Xiao Su was waiting for Yang Ping at the gate of the Overseas Chinese Building, and the two went to the cafeteria to eat.

After eating, the two went out for a walk and walked to the overpass, Hermes was singing, and his wife was helping to adjust the stereo next to him, this big brother was a singer who was delayed by making money.

Song after song, "Glorious Years", "Sailor", "Not a Big Brother for Many Years", is really amazing, not to mention the tears of the emotions he invested, the level of this soaring song is really valuable.

On the side of the hospital, Hermes sang so loudly that the hospital security guards wanted to come over and persuade them to leave, but for so many days, they didn't see anyone complaining, and they saw many patients running to listen to the songs.

"I heard that he used to be a coal boss, but now he is bankrupt, hey---"

"You see, this song is so singing that people can't hold back their tears."

In the stainless steel basin in front of Hermes, a lot of money has been lost, and there are 100 yuan bills, and the daily income is good.

Since Hermes started singing, the flyover has become a treasure of traffic, the scalper who sells the number, the Lang Zhong who sells herbs, the blind man who tells the fortune, and the old gentleman who sells antiques, the business has been driven, and Hermes has driven the economic development of the flyover with the power of one person.

"Expert number, attached one, attached two, provincial doctor, provincial traditional Chinese medicine, and three Bo, all have ---" scalpers are promoted in the crowd.

"Specializing in the treatment of impotence and premature ejaculation, the ancestral eighteenth generation of imperial doctors, three doses are invalid, and automatic refund." The stall owner stroked his gray beard and chatted with the customers who came forward to talk to him.

"The official kiln of the Qing Dynasty is genuine, and it is sold for lack of money." The old pedant wears round black glasses and shakes a paper fan.

The two walked around the hospital and stopped under a tree, Yang Ping told Xiao Su about some recent things, and when it came to Boss Cheng's gift of shares, Xiao Su had different opinions.

She said: "I think you should accept shares, and deserve it, in Europe and the United States, doctors, especially well-known doctors, have their own clinics, this is the way to realize the value of their own medical practice, not only to make money, but also to talk about money, don't be too much, with more money, we can do more and help more people." If we have more money, we can help children like Sisi, and we can do charity and help more people in the future. ”

"With more money, you will have to engage in scientific research in the future, you don't need to rely on others and wait for the approval of any fund, you can freely set up your own laboratory and carry out your own scientific research, only financial freedom, will you have other freedom."

"Of course, even if you become a shareholder, you don't have to worry about the management of the hospital, you are only responsible for the operation, let Lao Cheng manage it, he is an excellent hospital manager."

"This hospital depends on you, and the future development route will naturally follow your wishes, in my opinion, Lao Cheng will let you be a major shareholder sooner or later, why not let him lean under your big tree? For you, with this hospital, you can run your ideal hospital according to your own ideas, and maybe in the future, it can be better than the Mayo Clinic and the New York Special Surgery Hospital. ”

Unexpectedly, Xiao Su had such an insight, Yang Ping listened carefully and looked at Xiao Su.

Xiao Su stopped: "I'm just a nurse, I don't understand anything, I can say whatever comes to mind, you use it as a reference." ”

Yang Ping hugged her: "I feel now, you see these things higher and farther than me, I only focus on medical skills, what you said is very reasonable, I want this share." ”

"Don't mention this matter yourself, I'll tell my brother and ask him to go to Boss Cheng, just say that I have done your ideological work, so Boss Cheng will naturally come to you to talk about shares." Xiao Su is very careful.

"Although I don't understand, but listening to your usual chats with me, I think that the conditions of this hospital are currently very mature, Boss Cheng is a doctor, and he is good at management, he is full-time management; You have first-class medical skills and focus on surgery; My brother socializes extensively outside, solving some public relations trivial matters of the hospital, this iron triangle relationship, can make the hospital develop rapidly, and when you have money in the future, you can buy your own land, build a house, and expand the hospital, which was the case with the Mayo Clinic back then. ”

Xiao Su snuggled in Yang Ping's arms, she didn't understand anything, she had analyzed things clearly and saw the future decades later.

---

Rounds in the morning, there is nothing special about other patients, there is a patient on Xiao Wu's side, who has had repeated pain in his left calf for three years, and a little boy, 12 years old, has seen many doctors say that it is growing pain, and has also done a lot of examinations, and there are no problems.

Growing pains? Yang Ping felt strange, no, how could there be such a diagnosis, there is no such diagnosis in medicine.

In general, children with pain around the knee or in the front of the calf, without any history of trauma, normal activity, no redness, swelling, no tenderness in local tissues, and if there are no other diseases, it is usually defined as "growing pains", which is thought to be caused by rapid growth and development of the body, and may also be related to calcium deficiency.

In fact, there is no such thing as growing pains in medicine, and there is no diagnosis or description of "growing pains" in any professional medical journals or journals.

