Chapter 499: Aim for the Heart
The plane took off early, and when I returned to China, it was still more than 12 o'clock at noon.
As soon as Yang Ping got off the plane, he rushed to the department with everyone, at this time, Director Han and Professor Zhang were surrounding the computer, and Li Guodong was sitting next to the computer and typing on the keyboard.
They all have dark eyes, do they stay up all night doing emergency surgery? Professor Zhang also came to power?
At present, there are all kinds of patients in the Institute of Surgery, but there are still relatively few emergency surgeries, and most of them are some incurable diseases, so try your luck here.
Director Han looked up and saw Yang Ping and everyone coming in, rubbing his eyes full of sleepiness, and his tone was a little angry:
"Why don't you go back and rest? I'll go back to work tomorrow! ”
Professor Zhang looked at the time: "This is just getting off the plane and coming to the department?" Go back and rest. ”
"I slept on the plane for a few hours."
Yang Ping instantly felt like he was going home, familiar people, familiar scenes, and felt very warm in his heart.
"A patient with spontaneous bleeding in the conus medullaris was paralyzed and had bowel and bowel disorders, and I gave him an emergency department in the middle of the night with Mr. Zhang." Director Han explained why the two of them were so emaciated.
The spinal angiography picture on the electronic screen shows that the hemorrhage of a vascular malformation that supplies the conus medullaris is the same as the spontaneous bleeding of the cerebrovascular malformation, except that it occurs in the spinal cord.
The conus medullaris is the terminal part of the spinal cord and, if damaged, can cause incontinence.
So this kind of spontaneous bleeding of the spinal cord, once the neurological symptoms appear, need emergency surgery.
Director Han is okay, but Mr. Zhang is eighty years old and can't stand the consumption.
"Elder Zhang, you better go back and rest," Director Han couldn't bear it.
Turned his head and said to Yang Ping: "I resolutely don't let him come, this bull's temper just doesn't listen, he has to come." ”
Zhang Lao waved his hand: "It's okay, eighty-year-old people, are you still afraid of sudden death?" ”
"Dr. Yang, are you back?"
At this time, Director Tian Tian walked into the office, Yang Ping was surprised, could it be that Director Han also pulled Director Tian over to help?
"This patient is my hometown, a village, in the local hospital has no rule of law, called me for help, I saw the MRI, I felt that the situation was serious, quickly contacted the local counterpart, sent an ambulance across the province to transfer to our side, thanks to the emergency department, otherwise once permanently paralyzed, his whole family will be complete."
Director Tian, Tian Yuan, when Yang Ping first came, he led the group in the trauma orthopedic department, and later the new orthopedic department of the Overseas Chinese Building was opened, and Director Han sent him to be the director.
This person came from a poor background, he is a warm-hearted person who does not forget his roots, and often some fellow villagers will come to him for medical treatment, and he is also very caring, all kinds of greetings to save money, and if he encounters special difficulties, he will also help with some medical expenses.
Everyone took their positions and started looking for work.
Zhang Lin inevitably talked to those graduate students and trainees about his experience in Japan, adding fuel and vinegar, painting and coloring, and gaining a lot of fans.
Song Zimo asked the junior doctor to push the medical record cart over, he read them one by one, and then went to the ward with Xu Zhiliang to inspect in advance.
Now that Yang Ping is back, Director Han has to take a shift with him.
After the shift was handed over, Professor Zhang went back to rest.
Director Han and Yang Ping took everyone on rounds and handed over the shift one by one at the bedside.
After checking the room, Director Han was also a little unable to hold on, so he asked Yang Ping to persuade him to go back and rest.
Combing through the new and old patients in Corey, Song Zimo noticed Sisi's latest examination results, frowned, and then handed the report to Yang Ping and instructed Li Guodong to call up Sisi's image pictures.
After reading the information, Yang Ping also frowned, the situation is very not optimistic, the cancer cells have regrown, showing their form on the image pictures, and there are also such star spots on the heart.
Surgical methods, even ultrasound focused knife, can only treat the symptoms, this is a tumor, not another disease.
Wildfires burn inexhaustibly, and spring breezes blow and regenerate.
This is the best portrayal of malignancy.
An undestroyed seed can grow in scale over time.
Therefore, malignant tumors are most afraid of metastasis, and once metastasized, it means that countless seeds are already uncontrollable, and they may hide anywhere in the body.
Several Haifu knife treatments have temporarily stabilized Sisi's condition, but it is temporary after all.
"Do you need a Haifu knife again? If needed, I will contact Director Duan in advance. ”
Song Zimo was quite worried, the last inspection was fine, but this time there was such a big change.
Director Duan's name is Duan Xiaoming, the director of the Haifu Knife Department of Sanbo Hospital, nicknamed Duan Bald Head, known as Brother Ming.
The bald head is living a very nourishing life now, and he has studied Haifu Dao with Yang Ping for a period of time, mastered a little real skill, and played Haifu Dao to a high level.
In particular, the removal of uterine fibroids has reached a new level, and there are no more messy complications of skin burning.
Uterine fibroids are removed without surgery, without bleeding, and the resection is complete with few complications.
This made Duan Xiaoming's reputation spread quickly, in addition to a large number of patients coming here, he was often invited by other hospitals to give lectures on flying knives.
Now the bald head is focused on the removal of uterine fibroids with the Haifu knife, and with this stunt, the department that is on the verge of closure is dead, and it is actually doing well, and Director Duan has reported to the personnel department several times to expand the team.
