godfather of surgery

Chapter 48: Old Man Zhang Fractured

If you eat too much mutton, you will get angry and your mouth will be dry.

Yang Ping drank many glasses of water, but he still couldn't suppress the dry fire in his heart.

But strangely, Zhang Lin ate mutton, and the acne on his face was less.I don't study Chinese medicine, so I can't explain it.

Song Zimo didn't drink, he drank Tiandi One all night, and he actually said that he drank too much in the morning.

Needless to say, Xiao Wu, that little drink is not a problem, it's almost like gargling.

Shift ward rounds, daily life trilogy.

Director Han led a few people to the ward. The lower end of the humerus suffered a comminuted fracture. The rehabilitation exercise is very hard, and it has improved a lot from yesterday afternoon.He has only a few hundred yuan left for hospitalization. According to the plan, he will be discharged in two days.

To control the cost within [-], it was Su Yixuan who helped to say hello to the paid nurses in the operating room, and barely achieved the goal.

There are more than a dozen people in the hospital who have had their severed fingers replanted, and many are transferred to the rehabilitation department after the stitches are removed.

With chronic osteomyelitis of the right tibia, the blood pressure and blood sugar are almost controlled, and the surgery should be scheduled.

The amputated patients on the scene were mainly due to rupture of the liver and spleen. They were taken out of the ICU and transferred to general surgery. Now they can walk back and forth in the corridor with a prosthesis on.

Most of the other patients had various fractures.

Director Han has been a little busy recently. He has recently applied for the establishment of an orthopaedic research institute in the hospital, and then he has to apply for provincial key departments. In short, he is ambitious and energetic.

When he was free, he would take Yang Ping for a few ward rounds. Although he was busy, he knew the condition of each patient like the back of his hand.

Meeting Director Ouyang's group in the corridor, Dr. Jin said happily: "I'm going to take those two screws tomorrow, and then see if the joint pain and swelling will be relieved after the operation."

Xiao Wuzhang's operating room under the forest.Director Han called Yang Ping and Song Zimo to the office.

Old Han has a habit of drinking tea first, and then talking: "Xiao Yang, Xiao Song, I want to add a new person to you, a girl."

Newbie? Girl? Could it be that Tang Fei wants to join our group of four.Men and women match, work is not tired.Lao Han really understands the essence of management.

"Our department is developing rapidly, and we will continue to replenish new blood. Our colleague has an excellent educational background. He graduated from the eight-year system of Imperial Medical University. You have a psychological preparation in advance." Director Han said.

After talking for a long time, it's not Tang Fei, it's a newcomer. The people haven't come yet, just a vaccination.

Just say a few words, and then remind some important things about the patient, Director Han went to the administrative building.

Yang Ping and Song Zimo went to the ICU to see the AIDS patient who underwent surgery last night.

There are two police officers guarding the door of the ICU. Yang Ping doesn't care about these things.

The patient stayed in the negative pressure isolation ward of the ICU. This guy had a hard life and had his tracheal intubation pulled out that night. Now he asks if he can transfer to a general ward, but he has no money.

ICU spends [-] yuan a day at every turn, and he really can't afford it.

The vital signs are stable, that is, hemorrhagic shock, and it is not a big problem if it is corrected.

Besides, if the patient can communicate so clearly, there is no reason not to be transferred to the general ward.

"Of course!" Yang Ping confirmed that there was no wound on his hand, and reached out to shake his hand.

He hesitated: "I have AIDS."

Yang Ping smiled and said, "I know, we can shake hands. You were very strong yesterday and walked through the gate of hell."

He carefully reached out and shook hands with Yang Ping.

Shaking hands is not contagious unless you happen to have a wound on your hand.

"I put a note in my pocket, but I was in a coma and didn't take it out. Are you all right? I'm very worried," he said.

Yang Ping said: "It's okay, we are taking precautions."

"Thank you for saving my life, you don't have to worry about the cost, I will definitely pay it back," he said.

Yang Ping has seen a lot of people in arrears, especially those who fight and fight, but he has never seen such an active mention of expenses.Whether true or not, this sounds comfortable.

There was a fight in the past. After the emergency operation, he did not pay a penny. He slipped away early in the morning.

After seeing the patient, Yang Ping left the ICU, and the police were still guarding the door.A girl, sitting on a bench, lowered her head and covered her face, crying.

The ICU Doctor Meng next to her is talking to her about her condition: "Okay, someone has been rescued, the orthopaedic doctor said, wait for the transfer to the general ward."

"Really?" The girl burst into tears.

"Just right, Dr. Yang, this is the family member of the patient whose femoral artery ruptured last night." Dr. Meng saw the sliding door open, and Yang Ping and Song Zimo came out.

The girl immediately got up and bowed, dried her tears with a tissue and said, "Doctor, thank you, is Wang Feng really all right?"

Yang Ping nodded: "Out of danger, go to the trauma orthopaedic ward and wait, you can see him soon."

"I'll pay the fee later. You guys will use the best medicine to cure him." The girl's eyes were red.

It should be that Dr. Meng talked to her about the cost.

Yang Ping thought of AIDS, but immediately pretended not to know.Because this kind of thing only needs to be reported to the hospital infection department, the hospital infection department will go through the process, and the CDC will intervene.What the doctor has to do is to keep the confidentiality of the patient and protect himself.

