godfather of surgery

The office nurse had just been reprimanded by Director Fang inexplicably, but seeing Director Fang's current state of embarrassment, her anger was half gone. If it weren't for the box of cherries, he would not be allowed to enter the surgical institute today. Door.

Director Fang took out his ID card to register with the security guard. The nurse actually confirmed it with Professor Yang. After confirming that it was correct, Director Fang was allowed in to see Professor Yang. She was treating him like a stranger.

Lao Fang was eager to ask Yang Ping for advice and didn't care to argue with the little girls, but these little girls were bullying others too much.

In Yang Ping's director's office, Director Fang couldn't wait to take out the CT film from the paper bag he was carrying and inserted it on the reading light screen: "Severe hepatic hydatid disease is quite rare now. It was transferred from a county hospital below. His condition is not very good, and it is estimated that he was complicated by a serious infection, which has caused sepsis."

Since the abdominal organ cluster transplantation, Director Fang has boasted at some recent academic conferences that this is the first organ cluster transplantation in Asia to treat autoimmune intestinal smooth myositis.

The most top-notch surgery in general surgery, the first in Asia, this high hat made Director Fang's reputation spread quickly in the circle.

This patient with hepatic echinococcosis was originally a patient of the People's Hospital of the Second Provincial People's Hospital. The county hospital contacted Director Qin Zeqing of the General Surgery Department of the Second Provincial People's Hospital. When Director Qin looked at the CT scans, he found that this case was quite complicated and required extracorporeal liver resection and Autologous liver transplantation is an operation that I simply cannot perform.

Not long ago, Director Qin attended a small academic conference in the province and listened to the academic report given by Director Fang. Then he thought, since Director Fang of Sanbo Hospital can perform abdominal organ cluster transplantation, how can this kind of extracorporeal liver resection and autologous liver transplantation be used? The transplant should be easy, so I called Director Fang and recommended the patient to Sanbo Hospital.

Director Qin made it very clear: The patient's mental state is very poor. Considering that hepatic echinococcosis is complicated by severe infection, he is expected to be admitted to the ICU. The operation is extremely difficult and the risk is extremely high.

Lao Fang said directly: Send it! What's more, ink.

Domineering, Sanbo Hospital is Sanbo Hospital. Director Qin has long heard that Sanbo Hospital is developing very fast. He didn't expect that the general surgery department is also developing so fast, and he is not afraid of such difficult and high-risk cases.

Yang Ping still has a lot of things to do, so I can only take a rough look at the CT scans for the time being.

CT films show that a large number of round and nearly round cysts spread over a large area, and the cysts show the characteristic image of mother-in-law cysts. Hydatid not only invades most of the liver, but also invades the abdominal cavity and breaks through the longitudinal direction upwards. The diaphragm has entered the chest cavity, and a small number of cysts have ruptured. Characteristic images of cyst rupture have appeared: snakes and spindles.

''Not only are there infections, but there are also cyst ruptures. When septic shock and anaphylactic shock are mixed together, it will be difficult to save the patient. Arrange the operation as soon as possible and let me know the time for the operation. "

Yang Ping asked Director Fang to put away the CT films.

Since Yang Ping was very busy, it was not convenient for Director Fang to stay for a long time, so he left with a bag of CT films.

Director Gao came here because he got important news. Song Zimo and Xu Zhiliang are coming back tonight, accompanied by August and Maninstein.

Zhang Lin Xiaowu is on the operating table. Professor Yang is not good at handling these trivial matters and it is inconvenient to leave the department. Director Gao specially comes to handle these trivial matters on his behalf, such as sending a car to pick up people at the airport, arranging hotels, arranging late night snacks, and waiting for Director Gao. You also have to go to the airport to pick someone up in person.

August and Robert used to be roommates, and Director Gao and Robert were good brothers. They often went out to hang out and drink beer together, and they always invited August to join them, so Director Gao and August were also very familiar with each other.

Besides, Maninstein is a well-known Nobel Prize winner in the world, so it’s not a bad thing to take this opportunity to make friends.

"Professor, Zhang Lin Xiaowu and the others haven't finished their operation yet. You go about your business and leave all other matters to me. I have arranged a special car to go to the airport. I will set off with the car immediately. I will also provide their accommodation and a place to eat supper at night." We’ve made arrangements, and we’ll stay in the best suite at the Sanbo Hotel, and have late-night snacks in the private room dedicated to Uncle Er’s grilled fish.”

Director Gao completely regarded himself as a member of Yang Ping's team and kept nothing in mind.

