godfather of surgery

Chapter 67 The Big Boss of the Overseas Chinese Building
After Yang Ping finished eating, he packed his lunch box. Song Zimo passed by and picked up his lunch box: "I'll throw it away for you!"

Then, without speaking, he walked straight to the big trash can where the lunch boxes were collected.

It would be so cool to help throw a lunch box, Yang Ping thought.

Wipe your mouth and continue the operation.

Another day spent in the operating room.

After checking the room in the afternoon, Yang Ping took Xiao Wu to the Overseas Chinese Building to see Li Jingshu.

Small splint fixation should always observe the blood supply, and adjust the tightness in time.

Her mother stayed with her, sitting on the edge of the bed, peeling an apple and putting it on the dinner plate on the bedside table.

Li Jingshu was wearing a coat, sitting on the bed with a mobile table across the bed, and she typed with one hand on her laptop.

Seeing the doctor come in for rounds, Mrs. Li got up and said, "Everything is fine, thank you for your hard work!"

"I'm sorry, I have to catch up with the manuscript!" Li Jingshu stopped typing, she looked good, and the gloomy clouds were gone.

"I look at the blood supply of the fingers." Yang Ping said.

Li Jingshu carefully moved her arm out, her fingers had good blood supply, and the splint was tight.

"Thank you, Dr. Yang!" Mrs. Li is always polite.

"You're welcome." Yang Ping checked Li Jingshu's arm.

After explaining the precautions, such as paying attention to blood supply.

Just after leaving the ward, I met Doctor Yu who was in charge of the bed, and he happened to be on duty.While putting on his white coat, he was chewing something, and he should have just been eating.

This time, Dr. Yu was very enthusiastic about Yang Ping. He accompanied him to the doctor's office, moving the chair and pouring water.

The news spread quickly in the hospital, and Dr. Yu also knew about Yang Ping's bone-setting stunt.The broken finger is usually not encountered, but it is inevitable that relatives and friends will fall and suffer a fracture, such as a fracture of the distal radius. Next time, I will know who to turn to for bone setting.

Doctors who perform surgery are everywhere, but the most powerful doctor is the Director Kang of the Traditional Chinese Medicine Hospital. He is a local celebrity and heirs of intangible cultural heritage.

The last time my aunt had a fracture, I thought of manual reduction in the Chinese medicine hospital, and I didn't know how many turns to find a classmate before I got connected. Later, Director Kang, a student, did the reduction.

Let's get familiar with it first: "Senior Brother Yang, look, what else should we pay attention to? Can I add a WeChat, if there is any situation, I can ask you for advice."

Yang Ping scans the WeChat code for him. The doctor in the Overseas Chinese Building has great communication skills, which is traditional.

"Xiao Yang! Come and check the room,"

Yang Ping turned his head, and Director Zhuang came in, before he got off work.

Yang Ping immediately stood up to say hello.

"Sit down and sit down! My own person, why are you being so polite!" Director Zhuang pulled a chair and sat diagonally across from Yang Ping.

He glanced over naturally, saw a glass of mineral water on the table, and said, "Xiaoyu, make tea, how can I make Dr. Yang drink white water, I have a good Longjing on my desk, bring it here, the office door is not closed. "

What a coincidence, Director Zhuang made a special trip to wait in the office, waited for Yang Ping to come to the ward round, and then took the opportunity to chat, and the set was close.

Director Zhuang is an accomplished person, and he sees problems much better than others.People like Yang Ping who have mastered the core technology of bone-setting will be useful in many places in the future.

Those dignitaries in their hands were fractured one day, and surgery was required elsewhere.Here is a call: "What surgery is going on, come here, and find someone to help you with bone-setting." He was so arrogant, and his worth immediately rose a few levels.

Director Zhuang on the seventh floor of the Overseas Chinese Building, Director Kong on the eighth floor, these are the people of Sanbo.

They, who are mixed with overseas Chinese, are no longer relying on technology to eat. It can be said that they are half-legged in the officialdom.

In particular, Director Kong upstairs, the director of the city's large and small departments, often eat together around the table. These days, who does not have high blood pressure and high blood fat, and who does not want to live longer.

Director Zhuang and Director Kong, these two directors live in villas, why is there only one director, and the salary on the book is not enough for a month of drinking.

People rely on resources and network resources in their hands. They have been entrenched in the Overseas Chinese Building for many years.

A brother of Xiong Sihai in the emergency department, who runs an amusement company, was suspended for rectification due to a license problem. Director Kong called him and opened the business the next day.

It is said that Director Kong's younger brother runs a construction company with few people. The wheels never stick to mud, but there are luxury villas and cars. Some engineering bosses line up to call Director Kong's younger brother brothers. Why is it still a resource? !
"Xiao Yang! You can't find many of your bone-setting stunts. I have a relative who suffered a fracture of the distal radius last time, and the reduction was not very good. It still hurts now. Add a WeChat and I will send a message when the time comes. Let me show you the film and give me an opinion?"

