Chapter 758 Brain Surgery belongs to orthopedics

Yang Ping continued to discuss the case with Johannathan, and the pencil in his hand never stopped.

This pencil is very magical, it is like turning on the fast action mode, the speed is very fast, and soon, more than a dozen anatomical drawings demonstrating the surgical steps are completed.

All the doctors were stunned, and even Johannesen was dazzled by this level of drawing.

A pencil, a stack of blank paper, and so many beautiful anatomical drawings in just a few minutes.

How did he do it? No one understood.

Before the operation began, this medical drawing stunt had conquered most of the Mayo doctors, their composure began to disintegrate, and the commotion gradually germinated, and slowly, they crowded each other, hoping to see more clearly, and some even reached out to get a hand-drawn drawing to see what was going on.

The doctor who held out his hand knew that it was rude, but a strong curiosity drove him to do so, and there was already a small commotion, the reason for which was obviously to rush at the dozen or so paintings, and if he did not take advantage of the nearest position to strike first, it was likely that he would not get anything.

"Everyone, be quiet, please!" Robert gave up his hand and kept the doctors in order.

Robert understood this behavior, saying how could Mayo's doctors have seen this kind of hand-drawn anatomical drawings before, and all the medical drawings they had seen before were nothing more than doodles of kindergarten children in front of the professor's on-the-spot work.

Thanks to Robert's efforts and Dr. Mayo's excellent qualities, the riot was suppressed, no one squeezed forward, and everyone quietly gathered in a circle to listen to Yang Ping and Johannesen discuss the case.

For the feasibility of the operation, Johanneson did not have the slightest doubt, when he was in the magic capital of China, it was an operation that no doctor in the world could take, Yang Ping still took it, when the patient had several cardiac arrests during the operation, but Yang Ping seemed to have known in advance, calmly rescued, and continued the operation after the rescue was successful, that courage, that superb surgical ability, completely conquered Johannesen.

Now Johannathan's only concern is whether the eye regoliation needs to be assisted by an ophthalmologist, and experts at Mayo Clinic have discussed and recommended that an ophthalmologist come on stage to assist.

"Need eye help?"

Johanneson asked tentatively.

Yang Ping shook his head: "If it is not required by law and process, then try to avoid it, they should not have any experience in this kind of surgery." ”

"Understood, then let the ophthalmologist stand on the platform and observe."

With Yang Ping's affirmative answer, Johannesen was very relieved and no longer entangled in this question, in Johannesen's eyes, Yang Ping was a god-like existence.

Therefore, whatever Yang Ping says is what it is, he will not question it, in front of Yang Ping, he has lost the ability to question.

However, according to Mayo's expert discussions, two ophthalmologists must be involved in the operation, one on stage and one offstage.

After all, Yang Ping was involved in Mayo's surgery for the first time, and only Johanneson knew Yang Ping, and according to the rules of the hospital, he had to do this.

Mayo's ophthalmology department is very strong, but they really haven't done eye transplant surgery, they have only done similar surgeries in animal experiments, and the real human surgery is only to complete dozens of artificial bionic eye transplants, and the surgical method of artificial bionic eye transplantation is very different from real eye transplantation.

Next, Yang Ping and Johanneson had to finalize every detail of the operation, and the doctors around them were not bad, and there was no commotion.

Robert also secretly used his arm to form a shield to prevent the doctor from falling forward uncontrollably and hurting Yang Ping.

After all the details of the surgery were finalized, Johanneson scheduled the surgery for the next day.

For the rest of the time, Johannesen, as the host, led Yang Ping to visit Mayo Hospital, which was Yang Ping's first visit to Mayo Hospital, and a visit was a must.

After Yang Ping and Johannesen left their seats, the dozen pencil hand-drawn drawings left on their desks, like the works of top artists, were coaxed by onlookers.

We have never seen such a beautiful hand-drawn anatomical drawing, which is obviously just a black and white sketch, but it is so realistic and three-dimensional.

The skull, muscles, blood vessels, nerves, brain tissue, eyes, ears, nose, etc., are all beautiful and collectible works of art.

The whole operation process is depicted with more than a dozen pictures, which is more vivid and simple than verbal description.

