godfather of surgery

Chapter 101 Check Circuits

"Ding dong, task: turn hostility into friendship! Quickly relieve patients' pain, help colleagues resolve disputes, and reward [-] points after success."

The system task was released in time. Just as I wanted to intervene, the task was announced.

It is sure to solve the problem, but it is difficult to solve it quickly.

How can this kind of dispute be resolved quickly by the patient, and communication will be extremely difficult and tricky.

If there is no difficulty, it is not called a task, just work hard.

Before the person came in, there was an angry chattering sound outside the door.

"So much money has been spent, but the pain has not been resolved at all. Doctors are not working."

The patient's words were harsh.

Yang Ping asked him to sit down: "Mr. Yan, I called you here to solve your problems and pain. I'm from the provincial capital."

"My surgery was done by your professor in the provincial capital. I spent more than 2 yuan, the same as before the surgery. You said that you are not angry, and the money is wasted. I will petition to sue this matter." Teacher Yan used crutches Suddenly.

"Teacher Yan, don't worry, it's inconvenient for you to go to petition in your current situation, let's get rid of the pain first, and then we can go to petition again, right?" Yang Ping comforted him.

"You have a way to solve the problem? Are you afraid you want to practice with me?" Teacher Yan squinted at Yang Ping.

"How is it possible, you say I'm stupid, practice with the person you want to petition? If something goes wrong, won't you sue me to the Ministry of Health?" Yang Ping said with a smile. Director Zeng used disposable cups to make tea To Teacher Yan.

"That's right!" Teacher Yan thought for a while, and the logic is correct. In this case, people usually hide, and anyone who has nothing to do is looking for trouble.

"Then how do you solve it?" Teacher Yan was a bit compromised, he was really in pain now.

Seeing that he was willing to listen, Yang Ping said: "The problem you have now is that the nerves are compressed, and the nerves are like wires, and now they are stuck somewhere.

"The doctor in the provincial capital also said the same, and the operation was done, but why is it still the same?" Teacher Yan's tone softened a little, and it takes strength to speak loudly, and there must be a buffer period.

"The operation you performed was to repair the main switch. The main switch is fine, but there is still a problem with the wiring, so the wiring needs to be repaired." Yang Ping poured tea for him.

"You mean if I just recite it like this, the main switch and the wiring are broken?" Teacher Yan didn't believe it.

"Is this good? Let's check the wiring for you. It's very simple. Do a CT and EMG. If there is indeed a problem with the wiring, there is hope that this problem can be solved. Teacher Yan, you don't want to continue to suffer like this, right? ?” Yang Ping was gradually able to control the conversation.

Teacher Yan hesitated and took a sip of tea.

Yang Ping strikes while the iron is hot: "Inspect first, the results come out, and then consider other things. I think you are very happy in your old life. Your children are uplifting and your grandsons are cute. You still want to enjoy the great rivers and mountains of the motherland with them. If you really solve the problem, This crutch can be thrown away, and I can sleep well at night, how nice it is!"

"You are a young doctor, and your words are relatively reliable. Then I will trust you once, and you can check the line for me."

It doesn't matter if you check it, Teacher Yan thought.

"When you look at it, you are a person who made contributions when you were young. You must be full of peaches and plums. In the past, you worked hard and devoted yourself to teaching and educating people. Now that you are retired, you have to enjoy your life. We are not working hard, so your problems have not been solved. sorry."

"Peaches and plums are all over the world and I dare not say it. There are several at the student bureau level. I haven't told them about this yet." Teacher Yan was very proud.

"Then we arrange to check the line now?" Yang Ping asked tentatively.

"Arrangement, let's talk about it first, I won't pay the money." Teacher Yan said.

"Treat the problem first, and talk about the rest later. How about it? If the problem is not solved, it doesn't matter how long you live here for free." Yang Ping said.

"Director Yang, I'll trust you, you can arrange it for me." Teacher Yan urged.

Director Zeng arranged for the doctor in charge of the bed to make a bill, and the nurse pushed him in a wheelchair. First, he had a CT scan of the pelvis, and then an EMG.

There is only one doctor in the EMG room. Director Zeng called to communicate the general situation in advance, focusing on the conduction of the sciatic nerve at the exit of the piriformis muscle.

After dealing with this patient, Yang Ping will not mention the patient with osteomyelitis of the left femoral shaft for the time being.

Taking advantage of his free time, Yang Ping assigned the staff, Zhang Lin Xiaowu took a doctor each, Song Zimo took two doctors, and Tang Fei assisted Song Zimo.Nothing else for now.

With the handling just now, Director Zeng's feelings towards Yang Ping have changed. Seeing that he always speaks calmly, he is not at all like a young and tender yellow-haired boy.

The two chatted about the situation of the hospital, the staffing of the department, and the development dilemma.

The report over there was finished, and the bed doctor came with the CT film and EMG report.

There is also a reading light in the director's office. Director Zeng hung up the CT film and turned on the light.

