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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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 When he woke up, Bruce found that he became an American agent.earning tens of thousands of dollars a month, enjoying all kinds of benefits, having the right and money, and having fun, but when he had not had time to be happy, Bruce found that he is actually in Marvel world.
 Yes, that’s right, he is in the Marvel Parallel Universe. That Thanos snapping the fingers will kill half the people in the world.
 Just when Bruce was desperate, suddenly get a super download system, can download other people’s abilities.
 Download the top agent’s fighting skills.
 Download Hulk’s invincible body.
 Download Iron Man’s latest Mark Battle Armor and inventing ability.
 Download Captain America’s Super Soldier Serum.
 Download unlimited gems?
 Download the udder of the black widow? …….
 This is too shameless!
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 This story is about a god level player, Li Cangyu, who returns to the game Miracle after being away for several years. The story explores him playing the game and setting up a team in an attempt to finally win a trophy in the Miracle Professional League.
 E-sport God Series 1 “The Strongest God”
 E-sport God Series 2 “God Level Summoner”
 E-sport God Series 3 “The King’s Return”
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 Her best friend turned into her younger sister, destroyed her appearance, broke her legs, snatched her powerful fiancé, and designed to kill her mother. Unsatisfied, she locked her up in a mental asylum to be tortured until death! 
 Yun Hua returned to 13 years of age with hatred. This time, the debt of blood would be paid in blood. 
 Oppress the poisonous sister, beat up the scumbag fiancé, become the top student, become a scholarly expert, become a manhua artist. In the end, she became the chief anchorwoman on the largest global broadcast… 
 With one careless mistake, she accidentally took the gold medal during the Olympic swimming competition. The entire country cheered for the champion without knowing that she had no such intentions… 
 But all along the way, that unapproachable man protected her from nearby. 
 He spoke: For you, I would block deities. For you, I would fight gods. For you, I would kill Buddha! 
 He spoke again: If you don’t leave me, I won’t give you up either. I would rather turn my back on the world than slight my darling.
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 When a living person takes up a position in the nether world, they’re known as “Impermanent”.
 Lan He managed to squeeze into the entertainment circle, but wavered constantly around the 38th tier because of his lack of background.
 At first, knowing that he has to work part-time as an Impermanent and live off of the Nether World, he rejected it, until he realised… Why did working part time in the Nether World help him become famous in the Over World?
 Lan He: “It’s me, the darkest rogue in the Nether World, the hottest star in the Over World.”
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 After graduating, Shen NingXin became an intern at a company. The atmosphere in the company was nice, the work was relaxing, her coworkers all took care of her, except for her iceberg of a boss, who had a dark face all day and was devoid of any human feelings.
 “This plan is unqualified. Change it again.”
 “What’s the matter with this form? How many times have I told you before?”
 “If you can’t finish it today, don’t think about leaving tonight.”
 Shen NingXin felt as though she must’ve committed a great sin in her last life to have such an unlovable boss in this one.
 Until one day . . . she stumbled upon her boss’s dummy Weibo account.
 —After work today, nobody invited me for the group dinner. I’m so sad.
 —Xiao Zhang went on a vacation and secretly brought back souvenirs for everybody, but there was nothing for me. I saw it all. QAQ
 —Shen NingXin hasn’t talked to me the entire day. Did I make her hate me for scolding her too harshly yesterday . . .
 If it weren’t for seeing the pictures in the photo album, Shen NingXin would’ve never believed that this was actually her boss.
 It turned out that the iceberg was really a crybaby all along.
 What was even more unexpected was that she was topped by such a crybaby and . . . couldn’t resist it.
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 One day, a secret was revealed. 
 Zhang Xueyuan is a girl. 
 The younger brother who was once beaten up by him to the point of doubting his life sneered: “Impossible! Which girl have you ever seen who can pull up a weeping willow?” 
 The man who used to be his nemesis sneered: “Impossible! Which girl have you ever seen beaten up so many people without changing her face?” 
 The Xueba, who once ‘attempted’ to save him, said calmly: “We analyze from the existing facts… Although he wears women’s clothing, it is obvious that he just has a women’s clothing addiction, not…” 
 Someone who was a boss in a certain Mary Suwen exhaled slowly and cocked Erlang’s legs with pretence. Hey, the number of younger brothers has exceeded the standard today.
 Content tags: Time travel, women disguised as men 
 Search keywords: Protagonist: Zhang Xueyuan ┃ Supporting role: ┃ Others: 
 One-sentence introduction: To be a big boss is just one word, cool!
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 What does it feel like when you have a best-selling detective fiction author for a boyfriend?
 Whenever you offend him, he would look at you disdainfully, “A character molded after you could only ever appear in my novel as a deceased victim.”
 Whenever you seriously offend him, he would threaten you, “The very next victim who dies in my novel would be named after you.”
 Whenever you seriously, seriously offend him, he would add on to the previous threats, “Furthermore, the victim would have died at the hands of an extremely perverse and twisted serial killer, and would have suffered an extremely painful and terrible death.”
 But, by a stroke of coincidence, if you happen to be this best-selling author’s editor, he need not resort to the above mentioned tactics. In fact, all he has to do is one, single thing – 
 -Delay the submission of his draft.
