Chapter 67 The boss of Huaqiao Tower
Yang Ping finished eating and packed his lunch box. Song Zimo passed by and picked up his lunch box: "I'll throw it away for you!"
Then without saying anything, he walked straight to the large trash can where lunch boxes were collected.
It would be so cool to throw a lunch box, Yang Ping thought.
Just wipe your mouth and continue the operation.
Another full day spent in the operating room.
After checking the room in the afternoon, Yang Ping took Xiaowu to the Overseas Chinese Building to see Li Jingshu.
When small splints are fixed, blood supply must be observed frequently, and the tightness must be adjusted in time.
Her mother stayed with her, sitting by the bed, peeling an apple and putting it on the dinner plate on the bedside table.
Li Jingshu was sitting on the bed with her coat on, a mobile table across the bed, and she was typing with one hand on her laptop.
Seeing the doctor coming in for rounds, Mrs. Li stood up and said: "Everything is fine, thank you all for your hard work!"
"Sorry, I have to catch up on the manuscript!" Li Jingshu stopped typing. She looked good and was no longer as gloomy as before.
"Let me see the blood flow on my finger." Yang Ping said.
Li Jingshu carefully moved her arm out. The blood flow to her fingers was good and the splint was tight and tight.
"Thank you Dr. Yang!" Mrs. Li is always polite.
"You're welcome." Yang Ping finished checking Li Jingshu's arm.
After explaining the precautions, such as paying attention to blood supply.
As soon as I left the ward, I met Dr. Yu, who was in charge of the bed. He happened to be on duty. He was buttoning up his white coat and chewing something in his mouth. He must have been eating just now.
Dr. Yu was particularly enthusiastic about Yang Ping this time. He accompanied him to the doctor's office, moving chairs and pouring water.
News spread quickly in the hospital, and Dr. Yu also knew about Yang Ping's unique bone-setting skills. You don't usually encounter a broken finger, but it is inevitable that a relative or friend will fall down and suffer a fracture, such as a fracture of the distal radius. Next time, you will know who to call to help set the bone.
Doctors who perform surgeries are everywhere, but the doctor who is good at bone-setting is Dr. Kang of the Traditional Chinese Medicine Hospital. He is a local celebrity and heir to the intangible cultural heritage, so he has no connection.
Last time my aunt suffered a fracture, she wanted to use a traditional Chinese medicine hospital to perform a surgical reset. She went around countless times with a classmate before she got in touch with her. Later, it was a student of Director Kang who did the reset.
Let’s make a familiar face first: “Senior Brother Yang, look, what else should we pay attention to? Can you add us on WeChat? I can ask you for advice if I have any situation.”
Yang Ping scanned his WeChat code for him. Doctors from Huaqiao Tower have excellent communication skills. This is a tradition.
"Xiao Yang! Come here for ward rounds,"
When Yang Ping turned around, Director Zhuang came in before he got off work.
Yang Ping immediately stood up to say hello.
"Sit down, sit down! Why are you being so polite to me!" Director Zhuang pulled up a chair and sat down diagonally across from Yang Ping.
His eyes swept over naturally and he saw a glass of mineral water on the table and said: "Xiao Yu, make tea, how can I make Dr. Yang drink plain water? I have a good Longjing on my desk. Bring it over. The office door is open. ”
This was no coincidence. Director Zhuang made a special trip to wait in the office for Yang Ping to come over for ward rounds, and then took the opportunity to chat and get closer.
Director Zhuang is a man who has become a spirit. He sees problems much more clearly than others. People like Yang Ping who have mastered the core bone-setting technology will be useful in many places in the future.
Those high-ranking officials in my hands may have broken bones one day and need surgery elsewhere. There is a phone call here: "What kind of surgery are you doing? Come over here and find someone to help you fix your bones." You are so awesome, your worth will rise several levels immediately.
Director Zhuang on the seventh floor of the Overseas Chinese Building and Director Kong on the eighth floor are both talented people from Sanbo.
People like them who work in the Overseas Chinese Building no longer rely on technology to make a living. It can be said that they have half a leg in the officialdom.
Especially Director Kong upstairs, and the directors of various departments in the city, who often sit around the table to eat together. These days, no one has high blood pressure or high blood fat, and no one wants to live longer.
Director Zhuang and Director Kong, these two directors both live in villas. Why, with just one director, the salary on the books is not enough to drink for a month.
They rely on resources and the network resources in their hands. They have been in the Overseas Chinese Building for many years and have worked hard. Their energy is beyond the comparison of ordinary directors.
One of the brothers of the emergency department, Xiong Sihai, ran an amusement company. His business was suspended for rectification due to licensing issues. Director Kong made a call and he opened the business the next day.
It is said that Director Kong’s brother has opened a construction company with only a few people. The wheels never get muddy, but he has villas and luxury cars. Some engineering bosses line up to call Director Kong’s brother brothers. Why, they still have resources. !
