The office nurse had just been inexplicably trained by Director Fang, but seeing Director Fang's embarrassed appearance now, half of her anger had disappeared, if it weren't for the sake of that box of cherries, she wouldn't have let him enter the door of the Surgical Institute today.

Director Fang took out his ID card to register with the security guard, and the nurse really confirmed with Professor Yang, and only after confirming that it was correct, she let Director Fang go in to see Professor Yang, which completely treated him as a stranger.

The old man was anxious to ask Yang Ping for advice, and he didn't care about the little girls, but these little girls were too deceitful.

In Yang Ping's director's office, Director Fang couldn't wait to take out the CT film from the paper bag he was carrying and inserted it on the reading light screen: "Severe hepatic echinococcosis, which is quite rare now, was transferred from the next county hospital, and the state is not very good, and it is estimated that it is combined with serious infection, which has caused sepsis." ”

Since the abdominal organ cluster transplantation, Director Fang has been bragging about it at some recent academic conferences, and this is also the first organ cluster transplant in Asia to treat autoimmune intestinal leiomyositis.

The top surgery of general surgery, the first in Asia, this high hat made Director Fang's fame spread quickly in the circle.

This patient with hepatic echinococcosis was originally a patient from the Second Provincial People's Hospital, and the following county hospital contacted Director Qin Zeqing of the Department of General Surgery of the Second Provincial Hospital.

Not long ago, Director Qin attended a small academic conference in the province, listened to the academic report made by Director Fang, and thought about it, since Director Fang of Sanbo Hospital can do abdominal organ cluster transplantation, this kind of in vitro liver resection and autologous liver transplantation should be very easy, so he called Director Fang and recommended the patient to Sanbo Hospital.

Director Qin made it very clear: the patient's mental state is very poor, considering that hepatic echinococcosis is complicated with serious infection, it is estimated that he will be admitted to the ICU, and the operation is extremely difficult and the risk is very high.

The old party said directly: Send it! Also ink what.

Domineering, Sanbo Hospital is Sanbo Hospital, Director Qin has long heard that Sanbo Hospital is developing rapidly, but he didn't expect that general surgery is also developing so fast, and he is not afraid of such difficult and high-risk cases.

Yang Ping still has a lot to do, so he can only take a cursory look at the CT film for the time being.

CT film showed that a large number of round and quasi-circular cyst shadows spread out over a large area, and the cysts showed characteristic images of the mother and daughter cysts, hydatid not only invaded most of the liver, but also invaded the abdominal cavity, breaking through the mediastinum and entering the chest cavity upward, a small number of cysts also ruptured, and the characteristic images of cyst rupture have appeared: serpentosis and spinning.

"Not only is there a co-infection, but there is also a ruptured cyst, and then septic shock and anaphylactic shock are mixed together, and it is difficult for the patient to be saved, so arrange the operation as soon as possible and tell me when the operation is confirmed." ”

Yang Ping asked Director Fang to put away the CT film.

Since Yang Ping was very busy, it was inconvenient for Director Fang to stay for a long time, so he left with a bag of CT films.

Director Gao came this time because he got important news, Song Zimo and Xu Zhiliang came back tonight, accompanied by August and Maninstein.

Zhang Lin Xiaowu was on the operating table, Professor Yang was not good at handling these trivial matters, and it was inconvenient to leave the department, so Director Gao specially came over to deal with these trivial matters on his behalf, such as sending a car to pick up people at the airport, arranging hotels, arranging supper, and waiting for Director Gao to personally follow the car to the airport to pick up people.

August and Robert used to be roommates, Director Gao and Robert are good brothers, they often go out to drink beer together, and it is indispensable to call August together, so Director Gao and August are also very familiar.

Besides, Maninstein is the world's most famous Nobel laureate, and it is not a bad thing to take this opportunity to make friends.

"Professor, Zhang Lin Xiaowu and their operation is not over, you are busy with you, leave other things to me, I have arranged a special car to go to the airport, I will set off with the car immediately, I have also arranged their accommodation and a place to eat supper in the evening, the place to stay is the best suite in the Sanbo Hotel, and the place to eat supper is in the special private room of the second uncle's grilled fish."

Director Gao completely regarded himself as a member of Yang Ping's team, and he didn't see anything.

