Chapter 0261 - Medical Trouble
"Director Ji, I'm going to trouble you again, help us take another look? You see how embarrassed it is to let your sister-in-law wait outside. ”
Yang Ping is polite, which is enough to reflect the young doctor's respect for his predecessors.
Director Ji is very comfortable, interacting with people, talking and doing things, is the pursuit of comfort.
This young man is good, modest and polite, not arrogant, Lao Ji's buttocks are not hot yet, and he has to do an imaging, his waist is a little painful, and he has a herniated disc, which has been found out a few years ago.
"It's okay, it's not the first time I've waited."
Lao Ji twisted his waist, he was in a hurry just now, he forgot to bring his waistline, and he usually put his waist in the cabinet in the dressing room, and he would bring it when he had surgery to protect his lumbar spine.
"Open another Onipike!"
Xiao Zeng's nurse is skilled in business and will be ready soon, the assistant is ready to push the medicine, Lao Ji stops: I'll come!
He carefully pushed the iodine contrast agent into the catheter, and slowly, the ink vascular diagram that had faded on the screen began to deepen again, and the intercostal artery between thorax 8 and thorax 9 turned black with ink, and the ink flowed, and at the site of the fistula, the ink passed through the blood vessels smoothly without leaking out.
"The fistula is gone, Dr. Yang!"
Director Ji stopped pushing the medicine and stopped when the goal was achieved.
Yang Ping clasped his hands in the protective bag in front of his chest and stared at the screen: "Call it a day!" ”
"When will I look for you with this waist, it used to be just low back pain, but now sometimes the left buttocks will be numb."
Director Ji finished the last imaging confirmation that he could finally take off his lead clothes, and everyone who was not on the stage also began to take off their lead clothes.
When they took off their lead clothes, everyone's handwashing clothes were soaked, especially Professor Zhang, whose handwashing clothes looked like they had been fished out of the water.
The eighty-year-old man, wearing dozens of pounds of lead clothes, stayed up all night and stood for six or seven hours, and everyone felt distressed when he saw it.
Several times in the middle of the way, Director Han was afraid that the old man would not be able to stay up, so he persuaded him to go back to rest, and reported to him by phone after doing it, but he resolutely disagreed, and he must persist until the end of the operation, and his heart will be steady.
By the time the surgery was over, it was already two o'clock in the morning.
If it was really a dural arteriovenous fistula, this case was too hidden, and Professor Zhang knew in his heart that before he reminded Yang Ping, Yang Ping had already begun to act, which showed that he had long considered this rare disease, and the seriousness and rigor of young people was commendable.
"Xiao Yang, hard work! All the hard work! Professor Zhang said lovingly.
"It's okay, you're always staying up late, what are the few of us."
Yang Ping helped Professor Zhang to sit down against the wall, but the old man's legs were stiff and he couldn't take a step, so he slowed down for a few minutes before taking a step.
"I'll go out for a while, you can send the patient back, and we'll clean it up here."
Director Ji's wife was waiting outside, he said hello to Director Han and hurried out, he looked like he had just been drenched in rain.
"Xiao Li, you stay and help clean up the operating room, and everyone else will go back together."
Director Han asked Xiao Li, a regular trainee, to stay.
When the anesthesia woke up, everyone followed the patient back to the comprehensive orthopedic department, and the nurse had already made the bed and was waiting.
"Put her in the emergency ward, I will send three additional nurses, working in three shifts, taking turns to watch Fang Xiaoyun until her lower limb muscle strength recovers."
Cai Qiaojun heard that Director Han and Professor Zhang had come to stay up late for surgery, and she also rushed over from home to arrange nursing work in person.
There are several rooms in the ward that are closest to the nurses' station, called emergency wards, and usually put critically ill patients, and in case something happens, the nurses can arrive as soon as possible.
The heart of defense is indispensable, Cai Qiaojun is an old nurse with rich experience, she secretly explained to the nurse on duty, pay attention to Fang Xiaoyun's mother.
People's hearts are as deep as the sea, unpredictable, it is not unreasonable to be vigilant, Cai Qiaojun has encountered this kind of thing, some family members took advantage of the nurse's inattention and secretly pulled out the oxygen tube, if the nurse hadn't found it early, the patient would have died long ago.
Yang Ping observed the heart rate, blood pressure, and blood oxygen on the ECG monitor for a while, and then looked at the urine output to confirm that there was no problem, and then came out of the ward and asked Zhang Lin to urgently check a set of blood tests.
Everyone's stomachs were so hungry that their intestines were knotted, Xiao Su, Zhou Can, and Tang Fei, the three women, heated the food in the microwave oven and brought it to the dining room, everyone gobbled it up, didn't care about the taste at all, and stuffed it directly into their mouths.
