Soon, the patient came back with a medical card.

Xiao Wu entered the computer outpatient system and prescribed a checklist for the patient: anterolateral x-ray of the left knee joint (standing position), and magnetic resonance scan of the left knee joint.

The computer showed that the MRI examination queued up for a week, and the patient was very anxious, so Xiao Wu canceled the examination order and told the patient to go to a private imaging center called hologram to do it, where it can be expedited, do it on the same day, and get the results on the same day.

The boss of Quanying is a doctor of imaging who came back from studying in the United States, he has brains and a thick family background, and he is not a doctor after returning from overseas and becomes a boss.

Invest in an imaging examination center in G City, called Horodrol Medical Imaging Center, what CT and magnetic resonance, and PETCT, all buy the best, and the business is booming after opening.

The big hospital will wait for a week for a check-up, and another week for a report after doing it. When it comes to full-shadowing, you can do it as fast as you want.

Expedited, added money! Two hours to report; Ordinary twenty-four hours; Delayed, cheap, discounted, out after twenty-four hours, but also faster than large public hospitals.

As long as you are willing to give money, you can get the results on the spot after doing it, the price is very high, and there is a special person to accompany the whole inspection.

Yang Ping has seen this imaging center, it is really good, and the experience of waiting for the inspection is also very good, network TV, a complete range of newspapers and magazines, free coffee drinks, and a toy award for children's inspection.

When I heard that I could be discharged from the hospital after a day or two, the patient was eager to finish the examination immediately and be hospitalized for surgery immediately.

For the time being, there are no new patients, so Song Zimo took Zhang Lin and Xiao Wu to the laboratory to practice arthroscopy, and several regular trainees and interns also followed.

Yang Ping began to study Mr. Ning's condition again, and the various puncture angles he envisioned were not good, nor was the puncture path to complete the intervertebral foraminoscope, either blocked by tumors or blocked by bone tissue.

The target is like an enemy hiding in a sniper's ballistic corner, and there is nothing he can do about it.

Since the puncture from the soft tissue cannot be completed by the envisaged pathway, what about the puncture from the bone tissue? Yang Ping used his imagination.

If you can't hit the enemy, open a hole in the wall and let the bullet pass through it and hit the enemy.

This idea is very interesting, Yang Ping thinks it is feasible, and it is the safest method, because as long as the puncture needle is in the bone before reaching the target, there is no need to worry about hurting the blood vessels of the tumor.

Yang Ping tried to simulate the process of puncture in his mind, the nerve root came out of the intervertebral foramen composed of thoracic 1 and thoracic 2, and it was best to puncture from the pedicle of thoracic 1, obliquely downward and inward, through the bone tissue of the pedicle, and finally break through the bone tissue at the end and penetrate into the nerve sheath.

After Yang Ping perfected the plan, he went to the director's office to find Director Han and told him what he thought.

When Director Han heard this, he was amazed! This plan is very good, it coincides with my idea just now, although the puncture is very difficult, but it is safe, even if it fails, it will not bring too much secondary damage.

As soon as he came up with this idea, Yang Ping had already come up with a mature plan, the angle of needle insertion, the position of needle insertion, the depth of needle insertion, precautions, and puncture skills, all of which were planned.

This stinky boy is quite imaginative, Director Han said happily: "In the afternoon, you go with me, but Director Kong just called, and the family invited Professor Su Qingyun, Professor Su is estimated to bring someone over, if the plan is determined to be a highly selective nerve root block, the operation may be completed by the person he brought, your idea is very good, and it is very mature, but the puncture difficulty is very high, but the puncture path is all bone, and the safety has been improved a lot, even if it fails, it will not have much impact, unlike after soft tissue puncture, Once you make a mistake, injure your blood vessels, cause bleeding, and are troublesome, wait for the next general consultation, you also have to speak, exercise, and see the world. ”

"I won't speak, I'll go with you to observe." Yang Ping felt that this kind of scene was all the director, and it was inappropriate for him to speak.

Director Han made a straight face: "If you are asked to speak, you will speak, whatever you say, just tell me what you just thought, don't be afraid, you will sit next to me when you arrive, and it will be me who represents." ”

All morning, Yang Ping was thinking about this patient's plan, and when it was time to eat at noon, if it wasn't for Su Yixuan's call, he would have forgotten it.

