After returning from the outpatient clinic, Yang Ping hurried to the operating room, where Xiaowu and the interns had already disinfected and laid out the sheets.
I stayed in the operating room for half a day. I finished work at around six o'clock in the afternoon and took a shower in the operating room dressing room. The duty room of the ward also had a bathroom, but there were many young doctors and they all concentrated there to take a shower. In order not to join in the fun, Yang Ping simply
Shower in the operating room dressing room.
After taking a shower, he sat in the locker room to rest. Yang Ping kept thinking about the operation ordered by Old Man Zhang. Simple fractures can be done with Kirschner wires. For complex fractures, steel plates must be used. Ordinary steel plates will not work and must be locked.
Steel plate. Even if the steel plate is locked, it is still difficult.
Now the old man asked Yang Ping to use Kirschner wire and steel wire to make it, and the cost was estimated to be 3,000 yuan.
To be honest, three thousand yuan is sometimes the cost of a day in a tertiary hospital of this level. If the cost is concentrated in the perioperative period, the cost of a day is far from enough.
Yang Ping originally wanted to do a three-dimensional CT reconstruction of the elbow joint. The three-dimensional CT reconstruction can depict the fracture situation three-dimensionally, so that he can have an intuitive and specific understanding of the fracture. A three-dimensional CT reconstruction costs more than 600. It is so expensive.
Gave up this idea.
For this kind of fracture, many powerful hospitals use virtual reality technology and 3D printing technology to make fracture models, and use the models to simulate and practice before surgery, how to install the steel plate and how to drive the nails, so that the operation is much more confident.
The patient is indeed pitiful, and Yang Ping also sympathizes with the patient. When he first started working, he earned two thousand yuan a month, deducting this and that. After paying the rent, water and electricity, the rest was tight for living expenses. It was really difficult to live without money.
.
Old man Zhang is right, if nothing can be done, the worker's elbow joint will be useless. To the doctor, it means nothing. But to this patient, it may change his life, and even the life of the next generation.
This patient is indeed pitiful. No matter whether he is poor or rich, he is a patient in the eyes of doctors, and he should do his best.
Yang Ping entered the system to see if he could find a solution. He scanned the mall and found a "steel needle and steel wire osteosynthesis" that caught his attention.
I didn't pay attention to this before, and I might think that technology is meaningless and too simple. Anything is a treasure when it is useful, and it is just a piece of grass when it is useless. The price is only 3,000 points, but fortunately, 10,000 points are reserved, so I can't pay for it.
There is pressure. Buy this steel pin and wire osteosynthesis immediately,
Yang Ping remembered a book he had read before, written by a German doctor - "Wire Cable Bone Settling"
This Germanic man has a famous saying: Give me enough steel wires and steel needles, and I can solve all fractures.
As if seeing a glimmer of light in the darkness, Yang Ping immediately found the direction.
Open wire and needle osteosynthesis and enter space training.
The system has prepared countless steel needles with different diameters and steel wires of different thicknesses to simulate fractures in various parts, simple, complex, some broken or even complete.
Yang Ping started training and first practiced threading a steel needle along a designated path: specifying an entry point and an exit point, inserting the needle from the designated entry point, and then coming out from the designated exit point. This may seem simple, but it is actually done.
Very difficult.
It's like giving two targets a certain distance apart. The two targets are not facing each other, but are staggered on parallel lines. When you shoot, you must ensure that it passes through the bullseye of the two targets.
This is a difficult operation. Yang Ping always couldn't thread it accurately at first. The designated entry point was easy to handle. With the naked eye, the tip of the steel needle pressed against the designated point, but the exit point was impossible to achieve due to the thick bone tissue.
Guaranteed to start from the exit point, it was barely good several times, but it was always close, but was judged as unqualified by the system.
This requires spatial imagination. You need to establish a three-dimensional concept of space in your mind. Although you cannot see the movement of the needle in the bone tissue, you need to use your brain to imagine it.
Yang Ping thought about it over and over, and after a lot of training, he finally succeeded in inserting the needle according to the predetermined entry and exit points, and mastered this technique.
Next, there is practice, parallel needle threading, which means two needles pass through the bone and must be completely parallel. Two needles are parallel, three needles are parallel, four needles are parallel, five needles are parallel - until ten needles are parallel. The system requirements are very strict.
If it's just a little bit close, it will be judged as unqualified and you can only try again.
If you successfully pass this kind of training, the system will not give you any rewards; but if you fail to pass, the system will cruelly deduct points, that is, it will only deduct points but not reward you. How to deduct? How many points did you spend to buy it? The minimum is twice as much.
Deduction, a serious reset.
After practicing parallel needlework, cross needlework, 15-degree cross, 30-degree cross, 45-degree cross, 60-degree cross, and 90-degree cross.
Finally, practice inserting needles into fragile, tiny bones. The kind of bones that break as soon as they are pierced. Later, as you slowly master the strength and control of the electric drill, you can put the needle through, and the bones will break.
The block is still intact.
After practicing acupuncture, you can start wire binding, single strand, double strand, multiple strands, tension band binding, ring binding, figure-of-eight binding, rectangular binding, etc., all kinds, as long as there are in orthopedics
, Yang Ping was tied up all over.
