godfather of surgery

Chapter 797: Walking Case Report

Hearing Yang Ping's statement that he was [-]% sure, McGeefu was moved to tears. He visited several major hospitals, but the doctors did not dare to perform this kind of surgery and said they had never done it before.

Even Professor Chen from Fuwai has no good solution, but now the child really can't hold on anymore and must undergo radical surgery.

Professor Chen found his mentor, Academician Wang, who specializes in pediatric congenital heart disease. After convening everyone to discuss, Academician Wang felt that the operation must be performed, but the risk was very high. All the structures of the heart needed to be reshaped during this operation, and he might not be able to get off the operating table. The success rate of the operation is at most 20%, and the operation time takes about [-] hours.

At most [-]%, this only refers to the completion of the operation, not including the heart being able to beat after the operation.

If we consider the possibility of the heart beating again after it stops beating, I don’t know how much it becomes from [-]% to [-]%.

Because the operation took too long, and the duration of cardiac arrest was also very long, so long that there was no precedent.

That is to say, even if the operation goes well, whether the heart can beat again in the end is a problem. Even Academician Wang has no confidence and can only gamble on luck.

But at most [-]% - whether the heart can beat again depends on luck. This is the most promising thing McGeefu has heard.

I was feeling uneasy just now, but now Yang Ping says [-]%, can I not make people happy?
Looking at the excited Mai Jifu, Yang Ping felt that it was still necessary to explain the details of the operation objectively:

"The operation is very difficult and the risk is very high, but it is not completely uncertain. I think it is [-]% sure. You can take the risk and try it. The operation time is relatively long, it takes ten hours."

"Ten hours?"

This number made Mai Jifu excited again. It seemed that Director Chen was really responsible and found a good doctor for himself.

Yang Ping saw McGifu's expression and thought he was frightened by the ten hours, so he explained: "Don't be too nervous. This is just the estimated time. In order to reduce the time of cardiac arrest, we will try to shorten the operation time as much as possible."

In this case, heart restart will no longer be a big problem?

McGeefu is now very familiar with this operation, and he also clearly understands the medical concepts of a heart that does not stop beating.

Since he was [-]% sure, Professor Yang must have performed many such surgeries, but McGee was too embarrassed to ask directly, appearing not to trust the experts.

So he turned around and asked, "No wonder Director Chen recommended you. Professor Yang is very experienced in this field. Professor Yang must have done many such cases."

Yang Ping said without thinking: "This is the first time I have encountered your son's situation. This kind of surgery should be the first in the world."

This is the first case in the world. Have you never encountered it before?
The confidence he had just now was immediately extinguished by the ice water. The subtle expression on McGeefu's face was strange, trying hard to hide his disappointment.

Yang Ping smiled: "Although I have never performed an operation like your son's, I have performed many more difficult and risky cases, and none have failed so far."

It turns out that's what happened. McGeefu's confidence that had just fallen was immediately restored. This kind of emotional ups and downs was really uncomfortable. It was like wearing underpants when it was hot at first, and suddenly there was a cold wave, and he immediately added a cotton-padded jacket. As soon as he put on the cotton-padded jacket, he immediately felt 40 High temperatures are coming.

After hearing what Yang Ping said, McGifu immediately replied: "I am willing to take the risk, yes!"

In recent years, McGifu has either been taking his children to see a doctor or on the way to see a doctor.

The child also undergoes surgery - taking medicine - surgery - taking medicine, a constant cycle, without a good day, the whole family is shrouded in shadow, and everyone has a sad face.

Fortunately, the couple has good financial conditions and has spent more than 200 million on medical treatment.Of course, for their current economic situation, more than 200 million is nothing. His annual after-tax income is more than 200 million.

If it weren't for such good economic conditions, this family would have collapsed long ago.

Professor Yang now says that he is [-]% sure that the operation will only take ten hours. What else can he say? He can go directly to the operating table.

"If there are no problems, just go to the hospital."

Seeing that Mai Jifu had no objection, Yang Ping said.

In fact, it's that simple. I'm admitted to the hospital for surgery. It's boring to talk about it too much.

McGeefu had never been so happy. He nodded excitedly: "I'm going to go to the hospital right away. How should I go through the hospitalization procedures?"

"You go to the doctor's office, and I will find a doctor to handle the procedures for you directly. The child does not need to go with me. I will ask the nurse to arrange the bed first, and you can just go and handle the procedures." Yang Ping simply explained a few words, and the matter was confirmed.

As expected, he is the No. 1 cardiac surgeon recommended by Dr. Chen in the Imperial Capital. He is very easy-going and can confirm the operation in just a few words.

