godfather of surgery
Chapter 323 Pain
Chapter 323 Pain
"Tell me, Dr. Yang looks at us like a man looks at a dog, I mean IQ?"
Takahashi had a whim, he couldn't find a suitable metaphor for a while, so he could only hastily use such a vulgar and rough metaphor.
"Just say you, don't say us." Zhang Lin glanced at him.
Takahashi immediately explained: "I'm referring to the IQ. Dogs have an IQ of 40, and ordinary people have an IQ of 100. Dr. Yang's IQ is estimated to start at 160. In this way, he looks at us like dogs."
"Okay, don't pull me in," Zhang Lin corrected again.
Gao Qiao blushed, he didn't dare to argue with Zhang Lin, he could only admit his cowardice, Xiao Wu patted Gao Qiao: "Gao Qiao, this metaphor is a bit inappropriate, it hurts people."
Takahashi also felt that the metaphor was inappropriate, but he couldn't find a more suitable one.
Takahashi tried to put together puzzles like Yang Ping, shuffling them up, and then putting them together out of order. Every time he picked up a piece, he had to check which piece of the puzzle it belonged to and where it was located. It took a long time to find the position.
Sometimes a piece gets stuck if you can't find the correct position, and you can't get up at all, and once you get stuck, you will fall into confusion and long waiting. This puzzle method requires strong brain memory and computing power.
Yang Ping allowed everyone to move freely. Those graduate students, regular trainees and interns, those who changed the medicine, those who wrote the medical records, went to their own jobs, and some also participated in the puzzle study together.
Gao Qiao pestered Xiao Wu and asked Xiao Wu to take him to buy the same jigsaw puzzle. He wanted to take it back to the dormitory to study it carefully, but Xiao Wu couldn't resist, so he had to take him to a toy store near the hospital to buy it.
Yang Ping called Song Zimo to the office to find out about Yu Shuilian's expenses. The follow-up treatment will take a long time and the cost will be huge. If there is any problem, he must help her find a solution in advance.
Song Zimo said that the other party was a dump truck, and they only had compulsory traffic insurance, so they couldn’t pay much. However, Yu Shuilian bought commercial insurance by herself, and she had an accidental injury medical insurance with a high amount of 200 million. It is confirmed that it belongs to the scope of compensation, and the other party pays the expenses other than compulsory insurance compensation, as long as it does not exceed 200 million, commercial insurance can pay.
When the couple bought insurance, a fellow villager dissuaded them, saying that the insurance was a scam, but they didn't listen to the fellow villagers and had their own judgments, so they bought it anyway.
At this time, the insurance still played a role, like a powerful shield, helping them withstand the almost devastating blow.
Yu Shuilian heard that the medical expenses were reimbursed by the insurance company, and that the advance payment had also been transferred to the hospital account, so she felt less worried.
With the backing of insurance, Yang Ping has less to worry about for them. He doesn't need to find a way to help them with the hospitalization expenses, and can concentrate on designing the next operation plan.
"Xu Zhiliang started working today?" Song Zimo asked.
When Yang Ping transferred Xu Zhiliang, he also sought Song Zimo's opinion. Song Zimo supported Yang Ping and gave him a chance. If it was possible, he would introduce him decisively.
"His theory must be fine. During the discussion just now, I listened to his speech, and he has a good grasp of the cutting-edge research of orthopedics. I checked his graduation thesis and published it on JBJS. I didn't really notice it before. He is a doctor of orthopedics. , how did you find out?" Song Zimo was curious.
Yang Ping was a little proud: "Yu Shuilian went out to the emergency department, and he was the one following the car. He extended the abdominal wound on the spot, and directly reached in to block the aorta to stop the bleeding, and the blocking was done intermittently, and he was well-measured."
"Courageous! This man is a bit of a maverick. I have played chess with him. He has a very high IQ and courage. He once treated a cardiac arrest patient with multiple rib fractures and pneumothorax in the emergency department. The emergency department opened the chest and performed intrathoracic cardiac compression, which saved the person. If the operation is really well done, it is best to let him lead a team. If I let him stay under my hands, I guess this kid will be very depressed. When discussing cases, did you compete with me intentionally or unintentionally?" Song Zimo laughed.
Yang Ping is also thinking about this question: "If you have time, watch the video of his operation today. I will perform a few operations for him today. The level of operation is this."
Yang Ping gave a thumbs up, and Song Zimo strongly suggested: "In this case, give him a group directly."
-
After get off work, Takahashi returned to the dormitory, locked himself in the room, put the copied video of Yu Shuilian's surgery on his laptop, and watched it repeatedly.
He slowed down the video and decomposed and numbered each surgical step.
