Jimu news reporter Liu Xun
Correspondent Tu Xiaochen Wang Cheng
Photo: Wang Yongsheng
He is a spine surgery expert, every operation is like walking on a cliff", he guards the safety of patients at the same time, he strives for perfection in details: he is Wu Bin, associate professor of orthopedics at the Jinyinhu Branch of Wuhan Union Hospital. He said, "Any operation is the control of details, one step is not done well, the next step is difficult, affecting the effect of surgery, resulting in poor recovery of patients", just like a martial arts master, Wu Bin step by step to cultivate "real kung fu on the tip of the knife", everyone calls him a "detail control".
After the launch of the "2021 Large-scale Public Welfare Activity to Find Charismatic Doctors" guided by the Hubei Provincial Health Commission and sponsored by Chutian Metropolis Daily Jimu News, many patients and netizens recommended Wu Bin.
Wu Bin, Associate Professor of Orthopedics, Jinyinhu Branch of Wuhan Union Hospital
The woman's leg hurt all night, and she climbed the mountain to play the limit after surgery
"In the morning, there were 2 surgeries, all of which were lumbar spine problems, and I had to continue in the afternoon." On December 2, in the Jinyinhu Branch of Union Hospital, when the Jimu News reporter met Professor Wu Bin at more than 12:00 noon, he had just rushed back from the operating room to the orthopedic ward, holding a box lunch in his hand, and he did not have time to eat it in a hurry. He laughed and said that in the new hospital for more than half a year, there are many patients, and it is common for a three-meal random pattern like this.
Professor Wu Bin is an orthopedic specialist in Concordia, specializing in spine surgery. When it comes to moving the knife in this area, many patients want to retreat: "After the operation, I can't get out of bed for half a year", "Will people be paralyzed"... Wu Bin couldn't laugh at these questions. Most of his patients are minimally invasive and can get out of bed the next day, even if it is open surgery, they can be discharged in 5-7 days.
"I was very impressed by a patient, not long ago when I reviewed the photos, it was a beach diving, and it was a backpack climbing, and I couldn't see it at all like lumbar spine surgery." The patient mentioned by Wu Bin is a 58-year-old aunt in Henan, whose waist and leg pain lasted for several months, and she had to stop and rest after walking for a few hundred meters, and she couldn't sleep peacefully at night, which seriously affected the quality of life, so she went to Xiehe Hospital for treatment. Wu Bin's examination found that the patient was a lumbar spondylolisthesis and spinal stenosis, resulting in severe compression of the nerves, and only surgery could be performed.
Wu Bin is in surgery for patients
During the examination, Wu Bin found that there were problems in the 3 segments of the patient's spine. "There is no need to dispose of all the degenerated sections, just deal with the key segments and relieve the pain." Wu Bin said that in the 1 hour of surgery on the same day, he cut a lumbar disc and then fixed the spine to protect the paravertebral muscles as much as possible.
"The patient has not yet got off the operating table, and I basically have a bottom in my heart." Wu Bin said that the patient's late recovery was as smooth as expected, coupled with active rehabilitation training, he walked with a brace on the 5th day after the operation, and his waist and legs did not hurt after discharge, and he had time to travel with his sisters.
"Behind the rapid recovery, the key is that the surgical details are in place, and there is less peeling off soft tissues such as muscle fascia." Wu Bin said that especially for spinal surgery, can not "pull the radish out of the mud", if the lesion tissue is removed at the same time, a large number of normal soft tissue is peeled off, resulting in damage to the surrounding soft tissue, although it is to relieve nerve compression, the patient is likely to have other symptoms, and ultimately affect the effect of the operation.
The details are intertwined, and he does his best to improve
Whether the operation was done well or not, Wu Bin has always had his own insistence in his heart. "Every surgery has risks, the doctor's details are important, like dominoes, one step mistake can lead to serial risk." He said that since practicing medicine, he has tried to improve every step of the operation as much as possible.
For example, how to make spinal surgery "small", Wu Bin has been trying to "do subtraction". "Some patients have leg pain, leg numbness, and the examination also found problems in multiple segments of the spine, but the doctor can't 'scratch the beard and eyebrows', and all the problems are 'one pot end'." Wu Bin shared that a good spine surgeon should accurately judge that some segments are degenerative problems of natural "aging", which is not the real culprit behind the pain, and can be completely retained, which is good for the activity and stability of the patient's spine.
"Every step of the operation on the operating table, I am cautious and cautious, and at the same time, the movement of the hand is fast and gentle, and it cannot be rubbed." Wu Bin said frankly that extra caution is taken in peeling, resection and other actions, and the destruction of articular processes, joint capsules and muscles is reduced as soon as possible, so that the patient's postoperative recovery is obviously much faster, and it will not "cure leg pain, and waist pain will come again."
Wu Bin must be bold and careful at every step of the operation
Over the years, Wu Bin also had a habit of going back to the ward no matter how late the operation was. He remembered that there was a patient with a thoracic spine tumor, although the operation was very smooth, the leg was unconscious after waking, and the emergency examination found that there was a blood clot in the spinal canal after the operation that compressed the nerve, fortunately, the problem was solved urgently. "If the problem is not found at the first time, the patient's prognosis will be discounted."
