The Godfather of Surgery

Volunteers with AB type and RH negative blood type gathered to Sanbo Hospital one after another. The blood collection vehicle of the blood station was specially parked near the hospital to prepare blood for the operation.

The blood bank collected more than 20,000 milliliters of blood. Except for those that may not be used for various reasons, there are almost 20,000 milliliters of qualified blood.

These rare blood type volunteers come from all over the country, they know that helping others is helping themselves.

In medicine, life and death are sometimes separated by a fine line.

If massive bleeding occurs in the operation, there is not enough blood transfusion support, and the buffer time for hemostasis cannot be obtained, the patient will suffer from hemorrhagic shock, and the vital organs will be ischemia and hypoxia due to insufficient perfusion, and eventually die.

If there is enough blood transfusion support, the doctor can get rescue time and successfully stop the bleeding, and life will develop in the opposite direction and can survive.

With these blood reserves, Yang Ping's last worry was solved, and he could go to the operating table calmly.

The replication function of the system space, the replicated Zheng Baosheng experimental body, and Yang Ping have already undergone research operations.

A good doctor is the most adventurous, but at the same time the least adventurous.

Likes to take risks, because you must have enough courage to challenge difficult and high-risk operations.

I don't like taking risks, and I never rely on luck in the pursuit of successful surgery, but rely on my professional knowledge and skills, a serious attitude towards surgery that is almost paranoid, strict selection of surgical indications, perfect preoperative preparation, superb Surgical operation, mature postoperative management.

Despise the enemy strategically and value the enemy tactically.

Yang Ping believes that this is also the dialectical logic of an excellent surgeon. The enemy of a doctor is all diseases and traumas.

These days, Yang Ping performed thoracic and abdominal puncture and extraction of Zheng Baosheng every day to reduce the impact of fluid pressure on the heart, so that the heart function during the operation was in the best condition, and it was able to withstand the blow of surgery and anesthesia.

If too much fluid is drawn at one time, the pressure inside the thoracic and abdominal cavity will suddenly become unbalanced. The result of the imbalance is the displacement of the organs, that is, the formation of visceral hernia, which is sometimes fatal.

In order to avoid such a fatal situation, Yang Ping was careful to extract in stages, and stopped when the conditions required for the operation were met.

During each case analysis and disposal, Professor Li will be present to observe Yang Ping's preoperative preparation for the patient.

Some of Professor Li's doubts were gradually dispelled. He hadn't seen Yang Ping perform the operation, but he had already recognized him a little more in his heart.

The almost leak-proof preoperative preparation, the thorough understanding of the disease, the handling of uncertain factors in anatomy, the understanding of human body structure and function, and the formulation of various accident plans all made Professor Li amazed.

What surprised Professor Li even more was that for this case, Yang Ping had almost mastered all the relevant knowledge, and was able to connect these knowledges, get through in principle, and make inferences from one case to another.

Sometimes Yang Ping proposes some bold and imaginative methods that make Professor Li excited--it's still possible to do so.

Professor Li couldn't understand how this young man did it. Could it be that he never forgets it, and he doesn't need to sleep every day, but spends all his time studying and thinking?

However, based on how they got along these days, Yang Ping didn't do this. He even had the surgery, and in the rare spare time, he was locked in the duty room to sleep, and he didn't seem to take the time to read various journals.

Occasionally, he only faces the computer in the office and browses papers quickly. The kind of browsing is very strange. He keeps hitting the page key, and he can turn several pages in one second. How can he capture information.

Professor Li couldn't figure it out, but he was sure that Yang Ping was a real genius doctor.

Now his main job in Sanbo is to follow behind Yang Ping. He even compresses the few days he planned to go to Australia to one day in order to stay in Sanbo longer.

Gan Fengyi's mother recovered well after the operation. On the fifth day after the operation, the muscle strength of her limbs returned to grade 3, and on the seventh day, it returned to grade 4.

The ICU doctor tried extubation to get her off the ventilator. After extubation, the muscles supporting the breathing movement were fully capable of working. Without oxygen, her blood oxygen saturation was 95%.

After all, the muscle strength is still worse than normal. In order to increase the efficiency of each breath, the ICU doctor still asked her to continue low-flow oxygen inhalation.

Gan Fengyi stood in the visiting corridor and saw her sober mother, no longer relying on the machine to maintain her breathing, a feeling of regaining her life after a catastrophe.

If this continues, he will soon be transferred out of the ICU and returned to the general ward to continue treatment.

Because of the intubation and the ventilator, Gan Fengyi's mother had a lung infection. Under the control of antibiotics, the chest X-ray has been reviewed, and the sputum culture is not drug-resistant bacteria, just ordinary Staphylococcus aureus.

For a long time, the drug-resistant bacteria in the ICU caused headaches for doctors and people in the hospital's infection department. They sampled, cultivated, and analyzed in the ICU every day, and then looked for the reasons and countermeasures.

Repeated white blood cell counts, procalcitonin and other infection indicators also decreased significantly.

She was transferred to the general ward and needed someone to take care of her. Gan Fengyi decided to take care of her herself. She asked the company for a month's personal leave.

After leaving the ICU, Yang Ping was followed by Professor Qin, Professor Li, Song Zimo and Xu Zhiliang.

