Chapter 798 I actually only saw the patient once
Because Yang Ping had indeed had more difficult operations than Mai Zijing before, and there were more than one, he did not feel like he was facing a great enemy, and he seemed very relaxed, treating Mai Zijing as an ordinary case.
This made Mai Jifu and An Yinghui uncomfortable, and they felt a little uneasy in the excitement, and their hearts were always up and down.
In the past, they took their son to see a doctor, no matter which hospital or which expert, they were like a great enemy, and the experts would come several times a day, constantly asking questions, constantly checking the body, and constantly explaining the condition, and finally they could not come up with a good solution.
But now Professor Yang treated it as if it was fine, just watched Mai Zijing once, and never came again, which made the couple very nervous.
Song Zimo is a competent assistant, he led the doctor in charge of the bed to improve the preoperative preparation, and made an appointment with the cardiopulmonary bypass team.
In this operation, the heart must be stopped, because the heart is opened and then reconstructed inside, and the aorta and pulmonary artery must be severed, and then the position is swapped and reanastomosed, so it is impossible to do surgery without stopping.
Coronary artery bypass grafting is surgery on the wall of the heart, and there is no need to open the heart, so it can beat non-stop.
It's like a house that is to be demolished and rebuilt, and the people who live in it have to move out temporarily so that the house is empty; And if you just install water pipes in the walls, the people in the house can continue to live in it, and it will not affect much.
In the past, coronary artery bypass grafting also had to stop the heart, because it was very difficult to anastomosis blood vessels on the beating heart, but later, with the improvement of the doctor's level, the amplitude of the heart's beating can be reduced with a fixation device, and then the blood vessels are anastomosed on the beating heart, so the heart can not stop beating.
That's why sometimes you can stop jumping, and sometimes you can't.
In addition to the great difficulty and high risk of the operation, Mai Zijing's surgery also has a huge difficulty, that is, the operation time is long, the heart is perfused with asystole, under the protection of low temperature, the time to stop beating is not unlimited, generally 3-4 hours, and there are also those who can stop jumping for 10 hours to re-jump, but that is already a matter of luck.
Surgery is only left to chance when there is no way to do it, and you can control it as much as possible.
Therefore, Yang Ping should shorten the operation time as much as possible to increase the probability of re-beating after the heart stops.
In medicine, a lot of it is a matter of probability, and increasing or decreasing probability is the never-ending pursuit of doctors.
Because this is the first case in the world, no one wants to let go of such a precious opportunity, An Zhen and several experts from Fuwai flew to Sanbo Hospital, including Director Xin and Director Chen, and Director Chen's mentor, Academician Wang, also came to Sanbo Hospital with them.
Institute of Surgery, what a big signboard!
When Academician Wang saw the entrance of the General Surgery Department, he couldn't help but laugh and said, there are not many hospitals in the country that dare to hang this signboard.
In the outpatient department on the first floor of the Department of General Surgery, Academician Wang met Professor Cao Zhenshan, they are colleagues for decades, and he was very curious when he heard that his old colleagues came to the south to exert their spare heat after retirement, and he didn't know how the old colleagues were doing.
The experts from Fuwai came to Sanbo Hospital, it was a private act, not an official act, so Sanbo Hospital was not notified at all, and even Yang Ping did not know for the time being. Under Professor Cao's arrangement, they came to Yu Shuilian's bakery to have a bite to eat.
Yu Shuilian's bakery is a hodgepodge, with tea, coffee, milk tea, bread, steak, fried rice, sugar water, and more, as well as mainstream snacks.
Her small shop has been patronized by many domestic and international medical bigwigs, not to mention Robert, August, and Takahashi, who came to Sanbo for further study, and they ate here for two ends in three days.
Since Yu Shuilian has a power brace, she no longer relies on her hands to walk on the ground, and after wearing the power brace, she is wrapped in pants and shoes, and she is not seen to be half-cut at all.
The large poster at the door shows the deeds of Shao Yu Shuilian, she is now very confident, and she has never been afraid of others saying that she is a half-cut person.
There is a breakfast shop next door to the bakery, which is also two husbands and wives, the daughter went abroad to study, and the two husbands and wives also plan to go abroad, so the domestic store does not want to continue to work, and gives the store to Yu Shuilian and his wife, this store is larger than the current Yu Shuilian bakery, Yu Shuilian plans to renovate it, as a place for doctors to chat and discuss cases.
After several experts finished eating snacks here, Professor Cao called Yang Ping to tell several experts from Fuwai Anzhen to come to see the operation, and then took a few people to the general surgery together.
At this time, Yang Ping was still on the operating table, the doctor on duty was busy, and Professor Cao took several experts to move freely.
The doctor on duty and the students moved stools for a few guests to sit on, and then made a few cups of tea from disposable cups.
