The Godfather of Surgery

Yang Ping put the tie into the drawer of the desk, and the business card was still there.

He glanced at it, closed the drawer, and took time to see the kid with osteosarcoma, Sisi.

"Sisi!" Yang Ping knocked on the door, his mother seemed to have gone back to make breakfast and hadn't come yet.

Sisi was doing her homework, the exercises for the Math Olympiad, she put away her homework.

Yang Ping said, "You study so hard."

Sisi is very embarrassed: "I haven't been to class for a long time, and I have left a lot of homework. Sister Tang Fei tutors me every afternoon. This is the homework she assigned yesterday. I have to finish it before 5:30 in the afternoon, and she will come after get off work. an examination."

"Come on!" Yang Ping encouraged her.

She clenched her fists and acted to cheer: "Yeah!"

"Can you talk to me about my condition?" Sisi looked expectantly.

Yang Ping said naturally: "It's just a few fibroids, don't be nervous."

"You are the most powerful doctor, but you seem to be very cautious about these fibroids. Have you encountered a difficult problem?" Sisi stared at Yang Ping, peeping at the answers behind.

"No matter how small a problem is, it must be handled seriously. This is called taking the light of the light. The doctor must not underestimate the enemy." Yang Ping explained to her.

The child does not understand, so she can only use white lies to hide the cruel truth and make her life happier. She is a poor child, a flower destined to wither prematurely.

"Your eyes have betrayed you, you are lying!" Sisi released her gaze.

Yang Ping didn't dare to look at her: "This time you made a mistake in your judgment. The doctor will never lie to his patients. The doctor faces objective facts every day."

Sisi looked away: "Thank you! I think it should be my fault, you won't lie to me."

"Do you have any older siblings or younger siblings?" Yang Ping staggered the topic and chatted with her about life.

"No! Grandpa and grandma wanted Mom and Dad to have another brother, but Mom and Dad refused, and they had a fight." Sisi's eyes flashed with clear light.

"What about you?" Sisi asked Yang Ping.

"Me too, the only child, that's fine. Your parents' love for you is exclusively enjoyed by you." Yang Ping saw the loneliness in her eyes.

Sisi shook her head: "No, I don't think so, you don't understand-"

What an interesting child, you don't understand a sentence, and Yang Ping is so amused that he doesn't know how to talk about the sky.

Okay, let's go to the operating room.

Yang Ping said goodbye to her: "I have to go to work, and you have to continue to study. Our happy chat is over."

Yang Ping and Sisi high-fived, and when they went out, Yang Ping clenched his fist: "Come on!"

In the operating room, Song Zimo led Tang Fei and Xiao Wu to perform an operation, Zhou Can's instrument nurse, Xiao Su's itinerant nurse.

"Doctor Yang, good morning!"

"Nurse Su, good morning!"

"Reserve seat!"

"As ordered!"

Xiao Su adjusted the height of a simple chair in the operating room, put it aside, and Yang Ping sat down.

"How is it, is the surgery okay?" Yang Ping asked.

Song Zimo is doing anterior cruciate ligament reconstruction. He has a deep understanding of the anatomical center of the ligament footprint. Although he cannot do it once, he can always find the real footprint center after repeated measurement and searching several times.

The anatomical center of the ligament footprint, the real anatomical center, is not an easy task to find. It is the basis for reconstructing the ligament to maximize its function.

The plasma knife is cleaning the synovial membrane of the intercondylar fossa and the stump of the ligament, the pleasant voice of the drops, the blisters caused by the gasification, and the brown marks left by the high-energy gasification.

Plasma knife, also known as radio frequency gasification technology. It is an epoch-making tool for arthroscopic surgery. This device does not use thermal energy for cutting, but a low-temperature decomposition technology. It uses a strong radio frequency electric field in an electrolyte liquid to break the molecular bonds of the target substance, so that the substance disintegrates and vaporizes, transforming into It can be converted into simple molecules or atoms, and the working temperature is 40-70 degrees Celsius, which is better than the high temperature of the laser. Due to the low working temperature, it is also called a low temperature plasma knife.

"I can distinguish the specificity of the footprint area according to your method. Look, this is the entry point of the tunnel that I marked with the high energy of the plasma knife. Is the location correct?" Song Zimo insisted on training for two hours a day, allowing the joints The mirror is skillful and easy to operate.

Yang Ping stood up, approached the screen, and helped him look at the browned spot: "Very good, this is the anatomical center of the footprint."

