The Godfather of Surgery

The weather on Monday was very good. It gets bright earlier in summer, and it was already very bright at around six o'clock.

When passing by the overpass, the old man selling sweet potatoes was already selling breakfast in his cart. Breakfast was also roasted sweet potatoes, and there were many people coming and going to buy them.

After crossing the overpass, there is a small square in front of the emergency department. The neon cross of the emergency department is very conspicuous. An ambulance parked at the door, and a patient was lifted out from the back. It didn't look like a trauma. The emergency doctor kept doing heart compressions, and the stretcher changed. The flat car was pushed to the emergency room. The emergency doctor jumped on the flat car and knelt on the flat car in a straddling position to perform compressions. It was estimated that he had an acute heart attack and his heartbeat had stopped.

Following the flat car was a crying family member, a woman wearing pajamas and slippers, holding a coat in her hand.

Just as this emergency vehicle left, another ambulance stopped at the entrance of the emergency room. The tailgate of the emergency vehicle opened, and a stretcher was delivered with a bloody patient on it.

''Send directly to the operating room! "

The doctor who picked up the car from the emergency department roared loudly, and then there was the grunting sound of the wheels of a flat car.

Bypassing the emergency department, Yang Ping went straight to the Institute of Surgery. On the way, he met many colleagues carrying breakfast, and some were sleeping on the open benches and had not yet woken up.

This week has been full and tense. In the system space, three major experiments were carried out at the same time. Yang Ping calculated the consumption of points and it can last for a while. However, if there is no new income and just resting on the laurels, the points will be consumed quickly. Light, with the current points, is currently unable to support the fourth experiment. Fortunately, Yang Ping has no plans to start the fourth experiment.

It seems that even the system is not omnipotent and infinite, it is also subject to the limitation of points.

And a large number of points must be obtained through hard work in reality. Scientific research requires too many points, and accumulation through surgery is only a drop in the bucket. Scientific research can only be accumulated through scientific research results.

Yang Ping is now working hard to learn mathematics. Yang Ping discovered that the system's greatest resource is actually time. As long as he works hard, there is almost nothing he can't learn.

The purpose of learning mathematics is to study optimization methods. He wants to establish a complete theory for the optimization of scientific research routes.

After handing over the shift, Director Chen of the Municipal People's Hospital came to discuss the matter with Yang Ping. Since he took over the Municipal People's Hospital, the Municipal People's Hospital has slowly recovered its vitality. The former president almost emptied the Municipal People's Hospital and was still burdened with huge losses. Debt and brain drain were also serious. After President Chen took office, he began drastic reforms. Now the Municipal People's Hospital is thriving.

In terms of improving the hospital's business level, Director Chen hopes to ask Yang Ping for help. The Municipal People's Hospital and Sanbo Hospital have formed a supporting relationship, allowing Yang Ping to lead a team to help improve the medical level of the Municipal People's Hospital doctors.

Although Yang Ping was injured in the Municipal People's Hospital, things have changed, and Wu Siwen is still using the sewing machine.

When he first came to the provincial capital of Nandu, his first workplace was the Municipal People's Hospital, and Yang Ping still had feelings for it.

Director Chen has been preparing for this for a long time. For a long time, Director Chen has been focusing on sorting out the relationships within the hospital, and then recruiting some new people, including some old employees who have left the Municipal People's Hospital. Director Chen is also He traveled around visiting them one by one, and he opened the door to welcome colleagues who wanted to return to the Municipal People's Hospital.

In fact, President Chen proposed the cooperation with Sanbo Hospital and Yang Ping very early, but it was sporadic and unsystematic cooperation in the past, and the hospital did not have mature conditions at that time. Through this period of housekeeping, the people of the city have The hospital finally stabilized its position, so Director Chen felt that cooperation should be comprehensive and systematic.

Old Chen was also helpful to Yang Ping. Yang Ping knew in his heart that when Wu Siwen kicked Yang Ping away, he didn't just want to kick Yang Ping away. He also wanted to take advantage of the situation and give Yang Ping a punishment, and then applied for the suspension of Yang Ping's medical practice. Qualifications. Dean Chen was the director of the Medical Department at the time. Dean Chen firmly opposed treating Yang Ping in this way and even argued with the hospital leaders about the matter. In the end, Yang Ping kept his medical qualification certificate, and the nature was only dismissal, not expulsion.

Yang Ping is also very attentive to the cooperation with the Municipal People's Hospital. The cooperation was not fully launched at the beginning. Yang Ping has provided them with technical support and often takes time to perform surgeries.

I learned from Dean Chen that Director Zhuo Defeng of the Department of Orthopedics has returned to the Municipal People's Hospital. Director Zhuo graduated from Imperial Medical University and came to the Municipal People's Hospital. He was clever and quick in his professional skills, but was forcibly squeezed out by Wu Siwen.

