Chapter 347: Chapter 0330: The Mail of the United States
It is now just after five in the afternoon, which should be just after five in the morning according to Arican ti.
This Robert from the United States seems to have a lot of energy, sending emails either at one in the morning or five in the morning. Doesn’t this man need to sleep?
Yang Ping opened the email: Dear Dr. Yang, sorry to trouble you again. I have used your surgical thod and have completed a multi-ligant knee reconstruction. The result exceeded expectation. Now, among my patients, there is a special case, I have sent the case file to your email, see the attachnt, if possible, please give your advice, greatly appreciated! Robert from New York.
Since the review process began, Yang Ping has communicated several tis with Robert via email. Now that he is sending the case file, it seems that Old Robert is a real technician.
Yang Ping generally likes this type of person. The mobile phone screen is too small, and it is inconvenient to view imaging pictures. Yang Ping opened the email on the computer in the office, downloaded the files in the attachnt, and then habitually scanned them for viruses.
The hospital’s information departnt has issued several notices on the internal network not to open emails casually, especially ones from overseas, and to conduct a routine antivirus scan before opening them to prevent ransomware infection.
Better safe than sorry. This email is from Arica, it’s better to scan it for viruses.
The computer is connected to a professional radiographic display, and the MRI images are very clear. This is a rare case of a five-year-old boy with knee injuries and multiple ligant ruptures.
Yang Ping has done many of these surgeries in system space, ranging from bizarre to common cases. This kind of case is considered relatively common in the system space but in reality, Yang Ping has not yet encountered it.
The difficulty of this case lies in that he has multiple ligant ruptures in the knee joint, and he is also a child in the growth and developnt stage. The reconstruction of multiple ligants itself is difficult, let alone for a child, the difficulty is multiplied.
Children are not miniature adults. Children’s bodies are in the process of growth and developnt, each with its own characteristics, and children of different ages have different characteristics. Surgery for children cannot be regarded as a scaled-down version of adult surgery.
For a five-year-old child, the entire operation must not damage the epiphysis, otherwise, the knee joint and even the left lower limb will develop malformations.
The epiphyseal line of adults has long since closed, which is not an issue. When an adult undergoes this kind of surgery, neither the tibial nor femoral tunnels need to take the epiphysis into account. If the surgery for children is perford in the sa way as adults, the tunnel will pass through the epiphysis.
Therefore, when performing this type of surgery on children, the starting and ending points of the ligant cannot be placed in the original anatomical position. They need to be moved to a special position to bypass the epiphysis.
In this way, once the starting and ending points of the ligant are changed, all anatomical data related to the normal ligant cannot be used. Under such special circumstances, simulating the normal function of the ligant is very challenging.
The tendon implanted during the operation, simulates the normal ligant function not only to achieve initial stability but also to account for his future growth and developnt trend.
After the tendon is implanted, it remains dead for a period of ti, and it takes ti to activate; after activation, for a long period of ti, the growth rate of the ligant does not match the growth rate of the knee joint; after passing through this non-matching period, it enters a matching period, and the stability at this ti is the ultimate stability.
The relationship between the growth of the ligant and the growth of the knee joint is not linear for a long ti and is extrely complex.
If these are not taken into account, soon after the operation, the knee joint will return to an unstable state, requiring a second operation to adjust the tension of the ligant; after the adjustnt, it is unknown when the stability gained from the operation will be lost again, requiring a third operation; endless operations until adulthood, and the surgical effect is still unsatisfactory; in this terrible process, the negative impact of instability on the growth and developnt of the knee joint has quietly occurred and is permanent.
This is also why Robert, a master of sports dicine, has not yet co up with a satisfactory surgical plan.
The market has relatively few dical devices and implants for children’s sports dicine. Only one Arican company makes these products—OrthoPediatricS, the only company in the world that focuses on pediatric orthopedic implants.
In China, devices for children’s sports dicine are a blank slate. For Yang Ping, the problem lies in the dical devices and consumables; technology is not an issue.
