The Godfather of Surgery

After the holiday, Xu Zhiliang went to work and was obviously different from before. His hair was no longer a mess, but was neatly combed. He was no longer wearing the same old worn-out jeans and T-shirts. He was dressed very elegantly this time. I wonder how long this good image can last.

After Tang Shun came back, he was obviously a little haggard. He would type quickly on his mobile phone from time to time. Sometimes his fingers could not keep up with the speed, so he would hide aside and use voice input instead of typing. Anyway, the researchers in the laboratory saw him taking out his mobile phone from time to time, and it was difficult for him to concentrate on his work. After all, the whole family had just separated, and it was inevitable that they were reluctant to part.

Li Min said he was on vacation, but in fact he had a full week of surgery in Guandu Hospital. He was also invited by Director Zhang to the county hospital to help see several more complicated cases. Of course, Li Min also gave clear diagnosis and treatment plans for these complicated cases on the spot.

The orthopedics department of the county hospital heard that Director Zhang had invited a great man, so they brought several bags of CT and MRI films to Li Min to help check. The radiology department was also very clear, thinking that the high-level resources invited by Director Zhang would not be wasted, so they also selected a thick pile of difficult and complicated cases and sent them to the general surgery department. Li Min was an honest man with no tricks. He accepted everyone who came, read the films one by one, and gave simple explanations, which actually solved many unresolved problems of doctors.

After Yang Ping finished talking to Li Min, Song Zimo came in and said, "There is a consultation in the oncology department, and you are called for the consultation."

After saying that, Song Zimo added, "It was really Director Jiang who personally issued the consultation form. He just called me."

There was a time when every department would send a consultation form to the Surgical Research Institute whenever they encountered a difficult case, and clearly write Yang Ping's name on it. This was the so-called on-call consultation. Yang Ping ran around the hospital with a thick stack of consultation forms and found that some of them were not difficult cases at all. These consultation forms were issued by the on-call doctors and had not been reviewed by the department director.

In order to avoid wasting Yang Ping's energy, the Medical Affairs Department made a rule that the consultation form that named Yang Ping must be issued by the department director himself, so as to prevent the chaos of on-call consultations. Otherwise, the lovely Professor Yang could only do one thing every day at work - consultations, and there would never be enough consultations.

Therefore, Song Zimo's supplement is necessary. Since the Medical Department issued the order, there are also bold guys who pretend to be the director's signature and privately issue a consultation sheet that names Professor Yang. In this case, the patient's condition is generally not serious or complicated, but the relationship with the doctor who issued the consultation sheet is relatively special. At this time, the doctor will dare to take risks. If successful, he will gain a lot, and if he fails, he will be criticized at most. Therefore, such adventurers will appear from time to time.

Song Zimo handed the consultation sheet to Yang Ping. Yang Ping looked at the medical profile on it. There were a lot of messy symptoms and a lot of diagnoses, but they were all uncertain diagnoses. It may be that he really encountered some troublesome cases, so Yang Ping decided to take time to see what was going on.

It seems that this case is not simple. Although he is very busy at work, the condition is not trivial. Yang Ping still decided to go and see it in person. Before leaving, Yang Ping retrieved the patient's medical records from the computer for preview. This is a necessary step for consultation.

The Surgery Institute is a single building, so it is a bit far to the Internal Medicine Building. Yang Ping picked up the consultation form, touched the Montblanc pen pinned in the upper left pocket of his white coat, and stood up to go to the Internal Medicine Building, followed by two young graduate students. Anyway, whenever Yang Ping went out for a consultation, any doctor who was free to go out would follow him.

The purpose of these young doctors following him was very pure, just to learn something. Although some of the profound things were not understandable now, they would understand them naturally after being exposed to them more.

Yang Ping's pace was fast, and the doctor who followed him also walked fast, but the taller of the two students looked relaxed, while the shorter student was obviously very anxious and struggling, because even if he ran in small steps, he could not keep up with Professor Yang's speed.

Surgeons are like this, they come and go in a gust of wind, so they don't have time to take their time with you. In fact, in the hospital, surgeons and internists can be recognized at a glance, without looking at the label on their chests. If they look relaxed, walk quickly, and seem to be in a hurry, they must be surgeons. If they walk steadily and look thoughtful, they must be internists.

