Chapter 849: Sloppy Today
Eating lobster is secondary, peeling lobster is the key, except for Lu Xiaobao, everyone has mastered the technique of peeling lobster with chopsticks, but the proficiency is different.
Lu Xiaobao eats the most lobsters, the worst skills, pinching the head, removing the tail and peeling the shell, Dr. Lu is always stuck in the step of shelling, it seems that this lobster has to be eaten.
Because it was said before eating, the whole process of peeling lobster can only be done with chopsticks, not directly by hand, so in the end, everyone's table is full of shrimp shells, only Lu Xiaobao only has a few pitiful shrimp shells in front of him.
Treat yourself, in your "father-in-law's" shop, I like to eat lobster the most, but I didn't eat a few lobsters, my skills are not as good as others, no wonder.
At the end, Yang Ping took a photo with Lu Xiaobao's girlfriend and classmates, no way, they are all their own brothers, this face has to be given, in fact, girls just like to send a circle of friends, of course, it's not all.
In addition to seeing Yang Ping, they also have another purpose, that is, they hope to have a friendship activity, after all, there are men and women who study medicine, and there are still singles.
It's not that these girls can't find a boyfriend, but the hard conditions are stricter than the deputy high.
For example, the academic requirements are doctorate, the school requires 985 or 211, and there are also requirements for the number of SCI papers and citation index.
When these girls heard that their classmates had found Concord's boyfriend, they immediately poured out, and these doctors of Concord usually stay in the hospital almost 24 hours a day, so they don't have any girlfriends.
Regardless of her three-seven-twenty-one, let's build a group first, and then organize some social activities, Lu Xiaobao's girlfriend is not a vegetarian, she grew up eating lobster is obviously different, she is still a cadre of the first medical student association, and her activity ability is very strong, if they are really together in the future, Lu Xiaobao will be pinched to death.
Everyone didn't dare to play too late at night, and they dispersed early to go back to the hospital, Yang Ping slept in the department for one night, and the department was more down-to-earth than outside.
Professor Liang was not in Union Hospital this time, but attending an important meeting, and Yang Ping did not see the old man, but the old man talked to Yang Ping on the phone for a long time.
The next day, the operation started normally, and Yang Ping not only had to do the operation on his side, but also helped Director Wen of the Cardiac Surgery Department anastomosis the blood vessels.
The first operation is the nerve root decompression of cervical spine tumors, the key step is that Yang Ping personally performs the surgery, and the tumor will be removed from the nerve roots of the cervical 3/4, 4/5, 5/6, and 6/7 bilateral intervertebral foramina, so as to eliminate the compression of the tumor on the nerve roots, so as to relieve or eliminate the pain of the patient.
This surgery is actually very difficult, and it is very difficult to remove the tumor in these parts, and it is very easy to injure the spinal cord and nerve roots during the resection process, causing paralysis.
The vertebrae are irregular bones, the anatomical form is more complex, and the intervertebral foramen composed of upper and lower vertebrae is more complex, belonging to the full anatomy, the nerve roots generally go down for a distance after emitting from the spinal cord, and then turn left and right from the bilateral intervertebral foramina to extend to the trunk and limbs, while the nerves from the cervical spine mainly extend to the upper limbs and the upper part of the trunk, and the nerves from the lumbar spine generally extend to the lower body and lower limbs of the trunk, each of which has its own fixed division.
Once nerve roots are damaged, sensory and motor impairments occur in their distribution area, and if the spinal cord is damaged, paraplegia below the level of the spinal cord can occur.
This kind of dissection is performed in a very delicate way, either with a sharp knife or a more delicate laser knife, and each movement is dancing on the tip of the knife.
The operating room is full of people, except for a few doctors who participated in the operation, the rest are all to observe the operation, and the doctors of other departments will also come to take a look at it when they are free, and join in the fun, Yang Ping's department is a special existence in Xiehe, and the legend is amazing, they want to see this miraculous surgical level.
Some have seen Yang Ping's surgery before, and it has spread everywhere with oil and vinegar, gradually making Yang Ping a legend of Concord, and some people have not seen it for the time being, and they are eager to see the supreme level that exists in the legend.
Moreover, this department is full of young doctors under the age of 35, so doctors in other departments also want to know what kind of reputation they can make.
The patient on the orthopedic side has been anesthetized, Song Yun took the junior doctor to start brushing his hands, and the operating room next door was Kong Weiquan and people began to prepare, it was a cervical spondylosis operation, Kong Weiquan took it down without any problem, Yang Ping only needed to check it.
Director Wen of the Department of Cardiac Surgery has also started work, and anesthesiologists have begun to administer anesthesia.
Yang Ping has a plan, the cervical spine tumor here first let Song Yun begin to show, it is estimated that the thoracotomy progress of the cervical spine and cardiac surgery is about the same, the internal mammary artery is taken immediately after the thoracotomy, and after the internal mammary artery is taken, Yang Ping helps to assist in bypassing, of course, Yang Ping is only assisting, if they can take it themselves, then there is no need for Yang Ping to come to power.
