Chapter 0304: Princes
After the Lantern Festival, Yang Ping's parents wanted to go back to their hometown, and Yang Ping stayed with the second elder for a while, but the two resolutely refused.
The health station at home has been closed for nearly a month, and it is inconvenient for people in the village to go to the neighboring village to see a doctor.
Yang Ping and Xiao Su drove their parents to the high-speed rail station, and the old Yang couple came over this time, and saw that their son was very successful, and he made all the surgeries abroad, and he found such a good girlfriend, and he was satisfied with his career and love. The old couple was very relieved that the child had really grown up and had his own world, so he couldn't disturb the child too much.
Seeing off his parents, Yang Ping felt a sense of melancholy in his heart, Xiao Su took his arm and snuggled up to him, which was considered to comfort him.
During this time, Xiao Su and his parents got along, Xiao Su was knowledgeable and considerate, and his parents were very happy.
Back in the hospital, another day of intense work, material and spiritual incentives, so that everyone is full of energy.
Life is like this, when you solve the oil, salt, sauce and vinegar, you are qualified to talk about poetry and distance.
"Fifth brother, I've been preparing for pregnancy recently, and I'm going to be exposed to radiation, so you can do it for you." Zhang Lin is in good spirits, and the cool oil and wind oil essence in the drawer are rarely used recently, he holds the radiation meter in his palm, looks at it for a while, and hangs it in his white coat pocket.
Orthopedic surgeons often use a C-arm X-ray machine, which is more or less exposed to radiation, and a radiology meter can monitor the amount of radiation received.
"Really? Not that you don't plan to have children these days? Full of warm thoughts**? Xiao Wu was a little skeptical.
Zhang Lin was in a good mood: "Such a sacred thing as reproducing offspring has become so dirty and superficial in your mouth!" This is the economic basis that determines the family strategy, the current economic strength can pay for milk powder diapers, and it is natural to make family strategy adjustments, I am different from you, we are scientific family planning, and you are a by-product of the midnight impulse. ”
"No wonder Zhang Lin, you have fewer acne on your face recently, your acne has decreased, isn't it a by-product of midnight impulse? Hurry up to the operating room after the ward inspection, don't delay the time, the senior brother went to the large operating room to guide Director Gao's operation, we will do the operation today, there are a few simple ones, your chief surgeon, did you review the surgical steps yesterday? Song Zimo urged the two.
Director Gao also accepted a patient with quadruple knee reconstruction, this patient is a professional athlete, the anterior and posterior cruciate ligament of the right knee is ruptured, and the posteromedial and posterolateral structures are also ruptured.
Before Yang Ping published his paper, he taught the surgical methods in the paper to Director Gao, who studied carefully and did more than a dozen similar surgeries.
Now, Director Gao is doing complex knee multi-ligament reconstruction, catching up with his senior brother, Guan Sheng, who is attached to the first, and accumulating some cases, which can be surpassed in time.
Lao Gao's posture is now very low, completely ignoring the age gap, and treating himself as Yang Ping's student, at this time, he is undergoing surgery.
Yang Ping was wearing a surgical gown, standing aside and watching, and Director Gao had to ask a few questions for every key step to understand it thoroughly.
A three-liter bag of salt water, hung at a height of one meter and a half above the ground, is injected into the knee joint cavity through a connected water inlet pipe.
Laparoscopic surgery involves injecting specific gases or liquids into the surgical cavity to enlarge the operating space.
Laparoscopy often uses carbon dioxide gas to dilate the abdominal cavity and increase the operating space, commonly known as pneumoperitoneum.
Arthroscopic surgery uses fluids such as saline to expand the joint cavity to make the operation space as large as possible, making it easier to observe and operate.
Director Gao's learning ability is good, and he tries his best to imitate Yang Ping throughout the operation.
Enter the joint cavity, check the various structures in the knee joint, confirm the rupture of the anterior and posterior cruciate ligaments, and ask the assistant to begin the allogeneic tendon.
For knee ligament reconstruction, your own tendon is the best, and your own tendon is also called autologous tendon.
However, for multi-ligament reconstruction, a lot of tendons are needed, and it is difficult to meet the needs of taking your own tendons, so it is more appropriate to use allogeneic tendons.
Allogeneic tendons, also called allogeneic tendons, are tendons of people, but someone else's, removed from the donor's corpse, specially treated, stored in a special warehouse, and taken out when needed.
There is also a xenogeneic tendon, which is the tendon of animals, which is not currently used in medicine.
When positioning the tibial insertion of the anterior fork ligament, Director Gao turned his head and asked, "Doctor Yang, please help me take a look, is this position accurate?" ”
Director Gao is not unable to position, but to locate accurately, to achieve personalized positioning, he must consult Yang Ping, he now wants to pursue the high quality of surgery, just like the exam, not satisfied with 60 points, to 80 points and 90 points.
