godfather of surgery

It seems that reflection monsters not only appear in China, but also in foreign countries, and they have something in common with human nature.

Yang Ping looked at their chat in the group and couldn't help but smile a little. He didn't want to be famous, but now he is famous. He didn't want to become an Internet celebrity, but the name Professor Yang has become the most popular on the Internet.

If Yang Ping goes live to sell goods at this time, I am afraid he will not lose to those first-line Internet celebrities. After all, Yang Ping is still very expert in explaining medical-related products, such as health products. The 13 CNS articles themselves are a halo. This halo is more effective than any advertising.

In fact, a large company has already sent invitations to Yang Ping, hoping to come forward to deliver goods through live broadcasts. Several domestic and foreign health care product companies have offered sky-high commissions and encouraged Yang Ping: Maybe he can make more money by bringing goods in one time than being a doctor. You can make so much money in your life, why bother working so hard.

Yang Ping just smiled at these invitations. He did not doubt that he could make a lot of money by using his fame to sell goods through live broadcasts, and it would be countless times easier than being a doctor and doing scientific research.

The chat in the WeChat group is very relaxed and free. After everyone chatted about the recent sensational current affairs gossip, they turned to academic discussions, and the two seamlessly switched.

Subsequently, the group posted a video and related information on Yang Ping's transapical myocardial rotation technique. Li Zehui has joined the group chat as an informal member. He is a cardiac surgery expert at Cleveland Medical Center, so he is more interested in this new surgery than anyone else. He was the first foreign doctor to come into contact with Yang Ping's new technique.

Yang Ping didn't have time to pay attention to the WeChat group chat for the time being. He went home from get off work with Xiao Su, and the two of them washed vegetables and cooked together.

As time goes by, Xiao Su's belly gradually grows. Fortunately, Yang Ping rarely needs emergency surgery now and can take care of Xiao Su after get off work.

Mrs. Su wanted to come over to help in person, but Xiao Su refused. She said that now was not the time and she would wait until she was about to give birth.

Xiao Su was doing some simple fitness exercises by herself in the room, while Yang Ping was reading and studying in the study room.

Around 10:30, the two began to rest.

When there is no emergency surgery, Yang Ping rarely goes to bed beyond [-]pm. Only by ensuring sleep can he ensure his own health.
-
In the provincial capital of Nandu, many people are still awake even late at night.

Guo Peihua is one of them. He is a programmer and a successful programmer. He works in a large Internet company and has an annual salary of more than one million.

He has a bad habit of staying up late.

Not only does he stay up late, he also likes to smoke and drink, at least two packs of cigarettes a day.

Because of his high status in the company, Guo Peihua can often work from home. It is common for him to stay up until two or three o'clock at night before going to bed. He enjoys this kind of life very much. In the dead of night, typing keyboard code programs, he considers it a kind of enjoyment of life. .

Because of his youth, Guo Peihua, who just turned 30, thought that he was very young and would not have any health problems. During the physical examination at the company, he was found to have high blood pressure. The systolic blood pressure once soared to 180mmHg, and the diastolic blood pressure also exceeded 110mmHg.

The doctor told him that he must go to the cardiovascular department to find out the cause. Whether it was primary hypertension or secondary hypertension, it must be treated.

But Guo Peihua just smiled, laughing in his heart that the doctor had never seen the world. His grandfather and father both had high blood pressure and there were no problems. His father was able to work now, and his grandfather did not die until he was 90 years old. Is high blood pressure so scary?

In addition, Guo Peihua likes to surf the Internet and dig out articles with novel insights into the world.

Guo Peihua is particularly fond of conspiracy theories. He likes some of the conspiracy theory articles circulating on the Internet and believes them deeply.

He is convinced that there are problems with the diagnosis of hypertension. He believes in those conspiracy theories that are fabricated to attract attention. He believes that hypertension is a concept created by the evil capital behind it to make people take its antihypertensive drugs to make money throughout their lives. Guo Peihua feels that he Now that I have more energy and no discomfort, I believe more and more that this is nonsense.

Tomorrow is his birthday, and he is very happy. He invites a few friends to have a late-night snack, barbecue beer and brag, and compete with gods in his free days.

It wasn't until about one o'clock in the morning that Guo Peihua started working. He had recently developed a new game and was pressed for time. With a cigarette in his right hand and coffee in his left hand, Guo Peihua officially started working.

About half an hour later, Guo Peihua felt a little pain in his back. It was uncomfortable, the kind of deep, intangible pain. He took a rest and endured it, thinking that he had an attack of cervical spondylosis. In the past, cervical spondylosis also caused cervical spondylosis. Shoulder or back pain.

Although he has an annual salary of one million, he is not married yet and lives alone, so he uses a vibrator to massage himself.

