Chapter 0048 Old Man Zhang has a broken bone
After eating too much mutton, I got hot and had a dry mouth.
Yang Ping drank a lot of glasses of water, but he still couldn't suppress the irritation in his heart.
But strangely, Zhang Lin ate mutton, and there were fewer acne on his face. If you don't study Chinese medicine, you can't explain it.
Song Zimo didn't drink, he poured Tiandi No. 1 overnight, and he actually said that he drank too much in the morning.
Needless to say, Xiao Wu, that little bit of wine is not a thing, it's almost like gargling.
Ward rounds are a trilogy of daily life.
Director Han took a few people to round the ward, and the lower end of the humerus was comminuted and fractured, and the rehabilitation exercise was very hard, which was a lot better than yesterday afternoon. He had only a few hundred yuan left in his hospitalization fee, and according to the plan, he was discharged in two days.
Controlling the cost of less than 3,000, it was Su Yixuan who helped to greet the charging nurse in the operating room, and barely reached the goal.
There are more than a dozen of those who have been replanted in the hospital, and many of them are transferred to the rehabilitation department for rehabilitation after the stitches are removed.
In the case of chronic osteomyelitis of the right tibia, the blood pressure and blood sugar are almost controlled, and the operation should be scheduled.
The patient who had amputated his leg at the scene, because it was mainly a ruptured liver and spleen, was removed from the ICU and transferred to general surgery, and now he can walk back and forth in the corridor with a prosthesis.
Most of the other patients have various fractures.
Director Han has been a bit busy recently, he has recently applied for the establishment of an orthopedic research institute in the hospital, and then, he has to apply for the provincial key department, in short, ambitious and energetic.
When he has time, he will take Yang Ping on a few ward rounds, although he is busy, he knows the condition of each patient well.
In the corridor, Dr. Jin met Director Ouyang's group, and Dr. Jin said happily: "I'm going to get those two screws tomorrow, and then I will see if the pain and swelling of the joint will be reduced after surgery." ”
Little five sheets of the forest operating room. Director Han called Yang Ping and Song Zimo to the office.
Old Han is used to drinking tea first and then speaking: "Xiao Yang, Xiao Song, I want to add a newcomer to you, or a girl." ”
Newcomer? Schoolgirl? Could it be that Tang Fei wants to join our foursome. Men and women match, work without getting tired. Lao Han really knows the essence of management.
"Our department is currently developing rapidly, and will continue to replenish fresh blood, our colleague has a very good educational background, and graduated from the imperial capital medical university in eight years, you have a psychological preparation in advance." Director Han said.
After talking for a long time, it's not Tang Fei, it's a newcomer, and the person hasn't come yet, just a preventive shot.
After a few words and some important things about the patient, Director Han went to the administrative building.
Yang Ping and Song Zimo went to the ICU to see the AIDS patients who operated last night.
There were two policemen guarding the door of the ICU, and Yang Ping didn't care about these things.
The patient stayed in the negative pressure isolation ward of the ICU, this guy was hard-lived, he pulled out the tracheal intubation that night, and now he asks if he can transfer to the general ward, but there is no money.
The ICU can't afford to spend 20,000 yuan a day at every turn, and he really can't afford it.
If the vital signs are stable, it is hemorrhagic shock, and if it is corrected, it is not a big problem.
Besides, if the patient can communicate so clearly, what reason is there not to transfer to a regular ward.
"Of course!" Yang Ping confirmed that there was no wound on his hand and reached out to shake his hand.
He hesitated: "I have AIDS. ”
Yang Ping smiled and said, "I know, we can shake hands, you were very strong yesterday and walked away from the ghost gate." ”
He cautiously reached out and shook Yang Ping's hand.
Handshakes are not contagious unless there happens to be a wound on the hand.
"I put a note in my pocket, but I was unconscious, I didn't take it out, are you all right, I'm worried." He said.
Yang Ping said: "It's okay, we will do a good job of protection." ”
"Thank you for saving my life, you don't have to worry about the expenses, I will definitely make up for it." He said.
Those who are in arrears, especially those who are fighting, Yang Ping has seen a lot, and he has never seen such an initiative to mention expenses. Whether it's true or not, it's comfortable to hear.
There used to be a fight, after the emergency surgery, he didn't pay a penny, he slipped away early in the morning, and he took the sheep by the hand and took the remote control of the ward, causing Yang Ping to eat instant noodles for two months.
After Yang Ping finished seeing the patient, he came out of the ICU, and the police were still guarding at the door. A girl, sitting on a bench, bowed her head and hid her face, crying profusely.
Dr. Meng in the ICU next to her was talking to her about her condition: "Okay, the person has been saved, the orthopedic surgeon said, wait for the transfer to the general ward." ”
"Really?" The girl burst into tears and laughed.
"That's right, Dr. Yang, this is the family of the patient who ruptured the femoral artery last night." Dr. Meng saw the sliding door open, and Yang Ping and Song Zimo came out.
The girl immediately got up and bowed, wiped her tears with a tissue and said, "Doctor, thank you, Wang Feng is really okay?"
Yang Ping nodded: "Out of danger, go to the trauma orthopedic ward and wait, you can see him soon." ”
"I'll pay the fee later, you use the best medicine, and you will definitely help him heal." The girl's eyes were red.
It should have been Dr. Meng who talked to her about the cost.
