The Godfather of Surgery

Soon, the patient came back with the medical card.

Xiaowu entered the computer outpatient system and opened a checklist for the patient: frontal and lateral radiographs of the left knee joint (standing position), and MRI scan of the left knee joint.

The computer showed that the MRI examination had been queued for a week, and the patient was in a hurry, so Xiao Wu canceled the examination order and told the patient to go to a private imaging center called Quanying for it. .

The boss of Quanying is a doctor of imaging who came back from studying in the United States. He has a brain and a solid family background. After returning from overseas, he was not a doctor and a boss.

Invested in an imaging examination center in City G, called the Full Image Medical Imaging Center, with CT and MRI, as well as PETCT, the best of all, and the business was booming after it opened.

A large hospital has to wait a week for an examination, and then another week to get the report. Go to full film, as fast as you want.

Urgent, add money! The report will be issued within two hours; within 24 hours in general; delayed, the price is cheap, there are discounts, and the report will be issued after 24 hours, but it is also faster than large public hospitals.

As long as you are willing to pay the money, you can get the results on the spot. The price is very high, and a special person will accompany the inspection throughout the process.

Yang Ping went to this imaging center, and it was really good. The experience of waiting for the inspection was also very good. Internet TV, a full range of newspapers and magazines, free coffee and drinks, and a toy award for children's inspection cooperation.

I heard that after one or two days of treatment, the patient can be discharged from the hospital. The patient can't wait to finish the examination immediately and be hospitalized for surgery immediately.

There were no new patients for the time being. Song Zimo took Zhang Lin and Xiao Wu to the laboratory to practice arthroscopy, and several trainees and interns also followed.

Yang Ping began to study Mr. Ning's condition again. The various puncture angles he envisaged were not enough, and the puncture path of the intervertebral foramenoscope was not enough. It was either blocked by the tumor or blocked by the bone tissue.

The target is like an enemy hiding in a sniper's ballistic blind spot, and there is no way to get him.

Since puncturing from soft tissue, the envisaged path cannot be completed, then what about puncturing from bone tissue? Yang Ping used his imagination.

The enemy is hiding in the thick corner of the wall. If you can't hit it, open a hole in the wall and let the bullet pass through the hole and hit the enemy.

This idea is very interesting, Yang Ping thinks it is feasible, and it is the safest method, because as long as the puncture needle is always in the bone before reaching the target, there is no need to worry about injuring the blood vessels of the tumor.

Yang Ping tried to simulate the process of puncture in his mind. The nerve roots come out from the intervertebral foramen composed of thoracic 1 and 2. The best puncture is from the pedicle of thoracic 1, obliquely downward and inward, passing through the bone of the pedicle. The tissue finally breaks through the bone tissue at the end and penetrates into the nerve sheath. As long as it enters the sheath, the difficulty factor of the subsequent operation is much lower.

After Yang Ping perfected the plan, he went to the director's office to find Director Han and told him his thoughts.

When Director Han heard this, he was amazed! This plan is very good, and it coincides with what I just thought. Although the puncture is very difficult, it is safe. Even if it fails, it will not cause too much secondary damage.

As soon as he came up with this idea, Yang Ping had already come up with a mature plan. The angle of needle insertion, the position of needle insertion, the depth of needle insertion, precautions, and puncture skills were all planned.

This stinky boy is quite imaginative, Director Han said happily: "In the afternoon, you will come with me, but Director Kong has just called, and the family has asked Professor Su Qingyun to ask him. Professor Su will probably bring someone here. , if it is determined that the plan is highly selective nerve root block, the operation may be completed by the person brought by him. Your idea is very good and mature, but the puncture is very difficult, but the puncture path is all bone, which is safe It has improved a lot, even if it fails, it will not have much impact, unlike the puncture of soft tissue, once a mistake is made, the blood vessels will be injured, causing bleeding, and it will be troublesome. After the next general consultation, you have to speak, exercise, and see the world. "

"I won't speak anymore, I'll go to the audition with you." Yang Ping felt that this kind of scene was the chief director, and it was not appropriate to speak on his own.

Director Han said with a stern face: "If you are asked to speak, just speak, and if you are long-winded, just talk about your thoughts just now. Don't be afraid, you will sit next to me when you get there, and you will represent me."