In the doctor's office of the Department of Oncology, Director Jiang was frowning, and there were several doctors around him, as if they were discussing cases. It was obvious that Director Jiang's mental state was not very good recently. The sparse hair around him was obviously less than before, and his face always looked sleep deprived. He was also under a lot of pressure recently.

Seeing Yang Ping coming in, Director Jiang immediately stood up to greet him: "Professor Yang!"

Although Yang Ping was very young, it was reasonable for him, as the director of the department, to stand up and call him Professor Yang.

"Quick, go and get the medical records!" Director Jiang ordered his doctors, and then warmly invited Yang Ping to take a seat. The flexible young doctor had already brought a glass of water.

Several doctors rushed out to get the medical records, as if it was an honor for Professor Heiyang to get the medical records. Soon, the medical record folder was handed over to Yang Ping. In fact, Yang Ping had already read the medical records on the computer in advance. Now taking the paper medical records was just a formality. For the consulting party, it seemed to be cautious, and for the inviting party, it seemed to respect the consulting doctor.

When reading the medical records, it is not appropriate to put a glass of water next to it. This is the rule, so there is no need for Yang Ping to speak, someone has helped to move the glass of water.

Yang Ping looked through the medical records. Indeed, this patient was quite troublesome. The patient's name was Fu Xiaotao. He was very young, only 24 years old. He was studying at Jiaotong University in Shanghai. He had just been admitted to the graduate school of the university. He did not expect to find this disease.

He was admitted to the hospital for 8 months due to repeated abdominal pain, obvious weight loss, edema and swollen lymph nodes. When he was admitted to the hospital, he was in a coma and waking up alternately. After treatment, he is now awake. He has been hospitalized for two weeks, including four days in the ICU. During the hospitalization, repeated abdominal punctures have extracted about 40 kilograms of ascites.

According to the test report, when he was admitted to the hospital, his liver and kidneys had serious dysfunctions and his immune function was seriously disturbed. CT showed swollen lymph nodes all over the body, but no obvious primary tumor foci were found in the liver and lungs.

After a large amount of hormone treatment, his condition has improved, and the liver and kidney function indicators have also shown a trend of improvement.

Fu Xiaotao is from Nandu Province. Because he studied in Shanghai, he had been to all the major hospitals in Shanghai. Different hospitals considered different diagnoses. Some hospitals considered lymphoma, some considered systemic lupus erythematosus, some considered mononuclear hyperactivity disorder, some considered the metastasis of undiscovered malignant tumors to lymph nodes, and some thought it was a rare and unknown immune rheumatism.

These diagnoses were made by experts. Everyone had their own reasons, but the reasons were not sufficient, so these diagnoses did not become confirmed diagnoses in the end, and there was no effective treatment method. Every time the disease occurred, a large amount of glucocorticoids were used for treatment.

With Fu Xiaotao's current condition, it is impossible to continue studying. The condition was not clarified in Shanghai, so the family was forced to take the patient back and find a solution.

When Fu Xiaotao went to school, he was in good health. He was still an athlete in the school and the main force of the school football team. He also won the 5,000-meter championship during the school sports meeting. Now his limbs are as thin as branches and his feet are swollen like steamed buns. At this time, there is no trace of an athlete on his body.

After Fu Xiaotao was taken home, his parents didn't know what to do. They could only let him rest at home and send him to the hospital for hormone treatment if his condition became serious. There was no other way.

But Fu Xiaotao himself did not give up. He searched for information everywhere on the Internet. He did not just search for some random information, but used some professional journals and websites he had learned to check the treatment of this disease. Although he found nothing, he got a piece of information that Sanbo Hospital was very good, especially for these difficult cases, so he came to Sanbo Hospital for treatment.

"Let's see the patient!"

Yang Ping suggested that this was the basic process of consultation. Of course, there were also doctors who came and went in a hurry. During the consultation, they did not see the patient and directly wrote the consultation form based on the medical records, but most doctors would not do such stupid things. After all, the basic principle of clinical doctors is to contact patients.

The atmosphere in the oncology ward is generally quite depressing. Patients wearing hats or covering themselves tightly can be seen everywhere, because chemotherapy has taken away their hair. Some patients who love beauty, especially women, always like to wear hats to cover up the lost hair. At the same time, chemotherapy has destroyed their immunity, so they are more afraid of being infected with bacteria and viruses, being invaded by colds, etc.

