After eating, Dr. Cai called Dr. Wan to send the patient to the operating room and start preoperative preparations.

Yang Ping prefers to watch the patient complete the preparation work in the operating room, he doesn't like to see the patient who has laid out the list when he enters the operating room, so that only the operation area is exposed, and his heart is not steady.

Boss Cheng and Dean Cai both knew Yang Ping's habits, so they didn't start anesthesia and disinfection prematurely.

The patient has been moved to the operating table, and the nurse has connected the intravenous access and hung a bottle of 500ml of 0.9% sodium chloride injection to maintain the intravenous access.

This is a special patient, and the doctors and nurses are very careful when they cross the bed and position their bodies, for fear of breaking a bone.

The anesthesiologist examines the teeth in the patient's mouth, one by one, to determine whether there is any looseness, and once the loose teeth are lost, they may be transferred into the trachea, causing suffocation and life-threatening.

Patients with brittle bone disease can lose their teeth prematurely, and this patient is no exception, many of the teeth have fallen out loosely and have been replaced with dental implants.

After confirming that there were no loose teeth, the anesthesiologist checked his hearing aids, which he relied on for normal hearing function due to hearing impairment.

"Don't take it off! I can't hear it, I'm scared. "The patient was very alarmed.

The anesthesiologist explained, "Wait for the next surgery to put you to sleep, how about it, wake up from sleep, and the operation is done." ”

Even if the choice is not general anesthesia but combined spinal-epidural anesthesia, most anesthesiologists will use drugs to put the patient to sleep in order to reduce the patient's adverse experience.

Otherwise, the patient will hear the sound of all metal instruments operating during the operation, leaving himself with indelible bad memories.

The patient shook his head: "Don't! Don't, keep me awake during the whole procedure. ”

Yang Ping sat aside and waited for them to prepare: "You don't need to take off your hearing aids, let him wear them, be awake or sleep, whatever he wants." ”

If the patient remains awake, the patient will suddenly not be able to hear the surrounding sounds, and will fall into a state of isolation and helplessness, and the whole procedure will be very depressing.

If you don't take off your hearing aids, it won't have much effect, so just pay attention to them and don't fall them out.

The anesthesiologist, nurse, and several other doctors work together to carefully position the patient in the lateral decubitus position.

"Doctor, take it easy, I heard that lumbar spine anesthesia will leave low back pain in the future, is there such a thing?"

Patients talk a lot, and they always want to talk to the doctor.

"Don't move, bow your head, bow your waist, bend your knees, like a shrimp, and bow your waist out, so that I can anesthetize you." The anesthesiologist is starting to sterilize the sheets for lumbar puncture.

"I'm panicking, you haven't answered my question yet?" The patient is persistent.

"In the past, the needles used for spinal anesthesia were very thick, and there was such a possibility, but now they are all thin needles, and the possibility is very small." The anesthesiologist had no choice but to answer him.

"You give me a little care, how old is your child? If you want to learn painting in the future, come to me, don't look at my thighs and arms, teach painting that is an expert. "The patient kept talking.

Patients with brittle bone disease, because of the obsteogenesis in the long periosteal of the limbs, resulting in dysplasia of the long bones, very slender, especially the thighs appear very thin, and some patients have thinner chest and waist, and the internal organs are squeezed into long strips.

The anesthesiologist positioned himself again and again, and said, "My child is still holding it in his hand, it's early." ”

"Ah---, doctor, you don't have enough experience to be an apprentice, right?"

"Don't move! Second child, the eldest is in high school! ”

"Oh!"

"When I was doing surgery and anesthesia in Yunjian Hospital, there was a nurse who chatted with me to relieve my tension, and you didn't do your job well in this regard." The patient was a little complaining.

Boss Cheng stood up, walked to the patient, and chatted with him: "I still want a nurse who specializes in chatting, no problem, we have a package that is better than Yunjian's service, Ronaldo Enhanced ACL Reconstruction, the cost starts at 600,000, do you want it?" If I can, I'll call two nurses to talk to you right away. ”

"Six hundred thousand, so expensive? Don't, don't. The patient shouted.

"Put on the music, soothing a little bit." Boss Cheng instructed the nurse to play music.

How did I forget the most important thing, now patients can listen to music, and the music can be picked by themselves.

"What music do you like to listen to?" The nurse asked as she called out a few pieces of music.

The patient said, "Rock! Metal rock! ”

Boss Cheng smiled: "We are all soothing tunes to relieve your nervousness, there is no metal rock, what kind of rock do you listen to when you do surgery, are you not afraid that the doctor will be excited for a while, and the scalpel will rock twice?"

"You're right, I used to sing rock 'n' roll, and the movement was so strong that I broke my bones." Patients have had such experiences.

The speaker of this multi-functional operating room, Boss Cheng spent a lot of money, and the German palace audio cost hundreds of thousands.

The excellent sound quality is not comparable to those big road goods, and when the music starts, the patient immediately closes his mouth and relaxes.

"Hit, right? Now I'm not afraid, you can take anesthesia casually. "The patient's nervousness was completely relaxed.

The anesthesiologist lifted the disposable hole towel: "It's over!" ”

Working together, everyone flipped the patient into the supine position.

When changing positions, everyone is extremely careful, for fear of accidentally breaking a bone.

In this kind of patient, the fracture is like a magic spell that cannot be shaken off.

This patient fractures almost once a year, and the causes of fractures are varied.

