It was already after five o'clock in the afternoon when Yu Shuilian's sutures were removed. When converted to American time, it should be about five o'clock in the morning.
Robert from the United States is very energetic. He either sends emails at 1 a.m. or at 5 a.m. This guy doesn’t need to sleep?
Yang Ping opened the email: Dear Dr. Yang, sorry to bother you again. I have used your surgical method to complete a multi-ligament reconstruction of the knee joint, and the effect exceeded expectations. Now, there is a special case among my patients, and I have completed it.
The case information will be sent to your email, please see the attachment. If you can, please give me some advice, thank you very much! Robert is in New York.
Since the review began, Yang Ping has communicated with Robert several times via email, and now he has sent case information. It seems that Lao Luo is also a serious technical geek.
Yang Ping generally prefers this kind of people. The screen of the mobile phone is too small and it is still inconvenient to view images and pictures. Yang Ping goes to the office computer to open the mailbox, downloads the file in the attachment, and then kills the virus out of habit. p>
The hospital information department has issued several notices on the intranet. Do not open emails casually, especially those from overseas. You must perform routine anti-virus before opening to prevent being infected by ransomware viruses.
Be careful. This is an email from the United States. It is better to use anti-virus.
The computer is connected to a professional electronic screen for reading, and the magnetic resonance images are very clear. This is a very rare case of a five-year-old boy with knee joint injury and multiple ligament ruptures.
In the system space, Yang Ping has performed many such operations, many more bizarre than this one. This kind of case is considered an extremely common case in the system space, but in reality, Yang Ping has never encountered it.
The difficulty of this case is that he suffered multiple ligament ruptures in the knee joint. At the same time, he is a child who is still growing and developing. The multi-ligament reconstruction surgery itself is very difficult. In addition, since he is a child, the difficulty is compounded.
Children are not little adults. Children's bodies are in the process of growth and development and have their own characteristics. Children of different ages have different characteristics. Children's surgeries cannot be viewed as smaller versions of adults.
For a five-year-old child, the entire operation must not damage the epiphysis, otherwise the knee joint and even the left lower limb will develop developmental deformities.
The adult epiphyseal line has long been closed, and there is no such thing as an epiphysis. When adults perform this type of surgery, whether it is tunneling of the tibia or femur, there is no need to consider the epiphysis. If children's surgery is performed according to adult surgical methods, the tunnel will pass through the epiphysis.
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Therefore, when performing this kind of surgery on children, the starting point and ending point of the ligament cannot be placed in the original anatomical position. The position must be changed, bypassing the epiphysis, and placed in a special position.
In this way, the starting and ending points of the ligaments are changed, and all anatomical data about normal ligaments cannot be used. In this special case, it is very difficult to simulate normal ligament function.
The surgically implanted tendon simulates normal ligament function, not only to obtain initial stability, but more importantly, to take into account its future growth and development trends.
After the tendon is implanted, it is dead for a period of time, and activation takes time; after activation, the growth rate of the ligament does not match the growth rate of the knee joint for a long time; after this mismatch period, it enters the matching period.
The stability at this time is the ultimate stability.
The growth of this ligament is not linear for a long time to the growth of the knee joint, and the relationship is very complex.
If these are not taken into consideration, after the operation, the knee joint will return to an unstable state soon after, requiring a second operation to adjust the ligament tension; after the adjustment, I don’t know when the stability obtained by the operation will be lost again, and another operation will be required.
Performing the third surgery.
Endless surgeries until adulthood are unable to achieve satisfactory surgical results; during this terrible process, instability has quietly had a negative impact on the growth and development of the knee joint, and it is permanent.
This is also the reason why Robert, a master of sports medicine, has been unable to come up with a satisfactory surgical plan.
There are also very few medical devices and implants for children's sports medicine on the market. There is only one American company making such products - OrthoPediatricS, the only company in the world that focuses on children's orthopedic implants.
In China, there is currently no sports medicine equipment for children. For Yang Ping, the problem lies in medical equipment and consumables, not technology.
"Dr. Robert, congratulations on the success of your first surgery. I have studied the case information you sent. This case requires surgery as soon as possible. The longer the delay, the more profound the impact of the injury on the growth and development of the knee joint. The surgery is very complicated.
, there are many factors involved, and many factors are related to growth and development and are in a dynamic state. However, the operation is not difficult. If you want to complete the operation successfully, you need the assistance of OrthoPediatricS. However, their current products are not suitable for this patient. You need to use them.
A flexible production line designed and manufactured specifically for patients to design and manufacture a set of personalized instruments and implants. Yang Ping in G City."
Yang Ping replied to the email. He didn’t know whether it was due to the influence of the system space or because he was too focused on medicine. Now he likes to be straightforward, talk and do things, and is too lazy to beat around the bush, so as to avoid wasting time.
Yang Ping closed the electronic screen for reading the film. It seems that when he has time, it is necessary to write a paper on the reconstruction of shoulder and knee ligaments in children to popularize relevant knowledge.