Therefore, the concept of growing pains is a complete false proposition, and the pain around the knee joint or the front of the calf in children, and there is no abnormality in physical examination and auxiliary examinations, all such pain that cannot be found for the time being is called growing pain.

Like rheumatoid arthritis, all unexplained knee pain is classified as rheumatoid arthritis, which seems to have a diagnosis, but in fact it is the same as no diagnosis.

There is no pain for no reason, all pain has a cause, but the doctor has not found it for the time being, or the medicine has not been able to find it for the time being.

In fact, this kind of pain has nothing to do with "growth", most of the so-called "growing pains" are related to exercise, the so-called "growing pains" usually "attack" at night, in fact, it is the accumulation of lactic acid and other waste products accumulated during a day of exercise is not discharged, or the slight damage to the muscles and ligaments, resulting in pain.

Athletes will take a sauna after a lot of exercise to fully dilate the blood vessels, accelerate blood circulation, and excrete the lactic acid and other waste products produced by exercise as much as possible to relieve this pain.

The so-called "growing pains" in children are actually caused by muscle fatigue and lactic acid production after a lot of exercise, similar to the muscle soreness caused by occasional exercise in adults.

Because children are hyperactive and less able to remove lactic acid, this pain is more pronounced.

Yang Ping took Song Zimo to the ward, asked the patient about his medical history, physical examination, and looked at all the examination results done by the patient.

Nothing was wrong, all the results showed normal, but the child was in pain, how could it be normal, it can only be said that the imaging examination has not been checked out for the time being.

"Do you want to do a new MRI?"

"Not for the time being, bring all the films to the office, and I'll do it all over again."

Song Zimo collects images and pictures, a thick bag.

The film is hung on the reading lamp, and everyone is free, as long as the matter at hand is not very urgent, they will gather around.

Takahashi also disregarded his identity, grabbed a position with the students, and quickly squeezed to the front, so that he could be closest to Yang Ping.

The film was hung up one by one, and some of them had been damaged due to poor storage, and some plaques appeared, which seriously affected the reading.

On CT, there is a very subtle density change at the lower end of the right tibia, if you don't look carefully, because it is a vascular indentation, in the same position, on MRI, there is a slight signal change, not carefully, you can't see it, just like in black, there is a little bit of lighter black, and in white, there are some whites that are not so white.

This area is in the common vascular indentation location, which is naturally missed by all doctors and will not be considered abnormal.

"Redo an MRI, it's a chronic osteomyelitis, focal, this point is not vascular indentation, it's osteonecrosis." Yang Ping finished watching the film, and the diagnosis came out.

The ionizing radiation of CT is relatively large, and it is not good for children to do much, so we will do an MRI again to obtain the latest images of the lesion and guide the operation.

"Can you tell it's osteomyelitis, just a little bit?" Takahashi turned his head to look at Yang Ping, but now he doesn't see it, the vascular indentation on the picture is typical, how can it be said that it is osteonecrosis, osteonecrosis is like this?

In the future, if Takahashi wants to take over Fujiwara Masao's class, he will have to make achievements in the Department of Orthopedics, not limited to trauma surgery, so he also wants to learn something else from Yang Ping.

"You catch two mosquitoes and show them, and he glances at them, and you can tell if it's a female or a male, and you ask him how he sees it, and the pain tells you that it's very simple, look at the genitals." Song Zimo knew that Yang Ping's judgment would definitely not be wrong.

The next thing to do is to do what he tells you to do, and if you don't understand, think about it slowly.

Song Zimo asked Xiao Wu to call the family over and explain the child's condition to the family: this is chronic osteomyelitis, focal, a little bit, surgery is required to completely remove the infected and necrotic bone tissue inside, and then fill it with something called calcium sulfate, and after the operation is done, the child's problem will be solved.

When the family heard about the surgery, their faces were cloudy.

"It can be minimally invasive. Cut a small incision of 1 cm, and then drill into the bone with an instrument, drill out the necrotic bone tissue along with the surrounding normal bone tissue, and then fill it with calcium sulfate, and stitch it with a stitch. ”

If the minimally invasive is done, the child's parents will be happy, and if it is drastic, he is really a little worried and afraid.

"It is worthy of the name, your skills here are really powerful, we heard from the outside that the orthopedic department of Sanbo Hospital is very powerful, especially there is a Dr. Yang, that is really powerful, I heard that the devil can't take the operation, Dr. Yang easily won." The child's parents were excited for a moment and patted their ass.

Takahashi Zhen stood opposite and listened, he heard it clearly, clearly, and his face was hot, didn't this devil say himself?

"The doctor at our community health station said, you child, you don't need to go anywhere else, just go to Sanbo, find Dr. Yang, don't find the wrong person, if he can't see it, don't toss it in the future, this disease can't be seen." The child's father is very eloquent.