After the examination, the old man was pushed to the trauma orthopedic ward, and Director Xiong personally helped him go to the window to go through the hospitalization procedures.

As soon as I heard that Professor Zhang arrived, the ward was like a dark cloud, from the intern to the professor who led the group, as long as they were still in the ward and did not get off work, they all panicked.

Everyone stopped what they were doing, the first thing was to quickly check the buttons of the white coat, and if there were missing buttons, they should quickly find the head nurse.

"What do you usually do, at this time to mend the buttons, and the chicken leg is stuffed in the mouth before I think of filling the teeth." Yao Ling reprimanded several graduate students and trainees, but she was a knife-mouthed tofu heart.

It's too late to find a linen room for this matter, and I want to call a nurse to make up for it. Immediately dispelled this idea, these little girls usually have injections and infusions, and they sew and mend buttons, so don't think about it.

Yao Ling found the sewing kit and clasp from the department's warehouse and sat down in the doctor's office: "Come one by one." ”

A few young men lined up to nail buttons, and someone was sentry at the door, and there was a warning at any time.

"Hurry up, old man Zhang has a fracture and will be hospitalized immediately." Someone went to the duty room to ventilate the news.

A few guys took advantage of their free time to play a few kings, and when they heard the shouting, their mobile phones couldn't hold it steadily, so they closed the game directly, forcibly quit, and then took a book in their hands to read it, pretending.

"Where is the fracture?" Someone asked.

"Great trochanter!" The messenger replied.

Oh - take a long breath, don't pretend anymore, put down the book in your hand, and the game will definitely not dare to play.

Grunting, the sound of wheels crushing the ground, the dripping sound of the emergency elevator opening the door.

Professor Zhang was pushed to the ward by a flat cart, and Yao Ling personally took the most capable nurse Cai Qiaojun to guard the door, but Cai Qiaojun was obviously a little nervous.

Not to mention the nurses, the entire hospital, except for Dean Xia and Director Han, don't be nervous in front of him.

Professor Zhang criticized people for not using a dirty word or saying a word of anger. The criticism is clear and logical, and the pages of the book, who published the papers, and the latest guidelines and consensus, are at your fingertips, and it is word for word. If you don't accept it, you can't do it.

Yang Ping pulled the injured leg, and everyone worked together to cross the bed. Xiao Wu brought the instrument of skin traction, since it is an emergency operation, there is no need for bone traction, and skin traction is maintained.

The wrist identification belt is buttoned on the wrist, and the sign of the pre-operated patient is hung on the head of the bed, and the fasting and water fasting is immediately started. Blood draw, bedside electrocardiogram, no respiratory symptoms such as cough recently, chest CT done every year physical examination, chest X-ray is exempted.

Everyone helped Professor Zhang adjust the best position, straighten out the rope pulled by the skin, and shake the head of the bed to 45 degrees, so that he could lean comfortably, he didn't want to lie down.

As soon as the rubber strip tourniquet was tied, Cai Qiaojun quickly began to puncture the back of Professor Zhang's hand, preparing to put an indwelling needle.

But I don't know if I am nervous, or Professor Zhang's blood vessels are really hard to find, so I actually wore it once and didn't return blood.

Cai Qiaojun is a benchmark among orthopedic nurses, and she has won awards in the city's nursing skills competition. If he misses once and changes to another patient, he will definitely not change his face and heart will not beat, and he will be punctured again calmly.

But now it is Professor Zhang who is lying down, how can she not be nervous, and sweat can be seen on her forehead. Professor Zhang put his right hand next to him to prick the needle and turned it slightly sideways.

Reach out your left hand and say, "Give it to me!" ”

The tone is very kind, the more kind it is, the more nervous everyone is. He took the needle to draw blood and asked to do the venipuncture himself.

"You see, first 45 degrees, shorten the puncture path, the level of the puncture needle should be clear, the skin, subcutaneous, and then the veins, each layer through the hand, you are still not proficient." Professor Zhang patiently explained while operating.

He turned the needle upside down with his left hand, and gently pushed it very casually, went in, returned the blood, and hit the nail on the head.

"After the needle is inserted, the puncture angle is lowered to keep it consistent with the blood vessel. As long as the blood vessel is thicker than the needle, it can be pierced. There is no such thing as nervousness, nervousness is because you are not skilled, no matter how nervous you are, you can answer that one plus one equals two. Professor Zhang continued, Yao Ling and Cai Qiaojun's faces flushed.

Professor Zhang let go, Cai Qiaojun took out the needle, left the hose inside, fixed it again, connected the balance solution, and started the infusion.

It used to be just a legend, but now it's close to it, the old man's own needle technique, the nurse dared to refute it, and only obediently listened to the lecture on the side.

Director Han came in with a briefcase: "Teacher Zhang, I want to catch a plane, you can stay in peace, I also said hello to Tian Yuan, and then Xiao Yang, Xiao Song, and Tian Yuan will all come to the stage." ”

"Okay, I know in my heart, you are busy with yours, and the affairs of the institute must be taken down, and there can be no delay." Professor Zhang is fiddling with the remote control and wants to watch TV.

Director Han said a few words of greeting and left in a hurry.

The head nurse said to help adjust the TV, but he refused: "What are so many people doing around me, you are busy with you, just deal with it routinely." ”

Turn on the TV, flip through it, and flip through the old film "Surprise Attack on the White Tiger Regiment" to resist US aggression and aid Korea.

"You are all busy, there are so many patients, don't worry about me, help me ask for a companion, man, the urinary catheter is not inserted before the operation, don't embarrass you, please use a metal spy in the urology department may not be able to enter smoothly. There are also three meals a day after surgery, there are no contraindications, and you can order it casually. Go ahead, you kid stay. He saw that everyone had no intention of leaving, so he began to drive people away again, and named Yang Ping to stay.

