godfather of surgery

Chapter 102 Hard Negotiations

Teacher Yan went back to the ward on crutches, and Yang Ping asked the doctor in charge of the bed to help him back.

Director Zeng added tea to Yang Ping, but now he doesn't treat Yang Ping like a brat at all.

On the first day of work, I helped to solve the problem. Although the matter has not yet been resolved, I sincerely admire the young Director Yang in handling the matter with maturity and sophistication.

Yang Ping mobilized the patient for another operation, not on a whim, but based on a serious analysis of the condition.

Do not fight uncertain battles, this is Yang Ping's motto.

The medical industry is no more than other industries, and human life is at stake, so this sentence is more applicable.

"On the first day of work, I asked you to deal with these bad things, please." Director Zeng said shamelessly.

"Director Zeng's words are off the mark. We are colleagues, and we often walk by the river. There are no shoes that are not wet. The big professor also capsizes in the gutter. Besides, you have many misunderstandings about this matter. The operation is completely fine, but he was ignored at the time. Combined with piriformis syndrome, anyone who saw the film at the time would have thought it was only a herniated intervertebral disc, and I was an afterthought." Yang Ping said modestly.

"You are really good. His tone became much better later on. At least he didn't quarrel with you, and he agreed to go back and discuss it." Director Zeng was so oppressed by this matter that he couldn't be in a good mood for a day.

"It's not that I'm great, he has a deep misunderstanding of you, so naturally we can't talk with him, and it will be much smoother to communicate with him with another person." Yang Ping said while drinking tea.

This patient has very strong indications for surgery, and the effect should be very good.

The most important thing for surgery is to choose the indications well. If the indications are not selected well, no matter how beautiful the surgery is, the effect will not be very good.This is the same as prescribing the right medicine. If the medicine is not right for the disease, it is the best medicine in the world.

Yang Ping began to figure out, if he agrees to the operation, how would the operation be done, what are the risks, what should be paid attention to, and whether there are any missed differential diagnoses.

Think it over and over until you can't find any loopholes.

He has a good habit, no matter how small the operation is, he will study it repeatedly, plan carefully, rehearse the operation process in advance in his mind, and try to make it as tight as possible.

"If the patient agrees to the operation and there are no contraindications, schedule it for tomorrow. Don't procrastinate, it's easy to have long nights and dreams." Yang Ping told Director Zeng.

"Yeah!" Director Zeng agreed.

After talking with Teacher Yan, the two went to the classroom for a tour.

There were not many things to do in the morning. The emergency department received a ruptured tendon on the dorsal side of the forearm. Zhang Lin took someone to the operation.Lumbar compression fractures are treated conservatively, and Xiao Wu takes care of them.The child suffered a fracture of the humerus. Song Zimo helped him perform manual reduction and splint fixation.

After finishing his work, Director Zeng took Yang Ping to the emergency department and operating room to familiarize himself with the environment.

At noon, Yang Ping and Director Zeng went to the cafeteria for dinner, and the two chatted for a long time.

When I was about to get off work in the afternoon, the nurse came to the director's office and said that Mr. Yan's family members had come.

Director Zeng quickly called them to the office. They were Teacher Yan's son and daughter-in-law, both of whom were teachers.

Director Zeng poured tea for them, and they said sullenly, "No need."

"What's the situation now? The old man said he's going to have another operation. Let's come over to find out what's going on?" He talked to Director Zeng.

Director Zeng said, "Sit down first and let us explain in detail."

The two couples sat down, and the tea was poured for them and placed on the coffee table without even looking at it.

The old man's son said: "What did he say the director from the provincial capital said? Another operation will solve the pain."

Obviously he didn't think Yang Ping was the director at all.

"What do you think of a person, one knife left, one knife right, it's not enough." The daughter-in-law has a bad attitude.

The old man's son immediately stopped his wife: "What's the use of saying this, first understand the situation clearly."

Director Zeng said: "This is Director Yang from the provincial capital. He stayed in our hospital. In the morning, we studied the condition of the elderly, and even did CT and EMG."

The old man's son looked at Yang Ping, he was so young, did he make a mistake, he thought it was a professor from the provincial capital, but it turned out to be a young doctor.

"Hello, I am Dr. Yang who was sent by the Provincial Health Department to Nanqiao for medical support." Yang Ping shook hands with him very politely.

The old man's son shook hands with him. After all, as a teacher, he still has etiquette on the table, and his words are not as harsh as his wife's.

"In this way, I learned about the condition of the elderly during the morning rounds. The elderly have suffered from pain for more than ten years, and it has been particularly severe in the past two or three years. They underwent surgery last year, but the symptoms did not ease. Why is the pain not relieved after the operation? We studied carefully For his condition, CT and EMG were added to clarify the problem. Because the sciatic nerve on the right side was compressed in two places, one was the lumbar spine and the other was the buttocks. Last year’s surgery only solved the problem of the lumbar spine The pressure on the part and the buttocks have not been relieved, and the natural pain has not been relieved. It is like the wiring, switches and wires at home are broken, and you only have to fix it, which is useless! Only when both are repaired can the light bulb be turned on." Yang Ping said.