From the corner of Yang Ping's eyes, he caught a glimpse of the family meeting room. The door was half open, and it was the family member of the patient, the wife of the patient with explosive viral myocarditis. This time, she had no other relatives by her side. She faced the doctor in charge alone and seemed to be begging the doctor. .

Yang Ping stopped, and he couldn't help but feel a little uncomfortable in his heart. He has encountered this situation countless times, and he has tolerated it, but he has never been numb.

Everyone stopped after him, and Dr. Meng, who sent them out, explained again.

This is the patient's wife. The patient has been on ECMO for 20 days. The hope of being saved is very slim, like a drop of ink in the sea.

The family members disagree on whether to continue. The relatives of both the man and the woman persuade her to give up. There is no point in spending any more, it is just a waste of money.

Now in the ICU, including the cost of ECMO, it is tens of thousands of yuan per day. Many medical insurances cannot reimburse it, so they need to pay by themselves. Many of these funds are borrowed.

Other relatives suggested to give up and stop ECMO, but she insisted alone, not to give up, she knelt down with the doctor several times, begging the doctor to continue.

I heard that the couple has been at odds all the time, one small quarrel a day and three days a big one. The woman always dislikes the man who earns less money, and the life is too suffocating.

Through the half-opened door, Yang Ping looked at the tearful wife of the patient from a distance. Perhaps, now she understands something, knows how to cherish, and hopes to save something.

But--

Whether you love it or not, in this life and the next life, we will never see you again.

This is not the scope of Yang Ping's specialty, and there is nothing he can do about it.

"Can--can you keep going?"

Yang Ping asked Dr. Meng.

"Look at the wishes of his family. If he gives up, he can only be extubated and taken offline. If he insists, let's do our best. There is almost no hope."

"Please, fight for a bit more? Please, please—"

"Let's try our best, but the hope is slim, you have to be prepared."

The patient's wife looked at the leaving doctor and couldn't hold back, so she burst into tears. Now there is no one to comfort her, because the person who comforted her and tolerated her was lying on the hospital bed and depended on the machine to maintain her life.

——

President Xia and Director Han personally carried the bronze medal of the "Surgical Research Institute", and together with some workers, hung it to the original position of "Comprehensive Orthopedics".

A little to the left, a little to the right, up, yes, more, and then a little bit down.

The sweaty worker, under the command of Dean Xia, finally hung up the bronze medal to his satisfaction.

"Has the time been set?" Dean Xia held up his index finger and was measuring whether the bronze medal was upright.

Director Han also leaned back and looked at the bronze medal: "I'm going to find an auspicious time, and Xiao Yang said it will be eight o'clock on Monday."

"Eight o'clock, eight o'clock, the usual shift time, how good." Dean Xia agreed.

"I want to invite a few people to cheer up, Xiao Yang said no, it's simple, it doesn't need to be too complicated, but Professor Liang from Xiehe will come, Professor Qin from 301 is here, Professor Su said he will definitely come, just a few people. ?" Director Han counted the number of people.

"Well, it can't be too simple, there is still a sense of ceremony, Lao Han, look at it like this, there is a step here, when the plaque is unveiled, I will be with him on the left, you are on the right, we will accompany him to the stage to unveil the plaque, this step I think about it." Dean Xia pointed, planning where to stand at the time, and simulated walking a few steps.

"It's up to you. I don't understand the pompous stuff like ostentation." Director Han doesn't care about these details.

President Xia pulled his face: "This is not false, it's a ceremony, do you understand? You must have a sense of ceremony. When I received the award in the Great Hall of the People, there was a lady of etiquette who showed me the way, how to get on stage, how to stand, What poses you take for photos, you have to pay attention to it, how can you be casual."

"Where's Xiao Yang, I was here just now, why didn't I see anyone?" Dean Xia looked around.

Director Han looked into the hall inside. They seemed to have a small class. Professor Li Zehui gave a lecture. Yang Ping invited him to give a lecture to Dr. Keli. Many young people went there.

——

While Professor Li was in Sanbo, Yang Ping asked him to give lectures to everyone. In the future work here, he will face various heart problems sooner or later, and those ordinary fractures will not appear here again, unless very special. reason.

Professor Li's research on the heart has reached the pinnacle. He is the world's top cardiac surgeon and is often invited to lecture and perform operations all over the world.

"If I want to understand the heart, I must first understand its structure and working principle. Only then can we calmly face this lively beating heart."

"He's like an engine under the hood of a car. This engine is divided into four chambers, and these four chambers are like a small house with two floors, two rooms on each floor, and four rooms in total."

"The two atria are for recycling blood, the two ventricles are for pumping blood, pumping and recycling, forming a closed loop, it beats 60-100 times per minute, pumping out about 5 liters of blood, which is equivalent to 3600 beats per hour , beats 86,400 times a day, more than 31 million beats per year, 2.5 billion beats in 80 years, and the heart pumps about 6,000 liters of blood to the lungs and the body every day. Let's see how powerful our human heart is. If it is the engine of a car, Work of this intensity would have been scrapped long ago—"

Professor Li stood on the podium, relaxed and at ease. For young doctors, he would start with the most basic knowledge.

The audience under the stage was attracted by Professor Li's interesting and simple explanation, and laughed from time to time.

Showing that the classroom was already full of people, Yang Ping sneaked in and sat down in the reserved seat in the first row.

When Professor Li saw Yang Ping, he paused his lecture, smiled, and continued.