The Godfather of Surgery

After coming out of Teacher Yan's ward, he went to see the young man with osteomyelitis.

Yang Ping asked the doctor in charge of the bed to bring the dressing kit, changed the dressing himself, and measured the area of ​​the skin defect.

"After the operation, it was fine. Three months later, a bulge was swollen here, and then it burst, turning into a small opening, and the pus has been oozing here since then," said the young man.

"How many surgeries have you had?" Yang Ping chatted with him while dressing up after changing the medicine.

"Yes, after several debridements, the skin was cut, the flesh was cut off, and a piece of bone was removed, and the nail was exposed. The doctor dared not move the bone any more, saying that it was all infected, and it was useless to cut it. I wanted to be a soldier, but it turned out like this, alas..." The young man was very depressed, a kind of sadness that his dreams had been shattered.

Being a soldier, even if the osteomyelitis is cured, the hyperthyroidism cannot go, and the road to be a soldier will not work.

Yang Ping finished bandaging and said, "We are trying to find a way to get cured, but the process will be very troublesome. Today, we will take the bones for examination, and we will draw blood tomorrow morning. When the results come out, we will study your condition."

"Can I still be a soldier after being cured? They said that my legs will be like this for the rest of my life, unless they are sawed off?" The young man looked sad.

"Take a good rest these few days, don't worry, there are more solutions than problems." Yang Ping comforted him.

"Well, I must be a soldier." The young man was very persistent in his ideal of being a soldier.

"There are many careers to choose from, but you don't have to be a soldier." Yang Ping comforted him.

"Doctor, as long as you are cured and you can join the army, you will have no problem with how many operations you have. You must have a solution." The young man looked expectantly.

"Do your best!" Yang Ping said.

At this time, an old man and an old lady came in and brought food in a thermal lunch box. The old man looked to be in their 80s, but they were still healthy and could walk without crutches.

After changing the medicine, he found that Director Zeng had been waiting at the door, and Yang Ping thought he had something to do.

It turned out that he wanted to invite a few Yang Ping to dinner, and called all the doctors in the department, except the one on duty.

I originally planned to invite him a day later, but I heard that Yang Ping was going to the countryside in two days. I was afraid that the meal would be delayed, and his sincerity was weakened.

So I temporarily decided to invite now, to a restaurant near the hospital.

The doctor in charge of the bed helps to clean up the rubbish.

Let's go out to eat together, not far, just walk there.

The atmosphere in the banquet was very good. Director Zeng had to pour down hardships, many difficulties and sufferings in the grassroots hospitals and so on.

Speaking of the young man with osteomyelitis, Director Zeng looked embarrassed.

The young man's surname is Xu. In fact, he is quite pitiful. His parents died when he was a child, and he was raised by his grandparents. Now his grandparents are 80 years old.

Because the treatment of chronic osteomyelitis takes a long time and costs a lot, even with medical insurance, the out-of-pocket part is difficult to bear. In order to allow him to treat the disease, the old man's only house was sold, and now he lives in an old bungalow of a relative.

Director Zeng didn't say that during the ward round that morning. The words contradicted themselves.

Zhang Lin seemed to be about to say something, but Yang Ping immediately said, "Zhang Lin, pour me a drink."

Zhang Lin also understood the meaning, don't go to deliberately embarrassing people.

In fact, Yang Ping knew that when Director Zeng said that on the first day, it was nothing more than telling himself not to act rashly. Director Zeng thought it was wrong.

"If this is the case, the cost is a problem, and we have to find a way." Yang Ping said that this problem is very realistic.

Let the hospital go out? If the hospital had to go out in this situation, the hospital would have closed down long ago.

Sanbo's medical assistance this time is a charitable activity, but it only refers to the voluntary labor of Sanbo's doctors.

Yang Ping and Director Zeng began to calculate the cost. If the inspection results meet the expected judgment, the operation can be performed.

The intramedullary nail needs to be removed and the external fixator replaced. The bone defect should be filled with calcium sulfate containing antibiotics. This is more expensive than gold. Calculated by gram, it is estimated that this consumable will cost 30,000 to 40,000 yuan.

Even if the medical insurance reimburses part of it, the cost he bears is at least in the early 10,000s.

It is a way to find equipment suppliers for consumables, but the grassroots county hospitals use less, and people may not be willing, especially calcium sulfate, Director Zeng is sure that he will not use a few grams throughout the year.

The essence of doing business is to make money and seek sponsorship from others. The wool comes from sheep, and I rarely use this thing. How can others be willing to sponsor it.

Director Zeng was worried about this matter. It was much more difficult to move this mountain than Mr. Yan's.

Yang Ping took a sip of the drink and said, "The biggest cost of this operation is the external fixator and calcium sulfate. Let me find a way!"

Yang Ping said this, Director Zeng was relieved, and the cost issue was resolved.

No one drank alcohol, fearing that there would be an emergency room, a small hospital, less manpower, and fewer people who could perform operations.

Unlike Sanbo Hospital, all the directors who lead the team are not on stage, and the operation is still not delayed, because the following old doctors, such as Dr. Jin, can cope with it without any problem.

After returning to the dormitory after dinner, Director Tian returned earlier today and did not entertain.

He gave Zhang Lin a list: "The weather has been relatively good these few days, and there is an event to go to the countryside. You and Xiao Wu will allocate the personnel together. You don't need to go to the circled ones. I will inform everyone to go to the hospital meeting room at noon tomorrow. , I will start the day after tomorrow, and I will be active all day, starting early in the morning and returning in the evening."

