Teacher Yan returned to the ward on crutches, and Yang Ping asked the doctor in charge of the bed to help him back.
Director Zeng added tea to Yang Ping. Now he doesn't regard Yang Ping as a yellow-haired boy at all.
On the first day of work, I helped solve the problem. Although the matter has not yet been resolved, I sincerely admire the young Director Yang in handling the matter with maturity and sophistication.
Yang Ping's mobilization of the patient for another operation was definitely not a whim, but based on a careful analysis of the condition.
Never fight an uncertain battle, this is Yang Ping’s motto.
The medical industry is no different than other industries, where human life is at stake, so this sentence seems more applicable.
"It's your first day at work and I'm asking you to deal with these bad things. I'm sorry for bothering you." Director Zeng said with shame.
"Director Zeng's words are unheard of. We are colleagues and often walk by the river. There is no shoe that does not get wet. Even great professors have capsized in the gutter. Besides, you have many misunderstandings about this matter. There is no problem with the operation, but you ignored him at the time.
Combined with piriformis syndrome, anyone who looked at the film at the time would have thought it was just a disc herniation, and I am an afterthought." Yang Ping said modestly.
"You're really awesome. His tone became much better later. At least he didn't argue with you and agreed to go back to discuss it." Director Zeng was so stressed by this incident that he was not in a good mood all day long.
"It's not that I'm great. He has a deep misunderstanding of you. Naturally, we can't talk about it. It will be much smoother to communicate with him with someone else." Yang Ping said while drinking tea.
This patient has very strong indications for surgery and the effect should be very good.
The first thing for surgery is to choose the indications well. If the indications are not selected well, no matter how beautiful the surgery is, the effect will not be very good. This is the same as prescribing the right medicine. If the medicine is not right, it will not matter even if the best medicine in the world is used.
Yang Ping began to calculate, if he agreed to the operation, how to perform the operation, what were the risks, what should be paid attention to, and whether there were any missed differential diagnoses.
Think again and again until you can't find any loopholes.
He has a good habit. No matter how small the operation is, he will study it repeatedly, plan carefully, rehearse the operation process in his mind in advance, and try to make it as leak-proof as possible.
"If the patient agrees to the operation and there are no contraindications, schedule it tomorrow. Don't delay, as it will lead to long nights and nightmares." Yang Ping ordered Director Zeng.
"Yeah!" Director Zeng agreed.
After talking to Teacher Yan, the two of them walked around the core.
There wasn’t much going on in the morning. A patient with a ruptured dorsal forearm tendon was admitted to the emergency department. Zhang Lin took people for surgery. A patient with a compression fracture of the lumbar spine was treated conservatively. Xiao Wu and others were handling it. The child had a humeral shaft fracture and Song Zimo helped him perform manual reduction.
Fixed with splint.
After finishing his work, Director Zeng took Yang Ping to the emergency department and operating room to familiarize himself with the environment.
At noon, Yang Ping and Director Zeng went to the cafeteria to eat together, and the two chatted for a long time.
When I was about to get off work in the afternoon, the nurse came to the director's office and said that Teacher Yan's family members were here.
Director Zeng quickly called them to the office. They were Teacher Yan’s son and daughter-in-law, both of whom were teachers.
Director Zeng poured tea for them, and they said gloomily: "No need."
"What's the situation now? The old man said he needs another operation. Let's come over and find out the situation?" He talked to Director Zeng.
Director Zeng said: "Sit down first and listen to our detailed explanation."
The couple sat down, poured the tea for them, and placed it on the coffee table without them even looking at it.
The old man's son said: "What did the director from the provincial capital say? Another operation will solve the pain."
Obviously he didn't think that Yang Ping was the director at all.
"What do you think of people? One knife to the left and one to the right is not enough." The daughter-in-law has a bad attitude.
The old man's son immediately stopped his wife: "What's the use of talking about this? We need to understand the situation clearly first."
Director Zeng said: "This is Director Yang who came from the provincial capital and stayed in our hospital. In the morning we studied the old man's condition and did CT and electromyography."
The old man's son looked at Yang Ping. He was so young. Did he make a mistake? He thought he was really a professor from the provincial capital. He turned out to be a young doctor.
"Hello, I am Dr. Yang, who is sent to Nanqiao by the Provincial Department of Health for medical support." Yang Ping shook hands with him politely.
The old man's son shook hands with him. After all, as a teacher, he still had some etiquette on the stage, and his words were not as harsh as his wife's.
"In this way, I learned about the old man's condition during my ward rounds in the morning. The old man has suffered from pain for more than ten years, and it has been particularly severe in the past two or three years. He had an operation last year, but the symptoms were not relieved at all. Why was there no relief from the pain after the operation? We studied it carefully.
Regarding his condition, CT and electromyography were performed to clarify the problem. Because the sciatic nerve on the right side was compressed in two places, one was the lumbar spine and the other was the buttocks. Last year's surgery only solved the problem of the lumbar spine.