Inside and outside the hospital, as long as Duan Xiaoming is mentioned, he knows that he specializes in uterine fibroids, and uterine fibroids have become his business card.
"There is no better way now, I can only rely on Haifu Dao to barely control the condition, but - this method will not last long, you contact Director Duan, give us a gap, I will go see Sisi now."
Yang Ping put down the work at hand, he really wanted to help this cute little girl and did his best.
Even Sisi has become the embodiment of all the poor and helpless patients in his heart, who are on the edge or outside the protection of medicine, waiting for the death of life.
"Big brother!"
Sisi is playing with a plush toy, which Tang Fei brought back from Japan.
Her hair, without the damage from chemotherapy and radiotherapy, has become shinier and appears darker and denser.
"The news is a bit bad, I've seen the film of your review, the cancer cells have re-aggregated and formed, and you can see dotted lesions on the film, and before there is no better plan, you can only have another Haifu surgery."
And the smaller the lesion, the more difficult it is to carry out a precise bombardment with a Haifu knife.
Yang Ping felt that it was better to communicate with her directly, and her calmness surpassed that of most adults.
"Can you help me move it to the window?" Sisi picked up the cactus on the bedside table, and the basin was wiped clean.
Her face was filled with a bright smile, without a trace of the numbness and exhaustion that often accompanies the faces of terminally ill patients, and the unique luster and roundness of children could be seen on her face.
Yang Ping moved the cactus to the window and let it receive as much sunlight as possible. 、
"You know what? I love it because of its tenacious vitality and can live well even in the desert. ”
"Well, it's a lot like our Sisi, not afraid of difficulties."
Yang Ping put down the potted plant and clapped his hands.
Sisi took out a book from the bedside and handed it to Yang Ping:
"The book you gave me, I've finished reading it."
This is what Yang Ping gave her - "Open a Heart."
A book by Stephen Westa, one of the UK's leading cardiac surgeons.
Because at that time, Yang Ping vaguely predicted that her tumor would invade the heart, and this examination confirmed Yang Ping's judgment, and small spots had been seen in the left atrium and left ventricle.
"Actually, I am lucky, because the greatest luck for patients is to meet the best doctor." Sisi has always been optimistic.
Yang Ping casually flipped through the book, the book was very old, because when he was in college, he bought it from a senior at the school's flea market for one dollar.
On the night he bought the book, Yang Ping read the whole book in one go, and it was only then that he really strengthened his belief in becoming a doctor.
In the book, every patient is a story, sometimes sad and helpless, sometimes twists and turns, and sometimes heartbreaking.
Whether confident, frustrated, or frustrated, the surgeon is always doing his best, because there is no other choice.
"Are you sad?" Sisi asked Yang Ping with a smile.
Yang Ping nodded: "A little!" ”
Sisi smiled again, as if she was very relaxed: "You forgot the words in this book - remove empathy!" Why remove empathy, my understanding is that empathy will make doctors lose precious courage. ”
Yang Ping was amazed by her reading and comprehension skills.
"Okay, it seems that your mood is very stable, my worries are unnecessary, then we will arrange the next Haifu surgery? This time there is one more goal, the heart! Although she is a child, Yang Ping treats her as a friend and talks to her on an equal footing.
"Do you want to open my heart?" Sisi's mouth was wide open.
Yang Ping shook his head: "No, it's not so exaggerated for the time being, using the Haifu knife to aim at the heart and bombard, the risk will be very high." ”
"Sisi!"
Outside, the voice of Sisi's mother sounded in the corridor, she is now a nurse in the ward, doing things like assisting the nurse in making beds and taking patients for examinations.
Sisi's father was arranged by Yang Ping to be a driver at Boss Cheng's.
Sisi's medical expenses, there are always people secretly putting money into the account, so the two of them are not under much pressure financially now.
Sisi made a silent motion, and Yang Ping smiled knowingly.
"Dr. Yang, you're back, did I bother you to do your rounds?" Sisi's mother appeared at the door, saw Yang Ping, felt sorry, and disturbed Yang Ping and Sisi's chat.
Yang Ping lit up the book in his hand and said, "It's okay, I'll come over to see her and talk to her about this book." ”
"Oh, by the way, Uncle Belt called me not long ago, he is very good in Africa now, but his skin is tanned a lot, he said, you can definitely cure me, let me rest assured, don't think about anything, he will send me a photo, saying that he wants to find a huge piece of gold as a background." Thinking about the phone call from Hermes not long ago.
This Hermes, since he was cured and discharged from the hospital, went to Africa, and heard that his gold mine is very shallow, and the mine is good, and the purity is also very high, and the cost of refining is not high, and he has made a lot of money.
Not long ago, Hermes also contacted Yang Ping and said that if you need scientific research funds, say it.
This person is more bold and full of local tyrants, but Yang Ping likes his character.
"Boss Wang called and said that he wanted to recognize Sisi as his goddaughter." Sisi's mother added.
Sisi shook her head: "Uncle Belt is very good and interesting, but I don't want to be someone else's daughter, I only be the daughter of my parents." ”
It seems that during Hermes's hospitalization, he established a relationship with Sisi.
Sisi's Haifu knife surgery is a bit more difficult than the previous ones, the main target of the previous ones was the liver, and there was no bone in the abdomen.
This time, the ultrasound knife is aimed at the heart, and the position of the left ventricle in the left atrium, whether from front to back or from back to front, is not easy to find, and there are ribs, spine, and shoulder blades to block, so it is difficult for focused ultrasound to work.
Yang Ping needs to plan his surgery well.
The first is the latest.