"Since these internal fixations have no effect if left in the body, why do they have to be taken out after surgery? Isn't this unnecessary? From an economic point of view, isn't this a huge waste?" Brian was already immersed in his own thinking.
.
Yang Ping adjusted his posture. Since he had asked so many questions, he discussed it with him to prevent him from worrying about these issues at night: "From an orthopedic point of view, generally the internal fixation of the upper limbs can be omitted, while the internal fixation of the lower limbs can be omitted.
The fixation generally needs to be taken out, because there is a stress shielding problem here, because the internal fixation of the lower limbs has to share a certain amount of gravity. The gravity was originally borne by the bones of the lower limbs, but now it is taken away by the internal fixation, so the bones will appear due to the reduction in stress.
Relative osteoporosis leads to reduced strength, which makes it easier to fracture. Therefore, the impact of internal fixation in the body is far beyond what I just said, and must be considered from many aspects such as physics, chemistry, biology, economics, and psychology."
"For example, if your current spinal internal fixation is normal, it is definitely recommended to take it out after surgery. In addition to sharing the stress, it will also limit the movement of the lumbar spine. There is also a risk of the screws being displaced. But if the screws are broken inside the vertebrae,
, if the part left inside is in a safe position, it will have no impact if you don’t remove it, because it is no longer load-bearing and the risk of shifting is very low. If it is too troublesome to take it out, the risk-benefit ratio is too low, so don’t remove it. If it is easy,
Of course, it needs to be taken out. So there is a risk-benefit ratio here. For example, when the steel plate is placed on the back of the humerus, the anatomical structure is clear, but when the steel plate is removed, the anatomy is blurred due to scar formation, which can easily damage the radial nerve. This kind of steel plate
Orthopedic surgeons have reached a consensus: Do not remove it after surgery, otherwise if the radial nerve is damaged, the gain will outweigh the loss. If you don’t remove it, it will be nothing. If you damage the radial nerve during removal, you will regret it.”
"If there are no factors such as risk-benefit ratio, it is of course best to remove all internal fixations, especially for young people."
Yang Ping said a lot, but I don’t know if Brian understood it.
"I understand a little bit." Brian nodded.
Next, Brian wanted to ask some questions about medical implant materials, but Maninstein immediately stopped him. It was impossible for him to waste Professor Yang's time like this. Professor Yang was very busy, and it would be annoying to continue chatting like this without any interest.
I feel very unqualified, but it is still necessary to give Professor Yang a good impression.
"As long as you understand, let's go, go back and rest." Maninstein winked at the escort.
The accompanying young man was very smart and immediately helped Brian up. Song Zimo also immediately reminded Yang Ping to seize the time to review other surgeries. Brian originally wanted to ask more questions, but seeing that everyone was very busy, he was embarrassed to continue to pester him.
Hesitantly, he returned to the ward with the help of his escort.
Brian is a patient after all, so he must have some psychological characteristics common to patients. When he sees the doctor, he always wants to ask questions clearly. But the doctor is not the only patient, so how can he keep chatting with him?
Go down.
However, it is no problem in Sweden, because a doctor sees three or two patients throughout the morning and has enough time to communicate with the patient. Of course, this requires paying high fees or the patient spends more than half a year or even one or two years.
The opportunity awaited.
After Brian left, Yang Ping reviewed the rest of today's surgery with everyone. In fact, it doesn't take much time to review the surgery. No matter how late the surgery is every day, everyone will gather together to review. This kind of review is mainly for
Expert-level doctors like Song Zimo, Xu Zhiliang, Xia Shu, and Dr. Jin answered questions. As for some basic questions, let these people take the time to explain them slowly to the young doctors in their group. Otherwise, it would take a whole afternoon to review an operation.
not enough.
After reviewing the operation, Yang Ping looked at the time and immediately rushed to the ICU to see Aisha. In addition to ECG monitoring, all the pipes and wires on Aisha's body had been removed and she was now very conscious. According to the ICU doctor's report,
Aisha's vital signs after surgery have been stable. During the post-operative dressing change, Aisha's surgical incision was also very clean, with no redness, swelling or leakage, and no signs of infection. The doctor in the ICU asked Yang Ping if he could be transferred to the general ward. Yang Ping
Seeing that Aisha's indicators were very good, she agreed to be transferred back to the general ward because the number of beds in the ICU was also very tight.
After finishing these things, Yang Ping is going to visit the "Staff Home" of Sanbo Hotel. A major event will be held here in three days, which is the battle of the century between two old professors, Su Butong and Zhang Zongshun. Yang Ping is still
Designated Chief Medical Officer.
