godfather of surgery

Chapter 1069 Don’t force yourself

I stayed in the Nandu Affiliated Hospital for a long time, and it was already very late when I returned home, almost a little after one in the middle of the night.

When Yang Ping came back, Xiao Su had been waiting for him. She fell asleep on the sofa while waiting. When she heard the door open, she immediately sat up from the sofa and rubbed her eyes: "Have you eaten?"

"Not yet. Where's the child?" Yang Ping changed his shoes.

"It's in grandma's room. Grandma has it with her. The food is hot. I'll go get it." Xiao Su brought a cup of warm water to Yang Ping, and Yang Ping sat down to rest.

"Why is my father so stingy? He invited you to a consultation but didn't even give you some snacks. I'll say something to him next time. If he makes my husband hungry, I'll never forgive him." Xiao Su said angrily.

Yang Ping knew that his wife was worried about him, so he quickly said, "Dad invited me to dinner, but I don't want to eat at the No. 1 Affiliated Hospital. The food there is not as good as the food at home."

"What case are you consulting today?"

“Rabies!”

"Why did the rabies doctor ask you to go for a consultation? My dad thought you were free, but the rabies doctor even dragged you there until midnight."

"Because the patient is of a special status and is an important national talent, the higher-ups attach great importance to him and have ordered all-out rescue efforts. Dad is also under a lot of pressure. No matter if he can do it or not, he will definitely call me over first. Then the higher-ups specifically asked me to go for a consultation."

While chatting in low voices, Xiao Su had already brought the steaming food to the table and Yang Ping began to eat it in big mouthfuls.

"You don't have to worry about things at home. I'm here for you. Just focus on your work. I plan to not go to work for the time being." Xiao Su chatted with Yang Ping.

Yang Ping is not short of money now. Although the house is big and his family gets along very harmoniously, it is not convenient for the whole family to live together. So he bought two more houses in this community, one for his parents and one for his father-in-law and mother-in-law.

This way, we can live separately at ordinary times and get together when we need to. Each of us has our own private space, which is pretty good.

In addition, he also bought a villa in the suburbs, so that the whole family can go there for vacation on weekends. Yang Ping is a person who does not compromise himself. Now that he has money, it is necessary to improve the quality of life. This money is earned by himself in an honest way, so he can spend it however he wants, and it is also human nature to make his family live a better life.

"Rabies can only be treated symptomatically. There's no point in asking you for a consultation, right?" Xiao Su was not sleepy at all now. She was very curious. Yang Ping would share with her the surgeries he performed and the cases he encountered every day. It might be because Xiao Su came from a medical family. Others might have no interest in medical topics, but she was the most interested in them.

"You are looking down on your husband. Let me tell you, I have just been thinking that if rabies is treated with traditional methods, the final result will definitely be death. The 100% mortality rate is not something that can be said casually. No one has made a breakthrough so far, and there are no exceptions. But if a new method can be found, there may be some hope. Look, Sisi had no hope originally, but now there is hope, doesn't she?" After dinner, Yang Ping and Xiao Su cleaned the table together. He wiped the table and Xiao Su was responsible for washing the dishes.

"Go take a shower and get some rest."

After the two of them cleaned up the living room, Xiao Su saw that it was getting late.
-
That night, Yang Ping had a dream all night. His mind was full of knowledge about rabies, from pathology, physiology, anatomy, microbiology, etc., countless knowledge flashed through his mind.

When I woke up the next morning, a bold idea popped up in my mind: hibernation therapy! Hibernation therapy puts the patient's brain into a state of "suspended death", making the virus think that the patient's brain is dead, and the complications it produces will not work. It's like the people in martial arts novels who use music to kill people. If that person doesn't understand music at all, this method will not work on him.

The brain's suspended animation deceives the virus, and then the immune system remains active and continues to kill the enemy.

