Chapter 261 Medical trouble
"Director Ji, are you bothering me again? Can you help us take another image? You look so embarrassed and asked my sister-in-law to wait outside."
Yang Ping's politeness fully reflects the respect the young doctor has for his seniors.
Director Ji feels very comfortable. When interacting with others, speaking and doing things, he just pursues the word "comfort".
This young man is nice, modest and polite, and not arrogant about his talent. Lao Ji's buttocks are not hot yet, and he needs to undergo angiography again. He has a little pain in his waist and a herniated disc, which was diagnosed a few years ago.
"It's okay, it's not the first time I've waited."
Lao Ji twisted his waist. He was in a hurry just now and forgot to bring his waistband. There is usually a waistband in the locker in the dressing room. He would bring it with him during surgery to protect his lumbar spine.
"Open another Onipac!"
Nurse Xiao Zeng was proficient in her work and got it ready quickly. The assistant was about to push the medicine, but Lao Ji stopped him: I'll do it!
He carefully pushed the iodine contrast agent into the catheter. Slowly, the faded ink blood vessel diagram on the screen began to deepen again. The intercostal artery between chest 8 and chest 9 turned into ink black. The ink flowed around the fistula. In this part, the ink passed through the blood vessels smoothly without leaking out.
"The fistula is gone, Dr. Yang!"
Director Ji stopped pushing the medicine and stopped after achieving his goal.
Yang Ping put his hands on the protective bag on his chest and stared at the screen: "Call it done!"
"When will I come to see you about my waist? It used to be just low back pain, but now my left buttock sometimes feels numb."
After Director Ji finished the last radiography confirmation, he could finally take off his lead clothes. Everyone who was not on the stage also started to take off their lead clothes.
After taking off the lead clothes, everyone's hand-washing clothes were soaked, especially Professor Zhang. The hand-washing clothes looked like they were fished out of the water.
The eighty-year-old man, wearing dozens of kilograms of lead clothing, stayed up late and stood for six or seven hours, which made everyone feel distressed.
Several times during the operation, Director Han was worried that the old man wouldn't be able to endure it anymore, so he advised him to go back and rest. After the operation, he called him to report to him.
When the operation ended, it was already two o'clock in the morning.
It was indeed a spinal dural arteriovenous fistula. This case was hidden too deeply. Professor Zhang knew in his heart that before he reminded Yang Ping, Yang Ping had already taken action, which showed that he had already considered this rare disease. The young man’s seriousness and rigor Very valuable.
"Xiao Yang, thank you for your hard work! Everyone has worked hard!" Professor Zhang said lovingly.
"It's okay, you're always staying up late, what are we doing?"
Yang Ping helped Professor Zhang sit down against the wall, but the old man's legs were stiff and he couldn't move. He waited for a few minutes before taking a step.
"I'll go out for a moment. You just send the patient back. We'll take care of things here."
Director Ji's wife was waiting outside. He said hello to Director Han and hurried out. He looked like he had just been caught in the rain.
"Xiao Li, you stay and help clean up the operating room, and everyone else should go back together."
Director Han asked Xiao Li, a graduate student, to stay.
After waking up from anesthesia, everyone followed the patient back to the general orthopedics department. The nurse had already made the bed and was waiting.
"Putting her in the emergency ward, I sent three more nurses, working in three shifts, to take turns watching Fang Xiaoyun until her lower limb muscle strength recovered."
Cai Qiaojun heard that Director Han and Professor Zhang came to stay up all night for surgery, so she also rushed over from home to arrange the nursing work herself.
There are several rooms in the ward closest to the nurse station, called emergency wards, where critically ill patients are usually placed. If anything happens, nurses can arrive as soon as possible.
It is essential to be on guard against others. Cai Qiaojun is an old nurse with rich experience. She secretly told the nurses on duty to pay attention to Fang Xiaoyun's mother.
People's hearts are as unpredictable as the sea, so it's not unreasonable to be cautious. Cai Qiaojun encountered this kind of thing. A family member secretly pulled out the oxygen tube while the nurse was not paying attention. If the nurse hadn't discovered it early, the patient would have died.
Yang Ping observed the heart rate, blood pressure, and blood oxygen on the ECG monitor for a while, and then checked the urine output to confirm that there were no problems. Then he came out of the ward and asked Zhang Lin to run a set of blood tests urgently.
Everyone was so hungry that their intestines were knotted. Xiao Su, Zhou Can, and Tang Fei heated up the food in the microwave and brought it to the dining room. Everyone wolfed it down, not caring about the taste and stuffing it directly into their mouths. .
After eating, everyone was tired, their eyelids were trembling, and their legs couldn't move. They pushed one foot deeper and the other shallower, and squeezed into the duty room.
