The Godfather of Surgery

I've already boarded the ambulance at the airport! Officer Wang had a smile on his face.

Director Han stabbed Yang Ping lightly: Don't worry!

The rest is handed over to the chest pain center closest to him, and this patient at least has hope.

The things in his own share have been done to the extreme.

Everyone dispersed, Director Han expressed his gratitude to Officer Wang, and everyone returned to the Comprehensive Orthopedics Department.

Yang Ping and Song Zimo didn't need to go out of the outpatient clinic. Originally, the two of them didn't need to go out of the outpatient clinic. It was just because on the first day of the clinic, everyone was more active, and several clinics were opened at the same time, which made the scene more elegant.

The first patient admitted, Yang Ping took everyone to the ward round.

A sixty-two-year-old female, who has had a soft leg on her right knee for three years, has had two arthroscopic surgeries. After the surgery, the symptoms did not ease.

A soft leg is the process of walking when the leg suddenly loses its ability to support and has to kneel or fall.

The most common reason is the compression inside the knee joint. The knee joint is suddenly compressed, the joint movement function is instantly lost, and it is naturally impossible to walk. The direct manifestation is to kneel or fall.

The patient has no hope for treatment, but in the past three months, the soft leg has become more and more frequent, and it occurs almost every day. As a result, he is afraid to go out and can only stay at home.

This caused a lot of trouble. Originally, she was the axis of the family's operation. Her daughter and son-in-law were busy with work. She cooked three meals a day, sanitation at home, and picked up the grandchildren.

Now she is annoyed and beats her soft legs, making it difficult for her to walk, and even to go to the toilet, she has to be careful. She is afraid of falling, and if it causes a fracture, it will be the worst thing for her daughter and son-in-law to take care of it.

A small problem, affecting the normal functioning of the entire family.

Doctor, I saw the introduction in the outpatient hall that the comprehensive orthopaedic department can see intractable diseases. I should be considered intractable diseases, right? I had two operations, the old lady in the same ward as me, and the results were very good. Same as before, no improvement.

The old lady is very depressed.

Yang Ping carefully examined his knee joint, and then focused on the heart and lungs and other organs.

The physical examination concluded that the compression came from the lateral side of the right knee joint? What exactly creates the entrapment?

The new office is bright and spacious, and the X-ray and MRI of the knee joint are hung on the reading light. The patient's head and entire spine have also been MRI, and a pseudo-soft leg is suspected in another hospital.

The so-called pseudo soft leg is caused by other reasons, such as the imbalance of the cerebellum, the uncoordinated motor function of the brain, the lesions of the spinal cord, the lack of muscle strength of the affected limb, etc., which are all excluded.

All examinations returned to the right knee, but MRI showed no loose bodies and no torn meniscus. After two arthroscopic procedures, the hyperplastic synovium should have been cleaned.

The first patient, there is difficulty in diagnosis?

Song Zimo frowned.

Otherwise, there is no need for comprehensive orthopaedics!

Director Han came in, and Director Tian was still sitting in the outpatient clinic below.

Director Han doesn't seem to be interested in the patient's condition: Xiao Yang, now you are the team leader. Unless there are special circumstances, you will lead the team to solve the problem independently. The VIP patients are under the responsibility of Director Tian, ​​and the patients in the general ward here are solely responsible for you.

After saying a few words, he left, no longer caring about the patient's diagnosis. He was only responsible for taking the patient in, and the rest was solved by the team led by Yang Ping.

free time! This is how things will work from now on, free movement under Director Han's trust and limited supervision.

Senior brother, is this our independent portal? Song Zimo was very happy.

Barbaric growth! Yang Ping was still watching the movie.

The anatomy of the knee joint is shaped in the mind, and then begins to simulate the movement, looking for any possible causes of the symptoms.

Only savage growth, controllable savage growth, is the fastest and most sturdy. The way of cultivating genius should not take the usual way. Director Han knows this well.

He was sitting in the new office, drinking tea. He was very satisfied with the new office. The windows faced south and there was plenty of sunlight.

He recalled every detail of today's events. Yang Ping's confidence and seriousness deeply moved him; coupled with Director Tian's report on Yang Ping's performance in Nanqiao Hospital, he believed even more in his own judgment and decision, allowing them to grow savagely. , they do!

