godfather of surgery

Chapter 1026 0 and 100%
During the meal, Yang Ping also called Su Nanchen and his wife to come over. No matter where in the world, connections are very important, and Yang Ping must expand connections for his brother-in-law. As a scholar, having top connections in his own professional field allows for timely information exchange and never avoids taking detours, which is extremely important in the field of scientific research.

Yang Ping not only invited Su Nanchen and his wife, but also invited all the young talents from the entire Nandu Medical University to have dinner together, so that they could also have the opportunity to maintain close contact with world-class scholars and broaden their horizons.

Relying on reading papers to grasp the cutting-edge trends of professional development has a serious lag. If a research has been published in a paper, it means that at least some phased results have been achieved, rather than just starting or in progress. Science and technology must be communicated in order to stay advanced.

Similarly, for Brian and Mannstein, they also hope to maintain close contact with these Chinese scholars in order to maintain communication in the academic field. Even if they are Nobel Prize winners, it is difficult to guarantee that they are always at the forefront of world academic research. Achievements only represent the past, not the present.

The trip to Nandu Medical University not only gave Brian more confidence in his granddaughter's surgery, but also gave him a new perspective on China's current scientific research level, changing his previous old stereotypes. Full communication can eliminate prejudice.

Next, Yang Ping began to prepare for Aisha's surgery. Because the operation was extremely difficult and risky, all preoperative examinations had to be complete and detailed. The omission of any important information could bring disaster to the operation.

While waiting for the surgery, Brian often wandered around the hospital, but Maninstein had no time to hang out with him. He had too many things to do and was too busy to handle everything. He had to actively prepare for Aisha's surgery and take this opportunity to have a secret talk with Mr. Huang, the chairman of the organizing committee of Yang Ping's wedding. In addition to his own solo performance, he also presented a secret heavyweight program for the wedding. This program was a great gift to Yang Ping, which was also an important reason why Maninstein came to China this time.

Unlike Mannstein, a familiar customer, Brian was completely unfamiliar with China. Although he was not a doctor, he also graduated from medical school. He was a top student at the Karolinska Institute in Sweden, but after graduation he was engaged in basic medical research, mainly in human immunology. Therefore, Brian was very interested in the development of Chinese medicine. Now that he was in a Chinese hospital, he would naturally not miss the opportunity to observe and study Chinese hospitals.

Mainstein had no time to accompany him, so he wandered around the Sanbo Hospital alone. Wherever he went, whether it was the outpatient hall or the halls of the surgical and internal medicine buildings, there were crowds of people. He found it very strange, as such a thing would be impossible in Sweden.

Sweden has a population of just over 10 million people in an area of ​​more than 400,000 square kilometers, so it is not surprising that such crowded scenes are rarely seen.

Moreover, Sweden's tiered diagnosis and treatment system means that ordinary patients cannot see specialists at all. The first person they see is their family doctor, who is the general practitioner in the clinic. There are no such things as general outpatient clinics in specialized hospitals. All patients in specialized hospitals are referred for appointments by family doctors one level up.

Top specialists also do not have ordinary clinics, so ordinary patients cannot come to specialist hospitals at any time and cannot see doctors at any time. There is only one way for patients to see specialists, which is to make an appointment with their family doctors. This process is very long, about 70 days on average. Ordinary patients come to specialist hospitals according to appointments, and have no right to choose doctors. They can only be arranged by the hospital.

Of course, the rich are different. They can enjoy services that go far beyond basic medical care, such as private hospitals and private wards. They have enough money to pave the way, do not have to wait, and have the right to choose their doctors.

At first, Brian was very disgusted with this noisy and chaotic scene and felt that the medical experience was very poor. Gradually, he discovered that this kind of scene was the greatest freedom and equality in medical services. Although it was not perfect, it ensured the maximum equal use of medical resources.

Of course, compared with Sweden's tiered appointment system, the medical experience here is definitely not good, but there is no need to wait for a long time like in Sweden. They can see a doctor quickly, get a diagnosis and complete treatment.

