Three days later, Yang Ping saw Qin Xiaowei at the door again, his skin was obviously darker, with traces of sunburn, and the adhesive tape on his hands had all been changed, his hair was shortened, he looked more energetic, and he still wore a waist bag around his waist.

Li Jun hasn't woken up yet, only when he just entered, there was a tendency to wake up, and there was no movement after that, the cost of more than 20,000 a day, the bedside blood filter machine was seven or eight thousand a day, all kinds of expensive imported drugs, plus all kinds of examinations, etc., the cost of seventy or eighty thousand a day could maintain Li Jun's life, and as long as one of these life-saving treatments was stopped, Li Jun's life would collapse.

His life was kept alive by expensive drugs and machines.

Every time Yang Ping came to visit the ward, the director would accompany him, and he still respected the young professor very much.

"Li Jun has severe anemia, this anemia is renal anemia, currently relying on blood transfusion to maintain hemoglobin concentration and the number of red blood cells, but this is not a way, in order to increase hemoglobin and red blood cells, we injected Erezoloxadustat from the stomach tube, yesterday we did an electroencephalogram, brain waves exist, and the activity is very good, the child hole reflex and other cranial nerve reflexes are present."

In this way, it is theoretically possible to wake up.

"As long as the brain waves are normal and the cranial nerve reflex is present, it means that the brain tissue is not necrosis, and there is no anatomical evidence that it cannot wake up."

Yang Ping borrowed the light of the flashlight to check the children's holes, and indeed the children's holes were more sensitive to reflection.

The nurse is turning Li Jun over, doing a full-body body rubbing care, checking the skin condition of some bone protrusion parts, and changing protective pads for these bone protrusion parts to prevent the formation of pressure ulcers.

Bedridden patients are not well cared for and can easily develop pressure ulcers.

The director sighed: "I hope it is not completely nothing, even if I wake up, I still face the problem of whether I can be offline, these two life and death must be passed, we have more than three months of successful offline, but the cost is huge, the self-pay part alone is more than two million, even if he has this heart at home, this money is also a problem." ”

As a doctor, the director knows very well how many people fall on the issue of money, and at this time, gambling on that glimmer of life is throwing money.

Ordinary people sell houses, smash pots and sell iron, and in the end, no one can accept it.

Many problems end up being economic.

"How's that next door, still holding on?" Yang Ping asked by the way.

The director smiled bitterly: "How is it possible, he was brain dead a few days ago, that patient actually hopes to be greater than Li Jun, and he also relies on maintenance, and he has lasted for more than 20 days, and his family really can't hold it, and his family members signed and gave up." ”

Yang Ping was silent.

After watching Li Jun and Yang Ping, Qin Xiaowei was talking to Dr. An, the doctor in charge of the bed, and he was going to leave for a while, which was a long time.

Qin Xiaowei told Dr. An that as soon as Li Jun woke up, he would call him.

And there is another emergency backup phone, which is from his friend Aron.

Before the official rock climbing, he had to climb dozens of ropes, select the best route, study the difficulties in the route, and design countermeasures in advance.

It is also necessary to carry out professional training, including physical training, etc., just like the training camp before the athlete's competition, this high-risk outdoor extreme sports is very professional, and it is by no means a hot blood, and the brain rushes up as soon as it is hot.

Only when every detail is in place can we succeed.

August has a basic grasp of the orthopedic technique of scoliosis and has a deep understanding of the technique.

As a god-level figure in spine surgery, his understanding of spine is by no means comparable to that of ordinary doctors.

Yang Ping's technique makes full use of Yin Lizarov's theory to orthopedic spine scoliosis, and the difficulty lies in having a full understanding of the spine deformity, and then knowing where the stretching bone formation is helpful for orthopedic deformity.

Auguste thoroughly understood these core theories little by little, and asked Yang Ping for advice if he didn't understand anything.

In order to have a deeper and more comprehensive understanding of the case, he personally changed the dressing every day and personally rotated the knob of the external fixator of the ridge.

Now August's work at Sanbo Hospital is all the work of a resident doctor, and he enjoys it.

"Why is my pen missing again?"

In the doctor's office, Auguste hung up his badge as a trainee doctor, sat down to rest for a while, and took a pen from his chest pocket to record something, but found that the pen was gone.

And Robert sat at the desk, proudly counting the pens, there were more than a dozen, blue and black pens, surgical markers, everything, and the two pen sleeves were inserted slowly.

Each pen, Robert is labeled with his name, which is an oath of ownership.

August puffed up: "Classmate Luo, you take my pen?" ”

Robert protected his pen with both hands: "This is all from other departments that I took from other departments after consulting with Mr. Zhang, and each pen has my name." ”

For doctors, these pens are a lot of money, how can they be taken by others.

No matter how many pens there are, the doctor will often not be able to find the pen.

Unable to hurt the feelings between roommates for a pen, Takahashi handed a pen to August: "Use it first, I still have it." ”

August took the pen and his hatred of the Japanese was slightly less.

