godfather of surgery

Chapter 611 The troubles of the rich

There was still some time before lunch, and August took Yang Ping to visit the Harlaching Orthopedic Hospital, accompanied by professors including William, Lloyd and Rimbaud.

Harlaching Orthopedic Hospital is a specialized orthopedic hospital, the most famous of which is the spine surgery center, which is divided into four departments and accepts [-] patients a year. August is the director of the spine center and also the dean .

In addition to spine surgery, trauma orthopedics, joint surgery, sports medicine, foot and ankle surgery, pediatric neuro-orthopedics and rehabilitation are also top-notch in the world.

The rehabilitation department has a group of top rehabilitation doctors in the world and cutting-edge rehabilitation equipment exceeding 2 million yuan. Many stars of the Bayern football team undergo surgery and rehabilitation here. When Yang Ping visited, he heard that a star was preparing to come for rehabilitation.

No wonder August bragged about getting a batch of signed Bayern jerseys for everyone at the Sanbo Hospital.

The Spinal Pain Rehabilitation Department branched out from the Rehabilitation Department uses a brand-new concept to treat spinal pain with outstanding results.

Spinal pain, such as neck pain, low back pain and other patients, is the group with the largest number of orthopedic outpatients. In many cases, the treatment of these patients is a bit rough. August separates the spinal pain rehabilitation department to treat this group of patients. Go into detail.

In front of his mentor, August is also not humble, saying that he has played a very important role in the development of the hospital. The spine center was almost established by himself, and the entire hospital is thriving under his management and has become a world-class one.

As the visit continued, the directors of each department slowly joined the accompanying team, because Yang Ping and August had always communicated in Chinese, and these accompanying experts could not get in the way, so they could only follow the team silently, occasionally lowering their voices to communicate with each other. Let's talk a few words.

After visiting the rehabilitation department, August proudly said:
"Professor, if you have any new technology in the future, you must first think of cooperating with us, and we will definitely make everything beautiful."

Yang Ping nodded. Indeed, this hospital is well equipped in terms of technology and management, and can become a European diffusion point for new technologies.

Whether a hospital's orthopedics department is really strong depends on the supporting rehabilitation department, because rehabilitation after orthopedics surgery is very important. Without scientific and standardized rehabilitation, there will be no good function.

For example, after spinal surgery, there is a lot of rehabilitation content, such as the exercise of the back muscles, posture correction, etc. If the rehabilitation cannot keep up, even if the operation is very beautiful, it may always appear to be ineffective.

After visiting these departments, Yang Ping also had a thorough understanding of this hospital, and summarized some core elements of its success: modern orthopedic diagnosis and treatment programs; making patients feel at home; reducing pain for orthopedic patients; scientific and rapid rehabilitation plan; shortening hospital stay , the largest orthopedic surgery hospitalization should not exceed five days; long-term and meticulous follow-up.

In these aspects, Harlaching Orthopedic Hospital has achieved the ultimate. For example, the first one is the modern diagnosis and treatment plan of orthopedics. For each disease, they have their own diagnosis and treatment plan. These plans are constantly revised and synchronized with the most advanced technology in the world. Doctors continue to receive training to keep pace with the world in terms of concepts and technologies, and the basis of each doctor is consistent, and there will be no uneven problems.

The other is to reduce the pain of patients. Here, pain is truly treated as the fifth vital sign. Once pain occurs, doctors and nurses will attach great importance to it as if they are facing an enemy.

Professional doctors in the pain department participate in the designation of the patient's pain relief plan. They will often make rounds at the bedside to check the pain relief effect, and adjust the plan in time if there is any dissatisfaction.

Moreover, the pain department is constantly accumulating experience and researching new pain relief solutions.

From admission to discharge, the patient is truly painless, which is very important for the patient's medical experience.

There is another item, long-term and detailed follow-up. There is a special follow-up system here. The data of each patient is imported into the system. The team in charge of follow-up will conduct regular follow-up on the Internet, telephone, letter or door-to-door according to the condition of the patient. For some special conditions The patient and the attending doctor will take time to follow up in person. These follow-up visits are not months or years, but follow-up plans for decades or even life.

Medical care is an overall system, and each part is a part of the system. It is not enough to do a good job in each part, and each part must be organically combined to make the whole system an efficient organism.

