"Ding dong, the task is completed, the nerve root sheath puncture was successfully completed, the patient's pain was relieved, and there were no side effects. The reward is 16,000 points."
The points have increased from 15,000 points to 31,000 points, and I have some savings in my hand.
After seeing the patients, on his way back to the department, the system announced that the task was completed.
Nowadays, the tasks are getting more and more difficult. Unlike before, if you complete a street rescue, you will get a gift package.
The lights in the laboratory are still on, and Song Zimo is practicing arthroscopy alone.
Yang Ping went in and found a chair to sit down. Song Zimo turned around and said, "Why don't you go back and rest? Zhang Lin and Xiao Wu also practiced for an hour and then went back."
"Arthroscopic scissors not only require separation training, but also rhythm training, just like throwing a ball, one ball, two balls, three balls, throwing and catching in a cycle, and mastering the rhythm!" Yang Ping watched him continue.
I was spinning the grapes, and the grapes slipped away as I spun them around.
Song Zimo stopped and listened carefully.
"First become proficient in turning grapes, and then while turning and shearing, break down the movements and practice them one by one. After you are proficient, you can practice stringing them together again." Yang Ping instructed Song Zimo.
If Song Zimo realized something, he immediately changed his practice method, broke down the movements and practiced them separately.
"I wonder if Director Han will let us be the chief surgeons in the Golden Sword Awards?" Song Zimo asked worriedly.
After all, there are deputy chief physician Tian Yuan and chief physician Tan Boyun above them. Director Tian is in his thirties, and Tan Boyun is under forty-five, so they all meet the age requirements for the Golden Knife Award.
"The attending physician who won the Golden Sword Award can also perform the surgery. Director Han should give us the opportunity." Yang Ping analyzed.
Song Zimo is very familiar with the Golden Knife Award: "Attending physicians usually participate as assistants, and those who compete for the award as chief surgeons are very few and rare in each session. To participate as chief surgeons and perform level 3 and 4 surgeries, two fellow doctors are required.
Signed by professional chief physicians, one inside the hospital and one outside the hospital. Su Nanchen has been promoted to deputy chief physician, and Wen Rentao has also been promoted to deputy chief physician."
Yang Ping stretched out: "Do you want to defeat them?"
"You don't want to?" Song Zimo asked, and stopped the arthroscopy training in his hands.
Yang Ping shook his head lazily: "I don't want to, it's boring, but Director Han said it wouldn't be a bad thing to win an award."
Song Zimo watched Yang Ping say this casually, as if the award was easy to win.
"The surgery for the synovial chondromatosis patient is scheduled?" Yang Ping thought of tomorrow's surgery.
Song Zimo started training again: "It's arranged. Now it's very convenient for us to schedule surgeries. One row over here. Just make a call and go to the operating room upstairs. Xiao Su will arrange it. Zhou Can is also here. There will be two people at work tomorrow."
It’s a lot more convenient, one device, one tour.”
"Practice hard, will you be able to do all categories?" Yang Ping asked.
Song Zimo nodded: "You should be fine, right?"
Yang Ping snapped his fingers: "The time has come to prove your talent."
"There has never been an attending doctor who could win an award? But I want to try." Song Zimo's ambition has never been extinguished.
"Then let's make an exception starting from us!" Yang Ping stood up, yawned, and left.
Song Zimo was left alone in the laboratory in a daze. Yes, let's make an exception from this session on. Song Zimo clenched his fists.
Entering the system space before going to bed has become a required course every day. It is more punctual than washing your face and brushing your teeth. This time is the most suitable for training.
Last time I trained on knee arthroscopy. This time Yang Ping wanted to practice shoulder arthroscopy, so he used 12,000 points to go to the system mall and purchase 600 shoulder arthroscopy surgeries, including rotator cuff repair, acromion plasty, and Bankart.
Injury, SLAP injury, labral injury and other surgeries.
There are more than 19,000 points left. Every time you get points, you will be in a hurry after purchasing the training package.
Looking at the stage tasks, the completion rate has increased by several percentage points, and the progress bar has also advanced a little. Will today's puncture add points to this task?
It should be like this. Today's puncture was approved by Professor Su, which naturally increased the reputation points of the team.
Yang Ping understood that as long as he did every job well, he would not only gain points and increase experience, but also directly or indirectly add points to stage tasks.
This is the reason why personal goals and team goals are consistent, and personal growth is combined with the development of the platform.
No one is alone, and no one can succeed alone.
The next day, the aunt who had a weak knee joint and leg was discharged from the hospital. Even her things were packed during the ward rounds.
She was very happy that it only took forty-eight hours to go from being unable to walk to walking as fast as flying.
"I want to help you promote it well, so please take care of my friend." The aunt was still thinking about the friend she introduced.
"Doctor Yang, you already have a girlfriend, otherwise I will introduce you to a girlfriend, a very good girl, in——." Auntie is so enthusiastic.
"Mom!" The patient's daughter stopped her mother.
"Introduce me, auntie!" Zhang Lin joked.
"You have a girlfriend, lie to auntie." Auntie is very smart.
"How can you be so sure?" Zhang Lin asked with a smile.
The aunt pointed at the collar of her shirt: "Your shirt collar is so clean after being washed, so you don't look like someone who doesn't have a girlfriend. You're probably getting married soon."
Sherlock Holmes made everyone laugh.
Patients with synovial chondromatosis prepare for surgery after ward rounds.
"Don't you all have trypophobia? If you do, avoid it!" Yang Ping announced before the stage started.
For this kind of patient, if the enchondroma is removed later, those with trypophobia will be very uncomfortable, and those with severe reactions may even vomit.
