Chapter 0305 - Disappearing Discs
After Director Gao finished the operation, he felt a little less confused and a little more understood.
He knows in his heart that this is a great gain than going anywhere for further study, and there are not many doctors in the country who can reconstruct the multiple ligaments of the shoulder and knee joints, and he will be counted as one in the future.
Taking advantage of the fact that Yang Ping still has free time, Director Gao decided to ask him to guide the operation more, and he will be busy in the future, and this big tree will not be able to climb if he wants to.
"Director Gao, I still have a few surgeries going on over there, I'll go back first." Yang Ping greeted Director Gao and prepared to retreat.
Director Gao hurriedly threw the finishing work to the assistant, tore the belt himself, took off the disposable surgical gown, and followed: "I'll send you, I have gained a lot today, and I have a little more understanding of the starting and ending points of these ligaments. ”
"You now have a basic grasp of the static balance adjustment, the dynamic balance still needs to put some effort, the data I gave you, I have time to ponder and ponder, don't stick to those data, to look at those data in a related way, why a ligament start and end point changes a little, the rest of the rest to change, the mystery is in it." Yang Ping helped him summarize the current learning situation.
"Thank you, Mr. Yang!" Director Gao was very grateful to Yang Ping for his unreservedness.
This Teacher Yang called out from the bottom of his heart and involuntarily, Yang Ping was stunned for a moment, and joked: "Don't call me like that, call me old, just call me Doctor Yang." ”
"It's okay, let's call you Dr. Yang, the capable person is the teacher, if you don't teach it by hand, I rely on my own blind cat to scratch mice, and multi-ligament reconstruction is not yet started." Director Gao, this is not a compliment, multiple ligament reconstruction, many doctors say that it can be done, it is just to implant the tendon into it, and there is no actual function after surgery, just like an exam, you can finish the test paper, but the score is only twenty or thirty points.
There are only about ten doctors in the country who can really pass the reconstruction of multiple ligaments in the shoulder and knee, and there are only a few doctors who can achieve a good score, and there is only one Yang Ping who can achieve a high score like Yang Ping.
"I'll go around the other operating rooms, you go back, don't be too polite, it's all your own people, if you need anything, call me at any time." Yang Ping felt that Lao Gao was very motivated and was willing to teach him.
"Then I'll send it here, and you can go around by yourself." Director Gao waved his hand.
Yang Ping saw that there were not many people in an operating room of spine surgery, and wanted to go in and have a look.
Recently, he has participated in the training of bone surgery in the system space, many of which are spine-related, such as lumbar disc herniation, cervical spondylosis, etc.
The operation had not yet begun, and the patient was under anesthesia, his expression was in pain, and his facial muscles were almost twisted.
The patient's X-rays, CT and MRI were hung on the reading lights, and Director Qin and his subordinate Dr. Wen were watching the films and discussing the key points of the operation.
Dr. Wen is also a celebrity of Sanbo Hospital, his full name is Wenzhong, nicknamed Taishi, this person is specialized in business, unkempt, often with a chicken nest head, walking and chattering, but the IQ is absolutely high, the hobbies are also extensive, and he is proficient in any chess and calligraphy, the hospital held a chess competition, he and Song Zimo killed the sky in the dark, helpless to meet a genius, every time Song Zimo narrowly won a game, a group of retired old directors surrounded by him, and some people looked directly at nitroglycerin.
Yang Ping also leaned over to see that the lumbar 12 intervertebral disc was prolapsed, free, and an intervertebral disc fell into the spinal canal, which was quite large, almost half the size of a thumb, and the spinal canal was severely narrowed, and the nerves were squeezed.
Dr. Wen turned around, saw Yang Ping, and immediately introduced the condition: "This patient is a male, thirty-five years old, a taxi driver, admitted to the emergency department, with severe pain in the inner left thigh, the pain is unbearable, the patient is rolling on the bed, intramuscular morphine, intravenous drip of mannitol and glucocorticoids, wool is useless, and he can only be operated on urgently." ”
The so-called lumbar intervertebral disc herniation does not mean that the lumbar intervertebral disc herniation is diagnosed when you see it on the radiograph, but also related symptoms, such as low back pain or leg pain, to be diagnosed as lumbar intervertebral disc herniation.
Lumbar intervertebral disc herniation, sometimes the pain is terrible, Yang Ping has seen a muscular man, because of the lumbar intervertebral disc herniation, he howls and cries for his mother, this is --- low back pain is a minor disease, and the pain is really terrible!
About 90%-95% of patients with this disease can be treated conservatively, and only 5%-10% of patients require surgery, which is a very small proportion of surgery.
What needs surgery? For example, it causes weakness in bowel movements and urination; Affects sensation and muscle strength in the lower limbs; If the low back and leg pain is obvious, the regular conservative treatment is ineffective for half a year, and the work and life are seriously affected, and surgery needs to be considered.
Now the development of minimally invasive spine surgery is very good, young people with simple lumbar disc herniation can generally be minimally invasive, just remove the herniated disc. Only the elderly with spinal instability should consider major surgery, pedicle nails, and intervertebral bone graft fusion.
"I'm going to do an intervertebral foraminoscopy, remove the free intervertebral disc, and then take out the lumbar 12 residual intervertebral disc." Director Qin also saw Yang Ping and said his surgical plan.
