I Spent Those Years In the Operating Room Fighting Monsters

Fall in love with you reading book. I spent those years in the operating room fighting monsters

　　 In medicine, whether it is internal medicine or surgery, there are two classifications of theory and practice. It's just that the actual operation in internal medicine is relatively small.

　　 In surgery, if there is an internist, the surgery is called a surgeon. It means that after learning the operation, nothing else.

　　 This is actually very much in line with Lu Cheng's current state. All his skills are learned through the pages of the book. He knows how to do it, and it is better to know how to do it. but! It's too easy to get it this way.

In the process of obtaining pages continuously, in fact, it is only the fineness and complexity of the operation. The top level has reached a critical point. This means that you can only reach this point if you only use your hands to change or improve. To the point, there is not much room for improvement.

　　 This top-level operation is actually not the same as the top-level operations owned by other people. Most doctors generally have extremely rich theories before acquiring advanced skills.

　　 combines theory and hands-on operations, and then reached the top.

　　 And Lu Cheng’s theoretical foundation is actually very poor. He just relies on pure skills to reach the top level, which is the ceiling for surgical operations!

　　 No matter how purely you refine your craftsmanship, it is no longer possible.

　　 Lu Cheng didn't know how Min Hong realized that he was in this state, but the top level had actually troubled Lu Cheng for a long time. And he obtained the first expert-level skill page, not because of the fight against monsters, but when Professor Hu Lei was in class, Lu Cheng's meticulous listening to the class triggered random events. I only got this page, but Lu Cheng hasn't had the top elbow arthroscopy treatment yet, so I can't use it.

　　 The operation of arthroscopy is actually similar to that of palm mirrors, but why does Lu Cheng have advanced skills in shoulder and knee joints, but he doesn't even have intermediate skills in wrist arthroscopy?

　　 This is because the elbow joint and knee joint and shoulder joint and hip joint are not the same thing. Even if you know more about other joints, the most basic anatomy in the elbow joint is different.

　　 So the theory is Lu Cheng’s current shortcoming. Before this can be made up, it is basically impossible to go one step further.

　　 Lu Cheng has been thinking about what Min Hong just said.

　　 Disease is actually a life, born with us, there are causes and effects, birth and death.

　　 All the tossing has its roots.

　　All diseases will eventually die!

　　Min Hong is a professor of orthopedics at the Second Xiangya Hospital. Both his qualifications and knowledge are unfathomable. What he says naturally has his own truth.

Lu Chengcheng felt as if he was slightly sublimated by this sentence. The whole person was plunged into a hollow. It seemed that he could grasp something, and he didn't seem to grasp it. However, this sentence is definitely Min Hong for many years. Come to summarize the accumulated experience of practicing medicine.

　　 If you compare medicine to a period of practice, then what Min Hong is talking about now may become Lu Cheng's practice and general guidelines for a long time.

　　 Lu Cheng's eyes seemed to have such a picture.

　　 This is a world that belongs entirely to bone cells. In bone cells, there is birth, old age, sickness and death, and the replacement of new and old, but it is thriving.

　　 After the line of sight is enlarged, all the bone cells form the bone tissue and structure that we usually see.

But suddenly one day, a kind of external violence invaded, and then the bone cell mass was divided into two, the bone cells at the far end lost the supply of the food passage, and the death of old cells was continuously accelerated, but the same, for They protect themselves, but they are constantly supplying nutrient tissues to the bone cells of the mature or juvenile.

　　 There are more and more dead cells!

　　 But normal activities are like rules and regulations. When a fracture occurs, they lose the restraint of these rules and regulations. The bone cells are just to live and cannot be restrained, so a series of changes have taken place...

　　 Lu Cheng was in a state of listening attentively at the moment. At the end of the season, he only listened to Min Hong's speech and thought of Min Hong's guidance to himself, so he didn't pay much attention to Lu Cheng.

　　 But Lin Hui and Min Hong, their eyes widened after seeing the state of Lu Cheng at the moment!

In fact, in every period, when reading, many people have had it. After reading and reading, reaching a certain point of knowledge, and then the knowledge reserve is sufficient, and after connecting with other books that have been read, there is a sudden realization. That's how it feels.

　　 This is called Wu.

　　 And when this kind of enlightenment is too much, it is called to read the book thoroughly.

