godfather of surgery
Chapter 127
Chapter 127
"Ding dong, the task is completed, the nerve root sheath puncture is successfully completed, the patient's pain is relieved, and there are no side effects, and the reward is [-] points."
The points have increased from [-] points to [-] points, and I have a little savings in my hand.
After seeing the patient, Yang Ping was on his way back to the department when the system announced the completion of the task.
Now the task is getting more and more difficult. Unlike before, when you complete a street rescue, you will be given a gift bag.
The lights in the laboratory were still on, and Song Zimo was practicing arthroscopy alone.
Yang Ping went in and found a chair to sit down. Song Zimo turned his head and said, "Why, why don't you go back to rest? Zhang Lin and Xiao Wu also practiced for an hour, and they all went back."
"Arthroscopic scissors not only need to conduct separation training, but also to train the rhythm, like throwing a ball, one ball, two balls, three balls, throwing and catching them in a loop, mastering the rhythm!" Yang Ping watched him keep on Turning the grapes, turning the grapes and slipping away.
Song Zimo stopped and listened carefully.
"First turn the grapes into proficiency, and then switch to cutting, break down the movements, and practice one by one. After you are proficient, you can string them together to practice." Yang Ping instructed Song Zimo.
If Song Zimo realized something, he immediately changed the practice method, decomposed the movements and practiced them separately.
"I wonder if Director Han will let us be the chief surgeons in the Golden Knife Awards?" Song Zimo asked worriedly.
After all, there are Deputy Chief Physician Tian Yuan and Chief Physician Tan Boyun above the two of them. Director Tian is in his thirties, and Tan Boyun is under 45, both of which meet the age requirements for the Golden Knife Award.
"The doctor in charge of the Golden Knife Award can also be the chief surgeon. Director Han should give us a chance." Yang Ping analyzed.
Song Zimo is very familiar with the Golden Knife Award: "The attending physician usually participates as an assistant, and those who compete for the award as the chief surgeon are very rare every time. To participate as the chief surgeon, and to perform third-level and fourth-level surgeries, two colleagues are required. Signed by the professional chief physician, one in the hospital and one outside the hospital. Su Nanchen has been promoted to the deputy chief physician, and Wen Rentao is also the deputy chief physician."
Yang Ping stretched his waist: "You want to defeat them?"
"You don't want to?" Song Zimo asked back, and stopped the arthroscopic training in his hand.
Yang Ping lazily shook his head: "I don't want to, it's boring, but Director Han said that winning an award is not a bad thing."
Song Zimo watched Yang Ping say this casually, as if the award was easy to win.
"The one with synovial chondromatosis, is the operation scheduled?" Yang Ping thought about tomorrow's operation.
Song Zimo began to train again: "The line is ready, now it is very convenient for us to line up for surgery, there is a line here, make a call to the operating room upstairs, Xiao Su will make arrangements, Zhou Can is also here, and there will be two people at work tomorrow It’s much more convenient, one device, one tour.”
"Practice well, is it okay for you to do all kinds of products?" Yang Ping asked.
Song Zimo nodded: "You should be fine, right?"
Yang Ping snapped his fingers: "The time has come to prove your talent."
"I've never been able to win an award for an indication? But I want to try." Song Zimo's ambition has never been extinguished.
"Then start with us and make it an exception!" Yang Ping got up, yawned, and left.
Leaving Song Zimo alone in a daze in the laboratory, yes, let it make an exception from this session, Song Zimo clenched his fists.
Entering the system space before going to bed has become a daily compulsory course, and it is more punctual than washing your face and brushing your teeth. This time is the most suitable for training.
The last time I had knee arthroscopy training, this time Yang Ping wanted to practice shoulder arthroscopy, so he bought [-] cases of shoulder arthroscopy in the system mall with [-] points, including rotator cuff repair, acromion formation, Bankart Injury, SLAP injury, labrum injury and other operations.
There are more than 9000 points left in the points. Every time I get a little point, I will be tight after buying the training package.
Looking at the tasks in the stage, the completion rate has increased by several percentage points, and the progress bar has also advanced a little bit. Could it be that today's puncture will add points to this task?
It should be like this. Today's puncture was approved by Professor Su, which naturally increased the team's reputation points.
Yang Ping understands that every job he does now only needs to be done well.Not only allow yourself to gain points and increase experience, but also directly or indirectly add points to stage tasks.
This is the reason why personal goals are consistent with team goals, and the combination of personal growth and platform development.
Everyone is not alone, and no one can succeed alone.
The next day, the aunt with weak knees and legs can be discharged from the hospital. She even packed her things during the rounds.
