Chapter 172: The Pediatrician Was Beaten
Yang Ping put the tie in the drawer of his desk, and the business card was still there.
He glanced at it, closed the drawer, and took the time to look at the osteosarcoma child, Sisi.
"Sisi!" Yang Ping knocked on the door, and his mother seemed to have gone back to make breakfast, but she hadn't come yet.
Sisi was writing her homework, the math Olympiad exercises, and she put away her homework.
Yang Ping said: "You study so diligently. ”
Sisi was very embarrassed: "I haven't been to class for a long time, I have fallen behind a lot of homework, Sister Tang Fei tutors me every afternoon, this is the homework she assigned yesterday, I have to finish it before half past five in the afternoon, she will come to check after work." ”
"Come on!" Yang Ping encouraged her.
She clenched her fists and made a cheering motion: "Hmm! ”
"Can you talk to me about my condition?" Sisi's expectant gaze.
Yang Ping said naturally: "It's just a few fibroids, don't be nervous." ”
"You're the best doctor, but you seem to be very cautious about these fibroids, are you in a difficult situation?" Sisi stared at Yang Ping, peeking at the answer behind him.
"No matter how small the problem is, if you want to deal with it well, you must be serious, this is called taking it lightly, and doctors must not underestimate it." Yang Ping explained to her.
The child doesn't understand, she can only use white lies to hide the cruel truth and make the rest of her life happier, she is a poor child, a flower destined to wither prematurely.
"Your eyes betrayed you, you're lying!" Sisi let go of her gaze.
Yang Ping didn't dare to look at her: "This time you made a mistake, doctors never lie to their patients, doctors face objective facts every day." ”
Sisi's gaze looked away: "Thank you!" I think I'm wrong, and you're not going to lie to me. ”
"Do you have older siblings or younger siblings?" Yang Ping staggered the topic and talked to her about life.
"Nope! The grandparents wanted Mom and Dad to have another brother, but Mom and Dad refused, and they quarreled. Sisi's eyes flashed with a clear light.
"What about you," Sisi asked Yang Ping.
"Me too, the only child, so it's okay, your parents' love for you is your own." Yang Ping saw the loneliness in her eyes.
Sisi shook his head: "No, I don't think so, you don't understand--"
What an interesting child, you don't understand, make Yang Ping so funny that he doesn't know how to talk about it.
Okay, it's time to go to the operating room.
Yang Ping said goodbye to her: "I have to go to work, you have to continue to study, our happy chat is over." ”
Yang Ping and Sisi high-fived, and when they went out, Yang Ping clenched his fists: "Come on!" ”
In the operating room, Song Zimo took Tang Fei and Xiao Wu to do surgery, Zhou Can's instrument nurse, and Xiao Su as a roving nurse.
"Good morning, Dr. Yang!"
"Nurse Su, good morning!"
"Prepare your seats!"
"Yes!"
Xiao Su adjusted the height of a simple chair in the operating room, put it aside, and Yang Ping sat down.
"How's it going, is the surgery okay?" Yang Ping asked.
Song Zimo is doing anterior cruciate ligament reconstruction, and he has a deep understanding of the ligament footprint anatomy center.
The anatomical center of the ligament footprint, the real anatomical center, is not an easy task to find, which is the basis for reconstructing the ligament to function to its fullest.
The plasma knife is cleaning the stump of the synovium and ligament of the intercondylar fossa, the pleasant dripping dubbing, the blisters caused by vaporization, and the burnt yellow marks left by high-energy vaporization.
Plasma knife, also known as radiofrequency gasification technology. It is an epoch-making tool for arthroscopic surgery, this instrument is not the use of heat energy for cutting, but a low-temperature decomposition technology, using a strong radiofrequency electric field in the electrolyte liquid, breaking the molecular bonds of the target substance, so that the substance disintegrates and vaporizes, into simple molecules or atoms, the working temperature is 40-70 degrees Celsius, such a temperature is better than the high temperature of the laser. Due to the low operating temperature, it is also called low-temperature plasma knife.
"I can now distinguish the specificity of the footprint area according to your method, you see, this is the tunnel entry point that I marked with the high energy of the isometric knife, is it in the right position?" Song Zimo insisted on training for two hours a day, so that he was proficient in arthroscopic operation and at ease.
