Yang Ping improved the curved drilling technique for cruciate ligament reconstruction in children.
It is just to make the new technique popular. A technique that cannot be popularized or repeated is not a good technique.
It will eventually disappear in time like some of the unique skills of the old Chinese medicine practitioners.
Of course, the diffusion of new technologies will still follow the previous hierarchical circle, and Director Gao Yuan will be a first-come-first-served member.
He is full of passion almost every day and is excited about his desire for new knowledge. He follows Yang Ping. In time, he will definitely become a top expert who is proud of his peers.
A soldier who doesn’t want to be a general is not a good soldier. Similarly, a doctor who doesn’t want to climb the peak of technology is not a good doctor.
Gao Yuan thinks so. He is an ambitious doctor who wants to climb the peak of technology.
Therefore, as long as he has time, he spends time in the Department of Comprehensive Orthopedics. He follows Yang Ping. Even if he learns one sentence a day, he feels that he has gained something.
The brothers in the Department of Comprehensive Orthopedics jokingly called Director Gao a "non-staff trainee". When this name came to Director Gao's ears, he just laughed it off.
Yang Ping would not miss Yang Ping's first real ward round after returning from the United States.
He knew that Yang Ping liked powder-free rubber gloves and wiped his hands with disinfectant gel when he took off his gloves. Therefore, he carried a bag with these in every ward round. If others were not prepared well and did not move enough,
Quick, he can fill the gap in time.
At first, Director Gao couldn't understand some of Yang Ping's new theories and operations, but it didn't matter. As long as he thought about it over and over, he would always understand it. He thought about it while eating, sleeping, and going to the bathroom. The key is that this person has no face.
You are shameless, just ask if you don’t understand, regardless of the occasion, as long as you seize the opportunity, you must ask the truth.
And the further you go, the easier it becomes for Director Gao to learn. He feels that he has passed the bottleneck period and entered a vast ocean of knowledge.
Song Zimo didn't like Director Gao at first. He felt that this person was fake and his hospitality was a bit too much. Later, he gradually felt that this person was not annoying and that all the hospitality was not malicious, just to get more things from Yang Ping. Sometimes he looked at it
He was huddled together with a group of graduate students, and he was very impressed.
The ward round team moved and found the Tiger Brother who had been transferred from the spine surgery department.
Except for slight pain at the puncture site, this patient's preoperative symptoms completely disappeared. He could have been discharged from the hospital, but the patient insisted on staying for a few days to feel at ease.
This guy was lying on the bed with his upper body naked, exercising his lower back muscles. When he saw the doctor coming to check the ward, he immediately pulled on some clothes.
"It doesn't hurt anymore?" Yang Ping asked him.
"It doesn't hurt at all!" The patient nodded, and the pain-free days were calm and calm.
"Lie down and let me take a look!" Yang Ping wanted to give him a simple physical examination, starting from the prone position, to determine whether the symptoms would rebound after surgery.
The patient lay down and said: "Dr. Yang, you not only saved me, but also saved the two doctors who performed the surgery on me. If it weren't for you, I would have definitely caused trouble for them. I only need one phone call to summon three thousand brothers."
The patient holds out three fingers with his backhand.
Yang Ping ignored him and saw too many patients of all kinds.
Now that the patient's problem has been solved, Yang Ping is not worried that he will really find trouble with the doctor, but he is just getting over his addiction.
For Director Qin, the troublesome matter was solved by Yang Ping in ten minutes.
Of course, Yang Ping never thought this kind of case was really difficult.
For Yang Ping, problems that can be solved with surgery are not problems!
Yang Ping opened the patient's clothes and exposed his waist. Yang Ping pointed at his waist and said, "How come you, a tiger like you, are missing a tail?"
The tiger originally tattooed on the back had a mighty tail on the waist, but now the tail has disappeared.
"Really?"
The patient became nervous and immediately turned around to see that his tail was really gone.
A good tiger, but one of its tails is missing.
"Where's the tail?---" The patient cried sadly.
Yang Ping motioned for him to lower his head and not raise his head: "Maybe it was wiped off by disinfection during the operation. The disinfectant contains alcohol, which is an organic solvent. The quality of your paintbrush is not that good."
As soon as these words came out, the ward immediately burst into laughter, and even the admiring and fearful eyes of the brother in the next bed immediately turned into contempt and disdain, and the personality of the big brother in society collapsed instantly.
The patient's face immediately turned red, revealing his secret. He had just boasted to his fellow patients that with a machete, he had gone deep alone, defeated dozens of people, became famous in one battle, and established his status in the world.
"Doctor ---" What else does the patient want to say?
"Lie down! Otherwise, the tiger's head will be wiped off for you." Yang Ping began to examine the body.
After finishing the work, Yang Ping took off his gloves. A yellow garbage bag next to him took Yang Ping's gloves. Disinfectant gel was sprayed on his hands, and Yang Ping rubbed them.
"You can be discharged from the hospital. Let's go back. Are you driving a taxi? Take a week's rest and strengthen your lower back muscles. Let's start working normally after one week." Yang Ping finally concluded Brother Tiger's ward rounds.
God, I never said I drove a taxi. How did he know? Could this doctor also tell fortunes?
The patient jumped up, sat on the bedside, and watched Yang Ping leave the ward.
