godfather of surgery

Chapter 422 Low back pain in the mist

Seeing that Yang Ping was so persistent, Director Han was very moved, and confessed that his superiors wanted to transfer Yang Ping to 301.

However, this kind of poaching is talent introduction after all, and the person must agree to it. If the person insists on not going, the other party has nothing to do.

Director Han was hesitant at first, hoping that Yang Ping could go to the best platform, but he was very reluctant.

Now, he has made up his mind. If he wants to keep this kid, he and Dean Xia can still work together for many years. These years are enough to help Yang Ping achieve an extraordinary career.

Yang Ping has his own choice, he sees problems differently from others, no matter what he chooses, Director Han will support him.

If he chooses to stay in Sanbo, if he is sincere, then there are his reasons, and his reasons are not understandable by ordinary people.

"Xiao Yang, there is no one else here. Let me ask again, are you really willing to stay in Sanbo? I sincerely hope that I can go to a bigger platform and achieve a bigger career. Don't interfere with my personal feelings because of our personal feelings." Decided." Director Han said from the bottom of his heart.

Yang Ping is unwavering: "I only stay in Sanbo and don't go anywhere. What I need is here. No matter how big other platforms are, they may not be there."

Lao Han didn't understand what Yang Ping needed, but since he was so determined, he had no choice but to support him.

"it is good!"

Old Han stood up.

"I'm going to tell Dean Xia right now, you can go to work with peace of mind, and we will take care of other things."

"When you went abroad this time, Professor Su called me a few times and asked me about your situation. He was also worried about you. I said, you are asking the wrong person. You should have more information than me. He didn't Talk." Director Han suddenly remembered this and reminded Yang Ping that he should find a suitable way to reply to Professor Su.

Professor Su passed five tests and cut six generals, and has successfully passed two rounds of academician evaluation. In the final election, he was elected with a high number of votes, and has entered the list announcement stage.

Professors Hong Zhigang, Meng Heng, and Fu Shancheng who participated in the election at the same time were all unsuccessful in the second round and had to wait for co-election two years later.

Just now Director Han mentioned "Old Man", Yang Ping really didn't react.

Yang Ping knew that Xiao Su was smart and had her own plans. She was looking for the right time to take Yang Ping to meet her parents, so Yang Ping was not in a hurry.

It is estimated that Xiao Su has not formally mentioned the relationship with Yang Ping to his father, so it is inconvenient for Professor Su to inquire about Yang Ping's situation from his daughter.

Yang Ping compiled a WeChat message about the general situation in the United States and sent it to Su Nanchen. Professor Su should be relieved now.

Director Han rushed to find Dean Xia, and Yang Ping returned to the doctor's office.

Director Hu was eagerly waiting for Yang Ping to continue explaining the scoliosis operation. Several doctors from Xiehe were also waiting, and Song Yun was also present.

Zhang Lin was coming in, followed by a doctor with a drooping head. He was in his 30s. Yang Ping didn't know him. He should have come here during his stay in the United States.

"Dr. Yang!" Zhang Lin greeted respectfully, and the doctor followed suit.

Then the doctor was taken to a nearby conference room, the door was not closed tightly, and a crack was opened.

"Mr. Zhang, I'm sorry, this is my self-criticism—"

The doctor presented the self-examination form with both hands, Zhang Lin took it, opened it, read it, and signed it.

"This self-examination is not too bad. Let me tell you, what are you doing here? Further study! There are rules for further study, and a learning attitude for learning. No matter which hospital you were in before or what your title is, when you come here, you are As a trainee of Sanbo, you have to abide by my rules and show a learning attitude, otherwise why are you here? Vacation? This is not where you come or leave whenever you want. Once you are expelled, you will be included Blacklist, you will never have the opportunity to come to study in the future, and it will also affect your colleagues' application for further study. I have seen you like this a lot, how good are you? Tell me how good you are? What is your academic status in the world? Have you ever heard of Takahashi Fumizai? Do you have any other bullies? Just ask Corey to find out if he is well-behaved."

Teacher Zhang is serious and to the point, and the listeners dare not go too far. It is probably not the first time he has been sprayed.

The sound was loud, leaking from the crack of the door, and everyone in the office listened attentively.

"The new doctor, attached to the second, came to study scoliosis correction, the nephew of the vice president of Nandu Medical University, either came late or left early, playing around." Song Zimo whispered in Yang Ping's ear.

"Zhang Lin pinched him to death—" Song Zimo secretly laughed.

Yang Ping turned sideways, looked at Zhang Lin's appearance through the crack of the door, and couldn't help but smile in his heart, this guy is really decent and full of style.

"Zhang Lin manages the teaching of advanced students in the department in an orderly manner, and no one dares to mess around." Song Zimo was obviously satisfied with Zhang Lin's performance.

Yang Ping was about to continue talking about scoliosis orthopedics to Director Hu, when there were noisy voices in the corridor.

Vaguely, Yang Ping heard someone clamoring: What quack doctor, why should he sue, what is the wrong surgery.

Graduate student Li Guodong came in, frowning: "Director, the patient transferred from the spinal surgery department did not relieve the back pain after the operation, and there was a lot of noise over there. Director Qin contacted Dr. Song and transferred to our department."

"Oh, here we go. Let's go and see together. I'll consult with the patient." Song Zimo immediately took Yang Ping to see it, and a group of fellow doctors followed.

