godfather of surgery

Through Song Yun's regular phone reports, Yang Ping learned that all the patients he had surgery at Xiehe were currently in stable condition.

The patient who suffered a penetrating injury from a steel bar falling from a high altitude did not develop the feared infection. It seems that the large amount of saline flushing at that time still worked, significantly reducing the probability of infection.

Because the injury was too serious, he has not been transferred out of the ICU yet. Although his condition is improving, he faces a new problem. His wife came to the hospital once to learn about his condition and never came again. The ICU called several times. Called his wife, but his wife refused to answer the phone and made it clear she refused to pay for his medical bills.

This puts doctors in the emergency department and ICU in a very difficult position. It is both a rescue operation and a post-operative treatment in the ICU. The huge medical bills owed will be an unresolved case.

Although he has medical insurance, the amount of medical insurance reimbursement in this case is very limited, which is why some people who have medical insurance still cannot afford medical expenses.

The baby who underwent coronary artery bypass grafting recovered the fastest. He had begun to giggle, and the number and amount of milk he fed every day was much greater than before. Postoperative coronary angiography showed that the bypass vessel was very smooth, so Director Wen decided to start large-scale surgical treatment of coronary artery stenosis in Kawasaki disease.

The pancreatic cancer patient in the pancreatic surgery department has been transferred out of the ICU and can now eat smoothly. No matter how long he can survive, at least he has a life now.

Nie Shun'e's recovery is surprisingly good, which may be related to her open-minded and cheerful mood. She is completely relieved. How many years can she live? It is better to wait until her son goes to high school than now. If she can wait until his son goes to college, she will basically She has no regrets. If she is lucky enough to survive her son's graduation from college, she feels like she won't ask for anything anymore.

While she was hospitalized, Nie Shun'e often went to Yu Shuilian's bakery to chat with Yu Shuilian. Maybe they were both women and suffered such a big change, so they shared many common topics and quickly became good friends.

Nie Shun'e and her husband walked around Sanbo Hospital a lot and found that there was a lot of people around. It was a good place to do business, especially mobile night snack stalls. However, as outsiders, it was impossible to let them do business around casually. , Nie Shun'e thought about asking Professor Yang for help, but quickly gave up the idea. Professor Yang helped her perform the surgery, and it was embarrassing to bother others. Even if Professor Yang agreed, it would be difficult for others. Professor Yang is a doctor, how can others take care of such things? .

After much deliberation, Nie Shun'e was going to ask the old man selling sweet potatoes on the overpass to find out how he could legally sell sweet potatoes on the overpass. Nie Shun'e was smarter. She didn't ask directly. Instead, she spent a few days getting close to him. She bought two sweet potatoes every day, and then learned that the old man usually liked to drink a little wine.

So Nie Shun'e bought a bottle of Erguotou and went to the old man. The old man was very happy and told Nie Shun'e the secret: take your ID card and discharge record with you when you arrive, and boldly bring the guy to open the business after you find the right place, but don't occupy it randomly. Transportation must be measured. Whether it is hospital security or urban management, take out your ID card and discharge record and tell them that the patients who were discharged from the surgical institute have poor family economic conditions and have no choice but to give them a place to live. This way the security guards and urban management won't cause trouble for you anymore, and they will just ignore you next time they see you.

Of course, you can't cheat. Sometimes they will investigate. It's not good to cheat.

It turned out that this was the case. Nie Shun'e said: "Old man, what was your condition when you were hospitalized here?"

The old man waved his hand: "I don't mention this matter. I feel sad when I mention it. It's a sin. I was on the news. My granddaughter, who was less than one year old, had dozens of needles inserted into her body by her son and stepmother. Professor Yang was the one who helped to remove it." When I came out, this good-for-nothing son and the scorpion woman had been arrested and imprisoned. My wife had to take care of his granddaughter, so I could only go out and work to earn some money to support the family. We were laid-off employees from the company at the time, and we never had any serious jobs after that. It was nothing. pension."

This old man still has stories to tell, but at their age, they might leave one day. What will happen to this little granddaughter?

"My relatives are not willing to adopt her, so I have no choice but to find an orphanage in the future." The old man said while roasting sweet potatoes.

After asking about business in the surrounding area, Nie Shun'e's husband Yuan Yulin suddenly remembered that the good people at the charity left a message at that time: be sure to inform them of the treatment situation at any time.

Although I did not accept their relief funds, choosing Sanbo Hospital was a suggestion from a well-intentioned person. It is reasonable and polite to respond to the well-intentioned person.

