Chapter 48 Old man Zhang has a fracture
Eating too much mutton will cause internal heat and dry mouth.
Yang Ping drank many glasses of water, but still couldn't suppress the anger in his heart.
But strangely, Zhang Lin had fewer acne on his face after eating mutton. I'm not a student of Chinese medicine, so I can't explain it.
Song Zimo didn't drink, but drank Tiandi No. 1 all night. In the morning, he actually said he drank too much.
Needless to say, Xiao Wu, that little bit of wine is nothing, it’s just like rinsing your mouth.
Ward rounds and surgery, a trilogy of daily life.
Director Han led several people to check the ward. The patient had a comminuted fracture of the lower end of the humerus. He worked very hard on the rehabilitation exercise and has made a lot of progress compared to yesterday afternoon. He only has a few hundred yuan left for his hospital bill, and according to plan, he will be discharged from the hospital in two days.
To control the cost within 3,000 yuan, Su Yixuan only managed to reach the goal by helping to greet the paid nurses in the operating room.
There are more than a dozen people in the hospital who have had their severed fingers replanted. Many of them were transferred to the rehabilitation department for rehabilitation after the sutures were removed.
I have chronic osteomyelitis of the right tibia, my blood pressure and blood sugar are almost under control, and it’s time to schedule surgery.
The patient who had an on-site amputation, mainly due to liver and spleen rupture, was discharged from the ICU and transferred to the general surgery department. Now he can walk up and down the corridor with a prosthetic limb.
Most of the other patients suffered from various fractures.
Director Han has been a little busy recently. He is currently applying to establish an orthopedic research institute within the hospital. Next, he has to apply for a provincial key department. In short, he is ambitious and energetic.
When he has time, he will take Yang Ping on several ward rounds. Although he is busy, he knows each patient's condition well.
Meeting Director Ouyang's group in the corridor, Dr. Jin said happily: "We are going to remove the two screws tomorrow and observe whether the joint pain and swelling will be reduced after the operation."
Xiao Wu Zhang Linxia operating room. Director Han called Yang Ping and Song Zimo to the office.
Old Han has a habit of drinking tea first before speaking: "Xiao Yang, Xiao Song, I want to add a new person to you, a girl."
Newcomer? Girl? Could it be that Tang Fei wants to join our foursome? Men and women are matched, so work is not tiring. Lao Han really understands the essence of management.
"Our department is developing rapidly and we will continue to add new blood. Our colleague has a very excellent educational background and graduated from the eight-year program of Imperial Medical University. You should be mentally prepared in advance." Director Han said.
After talking for a long time, it was not Tang Fei, but a newcomer. He hadn't come yet, so he just wanted to get a vaccination.
After saying a few words and telling some important things about the patient, Director Han went to the administration building.
Yang Ping and Song Zimo went to the ICU to see the AIDS patient who had surgery last night.
There were two policemen guarding the door of the ICU. Yang Ping had seen these things so many times that he didn't care.
The patient was staying in the negative pressure isolation ward of the ICU. He was dying and had his tracheal intubation removed that night. Now he is asking if he can be transferred to a general ward because he has no money.
ICU can easily spend 20,000 yuan a day, and he really can't afford it.
If the vital signs are stable, it means he is in shock due to blood loss. Once corrected, it will not be a big problem.
Besides, if the patient can communicate so clearly, there is no reason why he should not be transferred to a general ward.
"Of course!" Yang Ping confirmed that there were no wounds on his hands and reached out to shake his hand.
He hesitated: "I have AIDS."
Yang Ping smiled and said: "I know, we can shake hands. You were very strong yesterday and escaped from hell."
He cautiously reached out and shook hands with Yang Ping.
Shaking hands is not contagious unless you happen to have a cut on your hand.
"I put a note in my pocket, but I didn't take it out because I was unconscious. Are you okay? I'm worried," he said.
Yang Ping said: "It's okay, we will take precautions."
"Thank you for saving my life. Don't worry about the expenses. I will definitely make up for it," he said.
Yang Ping had seen many people who were in arrears, especially those who got into fights, but he had never seen anyone mention the fees so proactively. Regardless of whether it's true or not, it feels good to hear this.
In the past, there was a man who got into a fight. After emergency surgery, he ran away early in the morning without paying a penny. He also stole the remote control of the ward, causing Yang Ping to eat instant noodles for two months.
After Yang Ping saw the patients and left the ICU, the police were still guarding the door. A girl was sitting on a bench, covering her face with her head down, crying.
Doctor Meng from the ICU next to her was talking to her about her condition: "Okay, the person has been rescued. The orthopedic surgeon has said that she will be transferred to the general ward later."
"Really?" The girl burst into laughter.
"Just in time, Dr. Yang, these are the family members of the patient whose femoral artery was ruptured last night." Dr. Meng saw the sliding door open, and Yang Ping and Song Zimo came out.
The girl immediately got up and bowed, using a tissue to dry her tears and said: "Doctor, thank you, is Wang Feng really okay?" Yang Ping nodded: "We are out of danger. Go to the trauma orthopedic ward and wait. You will see him soon." .”
"I will pay the fee later. You will use the best medicine to cure him." The girl's eyes were red.
Doctor Meng should have discussed the fee with her.
Yang Ping thought about AIDS, but immediately pretended not to know. Because this kind of matter only needs to be reported to the hospital's infectious disease department, the hospital's infectious disease department will go through the process, and the CDC will intervene. What the doctor has to do is to keep the patient's confidentiality and protect himself.
