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 After the interview, the written test is arranged. As one of the top ten students in the school, the written test is very easy.
 At noon, Sanbo provides a free lunch. After the meal, Yang Ping walked around the Sanbo Hospital.
 The hospital is really good. The main building is Gemini's Surgery Building and Internal Medicine Building, with more than 30 floors.
 Others include administrative building, outpatient building, emergency building, medical technology building, overseas Chinese building, and comprehensive building.
 The rooftops of the surgical building and the internal medicine building are the parking areas for helicopters. A helicopter, parked on the roof of the surgical building, looks quite imposing and has become the symbol of the hospital.
 Yang Ping went to the orthopaedic department to have a look. The Orthopedics Department of Sanbo Hospital has more than 100 beds, divided into four wards: trauma, spine, joints, and sports medicine. Director Han is the director of the Department of Orthopedics and also the director of the Department of Traumatology.
 Orthopedics is a wide-ranging department, and many large hospitals are divided into sub-specialties: trauma, spine, joint, sports medicine, and some have pediatric orthopedics. Some hand surgeons have done a good job, and they are divided into hand surgery alone. Some regional medical centers with extensive radiation coverage also have bone tumors.
 More arrogant hospitals will continue to be divided. Trauma orthopedics can be divided into upper limb orthopedics and lower limb orthopedics, spine can be divided into cervical, thoracic, lumbar, and joints are hip, knee, and so on.
 That is to say, one group of people specializes in upper limb surgery, and the other group specializes in lower limb surgery—this is something that ordinary hospitals can’t imagine, and only the top hospitals in the industry have exclusive gameplay.
 There is a Daniel from a top hospital in the capital, who specializes in the upper cervical vertebra, that is, the base of the skull, the first cervical vertebra, and the second cervical vertebra.
 Wandering around in Sanbo Hospital all day, went to a nearby restaurant for dinner, and took the subway back to the rental house in the city.
 A few days later, I received a call to inform me that I had passed the interview and that I could go to work in the Department of Orthopedics. This was expected. Yang Ping knew the result from Director Han's last sentence.
 On the first day of work, Yang Ping came very early.
 Stupid birds fly first, although they don't think they are stupid birds, but it's definitely right to fly first.
 The duty room, men's locker room, women's locker room, meeting room, dining room, demonstration classroom, treatment room, etc., Yang Ping must be familiar with it as soon as possible, so that he can start his work.
 Everyone came together one after another, and the shift was on time at eight o'clock. Everyone is lined up in a U shape, the opposite side of the U is the projection, the bottom of the U is the director with several team leaders, the left is the doctor, and the right is the nurse.
 Doctor, neat, shirt, dark trousers, dark leather shoes, tie, white coat.
 The nurses were obviously all selected. They were all over 1.6 meters tall. They wore blue nurse uniforms with a slim fit, and their hair was tucked behind the head, which was wrapped in black silk nets, making them look youthful and beautiful.
 After the shift, Director Han briefly introduced the new doctors, including Yang Ping. Everyone applauded and welcomed the new doctors.
 If there is no objection to the shift, the nurse leaves the office and starts a busy day.
 The doctor started a brief morning meeting here. The operation performed the day before and the operation to be performed today will be played through the images and pictures, and a brief report will be made.
 Each group takes turns and reports the cases in their own group.
 One of the patients named He Jianmin, male, 76 years old, his X-ray caught Yang Ping's attention-the left femoral shaft was fractured, and he was going to be fixed with interlocking intramedullary nails today, which was the first one.
 In this patient's film, Yang Ping found that the femoral neck was also fractured, but the diagnosis of the shift did not mention it at all.
 The choice of surgical procedure also shows that the surgeon did not notice the fracture of the femoral neck at all.
 This fracture is an occult fracture, which is difficult to see on X-ray and CT, and is almost impossible.
 Yang Ping has received training in the interpretation of images, and even if there is an occult fracture, he can clearly detect the fallout.
 If it is a hidden femoral neck fracture, it is easy for the operator to fall into the trap, because the operator does not know that the femoral neck is fractured. According to the conventional surgical procedure, a hole is made from the proximal femur, and the intramedullary nail is screwed or driven into the femur. In the medullary cavity, these manipulations can turn occult fractures of the femoral neck into overt fractures, completely unaware of the operator.
 Postoperative re-examination: There is still a fracture of the femoral neck!
 How to do? You can't ignore this femoral neck fracture, can you?
 In this way, I have to explain to the patient: I'm sorry, you still have a femoral neck fracture that has not been treated, and you need a second operation to treat the femoral neck fracture.
 What is the patient's reaction: There was no fracture in the previous X-rays, but now you find the fractures in the X-rays. Wasn't the fracture caused by your doctor's operation? He also fooled me into having a second operation, and disputes naturally arose at this time.
