Chapter 462 - 462 423 Orthopedics Doctor Performs Ultrasound
Chapter 462: Chapter 423: Orthopedics Doctor Performs Ultrasound Chapter 462: Chapter 423: Orthopedics Doctor Performs Ultrasound After looking through the images one by one, Yang Ping said, “Lumbar 5/Sacral 1 discogenic pain.”
He put on the gloves Song Zimo handed him and examined the patient.
Wearing gloves for the examination is a habit of Yang Ping’s. It’s not to show off or because he feels repelled by patients; it’s a more stringent hand hygiene practice to prevent cross-infection.
After a thorough examination, Yang Ping had a good understanding of the situation.
At a spot two centimeters from the anterior superior iliac spine in the right groin, there was localized tenderness, positive Tinel’s sign, aggravated symptoms during hip extension, and a positive pelvic compression test.
The super training program at that time focused on anatomy, physical examination, instrument, and laboratory tests, which laid a solid clinical foundation for Yang Ping.
“Lateral femoral cutaneous neuritis! Call the ultrasound department; bring a bedside ultrasound machine.” Yang Ping removed his gloves.
Song Zimo immediately contacted the ultrasound department. Soon, a beautiful female doctor from the ultrasound department came with a bedside ultrasound machine through the emergency elevator.
She set the ultrasound machine and prepared to start. Yang Ping said, “Should I do it?”
Orthopedics doing ultrasound? Unheard of.
Without any further explanation, Yang Ping began, smearing coupling agent and scanning along the path of the lateral femoral cutaneous nerve. His technique was like that of an experienced ultrasound doctor who had decades of experience.
“Dr. Yang can perform ultrasound?” The female doctor standing by asked Song Zimo. She was quite curious, never having seen an orthopedic doctor performing ultrasound before.
It is not unusual for orthopedic doctors to take X-rays. Some doctors are very dedicated to their field and have some knowledge about related disciplines. Some doctors even have better radiography skills than radiologists. But to have an orthopedic doctor who can perform ultrasound is not just rare; it’s unheard of.
Song Zimo remained silent as Yang Ping smoothly scanned with the ultrasound probe. He paused two centimeters from the anterior superior iliac spine in the groin. Pointing at the image on the ultrasound screen, Yang Ping said, “Look, this is the lateral femoral cutaneous nerve. It was compressed while passing through the inguinal fascia, causing nerve inflammation. There must have been a previous injury at this spot, causing scar adhesion and compression. Arrange for surgery. Under local anesthesia, a minimally invasive thermoablation will be performed to release the right lateral femoral cutaneous nerve, as well as thermoablation for the Lumbar 5/Sacral 1 intervertebral disc.”
In just over ten minutes with an ultrasound machine, a diagnosis was established and the treatment plan was clear.
Who could understand the colorful, streaming image on the ultrasound screen?
As for the ultrasound, Professor Hu Guolin from Xiehe Hospital knows some basics but is not an expert. Other than Song Zimo and Xu Zhiliang who were trained by Yang Ping, no one else understands it well.
Even the ultrasound doctor was surprised. Frankly, not many experienced ultrasound doctors are capable of identifying this type of nerve compression.
Dr. Yang casually scanned a few times and came to a conclusion.
Song Yun blushed and said, “Doctor Yang, I still don’t know how to do ultrasound. Can you teach me when you have time? Starting from zero.”
“Song Zimo, bring out the printed book for them to see.” Yang Ping placed the probe properly. He took two tissues from the trolley of the ultrasound machine for the patient. A standardized training student helped the patient clean up the coupling agent.
The patient pulled up his pants. All the complaining from before was gone. “Dr. Yang, you just mentioned that I had a previous injury from a motorcycle accident. Is there a connection?”
“Yes! We need to do a minor surgery. It’s a minimally invasive operation that takes about ten minutes to solve your problem.” Yang Ping spoke unequivocally.
The patient simply nodded, remaining silent. It seemed like nothing could be hidden from Dr. Yang.
As for the printed books, there were several, all cherished by Song Zimo. These were compilations of Yang Ping’s explanations, which Song Zimo had organized, printed, and bound into books.
One of them was about the application of ultrasound in orthopedics, or the popular musculoskeletal ultrasound. It summarized all of Yang Ping’s explanations.
Director Hu also had his eyes opened. At Xiehe, the doctors’ clinical basics are top-notch.
They usually handle basic diseases in orthopedic patients, like diabetes, hypertension, and coronary heart disease, without needing consultations. Any doctor on duty can handle them smoothly.
Why is that? Because of their strong clinical foundation.
In other hospitals, it would be an age-old legend for a surgeon to know how to read electrocardiograms.
At Xiehe, a surgeon who can’t read an electrocardiogram is not considered a qualified doctor.
Comprehensive and solid clinical training, whether it’s for common diseases or rare ones, allows Xiehe doctors to handle them with ease.
Some rare diseases may not even be in the minds of doctors from other hospitals, but even resident doctors at Xiehe are clear about them.
This is what makes the overall strength of Xiehe hospital rank first in the country.
This patient, in other hospitals, might have fallen into the trap easily. For Director Hu from Xiehe, whether in terms of diagnosis or treatment, there wouldn’t be any major difficulties. However, to make a clear diagnosis, a lot of time would be needed for analysis and comparison.
It would definitely not be possible like Yang Ping, who hit the nail on the head in just over ten minutes. Especially the ultrasound operation just now, that was not ordinary clinical skill.
Yang Ping has such solid clinical skills, no wonder Professor Liang has been unable to forget that surgery.
If Yang Ping’s knowledge is an ocean, Director Hu feels that he is merely a lake.
Professor Liang has a keen eye for talent. Director Hu couldn’t help but sigh. He didn’t understand it back then; why would Professor Liang never forget about a single surgery and persistently remind him that, apart from furthering his studies, he had to accomplish another task – headhunting!
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