It is a doctor’s principle to keep patients’ privacy.
The four major principles of medical theory - do no harm, respect, benefit, and justice.
The characteristics of the medical profession determine that doctors can often learn some of the patient's privacy, some of which the patient has never talked about or exposed to others, including physical and psychological aspects.
Therefore, doctors should respect the patient's right to medical privacy. If the patient's right to privacy is destroyed, the doctor-patient relationship will be destroyed, and the patient's trust in medical staff and medicine will be lost.
This is the bottom line principle of the profession.
Even a loudmouth like Zhang Lin, known as one of the major broadcasters of Sanbo, will remain tight-lipped about patients' privacy.
The sunshine boy's name is Qin Xiaowei. Except for other things, his outlook on life is actually very upright.
He told Yang Ping that Li Jun was actually a uremia patient and currently required dialysis twice a week.
The two are from the Beipiao ethnic group, and their unstable jobs mean that their medical and social security bills are often cut off.
I entered the live broadcasting industry one year ago and earned some money, all of which was spent on Li Jun’s medical treatment, especially dialysis, which was very expensive without reimbursement.
Later, the economic situation will improve after paying medical insurance and social security as a flexible employee.
Perhaps Yang Ping's steady image gave this young man trust, and he talked a lot to Yang Ping.
"Uraemia, have you told Dr. Li Guodong about this condition? Arrange dialysis as soon as possible." Yang Ping asked, sympathizing with the two people's experiences.
Qin Xiaowei nodded: "As I just said, I had a dialysis session before coming here, and I need to arrange dialysis tomorrow."
"Ajun is preparing for a kidney transplant and has to wait for a kidney source. I have done a match with him and the doctor said that he meets the requirements. I plan to donate a kidney to him, but the doctor said that he needs to go through the ethical review process and is currently going through the process. This time
The surgery shouldn’t affect subsequent kidney transplantation, right?”
Qin Xiaowei is quite worried.
Yang Ping told him that it would not affect subsequent kidney transplantation.
Moreover, if the teratoma is not removed, it will affect the subsequent kidney transplant operation. At least because of the compression of the teratoma, the organ will be ectopic, making the kidney transplant operation more difficult.
"Actually, I have 100,000 yuan in hand now, which is reserved for kidney transplantation. I don't dare to touch it, so I have to find extra money. I can get the money in just three days. Because of his physical condition, Ajun has been
I am very depressed and have committed suicide several times, but I was discovered in time. I will always stay by your side, but I still need to ask the nurse to take care of you. It is best to lock the doors and windows, but I am in a much better mood recently." Tan Xiaowei became more relaxed as he chatted. He told Yang Ping that Li Jun had committed suicide by taking sleeping pills and swallowing rings.
Fortunately, even if he found out, tragedy was avoided.
"The medical insurance in the Imperial City can also be reimbursed online, so you don't have to worry too much about money." Yang Ping told him about medical insurance. Many patients don't understand the medical insurance policy.
In fact, many places are now connected to each other, and inter-provincial medical insurance can be reported directly, which is very convenient.
Tan Xiaowei was a relatively knowledgeable person and did not dare to waste Yang Ping's time too much. He simply asked a few questions and left the meeting room.
After he left, Yang Ping returned to the office, retrieved Li Jun's outpatient examination information, and ordered Li Guodong to add some items to Li Jun's preoperative examination, such as chromosome examination for gender identification.
Still worried, Yang Ping came to the ward again and conducted another detailed physical examination on Li Jun. No new findings were found.
Qin Xiaowei and Li Jun understood Yang Ping's caution very well and were not impatient at all.
After repeated confirmation by Yang Ping, this young man was indeed a male patient inside and out.
Judging from the imaging, there is definitely no doubt about the diagnosis of teratoma. Yang Ping just did more work out of caution.
Yang Ping also told Li Guodong and the head nurse to take protective measures against Li Jun's past suicidal tendencies, and to pay attention to their attitude when communicating with him.
Because patients with depression are very sensitive, Yang Ping urged everyone to make him feel that the world is beautiful.
As a doctor, caution is never unnecessary!
---
After all these arrangements were made, it was already past eight o'clock, and Song Zimo and Xu Zhiliang were already ready to give lectures.
When the forum was live broadcast online, the screen was a PPT image, and Yang Ping could only hear the sound. He didn't like to show up.
This lecture is not only for members on the forum, but also a learning opportunity for doctors in the department. There are no requirements for interns.
Because the interns’ knowledge reserve and understanding ability have not yet reached the level of understanding this kind of class.
However, those who volunteer to attend classes are also welcome.
The so-called edification is probably like this. If you often receive information in this area, your understanding will naturally improve.
