In fact, so far, Chen Nan does not have a very deep understanding of orthopedic surgery.
But after years of experience, he also changed his mind.
Especially after Chen Nan received some awards from the "Jule Master", many ideas have emerged.
That is through mechanical research such as gymnastics, immediate analysis of sports mechanics, biomechanics and other perspectives, combined with the experience of meridians, acupuncture points, etc., to see whether the disease can be improved.
This is similar to the fitness effect of gymnastics.
but……
So far, Chen Nan has not done enough research on this. Although he has taken a lot of notes, it is still very difficult to develop a set of gymnastics that can improve physical symptoms and promote metabolism.
Fortunately, learning is never a bad thing. When you have a lot of reserves, you will find that things that are bright in the east are bright in the west.
That's what happens on the rehabilitation medicine and orthopedic side.
Although Chen Nan has no way to influence the Qi of the internal organs from the inside out, he has still made great progress in his research on "orthopedics and spine".
Now that he is in orthopedics, Chen Nan naturally wants to transform his theoretical knowledge into clinical skills.
Only in this way can knowledge be truly transformed into real and effective patient outcomes.
Luo Qiping looked at Chen Nan with a smile, and then said to the big guy with a smile:
"Well, here at my side, it took a lot of effort to invite Director Chen to everyone."
"Now everyone is satisfied!"
The medical staff at the scene all laughed.
Tao Lianghui and Li Ke's eyes were even brighter. When Chen Nan first arrived, they had brief contact with each other.
But……
At that time, no one could have imagined that Director Chen, who was much younger than them, could make such a big change in the internal medicine team of the Integrated Traditional Chinese and Western Medicine Ward in less than two years.
It is an unimaginable thing to say.
Luo Qiping smiled at Chen Nan: "Director Chen, now...I'll leave it to you."
"What ideas do you have, or what skills do you want to use, such as the rehabilitation methods for ankle fractures... If you want to conduct any research, please tell us, and we will definitely cooperate with you."
"What do you think?"
After Chen Nan thought for a while, he said: "I think...it's not what I want to do, but...what the patient needs, we will do it."
"You can think about what difficulties you are currently encountering, or in which disease field you are encountering the most problems."
"Today, let's all get down to business first, then think about what aspects we need to improve, and then have a meeting to discuss it."
"How about it?"
"I leave the choice to everyone."
After everyone heard this, their eyes suddenly widened.
Even Sun Haigang, the director of spine surgery who has been in the department for a long time, couldn't help laughing:
"Director Chen, are you serious?!"
Chen Nan suddenly laughed: "It's true!"
Following Chen Nan's words, everyone couldn't help laughing.
This feeling is so good!
Let everyone choose.
After hearing this, Luo Qiping laughed and gave a thumbs up to Chen Nan: "A skilled artist is so brave!"
"Now that the subject leaders are precise enough, you might as well... just let everyone choose."
Chen Nan waved his hand and said: "Chinese medicine is no better than Western medicine."
"Actually, in my opinion, orthopedics, whether it's bones and joints, bone injuries, or outside the spine... these are all the same."
“TCM’s understanding of orthopedics never starts from a small joint, but from the entire human body.”
"That's why I said this."
Luo Qiping heard the sound, thought for a moment, and nodded: "It makes sense."
After the two people left, staff from various departments and groups gathered together to discuss.
After all, orthopedics is not just on the first floor.
In today's meeting, Luo Qiping called in all the bones and joints, bone injuries, and spine.
Therefore, the discussions between the three groups at this time are inseparable.
Wait until half past ten in the morning.
Everyone gathered in the conference room again.
Obviously, all departments and groups are already well prepared.
Because there is still work to do, only the leaders of each group and above will participate in this meeting.
The number of people suddenly decreased a lot.
Luo Qiping looked at everyone with a smile: "Have you considered everything? Haha..."
"You can't go back on your word!"
"Also, everyone should be careful and not let Director Chen suffer defeat just after he comes to our place."
"This is obviously not a good thing."
"Furthermore, funding is also an issue. Since we want to carry out relevant research and clinical work, the hospital must have funding, but... it cannot be wasted."
"So, once a decision is made, it must be carried out properly."
Luo Qiping also became serious at this time.
It was completely different from the smile just now.
In the audience, the first person to speak was the director of spine surgery, Sun Haigang.
