Iceberry ice cream! My second uncle brought it to me personally with a full belly.
"Wow! Why do you still have this brand? It's not even available in G City." Su Yixuan clapped her hands in surprise.
The second uncle said: "You have to ask him about this."
"Me?" What can Yang Ping say.
"Thank you!" Su Yixuan took the ice cream.
Yang Ping touched the back of his neck, stammered, and blushed: "I---."
Su Yixuan said thank you in a low voice, with a blush on her face. This idiot who only knows how to perform surgery actually knows that she likes to eat iceberries.
Manager Huang, the one from the headhunting website, Yang Ping thought of him immediately. He must be behind the scenes. This person is really a bit strange. It can be said that he is different. He knows that he cannot go to that hand surgery hospital.
Don’t give up yet, why are you doing this?
Yang Ping saw Su Yixuan sitting and eating ice cream, and took the opportunity to immediately follow his uncle: "Second uncle, what is going on?"
"Young man, didn't you ask someone to bring ice cream to me? You also told me that every time you come to eat with this little girl, you will bring two of them. Oh, don't pretend, I won't tell you. Wait, wait.
Yes, I still have something to do." The second uncle waved his hands and said the first words in a very low voice, and deliberately raised the last sentence a few times.
After finishing the meal, it was already past ten o'clock, but the number of customers in the store had not decreased, and the late-night snack had just begun. After Yang Ping sent Su Yixuan back to the hospital dormitory, he blew some air on the overpass before returning to his house.
Thinking of this week's teaching surgery - the horrific triad of the elbow joint and fracture of the lower end of the humerus. Yang Ping entered the system space and flipped around on the light screen to see if there was such a single training package.
In the intensive surgical training, I found these two items, with a minimum purchase price of 500 cases and each requiring 4,000 points.
Calculating points, I just recorded 6,000 points, and currently I still have 14,000 points on hand.
These two items cost 8,000 points, which is indeed too expensive.
Let’s look at other fracture surgery training packages. Based on 500 cases, there are 2,000 points for humerus fractures, 2,000 points for ulna and radius fractures, 3,000 points for femoral fractures, and 3,000 points for tibia and fibula fractures.
These training packages, such as those for humerus fractures, also include fractures of the lower end of the humerus, and those for radius and ulna fractures include the horrific triad. This is a much more cost-effective purchase, and there may not be so many individual diseases.
After much deliberation, Yang Ping bought the one with a fractured humerus and a fractured radius and ulna. This way, he would have 10,000 points left on hand, giving him more room for maneuver in the event of an emergency.
Anyway, without consuming real time, Yang Ping completed the training of all the surgical training packages he just purchased in the system space.
After finishing his shift in the morning, Yang Ping took Xiaowu for ward rounds, and also went to the trauma ICU to see the liver and spleen rupture yesterday. The patient had been intubated and woke up, but his face was still a little pale.
When the ICU doctor saw that Yang Ping had come for a ward check, he immediately followed him and reported:
"The hemoglobin of the blood drawn in the morning was 70g/l. After a large amount of blood transfusion, the heart rate was slightly faster, 105 beats/min, and the blood pressure has entered the normal range of 98/64mmhg."
This data is already considered normal. If you transfuse some blood in the future, the hemoglobin will gradually correct.
"The blood bank said that blood is relatively tight now. Now that I am over 70, it is a bit difficult to get blood." The ICU doctor explained.
Yang Ping said: "Without blood transfusion, the problem will not be serious. In the later period, nutrition will be strengthened to prevent infection, and the hemoglobin will slowly recover, and a virtuous cycle will begin."
The patient recognized Yang Ping and wanted to support him, but the ICU doctor held him down: "You can't get up yet."
"Doctor, thank you for saving my life." He stretched out his hand, and Yang Ping held his hand and said, "That's right."
In fact, doctors are very simple. The greatest sense of accomplishment is to save the patient's life.
"It shouldn't be a big problem." The ICU doctor also knew that Yang Ping was now the backbone of the Department of Orthopedics and one of the generals under Director Han. He was very polite to Yang Ping, obviously not treating him like an ordinary attending physician. To speak angrily, it was better than
He is much more polite than an ordinary attending physician.
After checking the ward in the ICU, I received a call from Director Han. Professor Zhang Zongshun asked Yang Ping to go to the outpatient clinic and ask Yang Ping if he had anything to do.
Professor Zhang Zongshun is a young doctor who takes a detour when he sees it. He has a weird temper and is very demanding. If you don’t button your white coat properly, he will scold you for half an hour.
Yang Ping shivered and checked his white coat. There was a button that was not buttoned, so he immediately fixed it. He checked it again before he dared to go to the outpatient clinic.
Professor Zhang is a nationally renowned professor of orthopedics. The outpatient clinic has an inner dressing room, an outer living room, a resting place for patients’ families, and a sofa, coffee table, and water dispenser.
