Chapter 335 Capping
The Comprehensive Orthopedics Department is already full of patients, and all 45 beds are occupied.
Now that Xu Zhiliang has joined, Yang Ping's pressure has been relieved a lot. One more Xu Zhiliang is equivalent to one more team.
There are currently four surgeries that Yang Ping does not have the authority to perform - scoliosis correction, artificial hip and knee replacement, pelvic osteotomy and correction, and upper cervical spine surgery.
In addition to these four surgeries, Yang Ping has the authority to perform all other orthopedic surgeries.
Therefore, these four types of patients are generally sent to other departments of orthopedics, which is specially arranged by Director Han.
These four types of surgeries are the most demanding surgeries in orthopedics. Director Han is waiting for Yang Ping to complete all other surgeries before finding an opportunity to release the authority for these four types of surgeries.
Moreover, Director Han must take Yang Ping to perform these four types of surgeries in person before authorizing them to him. This is a matter of procedure, and it is also to protect Yang Ping and legally obtain surgical authority for him.
The Golden Knife Awards are about to begin. This is a stage for young surgical talents to display their talents and superb skills. This kind of professional competition can inspire young doctors’ sense of professional identity.
Yang Ping participated in the competition for the Golden Knife Award as an attending physician. Lao Han and Professor Zhang spent a lot of effort and found endorsements from several industry leaders before they were allowed.
Now, Lao Han feels that it is time to liberalize the authority of these four surgeries. He has discussed with Professor Zhang and started to accept this type of patients.
One of the patients who came from Australia had adolescent idiopathic scoliosis. When her mother was two years old, she was operated by Professor Zhang because of congenital dysplasia of the hip joint. Since then, Professor Zhang has kept in touch with her mother and performed the surgery. Later follow-up, this follow-up lasted for more than 40 years.
This family trusted Professor Zhang so much that they rushed back from Australia to ask Professor Zhang for surgery.
Sanbo Hospital does relatively little scoliosis correction surgery, with only over 40 surgeries performed annually, most of which are performed by Director Han himself.
If the orthopedic surgery that Yang Ping can perform can be regarded as a house under construction, Lao Han now plans to add a few main beams to complete the capping, so that he can compete for the Golden Knife Award.
Lao Han also understood that with Yang Ping's talent, he could complete the operation without his guidance.
But medicine is a very practical science. Even if you bring a machine, it can still be considered reasonable from a procedural perspective.
"Xiao Yang, I've been busy and haven't taken you to any surgery. In the future, Corey will carry out some top orthopedic surgeries, such as scoliosis correction, pelvic osteotomy and correction, upper cervical spine surgery, and artificial hip and knee joint replacement. , I will take you to do some cases first, and then authorize you. Do you have confidence?" Old Han felt that asking him if he had confidence was purely unnecessary. When had this kid ever let himself down?
Yang Ping is also eager to try these types of surgeries. In the system space, he has completed training on these types of surgeries.
Now, in the system space, all orthopedic surgeries have completed training, and there are no shortcomings in the technical barrel.
"Go back to the department and prepare. Professor Su and several experts are coming to our department to see Yu Shuilian. He just called me not long ago. I don't know if he was passing by or for other reasons, but he suddenly said that he wanted to come and have a look. .”
Professor Su, the future father-in-law, is going to inspect the work now, so why not hurry up and prepare and greet him grandly.
I just happened to gather the department staff, and before Professor Su arrived, I took everyone to do ward rounds. There have been many patients recently, so it would be beneficial to do more ward rounds.
After returning from Director Han, Yang Ping notified all members of the Department of Comprehensive Orthopedics to gather and prepare for the ward round. Professor Su from the attached first department would arrive soon.
Now everyone knows that Su Qingyun is Xiao Su's father and Yang Ping's future father-in-law, so naturally they don't dare to neglect him.
Zhang Lin began to count the number of people and asked everyone to button up their white coats and dress neatly.
Song Zimo and Xu Zhiliang organized their teams respectively, and Song Zimo now buttoned up his white coat neatly.
Takahashi saw Corey gathering in a hurry and didn't know what was going on. He just heard that some big shot was present.
Even Dr. Yang had to prepare in a hurry for this big shot, as if Dr. Yang respected and feared this man very much.
