Through Song Yun's regular telephone reports, Yang Ping learned that the patients he operated on at Xiehe were currently very stable.

The patient who fell from a high altitude and suffered a breakthrough injury from a steel bar did not have the infection he was worried about, and it seems that a large amount of saline irrigation still worked at that time, significantly reducing the probability of infection.

Because the injury is too serious, he has not been transferred out of the ICU for the time being, although the condition has a tendency to improve, but he is facing a new problem, his wife came to the hospital once to understand the condition and never came again, the ICU called his wife several times, but his wife refused to answer the phone, and made it clear that she refused to pay for his medical expenses.

This makes it very difficult for the doctors in the emergency department and the ICU, and it is a rescue operation and postoperative treatment in the ICU, and the huge medical expenses owed will be an unsettled unsolved case.

Although he has medical insurance, the amount of medical insurance reimbursement in this case is very limited, which is why some people have medical insurance and still can't pay for medical expenses.

The baby with coronary artery bypass recovered the fastest, he was already giggling, and he was feeding much more often and more each day than before. Postoperative coronary angiography showed that the blood vessels of the bypass were very smooth, and Director Wen decided to start large-scale surgical treatment of coronary artery stenosis in Kawasaki disease.

Pancreatic cancer patients in the Department of Pancreatic Surgery have been transferred out of the ICU and can now eat smoothly, no matter how long they can live, at least one life is saved for now.

Nie Shun'e recovered surprisingly well, it may be related to her open-minded mood, she has been completely relieved, how many years can live is a few years, it is better to survive until his child goes to high school than now, if she can survive until his son goes to college, she basically has no regrets, if she is lucky, she can survive his son graduating from college, she feels that she doesn't want anything anymore.

During the hospitalization, Nie Shun'e often went to Yu Shuilian's bakery to chat with Yu Shuilian, maybe the two were both women, and they suffered such a big accident and shared the same fate, so they had a lot of common topics and quickly became good friends.

Nie Shun'e and her husband went around Sanbo Hospital a lot, and found that the flow of people around was very large, and it was a good place to do business, especially suitable for the business of mobile night food stalls, but as outsiders, it was impossible to let them do business around, Nie Shun'e thought about asking Professor Yang for help, but quickly gave up this idea, Professor Yang helped him to operate, and he was embarrassed to trouble people, even if Professor Yang agreed, it was difficult for a strong man, Professor Yang is a doctor, how can people care about this kind of thing.

After thinking about it, Nie Shun'e was going to inquire about the old man selling sweet potatoes on the overpass to find out how the old man could legally sell sweet potatoes on the overpass. Nie Shun'e was more shrewd, she didn't ask directly, but spent a few days to buy two sweet potatoes every day, and then learned that the old man usually likes to drink a little wine.

So Nie Shun'e bought a bottle of Erguotou and went to the old man, the old man was happy and told Nie Shun'e the secret: you will bring your ID card and discharge record with you when you see the place, and boldly take the guy to open the business after seeing the place, but don't occupy the traffic indiscriminately, be measured, meet the hospital security guard, the city management, take out the ID card and discharge record, and say that the patients who are discharged from the surgical institute have poor economic conditions at home, and there is no way, so they will give a place to make a living. In this way, the security guards and chengguan will not trouble you again, and they will ignore you directly the next time they see you.

Of course, you can't cheat, they sometimes go to investigate, and it's not good to cheat.

So that's the case, Nie Shun'e said, "Old man, what was the situation when you were hospitalized here?" ”

The old man waved his hand: "Don't mention this, I will be sad when I mention it, I am on the news, my granddaughter who is less than a year old was pricked in the body by her son and stepmother, and it was taken out by Professor Yang at that time, this unproductive son and the scorpion woman have been arrested and sent to prison, my wife wants to take my granddaughter, I can only come out to do things to earn some money to subsidize the family, we were laid-off workers of the enterprise at that time, and then there has been no serious work, no pension." ”

This old man is still a person with a story, but they are so old, maybe they will leave one day, what will this little granddaughter do.

"Relatives don't want to adopt, so I have no choice but to find a welfare home in the future." The old man said while roasting sweet potatoes.

After inquiring about doing business in the surrounding area, Nie Shun'e's husband Yuan Yulin suddenly remembered that the good people of the charity had a message at that time: they must be informed of the treatment at any time.

Although I did not accept their assistance, choosing Sanbo Hospital was the advice of a well-wisher, and it was reasonable and polite to respond to a well-wisher.

