In the afternoon, Yang Ping finished the operation and returned to the office.

Huang Jiahui had been waiting for a long time, and she received a sample of the external spinal fixator and sent it as soon as possible.

"Mr. Huang's efficiency is quite high." Yang Ping sat down.

"Dr. Yang, please take a look, if you confirm that there is no problem with the sample, it will only take three days for the Guilin laboratory to receive the external fixator for the experiment."

Huang Jiahui put on protective gloves, opened the instrument box, and carefully took out the scoliosis model and external fixator, placed it on the desk, and showed it to Yang Ping.

If you spread the investment evenly, the unit price of this thing is much more expensive than gold in gram terms.

One by one, the screws were screwed into the predetermined pedicle channels on the spine model, and Huang Jiahui skillfully installed the external fixator.

A few minutes later, the outer fixture was installed, she began to demonstrate the adjustment again, and with the rotation of the knob, the elastic spine model began to be corrected.

In this demonstration of just a few minutes, Jiahui practiced in her company for several hours.

"How? Dr. Yang, do you think there are any more questions?"

Jiahui has taken off the immaturity of just graduated and looks mature and capable.

Yang Ping was ready to operate it himself, Jiahui hurriedly handed over the gloves, and Yang Ping operated it himself from beginning to end, checking it repeatedly to confirm that there was no problem.

"It is produced according to this sample, and the experimental products are directly sent to the Guilin laboratory." Yang Ping aims to complete at least 40 animal experiments before the Asia-Pacific Orthopaedic Association Congress.

It is certainly too late to bring the external spinal fixation technology to the recent Asia-Pacific Orthopaedic Forum, but there is still hope for catching up with the congress.

The correction rate for young monkeys is theoretically much faster than that of children, but it is estimated that it will take about three months for the first animal experiments.

This technique is a completely new scoliosis orthopedic technique, and once it is brought to the General Assembly, it will cause a sensation, and it is completely different from the existing orthopedic surgery.

The sample size is very small, specially adapted to the body shape of young monkeys, and cannot be used in humans.

Jiahui was about to pack up the equipment: "Dr. Yang, do you want to leave it on your desk for your usual research?"

Yang Pingzheng has this intention, just as an office decoration, placed on the desk, usually free to study and research, can also let everyone be familiar with familiarity.

"Dr. Yang, when are you going to Guilin, and I will follow me when the time comes, and I will be in charge of the equipment and the stage?" Although Jiahui has now taken over as the manager, she has personally followed Yang Ping's surgery.

"I'm not sure yet, I'll let you know when the time comes." Yang Ping was very satisfied with the sample.

Thinking about the future scoliosis of children, there is no need for surgery, as long as this external fixation is installed, the parents help to adjust the screws every day, and the deformed spine will slowly correct itself, which is a miraculous thing.

Compared to surgical correction, this method is not only less invasive, but most importantly, it preserves the normal range of motion of each spinal segment, and the spine obtained is used for complete normal function.

Surgical orthopedics, on the other hand, sacrifices a lot of the spine's mobility.

Later, this technique was upgraded, and for adult spinal orthopedics, the vertebrae cortical bone could be cut at some key sites, and then an external fixator was used, using the Ilizarov principle for orthopedics.

Yang Ping was thinking about it, when suddenly, a heart-rending cry came from the ward, and the screams became louder and louder.

"What's going on?" Yang Ping asked.

Jiahui was also at a loss, Yang Ping asked Jiahui to go back first, and called a trainee to ask about the situation.

"24 beds, Teacher Zhang is changing the dressing." Gui Peisheng replied respectfully.

The 24-bed gout patient admitted to the emergency department was full of gout nodules, the largest of which was the size of five adult fists.

Because of the severe pain, I went to the emergency department in the middle of the night and was admitted to the general surgery.

In Sanbo Hospital, everyone still likes to follow the name of comprehensive orthopedics, and call Yangping's department comprehensive surgery, which is more down-to-earth than high-end surgical institutes.

Whether it is the emergency department, the general surgery department, or the overseas Chinese building, as long as it involves surgery, there are cases that cannot be handled, so it is natural to ask for comprehensive surgical consultation.

Gui Peisheng led Yang Ping to the ward, Zhang Lin was changing the dressing, Xu Zhiliang was directing on the side, and Song Zimo was watching from the side, surrounded by a bunch of Gui Peisheng and interns.

The dressing of the wound was opened, and the soaked dressing was covered with a white lime-like substance.

This patient, a male, sixty years old, was full of gout nodules, forty-four of them could be counted, the largest was five fists the size, and two or three fists were several, and the whole person appeared to be seriously deformed, like a monster, which made the scalp numb and extremely uncomfortable.

Several large gout nodules burst and burst out, and white lime-like material was constantly flowing out of them, and these "limes" mixed with tissue fluid to resemble white mud.

Zhang Lin's tweezers held a cotton ball of disinfectant, stirring through the frayed wound to clean up the lime mud.

The patient lay on the bed, moaning in pain, and from time to time he screamed and screamed that he would amputate all the limbs that had broken the gourd nodules.

In 1799, the famous British cartoonist James Gilry depicted gout as a black devil, vividly expressing the pain of gout.

