Chapter 797: Walking Case Report
Hearing Yang Ping say that he was eighty percent sure, Mai Jifu was so moved that he was about to cry, he looked at several big hospitals, and the doctor didn't dare to do this kind of operation at all, saying that he hadn't done it.
Even Professor Chen from Fuwai didn't have a good way, but now the child can't hold on, and he has to undergo radical surgery.
Professor Chen found his mentor, Academician Wang, who specializes in pediatric congenital heart, and after Academician Wang convened everyone to discuss, he felt that the operation must be done, but the risk is very high, all the structures of the heart need to be reshaped, and the operation may not be able to get off the operating table, the success rate of the operation is at most 60%, and the operation time is about 20 hours.
At most, 60% of the time does this only means that the surgery is done well, not including the ability of the heart to beat after surgery.
If it is the possibility of re-beating after the heart stops, I don't know how many percent of these six achievements will become.
Because the operation took too long, the cardiac arrest time was also very long, so long that there was no precedent.
That is, even if the operation goes well, whether the heart can beat again in the end is a question, and even Academician Wang is not sure, so he can only gamble on luck.
But at most, 60 percent -ββ whether the heart can beat again depends on luck, which is already the most promising word McGiff has heard.
I was still nervous just now, but now Yang Ping is saying eighty percent, can it not make people happy?
Looking at the excited Mai Jifu, Yang Ping felt that it was still necessary to objectively explain the specific situation of the operation:
"The operation is very difficult and the risk is very high, but it is not completely uncertain, I think I am 80% sure that I can take a risk, and the operation time is relatively long, it takes 10 hours."
"Ten hours?"
This number made McGiff excited again, it seems that Director Chen is really responsible and helped him find a good doctor.
Yang Ping saw McGiff's expression and thought that he was scared by ten hours, so he explained: "Don't be too nervous, this is just an estimated time, in order to reduce the time for the heart to stop, we will try to shorten the operation time." β
In this way, the heart will not be a big problem again?
McGiff is now very familiar with this operation, and he is also very clear about medical concepts such as what the heart does not stop.
Since he is eighty percent sure, Professor Yang must have done a lot of this kind of surgery, but McJifu was embarrassed to ask directly, and seemed to distrust the expert.
So he turned around and asked, "No wonder Director Chen recommended you, or Professor Yang has rich experience in this field, Professor Yang must have done a lot of this kind of case." β
Yang Ping said without thinking: "This is the first time I have encountered your son's situation, and this kind of operation should be the first case in the world." β
The first case in the world, which has not been encountered before?
The confidence just now was immediately extinguished by the ice water, and the subtle expression on McGiefu's face was strange, trying to hide his disappointment.
Yang Ping smiled: "Although I have never done this kind of surgery for your son, I have done a lot of more difficult and risky cases than him, and there are no failures so far." β
It turned out that this was the case, and McGiff's confidence that had just fallen was immediately established again, and the ups and downs of this emotion were too uncomfortable, just like starting to get hot and wearing pants, and suddenly there was a cold snap, and he immediately added a padded jacket, and as soon as he put on a padded jacket, he immediately hit with a high temperature of 40 degrees.
Hearing Yang Ping say this, McJifu immediately replied: "I'm willing to take risks, I'm willing!" β
Over the years, McJifu has either taken his children to see a doctor for treatment, or on the way to see a doctor for treatment.
The child is also operated on - taking medicine - surgery - taking medicine, constantly circulating, not having a good day, the whole family is shrouded in shadows, and everyone is sad.
Fortunately, the two of them have good economic conditions, and they have spent more than 2 million before and after seeing a doctor. Of course, more than two million is nothing to their current economic state, and his annual after-tax income is more than two million.
If it weren't for such good economic conditions, the family would have collapsed long ago.
Now Professor Yang said that he is 80% sure that the operation will only take ten hours, what else can he say, go directly to the operating table.
"If there is no problem, go to the hospital."
Yang Ping saw that Mai Jifu had no objection and said.
In fact, it's as simple as that, it's not interesting to be admitted to the hospital for surgery.
McJifu had never been so happy, he nodded excitedly: "I'm going to go through the hospitalization, how to go through the hospitalization procedures?" β
"You go to the doctor's office, I'll find a doctor to go through the procedures for you directly, the child doesn't have to follow, I'll ask the nurse to arrange the bed first, and you can go through the procedures." Yang Ping briefly explained a few words, and this matter was confirmed.
He is worthy of being the first person in cardiac surgery recommended by Director Chen of the imperial capital, and he can do things and speak lightly, and he will determine the operation in just a few words.
