Chapter 0038: Old Man Zhang's Command
Iceberry Ice Cream! The second uncle personally sent it up with his stomach.
"Wow! Why do you still have this brand, G City doesn't have it. Su Yixuan clapped her hands in surprise.
The second uncle said, "You have to ask him this." ”
"Me?" What can Yang Ping say.
"Thank you!" Su Yixuan took the ice cream.
Yang Ping touched the back of his neck, stammered, and his old face flushed: "I---。 ”
Su Yixuan's voice was very small when she said thank you, her face was crimson, this wood who could only do surgery actually knew that she loved to eat Iceberry.
Manager Huang, the headhunter, Yang Ping thought of him for the first time, it must be behind his back, this person is really a little strange, it can be said that he is different, knowing that he can't go to that hand surgery hospital, he still doesn't give up, before and after the saddle, what is it for.
Yang Ping saw Su Yixuan sitting eating ice cream, and took the opportunity to immediately follow the second uncle: "Second uncle, what's going on?" ”
"Young man, didn't you ask someone to bring ice cream to me? He also instructed me that every time you come to dinner with this little girl, you will send two, oops, no need to pretend, I won't break it. You use it slowly, I still have something to do. The second uncle waved his hand, the previous words were very quiet, and the last sentence was deliberately raised a few degrees.
After finishing the meal, it was already past ten o'clock, but the number of customers in the store had not decreased, and the supper had just begun. After Yang Ping sent Su Yixuan back to the hospital dormitory. Blow the wind on the flyover and go back to your house.
Reminds me of this week's teaching surgery – the elbow terror triad and a fracture of the lower end of the humerus. Yang Ping entered the system space and flipped through the light screen to see if there was such a single training package.
In the dense surgical training, I found these two items, with a minimum of 500 cases and 4,000 points each.
Calculating the points, 6,000 points have just been credited, and there are still 14,000 points in hand.
These two items cost 8,000 points, which is indeed too expensive.
Looking at the other fracture surgery training packages, based on 500 cases, the humerus fracture is 2,000 points, the ulna and radius fracture are 2,000 points, the femur fracture is 3,000 points, and the tibia and fibula fracture are 3,000 points.
These training packages, such as those with humeral fractures, also include lower humerus fractures, and ulnar and radial fractures contain the fear triad, so it is much more cost-effective to buy, and there may not be so many single diseases.
After pondering it again and again, Yang Ping bought a fracture of the humerus and a fracture of the ulna and radius. In this way, there are still 10,000 points left on hand, and in case of emergency, there is more room for maneuver.
Anyway, without consuming real time, Yang Ping completed all the training of the surgical training package he had just purchased in the system space.
After finishing the shift in the morning, Yang Ping took Xiaowu to round the ward, and went to the trauma ICU to see that the liver and spleen ruptured yesterday, the patient had been intubated and intubated, and when he woke up, his face was still a little pale.
The ICU doctor saw that Yang Ping came over for rounds, and immediately followed to accompany him, and reported:
"The hemoglobin in the morning was 70g/L, and after a large amount of blood transfusion, the heart rate was slightly faster, 105 beats per minute, and the blood pressure had entered the normal range of 98/64mmHg."
This data is already considered normal, and if you have some blood transfusion in the future, the hemoglobin will be corrected slowly.
"The blood bank said that blood is more tight now, and now it is over 70, and it is a little difficult to get blood." The ICU doctor explained.
Yang Ping said: "If you don't have a blood transfusion, the problem is not big, and you will enter a virtuous circle when you strengthen nutrition and prevent infection in the later stage, and the hemoglobin will slowly recover." ”
The patient recognized Yang Ping and wanted to support him, but the ICU doctor pressed him: "You can't get up yet." ”
"Thank you, doctor, for saving my life." He stretched out his hand, Yang Ping took his hand and said, "It should be." ”
In fact, doctors are very simple, and the greatest sense of accomplishment is to save the patient's life.
"It shouldn't be a big problem." The ICU doctor also knew that Yang Ping was now the backbone of the orthopedic department, one of several generals under Director Han. He was very polite to Yang Ping, obviously not treated as an ordinary attending physician. Speaking angrily is much more polite than speaking to an ordinary attending physician.
After going to the ICU to check the room, I received a call from Director Han, and Professor Zhang Zongshun asked Yang Ping to go to the outpatient clinic to find Yang Ping for something.
Professor Zhang Zongshun, a young doctor who saw a detour. He has a strange temper and is demanding, and if you don't button your white coat properly, he will train you for half an hour.
Yang Ping shuddered, checked the white coat, and one button was not buttoned, so he immediately repaired it. I checked it again before I dared to go to the outpatient clinic.
Professor Zhang is a well-known professor of orthopedics in China, and the outpatient consultation room is a room for the inner and outer coats, an outer living room, a place for the patient's family to rest, and a sofa, coffee table, and water dispenser.
