Director Gao finished the operation, feeling less confused and more understanding.
He knows in his heart that this is more rewarding than studying anywhere. There are not many doctors in the country who can do multi-ligament reconstruction of shoulder and knee joints well, and he will be one of them in the future.
Taking advantage of Yang Ping's free time now, Director Gao decided to ask him to guide more surgeries. If he is busy in the future, he will not be able to climb this big tree even if he wants to.
"Director Gao, I still have a few surgeries going on over there. I'll go back first." Yang Ping greeted Director Gao and prepared to retreat.
Director Gao hurriedly threw the finishing work to his assistant. He tore the strips, took off the disposable surgical gown, and followed him: "I'll give it to you. I gained a lot today. I have a better understanding of the starting and ending points of these ligaments.
, there is a big difference between single ligament reconstruction and multi-ligament reconstruction. Balance adjustment is really a superb technical job."
"Now that you have basically mastered static balance adjustment, you still need to work harder on dynamic balance. Think about the data I gave you when you have time. Don't follow those data rigidly, but look at those data in a related way. Why does a ligament start and end?
Change a little, and everything else will change, and the secret lies inside." Yang Ping helped him summarize his current study situation.
"Thank you, Teacher Yang!" Director Gao was very grateful to Yang Ping for his unreserved attitude.
This call of Teacher Yang was sincere and involuntary. Yang Ping was stunned for a moment and joked: "Don't call me like that. Just call me old. Just call me Doctor Yang."
"Okay, let's call you Dr. Yang. A capable person is a teacher. If you hadn't taught me step by step, I would have had to catch the mouse by myself. I haven't even gotten started with multi-ligament reconstruction yet." Director Gao, this is not a compliment. Multi-ligament reconstruction
, many doctors say it can be done, but it only involves transplanting the tendon. It has no practical function after the operation. It is like taking an exam. You can finish the test paper, but the score is only 20 or 30 points.
There are only about ten doctors in the country who can really pass the multi-ligament reconstruction of shoulders and knees. There are only a few doctors who can achieve good scores. There is only one doctor who can achieve such high scores as Yang Ping. p>
"I'll go to other operating rooms. You can go back. Don't be too polite. We're all on our own. If you need anything, please call me anytime." Yang Ping felt that Lao Gao was very motivated and was willing to teach him.
"Then I'll send it here and you can go around on your own." Director Gao waved his hand.
Yang Ping saw that there were not many people in an operating room of the spinal surgery department and wanted to go in and take a look.
Recently, he has participated in bone disease surgery training in the system space, many of which are related to the spine, such as lumbar disc herniation, cervical spondylosis, etc.
The operation hasn't started yet. The patient is under anesthesia. His expression is very painful and his facial muscles are almost distorted.
The patient's X-rays, CT and MRI were hung on the reading lamp. Director Qin and his subordinate Dr. Wen were watching the X-rays and discussing the key points of the operation.
Dr. Wen is also a famous person in Sanbo Hospital. His full name is Wen Zhong and his nickname is Taishi. He is specialized in business and has a slovenly appearance. He often has a chicken coop on his head and talks while walking. However, his IQ is absolutely high and he has many hobbies.
Guang Guang, proficient in all kinds of chess and calligraphy, a chess competition was held in the hospital, and he and Song Zimo fought fiercely, but they had no choice but to meet a genius. Song Zimo always beat him by a narrow margin, and a bunch of retired old directors were surrounding him. Some people could see it directly.
Take nitroglycerin.
Yang Ping also came over to take a look. The intervertebral disc in 1/2 of the waist was prolapsed. It was a free type. A piece of the intervertebral disc fell into the spinal canal. It was quite large, almost half the size of a thumb. The spinal canal was severely narrowed and the nerves were squeezed.
Dr. Wen turned around, saw Yang Ping, and immediately introduced the condition: "This patient is a male, thirty-five years old, a taxi driver, admitted from the emergency department, with severe pain in the inner left thigh. The pain is unbearable. The patient is rolling on the bed. Morphine was injected intramuscularly.
, intravenous infusion of mannitol and glucocorticoids, and no wool, so we had to give him emergency surgery."
The so-called lumbar disc herniation does not mean that the disease is diagnosed when a lumbar disc herniation is seen on a radiograph. Only when there are related symptoms, such as low back pain or leg pain, can a lumbar disc herniation be diagnosed.
Lumbar disc herniation can sometimes be very painful. Yang Ping has seen a muscular man crying out for his mother because of the pain of lumbar disc herniation. This is--low back pain is a minor illness, but the pain is very deadly! About 90%-95% of patients with this disease can be treated conservatively, and only 5%-10% of patients require surgery. The proportion of surgery is very small.
Which ones require surgery? For example, if it causes inability to defecate and urinate; leads to a decrease in sensation and muscle strength in the lower limbs; has obvious waist and leg pain, and formal conservative treatment is ineffective for half a year, seriously affecting work and life, these need to be considered for surgery.
Nowadays, minimally invasive spinal surgery is developing very well. Young people with simple lumbar disc herniation can generally undergo minimally invasive surgery to remove the herniated disc. Only the elderly with spinal instability will consider major surgery and pedicle insertion.
Screws are used to perform intervertebral bone graft fusion.
"I'm going to do a transforaminal endoscope, remove the free intervertebral disc, and then remove the remaining intervertebral disc in the lower half." Director Qin also saw Yang Ping and told him his surgical plan.
