godfather of surgery

Cross-border knife flying has become a normal job for Yang Ping. Since the first time he flew to Malaysia to perform surgery on Guo Jingyao, he later went to the United States, Saudi Arabia, and Yemen. Although he cannot fly around the world, he is still an experienced cross-border knife flying veteran.

Without further ado, Yang Ping arranged Corey’s work.

Johannesson also actively improved the preoperative preparations. During the operation, the eyeball needs to be removed, and there is a risk of losing one eyeball. He needs to communicate with the patient to reach a consensus.

This kind of surgery is not included in the American Neurosurgery Guidelines. In extreme cases, it may lose the function of healthy organs. It not only needs to go through relevant technical review, but also needs to undergo theoretical certification. Johannessen has prepared all these.

This is already my second trip to the United States. Accompanied by Robert, I plan to fly from Nandu to New York, and then from New York to Rochester, Minnesota, USA.

New York is Robert's base camp, everything is easily arranged, and of course Barrell is responsible for picking him up at the airport.

As soon as he got off the plane from New York and walked out of the gate, Yang Ping saw a red banner in Chinese: Welcome Professor Yang to come to the United States to guide his work!

In addition to the banners, there were more than a dozen young Asian, European and American girls wearing cheongsam and performing a pop-up cheongsam dance at the airport as a welcome ceremony.

Yang Ping couldn't laugh or cry. The last time he came to the United States, he visited Robert's clinic, which was the same way. The clinic was decorated like the Spring Festival, even the Chinese characters "Fu" and Chinese knots were used.

Robert just likes flashy things, and Yang Ping can't say much about it.

"Welcome to America!" Barrett's Chinese has indeed improved rapidly.

Robert was very confident that the professor must feel at home at this moment.

After resting in New York, the next day flew to Rochester, Minnesota, where Mayo's main hospital is located.

In order to show his grandeur, Johannesson brought his assistant and secretary to pick him up at the airport. After getting off the plane, Yang Ping had some light meal and started to work.

Yang Ping's arrival caused an uproar throughout Mayo and was undoubtedly an earthquake for neurosurgery.

In the history of Mayo Clinic, no Chinese has ever come to perform surgery. All the Chinese people I met were either doctors who came to study or patients who came to treat diseases.

Now this Chinese man was invited by Dr. Johannesson to perform the surgery. To be precise, Mayo lacked confidence in this surgery and could not cope with it. Now he asked this Chinese doctor to help and guide the surgery.

Accompanied by Johannesson, Yang Ping met the patient Denton, and the neurosurgery doctors surrounded Yang Ping in layers.

Americans, like Chinese, like to watch the excitement, so whether they are specialists, residents, or even interns who have not completed their residency training, Yang Ping is surrounded by three floors inside and three floors outside.

Protecting patient privacy has been forgotten by these doctors.

The software engineer looked like a normal person. Yang Ping briefly communicated with him and confirmed that the patient had no cognitive or language problems.Denton University also participated in the school's baseball team. After graduation, he became a software engineer. He was the main programmer of a game company and developed a large-scale game. His wife worked in the post office and they had two children after marriage. Child.

After the verbal exchange, Yang Ping decided to give him a physical examination. The physical examination naturally required visual, touch, percussion and various special physical examination tests. After examination, it was found that Denton's skin sensation and muscle strength were no problem, and there was no problem with his movement coordination. .

Although with the help of various advanced instruments and equipment, some physical examinations no longer seem necessary.

For example, in heart examinations, now that color ultrasound examinations are available, percussing the size and boundary of the heart seems a bit meaningless and a waste of time.

However, as doctors, especially grassroots doctors, the stronger their manual diagnosis skills are, the better they can find the signs of disease.

For example, in this patient's percussion, Yang Ping tapped his shaved head and immediately knew that one side of the head was solid and the other side was hollow. The principle of percussion is actually similar to picking a watermelon. It all depends on the sound.

