In the afternoon, Yang Ping completed the operation and returned to the office.
Huang Jiahui has been waiting for a long time. She received the sample of the spinal external fixator and delivered it as soon as possible.
"Mr. Huang is very efficient." Yang Ping sat down.
"Dr. Yang, please take a look. If you confirm that there is no problem with the sample, it will only take three days for the Guilin laboratory to receive the external fixator for the experiment."
Huang Jiahui put on protective gloves, opened the equipment box, carefully took out the scoliosis model and external fixator, placed them on the desk, and demonstrated them to Yang Ping.
If the investment in this thing is spread out evenly, calculated on a gram basis, the unit price is much more expensive than gold.
Screws were screwed into the predetermined pedicle channels on the spinal model one by one, and Huang Jiahui skillfully installed the external fixator.
A few minutes later, the external fixator was installed, and she began to demonstrate the adjustment again. As the knob was rotated, the elastic spine model began to correct.
Jiahui practiced this demonstration in just a few minutes for several hours in her company.
"How's it going? Dr. Yang, do you still have any questions?"
Jiahui has shed her childishness of just graduating and looks mature and capable.
Yang Ping was going to do it himself, Jiahui hurriedly handed over the gloves, and Yang Ping did it himself from beginning to end, checking repeatedly to make sure there were no problems.
"We will produce according to this sample, and the experimental products will be sent directly to the Guilin laboratory." Yang Ping strives to complete at least forty animal experiments before the Asia-Pacific Orthopedic Association conference.
It will definitely be too late to bring spinal external fixator technology to the nearest Asia-Pacific Orthopedic Forum, but there is still hope in catching up with the conference.
Theoretically, the correction speed of young monkeys is much faster than that of children, but it is estimated that it will take about three months to complete the first batch of animal experiments.
This technology is a brand-new scoliosis correction technology. Once brought to the conference, it will cause a sensation. It is a completely different technical route from existing orthopedic surgeries.
The size of the sample is very small, specifically adapted to the size of young monkeys, and cannot be used on humans. After the animal experiments are successful, the instruments for human use will have to be re-molded and produced.
Jiahui was about to put away the equipment: "Dr. Yang, would you like to leave it on your desk for your daily research?"
Yang Ping had this intention, so he used it as an office decoration and placed it on his desk. He could study it when he had free time, so that everyone could become familiar with it.
"Dr. Yang, when are you going to Guilin? I will follow you and be responsible for following the equipment?" Although Jiahui has now taken over as the manager, she personally follows Yang Ping's surgeries.
"We're not sure yet. I'll let you know when the time comes." Yang Ping was very satisfied with the sample.
Thinking about children's scoliosis in the future, there is no need for surgery. As long as this kind of external fixator is installed, the parents help adjust the screws every day, and the deformed spine will slowly be corrected automatically. What a magical thing it is.
Compared with surgical correction, this method is not only less invasive, but most importantly, it retains the normal mobility of each spinal segment, and the obtained spine has complete normal functions.
However, surgical correction sacrifices a lot of spinal mobility.
This technology will be upgraded in the future. For adult spinal correction, the cortical bone of the vertebrae can be cut off at some key parts, and then an external fixator can be used to perform correction using the Ilizarov principle.
Yang Ping was thinking about it when suddenly, heartbreaking screams came from the ward, and the screams became louder and louder.
"What's going on?" Yang Ping asked.
Jiahui also looked confused. Yang Ping asked Jiahui to go back first and call a graduate student to ask about the situation.
"Bed 24, Teacher Zhang is changing the dressing." Guipei replied respectfully.
Bed 24 is a gout patient admitted to the emergency department. There are gout nodules all over his body. The largest nodule is as big as five adult fists.
Because of severe pain, I went to the emergency room in the middle of the night and was admitted to the General Surgery Department.
At Sanbo Hospital, everyone still likes to follow the name of comprehensive orthopedics and calls Yang Ping's department comprehensive surgery, which is more down-to-earth than the high-end surgical institute.
Whether it is the emergency department, general surgery, or overseas Chinese building, as long as it involves surgery and there are cases that cannot be handled, it is natural to ask for consultation from the general surgery department.
Guipeisheng led Yang Ping to the ward, where Zhang Lin was changing dressings, Xu Zhiliang was directing, and Song Zimo was watching, surrounded by a bunch of Guipeisheng and interns.
The wound dressing was opened, and the soaked dressing was covered with a white lime mud-like substance.
This patient, male, sixty years old, has gout nodules all over his body. There are forty-four of them. The largest one is as big as five fists, and there are several as big as two or three fists. The whole person looks severely deformed, like
It looks like a monster, making people feel numb and extremely uncomfortable after looking at it.
Several huge gouty nodules ruptured, and white lime-like substances continued to flow out of them. This "lime" was mixed with tissue fluid and looked like white mud.
Zhang Lin held a sterilized cotton ball between his tweezers and stirred it into the ulcerated wound to clean up the lime mud.
The patient lay on the bed, moaning in pain, screaming from time to time, and yelling that all the limbs with ruptured gouty nodules should be amputated.
Gout sometimes hurts and is really heartbreaking. In 1799, the famous British cartoonist James Geary depicted gout as a little black devil, vividly expressing the pain of gout.
