mijobooks Chapter 57 The Fundamental Learning Method
Chapter 57 The Fundamental Learning Method
Dong Anhua looked at Luo Yue: "What illness did you see?"
Luo Yue replied: "Tibial plateau fracture."
Dong Anhua looked at him with a hint of disdain: "That's it? You haven't finished reading it yet after all this time?"
This is just reading a book; how can you not finish reading about tibial plateau fractures in a month?
If this were his student, he could really swear at people.
With this kind of learning efficiency, what kind of doctor are you?
Luo Yue nodded but did not reply.
"Have you looked at the fractal?" Dong Anhua asked.
Luo Yue: "I've seen it."
Dong Anhua: "Then what else is there to see?"
From Dong Anhua's perspective, there is only one subtype of tibial plateau fracture worth exploring.
Luo Yue's voice was low and somber: "Senior Brother Chen said that you have to understand why the Schatzker classification is done this way in order to be considered to understand tibial plateau fractures."
Dong Anhua: "Isn't it just providing treatment guidance? What other reason is there?"
Luo Yue continued, "Brother Chen said that tibial plateau fractures are prone to triggering traumatic arthritis. If this classification can truly guide treatment, it should not induce a high risk of developing arthritis."
"The knee joint is a load-bearing structure. Once it is fractured, the stress on the inner and outer plateaus is uneven, making it very easy to develop osteoarthritis."
Dong Anhua said, "This is determined by its location."
Luo Yue: "Teacher Dong, that's what I said too, but..."
"Senior Brother Chen said that Pilon fractures in the lower limbs are also articular surface fractures, so why isn't osteoarthritis of the ankle joint as prevalent as that of the knee joint?"
Dong Anhua: "If you keep worrying about this, you probably won't be able to finish treating this disease in your lifetime."
Luo Yue then looked at Chen Zhuoan with pleading eyes.
He actually wanted Chen Zhuoan to let him go.
However, Chen Zhuoan is so outstanding. Not only did he qualify for the national competition, but he has also created his own original sewing technique.
Such an outstanding person must have their reasons for being outstanding.
Luo Yue had finally gotten such a good opportunity, so he didn't dare to disobey the advice.
Chen Zhuoan could only reply, "Teacher, actually, if I have Luo Yue systematically break down and deduce the tibial plateau fracture, he can basically learn almost all the content of trauma orthopedics."
Chen Zhuoan stepped forward: "First of all, the fundamental purpose of treating tibial plateau fractures is to restore the smoothness of the joint surface, the width of the plateau, the integrity of the ligaments, and the range of motion."
"But this document does not mention whether the load-bearing capacity of the platform is uniform on the inside, outside, front and back sides after the above content is restored."
"The mechanism of osteoarthritis is actually due to uneven local stress or excessive load."
"Currently, there are several other classifications of the tibial plateau, with the column theory being one of the more sophisticated approaches!"
"..."
After explaining his purpose at length, Chen Zhuoan asked, "Luo Yue, what do you think is the core of treating midshaft tibial fractures?"
Luo Yue answered decisively: "Restore the continuity of the long bones, the force lines!"
"How will it recover?"
Manual reduction.
"What will hold it in place?"
"Intramedullary nailing is generally chosen as it reduces the amount of extra-bone structures and results in fewer wounds."
Chen Zhuoan waved his hand at the teacher.
See? Although he hadn't seen treatments for other long bones, once he understood the fundamentals of treating one type of fracture, he could easily answer the question.
To extrapolate from undergraduate textbooks on tibial plateau fractures to other more advanced textbook content, it is necessary to deconstruct every single sentence within them.
In this process of deconstruction, a knowledge system has actually been formed.
This is the first anchor point for learning. Find it accurately, thoroughly, and completely. All subsequent learning can then be based on this.
Medicine is based on logic.
If you feel that the logic of some phenomena is flawed, it's most likely because you haven't fully grasped the theory.
Dong Anhua nodded and glanced at Chen Zhuoan.
"Zhuo An, I'm also giving you a task. Based on your tibial plateau fracture, derive a new paper for me."
"This is my test for you."
Chen Zhuoan coughed immediately.
Dong Anhua's attempt to apply what he had just learned was utterly shameless: "Master, there's no need for that."
"Our team doesn't even treat patients with tibial plateau fractures, so what's the point of writing these papers?"
Dong Anhua: "You're so picky about academic work?"
"It's good enough if you can even publish a paper."
Chen Zhuoan thought to himself, "All you know is academic papers. Academic papers also have different qualities."
Some low-quality academic papers are useless once published; they're just for mass production.
Its quality is lower than that of meta-analysis and bioinformatics analysis.
Chen Zhuoan moved closer to Dong Anhua and lowered his voice: "Master... functional reconstruction, the application of tendon suturing techniques in functional reconstruction surgery."
After listening, Dong Anhua blinked and said, "You're a promising young man."
Then, Dong Anhua shamelessly swaggered out.
When we arrived at the door, the air conditioning in the control room hadn't cooled down yet.
Dong Anhua turned around: "Turn off the air conditioning, go back to the ward, it's time for surgery!"
Ten years later, the development of orthopedic hand surgery across the country is still booming.
In this era, functional reconstruction surgery is still in its embryonic stage, and peripheral nerve damage remains a nightmare for most orthopedic surgeons.
In fact, twenty years later, they are still a nightmare.
However, Chen Zhuoan had already figured out the path to this scheme long ago.
If you're going to do something, do it high-end!
……
On his way back to his department, Chen Zhuoan received another call from a training instructor.
After confirming that Chen Zhuoan had decided to withdraw from the training camp, the other party could only helplessly accept the situation.
During the preliminary round, Dong Anhua mentioned that the questions he set were given by Chen Zhuoan.
Chen Zhuoan's questions are now of high quality, which means he has studied them very deeply and thoroughly.
In addition, fortunately, the video of Chen Zhuoan's team participating in the provincial semi-finals was not leaked to the public.
Otherwise, that blunder might have given the attending physician at the Third Hospital quite a headache.
My carelessness was pointed out by a student?
This is your own fault; you didn't learn it thoroughly!
Of course, the teacher still gave a firm order: "Chen Zhuoan, I don't care what your reason is, but you must come during your last week."
"The national competition is no joke; the school and hospital take it very seriously!"
"You must return for a performance review!"
"If you don't learn it well, I'll disqualify you from the competition!"
After saying that, the other party hung up the phone.
Chen Zhuoan was not surprised.
Being unconventional always comes at a price.
If I really quit training and learn nothing, being disqualified from the competition is a sign of respect for others.
However, Chen Zhuoan was not worried about this.
This was the first time Chen Zhuoan had entered an operating room; he had truly entered an operating room.
He also went on stage.
Although Chen Zhuoan had repeatedly warned himself not to cause trouble just because the surgery was rough, he still couldn't control his mouth.
As the first surgery was drawing to a close, Chen Zhuoan looked up and said in a low voice, "Master...would it be more appropriate to use a different fixation method for this surgery?"