NBA: The best team doctor in history

Chapter 82: What is true medical talent? The first operation was a great success (two in one)

The big white bear felt much more comfortable and started to flatter people.

"Where's your famous quote about refusing to go to nightclubs and staying away from alcohol and cigarettes?"

Jiang Muyan smiled and asked Jiang Ming why one of his classic lines was missing.

"Do you think he can go to a nightclub like this? As for smoking and drinking, the team and his agent will take care of him."

"Too."

Jiang Muyan gave Jiang Ming a thumbs up. This time, it was a true combination of Chinese and Western medicine. Jiang Ming was proficient in everything he did, as if he had been through many battles, making her feel ashamed of herself.

She originally wanted to say that she was the one who tied the plaster, but looking at Jiang Ming's seemingly fast but detailed movements, she might not be as good as Jiang Ming.

Next, Jiang Muyan and Dabaixiong talked about the doctor's instructions. Just like the doctor's instructions for ordinary fractures, the precautions are similar:

These include avoiding strenuous exercise, avoiding excessive fatigue, observing changes in your body, and paying attention to your diet.
"When lying down, remember to raise the affected limb, that is, the left foot, and use a quilt or pillow to raise the affected limb to 30-45 degrees. This will help reduce swelling of the limb and help remove the plaster faster."

Jiang Muyan's professional instructions also made Blake more and more trusting of Jiang Ming's team. They all looked very professional!
Joel Przybilla's athlete's disease, which seemed very annoying to outsiders, was solved so easily by Jiang Ming?
"You can go home and have a good rest. You will just need to have a checkup once a week."

Even Joel Przybilla was able to go home and recuperate on his own using a cane.

Of course, this is Jiang Ming's high EQ statement.

Low EQ means that their department is short-staffed. If there are enough staff, it would be fine to have a nurse or an assistant accompany Joel Przybilla in the infirmary every day to check on his recovery.

But this is a bit too extravagant. It's just a broken bone. It's better to go home. Going to the infirmary every day would be tiring.

If the management sees this, they will think it is a waste of medical resources. Joel Przybila is not a superstar, so he just needs to recover normally.

Here, Big White Bear called his agent to take him home, and Jiang Ming assisted by putting his arm around Big White Bear's shoulder so that Big White Bear could get into the car without any force on his left foot.

I have to say that being a team doctor in the NBA does require some strength. Most people can't support these strong men who weigh over 200 pounds.

Jiang Muyan was also removing the needle for Blake after he had received an IV drip. The bald doctor appeared at the right time, and peeked in, pretending to organize medical equipment, but in fact he was observing what Jiang Ming and the others were doing.

When I found that the big white bear had left, I thought I had heard it wrong. Could it be that the big white bear was going to have surgery?

Until Jiang Muyan told him directly:

"Don't look at it. I'll tell you straight away, Joel has a cast on and needs to rest for a month. Don't bother him recently.

Blake went immediately to Salmon River Heritage Endowment Hospital for surgery that evening.”

After hearing this, the bald doctor couldn't help but ask:

"Can you really perform surgery?"

Jiang Muyan raised her beautiful chin and said:
"Don't look down on us, okay? Although we are Asian doctors, we have also experienced many battles in China, okay!"

"Just you, don't take me with you."

At this time, Jiang Ming, who had just delivered the white bear, came up, followed by Sean, who was sweating profusely:
"The reservation has been made and the deposit has been paid."

"OK, let's go! To the Salmon River Heritage Endowment Hospital."

The three of them ignored the bald doctor's surprised expression, put a splint on Blake's right elbow, and drove Jiang Ming's Nissan to the Salmon River Heritage Donation Hospital.

Blake was so nervous, being taken to a hospital he had never been to by three unfamiliar people, without his family or his agent who was on the way.
This was the first time in his career that he had received such treatment. Usually, he was either accompanied by his teammates or the attending physician. Jiang Ming's treatment was too fast, so fast that he had to be anxious:

"You said so. There is a beautiful nurse taking care of me."

Jiang Muyan, who was sitting in the passenger seat, rolled her eyes at him unhappily:
"After the surgery, I'll find some girls from a girl group to dance for you, how about that?"

Blake:
"I'm so sorry, if the operation is successful, I will definitely give some to Dr. Jiang."

"puff"

Jiang Ming suddenly braked, shaking all four of them.
"Wow, this private hospital is really good!"

"It's not that all private hospitals are good, but this one is really good. It deserves to be called the most beautiful hospital in Portland, and its environment is ranked in the top 10 in the world."

