Under the shadowless lamp, the figures are blurred.
"Why are you panicking? Calm down!" A stern scolding.
Immediately, there was a kind voice: "Xiao Hong, Xiao Han, look, the tumor has invaded the aorta in front, and the aorta is about to rupture. If it is delayed any longer-"
"Remember, don't give up on every patient easily!" The voice was firm and deep.
If the teacher hadn't used the radio to pull the patient back from the train station, he would have died on the train.
Director Han put away his memories.
Today's scene is so similar.
"Don't give up easily!"
This sentence has been deeply ingrained in my heart.
Director Han took a sip of tea and even sucked the tea leaves into his mouth to chew.
"It's not a bad thing for a doctor to be famous. Only by being famous can more patients know you, trust you, and come to you for treatment. Only in this way can your medical skills be able to treat more people."
When Director Han said this, his eyes fell on Yang Ping, who had not spoken just now.
In fact, Yang Ping is thinking that in order to compete for the Golden Knife Award, he must light up all the bone science and technology skill trees. This requires a lot of points, and there are still five months left, so he doesn’t know if he can do it.
He entered the system, checked the stage tasks, and helped Sanbo Hospital build the strongest orthopedics department in G city. He has achieved 60%, but it has been stuck at this progress, stalling, and there is still a 40% gap.<
/p>
Yang Ping also didn’t understand why 60% was achieved and how to achieve the other 40%?
If you complete this stage of the task, get 500,000 points, and light up the bone technology skill tree, you should be able to do it.
But how to complete the remaining 40%?
"Do you have confidence?" Director Han asked.
"Yes!" Everyone answered resoundingly.
"Xiao Yang, do you have any questions?" Director Han called the name.
Yang Ping said seriously: "It shouldn't be a big problem."
It shouldn’t be a big problem, so it’s no problem. Director Han is relieved.
Although he spoke calmly, everyone could feel his confidence.
Yang Ping has always been very devoted to medicine and is very serious and focused in his work. During this period of systematic training, it seems that his character and temperament have been deepened. This kind of serious concentration will make people appear extremely confident, a kind of unassuming self-confidence.<
/p>
The king crab was eaten and the meeting was over. Everyone had to do their own thing. Director Han returned to the director's office, and everyone stayed in the doctor's office to discuss. The excitement of signing up for the Golden Knife Award has not dissipated.
Dr. Jin poked his head around and saw everyone in the meeting. He made a gesture to say hello, but did not come in for fear of disturbing everyone.
"It's okay, you go ahead. I haven't been to the Department of Comprehensive Orthopedics yet. The department starts today, so I'll come over and take a look." Dr. Jin said.
Director Tian stood up: "Lao Jin, there's nothing to do. I'm just chatting. Come in."
Dr. King had some difficulty lifting something from the ground beside the door.
"You don't have any gifts for opening a medical school. This set of "Campbell's Orthopedic Surgery" was given to you by Xiao Lei and I, both in Chinese and English."
There were four books in a set, two sets totaling eight books. They were so heavy that it was difficult for Dr. King to carry them with both hands. He brought them to the office, then took them out one by one and put them on the table.
"Didn't your department send you a human skeleton?" Director Tian pointed to the one-to-one human skeleton in the office.
"That's Corey's, it's private to us, it doesn't mean anything."
Dr. Jin looked here and there: "It's nice here. It doesn't need to be decorated. It's ready-made."
Director Tian asked Zhang Lin to put the books on the bookshelf and show Dr. Jin around. The two of them have a good relationship.
Xiao Lei also arrived and complained: "Why is Lao Jin walking so fast? I told him that I had already changed clothes and was waiting for me, but I was not waiting for me."
Not long after, Fang Yan and Chen Xiaobo came over, carrying something in their hands. Zhang Lin took it and said, "Come here, don't bring anything else."
The two brothers said: "Here are some stethoscopes, percussion hammers, tape measures, and twenty pens. They are all high-end goods and are given to you."
Zhang Lin quickly poured tea for everyone.
Fatty also came, bringing with him a chubby young doctor, each of them holding a cardboard box.
When we got to the office, we put down our boxes.
"Who is this?"
Xiao Wu asked and immediately helped unload the boxes. I had never seen this young doctor before.
"Director Bai's graduate students have just finished their theoretical classes and are now going to clinical practice. They just came from Nandu Medical University this month. These are all seniors," Fatty introduced.
The young man shyly called him senior brother.
"A box of dry food snacks and a box of Luochuan apples are for you in case of emergency on duty. Can I help move them to the duty room?" Fatty pointed at the box.
"Leave it here, we can move it later." Xiao Wu asked them to sit down.
"Brothers, come and sit more often in the future. You're welcome! We are still a big orthopedic family." Yang Ping came over to chat with everyone.
"Old Ding, they will come later. When I just had the operation, they were still on the stage and asked me to give a message." Fatty narrowed his eyes into a thin line when he spoke.
"Brother Yang is now leading the team. If you have any lectures or studies, don't forget about us." Fang Yan picked up the tea.
"Everyone learns from each other." Yang Ping said to Fang Yan.
Director Tian walked around with Dr. Jin and returned to the office.