"Doctor O! The professor looks for you and asks you to go to his office. ”

The young doctors call them Dr. O, Dr. Luo, and Dr. Gao.

The professor is looking for me? August temporarily put down the hatred of a pen, straightened his white coat, cheered up, and came to Yang Ping's office.

The door was hidden, and he pushed it open, poked his head in, and asked in a low voice:

"Professor, you're looking for me?"

"Come in!" Yang Ping is studying surgery and wants to discuss it with him.

August came in and stood with his hands on the seams of his trousers, leaning slightly forward.

Then he stared at the professor's pot of tea, because he knew that if the professor poured a cup of tea from that pot and gave it to the student, it meant that the student would be approved by the professor, which is said to be a tradition.

So far, Dr. O's cup of tea has not been reached.

Yang Ping pushed the 3 model of the spine column on the table to the center: "Doctor Ao, if you use the external spine fixator to treat this case, can you tell me how to cut the osteopathy?" This is your patient. ”

This model of the spine was the spiral spine of the duke's precious son, and August was a little excited.

Is this a test of yourself? August was confident. During this time, I worked the new technology, followed by surgery during the day, changed the dressing before leaving work, and returned to the dormitory to supplement notes and summarize the day's work.

"Professor, look!" August took out his pen: "Every vertebra should be osteotomy, and the osteotomy should be left in the posterior column as much as possible, to maintain the stability of the spine, and to make full use of the distraction osteogenesis, I started from this vertebrae"

Auguste used a pen to illustrate the specific position, direction and depth of each osteotomy in detail.

The site of osteotomy will be the site of distraction in the future, and it is necessary to consider not only orthopedics, but also deformation tolerance of the scattered spinal cord.

Sure enough, he is a great figure in spine surgery, and he understands the osteotomy of the new technology so thoroughly.

The promotion of new technologies in Europe depends on Dr. O's in front of him.

Yang Ping applauded him, and then made changes to several osteotomys.

These modifications will make the operation easier and easier, which is what August has never figured out, and he always feels wrong, but he doesn't know how to modify it.

After Yang Ping's little touch, the ice and snow clever Auguste finally understood the mystery.

"Professor, when can I ask you to go to Germany and operate on this patient?" August took the opportunity to offer an invitation.

Yang Ping didn't refuse and asked, "The patient's cardiopulmonary function is not very good?" ”

"Because of the severe spinal deformity, the chest space is extremely narrow, which causes severe squeezing and distortion of the heart and lungs, and the cardiopulmonary function is very poor, and once other problems occur, it may be life-threatening due to insufficient compensation of the cardiopulmonary function, so my friend hopes to operate on his son soon."

August is well aware of the professor's temperament, and if the patient does not hurry up for surgery, he may not be saved.

Professor! Do you shoot or don't shoot?

Yang Ping thought for a moment and nodded: "I'm busy with this time, and I'll go to Germany with you." ”

"By the way, I look at the projects funded by the Duke's Fund, and I vouch for my personality, this fund is very serious."

August swallowed as if his throat was dry.

"Okay, let's go and see."

"By the way, I will guide the spinal cord injury research project, see if our hospital is qualified as a clinical trial base, for this phase III clinical trial, the Duke Fund has given 100 million euros, and patients from all over the world can enjoy free treatment in Germany, professor! Each of your spine slab fixtures is benefiting humanity. August threw out the card he had been holding in his hand for a long time.

For the sake of his son, the Duke was very generous and signed an agreement with the Munich Haraching Orthopaedic Hospital, and if he won the phase III clinical trial, he would give 100 million euros in funding.

That's a lot of money no matter where it is.

"Then by the way"

Yang Ping patted August on the shoulder.

Until the end of the conversation with the professor, he did not drink the cup of tea, and August was very disappointed.

August still had a few patients changing dressings before he got off work, so he went to push the dressing cart, put on a mask and hat, and prepared to change the dressing.

In the corridor, I saw Professor Zou, who was attached to the first, standing at the door, carrying a bag of fruit in his hand.

"Teacher"

Professor Zou waved his hand.

August looked back, then gestured to Professor Zou to go back, and then pushed the dressing cart into the ward.

Looking at the back of the tutor pushing the dressing cart, Professor Zou felt a sadness welling up in his heart, stronger than last time, mentor, my mentor! It looked like a regular trainee, pushing a dressing cart to change the patient's dressing, and Professor Zou almost burst into tears.

When he arrived, Professor Zou wanted to say hello to Yang Ping, so he moved to Yang Ping's office.

Yang Ping was very surprised when he saw Professor Zou and carrying a bag of fruit, so he didn't say hello in advance and came to visit suddenly.

"I'm stopping by, come and see, Professor Yang!" Professor Zou put down the fruit in his hand and took out a tissue to wipe his sweat, his eyes moist.

"Professor Zou, what are you?" Yang Ping felt that his expression was wrong.

Professor Zou sighed slightly: "August is my mentor, take care of me!" I just wanted to see him. ”

No wonder he was carrying a bag of fruit.