When he first came to the General Surgery Department, Mai Jifu saw several signs hanging at the door: General Surgery, Surgical Research Institute, and Clinical Experimental Base for New Surgical Technology———
Although McGeefu, who graduated with a doctorate, is not a medical student, he knows that the name of the Institute of Surgery will not be displayed at all unless there are a few brushes.

Coming out of the interview room, An Yinghui saw an unprecedented relief on her husband's face. Even her usually frowning brows relaxed, and she secretly asked her husband, "What did Professor Yang say?"

Mai Jifu couldn't restrain his excitement: "Professor Yang said that he will be admitted to the hospital immediately for surgery. The surgery is [-]% sure."

"Has he had this kind of surgery?" An Yinghui asked in surprise.

McGifu lowered his voice and said: "He has never done anything like Zi Jing, but he has done something more difficult than him. The current success rate is 100%."

An Yinghui almost cried. After so many years of hard work, she finally saw hope.
-
McGeefu completed the hospitalization procedures, the nurse had already arranged the ward, and the family settled in to wait for the operation.

Yang Ping was looking at Mai Zijing's case information in the office. Song Zimo had just completed endoscopic training. He heard that there was a cardiac surgery patient and was very interested.

"When did you collect this and what happened?" Song Zimo asked curiously.

Yang Ping pointed at the screen: "For patients referred from Fuwai, you can see for yourself what's going on!"

Song Zimo immediately looked through the case information: "What's going on? There is no interventricular septum at all, and the aorta and pulmonary artery are opposite in length? There are malformations in the interatrial septum, tricuspid valve, and mitral valve. What should I do?"

"They came to us for surgery, what else can they do?" Yang Ping said angrily.

"Can this also be operated on?"

Song Zimo now has a very good foundation in cardiac surgery, but he has never seen this kind of surgery in books.

Yang Ping brought up the drawing board from the computer, used the mouse to draw a picture of Mai Zijing's heart, and said: "Total cavity reconstruction + aorta and pulmonary artery rotation!"

Total cavity reconstruction + aortic and pulmonary artery switching?
Song Zimo thought for a while and almost understood what Yang Ping meant: "Reconstruct a ventricular septum, then correct the deformities of the mitral valve, tricuspid valve and interatrial septum, and cut off the two aorta and switch positions for anastomosis?" Yang Ping nodded. .

Song Zimo was shocked: "This is a big project. It is equivalent to rebuilding a house on the ruins. The number of sutures on the heart during the entire operation is almost three thousand? How long does this operation take?"

Yang Ping tapped his fingers on the desk a few times and nodded slightly: "It is said that the operation will take more than 20 hours."

Song Zimo was extremely surprised: "More than 20 hours? Professor, it takes you more than 20 hours to do it, so what kind of surgery is this? It won't take others several days and nights to do it."

Song Zimo has been undergoing surgery with Yang Ping for so long. No matter how difficult the surgery is, there is no surgery that lasts more than 20 hours.

Yang Ping saw that Song Zimo looked like he had never seen the world before: "This is just a legend. Professor, I will take action. I estimate that the battle can be over in five or six hours."

"Professor Shenwu!" Song Zimo gave a thumbs up.

At this time, Xu Zhiliang knocked on the door. When he came in, he saw that Song Zimo was there, so he told Song Zimo: "The hospital sense--over there is a routine inspection-camera-monitoring, and I saw you again--with your white shirt open. Coat, put your hands in your pockets, they - let me tell you, don't do this when teaching ward rounds, now there are several students - also - imitate you, put your hands - in your trouser pockets, white coat Open and majestic!”

Normally, Xu Zhiliang would not want to spend so much time talking in such a long paragraph, but there was nothing he could do about the matter of good brothers.

"Oh, I'm used to it. Ignore them. Come here and take a look at the cardiac surgery cases. Don't you like cardiac surgery very much? Take a look."

Yang Ping said to Song Zimo: "I have watched too many TV series of yours. Most of the surgeons in the TV series open their white coats and show off."

Song Zimo quickly defended himself: "Professor, do I need to wear a white coat to show off in this situation? Just stop anywhere and bring your own traffic."

"Okay, be careful next time. Don't leave it open during teaching rounds. These students are very good imitators. Indeed, several students like to leave their white coats open and deliberately make their white coats float when they walk."

"Professor, it's none of my business if they want to learn. Don't mention it. Speaking of imitation, August and Robert now have to sit in the dressing room for a few minutes before each major operation, leaning on the back of the chair and closing their eyes to relax. It's about reviewing the surgical process, Lao Xu, you seem to have this problem too."

