After returning from the outpatient clinic, Yang Ping hurried to the operating room, and Xiao Wu and the interns had already sterilized the sheets.

I spent half a day in the operating room. At six o'clock in the afternoon, I finished work and took a shower in the locker room of the operating room. The ward duty room also has a bathroom, but there are many young doctors, and they all gather there to take a shower, so Yang Ping simply took a shower in the locker room of the operating room in order not to join in the fun.

After taking a shower and sitting in the locker room to rest, Yang Ping kept thinking about the operation ordered by Old Man Zhang. Simple fractures can be done with K-wires, and this kind of complex must be done with steel plates, ordinary steel plates are not good, and steel plates must be locked. Even if the steel plate is locked, it is still difficult.

Now this old man asked Yang Ping to use K-wire to make it, and the budget was 3,000 yuan.

To be honest, 3,000 yuan, in a tertiary hospital of this level, is sometimes the cost of one day, and if it costs a concentrated perioperative period, the cost of one day is far from enough.

Yang Ping originally wanted to do a CT 3D reconstruction of the elbow joint, which can depict the fracture in three dimensions, so that he can have an intuitive and specific understanding of the fracture. A CT three-dimensional reconstruction costs more than 600, and such an expensive cost directly gave up this idea.

For this kind of fracture, many powerful hospitals use virtual reality technology and 3D printing technology to make fracture models, and use the model to simulate and rehearse before surgery, how to put on the steel plate, how to hit the nails, so that the operation is much larger.

When it comes to the cost, the cost of surgical anesthesia accounts for the main, the operation fee is fixed, and the anesthesia is calculated according to time, so it is necessary to solve it quickly, otherwise the anesthesia cost is easy to exceed the standard.

The patient is indeed pitiful, and Yang Ping also sympathizes with the patient. When he first worked, he had 2,000 yuan a month, deducting this, deducting that, paying the rent, water and electricity, and the rest of the living expenses were tight, and it was really difficult to move an inch without money.

Old man Zhang is right, if you don't think about it, the worker's elbow joint will be useless. For doctors, it's nothing. But for this patient, it could be life-changing, and even life-changing.

"Ding-dong! Task: Do 1 case of comminuted fracture of the lower end of the humerus, reward: 5000 points. ”

Actually triggered the system task, what is the most cost-effective? It is 3,000 yuan to do the operation well, and the function is good, and I will work normally in the future.

Yang Ping entered the system to see if he could find a solution, and scanned the mall, and a "steel needle wire bone grafting" caught his attention.

I didn't care about this before, and I may think that the technology is meaningless and too simple. Anything is a treasure when it is useful, and a root grass when it is useless. This price is only 3,000 cents, but fortunately, 10,000 cents are reserved, and there is no pressure to pay. Buy this needle wire osteopathy now,

Yang Ping remembered that he had read a book written by a German doctor - "Steel Cable Osteopathy"

This Germanic man famously said: Give me enough wire and needles, and I can solve all the broken bones.

As if seeing a glimmer of light in the darkness, Yang Ping immediately found his way.

Open the wire steel needle osteograft and enter the space training.

The system prepares countless steel needles with different diameters, as well as steel wires of different thicknesses, to simulate fractures in various parts, simple, complex, some broken or even a mess.

Yang Ping began to train, first practicing to thread the steel needle according to the specified path: specify an in point and an out point, enter the needle from the specified in point, and then come out from the specified out point. This may seem simple, but it's actually very difficult to do.

It's like giving two targets at a certain distance, and the two targets are not facing each other, but are staggered on parallel lines, and you shoot to make sure that they pass through the bullseye of these two targets.

This is a difficult operation, Yang Ping always began to wear inaccurately, the designated entry point is easy to do, the naked eye looks at the steel needle tip against the designated point, but the point, separated by thick bone tissue, can not guarantee from the point of out, barely several times, are close, but was judged by the system as unqualified.

This requires spatial imagination ability, and it is necessary to establish a three-dimensional concept of space in the mind, and the needle walking in the bone tissue, although it cannot be seen, but it must be imagined with the brain.

Yang Ping thought about it repeatedly, and a lot of training finally allowed him to successfully thread the needle according to the predetermined entry and exit points and master this technique.

Next, it is practice, parallel needle threading, that is, two needles through the bone, to be completely parallel, two parallel, three parallel, four parallel, five parallel - until ten parallel, the requirements of the system are very harsh, a little bit, it is judged to be unqualified, and you can only do it again.

If this kind of training is successfully passed, the system will not have any rewards; But if it can't be passed, the system will deduct cruel points, that is, only deduct no rewards. How to deduct? How many points are spent to buy, it is also a minimum deduction of two times, and a serious one-time clearance.

After practicing parallel needle threading, it is a cross needle, 15 degree crossing, 30 degree crossing, 45 degree crossing, 60 degree crossing, and 90 degree crossing.

Finally, practice threading the needle on the fragile and small bone block, the kind of bone block that breaks as soon as it is pierced, it is broken at the beginning, and then slowly mastered the strength, and the control of the electric drill can pass the needle, and the bone block is still intact.

After the practice of needle threading, it is wire strapping, single-strand, double-stranded, multi-stranded, tension band strapping, ring strapping, figure 8 strapping, rectangular strapping, etc., all kinds, as long as there are in the orthopedics, Yang Ping is tied all over.