Sun Haigang was about to speak when a phone call suddenly broke the tranquility.
Everyone looked for fame and left, and Sun Haigang took out his mobile phone, looking embarrassed.
"Sorry, I'll take a call."
Sun Hai just took out the phone and his expression suddenly changed.
"good!"
"good!"
"I'll be there right away!"
"OK!"
After hanging up the phone, Sun Haigang said quickly: "Director Luo, we just got a call from the emergency department and a special patient came."
"The situation is particularly urgent. The patient was injured by a falling object from a height, which resulted in the patient's current spinal fracture and possible spinal cord damage."
"Do you have time?"
"Let's go over and have a look together."
Luo Qiping stood up instantly and said to everyone: "Okay, let's get to work first!"
"Director Chen, come with me."
While talking, Luo Qiping directly pulled Chen Nan and followed Sun Haigang outside.
Falling objects from heights have always been an accident with a high risk factor.
The victims are often more serious.
Nowadays, a spinal fracture may be accompanied by spinal cord injury, which is naturally not an easy thing.
Therefore, several people's faces were rather solemn.
As a traditional Chinese medicine doctor, Chen Nan has rarely participated in emergency work.
One of the few times was the traffic accident in Yuancheng City, Shanxi Province.
Then, he came to the capital and basically didn't participate.
So this time, Chen Nan was also worried. After all...he is not a perfect person, and Chinese medicine is not omnipotent, and it is impossible to do everything well.
As soon as Chen Nan arrived at the emergency room, he heard people making a fuss inside.
In addition to Luo Qiping and Sun Haigang from the Integrated Traditional Chinese and Western Medicine Ward, orthopedic experts from the Western Medicine Ward also arrived quickly.
Everyone walked towards the emergency room.
"How's the situation?"
The director of the emergency department of the China-Japan Friendship Hospital is Wang Liang. He is 49 years old. He is young and very capable.
After Wang Liang saw everyone arriving, he stared at the film with a solemn expression, thinking about treatment methods.
The hall outside was extremely noisy.
The patient was wearing a security uniform, but he was lying on the hospital bed, dying.
"What's going on?"
"What's the situation like?"
Luo Qiping and Qi Huan, the director of the Department of Orthopedics of the Western Medicine Ward, couldn't help but ask at the same time.
Wang Liang frowned, pointed at the film and said:
"Look."
"There are obvious fractures in cervical vertebrae 2-6, thoracic vertebrae 5, 6, and 7, and lumbar vertebrae 3-6."
"Moreover, here, at the thoracic spine, the spinal cord has been clearly violated."
"It has caused breathing difficulties. After the initial decompression, the respiratory symptoms eased, but... the situation is still serious."
After hearing Wang Liang's words, Qi Huan and Luo Qiping looked at each other, their expressions showing unprecedented solemnity.
"How old is the patient?"
"42 years old, I have been injured before, and there are traces of surgery on the hip joint, but this time I am not injured. I also have fractures in the radius bones of both arms, but...compared to the spine, this is lighter and the surgery is easier. Now I am more difficult to do.
It's...how to move this spine? The degree of damage is too serious, and the situation is difficult to predict!"
Wang Liang's words made both Luo Qiping and Qi Huan tremble in their hearts.
Luo Qiping stared at the screen and said, "Where are the family members?"
"Have you signed... the critical illness notice?"
"This situation is a bit difficult!"
"And even if it is surgery, the risks may be very high. There is a high probability that the patient may have to stay in bed for the rest of his life."
"Did you call the police?"
"Didn't you say it was an object falling from a height?"
What Luo Qiping said was very high level.
The patient is a security guard, 42 years old, and... the situation is so serious that his family members need to be notified anyway.
Moreover, in addition, the cost of surgery needs to be very high. Although they can perform emergency surgery,... it is best to contact the responsible party for judgment.
It can be seen how rich Luo Qiping's experience is.
Wang Liang sighed: "Responsible party?"
"It's easy to find, but the other party didn't come."
"Because... objects fell from high altitude, and the ones who fell were children..."
As soon as these words came out, everyone was dumbfounded.
Chen Nan also looked at Wang Liang with wide eyes, full of confusion.
How come a falling object becomes a child?
Wang Liang continued: "The family members...the patient's name is Qian Wei. The family members only have two children. The eldest is 13 years old and the second is 8 years old. They go to school in the suburbs."
"Already notified."
