godfather of surgery
Chapter 261
Chapter 261
"Director Ji, I'm going to trouble you again, help us to have another radiography? You are so embarrassed to see it, let my sister-in-law wait outside."
Yang Ping is polite, which is enough to show the young doctor's respect for his predecessors.
Director Ji is very comfortable in his heart. When interacting with people, talking and doing things, he pursues the word comfort.
This young man is nice, modest and polite, not arrogant about his talents, Lao Ji's buttocks are still hot, and he is going to have a radiography, his waist hurts, and his intervertebral disc is herniated, which was detected a few years ago.
"It's okay, it's not the first time waiting."
Lao Ji twisted his waist, he was in a hurry just now, and he forgot to bring his waist circumference. He usually puts his waist circumference in the locker in the locker room, and he will wear it during surgery to protect his lumbar spine.
"Open another One Paque!"
Nurse Xiao Zeng is proficient in her business and will be ready soon. The assistant is ready to push the medicine, but Lao Ji stops her: I'll do it!
He carefully pushed the iodine contrast agent into the catheter. Slowly, the faded ink blood vessel map on the screen began to deepen again. The intercostal artery between chest 8 and chest 9 became black ink, and the ink flowed at the fistula. The ink passed through the blood vessels smoothly without leaking out.
"The fistula is gone, Dr. Yang!"
Director Ji stopped pushing the medicine, and stopped when he achieved his goal.
Yang Ping put his hands in the protective bag on his chest, staring at the screen: "Call work!"
"When will I ask you to have a look at my waist? It used to be just a pain in the lower back, but now sometimes the left buttock feels numb."
After Director Ji finished the last radiography confirmation, he could finally take off his lead clothes. Those who were not on stage also started to take off their lead clothes.
After taking off the lead clothes, everyone's hand washing clothes were soaked, especially Professor Zhang, the hand washing clothes seemed to be fished out of the water.
The 80-year-old man, wearing dozens of kilograms of lead clothes, stayed up late and stood for six or seven hours. Anyone who saw it felt distressed.
Several times during the process, Director Han was afraid that the old man would not be able to endure it, so he advised him to go back to rest and call him to report to him after finishing the operation.
By the time the surgery was over, it was already two o'clock in the morning.
If it was really a dural arteriovenous fistula, this case was hidden too deeply. Professor Zhang knew that Yang Ping had already started to act before he reminded Yang Ping, which showed that he had already considered this rare disease. The seriousness and rigor of young people Commendable.
"Xiao Yang, you have worked hard! Everyone has worked hard!" Professor Zhang said lovingly.
"It's okay, you always stay up late, what are we doing?"
Yang Ping helped Professor Zhang to sit down against the wall, but the old man's legs were so stiff that he couldn't move, and he took a few minutes to take a step.
"I'll go out for a while, you just send the patient back, and we'll clean up here."
Director Ji's wife was waiting outside. He greeted Director Han and hurried out. He looked like he had just been caught in the rain.
"Xiao Li, you stay and help clean up the operating room, everyone else should go back together."
Director Han asked a regular trainee, Xiao Li, to stay.
After waking up from anesthesia, everyone sent the patient back to the Department of General Orthopedics. The nurse had already made the bed and was waiting.
"Put her in the emergency ward, and I will send three more nurses to work in three shifts, and take turns watching Fang Xiaoyun until her lower limbs recover."
Cai Qiaojun heard that Director Han and Professor Zhang had come to stay up late for surgery, so she also rushed over from home to arrange nursing work in person.
There are a few rooms in the ward closest to the nurse station, called emergency wards, where critically ill patients are usually placed, and if something happens, the nurses can arrive as soon as possible.
Precautions are indispensable. Cai Qiaojun is an old nurse with rich experience. She secretly told the nurse on duty to pay attention to Fang Xiaoyun's mother.
People's hearts are deep like the sea, unpredictable, and it is not unreasonable to be wary. Cai Qiaojun has encountered such a thing. Some family members took advantage of the nurse's inattention and secretly pulled out the oxygen tube. If the nurse did not find out early, the patient would have died.
Yang Ping observed the heart rate, blood pressure, and blood oxygen on the ECG monitor for a while, and then checked the urine output. After confirming that there was no problem, he came out of the ward and ordered Zhang Lin to do a blood test urgently.
Everyone's stomachs were so hungry that their intestines were knotted. The three women, Xiao Su, Zhou Can, and Tang Fei, heated up the food in the microwave oven and brought it to the dining room. .
After eating, everyone was tired, their eyelids were fighting, their legs couldn't move, and they squeezed into the duty room.
