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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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 Domineering president? Evil school grass? Black-bellied Major General? Young Master Paranoid? All Raiders!
 Long time to attack? Hehe, it doesn’t exist.
 There is no male protagonist who can’t solve the problem, only a host who doesn’t work hard.
 The 001 system is very satisfied.
 Its host is also very satisfied.
 But…Isn’t it the one who said good strategy scumbags? !
 What does it mean for such a sick villain to stay in the shadows? ?
 The villain BOSS appeared, and it was him every time! To
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 Ling Huaan possessed peculiar eyes. He couldn’t see the living, but he has the ability to see ghosts. He runs a small supermarket with his profit obviously earned from the living people. But in fact, his massive income actually comes from finding out the cause of death of the wronged souls and helping them enter the cycle of reincarnation.
 There is a saying that has been circulating in the Underworld:
 The grocery store’s door is open. Ghosts must not come in if they have no money!
 Jiang Chengyan is the captain of the criminal investigation team of Yuncheng Municipal Bureau.
 He is busy everyday, and often works overtime. His dinner would mostly be instant noodles he had bought from the supermarket near the gate.
 But every time he went out shopping, he would always sense the gloomy atmosphere surrounding the market. But he’s a firm atheist, so it‘s reasonable for him to go. (Actually, I think the supermarket owner is quite a good-looking fellow and has good disposition.)
 By an incidental chance, Ling Huaan suddenly received a huge order. If he could do it, he will no longer have to worry about food and clothing in his lifetime. But it’s quite difficult, thus, Ling Hua’an naturally approached Jiang Chengyan.
 Afterwards, Jiang Chengyan who is a firm atheist, had his three views broken, and it was really sweet…
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 Independent game producer Fang Qi travels to the future of parallel time and space, and spends his days having fun in the gaming industry. He inadvertently becomes a "demigod, half dog" in the hearts of players. In his spare time, he battles wits and courage with his boss, and accidentally defeats the female CEO. Got a girlfriend 
 On the Star Game Alliance Annual Awards podium, the host said: "Mr. Fang Qi, the game developed by you has won the best of the year six times in a row. Can you tell me how you achieve such high productivity and frequent masterpieces?" Posted by? Where does the inspiration for the gameplay ideas in your game come from? Also, why are the games you have made recently becoming more and more difficult? " 
 Fang Qi: "I can't help it. My girlfriend cleared the level too quickly. I went through so much trouble just to stop her!"
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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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 An inspirational story about mutual growth and love follows a singer and a 4th-year computer major.
 Liang Chen and Lu Jing are two people who shine in their respective fields. Through the purest, most beautiful sound, Liang Chen aims to bring good music to her audience.
 Lu Jing who loves computing and analytics is highly recognized for his work in the study of complex human behaviors. Lu Jing who is a popular gamer is also Liang Chen’s loyal fan and her junior at school. Two people who were originally strangers chasing after their own dreams cross paths.
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 System: I save you so that you can cultivate immortals! Not for you to engage in scientific research! 
 Tang Huan: Oh, do you have any new mech manufacturing drawings? 
 System: No! No points for not cultivating immortals! You can’t buy pictures without points! 
 Tang Huan: Well, I’ll go to cultivate immortals.
 Later, Tang Huanlang went too far and fell seriously injured at Tianyifeng. 
 The kind-hearted peak master said: It is enough to promise life-saving grace. 
 Tang Huan:……? ? ? 
 How can a savior take the initiative to ask others to agree with him!
 Black Belly Man Sao Sword Repair Big Brother x Pseudo High Cold Real Technology House Big Long Legs Cannon Sister 
 Su Shuang, Ji San Tang Sect, has not played before and does not affect the reading of the “text”
 Content tags: Traveling through time and space Immortal hero cultivation Sweet text Shuang text
 Search keywords: Protagonist: Tang Huan Supporting role: Mo Qingyi Others: Jisan, Tangmen, 1v1, he
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 Grandpa Yu often repeated beside the ear of Yu Zhen, saying that he(YZ) has a soul in his body. If he doesn’t properly train in asceticism, and raise then send away the powerful soul, in this lifetime he would have to live as a bachelor. In his next lifetime he would be reborn as a lifestock animal.
 Yu Zhen played on his mobile and nodded. On the surface he replied, “Uh-huh”. In his heart he laughed, “hahaha”. Keeping his grandfather in the dark was amusing so the lie was repeated for over ten years without Yu Zhen getting tired of it.
 After some years, Grandpa Yu passed away and a cold-faced handsome guy came to his door in a luxury car – with a household register in his hands.
 …..
 Yu Zhen: The soul in my body reincarnated into someone else’s body to demand repayment, what should I do!
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 A Man who only know how to pit others, cross into the Uzumaki Naruto, with the strongest system to create the strongest harem. Keke ~ ~ said wrong, to create the strongest Hokage. An otaku: “Wait, let me see what this daily task is, um, very simple, kick the 3rd Hokage’s ass. Well, I admit that you can pit me, Hokage ass is not something a common man can kick. Or, even if you kicked, can the ANBU ninja let me go? God, who will save me.” A system: “I am God.” A otaku: “……….” “You see, I am going to do it. Isn’t it just kicking someone ass? What’s the big deal? After 18 years, Laozi will be a hero.”
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 Bunga kembar, penampilan unik kakak perempuan itu, adalah harapan seluruh keluarga, dan telah ditetapkan sebagai proto surga.
 Karena kelahirannya yang tidak menyenangkan, ia menjadi memalukan bagi seluruh keluarga.
 Kakak perempuan Penatua Jin Zunyugui, dia tampak kedinginan.
 Kejahatan hati manusia mencurahkan ular berbisa.
 Tepat ketika klan menjilati saudara perempuannya, berharap bahwa saudara perempuannya dapat berlindung di klan, para suster “pergi dengan sedan yang salah.”
 Ular beracun ini bahkan menikahi Protoss, dan menjadi bencana bagi seluruh orang …
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 Liang Yan, an 18th-line actress, accidentally lost her memory and woke up as a third-line actress with a husband.
 Her husband happened to be the entertainment industry’s top actor and national husband, Lu Lincheng.
 Liang Yan’s legs trembled, and she leaned on the wall.
 “Is this… Is this true?”
 Lu Lincheng rolled the lighter in his hand, playing with it as he watched the fearful woman. He frowned, feeling unpleasant, and sarcastically replied, “What are you scheming again?”
 *****
 It wasn’t a secret that Lu Lincheng was like an extremely cold iceberg to his wife, Liang Yan. Apart from announcing the marriage, he never talked about it publicly.
 The entertainment industry waited for Lu Lincheng and Liang Yan to divorce. To the third line actress: Please return our husband to us!
 It wasn’t until a reporter saw Lu Lincheng and Liang Yan backstage after an event, where Lu Lincheng took off his jacket and covered Liang Yan, who was wearing a dress, with it and then pressed her on the wall for a kiss, that everyone was forcefully fed a bowl of dog food.
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 Lingyun, a fierce and savage cultivation genius takes over a dead teenager’s body. Coincidentally, they are both named Lingyun. Set in a alternate version of the 21st century, teenager Lingyun has been killed by someone with a grudge.
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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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