Baby Minmin was admitted to the ward for hospitalization, and even with Li Guodong's help, the two old men were still a little dizzy from being busy.

No matter what you do now, many operations use things like mobile phone WeChat, and the old man is an old man's machine, which is inconvenient, so it takes some time.

When they arrived at the ward, the two old men could finally catch their breath.

But the baby started crying again, the old man hurriedly mixed the milk powder, and the old grandmother walked back and forth with the baby in her arms to coax her.

Seeing this, Head Nurse Cai immediately picked up the child and coaxed her for a few minutes, and the baby slowly quieted down.

Usually, there are few babies in the ward, so the head nurse Cai instructed the nurse to go to the pediatric department to borrow a crib and arrange a nurse who is married and has children and has child-rearing experience to be in charge of Minmin.

After the doctor in charge, Li Guodong, asked about his medical history, the old man began to sort out the payment list, counted the cash in his bag, recorded the details of the expenses in his notebook, and then used the calculator to press the expenses twice.

Fortunately, the two have a pension, and this kind of thing will not be isolated, but the pension is squeezed out by the son and there is not much money left.

Thinking of this, the old man was heartbroken, lived a lifetime, and was so angry with his son that he died.

The two couples gave birth to a son in their forties, so they were particularly doting when they were young.

The son's high school graduation results were miserable, and the old man spent money to let his son go to a private university, but after graduation, this kid had a low eye, picked and chosen, didn't go to work for a few days at all, and spent most of his time at home unemployed and playing games, all relying on the savings of the two old people.

The old couple is a salaryman, with a little savings, and a pension, so they are such an only child, so they can still get through, thinking that their son may not have grown up yet, and one day he will be sensible.

Finally, the son married a wife, and the two old men also scraped together to buy a house for their son.

After buying a house, I was very nervous about money and didn't buy a car.

For this matter, the son put a kitchen knife on his neck, made a suicidal look, knelt down and forced the old couple to say, everyone else has a car, but he doesn't have a car, this life can't go on, it's better to be a hundred.

Hey, no way!

Saving money for a lifetime, isn't it just for his son, the old man gritted his teeth, and the last bit of the coffin book was taken out to buy a car for his son.

My son's car purchase does not include a lake at all, and he doesn't look at anything other than Mercedes-Benz and BMW.

In the end, the coffins of the old couple were all spent.

This son has been like this since he was a child, he gives whatever he wants, and if he can't achieve his goal, he will die or live.

Where there is a result, there is a cause, the old couple admits that they have no way to teach their children, but now at this point, what can be done, this is called reaping the consequences.

Finally, the expenses were calculated and recorded clearly, and the old man stopped to check how much milk powder he had brought.

After checking the milk powder, I checked whether the old couple brought enough medicines by themselves, all of which were long-term medicines, lowering blood pressure and blood sugar, and each person had several several.

The old woman said that she was afraid that there would not be enough diapers, so she asked the old man to go to the store in the hospital to buy some back.

It took a few minutes for the old man to stand up and go downstairs to buy diapers with the crutches he brought.

happened to be seen by Nurse Cai again, she was soft-hearted, she couldn't stand it, so she called a trainee nurse to help run errands to buy some diapers, and by the way, see what else was missing, and bring it back.

Nurse Cai rarely sees elderly people bring children to the hospital alone, and these two elderly people don't seem to be in good health and can't stand the toss.

So she still spent more snacks and arranged a flexible trainee nurse to help the elderly.

The old man also saw it in his heart and was very grateful-

In the doctor's office, everyone has not left work yet, and there is no intention of leaving work on time.

Xiao Minmin's X-film was hung on the reading light screen, and everyone spread out in a semicircle, surrounding the reading light.

Each needle is analyzed one by one, where it is, what adjacent anatomical structures are, where it opens from, what path it is taken out, and what dangerous structures need to be avoided.

There is a thin needle in the 4/5 intervertebral space of the cervical vertebrae, and how this needle is pierced and how it appears in the intervertebral space has no value to be investigated.

Now figure out how to get this needle out.

Incision and removal of a fine needle is the preferred procedure, and if the anterior cervical spine is used to enter the intervertebral space, many important blood vessels and nerves need to be bypassed.

With the posterior cervical approach, you can bypass the blood vessels and nerves in front of you, pass through the narrow space between the cervical vertebral plates, and enter the intervertebral space to remove the fine needle.

This operation is possible, but X-ray fluoroscopy is required, and the path of needle removal needs to pass through the spinal canal, which is narrow, and it is difficult for the fine needle to complete the orientation adjustment in a narrow space, and it is easy to pinn it inside.

Open surgery is also very difficult, but Yang Ping said that minimally invasive surgery under color ultrasound positioning is used to remove needles.

Professor Zhang would love to hear the details of Yang Ping's operation, and of course, others would also like to hear about it.

"Xiao Yang, do you talk about how to minimally invasive needle removal under color ultrasound positioning?" Professor Zhang asked.

Spine surgery, especially cervical spine surgery, which is not used yet, is an innovation.

Yang Ping's finger pressed on the thin needle of the cervical vertebrae on X-ray, and said: "Take the anterior approach, puncture under color ultrasound positioning, send the working sheath to the anterior side of the cervical 4/5 intervertebral space, and the direction of the fine needle is consistent, and then insert the lens, under the supervision of the lens, cut the anterior longitudinal ligament and intervertebral disc, and take out the fine needle." ”

The anterior approach requires many vascular nerves, and if damaged, the consequences can be severe.

