Yang Ping put the tie into the drawer of his desk, and the business card was still there.
He took a look, closed the drawer, and took the time to see the child with osteosarcoma, Sisi.
"Sisi!" Yang Ping knocked on the door. His mother seemed to have gone back to make breakfast, but she hadn't come yet.
Sisi was doing her homework, the exercises for the Mathematics Olympiad, and she put away her homework.
Yang Ping said: "You are so diligent in studying."
Sisi was very embarrassed: "I haven't gone to class for a long time and I have missed a lot of homework. Sister Tang Fei tutors me every afternoon. This is the homework she assigned yesterday. I have to finish it before 5:30 pm. She will come after get off work." Check."
"Come on!" Yang Ping encouraged her.
She clenched her fists and made a cheering gesture: "Yeah!"
"Can you talk to me about my condition?" Sisi looked expectantly.
Yang Ping said naturally: "It's just a few fibroids, don't be nervous."
"You are the most powerful doctor, but you seem to be very cautious about these fibroids. Are you encountering a difficult problem?" Sisi stared at Yang Ping, peeking at the answer behind.
"No matter how small a problem is, you must handle it carefully. This is called treating a small matter with a heavy weight. Doctors must never underestimate the enemy." Yang Ping explained to her.
The child doesn't understand, so she can only use white lies to hide the cruel truth so that she can live happier for the rest of her life. She is a poor child, a flower destined to wither prematurely.
"Your eyes betray you, you are lying!" Sisi relaxed her gaze.
Yang Ping did not dare to look at her: "You made a mistake this time. Doctors never lie to their patients. What doctors face every day are objective facts."
Sisi looked away: "Thank you! I think it must be me who is wrong. You will not lie to me."
"Do you have any older brothers or sisters?" Yang Ping changed the topic and talked to her about life.
"No! My grandparents wanted my parents to have another brother, but my parents refused, and they had a fight." Sisi's eyes flashed with a clear light.
"What about you?" Sisi asked Yang Ping.
"I am also an only child, so that's fine. Your parents' love for you will be yours alone." Yang Ping saw the loneliness in her eyes.
Sisi shook her head: "No, I don't think so, you don't understand--"
What a funny kid. He said something you didn’t understand and made Yang Ping so amused that he didn’t know how to keep chatting.
Okay, let's go to the operating room.
Yang Ping said goodbye to her: "I have to go to work, and you have to continue studying. Our happy chat is over."
Yang Ping and Sisi high-fived each other. When they were leaving, Yang Ping clenched his fist and said, "Come on!"
In the operating room, Song Zimo is taking Tang Fei, Xiao Wu is doing surgery, Zhou Can is the instrument nurse, and Xiao Su is the traveling nurse.
"Doctor Yang, good morning!"
"Nurse Su, good morning!"
"Prepare your seat!"
"As you command!"
Xiao Su adjusted the height of a simple operating room chair and put it aside. Yang Ping sat down.
"How is it? Is the operation going well?" Yang Ping asked.
Song Zimo is undergoing anterior cruciate ligament reconstruction. He has a deep understanding of the anatomical center of the ligament footprint. Although he cannot get it right in one go, he can always find the true center of the footprint after repeated measurements and searches several times.
It is not easy to find the anatomical center of the ligament footprint, the real anatomical center. This is the basis for reconstructing the ligament to maximize its function.
The plasma knife is cleaning the synovial membrane and ligament stumps in the intercondylar fossa, with pleasant dripping sounds, blisters caused by vaporization, and brown marks left during high-energy vaporization.
Plasma knife, also called radio frequency vaporization technology, is an epoch-making tool for arthroscopic surgery. This instrument does not use thermal energy to cut, but is a low-temperature decomposition technology that uses a strong radio frequency electric field in an electrolyte liquid to break the target substance.
Molecular bonds allow substances to disintegrate and vaporize, turning them into simple molecules or atoms. The working temperature is 40-70 degrees Celsius. This temperature is better than the high temperature of the laser. Because of the low working temperature, it is also called a low-temperature plasma knife. p>
"I followed your method, and now I can distinguish the specificity of the footprint area. Look, this is the entry point of the tunnel that I marked with high energy using a plasma knife. Is the position correct?" Song Zimo insisted on training for two hours a day to keep his joints
The mirror is skillful and easy to operate.
Yang Ping stood up, approached the screen, and helped him look carefully at the browned spot: "It's great, this is the anatomical center of the footprint."
