Chapter 518: A Dangerous Anatomy
During this time, in order to improve the level of Chinese, Robert put in a lot of hard work and memorized a large number of idioms, poems, good words and good sentences.
But he only memorizes these words and application scenarios mechanically, and is completely unable to use them flexibly.
For example, Robert's original intention just now was to use "meeting old acquaintances in a foreign country" to express the scene of meeting Yang Ping in Saudi Arabia.
As a result, I was excited and threw out a set of sentences.
As for the idiom "Chengmen Lixue", Robert wants to express his teacher-student relationship with Yang Ping, and he respects Yang Ping very much.
Robert knew that the word meant something, and he didn't know how to use it, so he just said it bluntly.
For his hard work in Chinese, Yang Ping gave a thumbs up.
This made Robert even happier, and he memorized so many idioms during this time just to make himself speak Chinese with a touch of style, rather than a dry simple combination of words.
"After the surgery tomorrow, we'll talk, and I just have a few questions to be ashamed to ask."
Yang Ping's encouragement made Robert more confident in the use of words.
Li Ze on the side will be very envious of Robert, actually speaking Chinese so well, at least not one tone in the end, can distinguish that he can say four tones.
Americans who can speak Chinese in four tones are really not ordinary people.
This guy is here to be funny, listening to him speak Chinese is more energetic than hearing about crosstalk.
Yang Ping saw that Robert was getting more and more energetic as he spoke, and he really looked very cultured.
The meeting was dissolved so naturally, and when Robert saw Yang Ping, he was naturally not interested in finding a Dodge to compare fencing.
In the evening, Yang Pinghe had dinner with Li Zehui and Robert.
This time, Li Zehui did not invite others to accompany him, but only the three of them.
Robert, this guy, is more familiar with Saudi Arabia than Li Zehui, he heard that Li Zehui is going to organize a convoy to go to the desert camping and picnic, he is very excited, he has often done this before, and has done even more exciting things, riding a camel through the desert.
Li Ze will apologize to Yang Ping for Dodge's matter, in fact, Yang Ping doesn't care too much about these at all, for people like Dodge, he is too lazy to argue about some meaningless things, he came to Saudi Arabia just for surgery, and he didn't come to compete with Dodge, everyone has nothing to do, no matter how he tosses.
Robert is very familiar with Dodge, and he told Yang Ping that Dodge is actually a very good person, and his professional achievements are also very high, but he is a little narrow-minded and can't tolerate people.
After dinner, accompanied by Li Zehui and Robert, Yang Ping returned to see the Yemeni baby, whose breathing was even more rapid and his abdomen was distended severely, all of which were caused by heart failure.
This young heart can be overwhelmed at any time.
Yang Ping is glad that he didn't wait until after the Spring Festival to come, this little guy may not be able to wait for that time.
The thin little guy was still wrapped in a blue scarf, and he was lying on the bed, very quiet.
His father was kneeling in the corner, his eyes closed, perhaps praying that God would give him a little more luck and make tomorrow's surgery go smoothly.
Yang Ping did not disturb the Yemeni man, and with the assistance of the nurse, he unwrapped the towel, examined the child, and wrapped him again.
Sometimes Yang Ping thinks that this world is really wonderful.
If he hadn't met this child, he might have quietly left this world like the previous "mirror man".
He has only been in this world for six months, and in just six months, he has left nothing behind, and he has left this world in a hurry before everything has even begun.
And now, if the surgery is successful, what will his life be like for the rest of his life? Will you grow up healthy and get married and have children?
Yang Ping found that he was thinking too far ahead, and his mission was very simple - to keep him alive at the moment.
In the evening, Yang Ping did not go anywhere else.
Li Zehui and Robert sent Yang Ping back to the hotel early in order to let him rest well, and no programs were arranged.
In the hotel, Yang Ping chatted with Xiao Su on WeChat, and Xiao Su repeatedly told him to drink more water and go home early after the operation.
Tomorrow is the thirtieth day of the Chinese New Year's Eve.
Chinese New Year's Eve is still doing surgery outside, this is the normal situation for surgeons.
Xiao Su told Yang Ping that she would make a lot of dumplings tomorrow and wait for Yang Ping to come back to eat.
Yang Ping calculated the time, even if he caught the plane immediately after the operation, he would not be able to return to China until the first day of the Lunar New Year-
The next day, Yang Ping came to IM Hospital full of energy.
The operation went according to plan, and when the nurse brought the baby to the door of the operating room, the baby's skinny little hands scratched everywhere and began to cry, as if he was looking for his father.
The anesthesiologist is on the side, ready to advance the sedative from the indwelling needle on the scalp and put him into a state of sedation.
At this time, the baby's father grabbed the little hands.
The little one, as if sensible, stopped crying.
Yang Ping asked the anesthesiologist not to push the sedative for the time being, and he was going to have the last auscultation of the heart before the operation.
"Give me his hand!"
Yang Ping said.
The baby's father seemed to be able to read Yang Ping's eyes, and he carefully let go of his hand and smiled at the baby.