 After the film was over, Director Han glanced at the audience and said briefly and clearly, "Do you have any questions? If there are no questions, the meeting will be dismissed."
 This patient must have a fracture of the femoral neck, and I can't see it wrong. I recently received basic skills training in the system space, and I have seen more than tens of thousands of images and pictures.
 Be sure to remind the chief surgeon to avoid this unnecessary dispute.
 Yang Ping immediately raised his hand, and all the doctors focused their attention.
 Director Han said, "Xiao Yang, what do you want to say?"
 Everyone went to the door, ready to open the door to go out, but backed away.
 It's offensive to question someone's diagnosis and treatment plan, especially on the first day of work, in the public eye.
 If you don't say it, watch others fall into the trap?
 Yang Ping thought for a moment and said, "Can I trouble you to tune He Jianmin's film to see it?"
 Both X-rays and CTs are called out and projected on the screen.
 "Is there a problem?" Director Han asked.
 Yang Ping said humbly: "Sorry for delaying everyone's time! I suspect that this patient has a hidden fracture of the left femoral neck."
 Anyway, saying a few words will not delay the time. Since there are doubts, say them. Director Han said: "Xiao Yang, tell me about this case, what are the doubts?" Director Han encouraged Yang Ping.
 Yang Ping got the director's approval and continued: "I just saw the X-ray, and there was swelling in the soft tissue in front of the knee, which suggests that the front of the knee suffered a contusion, very similar to the damage mechanism of the instrument panel; the trabecular bone of the femoral neck is slightly disordered. A picture shows cortical folds, and the combination of the three suggests that this patient is likely to have an occult femoral neck fracture, and further MRI of the hip is recommended to confirm the diagnosis."
 This patient belongs to the group, the team leader Tian Yuan, Director Tian, ​​deputy chief physician, doctorate, graduated from West China Medical University.
 He looked at Yang Ping, stood up, and personally sat beside the computer connected to the projector. On the computer, he repeatedly flipped through X-rays and CT scans.
 It is true that the X-ray of the femoral neck has a little trabecular bone disorder, and there is a layer of cortical folds on the CT, but it seems to be absent, and it cannot be determined. If it weren't for preconceived views, I wouldn't have paid attention to this at all.
 "CT is the gold standard for diagnosing fractures. CT is better at seeing fractures than MRI, right? CT can't see fractures, but MRI can see them?" said Zhang Lin, a resident physician.
 "Yes!" Fang Yan, the chief physician under Tian Yuan, also agreed.
 Yang Ping is a newcomer, and the rejection of newcomers is the same there.
 Director Han said in a critical tone: "You are right, MRI is the best diagnostic tool for hidden femoral neck fractures. X-rays and CTs can't reflect it. Xiao Zhang, please read the book and make up for the get out of class."
 Zhang Lin was criticized in public and was a little unhappy.
 After reading the film, Tian Yuan turned around and said to Director Han, "Director Han, Xiao Yang really reminded me, there are indeed doubts."
 The patient is now under anesthesia in the operating room.
 Tian Yuan immediately picked up the phone: "Xiaobo, check the patient's left knee for swelling or ecchymosis?"
 "Since there are doubts, stop the operation and find out first?" Director Han made a final decision.
 The other doctors, including several directors of the team, all stretched their necks and carefully looked at the film on the projection screen. Where did they see the fracture?
 My eyes are sore, but I can't see it!
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 During the late night rescue operation. The young surgeon caught the system and began a strange life. “Ding Dong! Reward 3,000 broken finger replants!” "Ding Dong! Five thousand heart bypass surgery sold for half the price." Brain tumor refueling package! “Looking at your excellent performance recently, and after a systematic evaluation, you will give up the system lab – “What? This broken system is so great that it can not only do surgery, but also do scientific research? Well, let’s go to the climax of life like this 
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 On the day of the wedding, Feng Xi Er laid on top of the ‘Ghost king’, eager to take off his wedding robe. He squinted his eyes, flipped over and switched their positions. He held her dishonest hand and said, coldly, “Miss is so eager to get on This Prince? Are you so desperate?” Feng Xi Er was just desperate to prove something, and once again reached out to take off his mask. The Ghost King smiled evilly, grabbed Feng Xi Er’s wrist and began to remove her robe and say: “Since Miss wants it, This Prince shall satisfy you…”
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 Every human has their Personal Jewel of power, when awakened it can either be an Elemental Jewel or Physical Jewel. They circle the right and left wrists like bracelets of power. 
 Heavenly Jewels are like the twins born, meaning when both Elemental and Physical Jewels are Awakened for the same person, the pair is known as Heavenly Jewels. 