Learning from each other's strengths and exchanging needs, Yang Ping not only pays special attention to medical technology, but also is particularly interested in management every time he visits a hospital. He decides to ask Boss Cheng to visit here in the future.

"For the clinical experiment of spinal external fixator, we will open up a separate area in the spine center, and I will be personally responsible for the operation of this area." After visiting the hospital, August introduced his plan.

Taking this place as the center, August and Harlaching are fully capable of promoting the technology of external spinal fixation to Europe.

"I will set up a new technology follow-up team to conduct long-term follow-up of patients and accumulate data."

The visiting team went back to the spine center.

Around the same time, August took Yang Ping to a hotel near the hospital for dinner.
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The lunch was simple and grand, and it was a German-style buffet. Marcus booked the hotel's cafeteria according to August's request.

There are a variety of German delicacies, such as charcoal-grilled pig’s feet, the skin is crispy but not dry, and it has a strong chew. A mixture of beef and cured pork, supplemented with seasonings such as parsley, nutmeg, cardamom, shallot, ginger, lemon and onion, and served with a sweet mustard sauce for a special flavor.

In addition to these two signature traditional delicacies, there are also apple crisps, Black Forest cakes, various fruits, various breads, and various types of barbecue.

The director-level doctors of the entire Harlaching Orthopedic Hospital were basically present. Doctors in Germany are divided into directors, intermediate doctors, general specialists, and assistant doctors. There is no such level as deputy director and deputy chief physician. Assistant doctors are equivalent to our regular training physicians. .

Yang Ping was August's mentor, and all the directors wanted to meet him.

Everyone wanted to chat with Professor Yang, so Yang Ping felt like a star.

No matter where he went, the directors would approach him intentionally or unintentionally, and then surrounded him, hoping to find a chance to strike up a conversation.

It's just that Chinese has become an obstacle to communication. Naturally, at banquets, Chinese has become synonymous with high-end and high-end.

Marcus, who is in his 30s, was originally an unknown person in this kind of banquet, but because his Chinese language made his value skyrocket, those big bosses also looked up to him.

The more this is the case, the more Marcus is at ease. From time to time, he speaks a sentence of Chinese when chatting with his compatriots. When the other party looks confused, Marcus apologizes: "I didn't switch over for a while."

Individuals pick their favorite food with a plate, and then sit at a long table to enjoy it. The piano solo sounds continuously, which is very Bavarian.

The old butler with a Mediterranean hairstyle accompanied the Duke and shuttled through the crowd. Normally, the old Duke would never attend such an ordinary banquet.

But this time is different, the protagonist of the banquet is his son's savior.

The old Duke found August and Yang Ping, and bowed to Yang Ping: "Dear Professor, I wonder if I can take time out of my busy schedule to go to my castle. I am very eager to enjoy the red wine in the cellar with the professor."

August was on the sidelines as an interpreter.

The people who can be invited to the Old Duke's Castle are not only old friends with deep personal relationships, but also European politicians and businessmen, or prominent academic giants.

The duke's castle is also in a small town in Bavaria, which takes two hours by car.

Yang Ping didn't agree immediately, but just said: "Thank you for your kindness, I will definitely find time to go there in the future."

"Welcome!" The old prince bowed slightly again.

This was a gathering of doctors, and his appearance was just to extend an invitation to Yang Ping himself. Although Yang Ping did not get a definite answer, the old Duke was already very satisfied.

The future is long, and with the friendship between August and the Chinese professor, the old Duke will definitely be able to drink and talk with the Chinese professor in the future.

As the head of a large European consortium, the old Duke's position in Europe can be described as a powerful figure.

Rich people more or less have the dream of longevity. Although this is impossible, it is still possible to prolong life.

Therefore, it is impossible for the old Duke to let go of this opportunity to make friends with a genius doctor.

Generously subsidizing Maninstein is not only for charity and to promote the development of medicine, but also for another reason. This genius doctor can save his life at a critical moment, and his scientific research success can save his life.

Accompanied by the butler, the old Duke walked around symbolically, then greeted August, and left the restaurant. His arrival was only for Yang Ping.

"The old duke also has an operation waiting for him—heart bypass surgery, performed by Maninstein!" August told Yang Ping after the old duke left.

"Maninstein can also bridge the heart?" Yang Ping felt that this all-rounder lived up to his name.