I was so busy during this period that I actually forgot about this. I can’t let the good people’s hearts go cold. If it weren’t for the enthusiastic guidance of the kind people at that time, how could they have known that Sanbo Hospital could perform this kind of surgery? If they didn’t come to Sanbo Hospital, what would they have done? Maybe I met Professor Yang. Without Professor Yang as the surgeon, it would not have been as good as it is now.

At that time, a kind-hearted person left a phone number when he came to visit them, so he called them and reported back the good treatment effect.

At this time, Wang Ge was sitting in the office and couldn't believe his ears. He was confused by Yuan Yulin's call. Not only did Nie Shun'e undergo the operation, but she also recovered well after the operation and was now ready to be discharged from the hospital.

real or fake? How is this possible? Is there any misunderstanding?

Top experts from Juntendo Hospital in Japan have evaluated that it is impossible to operate on this kind of patient because the only surgical method is ex vivo resection. However, the risk of ex vivo resection is too high and the probability of failure is too high. Almost no doctors are competent. Could it be that the judgment of Japanese experts is wrong?

In order to confirm this matter, Wang Ge sent Wang Jianjian to buy a fruit basket and visit Nie Shun'e again with the consolation money. Of course, Nie Shun'e and his wife only accepted the fruit basket and refused to accept the consolation money.

The poor are a little poorer, but they decide everything by themselves and are unwilling to accept donations from others and do not want to owe favors.

After getting the confirmation, Wang Ge was even more confused. He knew that Yang Ping had high medical skills and a high status in Sanbo Hospital, but he didn't expect it to be so high.

In that case, the plan to rely on Nie Shun'e's case to attack Yang Ping has failed.

How to do?

As for Teng Xinmei's case, Teng Xinmei's family members have agreed to cooperate. Wang Ge knew at a glance that Teng Xinmei's mother was a money-grubbing person. This kind of person is the easiest to deal with.

Nie Shun'e is not greedy for money and has her own principles. This kind of person is difficult to be manipulated by others.

At this time, Nie Shun'e's husband called again and said that he was going to send a banner to Wang Ge's unit to express his gratitude to the kindhearted people.

This shocked Wang Ge. How dare he let them come to his office? He had been hiding all day long and doing all the shameful things.

Wang Ge couldn't laugh or cry now. He actually became a good person. What a coincidence.
-

Clinic on the 1st floor.

Professor Deng Jianliang, a neurosurgery expert, is busy because he is preparing to admit a special patient, but is temporarily hesitant. Professor Deng is also an old professor introduced by Sanbo Hospital. He is a member of the expert group and a consultant for the neurosurgery of Sanbo Hospital. Originally, these old experts were scattered in various departments for outpatient services. After the establishment of the Institute of Surgery, Director Xia allocated all these old experts to the outpatient clinics of the Institute of Surgery.

The patient's MRI film was hung on the reading lamp. Professor Deng studied it repeatedly and thought it would be more appropriate to call Yang Ping down for discussion, so he made a phone call.

Yang Ping had just undergone surgery, so he didn't even have time to change into his washing clothes. He put on a white coat and hurried to the clinic.

The patient and family members are in Professor Deng's clinic. The patient is a young woman in her twenties or eighties. She is sitting in a wheelchair. The person holding the wheelchair next to her is probably her husband or boyfriend, a tall and handsome young man, about the same age as the woman. , about twenty-seven or eight years old.

"Penguin disease!" Professor Deng pointed at the magnetic resonance film on the reading lamp and said to Yang Ping who came over.

Penguin disease, the scientific name is hereditary cerebellospinal ataxia, the pathogenesis is unclear. The disease usually mainly accumulates in the cerebellum, but sometimes the spinal cord and cranial nerves are also affected. After the onset of the disease, patients usually first show unsteady gait and walking. Waddling like a penguin, as the disease progresses, writing difficulties and fine motor impairments, speech impairments and swallowing difficulties, nystagmus, diplopia, etc. may occur.

Patients usually lose the ability to walk 10 to 15 years after the onset of the disease. Once the ability to move is lost, various complications are likely to occur. These complications often affect the patient's lifespan, and when the disease progresses, it will eventually cause respiratory failure, and breathing will stop while sleeping. , so this disease not only brings long-term physical and mental torture to the patient, but also puts a heavy burden on the patient's entire family, making them miserable.

Because this disease currently has no effective treatment and is considered a terminal illness, current drug treatment and rehabilitation are not very effective and can only slightly slow down the progression of the disease. Even the United States, which is known as a medically advanced country, still has no treatment for this disease. Basic research stage.

"You can check the physical again. I just checked. Babinski's sign is positive, hands are obviously trembling, ataxia, involuntary movement disorder, and autonomic nervous system disorder. These symptoms are already obvious." Professor Deng introduced the patient he had just obtained. First hand information.

