godfather of surgery

Chapter 294 Navigation
"Arrange DSA for Mr. Guo's thoracic spinal cord blood vessels." Lin Mingyuan privately explained to Dr. Huang.

Now Lin Mingyuan is very clear about Guo Jingyao's next diagnosis and treatment plan, and he will not have the slightest doubt about Yang Ping's suggestion. He still has a very clear memory of the academic meeting of Sanbo Hospital.

"Do you have any different opinions? I agree with Dr. Yang's opinion and further conduct a DSA examination of the thoracic spinal cord vessels to confirm the diagnosis." Lin Mingyuan loudly announced the results of the discussion.

"I agree and fully support Dr. Yang." August raised his hand, his face glowed, and he seemed very excited.

Milton's facial muscles changed a few times, he hesitated to speak, and slowly raised his hand, acquiescing to the result.

A young Chinese doctor actually changed the result of the discussion with a few words, negating their previous discussion.Xiao Lindu was very reluctant to accept this result, but he couldn't refute it. He couldn't always refute it with "lack of sufficient evidence", so he had to raise his hand.

The other doctors around the round table were all in formal attire. Some loosened their ties, some pretended to drink water, and some lowered their heads to ask the people around them.One after another, everyone raised their hands.

"I haven't seen a patient yet?" Yang Ping recalled entering the venue for discussion, and had never arranged for a clinical patient visit.

Before the meeting, other experts were arranged to see patients in the inpatient department at about 08:30, and came to the meeting after seeing the patients.

However, Director Yang Ping and Director Zhu did not know about it and did not receive relevant notices.

"Arrange now—" Dr. Huang immediately called the resident doctor in the ward.

At the end of the consultation meeting, Dr. Lin and Dr. Huang accompanied Yang Ping to see Guo Jingyao, and naturally other doctors also came along.

Although everyone has seen the patient, the analysis of the condition has completely changed now.

Guo Jingyao lives in the best suite ward of Gleneagles Hospital. It covers an area of ​​more than 300 square meters and is very well lit.

The young doctor in charge of the bed was also of Chinese descent, and the nurse was a Malay girl. They took everyone to the ward.

Guo Jingyao is 60 years old. When he was still in the prime of life in the mall, his hair was a little gray, but his spirit was hale and hearty, and his face didn't have too many wrinkles. He looked like he was in his 40s.

"Mr. Guo, this is Dr. Yang, the top expert in orthopedics we invited from China. He wants to see you now." Dr. Huang introduced Yang Ping to Guo Jingyao in English.

"Hi, Doctor Yang, I'm sorry to trouble you." Guo Jingyao shook hands with Yang Ping and greeted him in Chinese.

When he was a child, he studied in a Chinese school in Malaysia, so he was naturally able to speak Chinese. Although he was not fluent, it was adequate.

"What do you need to do, please feel free, I will cooperate." Guo Jingyao switched to English again.

As always, Yang Ping carefully asked about the medical history, had a physical examination, and re-read the auxiliary examinations one by one.

The physical examination followed the standards of spinal surgery. Every dermatome and sarcomere were carefully examined. The skin sensation of both lower limbs decreased. The deep reflexes are all reduced, and pathological reflexes such as Babinski's sign are not elicited. The muscle strength is already so poor that the operation is imminent!

The rigorous Germanic August has been standing beside Yang Ping. Yang Ping straightened up after the physical examination, and returned the percussion hammer to Dr. Huang. August immediately took it and passed it to Dr. Huang.

"How is it? Dr. Yang!" August asked carefully.

In fact, for various titles and titles, people in European and American countries prefer to call a certain doctor directly, because they think that a doctor is the most honorable title.

"I suggest that DSA be arranged immediately to obtain clear angiographic images and surgery as soon as possible. Over time, some blood vessels will be embolized and cause spinal cord degeneration. At that time, permanent paralysis will really come. What's more dangerous is that spinal cord edema will continue to rise. Spread, once it spreads to the respiratory muscles, it will seriously affect breathing——"

All kinds of knowledge are organized and logically connected in Yang Ping's mind, and a map of the occurrence and development of diseases is clear in his heart.

"Doctor Huang, please obey it!" August took a deep breath, thinking that he was in Munich and could give orders.

When the order was issued, August felt a strong guilt in his heart. As an authority in spinal surgery, he fell into the trap of the disease and couldn't get out. If it wasn't for the arrival of this Chinese doctor, the patient would be inexplicably paralyzed, permanently paralyzed, and never again. Someone unravel the truth.