After this cartoonist experienced gout at the first metatarsophalangeal joint of the foot, he drew a cartoon in which gout was depicted as a black scary little devil lying on the instep of the foot, biting crazily.
"Fat man, use people as mirrors!" Xiao Wu was smacking his tongue at the side.
Fatty Liang was sweating on his forehead, as if he had seen himself in the future, and how gout could reach such a terrifying level.
"Gout is one of the oldest metabolic diseases in humans. It is mainly caused by problems with the metabolism of uric acid in the body. Excessive accumulation of uric acid precipitates and crystallizes, attacking joints, internal organs and other parts. Records of gout can be traced back to the fifth century BC.
At that time, Hippocrates, the father of medicine, recorded the clinical manifestations of gout."
Song Zimo took this opportunity to explain some knowledge about gout to the graduate students and interns.
"We are familiar with historical celebrities, such as Bacon, Newton, and Darwin from foreign countries, as well as Bai Juyi, Liu Yuxi, and Kublai Khan from my country. They are all gout patients."
"In ancient times, gout was a real disease of wealth. Those who were eligible to suffer from gout were emperors, generals, ministers, and wealthy aristocrats. Ordinary people had little chance of suffering from this disease."
"In modern times, with the improvement of living standards, everyone is living a life that only wealthy families in ancient times could have. In our country, gout has become the second largest metabolic disease after diabetes. According to statistics, the number of patients in our country has exceeded 80 million.
, and is still increasing rapidly at an annual growth rate of 9.7%."
"There are usually no signs before a gout attack. I often wake up late at night due to severe pain in my feet. The pain progressively worsens and reaches a peak around 12 hours. The pain is like tearing, cutting or biting, and it is unbearable.
Endure it."
“The vast majority of gout occurs in the first metatarsophalangeal joint, which is the joint of the big toe. As the disease worsens, it gradually spreads upward to the dorsum of the foot, heel, ankle, knee, wrist, elbow and other joints. The affected joints and
The surrounding tissue is red, swollen, hot, painful, and has limited function."
"This is not over yet. Gout is a silent killer. It not only erodes and damages joints, but also erodes and damages internal organs, such as causing gout and kidney disease. In severe cases, it can cause uremia and eventually require dialysis or kidney transplant."
"Don't take it seriously. This disease is not a big deal if you pay attention to it and treat it well. If you ignore it and turn a blind eye, one day it will make you regret it."
"If you have a chance, let Teacher Liang tell you about gout. He is an expert in this field." After Song Zimo finished speaking, he turned to look at Fatty Liang, who was trembling.
At this time, Song Zimo also saw Yang Ping and immediately came over: "Trouble! Without surgery, these wounds will never be closed. With surgery, all joints in the body will be eroded by uric acid crystals, and the wounds may not heal." p>
Surgery is definitely needed, it depends on how it is done.
"Be careful with your surgical plan and make a detailed assessment of the blood vessels in your limbs," Yang Ping explained.
Zhang Lin and two trainees were so busy that they were sweating profusely. They finally changed the medicines for several wounds, and the gauze they replaced filled the yellow trash can next to them.
We have never seen such a severe gout patient. The patient is lying on the bed. If he is not mentally prepared, at a sudden look, his whole body will be covered in lumps and he will break out in sweat.
There is no filial son at the bedside of a long-term illness, and time can wear away one’s patience.
"What are you shouting for? It doesn't hurt anymore?" the patient's daughter scolded beside the bed.
"I received an analgesic injection before changing the dressing." Xu Zhiliang saw Yang Ping coming in and explained to him.
It turned out that the gout nodule had not ruptured. The old man lived with his daughter. Later, the nodule ruptured and he went to a nearby hospital for surgical debridement. After the operation, not only did the wound not heal, but it also got worse and bigger, and the bones were exposed.
The nodules also ruptured one after another.
The bad smell permeated the house, so my daughter had no choice but to rent a house for the patient and hire a nanny to take care of him. The nanny resigned after working for a month and refused to work even if the salary was increased. Just changing the dressing could solve the problem.
The nanny was scared away.
The domestic market is already in short supply of nannies, and many are unwilling to take care of sick elderly people. Even though their wages have been increased again and again, they still can't find the right person, so the patient's daughter has to take care of them herself.
"Both of us are only children. Now we have to take care of five elderly people, one of whom is in his eighties. We really have no choice but to send him to a nursing home. He was hospitalized for a stroke not long ago and was just discharged. We are almost driven crazy. There are
Fortunately, the big boss Qian, we are all salaried workers. Regardless of energy or finances, we simply can’t take care of him. Now we are struggling to survive.”
The patient's daughter complained, which was an explanation for her loss of control.
"I'm sorry, doctor, I'm about to collapse." The patient's daughter spoke softly, fearing that the doctor would misunderstand.
"Okay, okay, I've finished changing. Let's take a rest." The patient's daughter pulled the quilt to cover the patient.
"Forget it if you die." The patient said in a broken tone.
The patient's daughter lectured him again: "Why are you acting like a child? Treat your illness with peace of mind. Dr. Yang has a solution."
"Excuse me, it's true." The patient's daughter felt very guilty for having lost her temper just now.
