Keeping the patient's privacy is the doctor's principle.

The four principles of medical theory - non-harm, respect, benefit, and justice.

The characteristics of the medical profession determine that doctors can often learn certain private information about their patients, some of which they have never talked about or exposed to others, both physical and psychological.

Therefore, doctors should respect the patient's medical privacy, which undermines the patient's right to privacy, that is, destroys the doctor-patient relationship and loses the patient's trust in medical staff and medicine.

This is the bottom line principle of the profession.

Even a big mouth like Zhang Lin, known as one of the three major broadcasters, will be tight-lipped about the privacy of patients.

The sunshine boy's name is Qin Xiaowei, except for anything else, his three views are actually very upright and straight.

He told Yang Ping that Li Jun was actually a uremia patient and was currently on dialysis twice a week.

The two of them are North Drifters, and their unstable jobs make them often cut off their medical insurance and social security.

entered the live broadcast industry in one year and earned some money, all of which was used for Li Jun's treatment, especially dialysis, which was very expensive without reimbursement.

Later, the economic situation will improve when the medical insurance and social security are paid according to the flexible employment.

Perhaps Yang Ping's steady image gave this young man trust, and he said a lot to Yang Ping.

"Uremia, did you tell Dr. Li Guodong about this condition? Hurry up and schedule dialysis. Yang Ping asked, also sympathetic to the experience of the two.

Qin Xiaowei nodded: "As I said just now, I had dialysis once before I came, and I need to arrange dialysis tomorrow." ”

"Ah Jun is going to have a kidney transplant, I have to wait for the kidney source, I have done a match with him, the doctor said that it meets the requirements, I plan to donate a kidney to him, but the doctor said that he will go through the ethics review process, and he is currently going through the procedure, this operation should not affect the subsequent kidney transplant, right?"

Qin Xiaowei was quite worried.

Yang Ping told him that it would not affect the subsequent kidney transplant.

Moreover, if this teratoma is not removed, it will affect the subsequent kidney transplant surgery, at least because the teratoma is squeezed, resulting in ectopic organs, making kidney transplant surgery more difficult.

"Actually, I have 100,000 yuan in my hand now, which is reserved for kidney transplantation, and I don't dare to move around, so I have to find additional money, and I can get the money in just three days. Ah Jun has been very depressed because of his physical condition, and he has committed suicide several times, but I have found out in time, and I will always stay by the side, but it is still troublesome for the nurse to take care of it, and it is best to lock the doors and windows, but I am in a much better mood recently. The more Qin Xiaowei talked, the more open he became.

He told Yang Ping that Li Jun had committed suicide by taking sleeping pills and swallowing rings.

Fortunately, even if he found out, the tragedy was averted.

"The medical insurance in the imperial capital can also be reimbursed online, so you don't have to worry too much about money." Yang Ping told him about medical insurance, and many patients did not understand medical insurance policies.

In fact, many places can now be connected to each other, and inter-provincial medical insurance can be directly reported, which is very convenient.

Qin Xiaowei was a more knowledgeable person, so he didn't dare to delay Yang Ping too much time, and asked a few more questions before leaving the meeting room.

After he left, Yang Ping returned to the office, re-called up Li Jun's outpatient examination data, and instructed Li Guodong to add some items to Li Jun's preoperative examination, such as chromosome examination for gender identification.

Still not at ease, Yang Ping came to the ward again and gave Li Jun another detailed physical examination, but there was no new discovery.

For Yang Ping's caution, Qin Xiaowei and Li Jun understood very well and did not have any impatience.

After Yang Ping's repeated confirmation, this young man was indeed a male patient inside and out.

Judging from imaging, there is definitely no doubt about the diagnosis of teratoma, Yang Ping is just doing more work out of caution.

Yang Ping also told Li Guodong and the head nurse to take protective measures against Li Jun's past suicidal tendencies, and to pay attention to his attitude in the process of communicating with him.

Because patients with depression are very sensitive, Yang Ping told everyone to make him feel that the world is beautiful.

As a doctor, caution is never superfluous!

---

After arranging these, it was already past eight o'clock, and Song Zimo and Xu Zhiliang were ready to give lectures.

When the forum was broadcast live online, the picture was a PPT image, and Yang Ping would only have a voice, and he didn't like to show up very much.

This lecture is not only for the members of the forum, but also for the doctors of the department to learn, and the interns are not required.

Because of the intern's knowledge and comprehension skills, they have not yet reached the level of listening to this kind of class.

However, those who volunteer to attend classes are also welcome.

The so-called edification, which is probably like this, often receives this information, and naturally the ability to understand will improve.

Zhang Lin and Xiao Wu are like this, they are ordinary people, far from the talent of Song Zimo and Xu Zhiliang.

