Chapter 38 Old Man Zhang’s Instructions
Iceberry ice cream! The second uncle brought it to him personally with a full belly.
"Wow! Why do you still have this brand here? It's not even available in G City." Su Yixuan clapped her hands in surprise.
The second uncle said: "You have to ask him about this."
"Me?" What could Yang Ping say.
"Thank you!" Su Yixuan took the ice cream.
Yang Ping touched the back of his neck, stammered, and blushed: "I——."
Su Yixuan said thank you in a low voice, with a blush on her face. This idiot who only knows how to perform surgery actually knew that she loved eating Iceberry.
Manager Huang, that person from the headhunting website, Yang Ping immediately thought of him, he must be behind the scenes. This person is really a bit strange, it can be said that he is different. He knew that he could not go to that hand surgery hospital, but he still Don’t give up, go ahead and ride behind the horse, for what on earth.
Yang Ping saw Su Yixuan sitting and eating ice cream, and took the opportunity to immediately follow his uncle: "Second uncle, what is going on?"
"Young man, didn't you ask someone to send ice cream to me? You also told me that every time you come to eat with this little girl, you will bring two of them. Oh, no need to pretend. I won't tell you. Wait, wait. Yes, I still have something to do." The second uncle waved his hands and said the first words in a low voice, and deliberately raised the last sentence a few times.
After finishing the meal, it was already past ten o'clock, but the number of customers in the store was still there, and the supper had just begun. After Yang Ping sent Su Yixuan back to the hospital dormitory, he took a breath of air on the overpass before returning to his house.
Thinking of this week's teaching surgery - the horrific triad of elbow joints and fracture of the lower end of the humerus. Yang Ping entered the system space and flipped around on the light screen to see if there was such a single training package.
In the intensive surgical training, I found these two items, with a minimum purchase price of 500 cases and each requiring 4,000 points.
Calculating the points, I just recorded 6,000 points and currently have 14,000 points on hand.
These two items cost 8,000 points, which is indeed too expensive.
Looking at other fracture surgery training packages, calculated based on 500 cases, there are 2,000 points for humerus fractures, 2,000 points for ulna and radius fractures, 3,000 points for femoral fractures, and 3,000 points for tibia and fibula fractures.
These training packages, for example, include humerus fractures, distal humeral fractures, and radius and ulnar fractures, including the horrific triad. This is a much more cost-effective purchase, and there may not be so many individual diseases.
After much deliberation, Yang Ping bought the case for humerus fracture and radius and ulna fracture. This way you will have 10,000 points left on hand, giving you more room for maneuver in the event of an emergency.
Anyway, without consuming real time, Yang Ping completed all the training on the surgical training package he just purchased in the system space.
After finishing his shift in the morning, Yang Ping took Xiao Wu for ward rounds, and also went to the trauma ICU to see the patient who had a liver and spleen rupture yesterday. The doctor had removed his tracheal intubation and he was awake, but his face was still a little pale.
When the ICU doctor saw Yang Ping coming for ward rounds, he immediately followed him and reported:
"The hemoglobin of the blood drawn in the morning was 70g/L. After a large amount of blood transfusion, the heart rate was slightly faster, 105 beats/min, and the blood pressure has entered the normal range of 98/64mmHg."
This data is already relatively good. If you transfuse some blood later, the hemoglobin will gradually correct.
"The blood bank said that blood is relatively tight now. Now that I am over 70, it is a bit difficult to get blood." The ICU doctor explained.
Yang Ping said: "Without blood transfusion, the problem is not big. In the later period, nutrition will be strengthened to prevent infection, and the hemoglobin will slowly recover, and a virtuous cycle will begin."
The patient recognized Yang Ping and wanted to support him, but the ICU doctor held him down: "You can't get up yet."
"Doctor, thank you for saving my life." He stretched out his hand, and Yang Ping held his hand and said, "That's right."
In fact, doctors are very simple. The greatest sense of accomplishment is to save the patient's life.
"It shouldn't be a big problem." The ICU doctor also knew that Yang Ping was now the backbone of the orthopedics department and one of the generals under Director Han. He was very polite to Yang Ping, obviously not treating him like an ordinary attending physician. When you say angry words, you are much more polite than talking to an ordinary attending physician. After checking the ward in the ICU, I received a call from Director Han. Professor Zhang Zongshun asked Yang Ping to go to the outpatient clinic to find Yang Ping.
Professor Zhang Zongshun, a young doctor who sees you taking a detour, has a weird temper and strict requirements. If you don't button your white coat properly, he will scold you for half an hour.
Yang Ping shivered and checked his white coat. There was a button that was not buttoned. He immediately fixed it and checked it again before he dared to go to the outpatient clinic.
Professor Zhang is a nationally renowned professor of orthopedics. The outpatient clinic has an inner dressing room, an outer living room, a resting area for patients’ families, and a sofa, coffee table, and water dispenser.
