The Godfather of Surgery

No emergency, all light.

In the past few days, Director Han instructed not to participate in the shift of the microtrauma orthopaedic department, rest on the spot, and wait for the order.

Yang Ping stayed at home and searched for information on the Internet for a day, listed books, and catalogs of sports medicine and arthroscopic surgery. During this time, he concentrated on sports medicine and arthroscopic surgery.

System space can be read, but reading will consume points. List the required bibliography in advance, and directly find these books to read in the system space, which can save points.

In the afternoon, just after finishing the information, Zhang Lin called. A child of a colleague's friend in the pediatrics department had a supracondylar fracture of the humerus.

Yang Ping asked Zhang Lin to take the person to the orthopaedic clinic and find a free clinic, and he will rush over now.

The outpatient building is an independent building. It is in the right front of the Twin Towers, and corresponds to the emergency building on the left. Between the two eight-story buildings is a small square, which is the fire evacuation meeting point of the hospital.

In orthopaedic clinics, most of the clinics are fixed, but there are also some spare clinics, who are not fixed and may be idle at ordinary times.

Zhang Lin found a nurse to open a consultation room, and he was already waiting there with the patient. Pediatrics, his girlfriend's department, naturally wanted to save face, so he took the patient in person.

This patient is related to Cai Junsheng, one of the legendary three-bodied men. This is the first time he has seen a real person up close. He is not a big, handsome, popular girl.

As soon as Yang Ping entered the consultation room, he shook hands with Cai Junsheng, and then looked at the film on the reading light. The right supracondylar fracture of the humerus was fractured, and the fracture was displaced horribly.

"How did you get hurt?" Yang Ping asked the family.

The child's father's face was flushed red, and he hesitated: "I hung the horizontal bar in the morning, fell down, and hit the ground here." The child's father pointed at the elbow joint.

It's not quite right. Based on the experience gained by Yang Ping's bone-setting techniques, what is the result of the injury mechanism, I know clearly and ask the family: "Did you rub the injured part at the time of the injury?"

This fracture displacement is usually the result of a secondary injury.

When the child is injured, the biggest self-help misunderstanding of the parents: spray a little liquid medicine first, then rub it, rub it violently, the reason is to rub the blood stasis away.

This kneading, the light to the heavy kneading.

It is also very common for patients to conceal their medical history for various reasons, so it is necessary to ask clearly, and the next step is to treat.

"No, I came here after filming," said the child's father.

The child's mother was unhappy on the side, as if she had something to say, but she still didn't say it.

The child said, "My parents helped me pull for a long time, and it hurt me to death."

Yang Ping, Zhang Lin, and Cai Junsheng were all shocked. Zhang Lin said, "Come on, tell me what's going on, make it clear, or wait for Dr. Yang to go to the surgery, and I won't have time to fix your bones."

Mom finally couldn't help it, and poured out the whole process in 1510.

It turns out that my father is usually a DIY maniac. The child fell and took him to the hospital to see a doctor.

After the film was taken, the doctor said that the fracture was broken, and the fracture was displaced. It required manual reduction and percutaneous steel pin fixation, which is a minimally invasive operation. It was reduced under anesthesia in the operating room, and the fracture was fixed by passing a few thin steel pins through the skin. After four weeks Pull out the needle.

After such a fall, surgery and needles were required. My father thought that the doctor had exaggerated the condition.

Make a wise decision now and go back and see.

Search for information and videos on the Internet by yourself, and then observe and learn.

I think the treatment is very simple, just pull and flex the elbow joint. It's too simple, easier than repairing a TV. So I decided to reset it myself, fix it with cardboard, buy an elbow joint brace online, and then replace it with the brace when it arrives. The whole set can be done without a hundred.

It’s not easy for one person to pull it, so I need at least two people to operate it according to the video, so I asked my mother for help, but my mother didn’t want it.