Too happy and laughed so hard that it caused a broken rib.

I had the urgency to go to the bathroom in the morning, walked too fast, and sprained my ankle, resulting in a fracture of my ankle.

In the world of the two, the movement was slightly out of control, and the femoral shaft was fractured.

When sitting on the sofa, the movement was too fast, and I sat down with my butt and fractured my lumbar vertebrae.

In his own words, he broke a bone once a year, and he couldn't move from thunder. One year, by Chinese New Year's Eve, he had not broken a bone, he was happy, finally there was no fracture, that happy, but laughing and laughing, there was a sharp pain in his chest - the ribs were broken.

When he sat in the car and saw the speed bump in front of him, he sweated and the car shook, for fear of breaking the bone.

Broken bones have become a part of his life, he has become accustomed to it, and he treats fractures in the same way that ordinary people treat colds and flu.

Dr. Wan completed the disinfection order, and Yang Ping took Su Nanchen to the stage.

The music regulates emotions very well, the patient is no longer nervous, and the operation begins.

Yang Ping's movements were extremely gentle, and now the object of his operation was fragile and sick bone tissue, which was like a dry biscuit.

During the knee intra-articular examination, the probe travels through the gap without a single collision.

The posterior side of the medial knee space is the most difficult to see, and now it is the same even when the medial knee space is opened, without any stress being applied.

To deal with the medial joint space of the knee joint, the knee joint should be flexed 20-40 degrees, and a certain amount of stress should be applied to abduct and rotate the knee joint, so that the medial gap can be increased, and the space for instrument operation is sufficient.

Now, if you use force to open the medial space, it is easy to cause fractures, otherwise, how can this kind of patient still be called "porcelain dolls".

When opening the tunnel, it is also cautious, the drill bit is driven a little, pauses, and then continues, so that the alternating steady progress can avoid the excessive vibration of the rotating drill bit to the bone, and the vibration will also produce fractures.

Surgery is a process of walking on thin ice, and reverence can make the doctor try to be as careful as possible.

If a doctor does not have a sense of reverence, it is a very terrible thing for the patient.

Do unto others as you would have them do to you! This phrase is most appropriate for doctors.

Does this patient have surgery, or does he not have surgery?

Surgical options, good or bad?

Just ask, if the patient were yourself, would you be willing to use it?

This kind of reflexive questioning is a question that goes straight to the depths of the heart.

If the doctor is lying on the operating table by himself, he hopes that the surgeon in charge will be careful and strive for the perfection of the process and results for himself, or he will do things hastily and not carefully.

Yang Ping often asks himself like this, and every time he asks like this, all the dilemmas are naturally clear and clear.

This patient, no matter how deceived he was by others, his mind never changed, that is, he wanted to cure his own disease.

Treatment is the most fundamental need of patients.

All other needs are derived from fundamental needs, and cannot be caused by the end of the matter.

The drill bit was moving forward, pausing, and rhythmically exerting the tibial tunnel without the slightest sign of fracture.

In this operation, Yang Ping does not pursue the speed of surgery, in fact, he never pursues the speed of surgery, whether it is fast or slow, it is not a problem in itself, but the needs of the patient and the condition.

After the tibial tunnel was opened, he began to open the femoral tunnel, because the operating space was narrow, and he tried not to cause any squeezing of the surrounding bone tissue.

The patient's operated lower limbs hang down on the side of the operating bed, and the posture is as natural as possible, and there is no scissor stress on the edge of the operating table.

The sterile liquid collection bag, a little water oozing out, was sucked away by the suction device, and there was not a drop of water on the floor of the operating room, which was very clean.

The femoral tunnel was also gently opened, and the allogeneic tendon that had been braided was implanted into the bone tunnel, and the ends were fixed with button plates.

This is almost the only fixation method for this patient, because the squeezing and fixation will break down the fragile bone tissue due to the squeezing of the screws.

Although the movements are slow, there are no repetitive and ineffective movements because of the cohesion of the entire surgical process.

In less than half an hour, the operation was done.

When the sterile sheet was opened, the patient's face turned pale, and he sighed: "Did you mess up again?" ”

"How do you know you're screwed?" Yang Ping asked him.

The patient said in frustration: "Just started, the operation is over, and the list must have been messed up." ”

Yang Ping smiled and comforted him: "The operation was successful, wait and wear a brace to protect it for a period of time, and try to avoid fractures." ”

"Success?" The patient asked.

Yang Ping asked Dr. Wan to play back the video of the operation to him, and Dr. Wan explained that the patient's face turned from red to white.

"You're still powerful, and there is no vain under the fame." Patient praise.

Boss Cheng said to him: "How about writing a service experience report for us when the time comes?" You write according to your own ideas, and don't care about our face. ”

"Well, this is easy to do, or I'll write one for you a year." Patients are not shy about it.

He would have broken a bone almost once a year.

"Your sound is better than Yun Jian, not only a little bit, it's so comfortable to listen to, and I don't dare to sleep, if I don't have this sound, I hear the sound of the drill rotating, my heart is like a cat scratching."

The patient looks around, observes the operating room, and guesses:

"German palace, huh?"

"Connoisseur!" Boss Cheng was amazed.

The patient smacked his tongue: "Are you willing to buy it?" ”

"You dare to circumvent 40,000 pieces, why don't I dare to buy stereos?" Boss Cheng joked with him.