sinovels Chapter 1375 Heavyweight Medical Team
Chapter 1375 Heavyweight Medical Team
Chapter 1375 Heavyweight Medical Team
Yang Ping would return to Sanbo Hospital at least once a week. Although it was called a "return", the Sanbo Research Institute was actually located inside Sanbo Hospital.
At eight o'clock in the morning, he arrived at the trauma orthopedics department. The corridor was full of familiar faces. A nurse pushed a treatment cart past, saw him, and smiled and nodded: "Hello, Professor Yang!" A young doctor carrying a stack of medical records walked towards him, paused for a moment, and quickly stepped aside to let him pass: "Professor Yang is back!" He responded to each of them, his steps never stopping.
He had walked this corridor countless times.
When he first came to Sanbo, he started from here. At that time, he was just an ordinary attending physician, following Director Han around every day to make rounds, perform surgeries, and write medical records, feeling full of energy.
Later, he went to a research institute and left this place. But every time he came back, he still felt a sense of familiarity.
The current head of orthopedics is Tan Boyun, in his forties, highly skilled and with excellent management abilities. However, Tan Boyun is not here today; he's in a meeting. The original core team of orthopedics is still there—Director Ouyang's medical team and Director Bai's medical team are both still in place. Some new medical teams have also been added, consisting of young doctors he doesn't recognize. When these young doctors see him, their eyes are filled with curiosity and awe, and they greet him respectfully.
He's looking for Director Bai today.
The medical team led by Director Bai is the most distinctive team in the entire orthopedics department.
This feature is not technical, but physical.
Director Bai himself is a very fat man weighing over 200 pounds. He is 1.7 meters tall and weighs 230 pounds, and he walks like a moving small mountain. His white coat is specially made, several sizes larger than others, but even so, it is still tight on him, like a sausage about to burst.
Director Bai has an attending physician nicknamed "Fatty." Fatty's weight is conservatively estimated to be around 200 pounds, and when he stands next to Director Bai, they look like inseparable brothers.
Director Bai also supervised a graduate student, nicknamed "Little Fatty." Little Fatty was a bit thinner than Director Bai and Fatty, but still weighed around 180 or 190 pounds. The three of them standing together created a visually striking effect, earning them the nickname "the most heavyweight medical team in orthopedics."
As Yang Ping approached the entrance to the ward where Director Bai's team was located, he heard laughter coming from one of the wards.
He peeked out and saw Director Bai leading Fatty and Little Fatty on their rounds. The three of them were crammed into the small room, filling it to the brim. Lying on the bed was a frail old woman, surrounded by these three enormous figures, her expression somewhat terrified, like a little rabbit surrounded by three bears.
“Auntie, don’t be nervous,” Director Bai’s voice was very gentle, which, combined with his physique, created a strangely endearing contrast. “We are just doing our routine rounds to see how your recovery is going.”
The old lady looked at him, then at the chubby boy, then at the little fat boy. Her lips moved, and she managed to utter a sentence: "Doctor, is your hospital cafeteria particularly good?"
Fatty paused for a moment, then burst into laughter: "Auntie, you're absolutely right! The food in our hospital cafeteria is top-notch!"
Little Fatty nodded in agreement: "Yes, yes, there's roast goose, char siu, claypot rice...it's especially delicious."
The old woman's expression grew even more terrified: "You...you eat this every day?"
Director Bai waved his hand and said in a serious tone, "No, no, we only eat this five days a week."
old lady:"……"
Yang Ping stood at the door, almost bursting out laughing.
After finishing their rounds, the three of them came out of the ward and happened to see Yang Ping.
Director Bai's eyes lit up, and his massive frame moved with an agility that belied his size to greet him: "Professor Yang! You're back!"
Fatty and Little Fatty quickly greeted, "Hello, Professor Yang!"
Yang Ping smiled and nodded: "Your ward rounds are quite lively."
Director Bai chuckled and patted his belly: "There's nothing we can do about it, that's just our group's specialty."
Fatty added from the side, "Professor Yang, you don't know, our group has a nickname, it's called the 'Heavyweight Medical Group'."
Xiao Pang said, "We're not just heavyweights, we're also substantial. Our patients really like us, they say they feel reassured when they see us."
Yang Ping asked curiously, "Why?"
The chubby guy said in a serious tone, "Because we look stable! With such a big build, we're like a pillar of strength. Patients say that when they see us, they feel that the surgery will definitely be successful."
Fatty nodded: "Yes, and some patients have said that seeing us makes them feel at ease knowing that the hospital has enough food."
Yang Ping couldn't stop laughing.
These three are truly the three treasures of orthopedics.
Three people accompanied him, chatting as they walked. When they reached the doctor's office, Director Bai opened the door: "Professor Yang, would you like to come in and have a seat?"
