godfather of surgery

Chapter 40

After returning from the outpatient clinic, Yang Ping hurried to the operating room, and Xiao Wu took the intern to disinfect the sheets.

Staying in the operating room is half a day.I finished work at [-]:[-] pm and took a shower in the dressing room of the operating room.The duty room of the ward also has a bathroom, but there are many young doctors who are concentrated there to shower. In order not to join in the fun, Yang Ping simply showers in the dressing room of the operating room.

After taking a shower, sitting in the dressing room to rest, Yang Ping kept thinking about the operation ordered by old man Zhang.Simple fractures can be done with Kirschner wires. For complex fractures, steel plates must be used, and ordinary plates cannot be used, and the plates must be locked.Even locking the steel plate was difficult.

Now the old man asks Yang Ping to do it with Kirschner wire, and the budget is 3000 yuan.

To be honest, 3000 yuan is sometimes the cost of a day in a tertiary hospital of this level. If it is spent on a concentrated perioperative period, the cost of a day is far from enough.

Yang Ping originally wanted to do a 600D CT reconstruction of the elbow joint. The [-]D CT reconstruction can depict the fracture in three dimensions, so that he can have an intuitive and specific understanding of the fracture.A CT three-dimensional reconstruction costs more than [-], such an expensive fee, I gave up this idea directly.

For this kind of fracture, many powerful hospitals use virtual reality technology and 3D printing technology to make a fracture model, and use the model to simulate before the operation.

The patient is indeed pitiful, and Yang Ping also sympathizes with the patient.When he first started working, he was paid 2000 yuan a month, deducted this, deducted that, after paying the rent, water and electricity, the rest was tight for living expenses, and it was really difficult to move without money.

The old man Zhang is right, if he can't do anything, the worker's elbow will be useless.To a doctor, it means nothing.But for this patient, it may be life-changing, and even the lives of the next generation.

This patient is indeed pitiful. No matter whether he is poor or rich, he is a patient in the eyes of the doctor, and he should do his best.

Yang Ping entered the system to see if he could find a solution. He scanned the mall, and a "steel needle and wire osteosynthesis" caught his attention.

I didn't care about this before, and I may think that the technology is meaningless and too simple.Anything is a treasure when it is useful, and a grass when it is useless.The price is only [-] cents. Fortunately, [-] cents are reserved, so there is no pressure to pay.Buy this Needle and Wire Osteosynthesis immediately,

Yang Ping remembered that he had read a book before, written by a German doctor - "Wire Cable Osteosynthesis"

This Germanic man has a famous saying: Give me enough wires and needles, and I can fix all broken bones.

As if seeing a ray of light in the darkness, Yang Ping immediately found his way.

Open steel wire osteosynthesis and enter space training.

The system has prepared countless steel needles with different diameters, as well as steel wires with different thicknesses, to simulate fractures in various parts, simple, complex, some broken or even a mess.

Yang Ping started training, first practiced threading the steel needle according to the designated path: designate an in point and an out point, insert the needle from the designated entry point, and then come out from the designated exit point.This may seem simple, but it is actually very difficult to do.

It's like giving two targets separated by a certain distance. The two targets are not facing each other, but staggered on a parallel line. When you shoot, you must make sure to pass through the bullseye of the two targets.

This is a very difficult operation. Yang Ping was always inaccurate at the beginning. The designated entry point was easy to handle. With the naked eye, the needle tip of the steel needle pressed against the designated point, but the exit point, separated by thick bone tissue, could not be at all. Guaranteed to come out from the out point, it is reluctantly good several times, all are close, but it is judged as unqualified by the system.

This requires the ability of spatial imagination. It is necessary to establish a three-dimensional concept of space in the mind. Although the needle runs in the bone tissue, although it cannot be seen, it must be imagined with the brain.

Yang Ping thought about it repeatedly, and after a lot of training, he finally succeeded in piercing the needle according to the predetermined entry and exit points, and mastered this technique.

The next step is to practice, parallel threading, that is, two needles passing through the bone, completely parallel, two parallel, three parallel, four parallel, five parallel - until ten parallel, the system requirements are very strict, A little bit, it was judged to be unqualified and had to start all over again.

If you pass this training smoothly, the system will not have any rewards; but if you fail to pass, the system will deduct points cruelly, that is, only deduct no rewards.How to deduct?How many points are spent to buy, but also the minimum deduction is twice, and a serious one is cleared.

After practicing parallel threading, it is cross threading, 15-degree crossing, 30-degree crossing, 45-degree crossing, 60-degree crossing, and 90-degree crossing.

Finally, I practiced threading the needle on the fragile and small bone fragments. The type of bone fragment that breaks as soon as it is pierced will break as soon as it is pierced. Later, I gradually mastered the strength and control of the electric drill. The needle can be passed through the bone. The blocks are still intact.

After practicing needle threading, it is wire binding, single-strand, double-strand, multi-strand, tension band binding, ring binding, figure 8 binding, rectangular binding, etc., all kinds, as long as there are in orthopaedics , Yang Ping has tied up again and again.