Surgical injury to the spinal cord leads to paralysis, which will be recorded in the final case discussion record and become an iron diagnosis. The surgeon will also be questioned and traced to see if there is any fault. The conclusion that everyone agreed to take for granted two hours ago seems so ridiculous now.

Whether he had made similar mistakes before, but he didn't know, August shuddered in his heart.

"Do no harm!"

This is the first rule of doctors, to help patients with medical skills, not to harm patients with medical skills.

August felt that although he did not harm the patient, he almost delayed the patient because of his ignorance.

If everyone was stubborn and denied the young Chinese doctor with arrogance just now, harm might have happened.

Really, the more knowledge you know, the more you understand your ignorance.

"Thank you, Doctor Yang!" August said involuntarily.

"Save time, assess the risk of anesthesia immediately, and send it to the Department of Radiology and Imaging Diagnostics for DSA." Dr. Huang understood the stakes when he heard Dr. Yang's words.

"The super-selection of those mutated arteries is very difficult, and I will always be by the side to guide the anatomy for the chief surgeon." Yang Ping solemnly proposed.

Without his guidance, interventionalists would simply ignore these arteries and only angiographically follow the standard anatomical spinal cord supplying arteries one by one.

Milton still had doubts. He didn't have much idea about this so-called triple bureau case. How could Dr. Yang study it so thoroughly, which is unreasonable. Is Chinese medical technology so advanced?
The conservatism of the British is beyond imagination. Many ordinary British elderly have never gone abroad in their entire lives. Their impressions of China remain in braids and bound feet. The influence of the glory of the empire on which the sun never sets is deeply ingrained.

Prejudice can obscure vision and prevent seeing things as they really are, and Milton is now plagued by prejudice.

From the beginning to the end, Xiao Lin Du felt that Yang Ping was making a farce, waiting for him to end it, but how could it be a farce in the current situation.

If you speak in the conference room, it can be considered a farce, but it's just talking.Now he goes into battle in person to guide interventional doctors to super-select blood vessels.Which doctor dared to treat the patient as a farce, Xiao Lin Du was also shaken, and began to think about Guo Jingyao's condition.

Dr. Huang doesn't care what these bosses say, he only listens to Lin Mingyuan.

Coming out of the ward, Yang Ping has unknowingly become the center of everyone. This is the characteristic of the technology industry.

"Forgive me, everyone. The number of people in the interventional operating room cannot be too large. There are only a few places. Dr. Yang, Dr. August, Dr. Milton, and Dr. Kobayashi Du will follow me into the interventional operating room. The other doctors will be accompanied by Ms. Li , Waiting in the conference room of the diagnostic imaging department, I am very sorry!" Dr. Huang announced the permission to enter the interventional operating room.

The number of visitors to the operating room is limited and must meet the requirements of the nosocomial infection regulations. The Gleneagles Hospital, which is certified by the international JCI, has stricter nosocomial sense.

Once, British Prime Minister Cameron went to visit patients in a London hospital. The doctor in charge thought that they did not meet the hospital's hospital infection procedures, and yelled and threw them out of the ward. Knowing that he was the prime minister, he told them to "Get out! "

It's just such arrogance, I am the master of my site, if you violate the rules, you are forbidden to enter.

The procedure at Gleneagles Hospital was very smooth, and Guo Jingyao was quickly sent to the interventional operating room.

"Doctor Yang, you can tell us what we need to pay attention to."

Dr. Lin took Yang Ping into the interventional operating room, and Director Zhu sent Yang Ping to the door of the operating room and waited outside.

"Let the best interventional doctors take the stage!" Yang Ping had only one sentence.

"Dr. Zhou from our hospital, a student of American interventionist master Raymond Nolan—" Dr. Huang introduced.

Everyone changed into slippers, washed their hands, put on masks and hats, and put on lead clothes before entering the operating room.

This interventional operating room is a standard [-]-level hybrid operating room with very high specifications.

After the anesthesia was satisfactory, the patient was placed in a position, routinely disinfected and draped, and Dr. Zhou performed femoral artery puncture with skilled and standardized movements.

Dr. Zhou's skills are really good. These doctors earn a lot of money. They all go to work to support the whole family, live in villas and drive luxury cars. In private hospitals like Gleneagles Hospital, the relationship between doctors and hospitals is not an employment relationship, but a cooperative relationship.

When a doctor performs an operation, all the operation fees are paid by the doctor, and the hospital only earns the cost of beds, nursing care, and examination. Therefore, the doctors who can operate in private hospitals are very skilled. They are not short of money, and they only focus on studying medical skills.

"I started super-selecting as usual?" Dr. Zhou asked.

"Well, follow the rules first!" Yang Ping agreed.

(End of this chapter)