This week, Yang Ping was very busy, went to Xiehe, and was called to 301 to attend the general consultation.

The 10 beds promised to Yang Ping by 301 have been implemented, and Yang Ping has begun to carry out clinical and teaching activities in 301.

Yang Ping sorted out his innovation in surgery, the innovation of scoliosis has significantly reduced the difficulty of surgery, improved the effect and safety of surgery, especially if the precise epiphyseal block technology is successful, scoliosis will be safely carried out in the city's first-class hospital, as simple as doing vertebral body molding.

In the field of trauma orthopedics, Yang Ping integrates engineering theory into trauma first aid, establishes a systematic trauma first aid theory, and greatly improves the success rate of severe and complex trauma patients, which greatly improves the success rate of trauma first aid in Sanbo Hospital.

The establishment of the joint balance theory in sports medicine allows patients with multi-ligament injuries to obtain good results through surgery, and can maximize the recovery of patients' exercise ability.

Joint surgery, the subject given to Su Nanchen and Robert is currently progressing well, and if successful, it will lead to a major breakthrough in cartilage damage and degenerative osteoarthritis.

In terms of bone tumors, the current K treatment experiment is still standing still, and even if it is standing still, it has opened the door to the use of apoptosis mechanisms to treat malignant tumors, and once successful, it can not only treat osteosarcoma, but also set off a revolution in the field of tumor treatment.

In neurosurgery, Yang Ping is studying the clinical anatomy of the brainstem to provide an anatomical basis for brainstem surgery.

Yang Ping felt that if he only did the operation beautifully, he could only save a few more patients at most, and his contribution to medicine could be said to be none.

If the surgical method can be improved, the surgical effect can be improved, and the difficulty and risk of surgery can be reduced, which will make a certain contribution to medicine, but it is still very limited.

If we can study the mechanism of some diseases, and then innovate the treatment concept, such as the treatment of scoliosis, and update the treatment concept, this contribution is already very considerable.

If we can make a breakthrough in medicine from the basics, and then set off the progress of the entire field, this is the real great contribution.

Yang Ping's space-oriented gene theory is the innovation of this basic theory, which is the greatest contribution to medicine, and on this basis, future doctors can use this theory to clone the heart, liver, kidney, etc., to realize the era of cloning autologous organ transplantation and solve many end-stage organ failure diseases. It's like the invention of the steam engine, electricity, and the Internet, which ushered humanity into a new era.

How much Yang Ping hopes that the system is an infinite system, but unfortunately this is just a hope, the system is limited by points, and he needs to accumulate points little by little, and then use the points to obtain various conditions for study, surgery and scientific research.

Because of the cooperation with the Municipal People's Hospital, Yang Ping personally came to guide the operation, and met the legendary Director Zhuo Defeng, when Yang Ping came to the Municipal People's Hospital, Director Zhuo had already left the city doctor, so they did not intersect, but heard the story of Director Zhuo in the rumors of colleagues.

Director Zhuo was young, in his thirties, with a very good understanding and a very high level, and he was the highest level of orthopedics in the Municipal People's Hospital, but after President Xie competed for the post of department director, Wu Siwen replaced the original department director, and after Wu Siwen took the position, he squeezed out all the doctors in the department one by one.

Of course, he will not expel people openly, but deliberately disgust people, so that these doctors can't stay and resign.

Director Zhuo is like this, Wu Siwen stopped all his fourth-level surgeries and some third-level surgeries, Director Zhuo was the deputy chief physician at that time, but Wu Siwen lowered his status to the point where he was not even as good as the attending physician. Then he arranged for Director Zhuo to pull the hook for himself every day, and scolded Director Zhuo at every turn during the operation: You are a doctor who has read in vain, and you can't pull the hook, our department doesn't raise idlers, and you can't do anything if you pull the hook.

Director Zhuo still has a great sense of professional ethics and did not get angry on the operating table, because the operation is serious and sacred, and when the operation is over, Director Zhuo is also silent.

The next morning, when the ward was handed over, in front of the doctors and nurses of all the departments, Director Zhuo, a doctor of the Imperial Capital Medical University, slapped Wu Siwen on the face: "Today I tell you, Lao Tzu is gone, people all over the world know that you, the director, paid for it, and you think that others don't know, what else can you do except slap the horse, the operation is done like shit, and I think you are slow to lift my shoes." ”

"You --- you--- you ---" Wu Siwen didn't expect Director Zhuo to dare to do this, this was a sore spot, annoyed and angry, so angry that he couldn't speak, and almost burst his cerebral blood vessels directly.

