Chapter 441: A Tough Heart
Volunteers with AB and RH negative blood types gathered at Sanbo Hospital one after another, and the blood collection vehicle of the blood station was specially parked near the hospital to prepare blood for this operation.
The blood bank collected more than 20,000 milliliters of blood, and almost 20,000 milliliters of qualified ones were qualified, excluding those that may not be usable for various reasons.
These rare blood type volunteers, who come from all over the country, know that helping others is helping themselves.
In medicine, life and death are sometimes the difference between a thin line.
If there is heavy bleeding during the operation, there is not enough blood transfusion support to stop the bleeding and obtain a buffer time, the patient will suffer from blood loss and shock, and the vital organs will be ischemic and hypoxic due to insufficient perfusion, and finally die.
If there is sufficient blood transfusion support, the doctor will have time to resuscitate and successfully stop the bleeding, and life will develop in the opposite direction and be able to survive.
With these blood reserves, Yang Ping's last concern was solved, and he could calmly get on the operating table.
The replication function of the system space, the replicating Zheng Baosheng experimental subject, Yang Ping has undergone investigational surgery.
A good doctor is the most adventurous, but at the same time the least adventurous.
Adventurous because you must have the courage to take on the challenge of difficult and high-risk surgeries.
He does not like to take risks, pursues the success of surgery, never hopes for luck, but relies on his professional knowledge and skills, an almost paranoid serious attitude towards surgery, strict selection of surgical indications, perfect preoperative preparation, superb surgical operation, and mature postoperative management.
Strategically defying the enemy and tactically valuing the enemy.
Yang Ping feels that this is also the dialectical logic of excellent surgeons, and the enemy of doctors is all diseases and traumas.
These days, Yang Ping performed chest and abdominal puncture on Zheng Baosheng every day to reduce the impact of fluid pressure on the heart, so that the heart function was in the best state during the operation, and it was able to withstand the blows of surgery and anesthesia.
If too much fluid is withdrawn at one time, the pressure inside the chest and abdomen will suddenly become unbalanced, and the result of the imbalance is the displacement of the organs, that is, the formation of internal hernias, which is sometimes fatal.
In order to avoid this fatal situation, Yang Ping carefully extracted it in stages, stopped in moderation, and stopped once the conditions required for the operation were met.
Professor Li will be present for each case analysis and treatment, by observing Yang Ping's preoperative preparation of patients.
Some of Professor Li's doubts were gradually dispelled, he hadn't seen Yang Ping have undergone surgery yet, but he already recognized him a little more in his heart.
Professor Li was amazed by the almost seamless preoperative preparation, the thorough understanding of the condition, the handling of uncertain factors in the anatomy, the understanding of the structure and function of the human body, and the formulation of various accident plans.
What surprised Professor Li even more was that for this case, Yang Ping had almost all the relevant knowledge, and was able to connect these knowledges and get through them in principle, so that he could draw inferences from one case and make all the senses.
Sometimes Professor Li is thrilled by some of the bold and imaginative methods that Yang Ping proposes β and can still do so.
Professor Li didn't understand how this young man did it, could it be that he never forgot it, and he didn't have to sleep every day, he spent all his time studying and thinking?
But according to these days, Yang Ping is not like this, he even has surgery and rare free time, he is locked in the duty room to sleep, and does not seem to spend time reading various periodicals.
Occasionally, he just faces the computer in the office, quickly browsing the paper, which is very strange, constantly hitting the page turning key, and he can turn a dozen pages a second, how can he grab information.
Professor Li couldn't figure it out, but he was sure that Yang Ping was a true genius doctor.
Now his main job in Sanbo is to follow Yang Ping, and he has even compressed the planned days to Australia to one day, in order to stay in Sanbo for a longer time.
Gan Fengyi's mother recovered well after surgery, and on the fifth day after the operation, the muscle strength of her limbs recovered to grade 3, and on the seventh day, it recovered to grade 4.
The ICU doctor tried to extubate her and wean her off the ventilator, and after extubation, the muscles that support breathing movements were fully capable of working, and she had a blood oxygen saturation of 95% without oxygen.
After all, the muscle strength is still worse than normal, and in order to increase the efficiency of each breath, the ICU doctor still let her continue to inhale oxygen at a low flow.
Gan Fengyi stood in the corridor and saw her mother, who had woken up, no longer relying on a machine to maintain her breathing, a feeling of being lost and regained after the catastrophe.
If this continues, I will soon be able to transfer out of the ICU and return to the general ward for further treatment.
Because she was intubated and ventilated, Gan Fengyi's mother had a lung infection, and under the control of antibiotics, the chest X-ray was rechecked, and the sputum culture was not a drug-resistant bacteria, just ordinary Staphylococcus aureus.
For a long time, the drug-resistant bacteria in the ICU gave doctors and people in the hospital infectious disease department headaches, and they sampled, cultured, and analyzed in the ICU every day, and then looked for causes and countermeasures.
Infection indicators such as white blood cell count and procalcitonin were also significantly reduced in follow-up.
Transferred to a general ward and needed to be taken care of, Gan Fengyi decided to take care of it herself, and she asked the company for a month of personal leave.
Coming out of the ICU, Yang Ping was followed by Professor Qin, Professor Li, Song Zimo and Xu Zhiliang.
