"Ding dong, mission: turn hostility into friendship! Quickly relieve the pain of patients and help colleagues resolve disputes. If successful, you will be rewarded with 6,000 points."
The system tasks were released in a timely manner. Just when I wanted to intervene, the tasks were issued.
I am confident in solving the problem, but it is difficult to solve it quickly.
How can patients solve this kind of dispute quickly? Communication will be extremely difficult and tricky.
If it’s not difficult, don’t call it a task. Just work hard.
Before anyone came in, I could hear angry chattering outside the door.
"So much money has been spent, but the pain has not been resolved at all. Doctors are just doing nothing."
The patient's words were very unpleasant.
Yang Ping asked him to sit down: "Teacher Yan, I called you here to help you solve your problem and pain. I'm from the provincial capital."
"My surgery was performed by your provincial capital professor. I spent more than 20,000 yuan on it. It's the same as before the surgery. If you're angry or not, the money is wasted. I'll definitely file a petition and complain about this." Teacher Yan used crutches.
Suddenly.
"Teacher Yan, don't be anxious. It's inconvenient for you to petition in your current situation. Let's resolve the pain first and walk smoothly, and then we can petition again, don't you think?" Yang Ping comforted him.
"Do you have a way to solve the problem? Are you afraid that you want to practice with me?" Teacher Yan glanced sideways at Yang Ping.
"How is it possible, you think I'm stupid for practicing with the person you want to petition? If something goes wrong, don't you report me to the Ministry of Health?" Yang Ping said with a smile. Director Zeng used a disposable cup to make tea.
To Teacher Yan.
"That's right!" Teacher Yan thought about it for a while, and the logic was correct. In this kind of situation, people usually just stay away and don't look for trouble.
"Then how do you solve it?" Teacher Yan gave in a bit. He was indeed in pain now.
Seeing that he was willing to listen, Yang Ping said: "Your current problem is that the nerve is compressed. The nerve is like a wire, and now it is stuck somewhere.
"The doctors in the provincial capital also said the same, and the operation was performed, but why is it still the same?" Teacher Yan's tone was slightly gentler. It takes strength to speak loudly, and there must be a buffer period.
"The operation you performed was to repair the main switch. There is no problem with the main switch, but there is still a problem with the circuit, and the circuit needs to be repaired." Yang Ping helped him pour tea.
"You mean if I just memorize it like this, the main switch and wiring are broken?" Teacher Yan didn't believe it.
"How about this? Let's test the circuit for you. It's very simple. We can do a CT and electromyogram. If there is indeed a problem with the circuit, there is hope for solving the problem. Teacher Yan, you don't want to be in such pain all the time, right?
?" Yang Ping gradually took control of the conversation.
Teacher Yan hesitated and took a sip of tea.
Yang Ping struck while the iron was hot: "First check, let the results come out, and then consider other things. I think your life is very happy. Your children are very successful, and your grandchildren are cute. You also want to travel with them to the great rivers and mountains of the motherland. If you really solve the problem,
You can throw away this crutch and you can sleep well at night, how great!"
"As a doctor, you are young and your words are relatively reliable, so I will trust you and help me check the line."
It doesn’t matter if you check it, Teacher Yan thought.
"When you look at it older, you will see that you were a contributor when you were young. You must have many talents all over the world. You used to work hard and devote yourself to teaching and educating people. Now that you are retired, you have to enjoy your life. We did not work well, so your problem has not been solved.
Sorry."
"People all over the world dare not say it. There are several students at the student bureau level, and I haven't told them about it yet." Teacher Yan was very proud.
"Then we will arrange to check the line now?" Yang Ping asked tentatively.
"Let's make arrangements first, and I won't pay for it," Teacher Yan said.
"Deal with the problem first, and we'll talk about the rest later. What's going on? If the problem isn't solved, there's no point in living here for free for as long as you want." Yang Ping said.
"Director Yang, I trust you, please help me make arrangements." Teacher Yan urged.
Director Zeng arranged for the doctor in charge of the bed to write the order, and the nurse pushed him in a wheelchair. First, he did a CT scan of the pelvis, and then an electromyogram.
There is only one doctor in the electromyography room. Director Zeng called to discuss the general situation in advance, focusing on the conduction of the sciatic nerve at the outlet of the piriformis muscle.
After dealing with this patient, the one with osteomyelitis of the left femoral shaft, Yang Ping will not mention it for the time being.
Taking advantage of his free time, Yang Ping distributed the personnel. Zhang Lin Xiaowu each took one doctor, Song Zimo took two doctors, and Tang Fei assisted Song Zimo. Nothing else happened for the time being.
After such a deal just now, Director Zeng's feelings towards Yang Ping have changed. Seeing that he speaks calmly, he doesn't look like a young boy with yellow hair at all.
The two chatted about the status of the hospital, the staffing of the department, and the development difficulties.
The report over there was that the examination was completed, and the bedside doctor came with the CT film and electromyography report.
