"Okay, let's go check the room!" Yang Ping said that the question was almost the same.

Regarding Director Zeng's subtle attitude, Yang Ping can keenly feel it and don't care about it for the time being.

Accompanied by Director Zeng, Yang Ping took everyone on a ward round.

Twenty-one patients, twenty in addition to the young man just now.

Six people with neck, shoulder, waist and leg pain should be treated conservatively; Fourteen surgical patients, two clavicle fractures, one humerus fracture, two ulnar and radius fractures, one femur fracture, three tibia and fibula fractures, three tendon fractures, one finger fracture, and one pelvic fracture, were treated with external fixators.

Although he is a temporary director, he is not here for vacation, but to treat diseases and save people, and Yang Ping is very serious about ward rounds.

When the last patient was checked, there was still a ward, the door was closed, it should be empty, and there was no one occupied, Yang Ping took a look.

Director Zeng said, "No. ”

Suddenly, the door opened, and an old man about seventy years old with black-rimmed round glasses came out: "Zeng Xiaobao, I'm not a patient, you have two brushes, ask someone to drive me to the surgery, I don't, I'm back." ”

Isn't this ward called locked? Why did he move back again?

Director Zeng was embarrassed now, his face seemed to be coated with chili oil, and it was hot.

"What's the situation?" Yang Ping asked in a low voice, they were already standing at the door, and they couldn't do it without asking.

"This patient has had surgery for more than a year, and now he is recuperating, let's take a look at it together." Director Zeng said stubbornly.

immediately went to the door with a smiling face: "Where, Mr. Yan, there is a single room in the surgery, so arrange for you to come over, and the patient will be accepted here." ”

"Humph!" The patient snorted coldly.

Yang Ping took everyone in.

"Who is in charge of this patient? Report your medical history! Director Zeng shouted.

Before the doctor could speak, the patient himself spoke: "Lumbar disc herniation, the main symptom is numbness in the right lower limb, the numbness is very severe, it is difficult to walk, the operation has been done, it is still painful, the money is spent, and the pain has not been reduced at all." ”

"Can you take a look?" Yang Ping had long seen that this patient was a dispute patient.

Director Zeng said: "This is Director Yang from the provincial capital, I came to help you take a look, maybe there is a good way." ”

"Director Yang? Provincial capital? It just so happens that I have to go to the provincial capital to petition and complain, and the operation was done by the professor in the provincial capital? In addition to the medical insurance reimbursement, I paid more than 20,000 yuan myself, and now the leg pain problem has not been solved, and the waist is not good. "The patient has a very bad attitude and is full of resentment.

"Zeng Xiaobao, let me tell you, when my leg is better, I must go to petition and sue you, what are you, careless of human life, do you think I don't know, you and that Professor Zeng in the provincial capital are relatives, you colluded, there must be something unspeakable, my complaint letter has been written." The patient crackled and spoke in a way.

Yang Ping held his hand and said, "What do you call it, first dissipate your anger, tell me what the problem is, I'll help you take a look?" ”

"Teacher Yan!" Director Zeng said that it was embarrassing.

Yang Ping said: "Teacher Yan, what is your problem, tell me about it." ”

The patient took out a notebook: "On June 17 last year, here, CT was done in this hospital, and the diagnosis of lumbar intervertebral disc herniation, L4L5, L5S1, spinal stenosis, right nerve root compression, and conservative treatment for a month was done, but it was ineffective." Zeng Xiaobao recommended Professor Zeng to have surgery in the provincial city, I will look at the date of the operation, on July 28 last year, I asked Professor Zeng to do surgery here, and he gave a red envelope of 5,000 yuan at that time, which is recorded here. After the operation, there was no relief from the pain in the right lower limb, and after the stitches were removed and discharged, I came to the hospital again on September 20, and from that time on, I was hospitalized and discharged, and I was discharged from the hospital, and it was repeated for more than a year, and now it is almost the end of the year, and there is no relief, how do you say to solve it?"

The thick notebook, with saliva sticking to his fingers, turned page by page, and then took the pen and wrote again: "Today, what is the number today, let me remember, Zeng Xiaobao took the provincial capital, what is the name?" ”

The old man looked at Yang Ping's work card: "Yang Ping, Director Yang, round the room, write it down." ”

The old man closed the notebook and put it under the pillow.

This medical history does not need to be introduced, it is clearer than what is written in the medical record, and what is in the medical record, he has; What was not in the medical record, he also wrote it down.