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 As the first Bai Yueguang of the police academy, Matsuda returned to the past after dying once and bound the [Wish System] to try to save his young taming. 
 The ability of the [Wish System] is one-for-one, and the wishes of the “viewers” are realized through live broadcast until enough to achieve the wish to save the life of the tame. 
 Matsuda accepted the quid pro quo, and received his first wish on the first day he returned to the past.
 Audience 1: [Please beat the police chief! ! ! 】 
 Matsuda: … a bit too much, right? 
 Audience 2: [Please give the Superintendent of Police a hug! ! 】 
 Matsuda: Okay, I’ll beat him up right now. 
 Audience 3: [Wearing a floral shirt and smoking and drinking in front of the police chief! 】 
 Matsuda: You just can’t get past the police chief, right? 
 Audience 4: [Please give each of your future colleagues a true love letter and confession! 】 
 Matsuda: You guys should continue fighting with the police chief…!
 Matsuda fell into silence as he looked at the increasingly outrageous wish. Are these people planning to realize their wish, or are they planning to let our company die? 
 But in order to save the young tamer, Matsuda gritted his teeth and did it all over the place. 
 As a result, Matsuda became a unique legend in the history of the police academy. 
 Hagihara: I know Kojinpei is quite unruly, but…he wasn’t like this before, was he? 
 Matsuda: …Who do you think I am for? ? 
 After waiting for the death of the young tamer to pass, Matsuda immediately found out that his other two friends were also dying. 
 Matsuda showed a peaceful smile: If you love to die, die, I quit! (lifts the table)
 Content tags: Comprehensive Comics Juvenile Comics System Conan 
 Search keywords: Protagonist: Matsuda ┃ Supporting role: Police Academy ┃ Others:
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 After waking from a car accident, professional esports player Ye Shaoyang found himself transmigrated into a mystifying A/B/O world where he was living as a noobish streamer.
 In order to support himself in this new life, Ye Shaoyang decided to return to his old job and climb the ranks in the esports world. With his outstanding talent, he quickly secured a contract with a prestigious club.
 But on his very first day with his new team, he unexpectedly presented as an omega right in front of the team’s captain Chi Shuo.
 Chi Shuo took his new teammate to the hospital for an examination. Afterwards, the boy looked up at him with a sheen of moisture in his eyes. The corners of his eyes were red, and his voice was hoarse as he rasped, “Captain, the doctor says I’m allergic to suppressants. Can you help me?”
 “…help you how?” Chi Shuo asked.
 Ye Shaoyang simply turned his back to Chi Shuo. “Just give me a temporary mark. Bite me here, thanks.”
 Chi Shuo’s expression gradually crumbled.
 What was with this omega?! Was a mark something you could hand out so freely?!
 Netizens:
 Their opponents:
 Who says an omega has to be sweet, delicate, and adorable? This omega has the power to blow up the whole league.
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 The planet was invaded by the Tates, and suffered from the devastation of the last ages. In the crisis of survival, some humans awakened powers, and they realised that those mutant beasts could cooperate with their own consciousness and increase their fighting power to two times more.
 This kind of animal was called Warpet. Shu Xiaohui was somewhat different from others. When the Tates invaded, he became a hamster and silently felt the presense of another powerful person.
 Chen Chengduo watched his companions slowly find their warpet, and wondered where his one was until one day he saw Shu Xiaohui with his mouth full of melon seeds in the corner of the wall…
 Others were warpet, his was only just a pet right…
 Hamster: You… You don’t look at my small size. I have lucky BUFF!
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 It started off peculiarly; first, his domestic cat refused to let him cuddle it.
 Lin Qiushi soon found that a sense of disharmony and incongruity began to pervade everything around him.
 Then, one odd day, he pushed open a door, and he discovered that the hallway he was familiar with turned into a boundless corridor.
 At both ends of this corridor were twelve, identical iron gates.
 Thus, the story began.
 Ruan Nanzhu said to Lin Qiushi, “When you gaze into the abyss, the abyss also gazes back at you.”
 Upon hearing this, Lin Qiushi sank into deep contemplation. He then pulled down the zipper of his trousers and aimed at the abyss…
 Ruan Nanzhu: “…Put your pants on properly!”
 Super shameless, ill, pampered gong X Shameless, calm shou; a combination of double [or extreme] shamelessness.
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 Li Xia, who was in the terminal stage of a type of cancer named poverty, discovered that she was chosen by a Wealth Flaunting System as the lucky Koi Fish.
 System’s main mission: Transmigrate into different worlds as the richest mother of the villain, instill correct values to the villain and prevent him from turning evil.
 System’s side mission: The System would provide infinite money, spend money to slap others in the face, and completely change your fate!
 Li Xia: “Mummy will always stay by your side.”
 Rich and wealthy: “My wife is infertile, here’s 5 million, give my son to me.”
 Li Xia: “Oh? How about I give you 10 times the amount, leave us alone!”
 Li Xia: “Alright, no problem.”
 Best Actor: “I won’t ever recognize him as my son, if you dare to expose me, then don’t blame me for taking action.”
 Li Xia: “Then do it, let’s see which is more useful, the fame of a Best Actor or money.”
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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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