Inside is the consultation room, which is very large, and against the wall is the consultation bed, and the curtain is drawn. Two desks are put together, two computers are back to back, screens are connected and shared, and a young graduate student is working as his assistant.
Yang Ping knocked on the door, went in gently, said hello to the graduate student, and found a place to stand out of the way.
Mr. Zhang was seeing a doctor, and one of his reading glasses was broken, and he was still wrapped in adhesive tape. The patient was lying on the consultation bed, wearing blue overalls. While examining the patient's elbow joint, Mr. Zhang said, "Well, it's only four thousand yuan, and the budget is a little tight, I'll give you a total." ”
The patient immediately said: "Professor Zhang, I was working on the construction site, the boss ran away, and I didn't get a year's salary, but the money was made up by the workers, and I went to several hospitals, and they said that 4,000 yuan was not enough to buy nails, and they said that the steel plate and nails would cost more than 20,000 yuan." ”
"Yes, a steel plate and screws, a set costs more than 20,000, and the cheap more than 10,000 is not easy to find, let me see, don't worry." After Zhang Lao finished the physical examination, he sat back in his leather boss chair and looked left and right at the reading lamp.
The lower end of the right humerus was fractured, the intra-articular fracture was broken, and the fracture was seriously shattered, Zhang Lao looked at it for a few minutes and said: "Comrade worker, don't worry, you have 4,000 yuan, and you still have to eat, and it is estimated that you can only spend on treatment to 3,000, and I will give you a plan." ”
The patient was lifted up by the co-workers, and the graduate student helped to fix the plaster brace back again, wrapped it in bandages, and hung it on his chest.
"Professor, thank you, I went to several hospitals, and people just glanced at the film, and said, you go to other hospitals, four thousand yuan is impossible, and then ignore me." The patient said with tears streaming down his face.
Seeing Yang Ping coming, he said, "Come here, come here, take a look!" ”
Yang Ping immediately went over, accompanied by a smiling face, and Zhang Lao said: "This, there is only 3,000 yuan on him, and he will be crippled after he is not treated." In this way, I will admit him to the hospital, and you will give him the main knife. No steel plate, only K-wire is used. Preoperative examination, check the three major routines, biochemistry, liver and kidney function, and four infectious diseases, and then pull an electrocardiogram, usually don't cough, right? ”
"No cough, I'm in good health, if it weren't for the fracture, I would never have been in the hospital." The worker immediately said confidently.
Zhang Lao pondered slightly: "I won't take the chest X-ray, save some money, just like that, after the operation, I will be discharged from the hospital in three days, and the cost will be controlled at about 3,000, which cannot be exceeded." ”
For fracture surgery, steel plates and other consumables are very expensive, more than 10,000 at every turn, and imported ones are even more expensive, tens of thousands. K-wire is a kind of fine steel needle, steel needle and wire are cheap, as cheap as a few dollars and dozens of dollars, and no matter how expensive it is one or two hundred, it is about equal to the material for free. However, steel needles and wires can only do simple fractures, such as fractures of hands and feet, and slightly more complex ones cannot be done.
I'm dizzy, Zhang Lao, this kind of surgery is done with K-wire, it was okay to do this decades ago, anyway, it doesn't matter if it's functional or not. In this day and age, there is a high demand for functionality. This kind of fracture, how can the K-wire be fixed firmly, if the fixation is not firm, it can not be exercised early, the lower end of the elbow joint is crushed and fractured, it is very delicate, and if you don't exercise early, the joint will be stiff in three weeks. You're giving me a problem.
Yang Ping was not allowed to discuss, Zhang Lao helped his glasses and instructed the graduate student to issue a hospitalization notice: "Handle hospitalization, insert a team, and arrange the operation earlier." ”
"That's it, you can go about it." Zhang Lao said.
That's it?
"Isn't it, Elder Zhang?" Yang Ping wanted to defend a few words.
Zhang Lao waved his hand: "This is a review of surgical cases." ”
He leaned over and whispered, "You don't have to do the two surgeries I picked last time, just do this, do it for me, otherwise I'll give you a thirty points!" ”
Bad old man, bad, ruthless enough.
It's all not according to the routine, what is this called, this kind of fracture is made with K-wire needle, how to do it, the big professor of the imperial capital of the magic capital, can't do it, it's troublesome. No wonder after hearing that they were targeted by Zhang Lao, Lao Han and Song Zimo both had an attitude of "you are left to fend for yourself".
Yang Ping stood in the consultation room and refused to leave, wanting to wait for the old man to have time and then discuss. Mr. Zhang was very busy, and instructed the patient in detail how to be hospitalized, how to take the route, where to eat cheaply, how to keep a tight watch on the money bag, and be careful of thieves. In this way, I can rest assured to see the next one. Ignore Yang Ping at all.
A man with chronic osteomyelitis of the tibia, propelled by a young fashionable woman in a wheelchair, has been treated in many hospitals, and has had six surgeries.