There is also a reading light in the director's office. Director Zeng hung up the CT film and turned on the light.
Yang Ping touched his chin, read the film carefully, and looked at the muscles and soft tissues. Magnetic resonance imaging was the best, but the hospital did not have magnetic resonance imaging, so he had to settle for the next best thing.
Generally speaking, the technical shortcomings of orthopedic surgeons in reading radiographs are bone disease and soft tissue. They have no problem in looking at fractures, but they are a little worse when looking at bone disease and soft tissue.
"Director Zeng, you see, the density of the piriformis muscle is different from that of normal muscles, and there is local contracture and fibrosis. This is the sciatic nerve. It is compressed at the outlet of the piriformis muscle and is swollen, which is consistent with our judgment." Yang Ping pointed.
The film says.
Director Zeng came closer and looked at the CT. He could see the fractures, but he couldn't look at the muscles and nerves, so he could only say: "Hmm, um."
"Where's the electromyogram?" Yang Ping asked the doctor in charge.
The bedside doctor took out the electromyogram report, which was densely packed with English professional vocabulary and data.
Yang Ping did not read the report directly, but looked at the test data himself and then analyzed it: "The conduction of the sciatic nerve at the outlet of the piriformis muscle was significantly weakened."
"Well, well." Director Zeng usually looks directly at the report and doesn't look at the numbers at all.
"Both results came out, consistent with the prediction. The three-in-one medical history, physical examination, and auxiliary examination made the diagnosis clear. Call the patient over and we will talk to him again," Yang Ping said.
"Go, push him over quickly." Director Zeng directed the doctor in charge.
This time I was pushed here by wheelchair.
"Teacher Yan, the test results are out. There is something wrong with the line in the buttocks, where we call the outlet of the piriformis muscle. It is compressed and is not very smooth." Yang Ping gestured with his fingers on his buttocks.
Teacher Yan said: "You really memorize it like this. You said I used to stand for a long time in class. How come I broke my nerves from sitting?"
"It's not caused by sitting down. Most of the damage to this muscle is caused by spanking needles, and some trauma can also cause it." Yang Ping explained.
Teacher Yan recalled it briefly and remembered: "You are right, when I was a teenager, my calf was injured and infected, and I was given penicillin for a month by the barefoot doctor, which made my butt swollen." p>
"Teacher Yan, if you believe me, I will perform an operation on you and relieve the pain." Yang Ping said sincerely and decisively.
Through detailed analysis of the inspection data, Yang Ping was basically very confident.
"Do you still need surgery? I'm afraid, I'm afraid that it will be the same again after one knife." Teacher Yan was very confused.
"If you don't do surgery, you will have to do this in the future. Teacher Yan, even if you petition, the problem will still not be solved. You will still be in pain. Petitioning cannot solve your pain." Yang Ping helped him analyze.
Teacher Yan sighed and said: "The pain is so uncomfortable that I can't even touch it. I used to take painkilling injections, hormones and mannitol, but they don't work anymore. I can't sleep at night."
"It's not easy. How long have you been sick?" Yang Ping read the medical records, but also asked.
"It's been more than ten years. It started to hurt for a while, but it wasn't that serious and I could bear it. In the past two or three years, the numbness and pain have been severe, especially when walking. I couldn't walk even a few steps. That's why I made up my mind to have an operation. Who knew -"
Teacher Yan sighed.
"The problem has been found. This can be solved with surgery. It depends on whether you believe me, Teacher Yan." Yang Ping said.
"I trust the doctor, otherwise I wouldn't have operated, but -" Teacher Yan's helpless expression.
"Teacher Yan, some things in this world are abnormal. For example, if you teach, this student usually has good grades, but he fails in the college entrance examination. There are many factors that affect it. When something abnormal happens, the solution to the problem is much more complicated.
But it has to be solved." Yang Ping enlightened him.
"You're right. There used to be a student like this in my class. His test scores were usually among the top ten in the school. How could he fail in the college entrance examination? He only passed the exam after repeating the exam." When Teacher Yan talked about teaching and educating people, he became very energetic.
The tone of voice is much better.
"Yes, Teacher Yan, look, in your case, should you repeat the study again?" Yang Ping immediately suggested.
"How sure are you?" Teacher Yan was in a dilemma.
"Ninety percent!" Yang Ping said.
"Then where is the 10% risk?" Teacher Yan is very cautious.
"There are unpredictable circumstances. There is a risk of throat getting stuck when eating fish, and there is a risk of falling when walking," Yang Ping said.
"I understand what you mean." Teacher Yan is educated and has good understanding skills.
"Think about it and discuss it with your family. It's okay if it keeps hurting like this. Your body should be ready for taking your grandson for a walk." Yang Ping encouraged him.
"I'll discuss it with my family." Teacher Yan has an idea.
"I'm waiting for your news. I will be here for two weeks and will return to the provincial capital in two weeks." Yang Ping shook hands with him.
"Thank you, Director Yang!" Teacher Yan's attitude became much better.