Yang Ping stood up, approached the screen, and helped him take a closer look at the burnt spot: "Great, this is the anatomical center of the footprints." ”
"I just watched Sisi again, Tang Fei is tutoring her homework? Great work! Yang Ping mentioned casually.
Tang Fei is weaving tendons: "She can't continue to go to school because of this disease, she has been studying by herself, I just take time to tutor her for an hour every afternoon, this child is very smart and has a high IQ." ”
"She's a third-order Rubik's Cube for thirteen seconds, really, a genius." Song Zimo said.
Rubik's Cube restoration, third-order, no talent, no matter how you practice, it is generally difficult to break through fifteen seconds, this kid actually achieved thirteen seconds, the level of professional eight-stage, which means that Song Zimo is faster, more than thirteen seconds, is already at the level of professional nine-stage, this is the level at which you can participate in international competitions with a little practice.
Song Zimo opened the tunnel, the speed was very fast, Yang Ping was like the leader, he followed behind, and the level of surgery naturally improved quickly.
Several people chatted and did surgery, the operation went smoothly, and soon the tendon implantation was completed, Song Zimo flexed and extended the knee joint, and microscopically checked whether the reconstructed front fork collided with the intercondylar fossa and whether it collided with the back fork.
"Door nails!" Song Zimo retained the exposed tendon of the tibia and fixed it on the anterior surface of the proximal tibia with a door nail.
Chatting and chatting, the operation was done, Song Zimo withdrew the instrument and prepared to sew the skin.
"Line 4?" Zhou Can asked.
Song Zimo said: "Line 1!" For girls, use a thin line. ”
He took the needle holder with needle and thread, began to suture two minor surgical incisions, as well as an incision to take the semitendinosus and gracilis muscles, and after doing it, bandaging it, putting on the brace, Xiao Wu sent the patient back.
The cleaning aunt comes in to deal with the surgical waste, cleanliness and hygiene, and generally after cleaning, it needs to be disinfected, and it takes 15 minutes to take over the next operation.
Zhou Can stayed to pack up the instruments, and everyone moved to the operating room next door to rest.
The next one is arthroscopic cleaning of knee osteoarthritis, knee osteoarthritis is a common disease of the elderly, it is relatively mild in the early stage, and the cartilage wear is not very serious, and arthroscopic cleaning can be used, which is minimally invasive and the effect is relatively good.
Song Zimo said: "Now many scholars think that arthroscopic cleaning is ineffective, what do you think? ”
Yang Ping disagreed: "An article in the New England Journal of Medicine also said that percutaneous vertebroplasty is not statistically different from placebo? Do you believe it? Now we advocate evidence-based medicine, yes, medicine is evidence-based science, but it is definitely not just evidence-based science, or because it is evidence-based science, it is a denial that medicine is an empirical science, and this is effective, statistics think it is invalid, but it is still effective. ”
"It makes sense that after microscopic cleaning of many osteoarthritis, the long-term effect is not good, but the short-term effect is good, because the irrigation removes the painful inflammatory mediator, removes the loose body, partially resects the shaped torn meniscus, and trims the cartilage injury area. Song Zimo also agreed with Yang Ping.
"After putting on clothes and gloves, the hands can only be in front of the chest, below the shoulders, above the waist, and cannot cross the safety zone, and the hands can only touch the sterile area of the same level, and cannot touch the area outside the area, once touched, or suspected contact, it is defined as contamination!"
Zhang Lin brought the interns in, they had already washed their hands, made their hands into arches, and waited for Xiao Su to open the sterile bag on the instrument cart and give them practice dressing.
Xiao Su opened the outermost layer of cloth sheet of the sterile bag, and then used the sterile holding forceps to open the package sheet inside, so that the neatly stacked surgical gowns inside were exposed.
"Don't squeeze, pay attention to the concept of sterility, don't pollute." Zhang Lin saw that they were a little messy and shouted.
"You're taller, you're over your shoulders, and you, two people are --。 apart"
Zhang Lin corrected their positions and began to demonstrate how to take the clothes and how to wear them: "Reach out and take it yourself, you must not touch other parts, you can only directly touch the clothes you want, take it, open it, shake it gently, the inside is facing yourself, the collar is facing up, and then gently throw, insert your hands into the inner mouth of the sleeve, and when you get here, call the itinerant nurse, help!" ”
Song Zimo happened to be closest to him, and went over to help him tighten his clothes and tie the straps.