It's just that ordinary people, mostly because of a certain knowledge point, or figure out a certain theory, or understand a certain knowledge cycle, only have such a time for a while, and at this time, it is completely engrossed. , But there is no time to pay attention to other people's reactions.

　　 This is called the sinking state, the state of really fascinated by the book.

　　Knowledge Min Hong just said that if Lu Cheng can understand this sentence, then Lu Chengcheng can break the existing shackles.

　　 Then Lu Chengcheng fell into a state similar to epiphany, how speechless can Min Hong and Lin Hui be?

　　Lin Hui looked at Min Hong and said softly, "Professor Min, Xiao Lu seems to be thinking about something, you can get him a little bit and sort out his thoughts!"

　　 In this state, if someone can be led in a direction, then the gain will be huge.

　　 Actually, I don’t need to remind Lin Hui. Lu Cheng is also a student of Min Hong. Of course, Min Hong is happy that Lu Cheng can learn more. So after finishing the above sentence, he paused for less than ten seconds before continuing.

　　 "I usually like to tell you that I have to read the book thoroughly, so what does it mean to read the book thoroughly? I will give you such an example."

　　 "Broken fractures, you know. Fractures are our orthopedics, and even all medical students are in contact with orthopedics, the most basic introductory subject. So, why should we put it at the entry level?"

　　 "Because, a fracture is a half of orthopedics!"

　　 "First of all, we have to figure out what a fracture is."

　　 "Let's straighten out our thinking. Fracture, in our textbooks, in the whole world, a definition of it is: bone integrity and continuity interruption."

　　 "This is very simple! However, if a definition is only read here, it is not enough. This is not a thorough reading of the book."

"Continue to experience, the first level: the integrity and continuity of the bone is interrupted, that is, in the case of trauma, we usually say that the bones are broken, the bones are broken, and the legs are broken. That's what it means. But ah, This means that the common people know that you, as a professional orthopedic surgeon, are embarrassed to talk about this? Of course not."

　　 "Continue to experience in depth, then the integrity and continuity of the bone is interrupted, besides the kind of fracture that we can see, what is the nature of it?"

"This is the second layer, an avulsion fracture! An avulsion fracture, does it have mobility problems? Not necessarily, it may not affect your activities, but it will cause you to have severe pain. Avulsion, that is There are broken fragments that are torn off from the intact bone end, which affects the integrity and continuity of the original bone tissue. However, it may not affect the stress structure of the bone."

　　 "Why, because this kind of patient may be running to see you."

　　 "Is that enough? This is a doctor, and a doctor who has a little contact with orthopedics can know the knowledge structure. This is not enough for an orthopedic doctor."

　　 "We have to go to the third floor. Stress fracture!"

"What is a stress fracture is that under long-term chronic force continuous stimulation, it may cause the rearrangement of bone cells in the bone tissue or the accumulation of chronic damage to cause bone fractures. Under such circumstances, it may not be severe. Pain does not necessarily affect your activities. However, by definition, the continuity and integrity of the whole bone still has a huge change. It is still called a fracture."

"For such a patient, you can't find out that the fracture exists. The patient may not have any symptoms or manifestations at the beginning, and even each of us is happening every moment! It's just that it has not accumulated to the point of seeing a doctor. !"

　　 "Is that enough? Not yet."

"Let’s go deeper. The fourth floor! When our knees, or other joints, are hit, they may have fractures, or they may not. And we didn’t have much pain at the time, or it was painful for a few days. The symptoms are completely relieved, and activities are restored. According to the traditional fracture theory, this is definitely not a fracture."

"However, if we firmly grasp the definition, when we have a trauma, the cartilage in the joint area will be stimulated or damaged to a certain extent, but it will not cause our sports injury, just in the subsequent exercise process. The local damage to the cartilage will stimulate our articular surfaces again, leading to the rearrangement of bone tissues, and the abrasion of cartilage and bone planes."

　　 "In a longer time, after our bone tissue is rearranged, it will cause cartilage destruction, bone joint narrowing, and hip joint surface deformation."

"What is this? This is osteoarthritis. In essence, the integrity of bone is still damaged, because its bone cells have been rearranged, and it is no longer the original normal bone tissue distribution, and the stress structure is not It belongs to the normal stress line before."