The next morning, he did not go to work. Instead, he asked the driver to pick him up downstairs at around five o'clock and take him to the First Affiliated Hospital of Nandu Medical University. Professor Su was also hurriedly awakened by his call and rushed to the First Affiliated Hospital of Nandu Medical University.

Almost all the experts from Affiliated Hospital 1 were woken up from their beds by Professor Su. Some of them may not have had time to wash and were disheveled.

It was still half past six when everyone arrived at the ICU meeting room.

"Hibernation therapy?"

Director Luo opened his blurry eyes wide. He was an expert after all, so how come he had never heard of this method, the method in that paper?

"Yes, how come I have never heard of it?" Director Yuan from the infectious department also said.

Everyone was very surprised, as they had never heard of it. Even Professor Su searched his mind and found that he had never heard of this strange treatment method.

Yang Ping said slowly: "This is a method I came up with last night. It's normal that no one has heard of it."

"Did you think of it last night?" This time even Professor Su was surprised. It was true that his son-in-law always worked miracles, but the identity of this patient was a bit special. Although the mortality rate was 100%, there would be no problem as long as everything was done according to the regulations. But now this guy actually came up with a new method, and he only thought of it last night. Even if it was, he couldn't say publicly that he thought of it last night.

When everyone was stunned, Yang Ping said, "The patient has been diagnosed with rabies. There is no doubt about the diagnosis. Since there is no doubt about the diagnosis, everyone knows that the mortality rate of rabies is 100%. This disease can only be prevented, not treated. All symptomatic treatments are just a process and have no effect on the results. So why not try my new method?"

It seems to make sense. Since there is no other method, why not try his method? Besides, he is a man who has created miracles one after another. Maybe he can create another miracle. Professor Su is still confused about this son-in-law.

Everyone looked at Professor Su. After all, he was the dean, the president, and an academician. He had a very high prestige in the entire Nandu Medical University. Everyone was waiting for him to make a decision. On matters like this, only he could make the decision.

Professor Su looked at Yang Ping, who nodded. After the father-in-law and son-in-law exchanged glances, Professor Su said, "Professor Yang is right. Since there is no cure in current medicine, why don't we try a new method? Even if the new method fails, it will only have the same result as the traditional method. In other words, there is absolutely no risk in using the new method in this case."

In fact, everyone understands that for a disease with a 100% mortality rate, the final result will be the same no matter what method is used. The risk is not in medicine, but outside of medicine.

"I agree."

"I agree."

"I agree."

Since Professor Su had made the decision, everyone felt that they should support it, so everyone expressed their agreement.

"What kind of medicine is used for hibernation?" asked Director Luo of the ICU.

“Midazolam and Ketamine!”

"When does it begin?"

“We’ll start right after the meeting.”

Now that the decision has been made, what are you waiting for? Every second counts in saving lives.

"it is good!"

The main treatment of patients is still undertaken by the ICU, so Director Luo and Yang Ping interact more. Director Yuan of the infectious disease department actually doesn't have much to say, and doesn't know what to say. Many rabies treatments are symptomatic treatments, which are all ICU methods.

"Does anyone else have any different opinions? Please raise them now. If there are no different opinions, we will adjourn the meeting and immediately implement Professor Yang's new plan."

"How's the meeting secretary's record? Do you have any questions?" Professor Su asked the secretary again. He wanted to protect his son-in-law in case something really happened. This was something that everyone had discussed, and he was not the only one who insisted on his own way.

After the meeting, everyone went to the ICU without any small talk. The ICU doctors were obviously not as proficient as the anesthesiologists in the use of midazolam and ketamine, so they invited a senior anesthesiologist to participate in the treatment.

Soon, under the effects of midazolam and ketamine, the patient fell into a coma. When the drugs were first used, the doctor was not very sure about the dosage. If the dosage was too large, the patient would fall into a coma too deeply; or if the dosage was insufficient, the patient would not fall into a coma enough, hibernation would not be sufficient, and the brain would not be protected thoroughly enough.

This anesthesiologist was also using this method to treat rabies for the first time. He was not very precise in using the medication, resulting in an overdose, causing the patient to fall into a very deep coma.

