godfather of surgery

The next day, Guo Peihua had already removed the tracheal intubation.

He vaguely heard many voices in his ears, so he tried to open his eyes. He was surrounded by unfamiliar faces.

So, he lay on the bed and looked around, not knowing where he was lying. He couldn't think of anything in his mind, just some fragmented memories and illusory pictures.

Guo Peihua only remembered that she was in a lot of pain, as if her body was being torn apart. Later, she didn't know anything, as if she had fallen into endless darkness. Where are you now?
"Wake up!"

Director Kang was leading doctors on teaching rounds. He auscultated Guo Peihua's heart, and then used a small flashlight to check the light reflex of his pupils on both sides. Suddenly Guo Peihua woke up and opened his eyes.

Director Kang had no choice but to stop the examination, put away the small flashlight, straightened his waist, nodded and said: "Very good, the pupils on both sides are equal in size and round, sensitive to light reflection, the heart beats powerfully, the rhythm is regular, and there is no auscultation in each auscultation area. And if you hear noise, listen to it.”

The dozen or so graduate students, graduate students, and interns gathered around him and lined up consciously. They took off their stethoscopes one by one and listened to Guo Peihua's heart. Guo Peihua didn't refuse. He lay on the bed like a newborn baby. Ignorant and ignorant, he rolled his eyes curiously and looked at the world around him.

He was not sure whether what he saw was real or illusory, because he had been dreaming during this period, but the feeling was clearer than a dream.

He walked alone in the dark tunnel, the surroundings were like a dark abyss, the space kept twisting and creeping, there was a faint beam of light far ahead, a face appeared in the void, and a voice echoed in his ears - go back Come on, go back, so he ran hard, towards the direction of the light, and kept running. He was very tired and wanted to give up, but he gritted his teeth and persisted. He didn’t know how long he ran, and the light became brighter and brighter until The strong light enveloped his entire body, making him unable to open his eyes, but he did not give up, so he tried to open his eyes and saw these dozen faces.

Graduate students, trainees and interns are very unfamiliar with auscultation. They rely on the methods in textbooks to find the auscultation area one by one. The boys are obviously rougher. No matter whether they can find the auscultation area accurately or not, they are all quick and easy to listen to. Wang Wang pretended to nod: "Yes, the rhythm is neat and there is no noise."

The girls, on the other hand, seemed cautious. They used some anatomical landmarks to locate the intercostal spaces, and then counted the intercostal spaces one by one. Finally, they found the auscultation area, and then listened again and again.

It took a long time for more than a dozen people to complete the auscultation.

Director Kang made a comment on the spot: "Cardiac arrest is the basic skill of physical examination in cardiovascular medicine and surgery. Go back and read a book. I just saw that when everyone was auscultating, no one felt the temperature of the listening head themselves, and pressed the cold listening head to Regarding the patient’s chest skin, I have repeatedly emphasized that medicine is warm and humane. These four words should always be engraved in my mind.”

"Where am I?" Guo Peihua asked timidly.

"We are doctors in the hospital. You just had an operation not long ago. You are fine now. Have a good rest." Director Kang held his hand and said gently.

"Hospital?" Guo Peihua didn't believe it.

"Yes, in the hospital, did you feel the warmth on my hands?" Director Kang guided Guo Peihua.

Guo Peihua nodded: "I feel it."

Director Kang smiled and said: "This is human body temperature."

Guo Peihua had a practical expression on his face. Director Kang helped him pull up the quilt and stuffed Guo Peihua's exposed hands into the quilt.

The fear gradually lessened, Guo Peihua looked around again, regained some of his thinking ability, and finally confirmed that this was the human world.
-
301 hospital conference room.

Today's case discussion is very special. It gathers the top cardiovascular medical and surgical experts in the country. In addition to the experts from 301 Hospital, Fuwai and Anzhen, there are also cardiovascular medical and surgical experts from more than a dozen other hospitals.

Of course, even in the case discussion held in 301, as long as the cardiovascular major is concerned, the protagonists must be Fuwai and Anzhen. In terms of cardiovascular major, they occupy one category, and everything else falls into another category, and 301 is also in another category.

In Fuwai and Anzhen, cardiovascular surgery is divided into many sub-specialties.

In each sub-specialty, both hospitals have their own advantages, so after so many years of wrestling, there is still no winner.

When the People's Republic of China was founded, hospitals in the imperial capital took the road of specialization. It was a stroke of genius. It was precisely because of the policy guidance at that time that there were today a number of top hospitals that are proud of Asia and powerful around the world.

Even ordinary people can count them, such as the Temple of Heaven’s Shenwai, Jishuitan’s Orthopedics, Anzhen Fuwai’s Heart Surgery, Tongren’s Ophthalmology, etc.