This is the case for Zhang Lin and Xiao Wu. They are just ordinary people, far from having the talents of academic masters like Song Zimo and Xu Zhiliang.
However, they perform retractions on Yang Ping every day. Under the step-by-step guidance of Song Zimo and Xu Zhiliang, their theoretical level and surgical ability are far higher than those of doctors of the same level.
A lot of surgeries, repeated training, and over time, you will naturally become proficient.
It's like memorizing three hundred Tang poems, even if you don't know how to recite poems, you can still recite them.
What's more, these two people were not only forced to read Tang poetry familiarly, but also learned to write poetry with Li Bai and Du Fu every day.
Even if I could only shout "f*ck" before, I can now squeeze out a few decent poems.
At this time, the forum's chat room is very active.
Perioperative management and key points of surgical operation of crestal external fixator!
The video window is just a question.
Xu Zhiliang sat in the last row of the demonstration classroom, with a laptop in front of him, a bottle of mineral water next to him, and a bag of large steamed buns, at least six or seven by visual inspection.
He is responsible for the connection of the live broadcast of the forum. He places the video window on the left side of the computer screen and the chat window on the right to facilitate communication.
Zhang Lin maintained order in the classroom, and Xiao Wu helped operate the messy equipment such as the Internet, computers, speakers, and microphones.
Song Zimo is the host of the conference. He is wearing a shirt and tie today, looking very formal and academic.
Although it was Saturday, many young doctors came.
A few girls who usually don't like to attend classes quietly squeezed in behind, but their eyes were focused on Song Zimo.
This chapter is not over yet, please click on the next page to continue reading!
"Everyone, keep quiet. Those who haven't had breakfast can listen while eating breakfast. However, you should eat durian, stinky tofu, and Laotan pickled cabbage outside first before coming in." Zhang Lin stood in the front row, shouting.<
/p>
Xiaowu is testing the sound quality of Yang Ping's microphone.
Director Gao, who is engaged in sports medicine, also came to attend the spinal column professional class. He sat next to Xu Zhiliang.
I had something to do in the morning and took some time. I hadn't eaten breakfast yet. I looked at a few Northeastern steamed buns in front of Xu Zhiliang and thought, you can't eat so much.
"Old Xu?"
Everyone shouted that, and Director Gao followed suit.
While Xu Zhiliang was operating his notebook, he reached for the steamed buns and ate them in big mouthfuls. Not one bite made him choke.
"Your steamed buns are still hot and look good. Northeastern old steamed buns? Let me try it." Director Gao stretched out his hand.
Xu Zhiliang focused on the computer screen and didn't pay attention to anyone. He only knew that someone was taking his steamed buns.
With a snap, Director Gao's hand was opened.
"I ate eight in one meal in the morning. I brought the last six from the cafeteria today and gave them to you?"
Eat eight in one meal?
True, false.
I heard Xiong Sihai say before that his family had a stutter and ate eight large steamed buns for breakfast, but I didn’t expect it to be true.
Seeing Xu Zhiliang eating with gusto, he finished the whole steamed bun in several bites without even drinking a sip of water.
So awesome!
Director Gao swallowed, said nothing more, took out a small notebook, and began to prepare for the lecture.
---
"Oreo online?"
"Here!"
"Okay, this energy!"
"So-so."
It’s past two o’clock in the morning in Germany now.
"I have never fully understood the selection of the osteotomy site and the depth of the osteotomy. I must listen to the professor's lecture carefully today."
"The professor's osteotomy principle is that each of the vertebrae responsible for lateral bending participates in the osteotomy, but each retains a certain degree of stability."
"The external fixator is an elastic fixation. If a segment loses stability due to osteotomy, the risk increases."
"Why does every bone need to be cut? This is so different from traditional orthopedics."
"The theoretical basis is different. In the words of the professor, this is the zipper principle."
"What is the zipper principle?"
"When the bag is filled with things and sealed, the zipper cannot be closed. It takes a lot of effort to successfully close the zipper. At this time, you find that the zipper does not bear any tension and is very loose, as if the previous strength has disappeared."
"The stress is distributed to each zipper segment. In the same way, the professor's purpose is to distribute the deformity to each vertebra and one segment, so that less becomes more. By dispersing the deformity, the deformation in each place will be the least, and the natural risk will be It is the lowest, and the bone movement distance is the least, and the required orthopedic time is also shortened to the minimum."
"Wait a minute, I need to get some coffee to refresh myself."
Woodhead spoke.
"I'm not interested in coffee now."
Robert used to like coffee very much.
"What are you drinking?"
“West Lake Longjing!”
"Oreo, are you sure about the time to go to China?"
August did not respond.
"Oreo? Are you asleep?"
"Actually, the most refreshing thing is Oreo, it's around two in the morning."
"I've had a bottle of dark beer, don't worry, I'm in good condition now."