Because he had to go to the operating room of the cardiac surgery department later, Yang Ping did not brush his hands for the time being.
On the cardiac surgery side, the patient has also been anesthetized and positioned, and the junior doctor has begun to disinfect the sheets.
Director Zhang of Modu Children's Medical Center, who was invited by Director Wen to come over to help, is now sitting in the operating room. This is a matter that has been discussed a long time ago, and it cannot be shirked casually, so Director Wen still invited Director Zhang.
Ordinary coronary artery bypass is nothing to Director Wen, he is very skilled, but this case is too young and the blood vessels are too thin, and Director Wen does not have relevant experience at all, and he is completely unsure of such a thin coronary artery bypass and the non-stop vascular anastomosis.
Dr. Chu, a junior doctor, is responsible for revealing the heart and coronary arteries, opening the chest, opening the pericardium, revealing the heart, and dissecting the coronary arteries and their branches, all in one go.
Dr. Chu usually performs the most surgery to open the chest to expose the heart, and after it is revealed, he will hand it over to Director Wen to do the next steps.
"Brush your hands!"
The prelude was completed, and at this time, the big guy appeared, and Director Wen took Director Zhang to brush his hands on stage.
They put on surgical gowns and gloves, the itinerant nurses helped put on the head-mounted microscopes, and the two directors stood on the operating table in full gear, although they knew that the baby's heart would be small, but they were still a little surprised to see this moment.
This heart is smaller than a walnut, and the coronary veins are even more pitifully thin, and they are not yet as thick as a hair, Director Wen turned his head and asked the roving nurse to help turn the head-mounted microscope down, and he re-observed the coronary arteries and branches in the microscopic field of vision, so thin! How to start? No, it's not like an adult's.
Director Zhang from the magic capital has anastomosis the coronary artery of a 14-month-old child, and built two bridges at that time, this kind of 1-month-old baby is also the first time to see it, this blood vessel is really too thin, not a little smaller than the 14-month-old one he did, it is a test of microsurgical skills.
"This baby was born prematurely, right?" Director Zhang asked.
Director Wen said, "Yes! ”
"The blood vessels are much thinner than expected, don't worry, let's take our time!"
Before Director Zhang came, he also deliberately did a 1 mm vascular anastomosis training, but the training was training, and the actual combat was still different, and Director Zhang was under a lot of pressure.
"Let's take the internal mammary artery!"
Director Zhang began to take out the artery, which went very smoothly, and after taking it out, it was handed over to Dr. Chu for treatment, and Dr. Chu cleaned some connective tissue around the internal mammary artery, and then cut it according to Director Zhang's requirements.
After everything was ready, he began to anastomoses the blood vessels, but the blood vessels were too thin, and they were still suspended in the air, and Director Zhang felt that his hand movements were obviously not in place, and he could not reach the state of training in the past few days.
When he was about to get the needle, his heart jumped, and his needle moved away, not daring to stitch it down, probably not stepping on the rhythm of the heartbeat.
Director Zhang evened out his breathing, tried to find the rhythm of the heartbeat, and tried at least a dozen times before Director Zhang barely got a stitch, and he felt that the quality was not high.
Director Wen saw that Director Zhang was struggling, so he said:
"Please come and take a look, take a hand!" Director Wen gave orders to the doctors in the audience.
A doctor immediately ran out and came to Yang Ping's operating room: "Professor Yang, Director Wen said please come over and help, the coronary arteries have been exposed, the blood vessels are very thin, and they feel that they are in difficulty." ”
The cervical vertebrae here are almost exposed, and Yang Ping instructed Song Yun: "Put the automatic retractor hook, put the gauze pad, and then stop the bleeding completely, and then wait for me for a while, I'll go over and take a look and go back." ”
Because Yang Ping wanted to finish the child's coronary anastomosis before going to the stage here, he hadn't brushed his hands yet.
"Professor Yang?" Director Zhang didn't know who Professor Yang was talking about by Director Wen.
Director Wen said: "A distinguished professor of our Department of Orthopedics, the skill of anastomosis blood vessels under the microscope is very good, I discussed with him before the operation, if I found that the blood vessels are too thin, I asked him to help with the handle, we are old, these small work for young people to try their hands and feet." ”
"Okay, you still have a distinguished professor? Which hospital? Director Zhang was very strange, he just wanted to take a break and take a breath.
"Yang Ping from Sanbo Hospital, the young man who published 13 CNS." Director Wen grasped the key points.
As soon as he heard about the 13 papers, Director Zhang immediately understood: "The young man you are talking about, he is now in the operating room?" ”
Before Director Wen could answer, Yang Ping had already come in with his washed hands, and the doctor who led the way helped him put on a surgical gown and put on a microscope.