She was very happy. It took only 48 hours to go from being unable to walk to walking like flying.
"I want to help you publicize well, so please take care of my friend." Auntie is still thinking about the friend she introduced.
"Doctor Yang, you already have a girlfriend. Otherwise, I'll introduce you to a girlfriend. She's a very nice girl. She's here." Auntie was very enthusiastic.
"Mom!" The patient's daughter stopped her.
"Introduce me, auntie!" Zhang Lin joked.
"You have a girlfriend, lie to auntie." Auntie is very shrewd.
"Why are you so sure?" Zhang Lin asked with a smile.
The aunt pointed to her shirt collar: "Your shirt collar is so clean, you don't look like someone who doesn't have a girlfriend. You're probably getting married soon."
Holmes, everyone laughed heartily.
Patients with synovial chondromatosis were prepared for surgery after rounds.
"Everyone doesn't have trypophobia, right? If you do, avoid it!" Yang Ping announced before the stage started.
For such patients, after the enchondroma is removed, those with intensive phobia will feel very uncomfortable, and those with severe reactions may even vomit.
While adjusting the height of the three-liter bag of salt water, Zhou Can said, "Even if there is, everyone is immune to it. I have a classmate who is also a nurse in the operating room. He used to suffer from bleeding and needles, but now nothing happens. We are all day and night , all I saw were the internal organs and intestines, I couldn’t faint even if I wanted to, last time in the oncology surgery, a tumor was taken out from the abdominal cavity, weighing dozens of kilograms, cut open, and it was red flesh.”
When Yang Ping came back, Song Zimo and Xiao Wu had already made the order.
Xiao Su organized all kinds of pipelines in an orderly manner, tied them with a cable tie, and restrained them above the knee joint.
Water inlet pipe, suction pipe, optical fiber, camera transmission line, electric planer wire, plasma knife line, four lines and two tubes, all kinds of pipelines are not entangled, and the reserved length is just right.
Check before the operation, raise the operative limb, use a sterile blood-expelling belt to expel the blood, inflate the computerized airbag tourniquet, and the operation begins.
"Avoid the secret terrorists!" Yang Ping reminded again.
Pierce a 0.5 cm incision with a sharp knife on the lateral knee eye. The blunt puncture cone and the sheath penetrate into the intercondylar fossa of the knee joint, straighten the knee joint, and the puncture cone enters the suprapatellar bursa. .
When moving the puncture cone, there is an obvious rattling friction sound, like chopsticks stirring a pot of peanuts.
Withdraw the puncture cone, insert the arthroscopic lens through the sheath, and connect the water inlet tube.
The field of vision was a vast expanse of whiteness, and nothing could be seen.
Under the impact of the running water, the white things wriggled and rolled, all round cartilage tumors, white and smooth, gathered and squeezed together because of too many.
Wow, Zhang Lin, Fatty Liang, and Zhou Can opened their mouths and exclaimed at the same time, it was too glaring, and goose bumps all over their bodies instantly.
It is no longer possible to routinely locate the medial approach with needle puncture.
The sharp knife pierced another small hole in the inner knee eye, and likewise, the puncture cone went in, with the sheath.
"Metal basin!"
The metal basin has been passed and placed under the inner sheath, and the piercing cone withdrawn.
Crash!Some small enchondromas flowed out along the sheath tube, all were caught by the metal basin, and some even jumped up.
Crashing, the bottom of the metal basin was soon covered by white enchondroma, and after a while, half of the metal basin was piled up, all of which were relatively small, the size of sago, densely packed.
Slowly, no more flow, because the sheath was blocked by a large particle.
The sheath was withdrawn, and Xiao Su handed over the nucleus pulposus forceps, which are the best tools for removing loose bodies under arthroscopy.
The free body can only be taken out one by one under the mirror. Song Zimo often trains to take out the crystal baby, which can be used at this time.
"Would you like to try it!" Yang Ping handed the nucleus pulposus forceps to Song Zimo.
Song Zimo has mastered these operations a long time ago, and now he wants to follow Yang Ping to improve his surgical skills, so he is willing to be an assistant to see how Yang Ping does it.
"You do it, I'll help my legs and learn from you." Song Zimo said.
Yang Ping's nucleus pulposus forceps went in, and every time they pulled out, there was a white enchondroma in the metal basin.
Every time there is no failure, reach in, clamp one, withdraw, put it in the metal basin, and repeat this action.
One, a few, a dozen, dozens, the number keeps rising--
Yang Ping clamped the enchondroma, never failed, and never had to repeat.