Political Commissar Qiao presided over the meeting. All the members attending the meeting looked serious and stared at the images on the projection without taking their eyes away.

"Professor Xu, what do you think?" Political Commissar Qiao directly named Professor Xu Yongzhong.

Professor Xu Yongzhong is An Zhen's expert. He is known as Asia's No. 1 in heart bypass surgery. No one can match him in terms of surgical level or volume of surgery.

Professor Xu held the case information in his hand and said calmly after thinking: "Diffuse lesions appear in the distal end of the coronary arteries, and the coronary arteries and branches are severely blocked. There is no way to intervene with a stent. The only way is to bypass the heart. I have calculated repeatedly. You need to build nine bridges to achieve stable and satisfactory results.”

Jiugen Bridge?
Political Commissar Qiao took a deep breath, turned around and said, "Professor Chai, what do you think?"

Professor Chai Shijin is the director of Fuwai Cardiovascular Intervention Center. Fuwai’s Cardiovascular Intervention Center is the largest center in the world, with the highest annual surgical volume in the world. Therefore, one can imagine Professor Chai’s level in cardiovascular intervention.

Professor Chai shook his head helplessly: "The coronary artery and its branches are seriously blocked. The stent I put in can only play a temporary role and will soon become blocked again. I agree with Professor Xu's point of view, and the only option is to bypass the heart."

The objective facts cannot be changed. In this case, it is no longer possible to rely on interventional stent installation. Only coronary artery bypass grafting can have a chance of survival.

"Do you have any other opinions?"

Political Commissar Qiao asked the other experts. Everyone was silent and just shook their heads. The two bosses had already made it clear. The matter was so simple and clear.

In normal times, everyone can use the topic to express themselves and talk eloquently, but in such a serious meeting today, no unnecessary words can be said.

"Nine!"

Dean Liu, who has been silent, is under great pressure. He has a clinical background, but he doesn't know what Kujo is. I'm afraid there are not many people in the world who can perform this kind of surgery. Professor Xu is the only one here who can do it.

The case discussion has been held several times. Since it is so clear, we cannot wait any longer. While the stent is still functioning, we need to perform surgery as soon as possible, otherwise it will be troublesome to go to the emergency room when the time comes.

"Everyone has no opinion, so the diagnosis and treatment plan are very clear. The only option is to perform a heart bypass. Professor Xu, are you confident about this operation?" Dean Liu said straightforwardly.

Professor Xu hesitated for a moment: "I'm confident, but my right thumb suffered a traumatic avulsion and fracture five days ago, which may have some impact on the surgical operation."

Professor Xu is a good athlete. He contused his right thumb while playing basketball not long ago, resulting in an avulsion and fracture of the base of the distal phalanx of his right thumb. It has little impact on general surgeries. He can only endure the pain for a while, but cardiac bypass, blood vessel removal, and blood vessel anastomosis are all possible. It is a delicate operation with a microscope, and all operations are performed on the tip of the knife, without any mistakes.Dean Liu frowned, surgery was the only option. At this time, the surgeon's finger was broken, or it was the thumb, which would inevitably bring a bit of uncertainty and cast a shadow over the operation.

It would not work if other doctors, such as experts from Fuwai or Professor Xu’s most proud disciples, were to perform the surgery. Regardless of the difficulty of the operation or the number of cases, Professor Xu is known as Asia’s No. 1. Even in the world, he is also a rare opponent. When changing generals at this time, be very cautious.

"Professor Xu, can you overcome it? The surgery cannot be postponed for a long time. When the time comes, use partial sealing to block the pain. Will it be better?" Dean Liu suggested.

Professor Xu nodded: "Yes, I have no problem."

Director Xin also attended this meeting, but his area of ​​expertise is in aortic dissection surgery, so he has not spoken just now. Now that he heard that Professor Xu’s hand was injured, Director Xin said: “If it doesn’t work, if you can’t stand hard, can you let Zhong Zuochen Should the professor be the surgeon, or should Chu Shilin be the surgeon?"

Professor Zhong is a professor from Fuwai, specializing in cardiac bypass. He is the number one expert in cardiac bypass in Fuwai. Although he is also a first-class expert, he is inferior to Professor Xu. Chu Shilin is Professor Xu’s disciple. Now he is the deputy chief physician, and he has learned a lot from Professor Xu. He has done a lot of surgeries, but compared to his master, he is always a lot younger.

"No! None of them have built so many bridges. I have built nine bridges at most."

Professor Xu is very persistent. Even if he goes into battle injured, he is still better than them.

This kind of cutting-edge surgery is completely different between those who have experience and those who have no experience, not to mention that the patient is very special.