"Me? It seems - you - - aren't you the same?"

"I seem to be the same, I am a professor, talk about cases, talk about cases, professor, this kind of case is very rare, right?"

Yang Ping said seriously: "The first case in the world!"

"The world's first case?"

"Walking Case Report!"

"This is mine, Lao Xu, don't steal it from me."

"Last time - that - you - gave me - - but I have one less - than you."
-
After McGifu settled down, he called Director Chen in Fuwai to report the good news, saying that he had arrived at Sanbo Hospital and met Professor Yang. Professor Yang did not say much, but said that he would be admitted to the hospital for surgery and that the surgery would take ten hours. [-]% sure.

Just a few simple words, but Director Chen was not expected to be frightened. He was [-]% sure that the operation would take ten hours, and there was no misunderstanding.

Professor Chen immediately asked Yang Ping in the WeChat group if it was true, [-]% sure?The operation takes ten hours?
[Professor Yang, Mai Zijing’s father has called me. I am very grateful to Professor Yang for his help. I have two questions that I didn’t quite understand. I would like to ask here. Does the operation take ten hours?Is the surgery [-]% likely to be successful? 】

Yang Ping thought for a while, I am afraid that Professor Chen is worried about this operation. In ten hours, he is [-]% sure. This is what he said to the patient’s family members. He must be more conservative when talking to the family members and not talk too much. Maybe Director Chen has some concerns about this. There was a misunderstanding and I was worried that the operation would fail, so I came here to ask specifically.

[Director Chen, in fact, this operation can be completed in about five or six hours. The success rate is basically no problem. 】

The information Yang Ping gave to Director Chen this time was more accurate and closer to reality than the information given to the patient's family.

Director Chen from Imperial City was speechless. He originally wanted to confirm whether the family members heard wrongly. How could the surgery have such a high success rate and how could the operation be so short in ten hours?

Either the family members heard wrongly, or Professor Yang had a misunderstanding about the surgery. Director Chen thought it would be better to clarify.

Now Professor Yang actually said that for five or six hours, there is basically no problem.

[Professor Yang, have you done this kind of surgery before? 】

Director Chen asked bluntly, everyone is engaged in technology, their thinking is relatively simple, it is better to go straight.

【have never done it!Also the first time to do it! 】

After replying this sentence, Yang Ping did not reply again, because Song Zimo and Xu Zhiliang came in to study the case together, and Yang Ping temporarily put aside the WeChat chat.

When Director Chen saw that Yang Ping had not replied, he became anxious. It was the first time he had done this kind of surgery. How could it be done so quickly? It was impossible.

Since the operation time cannot be so short, the time for the heart to stop beating must be very long. Therefore, whether it can resume beating after the operation is completely unknown. Since it is unknown, how can the success rate be so high?

If you talk to a patient like this, if something goes wrong and the patient's family doesn't understand, it will easily lead to disputes.

Generally speaking, doctors will always be more conservative and leave themselves some leeway.Of course, except for informal doctors, they always pat their chests and guarantee [-]% success.

Other doctors in the group couldn't question it for the time being, so they called each other to discuss it.

Director Chen called his mentor, Academician Wang. Academician Wang said: "Do you know Professor Yang Ping? Have you ever had an operation together?" Director Chen could only answer truthfully: "This is recommended by Xin Weicong. There must be no problem. I am right." I don’t know much about him, I only know that he has recently published 13 CNS articles, and according to Xin Weicong, he does better than him in aortic dissection and coronary artery bypass surgery better than An Zhen’s Professor Xu.”

Director Chen did not go to the old academician's surgery last time because he majored in pediatric congenital heart disease. Of course, he was not on the invitation list, so he never saw Yang Ping perform surgery.

Academician Wang did not confirm or deny the matter. He just said: "It is better to handle it carefully and communicate more with Professor Yang. There must be misunderstandings. Don't let Professor Yang come to the stage with misunderstandings. The patient was recommended by us. For the sake of the patient, And for Professor Yang’s sake, you must follow up.”

After hanging up the phone, Director Chen was a little worried. The main reason was that the operation time was too short and it was impossible. There must be a misunderstanding.

At this time Yang Ping finally replied to WeChat:
[I have done more difficult cases than Mai Zijing. I will send them to you when I have time. 】

Has he done any more difficult cases than this?

[Professor Yang, I took the time to come over and study. 】

[Welcome, welcome and learn from each other. 】

(End of this chapter)