Jiang Ming discovered that the Salmon River Heritage Endowment Hospital used a variety of building materials, such as stone, glass, brick and metal.

This will make it look retro and high-end, unlike the monotonous public hospitals.

Large outdoor courtyards and terraces provide quiet respite spaces for visitors and hospital staff.

Natural light and warm tones are used throughout the hospital, with skylights in the corridors allowing more natural light to reach the interior.

Geographically, this hospital is adjacent to Mount Hood. This tall snow-capped mountain in the distance is really beautiful.

Two large L-shaped patient towers were specially designed to optimize visual effects.

Jiang Ming and his three companions walked into the L Tower and were indeed greeted by two beautiful receptionists. Moreover, since they had all heard of Dr. Jiang Ming and the Pioneer Traditional Chinese Medicine Department's deeds, they were very caring and praised him along the way.

"You are a role model in our medical profession!"

"Mr. Sean, too! I've seen them with my own eyes, and they are all really good-looking people."

But Jiang Ming didn't talk to them for long. He just asked them to take Blake to the ward for a check-up.

There aren't many patients in this hospital, but the environment is excellent.

Sean rented a single room for Blake, but Jiang Ming discovered that each ward actually had an independent bathroom and space for the patient's family to temporarily live in. The environment was very good, better than any he had ever seen.

This is a private hospital. If you have money, seeing a doctor will become very comfortable.

After expressing their feelings about this money-centered world, Jiang Ming and the other two went to the rented operating room to familiarize themselves with the operation.

As soon as he left the ward, he met agent Blake who had rushed over in a hurry. He did not question Jiang Ming's medical skills, he just thought it was too fast.

"Speed ​​is of the essence in war, and the same goes for medical treatment. It's not conducive to the repair of a torn ligament if you delay repair."

Jiang Ming did not wait for the agent to reply and continued:

"The surgery will be at 6pm. Watch him and don't eat or drink anything. Doctor Sean will come to give him an IV at 5pm. Be ready."

"OK."

The agent was sensible enough and knew that at this point he could only support him without thinking. Although he had a lot of questions and doubts in his head, he could only swallow them and talk to Blake slowly in the ward later.

The news that Jiang Ming was taking Blake with him naturally spread to the management and even alarmed the shareholders.

Because Jensen reported the matter.

But the meaning is clear:
"Jiang Ming's quick actions show that he is very clear about the patient's condition and knows what to do, which is a good thing.

Although Jiang Ming has no experience, his subordinates, Sean and Jiang Muyan, are both very experienced doctors, so let them do it. "

Jensen and his colleagues really think that the management and shareholders are all fools. They can just call a private doctor and know what level of surgery a ligament tear surgery is.

Not to mention that there are many team doctors from other teams in their network. How can they know whether Blake needs surgery in his current condition, and if so, what are the qualifications of Jiang Ming and the other two?

So they actually knew that Blake would definitely need surgery after he had a CT scan of his left hand.

If the ligament tear is mild and the patient's symptoms are not serious, conservative treatment can generally be adopted, such as rest, ice compress, pressure bandage, and elevation of the affected limb.

If the ligament tear is severe and there are obvious symptoms such as pain, swelling, limited movement, or if there is other tissue damage such as blood vessel or nerve damage, surgical treatment should be considered.

There are two surgical methods: continuous locking suture and anchor locking suture. They also asked Larry Miller to ask, and Jiang Ming wanted to use the anchor locking suture.

This anchor locking suture method would be much faster, but more difficult, but not beyond his ability.

At least in the eyes of the shareholders, the female doctor Jiang Muyan can definitely do it. She is the "single queen" of surgery in South Korea, and her clinical experience is much richer than that of Robert.

Moreover, Jiang Muyan and Sean both have an anesthesiologist license, but Jiang Ming does not.

Sean, who looks silly, actually has all the necessary medical licenses in the United States.

This means that these three people are actually geniuses among their peers in the medical field and are fully capable of performing surgery.

Then just let them do it.

"I'm going to fall asleep."

"Then go to sleep. Everything will be fine after a good night's sleep." 6pm.

Jiang Muyan and Sean worked together to give Blake anesthesia.

"So I'm the worst?"

Jiang Ming, who was also fully armed with a protective cap, mask, gloves and medical glasses, could only watch from the side.

There was no other way. I didn't have an anesthesiologist's license. If I rented the hospital here, I would have to have various licenses to perform various operations. Outside the operating room, there was a doctor from the Salmon River Heritage Donation Hospital supervising me.