Through the training of steel wire Kirschner wire, Yang Ping found that if the steel wire Kirschner wire is used properly, the surgical effect is no worse than that of steel plate fixation, and it has certain advantages for the fixation of some small bone fragments. He understood Professor Zhang's point of view. Good intentions.

After completing the training, I found that there is one more item on the light screen - the library.

"The system will unlock and launch some new functions based on the upgrade of the skill value." The mechanical girl said.

It turned out to be like this, but I didn't know how to use this function. Yang Ping turned on the library function, and bookshelves, desks and chairs immediately appeared around him.

"What book do you need to borrow? All the information in the world is available here, including medical information of course. You can provide the title, author or other search keywords." The system female voice said.

Then a light screen appeared in front, with the catalog of books on it.

"Wire Cable Osteosynthesis", Yang Ping reported the title of the book.

Immediately, the screen displayed the name of the book, as well as some recommended similar books.

"Every hour of reading consumes one point." The female voice explained.

Yang Ping clicked on the title of the book, and there was a book on the shelf in an instant.

This function is good, it will save you to buy books in the future, you can read it anytime, anywhere, the points spent are not expensive, and it is an artifact for learning.

Yang Ping read several books on steel wire and needle bone in one breath.

For the sake of safety, Yang Ping spent another [-] cents to purchase [-] surgical trainings for comminuted fractures of the lower end of the humerus.

Only three thousand points left.

When I came out of the space, I felt that people were much older.

Maybe the graduate assistant leaked the news, and everyone in the department knew that Yang Ping was assigned a difficult task by old man Zhang.

Yang Ping returned to the department, and everyone was writing to the electronic reading screen to adjust the X-film, and wanted to discuss it.But there is no picture of this patient in the computer, it is a picture taken by an outside hospital.

The patient was put on the bed of Xiaowu, and Xiaowu hung the X-ray film.

This is a spontaneous discussion by everyone, and no one is going to inform the organization.

Surrounding the reading light, Song Zimo patted Yang Ping's shoulder: "Senior brother, it's not that difficult. Did you offend the old man?"

"It's not difficult, it's impossible." Zhang Lin's face covered with pimples came in.

Director Tian has undergone surgery and has just entered the doctor's office. "Come here, let Director Tian take a look." Song Zimo beckoned.

Director Tian is usually stable and has excellent technical skills, and is well respected by everyone.

"Lock the plate, put it behind the radial side, put it on the edge on the ulnar side, and then supplement the countersunk screw. What, test me?" He would also joke.

"This old man Zhang appointed Yang Ping to do steel wire Kirschner wire." Xiao Wu explained.

"So? Talk to Director Han and let him communicate with the old man. How can this be done with Kirschner's needles." Tian Yuan studied the X-rays again.

"Boss, Director Tian is right, you can't listen to him." Xiao Wu was anxious.

When I think about it, Yang Ping sits up against the nearest desk.

Director Han came in at this time, and it was quite lively to see everyone gathered together without any intention of getting off work.

There was another X-film hanging on the reading lamp, glanced at the film, and then looked at everyone: "Case discussion?"

No one said a word, Tian Yuan said, "Director, how do you deal with this fracture? Everyone wants to hear the director's opinion."

The director took another look: "comminuted fracture of the lower end of the humerus, intra-articular fracture, two locking plates, how can we discuss this?"

"Old man Zhang received only 3000 yuan for the patient, and Yang Ping must complete the operation with a Kirschner wire and be discharged from the hospital in three days." Tian Yuan said every word, explaining clearly.

Director Han looked at the film carefully: "Oh, it's not very difficult to do this operation with Kirschner wire, but I tell you, this operation is beautiful with Kirschner wire, the old man is not talking about it. , he can really do it, Xiao Yang, he is interested in you."

"Behave well, let me tell you, although the old man has a weird temper, but he has a unique skill, it depends on whether you have the ability to show it." After speaking, Director Han left.

"I tried my best, you can do it yourself. If you are free that day, I will go and cheer for you. If you need any help, just say, orthopedics book, what I want there." Tian Yuan shook his head.

"It seems that there is a book "Wire Cable Osteosynthesis" written by a German. You can refer to it. I will help you with the surgery in the past few days." Song Zimo said.

"I'm watching the patient, don't worry, I'll call you anytime if anything happens." Xiao Wu said.

Zhang Lin also leaned up and sat next to him: "Come on, the people will thank you!"

Everyone encouraged each other, just like Jing Ke stabbed Qin, drinking Zhuangxing wine by the Yishui River.

"The wind is small and the water is cold, the strong man--" Zhang Lin recited a poem, shook his head, and walked out of Connor's pace.

"You strong man-" Xiao Wu stuck Zhang Lin on the back of his neck.

"Xiao Wu, let me tell you, let go, the Northeasterners are not afraid to fight."

Zhang Lin wailed.

(End of this chapter)