The Godfather of Surgery

Chapter 488 Coagulation disorders

The second day's meeting was also packed.

Representatives from China and Japan took turns to give speeches on stage, and representatives from other countries were also interspersed, but mainly from China and Japan.

Among other countries, Australian experts have brought good scientific research results.

Australia has a small population, but its medical strength should not be underestimated. Our common medical devices and technologies such as B-ultrasound, pacemaker, cochlear implant, in vitro fertilization and embryo transfer technology, and CPAP ventilator were invented in Australia.

The discovery of Helicobacter pylori in the stomach and the cervical cancer vaccine are also the achievements of Australia. The discovery of Helicobacter pylori in the stomach won the Nobel Prize.

Surprisingly, Singapore's Dr. Lin Mingyuan also brought very good scientific research results - new degradable implants.

Made from a biocompatible and non-toxic magnesium alloy that is comparable in strength to titanium, the implant provides excellent mechanical stability and bone support to facilitate the healing process. More importantly, over time, the implant can be completely decomposed in the body, which is a significant advantage over the current traditional orthopedic titanium alloy steel plate.

In fact, it is no accident that Singapore has such achievements. The Singapore General Hospital is often ranked in the top ten in the world.

Want to know which hospitals are in the top ten?

Medical giants such as Mayo Clinic, Cleveland Clinic, and Massachusetts General Hospital.

Singapore General Hospital can enter the top ten together with these hospitals, and its strength is naturally not weak.

By participating in these academic conferences, you can have a good grasp of the industry's scientific research trends and prevent information blockage and work behind closed doors.

Therefore, Yang Ping listened to other people's speeches very seriously.

At the end of the morning meeting, as the host, Takahashi planned to use the noon time to take Yang Ping out for a stroll, at least to Ginza.

Because of preparations for Fujiwara Tani's surgery, Yang Ping didn't have time to go shopping.

Fujiwara Miyuki invited Xiao Su, Tang Fei, and Zhou Can to go shopping together, but Xiao Su couldn’t bear to leave Yang Ping alone in the hotel and was unwilling to go.

Yang Ping tried to persuade and coax, so Xiaosu went shopping with Meixue.

Soon after the girls left, Fujiwara Gusheng's latest test results came out one after another, and Song Zimo sent it to Yang Ping's mobile phone - coagulation disorder!

Coagulation dysfunction is a contraindication to surgery, that is, for this reason, Fujiwara Tani cannot have surgery.

Not to mention this kind of surgery, even ordinary surgery, coagulation dysfunction is also a hindrance.

Once the operation is performed, the compression of the medulla oblongata by the bleeding in the operation area is more terrifying than the compression of the tumor.

No one would have imagined that such a change would occur.

Yang Ping immediately took Takahashi, Huang Jiacai, and Lao Cheng to meet Masao Fujiwara in the doctor's office in the intensive care unit.

Fujiwara Masao was busy and looked very tired.

I had coagulation dysfunction before, but after treatment, it has been improving, and the coagulation index has entered the normal range. You see, this is the examination a few days ago, and it is normal. I didn't expect it to recur again.

Fujiwara Masao was very worried. Just now, his younger brother persuaded the elders of the family not to interfere in medical decision-making. This problem occurred here.

If it is other reasons, it is better to overcome, but this coagulation dysfunction is simply the death point of this kind of surgery.

Even the most skilled surgeons will be helpless.

wait any longer?

I don't know when it will be better, and I can't wait so long.

If surgery is planned?

It is almost impossible, coagulation dysfunction, an ordinary operation, may cause the patient to be in danger because of massive bleeding, not to mention this kind of medullary and upper cervical spinal cord surgery, a little bleeding is fatal.

At this critical time, the condition changed.

Dongda Hospital, facing a big enemy, immediately summoned experts from all walks of life to discuss emergency conditions.

Ikeda, Ito, Fujiwara, Matsui, Komori, all the top professors gathered together to discuss how to deal with the next illness.

