After Yang Ping finished eating, he packed up his lunch box, Song Zimo passed by and picked up his lunch box: "I'll help you throw it!" ”

Then, without speaking, he walked straight to the large trash can where the lunch boxes were collected.

It's so cool to help throw a lunch box, Yang Ping thought.

Wipe your mouth and continue with the operation.

Another full day in the operating room.

After checking the room in the afternoon, Yang Ping took Xiao Wu to the Overseas Chinese Building to see Li Jingshu.

Small splints should be fixed to observe blood circulation frequently, and the tightness should be adjusted in time.

Her mother sat on the edge of the bed and peeled an apple and put it on a plate on the bedside table.

Li Jingshu sat on the bed with her coat draped, moving the table across the bed, and she typed with one hand on her laptop.

Seeing the doctor coming in for rounds, Mrs. Li got up: "Everything is fine, hard work everyone!" ”

"I'm sorry, I'm going to rush the manuscript!" Li Jingshu stopped typing, she looked good, and she didn't have the previous gloom.

"I'll look at the blood flow of my fingers." Yang Ping said.

Li Jingshu carefully moved her arm out, the finger blood circulation was very good, and the splint was properly tightened.

"Thank you, Dr. Yang!" Mrs. Lee was always polite.

"You're welcome." Yang Ping finished checking Li Jingshu's arm.

After explaining the precautions, such as paying attention to blood circulation.

As soon as I got out of the ward, I met Dr. Yu, who was in charge of the bed, and he happened to be on duty. He chewed something in his mouth while buttoning up his white coat, he should have just eaten.

Dr. Yu was particularly enthusiastic about Yang Ping this time, accompanying him to the doctor's office, moving chairs and pouring water.

The news in the hospital spread quickly, and Dr. Yu also knew about Yang Ping's stunt of manipulating bones. Broken fingers are usually not encountered, but it is inevitable that relatives and friends will fall, and there will be a fracture, such as a fracture of the distal radius, and you will know who to find to help you correct the bone next time.

There are doctors who perform surgery, but the doctors who perform the surgery and orthopedics are powerful, and they are also the director of the Chinese Medicine Hospital, who is a local celebrity and a descendant of intangible cultural heritage, and they have no relationship.

Last time, my aunt had a fracture, and I thought of manual reduction in the Chinese medicine hospital, and I didn't know how many turns I had to make a relationship with my classmates, and later it was Director Kang who was reset by a student.

Let's get acquainted with each other first: "Senior Brother Yang, look, what else do we need to pay attention to, is it okay to add a WeChat, what is the situation to ask you for." ”

Yang Ping scanned the WeChat code for him, the doctor in the Overseas Chinese Building, the communication ability is leveraged, which is traditional.

"Xiao Yang! Come and do your rounds,"

Yang Ping turned around, Director Zhuang came in, and he hadn't gotten off work yet.

Yang Ping immediately got up to say hello.

"Sit, sit, sit! Your own people, why are you so polite! Director Zhuang pulled a chair and sat down diagonally opposite Yang Ping.

His eyes swept over naturally, and he saw a glass of mineral water on the table, and said, "Xiaoyu, make tea, how can you let Dr. Yang drink white water, I have a good dragon well on my desk, bring it over, and the office door is not closed." ”

This is a coincidence, Director Zhuang made a special trip to wait in the office, waiting for Yang Ping to come over to check the room, and then take the opportunity to chat.

Director Zhuang is a refined person, and he understands the problem much better than others. People like Yang Ping who have mastered the core technology of orthopedics will have more places to use in the future.

Those dignitaries and nobles in their hands have broken bones one day, and they need surgery elsewhere. Here's a phone call: "What kind of surgery, come here, find someone to help you straighten your bones." "How bullish, the value immediately rose a few levels.

Director Zhuang on the seventh floor of the Overseas Chinese Building, and Director Kong on the eighth floor, these are all Sanbo's essences.

They are not relying on technology to eat, and it can be said that they are stepping on half a leg in the officialdom.

Especially Director Kong upstairs, the directors of large and small departments in the city, they often eat around the table together, these days, who does not have high blood pressure and high blood lipids, who does not want to live longer.

Director Zhuang and Director Kong, these two directors both live in villas, why, just one director, the salary on the books is not enough for a month of drinking.

People rely on resources, and the network resources in their hands have been entrenched in the overseas Chinese building for many years, and their energy is no longer comparable to ordinary directors.

A brother in the emergency department, Xiong Sihai, who opened an amusement company, was closed for rectification due to license issues.

It is said that Director Kong's younger brother opened a construction company, and there are few people, and the wheels are never muddy, but there are villas and luxury cars, and some bosses who are engaged in engineering line up to call Director Kong's younger brother brothers, why, or resources!