The windows and balconies of the oncology department are locked, so the whole space is closed, adding a bit of depression to the atmosphere. Locking the doors, windows and balconies does not mean that the hospital does not give patients the freedom to go out and breathe fresh air. Because the oncology department is very special, there are often patients who jump off the building because they can't think straight for a while. So in order to avoid trouble, many hospitals simply lock the doors and windows, or open the doors and windows regularly under supervision.

Yang Ping came to the ward. Fu Xiaotao curled up on the bed. His limbs were really like dry firewood. His abdomen was bulging, like a six-month pregnant woman. It is said that when he first came, he was like an eight-month pregnant woman. His feet were swollen like steamed buns. Wrinkles can be seen on his thin skin, indicating that the swelling was more severe before, and now it is in the detumescence period.

Sitting next to him were Fu Xiaotao's parents, who were looking worried. They had worked hard to get their children into a 985 university, and they had both been admitted to graduate school. This was a classic success story of a successful child who had been raised by a powerful person. But now it has become like this. The parents felt both distressed and upset, as if their dreams had been shattered.

Perhaps they were already used to this kind of consultation in many hospitals, and when they saw Yang Ping and the doctor come in, Fu Xiaotao's parents did not make any noise.

"This is our Professor Yang!" Director Jiang introduced him personally, as if it would be inadequate or impolite for other doctors to introduce Professor Yang.

When the patient's parents heard the name Professor Yang, they both stood up immediately, and squeezed out a smile on their worried faces: "Hello, Professor Yang." They finally met the legendary Professor Yang.

The spread of a doctor's fame relies on two things - word of mouth and papers. The spread of fame among the common people relies on word of mouth, while the spread of fame in the medical community relies on papers. Of course, giving lectures at academic conferences is also a way to become famous in the medical community. The more times you appear and the earlier you appear, the more you will be remembered by your peers. But in the final analysis, it still depends on papers. Without excellent papers, the doctor will have no chance to give lectures on the stage and can only be a loyal listener in the audience.

After hearing the name Professor Yang, Fu Xiaotao immediately turned over and sat up, as if stimulated by something, and faced Professor Yang with his true face. Before Professor Yang was introduced, the patient had been lying on his side, curled up with his back to this side, and did not speak. He was also used to the doctors coming and going. Every time he came, the final conclusion was the same: "It is impossible to diagnose, and only glucocorticoids can be used for symptomatic treatment."

Presumably, this time the result was the same, but after hearing the name Professor Yang, Fu Xiaotao seemed to have rekindled hope, and he also greeted Yang Ping respectfully: "Professor Yang!"

In fact, this time it also relied on a large amount of glucocorticoids to end the intermittent coma and restore the patient to a conscious state. Glucocorticoids are a powerful universal weapon in medicine. No matter what disease, when there is no other way, doctors often use hormones. This is the doctor's last resort.

Although the medical record has been written in great detail, Yang Ping is used to asking about the medical history himself. Although the medical history is the same, different doctors ask different medical histories, which is certain.

Yang Ping is also used to re-examining himself. Although the guest's physical signs have always been the same, whether they can be found out and how much can be found out are directly related to the doctor's level.

"Frequently waking up from sleep at night, waking up with sweat all over the body, clothes are soaked, repeated abdominal pain, fatigue, inexplicable swelling of lymph nodes all over the body, strange red lumps on the skin--" The patient is already very familiar with his condition and can say a lot without thinking.

It has been a full eight months since the onset of the disease. When Fu Xiaotao first got sick, he complained to his parents about his physical discomfort. His parents thought he was under great pressure from the postgraduate entrance examination, so they didn't take it seriously and kept giving him chicken blood. Later, until the symptoms became more and more severe and unbearable, Fu Xiaotao went to the hospital alone. Since then, in the past eight months, Fu Xiaotao has been seeking medical treatment intermittently, but he couldn't get a definite answer every time. Finally, he relied on a large amount of hormone treatment to relieve the symptoms.

After many times, Fu Xiaotao gradually lost confidence in hospitals and doctors. Every time he went to the hospital, he just got relief. He never expected to find out what the disease was, let alone cure it. Many diseases cannot be cured. This is the reality.