The intervertebral disc is a disc cushion structure between the vertebrae. It usually plays a role in buffering stress. There are 5 lumbar vertebrae. Generally, lumbar disc herniation occurs in three segments: lumbar 5/sacral 1, lumbar 4/5, and lumbar 3/4. Like this patient, intervertebral disc herniation that occurs between the waist 1/2 is very rare. The spinal canal here still contains the spinal cord. You must be very careful when performing a transforaminal endoscope.
After the anesthesia was successful, the patient was positioned in a prone position specially designed for spine surgery. The patient was in a prone position, lying on the shelf. Dr. Wen led someone to brush the hands and prepare sterilization and draping.
"How are you doing? Do you have any suggestions?" Director Qin asked Yang Ping for his opinion.
Director Qin felt that he absolutely couldn't do it like Gao Yuan did, groveling for advice, but it was still possible after discussion.
"Director Qin is an expert, and I am here to learn." Yang Ping said modestly.
This kind of surgery is not difficult for a spine surgery expert. As long as the positioning is accurate, the intervertebral disc can be found after entering the foraminal scope, take it out with a nucleus pulposus forceps, and then appropriately remove some of the remaining intervertebral disc in the lumbar 1/2.
The operation was successful.
Yang Ping made an appointment with Xiao Su to eat in the canteen at noon. He didn't have time to watch the operation. He said hello to Director Qin and left the operating room.
Passing through the lobby of the surgical building, Luo Jin's promotional video, after several revisions, was finally finalized and played on a loop in the halls of several buildings in the hospital.
The appeal of art is extraordinary. The scenes of Luo Jin sweating, combined with the music, are very infectious, interpreting the spirit of love, hard work and perseverance.
After a series of shots, the last shot was of Luo Jin shooting, and then a few shocking words appeared in the background of the screen: We let you move on---Sanbo Hospital Sports Medicine Center!
It’s so exciting. The purpose of propaganda is to plant an idea into people’s brains, then continuously strengthen it, and finally make you have a sense of trust in it.
Who directed this promotional video? He really understood the essence of the promotion. After Yang Ping watched it himself, he immediately felt that the Sports Medicine Center of Sanbo Hospital is trustworthy!
Many patients stopped and watched the promotional videos on the big screen. Some young people were familiar with Luo Jin's treatment and took out their mobile phones to take pictures and record videos.
Luo Jin fell down several times in the face of pain and illness, but stood up again and became more courageous as he fought. He is a horse on the football field. Compared with other players, his background is not rich. He is an orphan and was adopted by a physical education teacher.
, and then step by step towards today, it is not easy.
"Did they perform Luo Jin's surgery?"
"Yes, I heard that you can participate in the competition in June this year."
“It’s really amazing!”
"I thought he went abroad for surgery."
"Our Chinese doctors are no worse than foreign doctors."
Several young people were discussing, and one of them had already sent the video he had just recorded to a friend. The friend had a ruptured anterior cruciate ligament in his knee and was hesitating which hospital to go to for surgery.
Dean Xia and his entourage were walking through the hall in a hurry. He was checking the signage of the Sports Medicine Center. When he saw Yang Ping, Dean Xia took the initiative to say hello: "Xiao Yang!"
"Dean Xia!" Hearing his loud voice, Yang Ping reacted and had just been focusing on the promotional video.
Dean Xia glanced at the screen: "How is it? Is the shooting okay?"
"Very good!" Yang Ping praised.
Dean Xia is very proud: "He is a passionate director from a top student from Peking University and a top-notch star in the country. There is nothing wrong with his performance. Xiao Yang, whenever he has any ideas or difficulties at work, he always puts them forward in a timely manner. If there are any problems at home that need to be solved by the hospital,
You can also bring it up and we will provide you with logistical services."
"They're all very good." Yang Ping truly felt that Director Han and Dean Xia treated him well and provided all the necessary conditions.
Dean Xia was very busy. He chatted with Yang Ping for a few words, then hurriedly passed through the lobby and the group got into the elevator.
He arrived early, and there were not many people in the canteen. Xiao Su had already prepared the food and was waiting for Yang Ping. The two of them sat in the corner, eating and chatting.
Halfway through the meal, the phone rang. Dr. Wen from the spinal surgery department said it was the patient who had just been on the operating table. After positioning, the transforaminal microscope went in and saw that there was no free intervertebral disc. The intervertebral disc was missing? Damn it!
Wrong positioning? Wrong segment?
This patient does not have sacralization of the lumbar spine, nor lumbarization of the sacral spine. He has a normal spinal sequence, no variation, and the possibility of misalignment is almost zero. He is an experienced veteran who has seen strong winds and waves. Not to mention Director Qin, Dr. Wen is also a veteran.
With good hands, it is impossible to make such a low-level mistake.
But if you call at this time, you are asking for help. If someone says that the intervertebral disc is missing, then it means it is really gone, otherwise I would not have called so rashly.
The situation of rescuing Taiwan was extremely urgent. Yang Ping hung up the phone, took a few bites of the food on the plate and stuffed it all into his mouth.
"Spine surgery, Director Qin's patient is undergoing surgery. The transforaminal scope entered the spinal canal. The prolapsed intervertebral disc has disappeared. I want to go and have a look." Yang Ping put down his chopsticks.
Xiao Su helped put away the tableware: "Shall I go with you?"
She is also very interested and wants to follow Yang Ping to see how the intervertebral disc disappears.
"I really like going to consultations and surgeries with you, but I'm embarrassed because I'm afraid others will say I'm clinging to you." Xiao Su said with a blush.
"Let's go and have a look." Yang Ping decided to take her with him.
"Wait for me, I'll put the tableware down." Xiao Su held the dinner plate.
