During the ward check on the second day after the operation, the child said there was no pain all night.
The child's father confirmed that the root cause of the disease was completely eradicated, but the problem came again. The number of friends entrusted to contact Dr. Yang has increased to more than ten, all from G City.
He and Dr. Yang only exchanged a few words when communicating about his condition, but there was no friendship at all.
He had an itchy mouth, and on a whim, he bragged to others that he was familiar with Dr. Yang. Now his friends asked him to make an appointment with Dr. Yang. He wanted to see a doctor as soon as possible.
After the ward check, the child's father followed Yang Ping's office: "Dr. Yang, I am Zhang Zhe's father——"
"Is something wrong?" Yang Ping looked at him hesitating.
"Dr. Yang, I have more than ten friends whose children have a similar situation to Zhang Zhe. They want to bring their children to see you for treatment. They all want to do this operation to dig out the root of the disease."
More than a dozen? Probably all parents who are troubled by their children's "growing pains".
"Most children's pain is not a big problem. Your child's condition is relatively rare. Not every child needs this kind of surgery."
Yang Ping felt that he had a deep misunderstanding, thinking that as long as there was "growing pain", there was a root cause, and then he would perform surgery to dig out the root cause, and the pain would disappear naturally.
"Everyone is worried, Doctor Yang, please tell me when is convenient for you to help us take a look?" Zhang Zhe's father went all out and finally expressed his request.
"Ask them to come on time at 4:30 in the afternoon and go to the demonstration classroom. I will give everyone a free clinic. Zhang Lin, you are responsible for the reception arrangements." Yang Ping saw that he was very anxious.
Any pain has a reason. If the reason cannot be found, at least some rare and bad diseases must be ruled out, so that parents can rest assured.
For long-term and recurring pain, some basic examinations must be done. Otherwise, if you fall into the low-probability circle, your condition will be delayed and you will regret it.
The development of medicine to the present is gradually moving from vagueness to precision, from experience to evidence-based. Examination may not necessarily reveal problems, but it can also confirm that there are no feared problems, such as tumors.
As soon as Zhang Zhe's father heard Yang Ping's promise, he immediately sent a message to the group: "Hurry up, everyone. We will gather at the gate of the Comprehensive Orthopedics Department of Sanbo Hospital at 4 p.m. We will not wait for latecomers."
Zhang Zhe's father is so angry that he has no choice. Who knew he knew such an awesome doctor? Everyone has to beg him for help.
If my own affairs were delayed for various reasons, I wouldn't be so concerned about it, but when it comes to my children's affairs, I can't delay them at all.
In the afternoon, except for a few special cases, more than a dozen parents, either father or mother, led their children at the gate of the Comprehensive Orthopedics Department.
The security guard thought there was some kind of mass incident, so he came over to ask about the situation. He said he was looking for a doctor, so he didn't ask any more questions.
Zhang Zhe's father shouted, asking everyone to line up, and told them about the discipline of seeing a doctor, and asked everyone to pay attention to politeness. It is not easy to make an appointment, so everyone should cherish it.
All the parents of the children burst into tears with gratitude. Zhang Zhe's father has never occupied a leading position among a group of people and accepted everyone's respect like he does today. He seems to have done a big thing for people, and he is full of pride.
Everyone followed him and took the elevator to the comprehensive orthopedic ward. Along the way, when seeing doctors and nurses, Zhang’s father would take the initiative to say hello, showing that he was familiar with the way here.
Zhang Lin took them to the demonstration classroom, and Xiaowu poured water for everyone. A dozen parents, plus children, about thirty people gathered together, which was a bit small.
At half past four, Yang Ping showed up on time. Although he was young, his unique temperament gave everyone a strong sense of trust.
Some people have had examinations and brought films, while some people have never had examinations before, and now they feel a little worried and scared, but think about it, it’s just to dig out the root of the disease, it’s no big deal.
"In fact, most children's pain in the lower limbs is not a major problem. You don't need to be overly nervous. Everyone's situation is different, and not everyone needs surgery. The situation like that of Zhang Zhe's child is relatively rare. For long-term recurring pain, necessary examinations are required
It is still necessary to do it. The examination does not necessarily diagnose a certain disease, but more importantly, exclude a certain disease. The necessary examination is not over-treatment."
Yang Ping explained to everyone in his opening remarks to dispel everyone's excessive anxiety.
Next, see the doctor in order, with those without test results seen first and those with test results last.
Even though the free clinic was in a hurry, Yang Ping was still serious and meticulous, without any intention of perfunctory.
For every child, he must inquire about the medical history and conduct a physical examination in person. The film must also be hung up on a reading lamp and read carefully. He must never hold it in his hand casually and take a few glances under natural light.
"This child is probably suffering from osteoid osteoma. He has pain in the proximal part of his left calf, with pain at night, which is getting worse. Oral aspirin can relieve pain. The doctor in Appendix 2 has performed diagnostic treatment. It is recommended that you take X-rays and consider bone fractures.
Osteoma, why didn't you take a picture?" Yang Ping wondered, even though the doctor clearly wrote it in the medical record.
"There is nuclear radiation in X-rays. My child has never had this disease. No one in my family has had this disease. I checked online and found that this is growing pains."