If it weren't for the enthusiastic guidance of well-wishers, how could they have known that Sanbo Hospital could do this kind of surgery, and if they didn't come to Sanbo Hospital, how could they meet Professor Yang, without Professor Yang's surgery, it would not have been possible to have such a good effect now.

At that time, the well-wisher left a phone number when he came to visit them, so he called according to the phone and reported such a good treatment effect.

At this time, Wang Ge was sitting in the office, a little unable to believe his ears, and was confused by Yuan Yulin's call, Nie Shun'e not only had surgery, but also recovered well after surgery, and is now ready to be discharged from the hospital.

Really? How is this possible, is there some misunderstanding in it?

The top experts of Juntendo Hospital in Japan have assessed that it is impossible for this kind of patient to undergo surgery, because the only surgical method is ex vivo resection, but the risk of ex vivo resection is too high, the probability of failure is too high, and almost no doctors can do it.

In order to confirm this matter, Wang Ge sent Wang Jianjian to buy a fruit basket and went to visit Nie Shun'e again with the condolence money, of course, Nie Shun'e and his wife only accepted the fruit basket and refused to accept the condolence money.

Poor is a little poor, but they decide to rely on themselves, they are not willing to accept donations from others, they do not want to owe favors.

After getting confirmed, Wang Ge was even more confused, he knew that Yang Ping's medical skills were very high, and his status in Sanbo Hospital was also very high, but he didn't expect it to be so high.

In that case, the plan to rely on Nie Shun'e's case to fight Yang Ping has failed.

What to do?

There is also Teng Xinmei's case, Teng Xinmei's family has agreed to cooperate, Wang Ge knew at a glance that Teng Xinmei's mother was a greedy person, and this kind of person was the easiest to handle.

Nie Shun'e is not greedy for money and has her own principles, this kind of person is difficult to be at the mercy of others.

At this time, Nie Shun'e's husband called again, saying that he was grateful to the well-wishers and was going to send a pennant to Wang Ge's unit.

This frightened Wang Ge, where did he dare to let them come to his office, he had been hiding all day long, doing all kinds of unseemly things.

Wang Ge can't cry or laugh now, he has actually become a good person, what a mistake.

——

Outpatient clinic on the 1st floor.

Professor Deng Jianliang, a neurosurgeon, is busy because he is ready to accept a special patient, but he is hesitant for the time being, Professor Deng is also an old professor introduced by Sanbo Hospital, belongs to the expert group, and is a consultant of the neurosurgery department of Sanbo Hospital.

Originally, these old experts were scattered in various departments to go out of the outpatient clinic, but after the establishment of the Institute of Surgery, President Xia allocated all these old experts to the outpatient department of the Institute of Surgery.

The patient's MRI film was hung on the reading lamp, and Professor Deng studied it repeatedly, but he still felt that it was more appropriate to call Yang Ping down to discuss, so he made a phone call.

Yang Ping had just undergone surgery, so he didn't even have time to change his clothes, and hurried to the outpatient clinic with a white coat.

The patient and her family were in Professor Tang's office, a young woman of 27 or 8 years old, in a wheelchair supported by her husband or boyfriend, a tall and handsome young man, about 278 years old, about 278 years old.

"Penguin disease!" Professor Deng pointed to the magnetic resonance film on the reading lamp and said to Yang Ping, who rushed over.

Penguin disease, the scientific name is hereditary cerebellar spinal ataxia, the pathogenesis is not clear, the incidence is generally mainly accumulated cerebellum, but sometimes the spinal cord and cranial nerves will also be affected, after the onset of the disease, the patient is generally first manifested as unsteady gait, walking like a penguin, with the development of the disease, there will be dysgraphy and fine motor disorders, speech disorders and dysphagia, nystagmus, diplopia and so on

Usually 10-15 years after the onset of the patient's ability to walk, once the loss of mobility, easy to complicate various complications, these complications often affect the patient's life, and the disease will eventually cause respiratory failure, breathing will stop when sleeping, so this disease not only brings long-term physical and mental torture to the patient, but also makes the patient's whole family bear a heavy burden and suffer.

Because there is no effective treatment for this disease, it is considered to be a terminal disease, and the current drug treatment and rehabilitation effect is not very obvious, which can only slightly slow down the progression of the disease.

"You check the body again, I just checked, Babinsky's sign is positive, the hands are obviously tremor, movement disorders, involuntary movement disorders, autonomic nervous system disorders, these symptoms are already relatively obvious." Professor Tang introduced the first-hand information he had just obtained.