A male patient, 36 years old, was obese. Lumbago accompanied by numbness and burning sensation on the outer side of the right thigh for two years. The symptoms were aggravated by standing and sitting for a long time, and could be relieved after rest.The anteroposterior and lateral views of the lumbar spine showed that the lumbar 4/5 and lumbar 5/sacral 1 intervertebral spaces were slightly narrowed, and MRI suggested that the lumbar 4/5 intervertebral disc herniated and the upper and lower endplates were inflamed.

Diagnosed with lumbar disc herniation in a foreign hospital, and underwent minimally invasive surgery - foraminal endoscopic lumbar 4/5 intervertebral disc removal, the symptoms did not relieve after the operation, entrusted an acquaintance to transfer to the spine surgery of Sanbo Hospital, and underwent posterior lumbar 4/5 [-] Intervertebral disc removal + intervertebral space bone graft fusion + pedicle screw internal fixation.After the operation, the low back pain was relieved, but the pain in the right thigh remained the same.

The patient was pushed to the ward by a flat car, and the doctor of the spinal surgery department was taking over shifts with Li Guodong of the Department of General Orthopedics.

The patient was lying on his side, curled up, with a tattoo of an unknown monster on his arm.

These days when we fight against evil, this fat man dares to have dragon and tiger tattoos, which is also courageous. Now these tattoos are the focus of attention.

This patient had a potential dispute. Director Qin felt that it was difficult, so he had to seek help from the Department of General Orthopedics. Yang Ping went to the United States, so he asked Song Zimo for consultation.

Spine surgery is the most disputed in orthopedics.

When Yang Ping went to the countryside at Nanqiao Hospital, the case of Mr. Yan was a classic dispute case.

Patients with low back pain, among other things, lumbar disc herniation, seems simple, but common cases in spinal surgery are actually very complicated.

This patient has already had a trouble in another hospital, and now he is undergoing a second operation, but the effect is still not good. He concluded that Director Qin did the wrong part, because there is no effect at all after the operation.

Director Qin is also an honest person, he really wants to solve the patient's problem, and the patient was introduced by an acquaintance.

Generally, many doctors are afraid to take the job for those who need another operation and have potential disputes, so there is no need to put shit on themselves.

When the patient came, Director Qin also hesitated, but an acquaintance introduced him, the patient pleaded repeatedly, Director Qin softened his heart for a while, and then, after careful analysis, he felt that the patient had a herniated lumbar 4/5 intervertebral disc with severe upper and lower end points of the same segment. Laminitis cannot be treated with minimally invasive surgery. Only open surgery, removal of the intervertebral disc, and scraping of the upper and lower endplates can be completely cured.

However, after this confident operation, the symptoms did not relieve in any way. A few days ago, the patient thought it was not long after the operation, so he didn't care, and sent a prepared pennant over, but after a few days, the pain disappeared. Any relief, immediately turned his face and made a fuss in the ward.

"I have a herniated lumbar intervertebral disc. This quack doctor must have prescribed the wrong place. The herniated intervertebral disc was not removed, and the good intervertebral disc was removed? I asked others and checked it online. That's it. The wrong part was done. Accident!" The patient's attitude was very bad, he had no doubts about his own judgment, and questioned the doctor's wrong position.

Many patients come to see a doctor in the same way: "I have a herniated lumbar intervertebral disc."

That's right, the imaging report said lumbar disc herniation, and both the doctor and the patient believed it.

But low back pain is not necessarily lumbar disc herniation, and lumbar disc herniation is not necessarily lumbar disc herniation.

If the logical relationship is not clear, it is impossible to straighten out the patients with low back pain.

Low back pain is almost the first disease in outpatient clinics. The proportion of low back pain in people's life is 80.00%, and at any time, 18.00% of people are experiencing low back pain.

That is, at this moment, out of [-] people, [-] people are suffering from low back pain, which is quite a large proportion.

The causes of low back pain are very complicated. Lumbar intervertebral herniation is only an imaging diagnosis, but lumbar disc herniation is a clinical diagnosis. The difference between the two is one word, and the meaning is obviously different.

Either encounter low back pain or lumbar disc herniation.

Don't think it is lumbar disc herniation when you see a CT or MRI report saying lumbar disc herniation.

Far from being so simple, and far from being so upset.

"Can you lie down? I'll check for you!"

The patient glanced back and wanted to curse, but when he saw Yang Ping's eyes and a group of white coats around him, something called aura overwhelmed him.

"You—are——Dr. Yang? The Dr. Yang who straightened the twisted man?" The patient suddenly changed into a different person. He was still a big brother who was not afraid of anything just now, but now he asked timidly.

"This is what I told you about Dr. Yang. You have to cooperate with him in the examination. You have had two surgeries that haven't solved the problem. It is no longer a common problem. We call it an intractable disease. If you trust us, trust Dr. Yang, and think about your own If you recover from illness, just obey and cooperate, if you don’t believe us, just give us a word, we will immediately push you back to the spinal surgery department, and you continue to make trouble.” Song Zimo had already dealt with him.

The patient struggled to turn over and lay down: "Dr. Yang! I believe you. It is said that you are amazing. The fireman's arm is broken and can be connected; the football player is useless, you can fix it and send it to the field; Just like mahua, doctors all over the country dare not operate, but you straighten it!"

"Are you in pain or not?" Song Zimo urged him to lie down.

"It hurts! Why doesn't it hurt! I'm rolling in pain!"

The patient said immediately.

(End of this chapter)