 Those who have the Physical Jewels are known as Physical Jewel Masters, those with Elemental Jewels are Elemental Jewel Masters, and those who train with Heavenly Jewels are naturally called Heavenly Jewel Masters. 
 Heavenly Jewel Masters have a highest level of 12 pairs of jewels, as such their training progress is known as Heavenly Jewels 12 Changes. 
 Our MC here is an archer who has such a pair of Heavenly Jewels.
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 After crossing over to another world which seemed to be a fusion between many anime worlds, The Fantasy System was unlocked for Mu Fan. After finishing the tasks given by the system, Fantasy points are given which allows him to gain access to the Fantasy store that was full of daily talents and more. 
 Yuuki Asuna: You know how to cook a lot of dishes. Can you teach me? 
 Sagiri: I don’t know anyone called Eromanga-Sensei. 
 Many more characters and interesting plots await us.
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 Hao Ren (literally means “good man”), as his Chinese name suggested, is a good man, and his ideal was to live a restful, comfortable life as a landlord. At least that was his plan before a couple of abnormal creatures rented his house.
 A remote, outdated big apartment, a bunch of rather abnormal non-human creatures, and a labor contract from the “god”, the three factors combined lead him to be the busiest landlord and most supernatural “babysitter”. The story of the most complicated, erratic and abnormal landlord and tenants started from here.
 “Ever since I put my fingerprint on the labor contract, I knew I was roped into something terrible…”
 As a person who is down-to-earth as well as a good Samaritan, Hao Ren desires to live the rest of his life as a benevolent landlord. Stumbling into a curious yet mysterious lady, he began his journey of “collecting” abnormal and supernatural tenants.
 His life only became more chaotic when he receives a labor contract from “God”. Discover the many races, myths and worlds that lie beyond what humans define as normal! This bizarre fantasy full of fun is sure to bring you on a crazy rollercoaster of emotions!
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 “My husband’s duplicity is nauseating so I decided to put rat’s poison in his dinner tonight.”
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 What does it feel like to be a cannon fodder in your novel?
 After ruining countless of his novels with sh*t endings,
 Gu Yan who finally received his retribution understood.
 Heaven spared no one.
 In order to protect his small life, Gu Yan has been sent to diligently clean up his own mess.
 However, never did he expect that his ‘clean up’ would be too thorough.
 Seeing that the man who was suppose to have killed him kneel down on one knee and take out a ring while saying to him, “Marry me.”
 Gu Yan: “…”
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 Tao Yu, as an assistant psychologist, took the patient rejected by the psychologist, and then started to shuttle around the world in the business giant Yue Linze’s mind to make up for the psychological defects of his sub personalities——
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 On that day, Kamiyama Tendō learned about his life experience. 
 The warrior who slays demons and defends the way, the aristocratic family with a thousand-year heritage, these things that only exist in storybooks, broke into his life. 
 Just when he was in a state of panic, the man-eating monster, known as the Kamen Rider, also unreasonably tore his three views apart and turned the world into something unfamiliar to him. 
 Kamiyama Tendō: So it ends here, right? This world, shouldn’t get worse, right? 
 Kamiyama Taiji: No, my good grandson, in fact, you are not an earthling at all. 
 Kamiyama Tendō: ? 
 Kamiyama Taiji: Me neither. 
 Kamiyama Tendō: ? ? ? ? ? ? 
 … 
 Before a journey reaches its destination, its process is full of meaning, and no one knows what kind of destination it will eventually lead to. 
 Everything starts with the figure that turned into a dragon in the burning shrine.Author's Other NovelsUltra Fighting Legend
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 Holographic Online Game Text
 One sentence of brief summary: Power Leveling Bai Tian, because she pulled an all-nighter, she had a sudden death and transmigrated into the future. She entered the gaming circle during the VR era.
 The female host has an attribute of cheap mouth with full skill points, her brain circuit is strange, and she fights first, then kills the heart.
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 The old man pointed to the flower-like woman and said, “Call her mother from now on.” He then pointed to a flower-bud-like girl and said, “This is your sister.”
 My younger sister was not cute.
 She was arrogant, taciturn and weird, but she knew how to please our parents.
 She was two-faced and deceitful, but it seemed like she only treated me that way.
 I cared for her, tried to please her as much as I can, but she still disliked me.
 Until one day, I found out her secret, our relationship began to get a little bit weird…
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 Xiao Lan was a pauper who couldn’t do anything that required money.
 On the road after work, he was engulfed by darkness and opened his eyes to a frightening and dangerous survival game.
 .
 The app that can’t be deleted; the people it locked on to were unable to escape except through death.
 Ordinary players: Save me, I don’t want to die!!!
 Xiao Lan: Sorry, the phone is too broken and it froze. Can you wait a little longer?
 A hand reached out from inside an old-fashioned television; the people caught would enter its world.
