Soon, the patient got the medical card and came back.
Xiao Wu entered the computer outpatient system and prescribed a check list for the patient: anteroposterior and lateral radiographs of the left knee joint (standing position), and plain MRI scan of the left knee joint.
The computer showed that the queue for magnetic resonance examination was a week old. The patient was very anxious. Xiao Wu canceled the examination order and told the patient to go to a private imaging center called Quanxing. They can expedite the examination there and get the results on the same day.
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The boss of Quanying is a doctor of imaging who returned from studying in the United States. He is smart and has a strong family background. After returning from overseas, he became a boss instead of a doctor.
Invest in an imaging examination center in G city, called the Total Imaging Medical Imaging Center. We buy the best CT, MRI, and PETCT, and the business is booming after opening.
You have to wait a week for an examination in a big hospital, and another week for the report. If you go to a hospital to get it done, you can do it as quickly as you want.
Expedited, extra money! The report will be issued within two hours; ordinary within 24 hours; delayed, the price is cheaper, there is a discount, and the report will be issued after 24 hours, but it is faster than large public hospitals.
As long as you are willing to pay, you can get the results on the spot after the procedure. The price is very high, and a dedicated person will accompany you throughout the entire inspection.
Yang Ping has visited this imaging center and it is really good. The experience of waiting for the examination is also very good. It has online TV, a full range of newspapers and magazines, free coffee and drinks, and there are toy prizes for children who cooperate with the examination.
I heard that the patient can be discharged from the hospital in a day or two after the procedure. The patient is eager to have the examination done immediately and be hospitalized for surgery immediately. The family members push the patient to have a full-screen examination without saying a word.
There were no new patients yet, so Song Zimo took Zhang Lin and Xiao Wu to the laboratory to practice arthroscopy, and several trainees and interns also followed.
Yang Ping began to study Mr. Ning's condition again. All the puncture angles he imagined were not working, nor was the puncture path to complete the transforaminal scope. Either the tumor was blocking it or it was blocked by bone tissue.
The target is like an enemy hiding in the blind spot of the sniper's trajectory, and there is nothing you can do about it.
Since the imagined path cannot be completed through soft tissue puncture, what about puncture through bone tissue? Yang Ping used his imagination.
If the enemy is hiding in a thick corner and you can't hit it, just open a hole in the wall and let the bullet pass through the hole and hit the enemy.
This idea is very interesting. Yang Ping thinks it is feasible and the safest method, because as long as the puncture needle remains inside the bone before reaching the target, there is no need to worry about damaging the tumor's blood vessels.
Yang Ping tried to simulate the puncture process in his mind. The nerve roots come out from the intervertebral foramen formed by chest 1 and chest 2. It is best to puncture from the pedicle of chest 1, diagonally downward and inward, and pass through the bone of the pedicle.
tissue, and finally breaks through the bone tissue at the end and penetrates into the nerve sheath. As long as it enters the sheath, the subsequent operations will be much less difficult.
After Yang Ping perfected the plan, he went to the director's office to find Director Han and told him his thoughts.
When Director Han heard this, he was amazed! This plan is very good and coincides with what he just thought. Although the puncture is very difficult, it is safe. Even if it fails, it will not cause too much side damage.
As soon as he had this idea, Yang Ping had already come up with a mature plan, including the angle, location, depth, precautions, and puncture techniques.
This brat is very imaginative. Director Han said happily: "You will come with me for the general consultation in the afternoon. However, Director Kong just called me. The family has invited Professor Su Qingyun through entrustment. Professor Su will probably bring someone over."
, if it is determined that the plan is a highly selective nerve root block, the operation may be completed by the people he brings. Your idea is very good and very mature, but the puncture is very difficult, but the puncture path is all bone, so it is safe.
It has improved a lot, and even if it fails, it will not have much impact. Unlike puncture through soft tissue, if you make a mistake, it will damage the blood vessels and cause bleeding, which is troublesome. You will have to speak, exercise, and see the world when you wait for the next conference.
”
"I won't speak anymore. I'll go with you to listen." Yang Ping felt that this kind of scene was all about the senior director, and it was inappropriate for him to speak.
Director Han said with a straight face: "If you are asked to speak, just speak. If you are verbose, just tell me what you just thought. Don't be afraid. If you sit next to me when the time comes, you will represent me."
