The iliac bone block is implanted to occupy the position of the 9th thoracic vertebra, restore the sequence of the spine, and correct the kyphosis.
In the future, the 8th thoracic vertebra and the 10th thoracic vertebra together with this iliac bone block will heal together and become a fixed whole.
This completes the second and third missions of spinal surgery, correction and stabilization.
Fix the anterior lateral steel plate, flush the surgical area, place a drainage tube, suture the surgical incision in layers, and close the chest cavity.
"You sewed the skin last time, are you going to sew it again this time?"
"This is a patient under my care!"
"Are you talking about martial ethics?"
"Let's sew together, can I give you half?"
"Stop arguing. From now on, whose patient's skin will be stitched, if two people stitch at the same time, it is easy to accidentally injure each other." Yang Ping scolded them.
Zhang Lin began to sew the skin proudly, holding the needle holder in his hand, using the force of his wrist, and turning his wrist slightly, the angle needle entered vertically into the skin and came out vertically.
"Tie the knot!" Zhang Lin urged.
Xiaowu was unwilling to give up, put the needle holder back into the sharp tool, turned the wheel, and started to tie the knot.
Yang Ping doesn't like to use sutures to sew skin during surgery. He prefers to sew manually.
Song Zimo recalled the surgery just now, and he was horrified if Yang Ping hadn't taken an extra step to explore carefully.
This patient will have to sit in a wheelchair for the rest of his life. Just such a small operation can change a person's destiny.
Doctors are really walking on thin ice, and a serious attitude is so important.
Seriousness comes from a high sense of responsibility and awe of one's own profession.
Although this condition is considered normal even if the nerve function has not recovered after the operation.
Decompression only creates conditions for nerve recovery, but does not guarantee that it will recover. For example, if an embolism occurs in the anterior spinal artery, nerve function cannot be restored and becomes permanent damage.
However, it is very difficult to explore the anterior spinal artery. This requires experience in spinal surgery and replantation of severed fingers. In fact, there are very few such doctors.
Professor Zhang Zongshun appears in the operating room, and he personally attends to the patients admitted to his outpatient clinic who have serious or complicated conditions.
"Professor Zhang!" Everyone greeted respectfully.
Professor Zhang nodded, walked to the reading light to watch the film, and asked Yang Ping: "Xiao Yang, how was the situation during the operation?"
"About 2,000 milliliters of pus was sucked out, and the spinal cord was severely compressed. The compressing substances in the spinal canal were removed, and thorough decompression was performed. The 9th thoracic vertebra was removed, the iliac bone block was implanted, and the anterior plate was fixed." Yang Ping respectfully said.
Report the operation status properly.
Professor Zhang adjusted his glasses: "There is no sign of embolism on the magnetic resonance imaging. It should have occurred after the magnetic resonance imaging. Have you explored the anterior spinal artery?"
"Investigated." Yang Ping accompanied Professor Zhang.
Professor Zhang pondered for a moment: "Very good, remember, the greater the ability, the greater the responsibility. Every operation must do your best. It is an operation for you, and the whole life for the patient——"
"Mr. Zhang, I remember." Yang Ping said respectfully.
"Tuberculosis was once thought to be far away from us, but in fact it is not. It is showing signs of coming back."
"The battle between bacteria and other pathogenic microorganisms and humans has never stopped. Humans have studied various drugs to eliminate them. They have tried their best to resist these drugs and avoid human killing. This confrontation is endless. Super bacteria are
Born out of this struggle."
Professor Zhang is always able to look at problems from a perspective other than medicine, such as from a philosophical perspective.
In 1882, German biologist Robert Koch discovered the tuberculosis bacillus, and mankind began to embark on a journey to conquer tuberculosis.
Later, inspired by cowpox, during World War I, the French bacteriologist Albert Camet and his assistant Jean Guerin developed the BCG vaccine to prevent and treat tuberculosis. Only then did humans be able to prevent this disease. In 1943, Ukrainian-American scientist Waksman developed the anti-tuberculosis drug streptomycin, and tuberculosis could be treated.
You must know that before this, tuberculosis was also an incurable disease and was regarded as "the number one killer of mankind".
Only by being able to both prevent and treat can humans truly conquer the monster tuberculosis.
The current rise of tuberculosis is largely due to the emergence of drug-resistant tuberculosis bacteria.