The blood test results showed that the patient had metabolic acidosis and hemolysis, accompanied by autonomic nervous system disorders. Yang Ping had to transfer a superb anesthesiologist, Liang Pangzi, who grew up with him and was already a master in the use of anesthetic drugs.

Fatty Liang didn't dare to delay. Although he had finally managed to ease the relationship with the flight attendant and had made an appointment with her to watch a concert together tonight, he still drove to the First Affiliated Hospital of Nandu Hospital without hesitation. For a doctor, the condition of the patient was the highest order, and he was irreplaceable at this time.

When he told the stewardess that he was going to help with the rescue, she lost her temper and told him not to come to her again. Liang was inexplicably upset. He thought, "If you don't want to come, then don't come. They are from different worlds. Even if they are tied together by force, the rope will break one day and they will eventually go their separate ways."

The fat man's car was driving on the way to the First Affiliated Hospital of Nandu Medical University when he suddenly received a call from his mother. His father had severe pain in the left side of his chest and had difficulty breathing. He called 120 but no one came.

How come so many things are stuck at the same time? I just hung up the phone and the flight attendant called again, asking whether I was going to the concert or not.

There's still a concert at this time. If you don't go, you'll die. He didn't answer. He was too lazy to argue with her, so he hung up the phone. He called Song Zimo and Xu Zhiliang, but couldn't get through. So he thought about it and immediately called Zhou Can in the operating room, telling her that he was going to the First Affiliated Hospital of Nandu Hospital to participate in the rescue. His father might have a sudden myocardial infarction and was at home. Could she help go to his house to pick up his father and bring him to the hospital?

Zhou Can immediately said, "Leave this to me. You go to the First Affiliated Hospital. Human lives are at stake."

6◇9◇Book◇Bar

Leave this to me, Fatty Liang was so moved that he almost shed tears. He wished the flight attendant could say the same thing. Unfortunately, that was impossible.

Zhou Can didn't know his parents' phone number or the location of his home, so he immediately called Zhou Can again. A familiar voice came from the other end: "I found your home address from the head nurse, and I've also contacted your mother. The ambulance has already left, and I'm on it."

"If you need any signatures, I'll give you full authority. My mother must be very anxious."

"Are you sure? Those are your parents."

"I'm sure, the recording is evidence, I'm Liang Jing, ID number, now I authorize——"

After handling the matter, Fatty Liang wiped away his tears and stepped on the accelerator even deeper. He could now go to the First Affiliated Hospital of Nandu Hospital with peace of mind. When he arrived, Professor Yang was analyzing the EEG on the monitoring device.

"The drug dosage is too large and the risk is very high. If you are not careful, you will become a vegetable." Fatty Liang pulled a stool and sat beside the bed. Due to his work habits, he always liked to sit beside the patient's bed, and at the side of the head, so that he would be in a better working state.

Everyone was standing, including Professor Yang, but he was sitting. Wasn't that very rude? The doctors around him were very dissatisfied.

Fatty Liang looked at everyone's eyes and understood a little bit, but he didn't have time to talk nonsense. He asked the anesthesia expert about the dosage of various drugs with a serious face.

"I need to put his brain into a hibernation-suppressed state to prevent complications from the rabies virus from affecting brain function, but not too deep to avoid leaving serious sequelae after the treatment." Yang Ping told Fatty his purpose.

"I understand. It has to be deep enough and reversible." Fatty Liang began to work attentively. His father's affairs have been entrusted to Zhou Can. Although the girl is usually a little sharp-tongued towards him, she is smart and capable. She can handle everything.

Today's patients are like a small boat in the stormy sea, which may be overturned and sunk by a big wave at any time.

"The brain wave shows that the depression is too deep. No, we need to use some diuretics to promote the excretion of the drugs. If he continues like this, I'm afraid he will never wake up." Fatty Liang didn't notice the expression of the anesthesiologist next to him.