The numbers are then written onto small squares painted in different colors, each representing a separate operation.
For example, splenectomy is brown, right lobe resection is red, omentum resection is yellow, and every other operation is painted in one color.
Takahashi tried various reorganizations of these blocks, which evolved into many surgical sequences.After careful comparison, it is true that Yang Ping's operation sequence is the best, saving the most time and benefiting the patient the most.
These chaotic steps seem to be garbled, but in fact, the underlying logic follows the fundamental principle of rescue surgery, and some of the most deadly threats are eliminated first.
For example, Yang Ping took 2 minutes between blocking the splenic artery and blocking the splenic vein. After blocking the splenic artery, he did not block the splenic vein immediately, but went to the preparatory steps for liver resection.
Two minutes later, he came back to block the splenic vein, and Takahashi saw the mystery for two minutes inadvertently. This was to allow part of the blood in the splenic sinus to enter the circulatory system to achieve the result of autologous blood transfusion.
When separating the right lobe of the liver and the spleen, he also separated part of the greater omentum, so that the greater omentum would naturally be completely removed after the organ operation.
Takahashi finally understood the mystery, but even if he knew this, he couldn't do it, he couldn't replicate the operation.
For Takahashi, it is undoubtedly a kind of pain.
Just like an engineer, he has obtained the detailed drawings of the product and the production machine, but he just cannot produce this product.
The garbled connection of each step is connected by strict internal logic. It is only the garbled code on the surface, but it is actually the real optimal sequence.
It's like the pieces of the puzzle are put there because it's there, that's the inner logic.
Yang Ping's arrangements for the steps of the operation were all completed under such urgent circumstances.
That is to say, the puzzler only needs to memorize the pictures of several pieces of the puzzle just by looking at it, and when he gets a piece, he can immediately judge where it is in the picture.
A pinnacle of brain and hand coordination!
Takahashi used jigsaw puzzles to simulate surgery again, trying to assemble several pieces of the jigsaw puzzle with disordered pieces.
No, each piece needs to be observed and thought about before it can be placed in the correct position, and it is not necessarily guaranteed to be correct. Sometimes a piece gets stuck and a lot of time is wasted.
These are just a few pieces of the puzzle. If you have a patient with multiple injuries, there is no chance for you to make mistakes. During the time spent, the patient will die at any time.
This time, Takahashi felt his brain was ruthlessly crushed.
(End of this chapter)
"Tell me, Dr. Yang looks at us like a man looks at a dog, I mean IQ?"
Takahashi had a whim, he couldn't find a suitable metaphor for a while, so he could only hastily use such a vulgar and rough metaphor.
"Just say you, don't say us." Zhang Lin glanced at him.
Takahashi immediately explained: "I'm referring to the IQ. Dogs have an IQ of 40, and ordinary people have an IQ of 100. Dr. Yang's IQ is estimated to start at 160. In this way, he looks at us like dogs."
"Okay, don't pull me in," Zhang Lin corrected again.
Gao Qiao blushed, he didn't dare to argue with Zhang Lin, he could only admit his cowardice, Xiao Wu patted Gao Qiao: "Gao Qiao, this metaphor is a bit inappropriate, it hurts people."
Takahashi also felt that the metaphor was inappropriate, but he couldn't find a more suitable one.
Takahashi tried to put together puzzles like Yang Ping, shuffling them up, and then putting them together out of order. Every time he picked up a piece, he had to check which piece of the puzzle it belonged to and where it was located. It took a long time to find the position.
Sometimes a piece gets stuck if you can't find the correct position, and you can't get up at all, and once you get stuck, you will fall into confusion and long waiting. This puzzle method requires strong brain memory and computing power.
Yang Ping allowed everyone to move freely. Those graduate students, regular trainees and interns, those who changed the medicine, those who wrote the medical records, went to their own jobs, and some also participated in the puzzle study together.
Gao Qiao pestered Xiao Wu and asked Xiao Wu to take him to buy the same jigsaw puzzle. He wanted to take it back to the dormitory to study it carefully, but Xiao Wu couldn't resist, so he had to take him to a toy store near the hospital to buy it.
Yang Ping called Song Zimo to the office to find out about Yu Shuilian's expenses. The follow-up treatment will take a long time and the cost will be huge. If there is any problem, he must help her find a solution in advance.
Song Zimo said that the other party was a dump truck, and they only had compulsory traffic insurance, so they couldn’t pay much. However, Yu Shuilian bought commercial insurance by herself, and she had an accidental injury medical insurance with a high amount of 200 million. It is confirmed that it belongs to the scope of compensation, and the other party pays the expenses other than compulsory insurance compensation, as long as it does not exceed 200 million, commercial insurance can pay.