After returning from the ICU, I went to the general surgery department to see amputees.
He has been fitted with prosthetic limbs and has begun walking back and forth in the corridor of the ward to train the adaptability of the prosthetic limbs. The wound on the stump of the severed limb is healing well, but I have some phantom limb pain at night. Yang Ping explained some medications to his brothers from the general surgery department.
The two hurried to the operating room, where several surgeries were waiting, including an emergency diagnosis of finger reimplantation, which Song Zimo and Zhang Lin performed.
There were also several fractures, including the humeral shaft, radius and ulna, femoral shaft, tibia and fibula. Yang Ping took Xiao Wu to do it.
At present, except for the pelvis fracture, Director Han has completely let Yang Ping go if the limbs are broken.
Director Han knew well that the comminuted fracture of the lower end of the humerus last time could be easily fixed with wire K-wires, so he could rest assured that the long bones of the limbs were fractured.
After a day of surgery, I came out at around four in the afternoon. After checking the off-duty room, the four of them sat in the department for a while.
Old Han said hurriedly: "Mr. Zhang fell down and fractured his hip. The situation is not clear yet. Go to the emergency room for a checkup."
Lao Han led everyone to the emergency room in a hurry.
The old man was lying on the flat car, surrounded by a large group of people. Xiong Sihai's tall and upright figure attracted special attention.
Seeing Director Han coming over, Xiong Sihai was a little anxious: "The old man is very stubborn and won't let me touch him. He said he would wait for you to come. He probably has a broken hip."
"Please be careful. An elderly patient suffered from pain in the left hip and mobility impairment of the left lower limb for half an hour after a fall. During physical examination, there was obvious tenderness and percussion pain in the greater trochanter, and a shortening and external rotation deformity of the left lower limb. Based on the medical history and physical examination, it was basically determined that the left If you have a hip fracture on one side and look at the degree of external rotation of the left lower limb, it reaches 90 degrees. This is not a fracture of the femoral neck. It must be an intertrochanteric fracture. You don't usually practice physical examination, so you rely on X-rays for everything. Without X-rays, you can't diagnose the disease. ?”
The old man was still giving lessons to the people gathered around him. When he saw Director Han coming, the old man said: "Han, what I shouldn't have said last time has become a prophecy. This time I really fell into your hands."
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"What's going on, old man, it's a broken bone?" Han Burang held his hand.
Old man Zhang waved his hand: "I have nothing to do this afternoon. I went for a walk in the hospital park and met a Tai Chi practitioner. On a whim, the two of them practiced push hands and knocked each other down. I also fell down. He fractured his lumbar spine and my hip. I came here and sent him to the First Spine Surgery Department for a fracture of his head. Why do people age so fast?"
I am already eighty years old, what else can I do but play Tai Chi and Push Hands?
"Let's take a X-ray first. I think the greater trochanter is fractured. It's a small matter. I'll just take it as a vacation." Director Han comforted.
"If I fall into your hands, I'll kill or behead you. It's up to you." The old man was open-minded.
Everyone pushed him to the radiology department to take X-rays. Pulling and pulling, crossing the bed and crossing the bed, trying all kinds of tricks to get the old man up.
The technician used a scarf to protect the old man's thyroid gland, then pushed and pulled the lead door shut.
Sure enough, the left intertrochanteric fracture was quite obviously displaced.
The technician took out the film, opened the door, and handed it to him respectfully,
Glasses, where are the glasses? He took out his reading glasses and put them on: "The fracture is shattered. This tip is inserted into the muscle. It's troublesome."
"I'm on a flight tonight and will attend the on-site meeting for application at the Institute of Orthopedics tomorrow. I'll do the traction for a few days first, and when I come back to help you with the surgery, you'll feel at ease. I won't talk about anything else. The rest of the talk is just a matter of practice. "Orthopedic Surgery" ", your old name is still on the first page."
"You can't delay things at the institute. Han Laoer, you are busy with your work, so traction is not necessary. Waiting any longer will increase the risk of deep vein thrombosis. I still want to work for a few more years. Emergency department, please help me with emergency treatment. I will do it tomorrow." It's time to go to the ground, and once you stay in bed, the problem will be big. "The old man is impatient.
"It's too late for emergency treatment." Director Han was embarrassed.
"It's okay, just find someone to do it for me." The old man was very calm.
It was a bit surprising that he actually agreed to arrange for a random person to perform surgery on him. It was not in line with the old man's temperament.
"Let's do this. I'll talk to Dean Xia and push the institute aside." Director Han said.
The old man glared angrily: "Why are you telling him? I'm not that bad yet. It's big or small. Don't be confused. The research institute can be postponed. Maybe next year. That's it. It’s decided, let’s find someone, just the guy from last time.”
Then he looked up and looked around and found Yang Ping: "It's just you, you do it."
"Me?"
"What's the matter? I don't want to. Let me tell you, I won't be able to get off the ground tomorrow. I'll give you nothing. Don't tell me that you are so famous that you only do upper limb fractures and not lower limb fractures?"
As long as it's not the pelvis, Yang Ping feels confident. In the system, there are hundreds of such fractures, not to mention many.
But this old man is too weird. He wants to walk with a heavy load tomorrow. How can he get to the ground if it is broken like this?
"That's it, Han Lao Er, just feel free to do things. Leave my affairs to him. Whether it's a mule or a horse, let's run around twice and see." The old man said.
Then there is no doubt and he reiterates again: "I will go to the ground tomorrow."
(End of chapter)