Zhou Can adjusted the height of the three-liter bag of saline and said, "Even if there is, everyone must be immune. I have a classmate who is also an operating room nurse. He used to faint from blood and faint from injections, but now nothing happens. We work all day long.
, all I saw were the internal organs and intestines, and I couldn’t even faint even if I wanted to. Last time during oncology surgery, a tumor was taken out from the abdominal cavity, weighing dozens of kilograms, and cut open, and it was like red flesh.”
When Yang Ping came back, Song Zimo and Xiao Wu had already laid out the order.
Xiao Su organized the various pipelines in an orderly manner, tied them with a tie, and restrained them above the knee joint.
Water inlet pipe, suction pipe, optical fiber, camera transmission line, electric planer wire, plasma knife wire, four wires and two tubes, all kinds of pipelines are not entangled in any way, and the reserved length is just right.
Preoperative check, raise the surgical limb, use sterile blood-driving tape to drive blood, inflate the computerized airbag tourniquet, and the operation begins.
"Those who are afraid of secrets should avoid it!" Yang Ping reminded again.
A sharp knife makes a 0.5 cm incision in the lateral knee hole. A blunt puncture awl with a sheath is inserted into the intercondylar fossa of the knee joint. Straighten the knee joint. The puncture awl enters the suprapatellar bursa. Move it left and right to confirm that it is in the suprapatellar bursa.
.
When moving the puncture cone, there is an obvious friction sound, like chopsticks stirring a pot of peanuts.
Exit the puncture cone, insert the articular lens from the sheath, and connect the water inlet pipe.
The field of vision was completely white and nothing could be seen.
Under the impact of the running water, the white things were squirming and rolling. They were all round cartilage tumors, white and smooth. Because there were too many, they were gathered and squeezed together.
Wow, Zhang Lin, Fatty Liang and Zhou Can opened their mouths and exclaimed at the same time. It was so dazzling that they instantly gave rise to goosebumps all over their bodies.
It is no longer possible to conventionally use needle puncture to locate the medial approach.
The sharp knife made another small opening in the inner knee hole, and the puncture awl went in with the sheath.
"Metal basin!"
The metal basin has been handed over and placed under the inner sheath, and the puncture cone is withdrawn.
Wow! Some small enchondromas actually flowed out along the sheath. They were all caught by the metal basin, and some even jumped up.
Boom! The bottom of the metal basin was quickly covered with white cartilage tumors. After a while, half of the metal basin was piled up. They were all relatively small, as big as sago, and densely packed.
Slowly, it stopped flowing out, because the sheath was blocked by a large block.
After the sheath was withdrawn, Xiao Su handed over the nucleus pulposus forceps, which are the best tools for removing loose bodies under arthroscopy.
When removing loose bodies under the microscope, you can only take them out one by one. The crystal baby that Song Zimo often trains can be put to use at this time.
"Would you like to try it?" Yang Ping handed the nucleus pulposus forceps to Song Zimo.
Song Zimo has already mastered these surgeries, and now he wants to follow Yang Ping to improve his surgical skills, so he is willing to be an assistant to see how Yang Ping does it.
"You do it, and I'll help you with your legs and learn from you." Song Zimo said.
Yang Ping inserted the nucleus pulposus forceps, and every time he pulled them out, he would pick up a white enchondroma and place it in a metal basin.
Each time, without missing a beat, I reached in, caught one, pulled out, put it in the metal basin, and repeated this action.
Pick out one, a few, a dozen, dozens, the numbers keep rising--
Yang Ping clamped the enchondroma, and never failed, and never needed to be repeated.
A metal basin could no longer accommodate it, so Xiao Su replaced it with a metal basin.
The circular field of view on the screen slowly opened up, and you could see enchondromas accumulating in various joint spaces, with some moving around under the influence of running water.
The knee joints of the human body can actually hide such dense peanuts.
Zhou Can's whole body was numb and he felt like millions of ants were crawling in his internal organs.
The entire knee joint was occupied by dense peanut-like enchondromas. More than 300 tumors were removed, and more than 200 tumors remained.
"Zhou Can, are you okay?" Fatty Liang looked at Zhou Can who looked bad at the side.
Xiao Su also asked with concern: "Zhou Can, go out and take a rest."
Zhou Can shook his head and took a deep breath: "I have goosebumps all over my body now. It's okay. Just take it slow."
"Aren't you immune?" Zhang Lin saw that she was still confident just now.
Zhou Can said: "Dozens of kilograms of tumors have been immunized. I have never seen hundreds of these, and I feel so panicked."
This is indeed very rare, and chondromas continue to be removed.
The operation was very fast. After removing one area, another area was removed. Finally, the posterior and lateral chambers were also cleaned, and then the entire knee joint was inspected from beginning to end. No residue was found under the meniscus and inside the synovial folds.
Use the probe to hook it and squeeze the lateral recess.
It was confirmed that it was gone and a normal knee joint cavity was exposed.
Yang Ping cleaned the knee joint, removed the proliferated synovium, and repaired the degenerated and torn meniscus.
The two metal basins were filled to the brim, and the height exceeded the edges of the metal basins.
This is all taken from one knee joint, it’s incredible.
Five hundred and twenty-seven! More than the MRI showed.
The smallest one is as big as a sago, and the largest one is bigger than an adult’s thumb.
"Shall we show it to the patient and family members later?" Zhang Lin took a photo.
"Communicate with them in advance and ask for their opinions. If you don't want to read it, forget it. It will make you uncomfortable." Yang Ping explained.
Last time, the patient didn't dare to look at himself because his son was about to vomit.
Zhou Can stared at the two metal basins, seeing those white, smooth and oval things piled up like a mountain.
"Still watching, are you desensitizing?" Zhang Lin blocked Zhou Can's sight.
"Let me watch it more and I won't do it next time. It's quite exciting." Zhou Can said