He doesn't want to get married so early because he doesn't want to be tied down by his family. He has an annual salary of one million and can travel whenever he wants.

As for personal problems, in modern society, as long as you have money, they are very easy to solve, and they can be solved in different ways. Guo Peihua is immersed in this free life.

The massage stick didn't work, so he switched to a fascia gun, but it still didn't work. Guo Peihua had to take two diclofenac sodium pills. He is highly educated and often teaches himself some medical knowledge, so he has commonly used medicines at home.

Two non-steroidal painkillers were of no use. He originally wanted to consult his high school classmate who was a doctor, but thinking about it, it would be useless to ask about such a big thing. It is not these things - cervical spondylosis, ask the doctor. This is how I take medicine too.

He rested on his special work chair and turned on the massage mode. The work chair was a massage chair worth more than 1 yuan.

Without warning, suddenly, tearing pain appeared in his back. Guo Peihua felt his heartbeat was pounding, and his entire chest and abdomen were beating, as if a rabbit was trying to break free and jump out. He had never experienced this kind of pain. , it hurts, it hurts!Heartbreaking!
He endured the pain and called his high school classmates - and finally got through: "My back - the tearing pain - I really can't bear it, what medicine should I take?"

A high school classmate was a regular doctor. Hearing Guo Peihua's words, he was frightened. He quickly said: "Hurry up and call 120. It's an emergency. Help!"

This classmate was extra cautious, fearing that Guo Peihua would faint or something unexpected happened, so he immediately helped dial 120. He knew Guo Peihua's address.

The 120 emergency ambulance roars in the night sky late at night. It must be faster than the speed of death.
-
It was more than two o'clock in the middle of the night.

Yang Ping's cell phone rang. He hadn't received such a call in the middle of the night for a long time, and his professional habits made him wake up instantly.

The other party is Professor Cao Zhenshan: "Professor Yang, I have a total aortic dissection tear, from the ascending aorta to the iliac artery. Can you perform the surgery?"

"can!"

Yang Ping was changing clothes while answering the phone. After answering the phone, he had already walked to the door.

"Okay, I'll ask the patient to be transferred to our hospital immediately."

"I'll go right now!"

This kind of aortic dissection tear tears from the ascending aorta to the iliac artery. The entire aorta and the iliac artery need to be replaced. This is a top surgery in major vascular surgery. The operation is very urgent and a real race against time!

Xiao Su sent her husband to the door. He knew that the surgeon was like this, and he had been prepared to accept this reality since he chose him.

Yang Ping had no time to bid farewell to his wife tenderly and hurried to the hospital. He had been running, running alone in the community late at night.

"Hey, stop! Stop! Stop!" The security guard on night patrol noticed someone running and thought it was a criminal who saw the security guard running away, so he ran after him, shouting as he ran, and used a walkie-talkie to notify his companions.

Yang Ping had no choice but to stand still, turned around and waved: "Doctors from Sanbo Hospital opposite! Hurry to get first aid!"

The security guard stopped, breathed a sigh of relief, and waved his hand to indicate that he had been released. Yang Ping continued to run, rushed across the overpass, and rushed to the emergency department.

"Quick, come to the emergency department and inform Lao Xu and Zhang Lin Xiaowu that the aorta is completely torn. Rescue surgery!" Yang Ping called Song Zimo while running.

This kind of surgery, the golden combination, can maximize the success rate.
-
The emergency department is brightly lit 24 hours a day.

Professor Cao Zhenshan, who was in his 70s, was answering the phone. He saw Yang Ping making a gesture, and then continued on the phone: "I know, Professor Yang has arrived, and the patient is on his way to our hospital. Leave it to us."

The person who was talking to him was Professor Xin from outside the imperial capital. Not long after he returned to the imperial capital, he received the emergency call.

Ouyang Songhua, the director of cardiovascular surgery at the First Affiliated Hospital of Nandu, was his student. He had just returned from attending an academic conference abroad. Before he even sat down at home, they received a horrific emergency case. A full-segment aortic dissection was torn, and he died. Suddenly, an emergency full-segment aortic replacement was needed, and only Director Xin could perform this surgery very skillfully. Ouyang Songhua had never done such a dangerous major surgery before and could not perform the surgery.

Professor Xin Weicong of Fuwai Hospital can be called the No. 1 in macrovascular surgery in China. Macrovascular surgery is a branch of cardiovascular surgery, which refers to the surgery of the aorta and superior and inferior vena cava.

In the past, when encountering this kind of situation, he would fly around the country with his team and fly knives to save these people locally. However, most patients could not wait so long, so they had no choice but to fight for their lives.

