Chapter 269 - 0253: Gripped by Fear Upon Reflection
Chapter 269 - 0253: Gripped by Fear Upon Reflection
Chapter 269: Chapter 0253: Gripped by Fear Upon Reflection
The iliac bone graft is implanted, occupying the position of the 9th thoracic vertebra, restoring the sequence of the spine and correcting the kyphosis.
In the future, the 8th and 10th thoracic vertebrae, together with this piece of iliac bone graft, will heal together and become a fixed entity.
This completes the second and third missions of the spine surgery, orthoplasty and stabilization.
We fix the lateral steel plate anteriorly, irrigate the surgical area, place drainage tubes, layer the surgical incision, and close the thoracic cavity.
“You stitched the skin last time, you want to do it again?”
“This is my patient!”
...
“Playing fair?”
“We stitch together, I share half with you, how about that?”
“Stop fighting. Whoever’s patient does the stitching. Both of you stitching at the same time is prone to accidental injuries.” Yang Ping lectured them.
Zhang Lin began to proudly stitch the skin, holding the needle holder; with a gentle flick of his wrist, the curved needle entered and exited vertically through the skin.
“Tie the knot!” Zhang Lin urged.
Little Five felt reluctant, put the needle holder back into the sharp turn disc, and began to tie the knot.
Yang Ping’s surgery does not like to use stitching devices to stitch the skin, he prefers manual suturing.
Song Zimo reflected on the surgery just now, a cold realization washing over him. If not for Yang Ping’s careful examination earlier on,
the patient would spend the rest of his life in a wheelchair, just a small operation like this can change a person’s fate.
Being a doctor is really like treading on thin ice, how important a serious attitude is.
Being serious stems from a high sense of responsibility, and awe of one’s profession.
Even so, this kind of disease, once the surgery is complete and if the neural function does not recover, it is seen as normal.
Decompression only creates conditions for nerve recovery; it can’t guarantee it will definitely recover, for instance, if there is a blockage in the anterior spinal artery, neural function would be impossible to recover, resulting in permanent damage.
But exploring the anterior spinal artery is very challenging and requires extensive experience in spinal surgery and reattachment of severed fingers. In fact, very few doctors have such experience.
Professor Zhang Zongshun appeared in the operating room. He personally inquired about the serious or complicated cases he saw in his clinic.
“Professor Zhang!” Everyone greeted him respectfully.
Professor Zhang nodded, walked to the light box to examine the radiographs, and asked Yang Ping, “Xiao Yang, how was the intraoperative condition?”
“Approximately 2000 milliliters of pus was aspirated, the spinal cord was severely compressed, the intraspinal material that was causing the compression was removed, a complete decompression was performed, the 9th thoracic vertebra was removed, an iliac bone graft was implanted, and an anterior steel plate was fixed.” Yang Ping respectfully reported the operation situation.
Professor Zhang adjusted his glasses: “There was no sign of embolism on the MRI, it should have occluded after the MRI was done, did you check the anterior spinal artery?”
“I checked it.” Yang Ping accompanied Professor Zhang.
Professor Zhang pondered for a moment: “Very good, remember, the greater your ability, the greater your responsibility, you must do your best for each surgery, for you it is just a surgery, but for patients, it is their whole life——”
“Old Zhang, I remember.” Yang Ping respectfully said.
“Tuberculosis, once thought to be far from us, is not really the case, it is showing signs of resurgence.”
“The battle between bacteria and other pathogens and human beings never stops, humans develop various drugs to eliminate them, and they try their best to resist these drugs and escape our extermination, this confrontation is endless, superbugs are born in this fight.”
Professor Zhang always managed to view problems from a non-medical perspective, such as from a philosophical height.
In 1882, German biologist Robert Koch discovered Mycobacterium tuberculosis, and mankind began its journey to conquer tuberculosis.
Later, inspired by cowpox, during World War I, French bacteriologists Albert Calmette and his assistant Jean Gerin developed a vaccine (BCG) for the prevention and treatment of tuberculosis, and humans were then able to prevent this disease.
In 1943, American scientist Waksman of Ukrainian descent developed the anti-tuberculosis drug streptomycin, and tuberculosis could finally be treated.
It should be noted that before this, tuberculosis was an incurable disease, considered “humanity’s number one killer”.
Now that it can be prevented and treated, mankind has truly conquered the monster of tuberculosis.
The emergence of tuberculosis is largely due to the appearance of drug-resistant tuberculosis bacteria.