The students did so, and one student shook his clothes, and bent down to pick them up.
"Hey, classmate, I'm shouting hoarse today, I'm taught in vain, can I pick up the clothes that fell on the ground?" Zhang Lin's stern gaze.
The student immediately realized the mistake and stopped bending over, Zhang Lin said: "Instinctively bending down to pick it up, it is a lack of sterile awareness, and the things that fall on the ground are polluted, how can I pick it up, brush my hands again, and do it all over again." ”
The student went out in a huff and went to brush his hands again.
"Don't make this kind of low-level mistake, everyone remember, sterile, sterile, sterile, say important things three times, and if you can't remember, go back to the ward after work and practice dressing me a hundred times." Zhang Lin spoke loudly.
The operating room over there is also ready, the patient has been sent to continue the operation, Song Zimo's speed is still fast, the operation has been very stable, and several operations have been completed.
Everyone went back to the ward office, and several interns whispered something, as if saying that a doctor in the pediatric department was beaten, saying that he was hospitalized, and the doctor did not give him a fever or anti-inflammatory drugs, and he was slapped twice.
Pediatrics? Zhang Lin's girlfriend is in pediatrics, and he naturally cares more than others.
Zhang Lin asked the intern who got the news: "The pediatrician was beaten, what is his name?" ”
The intern shook his head and said, "I don't know, it's a female doctor." ”
Female doctor, Zhang Lin's heart trembled: "The news is reliable? ”
"Reliable, our classmates are interning in pediatrics, just sent to the group, the family members who beat people have been controlled by the security guards, the hospital has called the police, the police are questioning, I heard that I slapped me twice, and I was kicked and kicked on the ground, damn it, that family member, it is said that there is a backstage, quite arrogant."
Zhang Lin grabbed the phone and called the pediatrics, but no one answered, and he called his girlfriend's phone, but he didn't answer. Say to the intern, "What is the name of the doctor who was beaten?" ”
"There's a video here, you see." The intern handed over the phone, and there were several videos in their intern group, taken by different people.
The intern clicked on the video in front of Zhang Lin and it, isn't this her girlfriend? One kick was kicked away, and he was slapped twice, and the slap was so hard that his face was swollen.
A rush of blood rushed to the door of his head, Zhang Linhuo stood up, took off his white coat, threw it on the desk, didn't say a word, rushed out of the door, Xiao Wu wanted to go out and grab him, but he didn't hold it, and ran out.
What's going on? Yang Ping asked the interns, and the interns shook their heads: "I don't know, Mr. Zhang watched this video and rushed out, looking terrifying." ”
"What video?"
The intern showed the video to Yang Ping again, and told about the pediatrician being beaten, Yang Ping saw it, no wonder he rushed out, it was his girlfriend who was beaten, watching the video, it was so bad, the doctor was explaining to the patient: "Below 38.5 degrees, you can temporarily leave it untreated, observe, draw blood for examination, consider viral infection, and do not use antibiotics." ”
The patient didn't say a word, but there were two slaps in the face, followed by a kick to the lower abdomen, kicking the person directly to the ground, almost hitting the back of his head.
"Go, follow!" Yang Ping immediately took Song Zimo to the pediatric department, and called Director Han on the way to report urgently, Director Han was in the administrative building, and immediately rushed over.
Zhang Lin ran over, Xiao Wu ran behind, and when he arrived at the elevator of the internal medicine building, Xiao Wu caught up, Zhang Lin didn't say a word, he breathed heavily, and he could see the ups and downs of his chest.
"Zhang Lin? Zhang Lin? Calm down! ”
Zhang Lin still didn't speak, he straightened his hair with both hands, his eyes were red, like a crazy bullfighting bull, and he looked really scary.
"Zhang Lin! Zhang Lin! --"No matter how Xiao Wu called him, there was no response.
Xiao Wu answered the phone: "We are waiting for the elevator, now go to the pediatrics." ”
The elevator opened, Zhang Lin got in, Xiao Wu followed up, and several people inside looked at Zhang Lin's appearance, and they couldn't help but lean on the corner inside, and one of them came out directly in advance.
"Zhang Lin!" Xiao Wu was next to him.