godfather of surgery

Chapter 573 My Professor Is Too Steady
It is the principle of doctors to keep the privacy of patients.

Four principles of medical theory - do no harm, respect, benefit, and justice.

The characteristics of the medical profession determine that doctors can often learn certain privacy of patients, some of which patients have never talked about or exposed to others, both physical and psychological.

Therefore, doctors should respect the patient's right to medical privacy, and destroying the patient's right to privacy means destroying the doctor-patient relationship and losing the patient's trust in medical staff and medicine.

This is the bottom line principle of the profession.

Even a big mouth like Zhang Lin, who is known as one of the three major broadcasters in Sanbo, will keep his patients' privacy secret.

Sunshine boy is called Tan Xiaowei. Among other things, his three views are actually very upright.

He told Yang Ping that in fact Li Jun is a uremia patient and currently requires dialysis twice a week.

The two are from the Beidiao family, and their unstable jobs make them often cut off their medical insurance and social security.

I entered the live broadcast industry a year ago and earned some money, all of which were spent on Li Jun’s treatment, especially dialysis, which was very costly without reimbursement.

Later, as flexible workers paid medical insurance and social security, the economic situation improved slightly.

Perhaps Yang Ping's prudent image gave this young man trust, and he told Yang Ping a lot.

"Uremia, have you told Dr. Li Guodong about this condition? Arrange for dialysis as soon as possible." Yang Ping asked, sympathizing with the two people's experiences.

Qin Xiaowei nodded: "As I said just now, I had dialysis once before I came here, and I need to arrange dialysis tomorrow."

"Ah Jun is going to have a kidney transplant, and he has to wait for the source of the kidney. I have done a type match with him, and the doctor said that he meets the requirements. I plan to donate a kidney to him, but the doctor said that he needs to go through the ethics review process, which is currently going through the process. This time The operation should not affect the subsequent kidney transplantation, right?"

Qin Xiaowei was quite worried.

Yang Ping told him that it would not affect the subsequent kidney transplantation.

Moreover, if the teratoma is not removed, it will affect the subsequent kidney transplant operation, at least because of the extrusion of the teratoma, the organ is displaced, making the kidney transplant operation more difficult.

"Actually, I have [-] yuan in my hand now, which is reserved for kidney transplantation. I dare not move it. It is estimated that it is not enough for the kidney replacement, so I still have to find the money. I can collect it in just three days." Qian. Because of his physical condition, Ah Jun has been very depressed and committed suicide several times, but I found out in time. I will always stay by my side, but I still need to ask the nurse to take care of me. It is best to lock the doors and windows, but I feel much better recently. .” Qin Xiaowei became more relaxed as he chatted.

He told Yang Ping that Li Jun had committed suicide by taking sleeping pills and swallowing rings.

Fortunately, even if he found out, the tragedy was avoided.

"The medical insurance in the imperial capital can also be reimbursed online, so you don't have to worry too much about the money." Yang Ping told him about the medical insurance. Many patients don't understand the medical insurance policy.

In fact, many places are now connected to each other, and cross-provincial medical insurance can be reported directly, which is very convenient.

Qin Xiaowei is a more knowledgeable person, he didn't dare to delay Yang Ping's time, and asked a few simple questions before leaving the meeting room.

After he left, Yang Ping returned to the office, recalled Li Jun's outpatient examination data, and ordered Li Guodong to add some items to Li Jun's preoperative examination, such as chromosome examination for gender identification.

Still worried, Yang Ping came to the ward again and gave Li Jun another detailed physical examination, but there was no new discovery.

Regarding Yang Ping's cautiousness, Qin Xiaowei and Li Jun understood very well, without any impatience.

After repeated confirmation by Yang Ping, this young man was indeed a male patient inside and out.

Judging from the imaging studies, the diagnosis of teratoma is definitely not in doubt. Yang Ping just did more work out of caution.

Yang Ping also told Li Guodong and the head nurse to take protective measures against Li Jun's previous suicidal tendencies, and to pay attention to his attitude when communicating with him.

Because patients with depression are very sensitive, Yang Ping urged everyone to let him feel that the world is beautiful.

As a doctor, caution is never superfluous!
-
After arranging these, it was past eight o'clock, and Song Zimo and Xu Zhiliang were ready to give lectures.

During the online live broadcast of the forum, the screen was a PPT image, and Yang Ping only had his voice, and he didn't like to show his face very much.

This lecture is not only for the members of the forum, but also a learning opportunity for the doctors in Corey, and the interns are not required.

Because the knowledge reserve and comprehension ability of the interns have not yet reached the level of understanding this kind of class.

But volunteers are also welcome.

The so-called edification is probably like this. If you often receive information in this area, your understanding ability will naturally improve.