Inside is the consulting room. The consulting room is very large, with a consulting bed against the wall and a curtain. Two desks are put together, two computers are back to back, the screens are connected and shared, and a young graduate student is his assistant.
Yang Ping knocked on the door, went in gently, said hello to the graduate students, and found a place to stand out of the way.
Mr. Zhang was seeing a doctor. One of the temples of his reading glasses was broken and was still wrapped with tape.
The patient is lying on the examination bed, wearing blue overalls and rumpled clothes. While inspecting the patient's elbow joint, Mr. Zhang said: "Well, it's only four thousand yuan, and the funds are a bit tight. Let me sum it up for you."
The patient immediately said: "Professor Zhang, I was working on a construction site. My boss ran away and I didn't get my salary for a year. My co-workers raised the money. I went to several hospitals. People said that I could even buy nails for 4,000 yuan." We don’t have enough money, so steel plates and nails cost more than 20,000.”
"Yes, a steel plate and screws cost more than 20,000 yuan a set. It's hard to find a cheap one for more than 10,000 yuan. Let me take a look. Don't worry." After Mr. Zhang finished the physical examination, he sat back to his leather boss Chair, look left and right at the reading lamp.
The lower end of the right humerus was fractured, the fracture was intra-articular, and the fracture was severely shattered. Mr. Zhang looked at it for a few minutes and said: "Comrade worker, don't worry. You only have four thousand yuan, and you still need to eat. You can probably spend it on medical treatment." It can only be reduced to three thousand, I will give you a plan.”
The patient was helped up by the workers, and the graduate student helped fix the plaster support back, wrapped it with a bandage, and hung it on the chest.
"Professor, thank you. I went to several hospitals. They just took a look at the film and said, "You can go to other hospitals. It's impossible for four thousand yuan." Then they ignored me. I couldn't get through your hospital just now. "No. I just wanted to ask a few questions at the door. I thought I would be kicked out. Unexpectedly, you not only didn't kick me, but also gave me free medical treatment. I'm sorry just now. I'm going to pay for the registration fee now." The patient said and said. tears.
"Special circumstances, special treatment. No registration fee required, just treat me as a free account for you."
Seeing Yang Ping coming, Professor Zhang waved: "Come here, come here, have a look!"
Yang Ping immediately went over, with a smile on his face, and Mr. Zhang said: "This patient only has 3,000 yuan with him, and he will be disabled after death. In this way, I will admit him to the hospital, and you will perform the surgery on him, without using steel plates, only using Kirschner wires." Wire surgery, you should plan the operation carefully. I think you used a few Kirschner wires well during your last clavicle surgery. After hospitalization, complete the preoperative examination and check the three major routines, biochemistry, liver and kidney function, and infectious diseases. ECG and chest X-ray, arrange surgery quickly and shorten the hospital stay.”
Mr. Zhang thought for a while: "No matter how you plan, you are still a little nervous about the cost. Xiao Yang, I will say hello to the operating room later and take care of this patient's expenses." Mr. Zhang added.
For fracture surgery, steel plates and other consumables are very expensive, costing over RMB 10,000. Imported ones are even more expensive, costing tens of thousands.
Kirschner wire is a kind of thin steel needle. Steel needles and wires are cheap, ranging from a few yuan to dozens of yuan, but more expensive than one or two hundred, which is almost like free materials. However, steel needles and wires can only handle simple fractures, such as fractures of hands and feet, and cannot handle more complicated ones.
This kind of surgery is performed with Kirschner wires. It was okay to do this a few decades ago. It doesn't matter whether it works or not. In today's era, functional requirements are high. How can Kirschner wires fix this kind of fracture firmly? If it is not firmly fixed, it cannot be exercised early. The lower end of the elbow joint is crushed and fractured. It is very delicate. If not exercised early, the joint will become stiff in three weeks. , this is posing a problem for Yang Ping.
Not allowing Yang Ping to discuss, Mr. Zhang adjusted his glasses and ordered the graduate student to issue a hospitalization notice: "Go to the hospital, join a queue, and arrange the surgery earlier."
"That's it, you can go about your business." Mr. Zhang said.
"No, Mr. Zhang?" Yang Ping wanted to make a few excuses.
Mr. Zhang waved his hand: "Use your brain more. You don't need to do the two surgeries I chose last time. Use this surgery to replace them as review surgeries."
Bad old man, very bad!
Yang Ping stood in the consulting room and refused to leave, wanting to wait until the old man was free to discuss the matter again. Mr. Zhang was very busy, giving detailed instructions to the patient on how to go to hospital, how to take the route, where to eat cheaply, how to keep a tight eye on the money bag, and be careful of thieves. Only then can you feel free to watch the next one. Ignore Yang Ping at all.
A patient with chronic osteomyelitis of the tibia was pushed in a wheelchair by a young fashionable girl. He was treated in many hospitals and had six surgeries.
(End of chapter)