Superbugs are the toughest among drug-resistant bacteria.
Many people are contributing to the birth of superbugs.
When you have a cold and take anti-inflammatory drugs indiscriminately, you are doing your part.
Antibiotic management is now very strict, and a doctor’s prescription is required to buy medicines in pharmacies.
In the past, antibiotics were readily available in any drug store. It became a consensus that if you had a cold, you would need to take a few anti-inflammatory drugs. In fact, colds, also known as acute upper respiratory tract infections, are mostly caused by viral infections and do not require antibiotics.
"There are still patients waiting in my outpatient clinic. I'll go in first. This patient's neurological symptoms will recover more slowly. The recovery process will be parabolic. It will get worse at first and then gradually reduce. Please explain it clearly to the patient."
After saying that, Professor Zhang looked at Fang Xiaoyun's monitoring data again, asked the fat man a few questions, and left the operating room with his hands behind his back.
Yang Ping is also considering this matter. After the compression is relieved, edema will occur in the spinal cord and neurological symptoms will worsen. When the edema subsides, neurological symptoms will slowly recover.
After the skin was sutured, Zhang Lin used alcohol gauze to disinfect the surgical incision again.
"Fifth Brother, is it okay? This level?" Zhang Lin was very satisfied with his work.
"It's still a little short of heat, I'll sew it for you next time." Xiao Wu didn't buy it.
The dressing was applied to cover the incision and the operation was successfully completed.
Recovery from anesthesia was quick, and Fatty’s estimation of the operation time and control of the amount of anesthetic drugs were very accurate.
"Fang Xiaoyun, wake up, the operation is finished."
The fat man shouted loudly to Fang Xiaoyun, the suction device cleared the secretions from the airway, and the tracheal intubation was successfully pulled out.
"Doctor, will I be paralyzed?" Fang Xiaoyun's first words after waking up.
It's not just her, everyone is afraid. As long as she lies on this bed, there is no one who is not worried. There are also people who worry about whether they can wake up if they lie down.
"The operation went well. Please recover slowly after the operation." Yang Ping comforted Fang Xiaoyun.
"Give her standard anti-tuberculosis treatment after surgery."
"We have asked the infectious disease department to consult and provide a plan."
Fang Xiaoyun exits the operating room, and her good colleagues have been waiting.
"Doctor, how was the operation?"
“Very smooth!”
"Thank you!"
A colleague carried a backpack and followed the cart: "Don't think about anything. Just rest and recover. I'm taking a few days off to take care of you."
This sister is really nice. It’s not about making many friends, but about her true feelings.
"You sisters are pretty good. In what unit do you work?" Zhang Lin asked colleague Fang Xiaoyun.
The girl blushed immediately, as if she was embarrassed to say it, and hesitated for a while before saying: "It's a very formal foot bath center, not that kind of-"
She could have made up an answer at will to avoid other people's speculation, but she didn't.
They wash the feet of customers and perform foot massages. They are people living at the bottom, and they also have their own dignity, their own lives, and their own friendships.
"It's good. Foot bath actually requires a lot of knowledge. You need to know the acupoints on the feet, right?" Yang Ping helped her resolve the embarrassment.
"Yes, regular massage of the acupoints on the feet can play a role in health care, especially for people in sub-healthy conditions." The girl said confidently.
Fang Xiaoyun has not joined the chat because she lacks energy after surgery.
"A few days after the operation, the symptoms of numbness and weakness in the lower limbs will worsen and then gradually decrease, so you don't need to worry too much." Yang Ping told Fang Xiaoyun and her colleagues.
I explained it before the operation, and I emphasize it again now to avoid causing panic.
We had two surgeries today, which were very good. After bedtime, everyone returned to the doctor's office.
"Would you like to get together on the weekend? It's been a long time since we got together." Song Zimo suggested.
Yes, it’s been a long time since the brothers sat down to have something to drink together. Even if you don’t drink, a drink will do.
"You arrange the location." Yang Ping was not familiar with these.
Song Zimo suggested: "There is a bar in the city recently called Nianfeng. I heard it is very popular, but I have never been there. Let's go and check it out."
"If you haven't been there, just go and give it a try. I've heard of it too." Xiao Wu also heard of this bar.
"Just go here and I'll be the host. Everyone has been working hard lately." Yang Ping decided on the spot.
