"Doctor, how dare I expect to live for more than twenty years? I am already over fifty years old. Even if I die now, it will not be considered a premature death.

In a few years, when I turn sixty, it will be considered a time of joy and mourning!" the old man said with a simple smile.

The man smiled, but his words were full of helplessness and sadness.

"Dad, don't think too much. We need to cure this disease. It costs 20 yuan. We brothers can chip in together. Five yuan as a family can be enough."

When you get better and earn more work points, you can earn back the money in just a few months." The old man's son also advised.

Finally, under the persuasion of his son and Zhang Yan, the old man agreed to receive treatment.

The old man agreed, and the subsequent treatment became much simpler.

Although the old man's disease looked scary, to Ding Changsheng, it was a piece of cake.

First, arrange for the old man's son to follow the nurse to go through the admission procedures, and then take the old man to the surgical operating room.

Then someone called Peng Dahai over.

Peng Dahai has been here for such a long time, hanging out in the emergency department all day long, performing surgeries in the emergency department, and now it's time for him to open.

"Dean, is this a rheumatoid nodule?" Peng Dahai changed into surgical clothes, brushed his hands, and came to the front of the hospital bed.

"Well! Have you ever done surgery to remove rheumatic nodules?" Zhang Yan asked with a smile.

"No!" Peng Dahai shook his head seriously.

When he was at Xicheng Hospital, he was a general surgeon, and he studied everything in the stomach.

Rheumatic nodules belong to the category of orthopedic surgery.

"Watch carefully then! I'll teach you how to perform nodule resection!" After Zhang Yan finished speaking, he turned around to change into surgical clothes.

The old man was taken into the operating room by the nurse for pre-operative disinfection and cleaning.

There is currently no laboratory department in Hongxing Hospital, and preoperative examinations are never done during surgeries.

In fact, it’s not that I haven’t had any examinations, but that the examinations at Red Star Hospital are different from those at Western medicine hospitals.

Hongxing Hospital uses pulse counting to check whether the patient's physical signs meet the surgical standards.

Of course, this is also related to the fact that Red Star Hospital does not perform cardiothoracic surgery and general surgery.

After Zhang Yan changed his clothes, he washed his hands.

It's been a long time since I had surgery, and I really miss it.

There is nothing that can be done about this. As Zhang Yan's medical skills improve, many patients who need surgery in Western medicine hospitals can be cured by Zhang Yan with just a few medicines, so there is no need for surgery.

Therefore, under Zhang Yan's influence, surgical operations at Red Star Hospital were basically surgical suturing or bone surgery.

"Dean, I haven't had an operation for a long time, and my hands are all rusty!" Peng Dahai said with a look of resentment on his face.

At this time, Peng Dahai regretted following Zhang Yan to Red Star Hospital. There were too few surgeries here.

There were many patients in the emergency department who, in his opinion, fully met the indications for surgery. However, before he was ready for surgery, Zhao Shengli directly used acupuncture and decoction to make the indications for surgery disappear.

Leave him useless.

"Don't worry, I'll think of a way later. Let's carry out operations on rheumatoid nodules and tophi, and then we'll find a way to publicize amputated limb replantation surgery.

When the time comes, I guarantee that you will not be short of surgeries." Zhang Yan comforted him.

Rheumatoid nodules and tophi are two different diseases in the concept of Western medicine. Although they appear to be swollen joints and hard lumps like tumors, they are actually not the same disease.

Under normal circumstances, rheumatic nodules do not require surgical treatment. You only need to take decoction to disperse the nodules.

But tophi is different. The hard lump inside has become petrified and must be removed surgically.

However, in TCM syndrome differentiation, rheumatic nodules and tophi are the same disease, both of which are the accumulation of phlegm and blood stasis.

Even ventilation and rheumatoid syndrome are the same in TCM syndrome differentiation, which are caused by four syndromes: rheumatic heat paralysis, wind-cold damp paralysis, phlegm and blood stasis consolidation, and spleen and kidney yang deficiency.

The old man's rheumatic nodules were the type that required surgery. The nodules were too big, and the largest nodules were the size of eggs. It was not impossible to remove the nodules with medication alone, but it would delay the treatment for a long time.

Otherwise, surgery can be performed directly to remove the nodules, and then supplemented with drug treatment.

While Zhang Yan was explaining the key points of the surgery to Peng Dahai, he took a silver needle and quickly used it on the acupuncture points on the old man's arm.

This is acupuncture for pain relief.

After completing the operation to relieve pain, Peng Dahai consciously took the tweezers and alcohol cotton balls and began to disinfect the surgical site without Zhang Yan's instructions.

This is also the reason why Zhang Yan asked Peng Dahai to come over, and Peng Dahai did a good job as an assistant.

With Peng Dahai as an assistant, Zhang Yan felt very comfortable during the operation.

Taking the scalpel, Zhang Yan gently cut open the skin tissue at the nodule area.

The reason why Western medicine divides rheumatic nodules and tophi into two different diseases is based on scientific basis.

Anatomically speaking, rheumatic nodules and tophi are indeed different. One is a calcified substance attached to the soft tissue of the bone and joint, and the other is a bone hyperplasia and calcified substance within the periosteum.

The chemical composition of the two is different.

Zhang Yan's movements were very steady and fast, and did not affect his explanation at all. Peng Dahai listened very attentively.

It doesn’t matter if you don’t want to focus. With the blessing of the system’s halo, you can’t even think of being distracted.

The operation lasted for more than an hour before all the nodules that needed to be removed were removed from the old man's fingers and elbow joints.

Zhang Yan did not remove all the nodules, but only selected the larger nodules for surgical removal.

The old man was awake the whole time, watching helplessly as Zhang Yan used the knife on his hand. This was an experience that most people would never experience in their lifetime.

Naturally, the stitching was left to Peng Dahai.

"Old comrade, you will be hospitalized for one day of observation today. If nothing happens tomorrow, you can be discharged from the hospital!" Zhang Yan told the old man after completing the operation.

"I feel like there's nothing wrong with me. It's still early now. Can I go home?" The old man didn't want to be hospitalized.

"Old comrade, this has nothing to do with time. It's an operation for you, so you need to stay in the hospital for observation overnight! This is also for your health." Zhang Yan explained with a smile.

"Okay!" The old man didn't insist anymore. After all, the surgery had been done and all the money needed to be spent was spent.

I will still be hospitalized at the Orthopedics Department of Traditional Chinese Medicine.

Zhang Yan took the old man to the orthopedic ward and found Zhang Ziqiang.

"How to write a prescription? I don't need to worry about this anymore, right?" Zhang Yan asked with a smile.

"No! If you still have to worry about this matter, then I'm really sorry for your teachings in the past two years! How can I have the shame to say that I am your disciple when I go out in the future!" Zhang Ziqiang said with a sneer.

"Yeah! It's good to have this confidence!" Zhang Yan nodded with satisfaction.
Chapter completed!