Chapter 188 Birthday Party
Sisi's X-rays, CT, MRI, and PET-CT are all opened on the large electronic reading screen.
The last operation at an outside hospital had amputated approximately 20 centimeters of the middle section of the femur. In order to gain lower limb function as quickly as possible, a custom-made titanium alloy prosthesis was used to bridge the femur and make up for the 20 centimeters missing. The prosthesis was inserted at both ends. The medullary cavity is fixed with bone cement.
This is a palliative approach, the purpose is only to allow her to obtain a functional lower limb within a limited period of time, able to walk, and facilitate care. Her osteosarcoma has metastasized in many places throughout her body. Other methods, such as fibula transplantation, allogeneic bone transplantation, or Ilizarov bone lengthening technique, are not suitable. The recovery time is too long and not suitable for a patient with advanced cancer.
"Can a total femoral prosthesis be replaced? Using 3D printing technology?"
Song Zimo suggested that 3D printers in orthopedic laboratories can already be used. This machine is industrial grade and is equivalent to a 3D printing bed.
Yang Ping shook his head: "As an organ, the femur cannot be simply replaced. There are many muscles attached to it, and there are joint capsules and ligaments attached to both ends. These tendonous soft tissues are firmly attached by the mechanism of tendon-bone healing. The joint capsule and ligaments maintain the static stability of the hip and knee joints. The muscles not only maintain the dynamic stability of the joints, but also provide the power for movement. To perform total femoral replacement, the problem of soft tissue attachment needs to be solved, otherwise the femur can only play a supporting role. There is no movement function, and even the supporting function can only play a little role. The soft tissues and bones of the human body can heal, but cannot heal with artificial materials. If this problem is solved, it will probably be a breakthrough in orthopedic technology. We cannot use this method at the moment. However, we can do a project to study it ”
"Amputation?"
Xiaowu's opinion is that since replacement cannot be done, it can only be cut off.
This is a feasible solution. The tumor and the invaded femur are removed. However, after the removal, only a little bit of the femur is left at both ends. The right lower limb will lose its function due to the loss of the femur. With the use of a customized prosthesis, it has been Effective control cannot be obtained.
"It has spread throughout the body, so amputation is of little significance. Keeping the limbs will at least make you feel better psychologically."
Zhang Lin also expressed his opinions. Everyone was very positive and Yang Ping would not criticize them if they made mistakes.
"What's your opinion? Senior brother?" Song Zimo watched Yang Ping flipping through the film but never expressed his opinion.
"Take out the prosthesis that originally bridged the femur, cut out the tumor and the invaded femur, use the Ilizarov technique to lengthen the bone, and give her a normal femur." Yang Ping thought for a long time and said.
Song Zimo thinks this method is too idealistic and unrealistic: "She has late-stage osteosarcoma. Do you intend to cure it completely by treating her like this? Impossible."
Song Zimo did not say the cruel subtext: her survival period may be shorter than this extended duration. A progress of one millimeter per day, even twenty centimeters, would take more than two hundred days. Can she persist for so long?
"I know that a radical cure is impossible, but I want to work hard in the best direction and go as far as I can." Yang Ping is very determined. He wants to fight for it, even in a Quixotic manner.
Everyone was silent, and Yang Ping continued to flip through the film alone: "I know that in her condition, she should give up medically, but I want to work hard and work towards the best goal, even if it takes a step forward!"
Song Zimo put his hand on his shoulder: "I don't agree with your point of view, but I support you."
"I support it too!" Zhang Lin Xiaowu also cast an encouraging look.
"Using the infrared navigation equipment in the operating room, we will give her a three-dimensional reconstruction of the infrared scan of the tumor, use indocyanine green for contrast, and then combine the three-dimensional reconstruction images of CT and MRI to obtain a complete tumor image, which will be imported into the host of the surgical navigation system. , we will use infrared navigation to perform the surgery." Yang Ping moved the hand holding the mouse.
"These reconstructions are all completed by their own machine software and cannot be integrated into one image." Xiao Wu is relatively familiar with medical equipment.
Yang Ping told Xiaowu: "We design a software ourselves to do comprehensive reconstruction. Xiaowu, don't you have expertise in this area? You can find a few students from Nandu University of Technology to work together to do it."
"This project is huge!" Xiao Wu used to help his tutor make these things in school.
"If it's not big, it's not called a project. Landing on the moon is difficult, but it's still possible. Song Zimo, please lead them to establish this project. You don't need to apply for other projects, just apply for the hospital's Overseas Chinese Fund. It's so fast." Yang Ping said. Everyone has confidence.
Hearing that Yang Ping had made up his mind, everyone was very encouraged and eager to give it a try. Senior brother is going to make some big moves, produce some scientific research results, write high-quality papers, and everyone will be evaluated for professional titles in the future.
The soul of a team is very important. It must have the right direction and firm determination, just like an erected flag. Only then can everyone gather under the flag and move forward unremittingly towards the goal. Yang Ping has achieved this.
——
"Saturday is my birthday. There will be a birthday party at home in the evening. I will definitely come over when I have time. They are all from our circle. Shao Wei and Lao Zhou will come. By the way, I will introduce some friends to you."
