Tang Shun's efficiency is very high, and he can manage more than a dozen girlfriends at the same time, and Yang Ping believes that his time management level must be first-class.

No, the construction plan of the laboratory is already on Yang Ping's desk.

A thick plan, the content of which is very standardized and detailed, from the decoration of the laboratory, the configuration of equipment, the structure of personnel, the budget of funds and the establishment of safety rules, etc., there is no omission, this guy is an all-rounder engaged in scientific research. If Yang Ping had to do these things himself, it would take a lot of time.

Come up with ideas, use talents, and people who do great things must be good at doing these two things.

The same is true for engaging in scientific research, the so-called idea means that you can come up with a good research topic and come up with specific research directions and methods; The so-called use of qualified personnel requires a group of high-quality professionals, who must be both smart and diligent. In this way, the scientific research project can be carried out smoothly and successfully.

Yang Ping is now engaged in research with only one purpose, that is, to overcome medical problems, and his interest lies in this.

As for the Nobel Prize, Yang Ping actually doesn't have much interest, it's not that he's pretending, it's really not much interest, and his interest in the Nobel Prize stems from the powerful supercomputer promised by the system.

The third stage of the long-term task given by the system is to win the Nobel Prize, although the goal is very secular and doing scientific research is not to win awards, but for the computer of the system laboratory, Yang Ping is still interested in this award.

You know, even in a system laboratory, a computer with powerful computing power is simply a scientific research artifact.

The discovery of spatially oriented genes, if some human subjective factors are not considered, the scientific value of this kind of topic has completely reached the level of the Nobel Prize.

Tang Shun handed in not only the construction plan of the tumor laboratory, but also the next trial plan for the stem cell culture organ project, and the progress of the founding plan of the journal "Medicine".

When he was a doctoral student, Tang Shun's mentor Professor Fukunaga held the top medical journals in Japan, and the tutor had no energy to do these things, in fact, the leading journal work was Professor Fukunaga's beloved disciple Tang Shun, not only that, Tang Shun also studied the operation of several top medical journals in the world, and he was proficient in how medical journals worked.

Yang Ping can see from the information submitted by Tang Shun that the submission received by the journal far exceeded previous expectations.

Everybody is very face-saving, Robert, August, Li Zehui, Johannathan, Woodhead, Griffin, Takahashi, etc., almost every one of these guys has a high-quality paper submission.

Surprisingly, Maninstein in Germany also submitted his own manuscript, a paper on spinal cord injury research.

The quality of these papers written in Chinese is very high, could it be that Professor Maninstein also learned Chinese and was able to write papers in Chinese so quickly.

Judging from the quality of the papers, this journal can be called a top journal, and Yang Ping is very confident, because in addition to these papers, his heavyweight paper, the discovery of spatially oriented genes, will also be published in the first issue of the journal, which will cause a sensation in the world and open a new chapter in medicine.

Yang Ping is now all focused on overcoming medical problems, and on the road to overcoming medical problems, every breakthrough will bring Yang Ping a great sense of achievement and satisfaction, which is more than winning any award.

The review of the paper has been completed, the publishing house has been found, and the journal is printed by the Nandu People's Publishing House.

The launch of the journal "Medicine" will make the academic status of Sanbo Hospital improve again, a hospital to become the world's top hospital, clinical is only a part, and only the most basic part, in addition to clinical, but also need scientific research, scientific research represents the academic level of a hospital, scientific research is reflected in the number and quality of papers.

On the other hand, if a hospital dominates a journal by itself, if the journal is national, it means that it has a place in the academic community of the country, and if the journal is global, then it means that it has a place in the academic community of the world.

Dean Xia also attaches great importance to the journal, of course, he will not interfere in Yang Ping's academic activities, and will never put forward any guiding opinions, he positions himself as a good service for Yang Ping.

For example, coordinating the relationship with the publishing house, etc., to do a good job of these services, so that Yang Ping's team can concentrate on developing the journal.

"Professor, the first issue of our journal has not yet been published, and in the United States, Europe, and Japan, academic organizations have appeared that specialize in translating our journal."

Tang Shun said with a smile.

This thing is very strange, it has never appeared in the academic world before, the journal has not yet come out, and various auxiliary organizations around the journal have appeared in advance, and it is not one, but now there are many of them.

