During the ward rounds on the second day after surgery, the child said that there was no pain overnight.

The child's father confirmed that the root of the disease was completely removed, but the problem came again, and the number of friends who entrusted him to contact Dr. Yang has increased to more than ten, all of whom are from G City.

He and Dr. Yang only talked a few words when they communicated about their condition, and where could they talk about friendship.

But his mouth is itchy, and on a whim, he brags and others that he is familiar with Dr. Yang, and now his friends want him to make an appointment with Dr. Yang, and he wants to come and see a doctor, the sooner the better.

After checking the room, the child's father followed him to Yang Ping's office: "Doctor Yang, I'm Zhang Zhe's father—"

"Is there something wrong?" Yang Ping watched him swallow and vomit.

"Doctor Yang, I have more than 10 friends, and the child has a similar situation to Zhang Zhe, and wants to bring the child to see you, and they all want to do this operation and dig up the root of the disease."

More than a dozen? It is estimated that they are all parents who are troubled by their children's "growing pains".

"Most children's pain is not a big deal, your child's situation is relatively rare, and not every child needs this surgery."

Yang Ping felt that he had a deep misunderstanding, thinking that as long as there was "growing pain", there would be a diseased root, and then surgery would be done to dig out the diseased root, and the pain would disappear naturally.

"Don't worry, Doctor Yang, excuse me, when is it convenient for you to help you take a look?" Zhang Zhe's father went out and finally said his request.

"You ask them to come over on time at half past four in the afternoon, go to the classroom, and I will give you a free consultation, Zhang Lin, you are responsible for the reception arrangements." Yang Ping looked at him very anxious.

Any pain has a reason, and if you can't find the cause, at least you have to rule out some rare and bad diseases, so that parents can rest assured.

For long-term recurrent pain, some basic examinations must be done, otherwise if you fall into the circle of low probability, you will delay the condition and regret it.

The development of medicine to the present is gradually moving from vague to precise, from experience to evidence-based. Tests don't necessarily reveal problems, but they can also confirm that there are no feared problems, such as tumors.

As soon as Zhang Zhe's father heard Yang Ping's promise, he immediately sent a message to the group: "Hurry up, everyone, at four o'clock in the afternoon, gather at the gate of the General Orthopedics Department of Sanbo Hospital, and you will not wait for the deadline." ”

Zhang Zhe's father is angry, there is no way, who told him to know such a great doctor, everyone has to beg him and rely on him for help.

If it is your own business, it is estimated that you will not be so concerned about delaying for various reasons, but the child's matter, it cannot be delayed at all.

In the afternoon, except for a few special ones, more than a dozen parents, either fathers or mothers, led their children at the gate of the comprehensive orthopedics.

The security guard thought that there was some mass incident, so he came to ask about the situation, saying that he was looking for a doctor to see a doctor, so he didn't ask any more.

Zhang Zhe's father shouted, asked everyone to line up, told everyone to pay attention to the discipline of seeing a doctor, and asked everyone to pay attention to politeness, it is not easy to make an appointment, everyone cherish it.

The parents of the children are grateful, Zhang Zhe's father has never been like today, occupying a leading position in a group of people, accepting everyone's respect, he is like doing a big thing for people, and his pride is bursting.

Everyone followed him, took the elevator to the comprehensive orthopedic ward, walked all the way, and when they saw the doctors and nurses, Zhang's father would take the initiative to greet him, showing that he was familiar with the road here.

Zhang Lin took them to the classroom, Xiao Wu poured water for everyone, more than a dozen parents, plus children, almost 30 people, gathered together, and it was also a little small.

At half past four, Yang Ping appeared on time, although he was young, his unique temperament made everyone have a strong sense of trust.

Some people have done an examination and brought a film, and some people have never checked it, and now they are a little worried and scared, but thinking about it, it is just digging out the root of the disease, and it is not a big deal.

"In fact, most children's lower limb pain is not a major problem, we don't need to be overly nervous, everyone's situation is different, not all need surgery, like Zhang Zhe's child's situation, is relatively rare. For long-term recurrent pain, the necessary examination should still be done, and the examination does not necessarily confirm a certain disease, but more importantly, exclude a certain disease, and the necessary examination is not overtreatment. ”

Yang Ping's opening remarks explained to everyone and dispelled everyone's excessive anxiety.

Next, see the doctor in order, those who do not have the test results will see first, and those who have the test results will look later.

Even in the hasty free clinic, Yang Ping was still careful and meticulous, without any perfunctory meaning.

Every child, he has to ask about the medical history, personally examine the body, and the film must also be hung on the reading lamp to look carefully, never take it in his hand at will, and take a few glances with natural light.

"This child is likely to be an osteoid osteoma, proximal pain in the left calf, nocturnal pain, progressive aggravation, oral aspirin can relieve pain, the doctor attached to the second has carried out diagnostic treatment, it is recommended that you take an X-ray, consider the osteoid osteoma, why didn't you take a film?" Yang Ping wondered, it was clear that the doctor's medical record was clearly written.

"There is nuclear radiation in X-rays, my child has never had this disease, and no one in my family has ever had this disease, I have checked it on the Internet, this is growing pain."