"Are you OK?"

"It's okay, I'll learn from you."

You are Professor Yang's personal anesthesiologist. I can only admire you. What else can I say?

The fat man took the medicine himself, and finally, at a speed visible to the naked eye, the vital signs returned to normal, the metabolic acidosis was corrected, the hemolysis began to ease, and the autonomic nervous system disorder was also recovering.

One of the important skills of a drug expert is precision, but this precision cannot be achieved simply by calculating the formula based on weight. She has to consider many aspects, such as the patient's weight, metabolic level, the interaction of multiple drugs, the purpose of medication, etc. This is like a chef cooking. If you want the dish to taste good, you need to know how much oil, salt, sauce, vinegar and other condiments to put in. This cannot be achieved by simply putting a scale in the kitchen.

Fatty Liang has been following Yang Ping for a long time, and as the saying goes, rising tides lift all boats, his level is unmatched by other experts.

The expert from the Affiliated Hospital next to him was convinced. He said that with the young man's skills, he probably couldn't catch up even if he practiced for another ten years.

After the patient here recovered a little, Fatty Liang hid in the doctor's office. He was about to call Zhou Can to ask about the situation, but a series of voice messages appeared on WeChat, reporting the whole incident clearly.

Zhou Can found Song Zimo and Xu Zhiliang, and together with Director Guan of the Interventional Department, they installed a stent for his father. He has now been sent to the CCU for monitoring and his vital signs are stable. Tonight, Zhou Can will stay with his mother in the Sanbo Hotel. His mother has also eaten something, and Zhou Can is chatting with her and comforting her.

"I'm sorry, Zhou Can, I'm sorry to trouble you, but I can't leave for the time being. The patients here are very special, and Professor Yang is also here, so I have to stay here." Fatty Liang felt quite guilty. He always quarreled with her, but he didn't expect her to be so helpful at the critical moment.

Zhou Can's signature hearty laugh came from the other end: "Just stay here and relax. I'm here. I just checked again. Uncle's vital signs are stable. Director Guan said he was brought in on time and there's nothing serious. He will be transferred to a general ward after a few days of monitoring, and then he'll be discharged with medicine."

"I'll treat you to a meal in a few days. The place is up to you."

"Really, I can choose whatever I want?"

"Yes!"

"Then I choose."

"Choose whatever you want, don't feel bad for me."

"I want to eat at your house."

"My home? No, Zhou Can, what do you mean?"

"You told me to choose, so I'll choose your home. If you disagree, forget it. Who cares? You can be at ease over there, and I'll be here. Just buy me a cup of milk tea when the time comes."

"Zhou Can, who said I don't agree? Come to my house for dinner and try my mother's cooking."

"Really, if you agree, don't force yourself. A cup of milk tea will do."

"No need to force me. I volunteer and must come to my house."

PS: The treatment method for rabies mentioned in this chapter is called the "Milwaukee Treatment" in reality. It is a new method created by Dr. Willoughby of the Children's Hospital of Wisconsin in the United States in 2011. It breaks the iron rule of 7% mortality of rabies. The patient he saved became the first surviving rabies patient in the world. After their later summary, the success rate of this method was 48/2011. They counted 2015 people treated from 48 to 7, and 100 were successfully saved. Although the success rate is very low, it is a huge improvement compared to the 0% mortality rate. Medicine is progressing under the impetus of these seemingly unorthodox and unrestrained people, turning the impossible into the possible. Without the impetus of this small group of people, medicine will always stand still. A hospital in my country once used this method to treat a rabies patient, but the patient's family chose to give up after one month in the ICU. It can be seen that this method is very costly because it requires staying in the ICU all the time, and requires a strong ICU medical team and a complete drug reserve. The huge investment and low success rate make this new method controversial. In fact, I think that there is nothing controversial about the success rate of 7 vs. 48/. Those who think it is not good just think that it is too expensive, too much medical resources, and may not necessarily save the patient. So many things are always constrained by reality after they are implemented.