On Monday afternoon, Li Jingshu was very punctual and brought her mother over to find Yang Ping.
Mrs. Li's right shoulder joint was in pain for more than a month. She couldn't lift it, especially above her head. Every time she lifted it, it hurt like tearing. The pain was worse at night than during the day. She couldn't sleep from tossing and turning, and she relied on sleeping pills to fall asleep.
and painkillers.
He was diagnosed with frozen shoulder in the Rehabilitation Department of the Traditional Chinese Medicine Hospital. He has been undergoing physical therapy, and the director personally performed manipulation and acupuncture, but it had no effect. He relied on painkillers to relieve the pain slightly.
Restricted movement in the overhead position and pain in the neck and shoulders at night! With these two obvious characteristics, Yang Ping was already 70% sure that this was a rotator cuff injury, not frozen shoulder. In fact, frozen shoulder
, this is a diagnosis facing elimination.
The vast majority of shoulder joint pain is caused by rotator cuff injury. After Yang Ping asked about the medical history, he examined Mrs. Li and conducted several special tests on the shoulder joint, especially those for rotator cuff injury, the pain arc test, the impact test, and the upper arm test.
Do the drop test and so on. After doing it, you can basically be 100% sure that the rotator cuff is injured. To cure it, you must undergo shoulder arthroscopic surgery.
In order to save time, Li Jingshu had asked Director Zhuang to help with the billing, and took her mother to do an MRI of the right shoulder joint. Just in time, the film came out, and Director Zhuang came in with the film, a little out of breath.
Director Zhuang put the film on the reading light, and Yang Ping looked at the MRI film. Sure enough, there was a long strip of high signal in the position of the rotator cuff. In agreement with his own judgment, not only was the rotator cuff torn, but the acromion was still Bigliani type three, and
It is a hook shape. This hook shape is most likely to collide with the rotator cuff. The rotator cuff in middle-aged and elderly people has already begun to degenerate. Coupled with this repeated impact and wear, the rotator cuff will be broken, causing tearing and pain. In the past, there was insufficient understanding of this disease, coupled with the lack of effective diagnostic methods, most people diagnosed it as periarthritis of the shoulder, and the treatment effect was poor. In the past two decades, with the development of magnetic resonance and arthroscopy technology, it was originally thought that periarthritis of the shoulder was
Many inflammatory diseases have been re-understood, diagnosed clearly, and the natural treatment effects have become very good.
"This is the medicine prescribed by the doctor." Li Jingshu took out the medicine packaging box.
Yang Ping took it and looked at the non-steroidal anti-inflammatory drugs, which obviously irritated the stomach: "Don't take this drug for a long time, it can easily cause upper gastrointestinal bleeding. It is best to take it together with stomach-protecting drugs.
”
"Auntie, you have a right rotator cuff injury and you need shoulder arthroscopy to cure it." Yang Ping said, seeking truth from facts.
When Mrs. Li heard about the operation, she was a little scared: "Oh, it's so serious that you need surgery? But it's true, I did a lot of physical therapy, but it was useless."
Mrs. Li has a wide range of medical options, but she still lacks enough trust in Yang Ping. After all, she is young, but this precious daughter pestered her to see Dr. Yang, so she had no choice but to follow her.
"Dr. Yang is very good. She said it was a rotator cuff injury, that's it. It won't be cured without surgery, so why don't we do surgery?" Li Jingshu encouraged her mother.
Mrs. Li didn't know whether to laugh or cry. This daughter could easily take matters into her own hands with such an important matter like having her mother undergo an operation. It's not wrong for Mrs. Li to agree, and it's not wrong not to agree.
"I was admitted to the hospital and underwent physical therapy for more than a month. The pain became more and more painful. Don't wait. I performed the surgery in the hospital. Arthroscopic surgery was very easy. Just make a few small holes and the surgery was done, right? Dr. Yang
." Li Jingshu made the decision for her mother.
Director Zhuang was on the side, but Mrs. Li didn't agree, and he couldn't say whether to hospitalize her until they could discuss it.
"I have to discuss the surgery with your father. Is it okay to wait?" Mrs. Li asked Yang Ping.
Yang Ping told her: "It doesn't matter if you wait. It's not an emergency surgery, but try not to delay it for too long. If it's too long, the scope of the tear will continue to increase."
"Is the operation complicated?" Mrs. Li wanted to know about the operation.
"Punch a few holes and suture the torn rotator cuff under arthroscopy. Once it heals, it won't hurt anymore." Yang Ping explained simply.
"Dad is so busy, I called him to tell him that we can't delay it any longer."
"Don't worry, Mom, think about it, think about it, it won't be too late to come back to the hospital, don't worry."
Li Jingshu pouted. Director Zhuang helped pack up the MRI films. Mrs. Li stood up and said, "Thank you, Dr. Yang. I'll think about it and ask Jingshu to contact you then."
"No problem, you can contact me at any time." Yang Ping turned off the reading light.
Although she still lacks enough trust in young people, Mrs. Li is still very satisfied because Yang Ping judged his condition very accurately.
Yang Ping sent them to the elevator. Before leaving, Yang Ping said to Li Jingshu: "Thank you!"
She just smiled: "It takes a little effort!"
---
"Yang Ping is really awesome!"
The out-of-hospital consultation application form in Director Zhao's hand was fluttering around in his hand. He had read it several times, leaning on the chair and using the light from the window.
"Last time, Annex 1 invited him for consultation. This time, we invited him directly for surgery. The flying knives flew to Annex 1. It seems that this guy is really a character." Director Zhao was very happy. After being the director of the Medical Department for so many years,
I have never seen a surgery request form with attached one and two attachments. I sent it out by myself and it floated out like snowflakes.