Yang Ping was still thinking about these things just now, when Song Zimo and Xu Zhiliang were in Europe, August and Maninstein were clearly arranged, and the courtesies were still exchanged, and when people came to China, they had to be entertained, but they didn't expect that Lao Gao had already arranged everything properly, and he didn't need to worry about it at all.

''Then I'm sorry for you, I'm going to go to the operating room.'' Yang Ping was very relieved of Director Gao.

Director Gao pretended to be slightly angry: "What is the professor talking about, what is the hard work for me, these things are supposed to be what I should do, you go to the airport now." ”

After speaking, Lao Gao immediately called the driver of the hospital business car and prepared to leave.

The purpose of Maninstein's trip was to learn more about Yang Ping's experiment, and he wanted to come and take the primer of the spatially oriented gene in person, so that he could repeat Yang Ping's experiment.

If he can find the spatial orientation factor of the spinal cord and study and modify it, it can become a powerful tool for spinal cord injury repair, and he can achieve the "protocellular repair" he dreamed of.

Nobel laureates come to visit, it stands to reason that no matter which hospital it is, it will be lively, at least there will be a huge welcome ceremony, at least the dean will accompany him, but now it is different, everything is simple, Maninstein is just a friend of Yang Ping to pay a private visit.

Maninstein himself regarded himself as a pen pal and admirer of Yang Ping, and did not regard himself as a Nobel Prize winner.

When I returned to the hospital, it was already more than ten o'clock in the evening, and Song Zimo and Xu Zhiliang, who had left the department, had been worried about the normal operation of the department, but when they went to the ward and asked, they said that Teacher Zhang and Teacher Xiaowu were still doing surgery, and the two couldn't help but be surprised.

In the evening, when Zhang Lin Xiaowu's operation was over, Yang Ping had some supper with everyone, and Maninstein was very happy to see Yang Ping, but he didn't expect Professor Yang to be so young, younger than when he was famous all over the world.

——

The next morning, Song Zimo and Xu Zhiliang started work and officially returned to the team, and Maninstein and August also participated in the morning shift.

When the shift was handed over in the morning, Xiao Wu and Zhang Lin were already used to sitting in the positions of Song Zimo and Xu Zhiliang, but now that the two senior doctors had returned, the two brothers were used to sitting over and found that something was wrong, so they immediately returned to their positions and honestly gave up their positions to their senior doctors.

After the shift, everyone went round in groups, and Yang Ping saw that Sisi was at the nurse's station.

Song Zimo reminded Yang Ping: "Sisi came to review today. ”

almost forgot about it, Yang Ping took everyone to greet Sisi, Sisi is very well-behaved, he is not called "big brother" in public, and he knows to call: "Hello Professor Yang!" ”

The little girl grew much taller again, and her hair was tied up in a ponytail at the back of her head, and her hair was much denser than before, and it appeared darker and shinier.

A pair of dark eyes are also extraordinarily bright, because there is no radiotherapy and chemotherapy, the whole person's complexion is much better, and the face is ruddy that is unique to adolescent girls.

The femur extension device on her leg has been removed, and after a period of crutch assistance, Sisi can now walk normally, because there are more items to be examined, Sisi will be hospitalized for a few days, her father has helped carry some luggage to the ward, and her mother is waiting for the nurse to take her temperature and weight.

Now Sisi is in the fifth grade at a public elementary school near the hospital.

''We'll go check on the room first, and we'll see you later.'' ”

Yang Ping went to check the room.

"Sisi, you didn't eat breakfast, did you? I'll prescribe your doctor's order first, and you go for a check-up first. ”

Tang Fei personally came to serve as Sisi's bedside doctor.

"Wait for the inspection to be soon, I've already told them to go through the fast track."

Song Zimo said to Sisi.

After the nurse measured her vital signs and weight, her mother led Sisi to the ward, and she followed behind with the pot of cactus in her arms, smiling goodbye to everyone.

When she entered the ward, she still placed the cactus on the windowsill of the ward, the cactus was tender and green, and it was obvious that she had taken good care of it.

Because the cactus has a tenacious vitality and can survive in the harsh environment of the desert, Sisi especially likes cacti.