After eating, everyone was tired, their eyelids were fighting, their legs couldn't move, one foot deep and one foot shallow, and they squeezed into the duty room.
Yang Ping and Song Zimo also took a shower, Zhang Lin, Xiao Wu, and a few regular trainees lay on the bed and fell asleep directly.
After four hours of sleep, everyone rubbed their eyes and got up, and a new day began again, with ward rounds and surgery.
During the morning rounds, Fang Xiaoyun's mother was gone.
It's strange, my daughter has just undergone surgery, and it is when she needs to be taken care of, why do you slip away, are you afraid of being urged to pay?
It was still that colleague Chang Juan who was taking care of Fang Xiaoyun at the bedside, she asked the doctor if she could feed some hot porridge now, and the fat man said confidently: "Yes, try to feed a little first, don't vomit, just feed more." ”
Generally, he has to fast for 6 hours after general anesthesia, but now, the fat man's anesthetic dosage is becoming more and more proficient, and the smallest dose is used to achieve the goal.
The crux of the problem was found and solved, the effect was immediate, Fang Xiaoyun's lower limbs moved much easier on the bed, and he could try to lift up, but he couldn't lift it up.
This rare and complex case has finally been solved through everyone's efforts, but it is not uncommon for some patients to recover their muscle strength to level 3 or 4 and then stop and no longer recover.
For example, the fourth-level muscle strength is only one level worse than normal, although it is not completely paralyzed, but because the muscle strength is not enough, it is impossible to walk normally, and only when it is fully recovered to the fifth level can it be reassured.
Several surgeries in the morning, several arthroscopies, and now the reputation of arthroscopic surgery has spread, and many patients have come to visit.
After several surgeries, everyone continued to sleep after lunch, and slept in the dark, only to wake up in the afternoon, not knowing whether it was day or night.
Su Nanchen sent an email to send a document, so that he had time to see, a basketball player in the United States suffered a multiple ligament injury in the knee joint, Professor Robert's patient.
The professor used joint dynamic analysis technology to obtain a lot of data of the patient's knee joint, and also deliberately used these data to establish a virtual simulation of the knee joint.
Even so, he did not dare to rush into surgery, because there was no turning back from the bow, this kind of surgery was too complicated, and once it failed, there was no chance of rework, and the patient would lose the last hope.
Yang Ping has done many similar cases, one of which is done in the attached one, Su Nanchen sent the patient's information to Robert, the professor couldn't believe it was true, and hoped to see the postoperative recovery effect of this patient, and also wanted to see the postoperative recovery of Yang Ping's other patients with multiple ligament injuries in the knee joint.
Professor Robert, more accurately called Professor Robert Jr., is the director of the Department of Sports Medicine at the New York Special Surgery Hospital, an international master of sports medicine, his father and grandfather are both professors in the hospital, his grandfather has participated in the research and development of modern artificial hip joints in the United States, and his father is an important promoter of arthroscopic surgery in the United States.
Professor Robert was eager to visit Yang Ping at Sanbo Hospital, and even more so to meet Yang Ping's patients and see the results of the surgery with his own eyes.
Yang Ping didn't think much about it and agreed.
Communication is a good thing, science is to communicate, openness makes people progress, and closure makes people backward.
On the second day after surgery, Fang Xiaoyun's muscle strength recovered to level 3.
On the third day, it recovered to level four, which was a bit fast.
Spinal tuberculosis has been eliminated after decompression, and later the spinal cord is affected by dural arteriovenous fistula, once the arteriovenous fistula is resolved, the venous congestion is eliminated, and the edema of the spinal cord is eliminated very quickly.
Fang Xiaoyun's mother didn't show up for a long time, disappeared for three days, and ignored her daughter.
"It's a mess!"
Gui Peisheng Xiao Li ran to the doctor's office in a panic.
"Steady, shouting what? What's the situation? Zhang Lin reprimanded.
"Fang Xiaoyun's mother led people to make trouble under the administrative building, pulling banners, crying and grabbing the ground!"
Xiao Li quickly closed the door of the doctor's office and said.
"Grandma's, I'm really going back to call someone, and it's wrong to look at her expression." Zhang Lin scolded.
"Does Fang Xiaoyun know about this?" Xiao Wu asked worriedly.
"I don't know, but I'm grateful to us for the morning rounds." Song Zimo said.
Everyone felt that Fang Xiaoyun's mother would make trouble sooner or later, and after thinking about it, now that Fang Xiaoyun is recovering very well, there should be no reason to make trouble.
However, there are some things that have no logic at all.