godfather of surgery

Chapter 456 German Palace
After dinner, Dean Cai called and asked Dr. Wan to send the patient to the operating room and start preoperative preparations.

Yang Ping prefers to watch the patients finish their preparations in the operating room. He doesn't like to see the patients who have already laid the sheets when they enter the operating room. In this way, only the operation area is exposed outside, and he feels uneasy.

Boss Cheng and Dean Cai knew Yang Ping's habits, so they didn't start anesthesia and disinfection prematurely.

The patient has been moved to the operating bed, the nurse connected the intravenous access, and hung a bottle of 500ml 0.9% sodium chloride injection to maintain the intravenous access.

This is a special patient, and the doctors and nurses are very careful when they cross the bed, for fear of breaking a bone.

The anesthesiologist checks the teeth in the patient’s mouth one by one to determine whether they are loose. Once the loose teeth fall off, they may fall into the trachea, causing suffocation and life-threatening.

In patients with brittle bones, the teeth will fall out prematurely, and this patient is no exception. Many teeth have loosened and fallen out, and have been replaced with dental implants.

After confirming that there were no loose teeth, the anesthesiologist checked his hearing aids again. Because of hearing impairment, he relied on hearing aids to complete normal hearing functions.

"Don't take it off! I can't hear it, I'm afraid." The patient panicked.

The anesthesiologist explained: "I will let you sleep during the operation, how about it? After sleeping and waking up, the operation will be over."

Even if the choice is not general anesthesia, but combined spinal epidural anesthesia, in order to reduce the patient's adverse experience, most anesthesiologists will use drugs to put the patient into sleep.

Otherwise, the patient will hear the sound of all metal instruments operating during the operation, leaving an indelible bad memory for himself.

The patient shook his head: "Don't! Don't, the whole operation process, keep me awake."

Yang Ping sat on the side and waited for them to prepare: "You don't need to take off the hearing aid, let him wear it, wake up or sleep, it's up to him."

If you stay awake, the patient suddenly cannot hear the surrounding sounds, and will fall into a state of isolation and helplessness. The whole operation process will be very depressing and frightening.

If the hearing aid is not removed, it will have little effect. Just pay attention to it and don't fall out.

Anesthesiologists, nurses, and several other doctors carefully placed the patient in a lateral position.

"Doctor, take it easy. I heard that lumbar anesthesia will cause back pain in the future. Is this true?"

The patient talks a lot and always wants to chat with the doctor.

"Don't move around, bow your head, bend your knees, and bend your waist like a shrimp, so that I can give you anesthesia." The anesthesiologist is starting to disinfect the drapes for lumbar puncture.

"I'm panicking, you haven't answered my question yet?" The patient was very persistent.

"In the past, the needles used for spinal anesthesia were very thick. There is such a possibility. Now they are all thin needles. The possibility is very small." The anesthesiologist had no choice but to answer him.

"Be careful with me. How old is your child? If you want to learn painting in the future, come to me. Don't look at my thighs and arms. If you teach painting, you are an expert." The patient kept talking.

In patients with brittle bones, due to the impairment of intraperiosteal bone formation in the limbs, the long bones are stunted and very slender, especially the thighs are very thin.

The anesthesiologist said while locating, "My baby is still in my arms, it's early."

"Ah—doctor, do you have enough experience? You won't be an intern apprentice?"

"Don't move! The second child, the eldest is in high school!"

"Oh!"

"During the operation and anesthesia at Yunjian Hospital, there was a special nurse who chatted with me to relieve my tension. In this regard, you did not do a good job." The patient complained a bit.

Boss Cheng stood up, walked to the patient, and chatted with him: "I still want a nurse who specializes in chatting, no problem, we have a package that is better than Yunjian's service, Ronaldo reinforced ACL reconstruction, the cost It starts at 60 yuan, do you want it? If possible, I will immediately call two nurses to chat with you."

"60, so expensive? Don't want it." The patient shouted.

"Play some music, it's soothing." Boss Cheng told the nurse to play music.

How can I forget the most important thing, now patients undergoing surgery can listen to music, and they can choose the music themselves.

"What kind of music do you like to listen to?" The nurse asked after reporting a few pieces of music.

The patient said, "Rock! Metal rock!"

Boss Cheng smiled and said, "We are all soothing songs to ease your nervousness. There is no metal rock. What kind of rock do you listen to during surgery? Are you afraid that the doctor will be excited and the scalpel will rock twice?"

"You're right. I sang rock and roll once before, and my movements were so violent that I broke a bone." The patient really had such an experience.

Boss Cheng spent a lot of money on the speakers in this multi-functional operating room. The German Palace Audio cost hundreds of thousands.

The excellent sound quality is unmatched by those popular products. When the music started, the patient immediately closed his mouth and felt relaxed.

"Let's fight? Now I'm not afraid, you can just give anesthesia." The patient's nervousness was completely relaxed.

The anesthesiologist lifted the disposable towel: "It's over!"

Everyone worked together to turn the patient into a supine position.

When changing positions, everyone was extremely careful, for fear of accidentally breaking a bone.

In this kind of patients, fractures are like a curse that cannot be shaken off.

This patient suffers from a fracture almost every year, and the reasons for the fracture are varied.

Too happy and laughed so hard it broke a rib.