Inside is the consulting room, which is very large. There is a consulting bed against the wall, with the curtains drawn. Two desks are put together, and two computers are back to back. The screens are connected and shared, and a young graduate student is working as his assistant.<
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Yang Ping knocked on the door, went in gently, said hello to the graduate students, and found a place to stand out of the way.
Mr. Zhang is seeing a doctor. One of the temples of his reading glasses is broken and is still wrapped with tape.
The patient was lying on the examination bed, wearing a wrinkled blue overalls. While checking the patient's elbow joint, Mr. Zhang said: "Well, it's only four thousand yuan, and the funds are a bit tight. Let me sum it up for you." The patient immediately said: "Professor Zhang, I worked on a construction site. My boss ran away and I didn't get my salary for a year. My co-workers raised the money. I went to several hospitals and they said that I could even buy nails for 4,000 yuan."
We don’t have enough money, so steel plates and nails cost more than 20,000 yuan.”
"Yes, a steel plate and screws cost more than 20,000 yuan a set. It's hard to find a cheap one for more than 10,000 yuan. Let me take a look. Don't worry." Mr. Zhang finished the physical examination and sat back to his leather boss.
chair, facing the reading light and looking left and right.
The lower end of the right humerus was fractured, the fracture was intra-articular, and the fracture was severely shattered. Mr. Zhang looked at it for a few minutes and said: "Comrade worker, don't worry. You have four thousand yuan and you still need to eat. You can probably spend it on medical treatment."
It can only be reduced to three thousand, and I will give you a plan."
The patient was helped up by the workers, and the graduate student helped fix the plaster support back, wrapped it with a bandage, and hung it on the chest.
"Professor, thank you. I went to several hospitals. They just took a look at the film and said, "You can go to other hospitals. It's impossible for four thousand yuan." Then they ignored me. I couldn't get through your hospital just now.
No. I stood at the door just wanting to ask a few questions, thinking I would be kicked out. Unexpectedly, you not only didn't kick me out, but also gave me free medical treatment. I'm sorry just now, I'm going to pay for the registration fee now." The patient said, and flowed out.
Tears.
"Special circumstances, special treatment, no need to pay registration fees, just treat me as adding a free account for you."
Seeing Yang Ping coming, Professor Zhang waved: "Come here, come here, have a look!"
Yang Ping went over immediately, with a smile on his face, and Mr. Zhang said: "This patient only has three thousand yuan with him, and he will be disabled after death. In this way, I will admit him to the hospital, and you will perform the surgery on him, without using steel plates, only using K-wires
Wire surgery, please plan the operation carefully. I think you used a few Kirschner wires well during your last clavicle surgery. After hospitalization, complete the preoperative examination and check the three major routines, biochemistry, liver and kidney function, and infectious diseases. Do
ECG and chest X-ray, arrange surgery quickly and shorten hospitalization time."
Mr. Zhang thought for a moment: "No matter how you plan, you are still a little nervous about the cost. Xiao Yang, I will say hello to the operating room later and take care of this patient's cost." Mr. Zhang added.
For fracture surgery, steel plates and other consumables are very expensive, costing over RMB 10,000. Imported ones are even more expensive, costing tens of thousands.
Kirschner wire is a kind of thin steel needle. Steel needles and wires are cheap, ranging from a few yuan to dozens of yuan, but more expensive than one or two hundred, which is equivalent to free materials. However, steel needles and wires can only be used for simple fractures, such as
Broken hands and feet cannot be treated even if they are slightly complicated.
This kind of surgery is performed with Kirschner wires. It was okay to do this a few decades ago. It doesn't matter whether the function is functional or not. In today's era, the functional requirements are very high. How can Kirschner wires fix this kind of fracture firmly? If the fixation is not firm, it will
If you don't exercise early, the lower end of the elbow joint will be crushed and fractured. It's very delicate. If you don't exercise early, the joint will become stiff in three weeks. This is posing a problem for Yang Ping.
Not allowing Yang Ping to discuss it, Mr. Zhang adjusted his glasses and ordered the graduate student to issue a hospitalization notice: "Go to the hospital, join a queue, and arrange the surgery earlier."
"That's it, you can go and do your work." Mr. Zhang said.
"No, Mr. Zhang?" Yang Ping wanted to defend himself.
Mr. Zhang waved his hand: "Use your brain more. You don't need to do the two surgeries I chose last time. Use this surgery to replace them as review surgeries."
Bad old man, very bad!
Yang Ping stood in the consulting room and refused to leave. He wanted to wait for the old man to have free time before discussing the matter. Mr. Zhang was very busy and gave detailed instructions to the patient on how to go to the hospital, how to take the route, where to eat cheaply, how to keep a close eye on the wallet, and be careful of thieves.
. Only then can you watch the next one with confidence. Ignore Yang Ping at all.
A patient with chronic osteomyelitis of the tibia was pushed in a wheelchair by a young fashionable girl. He was treated in many hospitals and had six surgeries.