Yang Ping couldn't refuse, so he took out his mobile phone and showed the QR code, which Director Zhuang immediately added.

It's also a good thing to make friends with these people. There are many ways to have many friends.

In fact, it's been half a year since the distal radius, watching a fart movie is just to find a reason, get in touch, and take care of it in the future.Although it is said that it is from a hospital, people are unwilling to do it with bone-setting techniques, and they do not want to sell your face. One opinion: "surgery!"

In a hospital, there are also close and distant relationships.

After drinking tea for a while, the heat is almost over. Director Zhuang is very interesting: "Dr. Yang is going to get off work too. Don't waste your time. Please contact me if you have time. Mayor Li's daughter, please explain more to Xiaoyu." After he finished speaking, he left. .

The nurse on duty came over and said to Dr. Yu, "The 3 beds said abdominal distension again."

Yang Ping and Xiao Wu want to retreat.

Dr. Yu said: "Please help me take a look at this patient. This patient has joint surgery. One week after the artificial knee replacement, he always said abdominal distension. The routine examination is that the D-dimer has not decreased but increased. No lower extremity venous thrombosis was found in several color Doppler ultrasounds."

In Dr. Yu's eyes, Yang Ping is a high-level doctor. Although he is in trauma orthopedics, he is a major orthopaedic surgeon. He must have some opinions.

People have already opened their mouths, and they have to help to see it, and they have to pretend to be pretentious.

"Look at the patient." Yang Ping said.

In clinical practice, it is necessary to ask the medical history and check the film in person.

"Doctor Yang?"

Li Jingshu was wearing a coat, hanging her injured arm, and knocked gently on the door of the doctor's office.

"What's the problem?" Yang Ping asked.

"No, just thank you." Li Jingshu hesitated.

"It's okay, it should be." Yang Ping said, preparing to see the patient.

Li Jingshu hadn't left yet, standing by the door.

"Anything else?" Yang Ping asked.

Li Jingshu shook her head: "It's alright—"

Then left.

Dr. Yu led the way and entered the ward and knocked on the door three times. The old man was reading the newspaper, and the nurse was watching the TV, which was muted.

"Old Zhou, this is our orthopaedic doctor. Have you been bloated recently? I asked them to come over and take a look."

"Oh, yes, it's alright, don't worry, it's comfortable at such an old age. The car has been driving for a long time, and it still makes noise everywhere."

The old man is in his 90s, and he lost his flat knee. During the War to Resist US Aggression and Aid Korea, he was bombed by an American plane. It is said that only one leg killed a few American devils.

"Doctor Yu, you must remember what I discussed with you. Help me transfer to a general ward. I'm not used to living here, it's too expensive." In fact, he reimbursed all the public expenses, but he always asked to be transferred to a general ward.

The old man lay on the bed, curled his legs, lifted his clothes up, and exposed his stomach.

He is already very skilled, and several waves of people have pressed his stomach.

Yang Ping listened to bowel sounds, and then did an abdominal examination. It was surgical and the foundation was good. This was not a problem.Start abdominal palpation with the pulp of the fingers.

Perhaps the harvest of practicing bone-setting is that the fingers are very sensitive to the human body's touch. Under the hand, which is the liver, which is the spleen, and which is the intestines, can be clearly felt through the belly.

The course of the inferior vena cava is actually hard.

Inferior vena cava thrombosis?
After major orthopaedic surgery, abdominal distension, combined D-dimer continued to rise, and medical history examination and laboratory examination were combined.

It's almost certain!
"Lie down, old man, don't get up and move around." Yang Ping helped him pull off his clothes.

Back at the doctor's office, after washing his hands, Yang Ping said, "The inferior vena cava is thrombus! You said that the abdominal distension has been going on for a few days, probably more than 24 hours ago."

Venous thrombosis, once shedding to form a pulmonary embolism, has a chilling 44% mortality rate.

Orthopedics are most afraid of two things, infection and pulmonary embolism. The former is troublesome and the latter is dangerous.

As soon as he heard the inferior vena cava thrombosis, Dr. Yu's face was blue, and he was not sure. This was a major event. He immediately contacted Director Zhuang and reported it!
Director Zhuang was still in the office and didn't leave when he came over and said, "Inferior vena cava thrombosis?"

Yang Ping said: "Highly suspicious!"

Director Zhuang immediately called the Director of Cardiovascular Medicine.

"Absolute bed rest, emergency abdominal CT scan + venography, if so, emergency placement of an inferior vena cava filter!" Director Zhuang gave instructions to Dr. Yu while calling.

"Are we going back?" Yang Ping greeted Director Zhuang and Dr. Yu in a low voice.

They made a goodbye gesture and continued on the phone.

(End of this chapter)