On Monday, Luo Xiaohu was discharged from the hospital. The family was happy, and Luo’s father was still humming a song.
At 8:30 in the morning, Hermes finally had the surgery she had been waiting for for several months.
There is no highlight in this surgery. For Yang Ping, who has a strong foundation in traumatology and orthopedics as a routine surgery, there is no difficulty in this kind of surgery. However, the treatment time is long and the entire treatment requires a systematic engineering concept.
Yang Ping was the surgeon. Before anesthesia, Professor Zhang entered the operating room and greeted Hermes to reassure him. This greeting made Hermes feel at ease.
Before that, I had not seen Professor Zhang. He refused to take anesthesia, leaving the fat man at a loss. It was not until he saw Professor Zhang that he accepted the anesthesia with peace of mind.
The operation went very smoothly and the whole process took less than half an hour.
Retain about five centimeters of healthy bone tissue at both the proximal and distal ends of the right tibia. Cut off the infected bone tissue in the middle and a portion of healthy bone tissue at both ends, which is a full 30 centimeters, and throw them away.
The defective part is temporarily filled with calcium sulfate containing vancomycin, and the proximal and distal five centimeters are cut off from the middle and pulled from the fracture site. The pulling starts after two weeks, one millimeter per day, from both ends to the middle.
Slowly the bones are lengthened, and finally they are joined in the middle, and a full-length tibia is restored.
The bone tissue that grows is healthy and has no bacterial infection. Just like a tree is eroded by termites, it is very difficult for you to completely remove the termites. If you saw off all the parts eroded by termites together with the surrounding normal wood, it will not work.
This completely solved the termite problem.
Chronic osteomyelitis, an infection of bone tissue, is more troublesome than termites invading trees. The bacteria are scattered and hidden in the bone tissue, and it is difficult for antibiotics to reach them, so they cannot be completely removed. If you remove a part, the symptoms will be slightly better, and the remaining bacteria will divide.
The infection proliferates to a certain scale, and the symptoms of infection appear again, so it is repeated and difficult to recover.
Thanks to Ilizalov, his miraculous technology not only allowed countless people to save their limbs, but also made it easier to correct deformities that were previously difficult to correct.
The building of medicine is built brick by brick by pioneers like Ilizalov. It is unknown how much bitterness, blood, tears, and grievances there are.
Due to the political reasons of the Cold War, he did not win the Nobel Prize. However, the glory of this country doctor no longer needs any award to prove it.
Geniuses and pioneers are always misunderstood and lonely.
Semmelweis, who revealed puerperal infection, was ridiculed and opposed by the world at the time, and finally died alone and desolately in a mental hospital.
Among the four cornerstones of modern surgery, one of which is disinfection, Semmelweis has made great contributions. It can be said that he single-handedly withstood the exclusion and suppression of the entire medical community, and tragically opened an era.<
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After the operation, Hermès's right calf was like a mechanical limb. It was filled with steel needles and equipped with circular rings. The steel needles and rings formed a bracket, responsible for the extension of the bone.
Back in the ward, Hermes was very excited, as if his years of heartache had been resolved. He kept holding Yang Ping's hand: "Thank you! Thank you! Thank you!"
Then he asked Professor Zhang, and Yang Ping told him that Professor Zhang was in the outpatient clinic on the first floor. He was very busy and took time out of his busy schedule to go to the operating room to guide the operation.
Hermes clasped his fists: "It's a great kindness that cannot be expressed in words!"
Professor Zhang started outpatient service on the first floor of the Comprehensive Orthopedics Department this week. In just one morning, he admitted six patients, three to the Comprehensive Orthopedics Department and three to the Huaqiao Building.
I received a patient from the comprehensive orthopedics department, a Southeast Asian Chinese, with avascular necrosis of the femoral head, late stage III, who did not want to replace an artificial joint, but wanted hip-preserving treatment, so he came to Professor Zhang because of his reputation; a retired athlete with an old anterior cruciate ligament rupture;
A little girl, nine years old, with osteosarcoma.
It turns out that Professor Zhang only needs one morning outpatient service per week. Now he has applied to the hospital to go out five mornings a week, from Monday to Friday. This way, Director Han and Director Tian are completely freed up, especially Director Tian, who can deal with it specially.
Professor Zhang received VIP patients.
Yang Ping takes everyone to check the ward and see the newly admitted patients.
The child with osteosarcoma, female, nine years old, has been to many hospitals and was hospitalized in Imperial Union Hospital and Nandu Affiliated Cancer Hospital respectively. She has had two surgeries. The pathological examinations of both surgeries showed that they were osteosarcoma and they were in the advanced stage. PET-
CT whole body scan showed metastasis of multiple organs throughout the body. The child is very sensible, has good academic performance, and won the first prize in the National New Concept Essay Contest.
Before the ward rounds, Xiao Wu told Yang Ping in the office: "The child doesn't know she has a malignant tumor yet. Her family asked her to keep her condition a secret. Her parents only told her that she had several fibroids on her body and that she would need to be treated for a long time.
She has good talents, so she has to be patient. Also, her family has little money left. She has sold her house, all her valuables, and raised funds online. She has borrowed money from relatives and friends, but she can't borrow it now.
Money, relatives and friends are not answering the phone now, but her parents don't want to give up, even though they know there is no result, they still don't want to give up, so they find Professor Zhang and make it clear that they are at the end of their rope and want to find cheap ways to let their children live longer.
Professor Zhang said to collect it first, pay the fees first, and think of a solution later."