If any grassroots doctor could have discovered this surprise, he would have done a color ultrasound earlier, and would not have waited until neurological symptoms appeared to do the first head CT in his life.Skilled manual diagnosis has a very limited effect, but it is very useful in special situations.

After seeing the patient, Yang Ping returned to the doctor's office and studied the patient's medical records again, especially the various imaging data, because the pictures were uploaded by Johannesson on WeChat and were informal.

Anyway, wherever Yang Ping went, the doctors surrounding him followed him. These people were at the top of the neurosurgery pyramid in the United States. Did they form a few circles just to see what Johannesson's mentor was like?

Everyone had reservations about this Chinese doctor. Now that they saw that Yang Ping, at such a young age, could actually be Johannesson's mentor, everyone's curiosity about Yang Ping must have doubled.

“There are two most difficult aspects of this case. First, because the brain is a malformed hemisphere, the distribution and function of all nerve nuclei are different from those of a normal brain. According to a normal brain, tumors at this location do not need to be so troublesome. Secondly, this The tumor is surrounded by nerve nuclei and densely covered with blood vessels. If it enters from areas other than this gap, it is likely to damage the nerve nuclei or blood vessels."

"The projection of the gap is exactly where the eyeball is, so it's best to enter from here, but the eyeball blocks the entrance. To achieve our goal, we must move it."

Any surgical approach must meet the two conditions of exposure and safety, that is, it must be able to achieve the purpose of exposing the lesion, otherwise the approach is useless.

Secondly, the safer the process of exposing the lesions, the better. Do not damage blood vessels, nerves, or other organs.

For example, if this operation is completed and the tumor is removed, and the patient dies or develops severe cognitive impairment, the operation will be a failure.

Johannessen was very eager to learn. He had already opened his notebook and started recording the key points of Yang Ping's explanation.

"Pencil?" Yang Ping stretched out his hand.

As a follower, Robert certainly knew the professor's habits. Pencils and A4 paper were already prepared and handed over.

"If the eyeball cannot be replanted, this operation is worthwhile, but we try to ensure that the eyeball can be replanted. After freeing the optic nerve, it is better if the optic nerve is long enough for us to remove the eyeball."

As he spoke, the anatomical diagram of the head was clearly presented with a quick pencil sketch on the A4 paper.

The doctors surrounding Yang Ping almost didn't react. Everyone was crowded with each other. When they saw this picture up close, they were all stunned. What a beautiful and clear three-dimensional skull anatomy picture. They had never seen such an anatomy picture before.

The pencil rotated in Yang Ping's hand like an acrobat.

"If the free length of the optic nerve is not long enough, do I need to cut off the optic nerve? If it is cut off and then replanted, it is unknown whether the optic nerve can be successfully restored." asked the white-haired doctor.

The pencil in Yang Ping's hand stopped spinning: "Actually, we have a second option. Even if we can't move the eyeball, we don't have to cut off the optic nerve. We just need to cut the eyeball open, extract part or all of the aqueous humor, and let The eyeball collapses so that there is room for surgery."

Can this still be done?Have you asked your eye doctor?

The white-haired doctor was speechless for a moment. He didn't expect that Yang Ping would come up with such a second plan. He was simply a god.

"The operation time of the two methods should not be too long. Even if the eyeball is protected by ice cubes when the blood vessels are cut, it should not be too long. After the aqueous humor is lost, if the time is too long, it will easily lead to irreversible damage to the vision."

A stack of A4 paper was taken out one by one, and a pencil was drawn on it. Several pictures were already drawn.

"Look, this is a diagram of how to remove the eyeball, this is a diagram of the incision from the bottom of the eye socket, this is a diagram of how to remove the tumor -"

Is that pencil of yours a magic pen?Why can I draw a painting so quickly and still be so detailed and beautiful?

The circle of doctors around him began to close, and Robert relied on his strong body to protect Yang Ping from these unscrupulous people.