A metal basin could no longer fit, so Xiao Su replaced it with a metal basin.
The circular field of view on the screen gradually widened, and cartilage tumors could be seen accumulating in the joint spaces, and some moved around under the driving of running water.
The knee joint of the human body can hide such dense peanuts.
Zhou Can's whole body was numb, and he felt like there were tens of thousands of ants crawling in his internal organs.
The entire knee joint was occupied by dense peanut-like chondromas, more than 300 of which were removed, and more than 200 remained.
"Zhou Can, are you okay?" Fatty Liang looked unhappy seeing Zhou Can beside him.
Xiao Su also asked with concern: "Zhou Can, go out and have a rest."
Zhou Can shook his head and took a deep breath: "I have goosebumps all over my body now, it's okay, just take it easy."
"Aren't you immune?" Zhang Lin saw that she was full of confidence just now.
Zhou Can said: "I'm immune to tumors weighing dozens of kilograms, but I've never seen hundreds of these things before, and I feel panicked."
This is indeed very rare, and enchondromas continue to be removed.
The operation was very fast. After one area was removed, another area was removed. Finally, the posterior lateral chamber was cleaned, and the entire knee joint was checked from the beginning to the end. No residue was found. Under the meniscus and inside the synovial folds, all Hook it with a probe and squeeze the lateral recess.
It was confirmed that it was gone, and a normal knee joint cavity was exposed.
Yang Ping cleaned up the knee joint, removed the hyperplastic synovium, and repaired the degenerated and torn meniscus.
The two metal basins were filled to the brim, and the height of the stack exceeded the edge of the metal basin.
It's all taken out of one knee joint, incredible.
520 seven!More than shown on the MRI.
The smallest is about the size of a sago, and the largest is bigger than an adult's thumb.
"Show the patients and their families later?" Zhang Lin took a picture.
"Communicate with them in advance and ask for their opinions. If you don't want to read it, forget it. It will make you uncomfortable." Yang Ping explained.
The last time the patient didn't dare to look at it himself, his son was about to vomit.
Zhou Can stared at the two metal basins, those white smooth oval things piled up like a mountain.
"Still watching, are you desensitizing?" Zhang Lin blocked Zhou Can's sight.
"Let me watch it more, I won't do it next time, it's very exciting." Zhou Can said
"Pervert!" Zhang Lin stood away.
(End of this chapter)
"Ding dong, the task is completed, the nerve root sheath puncture is successfully completed, the patient's pain is relieved, and there are no side effects, and the reward is [-] points."
The points have increased from [-] points to [-] points, and I have a little savings in my hand.
After seeing the patient, Yang Ping was on his way back to the department when the system announced the completion of the task.
Now the task is getting more and more difficult. Unlike before, when you complete a street rescue, you will be given a gift bag.
The lights in the laboratory were still on, and Song Zimo was practicing arthroscopy alone.
Yang Ping went in and found a chair to sit down. Song Zimo turned his head and said, "Why, why don't you go back to rest? Zhang Lin and Xiao Wu also practiced for an hour, and they all went back."
"Arthroscopic scissors not only need to conduct separation training, but also to train the rhythm, like throwing a ball, one ball, two balls, three balls, throwing and catching them in a loop, mastering the rhythm!" Yang Ping watched him keep on Turning the grapes, turning the grapes and slipping away.
Song Zimo stopped and listened carefully.
"First turn the grapes into proficiency, and then switch to cutting, break down the movements, and practice one by one. After you are proficient, you can string them together to practice." Yang Ping instructed Song Zimo.
If Song Zimo realized something, he immediately changed the practice method, decomposed the movements and practiced them separately.
"I wonder if Director Han will let us be the chief surgeons in the Golden Knife Awards?" Song Zimo asked worriedly.
After all, there are Deputy Chief Physician Tian Yuan and Chief Physician Tan Boyun above the two of them. Director Tian is in his thirties, and Tan Boyun is under 45, both of which meet the age requirements for the Golden Knife Award.
"The doctor in charge of the Golden Knife Award can also be the chief surgeon. Director Han should give us a chance." Yang Ping analyzed.
Song Zimo is very familiar with the Golden Knife Award: "The attending physician usually participates as an assistant, and those who compete for the award as the chief surgeon are very rare every time. To participate as the chief surgeon, and to perform third-level and fourth-level surgeries, two colleagues are required. Signed by the professional chief physician, one in the hospital and one outside the hospital. Su Nanchen has been promoted to the deputy chief physician, and Wen Rentao is also the deputy chief physician."
Yang Ping stretched his waist: "You want to defeat them?"