---
At nine o'clock, the lecture officially begins.
Xu Zhiliang just operated the computer and ate steamed buns.
Six steamed buns, not even the dregs left.
After finishing all the operations on the computer, he could finally rest for a while. Xu Zhiliang picked up the mineral water and prepared to unscrew the bottle cap and take a few sips.
Seeing Director Gao next to me staring straight at him, I felt a little scared.
"Director Gao? What, are you free today?"
Director Gao really couldn't hold it back and swallowed: "If you have time, if you have time, come and listen to Professor Yang's lecture."
Then he turned around and started listening to the lecture, no longer chatting with Xu Zhiliang.
Online live teaching and on-site teaching are conducted simultaneously.
Yang Ping first briefly reviewed Yinlizalov's theory, and then sorted out the application of Yinlizalov's theory in limb orthopedics.
In this way, everyone has a basic understanding of the application of Yinlizarov's theory in the field of orthopedics.
Then I will briefly talk about the history of spine orthopedics, and then list the difficulties Yinlizalov applied to spine orthopedics.
The main line is clear, the context is clear, and each link is linked to another.
After listing the difficulties, what ideas should be used to deal with each difficulty, and how can the coping ideas be turned into achievable technologies?
After the preparation is complete, the principle of the ridge external fixator, the selection of surgical indications, the understanding of surgical contraindications, perioperative management, and the details of the surgical operation will be explained.
How to calculate the osteotomy is the core of the technology, and the rest is just a matter of practice.
How to design each osteotomy not only ensures the stability of the ridge column segments during the entire treatment process, but also ensures that distraction osteogenesis can be achieved at the osteotomy site.
Only by maintaining stability can the weaknesses of the elastic fixation of the external fixator be avoided.
Only by ensuring distraction osteogenesis at the osteotomy site can distraction osteogenesis be used to achieve correction.
To maintain, Yang Ping created several lines and angles.
Based on these lines and angles, osteotomy planning can be formulated.
If there is computer assistance, this work will be easier. Let the computer do precise planning directly, which will simplify the surgical process and lower the surgical threshold.
The lower the threshold for a surgery, the stronger its popularization ability and the higher its safety.
The animal experiments were very successful. All 40 cases in the first-phase clinical trial were successfully corrected, and the second- and third-phase clinical trials are currently underway.
The most classic case of Cui Shukai was put on the screen. The preoperative C-shaped scoliosis was corrected in three months without complications. The function of each ridge segment was completely preserved.
The pre-operative, intra-operative and post-operative X-rays were listed, and then Xiao Cui’s pre-operative, intra-operative and post-operative videos were also displayed smoothly.
In particular, the video of Xiao Cui removing the external fixator after surgery and bending down to tie his shoelaces after a short period of rehabilitation training shows that the spine function is very good.
Yang Ping's steady image has been deeply rooted in the hearts of all doctors. The success of this experiment has made the steady image even more glorious and great.
There are many stories about Yang Ping circulated in Sanbo Hospital, including how he saved others, how he faced difficulties at academic conferences, how he cleaned up the mess for international giants, and how he quickly completed foldable surgery with the Golden Knife Award.
It seems that Yang Ping can complete any case or operation steadily and smoothly without failure.
The moment Xiao Cui bent down, the venue burst into warm applause.
---
At the same time, emoticons of enthusiastic celebration were also displayed in the chat box of the forum!
"Incredible!"
“It was completely corrected!”
"Anteroposterior and lateral X-rays show that the ridge column is almost the same as normal."
"Has this patient been discharged from hospital?"
"Not yet, I won't be discharged from the hospital in the short term."
Xu Zhiliang is answering questions.
"Great, I want to see this patient with my own eyes. Forty cases, except for one case of mild pinhole infection, there are no other complications. Isn't it perfect?"
August said it was unbelievable how a clinical trial device could be so mature.
"This is the professor's style---steady! Every piece of work presented is extremely mature. No one is more steady than the professor. You can take a look at the professor's other masterpiece, folding human spine orthopedics, which was a new technology at that time.
There is no plastic surgery, traditional surgical correction is used, and the whole process is more exciting than a roller coaster. After seeing that surgery, you will know that our professor has always been flawless in everything he does, and his skills are at the top of his game. Let me think about how to describe the professor."<
/p>
Robert still remembers the surgery to fold the human body.
Nonsense, Yang Ping’s crestal external fixator technology has been refined in the system laboratory, so it’s strange that it’s immature.
"My professor is so stable!"
Takahashi typed out a string of words.
Robert felt cold in his heart. It seemed that there was little hope of snatching the position of Moderator of Traumatology and Orthopedics from the Japanese.
PS: Today is a chapter, but it has more than 4,000 words, so the weight is pretty good!