MMB Chapter 7 Private Chat!
Chapter 7 Private Chat!
Professor Dong's thinking is easy to understand.
Chen Zhuoan, a trauma orthopedic surgeon, was surprisingly professionally knowledgeable when discussing osteoarthritis, a joint surgical disease.
Then what are you trying to do if not defect?
In fact, Chen Zhuoan himself hadn't thought that much about it.
The fact that he can break down his knowledge system over 10 years is the limit of balance he can consider.
His original aptitude was not bad, especially after he entered clinical practice in his previous life, he completely entered Chen Zhuoan's "comfort zone of talent"!
After returning from the top three in the provincial rankings to the top three, they continued their rapid progress.
"Then tell me, how should this osteotomy surgery be performed..."
Chen Zhuoan continued to answer Professor Dong Anhua's questions in a very sharp and in-depth manner, in an official and detailed way.
"You prefer lateral osteotomy? Why?"
"What's wrong with medial osteotomy?" Dong Anhua asked, his hands behind his back.
Ten years ago, closed wedge osteotomy (CW-HTO) was the mainstream technique.
Around 2010, open wedge osteotomy (OW-HTO) became rapidly popular due to its many advantages, and it became a new focus of treatment.
Since Chen Zhuoan has read the literature, he should understand the advantages of medial open osteotomy.
Chen Zhuoan thought about it carefully before answering cautiously: "Teacher, actually, whether it's the inner or outer side, there's only one evaluation criterion."
"That is, whether the force line has been restored to precision, that is the core."
"The rest are just different in their forms of expression."
"After medial osteotomy, the tibial posterior tilt angle will inevitably increase, which will affect the stability of the knee joint to some extent."
"The difficulty of lateral osteotomy lies in the complex surgical approach and the relatively difficult calculation of the correction amount."
"The reason why most scholars currently prefer the medial side is mainly because the approach and opening of this type of surgery are simple."
In fact, the question of whether high tibial osteotomy is better on the medial or lateral side was not definitively resolved until 40 years later.
These two approaches are like the difference between the first and second elder brothers, each with its own advantages and disadvantages, and they belong to the category of parallel treatment methods.
Now it's been 10 years, and new surgical procedures have been developed that are even simpler, which is why they've become so popular for a time.
After the initial hype faded and time settled, the medial approach became a classic, but the lateral approach remains a classic.
Chen Zhuoan himself prefers lateral osteotomy, which has two advantages—
Lateral osteotomy involves bony contact and has a high healing rate.
No additional bone grafting is required, and the risk of long-term angle loss is low.
Chen Zhuoan's answer was simple and easy to understand. He had thoroughly understood varus deformity of the knee joint, so he grasped the key to the surgery.
Dong Anhua nodded, habitually following procedure: "Zeng Tianfang, Qin Huai, do either of you have anything to add?"
Qin Huai quickly shook his head, looking at Chen Zhuoan like a monster, his Adam's apple bobbing up and down.
Associate Professor Zeng Tianfang rubbed his square head, which now seemed even more square: "Xiao Chen, did you write down all the literature and textbooks you've read?"
Chen Zhuoan modestly replied, "I've memorized quite a lot."
Medical students need to memorize things.
Is it permissible for medical students to simply memorize based on understanding, without requiring precise memorization?
Asking such a ridiculous question disqualifies one from being a medical student.
You must first memorize it precisely, and then spend a lifetime trying to understand the accurate meaning of that precise number!
Dong Anhua didn't press Zeng Tianfang and the others any further, and concluded with a smile: "There's a saying online, 'I'm an undergraduate, so I'll just smile and not answer.'"
"I have a master's degree, I will only answer questions, not argue."
"But Chen Zhuoan is a PhD; when he delves deeply into a particular area, no one can compete with him!"
"Good theory. Keep it up." Professor Dong Anhua was very satisfied with his student's performance.
Chen Zhuoan is not only proficient in joint surgery papers, but also has a precise and experienced grasp of the forefront of trauma orthopedic research.
These are the students he wants.
Chen Zhuoan smiled and nodded. "Thank you for the compliment, teacher."
Actually, in his heart, Chen Zhuoan really wanted to say, "Teacher, your theory is not bad. I should be able to keep up with my train of thought in the future."
Using your research start-up funds is a good option!
If Professor Dong Anhua knew that Chen Zhuoan was thinking this way, he would probably roll his eyes in anger.
However, these were Chen Zhuoan's true feelings, and outsiders would find them unpleasant to hear.