“Doctor Robert, congratulations on the success of your first surgery. I have studied the case material you sent. For this case, the surgery should be perford as soon as possible, the longer the delay, the more profound the damage to the growth and developnt of the knee joint. The surgery is very complicated, involving many factors, and many of these factors are related to growth and developnt and are in a dynamic state. However, there is no difficulty with the surgery. To successfully complete the surgery, it requires the assistance of the OrthoPediatricS company. However, their current products are not suitable for this patient. They need to use their flexible production line to design and manufacture a set of personalized devices and implants for the patient. Yang Ping from G City.”
Yang Ping replied to the email. He wasn’t sure if it was the influence of system space, or if he was too focused on dicine, but now he likes being straightforward to avoid wasting ti.
Yang Ping turned off the film review screen, realizing that, when she had ti, she should write a paper on the reconstruction of children’s shoulder and knee ligants to spread related knowledge.
In reality, countless doctors might take decades to accumulate this knowledge, but Yang Ping could quickly gain experience in the system space, elevate experience into theory, and provide it for everyone – a wonderful thing indeed.
“My God, this is fantastic! Upon hearing this news, I spilled coffee everywhere: all over the floor, my desk, my computer keyboard, my clothes, and my pants. It wasn’t very hot, fortunately. OrthoPediatrics Inc., always stays in close contact with , so producing dedicated instrunts is not a problem. If possible, could we cross the Pacific and sit together, sipping coffee while discussing this case? If God would bestow a little more grace upon , it would be even better if I could observe Doctor Yang’s surgery. Unfortunately, I saw on your hospital’s official website that Doctor Yang’s departnt requires international interns to have a level four proficiency in Chinese, a requirent I sadly can’t fulfil in the short term. However, could I visit Doctor Yang for academic exchange—even if for just one week? If that’s not possible, three days? If three days is not possible, even one day would do. Little Robert from New York, typing with one hand, and using the other one to clean up coffee on the desk.”
This Arican seed to be waiting for emails and was treating emails like instant communication on WeChat. Just a few minutes after the email was sent, Robert replied.
“Regarding the academic exchange, I can’t give a definitive answer at this mont. I will ask the secretary of our departnt to contact you. Yang Ping from G City, China.”
Yang Ping called Zhang Lin to her office: “Zhang Lin, there’s a doctor from the United States, Doctor Robert from New York Specialty Surgery Hospital, who wants to co and learn about surgery. He said he temporarily can’t pass Chinese level four test. Can he visit our departnt as an academic exchange for a few days?”
“According to our departnt’s protocol, international interns must pass the Chinese level four. But for academic exchange, there is no language requirent. However, they can only observe and cannot participate in clinical work or perform surgery on the operating table,” Zhang Lin replied seriously, as he has been very diligent about this work.
Yang Ping gave Zhang Lin Robert’s email address: “Regarding the academic exchange, you can directly contact Robert and arrange it based on the regulations.”
Zhang Lin noted down the email address, feeling the weight of his responsibility. Little Gao has recently arrived, and now Little Robert is also planning to co.
“Doctor Yang, these foreigners are coming one after another. It’s quite a burden, you know? Allowing a loose managent can lead to them not learning much, which would tarnish our reputation. But if I am too strict, I am afraid these foreigners would accuse of being cold and oppressive,” Zhang Lin voiced his concerns.
Yang Ping smiled, getting a sense of Zhang Lin’s current state: “Just manage them as you should, focus on the work, not the people. As long as you follow the regulations, there will be no problem.”
“That’s reassuring. I’ll take care of Robert’s matter then.” Zhang Lin took on the responsibility.
In the future, there will be many doctors coming for internships and exchanges, and many of them are top-tier technical experts. It should be fine if they are respectful, but if they do not comply with the discipline, it is impossible without strict managent regulations.
In the doctor’s office, so standardized training students were engaged in a lively conversation. When they saw Zhang Lin co in, they said, “Teacher Zhang, there’s so news.”
Zhang Lin was curious about the news amongst all this busyness.
“Director Zhu and Wang Ge’s lawsuit is going to court for the second trial next Monday.” One of the training students showed Zhang Lin on his phone.
Not long ago, they had dinner together—Director Zhu was paying—so naturally, everyone started paying attention to Director Zhu’s affairs. Out of boredom, they searched online and found this news.
“Let see.” Zhang Lin knew about it a few days ago but was too busy to share the news.
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