Yang Ping was still thinking about these things just now. When Song Zimo and Xu Zhiliang were in Europe, August and Maninstein made clear arrangements and treated each other with courtesy. When people came to China, they had to be well entertained. Unexpectedly, Lao Gao had already arranged Everything is arranged so that you don't need to worry about it at all.

''Thank you for your hard work, I have to go to the operating room to have a look. "Yang Ping is very relieved about Director Gao.

Director Gao pretended to be slightly angry: "Professor, what are you talking about? Why are you so hard on me? These things are what I should do. You go and do your work. I will go to the airport now."

After speaking, Lao Gao immediately called the driver of the hospital's commercial vehicle and prepared to leave.

The purpose of Manstein's trip was to learn more about Yang Ping's experiment, and he wanted to come in person to get the activation factor of the spatial guidance gene to repeat Yang Ping's experiment. Without this protein factor, the spatial guidance gene cannot be activated at all. , even knowing which segment is a spatially directed gene is useless.

If the spatial guidance factor of the spinal cord can be found, and with a little research and modification, it can become a powerful tool for spinal cord injury repair, and achieve the "original cell repair" he dreams of.

When a Nobel Prize winner comes to visit, it stands to reason that no matter which hospital it is, it will be lively and lively. At least there will be a grand welcome ceremony, and at least the director will personally accompany him. But it is different now. Everything is simple, Maninstein I just came for a private visit as a friend of Yang Ping.

Maninstein himself regarded himself completely as a pen pal and admirer of Yang Ping, and did not regard himself as a Nobel Prize winner. August was just a training doctor who returned to his original training unit to have a look, so everyone Very casual.

When they returned to the hospital, it was already past ten o'clock in the evening. Song Zimo and Xu Zhiliang left the department and had been worried about the normal operation of the department. However, when they went to the ward and asked, they said that Teacher Zhang and Teacher Xiaowu were still performing operations. They couldn't help but be surprised. These two boys are really promising now. They are so diligent and are still undergoing surgeries. It seems that they are not scolded in vain.

In the evening, after Zhang Lin Xiaowu's operation was over, Yang Ping had some midnight snacks with everyone. Maninstein was extremely happy to see Yang Ping, but he didn't expect Professor Yang to be so young, even younger than when he was famous all over the world.
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The next morning, Song Zimo and Xu Zhiliang started working and officially returned to the team. Maninstein and August also participated in the morning shift.

When the shift was handed over in the morning, Xiao Wu and Zhang Lin were used to sitting in the seats of Song Zimo and Xu Zhiliang, but now the two senior doctors had returned. The two brothers were used to sitting there and found something was wrong, so they immediately returned to their seats and gave up their seats honestly. Come out to your superior doctor.

After the shift was over, everyone went into groups for ward rounds. Yang Ping saw Sisi at the nurse station.

Song Zimo reminded Yang Ping: "Sisi is here for review today."

Almost forgetting about this, Yang Ping led everyone to greet Sisi. Sisi was very well-behaved and did not call her "big brother" in public. She also knew how to call: "Hello, Professor Yang!"

The little girl has grown a lot taller again, and her hair is tied back into a ponytail. Compared to before, her hair is obviously much denser, and it looks darker and glossier. A pair of dark eyes are also extremely bright. Because he did not undergo radiotherapy or chemotherapy, his overall complexion has improved a lot, and his face has the unique rosiness of teenage girls.

The femoral extension device on her leg has been removed. After a period of crutch assistance, Sisi can now walk normally. Because there are many examination items, Sisi will be hospitalized for a few days. Her father has helped move some luggage to the ward. The mother is waiting for the nurse to take her temperature and weight.

Sisi now attends a public primary school near the hospital and is already in fifth grade.

''Let's go check the ward first and see you later. "

Yang Ping went to check the ward.

"Sisi, you didn't have breakfast, right? I'll give you the doctor's orders first, and you go check it out first."

Tang Fei personally came to serve as Sisi's bedside doctor.

"The inspection will be quick soon. I have already told them to take the fast lane."

Song Zimo told Sisi.

After the nurse took the vital signs and weight, her mother led Sisi to the ward. She followed behind with the cactus in her arms and said goodbye to everyone with a smile.

After entering the ward, she still placed the cactus on the window sill of the ward. The cactus was green and full, and she obviously took good care of it.

Sisi particularly likes cactus because of its tenacious vitality and ability to survive in harsh environments like the desert.

The little girl has a very strong ability to take care of herself. She organizes her things by herself without her mother's intervention. Soon, she has her things organized.