At this time, color ultrasound positioning plays a huge advantage, and color ultrasound has a very high recognition degree for soft tissues, especially neurovascular.

"If it can really be taken out like this, it will reduce the patient's trauma, but it is very difficult, if you are not absolutely sure, it is recommended to open the operation as much as possible and do not take risks." Professor Zhang reminded.

Song Zimo said on the side: "Professor Zhou Yue of Xinqiao Hospital of the Third Military Medical University once said that minimally invasive is to leave the difficulties and risks to the doctors, and bring beauty to the patients. ”

The difficulty and risk of minimally invasive surgery lies in the shift from traditional open-view surgery to surgery in microscopic and endoscopic environments.

Complex operations are carried out under a tiny channel of more than a few millimeters or even a few millimeters, which requires very high technical requirements for the doctor.

Spinal surgery is fraught with risks, it contains the spinal cord and nerves, and a mistake of a millimeter can have lifelong consequences for the patient.

So, minimally invasive is like dancing on the tip of a knife, and the requirements for the doctor are higher than open surgery.

This kind of surgery to take fine needles does not have the ultimate level of minimally invasiveness, and it is absolutely not daring to try it.

In open surgery, you can toss a few times in the surgical area, but you can't extend the incision.

Minimally invasive surgery, the level is not at home, and there is no chance to even toss.

"Color ultrasound - timely guidance, ultrasound department - doctor - can cooperate?" Xu Zhiliang asked.

Yang Ping said to Xu Zhiliang: "I will operate the ultrasound probe myself. ”

Xu Zhiliang forgot that Yang Ping was able to do color ultrasound by himself, and his level was still very high.

If two people cooperate, one is guided by color ultrasound and the other completes the operation, this separation makes the complex operation very risky.

However, Yang Ping operates the color ultrasound guidance by himself, so the risk is lower.

"If I'm sure, I agree."

Professor Zhang affirmed Yang Ping's innovative move, color ultrasound combined with endoscope, color ultrasound positioning, to help the endoscope establish an accurate channel, the channel directly to the position of the vertebral space, and then under the guidance of color ultrasound, take out the fine needle.

"It's a big deal!"

Yang Ping is very confident.

Since Yang Ping said this, Professor Zhang also knew it in his heart, and said: "This needle will be decided without other opinions." ”

If there is no opinion, let's move on to the next needle: this needle in the pericardium of the chest.

"Is it feasible to combine thoracoscopy with color ultrasound? Color ultrasound positioning, thoracoscopic monitoring, cut the heart bag, take out the needle? Professor Zhang still advocates the combination of endoscopy and color ultrasound.

If the needle in the cervical spine can be minimally invasive under ultrasound guidance, then this needle can also be tried.

"X-rays showed that the needle's profile was not too smooth, meaning it had rusted."

Song Zimo has watched the X-ray several times, and it can be confirmed that this is a rusty needle.

If it has rusted, it will undoubtedly increase the difficulty of removing the needle, and it is likely that the needle will be accidentally broken.

"That's right, this needle has rusted, and the direction of entry of the thoracoscopy is very strict, and it must be in a straight line with the path drawn up by the needle, otherwise it is easy to break the needle."

Yang Ping felt that Song Zimo's reading skills had improved.

Rust can be judged from the contour of the needle on the X-ray, which requires a very high level of reading skills.

Xu Zhiliang looked at Song Zimo, then looked at the X-film, and then leaned closer to observe the needle carefully.

"Would you like to ask for thoracic surgery?"

Professor Zhang speaks very bluntly.

These doctors are orthopedic surgeons, and although the hospital gives them access to the entire surgery, it is for the convenience of surgery.

Yang Ping and Song Zimo have also demonstrated the ability of whole-body trauma surgery, but after all, they specialize in surgery.

"Theoretically necessary, not in practice." Song Zimo's answer was very dialectical.

At Yang Ping's level, do you still use thoracic surgery to help? Thoracoscopy and laparoscopy are in full swing.

Song Zimo's skills were all taught by Yang Ping, he knew best how powerful Yang Ping was, this person is so strong, there seems to be no blind spot and no ceiling in technology.

Anyway, so far, Song Zimo has never seen Yang Ping say that he can't get the surgery he is sure of.

Professor Zhang lifted his glasses: "Well, since this is the case, then there is no need for multi-department coordination, you can do it alone." ”

In fact, it is not only a technical matter to ask for thoracic science and surgery, but also to share the risk, and if there is any problem, everyone will take responsibility together.

If someone else is in charge, Professor Zhang will still ask other departments to cooperate to spread the risk for young people.

Now it is Yang Ping who is the main knife, if you don't invite it, you won't be invited, Yang Ping is a few pounds and a few taels, and Professor Zhang still has a spectrum in his heart.

The two most dangerous needles were determined that the rest was not all right.

Although the position of the remaining needles is not as dangerous as these two needles, the difficulty of the operation is not lower than these two.

For example, there are several in the abdominal cavity, laparoscopy enters, it is difficult to find where the needle is, with the peristalsis of the intestine, the needle may be displaced, and the X-ray can be seen in the abdominal cavity, who knows which part is inserted, maybe on the intestinal wall, maybe on the peritoneum.

Even if you make an incision, open the abdominal cavity, and turn it over and over, it is difficult to find where the needle is.

Not to mention minimally invasive surgery?

Don't look at the small thin needle, it's not that easy to take the needle!

The first is the latest.