The Godfather of Surgery

In the afternoon, Yang Ping returned to the office after the operation.

Huang Jiahui has been waiting for a long time. She received the sample of the external spinal fixator and delivered it as soon as possible.

Mr. Huang's efficiency is quite high. Yang Ping sat down.

Dr. Yang, please take a look. If you confirm that there is no problem with the sample, it will only take three days for the Guilin laboratory to receive the external fixator for the experiment.

Huang Jiahui put on protective gloves, opened the instrument box, carefully took out the scoliosis model and external fixator, placed it on the desk, and demonstrated it to Yang Ping.

If this thing spreads out the investment equally, the unit price is much more expensive than gold in terms of grams.

Screws were screwed into the predetermined pedicle channel on the spine model, and Huang Jiahui skillfully installed the external fixator.

After a few minutes, the external fixator was installed, and she began to demonstrate the adjustment. As the knob was turned, the elastic spine model began to correct.

Jiahui practiced for several hours in her own company for the demonstration in just a few minutes.

How is it? Dr. Yang, do you think there is any problem?

Jiahui has taken off the immature she just graduated and looks mature and capable.

Yang Ping prepared to operate it by himself, Jiahui hurriedly handed over the gloves, Yang Ping personally operated it from beginning to end, and checked repeatedly to confirm that there was no problem.

Just according to this sample, the experimental products will be sent directly to the Guilin laboratory. Yang Ping strives to complete at least 40 animal experiments before the Asia-Pacific Orthopaedic Association Conference.

It is definitely too late to bring spinal external fixator technology to the recent Asia Pacific Orthopaedic Forum, but there is still hope to catch up with the conference.

The correction speed of young monkeys is theoretically much faster than that of children, but it is estimated that it will take about three months to complete the first batch of animal experiments.

This technology is a brand-new scoliosis correction technology. Once brought to the conference, it will cause a sensation. It is completely different from the existing orthopedic surgery.

The size of the sample is very small, and it is specially adapted to the size of the baby monkey. It cannot be used in the human body. After the animal experiment is successful, the equipment used in the human body must be re-molded for production.

Jiahui prepares to pack up the equipment: Dr. Yang, do you want to leave it on your desk for your usual research?

Yang Pingzheng has this intention, just as an office decoration, placed on the desk, usually to study and study when he is free, and also to let everyone familiar with it.

Dr. Yang, when are you going to Guilin, and I'll go with you at that time to be in charge of the equipment and equipment? Although Jiahui has now taken over as the manager, Yang Ping's surgery is all she does in person.

It's not sure yet, I'll let you know when the time comes. Yang Ping was very satisfied with the samples.

Thinking about the children's scoliosis in the future, there is no need for surgery, as long as this external fixator is installed, the parents help to adjust the screws every day, and the deformed spine is slowly and automatically corrected, how amazing it is.

Compared with surgical correction, this method is not only less traumatic, but most importantly, it preserves the normal range of motion of each spinal segment, and the obtained spine has complete normal function.

Surgery, however, sacrifices a lot of the mobility of the spine.

In the future, this technology will be upgraded. For adult spinal correction, the vertebral cortical bone can be cut off in some key parts, and then the external fixator can be used for correction using the principle of Ilizarov.

Yang Ping was thinking, suddenly, a heart-piercing cry came from the ward, and the cry became louder and louder.

What's going on? Yang Ping asked.

Jiahui was also at a loss, Yang Ping asked Jiahui to go back first, and called a Gui Peisheng to ask about the situation.

24 beds, Teacher Zhang is changing his dressing. Gui Peisheng replied respectfully.

The 24 beds are the gout patients admitted to the emergency department. There are gout nodules all over the body, and the largest nodule is as big as five adult fists.

Because of severe pain, I went to the emergency room in the middle of the night and was sent to general surgery.

In Sanbo Hospital, everyone still likes to follow the name of comprehensive orthopaedics, calling Yang Ping's department general surgery, which is more down-to-earth than the high-end surgical research institute.

Whether it is the emergency department, major surgery, or overseas Chinese building, as long as it involves surgery, and there are cases that cannot be handled, it is natural to ask for general surgery consultation.

Gui Peisheng led Yang Ping to the ward, Zhang Lin was changing dressings, Xu Zhiliang was instructing, Song Zimo was watching, surrounded by a group of Gui Peisheng and interns.

The dressing of the wound was opened, and the wet dressing was covered with a white lime mud-like substance.

This patient, male, 60 years old, has gout nodules all over his body. There are forty-four nodules that can be counted. The largest has five fists, and there are several with two or three fists. The whole body is seriously deformed, like Like a monster, it makes the scalp feel numb and extremely uncomfortable.

Several huge gout nodules ruptured, and white lime-like substances were constantly flowing out of them. These limes mixed with tissue fluid, much like white mud.

Zhang Lin's tweezers held a sterile cotton ball and stirred in the broken wound to clean the lime mud.

The patient was lying on the bed, moaning in pain, screaming from time to time, clamoring for the amputation of all the limbs that had ruptured the gouty nodules.

