The Godfather of Surgery

On Monday, Luo Xiaohu was discharged from the hospital, the family was happy, and Dad Luo was still humming a song.

At 8:30 in the morning, Hermes finally did the operation after waiting for several months.

There are no bright spots in this operation. For Yang Ping, conventional surgery has a strong foundation in trauma orthopedics. This kind of surgery has no difficulty, but the treatment time is long, and the concept of systematic engineering should be used for the entire treatment.

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

Before that, he had not seen Professor Zhang, and he refused to be anesthetized, leaving Fatty at a loss. It was not until he saw Professor Zhang that he accepted anesthesia with peace of mind.

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

About five centimeters of healthy bone tissue were retained at the proximal and distal ends of the right tibia, and the infected bone tissue in the middle, together with a part of healthy bone tissue at both ends, was a full 30 centimeters. All were cut off and discarded.

The defect was temporarily filled with vancomycin-containing calcium sulfate, and the proximal and distal 5 cm were also cut off from it, and pulled from the fracture site. After two weeks, the stretch was started, one millimeter a day, from the two ends to the middle. Slowly the bone is elongated and finally joined in the middle, and a full-length tibia is restored.

The growing bone tissue is healthy and free of bacterial infection, just like a tree eroded by termites, it is very difficult for you to completely remove the termites. If you cut off the part eroded by termites and the surrounding normal wood, don’t do this. It completely solved the termite problem.

Chronic osteomyelitis, an infection of bone tissue, is more difficult than termites eroding trees. After clearing a part of it, the symptoms will be slightly better. When the remaining part of the bacteria divides and proliferates to form a certain scale, the symptoms of infection will come out again, so it is difficult to recover after repeated repetitions.

Thanks to Irizalov, his miraculous technique has not only allowed countless people to save limbs, but also made easier deformities that were previously difficult to correct.

The edifice of medicine is built by a pioneer like Irizalov, brick by brick, how much bitterness, how much blood and tears, how much grievance is unknown.

Because of the political reasons of the Cold War, he did not win the Nobel Prize. However, the glory of this country doctor no longer needs any awards to prove it.

Geniuses, pioneers are always misunderstood and lonely.

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

One of the four cornerstones of modern surgery, one of which is disinfection, has a huge contribution to Semmelweis. It can be said that he single-handedly endured the exclusion and suppression of the entire medical field, and tragically opened an era.

After the operation, Hermes' right calf is the same as the mechanical limb. It is filled with steel needles and a circular ring. The steel needle and the ring form a bracket, which is responsible for the extension of the bone.

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

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

Hermes clenched his fists: Great kindness and great virtue, beyond words!

Professor Zhang started outpatient service on the first floor of the Department of General Orthopedics this week. In just one morning, he received six patients, three from the Department of General Orthopedics, and three from the Overseas Chinese Building.

Received a patient from the Department of Comprehensive Orthopedics, a Chinese from Southeast Asia, with avascular necrosis of the femoral head, late stage III, did not want to replace artificial joints, wanted to do hip preservation treatment, and found Professor Zhang especially; a retired athlete, old anterior cruciate ligament rupture; A little girl, nine years old, with osteosarcoma.

It turned out that Professor Zhang only needed one morning to go out to the clinic every week. Now he applies to the hospital for 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 them specially. Professor Zhang received VIP patients.

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

The child with osteosarcoma, a nine-year-old girl, has been to many hospitals. She was hospitalized in the Imperial Union Medical College Hospital and Nandu Affiliated Cancer Hospital. She had undergone two operations. The pathological examination of both operations was osteosarcoma. CT whole body scan showed metastases to multiple organs throughout the body. The child is very sensible and has good academic performance. He also 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 didn't know that she had a malignant tumor, and her family asked her to keep her condition confidential. Her parents only told her that she had a few fibroids on her body, and she needed to be treated for a long time. It can be good, so be patient. Also, she has no money at home anymore, the house has been sold, all valuable things have been sold, and online fundraising has been raised. Qian, relatives and friends are not answering the phone now, but her parents don't want to give up, they know that there is no result, but they still don't want to give up, they find Professor Zhang, and make it clear that they are exhausted and want to find a cheap way to let their children live longer. Professor Zhang said that he will receive it first, owe the fee first, and then find a solution later.

