Sometimes, simple things, for some reason, get complicated.

A patient's family suffered an acute myocardial infarction in the hospital, and the doctor stayed up all night to rescue him, which was originally quite a positive thing.

But I don't know what's going on, but it makes all departments of the hospital feel like they are facing a big enemy, and they are extremely nervous.

Dean Sun was quite concerned about this matter, and Director Zhao was the same, and even more worried.

The next day at work, Dean Sun completed the work of the general duty, and the matter was handed over to the medical department for handling.

The general duty is held by the leaders of the administrative department in turn, and the administrative leaders are in a resting state during the night off duty or holidays, and the general duty is the temporary supreme leader of the hospital to deal with emergencies, such as coordinating the rescue and dealing with various disputes.

As soon as it is time to go to work, the duties of the general shift are automatically canceled.

Director Zhao has a detailed understanding of the incident, attaches great importance to this matter, and believes that there are signs of disputes in this matter.

Judging potential disputes, Director Zhao has never been emotional, he has his own set of methods, he designed a score sheet by himself, each risk factor is given a certain score, the incident is scored against the table, and if it exceeds a certain score, it is judged to be high-risk.

When I went to work in the morning, Director Zhao looked at the form, like divination, and scored item by item, and after scoring, Director Zhao saw that --- was actually a high-risk event.

For Xiao Minmin's surgery, it stands to reason that we should slow down and see where things go.

Regardless of whether the old lady's condition is stable or not, the key to the dispute lies with their son.

Their son is now being held in a detention center, and it is still unknown whether he will be convicted, and if he is not convicted, he will most likely use this incident to make trouble with the hospital, for the simple purpose of extorting a sum of money.

How could an adult man who lives by gnawing on old age, has no proper job, and is idle, let go of such an opportunity.

In fact, all medical disputes that are unwilling to go through the formal route, without exception, are directly aimed at money.

If you don't take the formal way, you will naturally choose medical trouble.

No matter what they say, it's not for money, it's just for justice, but the ultimate goal must be for money.

Because they know very well in their hearts that they can't make money by going through the formal way, conducting medical evaluations, and making judgments through the courts.

I had to gamble and make a fuss, hoping to make some money.

Yang Ping is unwilling to postpone the operation, so the medical department must escort him.

Director Zhao sorted out the matter, asked the officer to notify the neighborhood committee where the old man lived, and also notified the police station handling Xiao Minmin's case, and then asked the officer to go on a trip in person.

The lawyer of the hospital's legal department, the director of the publicity department, and the head of the security department were all invited by Director Zhao to the office to intervene in advance and prepare for real disputes in case of real disputes and were in a passive position.

Doing good deeds requires strength and skill, and sometimes without strength and skill, it is easy to get into trouble by doing good deeds.

In the past, Sanbo Hospital did not have a legal department, and the security department only had a few security guards in their forties and fifties.

In order to strengthen the hospital's ability to deal with medical troubles, President Xia set up a legal department and a security department, which not only have full-time lawyers, but also cooperate with the city's most experienced law firms in handling medical lawsuits.

The Security Department recruits all young veterans to build a disciplined and combat-ready team.

Not for anything else, that is, to avoid doctors being beaten and hacked.

When an outstanding young ophthalmology professor in the imperial capital was crippled by a patient, Dean Xia felt a sigh in his heart, and sent four sturdy security guards to station Yang Ping's building that day, with two halls downstairs and two wards upstairs.

This is the origin of the full-time security guard in the building where Yang Ping works.

Rare talents, such a distressing thing must not happen, Dean Xia was a little scared when he thought about it.

This is also a helpless move, to survive and develop in a complex environment, there must be a set of methods.

After handing over the shift, Yang Ping took Song Zimo and Xu Zhiliang to visit Minmin's grandmother in the CCU, the rescue was timely, things were okay, the old lady was sober and could have a simple conversation.

She recognized Yang Ping for the first time and asked if Minmin's surgery had been done, and Yang Ping said that she would do it later.

The old lady said that Professor Yang must be bothered.

Yang Ping reassured her and recuperated with peace of mind.

Yang Ping returned to the department, and Min Min had been sent to the operating room.

Zhang Lin's wife, Dr. Li from the Department of Pediatrics, was about to leave with her stomach and an empty lunch box, and she was sending breakfast to Zhang Lin to eat.

Seeing Yang Ping, Dr. Li respectfully exclaimed, "Professor Yang! ”

"Still at work? Don't take a break? Yang Ping greeted.