Back from the ICU, to the general surgery to see the amputee workers.

He had already fitted the prosthesis and began to walk up and down the corridors of the ward, training the adaptation of the prosthesis.The wound on the stump of the severed limb healed well, but it was a little phantom limb pain at night.Yang Ping explained some medicines to his brothers in general surgery.

The two hurried to the operating room. Several operations were waiting. One was an emergency diagnosis finger replantation, and Song Zimo led Zhang Lin to do it.

There are also several fractures, humeral shaft, ulna and radius, femoral shaft, tibia and fibula, Yang Ping with Xiaowu.

At present, except for those with pelvic fractures and limb fractures, Director Han has completely let go of Yang Ping.

Director Han knew that the last comminuted fracture of the lower end of the humerus could be easily done with steel wire Kirschner wire, and the fracture of the long bones of the limbs could be completely relieved.

After a day of surgery, I came out at [-] o'clock in the afternoon.After the four people checked the off-duty room, they sat in the department for a while.

Old Han said hurriedly: "Master Zhang fell and fractured his hip. The situation is still unclear. Go to the emergency room."

Lao Han took everyone and rushed to the emergency room of the emergency department.

The old man was lying on the flat car, surrounded by a large group of people, and Xiong Sihai's tall and straight posture was particularly noticeable.

Seeing Director Han coming, Xiong Sihai was a little anxious: "The old man is very stubborn, and he won't let him touch him. He said that when you come, he probably has a fractured hip."

"Be careful, elderly patients, left hip pain with left lower extremity mobility impairment for half an hour after a fall, obvious tenderness and percussion pain in the greater trochanter, shortening and external rotation deformity of the left lower extremity. If the lateral hip is fractured, and the degree of external rotation of the left lower extremity reaches 90 degrees, this is not a fracture of the femoral neck, but an intertrochanteric fracture. You don’t usually practice for physical examination, and everything depends on the film. ?"

The old man was still teaching the surrounding people. When Director Han came, the old man said, "Second Han, what shouldn't have been said last time is a prophecy. This time it's really in your hands."

"What's the matter, old man, if you say it's broken, it's broken?" Han Burang held his hand.

The old man Zhang waved his hand: "It's fine in the afternoon, I went for a walk in the hospital park and encountered a Tai Chi practitioner. The two of them practiced push hands on a whim and knocked each other down. I fell too. His lumbar vertebra was fractured, and my hip He had a fracture in his body, and he received spinal surgery, you say, how can people age so quickly."

It's eighty years old, what's not good to do, play Tai Chi and push hands.

"Let's take a film and see, it is estimated that the greater trochanter is fractured. It's a small matter, so it's time to take a vacation." Director Han comforted.

"It falls into your hands, if you want to kill or cut, you call the shots." The old man was open-minded.

Everyone pushed him to the radiology department for filming.The traction of the traction, the crossing of the bed, and the mess to get the old man up.

The technician used a scarf to protect the old man's thyroid gland, and pushed and pulled the lead door shut.

Sure enough, the left intertrochanteric fracture, the displacement is quite obvious.

The technician played the film, opened the door, and delivered it to him respectfully,
Glasses, where are the glasses, take out the reading glasses and put them on: "The fracture is shattered, this tip is inserted into the muscle, trouble."

"My flight tonight, tomorrow's on-site meeting declared by the Orthopaedic Research Institute. I'll take a few days of traction, and when I come back to help you perform surgery, you can feel at ease. I won't talk about other things, and then I'll just be a mess." Orthopedic Surgery ", your old name is still on the first page."

"The matter of the research institute can't be delayed, second Han, you are busy with your work, and traction is unnecessary. If you wait any longer, it will increase the risk of deep vein thrombosis. I still want to do it for a few years. Emergency, help me in the emergency. I will do it tomorrow. I'm about to go to the ground, and once I'm in bed, the problem will be big." The old man was impatient.

"It's too late to go to the emergency room." Director Han was embarrassed.

"It's okay, just find someone to do it for me." The old man was very calm.

It's a bit surprising that he agreed to arbitrarily arrange for someone to perform surgery on him, which is not in line with this old man's temper.

"That's it, I'll talk to Dean Xia and push the institute's affairs aside." Director Han said.

The old man glared angrily: "What are you talking about, I'm so stupid, I haven't gotten to this point, it's big and small, don't be confused, the research institute can be pushed, maybe next year. That's it. It's settled, find someone, just the kid from last time."

Then looked up and found Yang Ping: "Just you, you do it."

"I?"

"What's the matter, I don't want to, I'll tell you, I won't be able to land tomorrow, I'll give you a zero, don't tell me, you're so big that you only have upper limb fractures, not lower limb fractures?"

As long as it's not the pelvis, Yang Ping is full of confidence. In the system, there are hundreds of such fractures, not to mention too many.

But this old man is too weird. He asked to go with a heavy load tomorrow, and it was broken like this, how to get down to the ground.

"It's settled, you can do things with confidence, Second Brother Han. I leave my affairs to him, whether it's a mule or a horse, run two laps to see." The old man said.

Then there is no doubt, and he reiterates: "Tomorrow we will go to the ground."

(End of this chapter)