But they hooked Yang Ping every day, and under the guidance of Song Zimo and Xu Zhiliang, both the theoretical level and the surgical ability were far higher than those of doctors of the same level.

Many surgeries, repeated training, accumulated over time, natural proficiency.

It's like reading 300 Tang poems, and you can't chant poems.

What's more, these two were not only forced to familiarize themselves with Tang poetry, but also learned to write poetry with Li Bai Dufu every day.

Even if he could only shout "", he can now squeeze out a few decent poems.

At this time, the chat room of the forum is very active.

Key points of perioperative management and surgical operation of the external spine fixator!

The video window is just a topic.

Xu Zhiliang sat in the last row of the classroom, with a laptop in front of him, a bottle of mineral water and a bag of steamed buns next to him, and at least six or seven of them were visually inspected.

He is responsible for the live broadcast of the forum, and he places the video window on the left side of the computer screen and the chat window on the right to facilitate communication.

Zhang Lin maintained the order of the classroom, and Xiao Wu helped to operate the messy equipment such as the Internet, computer, audio and microphone.

Song Zimo is the host of the venue, wearing a shirt and tie today, looking very formal and very academic.

Although it was Saturday, a lot of young doctors came.

A few girls who usually don't like to listen to lectures also quietly squeezed behind, but their eyes were focused on Song Zimo.

"Everyone keeps quiet, if you don't eat breakfast, you can listen to it while eating breakfast, but durian, stinky tofu, and Laotan sauerkraut are still eaten outside before coming in." Zhang Lin stood in the front row, shouting.

Xiao Wu is experimenting with Yang Ping's microphone sound quality.

Director Gao, who is engaged in sports medicine, also came to listen to the class of the spine pillar, and he sat next to Xu Zhiliang.

I had something to delay in the morning, and I hadn't eaten breakfast yet, looking at a few big steamed buns in the Northeast in front of Xu Zhiliang, I thought, you can't eat so much.

"Old Xu?"

Everyone called it that, and Director Gao followed suit.

While Xu Zhiliang was operating the notebook, he reached out for the steamed bun and gnawed on it, but he didn't choke on it.

"Your steamed bun is still hot, it looks good, old steamed bun in the Northeast? I'll taste it. Director Gao stretched out his hand.

Xu Zhiliang focused on the computer screen, and didn't pay attention to anyone, only knowing that someone was taking his steamed buns.

With a snap, he opened Director Gao's hand.

"I ate eight meals in the morning, and I brought the last six in the cafeteria today, and I gave them to you?"

Eat eight in one meal?

Really, fake.

I heard Xiong Sihai say before that their stammering breakfast eats eight big steamed buns, but I didn't expect it to be true.

Seeing Xu Zhiliang eating with relish, he ate a whole steamed bun in a few bites, and didn't even drink a sip of water.

It's awesome!

Director Gao swallowed his saliva, didn't say anything anymore, took out a small notebook, and began to prepare for the lecture.

---

"Oreo Online?"

"In!"

"Yes, this energy!"

"Average."

It's past two o'clock in the morning in Germany.

"I have never understood the choice of osteotomy site and the depth of osteotomy, so I have to listen to the professor's lecture today."

"The principle of the professor's osteotomy is that the vertebrae responsible for the scoliosis are curved, and each one participates in the osteotomy, but each retains a certain stability."

"The external fixator is elastic and increases the risk if a segment loses stability due to osteotomy."

"Why do you have to have an osteotomy every one? This is too different from traditional orthopedics. ”

"The theoretical basis is different, in the words of the professor, this is the zipper principle."

"What is the Zipper Principle?"

"When the bag is full of stuff and sealed, the zipper can't be closed, and it takes a lot of effort to successfully close the zipper, and then you find that the zipper seems to be not under any tension, it is very loose, as if the previous energy is gone."

"In the same way that the stress is distributed to each zipper segment, the professor's aim is to disperse the deformity to each vertebrae, one segment, so that the deformity is dispersed so that the deformity is minimal, the deformation in each place is minimal, the natural risk is minimal, and the distance of bone migration is minimal, and the orthopedic time required is also reduced to a minimum."

"Wait a minute, I need to get some coffee to refresh myself."

Woodhead spoke.

"I'm not interested in coffee right now."

Robert used to be very fond of and coffee.

"What do you drink?"

"West Lake Longjing!"

"Oreo, are you sure when you will go to China?"

August did not respond.

"Oreo? Asleep? ”

"Actually, the most important thing to refresh is Oreo, it's past two o'clock in the morning."

"I've already drunk a bottle of dark beer, don't worry, it's in good shape at the moment."