Zhang Lin took over: "Corey asked her to take a vacation, she didn't want to, the pediatric staff was in short supply, she was not on duty now, she usually went out of the outpatient clinic, she was really going to give birth, and she was directly pushed to the delivery room." ”

Nurse Cai walked over at this time and took Dr. Li's hand: "When is the due date?" ”

"Just these days!" Zhang Lin said.

The head nurse said to Zhang Lin: "You always talk about these days, almost half a year." ”

"It's really just these days." Zhang Lin laughed, the person who is about to be a father speaks a little less angry.

The head nurse blamed Zhang Lin: "I'm about to give birth, and you still ask your wife to bring you breakfast?" ”

Dr. Li smiled and said, "I don't have anything to do, walking around is more conducive to production, he works hard." ”

Several people stood in the corridor of the ward and chatted a few words, and immediately hurried to the operating room.

---

Xiao Minmin's surgery started as usual, and he got rid of the pain as soon as possible.

Liang Fatzi moved quickly, let Minmin inhale a little anesthetic, quickly completed the intubation, and connected the anesthesia machine.

Zhou Can got an indwelling needle for Minmin's scalp and put the color ultrasound machine next to him early.

Brush hands to disinfect and dress sheets, everyone chatted and opened the stage, and the atmosphere was very relaxed.

The thin needles of the limbs are relatively easier to take than the thin needles of the chest and abdomen.

The groin area of the thigh, which is also the place where the nerves and blood vessels are concentrated, is crossed by the femoral artery, femoral vein, and femoral nerve.

The ultrasound probe used for the operation is sterile, and the couplant is also sterile, Yang Ping applied the couplant to the sensitive skin, and the ultrasound probe pressed to the groin area, and the sound of blood flow was immediately heard.

Subcutaneous, fascia, muscles, blood vessels and nerves, various images appeared on the screen, and slowly, the needle also appeared on the screen, and in the direction of the proposed extraction, Yang Ping stabbed a small infusion of 0.5 cm with a sharp knife.

The mosquito vascular forceps reached in from the small opening, and under the monitoring of color ultrasound, watched as the tip of the forceps steadily avoided the nerve blood vessels, tightly clamped the tail of the thin needle, and then, slowly withdrew the mosquito forceps, and the first needle appeared in the curved plate.

The color ultrasound image is flat, and it is actually very difficult to locate the fine needle of the three-dimensional space according to the flat image.

Even the incision operation will not go so smoothly, but Yang Ping is in place at one time.

The needle is like a fish in water, if the fish swims in the water, and the picture obtained by the person does not have stereoscopic vision, but is only a flat image, then all the fish swim in a plane regardless of the depth, and the person who catches the fish cannot distinguish its depth, and it becomes very difficult to catch the fish.

The tissues of the human body are not water, but layers of physical tissue, and these physical tissues are a flat image on the color ultrasound screen, and it is difficult to find a needle hidden in any layer.

That's why the surgery to remove a small foreign body looks close on the X-ray, but it can't be found.

Flush the surgical area, close small incisions, and then take a fine needle in the groin area on the other side.

The small incision, stretched into the mosquito-type vascular clamp, clamped the needle tail, and then pulled out the fine needle, the action was done in one go, no action needed to be repeated twice, and the thin needles of the entire lower limb were easily taken out by Yang Ping.

Next, take the four fine needles of the chest cavity, and borrow special thoracoscopic instruments for pediatric surgery from the provincial women and children to come in handy, first use color ultrasound to explore and position, open a small incision in the intercostal space of the left chest, insert the lens, Yang Ping carefully cut the heart bag under the microscope little by little, a few millimeters, and slightly separated.

Under the microscope, a little needle tail can be seen, and the incision of the pericardium is just at the needle tail site.

Song Zimo and Xu Zhiliang looked at the young professor at the same time, how could they have such a strong positioning ability.

No matter how many times I have to look for it, it is completely in place at one time, as if this needle was pierced by him.

It's like a game of hiding, a small toy is hidden in the room for you to find, and you just find the toy.

Either you hid it, or you looked at someone else's hiding it, or you had to find it.

And it's not a needle, it's like a needle in the limbs, and now it's the same with a needle in the pericardium.

Can you behave normally?

Song Zimo drew 10,000 question marks and exclamation marks in his heart.

The gripper grips the tail of the fine needle, carefully pulls it out, and places it in the curved plate.