Yang Ping had been thinking about this patient's plan all morning. By lunch time, he would have forgotten about it if Su Yixuan hadn't called.
She had already packed the food and was waiting in the cafeteria. Yang Ping quickly went to the cafeteria after get off work.
Still in a relatively remote corner, Xiao Su handed chopsticks to Yang Ping and said: "I heard that there is a patient in Huaqiao Building who will have a consultation in the afternoon?"
"Yes, liver cancer is in the advanced stage and has metastasized throughout the body. The tumor has invaded the 2nd thoracic nerve root, causing severe pain in the chest. We need consultation and an analgesic plan. I have been thinking about this patient this morning and forgot to check your WeChat account." Yang Ping.
Talk while eating.
Xiao Su didn't care about Yang Ping's remarks: "It's okay. I know you must be busy. I'll come and prepare food first. I'll call you after I finish."
"We also invited several experts from other hospitals to come over. I will also attend a consultation in the afternoon." Yang Ping reported on the work situation.
Xiao Su smiled: "They are all directors, right? You are just a young doctor?"
"I don't know. Director Han asked me to go and have a look. There is a professor from the first affiliated school who is the chairperson of the Department of Orthopedics of our province. I want to experience the style of a great professor." Yang Ping wolfed down the food.
"Slow down, don't choke, is that enough? I'll help you with some more." Xiao Su said distressedly.
Yang Ping took the tissue from Xiao Su and wiped his mouth: "That's enough. I'll eat quickly. I'll go back and study this patient's plan again. It's really a bit difficult."
"It's not difficult. We won't invite experts from other academies. Director Han is well-known in the country, but we still want to invite experts from other academies. It shows that it is not only difficult, but also risky." Xiao Su Bang analyzed.
"You haven't forgotten what happened over the weekend, have you?" Xiao Su smiled and had two nice dimples.
Yang Ping was ashamed, if I didn’t mention it, I would have really forgotten it.
"Why are you nervous? Don't be afraid of forgetting. As long as I haven't forgotten." Xiao Su knew from looking at his expression that he might have really forgotten.
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Xiao Su put away the two metal dinner plates, cleaned up the garbage on the table, and wiped it with paper towels several times, as if no one had eaten at this table.
"I'll do it!" Yang Ping picked up the dinner plate, and Xiao Su followed.
"I'll answer the phone." Xiao Su's phone vibrated.
"Well, I'm busy in the afternoon and I don't have time. Um, um, um, I understand--" After saying a few words, Xiao Su hung up the phone.
When I was placing the dinner plates, I met Dr. Jin and he said excitedly: "Do you still remember the metal ion-reactive synovitis incident last time?"
Yang Ping said: "Remember."
"I came back for a follow-up visit. It's fine. Now the joints in my limbs are not swollen or painful, and I can play football. The patient's family was very happy and sent a pennant. This pennant should be given to you." Dr. Jin said. p>
"It's not for me, it's for the department, for everyone!" Yang Ping corrected.
After chatting with Dr. Jin for a while, Yang Ping and Xiao Su returned to the department.
I didn't fall asleep during the lunch break. I entered the system space and dissected dozens of experimental subjects to strengthen anatomy knowledge training. Now the brain's ability to compose pictures is still in its infancy and it can make pictures, but it is more difficult to build complex graphics. p>
Yang Ping tried to reproduce the graphics he constructed in the morning, and he was able to reproduce them, which shows that his memory has improved very quickly, especially the memory of graphics.
In the afternoon, the patient came back from the full imaging examination, and this patient was followed up by Xiaowu.
Xiaowu hung up the X-ray, and everyone felt their scalps go numb when they saw it.
It is densely packed with large and small particles, round and oval, at least hundreds of them. These are still visible, and some are not visible on X-rays, because cartilage is not visible on X-rays.
Xiaowu hung up the MRI film. Everyone was numb all over. The patient's son almost vomited and retched. He immediately ran to the trash can and squatted down to retching several times.
On the magnetic resonance film, not even a doctor can clearly see that there are hundreds of them densely packed throughout the entire knee joint cavity.
Synovial chondromatosis! Super serious synovial chondromatosis! Stand aside if you have trypophobia.
Xiao Wu took out his mobile phone to take photos, collect data, take photos of patients, and also take photos of images.
"Schedule the surgery tomorrow. Synovial chondromatosis, large and small, five hundred and four!" Yang Ping said.