"The little girl also came because of the name. She heard about the name of the Institute of Surgery, so she came to us to see if we have any ideas. We also accept experimental methods." Finally, Professor Deng explained the patient's purpose.

The young man accompanying him took advantage of the break in the exchange between Yang Ping and Professor Deng and immediately greeted Yang Ping: "Professor Yang, I am Lao Xiao's colleague, from the city fire brigade."

Lao Xiao, the young firefighter said Lao Xiao was Xiao Guoqiang. Yang Ping was a five-segment reimplantation patient. Later, Lao Xiao fell in love and got married to a primary school teacher. When they got married, Yang Ping and his colleagues in the department attended the wedding together. .

During the holidays, Lao Xiao and his wife would always buy some fruits and other things and come to Yangping’s department to visit doctors and nurses. Sometimes they would also participate in some volunteer activities at Sanbo Hospital.

''Yeah, hello, hello! How are you doing, Lao Xiao? "Yang Ping shook hands with the firefighter.

"He is very good. Now he is changing jobs in logistics. I have always wanted to return to the front line, but the organization does not agree. My name is Fang Liu, and she is my fiancée. Her name is Lan Xueping." The firefighter simply introduced Lao Xiao to Yang Ping. He also introduced himself and his fiancée.

This young firefighter has a tall and straight figure, a clear face, and a very handsome appearance. His appearance can be said to be very good, and his speech is also very smart.

The girl in the wheelchair looks very ordinary, with a bit of a girl-next-door temperament. Due to the ravages of the disease, she is curled up in the wheelchair, with her body and limbs constantly moving involuntarily.

Hearing what Fang Liu said, Yang Ping thought that maybe Lao Xiao had called him but he hadn't received the call because the surgeon was often on the operating table and sometimes missed answering calls and checking WeChat.

Yang Ping quickly checked his cell phone. There was indeed a missed call from Lao Xiao on his cell phone. Looking at WeChat, there was also a WeChat message from Lao Xiao. Lao Xiao was not actually old, but everyone respectfully called him Lao Xiao.

Lao Xiao's WeChat message said that he recommended his colleague Fang Liu to take his fiancée to the Institute of Surgery of Sanbo Hospital for treatment, hoping that he could help take care of her.

Maybe Yang Ping's cell phone has been locked in the locker in the locker room and Lao Xiao has been unable to contact Yang Ping, so he asked his colleagues to go to the outpatient clinic to see an old expert first.

"Look, Lao Xiao has contacted me in advance and told you about you, but our mobile phones are often locked in the cabinet. I just saw his missed calls and WeChat messages when you mentioned this." Yang Ping lit up. cell phone.

"It's okay, the doctor really worked hard." Fang Liu said.

At this time, Lan Xueping in the wheelchair turned to look at the kettle that Fang Liu carried with him. He might want to drink water. Fang Liu immediately understood and quickly opened the lid of the kettle and fed it to the girl, fearing that she would choke. Fang Liu was very worried. He carefully fed her in small sips, and after drinking, he used a paper towel to wipe away the remaining water around the girl's lips. The whole process seemed extremely attentive.

After understanding, there have been several penguin disease patients in the Lanxue family. Uncles, uncles, and aunts have all inherited this disease. This disease is an autosomal dominant inheritance. There is no distinction between men and women. They are all similar. Lan Xue Ping's father died prematurely due to penguin disease.

Lankoping's magnetic resonance image hung on the reading lamp. Yang Ping read the image carefully: the cerebellum and brainstem had been severely atrophied, and the subarachnoid space had expanded, like a huge arachnoid cyst.

Fang Liu also bought a Japanese medicine called tartirelin through various channels. This medicine can relieve symptoms. It is indeed effective when bought and taken, but it only relieves symptoms and delays the disease, so the more it is used, the more limited the effect will be.

Since it manifests as atrophy of the cerebellum, brainstem, and spinal cord, we can try to relieve the compression of these structures.

A concurrent vascular pedicle muscle flap graft was performed to increase the blood supply to these structures.

Yang Ping feels that this is completely feasible in theory. Until there is no other better way, if you follow this idea, there will be some results.

At least Yang Ping used this method when he was studying difficult cases in the system space. Unfortunately, the experimental subjects in the system space at that time could only be used for anatomical research and surgical training, and could not conduct long-term postoperative observation of efficacy. So, after all, Yang Ping himself doesn't know whether it is effective or not. He only speculates that it is effective from a theoretical perspective.

"Admit him to the hospital and let's find a solution."

Yang Ping said.