"I just saw Sisi again, Tang Fei is helping her with her homework? It's hard work!" Yang Ping mentioned casually.

Tang Fei is weaving tendons: "Because of this disease, she can't continue to go to school. She has been studying by herself. I only take time to tutor her for an hour every afternoon. This child is very smart and has a high IQ."

"Her third-order Rubik's cube is 13 seconds, really, a genius." Song Zimo said.

Rubik's cube recovery, third-order, no talent, no matter how much practice, it is generally difficult to break through fifteen seconds, this child actually achieved thirteen seconds, the level of professional eighth dan, meaning Song Zimo is faster, more than thirteen seconds, has been professional ninth dan The level of this is a little practice, you can participate in the level of international competitions.

Song Zimo opened the tunnel at a very fast speed. Yang Ping seemed to be leading the way. He followed behind, and the level of surgery naturally improved quickly.

Several people chatted and performed the operation. The operation went smoothly. Soon the tendon implantation was completed. Song Zimo flexed and extended the knee joint, and examined under the microscope whether the reconstructed anterior fork collided with the intercondylar fossa and whether it collided with the posterior fork.

"Portal nails!" Song Zimo kept the exposed tendons of the tibia and fixed them on the anterior surface of the proximal tibia with portal nails.

After chatting and chatting, the operation was completed, Song Zimo withdrew from the equipment and was ready to sew the skin.

"Line 4?" Zhou Can asked.

Song Zimo said, "Line 1! Girls, use a thinner line."

He took the needle holder with needle and thread, and began to suture two small surgical incisions, as well as the incisions for the semitendinosus and gracilis.

The cleaning aunt came in to dispose of the surgical waste and clean it up. Generally, after the cleaning is done, it needs to be disinfected. It takes 15 minutes before the next operation.

Zhou Can stayed behind to pack up the equipment, and everyone moved to the operating room next door to rest.

The next one is arthroscopic debridement of knee osteoarthritis. Knee osteoarthritis is a common disease of the elderly. It is relatively mild in the early stage, and the cartilage wear is not very serious. It can be cleaned under arthroscopy, which is minimally invasive and has good effect. Better.

Song Zimo said: "Many scholars now believe that arthroscopic cleaning is ineffective. What do you think?"

Yang Ping disagreed: "An article in the New England Journal of Medicine also said that there is no statistically significant difference between percutaneous vertebroplasty and placebo? Do you believe it? Evidence-based medicine is now respected, yes, medicine is evidence-based science, But it is definitely not just evidence-based science, or because it is evidence-based science, it is denying that medicine is an empirical science, doing so is effective, statistics think it is invalid, but it is still effective.”

"It makes sense. Many osteoarthritis has poor long-term results after microscopic cleaning, but the short-term results are good, because the flushing removes the pain-causing inflammatory mediators, removes loose bodies, and partially removes the formed and torn meniscus. Repair the damaged cartilage area, and microfractures can be performed for smaller areas. After microfractures, although the regenerated fibrocartilage is not hyaline cartilage, it is better than nothing." Song Zimo also agreed with Yang Ping.

"After putting on clothes and gloves, the hands can only be in front of the chest, below the shoulders, above the waist, and cannot cross the safe area. The hands can only touch the sterile area of ​​the same level, and cannot touch other areas. Once in contact, or Suspicious contact is defined as contamination!"

Zhang Lin came in with the interns. They had washed their hands and arched their hands, waiting for Xiao Su to open the sterile bag on the equipment cart to practice dressing for them.

Xiao Su opened the outermost sheet of the sterile package, and then used sterile holding forceps to open the inner packing sheet to expose the neatly stacked surgical gowns.

"Don't crowd, pay attention to the concept of sterility, and don't contaminate it." Zhang Lin shouted when they saw that they were a little confused.

"You're taller than your shoulders, and you, the distance between the two of you--"

Zhang Lin corrected their positions and began to demonstrate how to take and put on clothes: "When you reach for it yourself, you must not touch other parts, you can only directly touch the clothes you want, take them, open them, and shake them gently. , the inside is facing yourself, the collar is facing up, and then gently toss, insert your hands from the inner opening of the sleeves, and when you get here, call the roving nurse to help!"

Song Zimo happened to be closest to him, and went over to help him tighten his clothes and tie the belt.

The students followed suit. One student shook his clothes and bent over to pick them up.

