Chapter 488: Coagulation Dysfunction
The next day's meeting was also packed.
Representatives of China and Japan took turns to give speeches, interspersed with representatives of other countries, but mainly China and Japan.
Among other countries, Australian experts have produced good results.
Australia's population is small, but its medical strength should not be underestimated, and our common medical devices and technologies such as B-ultrasound, pacemakers, cochlear implants, in vitro fertilization and embryo transfer technology, and CPAP ventilators are all invented in Australia.
The discovery of Helicobacter pylori in the stomach and the vaccine against cervical cancer are also achievements in Australia, and the discovery of Helicobacter pylori in the stomach has won the Nobel Prize.
Surprisingly, Singapore's Dr. Lim Ming Yuen also brought very good scientific research results - a new type of degradable implant.
This implant is made from a biocompatible and non-toxic magnesium alloy that is as strong as titanium, providing excellent mechanical stability and bone support to facilitate the healing process. What's more, over time, the implant is able to completely decompose in the body, which is very advantageous over the current traditional orthopedic titanium alloy steel plate.
In fact, it is no coincidence that Singapore has such achievements, and Singapore General Hospital is regularly ranked in the top 10 in the world.
What are the top 10 hospitals?
Medical giants such as Mayo Clinic, Cleveland Clinic, Massachusetts General Hospital.
Singapore General Hospital is able to enter the top 10 together with these hospitals, and its strength is naturally not weak.
Participating in these academic conferences can well grasp the scientific research trends of the industry, prevent information blockage, and work behind closed doors.
So Yang Ping listened to other people's speeches and was also very serious.
At the end of the morning meeting, as the host, Takahashi plans to use the noon time to take Yang Ping out for a walk, at least to Ginza to have fun.
Because of the need to prepare for Fujiwara Tani's surgery, Yang Ping did not 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 reluctant to go.
Yang Ping persuaded and coaxed, so Xiao Su followed Meixue to go shopping.
Not long after the girls left, Fujiwara Gusheng's latest examination results came out one after another, and Song Zimo sent it to Yang Ping's mobile phone ---Coagulation dysfunction!
Coagulation dysfunction is a contraindication to surgery, which is why Fujiwara cannot be operated on.
Not to mention this kind of surgery, even if it is an ordinary operation, coagulation dysfunction is also an obstacle.
Once the operation is performed, the pressure of the hemorrhage in the surgical area on the medulla oblongata is more terrible than the compression of the tumor.
No one could have imagined that the condition would change like this.
Yang Ping immediately took Gao Qiao, Huang Jiacai, and Lao Cheng to meet with Fujiwara Masao in the doctor's office in the intensive care ward.
Fujiwara Masao was busy at both ends 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, it is normal, but I didn't expect it to recur."
Fujiwara Masao was very worried, and this kind of problem arose just now when his younger brother persuaded the family elders not to interfere in medical decision-making.
If it was for other reasons, it would be easy to overcome, but this coagulation dysfunction is simply a dead end for this kind of surgery.
No matter how clever a surgeon is, he or she will be helpless.
Wait any longer?
I don't know which day will be better, and besides, I can't wait so long.
What if the surgery is planned?
It is almost impossible, coagulation dysfunction, an ordinary operation, may cause the patient to be in danger because of heavy bleeding, not to mention this kind of bulbar and upper cervical spinal cord surgery, a little bleeding, is fatal.
At this critical point in time, there is a change in the condition.
As if facing a great enemy, Dongda Hospital immediately summoned experts from all walks of life to discuss the emergency situation.
Ikeda, Ito, Fujiwara, Matsui, Komori, and all the top professors gathered to discuss how to cope with the next illness.
Fujiwara Masao hurried to the conference room with Yang Ping.
As Yang Ping walked into the venue, everyone stood up and bowed.
On a huge high-definition screen, Fujiwara Tani's images and various inspection reports are displayed.
Professor Yoshio Nozaki of the Department of Hematology, who is responsible for the regulation of Fujiwara Tani's coagulation function, also has a hard time explaining why this is the case.
Fujiwara is lying in the intensive care unit, with various pipelines connected to his body, and these monitoring data are connected to the central host of the intensive care unit, and then transmitted on the screen.
Through the central host, any of his guardianship data can be mastered.
Even the speed of the infusion pump can be carefully monitored and adjusted.
Regarding the blood, Yoshio Nozaki has always been in charge, and he once thought that it was stable, but he didn't expect such an accident to suddenly occur.
The condition is unpredictable, and it is not strange.
It's only when something goes wrong in this level that everyone gets nervous.
"What does it mean if I don't have surgery this time?" Director Ogawa of the intensive care ward went straight in and broke the silence.
"It means that there will be no chance in the future, the tumor will soon bleed spontaneously, and if there are no effective measures, the probability of death is 100 percent, and all efforts will be in vain."
Daisuke Komori answered clearly.
"What does it mean if the surgery goes as planned?"
It's still Ogawa's question.
"Coagulation dysfunction, an absolute contraindication to such surgery, forced surgery, death due to hemorrhage, the probability of death is one hundred percent."
Daisuke Komori took over.
Two hundred percent!
I didn't expect the consequences to be so serious, the Minister of Affairs looked around and then looked at Fujiwara Masao.
Fujiwara Masao adjusted his emotions slightly and said:
"This operation is originally a high-risk operation, and only Dr. Yang is currently sure of success, if everything is normal, perhaps, Dr. Yang can successfully complete the operation, but now, such an unfortunate thing, even if Dr. Yang has a successful precedent, I am afraid there is no way to perform the surgery."
