With WeChat as a communication tool, Yang Ping's email address has a lot of emails, unless it is a very formal communication, other communication can be completed on WeChat.

These foreigners used to like to use email, never WeChat, but now they are used to WeChat.

Takahashi mailed in the latest batch of manga from Japan, and these manga are now popular not only among medical students, but also among young people throughout Japan.

When I heard that the new manga had arrived, the doctors and nurses at the Institute of Surgery rushed to read it, and several sets of manga were sold out at once.

Zhang Lin and Xiao Wu are the most active, they always want to see if they have increased their roles in the comics, but they are disappointed every time, as supporting roles like gold hooks and silver hooks, it is impossible to have too many scenes.

Regarding the comics, Yang Ping didn't want to find out who drew it, and he didn't slander himself anyway, and it was also a good way to use the comics to promote doctors and medical knowledge.

When I got home, my mother-in-law was cooking in the kitchen, and Xiao Su was seriously cooking fruit platters in the living room, and her belly was getting bigger and bigger.

Thinking of the due date, Yang Ping had a little headache, Hermes's gold and diamond crib had been ready, and he asked when it would be delivered.

Yang Ping always thought that he was just talking about playing, but he didn't expect it to be true, who would dare to accept such a tyrant's gift.

Robert said that he had contacted several American sports stars, and they all promised to be interest class teachers for their children, NBA basketball stars, Brazilian football stars, and American boxing champions, anyway, a lot of them, Robert said that it was okay to fly to China every month to teach, and Robert's face in the sports world was leveraged.

The child has not yet been born, and Robert said that he will give a class schedule on time, and he will arrange it.

Evan has already bought a milk powder company in New Zealand, along with a dairy farm, and he has contracted the milk powder.

Originally, the milk powder was August's, but Ivan's generosity made Auguste dare not snort, he secretly made efforts to buy a milk powder company and a ranch in the Netherlands, and it is said that the old duke helped.

So in the end, Ivan and August were one and a half.

Takahashi grabbed the supply of diapers, but recently he hasn't mentioned diapers in the group, and he used to swipe the screen every day to let others not grab diapers, but now he has become extremely low-key.

Yang Ping told Xiao Su about his current troubles, and Xiao Su thought about it, but he also had a headache.

Let's cut the fruit first, and I don't want to have a headache for a while.

---

When the shift was handed over the next morning, everything was normal, no different from usual.

Halfway through the shift, a patient's family screamed through the silent ward: "Doctor, come on, he's not going to work---"

Hearing this voice, everyone's brain instinctively reacted: rescue!

Yang Ping and the doctors rushed out of the office, followed by a few nurses, frightened by the patient's family screaming at the door, almost crying.

The patient's face was pale, his breathing was extremely difficult, his airway was obviously blocked, and the blood oxygen content shown by the ECG monitoring that had not yet been evacuated kept dropping, and now it was only 60%, which was a patient who had just had brainstem surgery yesterday, and the family had just suddenly discovered that the patient was like this, and he was scared.

Patients and family members in the next bed may also be frightened, with a bad face and a feeling of uncertainty.

Yang Ping immediately turned off the infusion set, stopped the liquid being injected, and then asked for a flashlight and tongue depressor to pry open the patient's mouth, and the uvula and throat were obviously swollen, especially the larynx, because the swelling almost blocked the airway.

"Sore throat, edema, anaphylactic shock, just over fluid?"

Yang Ping said that he had easily removed the needle for the infusion.

"That's it just after hanging this bottle!" The trembling voices of family members.

Anaphylactic shock!

"Bedside tracheotomy with intramuscular epinephrine 0.5 mg."

When Yang Ping gave his oral medical advice, he was already auscultating his heart and lungs.

The doctors and nurses of the Institute of Surgery are well-trained, the ambulance has been pushed, the nurse immediately injected the patient with adrenaline, Song Zimo has opened the tracheostomy bag, Yang Ping immediately put on gloves, and with the cooperation of Song Zimo, the tracheostomy was completed at lightning speed, the tracheal cannula was inserted, the airway was opened, and the oxygen tube was connected.

The patient's chest undulation, which was barely visible just now, is now extremely noticeable, and oxygen enters the lungs from the endotracheal cannula.

"Blood pressure is not good, it's still dropping, adrenaline dripping!" Fluids and infusion sets that have just been infused are sealed. ”

"Follow-up with electric dexamethasone."

