godfather of surgery

Chapter 488 Coagulation disorders
The next day's meeting was also full.

Representatives from China and Japan took turns to speak on stage, and representatives from other countries were also interspersed during the speech, but China and Japan were the main ones.

Among other countries, Australian experts have brought good scientific research results.

Australia has a small population, but its medical strength should not be underestimated. Our common B-ultrasound, pacemaker, cochlear implant, in vitro fertilization and embryo transfer technology, CPAP ventilator and other medical devices and technologies are all invented in Australia.

The discovery of Helicobacter pylori in the stomach and cervical cancer vaccine are also the achievements of Australia. The discovery of Helicobacter pylori in the stomach has won the Nobel Prize.

Surprisingly, Dr. Lin Mingyuan from Singapore also brought a very good scientific research result - a new type of degradable implant.

Made from a biocompatible, non-toxic magnesium alloy that is as strong as titanium, the implant provides excellent mechanical stability and bone support to facilitate the healing process.More importantly, over time, the implant can be completely decomposed in the body, which has obvious advantages over the current traditional orthopedic titanium alloy steel plate.

In fact, it is not accidental that Singapore has such achievements. The Singapore General Hospital is often ranked among the top ten in the world.

Want to know which are the top ten hospitals?
Medical giants such as the Mayo Clinic, Cleveland Clinic, and Massachusetts General Hospital.

Singapore General Hospital can enter the top ten together with these hospitals, and its strength is naturally not weak.

Participating in these academic conferences will enable you to have a good grasp of the industry's scientific research trends, prevent information from being blocked, and work behind closed doors.

So Yang Ping listened to other people's speeches very seriously.

The morning meeting ended, and as the host, Takahashi planned to take Yang Ping out for a stroll at noon, at least to Ginza.

Because he had to prepare for Fujiwara Tani's operation, Yang Ping didn't have time to go shopping.

Fujiwara Miyuki invites Xiaosu, Tang Fei, and Zhou Can to go shopping together. Xiaosu can't bear to leave Yang Ping alone in the hotel and doesn't want to go.

Yang Ping tried to persuade and coax Xiao Su to go shopping with Michelle.

Not long after the girls left, Fujiwara Tani's latest test results came out one after another, and Song Zimo sent them to Yang Ping's cell phone --- blood coagulation disorder!

Coagulation dysfunction is a contraindication to surgery, and for this reason, Fujiwara Tani could not operate.

Not to mention this kind of surgery, even for ordinary surgery, coagulation dysfunction is still a roadblock.

Once the operation is performed, the compression of the medulla oblongata by the hemorrhage in the operation area is more terrible than the compression of the tumor.

No one expected that such a change would occur.

Yang Ping immediately took Gao Qiao, Huang Jiacai, and Lao Cheng to meet Fujiwara Masao in the doctor's office in the intensive care unit.

Masao Fujiwara was busy at both ends, looking very tired.

"I had blood coagulation disorder before, but after treatment, it has been improving, and the blood coagulation index has entered the normal range. You see, this is a test a few days ago, and it is already normal. I didn't expect it to repeat again."

Masao Fujiwara was very worried. Just now, his younger brother persuaded the family elders not to interfere in the medical decision-making. This kind of problem appeared here.

If it is due to other reasons, it can be overcome, but this blood coagulation disorder is simply the fatal point of this kind of operation.

No matter how skilled the surgeon is, he will be helpless.

Wait any longer?

I don't know which day will be better, and I can't wait so long.

If surgery is planned?
It is almost impossible, coagulation dysfunction, an ordinary operation may put the patient in danger due to heavy bleeding, not to mention this kind of medullary and upper cervical spinal surgery, a little bleeding is fatal.

At this critical point in time, the condition changes.

Dongda Hospital immediately summoned experts from all walks of life to discuss the emergency condition as if it was facing an enemy.

Ikeda, Ito, Fujiwara, Matsui, Komori, all the top professors gathered together to discuss how to deal with the next illness.

Masao Fujiwara hurried to the conference room with Yang Ping.