"The blood vessels are quite thin, less than 1 mm, which is a bit difficult, we have just been working for a long time, and now we are only hanging up a needle." Director Wen introduced the progress of the operation.
"Is the internal mammary artery right?"
"Taken!"
Yang Ping walked to the operating table while arranging the sterile gloves on his hands, Director Wen moved to the side to make way, Yang Ping looked into his chest, and then turned his head to ask the doctor to help adjust the head-mounted microscope.
This blood vessel is indeed very thin, a little difficult for the two directors, good things to the end, just help them do the operation.
"How many? Take the needle and thread, put a curved plate next to it, and put ophthalmic scissors in it. Yang Ping said as he took the nurse's needle holder and began to move.
"Two!" Director Wen said.
Director Wen thought that Yang Ping was going to study before starting, but he didn't expect the young man to be so impatient, so he started now.
This kind of surgery is routinely videotaped, but there is no screen to observe here, so Director Wen and Director Zhang can only look into the chest, Yang Ping stitches and cuts the stitches by himself, just like sewing the skin, it is as easy as sewing the skin, and there is no feeling of caution at all, soon, about a few minutes, dozens of stitches are stitched, and the two bridges are built.
"That's it!"
Yang Ping procedurally used a piece of gauze to gently press the blood vessel and its surroundings, and then loosened it, and the blood flow was good, without any blood leakage.
"I still have surgery over there, two directors, I'll go first."
Yang Ping didn't say much, and immediately began to take off his surgical gown and gloves, and quasi-re-brushed the operation on his side.
Gently I left, only taking away a confused gaze!
Everyone watched Professor Yang hurriedly get on stage, and a few minutes later, he left in a hurry.
The two directors stood blankly in place, and before they could figure out what was going on, they looked inside a few times at the same time, and then turned their heads at the same time to ask the doctors in the audience to turn the microscope back, and then took a closer look inside, and the blood vessels had been anastomosed, neat, beautiful, and the coronary arteries were pulsating well.
Why is this like playing, this bridge is built? Is it so easy to build a bridge? True or fake?
The two directors looked at each other, looked inside carefully again almost at the same time, picked up the vascular forceps and gently picked up the blood vessels for examination, the stitches of the anastomosis were really neat, and I had never seen a more beautiful suture than this.
Director Wen wanted to ask a few words, but Yang Ping had already flashed, and his figure had long been absent from the operating room.
I was just going to do a big job, and now I'm going to end the operation so directly? Director Zhang asked uncertainly, "Call it a day?" Do we close our chests? ”
The two directors are neatly dressed, it is impossible to just stand for a while and then do nothing, it is also a record-breaking operation, whether it is the world's youngest coronary artery bypass I don't know now, but it is certain that it is the smallest in the country and the smallest in Asia, and there is no big doubt.
Several doctors next to him were also dumbfounded, they had never seen such a fast bypass, they were still a one-month-old baby, and the most difficult coronary artery bypass, even if the fastest record of Professor Xu Yongzhong in Fuwai was 2 minutes and 30 seconds for a bridge, which was the highest record, and it was an adult.
Now this one-month-old baby, the time for two bridges is about two or three minutes, or do it by yourself, no need for assistant assistance at all, this level is really illogical.
"Chest shut!" Director Wen gave the order, and the operation continued.
Yesterday, Professor Yang said something for a few minutes, Director Wen didn't care, just a young maniac's mouth, but he didn't expect it to be true, and everyone didn't react to this speed.
Director Wen stitched, Director Zhang cut the thread, flew all the way from the magic capital to the imperial capital, and today's work is to tie knots and cut threads.
"Why don't you sew and I'll cut the thread?"
Director Wen was really embarrassed, so he invited Director Zhang from the magic capital, but only the work of thread cutting was left, so why should he do some high-tech work, sewing skin is more technical than thread cutting.
Director Zhang said helplessly: "You continue to sew——"
Is there a difference between sewing and trimming? It's not the same thing, Director Zhang is embarrassed to take the 20,000 yuan flying knife fee now, so he just waits and doesn't need money, as voluntary labor, which is really embarrassing.
The two directors were silent, burying their heads in their chests seriously, and the entire operating room was silent, only the snoring of the anesthesia machine.
"Anesthesiologist, how's it going?"
Director Wen stitched the last stitch, and Director Zhang cut the last thread.
The anesthesiologist is struggling: "It may take a long time to resuscitate." ”
The dose of the drug is a bit large, this operation was originally prepared for a few hours, you are now so soon to end, and you have not been informed in advance, a few hours of surgery, who dares to only give half an hour of dose, this is a non-stop coronary artery bypass, in case the intraoperative dose is not enough, the patient is agitated, affecting the operation of the operation, that is a big deal.
"Wait, wait!" Director Wen said helplessly.
What else can be done, it's sloppy today!