Xiao Su was waiting for Yang Ping at the gate of Overseas Chinese Building, and the two of them went to the cafeteria to eat.
After dinner, the two went for a walk and walked to the overpass. Hermès was singing, and his wife was helping to adjust the sound beside him. The eldest brother was a singer who was delayed by coal mining.
One song after another, "Glory Days", "Sailor", "I haven't been a big brother for many years", it's really amazing, not to mention the emotion he puts into it makes people cry, the level of his singing is really valuable.
Next to the hospital, Hermès was singing so loudly that the hospital security wanted to come over and ask him to leave. However, no one complained for so many days. He also saw many patients running to listen to the song. The security guard ignored it and kept up the beat by himself.
Come.
"I heard that he used to be a coal boss, but he was very prosperous. Now he's bankrupt, hey---"
"Look, this song makes people cry."
A lot of money had been lost in the stainless steel basin in front of Hermès, including a hundred-dollar bill.
In addition to the washbasin, there is also a payment QR code next to it. The listener felt sympathy for the song, took out his mobile phone, scanned it, and gave him one or two yuan.
Since Hermès started singing, Tianqiao has become a treasure trove of traffic. Businesses have been boosted by scalpers selling numbers, doctors selling herbs, blind fortune tellers, and old gentlemen selling antiques. Hermès has single-handedly driven the economic development of Tianqiao. p>
"Expert account, appendix one, appendix two, provincial doctor, provincial traditional Chinese medicine, three exams, all have them ---" scalpers are selling to the crowd.
"Specialized in treating impotence and premature ejaculation. It has been passed down by imperial doctors for eighteen generations. If three doses are ineffective, you will be automatically refunded." The rag sign with calligraphy on it stood upright. The stall owner stroked his gray beard and chatted with the customers who approached him.
"Authentic products from official kilns of the Qing Dynasty, big sale for lack of money." The words were spread beside it, and the old scholar wore black round glasses and waved a paper fan.
The two walked around the hospital and stopped under a tree. Yang Ping told Xiao Su some recent events. When it came to Boss Cheng giving away shares, Xiao Su had different opinions.
She said: "I think you should accept the shares, and you deserve it. In European and American countries, doctors, especially well-known doctors, have their own clinics. This is a way to realize the value of their medical practice. It is not just about making money, but also money."
Don’t have too much of this. With more money, we can do more things and help more people. If we have more money, we can help children like Sisi, and we can also do charity in the future.
,Help more people."
"With more money, if you want to do scientific research in the future, you don't need to rely on others or wait for fund approval. You can freely build your own laboratory and conduct your own scientific research. Only with financial freedom can you have other freedoms.
”
"Of course, even if you become a shareholder, you don't have to worry about the management of the hospital. You are only responsible for the surgery and let Lao Cheng manage it. He is an excellent hospital manager."
"This hospital depends on you, and its future development path will naturally follow your wishes. In my opinion, Lao Cheng will let you be the major shareholder sooner or later. Why wouldn't he be happy to lean under your big tree? To you
For example, if you have this hospital, you can build your ideal hospital according to your own ideas. Maybe it will be better than the Mayo Clinic in the future."
Unexpectedly, Xiao Su had such an insight. Yang Ping listened carefully and looked at Xiao Su.
Xiao Su then stopped: "I'm just a nurse. I don't know anything. I just say whatever comes to mind. You can use it as a reference."
Yang Ping hugged her: "I feel now that you see these things higher and further than me. I only focus on medical skills. What you said makes sense. I want this share."
"Don't mention this matter yourself. I'll tell my brother and ask him to go to Boss Cheng and say that I have done your ideological work. Then Boss Cheng will naturally come to you to discuss the shares." Xiao Xiao
Su is very attentive.
"Although I don't understand, but after listening to your usual chat with me, I feel that the conditions of this hospital are very mature now. Boss Cheng is a doctor and is good at management. He specializes in management; you have first-class medical skills and focus on surgery; I
My brother has a wide social network outside and solves some trivial public relations matters for the hospital. This iron triangle relationship can allow the hospital to develop rapidly. When you have money in the future, you can buy land, build a house, and expand the hospital. This is what the Mayo Clinic did back then.
”
Xiao Su nestled in Yang Ping's arms. She didn't understand anything. She had analyzed the matter clearly and saw the future decades later.
---
Every day is the same, but the difference is that the patients we meet are different every time.
During the morning rounds, there was nothing special about the other patients. There was a patient here in Xiaowu who had been suffering from recurring pain in his left calf for three years. The boy was twelve years old. He had seen many doctors and said it was growing pains. He also had many tests done. What was the problem?
None.
Growing pains? Yang Ping felt strange, no, there is no such diagnosis, there is no such diagnosis in medicine.
Generally, pain around the knee joint or the front of the calf in children, if there is no history of trauma, normal activities, no redness, swelling, tenderness in local tissues, and no other diseases, is usually defined as "growing pains" and is considered to be the growth of the body.
It is caused by rapid growth and may also be related to calcium deficiency.
In fact, there is no such thing as growing pains in medicine, and there is no diagnosis or description of "growing pains" in any professional medical journals or periodicals.