When he first came to the Department of General Surgery, he saw several signboards hanging at the gate: General Surgery, Institute of Surgery, and Clinical Experimental Base for New Surgical Technologies-ββ
Although Mai Jifu, who graduated with a doctorate, did not study medicine, he knew that the brand of the Institute of Surgery was not hung at all without a few brushes.
Coming out of the meeting room, An Yinghui saw that her husband's face was more relaxed than she had ever been, and even her usual tightly knit brows were relaxed, and she secretly asked her husband: "What did Professor Yang say?" β
Mai Jifu couldn't hold back his excitement: "Professor Yang said that he would be admitted to the hospital for surgery immediately, and the operation was 80% certain. β
"Did he have this kind of surgery?" An Yinghui asked in surprise.
McGiff lowered his voice and said: "He hasn't done anything like Zijing, but he has done something more difficult than him, and the current success rate is 100%. β
An Yinghui almost cried, after so many years of hard work, she finally saw hope.
ββ
McGiff completed the hospitalization procedures, and the nurse had already arranged the ward, and the family stayed and waited for the operation.
Yang Ping was looking at Mai Zijing's case information in the office, Song Zimo had just completed his laparoscopic training, and he heard that there was a patient in cardiac surgery and was very interested.
"When did you receive this, and what happened?" Song Zimo asked curiously.
Yang Ping pointed to the screen: "The patients referred from Fuwai, see for yourself!" β
Song Zimo immediately looked at the case information: "What's the matter?" The ventricular septum is completely absent, and the aorta and pulmonary arteries are long opposite? What should I do if the atrial septum, tricuspid valve, and mitral valve are malformed? β
"We came to do the surgery, what else can we do?" Yang Ping said angrily.
"Can this also be operated on?"
Song Zimo now has a very good foundation in cardiac surgery, but he has never seen this kind of surgery in books.
Yang Ping called up the drawing board from the computer, used the mouse to draw out the picture of Mai Zijing's heart, and said: "Whole cavity reconstruction + aortic and pulmonary artery reversal!" β
Total cavity reconstruction + aortic and pulmonary artery reversal?
Song Zimo thought for a while and almost understood what Yang Ping meant: "Reconstruct a ventricular septum, and then correct the deformity of the mitral valve, tricuspid valve, and atrial septum, and cut off the two major arteries to exchange positions and anastomize?" β
Yang Ping nodded.
Song Zimo was shocked: "This is a big project, which is equivalent to rebuilding a house on the ruins, and the number of stitches in the entire surgical heart is almost 3,000 stitches?" How long does the surgery take? β
Yang Ping tapped his fingers on the desk a few times, and bowed slightly: "Legend has it that the operation takes more than 20 hours. β
Song Zimo was extremely surprised: "More than twenty hours? Professor, it takes you more than 20 hours to do it, so what kind of operation is this? It won't take days and nights for someone else to do it. β
Song Zimo followed Yang Ping for so long to operate, no matter how difficult the operation was, how could there be more than 20 hours of surgery.
Yang Ping saw that Song Zimo looked like he had never seen the world: "This is just a legend, teach me to go out, it is estimated that the battle can be ended in five or six hours." β
"Professor Shenwu!" Song Zimo gave a thumbs up.
At this time, Xu Zhiliang knocked on the door, and after coming in, he saw that Song Zimo was also there, so he told Song Zimo: "The courtyard -ββ routinely checked-camera-monitored, and saw that your -ββ was wearing an open white coat with your hands in your pockets, they-let me tell you, don't be like this when teaching -ββward rounds, and now several students -ββ also learn from you, -ββ put your hands into your trouser pockets, the white coat is open, majestic!" β
Usually, Xu Zhiliang is reluctant to say such a large amount of words, it takes a lot of effort, but there is no way to do the matter of a good brother.
"Oh, get used to it, regardless of them, come over and look at the cardiac surgery cases, don't you like cardiac surgery very much? Look. β
Yang Ping said to Song Zimo: "I have watched a lot of your TV series, and most of the surgeons in the TV series are wearing open white coats and pretending to be forced. β
Song Zimo hurriedly defended himself: "Professor, do I still need to rely on a white coat to pretend to be forced in this situation?" Wherever you go, you can get your own traffic. β
"Okay, pay attention next time, don't leave the teaching rounds open, these students imitate very well, it is true that several students usually like to wear white coats, and deliberately walk up the white coats."
"Professor, it doesn't matter to me if they want to learn, don't talk about it, when it comes to imitation, now August and Robert have to sit in the locker room for a few minutes before each major operation, leaning on the back of the chair and closing their eyes to recuperate, saying that it is to review the surgical process, Lao Xu, you seem to have this problem too."
