godfather of surgery

Chapter 121 Five hundred and four

Soon, the patient came back after completing the medical card.

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

The computer showed that the queue for the MRI examination had lasted for a week, and the patient was in a hurry. Xiao Wu canceled the checklist and told the patient to go to a private imaging center called Quanying, where it can be expedited, and the results will be available on the same day. .

The boss of Quanying is a doctor of imaging who came back from studying in the United States.

Invest in an imaging examination center in City G, called the Panoptic Medical Imaging Center, including CT, MRI, and PETCT, buy the best of all, and the business is booming after opening.

A large hospital waits a week for an examination, and another week for a report after the completion.Go to Quanying and do it as fast as you want.

Hurry up, add money!Reports are issued within two hours; normal within 24 hours; delayed, cheap, with discounts, issued after 24 hours, but faster than large public hospitals.

As long as you are willing to pay, you can get the results on the spot after finishing the work. This kind of price is very high, and there are special personnel to accompany the inspection throughout the process.

Yang Ping has visited this video center, and it is really good. The experience of waiting for the inspection is also very good. Internet TV, a full range of newspapers and magazines, free coffee and drinks, and toys for children who cooperate with the inspection.

I heard that I can be discharged from the hospital within a day or two after the procedure. The patient can't wait to finish the examination immediately and be hospitalized for surgery immediately. The family members push the patient to Quanying for the examination without saying a word.

There are no new patients yet, so Song Zimo took Zhang Lin and Xiao Wu to the laboratory to practice arthroscopic operation, and several regular trainees and interns also followed.

Yang Ping began to study Mr. Ning's condition again, but the various puncture angles he imagined were not acceptable, nor was the puncture route through the transforaminal endoscope, either blocked by tumors or blocked by bone tissue.

The target is like an enemy hiding in the sniper's ballistic blind spot, and there is nothing to do with him.

Since the envisaged path cannot be completed when puncturing from soft tissue, 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 first, so that the bullet can 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 stays 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 root came out from the intervertebral foramen formed by thoracic 1 and thoracic 2. It is best to puncture from the pedicle of thoracic 1, obliquely downward and inward, and pass 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 subsequent operation is much less difficult.

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 it, he was overwhelmed!This plan is very good, and it coincides with what I just thought. Although the puncture is very difficult, it is safe, and 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, including the angle of needle insertion, the position of needle insertion, the depth of needle insertion, precautions, and puncture techniques, all planned.

This brat is quite imaginative, and Director Han said happily: "You can go with me for the general meeting in the afternoon, but Director Kong just called, and the family invited Professor Su Qingyun through the relationship, Professor Su probably will bring someone over , If it is determined that the plan is a high-selective nerve root block, the operation may be completed by someone brought by him. Your idea is very good and mature, but the puncture is very difficult, but the puncture path is all bone, and it is safe. It has improved a lot, and even if it fails, it will not have much impact. Unlike the puncture of soft tissue, once a mistake is made, blood vessels will be injured and bleeding will be caused. "

"I won't speak anymore, I'll go and listen with you." Yang Ping felt that this kind of scene was all about the director, and it was inappropriate for him to speak.

Director Han said with a stern face: "If you are asked to speak, just speak. If you are too wordy, just talk about your thoughts just now. Don't be afraid, you will sit next to me when the time comes, and you will represent me."

The whole morning, Yang Ping was thinking about the patient's plan, and at lunch time, if Su Yixuan hadn't called, he would have forgotten it.

She had packed the food and was waiting in the cafeteria. Yang Ping hurried to the cafeteria after get off work.

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

"Yes, the liver cancer is advanced, metastasized throughout the body, and the tumor invades the thoracic 2 nerve root, causing severe pain in the chest. Consultation is needed to come up with a pain relief plan. I have been thinking about this patient this morning and forgot to check your WeChat." Yang Ping Talk while eating.

Xiao Su didn't care about Yang Ping's these things: "It's okay, I know you must be busy, come and make dinner first, and call you when you're done."

"I also invited several experts from other hospitals over, and I will also attend the consultation in the afternoon." Yang Ping reported the work situation.

Xiao Su smiled: "That's 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 him who is the chairperson of orthopedics in our province. I'll go and feel the demeanor of a great professor." Yang Ping gobbled it up.

"Slow down, don't choke, is it enough? I'll help you with some more." Xiao Su said distressedly.

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

"It's not difficult. I won't invite experts from other courts. Director Han is well-known all over the country, so he still needs to invite experts from other courts. This shows that it is not only difficult, but also high-risk." Xiao Su's analysis.

"You haven't forgotten about the weekend, have you?" Xiao Su smiled with beautiful dimples.

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

"What's the matter with being nervous, don't be afraid of forgetting, as long as I don't forget." Xiao Su knew from his expression that he might have really forgotten.

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

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

"I'll take 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 saying a few words, Xiao Su hung up the phone.

When setting the dinner plate, I met Dr. Jin, and he said excitedly, "Do you still remember the one with metal ion reactive synovitis last time?"

Yang Ping said, "I remember."

"I came back for a follow-up visit. It's all right. Now the limbs and joints are not swollen or painful. 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 did not fall asleep during the lunch break, entered the system space, dissected dozens of experimental subjects, and strengthened the training of anatomical knowledge. Now the ability of brain composition is still in its infancy, and it can be drawn, but it is difficult to build complex graphics.

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

In the afternoon, the patient came back from Quanying after the examination, and this patient was followed up by Xiao Wu.

Xiao Wu hung up the X-ray, and when everyone saw it, their scalps felt numb.

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

Xiao Wu hung up the MRI film, and everyone was numb all over. The patient's son almost vomited, retched, and immediately ran to the trash can, squatting and retching several times.

On the MRI film, not even a doctor can intuitively see that there are densely packed, hundreds of them, covering the entire knee joint cavity.

Synovial Chondromatosis!Super severe synovial chondromatosis!Step aside for those with trypophobia.

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

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

The patient covered his eyes.

(End of this chapter)