As Yang Ping stepped into the venue, everyone stood up and bowed.

On the huge high-definition screen, images of Fujiwara Tani and various inspection reports were displayed.

Professor Yoshio Nozaki of the Department of Hematology is responsible for the regulation of coagulation in Fujiwara Tani, and it is difficult for him to explain why this happens.

Fujiwara Tani was lying in the intensive care unit with various pipelines connected to his body. These monitoring data were connected to the central host of the intensive care unit and then transmitted on the screen.

Through the central host, any of his monitoring data can be mastered.

Even the speed of the infusion pump can be finely monitored and adjusted.

Regarding blood, Yoshio Nozaki has always been in charge. He once thought it was stable, but he didn't expect such an accident to happen suddenly.

It is not surprising that the condition is unpredictable.

It is only when there is a problem at this level that everyone is nervous.

"What does it mean if there is no operation this time?" Director Xiao Chuan of the intensive care unit broke the silence.

"It means that there will be no chance in the future, and the tumor will soon bleed spontaneously. If there is no effective measure, the probability of death is [-]%, and all efforts will be in vain."

Daisuke Komori answered clearly.

"What does it mean if the surgery goes according to plan?"

It's still Ogawa's question.

"Coagulopathy, an absolute contraindication to this type of surgery, forced surgery, death due to bleeding, [-]% probability of death."

Professor Matsui took the conversation.

Two hundred percent!

Unexpectedly, the consequences would be so serious. The head of the affairs department looked around and then at Masao Fujiwara.

Masao Fujiwara slightly adjusted his mood and said:
"This operation is originally a high-risk operation. At present, only Dr. Yang is sure of success. If everything is normal, maybe Dr. Yang can successfully complete the operation. But now, such an unfortunate thing happened, even if Dr. Yang is successful. There is no precedent, and I am afraid there is no way to perform the surgery."

"It's frustrating that at this time we can't find the reason for the change in condition."

Nozaki said sadly.

"Now is not the time to look for the reason. We have to make a decision, give up the operation, or continue?"

Professor Ikeda explained the focus of the meeting to prevent deviation from the topic.

As for other things, such as summarizing experience and lessons, that is an afterthought.

"Dr. Yang?"

Professor Ikeda hopes that Dr. Yang can say something, after all, he is now asked to be the chief surgeon.

At this time, we can only make ceremonial efforts. Whether it is political leaders or business elites, they cannot escape life, old age, sickness and death. How many important people died in Dongda Hospital, for Ikeda, this kind of thing will not make waves.

Yang Ping thought for a moment and said:
"The operation is prepared at eight o'clock in the evening. In this state, if we wait any longer, there is no hope at all. There is still a glimmer of hope for tonight's operation."

"I just don't know everyone, would you like to take risks with me?"

In such a predicament, he could only take a risky operation, miss the opportunity, and never have another chance in the future.

Regardless of Fujiwara Tani's status, in Yang Ping's eyes, he is just a patient. For Yang Ping, every operation must go all out to strive for the greatest health benefits for the patient.

"Are you saying - even with coagulation disorders - surgery?"

Daisuke Komori was very surprised, which made a big taboo.

No one dared to do this. For the surgeon, it was a devilish challenge. Even a little bleeding from the surgical site would be fatal. How could it be possible to achieve such a perfect hemostasis.

Mitsui also waited for Yang Ping's answer, whether he heard it wrong.

"Doctor Yang, do you have to take risks?"

Fujiwara Masao hoped that Yang Ping would say this, but the reality is cruel, blood coagulation disorder is an absolute contraindication!

The word "absolute" in medicine means that there is no room for negotiation and no exceptions.

In cases of absolute contraindication to surgery, the consequences can be devastating for both the doctor and the patient.

Yang Ping said solemnly: "I want to ask—do you still want to save him?"

"Of course!" Professor Ikeda said on behalf of Dongda Hospital.

Yang Ping nodded:
"We have no choice but this way. In this coagulation state, the tumor will immediately bleed spontaneously. Sudden hemorrhage will compress the medulla oblongata and cause immediate death. Now the operation is performed while regulating the coagulation function. There is still a glimmer of hope." .”