Yang Ping and Song Zimo took a shower, while Zhang Lin, Xiao Wu, and a few Guipei students lay on the bed and fell asleep immediately.
After four hours of sleep, everyone rubbed their eyes and got up. A new day began again, with the next round of ward rounds. During the ward rounds in the morning, Fang Xiaoyun's mother was missing.
It's strange. My daughter just had her surgery and she needs care. Why did she just run away? Is she afraid of being pressed for money?
The same colleague Chang Juan was taking care of Fang Xiaoyun at the bedside. She asked the doctor if he could feed him some hot porridge now. The fat man said confidently: "Yes, try feeding a little first. If you don't vomit, feed more."
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Generally, people need to fast for 6 hours after general anesthesia, but now, Fatty is becoming more and more skilled in controlling the dosage of anesthetics, using the smallest dosage to achieve the goal. Most of his anesthetized patients do not need to fast for such a long time after surgery.
After the crux of the problem was found and solved, the effect was immediate. Fang Xiaoyun's lower limbs moved much easier on the bed, and he could try to lift them up, but he still couldn't.
This rare and complicated case was finally solved through everyone's efforts, but we cannot take it lightly. It is not uncommon for some patients to stop recovering after their muscle strength reaches level three or level four and never recover again. This situation is not uncommon.
For example, level four muscle strength is only one level worse than normal. Although it is not completely paralyzed, it is unable to walk normally due to insufficient muscle strength. Only when it is fully restored to level five can you feel relieved.
There were several surgeries in the morning, including several arthroscopic surgeries. Now word of mouth about arthroscopic surgeries has spread, and many patients have come here.
Sisi's father's ankle fracture has also subsided and surgery has been arranged.
Several surgeries were very easy. After the operations were completed, everyone continued to sleep after lunch. They slept so darkly that they woke up in the afternoon in a daze, not knowing whether it was day or night.
Su Nanchen sent a WeChat message saying that he had sent a piece of information to Yang Ping's QQ mailbox so that he could take a look at it when he had time. A basketball player in the United States had multiple ligament injuries in his knee and was a patient of Professor Robert.
The professor used joint dynamic analysis technology to obtain a lot of data on the patient's knee joint, and also used these data to build a virtual simulated knee joint.
Even so, he did not dare to perform surgery rashly, because there was no turning back. This kind of surgery was too complicated. Once it failed, there would be no chance to rework, and the patient would lose his last hope.
Yang Ping has done many similar cases, one of which was done in Annex 1. Su Nanchen sent this patient’s information to Robert. The professor couldn’t believe it was true and hoped to see this patient’s postoperative surgery with his own eyes. As for the recovery effect, I also want to see the postoperative recovery of other patients with multiple knee ligament injuries in Yangping.
Professor Robert, more accurately called Professor Robert Jr., is the director of the Department of Sports Medicine at the Hospital for Special Surgery in New York, USA, and an international sports medicine master. His father and grandfather are both professors at the hospital, and his grandfather once participated in the research and development of modern artificial hip joints in the United States. , his father was an important promoter of arthroscopic surgery in the United States.
Professor Robert is eager to visit Sanbo Hospital and Yang Ping. He also wants to meet Yang Ping’s patients and see the results of the surgery with his own eyes.
Yang Ping agreed without thinking too much.
Communication is a good thing, science is all about communication, openness makes people progress, closedness makes people fall behind.
On the second day after the operation, Fang Xiaoyun's muscle strength returned to level three.
On the third day, it returned to level 4, which was a bit fast.
The impact of spinal tuberculosis on the spinal cord has been eliminated after decompression. What later affects the spinal cord is the dural arteriovenous fistula. Once the arteriovenous fistula is resolved and the venous congestion is eliminated, the edema in the spinal cord will be eliminated very quickly.
Fang Xiaoyun's mother has not appeared for a long time. She disappeared for three days and ignored her daughter.
"There's trouble!"
Guipeisheng Xiao Li ran to the doctor's office in a panic.
"Steady, what are you shouting for? What's going on?" Zhang Lin scolded.
"Fang Xiaoyun's mother led people to make trouble under the administrative building, holding banners and crying loudly!"
Xiao Li quickly closed the door of the doctor's office and said.
"Grandma, she really went back to call someone. Something is wrong with her expression." Zhang Lin scolded.
"Does Fang Xiaoyun know about this?" Xiao Wu asked worriedly.
"I definitely didn't know that he was grateful to us during the ward rounds in the morning." Song Zimo said.
Everyone felt that Fang Xiaoyun's mother would cause trouble sooner or later. After thinking about it, Fang Xiaoyun was recovering very well now, so there should be no reason to cause trouble.
However, some things have no logic at all.
(End of chapter)