godfather of surgery

Chapter 626 We want to build a world-class laboratory

Mr. Wu's knee-preserving surgery aroused rich associations between Robert and Director Gao.

In the future, we can use cultivation technology or 3D printing technology to produce qualified knee cartilage, and then perform cartilage replacement like artificial joint replacement, and replace all the worn out articular cartilage with new ones.

Like new tires on a car, older people can have younger joints.

Although the artificial joint solves the problem of pain and provides a painless joint, it cannot be compared with the normal knee joint of the human body in terms of function, and there are many restrictions on its use, and it still has a certain service life.

At present, many teams are conducting research on cartilage cultivation, but they are all in the initial stage. Whether it is cultivated or 3D printed cartilage, there is a big gap with real cartilage, and it will not work at all.

True cartilage has not yet been grown or printed, strictly speaking.

Robert and Director Gao, the two foreign brothers gathered around the computer to study the surgery video.

The two are both majors in sports medicine, and they have found like-minded partners. They gather together from time to time to discuss cases, study operations, and call each other brothers.

They also often perform this kind of cylindrical cartilage transplantation, but Professor Yang’s operation is obviously different. The transplanted cartilage not only reshapes the shape of the medial condyle, but also predicts where the new load point will be after the osteotomy. Cartilage grafts are then aligned around this negative point.

The load point will move along the line of force, which involves some kind of geometric knowledge.

Using geometric knowledge to predict the load-bearing point of the medial condyle after uniform subsidence, transplanting limited cartilage to the new load-bearing point of the medial condyle is the key point of the operation. Director Gao and Robert learned another trick.

The two were lying on the desk, pointing at the computer, and quarreling a few words from time to time. When others saw this scene, they thought it was an old-fashioned intern discussing the case.

After the video was played, Lao Gao pulled out the USB flash drive and hung it around his neck. It was so convenient that he could download the surgical materials at any time, and then go back to study carefully. If there was anything he didn't understand, he would find a chance to ask Yang Ping for advice.

In this way, Yang Ping's technologies are mastered one by one and combined to form the entire technical system.

Lao Gao and Robert still didn't understand the principle behind the key steps of the operation, so they decided to ask Yang Ping.

Director Gao had a USB flash drive around his neck, pulled Robert together, and knocked on Yang Ping's office. After poking his head around, Lao Gao said cheekily, "Professor Yang, we still don't understand this knee-preserving operation. I can’t waste a few minutes of your time, tell me about it—I’ll treat you tonight and find a place nearby for dinner.”

Yang Ping has always had a good impression of Director Gao's enthusiasm, and he also wants to spread his technology, so he always patiently explains Director Gao's questions.

come over!

Yang Ping waved to the two heads at the door, and then turned the computer screen so that everyone could see it clearly.

Lao Gao and Robert got together and surrounded the screen.

On the computer screen is an X-ray of the knee joint and a full-length lower extremity film with lines and triangles on it.

Director Gao expressed his doubts: "After the fibula is amputated, the inner and outer sides of the tibial plateau will be uniformly settled. This is the operation of conventional knee preservation surgery. I teach you to add cartilage transplantation to this operation. We just studied the video. Your cartilage The transplantation is very particular, almost reshaping the new medial condyle load point? We don’t understand how to find this load point, because in this case, the medial condyle has long been deformed and lost its previous curvature. It is not easy to find a new load point thing?"

Yang Ping pointed to the lines and triangles on the computer: "Look, this is the connecting line between the centers of the inner and outer condyles, this is the line of force, this is the perpendicular line between the force line and the connecting line, and this is the line passing through the load point of the outer condyle and the connecting line." Parallel lines, this is the point of force, I am very familiar with these anatomical structures, so I don’t need to use auxiliary equipment for positioning, if you do this operation, you can use the guide for knee joint replacement for positioning.”

One sentence from the master is worth three years of hard work!

Because Yang Ping is very proficient in anatomy, he can make a clear spatial composition in his mind, so he can quickly find those dots and lines without the aid of these equipment.

If other people don’t understand the mystery and follow the video to perform this kind of surgery, they can’t find where the stress points are at all, and the transplanted cartilage is also piled up in disorder and doesn’t work. In general, the transplanted cartilage will soon wear out, and the final surgical effect will naturally be poor.

If the various guides for knee replacement are flexibly used in this operation to guide the search for lines of force and various dots and lines, then the problem will be greatly simplified.