Two eighty-year-old men are about to have a real showdown. The onlookers are retired big guys from the medical field. I heard that in addition to the big guys from the Nandu Medical University system, there are also many big guys from other provinces. They
After getting the news, I came to join in the fun.
One is a neurosurgery boss, and the other is an orthopedics boss. This is related to the reputation of the two professions, so the two have been preparing for a long time. It can be said that they have made all-round preparations. The employee home is actually the setting of Sanbo Hotel
It is a place for entertainment for Sanbo Hospital employees, including indoor basketball courts, badminton courts, tennis courts, table tennis courts, chess and card rooms, gyms, etc.
Now the basketball court inside has been converted into a fighting venue, and a temporary boxing ring has been added in the middle of the original basketball court, which is specially prepared for the showdown three days later.
A group of old men are very energetic. Professor Zhang Zongshun is now shirtless and warming up under the guidance of the coach. There are many people watching the excitement. Yang Ping stands aside and watches. This old man has a pretty good physique and is no less muscular than the young people.
In the past, Yang Ping and Xiao Su always wanted to stop them, but after several hard attempts, they gave up the idea of stopping them. Elderly people, since they like it and it is a healthy exercise, why stop them? There is indeed a risk of falling and fractures.
, but you can’t stop them from playing just because of this.
This chapter is not over yet, please click on the next page to continue reading! Just like when I was a child, if adults told children that playing football or basketball would lead to injuries and not allow children to play, the children would definitely think that the adults were unreasonable and that they were completely unable to eat because of choking.
Yang Ping looked at the large crowd in the hospital and saw that the notice of the competition had been sent out. The notice was a beautiful poster. This poster imitated the poster of Kunlun Jue at first glance. On it were photos of the duel between two old gentlemen, Zhang Zongshun and Su Bubutong.
, those well-developed muscles, sharp eyes, coupled with some special effects, are simply the level of posters for top fighting events. Yang Ping heard from Zhang Lin that this publicity work is in charge of a graduate student in the Department of Dermatology. I heard that this graduate student is in school.
When I was studying, I was the propaganda director of the student union.
The chief medical officer of the competition's medical team wrote Yang Ping's name, followed by a list of many sponsors. Most of the shops in and around Sanbo Hospital came to join in the fun. Yang Ping took a closer look and saw a shop selling beef offal on the overpass.
The couple and the old man selling roasted sweet potatoes were also sponsors. The couple sponsored beef offal, the old man sponsored roasted sweet potatoes, a supermarket next to the hospital sponsored mineral water, and Water Lotus Bread sponsored milk tea and bread, because milk tea is also their main product.
, they are not the only ones sponsoring milk tea. Heytea near the hospital, and Mixue Bingcheng are all sponsors. Yang Ping kept looking down the list of sponsors, and there were also fruit shops sponsoring fruits. The biggest sponsor was Ershu Bak.
Fish, what a guy, not only saved a lot of money, but also gave the entire store to everyone to eat grilled fish for free after the game, how brave he is.
This event actually has two male and female commentators. It will be broadcast live in the large group of Sanbo Hospital and on the big screen of Sanbo Hotel. The hospital security department is responsible for maintaining order. This level is okay. Yang Ping has been busy with surgery and has not paid much attention to this event.
Something happened that caused such a big situation if we were not careful.
The scale is quite large, and it looks impressive. If you don’t know, you might think it’s some kind of official top-level fighting competition. It’s a bit interesting.
Zhang Zongshun saw that Yang Ping was also there. Instead of stopping him, Yang Ping cheered him on: "Professor Zhang, come on!"
"Don't let Su Butong hear you. If he hears you cheering for me, he will criticize you." Zhang Zongshun said while warming up.
Yang Ping smiled and said: "I'll cheer for you two. As much as you shout cheers here, shout the same amount over there. The bowl of water will be flat, don't worry."
"We will officially compete in three days. I told you the date a long time ago. You must not go out on that day. You must serve as our health doctor on the field. Remember!" Zhang Zongshun reiterated.
Seeing him like this, it was not a show at all, it seemed like he was really fighting to the death. Yang Ping couldn't help but sweat for them.
Professor Zhang chatted for a few words and then went to participate in the training. He and the coach were doing Tai Chi push hands, and the push looked very similar.
Yang Ping stood aside for a while and was about to go back to eat. Dean Xia, Dean Sun, Director Han, Director Zhao and a group of hospital leaders came across from the opposite side. Yang Ping was about to say hello, but the tall and tall Dean Xia spoke first.