"Teacher Yan, what did you teach before you retired, can I check it for you?" Yang Ping said.

He lay down: "High school politics, check the examination, I will cooperate, don't say that I don't cooperate with the doctor when the time comes, so the effect is not good." ”

When the patient reported his medical history, Yang Ping also looked through the medical records, and had done L4L5 and L5S1 lumbar intervertebral disc removal + posterior decompression + intervertebral fusion + pedicle nail internal fixation.

Professor Zeng of the First Affiliated Hospital, Yang Ping doesn't know, but he knows, but there is definitely no problem with the level of surgery, first-class in the province, so what is the problem?

He gave the patient a straight leg raise test on the right lower limb, which was obviously positive, and he couldn't lift it at 30 degrees, and checked the muscle strength and feeling, the muscle strength of the sciatic nerve was slightly weaker, and the feeling was a little worse, and the right calf muscle was atrophied.

Then the resistance abduction external rotation test and the figure 4 test were positive.

"No, no, it's numb and painful, I can't stand it." The patient shouted.

Yang Ping asked the patient to lie down, he pressed the position of the piriformis muscle, the muscle was harder than normal, and when he pressed, the patient shouted uncomfortable, and the numbness in the right lower limb was severe.

Is this possible piriformis syndrome?

Professor Zeng came down for surgery, maybe he was busy, he only watched the film, the lumbar intervertebral disc herniated to the right nerve very much, and the image was highly consistent with the symptoms, so he did not carefully investigate and went directly to the operation, which is not nothing.

"How's that, do you understand? You have nothing to do with this matter, I won't sue you, but Zeng Xiaobao, I must sue. The patient sat up.

After checking the room, Yang Ping sorted out in his heart, the patients in the department, except for the chronic osteomyelitis of the left diaphysis just now, this patient also had problems in diagnosis and treatment.

Through this period of time, Yang Ping has read a lot in the system space, coupled with the original solid theoretical foundation, and has made rapid progress in both knowledge and depth.

These two patients want to come one by one, if they say it directly, it will naturally make Director Zeng lose face, although Yang Ping has only been here for two weeks, there is no need to lose face.

There are two things you can't do to be a man: cut off people's financial paths, and lose people's face.

Yang Ping decided that it would be better to take a detour, and first take out the patient who had just disputed and talk about it, this patient is estimated to be in a hurry and can give him ideas, why don't he do it.

"Ugly, ugly!" Director Zeng wiped his sweat.

Yang Ping said lightly: "Every hospital has difficult patients, it doesn't matter. ”

Director Zeng said: "Director Yang! You see, what are the guidelines for these patients. ”

"I can't talk about guidance, Director Zeng has rich experience, and he has studied in the First Affiliated Hospital, and these cases are handled very well, it seems that Dean Pan has the confidence to make the orthopedics department independent." Yang Ping said in front of everyone.

Although Director Zeng made a fool of himself just now, after Yang Ping said this, he saved a little face.

"Director Zeng, shall we sit in the office?" Yang Ping said.

Director Zeng knew that he had something to say, and immediately nodded.

When I went to the director's office, Director Zeng poured tea.

Yang Ping said: "Director Zeng, this lumbar disc herniation, I suspect that there is piriformis syndrome, if he can be mobilized to do an MRI and electromyography of the piriformis muscle outlet, you can identify, it is really piriformis muscle outlet syndrome, and if you do another operation to release the sciatic nerve, the problem can be solved." ”

If the problem can really be solved, he is willing to kowtow a few times, this patient is his heart disease, it is too difficult, and half of the white hair on his head is caused by him.

The patient made trouble several times, went to the office to make trouble, and was blocked on the way to get off work, but now he simply lives and does not leave, and the letters of complaint are all thrown into the county magistrate's mailbox.

"There is no MRI in the hospital, and you have to go to Shipo People's Hospital to do MRI, and the outpatient clinic cannot be reimbursed, so he will definitely not do it, and he has not given a penny for hospitalization now." Director Zeng had a bitter stomach.

"It's okay to do a CT and electromyography, and you can see that CT and electromyography are both, right?" Yang Ping said.

"Yes, both!" Director Zeng said.

"Then let's go see the patient and talk to him?" Director Zeng said.

Yang Ping said: "No problem, I'll talk to him, it's best to call him here." ”

"I'll call!" Director Zeng wants to go out.

Yang Ping stopped Director Zeng, asked him to understand the patient's family situation clearly, and then asked him to invite someone.

Not long after, the patient came with a limp on crutches.