Now Director Chen visited Director Zhuo, apologized in person in the name of the hospital, and invited Director Zhuo to return to the Municipal People's Hospital on the terms of Director of Orthopedics and Vice President. After several visits, Director Zhuo was finally moved, and Director Zhuo agreed to return to the Municipal People's Hospital. Hospital, and work with President Chen to revitalize the Municipal People's Hospital.

After seeing off Dean Chen, Yang Ping came to the operating room. The operations in the two operating rooms started at the same time, which was very lively.

Now the Institute of Surgery has enough manpower. New doctors Xia Shu, Dr. Wen and Dr. Jin have arrived, and they are gradually getting into shape.

There are now two anesthesiologists. The new Dr. Wei is unsmiling, works conscientiously, and never participates in small talk, just like a diligent scalper.

There were also a few more nurses, all of whom were elites in the central operating room of Sanbo Hospital. Xiao Su was on vacation, and Zhou Can acted as the head nurse of the operating room of the Institute of Surgery, arranging the work in an orderly manner.

Yang Ping said hello to Song Zimo and Xu Zhiliang, telling them that he would take a rest in the lounge and call someone if anything happened.

There was no one in the lounge at this time. Yang Ping found a place to sit down and then entered the system space. The second batch of modified K factors failed again. Yang Ping continued to modify and started the third batch of modified K factors to allow the experiment to continue.

After adjusting the experiments in the system space, Yang Ping came out of the system and drank a glass of water.

Director Fang of the General Surgery Department called and said that there was a patient on the operating table who had his abdominal cavity opened and after exploration, the intestines were covered with "pearls".

Why did he come across all these weird cases, with intestines covered with pearls?

Yang Ping decided to go and have a look, so he returned to the operating room to tell Song Zimo and Xu Zhiliang where he was going. Then he didn't take off his clothes, put on a white coat, and walked towards the surgical building.

In fact, it’s not that Director Fang is lucky, but that since he performed abdominal cluster organ transplantation, he has been publicizing this case everywhere. The reputation of being the first case in Asia is still very big, which has caused many hospitals in the province to encounter cases that are difficult to handle. Just send them to him, and he won't refuse anyone who comes, so all the cases go to him.

However, this idea really worked wonders. Everything that others could not do or dared not do was sent to Sanbo Hospital. Director Fang quickly gained his reputation.

On the way to the central operating room, Yang Ping met Sisi. She was running with several folded white coats in her hands, heading towards the surgical institute. Yang Ping stopped her and asked what was going on. She She said she was helping her mother with work, but she was too busy, so she went to the logistics department to pick up some new white coats.

When we arrived at the door of the operating room, two groups of family members were crying, crying fiercely, while security guards were maintaining order.

Yang Ping forgot to bring his access card, so he rang the doorbell and waited for the nurse inside to open the door.

From the few words in the audience, we can judge the reason for the pain of the two families. One is that their daughter is undergoing surgery in the operating room. The surgeon just stood at the door and told the family that the frozen section of the patient had just come out and it was triple-negative breast cancer. The patient was quite young. Yes, I just graduated and started working, unmarried.

The other patient may be the bloody trauma patient Yang Ping saw in the morning. He was injured in a car accident. It is said that he was pronounced dead without rescue.

The door opened, and Yang Ping entered the operating room. When he came to the central operating room, he inevitably met the head nurse and Xiao Su's colleagues. Everyone asked when Xiao Su was due and how much the baby weighed by color Doppler ultrasound. Yang Ping had to go one by one. He replied that Head Nurse Jiang complained that Yang Ping abducted Xiao Su, his best nurse, and that she was now severely damaged.

Nurse Jiang was a smart person. Not long ago, the Institute of Surgery asked her for people, and she gave her a list. Yang Ping took a look and saw that they were all the elites under his command. This was a proper cut of flesh.

There is no way, the Institute of Surgery is an elite department of Sanbo Hospital. If it were not for the locomotive role of the Institute of Surgery, Sanbo Hospital would not be able to develop so fast. Nurse Jiang has an overall view, so Yang Ping wants people, the head nurse. I was holding my chest and biting my back molars while drafting the list, and I still gave them what was due.

"My girls should take their time and don't make them too tired," Head Nurse Jiang said.

Yang Ping promised: "Don't worry, I will treat you like a baby."

''That's not okay, you have to scold me when you deserve it, and you can't let it get used to you. "The head nurse said quickly.

Yang Ping joked: "No one who works under the head nurse needs to be scolded."

There are many operating rooms, and the "in-operative" light is on. Yang Ping found Director Fang's operating room, and his intestines were covered with pearls. What's going on? Drinking pearl milk tea doesn't digest it and stays in the intestines?

Director Fang was struggling on the stage. This patient was undergoing emergency surgery. He was admitted to the hospital for emergency laparotomy due to intestinal obstruction. Because the patient was in a state of shock, other doctors did not dare to perform the operation, so Director Fang personally went on stage.