Does Sanbo Hospital still have such a character?
"Teacher Zhang, what happened?" Takahashi asked Zhang Lin as he mingled in the team.
Zhang Lin counted the number of people and said: "Don't ask, the big shot is here. Please be polite and pay attention to the image of the team later."
"What big shot?" Takahashi asked Li Guodong again.
Li Guodong told him: "Professor from the First Affiliated Hospital of Nandu, Chairman of the Department of Orthopedics, Professor Su, these are not the important points. The important point is that he is Dr. Yang's Taishan master."
"Dr. Yang's Master Taishan." Takahashi didn't understand.
He must be Dr. Yang's superior. I have never heard of the title Master Taishan among the professional titles of Chinese doctors, or in the relationship between master and disciple.
It should be the relationship between Dr. Yang’s academic mentor, Mr. Fujiwara, and himself?
No, Professor Han and he had a master-disciple relationship, so why did such a big shot appear and keep Dr. Yang busy?
Xiao Su, Zhou Can, and Liang Jing from the operating room all came down to participate in the ward rounds.
The team was organized and just after checking a few patients, seven or eight figures in white coats appeared in the corridor.
Professor Su, Dean Xia, Director Zhao, Director Han, Professor Zou, Professor Huang, Professor Yu, and several unknown experts are walking this way.
Yang Ping hurried over to greet them, and the newly formed team followed behind, moving in a triangle, with Yang Ping at the head, followed by Song Zimo and Xu Zhiliang.
Then came Zhang Lin, Xiao Wu, Xiao Su, Zhou Can, and Fatty Liang, followed by graduate students, graduate students, and interns. Takahashi and Fujiwara followed the graduate students.
The old and new generations, two teams, moved face to face in the corridor, with great momentum.
A young man, full of energy and majesty, Professor Su stopped and looked at the approaching team with satisfaction. Yang Ping stretched out his hand: "Welcome Professor Su!"
"Xiao Yang, the team is good, the young men are all energetic and handsome!" Professor Su couldn't help but praise the strong team.
"You mean your son-in-law, right?" Old Han thought to himself beside him.
When Professor Su spoke, his eyes stayed on Yang Ping.
"Look at the patients you have rescued recently who lost half of their bodies. It's amazing!" Professor Su got straight to the point.
Yang Ping accompanied Professor Su, and the two teams mixed together, making the corridor seem a bit crowded. These professors are from the First Affiliated Hospital, the Second Affiliated Hospital, and the Provincial People's Hospital, and several are from other provinces.
Professor Su had long heard that Sanbo had successfully rescued a high-level patient. He had always wanted to come over and have a look, but he was worried about disturbing the patient soon after the operation, so he never took action.
Today, Professor Su and several experts gathered together to hold a small trauma surgery salon to discuss the feasibility of training hybrid trauma surgeons.
At the meeting, Professor Su proposed to come to Sanbo Hospital to see the high-ranking people. The rescue of this case is a classic case of compound trauma surgery. The participating experts applauded with both hands.
At that time, Yu Shuilian was in charge of the bed by Song Zimo himself, but now Xiao Wu was in charge of the bed. Xiao Wu opened the door in front, but luckily he said hello in advance, otherwise this lineup would frighten Yu Shuilian to the point of fainting.
Song Zimo reported the medical history in person, and Professor Su nodded frequently after hearing this: "We also want to try to train compound trauma surgeons. Is this patient's rectum preserved?"
"The rectal anal canal and sigmoid colon were completely removed, the pelvis was crushed, and only one third was retained. The coccyx was completely removed, and part of the sacral vertebrae was also removed. The urethra was retained, but it was severely damaged and repaired." Yang Ping told Professor Su, Extremely respectful.
"To improve the quality of life, anal reconstruction is a difficult problem, especially the reconstruction of the nerve reflex arc. You must plan it carefully. The reconstructed anus must not only be able to lock solids, but also lock liquids to be considered qualified. The operation time was quite long at that time. ? There must be a lot of manpower invested? ”
"It was quite laborious. It took four doctors and an hour." Yang Ping introduced truthfully.
"Thirty-five minutes!" Song Zimo corrected.