The compression of the area and the hip has not been relieved, and the natural pain has not been relieved. It is like the wiring, switches and wires at home are broken, and it is useless if you just repair them! Only when both are repaired can the light bulb turn on. "
Yang Ping said.
"Last time, I asked a professor from the provincial capital to do it. Anyone can talk about the theory-" The daughter-in-law was full of anger.
The old man's son stopped immediately: "This matter has nothing to do with me."
My daughter-in-law swallowed half of her words.
Yang Ping said: "It doesn't matter, I understand your feelings. I'm only here for two weeks. This matter has nothing to do with me. You can ignore it completely. Why are you asking for trouble like this? I've encountered this kind of thing before."
Special case, I have experience, so I can't bear to watch the old man in such pain. Even a toothache can make him toss and turn, not to mention this kind of sciatica. The old man is afraid of trouble you, so he forcibly endures it. It's hard to imagine how the old man has endured all these years.
Came here."
The old man's son didn't believe the young director at first, but after saying this, he was a little shaken. No matter what happened to him, why should he ask for trouble? Maybe there is really a way. Didn't I tell you that people have encountered such cases?
.
This matter has gone on and on, and the family is tired. The couple has to go to work and take care of the children. Now the old man is in so much pain and the problem has not been solved for a year. Now this young doctor has a solution, why don't you listen.
Who doesn’t want to solve the problem and live happily? The quality of life of the whole family has been lowered by this matter.
"Why didn't Professor Zeng notice that the nerve was compressed in two places last time?" the old man's son asked.
Yang Ping said: "This situation is so rare that it is difficult for doctors who perform the surgery for the first time to think of it. This is also the case in the cases we encountered before. The pain was not relieved after the lumbar spine surgery, and it was only found out after subsequent examinations."
The daughter-in-law said: "Then the first surgery cost so much money and was done in vain?"
This time the tone is better.
Yang Ping said: "It's not like this. It's like the light bulb at home doesn't work. The light bulb is fine, but the switch and wires are broken. The switch was repaired in the first operation, and now we need to repair the wires as well. Just repairing them will be useless. If
If you do not perform lumbar spine surgery and only perform hip surgery, the pain will not be relieved after the operation. Only by doing both surgeries can the effect be effective."
"What if the next operation still doesn't work? Can you guarantee it 100%?" My daughter-in-law turned her face to one side.
"There is no guarantee, but the probability of success is over 90%." Yang Ping said calmly.
"I know that you doctors will leave room for words." The old man's son agreed that he was 90% sure, but no doctor dared to say 100%.
Seeing their silence, Yang Ping said: "Let's solve the old man's pain together. If the pain is not solved, no matter how we deal with it, it will be trouble. The old man is in pain, and you will suffer along with it, right?"
The old man's son saw that although Yang Ping was young, he spoke in a sophisticated and calm manner, which was completely different from the behavior of ordinary young doctors
Maybe he really has a way, otherwise how dare he take the initiative to touch this hot potato.
"I'll discuss it with the old man, can you wait for me?" The old man's son picked up the tea and took a sip...
"It doesn't matter. You can discuss it clearly and we'll wait for you." Yang Ping always spoke calmly, not impatiently.
"Again, if I don't want to solve the old man's pain, I can ignore this matter." Yang Ping added.
About ten minutes after the couple went out, the old man's son came back.
"We agree to do the surgery, but we ask Director Yang to perform the surgery."
"Of course I am the surgeon." Yang Ping said.
"There is also the cost of this time--" the old man's son said awkwardly.
"How about we solve the problem first and let's not talk about other things for now," Yang Ping said.
The old man's son said nothing.
"We had a bad attitude just now. Please forgive me. This matter made the family very upset." said the old man's son.
Yang Ping waved his hand: "It doesn't matter."
The family members completed their work and immediately arranged a preoperative examination. Apart from the thickening of the lung texture, there were no other abnormalities. The blood pressure and blood sugar were normal, and the body was in good condition.
The operation was scheduled for the next morning. Yang Ping told him to prepare two doses of methylprednisolone before the operation and bring them to the operating room.
Then he sent a WeChat message to Su Yixuan, asking her to help prepare the equipment for the surgery tomorrow. Su Yixuan is now working as the head nurse in the operating room.
Back in the dormitory, Yang Ping wanted to report today's work to Director Tian.
Director Tian did not reply and went to have dinner with the leaders of the Health Bureau with Director Pan.
"Fat man, do you still have your soft China?" Zhang Lin asked Fatty Liang.
The fat man was very dissatisfied: "Don't be a fat man, Director Liang. Call me Director Liang. I am the director of the anesthesiology department."
"Are you too involved in the drama?" Xiao Wu said.
"What do you know? This is called dedication. The director has been the director for two weeks."
"Director Liang, Director Liang, please give me a soft China."