Yang Ping and Song Zimo took a shower, while Zhang Lin, Xiao Wu, and a few Gui Peisheng lay on the bed and fell asleep.
After sleeping for four hours, everyone rubbed their eyes and got up, and a new day began again, and the ward rounds were handed over.
During the rounds in the morning, Fang Xiaoyun's mother had disappeared.
It's strange, my daughter has just finished the operation and just when she needs to be taken care of, why is she running away, is she afraid of being urged for money?
It was the same colleague Chang Juan who was taking care of Fang Xiaoyun by the bedside. She asked the doctor if she could have some hot porridge now, and the fat man said confidently, "Yes, give it a try first. If you don't vomit, feed more."
Generally, you need to fast for 6 hours after general anesthesia, but now, Fatty is getting more and more proficient in controlling the dose of anesthesia, using the smallest dose to achieve the goal. Most of the patients he anesthetized do not need to fast for such a long time after surgery.
The crux of the problem was found and solved, and the effect was immediate. Fang Xiaoyun's lower limbs moved on the bed much easier, and he could try to lift it up, but he still couldn't.
This rare and complicated case was finally resolved through everyone's efforts, but it should not be taken lightly. Some patients stopped when their muscle strength recovered to grade [-] or [-], and they never recovered. This is not uncommon.
For example, level [-] muscle strength is only one level worse than normal. Although it is not completely paralyzed, it cannot walk normally because of insufficient muscle strength.
In the morning, several surgeries and several arthroscopic surgeries were performed. Now the word-of-mouth of the arthroscopic surgeries has spread, and many patients come here admiringly.
Papa Sisi's ankle was fractured, and the swelling has subsided, so an operation was arranged.
The operations were very easy. After finishing the operations, everyone continued to sleep after lunch. They slept in the dark, and only woke up in the afternoon, not knowing whether it was day or night.
Su Nanchen sent a WeChat message, saying that he had sent a document to Yang Ping's QQ mailbox, so that he could take a look at it when he had time. A basketball player in the United States had multiple ligament injuries in his knee, a patient of Professor Robert.
The professor used joint dynamic analysis technology to obtain a lot of data of the patient's knee joint, and also specially used these data to build a virtual simulated knee joint.
Even so, he did not dare to operate rashly, because there is no turning back after opening the bow. This kind of operation is too complicated. Once it fails, there is no chance for rework, and the patient will lose his last hope.
Yang Ping has done many similar cases, one of which was done in Attachment [-]. Su Nanchen sent the patient's information to Robert. The professor couldn't believe it was true, and hoped to see the patient's postoperative surgery with his own eyes. As for the recovery effect, I also want to see the postoperative recovery of Yang Ping's other patients with multiple ligament injuries of the knee joint.
Professor Robert, the more accurate name is Professor Robert Jr., the director of the Department of Sports Medicine, New York Hospital for Special Surgery, and an international sports medicine master. His father and grandfather are both professors of the hospital. His grandfather once participated in the research and development of modern artificial hip joints in the United States. , father is an important promoter of arthroscopic surgery in the United States.
Professor Robert is eager to visit Sanbo Hospital and Yang Ping, and even more so to see Yang Ping's patients and see the effect of the operation with his own eyes.
Yang Ping didn't think too much, and agreed.
Communication is a good thing, science is communication, openness makes people progress, and closure makes people lag behind.
On the second day after the operation, Fang Xiaoyun's muscle strength returned to grade three.
On the third day, I recovered to level four, and the speed was a bit fast.
Spinal tuberculosis has eliminated the impact on the spinal cord after decompression. Later, the dural arteriovenous fistula affected the spinal cord. Once the arteriovenous fistula is resolved, the venous congestion will be eliminated, and the edema of the spinal cord will be eliminated very quickly.
Fang Xiaoyun's mother did not show up for a long time and disappeared for three days, ignoring her daughter.
"There's trouble!"
Gui Peisheng Xiao Li ran to the doctor's office in a panic.
"Steady, what are you shouting for? What's the situation?" Zhang Lin reprimanded.
"Fang Xiaoyun's mother led people to make a fuss under the administrative building, pulling banners and crying!"
Xiao Li hurriedly closed the door of the doctor's office and said.
"Grandma, I really went back and called someone. There is something wrong with her expression." Zhang Lin scolded.
"Does Fang Xiaoyun know about this?" Xiao Wu asked worriedly.
"I'm sure I don't know, but I am grateful to us for the rounds in the morning." Song Zimo said.
Everyone felt that Fang Xiaoyun's mother would cause trouble sooner or later. Thinking about it later, Fang Xiaoyun is recovering very well now, so there should be no reason to cause trouble.
However, some things have no logic at all.