"The patients you see are all middle-aged and elderly people. Why are elderly people prone to arthritis? Because they live long and use a lot. In the common saying, they cross more bridges than you walk. They happen. The number of microfractures may be longer than you live!"

　　 "Traumatic arthritis, osteoarthritis. In fact, it is the accumulation of stress microfractures. Is this a fracture? Yes!"

　　 "But this is still not enough."

"Layer Fifth. Under normal conditions in our bone tissue, osteoblasts and osteoclasts will constantly produce new bone cells, and will constantly engulf aging bone cells, thereby completing the renewal of our entire bone cells. Replacement."

"Suppose a bone cell has a one in ten billion chance of mutating during the growth process. At the peak of our growth, it grows rapidly and requires a large amount of bone tissue to accumulate to make us grow taller. Some bone cells will develop into cells that reproduce indefinitely and have abnormal differentiation. They will continue to multiply and develop to form neoplasms."

　　 "This kind of neoplasm has pushed away our normal bone tissue and cells, and even replaced them. In this case, does it damage the integrity of our normal bone tissue? The same is true!"

　　 "Then we compare the formation of this kind of neoplasm to a fracture, then the whole process of tumor growth and metastasis is the continuous formation and accumulation of fractures, and it is a process that cannot be interrupted."

　　 "When this abnormal bone cell that caused a fracture was not just satisfied with causing us to fracture and settled elsewhere, it metastasized!"

　　 "The growth process of a tumor is actually a cumulative process of fractures. It is a cumulative process that cannot be interrupted by itself. Even if there is a small residue, it will still recur, and the process of refractory fractures will be repeated again."

　　 "When this kind of patient has a tendency to fracture, you don't know. When he comes in front of you, there may be no cure."

　　 "Of course, we will not talk about the problem of treatment or treatment."

　　 "Well, in this case, let's look back again."

　　 "So what is a fracture? A fracture is an interruption of the integrity and continuity of the bone."

　　 "If we expand this concept, a normal fracture is called a process of normal bone cell rearrangement. An abnormal fracture is a process of abnormal normal or abnormal bone cell proliferation and alignment."

"Just from a single fracture, we can get started, such as osteoarthritis, which is joint surgery, right, acromion impingement syndrome, which is sports medicine, right? Bone tumor, which is bone disease, right? It is similar to osteomyelitis and septic arthritis, but it changes the process of bone destruction or bone cell rearrangement caused by external factors."

　　 "At this time, let's take it back again. Deformity, is it just the rearrangement of the stress structure after a cumulative fracture?"

　　 "Continue to collect, how many kinds of diseases are in our orthopedics department?"

　　 "First, orthopedics. Second, ligament neurovascular, third, soft tissue."

　　 "If we continue to recover, ligament neurovascular damage is damage to the integrity and continuity of the corresponding structure, and soft tissue damage is damage to the integrity and continuity of muscle tissue and adipose tissue."

　　 "We can continue to recycle."

　　 "An orthopedics department~www.wuxiaspot.com~one fracture, one soft histology!"

　　 "You retract your gaze, see these two doors, and delve into it layer by layer!"

　　 "The definition is the various palaces that you can see inside the door. Various damage mechanisms are the support structures in each palace, and the external performance is the full picture of the palace you can see."

　　 "The full picture of the palace we can see is the symptoms you can see from the patient. The clinical manifestations include pain, numbness, cold, and mobility disorders! Physical examination, as well as laboratory and imaging examinations."

"Before we see the palace, the palace must have existed. The existence of the palace must first have its supporting skeleton. It is called the cause of disease. Otherwise, we will not see these palaces, and it does not exist. It is a two-dimensional structure, not even a line. A line needs at least two points to define it, and a point is also a support."

　　 "After the skeleton is completed, how do you fill the palace brackets? You have to think about what you want to see after you enter the door."

　　 "Now, you can find the part of the palace bracket that you have built, and you can see which things you have built and which things you haven't built completely..."

　　 "This process is very slow, don't worry, take it slow."

　　 This chapter writes that I am dying, I hope it is easy to understand, everyone can probably read it! Just skip it if you don't understand it, the next chapter will still be like this!

　　Because this is a key to the growth of the protagonist, to reach the expert level, in my understanding, in the understanding of this book, it is not enough to just talk about the level of operation.