"I just saw Sisi again. Tang Fei is helping her with her homework? Thank you for your hard work!" Yang Ping mentioned casually.
Tang Fei is braiding tendons: "Because of this disease, she cannot continue to go to school. She has been studying by herself. I only take the time to tutor her for an hour every afternoon. This child is very smart and has a high IQ."
"Her third-level Rubik's Cube lasted 13 seconds, really, a genius." Song Zimo said.
Rubik's Cube Restoration, third level, no talent, no matter how hard you practice, it is usually difficult to break through fifteen seconds, but this kid actually achieved thirteen seconds, the level of professional eighth-level, which means Song Zimo is faster, more than thirteen seconds, already professional ninth-level
This is the level that with a little practice, you can participate in international competitions.
Song Zimo opened the tunnel very quickly, and Yang Ping seemed to be leading the way. He followed behind, and his surgical skills naturally improved quickly.
Several people chatted and performed the operation. The operation went smoothly. The tendon implantation was soon completed. Song Zimo flexed and extended the knee joint to check under the microscope whether the reconstructed front fork collided with the intercondylar fossa and whether it collided with the rear fork.
"Door nail!" Song Zimo retained the exposed tendon of the tibia and fixed it to the front surface of the proximal tibia with a door nail.
While chatting, the operation was completed. Song Zimo took out the instruments and prepared to suture the skin.
"Line 4?" Zhou Can asked.
Song Zimo said: "Take the No. 1 thread! Girls, use the thinner thread."
He took the needle holder with the needle and thread and began to suture the two small surgical incisions, as well as the incisions to remove the semitendinosus and gracilis muscles. After finishing, bandaging, and applying a brace, Xiao Wu sent the patient back.
The cleaning aunt comes in to deal with the surgical waste and clean it. After cleaning, it usually needs to be disinfected. It takes fifteen minutes before the next surgery can be performed.
This chapter is not over yet, please click on the next page to continue reading!
Zhou Can stayed behind to pack the instruments, and everyone moved to the operating room next door to rest.
The next procedure is arthroscopic debridement of knee osteoarthritis. Knee osteoarthritis is a common disease in the elderly. It is relatively mild in the early stages and the cartilage wear is not very serious. Arthroscopic debridement can be used, which is minimally invasive and effective.
Better.
Song Zimo said: "Many scholars now believe that arthroscopic cleaning is ineffective. What do you think?"
Yang Ping disagreed: "An article in the New England Journal of Medicine also said that there is no significant statistical difference between percutaneous vertebroplasty and placebo? Do you believe it? Evidence-based medicine is now respected. Yes, medicine is evidence-based science.
, but it is definitely not just evidence-based science, or because it is evidence-based science, it denies that medicine is an empirical science. This is effective. Statistics think it is invalid, but it is still effective."
"It makes sense. Many osteoarthritis patients have poor long-term results after microscopic cleaning, but the short-term results are good because the pain-causing inflammatory mediators are removed by washing, loose bodies are removed, and the torn meniscus is partially removed.
The cartilage damaged area can be trimmed, and microfracture can also be performed on smaller areas. After microfracture, although the regenerated fibrocartilage is not hyaline cartilage, it is better than nothing." Song Zimo also agreed with Yang Ping's point of view.
"After putting on clothes and gloves, your hands can only be placed in front of the chest, below the shoulders, and above the waist. They cannot cross the safety zone. Your hands can only touch the sterile area of the same level, and cannot touch other areas. Once in contact, or
Suspicious contact is defined as contamination!"
Zhang Lin brought the interns in. They had already washed their hands and made an arch with their hands, waiting for Xiaosu to open the sterile bag on the equipment cart to practice dressing them.
Xiaosu opened the outermost sheet of the sterile bag, and then used sterile forceps to open the packaging sheet inside, revealing the neatly stacked surgical gowns inside.
"Don't crowd, pay attention to the concept of sterility, don't contaminate." Zhang Lin saw that they were a bit messy and shouted.
"You are taller, over the shoulders, and there is a distance between the two of you--."
Zhang Lin corrected their positions and began to demonstrate how to pick up clothes and how to put on clothes: "Reach out your hands and pick them up. You must not touch other parts. You can only touch the clothes you want directly. Take them over, open them, and shake them gently."
, with the inside facing you, the collar facing up, and then gently tossing it, inserting your hands through the inner opening of the sleeves, when you get here, call the circulating nurse for help!"
Song Zimo happened to be closest to him and went over to help him tighten his clothes and tie his belt.
