The Godfather of Surgery

Chapter 422 Low back pain in the mist

Seeing that Yang Ping was so persistent, Director Han was very moved, and he told the story that his superiors wanted to transfer Yang Ping to 301.

However, this kind of poaching is ultimately a talent introduction, and it must be done with the consent of the person. If I insist on not going, the other party has nothing to do.

Director Han was hesitant at first, hoping that Yang Ping could go to the best platform, but he was very reluctant.

Now, he has made up his mind. He wants to keep this kid. He and Dean Xia can still work for many years. These years are enough to help Yang Ping achieve an extraordinary career.

Yang Ping has his own choices. He looks at issues from a different height than others. No matter what he chooses, Director Han will support him.

If he chose to stay at Sanbo, if he was sincere, then he also had his reasons, and his reasons were not understandable to ordinary people.

Xiao Yang, there is no one else here, let me ask again, are you really willing to stay in Sanbo? I sincerely hope to be able to go to a bigger platform and achieve a bigger career, don't interfere with our own feelings because of our personal feelings. Decision. Director Han said from the bottom of his heart.

Yang Ping is unwavering: Just stay in Sanbo, and don't go anywhere. What I need is here. No matter how big other platforms are, they may not have them.

Old Han didn't understand what Yang Ping needed, but since he was so determined, he could only support him.

it is good!

Old Han stood up.

I'm going to tell Dean Xia now that you can go to work with peace of mind, and we'll take care of other things.

When you went abroad this time, Professor Su called me a few times and asked me about your situation. He was also worried about you. I said, you are asking the wrong person. You should have more information than me. Speak. Director Han suddenly remembered this and reminded Yang Ping that he should find a suitable way to reply to Professor Su.

Professor Su has passed five trials and six generals, and has successfully passed two rounds of academician review. In the final election, he was elected with a high number of votes, and has now entered the stage of publicizing the list.

Hong Zhigang, Meng Heng, Fu Shancheng and other professors who participated in the election at the same time were all lost in the second round and can only wait for the co-election two years later.

Just now Director Han mentioned Lao Zhangren, but Yang Ping really didn't react.

Yang Ping knew that Xiao Su was a smart girl and had her own plans. She was looking for a suitable time to bring Yang Ping to see her parents, so Yang Ping was not in a hurry.

It is estimated that Xiao Su has not officially mentioned his love with Yang Ping to his father, so it is inconvenient for Professor Su to inquire about Yang Ping's situation from his daughter's mouth.

Yang Ping wrote a WeChat account of the general situation in the United States and sent it to Su Nanchen. Now Professor Su should be relieved.

Director Han rushed to find President Xia, and Yang Ping returned to the doctor's office.

Director Hu was eagerly waiting for Yang Ping to continue to explain the operation of scoliosis. There were several doctors from Xiehe waiting, and Song Yun was also present.

Zhang Lin was coming in, followed by a doctor with a drooping head. He was in his thirties and Yang Ping didn't know him. He should have come here while he was in the United States.

Dr. Yang! Zhang Lin greeted respectfully, and the doctor greeted him.

Then the doctor was taken to a nearby meeting room, the door was not closed tightly, and a crack was opened.

Mr. Zhang, I'm sorry, this is my review book—

The doctor presented the review book with both hands, Zhang Lin took it, opened it, read it, and signed it.

This review book is almost the same. Let me tell you, why are you here? Advanced study! Advanced education has the rules of advanced education, and learning has a learning attitude. No matter which hospital you used to be in, what professional title, when you come here, you are As an advanced student of Sanbo, you have to abide by my rules and have a learning attitude, otherwise what are you doing here? Vacation? Here you don’t come here if you want, nor leave if you want to leave. Once you are expelled, you will be listed. Blacklist, you will never have the opportunity to study in the future, and it will also affect your colleagues' application for further study. I have seen you a lot, how good are you? Tell me how good you are? What is your academic status in the world? Have you heard of Fumiya Takahashi? Do you have any other cows? Just ask Corey to find out if he is well behaved.

Teacher Zhang is serious and serious, and his words are pertinent. The listeners dare not take a step forward. It is probably not the first time that they have been sprayed.

The sound was loud and leaked from the crack of the door, and everyone in the office listened intently.

The new training doctor, the second one, came here to study scoliosis correction. The nephew of the vice president of Nandu Medical University is either late or left early, and he is a fool. Song Zimo said in Yang Ping's ear.

Zhang Lin pinched him to death— Song Zimo snickered.

Yang Ping turned sideways, looked at Zhang Lin's appearance through the crack of the door, and couldn't help but smile in his heart, this guy is really decent and full of style.

Zhang Lin manages the teaching of Keli's advanced students in an orderly manner, and no one dares to mess around. Song Zimo was obviously satisfied with Zhang Lin's performance.

Yang Ping was about to continue to talk about scoliosis correction to Director Hu, when there was a noisy voice in the corridor.

Vaguely Yang Ping heard someone shouting: what a quack doctor, what to sue, what wrong knife.

Graduate student Li Guodong came in with a frowning face: Director, the patient who was transferred from the spine surgery department did not relieve back pain at all after the operation. There was a lot of noise there. Director Qin contacted Dr. Song and transferred him to our department.

Oh, here we go, let's go and have a look. I'll be consulting with patients with disputes. Song Zimo immediately took Yang Ping to see him, and a group of advanced doctors also followed.