"Me? It's like- you-ββ aren't you? β
"I seem to be too, they are all professors, talking about cases, talking about cases, professors, this kind of cases are rare, right?"
Yang Ping said seriously: "The first case in the world! β
"The first case in the world?"
"Walking case report!"
"This is mine, Lao Xu, don't rob me."
"Last time-ββ that - you - gave it to me-ββ but I have one less than your -ββ."
ββ
After McJifu settled down, he called Director Chen in Fuwai to report the good news, saying that he had arrived at Sanbo Hospital and saw Professor Yang, but Professor Yang did not say much, that is, he was admitted to the hospital for surgery, and said that the operation would take ten hours, and he was eighty percent sure.
Just a few simple words, I didn't expect to scare Director Chen, eighty percent sure, the operation time is ten hours, is there any misunderstanding.
Professor Chen immediately asked Yang Ping in the WeChat group if he was really sure that he was eighty percent sure? How long does the surgery take 10 hours?
[Professor Yang, Mai Zijing's father has called me, I am very grateful to Professor Yang for his help, there are two questions I didn't hear too clearly, I want to ask here, the operation time takes ten hours? Is there an 80% chance of success in surgery? γ
Yang Ping thought about it, I am afraid that Professor Chen is worried about this operation, ten hours, eighty percent sure, this is said to the patient's family, and the conversation with the family must be conservative, not full of words, maybe Director Chen has a misunderstanding about this, worried about the failure of the operation, specially came to ask.
[Director Chen, in fact, this operation can be completed in about five or six hours, and the success rate is basically no problem. γ
Yang Ping's message to Director Chen this time was more accurate and closer to reality than the information to the patient's family.
Director Chen of the imperial capital is speechless now, and originally wanted to verify whether the family heard it wrong, how could the operation have such a high success rate, and how could the time be so short as ten hours.
Either the family heard it wrong, or Professor Yang misunderstood the operation, and Director Chen felt that it would be better to clarify.
Now Professor Yang actually said five or six hours, basically no problem.
[Professor Yang, have you had this kind of surgery before? γ
Director Chen asked bluntly, everyone is engaged in technology, and their thinking is relatively simple, so it is better to go straight.
[I haven't done it before!] It's the first time I've done it too! γ
After replying to this sentence, Yang Ping didn't reply again, because Song Zimo and Xu Zhiliang came in to study the case together, and Yang Ping temporarily put aside the WeChat chat.
Seeing that Yang Ping had not replied, Director Chen began to feel anxious, it was the first time to do this kind of surgery, how could it be so fast, impossible.
Since the operation time cannot be so short, the time for the heart to stop beating must be very long, so whether it can be re-beaten after surgery is completely ten unknowns, since it is an unknown, how can it be such a high success rate.
Talking to a patient like this, in case there are three strengths and two weaknesses, the patient's family does not understand, and it is easy to have disputes.
Generally speaking, doctors will always be conservative and leave a certain amount of leeway for themselves. Except, of course, for non-regular doctors, who always pat their chests and guarantee 100% success.
The other doctors in the group were not good at questioning in the group for the time being, so they called each other to discuss.
Director Chen called his mentor, Academician Wang, and Academician Wang said, "Do you know anything about Professor Yang Ping?" Have you ever had surgery together? Director Chen could only answer truthfully: "This is recommended by Xin Weicong, there must be no problem, I don't know much about him, I only know that he has recently published 13 CNS, according to Xin Weicong, he has done better than him in aortic dissection, and coronary artery bypass grafting is better than Professor Xu in Anzhen." β
Last time the old academician had surgery, because Director Chen was a pediatric congenital heart disease specialist, so he didn't go, and of course he wasn't on the invitation list, so he didn't see Yang Ping have surgery.
Academician Wang did not affirm or deny the matter, but said: "It is better to deal with it carefully, communicate more with Professor Yang, there must be a misunderstanding in it, don't let Professor Yang come to the stage with a misunderstanding, the patient is recommended by us, for the sake of the patient, and for Professor Yang, you must follow up." β
Hanging up the phone, Director Chen was a little drumming in his heart, mainly because the operation time was too short, it was impossible, and there must be a misunderstanding inside.
At this time, Yang Ping finally returned to WeChat:
[I've done a case that is more difficult than Mai Zijing, I'll send it to you when I have time.] γ
Harder cases than this, he's done it all?
[Professor Yang, I took the time to come here to study. γ
[Welcome, welcome, learn from each other. γ
(End of chapter)