After the Lantern Festival, Yang Ping's parents wanted to go back to their hometown. Yang Ping asked the two elders to stay for a while, but they refused.
The health station at home has been closed for nearly a month, and people in the village have to go to neighboring villages to see a doctor, which is inconvenient.
Yang Ping and Xiao Su drove their parents to the high-speed rail station. When Lao Yang and his wife came over this time, they saw that their son had achieved great results, had surgery abroad, found such a good girlfriend, and was satisfied with his career and love. The old couple felt very special.
I am relieved that the child has really grown up and has his own world. You can't disturb the child too much.
After sending his parents away, Yang Ping felt melancholy in his heart. Xiao Su held his arm and snuggled next to him to comfort him.
During this period of time, Xiao Su spent time with her parents. Xiao Su was courteous and considerate. Her parents were very happy. Thinking about having such a good wife in the future, Yang Ping felt at ease and sweet.
Returning to the hospital, another day of intense work begins. The dual material and spiritual stimulation makes everyone feel full of energy to work.
Life is like this. Only when you have solved the problems of oil, salt, sauce and vinegar can you be qualified to talk about poetry and distant places.
"Fifth brother, I am preparing for pregnancy recently and I need to be exposed to radiation. Please help me." Zhang Lin was in good spirits. He rarely used the cooling oil and essential oil in the drawer recently. He held the radiation meter in his palm and looked at it.
Yes, hang it in the pocket of your white coat.
Orthopedic surgeons often use C-arm X-ray machines and are exposed to a certain amount of radiation. Radiation meters can monitor the amount of radiation received.
"Really or not? Didn't you say that you don't plan to have children in the near future? Are you full and warm?" Xiao Wu was a little doubtful.
Zhang Lin was in a good mood: "Such a sacred thing as reproducing offspring has become so dirty and superficial in your mouth! This is the economic basis that determines the family strategy. The current economic strength can afford milk powder and diapers, so it is natural to adjust the family strategy. I and I
You are different, we use scientific family planning, and yours is a by-product of midnight impulse."
"No wonder Zhang Lin, you have fewer acne on your face recently. Could it be that the decrease in acne on your face is a byproduct of midnight impulse? Go to the operating room as soon as possible after the rounds. Don't waste time. Brother, go to the large operating room to guide Director Gao's surgery. We will do the surgery today.
Done, there are a few simple ones. You are the surgeon. Did you review the surgical procedures yesterday?" Song Zimo urged the two of them.
Director Gao admitted another patient for quadruple knee reconstruction. This patient was a professional athlete. The anterior and posterior cruciate ligaments of his right knee were ruptured, and the posteromedial and posterolateral structures were also ruptured. For every such operation, Director Gao would invite Yang Ping in advance.
, let Yang Ping come on stage to guide the operation.
Before Yang Ping published his paper, he taught Director Gao the surgical methods in the paper. Director Gao studied hard and performed more than a dozen similar surgeries. Under Yang Ping's careful guidance, he mastered the surgical methods and gained some insights. p>
Now, Director Gao is doing complex multi-ligament reconstruction of the knee joint and has caught up with his senior brother, Guan Sheng from the attached 1st hospital. If he accumulates more cases, he will be able to surpass him in time.
Lao Gao now maintains a very low profile, completely ignoring the age gap and treating himself as Yang Ping's student. At this time, he is performing an operation.
Yang Ping, wearing a surgical gown, stood aside and watched. At every key step, Director Gao had to ask a few questions to make it clear.
A three-liter bag of saline is hung at a height of 1.5 meters above the ground and injected into the knee joint cavity through the connected water inlet pipe.
In laparoscopic surgery, sometimes specific gas or liquid is injected into the surgical cavity in order to expand the operating space.
Laparoscopy often uses carbon dioxide gas to expand the abdominal cavity and increase the operating space, commonly known as pneumoperitoneum.
Arthroscopic surgery uses liquid such as saline to expand the joint cavity to make the operating space as large as possible to facilitate observation and surgery.
Director Gao has good learning ability, and he tried his best to imitate Yang Ping during the entire operation.
Entering the joint cavity, checking various structures in the knee joint, confirming that the anterior and posterior cruciate ligaments are ruptured, and asking the assistant to start weaving the allograft tendon.
For knee ligament reconstruction, your own tendons are the best, and your own tendons are also called autologous tendons.
However, multi-ligament reconstruction requires a lot of tendons, and it is difficult to use your own tendons to meet the needs, so it is more appropriate to use allogeneic tendons.
Allogeneic tendon is also called allogeneic tendon. It is a human tendon, but it belongs to someone else. It is taken from the donor's corpse, undergoes special processing, and is stored in a special warehouse. It can be taken out when needed.
There is also a type of allogeneic tendon, which is animal tendon and is not currently used in medicine.
When locating the tibial insertion point of the anterior cruciate ligament, Director Gao turned around and asked, "Dr. Yang, could you please help me check if this position is accurate?"