Director Gao and Robert finally understood, and the two brothers nodded at the same time.

If it weren't for the thick skin, chasing Professor Yang to break the casserole and ask the end, relying on his own thinking, I don't know how long he will be able to pierce this layer of window paper.

Yang Ping was discussing knee-sparing surgery with Director Gao and Robert. Song Zimo came over and said, "Professor! Tang Shun will return to China in a few days, and he will come to Sanbo Hospital to see you."

"Well, let's make an appointment, and I'll have a good talk with him." Yang Ping is very concerned about the formation of the team.

If you want to do something big, how can you do it without forming a team.
-
Dean Xia took Director Han, Dean Sun and others around the hospital.

Dean Sun didn't understand what kind of medicine was sold in Dean Xia's gourd today, so he took everyone for a walk after the morning meeting.

Dean Xia threw the branch in his hand on the ground: "This land is the best, how about using it to build a laboratory?"

When Sanbo Hospital was built, it was not the city center, so the government was so generous and gave such a large piece of land. Now, the government would never agree.

The land in the northwest corner of the campus has been kept useless and turned into a small forest. Now Dean Xia proposed to build a laboratory.

Dean Sun was obviously surprised: "Use this land to build a laboratory?"

Just a hospital, need such a big laboratory?Even college laboratories are not so generous.

The current buildings of Sanbo Hospital are all left over from the establishment of the hospital, without any infrastructure construction in the middle. Dean Xia said that the house is enough, and the money should be used for the training of doctors and to improve the benefits of doctors.

Now it is suddenly proposed to build infrastructure and build a laboratory, which is obviously not in line with Lao Xia's consistent philosophy.

The first deputy dean, Dean Sun, didn't know why Dean Xia had such a plan, so he pulled everyone around the hospital, just to talk about this matter?
Of the several colleagues present, only Director Han strongly agreed with this matter, while the rest had mixed expressions. Even if they agreed superficially, they seemed extremely reluctant.

This was what Dean Xia expected, he nodded, as an answer to Dean Sun's surprise, and then he looked ambitious:

"It doesn't work without a good laboratory! You only see the present, but you don't see that ten years later, 20 years later, and 50 years later, we will not only build a laboratory, but also a world-class laboratory and plant plane trees , attracting Phoenix Qi, our hospital now has a golden phoenix, there is no sycamore tree, sooner or later we will not be able to keep it, to tell you the truth, I built this laboratory for Yang Ping, I thought the eight-story building was enough , I found out later that the laboratory must be newly built, and many experimental equipment have strict requirements on the environment, such as the cryo-electron microscope, which requires a separate building, and there are special standards for the foundation, so no matter how the building is decorated, it cannot meet the standard , This land is drawn out first, we can discuss things slowly, plant the plane tree, and keep the golden phoenix, I tell you, there will be many phoenixes inhabiting our Sanbo Hospital in the future."

But money, where does the money come from?
Dean Sun is worried about this again. This is not a problem that a little money can solve.

World-class laboratories are always calculated in billions, which is probably too big a deal.

Dean Sun and several deputy deans felt a little bit in their hearts. Now they are very sensitive to large-scale infrastructure construction, let alone so much money involved.

Dean Xia looked at the sky in the distance and came back to his senses: "I have already thought about the money. There are many ways. I can ask for it from the Overseas Chinese Foundation, and I will be a lobbyist; I can also talk to the hospital's drug and equipment suppliers. Negotiate, delay the payment for a few years; in the end, if it really doesn’t work, you can use the hospital’s savings.”

"Delaying the payment for several years? I'm afraid this is inappropriate?"

Dean Sun was very worried, and the other vice presidents were also sad.

"There's nothing wrong with it. If you don't want to, just quit our supplier. If you want to continue working, just cooperate with our strategy. Grandson, we have worked together for so long, and we often quarrel about many things, but you have to support me in this matter. You have to do well." Think about it, our Professor Yang didn’t go to Xiehe, didn’t go to 301, and stayed alone with us. If we don’t build a good platform, we can’t help people and mislead people’s future. He is a talent hard to find in 500 years and cannot be buried. , since it fell into our Sanbo, this is our great luck. Think about it, everyone. I, Lao Xia, have no other skills. I really see people and things farther than you. Listen to me, that's right. Get the lab up—"

Dean Xia feels that this is a conservative estimate for the talent that emerges every 500 years, and the number should be expanded.