Sure enough, the needle was rusty, and the tip had pierced the heart wall at least two millimeters, so it was good to pull out the needle in time, otherwise it would slowly and possibly go deeper and deeper with the contraction of the heart muscle, and finally pierce the heart.

"How did this needle get in? From the intercostal space? How is it possible to pierce so deeply? Zhang Lin asked.

Xiao Wu replied: "The needle is not static after entering, with the breathing movement of the chest and the contraction of the heart, the needle will continue to move, and the current position is not the original position." ”

Two good buddies stood on the operating table, with nothing to do.

The patient was a baby, and there was no place to stand in the crowd, so the two brothers stayed away from the operating table and simply chatted.

Larger, blunt foreign bodies, such as shrapnel, rarely move.

But this kind of sharp and thin needle is easy to move, and some needles can also enter the blood vessels, which is life-threatening.

According to the positioning of color ultrasound, Yang Ping used a thoracoscopy to find three other needles, one hidden in the mediastinum, one in the gap between the two lobes of the lung on the right side, and one attached to the wall of the aorta.

The remaining three strands of the chest cavity were found, especially the thin needle attached to the wall of the aorta, which made everyone pinch a cold sweat.

"Niang Xipi, how black is this heart to be able to poison such a young child?" Zhang Lin scolded a foul word.

Xu Zhiliang raised his head and turned his head to look at Zhang Lin.

Zhang Lin thought that Lao Xu was going to discipline him again, so he immediately lost a smile.

"His grandmother's, this --- not human at all!" Xu Zhiliang scolded and lowered his head for surgery.

The surgery continues, and the thin needles in the abdominal cavity are taken begins.

At this time, Director Zhao came in: "How is it, Professor Yang!" ”

"Oops, that's exactly the needle in there? It makes my scalp tingle. ”

Director Zhao looked at the curved disc on the instrument table, there were already twenty or thirty needles, and he was very uncomfortable.

"There are still four abdominal cavities that have not been taken, and they are about to be taken."

Song Zimo sutured a few small incisions on his chest, and Yang Ping was using color ultrasound to locate the six thin needles in the abdominal cavity, and sure enough, two of them were completely different.

Regarding the title of Professor Yang, in fact, every time these bigwigs call themselves, he will say: "Call me Xiao Yang, or Doctor Yang." ”

But it seems that this has no effect, even Dean Xia is like this, and he is still a professor Yang.

Yang Ping simply stopped being polite, just a title.

However, Professor Yang's title is more pleasing to the ear.

"Needle removal is a technical job, don't rush, take your time." Director Zhao said a few words politely.

Dr. Jin from the Department of Trauma and Orthopedics didn't know when he appeared behind Director Zhao, and he said, "It's true. ”

The voice happened to be close to Director Zhao's ear, startling Director Zhao, and when he dodged away, Dr. Jin suddenly appeared behind him.

"I used to take a thin needle, the worker used a high-pressure air gun into the right upper arm, the patient has no obvious symptoms, but must be taken out, no way, had to cut and take, repeated C-arm X-ray machine fluoroscopy, got four or five hours, just can't find the needle, see the needle in this position, just can't find it, it's really annoying, and then I touched it with my hands, layer by layer of tissue touch, and touched for more than an hour, still didn't land, had to give up the operation, the patient was later discharged from the hospital to me for a follow-up, he said that there was no discomfort at that time, Now why is it that sometimes the posture of the right arm is wrong, and the tiger's mouth area of the right hand is numb, and it hurts like a pinprick in the same way. ”

"Could it be that this thin needle has run from the upper arm to the tiger's mouth in the hand? Such an evil sect? Zhang Lin was in high spirits.

Dr. Jin continued: "I also thought at the time, it's not so evil, and then I went to Director Han for advice, and Director Han said, you can take another X-ray, if the position of the needle is still in the right upper arm, there is a chance that it is in the radial nerve. ”

"Later, I did what Director Han said, the position of the needle did not move, it was still in place, I gave the patient the first diagnosis of the radial nerve upper arm body surface projection, and sure enough, as soon as I pressed, the patient's right radial nerve innervation area had a strange feeling, especially the tiger's mouth, he said that it was as numb as a pinprick."

"I immediately suggested that the patient have another operation, and the patient was quite obedient and agreed to the operation, and this time I opened the epitheria of the radial nerve according to the positioning on the X-ray, and my obedient, very small needle was lying there upright."

Lao Jin told the ups and downs of this clinical case.

At this time, Yang Ping had already placed a laparoscope, made a pneumoperitoneum, and began to look for the six needles in the abdominal cavity.