"The last time I asked a professor from the provincial capital to do it, anyone who talked about theory would say--" the daughter-in-law was full of anger.

The old man's son stopped immediately: "This matter has nothing to do with others."

The daughter-in-law swallowed half of her words.

Yang Ping said: "It doesn't matter. I understand your feelings. I only stay here for two weeks. This matter has nothing to do with me. It can be ignored. Why are you asking for trouble? Because I have encountered this kind of situation before." I have experience in special cases, so I can't bear to watch the old man suffer so much. A toothache can torture people over and over again. What's more, this kind of sciatica, the old man is afraid of trouble you, so he forcibly holds it back. It's hard to imagine how the old man has suffered all these years came."

The old man's son didn't believe this young director at first, but he was a little shaken when he said this. No matter what happened to him, why should he ask for trouble? Maybe he really has a way. Didn't he say that he had encountered such a case before? .

This matter has caused troubles, the family is tired, the couple has to go to work, and the children have to take care of it. Now the old man is in such pain, and the problem has not been solved after a year of trouble. Now this young doctor has a solution, why not listen.

Who doesn't want to solve the problem and live happily, the quality of life of the whole family is lowered by this matter.

"Last time, why didn't Professor Zeng see that the nerves were pinched in two places?" asked the old man's son.

Yang Ping said: "This kind of situation is so rare that it is difficult for the doctors who performed the first operation to think of it. The cases we encountered before were also like this. The pain after the lumbar spine operation has not been relieved, and it was only found out after the examination."

The daughter-in-law said, "Then the first operation cost so much money for nothing?"

Better tone this time.

Yang Ping said: "It's not like this. It's like the light bulb at home is not working. The light bulb is fine. The switch and the wire are broken. The switch was repaired in the first operation. Now the wire must be repaired. It is useless to repair it. If If you don’t do lumbar surgery, you only do hip surgery, and it can’t relieve the pain after the operation, and only if you do both operations, can it be effective.”

"What if the next operation still doesn't work, can you guarantee it [-]%?" The daughter-in-law turned her face to one side.

"It cannot be guaranteed 90.00%, but the probability of success is over [-]%." ​​Yang Ping said calmly.

"I know, your doctor will leave room for what you say." The old man's son agrees with [-]% confidence, and no doctor dares to say [-]%.

Seeing their silence, Yang Ping said: "Let's solve the pain of the old man together. If the pain is not solved, it will be troublesome to deal with it. The old man is in pain. You will suffer along with it, right?"

The old man's son saw that although Yang Ping was young, he spoke in a sophisticated and steady manner, not at all like an ordinary young doctor.
Maybe he really has a way, otherwise how dare he take the initiative to touch this hot potato.

"I'll discuss it with the old man, can you wait for me?" The old man's son picked up the tea and took a sip. .

"It's okay, you can discuss it clearly, we'll wait for you." Yang Ping's tone was calm all the time, neither in a hurry nor in a hurry.

"It's still the same sentence, if I don't want to solve the pain of the old man, I can ignore it." Yang Ping added.

After the couple went out, about ten minutes or so, the old man's son came back.

"We agree to perform the operation, but we ask Director Yang to perform the operation."

"Of course I am the chief surgeon." Yang Ping said.

"There is also the cost of this time--" said the old man's son in embarrassment.

"Solve the problem first, let's not talk about other things for the time being, how about it." Yang Ping said.

The old man's son said nothing.

"We had a bad attitude just now, please forgive me, this incident made the family very upset." The old man's son said.

Yang Ping waved his hand: "It's okay."

The family member's work was done, and the preoperative examination was arranged immediately. Except for the thickening of the lung texture, there were no other abnormalities. The blood pressure and blood sugar were normal, and the body was not bad.

The operation was scheduled for the next morning, and Yang Ping told him to prepare two prednisones before the operation and bring them to the operating room.

Then send a WeChat message to Su Yixuan, asking her to help prepare the equipment for surgery tomorrow. Su Yixuan is currently working as the head nurse in the operating room.

Back in the dormitory, Yang Ping wanted to report today's work to Director Tian.

Director Tian didn't return, and went to have dinner with the leaders of the Health Bureau with Director Pan.

"Fatty, do you still have that soft China?" Zhang Lin asked Fatty Liang.

The fat man was very dissatisfied: "Don't talk about one fat man, Director Liang, call him Director Liang, I'm temporarily working as the director of the anesthesiology department."

"Are you too deep into the drama?" Xiao Wu said.

"What do you know? It's called dedication. The director for two weeks is also the director."

"Director Liang, Director Liang, please give me a soft Zhonghua."

Zhang Lin stretched out his hand.

The fat man took out a pack of cigarettes.

　Thanks for the reward of Movie Little Dream!

　　
　
(End of this chapter)