"Old man Zhang specializes in this kind of thing. Last time, the worker asked you to solve the problem for 3,000 yuan. How could you solve the problem for 3,000 yuan? In the end, he had to say hello to the operating room and save some money to get it done. He always makes things difficult for others. He is a Bodhisattva.
, I'm not, I'm a commoner, I want to eat and drink. In order to buy a house, I don't even dare to eat takeout. I order it once in a while, and I only dare to order it for ten yuan. Damn it, the sliced meat in it is better than the minced meat in instant noodles.
Not enough." Zhang Lin was very dissatisfied.
"Zhang Lin, don't be such a businessman. What do you mean by saying this?" Xiao Wu saw that Zhang Lin was really angry and immediately held him down.
Zhang Lin retorted unceremoniously: "He doesn't know. He's not a first-aid doctor. The money he owes will be deducted from the doctor's account. When this patient is admitted, there will be a pile of bills again. I'm a marketer. What's wrong? You go to the supermarket."
, if you pay a penny less, will they let you take your things away? That patient in the spine surgery room stayed for free for half a year, but he didn’t see any of his family members. The family members started making trouble when they came, extorting money. They are still making trouble now, doing charity? Let Jack Ma
I’m not qualified to do what those people do.”
"Zhang Lin!" Xiao Wu shouted to stop him.
Yang Ping waved his hand: "Let him complain, it's okay!"
"I'm sorry, senior brother, I just expressed my feelings." Zhang Lin blushed, complained, and became angry.
Yang Ping comforted him: "Don't worry, everyone. If you really owe money by then, I will find a way and I will not let everyone down."
"I'm not saying I'm going to lose my temper because I'm deducting money. It's not right to deduct anyone's money. No one's money is hard-earned hard-earned money. Why did the hospital set this rule? It's not the doctor who evades the emergency rescue fee and has to deduct it. Xia
The director is so open-minded and does not cancel this rule. If there is no such line, you can default on the fees at will. Sooner or later, the hospital will close down and everyone will go drink the northwest wind." Zhang Lin became excited and his body language was very rich.
Xiaowu patted him on the back and helped him calm down the anger.
Yang Ping took a deep breath and nodded: "Understood, don't mention the cost during each ward round, and don't mention the word "tumor". Let's all have a unified voice and do the ward rounds!"
When I went to the ward to see the little girl, she had two pigtails. There was no trace of sadness on her immature face, and she always maintained an innocent smile. She was typing on the computer.
"Little sister, are you studying?" Yang Ping teased her.
She raised her head, shook her pigtails and said, "I'm learning to write in English."
"So awesome!" Yang Ping deliberately looked over, but the little girl blocked it with her hands.
I don’t know what I typed on the computer. It doesn’t seem to be English or Chinese Pinyin. It may have been typed randomly.
"Wow, you can write in English." Xiao Wu said deliberately surprised.
Her father then said: "She has good English, and we don't understand English either. She learned it in school."
Yang Ping neither asked about the medical history nor did a physical examination, he just chatted with her.
When she left the ward, her father followed her. Yang Ping gestured to the office: "Go to the office and wait for me for a while."
Yang Ping continued his ward rounds. The Southeast Asian patient was from Singapore and Chinese. He had avascular necrosis of the left femoral head. He had reached the third stage and needed an artificial hip joint. Because his Malaysian relatives visited Professor Zhang’s clinic in China.
He felt very good and recommended him to go to China to find Professor Zhang to seek hip-preserving treatment.
His Chinese is very good and fluent. He said that he has been educated bilingually since he was a child. He can speak both English and Chinese. Chinese has the same simplified characters as Chinese, so whether it is Chinese conversation or reading, there is no problem at all.
The retired athlete is a basketball player. After retiring, he usually made a living by coaching primary and secondary school students in basketball. He didn’t know that his anterior cruciate ligament was broken. In the past year, his left knee joint was obviously unstable and wobbly when walking. He went to the hospital for treatment.
The MRI showed that the anterior cruciate ligament was ruptured. He heard that Professor Zhang from Sanbo was very serious and responsible, so he came here because of his reputation.
"This patient's anterior cruciate ligament has been ruptured for a long time. From the magnetic resonance imaging, the intercondylar notch has been severely deformed. It is estimated that there was a fracture and malunion at that time. Before the operation, CT scans and three-dimensional reconstructions of both knees were completed."<
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Yang Ping told Xiao Wu, and Xiao Wu wrote it down.
After the ward rounds, he returned to the office. The little girl's father sat and waited. When he saw Yang Ping coming back, he stood up and said, "Sorry to trouble you. We have no choice but to cause trouble to you. Our situation has been reported to Professor Zhang and Professor Zhang."
Dr. Lu said, I am really, really unwilling to give in - I am trying to figure out the money matter." The father's eyes were moist and his expression was haggard.
Yang Ping comforted him: "You have tried your best. Just try your best on many things. Not every goal can be achieved. This is the case for everyone. There are goals that cannot be achieved and heart-wrenching regrets. This is life!"
He said this as if he has an insight into life, which is a bit inconsistent with his age. Perhaps it is because he has stayed in the system for too long.
After work, Professor Zhang came over, found Yang Ping, and said sincerely: "This patient's family has been emptied out, and he really has no money. The child is very sensible. I want to give her some hope. I will take care of the expenses."
Well, it won’t affect you.”
After simply explaining a few words, Professor Zhang left with his hands behind his back. He is old and walks a little hobblingly.