There are a few Tang Shun who already know the background, and behind them are Robert, Auguste and Takahashi, but some academic organizations can't figure out who is behind it and why they are so active.

"This is a good thing, even if we are Chinese journals, we have people who help us translate into various languages and expand our influence, which is what a world-class journal should look like." ”

How could Yang Ping have the heart to pay attention to these things.

''I just wonder, how can these people be so motivated, how do they know how influential our journal will be in the future, and invest so much human and financial resources in advance to help us?'' Not logical. Tang Shun said to himself.

Tang Shun didn't think too much about it, Professor Yang's matter can't be explained by logic at all, let's just talk about scientific research, one topic is not over, and another topic begins.

If some water topics are easy to understand, but all his topics are world-class, and any one of them can challenge for the Nobel Prize.

Now Tang Shun feels that all this is a bit unreal, because it is too fast, too smooth, adapt slowly, maybe this is the real genius.

——

Nong Zhiwen once again came to Director Fang with medical records, because the opinions given by the doctors on the two sides were too different, and Nong Zhiwen still wanted to listen to the advice of other doctors.

Before Nong Zhiwen came to Sanbo Hospital, he also visited several hospitals, and their estimated costs were similar to what Director Fang said, and they did not mention anything about targeted therapy and liver cysts, but when doctors from other hospitals looked through the medical records, they changed their tone and said that the operation was too difficult, and they could only go to the original surgery hospital or go to a better hospital, such as Nandu First Affiliated Hospital and Sanbo Hospital.

Director Qian said that Sanbo Hospital is not good and cannot be ranked in the province, but several doctors put Sanbo Hospital and Nandu Affiliated Hospital together, saying that it is the best hospital in the province.

If it was before, when the money was relatively relaxed, Nong Zhiwen would definitely follow Director Qian's opinion, because Director Qian was right, sometimes you can't just think about saving money, treatment is the most important thing, but Nong Zhiwen really can't make up more than 100,000 yuan now, he has to consider the second option, the situation is stronger than people, this is no way.

This time, although Nong Zhiwen did not bring the pathology report, according to Director Fang's instructions, he brought copies of the two operation records.

With the operation record, Director Fang's judgment of the condition will be more accurate.

Director Fang carefully read the two operation records, and couldn't help frowning, although this operation is recurrent laryngeal nerve repair, but it is indeed difficult to do the operation, if it was before, he would just do it according to the traditional operation, whether the operation effect is good or not, is not within the scope of his consideration, anyway, everyone is doing this, so it's good to try your luck.

Now it is obviously different, he has to give his all to every operation and strive for the best possible surgical results.

Judging from the surgical records, the segmental resection of the right recurrent laryngeal nerve actually reached 8 cm, and it was impossible to pull and suture such a long defect.

If you do a neural bridging, the bridging effect will be very poor at such a distance.

Using the nerve transfer technique, according to the description of the surgical records, the phrenic nerve and the hypoglossal nerve loop nerve were also invaded by the tumor at that time, and a large section has been removed, so that the choice of displaced nerve is very small, and it is difficult to find a suitable transfer nerve.

It is no wonder that Director Qian himself is reluctant to accept his patients to undergo recurrent laryngeal nerve repair, in which case surgery cannot be done at all.

It's really strange, how can this tumor invade so many nerves, Director Fang has never encountered this situation before, and it is difficult for him to draw any conclusions.

Now Director Fang is a little confused, confused, confused, he is not panicked at all, doesn't he still have a plug-in? The plug-in is Professor Yang, if you have any questions, please consult Professor Yang.

So Director Fang took Nong Zhiwen and the medical records to find Yang Ping again, Yang Ping has been busy these days, but he has always remembered this case, and he just wanted to ask Director Fang if the patient had brought the pathology report.

This time the patient still did not come to the pathology report, if he didn't bring it, he didn't bring it, anyway, the recurrent laryngeal nerve must be repaired, so no matter what the result of the pathology report is? The goal of this surgery was to repair the recurrent laryngeal nerve.

The purpose of seeing the pathology report is to make a clear diagnosis, and from the perspective of rigorous procedures, surgery has been done, and pathological examination must be done after surgery, so that the nature and stage of the tumor can be more clarified.

