Chapter 87 Yang Yifeng and the fracture line! (Please subscribe!)
Fracture is a disease.
And it’s a serious disease.
Among the major types of diseases, a fracture of the hand can be called a fracture, and a fracture of the skull can also be called a fracture.
The parts are different, but they are very different.
Moreover, fractures at the same location are also different.
Simple fracture, complex fracture.
Stable fracture, unstable fracture.
There is a shift, there is no shift...
Although the location and fractures of intertrochanteric fractures are all here, they actually have their own unique characteristics.
After Yang Yifeng took several deep breaths, he let out a long breath.
Be calm.
But immediately my mind was still rigidly attached to what I saw in front of me——
How is this possible?
calm down……
I secretly searched my memory for the classification of intertrochanteric fractures, and evaluated the preoperative displacement and fracture complexity——
Evans classification type IV, the fracture involves both the large and small trochanters.
I took a look at the post-surgery follow-up radiographs.
I'm here!
This egg is definitely not a bird.
How is this possible?
The more you understand, the scarier it becomes and the more you feel the fear in it.
How is it possible to achieve such reduction and fixation for this type of fracture?
Please be reasonable with this, okay?
Is your teacher coming in person?
It may not be possible to do this, right?
Yang Yifeng carefully recalled the PFNA for intertrochanteric fracture performed by his teacher.
This idea became more certain in my mind.
Eighth Hospital, Cai Dongfan, chief physician.
Director Cai Dongfan is simply terrifying.
My own teacher?
Does he know Cai Dongfan?
If you know?
Then what does your own teacher think about his existence?
I really want to interview you.
Could it be?
Yang Yifeng suddenly thought of how decisively he agreed immediately when he asked his teacher to come to No. 8 Hospital for a visit.
Could it be that his teacher wanted to use Cai Dongfan's hand to beat him?
I really can't rule out this possibility.
The teacher took the trouble.
"How are you, Dr. Yang?" The patient's family members continued to look at Yang Yifeng eagerly. Seeing the changes in his expression, they started to feel anxious even though they had not thought much about it.
Could it be that there was something wrong with my wife’s surgery?
Does this scare the doctor?
"This surgery was done extremely well, so don't worry."
"Nao'an, you can start to gradually strengthen the contraction training of the quadriceps, that's it..."
Yang Yifeng gave a demonstration to the patient. In fact, he encouraged the patient to lift his feet. Although he could not lift his feet, with this action and thought, the quadriceps muscles would actively contract...
…
Yang Yifeng put down the film and walked out amidst the thanks from the patients and their families: "Thank you, Dr. Yang, for your explanation so patiently and meticulously."
"You're welcome, Ao'an."
"You must remember to strengthen your functional exercises. I hope to see you standing up and walking in a few days." Yang Yifeng said as he continued to walk sideways.
After leaving the door of the ward, Yang Yifeng calmed down slightly.
Change your inner thinking.
Maybe this time I come here, I can collect some more interesting case materials and treatment methods, which can enrich the structure of the novel.
Well, we can’t just come here and watch the show as if it’s just for fun.
Director Cai Dongfan's surgical skills were the second surprise that Yang Yifeng encountered during his visit to the Eighth Hospital...
Let's go see the few remaining patients who have undergone manual reduction, maybe you can relax yourself.
The operation must be performed by Cai Dongfan. Cai Dongfan is the only chief physician in Cai Dongfan's team and there is no other deputy director. Of course, Cai Dongfan is the one who performs such a level III operation.
Then he went to the bedside of another patient in Cai Dongfan's group.
After some negotiation, I got the review film.
I didn't see the internal fixation.
There should be nothing wrong with it, it was one of the other patients that I wanted to see undergoing manual reduction.
Um?
I just watched the movie for too long, so my eyes are a little blurred?
Yang Yifeng enlarged his pupils again and pushed up his glasses.
It was only after my eyes hurt a little that I found——
The fracture line you are looking for.
hiss!
I'm crazy.
MMP, why is it so difficult to find the fracture line in patients who undergo re-examination after manual reduction?
Are all the patients in Cai Dongfan's group poisonous or something?
After Yang Yifeng secretly complained for a few times.