Superbugs are the desperate fighters amongst drug-resistant bacteria.
Many people are contributing to the birth of superbugs.
When you have a cold and unhesitatingly take anti-inflammatory drugs, you have contributed a part.
Now, the management of antibiotics is strict these days, you need a doctor’s prescription to buy drugs at a pharmacy.
Previously, any pharmacy could easily sell antibiotics, and it was common sense to take a few anti-inflammatory pills for a cold, which, in scientific terms, is named acute upper respiratory infection, the majority of which are caused by viral infections and do not require antibiotics.
“There are patients waiting for me in outpatient services, I’ll go first. This patient’s neurological symptoms will recover slowly, the recovery process will be parabolic, it will worsen first, then slowly ease off, make sure to explain it to the patient clearly. ”
After saying that, Professor Zhang looked at Fang Xiaoyun’s monitoring data, asked Fatty a few questions, and exited the operating room with his hands behind his back.
Yang Ping also considered this. After the pressure was relieved, the spinal cord would become edematous, the neurological symptoms would worsen, and only after the edema had subsided would the neurological symptoms gradually recover.
When the skin stitching was complete, Zhang Lin used an alcohol swab to disinfect the surgical incision once again.
“Little Five, how about it? Pretty good skills, right?” Zhang Lin was quite satisfied with his work.
“You still lack practice, next time I’ll sew it for you to see.” Little Five was unimpressed.
The dressing covered the incision, the operation was successfully completed.
Recovery from anesthesia was quick, Fatty’s estimation of the operation time, and control over the dosage of anesthetic was very accurate.
“Fang Xiaoyun, wake up, the surgery is over.”
Fatty called loudly to Fang Xiaoyun, a suction device cleared the secretions in her airway, and the tracheal tube was smoothly removed.
“Doctor, will I become paralyzed?” Fang Xiaoyun’s first words after waking up.
It wasn’t just her, anyone would be scared, just having to lie in this bed, everyone would be fearful, and some would even worry whether they would be able to wake up after lying down.
“The surgery went smoothly, take time to recover after the surgery.” Yang Ping comforted Fang Xiaoyun.
“Make sure to give her standard anti-tuberculosis treatment after the surgery.”
“I’ve already consulted with an infectious disease specialist and they gave a plan.”
Fang Xiaoyun was wheeled out of the operating room, her good colleagues were waiting for her.
“Doctor, how did the surgery go?”
“Very smoothly! ”
“Thank you!”
The colleague had a backpack with her, she followed the push cart and said, “You don’t need to worry about anything, just focus on recovery, I’ve taken a few days off to take care of you.”
This sister was genuinely kind, the number of friends didn’t matter, only true feelings did.
“Your sisterhood is quite good, where do you girls work?” Zhang Lin wanted the gossip and asked Fang Xiaoyun’s colleague.
The girl blushed immediately, as if shy to say. After hesitating for a moment, she finally said, “We work at a foot massage center, it’s very legit, it’s not that kind of—”
She could have easily made up a story to avoid others’ curiosity, but she chose not to.
They wash customers’ feet, give foot massages, they are people living on the edge, they also have their own dignity, their own life, their own friendship.
“That’s pretty good, foot massage actually requires a lot of knowledge, like knowing all about reflexology, right?” Yang Ping helped to ease her embarrassment.
“Yes, regular foot massage can be very beneficial, especially for people with sub-health conditions.” The girl confidently said.
Fang Xiaoyun didn’t join the conversation because of her post operation fatigue.
“After surgery, symptoms like numbness and weakness in lower limbs can worsen in a few days, then slowly ease off, so don’t worry too much.” Yang Ping told Fang Xiaoyun and her colleague.
The briefing was given before surgery, but better to emphasize it now, to avoid panic.
Two successful surgeries today, very good. After making rounds, everyone returned to the doctor’s office.
“Should we get together this weekend? We haven’t gathered for a long time. ” Song Zimo suggested.
Yes, the brothers haven’t sat together for a drink in a long time, even if they don’t drink alcohol, soft drinks would be fine.
“You pick the place.” Yang Ping was unfamiliar with these things.
Song Zimo suggested, “There’s a bar in the city recently, called Nianfeng, I heard it’s quite popular, I’ve never been there, we can go check it out.”
“I’ve never been there, sounds exciting, I’ve heard about it too.” Little Five had also heard of this bar.
“Let’s go, I’ll be the host, everyone has been working hard recently.” Yang Ping decided on the spot.