"As for the responsible party, not only has the other party not compensated Qian Wei, but they are also...very angry."
As Wang Liang said these words, everyone became even more confused.
"angry?!"
"Why are you angry?!"
"What...is going on?"
Wang Liang then said:
"Qian Wei is a security guard at Jiahaiyuan Community. While patrolling the community, he found a child on the eleventh floor window and was about to jump out."
"The little boy was only 3 years old and was hung on the 11th floor."
"Onlookers said that the child fell directly before he could be rescued."
"When Qian Wei saw this, he ran over and caught the child!"
"The child is in a coma and may have fractures. Now his family has sent him to the Second Hospital of Peking University."
Speaking of this, Wang Liang's eyes were a little complicated. He couldn't tell whether he was crying or laughing and said:
"Do you know what the child's grandmother said?"
Everyone shook their heads curiously.
Wang Liang sneered: "The other party said...if his child is in trouble, Qian Wei will not be spared!"
"Tell me why he didn't protect the child!"
"When I heard this damn thing, I almost slapped that woman."
"I, Wang Liang, have been the director for so many years, and this is the first time I have seen someone so shameless!"
"Qian Wei is like this now. At least his child's life is not in danger. Qian Wei has blocked more dangers."
"If that woman were a human being, she wouldn't say such things!"
After hearing these words, everyone couldn't help but look ugly.
As we all know!
To catch the child with both hands is to use your body and life as a cushion.
It’s okay if you don’t thank such a person. If you say such a thing, are you a human being?
Luo Qiping took a deep breath: "This family has no hope."
"Save people first!"
"Well, let's do the surgery first."
Luo Qiping and Qi Huan said this at the same time.
Wang Liang sneered: "The most ridiculous thing is...the property management company didn't come either."
"What a bunch of fucking beasts!"
"How's this fucking hero?"
"This is the first time I've seen such a character. What's wrong with today's society? Do we still have to take responsibility for saving people?"
Wang Liang was obviously very angry.
Luo Qiping also shook his head, not thinking about these disturbing things, but began to discuss how to operate.
Even if the person involved doesn't want to default on the debt, but... they can't let the hero go like this.
They dare not operate until they have a definite plan.
After all, this is a major surgery, and if it is not handled well, the consequences may be dangerous.
After Chen Nan stood aside and listened to this story, he was dumbfounded.
He never thought... that the rescuer still needs to take responsibility?
Your children are human beings, but the people who save them are not human beings, right?
not to mention……
If there was no family, your child would have died long ago, okay?
Some of the things I said sounded ridiculous to the extreme.
Chen Nan was also staring at the film at this time, thinking about countermeasures.
He has a very good understanding of the spine and its anatomy, and he knows very well how serious the patient's injuries are.
Aside from the spine, the most important thing is...the spinal cord is also damaged at this time.
Repair of spinal cord injury is very difficult!
Luo Qiping: “I think it is better to repair the atlas and axis first. This is the segment with the greatest mobility in the cervical spine, and its range of rotation accounts for more than 50% of the entire cervical spine’s rotational mobility (120°-160°).
and……"
"This is also a high position, in comparison..."
What Luo Qiping means is that at the very least, even if you have high paraplegia, you must preserve your cervical and thoracic spine.
Even if the lumbar spine fails, at least I can still carry out some basic activities.
It’s not like you have to lie in bed for the rest of your life.
Although this is hard to hear, it is true.
Wang Liang on the side also nodded: "Well, this is the best plan and the safest."
…
While talking, they had already begun to discuss the specific issues and details of the surgery.
"A small incision can be made here to drain the fluid and reduce the pressure first..."
"Well, the lumbar spine is more troublesome. I think internal fixation can be used. In this way... it may also speed up the repair function of the nerves."
…
A group of people were having a heated discussion. As a Chinese medicine practitioner, Chen Nan couldn't get in the middle of the conversation, but he listened very carefully.
After all, compared to reading a book, listening to professionals’ surgical options and treatment approaches is the best way to learn.
Just like that, time passed by minute by minute.
At this time, the nurse came in.
"Director, the police are here and have brought Qian Wei's family members and his two children."
Hearing this, Wang Liang was stunned for a moment.
"Is the patient awake?"
The nurse nodded: "Well, I'm awake and my consciousness is very clear, but... I can't move my chest below 5, and... I have no feeling in my upper limbs on both sides..."