Masao Fujiwara hurried to the conference room with Yang Ping.

As Yang Ping entered the venue, all stood up and bowed.

On the huge high-definition screen, Fujiwara Tanisheng's images and various inspection reports are displayed.

Professor Nozaki Yoshio from the Department of Hematology is in charge of Fujiwara Tanisheng's coagulation regulation, and it is difficult for him to explain why this happens.

Fujiwara Tanisheng was lying in the intensive care unit with various pipelines connected to his body. These monitoring data were connected to the central host of the intensive care unit and then transmitted on the screen.

Through the central host, any one of his monitoring data can be mastered.

Even the speed of the infusion pump can be carefully monitored and adjusted.

Regarding blood, Yoshio Nozaki has always been in charge. He once thought it was stable, but he did not expect such an accident to occur suddenly.

It's not surprising that the condition changes unpredictably.

It's only when there is a problem at this level that everyone is nervous.

What does it mean if we don't have surgery this time? Director Xiaochuan of the intensive care unit went straight in and broke the silence.

It means that there will be no chance in the future. The tumor will soon bleed spontaneously. If there is no effective measure, the probability of death will be 100%, and all efforts will be wasted.

Daisuke Komori answered clearly.

What does it mean if the surgery goes as planned?

Or Ogawa's question.

Coagulation dysfunction, an absolute contraindication to this type of surgery, forced surgery, death due to bleeding, 100% probability of death.

Professor Matsui took over.

Two hundred percent!

Unexpectedly, the consequences would be so serious. The Minister of Affairs looked around and then looked at Masao Fujiwara.

Masao Fujiwara adjusted his mood slightly and said:

This operation is originally a high-risk operation. At present, only Dr. Yang can be sure of success. If everything is normal, maybe Dr. Yang can successfully complete the operation, but now, with such unfortunate things, even Dr. Yang has a successful operation. There is a precedent, and I am afraid there is no way to do the main surgery.

It's frustrating that at the moment we can't find a reason for the change.

Nozaki said sadly.

Now is not the time to look for a reason, should we make a decision, give up the operation, or continue?

Professor Ikeda explained the focus of the meeting and prevented it from deviating from the theme.

As for others, such as summarizing lessons learned, that is an afterthought.

Dr. Yang?

Professor Ikeda hopes that Dr. Yang can say something, after all, he is now the chief surgeon.

At this time, only ceremonial efforts can be made. No matter political leaders or business elites, they can't escape birth, old age, sickness and death. For Ikeda, this kind of thing will not make waves.

Yang Ping pondered for a moment and said:

The operation is prepared at eight o'clock in the evening. In this state, if you wait, there is no hope at all. There is still a glimmer of hope for the operation tonight.

I just don't know everyone, would you like to take an adventure with me?

In such a predicament, we can only risk surgery, miss the opportunity, and never have another chance in the future.

Regardless of Fujiwara Gusheng's identity, in Yang Ping's eyes, he is just a patient. For Yang Ping, every operation must go all out to strive for the greatest health benefits for the patient.

You mean - even with coagulopathy - surgery?

Daisuke Komori was very surprised, this was a big taboo.

No one dared to do this. This was a devilish challenge for the surgeon. Even if a little blood oozes from the surgical site after surgery, it would be fatal. How could such perfect hemostasis be achieved.

Mitsui also waited for Yang Ping to answer, did he hear it wrong.

Dr. Yang, do you have to take risks?

Masao Fujiwara hoped that Yang Ping would say this, but the reality is cruel, coagulation dysfunction is an absolute contraindication!

The word absolute in medicine means that there is no room for negotiation and no exceptions.

Surgery with absolute contraindications can be devastating for both the doctor and the patient.

Yang Ping said solemnly: I want to ask - do you still want to save him?

Of course! Professor Ikeda's words represented Todai University Hospital.