Dad cheered: "It's simple, I learned it, don't worry, just pull it." Then he threatened again: "Go to the hospital for surgery."

The mother's heart softened, and she began to help, making the child cry.

After pulling, the cardboard was fixed, and he touched it seriously: "It's alright."

Mom was worried and had to go to the hospital to take another film. The couple took the child to the hospital and went to the emergency room. Dad said to the doctor, "Doctor, filming, for the right elbow, only filming, and nothing else."

The doctor wondered: "You are also a doctor?"

The child's father hummed.

When the film came out, at first glance, it was outrageous. The fracture displacement was several times aggravated. The layman could understand it. It could be seen that it was a joint.

The kid's dad's hands are shaking, screwed up!

Usually, the refrigerator and TV at home have problems after the maintenance period. They can solve everything by themselves. Occasionally, parts are scattered. You can call the manufacturer to repair the mess.

This will smash, there is no manufacturer to find.

Mom looked at Dad's pig liver face and knew that something had happened. The two pictures were compared with the two reports: "Compared with the previous picture, the shift is obvious."

It's broken, you're playing with your son, you're slamming it, crying, punching and kicking, the kid's father let it be beaten and scolded, kept calling to find friends, and I didn't know how many times I found it Cai Junsheng.

This kind of play is not advanced enough, more advanced, at home facing the online surgery video, circumcising himself, and coming to the emergency department with blood in the crotch.

The ignorant are the bravest!

"You think that to fly a plane is to press a few buttons and the plane will go to the sky." Zhang Lin was rude.

"Doctor, think of a way." The child's mother was anxious.

"Reduction under anesthesia, no surgery, percutaneous steel needle fixation. If this plaster cannot be fixed, a steel needle must be used. The tail of the steel needle should be left outside and pulled out after four weeks." Yang Ping said.

Common fractures and common treatment methods, but after the child's father did it, the reduction became much more difficult, but for Yang Ping, it was not a problem.

"Okay! Doctor, I'll sign, and quickly arrange the operation." The child's mother said decisively.

"Is it done in the outpatient operating room? But there is no C-arm machine in the outpatient clinic." Zhang Lin said.

Yang Ping said: "There is no need for a C-arm machine, just an electric drill and a Kirschner wire."

After practicing so many resets, you can know about it when you touch this kind of hand.

Sign ready for surgery.

The outpatient building has its own operating room, which usually performs some minor operations, such as ganglion cysts in the orthopedics department, and abortion in the obstetrics and gynecology department.

The operation was simple. The anesthesiologist performed a nerve block, sterilized and laid sheets, and manual reduction, two radial and one ulnar side, and three Kirschner wires were cross-fixed.

The child's father has been scolded by his wife so much that he can't hold his head up. The high-IQ, scientific and technological man's design accumulated by DIY over the years collapsed in an instant.

"You two hundred and fifty--" the child's mother finally scolded her in a conclusive, ruthless manner.

The child's father didn't dare to say a word, his forehead was covered in sweat, and he lowered his head.

After more than ten minutes, the operation was completed, the child was pushed out, and the radiology department was taken for an X-ray. The fracture was completely reduced, and the Kirschner wire was in good position.

Instruct the child to rest for 15 minutes in the outpatient clinic, go back if there is nothing wrong, review it in a week, don't move around again when you go back, and come to the hospital in time if you have any problems.

After the explanation, the child's parents were very grateful, Cai Junsheng also expressed his gratitude, and Zhang Lin had a special face.

Cai Junsheng thanked Zhang Lin.

Zhang Lin said, "You are my own person, you are welcome."

Yang Ping took advantage of the afternoon to go to the equipment department to borrow the manual of the arthroscopic equipment, and then went to the operating room to study the arthroscopic equipment.

It happened that there was one idle in the operating room and it was placed in the storage room.

He studied every button and every interface of the arthroscopic device clearly according to the instructions.

Close your eyes and be able to clearly recall any detail of these devices.