Professor Su was stunned. Did you hear that right? This operation only took thirty-five minutes. How is that possible? He took the gloves that were handed to him, checked the patient's wounds, and then picked up the urine and feces bags to look at.
"No infection?"
"Fortunately, there is no infection so far after the operation."
"Is liver and kidney function normal?"
"There were brief abnormalities, but they were corrected in time."
"This is a textbook rescue operation. It's amazing to snatch someone from the hands of death!" Professor Su sighed sincerely.
"It's amazing, young man, the waves behind the Yangtze River push the waves ahead." Professor Zou sighed.
"Old Han, this kind of high-level position is probably rare in the world, right?" Professor Yu from the second level stood nearby and took a closer look.
"I haven't systematically searched the literature yet. This kind of successful rescue at a high level should be the first in our country." Lao Han was very proud.
Professor Huang, director of the Department of Traumatology and Orthopedics at Affiliated One, has a different opinion. He does not believe that the operation can be completed in thirty-five minutes: "Thirty-five minutes is too exaggerated! Is there any surgical video material? Let's watch it together and learn."
Professor Zou became anxious when he heard Professor Huang suddenly make this request.
Huang Zhong, this ignorant person, you try your damn best to cause trouble.
At this time, just follow along with a few words of praise. You really need to watch the video. If someone brags a little bit, will the reputation be broken?
Is this someone else? The big boss's son-in-law.
After watching Yu Shuilian, everyone left the ward. Professor Zou pulled Professor Huang while no one was paying attention. Professor Huang turned his head and glared at Professor Zou.
Professor Zou immediately gave him a look, "You are a fucking stupid donkey. I look at you like you don't understand."
Professor Huang did not respond correctly to the hint in his eyes, and Lao Zou was so angry that he almost vomited blood. This kind of person's mind was probably full of tofu, but he was convinced that he had cooperated with him for more than 20 years.
"There is a video. We have kept the complete information of this patient." Yang Ping guided everyone to the demonstration classroom.
Professor Su praised: "Well, very good, very scientific research awareness, know how to save clinical data."
The whole process was full of praise. Several experts from the Provincial People's Hospital and experts from other places had never seen Professor Su praise a person so much.
When he arrived at the demonstration classroom, Xiaowu played the video on the high-definition screen. Whether the video was edited or not, others could not see it, but an expert could tell it at a glance.
It really lasted thirty-five minutes, and it was still an out-of-sequence surgery with multiple injuries.
Professor Su was surprised. Out-of-sequence surgery requires extremely high skills and courage.
To rescue this kind of patient, out-of-order is the most time-saving, but the most difficult.
If Professor Su was at his peak as a trauma surgeon when he was young, he could use out-of-sequence surgery for simpler cases.
This case was so complex and changeable that Professor Su did not dare to use out-of-sequence surgery.
For post-operative research, simulations may be performed, but at the scene, the situation is critical, and no one dares to use out-of-sequence surgery. Even if they have the courage, they do not have the clinical thinking ability.
"Xiao Yang? Okay, it's still an out-of-sequence surgery."
"I was in a hurry and it was too urgent. Whichever method was faster, I just used it without thinking too much."
"Today is an eye-opener. Lao Huang, would you like to express your opinion?" Professor Su named Huang Zhong, who raised the question at that time.
"This operation really only took thirty-five minutes. I couldn't do it at this speed. If it takes less than three or four hours, I wouldn't be able to do it. I'd probably need assistance from the general surgery department and the urology department."
"As for out-of-sequence surgery, I don't have the ability to do this kind of case. I can simulate it on paper afterwards. Who has the ability to use it in reality? Who has this kind of thinking ability? When you are racing against time to save a life, you have to disrupt and reorder so many surgical steps. , finding the optimal arrangement in an instant is not something humans do,” Professor Huang told the truth.
When you speak, you speak. Why do you curse? A good word will change when it comes out of your mouth. It is not good to criticize anyone, and you should curse the son-in-law of a big boss.
Professor Zou immediately corrected: "Old Huang said that this is not something ordinary people do."
Sorry, there seems to be a problem with the computer. Something is wrong with the new chapter that was just sent out. It turned out to be an unmodified draft. Please re-send it. Sorry! Everyone, watch it again. During the limited period, I wanted to post more for everyone to see, but I was too busy.
(End of chapter)