The blood vessels of the tumor are all abnormal blood vessels. Compared with normal blood vessels, the strength of the vessel wall is very fragile. If the blood coagulation function is impaired, spontaneous tumor bleeding is likely to occur.

"I'm really sorry for causing trouble to everyone!"

Yoshio Nozaki felt guilty.

After all, there was an accident in the part he was in charge of.

"Professor Nozaki doesn't need to blame himself. The human body is complex and mysterious. Not everything changes as expected. Unexplained consumption of blood coagulation factors, special reactions of the human body to certain drugs, improper preservation of blood coagulation factors, and some unknown negative effects of tumors. possible."

I had coagulation dysfunction before, and I have been supplementing coagulation factors and platelets, and I have been improving as expected, but suddenly fell to such indicators.

"Let's prepare for the operation at [-] o'clock in the evening!" Masao Fujiwara made a decision, he can represent the family.

Bleeding!

Terrible bleeding!

Dr. Yang's superb surgical skills will be fully discounted, and the operation may even fail to advance.

Things were kept simple and clear, and the discussion ended in dullness.

Fujiwara Masao also wanted to go to the meeting place to say hello, hand over the afternoon meeting to Sasaki, and deal with his uncle's condition with all his strength.

"I'll wait for my friend!"

After leaving the venue, Yang Ping didn't see Huang Jiacai and Lao Cheng, so he called them.

Masao Fujiwara ordered Takahashi to accompany Yang Ping, and hurried back to the venue by himself.

"Dr. Yang!"

Yang Ping turned his head, and Fujiwara Miyuki stood behind him.

"Please, I must save my uncle." Meixue also received news of her uncle's condition changing.

"I will try my best!" Yang Ping comforted Miyuki.

"He is a good man. The family-controlled pharmaceutical company, Dongdao Life, has opened up patents for dozens of advanced drugs so that other countries can imitate them. Many patients enjoy cheap drugs because of this," Miyuki said emotionally.

"I'll do my best."

Yang Ping felt that this simple girl did not realize the seriousness of the problem, blood coagulation disorder!At this time, it is the mortal enemy of the surgeon, and no one dares to say that it is absolutely sure.

Only one night later, the condition changed like this.

"Miyuki!"

Fujiwara's voice, his slender figure approached from a distance, and there was no bodyguard by his side.

"Dr. Yang, hello!"

Fujiwara Chio recognized Yang Ping at a glance, and greeted him in Japanese, with Takahashi helping to translate.

"I heard that my uncle's condition has changed, so I rushed here urgently."

Fujiwara Chio just went to the intensive care unit and communicated with the doctor.

"The coagulation function is impaired." Yang Ping told him.

"I heard that Dr. Yang is still insisting on surgery. I am very moved. In this world, I think the most respectable professions are doctors and teachers, the most divine professions!"

"you flatter me."

"No, it's like this. Your career is sacred and inviolable. I heard from my brother that you are a rare genius doctor."

"It's just that I like medicine, not a genius."

"The progress of this world is driven by geniuses, you are too humble."

"I've always thought of myself as an ordinary person."

"Regardless of the outcome, as a family, we are very grateful for your efforts, thank you!"

Fujiwara Chio bowed.

"Thank you for your understanding. Go all out and have no regrets."

"Yes, it's good to have no regrets. I believe that uncle thinks so too."

　The biological-psychological-social medical model determines that each case is a living person, a person in society, they have their own stories, their own lives, and their own backgrounds.Properly unfolding in this way, the cases will be full of flesh and blood, and the surgery will be performed in a simple cycle. To be honest, the cases I have so far can be written one by one in a cycle. It will not be difficult to write three to four million words, but it is boring.Moreover, the story is far from what some of the brothers imagined, some things do not exist, and this is also a foreshadowing for some subsequent plots.I just had time to browse the comments and couldn't help explaining.Once again, I wish you all a happy new year, good health, all the best, and a happy family!Bow and say hello! ! !

　　
　
(End of this chapter)