"Listen to the doctor, hurry up and take a film, after the diagnosis, do surgical resection, and do pathological examination after surgery. Don't worry too much, if it's an osteoid osteoma, it's benign, and as long as it's completely removed, the possibility of recurrence after surgery is very low. Any diagnosis and treatment activity is a choice made after weighing the pros and cons, and if you don't do the tests that need to be done, the disease will be delayed. Yang Ping had no choice but to explain to him.

"Dr. Yang, I don't understand a little, can you explain to me in detail, why you can judge by looking at it, since you are so sure, why do you still want to make a film? Also, there should be a way to treat this disease with medicine, right? Why do I have to have surgery? "This parent likes to get to the bottom of things.

Ranked him first, I didn't expect such a mother-in-law and mother-in-law, the doctor asked you to do an examination, just do it, ask the bottom of it, and the people behind you still don't see it.

"You want to figure it out? First study all the textbooks of the five-year undergraduate program of clinical medicine, and then study the textbooks of the master's and doctoral degrees in orthopedics, then read a hundred academic papers on bone tumors, find an orthopedic and oncology department in a hospital, and engage in apprenticeship with the master and apprentice for a few years. Hurry up, wait for the imaging department to get off work. ”

The parents still wanted to discuss a few words, but they were taken away by Xiao Wu, and the parents in the back took the children to fill the vacancy immediately, and Yang Ping gave the next child a physical examination.

"Your child has flat feet, which causes excessive inversion of the calf when walking with weight, customize a pair of flat foot orthopedic insoles, raise the arch of the foot, correct the inversion of the calf, and the pain can be relieved." Yang Ping told parents.

"Flat foot deformity? No, this thing should be genetic, you see me, right? The child's father immediately took off his shoes and stepped on a piece of paper given by Yang Ping.

"Your arch is normal." Yang Ping glanced at it.

The child's father was a little confused: "I don't have flat feet?" How does he have flat feet? ”

"Flat feet have a hereditary tendency, and it doesn't say that it must be inherited." Yang Ping was afraid that he wanted to be crooked, some people were tendoned and sensitive, and they would be crooked when they thought about it.

Then a girl brought by a mother, ten years old, with pain in the right inner thigh, especially obvious after exercise, Yang Ping called a nurse to accompany her, took her to the treatment room to have a physical examination, and said after coming back: "Dancing leg press injured adductor muscle, take to the rehabilitation department to do adductor muscle rehabilitation training." ”

"This is no problem, after exercise, lactic acid accumulation or slight damage to muscle fibers is caused, and a warm bath is given at night."

"You see, there is a slight deformity in the ribcage, and there are also slight O-shaped legs in both lower limbs, did you have rickets when you were a child? Increase outdoor exercise, get sun exposure, and supplement calcium. ”

More than 10 children, Yang Ping slowly read it, a few are other diseases, most of them have no problems, they belong to the accumulation of lactic acid or slight damage to muscle fibers after exercise, when there is more exercise, take a bath with warm water, which can generally be relieved.

The parents were in a happy mood and felt a lot more at ease, they knew the cause of the pain and the coping plan, and the parents of the child who was considering osteoid osteoma were pale.

Yang Ping asked Xiao Wu to help contact the imaging department, quickly arrange the filming, and return to the comprehensive orthopedics department after the shooting, Yang Ping personally explained the condition to the child's father, this disease, if not explained clearly, I am afraid that the family will lose sleep at night.

Under the care of Xiao Wu, the film was soon finished, and the adults took the children, holding the film and the report, and returned to the comprehensive orthopedics department.

Yang Ping opened the X-ray on the electronic reading screen: sure enough, there was a small osteoid osteoma at the proximal end of the left tibia, medical history, physical examination and X-ray, three in one, there was no doubt about the diagnosis of osteoid osteoma, but the final diagnosis depended on postoperative pathological examination.

"Where's your child?" Yang Ping only saw the parents coming, such a big child, he should let him know by himself, otherwise there will be a psychological burden.

When my father saw the protrusion on the X-ray, his face was full of sadness, and he sighed: "Doctor, you're right, it's really osteosarcoma, doctor, such a big thing, I can't accept it all of a sudden, but doctor, don't comfort me, just talk about anything, I'm just 100 degrees, osteosarcoma is malignant, the degree of malignancy is very high, and it can't be treated." ”

As he spoke, his eyes turned red and tears flowed out.

"Don't get excited, you read these words clearly, consider osteoid osteoma, not osteosarcoma, two different things." Yang Ping corrected.

"It's not the same, one in the flesh, the other in the bones." The child's father rubbed his eyes.

"Osteosarcoma is malignant and osteoid osteoma is benign. Osteoid osteoma, just do surgery to remove it completely, scare yourself, pick a time, let the child be hospitalized and have the operation done, just three days, the first day of admission, the second day of surgery, the third day of discharge, postoperative pathological examination, so that everyone can rest assured, don't go to the Internet at night to search everywhere. ”

At this time, Zhang Lin took out a copy of "Surgery", turned out the chapter on osteoid osteoma, and only showed him with his fingers: "Look, this is osteoid osteoma." ”

opened the chapter on osteosarcoma again: "This is osteosarcoma, read it yourself." ”

The child's father read it word by word, and burst into laughter: "It's really different." ”