godfather of surgery

Chapter 332 The Future Mayo

Xiao Su waited for Yang Ping at the gate of the Overseas Chinese Building, and the two went to the cafeteria to eat.

After dinner, the two went out for a walk and walked to the overpass. Hermes was singing, and his wife was helping to adjust the sound. The elder brother was a singer who was delayed by coal digging.

One song after another, "Glory Days", "Sailor", "I Wasn't a Big Brother for Many Years", it's really amazing, not to mention the emotion he put into it is tear-jerking, the level of this soaring song is really valuable.

Next to the hospital, Hermès sang so loudly, the hospital security wanted to come and persuade them to leave, but after so many days, no one complained, and many patients ran to listen to the song, the security didn't care, and they followed the beat Come.

"I heard that he used to be a coal boss, but the scenery is bankrupt now, hey——"

"Look, this song makes me cry."

In the stainless steel washbasin in front of Hermes, a lot of money has been lost, including a hundred-yuan bill.

In addition to the washbasin, there is also a payment QR code next to it. For a moment of sympathy, the listener took out his mobile phone to scan it, and gave him a dollar or two.

Since Hermès started singing, Tianqiao has become a treasure trove of traffic. The scalpers who sell numbers, the doctor who sells herbal medicine, the blind fortune teller, and the old man who sells antiques have all been driven. Hermes has driven the economic development of Tianqiao with one person.

"Expert numbers, Attached One, Attached Two, Provincial Doctor, Provincial Traditional Chinese Medicine, and Sanbo, all have--" the scalper promoted among the crowd.

"Specializing in the treatment of impotence and premature ejaculation, ancestral physicians of eighteen generations, three doses are invalid, automatic refund." The rag signboard with brush calligraphy stood upright, and the stall owner stroked his gray beard and chatted with the customers who approached him.

"Authentic products from official kilns of the Qing Dynasty. If you are short of money, they are on sale." A few words were spread next to it, and an old pedant wore black round glasses and waved a paper fan.

The two walked around the hospital and stopped under a tree. Yang Ping told Xiao Su about some recent events. When it came to Boss Cheng's gift of shares, Xiao Su had different opinions.

She said: "I think you should accept the shares, and you deserve it. In European and American countries, doctors, especially well-known doctors, have their own clinics. This is the way to realize the value of their practice. It is not just about making money, but about money. Don’t overdo it. With more money, we can do more things and help more people. If we have more money, we can help children like Sisi, and we can also do charity in the future , to help more people.”

"With more money, if you want to do scientific research in the future, you don't need to rely on others and wait for any funding approval. You can freely establish your own laboratory and carry out your own scientific research projects. Only financial freedom can you have other freedoms. "

"Of course, even if you become a shareholder, you don't have to worry about the management of the hospital. You are only in charge of the surgery and let Lao Cheng manage it. He is an excellent hospital manager."

"This hospital depends on you, and the future development path will naturally follow your wishes. In my opinion, Lao Cheng will let you be the majority shareholder sooner or later. Why not rely on you under this big tree? To you Let’s say, with this hospital, you can run your ideal hospital according to your own ideas, and maybe it will be better than the Mayo Clinic in the future.”

Unexpectedly, Xiao Su had such insight, Yang Ping listened carefully and looked at Xiao Su.

Only then did Xiao Su stop: "I'm just a nurse, I don't understand anything, I just say what comes to mind, and you use it as a reference."

Yang Ping put his arms around her: "I feel now that you see these things higher and farther than I do. I only focus on medical skills. What you said makes sense. I want this share."

"Don't bring this up yourself. Let me tell my brother and ask him to go to Boss Cheng and say that I have done your ideological work well, so that Boss Cheng will naturally come to you to discuss the shares." Xiao Xiao Su is very careful.

"Although I don't understand, but listening to your chats with me, I feel that the conditions of this hospital are very mature. Boss Cheng is a doctor and is good at management. He is a full-time manager; you have first-class medical skills and focus on surgery; I My brother socializes extensively outside and solves some trivial public relations matters of the hospital. This kind of iron triangle relationship can allow the hospital to develop rapidly. When you have money in the future, you can buy land, build a house, and expand the hospital. This is what the Mayo Clinic did back then. "

Xiao Su nestled in Yang Ping's arms, she didn't understand, she had already analyzed the matter clearly, and saw the future decades later.
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Every day is the same, but the difference is that the patients I meet are different every time.

In the morning rounds, the other patients were nothing special. There was a patient on Xiaowu’s side who had been suffering from repeated pain in the left calf for three years. The boy was 12 years old. He had seen many doctors and said it was growing pains. He also had a lot of examinations. No.

Growing pains?Yang Ping felt strange, no way, how can there be such a diagnosis, there is no such diagnosis in medicine.

Generally, if children have pain around the knee joint or the front of the calf, if there is no history of trauma, normal activities, no redness, swelling, tenderness, or other diseases in the local tissue, it is usually defined as "growing pains", which is considered to be a sign of physical growth. Due to faster growth, it may also be related to calcium deficiency.