Director Fang said to Yang Ping: "The defect of the recurrent laryngeal nerve is too large, missing a full 8 centimeters, if it is directly pulled and sutured, it is impossible, even if you find a way to fully free the nerve to both ends, it will not be possible." ”

Not to mention that it can't be done, even if it can be pulled together and sutured, it is useless, and no tension must be required after nerve suturing, because once the tension is too large, no matter how good the anastomosis is, the nerve cannot be restored at all.

Hearing what Director Fang said, Yang Ping did not express his opinion for the time being, but carefully looked at the operation record, and only said after reading it: "Not only is it not possible to pull sutures, but nerve transplantation and nerve displacement are also unrealistic, if you do nerve transplantation, the distance of nerve bridging is too long, so the postoperative recovery must be very poor." If a nerve is translocated, it seems that there is no suitable displaced nerve to choose from, and from the surgical records, the tumor has invaded a very wide range at that time? This is not the only nerve that was removed. ”

So what to do?

The three methods don't work, it's not that there is no way, Director Fang is very helpless.

Yang Ping frowned and said, "You let me think about it again, this patient will definitely have to have surgery, and the question now is how to do the surgery." ”

At this time, Nong Zhiwen took the opportunity to ask, "Professor Yang, do you still need targeted therapy after surgery?" ”

Yang Ping said: "Judging from the routine, there is no need, but I must see the pathology report, with the pathology report, I know the specific classification and staging of the tumor, so that we can accurately judge the condition and accurately formulate the treatment plan, now there is no pathology report, we have no way to make a judgment on the condition, so you had better be able to get the pathology report." ”

"Professor Yang, could you please help us take a look at the cyst on the liver and need surgery?" Nong Zhiwen seized the opportunity to raise all the questions.

Liver cysts?

When Yang Ping just looked at the medical records, it was true that there was a cyst on the liver, but this kind of cyst was generally not a big problem, so he didn't pay attention to it.

"Did you bring the footage?" Yang Ping asked.

"Brought, all bringed!"

Nong Zhiwen immediately took out a large, thick bag, which contained a lot of films, all the imaging tests his father had done in the past few years.

There are so many films, Nong Zhiwen doesn't understand them, anyway, they are all put together, and every time he sees a doctor, he brings them to the doctor.

"It's okay, I'll take my time."

Yang Ping asked Nong Zhiwen to take the film to the side of the reading lamp, and then put all the images and pictures on the reading lamp one by one, and sorted them according to the type and date of the inspection.

It took about ten minutes for Yang Ping to sort out these films, and after finishing them, he began to read them one by one in chronological order.

This part of the liver has not only color ultrasound, but also CT and contrast-enhanced CT, and PET-CT of the whole body has also been imaged of this area.

From the first picture showing the liver, there is a mass on the liver, which indicates a space-occupying lesion, considering the organization of the liver cyst, and the subsequent series of pictures of the liver, the mass has not changed.

Although I dare not be 100% sure, it can be basically determined from the imaging pictures that this is a cyst, and it is an organic cyst, and there is no need for surgical treatment at all, only a re-examination of color ultrasound every six months to a year.

Yang Ping told Nong Zhiwen his opinion.

"No need for surgery? So what if it's a malignant tumor? "Nong Zhiwen is very straightforward.

Yang Ping is also straightforward in communicating with patients, which can reduce unnecessary time waste.

"The possibility of malignant tumors is very small, close to zero!"

Yang Ping's answer was very affirmative.

"I understand what you mean, Professor Yang, if you want to be actively treated, should you have surgery?"

Nong Zhiwen also wanted to know more.

Yang Ping's opinion is very clear: "This liver cyst has no indication for surgery at all, surgery is a tool for our doctors to treat diseases, it is a double-edged sword, we cannot abuse it, some diseases must be operated, some diseases can be operated on or without surgery, and some diseases do not need surgery at all." Your father's liver cyst is medically free of surgery at all. ”

This statement is very different from Director Qian's statement, Director Qian not only recommended surgery, but also recommended robotic surgery, he said: robotic surgery can accurately and completely remove the tumor, so that the postoperative effect is the best and most reassuring. Ordinary surgery cannot accurately and completely remove the tumor, there may be a residue of the tumor, once it is a bad thing, the residue will be very troublesome, cut the grass without roots, and it will definitely be born again in the future.