Yang Ping bowed his head: "That's, I must take care of it, it's rare to come over, why don't you get together at night?" ”

"No, I'll just come over to see the tutor, there is something to do in the evening."

Professor Zou did have a party at night, and besides, he came over in a hurry, didn't say hello, and ate in a hurry, like something.

"Li Guodong!"

Li Guodong happened to flash past the door of Yang Ping's office when he heard the shouting and stopped.

"You go and call Dr. O." Yang Ping commanded.

Professor Zou shook his head: "Forget it, I'll leave now, the tutor said that during the study, don't let me disturb him, I just want to come over and see if there is anything I can help with." ”

Your expression, like this, as if this is a juvenile detention center, you are the child's parent, and the child is being disciplined here, Yang Ping scolded a few words.

"Don't say I've been here, please, take care of me, when I was in Germany, my mentor was very good to me." Professor Zou said emotionally.

Yang Ping thought he was weird, people came, but they didn't meet.

"Give him this bit of fruit."

Professor Zou was about to leave.

Aren't you a parent who watches over the children in the juvenile detention center alive? This is for the teacher.

"That's all! Come on! ”

While the tutor was still changing the dressing, Professor Zou hurriedly left, obviously the tutor did not want to see him.

This?

Carrying a bag of fruit, throwing it here and leaving.

Yang Ping wanted to catch up to see Professor Zou, but the person was gone

In the office, Yang Ping took a few sips of tea.

This paper summarizes and considers the orthopedic technique of the external ridge fixator.

In the system space, he reviewed some of the monographs and journals on orthopedic surgery.

Most of the patients with scoliosis are adolescents who are in the stage of growth and development, whether they can grasp the characteristics of adolescents and whether they can find a better way.

Any treatment is developed, such as the treatment of gastric ulcers, at first it was surgery, partial gastric resection, and then it developed to engage in selective vagus nerve block, and later, the progress of research on Helicobacter pylori and gastric acid secretion, there is no need for surgery at all, and direct triple and quadruple drug treatment can be cured, which is the improvement of treatment methods, and there is no one method that is once and for all.

Yang Ping summarized the history of orthopedic surgery, especially the development of orthopedic surgery for adolescents, and then analyzed the current cutting-edge technology and found an important information: whether epiphyseal block and stimulation techniques can be used in the orthopedic orthopedic scoliosis.

Nowadays, epiphyseal block techniques have been used sporadically in simple pediatric scoliosis.

At the core of the concept of traditional orthopedic surgery is osteotomy, so osteotomy is often required to correct skeletal deformities.

Adolescents and children, this type of minors, their bones are still in the stage of growth and development.

The length of the long bones of the limbs mainly depends on the growth plates at both ends of the legs, also known as the epiphyseal plates, the epiphysis is formed by the orderly superposition of chondrocytes of different maturity layers, the chondrocytes near the diaphysal side continue to mature, and the mature chondrocytes are transformed into osteocytes, accompanied by the calcification of the surrounding matrix, forming cancellous bone and adding to the two ends of the long bones, so that the long bones continue to grow.

Normally, the growth of this epiphyseal plate is balanced, so in the process of growth, we will not have long and crooked deformities.

However, due to some reasons, such as trauma, infection, tumor, radiation, metabolism, dysplasia and other factors, damage the growth mechanism of the epiphyseal plate, disrupt the growth balance, the growth of the epiphyseal plate will be inhibited or stimulated, and the growth will be too fast or slow or even stagnant, and the limbs will appear unequal in length or curved deformity.

In the case of unbalanced growth of the growth plate and bone curvature, the bone deformity can be corrected by temporarily stagnation of the side of the epiphyseal plate that grows relatively fast, and the slow growth side can be allowed to grow sufficiently.

Doctors often achieve epiphyseal block by placing a small steel plate and two screws on the convex side of the angular deformity.

In this way, the concave side grows faster than the convex side, and the bending is corrected.

However, the spinal column deformity is far from the pen, and the long bone deformity of the limbs is complex.

It may seem simple, but there are several major problems that must be solved in order to use this technique for chiropsal-column orthopedics.

First, it is necessary to thoroughly study the growth mechanism of the spinal column, understand the precise mediation of each epiphysis, which can be adjusted from the three axes, and second, finally master the epiphyseal stimulation technique, because at present, there is only epiphyseal block technology, and there is no epiphyseal stimulation technology.

If there is a breakthrough in this technique, then the theory of chiropractic orthopedics will have two complementary surgeries that complement each other's strengths and make spine orthopedics very easy.

For example, in children's spinal column orthopedics, a few screws can be placed minimally invasively, and you can do whatever you need after surgery.

These screws mediate the growth of the crest column in the body, so that it will automatically correct in the process of growth.

There are so many ideas!

Yang Ping has a lot of ideas in his mind now, so let's write them down for the time being, and then study them slowly when I have time

After August finished changing his medicine, he was called to the professor's office again.

Let him go get the bag of apples.