The little girl's self-care ability is very strong, she doesn't need her mother to intervene, she tidies things by herself, and soon, she organizes her things in an orderly manner.

The books and homework brought are placed in the bedside table, neatly folded, the slippers are neatly arranged next to the bed, the change of clothes has been folded and put into their own cabinet, or neatly, and the toothbrush and toothpaste are placed in the bathroom, which is neatly arranged, which makes people look very comfortable.

The head nurse gave Sisi's mother a few days off, and Dashun, the director of the security office of the Institute of Surgery, also gave her father a few days off, so that the couple could spend time with their children with peace of mind.

Sisi needs regular reexamination, because osteosarcoma has metastasized, re-examination is a matter of time, regular re-examination is to dynamically monitor the recurrence of the tumor, and try to take effective measures as soon as it recurs.

Their family is also very happy now, both husband and wife are working in Sanbo Hospital, and their daughter's condition is under control, and they are going to school in a nearby primary school, thanks to Yang Ping and the doctors of the Institute of Surgery, the work was arranged by Yang Ping, and Sisi's school was done by Song Zimo.

Therefore, Sisi's parents are very grateful to Yang Ping, the Institute of Surgery, and Sanbo Hospital, they work hard and really treat the hospital as their home.

In order to reduce Sisi's ionizing radiation, Yang Ping tried to postpone X-ray examinations, and after the results of color ultrasound and MRI examinations came out, if these examinations showed that there was a problem and needed further examination, Yang Ping used CT, bone scanning, and even PETCT.

This is something that can't be helped, after a lot of radiotherapy and chemotherapy before, Sisi's immunity was seriously destroyed, and now it is gradually recovering, Yang Ping can only do this, try to preserve her only immunity.

When the results of the examination came out, Yang Ping, Song Zimo, Xu Zhiliang, August and Maninstein gathered in front of the reading light.

Tumor recurrence!

There are abnormal signals in the liver and lungs, which are signs of tumor recurrence.

Song Zimo and Xu Zhiliang's faces were solemn, Yang Ping squinted his eyes slightly and did not speak, August knew that this patient was Professor Yang's No. 1 patient, and Professor Maninstein was helpless beside him, this is a malignant tumor, a difficult problem that has not yet been solved by human medicine, and it has metastasized.

In this situation, Yang Ping will never dare to use chemotherapy and various radiotherapy again, and there is no suitable targeted drug for osteosarcoma, so there is no need to think about targeted drugs, these have been thought about a lot before.

The only thing that can be used now is the Haifu knife, which uses ultrasound, and the biggest advantage is that there is no ionizing radiation, but the Haifu knife is not omnipotent, not only is it difficult to focus and aim, but the heat formed by the focus will more or less cause accidental damage to normal cells.

Whether it is a tumor cell or a normal cell that is treated by Haifu Knife, it is killed by heat, and the dead cells are slowly absorbed, and most of the cavities left behind will be filled with scars.

Of course, this situation will not appear immediately, and it will take a long time, especially if the child is in the growth and development period and has a strong regenerative ability, this situation will come more slowly.

But this is palliative care after all, and there is no cure.

Maninstein looked through the medical records in his hand, and now he has no problem reading through the Chinese medical records, and as long as a high-IQ genius is willing to learn, mastering Chinese is a breeze.

And he slowly realized that Auguste's understanding of Chinese was difficult and then easy, Maninstein had mastered the pronunciation, writing, meaning and word formation of more than 4,000 Chinese characters, he could read almost all Chinese books without any obstacles, and he was now working towards more than 6,000 Chinese characters and more than 8,000 Chinese characters.

As for the meaning of new words, as long as you read and learn once, it is difficult to forget, and English is different, expanding words all your life.

Maninstein was very surprised after reading the medical records, this little girl's previous condition was much more serious than this, it had been metastasized to the liver and lungs, Professor Yang not only performed bone lengthening surgery on her to restore normal limb function, but also used surgery to eliminate the tumor in the primary site, liver and lung tumors were also eliminated, at least in the postoperative examination at that time, there was no impact of the tumor. The device used is focused on ultrasound, not X-rays or various particle knives.

Maninstein knew a little bit about this treatment technique because he read through various journals and had a wide range of knowledge, but he did not know much about it.