"Xiao Yang! You have such a unique bone-setting skill that I can't find many others. I have a relative who fractured the distal end of the radius last time. The reduction was not very good and it still hurts. Add me on WeChat and I will send you a message then. Can I show you the film and give you some advice?”
Yang Ping couldn't refuse, so he took out his mobile phone and showed the QR code. Director Zhuang immediately added it.
It is also a good thing to make friends with these people. Many friends lead to many paths.
In fact, this distal radius incident has been going on for half a year. I watched a crappy movie just to find a reason and make a connection so that I can take care of things in the future. Even though I am from a hospital, they are not willing to do manual bone setting. If they don’t sell you face, they just say: “Operation!” There is nothing you can do.
In a hospital, there are some close relationships and some distant relationships. After drinking tea for a while, the heat was almost done. Director Zhuang said very wisely: "Doctor Yang has to get off work soon. I won't waste your time. Please contact me when you have time. Please tell Xiao Yu more about Mayor Li's daughter." After that, he left. .
The nurse on duty came over and said to Dr. Yu: "Bed 3 is reporting abdominal distension again."
Yang Ping and Xiao Wu want to retreat.
Dr. Yu said: "Please help me take a look at this patient. This patient is a joint surgeon. One week after the artificial knee replacement, he always complained of abdominal distension after the operation. The routine examination showed that the D dimer did not fall but rose, but the follow-up examination showed that Several color ultrasounds did not show venous thrombosis in the lower limbs.”
In the eyes of Dr. Yu, Yang Ping is a high-level doctor. Although he is in the Department of Traumatology and Orthopedics, he is from the Department of Orthopedics, so he must have some insights.
The person has already spoken, so you have to help and look at it, and you have to pretend to be pretentious.
"Look at the patient." Yang Ping said.
In clinical practice, it is necessary to ask the medical history, examine the body and read the films in person.
"Doctor Yang?"
Li Jingshu put on a coat, hung her injured arm, and knocked gently on the door of the doctor's office.
"What's the problem?" Yang Ping asked.
"No, just thank you." Li Jingshu hesitated.
"It's okay, it should be." Yang Ping said, getting ready to see the patient.
Li Jingshu hadn't left yet, standing by the door.
"Is there anything else?" Yang Ping asked.
Li Jingshu shook her head: "It's okay——"
Then left.
Dr. Yu led the way and knocked on the door three times. The old man was reading a newspaper and the nurse was watching TV on mute.
"Mr. Zhou, this is our doctor from the Department of Orthopedics. Didn't you have abdominal distension recently? I asked them to come over and take a look."
"Oh, sure, it's okay. Don't worry. At such an old age, how can something be comfortable? The car is old and it still makes noises everywhere when driving."
The old man is over ninety, and one of his legs is missing at the knee. It was bombed by an American plane during the War to Resist U.S. Aggression and Aid Korea. I heard that he even killed several American Japs with just one leg.
"Dr. Yu, you have to remember what I discussed with you. Help me transfer to a general ward. I can't live here. It's too expensive." In fact, he was fully reimbursed at public expense, but he always asked to be transferred to a general ward.
The old man lay on the bed, curled up his legs, lifted up his clothes, and exposed his belly.
He is already very skilled and has massaged the stomachs of several people.
Yang Ping listened to the bowel sounds and then did an abdominal physical examination. It was surgical and the basics were good, so this was not a problem. Start palpating the abdomen with the fingertips.
Perhaps as a result of practicing bone setting, my fingers are very sensitive to the touch of the human body. I can feel clearly where the liver, spleen, and intestines are under my hands through my belly.
The course of the inferior vena cava is actually stiff.
Inferior vena cava thrombosis?
After major orthopedic surgery, abdominal distension, combined with D-dimer continued to rise, and the medical history and physical laboratory examination were combined.
It’s almost certain!
"Old man, please lie down and don't get up and move around." Yang Ping helped him pull down his clothes.
After returning to the doctor's office, after washing his hands, Yang Ping said: "Inferior vena cava thrombosis! You said you have had abdominal distension for a few days, it must have been more than 24 hours ago."
Once venous thrombosis breaks off and forms pulmonary embolism, the mortality rate is 44%, which is chilling.
Orthopedic surgeons are most afraid of two things: infection and pulmonary embolism. The former is troublesome and the latter is dangerous.
Dr. Yu's face turned blue when he heard about inferior vena cava thrombosis. He was really not sure. This was a serious matter. He immediately contacted Director Zhuang and reported it!
Director Zhuang was still in the office and came over and said, "Inferior vena cava thrombosis?"
Yang Ping said: "Highly suspicious!"
Director Zhuang immediately dialed the number of the director of cardiovascular medicine.
"Absolute bed rest, emergency abdominal CT scan + venography, if yes, emergency insertion of inferior vena cava filter!" Director Zhuang called while giving instructions to Dr. Yu.
"Are we going back?" Yang Ping greeted Director Zhuang and Dr. Yu in a low voice.
They made a goodbye gesture and continued on the phone.
(End of chapter)