The Godfather of Surgery

During the ward round on the second day after the operation, the child said that he had no pain all night.

The child's father confirmed that the root of the disease was completely removed, but the problem came again. The number of friends who entrusted contact with Dr. Yang has increased to more than ten, all of whom are from G City.

He and Dr. Yang only said a few words when they communicated about the condition. How could they talk about friendship.

His mouth was itchy, and on a whim, he bragged and told others that he was familiar with Dr. Yang. Now friends want him to make an appointment with Dr. Yang, thinking about coming to see a doctor, the sooner the better.

After checking the room, the child's father followed Yang Ping's office: Dr. Yang, I'm Zhang Zhe's father—

Is something wrong? Yang Ping looked at him hesitantly.

Dr. Yang, I have more than ten friends. The child has a similar situation to Zhang Zhe. I want to bring the child to see you for a doctor. I want to do this operation and dig the root of the disease.

More than ten? It is estimated that all parents are troubled by their children's growing pains.

Most kids have pain that's not a big problem, but it's rare for your child, and not every child needs this kind of surgery.

Yang Ping felt that he had a deep misunderstanding, thinking that as long as there was growing pain, there was a root of the disease, and then he performed surgery to remove the root of the disease, and the pain disappeared naturally.

Don't worry, Dr. Yang, please, when will it be convenient for you to take a look? Zhang Zhe's father went out and finally said his request.

You ask them to come on time at 4:30 in the afternoon, come to the classroom, I will give you a free clinic, Zhang Lin, you are responsible for the reception arrangement. Yang Ping looked at him in a hurry.

There is a reason for any pain. If the cause cannot be found, at least some rare and bad diseases must be ruled out, so that parents can rest assured.

For long-term repeated pain, some basic examinations must be done, otherwise, if you fall into the circle of low probability, you will delay the disease and regret it.

The development of medicine to the present is gradually moving from vagueness to precision, from experience to evidence-based. The examination does not necessarily reveal the problem, but also confirms the absence of those feared problems, such as a tumor.

As soon as Zhang Zhe's father heard Yang Ping's agreement, he immediately sent a message to the group: Everyone, hurry up, at four o'clock in the afternoon, we will gather at the gate of the General Orthopedics Department of Sanbo Hospital.

Zhang Zhe's father is so arrogant, there is no way, who told him to know such an awesome doctor, everyone has to beg him and rely on him for help.

If your own affairs are delayed for various reasons, you will not be so concerned, but the children's affairs should not be delayed at all.

In the afternoon, except for some special cases, more than a dozen parents, either father or mother, led their children at the gate of the comprehensive orthopaedics department.

The security guard thought that there was a mass incident, and came to ask about the situation, saying that he was looking for a doctor to see a doctor, so he didn't ask any more.

Zhang Zhe's father shouted, and asked everyone to line up. He told the discipline of seeing a doctor, and asked everyone to be polite. It's not easy to make an appointment. Everyone cherish it.

The parents of all the children are grateful. Zhang Zhe's father has never been in a leadership position among a group of people and accepts everyone's respect like he is today. He seems to have done a great thing for people and is full of pride.

Everyone followed him, took the elevator to the comprehensive orthopaedic ward, walked all the way, and saw the doctors and nurses, Zhang's father would take the initiative to say hello, showing that he was familiar with the way here.

Zhang Lin took them to the showroom, and Xiao Wu poured water for everyone. A dozen parents, plus children, about 30 people gathered together, which was a bit small.

At half past four, Yang Ping appeared on time. Although he was young, his unique temperament gave everyone a strong sense of trust.

Some people have been checked and come with films, while some people have never been checked, and now I feel a little worried, but thinking about it, it's just digging out the root of the disease, and it's no big deal.

Actually, most children's lower extremity pain is not a big problem. You don't need to be too nervous. Everyone's situation is different, and not all need surgery. Like Zhang Zhe's case, it is relatively rare. For long-term repeated pain, a necessary examination is required. It still needs to be done, the examination does not necessarily have to diagnose a certain disease, but more importantly, it is to rule out a certain disease, and the necessary examination is not over-treatment.

Yang Ping's opening remarks explained to everyone, dispelling everyone's excessive anxiety.

Next, see the doctor in order, those who do not have the test results first, and those who have the test results later.

Even with the hasty free consultation, Yang Ping was still serious and meticulous, without any perfunctory intentions.

For every child, he has to ask about the medical history, check the body in person, and hang the film on the reading lamp to look carefully.

This child is likely to have osteoid osteoma. The pain in the proximal left calf is painful at night, which is progressively worsening. Oral aspirin can relieve the pain. The doctor in Attached 2 has already performed diagnostic treatment. It is recommended that you take X-rays and consider bone pain. Osteoma-like, why didn't you take a film? Yang Ping wondered, it was clearly written on the doctor's medical record.

There is nuclear radiation in X-rays. My child has never had this disease, and no one in my family has this disease. I checked it online, and it's growing pains.