It’s not that Director Gao doesn’t know positioning, but he needs to be precise and achieve personalized positioning. He must ask Yang Ping for advice. He now wants to pursue high-quality surgery, just like an exam. He is not satisfied with sixty points, but strives for eighty points.
Ninety points forward.
Yang Ping took a look and found that the location was very good. Director Gao only dared to drill the tibial tunnel with Yang Ping's approval.
After the tibial tunnel is opened, the plasma knife burns a dot on the lateral wall of the femoral intercondylar fossa.
"If you want to find the geometric center of the ligament footprint, you must be able to identify the difference between the bone surface in the footprint area and the non-footprint area. This difference is very subtle and requires extensive experience to identify. This is the best positioning method. Other positioning methods,
For example, bone spine positioning, stump positioning, and two-step positioning all have certain errors, and it is impossible to accurately locate the geometric center of the original ligament footprint." Yang Ping made no reservations. If you teach one more person about medical skills, you can save more patients.
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"Every time I do cruciate ligament reconstruction, I follow your method to find the geometric center of the ligament footprint. Now I have some insights. Look, is this the footprint area? The bone surface is a bit rough compared to the surrounding area." Director Gao used a probe.
The needle outlines the range.
"Yes!" Yang Ping confirmed the range he drew.
A deputy chief physician who was observing the practice suddenly realized that Lao Gao had been going to the comprehensive orthopedics department in the past few months. It turned out that he had stolen from his master, and his level was now several steps ahead of everyone else.
After Yang Ping's paper is published, many doctors will improve the level of multi-ligament reconstruction, but that method is a popular version. In order to make it easy for everyone to master, the popular version needs to be simplified. Naturally, it is not as powerful as the advanced version taught by Yang Ping himself. Director Qin of the Spine Surgery Department has also been standing nearby. He took the time to learn from Director Gao.
Seeing Director Gao's scene, I finally understood why Director Gao's technology has advanced so rapidly recently and he has been carrying out difficult surgeries one after another. It turns out that he climbed the big tree of Yangping.
In the past, if you were an elderly person, you didn't pay much attention to function and could do this kind of surgery just for appearance. If you were a professional athlete, Lao Gao would never dare to do it. Now, he dares to do this kind of surgery for professional athletes.
This guy is also highly regarded by Director Han. Everyone thought that the director of the sports medicine center that was about to open would be parachuted in, but no, the position of director was left to Lao Gao.
The status of the General Department of Orthopedics in Sanbo is already equivalent to that of a hospital within a hospital. The departments below it are called centers, which have the same status as other centers in the hospital, and have much higher power and treatment than the directors of general departments.
At present, only Tan Boyun has this kind of treatment in orthopedics, which is called a central subspecialty. Lao Han has decentralized all powers, and the hospital has also given many privileges, which is equivalent to a prince.
Look at Tan Boyun, he can decide who he wants to introduce; he can make his own decision if he wants to introduce equipment; he can even make his own decision on core performance distribution. He has autonomy over all people, property and property, and the whole hospital is envious of these princes.
But not everyone has the strength to be a prince. You must have the ability to bring out a team of talents, expand your business, and seize academic high points.
Director Qin was ashamed. Lao Gao looked like this now. He treated a young man as a teacher and asked him to guide him for an operation. He nodded and bowed. It was a bit embarrassing. He definitely couldn't do it.
Yang Ping is very powerful, but Lao Qin has such qualifications that he cannot do it no matter what, bowing his head to a young man who is twenty years younger than himself and recognizing him as a student.
But the attraction of the princes is very strong, not only the income, but also the status, the status in the hospital, the academic status in the industry, it is contradictory, Director Qin is very conflicted.
"Doctor Yang, what do you think about this point?" Director Gao was very sincere.
Yang Ping took a closer look: "Yes, let's open the tunnel at this point."
Listening to this tone, Dr. Yang was no different from Teacher Yang. Director Qin's face felt numb after hearing this.
Director Gao's anterior cruciate ligament reconstruction has been completed, and now he will start posterior cruciate ligament reconstruction.
"Director Gao, the sets of arthroscopic equipment you applied for have arrived, and the equipment department has debugged them. When will you try the new equipment?" The head nurse of the operating room came in.
"Tomorrow's surgery will use new equipment. Why hasn't the new plasma knife arrived yet?" Director Gao was a little dissatisfied.
The princes are the kings of one side and have autonomy in everything. Such grandeur!
"It should be here soon. You applied for it, so how dare they delay it," the head nurse explained.
The people in the equipment department are like uncles. If the director is an ordinary director, they will not take it seriously at all, and they will prevaricate and do Tai Chi.
When the directors of these centers urged them to do things, they really didn't dare to neglect them.
After all, it is still power. The director of the center is a member of the hospital committee and holds the votes in his hand.
According to the system of Sanbo Hospital, those votes can remove the director of the equipment department. When several center directors meet and a few votes are put together, the director of the equipment department will be expelled even if he is dead.
Who wouldn’t want to be a prince in this kind of hospital?