"Hey, classmate, my voice is hoarse today. I'm teaching for nothing. Can I pick up the clothes that fell on the ground?" Zhang Lin looked sternly.

The student immediately realized the mistake and stopped bending over. Zhang Lin said: "The instinct to bend over to pick it up is due to lack of awareness of sterility. The things that fall on the ground are polluted. How can we pick them up? Come again."

The student went out angrily and went to brush his hands again.

"Don't make such a low-level mistake, everyone remember, sterile, sterile, sterile, say important things three times, and if you can't remember, go back to the ward after get off work and give me a hundred practice dressing. Repeat." Zhang Lin exhorted loudly.

The operating room over there is also ready, and the patient has been brought up to continue the operation.

Song Zimo's speed is also fast, and the operation has been very stable. In this way, several operations were completed quickly.

After the operation, everyone went back to the ward office, Xiao Wu was giving the doctor's order, the HIS system was a little bit cold, and Xiao Wu was slapping the table.

Zhang Lin explained the use of the HIS system and the writing of orthopaedic medical records to the interns, but the system was exhausted, and he couldn't talk about it, so he asked everyone to have lunch.

Several interns whispered something, as if saying that a doctor in the pediatrics department was beaten, said that when he was admitted to the hospital, the doctor did not give fever or anti-inflammatory drugs, and was slapped twice and kicked.

Pediatrics? Zhang Lin's girlfriend is in pediatrics, so he naturally cares more than others.

Zhang Lin asked the intern who got the news: "The pediatrician was beaten, what's his name?"

The intern shook his head and said, "I don't know, it's a female doctor."

The female doctor, Zhang Lin was more concerned, and his heart trembled: "The news is reliable?"

"Reliable, our classmates are practicing in the pediatrics department. The family members who just posted in the group have been controlled by security. The hospital has called the police. The police are asking questions. They all kicked and rolled on the ground, damn, that family member, it is said that there is a backstage, and it is quite arrogant."

Zhang Lin grabbed the phone and called the pediatrician's office. It was probably busy and no one answered. He called his girlfriend, but he didn't answer either. Say to the intern, "What's the name of the doctor who was beaten?"

"Here's a video, you can take a look." The intern handed over his mobile phone. There are several videos in their intern group, shot by different people.

The intern opened the video in front of Zhang Lin, what the hell, isn't this her girlfriend? He was kicked in the air and slapped twice. The slap was so hard that his face was swollen.

A rush of blood rushed to his forehead, Zhang Lin stood up, took off his white coat, and threw it on the desk. Without saying a word, he rushed out the door. Xiao Wu wanted to go out and hold him, but he didn't. , ran out, reached the door, stopped, took off his white coat, and threw it on the chair.

what happened? Yang Ping asked the interns, and the interns shook their heads: "I don't know, Teacher Zhang rushed out after watching this video, looking very scary."

"What video?"

The intern showed the video to Yang Ping again, telling the story of the pediatrician being beaten. When Yang Ping saw it, no wonder he rushed out. It was his girlfriend who was beaten. Watching the video, it was very bad. The doctor was explaining to the patient, roughly what it meant: If the temperature is below 38.5 degrees, it can be temporarily not treated, observation, blood test, and viral infection, without antibiotics.

The patient didn't say a word, just two slaps in the face, followed by a kick, kicked into the lower abdomen, kicked the person directly to the ground, and almost landed on the back of his head.

"Go, follow!" Yang Ping immediately took Song Zimo to the pediatrics department, and called Director Han on the way to make an emergency report. Director Han was in the administrative building and rushed over immediately.

Zhang Lin ran over, Xiao Wu ran behind him, and when he reached the elevator in the internal medicine building, Xiao Wu caught up. Zhang Lin didn't say a word, he breathed heavily, and he could see the ups and downs of his chest.

"Zhang Lin? Zhang Lin? Calm down!"

Zhang Lin still didn't speak, he straightened his hair with both hands, his eyes were red, like a crazy bullfight, his appearance was a bit scary.

"Zhang Lin! Zhang Lin! --" No matter how Xiao Wu called him, there was no response.

Xiao Wu answered the phone: "We are waiting for the elevator, now we are going to the pediatrics."

The elevator opened, Zhang Lin got in, and Xiao Wu followed. A few people inside looked at Zhang Lin and leaned in the corner involuntarily, and one came out ahead of time.

"Zhang Lin!" Xiao Wu was next to him.