Then I thought, this kind of film is the best and most beneficial to the patient. It would be better if the fracture line is harder to find!
But what type of fracture is this?
Can manual reduction be done so well?
Is it a simple fracture, the kind with almost no displacement, the kind where a plaster is placed in the operating room?
It was probably because Yan Haihan was not allowed to perform manual reduction in the department before, so he was dragged into the operating room.
Yan Haihan is really a little abnormal. Manual reduction is not allowed in the ward. I don't know how he came up with this.
Let’s take a look at the pre-operative film——
fracture line.
Displaced fracture.
Um?
Long bone diaphysis type C——
Worri!
Yang Yifeng felt a little panicked at that time.
He took a step or two back slightly unsteadily, seemingly frightened——
And he looked quite scared.
Seeing Yang Yifeng like this, the patient's wife immediately stood up, reached out her hand quickly, and while helping Yang Yifeng, asked: "Doctor Yang, are you okay?"
I was wondering in my heart, what's going on with this doctor?
I just came to the hospital to take care of my broken husband.
This doctor also wanted me to look at it carefully. It was really, absolutely amazing...
But this doctor is so thin, maybe he is not in good health.
Poor kid, too thin.
Yang Yifeng quickly stood still, took a deep breath, and replied with a forced smile: "It's okay, it's okay, I'm okay."
"How is my husband's fracture? It doesn't matter if he doesn't have surgery, right?" The patient's wife did not forget about business.
Her husband was hit by someone while riding an electric bike. She didn't mind having the surgery as long as the other party would compensate.
As long as my husband is treated well, it doesn't matter if he spends more money.
She and her husband immediately agreed to the operation from the beginning, but in the middle of the operation, the surgeon suddenly came out and said that there was no need for surgery, just a manual reduction, and it would be fine.
She questioned Dr. Luo for a long time and confirmed that there would be no sequelae and that the effect of the treatment would not be too big compared to the surgery.
I thought it would be nice if my husband would have to undergo less surgery, so I agreed not to have surgery.
But what if something goes wrong?
Then Luo Yun and others must bear responsibility to the end.
"It doesn't matter, the results of this re-examination are excellent." Yang Yifeng nodded and said comfortingly.
"Don't get out of bed. You can properly strengthen the function of the muscles without pain to prepare for standing up soon." Yang Yifeng continued to explain.
"It's fine. I originally said I wanted surgery, but Dr. Luo said I wanted surgery but didn't want surgery anymore. I don't know what he was doing."
"Don't talk nonsense to the doctor. Director Cai has already said it. In my situation, it would be a pity if I had to undergo surgery." When the patient heard that his wife was getting more and more outrageous, he interrupted.
It can be cured without surgery, and one less scar is a good thing.
The patient's wife then said: "Dr. Yang, I actually have no other intentions. I just want my husband to be well."
Yang Yifeng continued to smile and replied: "It doesn't matter, I can understand your mood. The situation is quite optimistic now. Don't worry, our doctors will pay attention to your situation at any time."
Through Yang Yifeng's explanation: "And you also need to understand that we doctors consider it from an objective point of view. To put it bluntly, if the operation can be performed, our doctor's performance will be slightly higher. Why not do it?"
"Then I really don't think you should do it."
"Do you think this is true?"
"In treatment, you need to choose the appropriate treatment method. Only when it reaches the right point is it the best."
"It's like cooking. Some dishes need to be saltier, while others don't need any salt at all. It's the same principle."
"Director Cai just got this point right." Yang Yifeng said, squeezing his little finger with his thumb, his voice full of emotion.
Hearing Yang Yifeng's words, the patient's wife's eyes immediately lit up: "Well, what you said makes sense. There must be neither too much nor too little salt for cooking..."
The patient secretly gave Yang Yifeng a thumbs up.
Yang Yifeng explained it in an easy-to-understand manner.
The premise of being easy to understand is to be able to do light things but heavy things...
Five minutes later, Yang Yifeng's eyes started to hurt again...
What about the fracture line?
He murmured softly in his mouth.
I feel like I am just like an intern!
It's still difficult to find a fracture line, isn't this the level of an intern?