"It's frustrating that at the moment we can't find the cause of the change in condition."
Nozaki said sadly.
"Now is not the time to find a cause, do we have to make a decision, give up the surgery, or continue?"
Professor Ikeda explained the focus of the meeting and avoided deviating from the topic.
As for the rest, such as lessons learned, that's an afterthought.
"Dr. Yang?"
Professor Ikeda hopes that Dr. Yang will say something, after all, and now he will be in charge.
At this time, there was no way to escape the death, old age, sickness and death of politicians and business elites, and the death of many important people at the Todai Hospital was not a cause for Ikeda.
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, and there is still a glimmer of hope for tonight's operation."
"I just don't know if you're willing to take an adventure with me?"
In such a predicament, you can only risk surgery, miss the opportunity, and never have a chance in the future.
Regardless of Fujiwara Tani's identity, in Yang Ping's eyes, he is just a patient, and for Yang Ping, every operation must go all out to fight for the maximum health benefit of the patient.
"Do you mean--- even if you have a coagulation disorder--- you have surgery?"
Daisuke Komori was very surprised, this was a big taboo.
No one dares to do this, this is a devilish challenge for surgeons, this surgical site, even a little blood after surgery, is fatal, how can it be possible to achieve such perfect hemostasis.
Mitsui also waited for Yang Ping to answer, whether he had heard it wrong.
"Dr. Yang, do you have to take the risk?"
Fujiwara Masao wants Yang Ping to say this, but the reality is cruel, coagulation dysfunction, and absolute contraindications!
In medicine, the word "absolute" means that there is no room for negotiation and no exceptions.
In the case of absolute contraindications, the consequences of surgery can be devastating for both doctors and patients.
Yang Ping said solemnly: "I want to ask--- do you still want to save him?" ”
"Of course!" Professor Ikeda's words are representative of Todai Hospital.
Yang Ping nodded:
"We have no choice but this way, this coagulation state, the tumor will immediately bleed spontaneously, sudden bleeding, will compress the brain stem, and die immediately, and now the operation, while operating, while mediating the coagulation function, there is a glimmer of hope."
The blood vessels of the tumor are all abnormal blood vessels, and the strength of the tube wall is very fragile compared with that of normal blood vessels, and the coagulation function is impaired, and spontaneous bleeding of the tumor is likely to occur.
"I'm really sorry for the trouble!"
Yoshio Nozaki felt guilty in his heart.
After all, there was an accident in this part of his responsibility.
"Professor Nozaki doesn't have to blame himself, the human body is complex and mysterious, not everything changes as expected, unexplained consumption of coagulation factors, the special reaction of the human body to certain drugs, improper storage of clotting factors, and some unknown negative effects of tumors, all of which are possible."
I had coagulation dysfunction before, and I have been supplementing clotting factors and platelets, and I have been getting better as expected, and suddenly I fell to such indicators.
"Let's prepare for the operation at 8 p.m." Masao Fujiwara made the decision that he could represent the family.
Haemorrhage!
Terrible bleeding!
It will make Dr. Yang's superb surgical skills all discounted, and the operation may not even be able to advance.
Things are simple and straightforward, and the discussion ends in a dull note.
Fujiwara Masao also wanted to go to the venue to say hello, hand over the afternoon meeting to Sasaki, and do his best to deal with his uncle's condition.
"I'll wait a minute, my friend!"
Out of the venue, Yang Ping didn't see Huang Jiacai and Lao Cheng, so he called them.
Fujiwara Masao instructed Takahashi to accompany Yang Ping and hurried back to the venue by himself.
"Dr. Yang!"
Yang Ping turned around, and Fujiwara Miyuki stood behind him.
"Please, I must save my uncle." Miyuki also gets news of the change in her uncle's condition.
"I'll do my best!" Yang Ping comforts Miyuki.
"He is a good person, the family-controlled pharmaceutical company ---Dongdao Life, dozens of advanced drugs, he opened up patents, so that countries can imitate, and many patients enjoy cheap drugs." Miyuki said emotionally.
"I'll give it my all."
Yang Ping felt that this simple girl didn't realize the seriousness of the problem, coagulation dysfunction! At this time, it is the sworn enemy of the surgeon, and no one dares to say that he is absolutely sure.
It only took one night for the condition to change.
"Miyuki!"
Fujiwara Nakio's voice, his slender figure, from far and near, without bodyguards beside him.
"Hello, Dr. Yang!"
Fujiwara recognized Yang Ping at a glance and greeted him in Japanese, with Takahashi helping to translate.
"I heard that my uncle's condition had changed, so I rushed over."
Fujiwara had just been to the intensive care unit and had communicated with the doctor.
"There is a coagulation disorder." Yang Ping told him.
"I was very touched to hear that Dr. Yang still insisted on surgery, and I think the most respectable doctors and teachers in the world are the most divine professions!"
"It's over."
"No, that's right, your cause is sacrosanct. Listen to my brother, you are a rare genius doctor. ”
"I just like medicine, not genius."
"The progress of this world is driven by genius, you are too modest."
"I've always considered myself a normal person."
"Regardless of the outcome, as families, we are very grateful for your efforts, thank you!"
Fujiwara bowed.
"Thank you for your understanding, go all out, no regrets."
"Yes, it's good that there are no regrets, I'm sure, uncle thinks the same way."