"Is there any other better way?" Dean Liu was having trouble making a decision at this time.

"Well, let's prepare several plans and try our best to let Professor Xu perform the surgery in the best condition. In addition, we will select a reserve team. If Professor Xu's surgery condition is not good, the reserve team will be on top. This way, everything will be foolproof during the operation. Beforehand, we will conduct an experiment to rehearse the operation of building the Nine Bridges, so that the reserve team can be fully prepared, ready to fight, and able to win." Political Commissar Qiao said.

"I can recommend one person, a young man. I can say without any politeness that his level of cardiovascular surgery is higher than mine, at least his level of aortic dissection surgery is higher than mine." Professor Xin suddenly spoke.

Who?
Everyone asked almost at the same time.

Is the level of aortic dissection surgery higher than that of Professor Xin?

Although Professor Xin is low-key and modest, he is one of the world's leading experts in aortic dissection surgery.

"Everyone here should have heard of this person recently. His name is Yang Ping, the director of general surgery at Sanbo Hospital." Professor Xin said slowly.

Yang Ping?

Of course Dean Liu and Political Commissar Qiao are familiar with each other. In the hearts of the two 301 leaders, this name is more than familiar, it is like thunder. 301 once sent people to Sanbo Hospital twice in order to recruit him.

For his sake, 301 is now planning to acquire Sanbo Hospital and turn it into the Southern Medical Clinical Center.

"Isn't he an orthopedic surgeon?" Dean Liu asked.

Professor Xin said: "To be precise, he was born in orthopedics, and now he performs heart, brain, spine, liver, biliary and pancreatic surgeries, etc. He is mainly engaged in scientific research-oriented clinical work, and is now the director of general surgery at Sanbo Hospital."

"I know, general surgery also performs heart surgery?" Dean Liu was a little curious.

Professor Xin nodded and replied: "That's right. A few days ago, he performed an aortic dissection operation of more than [-] centimeters, from the carotid artery to the femoral artery. The rescue operation only took two hours."

"Two hours?" Professor Xu was very surprised.

When it comes to aortic dissection surgery, Director Xin is undoubtedly the number one, no one can surpass him. Even Director Xin, I am afraid it would take six hours, but he only took two hours.

"So we need to prepare a reserve team. I think it's best to add Yang Ping to the reserve team." Professor Xin strongly recommended.

"This is a great idea, I forgot. He is already one of our members and the youngest member." Dean Liu agreed with Professor Xin's recommendation.

When political commissar Qiao heard Yang Ping's name, he had a headache. This guy is not good at anything, but the meaning above is very obvious. He is to be recruited into 301, but he is unwilling to do so. There is no other way. Now, for him, he can only pack it up. Acquire the entire Sanbo.

However, the management of Sanbo are all talented people. They work hard to cooperate on the surface, but secretly make small moves. They joined the Nandu Medical University system early and became an affiliated hospital of Nandu Medical University. Now the acquisition of it involves a wide range of things.

Qin Shi from the Department of Orthopedics went to Sanbo Hospital twice and returned without success. However, Qin Shi's daughter, after returning from Sanbo Hospital, was distraught and clamored to go to Sanbo Hospital to work.

Qin Shi complained when he met Political Commissar Qiao now that he asked him to do such an errand, but it didn't work out and almost lost his daughter. This daughter doesn't want to be friends now and doesn't want anyone. He told Qin Shi that he wanted to find someone to talk to Yang. It's about the same level, where can I find it?

"Everyone should know about the 13 CNSs recently?" Professor Xin asked everyone.

"You know, Nandu Province's Sanbo Hospital is very popular. With 13 CNS articles, it directly puts the scientific research level first in the country. Haha, it's interesting. Which hospital in the country is so powerful?"

"It's better to publish several articles at once, each with a cover article. I heard that the three journals rush to publish, and some do not even do layout, and publish directly. This is to rush to publish his article, for fear that he will withdraw the manuscript."

"It is said that Maninstein from Germany even helped him write his introduction."

It is rare for such serious case discussions to go off topic, but the meeting did so unconsciously, and everyone kept up with the topic.

"You mean he can build nine bridges?" Director Xu asked in surprise.

Director Xin couldn't guarantee it [-]%. After all, he had never seen him do it, so he couldn't make a joke in this kind of situation.

"Give him a chance to try. It will be clear if the reserve team screening allows him to show off his skills." Professor Xin's answer was very flexible.

Dean Liu thought for a while and said to Director Xu, "Should I count him out?"

Director Xu heard what Dean Liu said, and then he heard Professor Xin claim that he was not as good as him in aortic dissection surgery. This evaluation was extremely high. Don't look at the understatement, it was Professor Xin's admission that Yang Ping was the best in the world.