(End of this chapter)
"Director Ji, I'm going to trouble you again, help us to have another radiography? You are so embarrassed to see it, let my sister-in-law wait outside."
Yang Ping is polite, which is enough to show the young doctor's respect for his predecessors.
Director Ji is very comfortable in his heart. When interacting with people, talking and doing things, he pursues the word comfort.
This young man is nice, modest and polite, not arrogant about his talents, Lao Ji's buttocks are still hot, and he is going to have a radiography, his waist hurts, and his intervertebral disc is herniated, which was detected a few years ago.
"It's okay, it's not the first time waiting."
Lao Ji twisted his waist, he was in a hurry just now, and he forgot to bring his waist circumference. He usually puts his waist circumference in the locker in the locker room, and he will wear it during surgery to protect his lumbar spine.
"Open another One Paque!"
Nurse Xiao Zeng is proficient in her business and will be ready soon. The assistant is ready to push the medicine, but Lao Ji stops her: I'll do it!
He carefully pushed the iodine contrast agent into the catheter. Slowly, the faded ink blood vessel map on the screen began to deepen again. The intercostal artery between chest 8 and chest 9 became black ink, and the ink flowed at the fistula. The ink passed through the blood vessels smoothly without leaking out.
"The fistula is gone, Dr. Yang!"
Director Ji stopped pushing the medicine, and stopped when he achieved his goal.
Yang Ping put his hands in the protective bag on his chest, staring at the screen: "Call work!"
"When will I ask you to have a look at my waist? It used to be just a pain in the lower back, but now sometimes the left buttock feels numb."
After Director Ji finished the last radiography confirmation, he could finally take off his lead clothes. Those who were not on stage also started to take off their lead clothes.
After taking off the lead clothes, everyone's hand washing clothes were soaked, especially Professor Zhang, the hand washing clothes seemed to be fished out of the water.
The 80-year-old man, wearing dozens of kilograms of lead clothes, stayed up late and stood for six or seven hours. Anyone who saw it felt distressed.
Several times during the process, Director Han was afraid that the old man would not be able to endure it, so he advised him to go back to rest and call him to report to him after finishing the operation.
By the time the surgery was over, it was already two o'clock in the morning.
If it was really a dural arteriovenous fistula, this case was hidden too deeply. Professor Zhang knew that Yang Ping had already started to act before he reminded Yang Ping, which showed that he had already considered this rare disease. The seriousness and rigor of young people Commendable.
"Xiao Yang, you have worked hard! Everyone has worked hard!" Professor Zhang said lovingly.
"It's okay, you always stay up late, what are we doing?"
Yang Ping helped Professor Zhang to sit down against the wall, but the old man's legs were so stiff that he couldn't move, and he took a few minutes to take a step.
"I'll go out for a while, you just send the patient back, and we'll clean up here."
Director Ji's wife was waiting outside. He greeted Director Han and hurried out. He looked like he had just been caught in the rain.
"Xiao Li, you stay and help clean up the operating room, everyone else should go back together."
Director Han asked a regular trainee, Xiao Li, to stay.
After waking up from anesthesia, everyone sent the patient back to the Department of General Orthopedics. The nurse had already made the bed and was waiting.
"Put her in the emergency ward, and I will send three more nurses to work in three shifts, and take turns watching Fang Xiaoyun until her lower limbs recover."
Cai Qiaojun heard that Director Han and Professor Zhang had come to stay up late for surgery, so she also rushed over from home to arrange nursing work in person.
There are a few rooms in the ward closest to the nurse station, called emergency wards, where critically ill patients are usually placed, and if something happens, the nurses can arrive as soon as possible.
Precautions are indispensable. Cai Qiaojun is an old nurse with rich experience. She secretly told the nurse on duty to pay attention to Fang Xiaoyun's mother.
People's hearts are deep like the sea, unpredictable, and it is not unreasonable to be wary. Cai Qiaojun has encountered such a thing. Some family members took advantage of the nurse's inattention and secretly pulled out the oxygen tube. If the nurse did not find out early, the patient would have died.
Yang Ping observed the heart rate, blood pressure, and blood oxygen on the ECG monitor for a while, and then checked the urine output. After confirming that there was no problem, he came out of the ward and ordered Zhang Lin to do a blood test urgently.
Everyone's stomachs were so hungry that their intestines were knotted. The three women, Xiao Su, Zhou Can, and Tang Fei, heated up the food in the microwave oven and brought it to the dining room. .
After eating, everyone was tired, their eyelids were fighting, their legs couldn't move, and they squeezed into the duty room.
Yang Ping and Song Zimo took a shower, while Zhang Lin, Xiao Wu, and a few Gui Peisheng lay on the bed and fell asleep.