Those who grabbed it were complacent, those who didn't grab it were very disappointed, and some people tore the hand-drawn drawings in half in order to snatch them, completely losing the reserve and demeanor that the world's top hospitals should have.

In fact, it is not difficult to understand that these hand-drawn drawings are not only unsurpassed by no one at Mayo, but also within the cognitive range of Mayo neurosurgeons, no one can draw such beautiful hand-drawn anatomical drawings, and at such a fast speed.

Johanneson took Yang Ping and Robert to visit one by one, layer by layer.

Mayo Hospital or Mayo Clinic Medical Center, which was previously translated into Chinese, is now the new accurate Chinese translation of "Mayo Clinic."

The word "Miao" means "good hands" and "good hands" means to protect and help, and the word "Mayo" means that a compassionate and virtuous doctor uses his skills to treat and help patients.

The person who took this name must have been well-versed in Chinese culture, either a Chinese or an American like Robert.

The No. 1 general hospital in the United States has a history of nearly 160 years, and in addition to the medical center in Rochester, Minnesota, Mayo has branches in Florida and Arizona.

Rochester, Minnesota, a small town with a population of less than 100,000, is located in the cold and remote north of the United States, in China, which is equivalent to a small county town on the 18th parallel, but because of the presence of Mayo, its airport has a runway that can take off and land Boeing A380 super large passenger aircraft, because politicians and wealthy businessmen from all over the world like to come here for medical treatment.

In the hearts of doctors all over the world, Mayo is a holy place.

Unlike our country, the vast majority of the top hospitals in the United States are private hospitals, and Mayo is not a public hospital, but a private hospital, which developed from a clinic, so its English name still retains the word clinic.

This private hospital has a different management model in that it has a board of directors, but the board of directors is not led by the government, nor by a consortium, but by the doctors of the hospital.

In other words, Mayo's group of doctors is the real voice of the hospital, and they vote to decide who is on the board of directors, and they also vote to decide the hospital's various policies.

As a private hospital, Mayo's salary system is "eating a big pot of rice", that is, the salary of each doctor is fixed, and it has nothing to do with how many patients you see, how many drugs you prescribe, how many surgeries you do, and how many examinations you complete.

In this way, the doctor's income is decoupled from the patient's treatment fee, and the doctor's decision-making is independent and pure to the greatest extent, without the interference of external factors such as money.

Mayo eats a big pot of rice, will it cultivate a group of lazy people? Anyway, the salary is fixed, do more and do less, everyone lies down and eats and waits for death, so it won't be long before Mayo will be shut down.

But under this system, Mayo not only did not go bankrupt, but instead earned more than $15 billion a year, becoming the world's highest-grossing and most profitable hospital.

Of course, Mayo receives a large number of social donations each year, which are also part of the hospital's revenue.

In this way, Mayo's income is divided into two parts, operating income and social donations, it does not have any government grants, and the annual donations received are only a few hundred million US dollars, hundreds of millions of US dollars compared with 15 billion US dollars, it can be seen that the proportion of donations in the hospital's income is very low.

So don't think that Mayo can survive on donations, which are almost negligible in donations of hundreds of millions of dollars.

And don't think that Mayo has been doing charity, where does this $15 billion a year come from, all from patients, and the vast majority of it is medical technology service income, such as surgery costs.

The cost of diagnosis and treatment at Mayo Hospital is very high, and it is normal for surgical inpatients to cost more than one million dollars, such as neurosurgery and cardiac surgery, which have a high technical threshold, and the cost of surgery alone is hundreds of thousands of dollars, and the entire hospitalization cost, two or three million dollars is the normal price.

Without high-end insurance, ordinary people stepping into Mayo's door would mean bankruptcy, but high-end medical insurance is not affordable for everyone, which is exclusive to the wealthy.

There are also some ordinary Chinese people who come to Mayo for medical treatment, and they usually sell their houses to raise money before they come, and they are fully prepared before they can come to Mayo to receive a world-class medical service.

After chatting, I came to Mayo's Department of Diabetes and Endocrinology, which is one of several departments ranked first in the United States.