Yang Ping nodded and followed them inside.
Director Bai's office wasn't large, but it was quite tidy. Along one wall was a row of filing cabinets, crammed full of medical records. On the desk sat a computer, a stack of medical records, and… an open bag of snacks.
Yang Ping glanced at the bag of snacks; it was a bag of potato chips.
Director Bai followed his gaze and smiled somewhat embarrassedly: "Um... I had something to eat before making rounds earlier."
Fatty, standing nearby, mercilessly exposed him: "Director, that's the third pack you ate this morning."
Director Bai glared at him: "If you don't speak, no one will think you're mute."
He turned to Yang Ping and quickly explained, "I've been dieting lately, and I use this to replenish my energy when I'm hungry. The main thing is that it's lightweight and doesn't take up much space."
Lightweight? Yang Ping looked at the bag of potato chips, then at Director Bai's physique, and nodded while suppressing a laugh.
Director Bai put away the potato chips, straightened his expression, and said, "Professor Yang, we have a tricky case here, and we would like to ask you for your help."
Yang Ping nodded: "What case?"
“It’s a complicated case of injuries from a car accident.” Director Bai walked to the X-ray light and turned it on. “The patient is a man in his forties with a comminuted fracture of the pelvis and a fracture of the acetabulum, as well as a dislocation of the sacroiliac joint. I’ve been looking at him for several days but haven’t been able to come up with a good treatment plan. I was so anxious that I didn’t sleep well last night.”
Yang Ping walked over and stood in front of the film reader. Fatty and Little Fatty quickly placed the films one by one on the light.
"Pelvis and acetabulum? Multiple injuries?" Yang Ping asked.
“Yes,” Director Bai pointed to the X-ray, “He also had hemorrhagic shock. His blood pressure was undetectable when he arrived. It took three days of emergency treatment to stabilize him. He received nearly 10,000 milliliters of blood transfusions. His life has been saved, but no one can say whether his leg can be saved.”
As Yang Ping looked at the images, his expression gradually became serious.
It's indeed complicated. Both the anterior and posterior rings of the pelvis are broken, the left acetabulum is comminuted, and the sacroiliac joint is completely dislocated. The entire pelvis is like a shattered pottery jar, broken into more than a dozen pieces. What's more troublesome is the poor location of the fractures, close to important blood vessels and nerves; the internal iliac artery, obturator nerve, and lumbosacral trunk are all in that area. The slightest mistake could lead to catastrophic consequences.
Director Bai said from the side, "The patient is the vice president of a state-owned construction company. He's an acquaintance of a friend of mine. He was hit by a large truck at the construction site. The patient and his family have high expectations and specifically requested that I be the surgeon. But I'm not confident in my abilities, so I can only ask you for help."
Yang Ping didn't speak, and continued looking at the films, his gaze slowly moving along the fracture lines.
Fatty and Little Fatty stood to the side, holding their breath.
The office was extremely quiet. After a long while, Yang Ping spoke.
"What do you plan to do?" Director Bai paused for a moment, then said, "I... I want to use a combined anterior and posterior approach to first fix the posterior ring, and then deal with the anterior ring and acetabulum. But the acetabulum is too fragmented, and I don't know how to reconstruct it."
Yang Ping nodded and pointed to several locations on the film.
“Look here, the compression of the acetabular roof and the pulverization of the posterior wall are things that conventional methods can’t handle. You have to reconstruct the articular surface of the acetabular roof first, and then fix the posterior wall with a plate. But this order is very important; if you get it wrong, it will cause problems.”
Director Bai stared at the spot he was pointing to, his eyes slowly brightening.
Which one should we do first?
“We’ll work on the acetabular roof first,” Yang Ping said. “The acetabular roof is the weight-bearing area, so it must be anatomically reduced. You’ll lift the acetabular roof to restore the flatness of the joint surface, and then we’ll work on the posterior wall. The posterior wall can be treated with a reconstruction plate, but the shaping of the plate must be done with extreme care. The curvature in this area is very large, and a regular plate won’t fit.”
As he spoke, he gestured on the X-ray, running his fingers along the fracture lines.
Director Bai listened intently, occasionally humming in agreement. Fatty and Little Fatty also crowded around, straining their ears to listen, afraid of missing a single word.
After explaining it once, Yang Ping asked, "Did you understand?"
Director Bai thought for a moment, then said somewhat embarrassedly, "I roughly understood, but..."
Yang Ping laughed: "It's normal that you didn't understand. You might only come across one case like this once a year. Here's what we'll do: get the patient's CT 3D reconstruction, and we'll work together on the preoperative planning."
Director Bai's eyes lit up: "Can you be the surgeon?"
Yang Ping shook his head: "I won't perform the surgery; I'll just watch you do it."