Yang Ping nodded:

We have no choice, only this way, in this coagulation state, the tumor will spontaneously bleed immediately, and the sudden hemorrhage will compress the medulla oblongata and die immediately. Now that the operation is performed, the coagulation function is adjusted at the same time, and there is still a glimmer of hope. .

The blood vessels of the tumor are all abnormal blood vessels, and the strength of the wall is very fragile compared with the normal blood vessels.

I'm so sorry for causing trouble to everyone!

Yoshio Nozaki felt guilty.

After all, something went wrong in the part he was in charge of.

Professor Nozaki does not need to blame himself, the human body is complex and mysterious, not everything changes as expected, the consumption of coagulation factors for unknown reasons, the special reaction of the human body to certain drugs, the improper preservation of coagulation factors, and some unknown negative effects of tumors. possible.

I have had coagulation dysfunction before, and I have been supplementing coagulation factors and platelets.

Prepare for surgery at eight o'clock in the evening! Masao Fujiwara made a decision, and he could represent the family.

Bleeding!

Horrible bleeding!

All of Dr. Yang's superb surgical skills will be discounted, and the operation may not even be advanced.

Things are plain and simple, and the discussion ends in dullness.

Masao Fujiwara also wanted to go to the venue to say hello, hand over the afternoon meeting to Sasaki, and deal with his uncle's illness with all his strength.

I'll wait for my friend!

After leaving the venue, Yang Ping didn't see Huang Jiacai and Lao Cheng, so he called them.

Masao Fujiwara instructed Takahashi to accompany Yang Ping, and hurried back to the venue.

Dr. Yang!

Yang Ping turned back, and Fujiwara Miyuki stood behind him.

Please, I must save my uncle. Miyuki also got news of her uncle's condition.

I'll try my best! Yang Ping comforted Meixue.

He is a good man. The family-controlled pharmaceutical company, Dongdao Life, has dozens of advanced drugs. He has opened up patents so that countries can imitate them, so many patients can enjoy cheap drugs. Meixue said emotionally.

I'll do my best.

Yang Ping felt that this simple girl did not realize the seriousness of the problem, the coagulation dysfunction! At this time, it is the mortal enemy of the surgeon, and no one dares to say with absolute certainty.

Just one night later, the condition changed like this.

Miyuki!

Fujiwara's voice, his slender figure, from far to near, with no bodyguards beside him.

Dr. Yang, hello!

Fujiwara Chiao recognized Yang Ping at a glance, greeted him in Japanese, and Takahashi helped translate.

I heard that my uncle's condition has changed, so I rushed over here.

Fujiwara Chiao just went to the intensive care unit and communicated with the doctor.

The coagulation function is impaired. Yang Ping told him.

I heard that Dr. Yang still insists on surgery, I am very moved. In this world, I think the most respectable are doctors and teachers, the most divine profession!

you flatter me.

No, it is like this. Your cause is sacred and inviolable. Listen to my brother, you are a rare genius doctor.

I just like medicine, not a genius.

The progress of this world is driven by genius, you are too humble.

I've always considered myself an ordinary person.

Regardless of the outcome, as a family, we are very grateful for your efforts, thank you!

Fujiwara Chiao bowed.

Thank you for your understanding, go all out, and have no regrets.

Yes, it's good to have no regrets. I believe that uncle thinks the same way.

The biological-psychological-social medical model determines that each case is a living person, a person in the society, they have their own stories, their own lives, and their own backgrounds. In this way, the cases will have flesh and blood, and the operation will be carried out in a simple cycle. To be honest, the cases that I have mastered so far can be written one by one in a cycle, and it will not be difficult to write three or four million words, but it is boring. Moreover, the story is far from what some brothers imagined, some things do not exist, and this is also to pave the way for some subsequent plots. Just had time to browse the comments and couldn't help but explain. Once again, I wish you all a Happy New Year, good health, all the best, and a happy family! Bow to New Year's Eve! ! !

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