Yang Ping took Xiao Su to the operating room, and the two happened to come out of the men's and women's locker rooms respectively and met Nurse Jiang.

Xiao Su immediately greeted her, and Nurse Jiang smiled: "Xiao Su, have you returned to your parents' house?" You haven't been wronged over there, have you? ”

Xiao Su smiled: "No, the head nurse has worked hard, I came over with Dr. Yang to see the operation." ”

Nurse Jiang looked majestic: "Doctor Yang, you can't bully our Nurse Su, otherwise we won't be able to spare you." ”

Yang Ping just smiled, and the head nurse was very busy: "Go ahead, there are too many emergency surgeries today, I have to quickly deploy manpower and go back to the office to sit down." ”

Bidding farewell to the head nurse, Yang Ping took Xiao Su to the operating room of the spine surgery department, Director Qin and Dr. Wen were analyzing the reason, such a large piece of free intervertebral disc was gone, which was a bit scary.

"Doctor Yang!" When Dr. Wen saw Yang Ping coming in, he immediately wanted to see hope.

Dr. Wen's understanding of Yang Ping has been relatively profound since Yang Ping operated on Professor Zhang, and he also participated in Yang Ping's lectures and discussions.

Director Qin looked at the screen of the G-arm machine and studied the picture of perspective positioning: "Start from the first one, slow down, I haven't seen it clearly, what you flip, tell you to flip." ”

Director Qin was a little angry, and his tone was not very good, this kind of minimally invasive surgery, he usually talked to the patient before the operation, and in case of special circumstances, it may be converted to open surgery.

But the intervertebral disc was inexplicably gone, even if the surgery was opened, the intervertebral disc was not found, and finally a switch was made, the patient's problem was not solved, and the patient was still rolling on the ground in pain after the operation.

Director Qin walked back and forth between the reading light and the screen of the G-arm machine, and looked at it against each other, and the CT and magnetic resonance clearly showed that the intervertebral disc the size of half a thumb was resting there, and the positioning was not wrong at all.

"Oh, Xiao Yang, help us take a look." Director Qin saw Yang Ping standing beside him.

Please come over, this is Dr. Wen's suggestion, if there is a difficult problem in the surgery in the trauma and orthopedics department, it is not a new thing to consult with Yang Ping.

However, spine surgery, this is the first time, although they are all orthopedics, but the specialty content is completely different, and the threshold for the chief surgeon in spine surgery is higher than that of trauma orthopedics.

General simple surgery, who is not a senior attending officer, is not qualified to do it; Slightly more difficult surgery must be done by the deputy chief doctor, after all, the operation involves the spinal cord and nerve roots, in case of a mistake, it is either paralysis or disability.

Yang Ping is a young man who has just been promoted to the chief officer, and according to common sense, he will never have the opportunity to perform spinal surgery, so it is reasonable for Director Qin to have some ideas, not as modest as Director Gao.

Since Dr. Wen proposed it on the operating table, Director Qin did not agree, in case of an accident, he would be left with a stubborn and self-righteous handle, so he still agreed to invite Yang Ping over.

"Eating? Sorry to disturb you eating. Dr. Wen saw that Xiao Su was also following, and it was time to eat.

Yang Pingman didn't care: "It's okay, I just received a call from you after eating." ”

After analyzing the images, Director Qin said helplessly: "Pause the operation, push it down and do a new MRI to see where the intervertebral disc is." ”

The G-arm machine is the same as the C-arm machine, which is actually a mobile X-ray machine, but the difference is that the C-arm machine can only make an image of one surface at a time, while the G-arm machine can be a positive and two-sided image at a time.

The intervertebral disc is not visible under X-ray, so under the perspective of the G-arm machine, the intervertebral disc cannot be seen at all, only the vertebrae. The positioning is to determine the ordinal number of the intervertebral disc herniation segment before magnetic resonance and CT surgery, and then enter the ordinal segment under the G-arm machine fluoroscopy.

