Teacher Yan went back to the ward on crutches, and Yang Ping asked the doctor in charge of the bed to help him send him back.

Director Zeng added tea to Yang Ping, and now he doesn't treat Yang Ping as a yellow-haired boy at all.

On the first day of work, I helped solve problems, although things have not yet come to fruition, but I am sincerely admired by this young Director Yang who is mature and experienced in handling things.

Yang Ping's mobilization of the patient for another operation was not a whim, but based on a careful analysis of the condition.

Don't fight uncertain battles, this is Yang Ping's motto.

The medical industry is no more important than other industries, so this sentence seems to be more applicable.

"On the first day of work, let you deal with these bad things, trouble you." Director Zeng said ashamedly.

"Director Zeng's words are out of sight, we are peers, often walking by the river, how can there be shoes that are not wet, the big professor also has a gutter overturned, not to mention that you have a lot of misunderstandings about this, the operation is no problem at all, but at that time he ignored his combination of piriformis syndrome, anyone who watched the film at the time would think that there was only intervertebral disc herniation, and I was also hindsight." Yang Ping said modestly.

"You are really good, he spoke much better later, at least he didn't quarrel with you, and agreed to go back to discuss." Director Zeng was in a good mood for a day because of this.

"It's not that I'm good, he has a deep misunderstanding of you, so naturally you can't talk about it, and if you change someone to communicate with him, it's much smoother." Yang Ping said while drinking tea.

This patient has a very strong indication for surgery and the results should be very good.

The first thing in surgery is to choose the indications well, and if the indications are not selected well, no matter how beautiful the surgery is, the effect will not be much better. This is the same as prescribing the right medicine, the right medicine is the right medicine, even if the world's best medicine is what.

Yang Ping began to think about how to do the surgery if he agreed to it, where the risks were, what to pay attention to, and whether there was a missing differential diagnosis.

Think about it again and again until you can't find a loophole.

He has a good habit of repeating the operation even if it is a small operation, planning carefully, rehearsing the surgical process in advance in his mind, and trying to make it as seamless as possible.

"If the patient agrees to the operation, there are no contraindications, just schedule tomorrow, don't procrastinate, it's easy to have long nights and dreams." Yang Ping instructed Director Zeng.

"Hmm!" Director Zeng agreed.

After talking to Mr. Yan, the two went to the department for a turn.

There weren't many things in the morning, and the emergency department admitted a ruptured tendon on the dorsal side of the forearm, and Zhang Lin took someone to the operation. For lumbar vertebra compression fractures, conservative treatment, small five people are dealing with it. The child suffered a fracture of the humeral shaft, and Song Zimo helped him do manual reduction and splinting.

After finishing his work, Director Zeng took Yang Ping to the emergency department and operating room to familiarize himself with the environment.

At noon, Yang Ping and Director Zeng went to the cafeteria to eat together, and the two chatted for a long time.

When I was about to get off work in the afternoon, the nurse came to the director's office and said that Mr. Yan's family was here.

Director Zeng hurriedly called them to the office, it was Mr. Yan's son and daughter-in-law, both of whom were teachers.

Director Zeng poured tea for them, and they said with gloomy faces, "No need. ”

"What's the situation now, the old man said he was going to have another operation, let's come over and find out the situation?" He spoke to Director Zeng.

Director Zeng said, "You sit down first and listen to our detailed explanation." ”

The couple sat down, poured their tea, and put it on the coffee table, and they didn't even look at it.

The old man's son said, "What did he say from the director from the provincial capital?" One more surgery will resolve the pain. ”

Obviously, he didn't think that Yang Ping was the director at all.

"What to treat people as, one knife on the left and one knife on the right, it's not enough." The daughter-in-law has a bad attitude.

The old man's son immediately stopped his wife: "What's the use of saying this, first understand the situation clearly." ”

Director Zeng said: "This is Director Yang from the provincial capital, who squatted in our hospital, and in the morning we studied the condition of the elderly, and also did CT and electromyography. ”

The old man's son looked at Yang Ping, so young, is there any mistake, thinking that it is really a professor from the provincial city, it turns out to be a young doctor.

"Hello, I am Dr. Yang who was dispatched to Nanqiao by the Provincial Health Department for medical support." Yang Ping shook hands with him politely.

The old man's son shook hands with him, after all, as a teacher, there was still etiquette on the table, and his speech was not as bitter as his wife.

"In this way, I learned about the situation of the old man in the morning round, the old man has been in pain for more than ten years, and the last two or three years have been particularly serious, and he had surgery last year, and the symptoms have not been relieved. Why is there no relief from pain after surgery? We carefully studied his condition, and did CT and electromyography to clarify the problem. This is because the sciatic nerve on the right side is entrapped in two places, one is the lumbar spine and the other is the buttocks. Last year's surgery only solved the entrapment in the lumbar spine, and the entrapment in the buttocks was not relieved, and the natural pain was not relieved. It's like the wiring, switches, and wires at home are all broken, and you just fix them, it's useless! Both are fixed for the bulb to come on. Yang Ping said.