The students followed the instructions one after another. One student shook his clothes and his clothes fell to the ground. He bent down to pick them up.
"Hey, classmate, my voice is hoarse today, and I'm in vain. Can I pick up the clothes that fell on the floor?" Zhang Lin looked sternly.
The student immediately realized the mistake and stopped bending down. Zhang Lin said: "The instinct to bend down to pick up is because the awareness of sterility is not in place. The things dropped on the ground are contaminated. How can you pick them up and brush your hands again?"
Come again."
The student went out angrily and went to wash his hands again.
"Don't make such stupid mistakes. Remember, sterile, sterile, sterile. Say important things three times. If you still can't remember, go back to the ward after get off work and practice dressing me for a hundred times. All over." Zhang Lin lectured loudly.
The operating room over there is also ready. The patient has been brought in and the operation continues.
Song Zimo's speed is also very fast, and the operation has been very stable. In this way, several operations were completed quickly.
After the operation, everyone went back to the ward office. Xiao Wu was writing medical orders, the HIS system was a little convulsive, and Xiao Wu was pounding the table.
Zhang Lin explained to the interns the use of the HIS system and the writing of orthopedic medical records, but the system was out of control, so he could not explain it and asked everyone to have lunch.
Several interns were whispering about something. It seemed that a doctor in the pediatric department had been beaten. When he was admitted to the hospital, the doctor did not reduce the fever or give him anti-inflammatory drugs. He was slapped twice and kicked.
Pediatrics? Zhang Lin’s girlfriend is in pediatrics, so he naturally cares more than others.
Zhang Lin asked the intern who got the news: "The pediatrician was beaten, what is his name?"
The intern shook his head and said: "I don't know, it's a female doctor."
Zhang Lin was even more concerned about the female doctor, and his heart trembled: "Is the information reliable?"
"Reliable, our classmate is doing an internship in pediatrics. I just posted in the group that the family member of the attacker has been controlled by security. The hospital has called the police. The police are questioning him. I heard that he was slapped twice and kicked.
They were kicked to the ground and rolled over. Damn it, that family member is said to have a backing and is quite arrogant."
Zhang Lin grabbed the phone and called the pediatrician's office. It might be busy and no one answered. He called his girlfriend, but she didn't answer either. He said to the intern: "Can you ask the name of the doctor who was beaten?"<
/p>
"Here is a video, take a look." The intern handed over his phone. There were several videos in their intern group, taken by different people.
The intern clicked on the video in front of Zhang Lin. Damn it, isn't this her girlfriend? She was kicked away and slapped twice. The slaps were so hard that her face was swollen.<
/p>
A rush of blood rushed to his forehead. Zhang Lin stood up abruptly, took off his white coat, threw it on the desk, and rushed out the door without saying a word. Xiao Wu wanted to go out and catch him, but failed.
, ran out, stopped at the door, took off his white coat, and threw it on the chair.
What happened? Yang Ping asked the interns. The interns shook their heads: "I don't know. Teacher Zhang rushed out after watching this video. He looked very scary."
"What video?"
The intern showed the video to Yang Ping again and told about the beating of the pediatrician. When Yang Ping saw it, no wonder he rushed out. The person who was beaten was his girlfriend. Watching the video, it was so bad. The doctor was explaining to the patient. What it meant:
If the temperature is below 38.5 degrees, you can leave it alone for the time being, observe it, take blood tests, and consider viral infection without antibiotics.
Without saying a word, the patient slapped her face twice, followed by a kick to the lower abdomen, causing him to fall directly to the ground, almost touching the back of his head.
"Let's go, follow!" Yang Ping immediately rushed to the pediatric department with Song Zimo. On the way, he called Director Han to report urgently. Director Han was in the administration building and rushed over immediately.
Zhang Lin rushed over running, and Xiao Wu ran behind him. When he reached the elevator of the internal medicine building, Xiao Wu caught up with him. Zhang Lin didn't say a word, breathing heavily, and you could see the rise and fall of his chest.
"Zhang Lin? Zhang Lin? Calm down!"
Zhang Lin still didn't speak. He used his hands to tidy up his hair. His eyes were red, like a crazy bullfight. It looked a bit scary.
"Zhang Lin! Zhang Lin!--" No matter how Xiaowu called him, there was no response.
Xiao Wu answered the phone: "We are waiting for the elevator, now go to the pediatric department."
The elevator opened, Zhang Lin got in, and Xiaowu followed. Seeing Zhang Lin's appearance, several people inside couldn't help but lean towards the corner inside, and one of them came out early.