Director Bai paused for a moment, his expression turning somewhat tense.
"I...I'm afraid I won't do it well."
Yang Ping looked at him, his gaze calm.
"How do you know you can't do it well if you don't do it? I'll be watching from the sidelines, and I'll take responsibility if anything goes wrong."
Director Bai was silent for a few seconds, then he nodded vigorously.
"Okay, I'll do it."
Fatty and Little Fatty exchanged a glance, their eyes filled with excitement.
The preoperative planning took a full two and a half hours.
Yang Ping broke down every step of the surgery in detail. From the choice of approach—the ilioinguinal approach versus the Kocher-Langenbeck approach—and their respective advantages and disadvantages; to the exposure of the fracture, how to retract the muscles, and how to protect the nerves and blood vessels; from the reduction technique—whether to use point reduction forceps or pelvic reduction forceps, and from which direction to apply force; to the fixation sequence—whether to fix the posterior ring first or reconstruct the acetabulum first; from the shaping of the plate—how to bend it to the appropriate curvature, and how to pre-bend it; to the placement of the screws—the length of the screw, the angle, and the choice of the insertion point.
No matter how big or small the matter, we went through it one by one.
This type of trauma orthopedic surgery is all about attention to detail. Every tiny deviation can affect the final recovery outcome. And what Yang Ping was talking about were precisely these details.
Director Bai listened and took notes, filling several pages of his notebook with dense writing. His handwriting was large, and because his hands were chubby, his pen-holding posture was somewhat clumsy, but he wrote every word very carefully.
Fatty and Little Fatty weren't idle either. Fatty was in charge of adjusting the CT scan, rotating and enlarging the 3D reconstructed images on the computer; Little Fatty held a protractor, measuring various angles; Yang Ping would give them a data point, and they would write it down, afraid of making a mistake.
The most difficult part is the reconstruction of the acetabulum. The compression fracture of the acetabular roof requires using a jack to lift the collapsed articular surface and then filling the defect with autologous bone. The force and angle of this operation are very important. If it is lifted too high, it will impede the femoral head and affect joint movement; if it is not lifted enough, it will affect weight-bearing and may lead to traumatic arthritis later.
Yang Ping drew a diagram in Director Bai's notebook.
“Look, this angle, about thirty degrees.” He drew a line on the paper with a pen. “The top rod goes in from here, and you tap it gently with a hammer while watching the C-arm. Stop when you see the position is right. Don’t be greedy, it’s better to be slightly under-positioned than over-positioned.”
Director Bai stared at the diagram and nodded vigorously.
By the time the plan was finished, it was already 11:30 a.m.
Director Bai looked at the thick stack of documents and let out a long sigh. He leaned back, and the chair creaked under the weight.
"Professor Yang, please don't leave today. I'll treat you to dinner."
Yang Ping waved his hand: "No need to be polite. Let's finalize the surgical plan first. When can you perform the procedure?"
Director Bai thought for a moment and said, "There's an opening next Wednesday, so we can schedule it. I need to get the anesthesiology and ICU departments ready in the next few days—this surgery is quite invasive, and the patient may need to be observed in the ICU for a few days afterward."
Yang Ping nodded: "Okay, I'll come next Wednesday."
Director Bai was taken aback: "You came here specifically for this?"
Yang Ping said, "I told you I'd watch you do it, so of course I have to come."
Director Bai opened his mouth, as if to say something, but didn't. He just looked at Yang Ping, his eyes full of gratitude—gratitude that wasn't just polite, but came from the bottom of his heart.
Fatty whispered from the side, "Director, are you about to cry?"
Director Bai glared at him: "Get lost."
Little Fatty chuckled to himself.
Just then, the office door was pushed open. A nurse poked her head in: "Director Bai, the patient in bed six is looking for you. He wants to ask about the surgery."
Director Bai stood up and said to Yang Ping, "Professor Yang, please sit down. I'll be right back."
He walked to the door, then turned back and said to Fatty and Little Fatty, "You two, keep Professor Yang company."
Fatty saluted: "Yes, sir!"
Director Bai left; his massive figure disappeared through the doorway, and the sound of his footsteps faded into the distance in the corridor.
Fatty and Little Fatty gathered around like two curious children.
"Professor Yang, have you often performed these kinds of complex trauma cases before?" Fatty asked.
Yang Ping nodded: "I've done quite a lot."
Little Fatty asked, "What's the hardest part?"
Yang Ping thought for a moment and said, "One year, a patient came in who had fallen from the thirtieth floor. He had hardly any good bones in his body, and we spent more than ten hours in the operating room."
As we were talking, Director Bai returned.
"All done." He sat down on the sofa, the chair creaking again. "The patient just wanted to confirm the surgical plan; once it was explained clearly, that was enough."