They also didn't want any problems to occur in their hospital with three doctors who looked so young, and they also had to watch out for any damage to the equipment.

And when Blake closed his eyes and confirmed that he was anesthetized, it was Jiang Ming's time.

Jiang Muyan and Sean both trust Jiang Ming unconditionally and let him perform the surgery!

The operation begins!
Jiang Ming signaled to Sean to let the patient lie on his back with the affected limb flat on the operating table.

Jiang Muyan was responsible for putting an air bag tourniquet on Blake's left upper arm.

After routine disinfection and draping of the affected limb, Jiang Ming picked up the scalpel and prepared to operate on the ulnar side of his right elbow which had been marked long ago!

He took a deep breath, and Jiang Muyan and Sean both gave him affirmative looks. Having been with Jiang Ming for so long, they were all familiar with how stable Jiang Ming was.

Naturally, I also believe that he can complete it successfully!
If there is no first time, this is the first time!
The Department of Traditional Chinese Medicine must take this step!
"bring it on!"

Jiang Ming calmed himself down, details flashing through his mind.

Moved!

Jiang Ming did not hesitate once he made a move. He cut directly above the cubital tunnel and made a 12-cm long skin incision centered on the medial epicondyle. He only performed sharp dissection under the dermis to identify and bluntly dissect and preserve the branches of the medial forearm cutaneous nerve.

These nerve branches are superficial to the fascia, perpendicular to the skin incision.

Although anatomical variations often exist, the most common is the presence of two branches, one proximal to the medial epicondyle and the other distal to the medial epicondyle.

But fortunately, Blake did not mutate.

Therefore, Jiang Muyan and the other person hurried over to place two automatic traction devices to expose the structure on the inside of the elbow joint.

Jiang Ming came closer to examine the muscle tissue carefully and orderly, revealing the ruptured site of the superficial muscle and the distal retraction of the flexor-pronator teres muscle layer.

The full-thickness flap was raised, revealing damage to the flexor-pronator muscle mass at the medial epicondyle of the humerus.

This is where Blake tears up.

The base of the cubital tunnel is the posterior bundle of the ulnar collateral ligament.

Therefore, mobilizing the ulnar nerve can better expose the ulnar collateral ligament underlying it.

The ulnar nerve is easily identified proximal to the cubital tunnel, posterior to the medial intermuscular septum.

But now Jiang Ming and the other two could not see it intuitively because a hematoma was found. Common injuries involve the anterior 2/3 of the muscle, and it is not uncommon to find a hematoma in the cubital tunnel.

Jiang Ming did not panic, but touched the proximal end of the medial epicondyle of the humerus with his fingers in the front-to-back direction and felt its cord-like structure.

When exposing the proximal end of the ulnar nerve, in order to reduce damage caused by pulling on the nerve, Jiang Ming did not use surgical forceps, but instead used a rubber tube ring to pull it to protect the nerve.

"Come!"

Jiang Ming carefully loosened the ligament and then moved the distal end of the ulnar nerve out of the cubital tunnel.

Dissect distally through the fascia overlying the flexor muscles until the nerve is seen entering deep into both heads of the muscle.

Then gently retract the ulnar nerve and check the ulnar collateral ligament.

The ligament was seen torn off from the exposed medial epicondyle in a sleeve-like manner.

"I rely on."

Sean didn't dare to make a sound when seeing this. Jiang Ming did everything by himself and didn't even look at the magnifying glass. Is he a human being?
You know, after reading those Chinese medicine books, he also realized that Chinese medicine is mostly passed down from generation to generation, which relies too much on experience. It would be too late to learn it in college. Therefore, it is possible that Jiang Ming, who comes from a medical family, was exposed to Chinese medicine from an early age and carried it forward.

But this surgical technique is pure talent!

The most important thing is speed, fast, steady and accurate. It hasn’t been long and it’s almost time to do the final suture!
Often, the concomitant injury to the flexor-pronator muscles provides a good window for exposure of the ulnar collateral ligament without the need for further dissection.

The ulnar collateral ligament is sometimes found embedded in the humero-ulnar joint.

In order to explore the damage inside the joint, the ulnar collateral ligament can be retracted. At this time, the ulnar collateral ligament has been prepared by Jiang Ming alone and can be repaired to the medial epicondyle of the humerus.

The next step is anchor locking suture!!!

Jiang Muyan and Sean came over quickly to turn on the lights and hand over the equipment.

The anchor locking suture method uses the suture on the anchor to directly suture the torn tissue structure.