All morning, Yang Ping was thinking about the patient's plan. When it was time to eat at noon, if Su Yixuan had not called, he would have forgotten.

She had already prepared the meal and was waiting in the cafeteria. Yang Ping hurried off work and went to the cafeteria.

In a relatively remote corner, Xiao Su handed Yang Ping chopsticks and said, "I heard that there is a patient in the Overseas Chinese Building who will have a general consultation in the afternoon?"

"Yeah, advanced liver cancer, systemic metastasis, tumor invading the thoracic 2 nerve roots, causing severe pain in the chest, need consultation, come up with a pain relief plan, I have been thinking about this patient in the morning, forgot to check your WeChat." Yang Ping Talk while eating.

Xiao Su didn't care about Yang Ping's words: "It's okay, I know you must be busy. Come and make dinner first, and then I'll call you."

"I also invited a few experts from other hospitals to come over, and I will also go to the consultation in the afternoon." Yang Ping reported the work situation.

Xiao Su smiled: "That's all the director, right, just you a young doctor?"

"I don't know, Director Han asked me to go. I'll go and have a look. There is a professor attached to the first department. He is the chairman of the department of orthopaedics in our province. I'll go and experience the demeanor of a great professor." Yang Ping devoured it.

"Slow down, don't choke, is it enough? I'll help you take care of it." Xiao Su said distressedly.

Yang Ping took Xiao Su's tissue and wiped his mouth: "Enough, I'll eat quickly, go back and study the patient's plan again, it's really a bit difficult."

"It's not difficult, I won't invite experts from outside the hospital. Director Han is well-known in the country, and he has to hire someone from the outside hospital, which means that it is not only difficult, but also high-risk." Xiao Su Gang analyzed.

"Didn't you forget about the weekend?" Xiao Su smiled and her dimples were beautiful.

Yang Ping was ashamed, if he didn't mention it, he would have forgotten it.

"What are you nervous about? Don't be afraid to forget it. It's fine if I don't forget it." Xiao Su knew from his expression that he might have really forgotten it.

Xiao Su put away the two metal dinner plates, cleaned up the garbage on the table, and wiped it with a paper towel several times, as if no one had eaten at this table at all.

"I'm coming!" Yang Ping picked up the plate, and Xiao Su followed behind.

"I'll answer a call." Xiao Su's phone vibrated.

"Well, I'm busy in the afternoon, so I don't have time, um, um, um, I see--" After a few words, Xiao Su hung up the phone.

When placing the dinner plate, when he met Dr. Jin, he said excitedly, "Remember the metal ion reactive synovitis last time?"

Yang Ping said, "Remember."

"I've come back for a follow-up visit. Well, now my limbs and joints are not swollen or painful, and I can play football. The patient's family is very happy and sent a pennant over here. This pennant should be given to you." Dr. Jin said.

"It's not for me, it's for the department, for everyone!" Yang Ping corrected.

After chatting with Dr. Jin, Yang Ping and Xiao Su returned to the department.

I didn’t fall asleep during the noon break, entered the system space, and dissected dozens of experimental subjects to strengthen the training of anatomical knowledge. Now the ability of brain composition is still in its infancy, and it can be formed into pictures, but it is more difficult to build complex graphics.

Yang Ping tried to reproduce the graphics constructed in the morning, and he could reproduce it, which shows that his memory has improved very quickly, especially the memory of graphics.

In the afternoon, the patient came back from the full-screen examination, and this patient was followed up by Xiao Wu.

Xiao Wu hung up the X-film, and everyone saw his scalp tingling.

There are densely packed, large and small particles, round, oval, at least hundreds of particles, which are still developed, and are not developed on X-rays, because cartilage is not developed on X-rays.

Xiao Wu hung up the MRI film. Everyone was numb now. The patient's son almost vomited and retched. He immediately ran to the side of the trash can and squatted and retched several times.

On the MRI film, not doctors can intuitively understand it, there are hundreds of them, covering the entire knee joint cavity.

Synovial chondromatosis! Super serious synovial chondromatosis! Step aside for those with intensive phobias.

Xiao Wu took out his mobile phone to take pictures, collect data, take pictures of patients, and take pictures of video images.

"Schedule surgery tomorrow, synovial chondromatosis, big and small, five hundred and four!" Yang Ping said.

The patient covers his eyes by himself.