Everything was done according to this procedure, and no mistakes were found, and the mistakes that may be made in ordinary times were repeatedly checked by everyone, and there were no such mistakes.

"Xiao Yang, it's hard work, let's push it down and do a magnetic resonance, let's go down and have a look?" Director Qin had already withdrawn the instruments, and Dr. Wen sutured the small incision behind the patient's waist, covered the incision with a dressing, and lifted the sterile sheet.

This kind of surgery is usually done under local anesthesia, but the patient's pain symptoms are too obvious, and it is impossible to keep the patient in pain during the operation, so the combined spinal-epidural anesthesia is chosen to anesthetize the lower half of the body.

The patient was awake, Director Qin personally explained to him the special circumstances encountered during the operation, the patient was fine, more understanding, they all solved the problem for him, and no one deliberately played tricks.

Before Yang Ping had time to read the video film, everyone moved quickly, and they had already put the patient on the flat car and pushed him to the imaging department for magnetic resonance.

Although it is a bit embarrassing and a bit face-saving to deal with it in this way, for the sake of the safety and effectiveness of the patient's operation, Director Qin can only put his face aside for the time being.

The flat car was pushed to the magnetic resonance room of the imaging department, and everyone followed in a muffled voice, and they didn't dare to speak, after all, it was the director who planted his head.

After several tosses and turns, when I arrived at the magnetic resonance room, Director Meng was very face-saving, personally waited in the operation room, a machine was also vacated in advance, the patient was pushed in, and the doctors and nurses were busy checking the contraindications, checking whether they were carrying magnetic metals, whether there were pacemakers, etc., and then talking and signing to move the patient to the platform.

"Lao Qin, what's wrong, the intraoperative exploration and the preoperative image are not in the right direction?" Director Meng asked Director Qin to sit down, knowing that he had encountered a problem, otherwise how could he have done half the operation and pushed the patient down for an MRI.

Director Qin looked unlucky: "The positioning is accurate, there is no problem at all, the intervertebral foraminoscope enters the spinal canal, and the free intervertebral disc cannot be seen." ”

"Is there such a thing?" Director Meng was unremarkable.

The technician and nurse were putting the patient in a position, and the other doctors were waiting outside, only Yang Ping and Dr. Wen followed up, Xiao Su followed behind Yang Ping, and Director Meng saw Yang Ping coming, very polite, and immediately pulled the chair himself: "Doctor Yang, sit!" ”

Director Meng and Yang Ping are familiar with each other, especially Yang Ping saw the dural arteriovenous fistula from the patient's magnetic resonance, he admired the five bodies to the ground, and if there were any difficult cases, he also liked to call Yang Ping over to study and study together.

When the preparations were almost complete, Director Meng looked through the thick glass wall and looked into the examination room, where the technicians and nurses had already come out, and the door of the examination room was closed.

"Intervertebral foraminoscopy, almost ten years old, there should be 2,000 cases, I have never encountered such a situation." Director Qin was still immersed in helplessness.

During the conversation, the technician skillfully adjusts the parameters on the operating platform, presses the switch, the platform moves, and the patient is slowly sent into the black hole.

The strong magnetic field makes the spin direction of the hydrogen ions of the human body neatly face the same direction, the magnetic field is withdrawn, and the direction of the hydrogen ions returns to a free and chaotic state.

In this way, the length of time for restoration is different, and differences are the basis of the image, and only with differences can the composition be possible.

Just like a pencil, using the sparse lines to compose a picture, X-ray takes a picture using the difference in how much radiation is absorbed by objects of different densities, and there is no difference, it is a piece of white or black.

The doctors in the imaging department, a few of them have been wandering outside the door, in view of the fact that Director Meng is inside, it is not easy to enter, everyone is here to see Yang Ping, once people get up, there will be many legends, these legends add oil and vinegar, and they become myths, so that everyone has a sense of height and distance from him.

Let's not mention the previous awesome things for the time being, just say that the most recent, on the sixth day of the first lunar month, I heard that Yang Ping was invited by a wealthy Malaysian businessman to go to the consultation for surgery.