 Ordinary players: Ahhhhhhh! What to do?!
 Xiao Lan: According to my many years of experience repairing old household appliances, it seems that this model can be opened like this…
 .
 Finally, the bosses gathered around Xiao Lan one day, prepared to deal with this bug(game bug).
 But they saw him roll up his sleeves and stride forward on long legs, and he beat up the bosses until they doubted their ghostly births.
 Xiao Lan: Do you think an overtime worker’s night travels are for nothing?
 Luo: Mister is always this cute.
 Passer-by (shivering): Isn’t your definition of cute a little strange…
 【Omnipotent, tall, broke and handsome shou x Refined degenerate big bad wolf gong】
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 Bian Yining fell to her death on the eve of graduating from college. She was only a little short before she could get the graduation certificate she had been studying for more than ten years. 
 What can I do? I can only listen to the words of this system that I don’t know where it came from, and do tasks little by little to save points and return to the world. 
 In the book she entered, a thousand chapters were written about the sadistic relationship between the heroine and the hero, among which there were too many female supporting roles who flew into the flames because of the wealth of the hero. 
 Bian Yingning’s mission is to make these stumbling blocks in the love of the male and female protagonists – the cannon fodder and female supporting cast, stop banging against the wall for the male protagonist to die for the male protagonist. 
 —— 
 What? The male protagonist has a stubborn young lady who has grown up together since childhood. The young lady still has a deep-rooted love for the male protagonist. Every day, she finds trouble with the female protagonist and is finally ruined by the male protagonist? 
 System: “Host, please note that the eldest lady will plant the seeds of love because the male protagonist rescues her from being kidnapped. Please stop the process of the seeds from falling to the ground immediately!” 
 Bian Yingning tried her best to chase the robber car that kidnapped the unruly eldest lady. After chasing three streets, she was successfully picked up by the robbers. 
 Eldest Miss: “You…why did you follow me like this to save me?” 
 Bian Yining: “You are such a delicate little princess, I won’t allow you to be hurt by a single hair!” 
 Miss: “But didn’t you say that when you ripped off most of my hair in a fight with me last month?” 
 Can this task be done? 
 —— 
 System: “Host, please pay attention, the top female star will fall into the male lead’s arms because she stepped on the skirt and fall into the arms of the male lead, causing the female lead to be jealous and the junior to be ambiguous and banned by the male lead. Please stop this from happening immediately!” 
 Bian Yingning kicked the male protagonist next to the top actress with a kick, and let him fall into his arms. 
 Actress: “…Who are you?” 
 Bian Yining: “You may not believe it when you say it. I am your ten-year-old fan and have always admired you!” 
 Actress: “It’s only been six years since I debuted…” 
 Outrageous on her mother. 
 —— 
 System: “Please be careful, host, if you don’t want to work hard, the gold-worshiping woman will undress in front of the male protagonist and want to climb on the male protagonist’s branches. She is caught by the female protagonist, and the female protagonist runs out and is hit by a car. Since then, the gold-worshiping woman has been angered by the male protagonist. Falling into the Alley of Smoke and Willows, please stop it!” 
 Bian Yingning began to approach the gold-worshiping girl and make friends with her with confidence: “Treasure, when I find a little old man, the money after my divorce from the old man will be ours. Chen Tang Yipin, let’s go upstairs.” 
 Gold worshiper: “Don’t talk about it, I’ll find the old man.” 
 Bian Yining: “???” Can’t you wait for my good news first? 
 —— 
 Bian Yining: I’m just doing a task, it’s your fault that you like me. 
 All female supporting roles: What happened to her fishing? If she hooks me every day, what’s the difference with her loving me? 
 It’s impossible to fall in love in this life, you can only live by doing tasks (True Fragrant) 
 —— 
 The task is being done, and the master of Bian Huabing, who thinks that he will not be fascinated by the world of flowers, has no feelings for the task maniac and Ning – overturned. 
 When she came back to her senses, she was already involved with that Shang Baichuan, Qing Aojiao, and Anhui Bawang. 
 On the night she and Shang Qinghui established their relationship, Bian Yingning’s eyes reddened unconsciously when she looked back on the years they had passed. 
 She looked at Shang Qingfen’s face that was close at hand, waiting for her cool fingertips to fall on her warm cheeks like floating hairs. 
 Shang Qingfen looked at her affectionately and said, “Bian Yingning, your eyes seem to be red for a day, you won’t get pink eye, right?”
 Content tags: rich and powerful family, system, wear books, cool text, modern, main attack 
 Search keyword: Protagonist: Bian Yingning, Shang Qingfen
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The Godfather of Surgery

Chapter 5 Fractures that cannot be seen on CT (Part 1)

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The Godfather of Surgery

Chapter 5 Fractures that cannot be seen on CT (Part 1)

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