In fact, there is no such thing as growing pains in medicine, and no diagnosis or description of "growing pains" has appeared in any professional medical journals or periodicals.

Therefore, the concept of growing pains is a complete false proposition. Children have pain around the knee joint or the front of the calf, and there are no abnormalities in physical examination and auxiliary examination. All such pains for which no cause can be found are called growing pains.

Just like the rheumatoid arthritis in the folklore, all knee pain of unknown cause is classified as rheumatoid arthritis. It seems that there is a diagnosis, but in fact it is the same as no diagnosis.

There is no pain for no reason, all pain has a cause, but the doctor has not found it for the time being, or the medicine has not been able to find it for the time being.

In fact, this kind of pain has nothing to do with "growth". Most of the so-called "growing pains" are related to exercise. The pain usually "breaks out" at night. Or pain caused by minor injuries to muscles and ligaments.

Adults also often experience this kind of soreness after a lot of exercise. For example, professional athletes will take a sauna after a lot of exercise. pain.

Children are active and their ability to remove lactic acid is weak, so this kind of pain is more obvious.

Yang Ping took Song Zimo to the ward, asked about the patient's medical history, had a physical examination, and read all the results of the patient's examinations.

No problems were found, and all the results showed normal, but the child was in pain, how could it be normal, it can only be said that the imaging examination did not detect it for the time being.

"Do you want to do another MRI?"

"Not for now, bring all the films to the office, and I will go through it again."

Song Zimo collects video pictures, a thick bag.

The film was hung on the reading light, and as long as the matter at hand was not very urgent, everyone would gather around it.

Regardless of his own status, Takahashi competed with the students for a seat and quickly squeezed to the front, so that he could be the closest to Yang Ping.

The films were hung up one by one, and some were damaged due to poor storage, and some plaques appeared, which seriously affected the reading of the films.

On CT, there is a very slight density change at the lower end of the right tibia. If you don’t look carefully, you think it is a blood vessel impression. At the same position, there is also a slight signal change on MRI. If you don’t look carefully, you can’t see it, just like In the black, there is a little black that is slightly lighter, and in the white, there is some white that is not so white.

This part is in the common position of vascular indentation, which is naturally missed by all doctors, and will not be considered abnormal.

"Do another MRI. This is chronic osteomyelitis, focal. This point is not a vascular indentation, but bone necrosis." After watching the film, Yang Ping came out with a diagnosis.

The ionizing radiation of CT is relatively large, and it is not good for children to do too much. Therefore, another MRI is performed to obtain the latest images of the lesion and guide the operation.

"It can be seen that it is osteomyelitis, just a little bit?" Takahashi turned his head to look at Yang Ping, his eyes were widened, but he couldn't see it now. The blood vessel pressure marks on the picture are very typical. How can I say it is osteonecrosis? , osteonecrosis have such?
In the future, if Takahashi wants to take over Masao Fujiwara's class, he will have to make achievements in the department of orthopedics instead of being limited to trauma surgery. Therefore, he also wants to learn other things from Yang Ping.

"You catch two mosquitoes and show them to him. He can tell if they are female or male with a glance. If you ask him how to find out, he will tell you that it is very simple. Just look at the genitals." Song Zimo knew that Yang Ping's judgment was certain. Can't go wrong.

The next thing to do is to follow his instructions. If you don’t understand, think about it slowly.

Song Zimo asked Xiao Wu to call the family members over and explain the child's condition to the family members: This is chronic osteomyelitis, focal, a little bit, and surgery is needed to completely remove the infected and necrotic bone tissue inside, and then use calcium sulfate Things are filled in, the operation is done, and the child's problem is solved.

When the family members heard about the operation, their faces were cloudy and uncertain.

"Minimally invasive can be done, a small opening of 1 cm, and then drilled into the bone with an instrument, and the necrotic bone tissue and a small amount of normal bone tissue around it are drilled out, and then calcium sulfate is filled in, and a stitch is done. Yes." Yang Ping added.

The parents of the children will be happy if they do minimally invasive surgery, but they will be a little worried if they do drastic surgery.

"It's a well-deserved reputation. Your technology here is really good. We heard from outsiders that Sanbo Hospital's orthopedics department is very good. In particular, there is Dr. Yang. He is really good. I heard that the devil can't do the surgery, and Dr. Yang can easily do it." The child's father In a moment of excitement, I flattered.

Takahashi stood opposite and listened. He could hear clearly and plainly, and his face felt hot. Didn't this devil talk about himself?

"The doctor at our community health station said, you child, you don't need to go anywhere else, just go to Sanbo, find Dr. Yang, don't find the wrong person, if he can't see it, don't bother you in the future, this disease I can’t see it anymore.” The child’s father was very eloquent.

"Then agree to the operation?" Song Zimo asked.

The child's father nodded: "I agree, it's all up to you."

(End of this chapter)