

  Luo Qiping said: "Let me choose the entry point!"

   While speaking, he glanced at Chen Nan and asked.

  Chen Nan shook his head: "Let me do it!"

  Traditional Chinese orthopedics actually has rich experience in this area.

  The combination of techniques and angles is the essence of TCM orthopedics.

  Chinese medicine does not have modern instruments, but chooses to combine the central axis and the longitudinal axis on the human spine.

   And Chen Nan is like this at this time, he is based on traditional experience, with the assistance of modern instruments.

   Soon, the midpoint of the transverse process is the horizontal line, and the dorsal side of the superior articular process is the longitudinal axis.

   Subsequently, the entry point is 10°～15° inward from the intersecting of the two lines.

   This position should be close to the best position.

   However, this is not optimal yet.

  Chen Nan took a deep breath, put his hands between the 5-7 lumbar vertebrae, and exerted a little force!

  Let the vertebral body be close to the inferior articular process of the upper vertebral body.

  At this time, he suddenly staggered his hands, and in an instant, there was a crisp sound.

  Subsequently, the 5 joints of the lumbar spine moved outward by about 3mm from the midpoint.

   At this time, the entry point close to the base of the transverse process and 10°-15° inward is the best choice.

  After Chen Nan's operation, Luo Qiping's eyes widened.

  Looked at Chen Nan in amazement!

  He is...how did he do it?

  Because under normal circumstances, the transverse process is removed with a rongeur on the lumbar spine, which is conducive to positioning.

   In Chen Nan's technique just now, the angle was moved by 3 millimeters, and the gap between the spinous processes on both sides has been used to create a safe and effective entry point without hurting the spinal cord!

   This operation can be called a stroke of magic!

  After seeing this scene, Luo Qiping was instinctively stunned.

   Not only him!

  Xitian Zhunshan, who was about to laugh at Chen Nan, also stared at this scene, full of disbelief.

  This...how is this done?

  It was hard for him to believe that the scene in front of him...

This unscientific!

  Similarly, Ichiro Okamatsu was even more taken aback behind him.

  Because of the "entry point" selection, it is the most difficult part of spine surgery.

  Generally, a rongeur is required to remove the transverse process, which is beneficial for positioning.

But!

  After removing the transverse process, it is actually an injury to the spine.

  But there is no way to remove it.

   And Chen Nan's operation just now was as if his hands were split, and he really stunned all the experts around him!

   And at the same time!

  The audience in the live broadcast room didn't realize what happened.

but!

  When they saw all the live broadcast rooms, the experts all over the world who gave professional explanations about this operation all stood up excitedly, and then stared at the scene without saying a word on the screen with wide eyes... They were all dumbfounded.

How is this going?

So what happened?

  Everyone is unbelievable when faced with this problem.

  Qi Huan was the most excited, he shouted excitedly: "Damn!"

"Feel sorry!"

"I'm so excited!"

   “People may not know what happened.”

   "However, what I also said is what happened just now."

   "You absolutely don't know!"

   "Director Chen Nan's technique just now can definitely be called a stroke of genius. This is definitely a great and unprecedented progress in the history of spinal surgery!"

"Amazing!"

   "Unbelievable!"

   Gu Haiming hastily explained:

  “You may not know that a major difficulty in spinal surgery is **** in screws at the entry point.”

   "And the choice of positioning has always been difficult."

   "Currently the most ideal way is to remove the transverse process with a rongeur, which is conducive to positioning."

   "However, Director Chen's operation just now obviously avoided causing secondary damage, and the positioning is extremely accurate!"

"From this angle, you only need to use a 2mm Kirschner wire parallel to the endplate of the vertebral body, and enter the vertebral body 30mm inward at 10°-15°. You can complete the operation at this stage!"

  “Because the anterior wall of the vertebral body is thin, the sense of breakthrough is not obvious, and it is not easy to feel when drilling through the anterior wall of the vertebral body, which easily causes secondary damage to the spinal cord.”

   "As for Director Chen Nan, this operation is really amazing!"

   “Firstly, resection of the transverse process is avoided, and secondly, secondary injury caused by access to the anterior wall of the vertebral body is prevented.”

   "This is a great improvement!"

   "Amazing!"

   "Now I have to apologize to Director Chen, you are much better than Ichiro Okamatsu!"

  Accompanied by Qi Huan and Gu Haiming's words, the atmosphere in the live broadcast room suddenly climbed to the extreme.