It is also said that Yang Ping pressed the experts of Yingde and Japan on the ground and rubbed them, the cost of this cross-border consultation is millions, and the little brother who followed him got one or two hundred thousand, the specific number is not clear, but when he saw Zhang Lin recently bought a car, he knew that this number was not far from ten.

One thing by one, Yang Ping was slowly mythologized in the hearts of these people and became a legend, and some people even wondered if they would have a radiologist in the future, if they were lucky, they would be able to join, and they would also pick up meat to eat.

Didn't the fat man Liang from the anesthesiology department also follow Yang Ping? bubbled up the flight attendant on the plane, who the fuck spread this word, the fat man was looking for a big mouth everywhere, every time at this time, Zhang Lin immediately persuaded him: Rest the anger, stop the anger, how can celebrities have any privacy.

The speed of light magnetic resonance is extremely fast, and the image is slowly taking shape, Director Meng stopped chatting, Director Qin leaned over to look, the lumbar disc is herniated, and for these old birds, you can see at a glance, what segment, how much is protruding, and it will not be wrong to close your eyes.

That piece of thing is still there, so obvious, judging from the low signal, it is undoubtedly the nucleus pulposus of the intervertebral disc herniation, it is still in its original position, without any changes, it is located in the spinal canal, the posterior side of the lumbar 1 vertebra, and the approach of the intervertebral foraminoscope is just facing the intervertebral disc, regardless of sagittal position or cross-section, there is no positioning error.

"That's right, the disc is here!" Director Meng pointed to the picture.

Director Qin flipped through the picture a few times, it's really true, it's okay, it's really alive, is it that the mirror strayed into other tissues, just separated from the intervertebral disc? As long as the disc is still there, there is a way to explore it carefully.

"Send it to the operating room, re-disinfect the sheet, and continue the operation." Director Qin has a bottom in his heart.

Although it is a toss, but the operation is like this, either you don't go on stage, once you go on stage, in case of an unexpected situation, even if it is troublesome, you have to complete it with trouble, and it is better to trouble on stage than trouble to get off stage.

"Director Meng, it's troublesome, let's continue to go to surgery." Director Qin took his leave.

Director Meng got up and said, "You're welcome, I'll contact you if you need to." ”

"Xiao Yang, it's hard work, why don't you go back with us?" Director Qin left a way back, afraid that if there was another problem, at least there was someone who could help.

The patient was pushed to the operating room, positioned, and the G-arm machine was used to confirm that the segments were correct, and the sheets were disinfected again.

There is no problem with the original approach, the small incision of the stitches is removed, and the original entrance is still entered, the mirror is stretched in, the water is flushed, and the vision is clear.

The dural sac and nerve root are clear, after ten years of this kind of surgery, how can there be a blind, the lens has not strayed into the gap between other tissues, it is obviously in the spinal canal, where is the intervertebral disc, where is the intervertebral disc?

"Is this teasing me? Was that just an MRI? "Director Qin wants to confirm.

The doctor in the audience carefully checked the date: "That's right, it was just taken, I just hung it." ”

, Director Qin scolded in his heart, this is a bit nonsensical today, and the little confidence he just gained was deflated and deflated!

Director Qin sorted out his thoughts, what is the problem? Where?

"Turn on the screen, bring up the previous MRI and the one you just shot, zoom in!"

This operating room is a multi-functional operating room, with a large screen, and the chief surgeon can operate the control panel by himself through the sterile membrane and call up the required medical records.

Dr. Wen opened the screen through the sterile membrane, called up the image pictures, and found a few typical, open, and arranged them on both sides, no mistake, whether it was the previous film or the current film, the intervertebral disc was still in its original position.

But I obviously didn't make a mistake in the segment, and the lens was also in the spinal canal, why didn't I see the intervertebral disc nucleus pulposus tissue? No matter how you adjust it, you can't see it.

"Hell yes!" Director Qin fell into confusion again, and the old fritters were sweating on their foreheads.