He picked up his mobile phone and dialed Director Han's number: "Old Han, where are you? When will you return to the office? Okay, prepare the Longjing. I'll come over. A good thing, of course it is a good thing."
The clerk waited for Director Zhao to finish the phone call and said: "Director, Dr. Yang is really amazing. Even the First Branch asked him to perform surgery? He is not a relative of the First Branch, right?"
"Relative? It's okay to treat you to a meal. I'd like to invite you to a consultation or surgery. My son has a relationship with me and I won't invite you to do it. I'd like to invite someone to do the surgery casually. If I want to invite you, it's also a top expert in the industry in the imperial capital.
Niu, and then invite world-class masters, foreigners."
Director Zhao rubbed his hands: "Han Jiangong has a vicious eye. This guy submitted his resume to the Human Resources Department before. There was a shortage of people in the Emergency Department, so the Human Resources Department transferred him to the Emergency Department to apply. It is said that Han Jiangong was cut off halfway. I was confused.
Why is he so accurate in judging people? You see, the few people he recruited are better than the others. Tianyuan was recruited from West China. He is good at scientific research and surgery. He is a senior in his thirties and is as stable as a cow in his own right.
,What is that?"
"Song Zimo, director!" the officer reminded.
"Yes, Xiao Song, recruited from the devil's capital. This boy is evil. He can perform surgeries in just one visit. He is in his twenties and was trained by Han Jiangong. He can even successfully remove scoliosis and spinal tumors.
The first two graduated from prestigious schools, so it's understandable that they were chosen. But this Yang Ping, I think, only has a master's degree and graduated from a very ordinary medical school. How come he was chosen by Han Jiangong? You say, Old Han
Do you know how to read faces?" Director Zhao touched his head.
The clerk said mysteriously: "I heard that there is a book called "Ma Yi Xiangfa". I think Director Han must be proficient in this! Otherwise, how could he read every one accurately and never miss one? You see, the superiors wanted to transfer Director Tan to us.
Hospital, everyone disagrees."
The person who disagreed the most at the beginning was Lao Zhao. Director Zhao was very embarrassed. The director found out that he had said something wrong and refused to mention which pot. At that time, there was a meeting in the courtyard to study, and Lao Zhao was the first to object.
This Tan Boyun is arrogant and can't get along well with anyone. In Appendix 2 and Director Yu, they are at odds with each other, and they are so arrogant that they don't even talk to each other.
Coming to Sanbo, a person like this, coming to Sanbo, is either a troublemaker or a dynamite bag. It would be strange if he didn’t make Sanbo Orthopedics a mess.
However, when Tan Boyun arrived at Sanbo, he actually treated Han Jiangong with respect and made the Department of Microtrauma and Orthopedics very prosperous. The number of patients was increasing day by day. Now, the Department of Traumatology and Orthopedics is second to none in G City.
"In terms of looking at people, not only am I not as good as Han Jiangong, I dare say that no one in Sanbo is as good as him, and Dean Xia is not even half as good." Old Zhao waved his hand, not feeling embarrassed.
"I'm going to drink tea with Han Jiangong, and I'll take him to Longjing by the way, haha." Old Zhao was very happy.
Zhang Lin was telling stories about his detention in the doctor's office, foaming at the mouth, surrounded by Fatty, Xiaowu, and several trainees and interns.
Everyone's eyes were as wide as bull's eyes, similar to when they were listening to Liaozhai when they were children, and their expressions kept changing with Zhang Lin's speech. Zhang Lin is very eloquent.
Yang Ping and Song Zimo were also sitting far away, listening to him dancing with joy.
He said that there were everyone in there, just in that room, people who stole motorcycles, people who sold Mark Six lottery tickets, people who gambled, people who fought, people who drove under the influence, and there was also a boss who drove a Mercedes-Benz S-class, and he could chat with Zhang Lin. This boss
My brother and his lover went out to rent a house and were bumped into by the police during a prostitution raid. They asked him what his lover's name was. He was short-circuited and didn't tell her, so he was arrested as a prostitute.
Zhang Lin scolded him: "You're so fucking stupid that you don't even know your lover's name?"
The old man was stunned and said: "I have so many lovers, one, three, five, two, four and six are different, and they have to change every Sunday. There are so many, can you remember their names? Can you remember them if I change them?"
Zhang Lin said: "Are you selling Viagra?"
It made everyone laugh again.
"There is also a black guy, an international friend, who was sent in at night. Everyone talked to him in Chinese. He was like an idiot, so I talked to him in English, and like an idiot, what language did this guy speak? There was a brother who
If you're anxious, you'll say, "You idiot, you didn't learn Chinese when you came to China?" It turns out that this guy speaks fluent Mandarin: They are all brothers in trouble, just chat, who are you scolding?"
Everyone laughed again.
Director Han sent Director Zhao away. Director Zhao was holding a can of tea in his hand, a good Longjing. He picked it up and looked at it from time to time. He walked lightly. He had been looking at this can of tea for a long time. Today he took a good opportunity and asked for it.
.
"Xiao Yang, come in!" Director Han called.
Yang Ping went in, and a consultation invitation with Appendix 1 was placed on the table. Director Han shook his head twice and said with a smile: "There is progress. Last time, I was in full strength. This time, I will jump directly to Appendix 1!"
Su Nanchen invited him to go to Fuyi Surgery, and Yang Ping slapped his head.
I just wanted to report to Director Han, but Zhang Lin made me forget everything.