"They isolated glucocorticoids for the first time in the world, won the Nobel Prize in Medicine and Physiology in 1950, and isolated thyroid hormones for the first time, which is the second hormone to be isolated in human history; The relationship between insulin and diabetes was what they discovered, and the first treatment of diabetes with insulin was their masterpiece," Johannathan said of this heavyweight department.

It turns out that it was they who pioneered the treatment of diabetes with insulin, so that diabetes is no longer a terminal disease, and medicine is driven little by little by these passionate innovations.

In ancient times, tuberculosis, diabetes, tetanus, etc. were all terminal diseases, and appendicitis and dystocia were also life-threatening.

After walking through so many departments, visiting the consultation room, and going to the ward, Yang Ping found that many things here were different from those in China, and the nurses wore uniform short-sleeved suits in crimson or dark teal, without hats.

Doctors wear suits and ties when treating patients, and female doctors wear suits or skirts, and doctors are not seen wearing white coats when they see patients, nor are doctors wearing T-shirts, collarless shirts, jeans, or shorts.

All medical treatment here is by appointment, and on-site registration is not possible, that is, it is impossible to see a doctor without spending money to make an appointment.

After visiting all the departments, Johanneson took Yang Ping to visit the operating room, and as an expert invited to guide the operation, Yang Ping's visit was unimpeded.

Finally, Johanneson led Yang Ping to visit the Fez Family Sculpture Garden on the west side of the Gonda Building, which houses bronze statues of the Mayo brothers.

The correct understanding of the name of the sculpture garden should be: this sculpture garden is named after Fez, in honor of the Mayo family.

The sculpture garden was built with donations from the Fezes to commemorate Mayo Sr., the founder of the Mayo Clinic, and the Mayo brothers who carried the Mayo Clinic forward.

In front of the bronze statue of the Mayo brothers, Johanneson invited Yang Ping to take a group photo with him.

——

At this time, the Mayo neurosurgeon's office.

"Why is Dr. Johannathan's mentor so young? Looks like he's only in his twenties. "Some people ask their own questions.

The muscleman doctor said: "My peers, Asians, especially Chinese, look younger than us, to be Johannathan's mentor, I'm afraid he should be about fifty years old, he just looks like he is in his twenties." ”

Regarding Yang Ping's youth, when Yang Ping was operating in Germany, Europeans also thought that Yang Ping had a good face.

Now, it is impossible for Americans to believe that Yang Ping, who is less than 30 years old, can be a mentor of Johannathan, the doctor training system in the United States is completely different from that of China, high school can not be directly admitted to medical school, only after graduating from undergraduate, science and engineering or biology can be admitted to medical school, the original undergraduate 4 years, medical school 4 years, a total of 8 years, that is, all doctors must be at least 8 years before they can graduate and obtain an MD degree.

Some people work for years after graduating from undergraduate before they get into medical school, and they are older, so there are almost no doctors under the age of 30 in the United States.

"Fifty? Looking so young? ”

The white-haired doctor was very annoyed, he was also in his fifties, and now he was so old.

People are more angry than people, and they are also suitable for the United States.

"You can speculate that the clinical experience is above Johannathan, and he must be in his fifties." The muscular man is all in his own imagination, and everyone believes what he says.

"How come we've never heard of his name?" Another tall and lanky doctor asked.

The muscular man has been praised by everyone, so he is very positive: "Many doctors in China specialize in surgery and do not publish papers, which is low-key and mysterious. ”

"I just found his papers, both in Science and in other journals, each of which is a top journal, but it seems that the papers are all in orthopedics." One of the doctors expressed a different opinion.

"Oh! Is that so? "The muscleman doctor is a little embarrassed.

"How did he write a dissertation on orthopedics, is it possible that in China, neurosurgery is a branch of orthopedics?" The doctor, with half a hand-drawn drawing in his hand, asked.

For example, spine surgery in the United States belongs to the branch of neurosurgery, while spine surgery in China belongs to the branch of orthopedics.

"That's right, their spine surgery belongs to orthopedics, and brain surgery probably belongs to orthopedics." The muscular man nodded in order to show his erudition.

So that's the case, everyone finally understood.