Dr. Lao Tzu graduated, deputy chief physician, and his skills are still dying under the hands of you bastards.

After Director Zhuo slapped off the badge, he took off his white coat, folded it and handed it to the head nurse: "The white coat is sacred, I don't want to throw it away, please help return it to the hospital, thank my colleagues for their care over the years." ”

I heard that Director Zhuo's hospital was asked to queue up later, and many large tertiary hospitals threw olive branches, but Director Zhuo didn't go anywhere, but went to a second-class hospital that was not counted in the seventh or eighth line, because this second-class hospital was on the same street as the Municipal People's Hospital, and the distance was only a few kilometers.

In this second-class hospital, the president picked up a treasure, and immediately handed over full authority to Director Zhuo to establish an independent orthopedic department, and all resources were inclined to Director Zhuo.

Director Zhuo started from scratch and worked on the orthopedic department of this hospital all the way to 120 beds, and Wu Siwen of the Municipal People's Hospital did not rest, and successfully dried the 120 beds of the orthopedic department of the Municipal People's Hospital to 60, and the 60 beds were often not full, and the actual number of patients was only 34 in normal times.

The Municipal People's Hospital's high-level doctors do not have a doctorate, and even the few masters are also on the job, and the orthopedic department of Director Zhuo's side has introduced a few doctors and a few masters, and the level of the entire doctor team is much higher than that of the Municipal People's Hospital.

The two hospitals are on the same street, and the Municipal People's Hospital, which is a third-class hospital, is pressed to the ground by the second-class hospital, which is very abnormal in the industry.

In the end, Wu Siwen and Dean Xie both went in, and President Chen took office and invited Director Zhuo to go to the Municipal People's Hospital, after all, this is a second-class and the platform is limited.

The condition that Dean Chen gave Director Zhuo was the director of the Department of Orthopedics and the vice president, and the condition prescribed by Director Zhuo was that if he wanted to go over, there would be no problem for him, and the Municipal People's Hospital would form a medical alliance with the second-class hospital where he was located.

For the sake of Director Zhuo, Dean Chen insisted on agreeing to this request, and let the Municipal People's Hospital and this second-class hospital form a medical alliance, with Director Zhuo serving as the department director on both sides.

Director Zhuo respects Yang Ping very much, he is just forty years old, it is when he is in the prime of life, he is very willing to cooperate with Yang Ping, and he knows how high Yang Ping's level is, and he is very eager to learn from Yang Ping, how unhappy is he now with such an opportunity.

Under the introduction of Director Zhuo, Yang Ping had a detailed understanding of the current situation of the orthopedic department of the Municipal People's Hospital.

Yang Ping took Director Zhuo to do a scoliosis, using Yang's osteotomy, Director Zhuo himself has done scoliosis, so it is very easy to learn.

In addition to the orthopedic surgery of scoliosis, Yang Ping also personally taught him to do spinal tumor surgery and cervical spine surgery, which are relatively difficult in orthopedics, especially Yang Ping's new surgery.

Just after the operation, Yang Ping was in the locker room to change clothes and go back, and received a call from Dean Chen, saying that there was a difficulty in the thoracic surgery department in the operating room, and he hoped that Yang Ping would help take a look.

Thoracic surgery? It must be heart surgery, if there is really a problem on the operating table, it is a matter of human life, Yang Ping did not dare to delay, and went to see it together accompanied by Director Zhuo.

Yang Ping was familiar with the operating room of the Municipal People's Hospital, and soon, they came to the operating room of the thoracic surgery department, and the director of the thoracic surgery department was Director Zhou Zhao, who was also the newly promoted department director of President Chen.

Director Zhou Zhao is about the same age as Director Zhuo, because he has been nested in the hospital and has not left, so he has not done any decent surgery over the years, but he is the only doctor outside the chest, and Dean Chen is also the tallest among the short and promoted him to be the director.

"Professor Yang!"

Director Zhou's forehead was wet and obviously sweating.

"What's the situation?"

Yang Ping and Director Zhuo took a closer look.

Director Zhou stopped the operation and personally introduced the condition to Yang Ping: "A fish stab was in the sternum and penetrated from the esophagus into the aorta, forming an aortic esophageal fistula. ”

Director Zhou condensed the medical records and told the most important information.