Zhang Lin took it and said, "We are not going to the countryside now? Are we going to the countryside? Where are we going?"

"Entering the mountains, entering the village, sending medicines to the doctor, and getting medical examinations." Director Tian said.

"how long?"

"In one day, there are ten villages in total, all of which are inhabited by ethnic minorities. There will be village doctors and village cadres to lead the way." Director Tian said.

"This is not bad, it should be done for a few more days and a week." Zhang Lin was very happy.

Director Tian glanced at him and said, "Are you here to support the side, or are you on vacation?"

"Poetry and perseverance, President Tian! This is called the spirit of revolutionary optimism."

Zhang Lin took a pen and started sketching on the paper.

Fatty Liang asked, "I'm going too? I'm going to deliver anesthesia?"

"You don't need to do anything about losing your head. You can measure your blood pressure, right? Don't you lose weight? It's not impossible to walk back and forth on the mountain road, with five pounds of meat and all your luggage, even ten pounds." Director Tian leisurely said. Say.

When Director Tian was free, Yang Ping asked Director Tian and said, "Director Tian, ​​I have something to report to you here."

For patients with chronic osteomyelitis, Yang Ping also reported briefly before, but now he needs to report in detail. When it comes to calcium sulfate and external fixator, Yang Ping said that Director Zeng wanted to find a supplier to solve it, but there must be difficulties.

Director Tian thought for a while and said, "They don't use it much. How could they sponsor him? The loss is to make more money in the future. I'll solve this. How much calcium sulfate will it cost?"

"At least thirty grams." Yang Ping estimated.

Director Tian picked up the phone immediately: "Xiao Lin, I'm Tian Yuan, I have a charity operation in Nanqiao County People's Hospital, I need 30 grams of calcium sulfate, I'll send you the address, send it over, it needs to be as soon as possible, urgent, at night Just express? That's the best."

Hanging up the phone, he made another call to solve the external fixation bracket.

"They will deliver the goods tonight, and they will arrive tomorrow or the day after tomorrow. It won't affect the operation. If not, I will let them send a special car." Director Tian was very enthusiastic.

"There's no need for that. This operation will definitely be done in a few days." Yang Ping said.

Originally, he just reported first, things don't need to be in such a hurry, and it is still uncertain whether the operation will be performed or not. As a result, Director Tian resolved it within a few minutes and two phone calls.

After the consumables matter is resolved, the rest is to confirm the diagnosis. Whether the patient's condition is the same as his own speculation, no one is absolutely sure until the result comes out.

To solve this problem, Yang Ping slept beautifully at night.

Another day has passed, the third day of work.

Just after the shift was over and before the ward round, Director Zeng received a call from the director of the laboratory.

"Thyroid hormones, T3, T4, FT3, FT4 have all increased, especially T3 and FT3 have increased more! Thyroid function is really hyperactive!"

Director Zeng put down the phone with an excited tone, as if he was looking forward to the patient's hyperthyroidism.

If the imaging examination is the first evidence.

Well, the second evidence already supports my judgment.

Now waiting for the third evidence - bacterial culture! This is the most important piece of evidence, and if all the specimens are cultured with bacteria, the first two pieces of evidence will automatically stand aside.

Bacterial culture generally takes three to five days to produce results, so be patient.

This patient is not like Teacher Yan, who can be diagnosed very quickly. Once the knife is cut, the results will be immediate. This diagnosis alone is a hassle.

Mr. Yan is doing well now. Except for the slight pain in the surgical incision, the previous numbness in the right lower limb has completely disappeared, and there is no worry about rebound.

During the rounds, he was on the phone: "too small, bigger, bigger--"

His son went to buy breakfast. There was a pair of crutches beside the bed. He had a wound on his buttocks, which made it inconvenient to sit, but it was easier to walk.

Seeing Yang Ping come in, he immediately smiled and said, "I had a good night's sleep last night, it's easy, it's too easy, the previous tablets of Valium were the same as eating beans, it didn't work, I deliberately didn't take Valium last night, hey, unknowingly I fell asleep, and it was almost eight o'clock when I woke up, this is how people live."

After lunch, I went to the conference room of the hospital. Director Tian and Director Pan called everyone to have a small meeting, which is to send health to the countryside tomorrow.

Ten villages were selected, all of which were relatively remote and inhabited by ethnic minorities. One village sent two to three people with a medical kit to give the villagers physical examination and medical treatment. Doctors assigned by Sanbo to Chinese Medicine Hospital and Maternal and Child Health Hospital are not required to participate.

The health bureau will send vehicles to take people to the entrance of the village, and each group is accompanied by a village or township cadre throughout the process.

Don't go to work in the afternoon, go back to the dormitory to prepare.

Yang Ping tidied up his backpack and checked the weather forecast on his mobile phone. These days are sunny, so it is indeed more suitable for going to the countryside.

The village here is a real village. The cement road only leads to the entrance of the village. The so-called village entrance is only a conceptual village entrance, not a geographical one.

Because the distribution of their households is very scattered, some of the roads into the mountain are completely over the cliff, and there is no way to build a road to enter.

"What are you doing with your raincoat on this sunny day?" Zhang Lin watched Yang Ping pack up the raincoat.

Yang Ping feels that the weather forecast is not 100%, so it is better to bring a piece of rest assured.

"Prepare for a rainy day!"

Yang Ping folded the two raincoats.

Thanks to the bonfire dealer for the tip! Updates are working hard to improve the speed! Will definitely improve! thank you all!