Yang Ping touched his chin, read the film carefully, and looked at the muscles and soft tissues. MRI is the best, but the hospital does not have MRI, so he can only settle for the second best.

Generally, orthopedic surgeons have technical shortcomings in bone disease and soft tissue. It is not a problem to look at fractures, but it is not good to look at bone disease and soft tissue.

"Director Zeng, look, the density of the piriformis muscle is different from that of normal muscles, and the local contracture and fibrosis have occurred. This is the sciatic nerve, which is compressed at the exit of the piriformis muscle and swollen, which is consistent with our judgment." Yang Ping pointed The film said.

Director Zeng leaned closer and looked at the CT. He could see fractures, but he could not see the muscles and nerves, so he could only say, "Mmm, um."

"What about the EMG?" Yang Ping asked the doctor in charge of the bed.

The doctor in charge of the bed took out the EMG report, on which some English professional vocabulary and data were densely arranged.

Yang Ping did not directly read the report, but read the test data and analyzed it himself: "The conduction of the sciatic nerve at the outlet of the piriformis muscle is obviously weakened."

"Hmm, um." Director Zeng usually reads the report directly, and doesn't even read those numbers.

"Both results came out, which were consistent with the prediction. The medical history, physical examination, and auxiliary examination are three-in-one, and the diagnosis is clear. Call the patient and we will talk to him again." Yang Ping said.

"Go, push him here quickly." Director Zeng instructed the bed doctor.

This time it was pushed in with a wheelchair.

"Mr. Yan, the results of the examination have come out. In the buttocks, we call the outlet of the piriformis muscle. There is a problem with the wiring. It is trapped and not very smooth." Yang Ping gestured with his fingers on his buttocks.

Teacher Yan said: "It's really so memorized. You said that I used to stand for a long time in class, why did my nerves break down?"

"It's not from sitting. Most of the damage to this muscle is caused by spanking needles, and some trauma can also cause it." Yang Ping explained.

Teacher Yan remembered after a little recollection: "You are right. When I was ten years old, my calf was injured and infected with festering. I was given penicillin by the barefoot doctor for a month, and my buttocks were swollen."

"Mr. Yan, if you trust me, I will perform surgery on you to relieve the pain." Yang Ping said sincerely and decisively.

After analyzing and inspecting the data in detail, Yang Ping was basically quite sure.

"Still having surgery? I'm afraid, and it's the same if I'm afraid of being stabbed." Teacher Yan was very entangled.

"If you don't have an operation, you can only do this in the future. Teacher Yan, even if you petition, the problem is still not resolved, and you still suffer from pain. Appealing cannot solve your pain." Yang Ping helped him analyze it.

Teacher Yan sighed and said, "The pain is too uncomfortable, and I can't touch it. I used to have painkiller injections, suspending hormone and mannitol, but now it doesn't work anymore. I can't sleep at night."

"It's not easy. How long have you been sick?" Yang Ping had read the medical records, but he also asked.

"It's been more than ten years. It started to hurt for a while. It wasn't that serious. It was bearable. In the past two or three years, the numbness and pain were severe, especially when walking. I couldn't do it after a few steps. That's why I made up my mind to have surgery. Who knew—" Teacher Yan sighed.

"The problem has been found out. It can be solved by surgery. It depends on whether you believe me, Mr. Yan." Yang Ping said.

"I trust the doctor, otherwise I wouldn't be able to operate, but—" Teacher Yan had a helpless expression.

"Mr. Yan, some things in this world will be abnormal. For example, when you teach, the student's grades are usually very good, but he failed the college entrance examination. There are many factors that affect it. When encountering abnormal things, the solution to the problem is much more complicated. But it has to be solved." Yang Ping enlightened him.

"You're right. There used to be a student like this in my class. He was usually in the top ten of the school in exams. Why was the college entrance examination so messed up? He only passed the exam after repeating the exam." When Teacher Yan talked about teaching and educating people, he was full of energy. The tone of speech is much better.

"Yes, Mr. Yan, look, in your situation, repeat the study again?" Yang Ping immediately suggested.

"How sure?" Teacher Yan was in a dilemma.

"Ninety percent!" Yang Ping said.

"Then where is the [-]% risk?" Teacher Yan was very cautious.

"The weather is unpredictable. If you eat fish, you may get your throat stuck, and if you walk, you may fall." Yang Ping said.

"I understand what you mean." Teacher Yan is educated, and his understanding ability is not bad.

"Think about it and discuss it with your family. It's not a problem if the pain continues like this. With your body, you should take your grandson for a walk." Yang Ping encouraged him.

"I'll discuss it with my family." Teacher Yan had an idea.

"I'll wait for your news. I'll be here for two weeks, and I'll be back in the provincial capital in two weeks." Yang Ping shook hands with him.

"Thank you, Director Yang!" Teacher Yan's attitude was much better.

(End of this chapter)