"How do you know he drives a taxi? He said he is the boss." Xiao Wu was also puzzled.
Others also want to know the answer. They have experienced too many serious and rigid ward rounds, and they like Yang Ping's relaxed atmosphere of ward rounds, which is neither rigid nor frivolous.
"You can find out the occupations of some patients during physical examinations. Even if they get home, this will leave you with a question. Occupation is also a physical sign." Song Zimo explained to the young doctor.
The next few patients are all patients with scoliosis, all of which are rare and serious.
Currently, most of the doctors who come here for further training come for scoliosis correction.
Professor Hu was one of the first to come to study. This chief physician of Union Medical College wore gold-rimmed glasses and looked meticulous. He studied like a student and took his studies seriously.
Before meeting Yang Ping, Professor Hu was very resistant to Professor Liang's arrangement. After meeting Yang Ping, this resistance has completely disappeared. He just wants to use these three months to study hard every day.
Up.
Every one of Corey's scoliosis patients suffers from headaches, and some are accompanied by torsion and displacement of thoracic and abdominal organs.
Director Hu wanted to see how Yang Ping handled these cases, especially a six-year-old child with severe scoliosis.
Yang Ping was not in a hurry. Regarding the correction of scoliosis, when he performed Lu Gang's surgery, he had already created a new set of orthopedic theories, and designed a new set of surgical methods corresponding to this theory.
He is trying to collect more cases of scoliosis and use this surgical method in real life.
Although there is currently only one successful case of this surgical method, Lu Gang, in the system space, Yang Ping has successfully practiced it in countless cases, and has been continuously improved and is very mature.
After collecting some more cases, Yang Ping is going to publish another paper specifically discussing his new theory and method.
This theory will be a greater innovation after the CD three-dimensional correction of scoliosis.
The period of paper explosion is coming soon. Yang Ping's previously submitted papers will be published one after another. "Balance Adjustment of Multi-ligament Reconstruction of Knee Joint" and "Balance Adjustment of Multi-directional Instability Reconstruction of Shoulder Joint" have been published in AJSM.<
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The cases of Yu Shuilian and Lu Gang were successfully published as case reports in the New England Journal of Medicine.
"Application of System Engineering in Trauma Surgery", "Application of Precise Selective Blocking of Blood Vessels in Trauma Surgery", "Analysis of Trauma Death Causes and Treatment" are slightly later, have been received and scheduled, and have not yet been published.
"Application of a new surgical method for cruciate ligament reconstruction in children" is once again submitted to AJSM.
Within one year, Professor Hu Guolin could not believe that papers were published in these top medical journals like popcorn.
Facing this six-year-old scoliosis patient, no matter how sophisticated osteotomy or correction is, it seems that it is not suitable.
It doesn't matter, Yang Ping has another method, but it lacks real-life cases. This method does not require osteotomy and correction. It only needs to implant a set of orthotics into the patient's body. It can continuously and accurately adjust the deformity in the opposite direction. Using the tension-stress theory of Ilizalov of the former Soviet Union, under this tension, the soft tissues and joints around the vertebrae will slowly deform, and finally return to the normal posture, so that the sequence of the vertebrae is corrected.
In fact, Ilizarov's theory has been widely used in limb deformities. Orthopedic surgeons represented by Qin Sihe have applied external fixators to the correction of limb deformities. They have achieved outstanding success in treating severe and complex deformities of limbs and are unique in the world.
.
Yang Ping wants to design a set of similar external fixator orthotics to correct spinal deformities.
In this type of scoliosis in children, severe spinal deformity can be corrected without surgery.
This will be another first.
The existence of the space laboratory makes these first-of-its-kind initiatives mature.
It's just that each experiment will consume a lot of points, otherwise Yang Ping's pace of innovation will be faster.
Therefore, he must constantly challenge difficult operations in reality to gain points and maintain the operation of the system space.
After a round of room checks, Professor Hu felt extremely stressed for Yang Ping. Not to mention the other patients, these scoliosis cases alone were already causing headaches.
How to operate on a six-year-old with severe scoliosis?
There is also an 18-year-old with scoliosis and severe thoracic and abdominal organ displacement deformity. How to deal with the organs?
For any of these patients, the entire hospital must mobilize the efforts of the entire hospital, and the surgery may not be satisfactory in the end.
In other hospitals, basically no one dares to take over the job. The patient's family also said that after going around, a doctor gave advice: Go to Sanbo in Nandu and ask Yang Ping. If he doesn't dare to do it, then give up. No one dares to take over.
Your surgery.
I went to 301 several times to see the scoliosis patient with organ deformity. People said: "After the spine is corrected, he will die from organ failure and the status quo will remain."
"Are you really ready to take over these patients?" Professor Hu Guolin asked worriedly.
Yang Ping's tone was a little heavy: "If we don't take these patients here, there will be no place to take them."
"Song Zimo, let them complete the examination and arrange time to discuss it. The six-year-old child may be in trouble. Explain to the family that the operation will not be so fast. Pay attention to the way you speak and give him confidence. Don't let others think that we are refusing politely.
Him."
This patient is a child, and the development must be taken into consideration, which is very complicated. I have to further verify the surgical plan.
At this time, Director Han called: the 301 team will arrive at Sanbo Hospital in three days to prepare him mentally.