In the morning, I went to the bathroom in a hurry to urinate, walked too fast, and sprained my ankle joint, resulting in a fractured ankle joint.

When the two of them were together, the movement was slightly out of control and the femoral shaft was fractured.

When sitting on the sofa, I moved too fast, sat down on my buttocks, and fractured my lumbar spine.

In his own words, he fractured a bone once a year, and it was unshakeable.One year, he didn't have a broken bone on New Year's Eve. He was very happy, and finally he didn't have a broken bone. He was so happy, but he smiled and felt a sharp pain in his chest—a broken rib.

When he saw the speed bump in front of him in the car, he was sweating, and the car shook for fear of breaking his bones.

Fractures have become a part of his life, and he is used to it. He treats fractures the same way ordinary people treat colds.

After Dr. Wan completed the disinfection order, Yang Ping took Su Nanchen to the stage.

The music adjusted the mood very well, the patient was no longer nervous, and the operation began.

Yang Ping's movements are extremely gentle, and the object he is operating now is the fragile and diseased bone tissue, which is like a dry biscuit.

When examining the inside of the knee joint, the probe travels in the gap without a trace of collision.

The rear side of the medial knee joint space is the most difficult to expose. Even if the medial knee joint space is opened, no stress is applied.

Usually, to deal with the medial joint space of the knee joint, the knee joint should be flexed by 20-40 degrees, and a certain amount of stress should be applied to allow the knee joint to be abducted and externally rotated. This can increase the medial space and allow sufficient space for instrument operation.

Now if you use force to open the inner gap, it is easy to cause fractures, otherwise, how can this kind of patient be called a "porcelain doll".

When digging the tunnel, we should also be careful. The drill head goes in a little bit, pauses, and then continues. This way of alternating and steady progress can avoid excessive vibration of the rotating drill bit on the bone, which can also cause fractures.

Surgery is a process of walking on thin ice, and awe can make doctors try to be as careful as possible.

If the doctor is not in awe, it is a very scary thing for the patient.

Do unto others, do not impose on others!This sentence is most suitable for doctors.

Is this patient to be operated on, or not to be operated on?

Surgical options, good or bad?

Just ask, if the patient were yourself, would you use it?

This kind of reflexive question is a question that goes straight to the bottom of the heart.

If the doctor is lying on the operating table by himself, he hopes that the chief surgeon will be careful and strive for the perfection of the process and results for himself, or he will do things hastily and not seek precision.

Yang Ping often asks himself this way, and every time he asks this question, all dilemmas are naturally clear and clear.

This patient, no matter how he was deceived by others, his thinking has not changed, he just wants to cure his disease.

Treatment is the most fundamental need of patients.

All other needs are derivatives around the basic needs, and cannot be caused by the end.

The drill was advancing, stopping, and with rhythmic efforts, the tibial tunnel was opened without the slightest sign of fracture.

In this operation, Yang Ping does not pursue the speed of the operation. In fact, he never pursues the speed of the operation. Whether it is fast or slow, it is not a problem in itself, but the needs of the patient and the condition.

After the tibial tunnel was opened, the femoral tunnel was opened. Because of the narrow operating space, he tried his best not to squeeze the surrounding bone tissue with the instrument.

The lower limbs of the patient hang down on the side of the operating bed, and the posture is as natural as possible, so that there is no scissor stress on the edge of the operating bed.

A little water seeped out of the sterile liquid collection bag was sucked away by the suction device. There was no drop of water on the floor of the operating room, which was very clean.

The femoral tunnel was also gently opened, and the allograft tendon that had been woven was implanted into the bone tunnel, and both ends were fixed with button plates.

This is almost the only fixation method for this patient, because extrusion fixation will break the fragile bone tissue due to the extrusion of the screw and the expansion stress.

Although the movements are slow, there are no repetitive and invalid movements because the entire operation process is connected to the flow.

In less than half an hour, the operation was over.

When the sterile sheet was lifted, the patient's face was pale, with a look of resignation, and sighed: "Did you mess it up again?"

"How do you know you messed up?" Yang Ping asked him.

The patient said dejectedly: "Just started, the operation was finished and the bill was announced. It must have been screwed up."

Yang Ping comforted him with a smile: "The operation was successful, and I will wear a brace for protection for a while to avoid fractures as much as possible."

"Successful?" asked the patient.

Yang Ping asked Dr. Wan to play back the operation video for him. Dr. Wan explained that the patient's face turned from white to red.

"It's still you who are amazing, there is no one worthy of fame." The patient praised.

Boss Cheng said to him: "How about it, write us a service experience report when the time comes? You write according to your own ideas, and don't worry about our face."

"Well, this is easy to handle, or I will help you write one a year." The patient did not shy away from it.

He would have broken a bone almost once a year.

"Your stereo is better than Yunjian's. It's not only a little bit better. It's really comfortable to listen to. I dare not sleep. Without this stereo, I would feel like a cat scratching when I heard the sound of the drill bit spinning."

The patient looks around, observes the operating room, and guesses:
"Is it from the German Palace?"

"Expert!" Boss Cheng praised.

The patient clicked his tongue: "Are you willing to buy it?"

"You dare to circumcise for 4 yuan, why wouldn't I dare to buy a stereo?" Boss Cheng joked with him.

(End of this chapter)