August nodded: "He and Professor Golan of Italy are the doctors with the highest success rate of heart bypass surgery in Europe. They have been comparing the success rate and the speed of the bridge. Golan's current fastest bridge is 12 minutes and [-] seconds. But it was surpassed by Maninstein's two minutes and ten seconds last month."

Everyone has troubles, even the rich old duke has his troubles.

For example, his beloved son has always been troubled by illness. Fortunately, this time the trouble was finally resolved.

He himself suffered from coronary heart disease, and interventional stents could no longer solve the problem, so he had to undergo thoracotomy and coronary artery bypass grafting.

"However, they encountered a problem. There was some kind of diffuse lesion in the distal end of the old Duke's coronary artery. The arteries were very thin, and atherosclerosis made the blood vessels almost solid. Now they faced the dilemma that the "bridge" had nowhere to build. They are working together to solve this problem." August is a friend of the old duke, knowing that the old duke has been worrying about this matter.

If this is the case with the old prince, he does have a problem, which is not so easy to solve.

Yang Ping heard the name of Maninstein from August several times, and also read the thesis of this great god-level figure. He is indeed a genius.

For the repair of spinal cord and nerve injuries, especially severed connections, this ingenious man has made some advances that are at the forefront of the field.

It was predicted that if this project is successful, this person may win the Nobel Prize again.

"Maninstein's temper is very weird, and he acts in a maverick manner. He is almost fanatical about medicine, but his enjoyment of life is also very exaggerated. When he is on vacation, he will refuse to contact anyone. I heard that he is currently on vacation at the beach in Iceland. There are two young models, this person is more forgetful, and he often forgets things that have nothing to do with his research topic."

August also admired this genius, who was a living treasure in German medical circles.

"Professor Yang, hello!"

Professor Lloyd came over to say hello in blunt Chinese.

August frowned, where did this guy learn this crappy Chinese.

Lloyd spotted an empty seat beside Yang Ping, immediately put down the plate, and sat down uninvited.

"Hello there!"

Yang Ping greeted him.

But this big guy can only say one sentence, and there is no more to say after he finishes speaking, and he can't understand anything. He turned to August for help with blank eyes.

"This is Professor Lloyd from Charité General Hospital!" August introduced again.

With August's translation, Lloyd is much more confident.

"Professor Yang, can I ask a few questions?"

It is not appropriate to have academic discussions at a meal, but Lloyd can't wait, academic people are so simple.

"of course can!"

Yang Ping likes this kind of straightforward people.

"The little duke's artificial thorax is a genius idea. The most ingenious thing is that he seeks a balance between decompression of the heart and excessive consumption. In fact, this is my understanding. The heart must be decompressed, but after decompression, it will This will increase the workload, so there is a balance in the middle, the two curves extend separately, and they have a safety relationship. If the decompression and over-consumption can be controlled in a safe area by some means, this problem can be solved. You found the curve of this secure interaction, right?"

Lloyd didn't care that it was time to eat, so he confessed all his doubts.

These are indeed world-class bosses, and they have already figured out the theory behind their artificial thorax.

"That's the thing. Without decompression, the heart will be exhausted and fail due to bone compression. After decompression, the heart will be exhausted and exhausted due to the increase in the capacity of the systemic and pulmonary circulation. It's like a high-rise building is on fire and there is no way out. The only way to escape is the dilemma of jumping off the building. If you jump off the building, you will fall to your death. If you don’t jump off the building, you will be burned to death. Increase the circulation, control one point at a time in the safe area, and reach the goal step by step, just like a survivor, he gets a lifeline, goes down the rope bit by bit, and returns to the ground.”

Yang Ping thinks this metaphor is more appropriate and easy for people to understand.

"But how did you find this safety rope?" Lloyd understood more than half of it.

"There are two ways to find out, one is to accumulate data through trial and error, which is obviously impossible, and the other is to obtain data through calculation, how much is the current pressure, how much is the cycle compliance, how much is the oppression relieved, how much is the load increased, Where is the critical point of heart collapse at a node? It can be calculated, but the amount of calculation is relatively large, and there are many factors to consider. I have many calculation manuscripts here. If you need it, you can contact Dr. Ao."

After Yang Ping finished speaking, Lloyd finally understood.

(End of this chapter)