Dong Anhua continued to lead the team, while Chief Physician Qin Huai quickly pushed Chen Zhuoan to Dong Anhua's side.
"How are you? Your surgery is over..." Dong Anhua, unaware that bed 19 was causing trouble for Chen Zhuoan, was still smiling.
Chen Zhuoan had contacted the family of patient in bed 19 that morning.
Now, hearing Chen Zhuoan directly debating with Professor Dong and holding his own, he was quite astonished.
My mind is as clear as a mirror.
The more Professor Dong Anhua values Chen Zhuoan, the more backlash he may suffer if he continues to harass Chen Zhuoan.
"Professor Dong, thankfully, my wife still feels pain in her left knee joint."
"However, Professor Zeng said it might be an old injury to the meniscus, and we've already done an MRI!" he said.
When Dong Anhua started working, orthopedics was not yet subdivided into specialized departments.
Dong Anhua also has some knowledge of sports medicine: "Have you ever gotten a constriction while walking?"
"It's just... my knee joint locked up, and I couldn't move it for a moment."
The woman's expression changed slightly; she understood even more clearly that hiding some medical history from the doctor might be like showing off her limited knowledge before an expert.
Not only Chen Zhuoan said this, but Professor Dong also said it, which proves that this is common sense.
"Occasionally..." the woman's voice was low.
"It's okay if you've had one before. If your meniscus is torn, you can just have it stitched up with arthroscopy."
"It's not a big problem."
"If you're experiencing slight discomfort in your leg muscles, you'll need to be more careful with your leg-stretching exercises..."
"After the surgery, you'll have a few more follow-up blood tests. If the wound is fine, you can go home."
"Your osteomyelitis infection isn't a serious problem!"
"However, whether you have an intra-articular infection in your leg can only be determined after the test results."
The patient nodded: "Okay... thank you, Professor Dong."
Dong Anhua then led the large group out again.
……
After more than an hour of teaching rounds, Dong Anhua came out of the last ward and casually called out, "Chen Zhuoan, come with me for a moment."
"Everyone else, take your positions. Those who need to perform surgeries, do so; those who need to attend classes, go to class."
Chief Resident Qin Huai is scheduled for surgery tomorrow, while Associate Professor Zeng Tianfang has teaching duties.
The group hurriedly dispersed, while the interns were taken away by the graduate students and resident physicians of the institute...
Although the 10-year standardized residency training program has not yet been widely implemented, Xiangya Hospital has already established a pilot program for it.
……
Trauma Orthopedics Department, Director's Office!
The bookshelves are larger than those in the deputy director's office, and they hold more professional books than those in the deputy director's office.
The bookshelves here are comparable to a small orthopedic reading room.
Professor Dong Anhua's desk was made of red flagwood with black leather panels, and it was covered with many large notebooks.
As Dong Anhua looked Chen Zhuoan up and down, he noticed that Chen Zhuoan was also scrutinizing him with a rather sharp gaze.
Feeling utterly bewildered, he still managed to say, "Why are you looking at me? I haven't washed my face!"
"sit."
Chen Zhuoan sat down gracefully, his voice relaxed and natural: "Teacher, I didn't know why you wanted to see me."
"So I'm a little nervous."
Dong Anhua moved the notebook in front of the chair aside: "I can tell you're not nervous at all."
Have you published any papers?
Chen Zhuoan shook his head: "It's only just begun."
This is the truth from Chen Zhuoan; he has indeed started writing his thesis.
However, for Chen Zhuoan now, writing papers is as easy as drinking water.
If he wanted to produce a low-quality paper, he could easily plagiarize at least two finished papers a week.
Other papers are hard to copy, but meta-analyses are easy to copy; you just need to register the meta-analysis properly.
Meta-analysis is a type of data processing paper, and it is very easy to publish.
Moreover... the meta-analysis of this node may also lead to further discussions.
Prior to 2010, the number of meta-analyses in orthopedics experienced explosive growth, but the quality of methodologies failed to keep pace, resulting in a clear disconnect between quantity and quality.
Dong Anhua nodded: "Since you're writing it, send it to me as soon as possible, even a first draft is fine."
Chen Zhuoan hadn't expected Professor Dong Anhua to contact him today, but even if Professor Dong Anhua hadn't, he planned to take the initiative to contact him.
"Teacher, let's not rush the thesis. Slow and steady wins the race."
"Could I possibly take a look at that emergency room patient's medical records?"