"Last time, I asked a professor from the provincial city to do it, and anyone would say it when it comes to theory--" The daughter-in-law was full of anger.

The old man's son immediately stopped: "This matter has nothing to do with others. ”

The daughter-in-law's words were half swallowed back.

Yang Ping said: "It's okay, I understand your feelings, I only stay here for two weeks, this matter has nothing to do with me, you can ignore it completely, why are you asking for trouble so much, because I have encountered this special case before, I have experience, so I can't bear to watch the old man in such pain, a toothache tortures people over and over, not to mention this kind of sciatica, the old man is afraid of troublesome you, forcibly endure, it is hard to imagine how the old man has survived all these years." ”

The old man's son didn't believe in this young director, but when he said this, he was a little shaken, what did he do, why bother with himself, maybe people really have a way, didn't they say it, people have encountered this kind of case.

This matter, there is a lot of trouble, the family is also tired, the two have to go to work, the children have to take care of it, now the old man is so miserable, and the problem has not been solved for a year, and now this young doctor has a way, why not listen to it.

Who doesn't want to solve the problem and live happily, the quality of life of the whole family is lowered by this.

"Why didn't Professor Zeng see the nerve entrapment in two parts last time?" The old man's son asked.

Yang Ping said: "This situation is so rare that it is difficult for the doctor who operated on it for the first time to think that it is the same in the cases we have encountered before, the pain has not been relieved after lumbar spine surgery, and it was found out after re-examination." ”

The daughter-in-law said, "Then the first operation cost so much money in vain? ”

This time the tone was better.

Yang Ping said: "It's not like this, it's like the light bulb at home is not lit, the bulb is fine, it's the switch and the wire are broken, the switch was repaired for the first time, and now the wire has to be repaired, and it's useless to repair the same." If lumbar spine surgery is not done, only buttock surgery is done, and the pain cannot be relieved after surgery, and only two surgeries can be effective. ”

"What if the next surgery doesn't work, can I guarantee it 100%?" The daughter-in-law's face was tilted to one side.

"It's not 100 percent guaranteed, but the probability of success is more than 90 percent." Yang Ping said calmly.

"I know that you doctors will have room to speak." The old man's son is 90% sure of it, and no doctor dares to say 100%.

Yang Ping saw that they were silent and said: "Let's solve the pain of the old man together, the pain is not solved, how to deal with this matter is troublesome, the old man is in pain, you follow the pain, isn't it?" ”

The old man's son saw that although Yang Ping was young, he spoke skillfully and calmly, which was not the style of an ordinary young doctor at all

Maybe he really has a way, otherwise how dare he take the initiative to touch this hot potato.

"I'll discuss it with the old man, can you wait for me?" The old man's son picked up the tea and took a sip.

"It's okay, you discuss it clearly, we'll wait for you." Yang Ping has always spoken in a flat tone, not impatient or impatient.

"Again, if I didn't want to solve the pain of the old man, I could have left it alone." Yang Ping added.

After the two couples went out, about ten minutes or so, the old man's son came back.

"We agree to do the surgery, but we ask Director Yang to do the surgery."

"Of course, I'm the main one." Yang Ping said.

"And this time—" said the old man's son, embarrassed.

"Let's solve the problem first, and then let's not talk about the rest for the time being, how about it." Yang Ping said.

The old man's son didn't say anything.

"We had a bad attitude just now, please forgive me, this incident made the family very irritable." The old man's son said.

Yang Ping waved his hand: "It's okay." ”

The family's work was done, and the preoperative examination was immediately arranged, except for the thickening of the lung texture, there was no other abnormality, blood pressure and blood sugar were normal, and the body was fine.

The operation was scheduled for the next morning, and Yang Ping told him to prepare two methylprednisolone before the operation and bring them to the operating room at that time.

Then sent a WeChat message to Su Yixuan, asking her to help prepare the instruments and have an operation tomorrow, Su Yixuan is now the head nurse of the operating room.

Back in the dormitory, Yang Ping wanted to report to Director Tian on today's work.

Director Tian did not return, and went to dinner with the leaders of the Health Bureau with Dean Pan.

"Fatty, do you still have that soft China?" Zhang Lin asked Liang Fatzi.

The fat man was very dissatisfied: "Don't be a fat man, Director Liang, called Director Liang, I am the director of the anesthesiology department." ”

"You're too deep into the play, aren't you?" Xiao Wu said.

"What do you know, this is called dedication, two weeks of director, and also director."

"Director Liang, Director Liang, please give me a soft China."

Zhang Lin stretched out his hand.

The fat man pulled out a pack of cigarettes.