The phone rang. It was Director Xiong of the emergency department. The patient with acute myocardial infarction just now is going to be sent to Sanbo Hospital. He is on his way and will be there soon.

The chest pain center closest to the airport is in a district people's hospital. There is only one interventional operating table, and it takes two hours to wait for the table.

In this way, the ambulance chooses to be sent directly to Sanbo Hospital, and the chest pain center of Sanbo Hospital can easily open several stations at the same time.

Go, look and go!

Director Han called Yang Ping, who was still watching the movie in the office.

I haven't been to the emergency department for several days since leaving the trauma orthopaedic department.

The ambulance was parked at the entrance of the emergency department, and the words Airport Emergency Center were very eye-catching.

The stretcher was sent from the car, and then quickly pushed inside. Someone followed the car and performed cardiac compressions.

The doctor in the emergency department rushed up, knelt on the car, and continued the cardiac compression.

Defibrillation!

The flat car was pushed to the emergency room of the emergency department.

The two electrodes of the defibrillator are attached. Right subclavian and apex of the heart.

leave!

There was a bang, electrical defibrillation, defibrillation again, and defibrillation for the third time, and the flat ECG lines became wavy.

Because the condition has been communicated by phone on the road, now only a simple handover is needed.

Please chest pain center! The nurse had already dialed the dedicated line of the chest pain center.

A few minutes later, an attending physician arrived at the emergency room and ran in.

Director Guan was still on the operating table, and the attending physician in charge of the emergency consultation came over.

The ECG paper was spit out, and the doctor opened it to take a look: Acute myocardial infarction is mainly concentrated in the anterior wall, hurry, send it to the catheterization room!

Doctors in the emergency department never walk with their heels on the ground, doctors and nurses push flat carts, chest pain centers, and dedicated transport routes.

The heavy lead door opened, the flat cart was pushed in, and the patient was moved to the interventional operating table.

Heart stopped again! Press, defibrillate! The heartbeat returned to normal.

The doctor has already washed and dressed, dressed in heavy lead clothing, puncture, catheter guide wire entry, wire drawing, contrast medium injection.

The left anterior descending coronary artery is completely blocked!

The contrast agent on the screen got stuck somewhere and couldn't get through.

Director Han and Yang Ping rushed to the emergency department, and the nurse said that the patient had gone to the catheterization room of the chest pain center.

The two rushed to the catheterization room, and a few minutes later, a worried young woman came in accompanied by her family.

Heavy lead doors are closed to separate family members and patients.

Next to the channel where a doctor enters and exits, a doctor comes out.

Xie Dongsheng, Xie Dongsheng's family!

The young woman burst into tears, and the accompanying family members responded.

come here!

The doctor took them to a nearby meeting room with a letter of informed colleague in his hand.

Doctor! How is my husband?

Who are you?

She is Xie Dongsheng's wife, and I am his brother-in-law!

The doctor pondered and said: Xie Dongsheng, acute myocardial infarction, it's too late, he is currently undergoing intervention, and his heartbeat and breathing stopped on the operating table. He is now being rescued. He has never been admitted to the emergency department. This is the third heartbeat and breathing stopped. Now, you have to be mentally prepared!

Xie Dongsheng's wife passed out as soon as her eyes darkened.

Come on! In the meeting room, the family members fainted.

The nurse on the opposite side heard the call for help and came over immediately. The doctor touched the carotid artery and nostril, and the heartbeat and breathing were no problem.

Take it to the observation room to have a rest.

The nurse helped Xie Dongsheng's wife to the observation room.

The doctor has seen a lot and is used to it.

Doctor, please, think of a way, he is the backbone of the family, the child is only four years old, and he is only in his thirties. The elder brother-in-law's eyes were also red.

We're working hard, but it's too late and it takes too much time. This is the informed consent for the operation. Please sign it. When his wife wakes up, you can add another signature.

After signing, the doctor put away the pen, put on the mask, and went in again.

Yang Ping and Director Han waited in plastic chairs, they participated in the whole process and wanted to know the final result.

Yang Ping was unusually calm, and Director Han put his hand on his shoulder: You will get used to it later, we can't save everyone.

Don't worry about me, I have already done my duty, and only God knows the ending!

The family members walked to the lead door and felt that they were standing at the door, hoping it would be bigger.

this door!

separate family members from the patient,

Sometimes - never see each other!