"The little girl also came here and heard about the name of the Institute of Surgery, so she came to us to think about whether we had any ways to do it, and accepted experimental methods." Finally, Professor Deng explained the patient's intention.

The young man accompanying him took advantage of the break between Yang Ping and Professor Deng's exchange and immediately greeted Yang Ping: "Professor Yang, I am Lao Xiao's colleague from the city fire brigade. ”

Lao Xiao, the young firefighter said that the old Xiao is Xiao Guoqiang, Yang Ping did the five-stage replantation patient at that time, and later Lao Xiao fell in love with a primary school teacher and got married, and when he got married, Yang Ping and his colleagues in the department also went to the wedding together.

During the New Year's holidays, Lao Xiao and his wife would always buy some fruit or something to visit the doctors and nurses in Yang Ping's department, and sometimes participate in some volunteer activities in Sanbo Hospital.

''Yes, hello hello! How is Old Xiao lately? Yang Ping shook hands with the firefighter.

"He's very good, now the guard is in logistics, and he has always wanted to go back to the front line, but the organization doesn't agree, my name is Fang Liu, she is my fiancée, her name is Lan Köping." The firefighter briefly introduced Lao Xiao's recent situation to Yang Ping, and did not forget to introduce himself and his fiancée.

This young firefighter is tall, his face is well-defined, his appearance is very handsome, his appearance conditions can be said to be very good, and his speech is quite clever.

And the girl in the wheelchair looks very ordinary, a bit of the temperament of the little girl next door, because of the ravages of the disease, curled up in the wheelchair, her body and limbs keep moving involuntarily.

Hearing Fang Liu say this, Yang Ping remembered that Lao Xiao had called him and didn't receive it, because the surgeon was often on the operating table, and sometimes he often missed the phone and missed WeChat.

Yang Ping hurriedly looked at his mobile phone, there was indeed Lao Xiao's missed call on the phone, and then looked at WeChat, there was also WeChat sent by Lao Xiao, Lao Xiao was actually not old, but everyone respectfully called him Lao Xiao.

Lao Xiao's WeChat said that he recommended his colleague Fang Liu to take his fiancée to the Surgical Institute of Sanbo Hospital to see a doctor, hoping to help take care of it.

Maybe Yang Ping's mobile phone has been locked in the locker in the locker room and has not been seen, and Lao Xiao has not been able to contact Yang Ping, so he asked his colleagues to go to the outpatient clinic to find an old expert first.

"You see, Lao Xiao has already contacted me in advance and told me about you, but our mobile phones are often locked in the cabinet, and I only saw his missed calls and WeChat when you talked about it just now." Yang Ping lit up his phone.

"It's okay, the doctor really worked hard." Fang Liu said.

At this time, Lan Xueping, who was in a wheelchair, turned his head and looked at the kettle that Fang Liu was carrying, probably wanting to drink water, Fang Liu immediately understood, quickly unscrewed the lid of the kettle and fed it to the girl, afraid that she would choke, Fang Liu was very careful to feed it in small sips, and after drinking, he used a tissue to dry the remaining water around the girl's lips, and the whole process was extremely careful.

After understanding, there have been several penguin disease patients in the Ranköping family, uncles, uncles, and aunts, all of whom have inherited this disease, which is autosomal dominant inheritance, there is no distinction between men and women, they are all about the same, and Ranköping's father died prematurely because of penguin disease.

Yang Ping carefully read the images: the cerebellum and brainstem have been severely atrophied, and the subarachnoid space is enlarged, like a huge arachnoid cyst.

Fang Liu also bought a Japanese medicine called tatirelin through various channels, this medicine can relieve symptoms, and it is indeed effective to buy and take it, but it only relieves symptoms and delays the condition, so the more the effect is limited.

Since it manifests as atrophy of the cerebellar brainstem spinal cord, we can try to relieve the compression of these structures.

Simultaneous transplantation of the muscle flap of the vascular pedicle is performed to increase the blood supply to these structures.

Yang Ping feels that this is completely feasible in theory, and there will be some results if there is no other better way to do it.

At least at that time, Yang Ping used this method when he was studying difficult cases in the system space, but unfortunately, the experimental subjects in the system space at that time could only be used for anatomical research and surgical training, and could not be used for long-term postoperative efficacy observation, so Yang Ping himself did not know whether it was effective or not, but speculated that it was effective from a theoretical point of view.

"Let's be admitted to the hospital, let's figure it out."

Yang Ping said.