With the permission of the doctor on duty, Professor Chen saw his old patient Mai Zijing in the ward, and he performed three surgeries and a fourth operation on him.
After seeing the patient, when he heard that Yang Ping had only seen the patient once, Academician Wang couldn't hold back his anger in his heart, and his face was obviously unhappy.
Are young people so irresponsible nowadays, this kind of difficult and high-risk surgery, the world's first, a new surgical method, do not see the patient repeatedly, only once, how can this work?
Seeing the sullen Academician Wang, Professor Cao was very clear in his heart, and he explained for Yang Ping: "Maybe this kind of case is nothing in Professor Yang's place?" ”
"Nothing?" How can Academician Wang believe such words?
If Yang Ping was his student, this kind of attitude, if he was not criticized for a bloody squirt, Academician Wang would find it difficult to understand the hatred in his heart.
I actually only saw the patient once, what an attitude.
Academician Wang's anger is not without reason, as an expert of the older generation, he is not accustomed to many professional habits of young people, such as over-reliance on instrument examination, lack of attention to physical examination, and many cardiac surgeons are not even able to auscultate heart murmurs.
The older generation of doctors, whether it is cardiovascular medicine or surgery, is absolutely very meticulous in auscultating heart murmurs, listening through the stethoscope, all kinds of murmurs are very accurate, and judging where there is a problem with the heart and what is the problem through the murmur.
Some of today's cardiac surgeons are reluctant to even hang up the stethoscope, and when the patient comes, he first looks at the imaging data such as color ultrasound and CT.
However, young doctors also have their own reasons: I don't need to spend time practicing auscultation at all, I can have a basic skill to listen to a rough line, the times are different, now all kinds of examination methods are very advanced, all kinds of examinations are done, where there is a problem with the heart at a glance, compared to the physical examination I don't know how many times more accurate, but also spend time to practice what physical examination.
As for the number of times to see patients, Academician Wang had to see many times before surgery in that era, repeatedly look at them, and ask them repeatedly.
But the current doctors also have a reason, Academician Wang didn't have so many patients at that time, of course he had time to look at it this way, now there are several surgeries a day, more than a dozen, how can he have time to see patients like this every day.
So there is also a generation gap for doctors.
Professor Cao introduced the situation of comprehensive surgery to Academician Wang and said: "Our comprehensive surgery is very remarkable, and the surgeries completed are the most difficult in all departments, and the current surgeries include scoliosis orthopedics, upper cervical spine surgery, brainstem tumors, heart surgery, etc. ”
Academician Wang frowned, this is too miscellaneous, it is the first time I have heard that the hospital has this kind of specialty.
"Wei Cong knows, the last emergency rescue operation of total aortic replacement, up to the carotid artery, down to the femoral artery, the tear was very serious, Professor Yang only took two hours to complete the operation, I was on the scene at that time, that kind of surgical speed, I really have never seen it in my life, how can there be such a fast hand in the world."
"If you hadn't said it yourself, teacher, I wouldn't have believed it."
"Before I came, I heard that Professor Yang had already performed a lot of heart surgeries."
"Which professor did he study with?"
Academician Wang listened to so many words praising Yang Ping, and suddenly asked.
Who did you learn from?
Professor Cao couldn't answer at this time, because he didn't know, and he had never thought about this question, and now he began to think about this question in his mind.
Yang Ping used to be engaged in orthopedics, and he was Han Jiangong's doctor, and Han Jiangong was engaged in trauma orthopedics, and then -——
No, in this way, Yang Ping is a doctor of orthopedics, so where did he learn cardiac surgery, and under whose door did he learn cardiac surgery?
"Whose student is this, why have I never heard of it before, and I only heard you mention it recently." Academician Wang is very interested in this issue, and I don't know who is so lucky to have such a good student.
According to the age calculation, Yang Ping should be the grandson of Academician Wang's apprentice, but the circle is so big, such an excellent person, how come he has never heard of it, and the feeling suddenly popped up.
After thinking about it, Professor Cao really couldn't come up with an answer.
"I don't know this -——, I only know that he is Han Jiangong's doctor." Professor Cao had no choice but to reply.
Academician Wang pondered for a moment: "Han Jiangong? Which hospital? ”
Academician Wang knows a lot about cardiac surgery in China, and he has never heard of such a person.
Professor Cao said: "He is from Sanbo Hospital, and he used to be in the Sixth Hospital of the Demon City, engaged in orthopedics, of course you don't know him. ”
What is the logic of orthopedics to train such excellent cardiac surgeons? If that's the case, doesn't that slap us heart surgeons in the face?
"Orthopedics to train a cardiac surgeon?" Academician Wang is now very interested in this issue, and wants to break the sand pot and ask to the end.
Professor Cao couldn't explain it clearly, because he knew the result, not the process.