The head nurse saw that there was nothing to do, said a few words of relief, and took everyone out of the ward, leaving Yang Ping behind.

"What are you doing sitting and standing, and you don't make a mistake." The old man asked Yang Ping to sit down.

Yang Ping moved the companion chair over, sat down on the edge of the bed, and Professor Zhang paused the TV: "These films are still good-looking, at that time, I was a teenager, my father was one of the first batch of Western medicine orthopedics, and after returning from studying in the United States, he worked in Concord, and when the 50-year war broke out, he volunteered to apply to go to the battlefield, and there was a piece of shrapnel left in his body during the battle at Changjin Lake--the old man insisted on going out of the outpatient clinic at the age of ninety, and his eyes were closed in the office chair of the outpatient clinic--"

Yang Ping listened silently, and couldn't help but be in awe, Professor Zhang suddenly stopped and said, "Take the film, let's discuss it." ”

Yang Ping took out X-rays and CT films from the bag at the head of the bed, Professor Zhang put on reading glasses, pointed to the film by natural light, and said: "The biggest difference between the lower limbs and the upper limbs is that the lower limbs have to bear weight, and any lower limb fracture must have bony support to go to the ground early, that is, the tighter the pressure, the more the inner plant is only an auxiliary, and it cannot be substituted." The simplest tibial transection fracture is interlocking intramedullary nail fixation, which used to be done by the Germans, operated in the morning, and walked back in the afternoon, so scared that we didn't dare to speak, and we did it for six to eight weeks before we dared to bear some weight, and it took 3 months after surgery to fully bear the weight. At first, we thought it was a material problem, but later we found out that the main problem was not the material, but the bony support theory, and their interlocking intramedullary nails used longitudinal sliding holes, transverse locking, and longitudinal sliding, so that the fracture end was automatically pressurized, and weight bearing became a favorable factor, and the more you walked, the faster the fracture healed. ”

Yang Ping listened attentively, and Professor Zhang continued:

"This bone block to pull out, these pieces must be dissected and reduced, this piece must have a steel wire and a steel cable, now the fracture surgery on the steel wire, it is considered backward, without a steel wire, it is tall, surgery is not to catch up with the fashion trend, to have their own thinking, medicine to move forward, but new things are not necessarily the best, it takes time to test. Your last comminuted fracture of the lower end of the humerus was done very well with steel needles and wires, and the whole reduction and fixation sequence must have taken a lot of thought. ”

"I think the sequence of fracture reduction and fixation is too profound, and it is by no means a simple process, just like building a house, not a simple accumulation of bricks, there should be a complete set of theories." Yang Ping expressed his feelings.

"Well, it's nice to recognize that. I've been thinking about this for a long time, and a lot of things seem to be very simple on the surface, but when I study them, I find that they are very profound and complex. Just like the Rubik's Cube, looking at the surface, it seems to be breaking around, but in fact, how to restore and how to arrange the order is a university question. Professor Zhang put down the film.

Yang Ping put the film away, and Professor Zhang said: "Surgeons, especially orthopedic surgeons, need an important ability - spatial imagination. In the mind, there should be a three-dimensional anatomical construction, and this construction should be precise and concrete, and those who play chess can play blind chess, and we surgeons must be able to operate in our minds. I close my eyes and can go through the operation in my mind. Bring the paper! ”

Yang Ping pushed the mobile table over, set it up on the bed, and placed it in front of Professor Zhang, locking it firmly. Then take out a blank paper and gel pen from the drawer of the bedside table.

The old man put a gel pen on the white paper and began to sketch it, and in less than three minutes, a figure of a hip joint jumped on the paper, and his own fracture was completely drawn. Then draw a diagram of the reset fixation on another piece of paper. The image is extremely realistic and detailed, and the three-dimensional sense gives people a strong visual impact.

"At that time, we had to master the art of drawing, and now doctors can't find anyone who can draw, so if you need it, I have some drawing manuscripts, you can take them and look at them." Professor Zhang put down his pen.

Yang Ping was shocked by him, no wonder the whole hospital was afraid of him. It's not that he likes to scold, it's that everyone really can't meet his requirements. The two pictures on the table, Yang Ping picked them up, and they were not inferior to those Western realist painters, and they were vivid and delicate, which was jaw-dropping. This painting is not flat, it is three-dimensional, just a black gel pen, actually expresses the three-dimensional sense so perfectly, this level can go to the street performance three-dimensional painting.

"Surprised, huh? If it's colored, you think that there are joint models and steel plate screws on the paper, and a simple combination of lines can achieve such a state, why can't medicine? I taught myself modern 3D drawing, combined with medical drawing, to have this 3D painting technique. Professor Zhang smiled.

Yang Ping became interested in Professor Zhang's drawings, and he had no such concept before, so he put away two pieces of paper: "Can I give these two pieces of paper to me?" ”

"It was originally drawn for you, you can take it to study the surgical process, you are a little thirsty, and the combination of rehydration is not quite right." Professor Zhang said.

Yang Ping hurriedly poured a glass of water, there was a cotton swab on the bedside table, soaked it with a cotton swab, and then helped Professor Zhang's lips apply it again.

"Wait for the operation, you have someone make a tablet, connect to the video system in the operating room, and I have to watch the whole process by myself." Professor Zhang advised.

Yang Ping said: "I asked people to prepare now. ”

"You go and prepare, I'll take a break. I've had a lifetime of surgery on someone else, and now it's my turn. ”

"Remember, I'm going down to the ground tomorrow."

Yang Ping walked to the door, and Professor Zhang did not forget to remind him.