After training with wire Kirschner wires, Yang Ping found that if the wire Kirschner wires are used properly for this kind of fracture, the surgical effect is no worse than that of steel plate fixation, and there are certain advantages in fixing some small bone fragments. He understood what Professor Zhang said.
Good intentions.
After completing the training, I found that there was an additional item on the light screen - library.
"The system will unlock and launch some new functions based on the upgrade of skill values." said the mechanical female voice.
It turned out to be like this, but I didn’t know how to use this function. When Yang Ping opened the library function, bookshelves, desks and chairs immediately appeared around him.
"What book do you need to borrow? All the information in the world is here, including medical information of course. You can provide the book title, author or other search keywords." The female voice of the system said.
Then a light screen appears in front of you, with the table of contents of the book on it.
"Steel Cable Bone Setting", Yang Ping reported the title of the book.
The light screen immediately displays the name of the book, as well as some recommended similar books.
"Reading consumes one point per hour." The female voice explained.
Yang Ping clicked on the title of the book, and a book was instantly placed on the bookshelf, which was "Wire Cable Bone-Setting Technique".
This function is good. You won’t have to buy books in the future. You can read it anytime and anywhere. The points you spend are not expensive. It’s a great tool for learning.
Yang Ping read several books about wire and needle bone setting in one breath.
To be on the safe side, Yang Ping spent another 4,000 cents to purchase 500 surgical training sessions for comminuted fractures of the lower end of the humerus.
There are only 3,000 points left.
When I came out of the space, I felt much older.
Maybe the graduate assistant leaked the news and everyone in the department knew that Yang Ping was assigned a difficult task by Old Man Zhang.
Yang Ping returned to the department, and everyone was arranging to adjust the X-rays on the electronic reading screen, wanting to discuss it. However, there were no pictures of this patient in the computer, they were taken by other hospitals.
The patient was placed on Xiaowu's bed, and Xiaowu hung up the X-ray film.
This is a spontaneous discussion among everyone, and no one informs the organization.
Surrounded by the reading lamp, Song Zimo patted Yang Ping on the shoulder: "Senior brother, the difficulty is not that difficult. Did you offend the old man somewhere?"
"How difficult is this? It's simply impossible." Zhang Lin stuffed his face covered with acne.
Director Tian had undergone surgery and had just entered the doctor's office. "Come on, let Director Tian take a look." Song Zimo waved.
Director Tian is usually steady and has excellent technical skills, and is well respected by everyone.
"Lock the steel plate, put it behind the radial side, put it on the edge on the ulnar side, and then auxiliary countersunk screws, what, test me?" He would also joke.
"Old man Zhang appointed Yang Ping to make wire K-wires," Xiao Wu explained.
"Is that so? Talk to Director Han and ask him to talk to the old man about how this can be used as a Kirschner needle." Tian Yuan studied the x-rays again.
"Boss, Director Tian is right, you can't listen to him." Xiao Wu was anxious.
Let me think about it, Yang Ping leaned on the nearest desk and sat up.
Director Han came in at this time. It was quite lively to see everyone gathered together without any intention of getting off work.
There was another X-ray film hanging on the reading lamp. I glanced at the film and then at everyone: "Case discussion?"
Everyone was silent, Tian Yuan said: "Director, how do you think this fracture should be handled? Everyone wants to hear the director's opinion."
The director took another look: "A comminuted fracture of the lower end of the humerus, an intra-articular fracture, and two locking plates. How can we discuss this?"
"Old man Zhang only paid 3,000 yuan for the patient he accepted. Yang Ping must complete the operation with K-wires and wires, and he will be discharged from the hospital in three days." Tian Yuan said one word at a time, explaining clearly.
Director Han watched the film carefully: "Oh, it's not that difficult to use Kirschner wires and steel wires to perform this surgery. But let me tell you, use Kirschner wires and steel wires to make this surgery beautiful. This old man is not just talking about it."
, he can really do it, Xiao Yang, he has taken a liking to you."
"Behave well. Let me tell you, although the old man has a weird temper, he has some unique skills. It depends on whether you have the ability to show them." After saying that, Director Han left.
"I've tried my best, and you can take care of it yourself. If I'm free that day, I'll go and cheer you up. If you need any help, just say, orthopedic books, I'll have whatever you need." Tian Yuan shook his head. p>
"There seems to be a book called "Wire Cable Bone Settling" written by a German. You can refer to it. I will help you with the surgery these days." Song Zimo said.
"I'm watching the patient. Don't worry, I'll call you anytime if anything happens." Xiao Wu said.
Zhang Lin also came up and sat next to him: "Come on, the people will thank you!"
Everyone encouraged each other, just like Jing Ke assassinating Qin, drinking Zhuangxing wine by the Yishui River.
"The wind is rustling and the water is cold, a strong man--" Zhang Lin recited a poem, shook his head, and walked out of the talkative steps of Connor.
"You are so big, strong man--" Xiaowu stuck the back of Zhang Lin's neck.
"Xiaowu, let me tell you, let go, Northeastern people are not afraid of fighting."