Yang Ping instructed the doctor in charge.

After emergency treatment with tracheostomy and intramuscular epinephrine, the patient's face slowly turned rosy.

When the frightened patient's family saw this situation at this time, their hearts relaxed a little, it was too scary just now, it was really like dying.

The patient, who was only 17 years old, had just had brainstem surgery yesterday and was suddenly doing so this morning that he almost passed.

Anaphylactic shock, this is a dangerous emergency, whether the patient can be saved, is to see whether the rescue is correct or fast, life and death is calculated in seconds.

Yang Ping took a look at the liquid infused by the patient, it was just a conventional drug, this drug did not need a skin test, and he had never encountered allergies before, but it was difficult to say that there was such a thing as allergies.

Dealing with this kind of rescue is a great test of the doctor's first-aid skills, and at the same time a test of the teamwork ability of the department, so that the most correct treatment can be applied to the patient in the shortest possible time, and there is absolutely no time delay.

Therefore, for this kind of rescue, whether it is for the identification of the condition or the treatment method, it must be very skilled, so skilled that you don't need to think about it to know what to do, and many times life slips away in hesitation, doubt and unfamiliarity.

Yang Ping and everyone stood at the head of the bed, observing the changes in the patient's condition, and then intravenously dripped epinephrine, using glucocorticoids, blood oxygen slowly rose, until it rose to 100%, and blood pressure slowly rose to normal.

Infusion bags, tubing, and needles are all sealed and kept for post-mortem analysis, which is also the original evidence in case of any disputes.

"Anaphylactic shock, close observation for 24 hours, should not be a big problem." Yang Ping took off his gloves.

The interns, trainees and graduate students gathered around them had palpitations, and this rescue gave them a living lesson.

Theoretically, any drug has the possibility of producing an allergic reaction, which is related to the person's constitution.

Allergy refers to an allergic reaction produced by the human immune system, which is generally divided into four types, namely type I, type II, type III, and type IV.

Type I anaphylaxis: also known as immediate anaphylaxis; Type II allergic reactions: i.e., cytotoxic reactions; Type III. allergic reactions: antigen-antibody immune complex reactions; Type IV allergic reactions: delayed-type allergic reactions.

This allergic reaction in the patient is type I anaphylaxis, so the speed of the attack is very fast, usually a reaction that occurs immediately within seconds or minutes after the body encounters the antigen, and is commonly seen in urticaria, angioedema, allergic rhinitis and bronchial asthma.

The sore throat edema of this patient is angioneurotic edema, sore throat edema will block the airway, resulting in suffocation, coupled with shock caused by allergies, if not treated correctly in time, the patient usually has irreversible damage to the human body within a few minutes and dies.

Allergies must have an allergen, that is, the substance that causes the allergy.

For example, the common penicillin allergy in the past, in fact, penicillin itself is not an allergen, rarely causes allergies, but the impurities in penicillin cause allergic reactions, impurities and proteins form macromolecular chains of penicillium thiazole protein, this protein is an allergen, with the improvement of the drug production process, the purity of penicillin is getting higher and higher, and the allergic reaction is becoming less and less, and now penicillin in many developed countries does not need to do skin tests, because their penicillium purity is very high, and our penicillin can not achieve that purity for the time being. So a skin test is a must.

The principle of skin test is mainly an immunological test with the help of antigens and antibodies in or on the skin.

That is, the local allergic reaction is used to test whether the human body is allergic to the drug, and the local allergic reaction will not cause much harm to the human body, but it can be seen whether it is allergic.

A skin test is equivalent to a small-scale tentative attack to test the body's response.

Song Zimo called the patient's family to the meeting room and explained the condition to him, and the family was very understanding, because the patients and families who came to the surgical institute had great trust in this place, and without this trust, doctors would not dare to take risks at all for high-risk surgeries such as brainstem surgery.

After this thrilling rescue, the patients in the entire ward have more trust in the Institute of Surgery.

After a day's surgery, in the afternoon, Ning Qi was going to come over, and she brought a patient's medical records to Yang Ping to help see if she could do the operation.

This patient is one of Sweden's top richest people and has a pivotal position in the world's materials industry, and Ning Qi is talking about cooperation with his company.