The more he learned, the more interested Brian became in Chinese hospitals. He wandered around and chatted with people in the hope of obtaining some valuable information.

He came to the outpatient clinic of the Institute of Surgery. Everyone knew that he was a Nobel Prize winner, so they respected him very much. He was also very polite and would say hello when he met people. Brian's native language is Swedish, but his usual working language is English, so he is almost as fluent in English as his native language.

Professor Brian met Zhang Lin in the outpatient clinic. Zhang Lin greeted Brian in English. When Brian heard that he met someone who could speak English, he immediately started chatting with Zhang Lin and asked about the situation in the outpatient clinic because he was curious about everything here.

Zhang Lin happened to be with a few students and thought it was time to show off his English. He immediately spoke a lot of English confidently, and his accent sounded standard, but Brian didn't understand a word he said.

Finally, Brian, who was confused, could only tell Zhang Lin: "Can you communicate with me in English?"

I was speaking English, but they didn't understand a word I said. It was so embarrassing. Zhang Lin stood in front of the students awkwardly. The students next to him all looked at Zhang Lin, wondering why foreigners couldn't understand Teacher Zhang's English.

"He speaks Swedish." Zhang Lin explained to the students, then found an excuse and left with the students in disgrace.

Zhang Lin couldn't understand it either. He had passed the CET-6 and studied seriously according to the textbooks. So why was his English so bad when he met this real foreigner? He had always communicated with Robert in Chinese before and had never noticed this problem.

On the contrary, Professor Zhang Zongshun's Chinese-style English made it possible for Brian to communicate without any obstacles. Brian simply moved a chair and sat in Professor Zhang's consulting room to listen to Professor Zhang's outpatient consultation. When he learned that Professor Zhang, who was 80 years old, could see more than 40 patients in one morning, Brian was stunned.

In Sweden, let alone such senior experts, even an ordinary doctor in a clinic sees a maximum of 10-15 patients a day, and senior experts in top specialist hospitals see about four or five patients a day with appointments, which means two or three patients in the morning. This period includes the doctors' rest time, because after seeing each patient, they need to drink coffee, listen to music, and relax themselves before they can continue to see the next patient.

This doctor in his eighties saw more than forty patients in one morning. If Brian hadn't seen it with his own eyes, he would never have believed it, because it was simply beyond his understanding.

Lack of knowledge is such a terrible thing. Brian once taught a Chinese doctor who used to be a doctor. Brian often asked him about Chinese medical care. When the doctor said that Chinese doctors often see more than 100 patients a day, Brian no longer wanted to communicate with the doctor and was very disgusted with him because he thought the Chinese doctor was dishonest and was lying. Now he feels the need to apologize to the doctor.

Full of vitality and endless possibilities. This is Brian's evaluation of China after he came to China and observed it for a few days.

Little Aisha's surgery was finally ready, and Brian also finished his days of overt and covert investigations. He now had to focus on his granddaughter's surgery. Mr. Brian was arranged in the demonstration room, and Maninstein accompanied him to watch the surgery through video, so that he could grasp the whole process of the operation. This was to prevent Brian from pacing back and forth anxiously outside the operating room. Maninstein hated others walking back and forth in front of him the most.

Elsa's surgery has been prepared. Because the operation is very difficult and the slightest carelessness can easily lead to serious consequences, Yang Ping will perform the surgery himself.

The skin incision is performed with a signature one-cut operation, where the scalpel gently slides across the chest like a breeze blowing through the leaves, from the center of the chest to the upper abdomen. This type of surgery requires the chest cavity and upper abdomen to be completely opened to complete the entire operation.

The skin on the exposed heart was cut open, and the heart inside was exposed like a ripe fruit, but it was still wrapped in a layer of pericardium. Yang Ping carefully opened the pericardium, and the human engine heart was completely exposed in front of everyone. Yang Ping needed to repair and move the engine.