Yang Ping looked at it, the location was very good, and with Yang Ping's approval, Director Gao dared to drill the tibia tunnel.
After opening the tunnel of the tibia, the plasma knife burns a dot in the lateral wall of the femoral intercondylar fossa.
"If you want to find the geometric center of the ligament footprint, you must be able to identify the difference between the footprint area and the non-footprint area of the bone surface, this difference is very subtle, and it takes rich experience to identify, which is the best positioning method, and other positioning, such as bone spine positioning, stump positioning, and two-step positioning, there are certain errors, and it is impossible to accurately locate the geometric center of the original ligament footprint." Yang Ping has no reservations, medical skills, teaching one more person, can save more patients.
"Every time I do a cruciate ligament reconstruction, I follow your method to find the geometric center of the ligament footprint, and now I have some experience, you see, is this the footprint area? The bone surface is a little rough compared to the surrounding area. Director Gao used a probe to outline the scope.
"Yes!" Yang Ping affirmed the range he had drawn.
A deputy chief physician who was observing from the side suddenly realized that Lao Gao had been running to the comprehensive orthopedics department in the past few months, and it turned out that he had stolen the teacher, and this level could now throw everyone a few streets.
In the future, Yang Ping's paper will be published, and many doctors will improve the level of multiple ligament reconstruction, but that set of methods is the popular version, and the popular version is easy for everyone to grasp, so it is necessary to make some simplifications, which is naturally not as powerful as the advanced version taught by Yang Ping himself.
Director Qin of the Department of Spine Surgery has also been standing beside him, and he has taken the time to learn from Director Gao.
Seeing Director Gao's scene, I finally understood why Director Gao's technology has advanced so fast recently, and he has carried out difficult surgeries one after another, and it turned out that he was climbing the big tree of Yang Ping.
In the past, if this kind of surgery was an elderly person, he didn't pay much attention to the function, and he could dress for a façade, but if he was a professional athlete, Lao Gao would never dare to touch it, and now he dares to do this kind of surgery for professional athletes.
This guy is also highly valued by Director Han, and the sports medicine center that will be opened soon, everyone thought that the director would be airborne again, but no, the position of director was left to Lao Gao.
The status of the Department of Orthopedics in Sanbo is equivalent to that of the hospital within the hospital, and the department under it is crowned as the center, which is equivalent to the status of other centers in the hospital, and the power and treatment are much higher than that of the director of the general department.
At present, only Tan Boyun has this treatment in the orthopedic department, which is crowned as a subspecialty of the center, Lao Han has delegated all powers, and the hospital has also given many privileges, which is equivalent to a prince.
Look at Tan Boyun, who you want to introduce, make your own decisions; To introduce equipment, make your own decisions; Even Corey's performance assignment can make his own decisions. All people, property and property have autonomy, and the whole court envies these princes.
Not everyone has the strength to be a prince, you have to have the ability to bring out a team of talents, make a business scale, and seize the academic high point.
Director Qin is embarrassed, Lao Gao looks like this now, he treats young people as teachers, asks him for guidance when he does an operation, nods his head, a little embarrassed, he definitely can't do it.
Yang Ping is powerful, but Lao Qin's qualifications are there, and he bows his head to a young man who is twenty years younger than himself and recognizes the student, no matter what.
But the attraction of the princes on one side is very strong, not only income, but also status, status in the hospital, academic status in the industry, contradictions, Director Qin is very conflicted.
"Doctor Yang, look, how about this?" Director Gao is very sincere.
Yang Ping took a closer look: "Yes, just press this point to open the tunnel." ”
Listening to this tone, this Doctor Yang is no different from Teacher Yang, and Director Qin listened to the face of the burnt meat.
Director Gao's anterior cruciate ligament reconstruction is completed, and the posterior cruciate ligament reconstruction is now underway.
"Director Gao, the several sets of arthroscopic equipment you applied for have arrived, and the equipment department has also been debugged, when will you try the new equipment?" The head nurse in the operating room came in.
"Tomorrow's surgery will use new equipment, why hasn't the new plasma knife arrived yet?" Director Gao was a little dissatisfied.
The princes are the kings of one side, and they have autonomy over everything, this magnificence!
"It should be almost there, you apply, how dare they delay." The head nurse explained.
The people in the equipment department are the same as the uncle, and if the general director says, they don't take it seriously at all, all kinds of prevarication, all kinds of tai chi.
As soon as the directors of these centers urged, they really didn't dare to slack off.
In the final analysis, it is power, and the directors of the centers are all members of the academy committee, and they hold the votes in their hands.
According to the system of Sanbo Hospital, those votes can remove the director of the equipment department, and when the directors of several centers meet, several tickets come together, and the director of the equipment department does not die but also sheds his skin.
This kind of hospital princes, who doesn't want to do it.