The books and homework I brought are neatly folded in the bedside table. The slippers are neatly placed beside the bed. The changes of clothes have been folded and put in their own cabinets, which are still neat. The toothbrush and toothpaste are placed in the bathroom. , and they are arranged neatly, which makes people feel very comfortable.

The head nurse gave Sisi's mother a few days off, and Dashun, the director of the security office of the surgical institute, also gave her father a few days off so that the couple could spend time with their children.

Sisi needs regular re-examination, because the osteosarcoma has metastasized, and re-examination is a matter of time. Regular re-examination is to dynamically monitor the recurrence of the tumor, and try to take effective measures as soon as it relapses.

Their family is very happy now. Both husband and wife work at Sanbo Hospital, and their daughter’s condition is under control and she is attending a nearby elementary school. This is thanks to Yang Ping and the doctors at the Institute of Surgery. Yang Ping helped arrange the work. Song Zimo took care of Sisi's schooling.

So Sisi's parents are very grateful to Yang Ping, the Institute of Surgery, and Sanbo Hospital. They work hard and really treat the hospital as home.

There are many examination items for Sisi, including blood drawing, color ultrasound, and MRI examination. In order to reduce Sisi's ionizing radiation, Yang Ping tried his best to postpone examinations such as X-rays until the results of color ultrasound and MRI came out. , if these examinations indicate that there is a problem and further examination is needed, Yang Ping will use CT, bone scan, or even PETCT.

There was nothing that could be done about it. Sisi's immunity had been severely destroyed after undergoing a large amount of radiotherapy and chemotherapy. Now it is gradually recovering. Yang Ping could only do this to try to preserve her only immunity.

After the examination results came out, Yang Ping, Song Zimo, Xu Zhiliang, August and Maninstein gathered in front of the reading lamp.

The tumor recurred!

Abnormal signals were seen in the liver and lungs, which were signs of tumor recurrence.

Song Zimo and Xu Zhiliang's expressions were solemn. Yang Ping squinted his eyes slightly and did not speak. August knew that this patient was Professor Yang's No. 1 patient. Professor Maninstein was helpless next to him. This was a malignant tumor and a human medicine. Puzzles that have not yet been solved, and that have metastasized.

In the current situation, Yang Ping would never dare to use chemotherapy and various types of radiotherapy. There are no suitable targeted drugs for osteosarcoma, so there is no need to think about targeted drugs. A lot of thought has gone into these before.

The only thing that can be used now is the Haifu knife. The Haifu knife uses ultrasonic waves. The biggest advantage is that there is no ionizing radiation. However, the Haifu knife is not omnipotent. Not only is it difficult to focus and aim, but the heat generated by focusing will more or less cause damage to the body. Normal cells cause accidental damage.

Whether they are tumor cells or normal cells, they are killed by heat after being treated with Haifu Knife. The dead cells are slowly absorbed, and most of the holes left behind will be filled with scars. If you do this many times, slowly, the entire organ will be damaged. Scarring will occur and organ failure will occur.

Of course, this situation will not appear immediately. It will take a long time. Especially when children are in the growth and development period and have strong regeneration ability, this situation will come more slowly.

But this is palliative care after all and cannot cure.

Maninstein looked through the medical records in his hand. Now he has no problem reading through the Chinese medical records. As long as a genius with a high IQ is willing to learn, it is easy to master Chinese.

And he gradually realized August's understanding of Chinese, which was difficult at first and then easy. Maninstein had already mastered the pronunciation, writing, meaning and word formation of more than 4,000 Chinese characters. He could almost read most Chinese books without any obstacles. And he is currently working towards more than 6,000 Chinese characters and more than 8,000 Chinese characters.

Chinese is something that once you master more than 4,000 Chinese characters, you can almost master it once and for all. It seems that these more than 4,000 Chinese characters are everywhere. As for the meaning of new words, as long as you read them once and learn them once, it is difficult to forget them. But in English It’s different, you’ll be expanding your vocabulary throughout your life.

Maninstein was very surprised after reading the medical records. The little girl's previous condition was much more serious than this. It had already metastasized to the liver and lungs. Professor Yang not only performed bone lengthening surgery on her to restore normal limb function, but also used surgery to eliminate the disease. The tumors at the primary site, liver and lungs were also eliminated. At least the impact of the tumors was not seen in the postoperative examination at that time. The equipment used uses focused ultrasound energy, not X-rays or various particle knives.

Maninstein had some knowledge of this treatment technique because he had read through various journals and had a wide range of knowledge, but not a deep understanding.