"You are right to listen to the doctor. Go and take a X-ray as soon as possible. After the diagnosis is confirmed, perform surgical resection and perform pathological examination after surgery. Don't worry too much. If it is osteoid osteoma, it is benign. As long as it is completely removed, the possibility of recurrence after surgery is very high."
Low. Any diagnosis and treatment activity is a choice made after weighing the pros and cons. If you don't do the required examinations, the condition will be delayed." Yang Ping had no choice but to explain to him.
"Dr. Yang, I don't understand something. Can you explain to me in detail why you can tell just by looking at it? Since you are so sure, why do you still need to take a X-ray? Also, there should be medicine to treat this disease, right?
?Why do we need surgery?" This parent likes to ask questions.
Give him the first place, I didn’t expect you to be so mother-in-law, the doctor asked you to do a check-up, just do it and ask questions, and the people behind you won’t look at it.
"You want to understand? First read all the five-year undergraduate textbooks in clinical medicine, then read the textbooks for the master's and doctoral degrees in orthopedics, then read a hundred academic papers on bone tumors, and find the orthopedics and oncology department of a hospital.
, I have been working as an apprentice for a few years, and I will discuss it slowly with me later. We are in a hurry now, so it is not suitable for discussion. Xiao Wu, would you arrange for him to have an anteroposterior and lateral radiograph of his left knee joint? Hurry up, wait until the imaging department gets off work.
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The parents still wanted to discuss a few words, but were taken away by Xiaowu. The parents behind them immediately filled the gap with their children, and Yang Ping examined the next child.
"Your child has flat feet, which causes excessive pronation of the calf when walking with weight. Customize a pair of flat foot orthopedic insoles to raise the arch of the foot and correct the pronation of the calf, and the pain will be relieved." Yang Ping told parents.
"Flat foot deformity? No, this thing should be hereditary. Look at me, am I?" The child's father immediately took off his shoes and stepped on a piece of paper given by Yang Ping.
"Your arch is normal." Yang Ping took a look.
The child's father was a little confused: "I don't have flat feet? Why does he have flat feet?"
"There is just a hereditary tendency to have flat feet. There is no guarantee that it will be hereditary." Yang Ping was afraid that he would think wrong. Some people are stubborn and sensitive, and they will go wrong just thinking about it.
Then there was a ten-year-old girl brought by her mother. She had pain on the inner side of her right thigh, which was especially obvious after exercise. Yang Ping called a nurse to accompany her and took her to the treatment room for a physical examination. When she came back, she said: "Dancing leg pressure hurts adduction."
If the muscle is damaged, take it to the rehabilitation department for adductor muscle rehabilitation training."
"This is no problem. It is caused by lactic acid accumulation or slight muscle fiber damage after exercise. Take a warm bath at night."
"Look, there is a slight deformity in the thorax, and the legs are slightly O-shaped in both lower limbs. Did you suffer from rickets when you were a child? Increase outdoor exercise, receive sunlight, and supplement calcium and vitamin D."
Yang Ping slowly read through more than a dozen children. A few had other diseases, and most had no problems. They were caused by lactic acid accumulation or slight muscle fiber damage after exercise. When exercising a lot, taking a warm bath can generally alleviate the problem.
The parents were in a happy mood and felt much more at ease. They knew the cause of the pain and the response plan. The parents of the child who was considering osteoid osteoma were livid.
Yang Ping asked Xiao Wu to help contact the imaging department and quickly arrange for the film to be taken. After the film was taken, he would return to the comprehensive orthopedics department. Yang Ping would personally explain the disease to the father of the child. If this disease is not explained clearly, the family may have insomnia at night.
Under Xiaowu's care, the film was quickly finished. The adults took the children, took the film and report back to the Comprehensive Orthopedics Department.
Yang Ping opened the X-ray on the electronic reading screen: Sure enough, there was a small osteoid osteoma on the proximal end of the left tibia. The medical history, physical examination and X-ray were all three in one. There was no doubt about the diagnosis of osteoid osteoma.
, but the final diagnosis depends on postoperative pathological examination.
"Where is your child?" Yang Ping only saw parents coming over. Such a big child should be allowed to understand by himself, otherwise there will be a psychological burden.
When my father saw the bulge on the bone surface on the
Comfort me, just tell me what it is, I just searched Baidu, osteosarcoma is malignant, very malignant, and cannot be cured."
As he talked, he became jealous and shed tears.
"Don't get excited. Read these words clearly. Consider osteoid osteoma, not osteosarcoma. They are two different things." Yang Ping corrected.
"They're almost the same, one grows in the flesh and the other grows in the bones." The child's father rubbed his eyes.
"Osteosarcoma is a malignant tumor, and osteoid osteoma is benign. Osteoid osteoma can be completely removed with surgery. You are typical of scaring yourself. If you have time to look up information online, why not pick a time and let
The child was hospitalized for surgery, and it only took three days. He was admitted to the hospital on the first day, operated on the second day, and discharged on the third day. A pathological examination was done after the operation, so that everyone can rest assured and don’t search everywhere on the Internet at night."
At this time, Zhang Lin took out a copy of "Surgery", turned out the chapter on osteoid osteoma, and pointed it to him with his finger: "Look, this is osteoid osteoma."
Then he opened the chapter on osteosarcoma: "This is osteosarcoma. Read it yourself."
The father of the child read it word for word, bursting into tears and laughing: "It's really different."