Yang Ping took the little guy's, and the little guy didn't cry anymore, just opened his eyes and stared at Yang Ping.
This is the second time Yang Ping has been stared at.
The baby's father took Yang Ping's hand and didn't speak, his eyes were full of anticipation.
Yang Ping patted his hand and said, "We will do our best!" ”
The interpreter passed the word on.
The father let go of his hand and took a few steps back, and the nurse picked up the baby and put him on a flat cart in the operating room to complete the handover.
Yang Ping, accompanied by Li Zehui and Robert, changed into his hand clothes when he entered the operating room.
The frail little guy was lying naked on the operating table, and the anesthesiologist had finished intubating the tracheal tube under general anesthesia.
The heart-lung machine is already on display in the operating room, and when the baby's heart is removed, his life depends on this artificial heart-lung machine.
The perfusionist and his assistant stand by the heart-lung machine, and the anesthesiologist delivers the anesthetic into the baby's lungs little by little.
The instrument nurse is from Australia, and she once performed a "mirror man" operation on Dodge in front of the stage.
Li Ze would personally disinfect the sheets, and Robert, as an outsider, sat in the corner of the operating room and watched.
Marshall is the second assistant, and the young man is a little excited, and he has been looking forward to participating in this operation for a long time.
By the time Yang Ping took the stage, the little guy's body had been completely covered by a blue disposable sterile sheet, exposing his chest and upper abdomen.
Under the shadowless lamp, the little guy is too small and thin.
After completing the preoperative check, Yang Ping carefully cut the skin with the No. 15 round knife in his hand.
In order to make it more fully revealed, he uses a median sternal incision with a wide opening and closing.
The scalpel cuts vertically through the skin of the baby's chest, up to the sternum, the thin skin is a little shiny due to edema, there is almost no fat under the skin, and the blade cuts directly to the surface of the sternum.
The periosteal skin separated to both sides, and some cool liquid oozed out and was sucked away by the suction device in Li Zehui's hand.
The thin tissue under the knife is like being soaked in water, which indicates that the heart failure has been very serious.
In the next step, you need to open the sternum from the middle and split the entire chest in two.
The surgical instruments are all specifically used in pediatric surgery, and the miniature sternal saw is a great way to draw a straight line in the midline of the sternum.
With Sasha's voice, the mist formed by the bone marrow particles rose, and the protective glasses prevented the mist from reaching the eyes.
The sternum is stretched open, and the saw is no more, no less, just enough to cut through the sternum without a millimeter more.
The sternum is stretched open, and the entire ribcage is exposed.
The pink lungs had become unusually swollen due to edema, and they had already clung to the inner wall of the sternum, and if the chainsaw had penetrated an extra millimeter, it would have injured the lungs.
The suction device penetrates deep into the chest cavity and a large amount of fluid is sucked away.
The diaphragm has been lifted up, squeezing the organs of the chest cavity, Yang Ping stabbed a small opening in the abdomen with a sharp knife, and used a suction device to suck up the fluid in the abdominal cavity, and the diaphragm slowly descended and returned to its original position.
In this way, the space in the chest appears larger, and the lungs, mediastinum and heart do not appear crowded.
The fragile little heart lay on the right side of the chest, beating rhythmically, and he was warm and held on until he was able to go to the operating table.
This right upside-down heart.
The pericardium and the large blood vessels have formed a large number of adhesions around them, so that the gaps that existed no longer exist, and everything becomes blurry and unfathomable.
Maybe it's inflammation, maybe it's dysplasia, maybe it's something else, and the adhesions are in front of you.
The right side of the heart is upside down, the heart is malformed, and there are a lot of adhesions, which makes the operation extremely dangerous.
Li Zehui raised his head and saw Yang Ping's confident gaze.
Seeing the scene in front of him, Li Zehui was already sweating behind his back, but Yang Ping was very calm.
"I'm going to separate the heart from the big blood vessels, and then cut the big blood vessels and take the heart out, are you ready?"
Yang Ping reminded the assistant and anesthesiologist.
Next, he had to continue operating in this treacherous anatomical environment—
This rare operation attracted a large number of doctors, and almost all the doctors in the cardiac surgery center gathered in the conference room to watch the operation on video.
The shadowless lamp in the operating room is equipped with a camera, which can be used to shoot directly at the surgical area.
Is he really going to take the heart out, remove the tumor in vitro, and correct the deformity?
The heart and large blood vessels in the field of vision are now adherent, which is more difficult than previous surgeries.
Dodge stared at the screen and swallowed, if it was him, he could only continue now.
As one of the world's top cardiac surgeons, he was actually very interested in the operation itself, but pride and prejudice controlled his brain.
"Dude, is this guy really going to do that?"
Odorelli also saw something.
Dodge nodded: "He seems to be in such a rhythm!" ”
"It's full of sticks? Deformity plus adhesions, I have never seen such a dangerous dissection. ”
Odorelli's heart was pounding.
"It's like wading through a minefield in the night."
Dodge muttered that if the last surgery had been like this, he probably wouldn't have been able to safely access the tumor.
7
The first is the latest.