Dean Xia's strides were too big, and Dean Sun felt that he couldn't keep up with the rhythm, and felt a pain in the egg.

"We are all medical students. A great talent like Yang Ping will attract many talents in the future. Not long ago, Yang Ping chatted with me and recommended a doctor who studied in Japan. This doctor graduated from the University of Tokyo and is currently a stem cell researcher. A leader in the field of research, if this kind of talent really comes to our Sanbo, you can’t let them do an experiment, run around every day, go to Nandu Medical University today, Nandu University of Technology tomorrow, and Southern Science and Technology the day after tomorrow, right? If you can trust me Xia Changjiang, I will lead you to accomplish an astonishing feat!" Dean Xia spoke loudly and resoundingly.

When Dean Xia first became the dean, he also said such a sentence, but he didn't talk about the great achievements, but said that Sanbo Hospital should improve every year.

Dean Sun was relatively conservative. Hearing Dean Xia's words, he was very determined, and his forehead was sweating in fright. Old Xia was too ahead of his time. It would cost hundreds of millions to build a laboratory, and the higher-ups probably wouldn't agree.

Since the above disagrees, Lao Xia can only raise funds by himself, which is not an easy task.

All in all, it's hard.

Anyone would think it was a waste to spend so much money on building a laboratory. It would be better to add a few pieces of top-level equipment or improve the conditions of the wards, so as to achieve immediate results in political achievements.

For example, spending hundreds of millions to purchase a world-leading tumor treatment equipment, and then build a tumor treatment center, to ensure that Sanbo's oncology department will become famous all over the country.

Anyway, Dean Xia is just starting this matter for the time being, and it will take time for it to be included in the official schedule, so Dean Sun is also relieved for the time being.

"The construction of the laboratory is a basic construction, and we can't see results in the short term, so it's inevitable that everyone will question it. It's okay. You can discuss this matter slowly." Director Han agrees with Dean Xia's idea, but he needs to buffer the other members of the academy committee time.

Some advanced things are too big to be understood by most people, which is a normal phenomenon.

"Today I'm just putting forward an idea. When you have time, we can sit down and discuss it." Dean Xia stared at the land with his hips akimbo.

How is the laboratory built?Also plan well.
-
Downstairs of General Surgery, Sanbo Hospital.

Tang Shun took his little Japanese girlfriend and looked up at the building.

He is about to graduate with a Ph.D. soon, and is faced with the question of where to go.

For him, it is not to find a job, but to choose a career, so Tang Shun is very cautious.

This international student from the University of Tokyo in Japan has the idea of ​​returning to China, otherwise he would not be so entangled. He just needs to stay directly at the University of Tokyo or MIT. .

But this was not what Tang Shun wanted after all. Tang Shun still wanted to go back to China to have a look, but he just looked at several places and was not very satisfied, and he couldn't say what he was not satisfied with.

Tang Shun didn't know much about Sanbo Hospital, but he was very familiar with Yang Ping.

In just a few days at the Affiliated Hospital of the University of Tokyo, Tang Shun, who was acting as a translator, still had a fresh memory of those proud heads of the Affiliated Hospital of the University of Tokyo being pushed down abruptly by Yang Ping.

His Chinese student Gao Qiao, in order to be able to study in China, stayed up all night to learn Chinese, which Tang Shun will never forget.

All this is because of this mysterious person --- Yang Ping.

Recently, he also paid attention to Yang Ping's progress. He learned from Gao Qiao that Yang Ping had developed a new technology of spinal external fixation in just a few months. technical content.

Moreover, under the leadership of Masao Fujiwara, the University of Tokyo Hospital has made sufficient preparations to compete for the qualification for the Phase III clinical trial of the spinal external fixator.

These people are leaders in the field of orthopedics in Japan, or even in the world, and their IQs need not be questioned.

Although I hate Japan emotionally, as a developed country, there is no doubt that Japan is world-leading in many technologies.

Combining several aspects, it can be simply judged that Yang Ping's spinal external fixator technology is a world-class new technology.

Tang Shun tidied up his clothes, walked through the door with his little girlfriend, and explained his purpose to the nurse at the front desk.

In less than 10 minutes, the elevator door opened, and several young people came out of it, the leader being Yang Ping with his own aura.

(End of this chapter)