This has to start with the disease of lumbar disc herniation.
The intervertebral disc is the cartilage between the two lumbar vertebrae.
Because of poor sitting posture, trauma, etc.
When the cartilage deviates from its original position and protrudes outward, a lumbar disc herniation is formed.
A mild lumbar disc herniation will not cause any symptoms.
But if this protrusion compresses, it affects the nerves near the lumbar spine.
This can cause pain, movement disorders, and other symptoms.
So it can be seen from the cause.
This disease involves both bones and nerves.
So both orthopedics and neurosurgery are involved.
To treat this disease, you can go to orthopedics or neurosurgery.
Of course, some patients may also visit rehabilitation departments, pain departments, etc.
Some hospitals even have specialized spine departments.
The central hospital does not have a specialized spine department.
The flow of patients is mainly orthopedics.
Next is neurosurgery.
Why does neurosurgery have fewer patients than orthopedics?
At this time, there are issues left over from history.
In the early years, neurosurgery in my country paid more attention to the treatment of intracranial diseases.
In some places, neurosurgery was once called brain surgery.
However, in foreign countries, such spinal diseases are diagnosed and treated by neurosurgeons.
Neurosurgeons can use microscopy technology to fully decompress compressed nerves with good results and minimally invasive precision. Therefore, in the past decade, more and more neurosurgeons in China have begun to work on the spine and spinal cord.
Lao Fang’s condition.
The intervertebral disc has caused severe herniation.
Towing something will definitely be of no use.
The best solution now is surgery.
Orthopedics can also perform surgeries.
If there is a doctor who is good at this field, he can also perform the surgery.
Bai Mingming felt.
In the fourth group, there is no orthopedic expert.
But there was an old doctor named Liu Zhengqing.
Let him come and take a look at the situation first, it's reasonable.
And recently.
Liu Zhengqing has fully integrated into the emergency center.
He usually goes to any dinner party.
Also chat during breaks.
From the chat, Bai Mingming also heard that outside of the center's doctors, he was mainly responsible for some minimally invasive spinal surgeries.
He even has more experience in this area than He Yiming.
This is not surprising either.
"Old guys" like He Yiming are already overwhelmed by traditional major surgeries on their brains.
He didn't have much time to study the spinal issues.
This gives "young people" like Liu Zhengqing an opportunity.
These circumstances of Liu Zhengqing.
Zhou Sheng also knew it.
So after Bai Mingming put forward his opinion.
Zhou Sheng agreed immediately.
Except Liu Zhengqing has experience in this area.
Zhou Sheng wanted to handle this surgery himself.
As soon as I came here, I had already promised my father that I would personally treat him.
Secondly, this minimally invasive disc surgery.
He can do it.
In the advanced divine copy.
This kind of spinal surgery is simply a piece of cake.
For example, it is more difficult to remove tumors in the spinal cord.
Zhou Yisheng can also do it perfectly.
It's just the first time to do this kind of surgery in reality.
It would be safer to bring someone with qualifications on stage together.
Liu Zhengqing is of course the best candidate.
Zhou Sheng and Bai Mingming had the same ideas.
Bai Mingming immediately called Liu Zhengqing over.
Liu Zhengqing has completely integrated into the four groups recently.
Bai Mingming called him.
He didn't delay.
Soon we arrived at Zhou Sheng's clinic.
On the way here.
Bai Mingming had already told Liu Zhengqing the general situation.
He also emphasized that this patient was sent by Zhou Sheng's father.
He was probably an acquaintance of Zhou Sheng.
Liu Zhengqing thought to himself that Zhou Yisheng must not be particularly knowledgeable about spinal issues.
He knew he had research in this area.
So I want to ask myself to help treat an acquaintance.
Of course Liu Zhengqing would not shirk it.
I have been getting along with Zhou Yisheng for a long time.
He knew that Zhou Yisheng was relatively easy to get along with.
There is no threat to myself.
Moreover, his position in the eyes of the hospital leaders is very high.
Building a good relationship with him will be beneficial without any harm.
Liu Zhengqing arrived at the consulting room.
Say hello to Zhou Sheng.
Then I immediately read the inspection report carefully.
The patient is in his sixties.
Not too young.
Disc herniation is serious.
Surgery is required.
If traditional open surgery is performed in orthopedics.
The wound is at least about 10 centimeters.
The physical burden on the patient is relatively large.
For minimally invasive surgery, the operation time is relatively short, and the wound is only 2 cm at most.
It is suitable for patients of this age and condition.
The patient was an acquaintance of Zhou Sheng.
Liu Zhengqing also wanted to show off.
He said directly: "This situation requires surgery. I have also had a lot of minimally invasive lumbar disc surgeries in Shenwai. If possible, I can do this surgery."
Zhou Sheng heard Liu Zhengqing say this.
He is naturally happy.
If Liu Zhengqing didn't do it and had to transfer the patient to a surgical department or an orthopedics department, he would have a headache!
The next step is to convince Lao Fang to have surgery.
Lao Fang has known Zhou Shouming for decades and is very convinced of Zhou Shouming.
Love the house and the bird.
He also has great trust in Zhou Sheng.
So when Zhou Sheng came up with the surgical plan.
Lao Fang doesn’t have many opinions.
He said directly, "Look at it however you want, I believe you."
However, his son did not have much contact with the Zhou family.
Now that I heard that I needed surgery, I was a little worried.
He hesitated and expressed his worries in a sideways manner.
Mainly two points.
First, I am worried that the surgery will damage the nerves in my waist and cause paralysis.
The second is the worry about recurrence after surgery.
The questions raised on these two points are quite professional.
It seems that after Lao Fang suffered from lumbar disc herniation, his son also did some homework.
But obviously, he doesn't know much about minimally invasive surgery.
Traditional surgery is performed under the naked eye and is highly destructive to normal structures.
If the surgeon is inexperienced, nerve damage may occur.
It is also possible that the decompression is not complete and may relapse easily.
Often a second or third operation is required.
Extra-neural minimally invasive surgery involves performing intervertebral disc resection under a microscope or endoscope, which can remove as much of the intervertebral disc that compresses the nerves while protecting normal nerves from damage as much as possible.
Because the microscope can enlarge the surgical field of view and produce three-dimensional imaging, it is easier to distinguish the lesion from normal nerve tissue.
Just like when we are walking at night, we are equipped with a flashlight so that we will not be in the dark.
Zhou Sheng and Lao Fang’s son gave an in-depth and simple explanation.
This dispelled Lao Fang's son's concerns.
The next step is preparation for surgery.
Lumbar disc surgery, although necessary, is not an emergency surgery.
Have time to prepare.
Think about it, the surgery is scheduled for two days later.