Therefore, the concept of growing pains is a completely false proposition. Children have pain around the knee joint or the front of the calf, and there are no abnormalities in physical examination and auxiliary examinations. All such pains for which no cause can be found temporarily are called growing pains. p>
Just like rheumatoid arthritis that is popular among the people, all unexplained knee joint pain is classified as rheumatoid arthritis. It seems that there is a diagnosis, but in fact it is the same as no diagnosis.
There is no unreasonable pain, all pain has a reason, but the doctor has not found it yet, or medicine has not been able to find it yet.
In fact, this kind of pain has nothing to do with "growth". Most of the so-called "growing pains" are related to exercise. The pain usually "attacks" at night. In fact, it is the accumulation of lactic acid and other waste products accumulated during a day's exercise that has not been discharged.
Or pain caused by minor damage to muscles and ligaments.
Adults often experience this kind of soreness after a lot of exercise. For example, professional athletes will take a sauna after a lot of exercise. The purpose is to fully expand the blood vessels, accelerate blood circulation, and try to expel lactic acid and other waste products generated by exercise from the body to relieve this kind of pain.
Pain.
Children are very active and have weak ability to clear lactic acid, so this pain is more obvious.
Yang Ping took Song Zimo to the ward, where he asked about the patient's medical history, performed a physical examination, and looked at the results of all the patient's examinations.
No problem was found, and all the results showed normal. But the child was in pain. How could it be normal? It can only be said that the imaging examination has not found it yet.
"Want to do another MRI?"
"No need for now, bring all the films to the office and I will go over them again."
Song Zimo collects images and pictures, a thick bag.
The film was hung on the reading lamp, and everyone would gather around it as long as the matter at hand was not urgent.
Regardless of his status, Takahashi competed with the students for a spot and quickly pushed his way to the front so that he could be closest to Yang Ping.
The films are hung up one by one. Some of them have been damaged due to poor storage, and some plaques have appeared, seriously affecting the reading of the films.
On CT, there is a very subtle density change at the lower end of the right tibia. If you don't look carefully, you think it is a blood vessel impression. At the same position, there is also a slight signal change on MRI. If you don't look carefully, you can't see it, just like
Among the black, there is a little bit of lighter black, and among the white, there is some not-so-white white.
This site is at the location of a common vascular indentation, and is naturally missed by all doctors, so it is not considered abnormal.
"Do another MRI. This is chronic osteomyelitis, focal. This point is not a blood vessel indentation, but bone necrosis." Yang Ping finished watching the film and the diagnosis came out.
The ionizing radiation of CT is relatively large, and it is not good for children to do too much. Therefore, another magnetic resonance imaging is performed to obtain the latest images of the lesions to provide guidance for surgery.
"It can be seen that it is osteomyelitis, just a little bit?" Takahashi turned to look at Yang Ping. His eyes widened as much as he could, but he couldn't see it now. The vascular pressure marks on the picture are very typical. How do you say it is osteonecrosis?
, is there such a thing as osteonecrosis?
In the future, if Takahashi wants to take over Masao Fujiwara's class, he will have to make achievements in general orthopedics instead of being limited to trauma surgery. Therefore, he also wants to learn other things from Yang Ping.
"You catch two mosquitoes and show them to him. He can tell if they are female or male with one glance. If you ask him how he can tell, he will tell you that it is very simple. Look at the genitals." Song Zimo knew that Yang Ping's judgment was certain.
You can’t go wrong.
The next thing to do is to follow his instructions. If you don't understand, think about it slowly.
Song Zimo asked Xiao Wu to call the family members over and explain the child's condition to them: This is chronic osteomyelitis, focal, little by little. Surgery is required to completely remove the infected and necrotic bone tissue, and then use calcium sulfate.
Once the stuff is filled in and the operation is completed, the child's problem will be solved.
When the family members heard about the operation, their expressions were gloomy and uncertain.
"You can make a minimally invasive, 1cm small opening, and then use instruments to drill into the bone. Drill out the necrotic bone tissue together with a small amount of surrounding normal bone tissue, then fill it with calcium sulfate and sew it with one stitch.
Okay." Yang Ping added.
If minimally invasive surgery is done, the parents of the child will be happy, but if it is done with drastic measures, they will really be a little worried.
"It's well-deserved. The technology here is really great. We heard from outside that the orthopedics department of Sanbo Hospital is very good, especially Dr. Yang. He is really amazing. I heard that Dr. Yang can easily perform surgeries that the Japanese can't do." The child's father said.
In a moment of excitement, I start to flatter you.
Takahashi stood on the opposite side and listened. He heard clearly and clearly. His face felt hot. Wasn't this Japanese talking about himself?
"The doctor at our community health station said, you kid, you don't have to go anywhere else, just go to Sanbo and see Dr. Yang. Don't go to the wrong person. If he can't tell, don't bother with this disease in the future.
I can’t see it.” The child’s father is very eloquent.
"Then you agree to the surgery?" Song Zimo asked.
The child's father nodded: "I agree, it's all up to you."