How could Professor Yang be so powerful, he had never thought about it.
"I've been here for a short time, and I don't know the specific situation, maybe I found out that I have a talent for heart surgery halfway and send it abroad for further study." Professor Cao replied randomly.
But it was not right, he didn't do not only heart surgery, but also brain surgery, spine surgery, anyway, he did the most difficult surgery.
——
Mai Zijing's case information was sent to the international group, cardiac reconstruction + aortic and pulmonary artery reversal, a surgical method that I have never heard of, and I have never seen a case.
Li Zehui of cardiac surgery couldn't sit still anymore, he bought a plane ticket and went on a study trip, his study exchange visa gave him convenience, so that he could leave for China at any time, and his senior brother Dodge didn't have such good luck, so he could only look at Li Zehui with his eyes and tell him to bring the video back.
When he came to Sanbo Hospital, he also ate snacks in Yu Shuilian's bakery, and then booked a room at Sanbo Hotel.
This time, I was a student who came to observe the operation, not an expert who attended the meeting, so I was alone, carrying a travel bag, and it was simple.
Although he grew up in the United States and has always used English to communicate, his family has also let him take Chinese training classes since he was a child, although he is not very fluent, but it is enough, and recently he deliberately went to Chinese training classes to practice speaking, and he has improved very quickly, and now he is very fluent.
He booked a room at the Sanbo Hotel, and only then did he come to the Department of Comprehensive Surgery, where he happened to meet Director Xin, Director Chen, and Academician Wang.
Li Zehui is a world-class cardiac surgeon who often lectures in Fuwai Anzhen, how could they not know each other, and they are very familiar with it.
"Professor Li?"
Xin Weicong's eyes were sharp, and he was the first to see Professor Li Zehui.
Everyone looked at it, and this person was Professor Li Zehui, Professor Li Zehui of Cleveland Clinic, and he couldn't be wrong.
The world is too small to be encountered here.
"Lucky to -——"
Professor Li shook hands with everyone one by one, it turned out that Professor Li also spoke English in China, and now he is fluent in Chinese, and he no longer has half an English word.
"You're here?" Director Xin Weicong asked in surprise.
Professor Li said bluntly: "I came here to study surgery, and there is a very special case here, which is the first case in the world. ”
He was talking about Mai Zijing, and it turned out that everyone's purpose was the same.
"Are you familiar with Professor Yang too? The world is really small, and I met Professor Li here. Director Xin Weicong was a little surprised.
Professor Li has a Western-style thinking, so he said directly: "Professor Yang Ping is my mentor, and we must be familiar with each other." ”
Yang Ping is his mentor?
As soon as these words came out, everyone was shocked, especially Academician Wang, who thought that he had heard it wrong.
"He's Ling's mentor?" Professor Xin couldn't believe it.
Professor Li nodded: "Yes, Professor Yang is my mentor, I have often benefited a lot from Professor Yang's guidance, and he should still be on the operating table now." ”
The Cleveland Clinic is the temple of cardiology in the world, Professor Li and Dodge are the rising stars of Cleveland, and Professor Li is actually a student of Yang Ping, which is really unacceptable, and Cleveland's temple status suddenly began to collapse in the hearts of several professors.
Such a young Yang Ping is actually the mentor of Li Zehui in his early forties, this generation seems to be a bit chaotic, Academician Wang shook his head in his heart.
He secretly observed that Li Zehui, the world's top doctor, also came to Sanbo Hospital alone, and there was no one to receive him, so he poured water from a disposable cup, and Li Zehui seemed to be very accustomed to it, he really looked like a student, and he didn't have the demeanor of a big-name professor when he lectured outside Fuwai.
At this time, Yang Ping returned to the ward after the operation and saw so many doctors waiting for him.
"Professor Yang, let me introduce you, this is our Academician Wang'-——"
"Welcome to the work!" Yang Ping shook hands.
Who dares to guide you, Song Zimo slandered on the side.
When he saw Li Zehui, Li Zehui immediately shook Yang Ping's hand excitedly: "Professor, he is still so handsome, I haven't seen him for months, Dodge was stuck with a visa, and he almost cried." ”
Everyone sat down, of course, there was no gossip, and they talked about cases.
Academician Wang said, "Professor Yang, when are you going to arrange the surgery?" ”
Yang Ping said lightly: "Tomorrow, I will be the first in line tomorrow." ”
"Have you seen a patient?"
"I've seen it."
Academician Wang can't say that Yang Ping has only seen a patient once, which is not good, after all, Yang Ping is not his student, he still knows this in his heart, and this is not Fuwai.
"Professor Yang, should you see the patient a few more times, it is better to be cautious in this case." Academician Wang reminded.
Yang Ping disagreed: "I will look at it again before the operation, it is not a big problem, just arrange the operation normally." ”
(End of chapter)