"Director, can I visit?"
"The two children...have cried so hard."
While talking, the nurse couldn't help but shed tears.
"The police said that Qian Wei has always been taking care of two children by himself, and he has been doing so for many years."
"His wife left early."
"Such a good person..."
Wang Liang took a deep breath and said, "Let them meet."
"Why……"
"I'll go."
To be honest, Wang Liang cannot guarantee whether the patient's surgery will be successful.
Because the injury was too serious, don't underestimate the child who fell from the 11th floor. Compared with falling a stone, it is no less generous.
Moreover, because the hands were holding the child, the body's spine suffered a lot of pressure and suffered multiple fractures... The best case of spinal cord injury is paraplegia...
Whether the operation can be successful is still a question.
Talking time!
Wang Liang led everyone to the emergency care room nearby.
At this time, Qian Wei was lying on the bed dying and had difficulty breathing. His face, which was on a ventilator, was full of pain.
The two children were at the door, already crying.
After receiving Wang Liang's permission, the two and a half-year-old children bowed to the doctor, wiped their tears and runny noses, and hurried in.
"dad……"
"dad……"
Seeing his father covered in bandages and immobilization, the child was so frightened that he even spoke.
Standing aside and not even daring to get close!
"Wow……"
Immediately afterwards, the two of them broke down and cried.
The older child held his younger brother's head: "Xiaoyong, don't cry! Don't cry!"
"This is a hospital, have you forgotten what dad said?"
"Dad heard it...and felt very sad..."
However, the little boy is only nine years old, how can he know so much...
Tears still couldn't help but burst out, but... there was no sound. He opened his mouth wide and let the tears and snot flow down, but he didn't cry out. But such a picture made everyone in the room a little moved.
The fat brother also grinned and shed tears. He wiped his tears with his little hand without noticing that he had...a lot of tears.
Seeing this scene, the little nurse couldn't help it anymore and turned her head.
And Wang Liang sighed: "Child, your father is a hero."
"Don't cry!"
"Dad is awake."
"Go over and see dad."
After hearing Wang Liang's words, the two little boys hesitated, or...were afraid.
Their young minds and souls allowed them to witness the inexplicable painful moments in life for the first time.
The elder brother cautiously walked to his father's side, lowering his head and saying nothing. Only the twitching of the corners of his mouth betrayed his composure.
The younger brother raised his hand and carefully wanted to touch his father's bandaged body, but... he didn't dare to touch it, for fear of causing his father to feel pain.
A childish voice sounded:
"Dad...do you feel pain?"
"It hurts... just cry out, okay... it won't hurt so much if you cry... wuwu..."
This sentence "Does it hurt?" made everyone around me feel sour.
Why is this...
Why does the hemp rope break at the thinnest part, and bad luck only attracts the miserable people?
Even Chen Nan's eyes were a little red at this time.
But he knew that he couldn't cry. If he cried...the two children would have no backbone.
At this time...
Qian Wei couldn't help but shed tears.
Seeing this scene, Wang Liang was a little moved, because...Qian Wei never shed a single tear from the beginning until he arrived at the hospital.
However, when he saw the child, he couldn't bear it anymore.
At this time, his head was spinning wildly. Wang Liang knew that he wanted to speak and took off the breathing mask.
Qian Wei's voice was weak and he smiled at the two children.
The smile is ugly!
The laughter also broke the hearts of the two children.
The man they thought was as majestic as a mountain cried...
"dad……"
Qian Wei smiled: "Child, Dad... Dad is sorry for you..."
"Dad is really...I'm sorry..."
"Let's go."
"Go to your aunt or uncle and ask them to adopt you."
"Dad...can't take care of you anymore."
Qian Wei's words were obviously saying goodbye.
"Dad... please stop talking..."
My brother was so excited that he wanted to cover his father's mouth, but he didn't dare, so he could only shake his head crazily.
Then, the elder brother took his younger brother, knelt down with a bang, and kowtowed to several people in white coats.
"Uncle doctor, please...save my dad, okay?"
"Please."
"We have money. When we grow up, we will give the money back to you."
"OK?"
"Please...save my dad..."
While he was talking, his brother opened his schoolbag, hurriedly took out a stack of fifty-cent pocket money, and was about to stuff it into Wang Liang's hand.
"Uncle doctor, I don't know enough..."