The intervertebral disc is a disc cushion structure between the vertebrae, which usually plays the role of buffering stress, and there are 5 lumbar vertebrae, and generally the lumbar intervertebral disc herniation occurs in the 3 segments of lumbar 5 sacrum 1, lumbar 45, and lumbar 34.
Like this patient, the herniated disc between the lumbar 12 is very rare, and the spinal canal here still houses the spinal cord, so you should be very careful when doing intervertebral foraminoscopy.
The anesthesia was successful, the position was set, the prone position frame for spine surgery, the patient was in the prone position, lying on the shelf, Dr. Wen took someone to brush his hands and prepare the disinfection sheet.
"How's that, any suggestions?" Director Qin asked Yang Ping's opinion.
Director Qin felt that he couldn't do it by groveling to ask for advice like Gao Yuan, but it was still okay to discuss.
"Director Qin is an expert, and I am also here to learn." Yang Ping said modestly.
This kind of surgery is not difficult for a spine surgeon, as long as the positioning is accurate, the intervertebral disc can be found after the intervertebral foraminoscope enters, and the nucleus pulposus forceps can be taken out, and then the residual intervertebral disc of lumbar 12 is appropriately removed, and the operation is successful.
Yang Ping asked Xiao Su to eat in the dining hall at noon, and he didn't have time to see the operation, so he said hello to Director Qin and left the operating room.
Returning from the surgical building, Luo Jin's promotional video, after several modifications, was finally finalized and played on a loop in the lobbies of several buildings in the hospital.
The appeal of art is extraordinary, and Luo Jin's sweaty shots, combined with music, are very infectious, interpreting the spirit of love, hard work and perseverance.
After a series of shots, and finally the shot of Luo Jin's goal, and then a few shocking words appeared in the background of the picture: We let you move on--- Sanbo Hospital Sports Medicine Center!
It's wonderful, the purpose of Xuan is to plant an idea in the human brain, and then continue to strengthen it, and finally make you have a sense of trust in it.
Who directed this promo? really understood the essence of the propaganda, and after reading it himself, Yang Ping immediately had a feeling: the sports medicine center of Sanbo Hospital is trustworthy!
Many patients stopped to watch the propaganda video on the big screen, and some young people who were familiar with Luo Jin took out their mobile phones to take pictures and videos.
Luo Jin fell down in front of the injury and illness several times, but stood up again, the more he fought, the more courageous he became, he was a horse on the football field, compared to other players, his background was not rich, he was an orphan, he was adopted by a physical education teacher, and then step by step to today, it is not easy.
"They did Luo Jin's surgery?"
"Yes, I heard that I can participate in the competition in June this year."
"That's amazing!"
"I thought he was going abroad for surgery."
"We Chinese doctors are no worse than foreign doctors."
Several young people were talking, and one of them had already sent the video he had just recorded to a friend, who had ruptured the anterior cruciate ligament in his knee and was hesitating to go to the hospital for surgery.
Dean Xia and his entourage were walking through the hall in a hurry, he was checking the work of the sports medicine center, and when he saw Yang Ping, Dean Xia took the initiative to greet him: "Xiao Yang! ”
"Dean Xia!" Hearing his loud voice, Yang Ping reacted, and just now focused on the promotional video.
Dean Xia glanced at the screen: "How is it, is the shooting okay?" ”
"Excellent!" Yang Ping praised.
Dean Xia was very proud: "The passionate director of Peking University's top students, the performance of the country's first-line stars, how can there be no work, Xiao Yang, if there are any ideas and difficulties in the work, they can be put forward in time, and if there is anything in the family that needs to be solved by the hospital, you can also put it forward, we are to provide you with logistics services." ”
"It's all good." Yang Ping really felt that Director Han and Dean Xia were good to him, and the conditions that should be provided were provided.
Dean Xia was very busy, chatted with Yang Ping for a few words, and hurriedly passed through the hall, and the group got into the elevator.
came relatively early, there were not many people in the canteen, Xiao Su had already prepared the meal and waited for Yang Ping, and the two sat in the corner eating and chatting.
Halfway through the meal, the mobile phone rang, and Dr. Wen from the spine surgery department said that he was a patient who had just been on the operating table. Damn it!
Mistargeted? Got the segment wrong?
This patient has no lumbar sacralization, no sacral lumbar spine, normal spinal sequence, no variation, and the possibility of dislocation is almost zero, they are all old fritters who have seen strong winds and waves, not to mention Director Qin, Dr. Wen is also a good hand, it is impossible to make such a low-level mistake.
But when I called at this time, I asked for help, and people said that the intervertebral disc was gone, that is, it was really gone, otherwise I wouldn't have called rashly.
Saving Taiwan, 100,000 urgent, Yang Ping hung up the phone, took a few bites of the food on the plate, and stuffed it all into his mouth.
"Spine Surgery, Director Qin's patient, is undergoing surgery, the intervertebral foraminoscope enters the spinal canal, and the protruded intervertebral disc is actually gone, I want to take a look." Yang Ping put down his chopsticks.
Xiao Su helped clean up the dishes: "I'll go with you?" ”
She was also quite interested, and she wanted to follow Yang Ping to see how the intervertebral disc disappeared.
"I like to go to the consultation with you for surgery or something, but I'm embarrassed, I'm afraid that others will say that I am sticking to you." Xiao Su said with a blushing face.
"Let's go, let's see." Yang Ping decided to take her with him.
"Wait for me, I'll put the cutlery away." Xiao Su held the plate.