---

At nine o'clock, the lecture officially began.

Xu Zhiliang operated the computer while nibbling on steamed buns.

Six steamed buns, not even the dregs left.

After finishing the operations on the computer, and finally being able to rest for a while, Xu Zhiliang picked up the mineral water and prepared to unscrew the bottle cap and take a few sips.

Looking at Director Gao next to him staring straight at him, his heart was a little hairy.

"Director Gao? What, free today? ”

Director Gao really couldn't hold back, and swallowed a mouthful of saliva: "If you are free, you are free, come and listen to Professor Yang's lecture." ”

Then he turned his head and began to listen to the lecture, no longer chatting with Xu Zhiliang.

Live online classes will be held simultaneously with on-site classes.

Yang Ping first briefly reviewed Yin Rizarov's theory, and then sorted out the application of Yin Rizarov's theory in limb orthopedics.

In this way, everyone has a basic understanding of the application of Yin Rizarov's theory in the field of orthopedics.

Then the history of chiroptic orthosis is briefly discussed, and then the difficulties of Yin Rizarov's application to chiroptic orthopedics are listed.

The main line is clear, the context is clear, and one link is interlocked.

After listing the difficulties, what kind of ideas are used to deal with each difficulty, and what are the specific technologies that can be realized?

After the foreshadowing is done, the principle of the external ridge fixator, the selection of surgical indications, the grasp of surgical contraindications, the perioperative management, and the details of the surgical operation are explained.

How to calculate the osteotomy is the core of the technique, and the rest is the operation of drawing a scoop according to the gourd.

How to design each osteotomy not only ensures the stability of the spine segment in the whole treatment process, but also ensures that the osteotomy can achieve distraction osteogenesis.

Only by maintaining stability can the weakness of the elastic fixation of the outer fixator be avoided.

Only by ensuring the distraction osteogenesis at the osteotomy can the distraction osteogenesis be used to achieve orthopedics.

Maintaining, Yang Ping created several lines, several angles.

Based on these lines and angles, the planning of osteotomy can be formulated.

If there is computer assistance, this work is simpler, and the computer can do the precise planning, which will simplify the surgical process and lower the threshold for surgery.

The lower the threshold for an operation, the stronger the popularization and the higher the safety.

The animal experiments were very successful, and all 40 cases in the first phase of the clinical trial were successfully orthopedic, and the second and third phase clinical trials are being carried out.

The most classic case of Cui Shukai was put on the screen, and the C-type scoliosis with a cobb angle of 176 degrees before surgery was completed in three months, without complications, and the function of each spine segment was completely preserved.

The X-rays of the preoperative, intraoperative, and postoperative are listed, and then the videos of Xiao Cui before, during, and after the operation are also smoothly released.

In particular, the video of Xiao Cui's removal of the external fixator after surgery, and after a short period of rehabilitation training, bending over to tie his shoelaces and other actions shows that the function of the spine is very good.

Yang Ping's stable image has been deeply rooted in the hearts of doctors, and the success of this experiment has made the stable image more brilliant and great.

There are many stories of Yang Ping in Sanbo Hospital, how to save others, how to face difficulties in academic meetings, clean up the mess for international bulls, and how to complete folding surgery with the Golden Knife Award.

It is as if any case, any operation, Yang Ping can be completed steadily and smoothly without failure.

When Xiao Cui bent down, the venue burst into warm applause.

---

At the same time, the chat box of the forum also played a warm celebratory emoji!

"Incredible!"

"It's completely corrected!"

"Anterolateral x-rays showed that the cristae were almost no different from normal."

"Has this patient been discharged?"

"Not yet, I won't be discharged from the hospital anytime soon."

Xu Zhiliang is answering questions.

"Great, I want to see this patient with my own eyes, forty cases, except for one case of mild pinhole infection, there are no other complications, isn't it perfect?"

August expressed disbelief that a device for clinical trials could be so mature.

"It's the professor's style--- steady! You can take a look at another masterpiece of the professor, the ridge column orthopedic of the folding man, at that time the new technology was not formed, the use of traditional surgical orthopedics, the whole process is more exciting than the roller coaster, after seeing that operation, you will know that our professor has always done things without leakage, and the shot is extremely peak, let me think about it, how to describe the professor. ”

Robert still remembers the operation of the folding man vividly.

Nonsense, Yang Ping's crest column external fixator technology has been tempered in the system laboratory, and it is no wonder that it is immature.

"My professor is so steady!"

Takahashi typed out a string of words.

Robert's heart was cold, it seemed that the position of the moderator of trauma orthopedics was snatched from the Japanese, and there was little hope.

PS: Today's chapter, but there are more than 4,000 words, and the weight is okay!

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