Only about 2% of patients in this category can be saved, 98% of patients cannot be saved, and most of them have no chance to come to the hospital.

Professor Xin Weicong, who is the best in this kind of surgery in the country, is always saving people. Some people who can go to the Imperial Capital are saved in their hospital; those whose condition is too serious and cannot be transferred, the doctors fly to the local area to save them.

In the past 20 years, Professor Xin has led his team to "put out fires" all over the country. In this way, only 2% of patients with this kind of aortic dissection have the opportunity to undergo surgery and ultimately survive.

With this disease, there are far more people who have no chance of being cured than who can be saved.

There was no other choice at this time. Either Director Ouyang Songhua performed the surgery. Even if the patient could go to the operating table, Director Ouyang Songhua had no surgical experience and could not save the patient.

So Professor Xin could only lead his team to fly to Nandu. However, the patient was too anxious and the "vascular balloon" inside would explode before he could survive for so long.

In desperation, Professor Xin thought of Yang Ping. He tried to ask Professor Cao if Yang Ping could perform this kind of surgery. If it could be done, it would be easy to do. If not, the patient would have to risk his life by 2%. The probability.

Professor Cao Zhenshan no longer doubted anything, but went straight to the point and asked Yang Ping, "Is it okay?"

OK!That will definitely work!

He has accepted this concept.

Professor Cao put down the phone:
"The patient is still on the way. An emergency CT scan was performed in the attached 70st hospital. Come and have a look." Professor Cao did not feel at all that he was already over [-] years old and still in good spirits. It was not that his body was really better than that of young people, but that After decades of professional training, when encountering this kind of life-saving thing, no matter how exhausted you are, you must be in good spirits.

The electronic screen in the emergency department opens. This computer is connected to the Internet and is specially used to receive examination data transmitted from other hospitals.

CT scan images of the entire thorax and abdomen are presented, starting from the ascending aorta, crossing the aortic arch, down to the descending aorta, then to the abdominal aorta, then to the iliac artery, and still down to the femurs of both thighs. The arteries were all torn apart, and a huge long oval black balloon filled the chest and abdominal cavity, pressing the adjacent organs to one side.

This "balloon" about life can explode at any time. Once it explodes, almost all the blood will be scattered in the chest and abdominal cavity, and the patient will die instantly.

A horrific aortic dissection and tear, Yang Ping had never seen anything like this in reality.

Yang Ping and everyone around him took a deep breath and felt chills running down his spine. He wondered if this patient could make it to the hospital alive.

The probability is less than 2%, I don’t know if he has this fate.

Song Zimo, Xu Zhiliang, Zhang Lin, Xiao Wu, Fatty Liang, and Yang Ping's entire team were already in place, sitting next to him.

The extracorporeal circulation team of Sanbo Hospital also arrived in time. This kind of surgery requires cardiac arrest and is completed under extracorporeal circulation.

"Professor Yang, are you okay?" Professor Cao Zhenshan asked, swallowing his saliva.

Yang Ping nodded: "No problem, let the cardiologist prepare all the instruments and artificial blood vessels, and I will perform the surgery."

Yang Ping's answer was very confident, calm and rational.

"Director Xin's phone number!" Professor Cao Zhenshan's phone rang again, then he said a few words and handed the phone to Yang Ping.

"Professor Xin, don't worry. As long as the patient can make it to the operating table alive, I won't let him slip away." Yang Ping said a few words of encouragement, and then described how the operation would be performed.

After Professor Xin listened, he knew that Yang Ping was a real expert with rich experience in large vascular surgery. He had not performed hundreds of surgeries, so he could not say such a thing.

After talking to Professor Xin on the phone, Yang Ping returned the phone to Professor Cao. Professor Xin told Professor Cao on the phone: "Let Professor Yang do the surgery. Follow Professor Yang's arrangements in everything. Don't let Songhua do the surgery."

Ouyang Songhua is the director of the Department of Vascular Surgery at the First Affiliated Hospital of Nandu. Director Xin believes that he does not yet have this ability.

The emergency department was already crowded, and now there are even more people, but the 120 bus has not arrived yet.

Yang Ping was not in a hurry. He had already passed the state of anxiety. He was sitting in front of the electronic screen, tapping his fingers on the table, and he was very measured.

"As soon as the patient arrives, go directly to the operating table!" Yang Ping told Song Zimo and Director Xiang of the Department of Cardiac Surgery.

I had just learned the myocardial rotation technique from Professor Yang, and had just watched the surgery on ten pigs with great enthusiasm. I didn’t expect that there would be no buffer for such a dangerous patient.

I paid my respects to the director, who had never done this kind of surgery.

"Guo Peihua, male, 29 years old -"

Attachment [-] has transmitted more data, but the patient has not arrived yet.