HPDBC Chapter 11 The Heretical Cultivation Plan!
Chapter 11 The Heretical Cultivation Plan!
Osteomyelitis → Invasive bone destruction → Spinal canal infection!
In Chen Zhuoan's mind, the process of how this patient would die immediately became clear.
This young man in his thirties eventually died.
The reason is actually quite 'painful'!
Osteomyelitis in the sacral region is inherently very difficult to treat.
The sacrum has two blood supply systems, making it extremely prone to massive bleeding during surgery.
In the entire Hunan province, there are at most two or three people who dare to perform this kind of surgery.
Unfortunately, the patient's family was a difficult group to deal with. They sued Dong Anhua, so how could the other people still dare to perform debridement on him?
Without the participation of these individuals, any talk of debridement for the patient is nonsense.
It's even less likely that a professor from another province would come to "provoke" him.
The hospital suspended Professor Dong Anhua's surgical rights for the patient, but retained the right to continue diagnosis, ward rounds, and recommendations.
Since no external help could be found, Chen Zhuoan could clean the wound himself, but it was unlikely that Professor Dong and others would agree to let him perform the procedure on the patient.
Then we can only think of a more "easy" and just-right solution.
This is the 10 year.
……
"NPWTi-d (VACULTA)!"
This is an upgraded version of the VAC negative pressure suction device, which was launched in the United States in 2011 and received FDA 510(k) clearance in 2010!
It's June 2010 now, and although it hasn't been listed in China yet, nor has it been approved in the United States.
But that's okay, its core concept is "drip-soak-negative pressure"!
Ultimately, it combines the negative pressure suction of VAC with the practical concept of flushing and drainage.
This device was not introduced to China until 15 years later.
Chen Zhuoan couldn't get the finished product, but he could make a 'simplified version' based on the basic principles!
Because Chen Zhuoan knew the basic principles of its operation.
Even if the hastily put-together tools are not rigorous enough, as long as they have a considerable therapeutic effect, that's fine.
This is a powerful tool for treating pressure sores and osteomyelitis with exposed sacrum in later generations!
This patient has no skin defects yet, and the sacrum is not even exposed. Using this "drip-soak-negative pressure" operating concept for treatment will definitely be sufficient.
I've thought of the ideas, but what about the paper?
Chen Zhuoan had indeed read very few of these early papers.
But after thinking these things through, Chen Zhuoan was able to find the other papers.
……
The improved version of the VAC concept was proposed in a German paper published by Fleischmann et al. in 1998.
The first generation of this technology was available in 03, and the second generation was launched in 11.
Given enough time, Chen Zhuoan has a way to improve this product a third or even fourth time.
However, that's a story for later. Right now, the main focus is on refining this fundamental principle for its application in treating this patient's sacral osteomyelitis.
That afternoon, after Chen Zhuoan had prepared all the papers he had found, he organized the titles of the papers one by one.
After packaging it separately, I included a Word document outlining the specific treatment procedure and sent it to my teacher.
The content of the document is based on the patient's actual situation, 10 years of basic knowledge, and combined with the deconstruction of later theories on the treatment of sacral osteomyelitis, and is appropriately integrated.
It was well-reasoned and supported by evidence, transcending the understanding of its time yet remaining within the comprehension of this era.
Chen Zhuoan believed that Professor Dong was not stupid and would definitely have a way of refining the ideas after reading the literature and documents.
Given Professor Dong's personal operational skills and information extraction abilities, completing the treatment of this patient would not be difficult.
In his previous life, after Chen Zhuoan "transcended" leading the team, the surgeons in the team were not necessarily much more capable than Professor Dong.
The exceptional personal abilities achieved were all improvements and refinements of later techniques, not advancements in basic surgical skills.
After finishing these tasks, Chen Zhuoan habitually searched for the "Mature Cases" document on his computer.
But after searching for a while, Chen Zhuoan finally realized what was going on.
Chen Zhuoan, who has been in the computer for 10 years, has all kinds of documents and papers on his computer. Where are the medical records?
Are you qualified?
So Chen Zhuoan created a new folder, labeled the patient's folder "2010.06.19 Sacral Osteomyelitis," and put it in.