Both sides are very reasonable, but what to do? Nong Zhiwen is very puzzled now.

Sanbo Hospital's opinion is very clear and unambiguous, and Nong Zhiwen intuitively judges that Professor Yang is very confident, which is completely different from ordinary doctors.

Director Qian's opinion seems to be very reasonable, what if it's really something bad, what if? If the illness is delayed because of the 100,000 yuan, it will be too late to regret it, as Director Qian said, his father is only in his fifties.

Every patient has an instinctive desire to survive, and at the same time, it will be accompanied by fear, desire and fantasy, and all kinds of liars who are popular also grasp the patient's psychology to deceive.

"You go back and think about it, don't toss anymore, you can inquire about the reputation of our hospital and Professor Yang." Director Fang told Nong Zhiwen.

Nong Zhiwen also left Sanbo Hospital with a large bag of materials in his head full of doubts, his trip was worth it, at least he heard different opinions.

After Nong Zhiwen left, Director Fang asked Yang Ping for advice: "Is there any good way to do this surgery?" ”

In Director Fang's impression, Yang Ping is omnipotent.

Yang Ping has been thinking about this problem just now, how to solve the problem of recurrent laryngeal nerve repair? The thinking just now also has a certain eyebrow:

"We can directly dissect the recurrent laryngeal nerve stump retrograde from below the brachiocephalic trunk to the vagus nerve and anastomoses with the recurrent laryngeal nerve at the larynx posterior to the carotid artery."

Director Fang was a little confused after hearing this, he didn't understand too much.

Yang Ping explained to him while drawing: "In fact, the truth is very simple, that is, to solve the problem of distance by diversion, the starting point of the nerve is A, the subclavian artery here the nerve passes through the point B, the end point of the nerve is C, the normal path is from A, around the subclavian artery point B, and then to the throat C point, the ABC segment often needs segmental resection due to tumor invasion, and there will be a defect after nerve resection, the defect is too long, the traditional method is to find other nerves to bridge, or to carry out nerve displacement, just like the bridging of wiresor connect another wire from another room. ”

"These methods don't work for this patient, the bridging distance is too far, if you pick up a wire from another room, now the wires in other rooms are also very tight, and you can't find a suitable one for a while.

"What should I do?"

"We directly no longer go around point B, but reroute directly to point C to complete the power between the two points of AC, I just calculated the distance, according to the speed of nerve growth and recovery, if the patient uses this method, it will take about half a year to get a significant recovery."

Yang Ping said as he drew a picture on A4 paper, and he drew an anatomical diagram of the neck.

To express anatomy and surgery, pictures are the best way, and verbal expression will pale and weak.

"Between two points, the straight line is the shortest!"

With the help of the pictures drawn by Yang Ping, Director Fang instantly understood what Yang Ping said just now, just when it was just a language description, Director Fang still seemed to understand a little, but now he completely understands.

"Clever! To be precise, the line between two points is the shortest! Yang Ping praised.

it, isn't this a math problem in elementary school? He also praised me, is it that in Professor Yang's eyes, I am only at the elementary school level?

However, this simple mathematical axiom is used here, and it actually works, giving birth to a new way of solving the problem.

"Do you know how to draw anatomy?" Yang Ping asked Director Fang, who was still staring at the picture.

Director Fang shook his head.

"That's not going to work, you have to learn to draw."

Drawing is the basic skill of doctors in the Institute of Surgery, and Dr. Li Min, as a grassroots doctor, has also mastered the technique of medical drawing.

Director Fang's old face flushed: "I can learn, I'll learn right away, I'll be able to learn it soon." ”

"Well, you spent three months learning medical drawing, including systematic anatomy, local anatomy, transverse anatomy, and surgical approach anatomy, no problem, right?"

Yang Ping felt that if Director Fang really wanted to improve, he had to learn systematically.

"Guaranteed!"

Director Fang was very excited, is this officially occupied?

PS: Description of the new surgical method of recurrent laryngeal nerve repair in this chapter: This operation is the masterpiece of Professor Ji Qinghai and Professor Wang Yulong of the Department of Head and Neck Surgery of Fudan University Cancer Hospital, and the paper was published in "Head & Neck", which is at the international leading level, which improves the academic status of China's head and neck surgery in the world, and pays tribute to the two professors!