After sleeping for four hours, everyone rubbed their eyes and got up, and a new day began again, and the ward rounds were handed over.
During the rounds in the morning, Fang Xiaoyun's mother had disappeared.
It's strange, my daughter has just finished the operation and just when she needs to be taken care of, why is she running away, is she afraid of being urged for money?
It was the same colleague Chang Juan who was taking care of Fang Xiaoyun by the bedside. She asked the doctor if she could have some hot porridge now, and the fat man said confidently, "Yes, give it a try first. If you don't vomit, feed more."
Generally, you need to fast for 6 hours after general anesthesia, but now, Fatty is getting more and more proficient in controlling the dose of anesthesia, using the smallest dose to achieve the goal. Most of the patients he anesthetized do not need to fast for such a long time after surgery.
The crux of the problem was found and solved, and the effect was immediate. Fang Xiaoyun's lower limbs moved on the bed much easier, and he could try to lift it up, but he still couldn't.
This rare and complicated case was finally resolved through everyone's efforts, but it should not be taken lightly. Some patients stopped when their muscle strength recovered to grade [-] or [-], and they never recovered. This is not uncommon.
For example, level [-] muscle strength is only one level worse than normal. Although it is not completely paralyzed, it cannot walk normally because of insufficient muscle strength.
In the morning, several surgeries and several arthroscopic surgeries were performed. Now the word-of-mouth of the arthroscopic surgeries has spread, and many patients come here admiringly.
Papa Sisi's ankle was fractured, and the swelling has subsided, so an operation was arranged.
The operations were very easy. After finishing the operations, everyone continued to sleep after lunch. They slept in the dark, and only woke up in the afternoon, not knowing whether it was day or night.
Su Nanchen sent a WeChat message, saying that he had sent a document to Yang Ping's QQ mailbox, so that he could take a look at it when he had time. A basketball player in the United States had multiple ligament injuries in his knee, a patient of Professor Robert.
The professor used joint dynamic analysis technology to obtain a lot of data of the patient's knee joint, and also specially used these data to build a virtual simulated knee joint.
Even so, he did not dare to operate rashly, because there is no turning back after opening the bow. This kind of operation is too complicated. Once it fails, there is no chance for rework, and the patient will lose his last hope.
Yang Ping has done many similar cases, one of which was done in Attachment [-]. Su Nanchen sent the patient's information to Robert. The professor couldn't believe it was true, and hoped to see the patient's postoperative surgery with his own eyes. As for the recovery effect, I also want to see the postoperative recovery of Yang Ping's other patients with multiple ligament injuries of the knee joint.
Professor Robert, the more accurate name is Professor Robert Jr., the director of the Department of Sports Medicine, New York Hospital for Special Surgery, and an international sports medicine master. His father and grandfather are both professors of the hospital. His grandfather once participated in the research and development of modern artificial hip joints in the United States. , father is an important promoter of arthroscopic surgery in the United States.
Professor Robert is eager to visit Sanbo Hospital and Yang Ping, and even more so to see Yang Ping's patients and see the effect of the operation with his own eyes.
Yang Ping didn't think too much, and agreed.
Communication is a good thing, science is communication, openness makes people progress, and closure makes people lag behind.
On the second day after the operation, Fang Xiaoyun's muscle strength returned to grade three.
On the third day, I recovered to level four, and the speed was a bit fast.
Spinal tuberculosis has eliminated the impact on the spinal cord after decompression. Later, the dural arteriovenous fistula affected the spinal cord. Once the arteriovenous fistula is resolved, the venous congestion will be eliminated, and the edema of the spinal cord will be eliminated very quickly.
Fang Xiaoyun's mother did not show up for a long time and disappeared for three days, ignoring her daughter.
"There's trouble!"
Gui Peisheng Xiao Li ran to the doctor's office in a panic.
"Steady, what are you shouting for? What's the situation?" Zhang Lin reprimanded.
"Fang Xiaoyun's mother led people to make a fuss under the administrative building, pulling banners and crying!"
Xiao Li hurriedly closed the door of the doctor's office and said.
"Grandma, I really went back and called someone. There is something wrong with her expression." Zhang Lin scolded.
"Does Fang Xiaoyun know about this?" Xiao Wu asked worriedly.
"I'm sure I don't know, but I am grateful to us for the rounds in the morning." Song Zimo said.
Everyone felt that Fang Xiaoyun's mother would cause trouble sooner or later. Thinking about it later, Fang Xiaoyun is recovering very well now, so there should be no reason to cause trouble.
However, some things have no logic at all.
(End of this chapter)
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