"Xiao Fang!" Director Tian greeted. Fang Yan and Chen Xiaobo used to be in his group, but now they are in Tan Boyun's group.
"Boss Tian, you have abandoned us now." Fang Yan joked.
Director Tian patted him on the shoulder: "This place has just opened and there are not many patients. When there are more patients, we will come over to help."
Fang Yan said happily: "I accept the call at any time."
Dr. Jin looked around and felt deeply: "Director Han has great foresight and thunderous tactics. When the Orthopedics Research Institute was opened and the Asian Orthopedics Summit Forum academic conference was held, our orthopedics department began to rise. It is said that there are many real guys in the Orthopedics Research Institute, including a German
3D printer?"
"That's right. How about I take you to see now? The software has been installed and debugged." Director Tian said.
Dr. Jin said: "No, we'll look at it later when it's listed. We have surgery in the afternoon, so let's go now."
Director Tian sent Dr. Jin off, and the others drank tea for a while and then left.
Yang Ping asked Xiao Wu to hang up the film again, and began to repeatedly study the MRI films of the newly admitted patient. He found a synovial-like signal in the lateral popliteal tendon tear. Even if there was any synovial signal in this place, there was only a little synovial signal, but this patient had a successful outcome.
Synovial signal of strips.
The image created by anatomical training is used to simulate the movement of the knee joint in the mind. There is negative pressure in the joint cavity. During movement, this excess synovial membrane is sucked out from the popliteus tendon hiatus and displaced to the lateral tibiofemoral joint space, forming compression.
When performing arthroscopic surgery, two small holes need to be opened so that the joint is connected to the outside world, the negative pressure disappears, and there is water pressure to expand the joint. In addition, the siphon effect of the popliteus tendon hole causes the synovial membrane to enter the popliteus tendon hole, and the natural joint
Microscopic surgery is difficult to detect and cannot treat. This is not a classic cause of knee joint compression at all, and there is no description of this situation in the book.
"Let's go see the patient again!"
Yang Ping took everyone to the ward again for a careful physical examination, confirming that the compression site was on the outside, near the popliteus tendon.
The medical history, physical examination and imaging are all supportive, and the diagnosis should be clear. The synovial entrapment of the right knee joint is rare, and the synovium is hidden in the popliteus tendon tear. No wonder the two surgeries were ineffective.
"Auntie, now we have figured out your condition. Your diagnosis is relatively clear. There is a synovial membrane hidden inside the lateral popliteus tendon tear. This synovial membrane is very cunning. When you walk, it will come out and jam the joint. You need surgery.
Then it hid in again, so it escaped both operations. We also performed an operation to get rid of it, and the symptoms were relieved." Yang Ping was calm and serious, and expressed clearly.
"Doctor, I believe you, please give me an idea." The patient saw Yang Ping's confident and focused temperament and was very convinced that he came here to solve the problem.
"We will arrange for you to have surgery tomorrow. It will be arthroscopic and minimally invasive. If everything goes well, you can be discharged from the hospital the day after tomorrow. Call your daughter over today and I will talk to her." Yang Ping told him that as a rule, the elderly have to call their children over for surgery.
Talk and sign.
"Okay, I'll make a call now. The two surgeries I had were both minimally invasive. The first one was done by Professor Gu in Annex 2, and the second one was done by Dr. Su in Annex 1. This time I
I feel like Dr. Yang is on to the point. You're not married yet, Dr. Yang, you're so young." The patient is a talkative, and he holds his cell phone while talking.
After explaining the condition to the patient, Yang Ping returned to the office to study the film.
Song Zimo pointed to the magnetic resonance film: "Are you saying that this abnormal signal is the hidden synovial tissue?"
Yang Ping nodded: "If you cut out the hidden synovial folds in the popliteus tendon hiatus, the problem will be solved."
"How much arthroscopy have you done?" Song Zimo has never seen him perform arthroscopic surgery.
Yang Ping said: "It's okay."
Song Zimo muttered, he said it was okay, but that was a lot.
"Director Han said this afternoon that he would take everyone to practice arthroscopy. Would you like to demonstrate it?" Song Zimo said.
Yang Ping smiled and said: "Aren't you afraid that I will hit you?"
"Cut!" Song Zimo raised his head.
Xiao Su sent us a WeChat message and we went to the canteen to eat together.
Both of them like silence and chose a remote location.
"Look, Su Yixuan in the operating room! Is she in a relationship with Yang Ping in the orthopedics department?"
"Yes, the relationship should be established, otherwise it would be so close."
"These two are a good match. Su Yixuan is beautiful, Yang Ping is talented, and he is a talented man and a beautiful woman."
"Look at Yang Ping, he really has an extraordinary temperament."
"You're interested in it too, right?"
"It's not even fun to look at. How can I compare to Su Yixuan."
A few young nurses were hiding in the corner, chattering away, and the canteen was a gathering place for information.
Xiao Su put a few pieces of beef into Yang Ping's bowl: "Are you free on the weekend?"
"You can do it if you say so!" Yang Ping said calmly.
Xiao Su pursed her lips and smiled: "Okay, let's go shopping on the weekend!"