After completing the training, I found that there was one more project on the light screen - the library.

"The system will unlock some new features according to the upgrade of skill points." The robot female voice said.

It turned out to be like this, but I didn't know how to use this function, Yang Ping opened the library function, and bookshelves, desks and chairs immediately appeared around him.

"What kind of books do I need to borrow?" All the world's materials are available here, including medical information, of course, and you can provide the title of the book or a search keyword. The female voice of the system said.

Then a light screen appears in front of you with a table of contents for the book.

"Steel cable osteopathy", Yang Ping reported the title of the book.

Immediately, the light screen shows the name of the book, and there are some similar books recommended.

"Reading costs one credit point per minute." The female voice explains.

Yang Ping clicked on the title of the book, and a book was instantly placed on the shelf, which was "Steel Cable Bone Grafting".

This function is good, you don't have to buy books in the future, you can read anytime and anywhere, the points spent are not expensive, and it's an artifact for learning.

Yang Ping read several books about steel wire and steel needle bone grafting in one go.

For the sake of safety, Yang Ping spent 4,000 points to purchase 500 cases of comminuted fracture surgery training at the lower end of the humerus.

There are only 3,000 points left.

When I came out of the space, I felt that I was getting a lot older.

Maybe the graduate assistant leaked the news, and the whole department knew that Yang Ping was assigned a difficult task by Old Man Zhang.

Yang Ping returned to the department, and everyone was going to the electronic reading screen to adjust the X-film, and wanted to discuss. But there was no film of this patient on the computer, it was a film taken in the outer hospital.

The patient was placed on the bed of Xiao Wu, and Xiao Wu hung out the X-film film.

It was a spontaneous discussion, and no one informed the organization.

Surrounding the reading lamp, Song Zimo patted Yang Ping's shoulder: "Senior brother, the difficulty is not ordinary, have you offended the old man somewhere?"

"It's difficult, it's impossible." Zhang Lin's pimple-covered face was stuffed in.

Director Tian had surgery and had just entered the doctor's office. "Come on, come on, let Director Tian take a look." Song Zimo beckoned.

Director Tian is usually steady, with excellent skills, and is quite respected by everyone.

"Lock the steel plate, put the radial side behind, put the edge on the ruler side, and then assist the countersunk screw, what, test me?" He also jokes.

"No, this old man Zhang designated Yang Ping to make a wire K-wire needle." Xiao Wu explained.

"How is that possible, joke, can this be a hard designation? He assigned him to do it. Tian Yuan could only say this secretly, but he didn't dare to mention half a word in front of him.

"Tell Director Han and let him communicate with the old man, how to make a K-wire needle." Tian Yuan studied another X-ray.

"Yes, boss, Director Tian is right, you can't listen to him." Xiao Wu was in a hurry.

I thought about it, and Yang Ping sat up against the nearest desk.

Director Han came in at this time, and when he saw everyone gathered together, he didn't mean to get off work, which was quite lively.

There was an X-film hanging on the reading lamp, and I glanced at the film, and then looked at everyone: "Case discussion?" ”

Everyone didn't squeak, and Tian Yuan said, "Director, how do you think this fracture is handled?" Everyone wants to hear the director's opinion. ”

The director looked at it two more times: "Comminuted fracture of the lower end of the humerus, intra-articular fracture, two locking steel plates, how to discuss this." ”

"The patient received by Old Man Zhang only has 3,000 yuan, and Yang Ping must complete the operation with a K-wire needle and be discharged from the hospital in three days." Tian Yuan said word by word, explaining clearly.

Director Han was a little confused at this time, and watched the film carefully: "Oh, K-wire, if it can really be done well, it is a bull-level operation, Professor Zhang asked me to do it?" When will it be done, I'll take a look, haha, haha. ”

"Yes! The fee is also limited and cannot exceed 3,000 yuan. "Pastoral added.

"It's a real problem." Director Han frowned, turned around and left.

Director Han didn't say anything about it, and didn't help Yang Ping fight the grievances? Instead, I felt a little schadenfreude laughing, strange.

Tian Yuan originally wanted Director Han to come forward and communicate with Old Man Zhang to change the surgical method, but he didn't expect Director Han's reaction.

Tian Yuan is also in a rut, except for Director Han, who dares to go to the old man, thinking of Director Bai being criticized for sweating at the meeting, Tian Yuan shuddered.

"I've done my best, you can do it yourself, if I'm free that day, I'll go and cheer you up, if there's anything else you need to help with, just say, orthopedics, what do I want there." Tian Yuan shook his head.

"It seems that there is a book of "Steel Cable Osteopathy", written by the Germans, you can refer to it, I will help you with the operation in the past few days." Song Zimo said.

"I look at the patient, don't worry, I'll call you at any time if there is something." Xiao Wu said.

Zhang Lin also leaned over and sat next to him: "Come on, the people will thank you!" ”

Everyone encouraged each other, just like Jing Ke thorn Qin, Yishui Riverside, drinking Zhuangxing wine.

"The wind is sluggish and the water is cold, strong man--" Zhang Lin chanted the poem, shook his head, and walked out of the steps of the mouth cannon Connor.

"Strong man, you're big--" Xiao Wu stuck the back of Zhang Lin's neck.

"Xiao Wu, let me tell you, let go, Northeast people, you won't be afraid to fight."

Zhang Lin shouted.