   "Damn, damn! Director Chen... you really know how to operate?"

   "That's right...I'm telling the truth, I was going to watch a joke just now..."

   "It's too much upstairs. Even if Director Chen makes a joke, I won't find it funny. After all...patients...well, you know!"

   "But, isn't Director Chen a Chinese medicine doctor? Are Chinese medicine doctors so good at performing surgery?"

   "Director Chen, tell me honestly, what else can you not do?!"

   "I am a professional spine surgeon. Although I didn't know what happened at the moment just now...but...it's really amazing. This will definitely change the miracle of the traditional spine surgery field!"

   "I'm also from the Sixth Hospital of Shanghai, and now I'm... a little worried. Such a powerful technology... won't be learned by the crooked nuts, right?"

"Don't worry upstairs, I'm the director of spine surgery at 301. Don't worry about it, I don't understand it... How could they learn it? I've slowed it down 21 times. To be honest... If this is not done well, the patient will definitely die." At stake, no one dares to try this operation, and no one dares to learn it casually!"

   "Damn it, the boss..."

  In the live broadcast room, everyone is extremely excited!

  Obviously, Chen Nan's technique brought this operation to a climax.

   And around the globe!

  At this moment, everyone was dumbfounded.

  Hensley couldn't figure out why Chen Nan's "reckless" and "crazy" actions just now didn't trigger the alarm of the nerve potential monitoring?

   This is unscientific!

   And, how did he do it?

   "Technical department, quickly analyze the screen frame by frame!"

   "Right now!"

   Hensley could no longer care about the live broadcast, and hurriedly said to the technical department.

  At this time, his mind was full of Chen Nan's crazy actions just now.

   Simply amazing!

  How the **** did that happen?

   After hearing Hensley's words, everyone in the live broadcast room was dumbfounded.

this…

  The painting style seems a bit wrong?

  Hensley completely forgot the purpose of today, and kept saying:

   "God!"

   "Unbelievable!"

"How can this be?"

   "No no no, this is impossible!"

   After hearing what Hensley said, everyone watching the operation in the live broadcast room in the United States was a little dumbfounded.

  Did you just say no?

  What's up now?

   Not just America!

  Europe, UK, Germany, France…

   Many other countries are watching this live broadcast.

   And this time!

  Suddenly in the headquarters of the World Association of Spine Surgery, Danish anchor room.

  The president of the World Association of Spine Surgery said in surprise:

   "Just now, Director Chen Nan's operation, if it can be popularized... This is equivalent to improving spinal surgery for ten years!"

   "This is an accuracy that cannot be achieved by any instrument."

   "Also reduced the secondary injury caused by spinal surgery to a very low coefficient!"

   "Unbelievable, how did he do it?!"

   "I have decided now that after today's operation, I will go to Huaxia tomorrow to visit Professor Chen Nan!"

   "Huaxia Medicine has really changed a lot!"

   This series of chemical reactions directly made many people dumbfounded.

   As a result, there are more and more people in the Huaxia live broadcast room!

   And this time!

  Luo Qiping also couldn't help asking: "Director Chen, just now... how did you do it just now?"

   "On the choice of that entry point!"

   "Unbelievable!"

"Amazing!"

   Junzan Nishida and Ichiro Okamatsu, who was making soy sauce, both stared wide-eyed.

  Chen Nan was taken aback for a moment.

  Looking at the waist and eight waists: "Are you talking about the entry point method?"

"oh!"

   "It's very simple, just take a look."

   "You only need to exert force with both hands, and the Cun Jin will attack instantly. Using Hua Jin and the unique properties of the joint cavity, the joint will move 3 mm laterally..."

"That's it!"

"Very simple."

"Card!"

   Accompanied by the sound of the card.

  The dislocation between the second vertebral bodies recovered instantly, and then...the entry point also appeared instantly.

This scene!

  Okamatsu Ichiro was completely confused.

this…

  Are we not going to lose face?

  Chen Nan looked at Luo Qiping: "It's very simple, right?"

  Luo Qiping was dumbfounded, what should I say?

  Chen Nan explained: "Actually, this is the essence of orthopedics in traditional Chinese medicine."

   "They lack sophisticated instruments and rely on the natural mechanics and structure of the human body."

   "A set of bone-setting techniques formed."

   "Actually, it seems to be very difficult, but after mastering it, it is very simple."

   "Traditional Chinese orthopedics, in fact, has a lot to do."

   "This is just the starter!"

  (end of this chapter)

Chapter end