Gout sometimes hurts, and it is really heart-piercing. In 1799, the famous British cartoonist James Gilray portrayed gout as a black little devil, vividly expressing the pain of gout.

After experiencing gout at the first metatarsophalangeal joint of the foot, the cartoonist drew a cartoon, depicting the gout as a black scary little devil, lying on the back of the foot, biting frantically.

Fat man, take people as a mirror! Xiao Wu was smacking his tongue beside him.

Fatty Liang sweated on his forehead, as if seeing his future self, gout could actually reach such a terrifying level.

Gout is one of the oldest metabolic diseases in human beings. It is mainly caused by a problem with the metabolism of uric acid in the body. Excessive accumulation of uric acid results in the precipitation of crystals and attacks on joints, internal organs and other parts. The records of gout can be traced back to the fifth century BC. Hippocrates, the father of medicine at that time, recorded the clinical manifestations of gout.

Song Zimo took this opportunity to explain some knowledge about gout to the trainees and interns.

Historical celebrities we are familiar with, such as Bacon, Newton, and Darwin in foreign countries, and Bai Juyi, Liu Yuxi, and Kublai Khan in my country are all gout patients.

In ancient times, gout was a real disease of wealth and wealth. Those who were eligible for gout were all emperors, generals, and wealthy nobles. Ordinary people didn't have much chance to get this disease at all.

In modern times, with the improvement of living standards, everyone lives a life that was only available to the wealthy in ancient times. In my country, gout has become the second largest metabolic disease after diabetes. According to statistics, the number of patients in my country has exceeded 80 million. , and is rapidly increasing at an annual rate of 9.7%.”

There is usually no sign before gout attacks, and it is often awakened in the middle of the night due to severe pain in the feet. The pain is progressive and reaches a peak in about 12 hours. The pain is like tearing, knife-cutting or biting. Bear.

The vast majority of gout occurs in the first metatarsophalangeal joint, which is the joint of the big toe. As the disease aggravates, it gradually spreads upward, and also occurs in joints such as the dorsum of the foot, heel, ankle, knee, wrist, and elbow. The affected joints and The surrounding tissue is red, swollen, hot, and painful, with limited function.

This is not over yet. Gout is a silent killer. It not only erodes and destroys joints, but also erodes and destroys internal organs. For example, it can cause gouty nephropathy, and in severe cases, uremia, and eventually require dialysis or kidney transplantation.

Don't take him seriously. This disease, pay attention to it and treat it well, it's not a big deal. Ignore it, don't pay attention to it, and one day it will make you regret it.

If you have the opportunity, let Teacher Liang tell you about gout. He is an expert in this field. Song Zimo turned to look at Fatty Liang, who was shivering.

At this time, Song Zimo also saw Yang Ping, and immediately leaned over: Trouble! Without surgery, these wounds will never be closed. After surgery, all the joints in the body will be eroded by uric acid crystals, and the wounds may not heal.

Surgery must be done, it just depends on how it is done.

Be careful with the surgical plan, and make a detailed assessment of the blood vessels of the limbs. Yang Ping explained.

Zhang Lin took two Gu Peisheng, sweating profusely, and finally finished changing the medicine for several wounds, and the gauze that was replaced filled the yellow trash can next to him.

Everyone has never seen such a serious gout patient. If the patient is lying on the bed, if he is not mentally prepared, he suddenly sees pimples all over his body, and sweats all over his body.

There is no dutiful son in front of the bed for a long time, and time can wear away people's patience.

What are you shouting, so it won't hurt? the patient's daughter scolded by the bed.

I was given an analgesic injection before the dressing change. Xu Zhiliang explained to him when he saw Yang Ping coming in.

It turned out that the gout nodule did not rupture. The old man lived with his daughter. Later, the nodule ruptured and he went to a nearby hospital for surgical debridement. The nodules also collapsed one after another.

The unpleasant smell pervaded the house. There was no other way. My daughter had to rent a house for the patient and asked a nanny to take care of him. Nanny scared away.

There is a shortage of babysitters in the housekeeping market, and many are unwilling to take care of the sick elderly. The wages have been increased again and again, but they still cannot find suitable people, so the sick daughters have to take care of them.

Both of us are only children, and now we have to take care of five elderly people, one in his 80s. We have no choice but to send them to a nursing home. Not long ago, I was hospitalized for a stroke and just got discharged. We are almost driven crazy. The big boss of money is okay, we are all salarymen, no matter our energy or economy, we can’t take care of it at all, and now we are dead.”

The patient's daughter complained, which was an explanation for her out-of-control emotions.

I'm sorry, doctor, I'm about to collapse. The patient's daughter spoke softly, for fear of causing the doctor to misunderstand.

Okay, okay, it's over, let's take a rest. The patient's daughter pulled the quilt to cover the patient.

Forget it. The patient's tone was broken.

The patient's daughter taught him again: What a child's temper, treat the disease with peace of mind, Dr. Yang has a solution.

Trouble you, really. The patient's daughter felt very guilty about her gaffe just now.

We try our best. Yang Ping comforted her.