"You don't want to?" Song Zimo asked back, and stopped the arthroscopic training in his hand.
Yang Ping lazily shook his head: "I don't want to, it's boring, but Director Han said that winning an award is not a bad thing."
Song Zimo watched Yang Ping say this casually, as if the award was easy to win.
"The one with synovial chondromatosis, is the operation scheduled?" Yang Ping thought about tomorrow's operation.
Song Zimo began to train again: "The line is ready, now it is very convenient for us to line up for surgery, there is a line here, make a call to the operating room upstairs, Xiao Su will make arrangements, Zhou Can is also here, and there will be two people at work tomorrow It’s much more convenient, one device, one tour.”
"Practice well, is it okay for you to do all kinds of products?" Yang Ping asked.
Song Zimo nodded: "You should be fine, right?"
Yang Ping snapped his fingers: "The time has come to prove your talent."
"I've never been able to win an award for an indication? But I want to try." Song Zimo's ambition has never been extinguished.
"Then start with us and make it an exception!" Yang Ping got up, yawned, and left.
Leaving Song Zimo alone in a daze in the laboratory, yes, let it make an exception from this session, Song Zimo clenched his fists.
Entering the system space before going to bed has become a daily compulsory course, and it is more punctual than washing your face and brushing your teeth. This time is the most suitable for training.
The last time I had knee arthroscopy training, this time Yang Ping wanted to practice shoulder arthroscopy, so he bought [-] cases of shoulder arthroscopy in the system mall with [-] points, including rotator cuff repair, acromion formation, Bankart Injury, SLAP injury, labrum injury and other operations.
There are more than 9000 points left in the points. Every time I get a little point, I will be tight after buying the training package.
Looking at the tasks in the stage, the completion rate has increased by several percentage points, and the progress bar has also advanced a little bit. Could it be that today's puncture will add points to this task?
It should be like this. Today's puncture was approved by Professor Su, which naturally increased the team's reputation points.
Yang Ping understands that every job he does now only needs to be done well.Not only allow yourself to gain points and increase experience, but also directly or indirectly add points to stage tasks.
This is the reason why personal goals are consistent with team goals, and the combination of personal growth and platform development.
Everyone is not alone, and no one can succeed alone.
The next day, the aunt with weak knees and legs can be discharged from the hospital. She even packed her things during the rounds.
She was very happy. It took only 48 hours to go from being unable to walk to walking like flying.
"I want to help you publicize well, so please take care of my friend." Auntie is still thinking about the friend she introduced.
"Doctor Yang, you already have a girlfriend. Otherwise, I'll introduce you to a girlfriend. She's a very nice girl. She's here." Auntie was very enthusiastic.
"Mom!" The patient's daughter stopped her.
"Introduce me, auntie!" Zhang Lin joked.
"You have a girlfriend, lie to auntie." Auntie is very shrewd.
"Why are you so sure?" Zhang Lin asked with a smile.
The aunt pointed to her shirt collar: "Your shirt collar is so clean, you don't look like someone who doesn't have a girlfriend. You're probably getting married soon."
Holmes, everyone laughed heartily.
Patients with synovial chondromatosis were prepared for surgery after rounds.
"Everyone doesn't have trypophobia, right? If you do, avoid it!" Yang Ping announced before the stage started.
For such patients, after the enchondroma is removed, those with intensive phobia will feel very uncomfortable, and those with severe reactions may even vomit.
While adjusting the height of the three-liter bag of salt water, Zhou Can said, "Even if there is, everyone is immune to it. I have a classmate who is also a nurse in the operating room. He used to suffer from bleeding and needles, but now nothing happens. We are all day and night , all I saw were the internal organs and intestines, I couldn’t faint even if I wanted to, last time in the oncology surgery, a tumor was taken out from the abdominal cavity, weighing dozens of kilograms, cut open, and it was red flesh.”
When Yang Ping came back, Song Zimo and Xiao Wu had already made the order.
Xiao Su organized all kinds of pipelines in an orderly manner, tied them with a cable tie, and restrained them above the knee joint.
Water inlet pipe, suction pipe, optical fiber, camera transmission line, electric planer wire, plasma knife line, four lines and two tubes, all kinds of pipelines are not entangled, and the reserved length is just right.
Check before the operation, raise the operative limb, use a sterile blood-expelling belt to expel the blood, inflate the computerized airbag tourniquet, and the operation begins.
"Avoid the secret terrorists!" Yang Ping reminded again.
Pierce a 0.5 cm incision with a sharp knife on the lateral knee eye. The blunt puncture cone and the sheath penetrate into the intercondylar fossa of the knee joint, straighten the knee joint, and the puncture cone enters the suprapatellar bursa. .