This is the case with Zhang Lin and Xiao Wu, they are ordinary people, far from the talents of Song Zimo and Xu Zhiliang.

But they pull hooks for Yang Ping every day. Under the guidance of Song Zimo and Xu Zhiliang, both their theoretical level and surgical ability are far higher than doctors of the same level.

Many operations, repeated training, accumulated over time, naturally proficient.

It's like reading three hundred Tang poems, even if you don't know how to recite poems, you can still recite them.

What's more, these two people were not only forced to familiarize themselves with Tang poetry, but also learned to write poetry with Li Bai and Du Fu every day.

Even if I could only shout "Fuck", now I can squeeze out a few decent poems.

At this time, the forum chat room is very active.

Perioperative management and surgical operation points of spinal external fixator!
The video window is just a topic.

Xu Zhiliang sat in the last row of the classroom, with a laptop in front of him, a bottle of mineral water, and a bag of steamed buns beside him. According to visual inspection, there were at least six or seven of them.

He is responsible for the connection of the live broadcast of the forum. He puts the video window on the left side of the computer screen, and the chat window on the right side, which is convenient for everyone to communicate.

Zhang Lin maintained order in the classroom, and Xiao Wu helped operate the messy equipment such as network computer audio microphones.

Song Zimo was the host of the venue. He was wearing a shirt and tie today, looking very formal and like an academic conference.

Although it was Saturday, many young doctors came.

A few girls who usually don't like to listen to lectures also quietly crowded behind, but their eyes were focused on Song Zimo.

"Everyone keep quiet. Those who haven't eaten breakfast can listen while having breakfast, but durian, stinky tofu, Laotan sauerkraut, etc., should be eaten outside before coming in." Zhang Lin stood in the front row, yelling.

Xiao Wu is testing the sound quality of Yang Ping's microphone.

Director Gao, who works in sports medicine, also came to listen to the spine class, and he sat next to Xu Zhiliang.

I had something to delay in the morning, and I hadn't had breakfast yet. Looking at the big Northeast steamed buns in front of Xu Zhiliang, I thought to myself, you can't eat so much.

"Old Xu?"

Everyone called it that, and Director Gao followed suit.

While operating the notebook, Xu Zhiliang reached for the steamed buns and gnawed on them without choking on a single bite.

"Your steamed buns are still hot, and they look pretty good, old northeast steamed buns? I'll try it." Director Gao stretched out his hand.

Xu Zhiliang focused on the computer screen and didn't pay attention to anyone. He only knew that someone was taking his steamed buns.

With a snap, Director Gao's hand was opened.

"I ate eight in the morning, and I brought the last six from the cafeteria today, and gave them to you?"

Eat eight in one meal?

real or fake.

I've heard Xiong Sihai say before that his family stutters and eats eight steamed buns for breakfast, but I didn't expect it to be true.

Watching Xu Zhiliang eat with relish, he ate a whole steamed bun in a few mouthfuls without even drinking a sip of water.

It's so awesome!

Director Gao swallowed, didn't say anything more, took out his small notebook, and started to prepare for the lecture.
-
"Oreo online?"

"exist!"

"Okay, this energy!"

"Generally average."

Germany is now more than two o'clock in the morning.

"I haven't fully understood the selection of the osteotomy site and the depth of the osteotomy. I have to listen to the professor's class today."

"The principle of the professor's osteotomy is that each vertebra responsible for scoliosis participates in the osteotomy, but each retains a certain degree of stability."

"The external fixator is elastic fixation, and if a segment loses stability due to osteotomy, it increases the risk."

"Why does each bone have to be cut? This is too different from traditional orthopedics."

"The theoretical basis is different. In the words of the professor, this is the zipper principle."

"What is the Zipper Principle?"

"When the bag was filled with things and sealed, the zipper couldn't be closed. It took a lot of effort to pull the zipper up successfully. At this time, you found that the zipper didn't bear any tension and was very loose, as if the previous force had disappeared."

"The stress is distributed to each zipper segment. Similarly, the purpose of the professor is to distribute the deformity to each vertebrae, one segment, so that the little is more, the deformity is dispersed, and the deformation of each part is the least, which is a natural risk. The minimum amount of bone displacement and the minimum orthopedic time required."

"Wait a minute, I need some coffee to pick me up."

Woodhead spoke.

"I'm not interested in coffee right now."

Robert used to be very fond of coffee and coffee.

"what do you drink?"

"West Lake Longjing!"

"Oreo, is it time to go to China?"

August didn't respond.

"Oreo? Asleep?"

"Actually, the most refreshing thing is Oreo, it's past two o'clock in the morning."

"I've already drank a bottle of dark beer, don't worry everyone, I'm in good shape."
-
At nine o'clock, the lecture officially began.