Yang Ping thought it was some kind of heart surgery, but it turned out to be a fish bone, so he immediately went to see the CT film in front of the film reading lamp, and Director Zhuo went to get the medical record folder and handed it to Yang Ping.

The fish bone enters the aorta, which is very dangerous and easy to cause heavy bleeding, but now the thoracotomy can not find the fish bone, which means that such a major operation has been done, and the problem has not been completely solved, and the patient and his family must not understand, this matter is indeed very troublesome.

Sometimes it's really hard to get rid of a small fish bone.

"Can I see the fistula in the aorta and esophagus?" Yang Ping asked.

Director Zhou replied: "If I can see the fistula, should I repair the fistula of the esophagus and aorta first, and put the fish bones aside first." ”

Since you can't find it, there's no way to keep the patient lying on the operating table.

Yang Ping saw from the CT film that there was indeed a fish bone, about two centimeters long, which was inserted diagonally into the esophagus and aorta, and the CT picture was relatively clear, and this position was just behind the sternum.

Now the fistula has been found, but the fish bones are missing, indicating that the fish bones have been displaced, and it is very common for fish bones and foreign bodies to be displaced.

If it is displaced in a local area, it is not difficult, but I am afraid that the fish bone will enter the aorta and then follow the blood circulation to displace, which is far away and very difficult to locate.

There is an X-ray C-arm machine in the operating room, the X-ray C-arm machine is generally used by orthopedics, and other departments use more such as urology for urinary tract stone surgery, and the thoracic surgery rarely uses X-ray C-arm machine.

At this time, it is not easy to do not go on stage, Yang Ping flipped through the medical records, this patient is 52 years old, 10 days ago at a dinner accidentally swallowed a fish bone, at that time swallowed the fish bone together in the way of swallowing rice balls, after no foreign body feeling, the patient thought he was fine, but 5 days later, the back of the chest began to ache faintly, the patient came to the Municipal People's Hospital for treatment, thought it was angina, did some cardiovascular examinations, but did not find evidence of myocardial ischemia or infarction.

The patient told the doctor that he had eaten a fish bone a few days ago, and the doctor immediately thought about whether the fish bone was stuck in the esophagus, so he did an emergency chest CT and really found a thin fish bone, which was not only stuck in the esophagus, but pierced the esophagus and entered the aorta at the back, which is equivalent to diagonally penetrating from the esophagus into the aorta, which is very dangerous.

The doctor recommended that the patient be hospitalized for emergency thoracotomy to take the fish bone, this kind of surgery must be done with a thoracotomy, it is not easy to do with esophagoscope, it is easy to aggravate the damage of the esophagus and aorta, in case the fish bone is pulled out, it is too late to cause massive bleeding in the aorta and then open the thora, and the esophagus and aorta need to be repaired, and there is no way to repair the aorta under esophagoscopy.

A fish bone needs to be operated on such a major operation, the patient and his family do not understand very much, but after listening to the doctor's analysis, he still reluctantly agrees, and now the patient is lying on the operating table, has opened the chest, but the fish bone has not been found, what should I do?

When Director Zhou was in a hurry, Yang Ping had already decided to take the stage: "Why don't I come on stage and help you take a look?" ”

"Then trouble Professor Yang!"

Director Zhou is grateful, Professor Yang is a noble person invited by President Chen, who came to help the People's Hospital improve its medical level, and improving the medical level includes many aspects, such as cultivating talents and performing surgery, and helping to deal with some problems.

A doctor immediately took Yang Ping to wash his hands, and Yang Ping washed his hands and came to the stage.

He carefully examined the fistula of the esophagus and aorta, combined with the images of the fish bones on the CT scan, and it is likely that the fish bones have entered the aorta and followed the blood circulation.

However, Yang Ping still focused on the location of the esophagus and the aortic fistula, and carefully probed around, but did not find the fish bone.

"I'm afraid that entering the aorta and following the blood circulation has gone far, and we have to find it step by step in the direction of blood flow." Yang Ping made a judgment.

Director Zhou immediately felt that his head was big, if so, where to find this, there are many branches of the aorta, and the fish bones can enter, and it can go to almost any organ.

Even if it is found, it may be gone again, and then the blood vessels will be sparsely cut, and not even a single hair will be found.

This fish bone, engaged in such a battle, this is the first time Director Zhou has encountered this kind of thing.

Other doctors and nurses think about how much fish they have eaten over the years, and they have a feeling of the aftermath of the disaster.

The first is the latest.