In reality, it would take countless doctors decades to accumulate this knowledge, but Yang Ping can quickly gain experience in the system space and sublimate the experience into theory for everyone to use. This is a beautiful thing.
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"Oh my god, that's great! When I heard the news, I spilled my coffee all over the floor, my desktop, my computer keyboard, my clothes and my pants. Fortunately, it wasn't very hot. OrthoPediatrics has always been in touch with me.
Close contact, separate production of instruments is not a problem. If it is convenient, can we cross the Pacific, sit together, drink coffee, and talk about this case? If God can give me a little more grace, I can observe Dr. Yang’s surgery.
Even better, I saw on the official website of your hospital that the department where Dr. Yang works requires a level 4 Chinese proficiency test for international students. Unfortunately, Robert will not be able to meet the requirements in the short term. Can he visit Dr. Yang as a short-term academic exchange? One week
?No, if not, three days? If three days is not possible, one day is fine. Robert Jr. is in New York, typing with one hand and clearing the coffee on the table with the other."
This chapter is not over yet, please click on the next page to continue reading!
Could this American be waiting for the email? He took advantage of the real-time effect of WeChat communication. Just a few minutes after the email was sent, Robert replied to the email.
"As for the academic exchange, I can't give a definite answer yet. I'll ask the department's teaching secretary to contact you. Yang Ping is in G City."
Yang Ping called Zhang Lin to the office: "Zhang Lin, there is an American doctor now, Dr. Robert from the Hospital for Special Surgery in New York, who wants to come over to learn surgery. He said that he cannot pass CET-4 for the time being. Can he do it as a short-term academic exchange?
How many days will it take you to come to our department?"
"According to the regulations of our department, international trainees must pass CET-4 in Chinese. If there are academic exchanges, there are no language restrictions, but they can only observe, and cannot participate in clinical work, nor can they go on the operating table." Zhang Lin is very serious, and now he puts this into practice
A job well done.
Yang Ping gave Robert's email address to Zhang Lin: "As for academic exchanges, you can contact Robert directly and see how to arrange it according to the system."
Zhang Lin wrote down the mailbox and saw that Xiao Gao came, and now Xiao Luo was coming. He had a lot of courage on his shoulders.
"Dr. Yang, these foreigners are coming one after another. My burden is not light. You said we don't have strict management. If these people are lazy and can't learn anything, they will destroy our sign. If the management is too strict, I'm afraid.
These foreigners said that I was unkind and oppressed them." Zhang Lin expressed his difficulties.
Yang Ping smiled, and this kid was in a good mood now: "You can manage things as you want, not the people, but as long as you follow the system, there will be no problem."
"This way I can rest assured. You can leave Robert's matter to me." Zhang Lin got the Shang Fang Sword.
In the future, those who study and communicate will definitely be indispensable. Many of them are still technical experts. Those who know their interests are fine, but those who don’t know their interests do not abide by disciplines and do not have a strict management system.
In the doctor's office, some graduate students were chatting animatedly when they saw Zhang Lin coming over: "Teacher Zhang, there is news."
Is there any news here in Zhang Lin? I want to hear it.
"The second instance of the lawsuit between Director Zhu and Wang Ge will be heard next Monday." A PI trainee showed Zhang Lin his cell phone.
Not long ago, we all had dinner together and Director Zhu was treating us. Naturally, everyone began to care about Director Zhu’s affairs. After a boring search, we saw this news.
"Let me take a look at this." Zhang Lin knew the news a few days ago, but he has been busy recently and has not had time to broadcast it.
This news was actually broadcast by this graduate student first, but Zhang Lin's mind is not on that now. The teaching secretary job is what requires his energy.
"Director Zhu sued Wang Ge for using fake news to infringe his reputation. The first-instance verdict: After appraisal by the health department, Director Zhu's surgery complied with the standards and there was no fault. After investigation and appraisal by the court, Wang Ge's news violated the journalistic principle of seeking truth from facts and was fake news.
The court ruled that Wang Ge should apologize to Director Zhu in court and in the newspaper, and be compensated 20,000 yuan for reputational damage and mental injury. Wang Ge refused to accept the verdict in court, questioned the health department’s appraisal results, and also rejected his own fake news appraisal results.
Admit it and want to appeal and enter the second instance procedure. The news said that the two people have been fighting the lawsuit for five years, but there has been no report." Gui Peisheng was suspicious.
"Do you think the second trial will uphold the original verdict?" someone asked worriedly.
"Everyone believes that the law will uphold justice for Director Zhu." Some people are very confident.
Director Tian’s call. We have important matters to discuss. It’s not convenient for him to come over, so Yang Ping should take some time to go to Overseas Chinese Building.
Yang Ping has a very good relationship with Director Tian. He has something to do and is in such a hurry. Naturally, he will not neglect it and rush to the Overseas Chinese Building immediately.