It's right to listen to the doctor. Hurry up and take a film. After the diagnosis is made, surgical resection and postoperative pathological examination are performed. Don't worry too much. If it is an osteoid osteoma, it is benign. As long as it is completely removed, the possibility of postoperative recurrence is very high. Low. Any diagnosis and treatment activity is a choice made under the condition of weighing the pros and cons. If you do not do the examinations that need to be done, you will delay the treatment.” Yang Ping had to explain it to him.

Doctor Yang, I don't understand a bit, can you explain it to me in detail, why you can judge by looking at it, and since you are so sure, why do you still need to take a film? Also, there should be a way to take medicine to treat this disease, right? Why do you have to have surgery? This parent likes to ask the truth.

Ranking him first, I didn't expect such a mother-in-law and mother, the doctor asked you to do an examination, just do it, ask the bottom, and the people behind will not see it.

Do you want to understand? First read all the textbooks for the five years of undergraduate clinical medicine, then read the textbooks for the master's and doctoral degree in orthopaedics, and then read a hundred academic papers on bone tumors, and find a hospital's orthopedics and oncology department. , I have been working with the teacher and the apprentice for a few years, and then I will discuss it with me slowly. Now everyone is in a hurry, so it is not suitable for discussion. Xiao Wu, do you arrange for him to have an anterior and lateral view of the left knee joint? Hurry up and wait for the imaging department to get off work. already.

The parents still wanted to discuss a few words, but they were taken away by Xiao Wu. The parents behind took their children to fill the vacancy immediately, and Yang Ping checked the next child.

Your child has flat feet, which leads to excessive internal rotation of the calf during weight-bearing walking. Customize a pair of flat foot orthopedic insoles, raise the arch of the foot, correct the internal rotation of the calf, and the pain can be relieved. Yang Ping told the parents.

Flatfoot deformity? No way, this thing should be genetic, do you see me? The child's father immediately took off his shoes and stepped on a piece of paper given by Yang Ping.

Your arches are normal. Yang Ping glanced.

The child's father is a little confused: I don't have flat feet? How does he have flat feet?

Flatfoot has a tendency to be inherited, and it doesn't say that it must be inherited. Yang Ping was afraid that he would be crooked.

Then there was a ten-year-old girl with her mother who had pain in the inner right thigh, especially after exercise. Yang Ping called a nurse to accompany her and took her to the treatment room for a physical examination. When she came back, she said, Dancing leg compression injury and adduction. muscle, and bring it to the rehabilitation department for adductor muscle rehabilitation training.

This is no problem. It is caused by lactic acid accumulation or slight muscle fiber damage after exercise. Take a warm bath in the evening.

Look, the thorax is slightly deformed, and the lower limbs are also slightly O-shaped. Did you suffer from rickets as a child? Increase outdoor exercise, receive sunlight, and supplement calcium and vitamin D.

More than a dozen children, Yang Ping read it slowly, a few of them are other diseases, most of them are not a problem, they belong to the accumulation of lactic acid after exercise or the slight injury of muscle fibers.

The parents were all in a happy mood and felt a lot more at ease. They knew the cause of the pain and the plan to deal with it. The parents of the child who was considering osteoid osteoma looked ashen.

Yang Ping asked Xiaowu to help contact the imaging department, and quickly arrange the filming. After the filming, he returned to the comprehensive orthopedics department. Yang Ping would personally explain the condition to the child's father. If this disease is not explained clearly, I am afraid that the family will lose sleep at night.

Under the care of Xiao Wu, the filming was soon completed. The adults took the children, took the film and the report, and returned to the comprehensive orthopedics department.

Yang Ping opened the X-ray film on the electronic reading screen: Sure enough, there was a small osteoid osteoma at the proximal end of the left tibia. The medical history, physical examination and X-ray were three in one, and there was no doubt that the diagnosis was osteoid osteoma. , but the final diagnosis depends on postoperative pathological examination.

What about your child? Yang Ping only saw the parents coming over. Such an old child should let him understand himself, otherwise there will be a psychological burden.

When my father saw the bulge on the X-ray, his face was full of sadness, and he sighed: Doctor, you're right, it's really osteosarcoma, doctor, I can't accept such a big thing at once, but doctor, don't either. Comfort me, talk about what it is, I just Baidu, osteosarcoma is malignant, the degree of malignancy is very high, and there is no cure.

As he spoke, his eyes turned red and tears flowed.

Don't get excited, you can read these words clearly, consider osteoid osteoma, not osteosarcoma, two different things. Yang Ping corrected.

It's not quite the same, one long flesh, one long bone. The child's father rubbed his eyes.

Osteosarcoma is a malignant tumor, and osteoid osteoma is benign. Osteoid osteoma can be completely removed by surgery. This is a typical example of scaring yourself. If you have the time to search for information online, it is better to pick a time and let The child is hospitalized and has the operation done in three days. The first day he is admitted to the hospital, the second day the operation is performed, and the third day he is discharged from the hospital. After the operation, a pathological examination will be done, so that everyone can rest assured and don’t go to the Internet to search everywhere at night.”

At this time, Zhang Lin took out a copy of Surgery, turned out the chapter on osteoid osteoma, and pointed it to him with his finger: Look, this is osteoid osteoma.

Opened the chapter on osteosarcoma again: This is osteosarcoma, read it yourself.

The child's father read it word by word, and laughed through his tears: It's really different.