godfather of surgery

Chapter 172 The Pediatrician Was Beaten
Yang Ping put the tie in the desk drawer, and the business card was still there.

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

"Sisi!" Yang Ping knocked on the door. His mother seemed to be back to make breakfast, but she hadn't come yet.

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

Yang Ping said, "You study so hard."

Sisi is very embarrassed: "I haven't gone to class for a long time, and I have missed a lot of homework. Sister Tang Fei tutors me every afternoon. This is the homework she assigned yesterday. I have to finish it before 05:30 in the afternoon. She will come after get off work an examination."

"Come on!" Yang Ping encouraged her.

She clenched her fist and made a gesture of cheering: "Yeah!"

"Can you talk to me about my illness?" 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, peeking at the answer behind her.

"No matter how small the problem is, if you want to deal with it well, you must be serious. This is called treating lightly as the most important thing. Doctors must never take the enemy lightly." Yang Ping explained to her.

The child doesn't understand, so she can only use white lies to conceal the cruel truth, so that she can live a happier life for the rest of her life. She is a poor child, a flower destined to wither prematurely.

"Your eyes betray you, you are lying!" Sisi let go of her gaze.

Yang Ping didn't dare to look at her: "You made a wrong judgment this time. Doctors never lie to their patients. What doctors face every day are objective facts."

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

"Do you still have older siblings or younger siblings?" Yang Ping changed the subject and chatted with her about life.

"No! Grandpa and grandma wanted Mom and Dad to have a younger brother, but Mom and Dad refused, and they had a quarrel." Sisi's eyes sparkled with clarity.

"What about you?" Sisi asked Yang Ping.

"Me too, the only child, that's fine, your parents' love for you is exclusive to you." Yang Ping saw the loneliness in her eyes.

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

What a funny kid, you don't understand a sentence, which makes Yang Ping so funny that he doesn't know how to keep talking.

Okay, I'm going to the operating room.

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

Yang Ping and Sisi clapped hands, and when they went out, Yang Ping clenched his fists: "Come on!"

In the operating room, Song Zimo and Tang Fei and Xiao Wu are doing surgery, Zhou Can's equipment nurse, and Xiao Su's itinerant nurse.

"Doctor Yang, good morning!"

"Nurse Su, good morning!"

"Prepare your seat!"

"As ordered!"

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

"How is it? Is the operation okay?" Yang Ping asked.

Song Zimo is doing reconstruction of the anterior cruciate ligament. He has a deep understanding of the anatomical center of the ligament footprint. Although it cannot be done at one time, he can always find the real footprint center after repeated measurements and searches.

The anatomical center of the ligament footprint, the true anatomical center, is not an easy task to find, it is the basis for maximal function of the reconstructed ligament.

The plasma knife is cleaning the synovial membrane and ligament stumps in the intercondylar fossa, the melodious Didi dubbing, the blisters caused by gasification, and the burnt yellow marks left by high-energy gasification.

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

"According to your method, I can now distinguish the specificity of the footprint area. Look, this is the tunnel entry point I marked with the high energy of the plasma knife. Is the position correct?" Song Zimo insisted on training for two hours a day, so that the joints Mirror operation skillful, with ease.

Yang Ping stood up, approached the screen, and helped him look at the burnt yellow spot: "It's great, this is the anatomical center of the footprint."

"I saw Sisi again just now. Tang Fei is helping her with her homework? Thank you!" Yang Ping casually mentioned.

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

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

Rubik's Cube recovery, level 15, no talent, no matter how hard you practice, it is generally difficult to break through 13 seconds, this kid actually managed to achieve 13 seconds, the level of a professional eighth-dan, which means that Song Zimo is faster, more than [-] seconds, already a professional nine-dan level , This is the level of participating in international competitions with a little practice.

Song Zimo opened the tunnel very fast, Yang Ping seemed to be leading the way, and he followed behind. Naturally, the level of surgery improved rapidly.

Several people were chatting and performing the operation. The operation went smoothly, and soon the tendon implantation was completed. Song Zimo flexed and stretched his knee joint, and checked under the microscope whether the reconstructed fork collided with the intercondylar fossa or the rear fork.

"Door nails!" Song Zimo kept the exposed tendons of the tibia and fixed them on the front surface of the proximal tibia with door nails.

Chatting and chatting, the operation was finished, Song Zimo withdrew the equipment, and was about to sew the skin.

"Line 4?" Zhou Can asked.

Song Zimo said: "Line 1! Girls, use the thinner thread."

He took the needle holder with needle thread and began to sew up two small surgical incisions, as well as the incisions for the semitendinosus and gracilis muscles. After finishing, bandaging and braces, Xiao Wu sent the patient back.