"Professor Yang, Professor Yang, Professor Yang is here too!" Dean Xia held Yang Ping's hand with his big hand, and pulled Yang Ping aside with great enthusiasm.
"Professor Yang! I will have to work hard for you that day. I am on tenterhooks now. You are the chief medical officer. I have transferred all the directors of the main departments of the hospital to you to accept your command. Xiong Sihai from the emergency department will personally lead the team as a first responder.
"Dean Xia has the same idea as Yang Ping, and he has always been worried about what would happen to the two old experts.
You are both eighty years old. You said that in such a fierce confrontation, it is easy for something to happen, such as falling and breaking a bone, or the heart is overloaded. What should you do if you are suddenly caught off guard? These two are both well-known old experts, Xia
The dean was also under great pressure, so he had to personally take time to inspect the venue and inquire about the details of the entire event to see if there were any loopholes.
But the two old men were not afraid of anything. They agreed that even though they were over eighty years old, they were still afraid of this and that. If they didn’t do this, they would be immortal? They actually made Dean Xia speechless.
After all, there are only three days until the official competition, and now is the warm-up time, so the popularity here is getting more and more popular day by day. All the students who have nothing to do after eating squeeze in here to come and have a look. Some doctors' families directly bring the elderly
All the children came to watch the fun.
"Mr. Su Butong is here to familiarize himself with the venue." Someone in the crowd said something.
Yang Ping quickly turned around and saw Grandpa Su walking in proudly, surrounded by a large number of people. Yang Ping ran up and said hello: "Grandpa!"
Su Butong nodded slightly and patted Yang Ping's shoulder: "You were the chief medical officer that day, you know that, right?"
"I know, I'm absolutely guaranteed to be on duty every second." Yang Ping patted his chest.
Su Butong glanced at Zhang Zongshun who was training: "If any of us falls down that day and needs surgery, don't hesitate and go directly to the operating room. We have already discussed it and will sign these documents before the game."
This is for real!
"You see, his weakness is his lower plate. His lower plate is not as good as yours, and your waist strength is not as good as his, so that day he focused on the lower plate to make it difficult for him to cope. Try not to use his waist strength to fight with strength." Su next to him.
Grandpa's coach is also an old man, maybe 60 or 70 years old, and he is reminding Grandpa Su.
Look at Mr. Zhang's coach, who is also an old man in his sixties or seventies. This is a proper senior team. From the looks of them, they don't look like they are just playing for fun, they seem to be very serious.
"You're busy with your business, don't worry about me. I'll go train and get used to the venue. After all, it's an away game." Su Bubu strode into the nearby venue.
"Professor Yang!"
Yang Ping turned around, the boss of Ershu Grilled Fish.
"Second uncle!"
The second uncle had a big belly and was wearing a vest, big shorts, and a pair of flip-flops. Yang Ping never figured out that the second uncle was from the south, and grilled fish was a Sichuan cuisine. Why did he not open a restaurant with southern cuisine?
But grilled fish.
"Come over for dinner and join in the fun. Can we open a table in the private room?" the second uncle said enthusiastically.
''That's necessary. I heard that you are the largest sponsor?" Yang Ping asked.
The second uncle smiled: "I don't have any sponsors. When I heard about this matter, I thought about it. It would be a waste if I didn't participate in it. Later I learned that everyone who received the news
Businesses all had this idea, but they didn’t know how to draw this line, so they asked me. I decided that everyone should form a sponsor alliance on a voluntary basis with no restrictions.
That's what happened. The person in charge was a doctor from your hospital. He was so cool and so impressive that even the commentator was buried."
The second uncle accidentally forgot to speak Mandarin and spoke in a southern accent.
"I wouldn't have known it was so lively if I hadn't come to see it today." Yang Ping said, looking around.
Originally, she wanted to chat for a while, but Xiao Su called Yang Ping to go home for dinner, so Yang Ping had to say goodbye to everyone and rush home for dinner.
When crossing the overpass, Yang Ping passed by a beef offal and roasted sweet potato stall and asked about the sponsors. They were very happy to tell Yang Ping that it was a great honor to be able to join the sponsor alliance. And they told him
Yang Ping, the free environmentally friendly lunch boxes provided by the sponsors have been delivered, and they took them out to show Yang Ping. The lunch boxes are very exquisite, and there are promotional posters and slogans for the event on the outer packaging.
"I heard that there is a gym next door that wants to participate, but the registration time is too late and we already have enough sponsors, so we won't accept him," the proprietress of the beef miscellaneous shop said proudly.