When the couple bought insurance, a fellow villager dissuaded them, saying that the insurance was a scam, but they didn't listen to the fellow villagers and had their own judgments, so they bought it anyway.
At this time, the insurance still played a role, like a powerful shield, helping them withstand the almost devastating blow.
Yu Shuilian heard that the medical expenses were reimbursed by the insurance company, and that the advance payment had also been transferred to the hospital account, so she felt less worried.
With the backing of insurance, Yang Ping has less to worry about for them. He doesn't need to find a way to help them with the hospitalization expenses, and can concentrate on designing the next operation plan.
"Xu Zhiliang started working today?" Song Zimo asked.
When Yang Ping transferred Xu Zhiliang, he also sought Song Zimo's opinion. Song Zimo supported Yang Ping and gave him a chance. If it was possible, he would introduce him decisively.
"His theory must be fine. During the discussion just now, I listened to his speech, and he has a good grasp of the cutting-edge research of orthopedics. I checked his graduation thesis and published it on JBJS. I didn't really notice it before. He is a doctor of orthopedics. , how did you find out?" Song Zimo was curious.
Yang Ping was a little proud: "Yu Shuilian went out to the emergency department, and he was the one following the car. He extended the abdominal wound on the spot, and directly reached in to block the aorta to stop the bleeding, and the blocking was done intermittently, and he was well-measured."
"Courageous! This man is a bit of a maverick. I have played chess with him. He has a very high IQ and courage. He once treated a cardiac arrest patient with multiple rib fractures and pneumothorax in the emergency department. The emergency department opened the chest and performed intrathoracic cardiac compression, which saved the person. If the operation is really well done, it is best to let him lead a team. If I let him stay under my hands, I guess this kid will be very depressed. When discussing cases, did you compete with me intentionally or unintentionally?" Song Zimo laughed.
Yang Ping is also thinking about this question: "If you have time, watch the video of his operation today. I will perform a few operations for him today. The level of operation is this."
Yang Ping gave a thumbs up, and Song Zimo strongly suggested: "In this case, give him a group directly."
-
After get off work, Takahashi returned to the dormitory, locked himself in the room, put the copied video of Yu Shuilian's surgery on his laptop, and watched it repeatedly.
He slowed down the video and decomposed and numbered each surgical step.
The numbers are then written onto small squares painted in different colors, each representing a separate operation.
For example, splenectomy is brown, right lobe resection is red, omentum resection is yellow, and every other operation is painted in one color.
Takahashi tried various reorganizations of these blocks, which evolved into many surgical sequences.After careful comparison, it is true that Yang Ping's operation sequence is the best, saving the most time and benefiting the patient the most.
These chaotic steps seem to be garbled, but in fact, the underlying logic follows the fundamental principle of rescue surgery, and some of the most deadly threats are eliminated first.
For example, Yang Ping took 2 minutes between blocking the splenic artery and blocking the splenic vein. After blocking the splenic artery, he did not block the splenic vein immediately, but went to the preparatory steps for liver resection.
Two minutes later, he came back to block the splenic vein, and Takahashi saw the mystery for two minutes inadvertently. This was to allow part of the blood in the splenic sinus to enter the circulatory system to achieve the result of autologous blood transfusion.
When separating the right lobe of the liver and the spleen, he also separated part of the greater omentum, so that the greater omentum would naturally be completely removed after the organ operation.
Takahashi finally understood the mystery, but even if he knew this, he couldn't do it, he couldn't replicate the operation.
For Takahashi, it is undoubtedly a kind of pain.
Just like an engineer, he has obtained the detailed drawings of the product and the production machine, but he just cannot produce this product.
The garbled connection of each step is connected by strict internal logic. It is only the garbled code on the surface, but it is actually the real optimal sequence.
It's like the pieces of the puzzle are put there because it's there, that's the inner logic.
Yang Ping's arrangements for the steps of the operation were all completed under such urgent circumstances.
That is to say, the puzzler only needs to memorize the pictures of several pieces of the puzzle just by looking at it, and when he gets a piece, he can immediately judge where it is in the picture.
A pinnacle of brain and hand coordination!
Takahashi used jigsaw puzzles to simulate surgery again, trying to assemble several pieces of the jigsaw puzzle with disordered pieces.
No, each piece needs to be observed and thought about before it can be placed in the correct position, and it is not necessarily guaranteed to be correct. Sometimes a piece gets stuck and a lot of time is wasted.
These are just a few pieces of the puzzle. If you have a patient with multiple injuries, there is no chance for you to make mistakes. During the time spent, the patient will die at any time.
This time, Takahashi felt his brain was ruthlessly crushed.
(End of this chapter)
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