Xu Zhiliang just gnawed steamed buns while operating the computer.

Six steamed buns, not even dregs left.

After finishing all the operations on the computer and finally having a rest, Xu Zhiliang picked up the mineral water and prepared to unscrew the bottle cap and take a few sips.

Seeing Director Gao next to him staring straight at him, he felt a little nervous.

"Director Gao? Why, are you free today?"

Director Gao couldn't hold back, swallowed a mouthful of saliva: "When you're free, when you're free, come and listen to Professor Yang's lecture."

Then he turned his head and started listening to the class, instead of chatting with Xu Zhiliang.

Online live teaching and on-site teaching are carried out simultaneously.

Yang Ping first briefly reviewed Irizarov's theory, and then sorted out the application of Irizarov's theory in limb orthopedics.

In this way, everyone has a basic understanding of the application of Irizalov's theory in the field of orthopedics.

Then briefly talk about the history of spinal orthopedics, and then list the difficulties that Irizarov applied to spinal orthopedics.

The main line is clear, the context is clear, and one link is linked.

After listing the difficulties, for each difficulty, what idea to use to deal with it, and how the idea of ​​coping can be turned into achievable technology.

After the bedding is done, the principle of spinal external fixation, the selection of surgical indications, the grasp of surgical contraindications, the management of the perioperative period, and the details of surgical operations will be explained.

How to calculate the osteotomy is the core of the technology, and everything else is done according to the gourd.

The design of each osteotomy not only ensures the stability of the spinal segment during the whole treatment process, but also ensures that the osteotomy can achieve distraction osteogenesis.

Only by maintaining stability can we avoid the weakness of the elastic fixation of the external fixator.

Distraction osteogenesis can be used to achieve orthopedic correction only if the distraction osteogenesis at the osteotomy site is ensured.

For this, Yang Ping created several lines and several angles.

According to these lines and these angles, the planning of osteotomy can be realized formulaically.

If there is computer assistance, this work will be easier, and the computer can be directly used to make precise planning, which will simplify the surgical process and lower the surgical threshold.

The lower the threshold of a surgery, the stronger the popularization ability and the higher the safety.

The animal experiments were very successful. All [-] cases of the first-phase clinical experiment were successfully orthopedic, and the second-phase and third-phase clinical trials are underway.

The most classic case of Cui Shukai was put on the screen. The preoperative cobb angle was C-type scoliosis of 176 degrees. The correction was completed in three months without complications, and the function of each spinal segment was completely preserved.

The X-rays before, during and after the operation are listed, and Xiao Cui's videos before, during and after the operation are also displayed smoothly.

In particular, the video of Xiao Cui removing the external fixator after the operation and after a short period of rehabilitation training, bending over to tie his shoelaces and other actions, shows that the spine function is very good.

The image of Yang Pingjian has been deeply rooted in the hearts of doctors, and the success of this experiment has made his image even more glorious.

There are many stories about Yang Ping in Sanbo Hospital, how he saved others, how he faced difficulties at the academic meeting, cleaned up the mess for the international giants, and how he quickly completed the folding operation for the Golden Knife Award.

It seems that Yang Ping can complete any case and any operation steadily and smoothly without failure.

The moment Xiao Cui bent down, there was warm applause at the venue.
-
At the same time, emojis of warm celebration were displayed in the chat box of the forum!
"Unbelievable!"

"It's completely corrected!"

"The frontal and lateral X-rays show that the spine is almost the same as normal."

"Has the patient been discharged?"

"Not yet, he won't be discharged from the hospital in the short term."

Xu Zhiliang is answering questions.

"Great, I want to see this patient with my own eyes. Forty cases, except for one case of mild pinhole infection, have no other complications. Isn't it perfect?"

August expressed disbelief, how could a clinical trial device be so mature.

"This is the professor's style—steady! Every piece of work that comes out is extremely mature, and no one is more stable than the professor. You can look at another masterpiece of the professor, the spinal orthopedic folding man. At that time, the new technology did not take shape. , Using traditional surgical orthopedics, watching the whole process is more exciting than a roller coaster, after seeing that operation, you will know that our professor has always been impeccable in everything he does, and his shots are extremely peak, let me think about how to describe the professor."

Robert's memory of the folding man's operation was still fresh.

Nonsense, Yang Ping's spinal external fixator technology has been tempered in the system laboratory, so it's no wonder it's immature.

"My professor is so steady!"

Takahashi typed out a string of words.

Robert's heart was cold and cold. It seemed that there was little hope of snatching the position of moderator of trauma orthopedics from the Japanese.

PS: Today is a chapter, but there are more than 4000 words, and the weight is not bad!

(End of this chapter)