The cleaning lady comes in to dispose of surgical waste and clean up. Generally, after cleaning, disinfection is required. It takes 15 minutes to receive the next operation.

Zhou Can left 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 in the elderly. It is relatively mild in the early stage, and the cartilage wear is not very serious. Arthroscopic debridement can be used, minimally invasive, and the effect is still good. 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 was 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 denies that medicine is an empirical science, and it is effective if it is done in this way, and statistics think it is invalid, but it is still effective.”

"It makes sense. Many osteoarthritis have poor long-term results after endoscopic cleaning, but the short-term results are good, because the pain-causing inflammatory mediators are removed by washing, loose bodies are removed, and the formed and torn meniscus is partially removed. Cartilage damage areas can be repaired, and microfractures can also be performed for small areas. After microfractures, although fibrocartilage is regenerated instead of hyaline cartilage, it is better than nothing." Song Zimo also agreed with Yang Ping's point of view.

"After putting on clothes and gloves, hands can only be on the chest, below the shoulders, above the waist, and cannot cross the safety zone. Hands can only touch the sterile zone of the same level, and cannot touch other areas. Once touched, 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 for them to practice dressing.

Xiaosu opened the outermost layer of cloth sheet of the sterile bag, and then used sterile forceps to open the inner packing cloth sheet, revealing the neatly stacked surgical gown inside.

"Don't squeeze, pay attention to the concept of sterility, and don't pollute it." Zhang Lin saw that they were a little messy, and shouted.

"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 hold and put on clothes: "When you reach out for it, you must not touch other parts, you can only touch the clothes you want directly, take them over, open them, and shake them lightly , the inside is facing you, the collar is facing up, and then lightly toss it, and insert your hands through the inner opening of the sleeve, and when you get here, call the patrol nurse, help!"

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

The students followed suit one after another. One student shook his clothes, and bent down to pick them up.

"Hey, classmate, my voice is hoarse today, it's useless, can I pick up the clothes that fell on the floor?" Zhang Lin looked sternly.

The student immediately realized the mistake and stopped bending down. Zhang Lin said: "Bending down to pick up instinctively is due to a lack of awareness of sterility. Things that fall on the ground are polluted. How can we pick them up, brush their hands again, and pick them up again?" Come again."

The student went out resentfully, and went to brush his hands again.

"Don't make such low-level mistakes. Remember, aseptic, sterile, sterile, important things are said three times, and if you can't remember them, go back to the ward after get off work and practice dressing for me one hundred times." over and over again." Zhang Lin lectured loudly.

The operating room over there is also ready, and the patient has been sent 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 issuing medical orders, the HIS system was a little convulsive, and Xiao Wu was patting the table.

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

Several interns were discussing something in a low voice. It seemed that a doctor in the Department of Pediatrics had been beaten. He said that he was admitted to the hospital, but the doctor refused to reduce the fever or give anti-inflammatory drugs.

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

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

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

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

"Really, our classmate is an intern in the pediatrics department. It was just posted in the group. The family members of the beating person have been controlled by the security. They all kicked and rolled on the ground, damn it, that family member is said to have a backstage and is quite arrogant."

Zhang Lin picked up the phone and called the pediatrician's office, but it was probably busy and no one answered, and he called his girlfriend, but he didn't answer either.Tell the intern: "Ask the name of the doctor who was beaten?"

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

The intern clicked on the video in front of Zhang Lin, damn it, isn't this her girlfriend?He was kicked away, and he was slapped twice. The slaps were so hard that his face was swollen.

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

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

"What video?"

The intern showed the video to Yang Ping again, and told about the beating of the pediatrician. Yang Ping saw it, no wonder he rushed out. The one who was beaten was his girlfriend. Watching the video, it was so bad. The doctor was explaining to the patient, the general meaning: If the temperature is below 38.5 degrees, you can temporarily leave it alone, observe, take a blood test, consider viral infection, and do not use antibiotics.

Without further ado, the patient received two slaps in the face, followed by a kick to the lower abdomen, which knocked him down to the ground, almost hitting the back of his head.

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

Zhang Lin rushed over by running, and Xiao Wu ran behind. When he got to the elevator in the Internal Medicine Building, Xiao Wu caught up.

"Zhang Lin? Zhang Lin? Calm down!"

Zhang Lin still didn't speak, and straightened his hair with both hands, his eyes were red, like a mad fighting bull, his appearance was a little scary.

"Zhang Lin! Zhang Lin!--" No matter how Xiao Wu called him, he didn't respond.

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

The elevator opened, Zhang Lin got in, and Xiao Wu followed. Seeing Zhang Lin's appearance, several people inside couldn't help leaning to the corner inside, and one of them came out ahead of time.

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

(End of this chapter)