"Xiao Yang! Your stunt of orthopedic bones, that is not to find a few, I have a relative who fractured the distal radius last time, the reduction is not very good, and it still hurts, add a WeChat, I will send a film to you to help you see, give an opinion? ”

Yang Ping couldn't refuse, so he took out his mobile phone again and showed the QR code, and Director Zhuang immediately added it.

It's also a good thing to make friends with these people, multiple friends and many paths.

In fact, the distal radius has been going on for half a year, and watching a fart film is just to find a reason, get in a relationship, and have something to take care of in the future. Although it is said that it is a hospital, but the technique is not willing to do it, and it does not sell your face, one opinion: "Open the knife!" "You can't help it.

A hospital, the relationship is also close and sparse.

After drinking tea for a while, the heat was almost over, and Director Zhuang was very interested: "Dr. Yang is also going to get off work in a hurry, don't delay your time, have time to contact, Mayor Li's daughter, explain more about Xiaoyu." "After that, he left.

The nurse on duty came over and said to Dr. Yu: "3 beds and said that the abdomen was distended. ”

Yang Ping and Xiao Wu want to retreat.

Dr. Yu said: "Please help me take a look at this patient, this patient is a joint surgeon, one week after artificial knee arthroplasty, he always said abdominal distension after surgery, and the routine examination is that D dimer has not decreased but risen, but several re-examinations of color ultrasound have not seen venous thrombosis in the lower limbs. ”

In Dr. Yu's eyes, Yang Ping is a high-level doctor, although he is in trauma orthopedics, he is a big orthopedic, and he must have some insights.

People have already spoken, and they have to help take a look, and they have to pretend to be pretending.

"Look at the patient." Yang Ping said.

Clinically, it is necessary to ask for a personal history and physical examination.

"Doctor Yang?"

Draped over a coat and hanging her injured arm, Li Jingshu gently knocked on the door of the doctor's office.

"What's the problem?" Yang Ping asked.

"No, just thank you." Li Jingshu wanted to speak and stopped.

"It's okay, it should be." Yang Ping said that he was going to see a patient.

Li Jingshu hadn't left yet, standing by the door.

"Is there anything else?" Yang Ping asked.

Li Jingshu shook her head: "It's okay, um, I'm sorry for what happened last time." ”

And then left.

I'm sorry? What's the matter, inexplicable.

Yang Ping didn't have time to think about it.

Dr. Yu led the way, entered the ward and knocked on the door three times, the old man was reading the newspaper, and the nurse was watching TV, silent.

"Old Zhou, this is our orthopedic doctor, haven't you been bloated recently, I asked them to come over and take a look."

"Oh, yes, it's okay, don't worry, at such an age, there are comfortable ones, the car has been around for a long time, and it still rings everywhere."

The old man is over 90 years old, one leg is gone, and when he resisted US aggression and aided Korea, he was bombed by an American plane, and I heard that he relied on one leg and killed several American devils.

"Doctor Yu, you have to remember what I discussed with you, help me transfer to a general ward, I am not used to living here, it is too expensive." In fact, he was reimbursed in full at public expense, but he always asked to be transferred to a general ward.

The old man lay on the bed, curled up his legs, and lifted his clothes up, exposing his belly.

He was already very skilled, and several waves of people had pressed his stomach.

Yang Ping listened to the bowel sounds, and then did an abdominal examination, surgical, and the foundation was good, which was not a problem. Palpation of the abdomen begins with the fingertips of the fingers.

It may be the harvest of practicing osteopathy, the fingers are particularly sensitive to the touch of the human body, and the liver, spleen, and intestines under the hands can be felt clearly through the belly.

The inferior vena cava is actually hard.

Inferior vena cava thrombosis?

After major orthopedic surgery, abdominal distension and conjugated D-dimer continued to rise, and the medical history and physical examination laboratory tests were combined.

Almost certainly!

"Old man, lie down, don't get up and move around." Yang Ping helped him pull down his clothes.

Back at the doctor's office, after washing his hands, Yang Ping said, "Inferior vena cava thrombosis!" You said that the bloating has been a few days, and it is estimated that it has been more than 24 hours. ”

Venous thrombosis, once it falls off to form a pulmonary embolism, has a chilling 44% mortality rate.

Orthopedic surgeons are most afraid of two things, infection and pulmonary embolism, the former is troublesome and the latter is dangerous.

As soon as he heard the inferior vena cava thrombosis, Dr. Yu's face turned blue, he was really not sure, this is a big deal, contact Director Zhuang immediately and report!

Director Zhuang was still in the office and didn't leave, and came over and said, "Inferior vena cava thrombosis? ”

Yang Ping said: "High suspicion! ”

Director Zhuang immediately dialed the phone number of the director of the Department of Cardiovascular Medicine.

"Absolute bed rest, emergency abdominal CT scan + venography, if so, emergency placement of inferior vena cava strainer!" Director Zhuang was on the phone while giving instructions to Dr. Yu.

"We're going back?" Yang Ping whispered hello to Director Zhuang and Dr. Yu.

They made a goodbye gesture and continued to call.