After experiencing gout in the first metatarsophalangeal joint of the foot, the cartoonist drew a cartoon in which gout was depicted as a black horror little devil lying on the back of his foot, biting wildly.

"Fatty, take people as a mirror!" Xiao Wu was smacking his tongue on the side.

Liang Fat Man sweated on his forehead, as if he saw his future self, gout could actually reach such a terrifying level.

"Gout is one of the oldest metabolic diseases in human beings, mainly due to problems with uric acid metabolism in the body, excessive accumulation of uric acid, precipitation of crystals, invasion of joints, internal organs and other parts. Records of gout date back to the fifth century B.C., when Hippocrates, the father of medicine, wrote about the clinical manifestations of gout. ”

Song Zimo took this opportunity to explain some knowledge about gout to the trainees and interns.

"The historical celebrities we are familiar with, such as Bacon, Newton, and Darwin in foreign countries, and Bai Juyi, Liu Yuxi, and Kublai Khan in China, are all gout patients."

"In ancient times, gout was a real disease of wealth, and the people who were eligible for gout were emperors, generals, wealthy and nobles, and ordinary people did not have much chance of getting this disease at all."

"In modern times, with the improvement of living standards, everyone lives a life that only the ancient wealthy have, in our country, gout has become the second largest metabolic disease after diabetes, according to statistics, the number of patients in China has exceeded 80 million, and is still increasing rapidly at an annual growth rate of 9.7%."

"Gout attacks are usually preceded by no warning, often waking up in the middle of the night with severe pain in the feet, the pain is progressively worsening, peaking in about 12 hours, and the pain is like tearing, cutting or biting, which is unbearable."

"The vast majority of gout occurs in the first metatarsophalangeal joint, that is, the joint of the big toe, and gradually spreads upwards as the disease worsens, and joints such as the dorsum of the foot, heel, ankle, knee, wrist and elbow also occur, and the affected joints and surrounding tissues are red, swollen, hot, painful, and have limited function."

"This is not over, gout is a silent killer, it not only erodes and destroys joints, but also erodes and destroys internal organs, such as causing gouty nephropathy, and in severe cases, uremia, and eventually dialysis or kidney replacement."

"Don't take him seriously, this disease, pay attention to it, treat it well, it's not a big deal, ignore it, ignore it, one day it will make you regret it."

"If you have the opportunity, let Mr. Liang tell you about gout, he is an expert in this area." After Song Zimo finished speaking, he turned his head to look at the fat man Liang, who was trembling.

At this time, Song Zimo also saw Yang Ping and immediately leaned over: "Trouble!" Without surgery, these wounds will never be closed, and after surgery, all the joints of the whole body will be eroded by uric acid crystals, and the wounds may not heal. ”

Surgery must be done, it depends on how it is done.

"The surgical plan should be cautious and make a detailed assessment of the blood vessels in the limbs." Yang Ping explained.

Zhang Lin took the two regular trainees, who were so busy sweating profusely that he finally finished changing the medicine for several wounds, and the changed gauze filled the yellow trash can next to him.

We have never seen such a serious gout patient, the patient is lying on the bed, if he is not mentally prepared, suddenly look at it, the whole body is pimpled, scared sweat.

There is no filial son in front of the bed of a long illness, and time can wear out people's patience.

"What do you shout, it won't hurt when you shout?" The patient's daughter scolded at the bedside.

"I took an analgesic injection before changing the dressing." Xu Zhiliang saw Yang Ping come in and explained to him.

It turned out that the gout nodule did not break, the old man lived with his daughter, and later the nodule broke, and went to a nearby hospital for surgical debridement, after the operation, not only the wound did not heal, but also the rotten and bigger it became, the bones were exposed, and several other large nodules were also broken one after another.

The unpleasant smell permeated the house, and there was no way, so the daughter had to rent a house for the patient to live in, and asked a nanny to take care of him, and the nanny quit after a month, and she didn't want to increase her salary, and the job of changing the dressing alone could scare the nanny away.

Babysitters are already in demand in the housekeeping market, and many are unwilling to take care of the sick elderly, and their salaries have been increased again and again, but they still can't hire the right person, so they have to take care of the patient's daughter herself.

"Both of us are only children, and now we have to take care of five old people, an old man in his eighties, I really have no choice but to send to a nursing home, not long ago I had a stroke and just been discharged from the hospital. We're all going crazy, the big boss with the rich is okay, we're all salarymen, we can't take care of it at all, whether it's energy or economy, and now it's a dead shoulder. ”

The patient's daughter complained, which can be regarded as an explanation for her emotional out-of-control.

"I'm sorry, doctor, I'm on the verge of collapse." The patient's daughter spoke softly, for fear of causing the doctor to misunderstand.

"Okay, okay, it's done, let's take a break." The patient's daughter pulls the quilt and covers the patient.

"Forget it." The patient's broken jar and broken tone.

The patient's daughter reprimanded him again: "What kind of child's temper can be treated, Dr. Yang has a way." ”

"Excuse me, really." The patient's daughter felt guilty about her gaffe.

"We do our best." Yang Ping comforted her.