godfather of surgery

Chapter 145 A Little Hope

On Monday, Luo Xiaohu was discharged from the hospital. The family was happy, and Luo's father was still humming.

At 08:30 in the morning, the operation that Hermès had waited for several months was finally done.

There is no bright spot in this operation. For Yang Ping, conventional surgery has a strong trauma orthopedic foundation. This kind of operation is no longer difficult, but the treatment time is long, and the concept of systematic engineering is required for the entire treatment.

Yang Ping was the chief surgeon. Before anesthesia, Professor Zhang entered the operating room and greeted Hermès, reassuring him. This greeting reassured Hermès.

Before that, he didn't see Professor Zhang, and he refused to take anesthesia, which made the fat man helpless. He didn't accept anesthesia until he saw Professor Zhang appeared.

The operation went very smoothly and the whole process took less than half an hour.

About five centimeters of healthy bone tissue was reserved at both the proximal and distal ends of the right tibia, and the infected bone tissue in the middle, together with a portion of healthy bone tissue at both ends, totaled [-] centimeters. All of them were cut off and discarded.

The defective part was temporarily filled with calcium sulfate containing vancomycin, and the proximal and distal five centimeters were cut off from the center, and stretched from the cut site. After two weeks, the stretching began, one millimeter per day, from the two ends to the middle. Slowly the bones are elongated, finally joining in the middle, and a full length tibia is restored.

The bone tissue that grows is healthy and free of bacterial infection, just like a tree is infested by termites, it is very difficult for you to completely remove the termites, if you saw off the part infested by termites together with the normal wood around it, it is not necessary. It completely solved the termite problem.

Chronic osteomyelitis, the infection of bone tissue, is more troublesome than termites eroding trees. The bacteria are scattered and hidden in the bone tissue, and it is difficult for antibiotics to reach them, so they cannot be completely removed.When some of the bacteria are removed, the symptoms are slightly better, and when the remaining part of the bacteria divides and proliferates, forming a certain scale, the symptoms of infection come out again, so it is difficult to heal after repeated episodes.

Thanks to Irizalov, his amazing technology not only saved countless limbs, but also made deformities that were difficult to correct before easy.

The edifice of medicine is built brick by brick by pioneers like Irizalov. It is unknown how much bitterness, blood and tears, and grievances.

Due to the political reasons of the Cold War, he did not win the Nobel Prize, but the brilliance of this country doctor no longer needs any award to prove it.

The genius, the pioneer, is always misunderstood and alone.

Semmelweis, who revealed puerperal infection, was ridiculed and opposed by the world at the time, and finally died lonely and desolate in a psychiatric hospital.

Among the four cornerstones of modern surgery, one of them—disinfection—has the great contribution of Semmelweis. It can be said that with his own strength, he has withstood the exclusion and suppression of the entire medical community, and has tragically opened an era.

After the operation, Hermès' right calf was like a mechanical limb, filled with steel needles and a circular ring. The steel needles and the ring formed a bracket, which was responsible for the extension of the bone.

Back in the ward, Hermes was very excited, as if his heart disease for many years had been resolved, he kept holding Yang Ping's hand: "Thank you! Thank you! Thank you!"

Then he asked Professor Zhang, and Yang Ping told him that Professor Zhang was in the outpatient clinic on the first floor. He was very busy and took time out of his busy schedule to go to the operating room to guide the operation.

Hermès clasped his fists: "The great kindness is beyond words!"

Professor Zhang began to go out to the first floor of the General Orthopedics Department this week. In just one morning, he admitted six patients, three received the General Orthopedics Department, and three received the Huaqiao Building.

Received a comprehensive orthopedic patient, a Chinese from Southeast Asia, with avascular necrosis of the femoral head, late in the third stage, did not want to replace the artificial joint, wanted to do hip preservation treatment, and found Professor Zhang admiringly; a retired athlete, old anterior cruciate ligament rupture; A little girl, nine years old, with osteosarcoma.

It turns out that Professor Zhang only needs one morning out of the clinic every week, but now he has applied to the hospital to go out five mornings a week, from Monday to Friday, so that Director Han and Director Tian are completely freed, especially Director Tian, ​​who can deal with it specially. Professor Zhang received VIP patients.

Yang Ping took everyone to round the ward to see the newly admitted patients.

A child with osteosarcoma, female, nine years old, has seen many hospitals. She was hospitalized in Imperial Union Hospital and Nandu Affiliated Cancer Hospital respectively. She underwent two surgeries. The pathological examination of the two surgeries showed osteosarcoma, which was already in the advanced stage. PET- Whole-body CT scan showed multiple organ metastases throughout the body.The child is very sensible, has good academic performance, and won the first prize in the National New Concept Composition Competition.

Before the ward round, Xiao Wu told Yang Ping in the office: "The child doesn't know that she has a malignant tumor, and her family members asked her to keep her condition a secret. Her parents only told her that she had several fibroids on her body, and it would take a long time to treat her." Talent is good, so be patient. Also, her family has no money, the house is sold, all valuable things are sold, online fundraising is also raised, and relatives and friends have borrowed it all over the place, and now they can’t borrow it. Qian, relatives and friends are not answering the phone now, but her parents don’t want to give up, knowing that there will be no results, but they still don’t want to give up, so they find Professor Zhang admiringly, and make it clear that they are at the end of their rope, and want to find a cheap way to let the child live longer. Professor Zhang said to collect it first, pay the fee first, and figure out a solution later.”

