godfather of surgery

Chapter 441 Strong Heart

Volunteers with AB and RH-negative blood types gathered in Sanbo Hospital one after another, and 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 2 milliliters of blood. Excluding those that could not be used for various reasons, there were almost [-] milliliters of blood that passed the test.

These rare blood type volunteers came from all over the country. They know that helping others is helping themselves.

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

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

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

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

The replication function of the system space, the replicated Zheng Baosheng experimental body, Yang Ping has already performed research surgery.

A good doctor is most adventurous and least adventurous.

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

He does not like to take risks, and never puts any hope in the pursuit of successful surgery, but relies on his own 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 feels 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 thoracentesis and abdominal cavity puncture on Zheng Baosheng every day to reduce the impact of fluid pressure on the heart, so that the heart function was at its best during the operation and could withstand the blows of surgery and anesthesia.

If too much fluid is extracted at one time, the internal pressure of the thorax and abdominal cavity will suddenly become unbalanced, and the result of the imbalance is organ displacement, 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, just enough, and stopped once the conditions required for the operation were met.

Every time a case is analyzed and treated, Professor Li will be present and observe Yang Ping's preoperative preparation for the patient.

Some of Professor Li's doubts were gradually dispelled. He hadn't seen Yang Ping undergo surgery yet, but he already had a little more recognition for him in his heart.

Professor Li was amazed by the impeccable preoperative preparation, thorough understanding of the disease, handling of uncertain factors in anatomy, understanding of human body structure and function, and formulation of various contingency plans.

What surprised Professor Li even more was that for this case, Yang Ping had mastered almost all the relevant knowledge, and was able to connect these knowledge, understand the principles, and draw inferences from one instance to other cases.

Sometimes some bold and imaginative methods put forward by Yang Ping make Professor Li very excited-it is still possible to do so.

Professor Li couldn't understand how this young man did it. Could it be that he has a photographic memory and spends all his time studying and thinking without sleeping?
But according to the relationship these days, Yang Ping was not like this. He even finished the operation, and in his rare free time, he slept in the duty room and didn't seem to spend time reading various periodicals.

Occasionally, he just faces the computer in the office and quickly browses the papers. That kind of browsing is very strange. He keeps hitting the page turning button, and he can turn several pages in a second. How can he grab information.

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

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

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 three, and on the seventh day, it returned to grade four.

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

After all, her muscle strength is still worse than normal. In order to increase the efficiency of each breath, the ICU doctor still let her continue to inhale oxygen at a low flow rate.

Standing in the visiting corridor, Gan Fengyi saw her mother who had woken up and no longer relied on the machine to maintain her breathing. It was a feeling of regaining the lost life after a catastrophe.

If things go on like this, he can be transferred out of the ICU soon 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 showed that it had improved, and the sputum culture was not a drug-resistant bacteria, but ordinary Staphylococcus aureus.

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

Rechecked white blood cell count, procalcitonin and other infection indicators also decreased significantly.

She was transferred to a 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.

Coming out of 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 ajar. It was the family member of the patient again, the wife of the patient with fulminant viral myocarditis. .

Yang Ping stopped, feeling a little uncomfortable in his heart. He had encountered this situation countless times, and he had endured it, but he never became 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, and the hope of being saved is as slim as a drop of ink in the ocean.

The relatives of both the man and the woman persuaded her to give up on whether to continue, and the family members disagreed. It was meaningless to spend it any longer, it was just a waste of money.

Now in the ICU, including the cost of ECMO, the cost is tens of thousands of yuan per day. Many medical insurance cannot be reimbursed, and you need to pay for it yourself. Most of the money is borrowed.

Other relatives suggested to give up and stop ECMO, but she insisted alone, don't give up. She knelt down to the doctor several times and begged the doctor to continue.

I heard that the couple has been at odds with each other, a little quarrel every day and a big quarrel every three days. The woman always dislikes the man who earns less money and lives too much.

Through the half-open door, Yang Ping looked at the teary-eyed patient's wife from a distance. Perhaps, now she understands something, knows how to cherish, and hopes to redeem something.

but--

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

This is not Yang Ping's specialist scope, and he can't do anything about it.

"Could you keep on going?"

Yang Ping asked Doctor Meng.

"It depends on the wishes of his family. If he gives up, he can only be extubated and offline. If he persists, we will do our best. There is almost no hope."

"Please, just try again? Please, please—"

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

The patient's wife looked at the departing doctor and couldn't help crying. There was no one to comfort her now, because the person who usually comforted her and tolerated her was lying on the hospital bed, relying on the machine to support her life.

-

Dean Xia and Director Han personally carried the bronze medal of "Institute of Surgery", 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 down.

Under the command of Dean Xia, the sweaty workers finally hung the bronze medal to their satisfaction.

"Has the time been set?" Dean Xia raised his index finger to measure whether the position of the bronze medal is 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 is eight o'clock. It's a good time to change shifts." Dean Xia agreed.

"I want to invite a few people to add to the fun. Xiao Yang said no, it's easy to deal with, and it doesn't need to be too complicated, but Professor Liang from Xiehe will come, and 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. Old Han, look at it like this. There is a step here. When the plaque is unveiled, I will accompany him on the left and you will be on the right. We will accompany him to the stage to unveil the plaque. This step Is it a series? Let me think about it." Dean Xia pointed, planned where they would stand at that time, and simulated walking a few steps.

"It's up to you. I don't understand such silly things as ostentation." Director Han didn't care about these details.

Dean Xia's face pulled: "This is not fake, it's a ceremony, understand? There must be a sense of ceremony. When I receive the award in the Great Hall of the People, there will be Miss Etiquette to guide me, how to walk and stand on stage, You have to pay attention to what pose you pose for taking pictures, how can you be casual."

"What about Xiao Yang, you were here just now, why didn't you 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. Corey, many young people went.

-

While Professor Li was in Sanbo, Yang Ping invited him to give lectures. Sooner or later, he will have to face various heart problems in his future work here, and those ordinary fractures will not appear here again, unless it is very special. reason.

Professor Li's research on the heart has reached its peak. He is the world's top cardiac surgeon and is often invited to give lectures and perform operations around the world.

"If we want to understand the heart, we must first understand its structure and working principle. Only in this way can we calmly face this fresh and beating heart."

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

"The two atria recycle blood, and the two ventricles pump out blood. The pumping and recycling form a closed loop. It beats 60-100 times per minute and pumps out about 5 liters of blood, which is equivalent to 3600 beats per hour. , beats 86400 times a day, more than 3100 million times a year, and 80 billion times in 25 years. The heart sends about 6000 liters of blood to the lungs and body every day. Let's see how powerful our human heart is. If it is a car engine, According to this intensity of work, it would have been scrapped long ago—"

Professor Li stood on the podium, relaxed and at ease, and told young doctors from the most basic knowledge.

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

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

Professor Li saw Yang Ping, paused the lecture, smiled, and continued.

(End of this chapter)