Yang Ping's peripheral vision caught a glimpse of the family meeting room, the door was ajar, and it was the patient's family, the wife of the patient with explosive viral myocarditis, this time she had no other relatives around her, she was alone in front of the doctor in charge, as if she was begging the doctor.
Yang Ping stopped, and couldn't help but feel a faint feeling of discomfort in his heart, he had encountered this situation countless times, he had endured it, but he had never been numb.
Everyone stopped with him, and Dr. Meng, who sent them out, explained.
This is the patient's wife, who has been on ECMO for 20 days, and has very little hope of being saved, as slim as a drop of ink in the ocean.
In order to continue or not, the family members disagreed, and both the man's and the woman's relatives advised her to give up, and there was no point in consuming it any longer, it was just a waste of money.
Now in the ICU, including the cost of ECMO, it is tens of thousands of yuan per day, and many medical insurance cannot reimburse it, so you need to pay for it, and a lot of this money is borrowed.
Other relatives suggested giving up and stopping ECMO, but she insisted alone, not to give up, she knelt down with the doctor several times, begging the doctor to hold on.
I heard that the two have been at odds all the time, a small quarrel a day, a big quarrel for three days, the woman always dislikes the man's lack of money, and the life is too aggrieved.
Through the half-open door, Yang Ping looked at the patient's wife with teary eyes from afar, perhaps, now she understands something, knows how to cherish it, and hopes to save something.
Butβ
Whether you love it or not, you will never see each other again in this life or the next.
This is not Yang Ping's specialty, and there is nothing he can do.
"Can you β hold on any longer?"
Yang Ping asked Dr. Meng.
"It depends on the wishes of his family, if he gives up, he can only be extubated and weaned, if he insists, we will do our best, there is almost no hope."
"Please, will you fight for it again? Please, pleaseβ"
"Let's do our best, but the hope is slim, you have to be prepared."
The patient's wife looked at the departing doctor, couldn't help it, and began to cry, and now there was no one to comfort her, because the person who usually comforted her and tolerated her was lying on the hospital bed, relying on a machine to support her life.
ββ
Dean Xia and Director Han personally carried the bronze medal of the "Institute of Surgery" and hung it to the original position of "Comprehensive Orthopedics" together with some workers.
Keep to the left, then to the right, up to the left, yes, more, and then down to the bottom.
The sweaty workers, under the command of Dean Xia, finally hung the bronze medal to satisfaction.
"Is the time set?" Dean Xia raised his index finger and measured whether the bronze medal was hanging upright.
Director Han also leaned back and looked at the bronze medal: "When I was going to find an auspicious time, Xiao Yang said that it would be eight o'clock on Monday." β
"Eight o'clock is eight o'clock, how good is the usual shift time." Dean Xia agreed.
"I want to invite a few people to help the fun, Xiao Yang said no, it's easy to deal with, don't make it too complicated, but Professor Liang from Xiehe will come, Professor Qin from 301 is here, Professor Su said that he will definitely come, just a few people, right?" Director Han counted the number of people.
"Well, it can't be too simple, there still has to be a sense of ceremony, Lao Han, you look at this, here is a step, when the unveiling is made, I will accompany him to the left, you are on the right, we will accompany him to the stage to unveil the plaque, is the number of steps in progress? Think about it. Dean Xia pointed and planned where they would stand at that time, and simulated walking a few steps.
"You have to do this, I don't understand these vain things like pomp and circumstance." Director Han doesn't care about these details.
Dean Xia's face pulled: "This is not a void, it's a ceremony, understand?" To have a sense of ceremony, when I received the award in the Great Hall of the People, there was a hostess to show me the way, how to walk on stage, how to stand, what posture to take pictures, all of them are exquisite, how can I be casual. β
"What about Xiao Yang, he was still here just now, why didn't he see anyone?" Dean Xia looked around.
Director Han looked at the hall inside, they seemed to have a small class, Professor Li Zehui gave a lecture, Yang Ping invited him to give a lecture to Dr. Corey, and many young people went.
ββ
Taking advantage of Professor Li's time in Sanbo, Yang Ping asked him to give a lecture to everyone, and in the future, the work here will sooner or later face various heart problems, and those ordinary fractures will not appear here again, unless there are very special reasons.
Professor Lee's research on the heart has reached its peak, and he is one of the world's leading cardiac surgeons, often invited to lecture and perform surgeries around the world.
"If I want to understand the heart, I first need to understand how it is structured and how it works, so that we can face this beating heart in stride."
"It's like the engine under the hood of a car, and this engine is divided into four chambers, and these four chambers are like a small house, with two floors, two rooms on each floor, for a total of four rooms."
"The two atria are to recycle blood, the two ventricles are to pump blood, pump out and recycle, forming a closed loop, it beats 60-100 times per minute, pumping out about 5 liters of blood, which is equivalent to, 3600 beats per hour, 86400 beats per day, more than 31 million beats per year, 2.5 billion beats in 80 years, the heart sends about 6000 liters of blood to the lungs and body every day, you see, how strong our human heart is, if it is the engine of a car, work according to this intensity, It's long been scrapped---"
Standing on the podium, Professor Li was relaxed and relaxed for young doctors, starting with the most basic knowledge.
The audience was attracted by Professor Li's interesting and simple explanation, and laughed from time to time.
The classroom was already packed, and Yang Ping sneaked in and sat down in the reserved seat in the first row.
When Professor Li saw Yang Ping, he paused the lecture, smiled and gestured, and then continued.