Old man Zhang specializes in this kind of thing. The worker last time asked you to solve it with 3,000 yuan. Where can you solve it with 3,000 yuan? In the end, I didn't say hello to the operating room. , I'm not, I'm a small man, I want to eat and drink, in order to buy a house, I don't dare to eat takeout, I order once in a while, only dare to order ten yuan, fuck, the meat in it is more than the minced meat in instant noodles Not much. Zhang Lin was very dissatisfied.

Zhang Lin, don't be so marketable, what do you mean by that? Xiao Wu saw that Zhang Lin was really angry, and immediately held him down.

Zhang Lin retorted unceremoniously: He doesn't know, it's not for first aid, and the doctor will be deducted if he owes money. When this patient is brought in, it will be a pile of bills again. I'm the market, what's wrong? You go to the supermarket. , if you miss a penny, will they let you take things away? The spinal surgery patient lived for free for half a year, and he didn't see a family member. When the family members came, they were making troubles and corrupting money. Now they are still making troubles, doing charity? Let Jack Ma Those people do it, I'm not qualified.

Zhang Lin! Xiao Wu stopped him.

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

I'm sorry, Senior Brother, I'm just feeling it. Zhang Lin blushed, complained, and calmed down.

Yang Ping comforted him: Don't worry, everyone, if you are in arrears at that time, I will find a way, and it will not let everyone feel cold.

I'm not saying that if you deduct my money, you will lose your temper. It's wrong to deduct anyone's money. Whose money is not a few hard-earned hard-earned money. Why does the hospital set this rule? The dean is so open-minded and will not cancel this rule, if there is no such line, you can owe money at will, the hospital will close sooner or later, and everyone will go to drink the northwest wind. Zhang Lin was excited, and his body language was very rich.

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

Yang Ping breathed a sigh of relief and nodded: Understood, don't mention the cost of each ward round, don't mention the word tumor, let's all have a unified caliber, let's do the ward rounds!

When I went to the ward to see the little girl, she had two pigtails, and there was no trace of sadness 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, flung her pigtails and said, I'm learning to write in English.

It's so powerful! Yang Ping deliberately looked at it, but the little girl blocked it with her hand.

I don't know what I typed on the computer. It doesn't seem to be English or Chinese Pinyin. Maybe I typed it randomly.

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

Her father replied: She is good in English, and we don't know English either. She learned it at school.

Yang Ping neither asked about the medical history nor did the physical examination, but only chatted with her.

When she left the ward, her father followed. Yang Ping gestured and pointed to the office: Go to the office and wait for me for a while.

Yang Ping continued the ward rounds. The Southeast Asian patient is from Singapore, Chinese, with avascular necrosis of the left femoral head. It is late in the third stage and needs to be replaced with an artificial hip joint. Because his relatives from Malaysia came to visit relatives in China, he saw Professor Zhang's clinic and felt very good. He recommended him to China to find Professor Zhang for hip preservation treatment.

His Chinese is very good and fluent. He said that he has been bilingual since he was a child. He can speak both English and Chinese, and Chinese has the same simplified characters as Chinese, so whether it is Chinese conversation or reading, there is no problem at all.

The retired athlete is a basketball player. After retiring, he usually relies on basketball training for elementary and middle school students. He doesn't know what his anterior cruciate ligament is. In the past year, his left knee joint is obviously unstable and swaying. He went to the hospital for treatment. MRI showed that the anterior cruciate ligament was ruptured. He heard that Professor Zhang from 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. From the magnetic resonance imaging, the intercondylar fossa has been severely deformed. It is estimated that there was still a fracture and malunion at the time. The bilateral knee joint CT scan and 3D reconstruction were perfected before surgery.

Yang Ping explained to Xiao Wu, and Xiao Wu wrote it down.

After checking the room and returning to the office, the little girl's father sat and waited. When he saw Yang Ping coming back, he stood up and said, I'm sorry to trouble you, we can't do anything about it. Dr. Lu said, really, really not reconciled-, I'm trying to figure out a way about money. The child's father's eyes were wet and his expression was haggard.

Yang Ping comforted him: You do your best, and you can do your best in 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 his age. Perhaps, it is the reason why he has stayed in the system for too long.

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

Just to explain a few words, Professor Zhang walked away with his hands behind his back.

His figure is in the corridor, step by step.