When moving the puncture cone, there is an obvious rattling friction sound, like chopsticks stirring a pot of peanuts.
Withdraw the puncture cone, insert the arthroscopic lens through the sheath, and connect the water inlet tube.
The field of vision was a vast expanse of whiteness, and nothing could be seen.
Under the impact of the running water, the white things wriggled and rolled, all round cartilage tumors, white and smooth, gathered and squeezed together because of too many.
Wow, Zhang Lin, Fatty Liang, and Zhou Can opened their mouths and exclaimed at the same time, it was too glaring, and goose bumps all over their bodies instantly.
It is no longer possible to routinely locate the medial approach with needle puncture.
The sharp knife pierced another small hole in the inner knee eye, and likewise, the puncture cone went in, with the sheath.
"Metal basin!"
The metal basin has been passed and placed under the inner sheath, and the piercing cone withdrawn.
Crash!Some small enchondromas flowed out along the sheath tube, all were caught by the metal basin, and some even jumped up.
Crashing, the bottom of the metal basin was soon covered by white enchondroma, and after a while, half of the metal basin was piled up, all of which were relatively small, the size of sago, densely packed.
Slowly, no more flow, because the sheath was blocked by a large particle.
The sheath was withdrawn, and Xiao Su handed over the nucleus pulposus forceps, which are the best tools for removing loose bodies under arthroscopy.
The free body can only be taken out one by one under the mirror. Song Zimo often trains to take out the crystal baby, which can be used at this time.
"Would you like to try it!" Yang Ping handed the nucleus pulposus forceps to Song Zimo.
Song Zimo has mastered these operations a long time ago, and now he wants to follow Yang Ping to improve his surgical skills, so he is willing to be an assistant to see how Yang Ping does it.
"You do it, I'll help my legs and learn from you." Song Zimo said.
Yang Ping's nucleus pulposus forceps went in, and every time they pulled out, there was a white enchondroma in the metal basin.
Every time there is no failure, reach in, clamp one, withdraw, put it in the metal basin, and repeat this action.
One, a few, a dozen, dozens, the number keeps rising--
Yang Ping clamped the enchondroma, never failed, and never had to repeat.
A metal basin could no longer fit, so Xiao Su replaced it with a metal basin.
The circular field of view on the screen gradually widened, and cartilage tumors could be seen accumulating in the joint spaces, and some moved around under the driving of running water.
The knee joint of the human body can hide such dense peanuts.
Zhou Can's whole body was numb, and he felt like there were tens of thousands of ants crawling in his internal organs.
The entire knee joint was occupied by dense peanut-like chondromas, more than 300 of which were removed, and more than 200 remained.
"Zhou Can, are you okay?" Fatty Liang looked unhappy seeing Zhou Can beside him.
Xiao Su also asked with concern: "Zhou Can, go out and have a rest."
Zhou Can shook his head and took a deep breath: "I have goosebumps all over my body now, it's okay, just take it easy."
"Aren't you immune?" Zhang Lin saw that she was full of confidence just now.
Zhou Can said: "I'm immune to tumors weighing dozens of kilograms, but I've never seen hundreds of these things before, and I feel panicked."
This is indeed very rare, and enchondromas continue to be removed.
The operation was very fast. After one area was removed, another area was removed. Finally, the posterior lateral chamber was cleaned, and the entire knee joint was checked from the beginning to the end. No residue was found. Under the meniscus and inside the synovial folds, all Hook it with a probe and squeeze the lateral recess.
It was confirmed that it was gone, and a normal knee joint cavity was exposed.
Yang Ping cleaned up the knee joint, removed the hyperplastic synovium, and repaired the degenerated and torn meniscus.
The two metal basins were filled to the brim, and the height of the stack exceeded the edge of the metal basin.
It's all taken out of one knee joint, incredible.
520 seven!More than shown on the MRI.
The smallest is about the size of a sago, and the largest is bigger than an adult's thumb.
"Show the patients and their families later?" Zhang Lin took a picture.
"Communicate with them in advance and ask for their opinions. If you don't want to read it, forget it. It will make you uncomfortable." Yang Ping explained.
The last time the patient didn't dare to look at it himself, his son was about to vomit.
Zhou Can stared at the two metal basins, those white smooth oval things piled up like a mountain.
"Still watching, are you desensitizing?" Zhang Lin blocked Zhou Can's sight.
"Let me watch it more, I won't do it next time, it's very exciting." Zhou Can said
"Pervert!" Zhang Lin stood away.
(End of this chapter)
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