"Old man Zhang specializes in this kind of thing. Last time, the worker asked you to pay 3000 yuan to solve it. How can 3000 yuan be solved? In the end, he didn't say hello to the operating room and saved some money to get it done. It is always difficult for others. He is a Bodhisattva. I No, I’m Xiaomin. I want to eat and drink. In order to buy a house, I don’t even dare to eat takeaway. I order it once in a while, and I only dare to order ten yuan. Damn it, the meat slices in it are less than the minced meat in instant noodles .” Zhang Lin was very dissatisfied.

"Zhang Lin, don't be so commonplace, what do you mean by saying that." Seeing that Zhang Lin was really angry, Xiao Wu immediately held him down.

Zhang Lin retorted unceremoniously: "He doesn't know. It's not for emergency rescue. If you owe money, you have to deduct the doctor's money. This patient is admitted, and then there will be a pile of bills. I'm a marketer. What's wrong? You go to the supermarket , if you lose a penny, will they let you take things away? The patient in the spinal surgery department lived for free for half a year, and he didn’t see a single family member. When the family members came, they made troubles, extorted money, and they are still making troubles, doing charity? Let Jack Ma I'm not qualified for those people to do it."

"Zhang Lin!" Xiao Wu stopped him.

Yang Ping waved his hand: "Let him complain, it's okay!"

"I'm sorry, brother, I just express my feelings." Zhang Lin blushed, complained, and his anger went smoothly.

Yang Ping comforted him: "Everyone don't have to worry, if the time comes, I will find a way, and I will definitely not let everyone down."

"I didn't mean to lose my temper when I deducted my money. It's not right to deduct anyone's money. Whoever's money is not a few hard-earned hard-earned money. Why did the hospital make this rule? It's not an emergency rescue to deduct the doctor's fee. Xia The dean is so open-minded, and he will not cancel this rule. If there is no such line, you can owe money at will, and the hospital will close down sooner or later, and everyone will go to drink northwest wind." Zhang Lin became excited, and his body language was very rich.

Xiao Wu patted him on the back to help him smooth out his breath.

Yang Ping took a breath in his heart, and nodded: "Understood, don't mention the cost of the ward rounds every time, don't mention the word tumor, let's talk about it, let's do the ward rounds!"

When I went to see the little girl in the ward, she wore two braids, and there was no trace of worry on her immature face. She always kept an innocent smile, and she was typing on the computer.

"Little sister, are you studying?" Yang Ping teased her.

She raised her head and said with her pigtails, "I'm learning to write in English."

"It's so powerful!" Yang Ping deliberately poked his head to look, but the little girl blocked it with her hands.

I don’t know what it was typed on the computer. It seems that it is not English or Chinese pinyin. It may be random typing.

"Wow, you can write in English." Xiao Wu said in surprise.

Her father said: "She is good at English, and we don't understand English either. She learned it at school."

Yang Ping neither asked about the medical history nor had a physical examination, but just chatted with her.

When she left the ward, her father followed her. Yang Ping gestured and pointed to the office: "Wait for me in the office."

Yang Ping continued his ward rounds. The Southeast Asian patient was from Singapore, Chinese, and had avascular necrosis of the left femoral head. It was late in the third stage and needed to be replaced with an artificial hip joint.Because his relatives in Malaysia visited China and saw Prof. Zhang’s outpatient clinic, they felt very good. He was recommended to see Prof. Zhang in China for hip-preserving treatment.

His Chinese is very good and he is very fluent. He said that he has been taught bilingually since he was a child. He can speak both English and Chinese. Chinese has the same simplified characters as China, so there is no problem in speaking or reading in Chinese.

The retired athlete is a basketball player. After retiring, he usually relies on basketball training for elementary and middle school students. He didn’t know why his anterior cruciate ligament was broken. In the past year, his left knee joint was obviously unstable when he walked, and he wobbled, so he went to the hospital for surgery. The nuclear magnetic resonance showed that the anterior cruciate ligament was ruptured. He heard that Professor Zhang of Sanbo was very serious and responsible, so he came here because of his reputation.

"This patient's anterior cruciate ligament has been ruptured for a long time. According to the MRI, the intercondylar fossa has been severely deformed. It is estimated that there was still a fracture at that time, and the malunion was performed. The CT scan and three-dimensional reconstruction of the bilateral knee joints were completed before the operation."

Yang Ping told Xiao Wu, Xiao Wu wrote it down.

After checking the house and returning to the office, the little girl's father was sitting and waiting. When he saw Yang Ping coming back, he stood up and said, "I'm sorry to bother you. Dr. Lu said, I'm really, really not reconciled -- I'm trying to find a way about the money." The child's father's eyes were moist, and his expression was haggard.

Yang Ping comforted him: "You have tried your best, you can do your best for many things, not every goal can be achieved, everyone is like this, there are goals that cannot be achieved, and there are heart-wrenching regrets, this is life!"

These words seem to have insight into life, which is a bit inconsistent with my age. Perhaps, it is because I have stayed in the system for too long.

When I got off work, Professor Zhang came over, found Yang Ping, and said earnestly: "This patient's home has been emptied out, and she really has no money. The child is very sensible. I want to give her some hope. I will take care of the expenses." Well, it won't affect you."

Just to explain a few words, Professor Zhang walked away with his hands behind his back. He was old and staggered a bit when he walked.

His figure is in the corridor, step by step.

(End of this chapter)