The naked heart pumping on the screen gives an extremely strong visual impact. For ordinary people who have never seen a real surgical operation, this impact far exceeds the visual impact created by blockbusters.

Brian stood up involuntarily when he saw the pumping heart on the screen. Mannstein held the remote control that could switch and zoom the screen. He immediately enlarged the image of the heart so that it filled the entire screen and became a close-up.

It was so shocking! It was the first time Brian saw a heart beating in front of him. At this moment, he felt the impact of life.

"This is the life force of the human body - the heart. Is this the first time you have seen such a picture? If the heart stops beating, it means the end of life."

"The heart will be stopped in a moment, and then restarted after the operation. This operation is very exciting."

"Have you brought your blood pressure and angina medication?"

Mannstein acted as commentator for his old friend. The shocking images and professional commentary made Brian's heart beat faster.

When Brian performed VR simulated surgery in the Digital Medical Laboratory of Nandu Medical University, it was just a game without any consequences. Brian not only did not have any psychological burden, but was full of fun in experiencing VR technology.

But the surgery on the screen is not a game, but a real surgery on his granddaughter. If any accident occurs, it will not be as easy as Game Over. It will be the loss of a life.

The heart beat rhythmically, and this strong beat was a sign of life. Brian slowly sat back in his seat and calmed his nervousness. Mannstein restored the screen to the default size so that he could see the entire operation.

After Yang Ping exposed the heart, he protected it with moist saline solution, and then began to open the sternum from the center of the chest. Using the crack in the sternum as an entrance, he used a expander to expand the entire chest cavity. The left side of the chest cavity that was supposed to hold the heart now only had one lung, and the place where the heart was originally located was empty, with nothing there.

"That place was originally the heart's home, but the heart has been wandering outside. It has been wandering for six years. Now it can finally go home. The way home will be full of unknown dangers. Let's wait and see." Mannstein slowly explained each picture.

"Thank you, but your commentary style makes me more nervous." Brian said after taking a breath.

The area below the left lung was empty, but of course it was filled with some loose connective tissue. Yang Ping cleaned up the useless loose connective tissue, and then began to follow the roots of the large blood vessels of the heart, looking for the path of the aorta and vena cava. This was not a difficult task, and Yang Ping quickly separated the aorta and vena cava, all the way to the position below the diaphragm.

The scientific name of the deformity is Pentalogy of Cantrell. The corrective surgery for this deformity can be performed very well in several hospitals in China. However, for a severe case of Pentalogy of Cantrell like Aisha, almost no doctor dares to perform the surgery, unless the doctor has the courage to believe that the patient is doomed to die.

It seems simple to let the "heart" go home, but the technical requirements are extremely high.

Soon, the objectives of the operation were revealed and everything became clear.

The surgeon was like a master of organization, and some messy things were clearly displayed in front of everyone.

The next operation was a major one, in which the deformity of the heart had to be corrected, the major blood vessels cut, and the free heart moved to the chest cavity - its original home.

As the cardioplegia solution was injected, Aisha's heart stopped beating, and his brain and body were maintained by extracorporeal circulation. Brian was shocked and couldn't help sweating, because the cessation of heartbeat, even if it was temporary, meant that from a physiological point of view, Aisha was now in a reversible "death" state.

"What happens if the operation fails or the heart can't restart?" Brian couldn't help but ask.

Mannstein said calmly: "Death!"

"What is the probability?"

"Although this is an extremely low probability event, it is a question of whether or not it happens to Aisha. It is the difference between 0 and 100%, there is no middle ground."

After hearing Mannstein's explanation, Brian was extremely nervous.

"Hey man, could you please switch to a more optimistic commentary style?"

"No, I am a scientist and must respect objective facts," Mannstein replied.

The heart's large blood vessels have been cut off, which means that the heart has been separated from the human body and has become an isolated organ. Now the heart needs to be put back into the chest cavity for re-anastomosis.

PS: I’m sorry, I’ve been studying away from home during this period, at the hospital where “Robert” works. I’m back now and can update normally. Thank you everyone!