Immediately afterwards, Chen Zhuoan closed the laptop and sent a message to his wife.
"Su".
After typing just one word, Chen Zhuoan's hand movements gradually slowed down.
Chen Zhuoan realized a problem.
Later, he called Su Xiheng "wife" or "Little Su" more often, and the term "Su baby" used during their relationship became less common.
After Su Xiheng passed away, Chen Zhuoan began to refer to her as Su.
Chen Zhuoan himself used the same word when writing letters that he couldn't send.
But Chen Zhuoan didn't hesitate for long before typing out the three words "Su Baobao".
He used this word for many years.
I stopped using it later, simply because I felt it wasn't suitable for my age.
When Su Xiheng was thirty-one years old, she was promoted to associate senior researcher. At that time, Su Xiheng was already a full senior researcher and associate professor.
At that time, my daughter had not yet been diagnosed with osteosarcoma.
……
"Su Baobao, when are you getting off work? I'll come pick you up!" Chen Zhuoan used a lot of effort to send this message.
This was the second day after his rebirth.
Chen Zhuoan had already met Su Xiheng yesterday, but he still felt it was all a bit unreal!
Su Xiheng replied: "An'an, I might not be able to come. I have to break my promise."
"My senior and I messed up our experiment today."
"Ugh...so many reagents and cells were wasted."
Su Xiheng was expressing her adorable emotions to Chen Zhuoan.
For medical graduate students, the pain of having their cultured cells die or an experiment go wrong is comparable to the pain of a breakup.
It's not just about the "broken bond" between the pets, but also about the financial waste.
"Do I really have to work overtime?" Chen Zhuoan actually still wanted to see Su Xiheng.
Su Xiheng: "We must culture the cells again before preparing for the subsequent experimental procedures."
"An'an, I'll be in my sixth year of school soon, and I only have two years left until I graduate."
"If I want to graduate with my PhD along with you, I have to work really hard."
"I'm going to stay up all night tonight!"
"You don't need to wait for my video call."
"Although I really want to video chat with you..."
Chen Zhuoan and Su Xiheng are not in a "long-distance relationship," but their relationship is more like that of people in different places.
During their medical school years, the 300-meter distance between their dorm rooms and the different course schedules meant that the two could only communicate via text messages.
In the craziest month, the two of them bought an extra 20 yuan worth of data packages in 2006!
And it's twenty yuan per person.
The data package offers up to 100MB of bandwidth!
It was only afternoon, and Chen Zhuoan replied, "Then remember to get some rest early."
Su Xiheng: "Okay... Tomorrow's Friday, the day after tomorrow is the weekend!"
Chen Zhuoan smiled as he read Su Xiheng's reply.
Although Su Xiheng was unable to switch from a seven-year to an eight-year program in her previous life, she worked very hard. After graduating from the seven-year program, she continued to pursue a doctorate and was subsequently able to stay at the hospital.
In fact, her path was even smoother than Chen Zhuoan's.
Later, after Chen Zhuoan and Su Xiheng both graduated, when they were sorting out their regrets, Su Xiheng said that the three years of long-distance relationship after Chen Zhuoan graduated were the time she was most reluctant to part with him...
But that's all in the past.
Not long after, Chen Zhuoan's phone rang.
It was teacher Dong Anhua. After the call connected, Dong Anhua immediately berated him: "Chen Zhuoan, why are you sending me messages to my email address for no reason?"
"I thought it was a reply from our research group that we had submitted a paper for review."
This reaction is normal. When Chen Zhuoan became a doctoral supervisor in his later years, he also disliked students sending messages directly to his email address.
However, this was 10 years ago. Professor Dong didn't like using QQ, WeChat hadn't been launched yet, and MMS was too expensive for Chen Zhuoan to afford.
If not email, where should I send it?
"Teacher... please take a close look at what I sent you. This is a case review and summary that I did myself," Chen Zhuoan explained.
Dong Anhua: "I happen to be at my computer right now... I've also looked up those documents you sent me?"
"But isn't your idea rather cunning?"
"Where did you learn these heretical practices?"