She had already prepared a meal and waited in the cafeteria, and Yang Ping hurried off work to the cafeteria.

Or in a relatively remote corner, Xiao Su handed chopsticks to Yang Ping and said, "I heard that there is a patient in the Overseas Chinese Building who will have a consultation in the afternoon?" ”

"Yes, advanced liver cancer, systemic metastasis, tumor invasion of thoracic 2 nerve roots, causing severe pain in the chest, need consultation, come up with a pain-relieving plan, I have been thinking about this patient since the morning, I forgot to read your WeChat." Yang Ping said while eating.

Xiao Su didn't care about Yang Ping: "It's okay, I know you must be busy, come to eat first, and then call you." ”

"I also invited a few experts from the outer hospital to come over, and I will also go to the consultation in the afternoon." Yang Ping reported on the work.

Xiao Su smiled: "That's the director, right, just you as a young doctor?" ”

"I don't know, Director Han told me to go, I'll take a look, there is a professor with a second member, who is the chairman of the orthopedic department of our province, I'll go and feel the demeanor of a big professor." Yang Ping gobbled it up.

"Slow down, don't choke, is it enough? I'll help you with some more. Xiao Su said distressedly.

Yang Ping took Xiao Su's tissue and wiped his mouth: "Enough, I'll eat quickly, go back and study this patient's plan again, it's really a bit difficult." ”

"It's not difficult, I won't invite experts from the outer court, Director Han is well-known in the country, and he has to invite the outer court, which shows that it is not only difficult, but also high-risk." Analysis of the Xiao Su Gang.

"You haven't forgotten the weekend, have you?" Xiao Su laughed, and the two dimples were very beautiful.

Yang Ping was embarrassed, if he didn't mention it, he really forgot it.

"What are you nervous about, don't be afraid to forget, I just haven't forgotten." Xiao Su looked at his expression and knew that he might have really forgotten.

Xiao Su put away the two metal dinner plates, cleaned up the garbage on the table, and wiped it with a paper towel a few times, as if no one had eaten at this table.

"I'm coming!" Yang Ping picked up the plate, and Xiao Su followed.

"I'll answer the phone." Xiao Su's phone vibrate.

"Well, I'm busy in the afternoon, I don't have time, uh-huh, uh-huh, got it--" After saying a few words, Xiao Su hung up the phone.

When he was putting the dinner plate, he ran into Dr. King, and he said excitedly, "Do you remember the metal ion reactive synovitis last time?" ”

Yang Ping said: "Yes. ”

"I came back for a follow-up visit, okay, now the joints of the limbs are not swollen or painful, and I can play football, the patient's family is very happy, and I sent a pennant over, which should be given to you." Dr. King said.

"It's not for me, it's for the department, for everyone!" Yang Ping corrected.

After chatting with Dr. Jin for a few words, Yang Ping and Xiao Su returned to the department.

I didn't fall asleep at noon, I entered the system space, and dissected dozens of experimental subjects, and strengthened the training of anatomical knowledge.

Yang Ping tried to reproduce the graphics he built in the morning, and he could reproduce them, which shows that his memory has improved very quickly, especially the memory of graphics.

In the afternoon, the patient came back from the hologram examination, and the patient was followed up by Xiao Wu.

Xiao Wu hung up the X-ray, and when everyone saw it, their scalps were numb.

It is densely packed, large and small particles, round, oval, at least hundreds, which are still developed, and there are those that are not visible on X-rays, because cartilage is not visible on X-rays.

Xiao Wu hung up the MRI film, everyone was numb all over the body now, the patient's son almost vomited, retching, immediately ran to the side of the trash can, squatted and retched a few times.

On the magnetic resonance film, not all doctors can intuitively understand, dense, hundreds, covering the entire knee joint cavity.

Synovial chondromatosis! Super severe synovial chondromatosis! Stand aside with dense phobias.

Xiao Wu took out his mobile phone to take pictures, collect data, take pictures of patients, and also take pictures of image pictures.

"Arrange tomorrow's surgery, synovial chondromatosis, large and small, five hundred and four!" Yang Ping said.

The patient covers his eyes.