"But, there are only so many of us..."
"Save my dad, we can all make money when we grow up..."
When the younger brother saw this scene, he also took out his schoolbag, but there was only one yuan in it. In addition, there was a lollipop and a pack of spicy strips, which he stuffed into Chen Nan's hand.
"Uncle, please..."
"Save my dad..."
Chen Nan looked at the lollipop in his hand. At this moment, he couldn't hold back the tears anymore, and they were about to flow down as he spoke.
Qian Wei also started crying at this time:
"Baby, get up!"
"Baby...Dad is telling you."
"You followed your father and endured hardships. My father has no ability and ability to see you grow up..."
"Be a good person from now on."
At this time, there were already a few more sobbing sounds from the medical staff in the room.
Who can remain unmoved when faced with such a scene?
Even Wang Liang, who was used to seeing life and death, held a handful of change in his hand and turned his head away.
Don't dare to face it...
The two little boys looked at Qian Wei and cried heartbrokenly.
At this time, the monitor alarm sounded.
Wang Liang then took the two children out.
And at this time...
Qian Wei couldn't help but ask: "Doctor, is the child... okay..."
The doctor who went to the scene to participate in the treatment was a young doctor. He rubbed his eyes.
"fine."
At this moment, Qian Wei suddenly smiled.
He is not a good father...
"What a pity, my two dolls... are going to suffer..."
Hearing this, the young doctor suddenly said: "Do you regret it?"
Qian Wei was stunned and shook his head: "I have saved the children, so I won't regret it anymore."
"If something happens to the child, I will really regret it..."
The young doctor said excitedly: "The family members are like that...you..."
Qian Wei smiled painfully: "At least the child can be saved, right... The child is right..."
"If it happens again..."
"I guess it will still be like this, right?"
"This is life..."
Listening to Qian Wei's words, Chen Nan was completely shocked.
What kind of person is this?
He took a deep breath and made a decision.
He is responsible for all the man's treatment costs.
At this time, Wang Liang and Luo Qiping returned outside and continued to discuss the situation.
Chen Nan walked out and looked at the two little boys in the distance. The elder brother hugged the younger brother and was saying:
"Stop crying!"
"You're a man!"
"We have to rely on ourselves in the future..."
"Stop crying!"
"What did daddy tell you?"
However, the younger brother didn't know so much and hid aside: "Dad will be fine..."
Brother: "Are you stupid?"
"Doctor Bobo said the critical illness notice..."
At this point, the elder brother also started crying. His childish little face was full of determination. He hugged his younger brother and cried:
"Xiaoyong, dad... dad may be gone..."
"We have to rely on ourselves from now on..."
"We...may have to...without a father..."
Chen Nan rubbed his eyes and called Zhao Jianyong.
"Help me go to the emergency room for Qian Wei, the hospitalization number is 16721937, and I need to pay the hospitalization fee of 1 million yuan first."
"Then...contact the relevant departments."
"I want to sponsor two children, maybe... adopt them!"
Hang up the phone...
Chen Nan walked into the room.
Director Luo and the others seem to have a plan at this time.
"This is already the best solution!"
"But... the spinal cord damage is relatively serious."
"At least he can survive and maintain most of his functions. At least the patient has a chance to recover..."
"The follow-up of spinal cord injury is also very difficult... I think the most important thing at the moment is to do our best to preserve the existing advantages... To be conservative, it is to save the cervical spine and thoracic 4 and above. Even if the lower paraplegia is not affected, life will not be affected."
It seems that they are stuck between two options and have no choice.
What Luo Qiping means is: "Treat all spinal vertebrae as much as possible to give patients a chance to recover."
Qi Huan's method is: "Choose mainly those with thoracic vertebrae above 4 vertebrae. After all, there are too many injuries. The spinal cord has been damaged. You can consider giving up on the following... In this way, at least some upper limbs and organs will not be damaged."
affected."
Listening to what several people said, they seemed to be considering the risks and complications of surgery.
Medical treatment is like this. Many times, you have to consider giving up, gains and losses!
Chen Nan suddenly thought of something and said:
"Spinal cord repair... I can actually try using traditional Chinese medicine."
"Maybe there's a way to fix it?"
As soon as these words came out, several people immediately looked at Chen Nan.
It's almost April. Can I ask for a guaranteed monthly pass for April? Guys...
At the end of the month, veterans don’t expect much...