A male patient, 36 years old, with a relatively obese body, has low back pain and numbness and burning sensation on the outer right thigh for two years. The symptoms are aggravated by standing and sitting for a long time, and can be relieved after rest. The frontal and lateral views of the lumbar spine showed that the lumbar 4/5 and lumbar 5/sacral 1 intervertebral spaces were slightly narrowed. MRI showed that the lumbar 4/5 intervertebral disc was herniated, and the upper and lower endplates were inflamed.

Diagnosed as lumbar intervertebral disc herniation in another hospital, minimally invasive surgery was performed - lumbar 4/5 intervertebral disc removal under transforaminal endoscope. The symptoms did not relieve after surgery. I asked an acquaintance to transfer to the spine surgery of Sanbo Hospital, and did posterior lumbar 4/5 surgery. 5. Intervertebral disc removal + intervertebral space bone graft fusion + pedicle screw internal fixation. The low back pain was relieved after the operation, but the pain in the right thigh remained.

The patient was pushed to the ward by a flat car, and the doctor of spine surgery was on shift with Li Guodong from the Department of Comprehensive Orthopedics.

The patient was lying on his side, curled up, with some monster tattooed on his arm.

In these years of fighting black and evil, this fat man dared to tattoo dragons and tigers, and he was also daring and fat. Now these tattoos are the focus of attention.

This patient had potential disputes. Director Qin felt that it was difficult, so he had to ask for comprehensive orthopedics. Yang Ping went to the United States and asked Song Zimo for consultation. Song Zimo took a look and accepted the comprehensive orthopedics.

Spine surgery is the most controversial in orthopaedics.

When Yang Ping went to the countryside at Nanqiao Hospital, Mr. Yan's case was a classic dispute case.

Low back pain patients, if nothing else, just lumbar disc herniation, which seems simple, is a common case in spine surgery, but it is actually very complicated.

This patient has already had trouble in another hospital once, and now he has the second operation, but the effect is still not good. He concluded that Director Qin has done the wrong part, because the operation has no effect at all.

This Director Qin is also an honest person who really wants to solve the problem for the patient, and the patient was introduced by an acquaintance.

Generally, if there is a need for re-operation and there are potential disputes, many doctors do not dare to accept the work, and there is no need to put a bucket of shit on themselves.

When the patient came, Director Qin also hesitated, but an acquaintance introduced that the patient begged again and again, and Director Qin was reluctant for a while. Then, after careful analysis, he felt that the patient was a herniated disc of the lumbar 4/5, with severe upper and lower ends of the same segment. Plate inflammation cannot be treated by minimally invasive surgery. Only open surgery, removal of the intervertebral disc, and curettage of the upper and lower end plates can be completely treated.

However, after this confident operation, the symptoms did not ease. A few days ago, the patient thought that it was not long after the operation. Any relief, he immediately turned his face and started making trouble in the ward.

I have a lumbar disc herniation. This quack doctor must have opened the wrong place. The herniated intervertebral disc has not been removed, but the good one has been removed? I have asked others about it, and I have also checked it on the Internet. Accident! The patient's attitude was very bad, he had no doubts about his own judgment, and questioned the doctor for the wrong part.

The same is true for many patients who come to the outpatient clinic: I have a lumbar disc herniation.

That's right, the imaging report says that the lumbar disc herniated, both doctors and patients are convinced.

But low back pain is not necessarily a lumbar disc herniation, and a lumbar disc herniation is not necessarily a lumbar disc herniation.

If the logical relationship here is not clear, it is impossible to straighten out patients with low back pain.

Low back pain is almost the number one disease in outpatient clinics. Eighty percent of people have low back pain in their lifetime. At any time, eighteen percent of people are experiencing low back pain.

That is, at this very moment, 18 out of 100 people are suffering from low back pain, which is quite a large proportion.

The causes of low back pain are very complicated. Lumbar intervertebral herniation is only an imaging diagnosis, while lumbar intervertebral disc herniation is a clinical diagnosis.

It's either low back pain or lumbar disc herniation.

Don't see a lumbar disc herniation written on the CT or MRI report, and think it is a lumbar disc herniation.

Far from being so simple, and far from being so frustrating.

Can you lie down? I'll check you out!

The patient glanced back and wanted to curse, but seeing Yang Ping's eyes and the group of white coats surrounding him, something called aura calmed him down.

You—is—Dr. Yang? Dr. Yang who straightened the Twisted Man? The patient suddenly changed into a different person. Just now, he was still a big brother in society, but now he asked timidly.

This is what I told you about Dr. Yang. You have to cooperate with him in the examination. You have had two operations and the problem has not been solved. It is no longer an ordinary problem. We call it intractable diseases. If you don't believe us, give me a word and we will immediately push you back to spine surgery, and you will continue to make trouble. Song Zimo had already dealt with him.

The patient struggled to turn over and lay down: Dr. Yang! I believe you, outsiders say you are very good, the fireman's arm has broken a few pieces, you can connect it; the football player is broken, you fix it and send it to the field; Just like Ma Hua, doctors all over the country did not dare to operate, but you straightened the operation!

Are you in pain or not? Song Zimo urged him to lie down.

Pain! Why doesn't it hurt! It hurts so much!

The patient said immediately.

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