Just after discussing Sisi's condition, Su Nanchen called to invite instead of sending a WeChat message. As a friend, you must go, but you can’t go empty-handed. You must bring some gifts.
Yang Ping is in a dilemma, he is really not good at giving gifts. He called Song Zimo, Xiao Wu, and Zhang Lin over to discuss the matter together.
No matter what you say or what I say, no good conclusion can be drawn. None of these old men have any good ideas. They don't have high-end pens, surgical goggles, or the latest English orthopedic monographs. They have all kinds of ideas.
Let's go to Xiao Su. Girls should know better. Yang Ping went to Xiao Su again and discussed with her: "What kind of gift do you think I should give? I can't seal a red envelope, it's so tacky."< br>
Xiao Su had a lot of ideas. After thinking about it, he said: "I have an idea. You are all surgery fans. You can ask Xiao Wu and the others to help you make an animated demonstration of the key steps of the multi-ligament reconstruction surgery of the knee and shoulder joints." and the secrets of surgery are explained thoroughly. Combined with your usual surgery videos, burn it into a set of CDs and give it to him as a gift. He will be very happy. For people who are obsessed with surgery, nothing is more important than gaining valuable surgical experience. I have packed the box Come and find someone to do it for you, it will definitely satisfy your friend.”
"Great! This is a good idea. It seems that my brain is very useful for surgery. I really don't know anything about these things in life. Xiao Su's idea is good. This gift is unique and very valuable. That's it." Yang Ping decided immediately.
Then he approached Song Zimo, Xiaowu, Zhang Lin and three others and asked them to help create animations and burn discs. Song Zimo had done so many surgeries with him and was well versed in the mysteries of such surgeries. Xiaowu would produce animations and Zhang Lin would be responsible for text commentary. The matter was settled.
"One meal, choose any place! It must be completed before Friday night." Yang Ping made the conditions. "Just pick? Really." Xiao Wu smiled evilly.
Yang Ping hesitated for a moment: "We are all brothers. We don't see each other when we look up, so we should be gentler."
"It's just a few days, I'm afraid it's too late, right?" Song Zimo shook his head, looking embarrassed.
"Yes, time is so tight, let's just make a PPT, animation is too time-consuming."
"Textual explanations have to convey the meaning, and it cannot be thought up in a few days."
Yang Ping looked at these guys, colluding with each other, shaking their heads, looking like "It's difficult, it's difficult!"
"Okay, you can pick the location as you like, and I don't care how serious the attack is." Yang Ping understood these things.
"Well, although time is tight, it shouldn't be a big problem if everyone works overtime." Song Zimo immediately changed his mind.
Zhang Lin Xiaowu also echoed: "We are all brothers, let's work overtime and ensure delivery before Friday night."
A bunch of foodies! Yang Ping warned: "Call the fat man too."
Zhang Lin was anxious: "What are you calling him for? Are you really going all out? He can't help with any work. How many of you can eat? I'll double the bill for you!"
"Go all out and ask him to help pick a place and order food. None of you can compare to his expertise in this." Yang Ping explained.
No one refutes, this is the truth. When it comes to eating, when it comes to professionalism, Fat Brother really beats everyone in an instant. After all, he was the former president of the Food Association.
"Bring your girlfriend here!" Su Nanchen sent a WeChat message.
What should I do about this matter? Take Xiaosu with me? Going to find Xiao Su again, Yang Ping went upstairs and rang the doorbell of the operating room, and Xiao Su came out.
The door to the operation opened, and Yang Ping did not go in. He stood at the door and showed Su Nanchen's WeChat message: "He asked me to take my girlfriend with him? How should I reply to him? Are you free to go together?" Yang Ping His face was a little red.
Xiao Su chuckled, and then looked embarrassed: "I'm sorry, I have to go home on Saturday night. It just so happens that I have family members and it's my birthday, so I can't go with you."
"What a coincidence!" Yang Ping was a little disappointed.
"How about? I'll tell my family and accompany you there?" Xiao Su lowered his head and pursed his lips.
"That's not okay. I can go alone. You have to accompany your family. It's not like I have to have you with me. It's okay. I can just explain it to him." Yang Ping said.
"There is no need to explain. The more you explain, the more unclear it becomes."
The phone was in Xiao Su's hand. Xiao Su held the phone and twirled it with his fingers: "Huh! I'll reply for you. Tell him directly that you haven't dated a girlfriend yet. See what he means. Isn't he testing you? He wants to give you something. Would you like to introduce your girlfriend?”
"No, are you angry?" Yang Ping heard Xiao Su snort.
Xiao Su pouted: "I won't be angry. Someone is so active in helping you introduce your girlfriend. I'm just happy. Haha, it shows that I have good taste. Maybe he has a sister or something in his family that he wants to introduce to you. You are destined to be named Su.”
"Don't think too much, I just mentioned it casually." Yang Ping said.
"If he introduces you to a girlfriend, you won't be tempted, right?" Xiao Su's long eyelashes flashed.
Yang Ping shook his head: "I want to be tempted, but I can't."
"You——"
"Because my heart is already filled with one person."
Xiao Su turned her anger into a smile, stretched out a finger, and gently tapped Yang Ping's forehead: "That's pretty much it."
(End of chapter)