After the abdominal cavity is opened and explored, it can be seen during the operation that the surface of the intestinal tract and mesentery are covered with countless miliary nodules. The miliary nodules are shiny and reflective due to the texture and mucus on the surface, looking like tiny pearls dotted with them.

"professor!"

Director Fang now also follows the doctors at the Institute of Surgery, omitting Yang in front of professor. At the Institute of Surgery, only Yang Ping can be called professor, and others are at most called Dr. So-and-so, Dr. So-and-so, and so on.

To a certain extent, whether Yang Ping is called Professor or Professor Yang can determine whether this person is from the Institute of Surgery.

"The frozen pathology specimens during the operation have been sent, but the results have not been reported yet. We are waiting."

Director Fang introduced the current progress of the operation to his teacher in a very humble tone, even speaking a beat slower.

Yang Ping came slightly closer to the operating table and took advantage of his height to look over the operating table. Director Fang quickly used an S hook to open the operating area, and with his other hand held up the intestinal tube covered with miliary-like shining nodules, the mesentery, and the surface of the intestinal tract. There are all these nodules, and under the lights in the operating room, they really look like "pearls".

Miliary-like, this shape is typical. Generally, this shape is associated with tuberculosis. A preliminary judgment flashed through Yang Ping's mind.

"It's a tour, turn on the camera, why can't you be more flexible, and you have to remind me."

Director Fang's voice was rough and impatient.

The circulating nurse knew Director Fang's temper and was used to it, so she didn't say anything and immediately turned on the camera silently.

There are cameras on the shadowless lights in all operating rooms of Sanbo Hospital, and the walls of the operating rooms are equipped with high-definition electronic screens. You can use the cameras to see the situation in the surgical area at any time, which is sometimes clearer than viewing it directly with the naked eye.

''Move neatly and slowly, catching insects. "

Director Fang urged anxiously.

I don’t know whether the plug is loose or which wire is not connected. There is no response on the screen when the switch is turned on. The circulating nurse is checking the connection routes and various interfaces. Director Fang is very dissatisfied when he sees that there is no image on the screen and shouts:

"What's going on? Who is responsible for the equipment not being repaired? What if this is rescue equipment?"

The circulating nurse kept her head down while doing her work while being scolded, and she did not forget to comfort Director Fang half-jokingly: "Director, did you eat wolfberry for breakfast today? Are you so angry?"

Listening to the circulating nurse's joke, Director Fang's impatience softened a little: "I haven't eaten breakfast yet, hurry up and get it done, the professor has something else to do."

It took several minutes to finally find the reason. The video cable plug on the back of the video system host was plugged into the wrong jack. This kind of fool-like one-to-one matching jack will definitely not work if it is plugged into the wrong jack. If it cannot be plugged in, it will be forced to plug in. , almost broke the plug.

While re-inserting the plug, the circulating nurse said to several young doctors: "Tell me honestly, who did something good last night? They couldn't even find the hole and plugged it in randomly."

These young doctors have been following the emergency surgery since last night, and have been following several emergency surgeries until now.

''Okay, don't blame them, they're just unfamiliar with anatomy. " said the assistant chief physician.

Under the video, the part was zoomed in, and the millet-like "pearls" were shining with water. Yang Ping was probably sure that these things were tuberculosis.

"Maybe it's tuberculosis. The pathology results haven't been reported yet?" Yang Ping said his conclusion, preceded by a possibility. Medicine is calm, rational and objective, and cannot be uttered blindly.

A graduate student sent Yang Ping a medical record folder, and Yang Ping looked through the patient's medical records.

He was admitted to the hospital due to abdominal pain and distension accompanied by anal cessation of exhaust gas for 5 days. Physical examination revealed a lethargic state, abdominal distension, abdominal muscle tension, obvious tenderness and rebound tenderness, and bowel sounds disappeared. Auxiliary examination: Abdominal CT showed abdominal and pelvic effusion and complete obstruction of the small intestine. Blood test showed procalcitonin 62.32ug/l.

Diagnoses at admission: 1. Small intestinal obstruction 2. Peritonitis 3. Sepsis. There were indications for emergency surgery, so Director Fang performed emergency surgery on the patient.

There was a history of tuberculosis in the past, which was cured after standard anti-tuberculosis treatment. This is the general medical history.

Judging from the appearance of these miliary nodules, tuberculous peritonitis is very likely. In fact, tuberculosis has been on the rise in recent years, especially the emergence of some drug-resistant tuberculosis bacteria, which makes them likely to make a comeback.

"Who's reading the frozen sections? Why are you so procrastinating? It's been so long with no results."

Director Fang has an impatient temper, and the word dawdle is his most frequent word.

"Director, I just sent it, I guess I just received it now." A doctor replied.

"So slow? I called back and forth to the imperial capital!"

Director Fang cursed.