The Swedish tycoon had some problems with his heart, he had already undergone two surgeries, and the second operation failed, and European doctors said that the third operation was difficult and risky, and he did not dare to do it.

The Swedes didn't know where to find Yang Ping, so they wanted to find Yang Ping, and by looking for a way to make an appointment with Yang Ping, they found that if they bought a Chinese insurance company's medical insurance, they could make an appointment, but the Swedes did not buy this insurance, so they couldn't take this way, and later the Swedes checked that this insurance company was a subsidiary of Anning Group.

Haven't you been talking about cooperation with Anning Group recently? The Swedes immediately contacted Ning Qi, which was the right way, and Ning Qi immediately agreed to help.

The patient was lying in a hospital in Sweden, and Ning Qi came to Yang Ping with the information, and if he could operate on it, he decided to send him to China by private medical plane for surgery.

The information was copied in a CD, Yang Ping inserted the CD into his computer, read the medical records carefully, and Ning Qi also held his chin and sat quietly next to Yang Ping to read.

After reading the patient's case information, Yang Ping said, "Let's turn it!" The Commando surgery can be redone, but it is indeed more difficult. Because he has already had two surgeries, the first operation was a common aortic valve and mitral valve replacement, and later the postoperative infection caused endocarditis, and the infection destroyed the entire aortic valve and mitral valve. The surgeon was very powerful, considered the world's top level, and the second surgeon performed Commando surgery on him. Unfortunately, now the Commando operation has completely failed, and it is still the cause of endocarditis, and if you want to treat it at present, you must do the third operation, and you need to remove the original operation and then do the Commando operation again, and the redo is much more difficult than the first Commando operation, and it is not at the same level. ”

Yang Ping said and found that Ning Qi was not studying medicine, and it was useless to talk to her too much, and she couldn't understand it, so Yang Ping immediately stopped.

"Why didn't you say it?"

Ning Qi sat next to Yang Ping, staring at the electronic screen with beautiful eyes, listening seriously, and was listening energetically, Yang Ping suddenly stopped, how could this stand it.

"You don't study medicine, I say so much, and you don't understand, it's a waste of my ATP."

Yang Ping said that he wanted to turn off the electronic screen.

Ning Qi said with a slight annoyance: "You look down on people, the full name of Commando surgery is mitral valve aortic valve double valve ring enlargement reconstruction + mitral valve replacement + aortic valve replacement surgery, I said it well." ”

Yang Ping deliberately sneered: "I've been reciting this series of medical terms for a long time. ”

"The aortic valve is a door between the left ventricle and the aorta, and the mitral valve is a door between the left ventricle and the left atrium." Ning Qi looked arrogant.

"Go on---, good recitation."

"Uh-huh---"

Ning Qi actually recited a large paragraph, and Yang Ping also convinced her, she really memorized the Tao, it was a pity not to study medicine.

"Alright, alright! Let me tell you a little bit more. ”

Yang Ping told her to stop.

Yang Ping has no impression of the country of Sweden, he used to have a Volvo XC90 was given by Boss Cheng, the Volvo brand seems to be Sweden, and the others don't seem to have any impression, and this country has no sense of existence.

Oh, the Nobel Prize is also Sweden's, it seems that the impression of Sweden is only these two, and I can't think of a third one that is linked to it.

"I'll look at Sweden!" Yang Ping picked up the globe on his desk and looked for Sweden on it.

"I suspect that your geography is taught by an anatomy teacher, and Sweden is a Nordic country, here."

Ning Qi pointed to Sweden on the globe with her slender and white fingers.

"It's a big one."

"The area is larger than Germany and Japan, but the population is small, only more than 10 million, but the industrial strength is very strong, can build aircraft, submarines, all kinds of weapons, steelmaking technology is also the world's top, especially special steel is the world's first, this time we talk about cooperation in the field of materials science, but the negotiation progress is slow, after all, it involves high-precision technology, people are unwilling to cooperate." Ning Qi said with a little disappointment.

Yang Ping paddled from Sweden to China with his fingers on Earth:

"Let him fly over, I'll send it to you after I think about the precautions on the plane, it's best to let his doctor get in touch with us, we can communicate better."

"Well, thank you."

Ning Qi knew that Yang Ping was busy, so he got up to leave.

"When my daughter is born, remember to tell me when the time comes."

When Ning Qi was leaving, we explained that her godmother was decided.

The first is the latest.