"The control of these details is the result of a little accumulation of experience." He made an image analogy, surgeons are like martial arts masters practicing peerless martial arts, before success must be a move to lay the foundation, steal a little lazy. In the early years, he "polished" a round of sub-specialties such as bone trauma, sports medicine, bone and joints, and then followed Professor Zheng Qixin, an expert in spine surgery, to operate, from bone-biting forceps, how to use nerve hooks, how to separate tissues, stop bleeding, to how much strength is appropriate for stripping nerves, etc. Wu Bin was fascinated. After more than 1500 surgeries, he has his own understanding and innovation under the inheritance.
He said that all major surgeries are supported by details, a little step is not good, the back is more and more difficult, even if it is barely done, the patient's postoperative recovery is not much better, "Now we promote the concept of rapid rehabilitation, the surgical trauma is minimized, the patient can recover quickly, shorten the hospitalization time, people suffer less losses, the cost is less." ”
You can't just look at the film, but it's equally important to see a physical examination
Looking at Wu Bin's itinerary, the weekly queue is full, either to go to surgery or to sit in the outpatient clinic, "In recent years, there has been almost no day off, and the mobile phone is turned on 24 hours." He said that now the focus has shifted to the Jinyin lake hospital, there are still many patients, and outpatient and surgical operations are running at a high intensity.
Professor Wu Bin sat in the clinic
On the morning of December 6, the reporter sat with Professor Wu Bin for more than 3 hours on the same day, and most of the patients received were patients with waist and leg pain, some people took the initiative to open an examination, and some people took the surgical advice to seek advice. As soon as mr. Li, 56, entered the consultation room, he said, "Doctor, my left leg is very painful from my ass to my thigh, which lasted for more than half a month, and several doctors suspected that the sciatic nerve was compressed, and recommended hospitalization, and it is likely that surgery will be carried out later." ”
Mr. Li was worried, so he rushed to the Jinyinhu Branch of Union Hospital for treatment. Wu Bin did find that there was a herniated disc through the results of the film examination, "but the compression is very slight, and it is unlikely to cause such severe leg pain." When Wu Bin examined the body, he lifted the patient's pant leg and found that a circle of blisters had grown on the outside of the thigh, which found the root of the disease. Originally, this was shingles, which would cause nerve pain, and because of the special position of the long one, it was not taken seriously, and it was mistakenly thought to be related to the herniation of the lumbar disc. Wu Bin instructed that no surgery should be performed, just go to the dermatology department for treatment. Mr. Wang thanked and said, "I have seen several hospitals, and you were the first to lift your pants leg and found that I was shingles. ”
"If it is not a careful examination, it is difficult to detect other symptoms of the patient." Wu Bin said that any diagnosis must be based on the patient's symptoms, imaging examination, and physical examination results, and one of the three is indispensable, and it is not easy to make a judgment just by listening to the symptoms or watching the film.
In addition, whether the patient should have surgery, whether the operation can solve the problem, whether surgery is necessary, is also Wu Bin often asks himself in the outpatient clinic. In fact, many low back and leg pain problems can be achieved through conservative treatment, functional exercise, bed rest to alleviate symptoms, and surgery is only the last step of the last resort after the disease has developed to a certain extent.
For patients in need, Wu Bin will add WeChat to facilitate communication
Each patient is consulted carefully
Sinking supports grass-roots hospitals and drives local upgrading
"Dr. Wu, the elderly surgery would like to hear your advice." A few days ago, Wu Bin also received a Consultation WeChat from a local orthopedic doctor in Honghu on his mobile phone. After looking at the case data, he gave the recommendation of "minimally invasive surgery", and it was not necessary to remove all segments. This is part of Wu Bin's work. As a member of the Hubei Provincial Doctoral Corps, he served as the vice president of Honghu People's Hospital, and now even if he returns to Wuhan, he will still maintain close contact with local doctors.
How to enhance the comprehensive strength of the hospital and improve the level of medical services under the new situation is a question that Wu Bin, a postdoctoral fellow who stayed in Germany, has been thinking about since he came to Youhonghu People's Hospital. Through visits to the relevant departments of the Honghu Municipal Health Commission and various departments of the hospital, he finally focused his work on the two aspects of medical quality safety and medical talent training and introduction.
Drawing on the advanced management system and concept of Union Hospital, Wu Bin formulated and updated a series of rules and regulations, strengthened the hierarchical diagnosis and treatment and two-way referral system, and established a multidisciplinary joint outpatient clinic (MDT), etc., so that the medical quality and safety of Honghu People's Hospital have been effectively improved; in view of the reality of the difficulty of retaining talents, he has formulated the "Management Measures for the Flexible Introduction of Senior Medical Talents" and the "Management Measures for the Training of Young Physicians", introduced 10 specially appointed professors with deputy senior titles, and recruited 3 master's degree students. At the same time, more than 20 outstanding young doctors from the hospital were selected to participate in the mentor system training program. Wu Bin also invited experts from major hospitals in Wuhan to Honghu to carry out a series of 18 discipline forums. At present, the forum of this discipline has become an academic business card of Honghu People's Hospital.
In addition to busy management work, Wu Bin insisted on carrying out outpatient and spinal surgeries every week, and in one year, more than 900 patients were treated and more than 30 surgeries were performed. During the flood disaster in our province, he organized the members of the doctoral group to participate in the flood relief work in Tuanfeng County, Huanggang City, and insisted on the front line of flood control for more than a month. In addition, he also organized members of the doctoral team to carry out free medical training and lectures, visited 10 county-level hospitals, traveled more than 2,000 kilometers, more than 4,000 free patients, trained more than 1,500 doctors in secondary hospitals, and "transfused blood" for local medical treatment.
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