The most important step in achieving success with this repair is to place the anchor coaxially with the center of rotation of the elbow, which is the center point of the medial epicondyle.

Then, overlap the torn ulnar collateral ligament and flexor-pronator muscle by 5mm on the plane of injury, pass the four sutures on the anchor through the deep surface of the broken tissue, and tie a knot on the surface of the tissue respectively, so that the broken ulnar collateral ligament and flexor-pronator muscle are tightly attached and locked to the original starting point.

Jiang Ming did all this in one go, leaving Jiang Muyan dumbfounded. She could responsibly say that the best surgeons she had ever seen in the operating room were not as skillful as Jiang Ming.

This is not just the stability and concentration brought by youth, this is an innate talent!
She dared to say that ordinary doctors who had not performed a hundred or eighty right elbow ulnar collateral ligament repair surgeries would never be able to achieve such efficiency. Jiang Ming had obviously never done it before, but he knew how to do it, linking everything together without missing a single detail!!!
But in fact, the one who was most shocked was the orthopedic surgeon from the Salmon River Heritage Endowment Hospital who was supervising outside. It was the first time he saw his assistants so idle!
It was also the first time I saw the surgeon do so many things so quickly!

It was already quite exaggerated to have only three people performing the surgery, but the following scenes seemed like a fairy tale to him!
"Do public hospitals perform surgeries like this now? Or are NBA team doctors all that awesome?"

"No wonder we are the Portland Veterinary Group. Are we doing surgery on a pet? This is so ridiculous!"

It's so scary.

If this type of surgery is performed by a doctor from the Salmon River Heritage Endowment Hospital, he will have at least two surgical assistants.

Depending on the size of the operation, there may be one, two, or even three assistants. Their main task is to assist the surgeon in performing the operation, including disinfecting the surgical site, assisting with the placement of the surgical position and exposure of the surgical site, assisting with the surgical operation, and preparing necessary surgical instruments and equipment.

The first doctor to enter the operating table is the surgical assistant, and the last doctor to leave the operating table is also the surgical assistant.

"Surgery cures disease, anesthesia saves lives." There must be at least one anesthesiologist, and he or she must be alone. In theory, it is against the rules to have part-time anesthesiologists like Jiang Ming's team does. Complex or high-risk operations will be equipped with two or even more anesthesiologists.

Finally, there is a nursing team:

1. Washing hands nurse

Also known as instrument nurses, they are responsible for strictly implementing aseptic operation principles, understanding the patient's condition and surgical steps before the operation, and cooperating closely with the surgeon during the operation. They can understand the doctor's intention with just a glance, and the instrument will be handed to them as soon as they stretch out their hands. Every piece of gauze and every thin thread cannot escape their eyes.

This is at least one person, and now it is also being taken up by the beautiful female doctor.

2. Circulating Nurse
Before the operation, understand the patient's condition, physical signs, surgical method, etc., check the performance of various instruments, prepare surgical supplies, perform six checks and twelve comparisons when the patient enters the operating room, conduct a three-party check with the anesthesiologist and surgeon, establish intravenous access, use medications as ordered by the doctor, etc.

Strictly abide by the surgical inventory system, supervise the aseptic operation of surgical staff, clean and tidy up the operating room after the operation, and assist the doctor to safely send the patient out of the operating room.

Her eyes were observing the movements in the entire operating room, and she was ready to "eject" and solve the problem at any time if there was anything abnormal or not in line with the regulations.

This also requires one person, and obviously these three people in front of him don't need it.

There are only three people, and Jiang Ming treats the two assistants as instrument nurses. Isn't that an exaggeration?
This is bound to fail!
The most exaggerated one is yet to come.

Although he could not see the details of Jiang Ming's operation, he was able to see the X-ray examination of the elbow joint after the operation by stretching his neck. This was the last step in determining whether the operation was successful.

Normal frontal and lateral X-rays of the elbow joint indicate that the anatomical structure has been restored.

What is displayed on the screen is obviously normal.

In other words, the operation was successful?
It only took 1 hour!
The orthopedic surgeon at the Salmon River Heritage Endowment Hospital was stunned. This was completely beyond his understanding.

The three people in the operating room also smiled. Jiang Muyan's beautiful eyes moved, and she couldn't believe the speed:

"I'll treat you to a midnight snack tonight, that's great, Jiang Ming!"

Sean: "Minister, awesome! The operation was a great success!"

"I'll leave the final fixation to you guys. I'm so tired."

A big chapter is sent!



(End of this chapter)