Yang Ping remembered about AIDS, but immediately pretended not to know. Because as long as this kind of thing is reported to the hospital infection office, the hospital infection office will go through the process, and the CDC CDC will intervene. What doctors need to do is to keep the confidentiality of their patients and protect themselves.
Returning from the ICU, I went to the general surgery department to see the amputee workers.
He has been fitted with a prosthetic leg and has started walking back and forth in the corridors of the ward, training the prosthesis for adaptability. The wound on the severed limb stump healed very well, but there was a little phantom limb pain at night. Yang Ping explained some medication to his general surgery brothers.
The two hurried to the operating room, several surgeries were waiting, one was urgently diagnosed and replanted, and Song Zimo took Zhang Lin to do it.
There are also a few fractures, humeral shaft, ulnar and radius, femoral shaft, tibia and fibula, and Yang Ping takes Xiao Wu to do.
At present, except for the pelvic fracture and the limb fracture, Director Han has completely let Yang Ping go.
Director Han knew in his heart that the last comminuted fracture of the lower end of the humerus could be easily handled with a wire K-wire needle, and the fracture of the long bones of the limbs could be completely relieved.
After a day of surgery, I came out at 4 o'clock in the afternoon. After checking the room after the four of them, they sat in the department for a while.
Old Han said hurriedly: "Old man Zhang fell and fractured his hip, the situation is still unclear, go to the emergency department to see." ”
Lao Han took everyone and rushed to the emergency room of the emergency department.
The old man was lying on the flat car, surrounded by a large group of people, and Xiong Sihai's upright figure was particularly eye-catching.
Seeing Director Han coming, Xiong Sihai was a little anxious: "The old man is very stubborn, he won't let him touch it, and he said that when you come, it is estimated that he has a hip fracture." ”
"You should be careful, elderly patients, left hip pain with left lower limb mobility impairment for half an hour after a fall, obvious tenderness and percussion pain at the greater trochanter site on examination, and shortened external rotation deformity of the left lower limb. According to the medical history and physical examination, the left hip fracture is basically determined, and then the degree of external rotation of the left lower limb reaches 90 degrees, which is not a femoral neck fracture, but must be an intertrochanteric fracture. You don't usually practice physical examination, everything depends on films, and you can't see a doctor without a film?"
The old man was still giving a lesson to the surrounding people, and when he saw Director Han coming, the old man said: "Second Han, what you shouldn't have said last time is a word, and this time it really fell into your hands." ”
"What's the matter, old man, if you say a broken bone is a broken bone?" Han Burang held his hand.
Old man Zhang waved his hand: "It's okay in the afternoon, go to the hospital park for a walk, meet someone who is doing Tai Chi, the two of them practiced pushing hands on a whim, and fell each other, I myself fell, he fractured his lumbar vertebrae, I fractured my hip, he took in spine surgery, you say, why do people age so fast." ”
I'm eighty years old, what's not good to play, play Tai Chi pusher.
"Let's take a look first, it is estimated that the greater trochanter is fractured, small things, when it is a vacation." Director Han comforted.
"If it falls into your hands, you want to kill or chop, you are in charge." The old man is open-minded.
Everyone pushed him to the radiology department to take a radiograph. The traction of the traction, the crossing of the bed, the old man got up with all his hands and feet.
The technician brought a scarf to protect the old man's thyroid gland and pushed and pulled the lead door shut.
Sure enough, the left intertrochanteric fracture was quite obvious.
The technician typed out the film, opened the door, and respectfully delivered it to him,
Glasses, where are the glasses, I took out my reading glasses and put them on: "The fracture is shattered, this tip is inserted into the muscle, trouble." ”
"My plane tonight, tomorrow the orthopedic institute will declare the on-site meeting. Pull for a few days first, and when I come back to help you do the operation, you will be at ease when you are old, and if you don't talk about anything else, then you will get an axe. In "Orthopaedic Surgery", your old name is still on the first page. ”
"The affairs of the research institute can't be delayed, Han Laoer, you are busy with yours, and there is no need for traction. Waiting any longer will increase the risk of deep vein thrombosis, I still want to do it for a few years, emergency, help me do the emergency, tomorrow I will go to the ground, as soon as I am bedridden, the problem will be big. "The old man is in a hurry.
"It's too late to do the emergency." Director Han was embarrassed.
"It's okay, you can find someone to do it for me." The old man was very calm.
It's a bit surprising that he agreed to arrange someone to operate on him casually, which is not in line with this old man's temper.
"In this case, I'll talk to Dean Xia and push the matter of the institute forward." Director Han said.
The old man glared angrily: "What are you doing with him, I have this little, I haven't reached this point, it's a big thing, don't be confused in your heart, the matter of the institute can be pushed, maybe next year." It's decided, find someone, just the kid from last time. ”
Then he looked up and found Yang Ping: "It's you, you do it." ”
"Me?"
"What's the matter, I don't want to, I'll tell you, I can't get off the ground tomorrow, I'll give you a zero egg, don't tell me, you're so big that you only do upper limb fractures, not lower limb fractures?"
As long as it is not a pelvis, Yang Ping is full of confidence in his heart, in the system, this kind of fracture, not to mention more, there are still hundreds of units.
But this old man is too weird, he asks to leave tomorrow with a weight, broken like this, how to get off the ground.
"It's decided, Han Laoer, you can rest assured that you can do things, and my business will be handed over to him, whether it is a mule or a horse, run two laps and take a look." The old man said.
And then, without question, reiterate: "Tomorrow will go to the ground." ”