godfather of surgery

Professor Zhang opened the link out of curiosity. The great master mentioned in the article is none other than Yang Ping. He said that he had just published 4 CNS articles, and now he has published 9 CNS articles at once, two of which are covers.

Professor Zhang was startled. If he hadn't been so strong during Tai Chi, he would have fainted and fallen to the ground.

In order to confirm the authenticity of the matter, Professor Zhang called Yang Ping directly, and Yang Ping replied calmly, "Yes!"

"Director Cao, you go to the Department of Science and Technology to report the cases to a large number of people. Ask Yang Ping. I want to sit down and have a cup of tea. My chest is so congested."

Professor Cao saw that Zhang Zongshun didn't look good and immediately asked, "Are you okay?"

"Xiao Qin, come over here and take Professor Zhang's blood pressure."

Professor Cao called outpatient nurse Xiaoqin to come over and help.

Professor Zhang shook his head: "It's okay, I'm just scared. Please send the case information to the group quickly, so as not to delay the child's condition."

"What are you scared of?" Professor Cao asked.

Professor Zhang said: "I will tell you later, you are busy with the case first."

Originally, many of these old experts were not very good at playing with mobile phones, but after several trainings from Professor Zhang, except for a few who were clumsy, most of them were able to play smoothly.

So Professor Cao sent the case information to the group and sent it to Yang Ping alone, asking Yang Ping whether he would accept the patient. Yang Ping didn't even think about it and directly replied: Admit him to the hospital for surgery.

Professor Cao immediately called the child's father and asked him to bring the child to issue a hospitalization notice at 08:30 the next morning.

This case is a 14-year-old girl named Teng Xinmei, a second-year junior high school student. She has hypertrophic obstructive cardiomyopathy. The typical phenotype of this disease is hypertrophy of the ventricular muscle. It is often related to genetics. Because of the hypertrophy of the ventricular muscle, it causes Reduced left ventricular compliance, insufficient filling, atony, etc., bring about a series of symptoms, which can easily lead to sudden death. If left untreated, it will either cause sudden death or develop into chronic heart failure, and ultimately death.

In terms of treatment, drugs can only temporarily relieve symptoms but cannot fundamentally solve the "obstruction". To fundamentally solve the "obstruction", surgical treatment is required.

If surgery is performed, an incision of about 20 cm needs to be made in the sternum. The surgery needs to be performed with the heart stopped and extracorporeal circulation.

The surgery is highly demanding, invasive, difficult, has a limited field of vision, is risky, and has slow recovery. Most patients stay away after hearing this.

Professor Cao originally thought that Yang Ping would not accept severe hypertrophic obstructive cardiomyopathy like Teng Xinmei's. After all, he didn't know how strong an inter-specialty general department like General Surgery was in cardiac surgery. Professor Zhang has an intuitive understanding.

Unexpectedly, Yang Ping directly said that it was no problem and admitted him to the hospital.

"Lao Zhang, I have sent out the case. Professor Yang said that he will be admitted to the hospital for surgery. Has Professor Yang Ping done this kind of surgery before? This is no joke."

Professor Cao is worried for some reason. Cardiac surgery is very professional, and many surgeries are difficult to carry out in provincial hospitals. Fuwai and Anzhen from the imperial capital must be the only ones. Although he is a genius, how can a young man do this surgery?He still had doubts.

"Don't worry, I'm not worried. What are you worried about?" Professor Zhang believed that Yang Ping was fine.

Professor Cao saw that Professor Zhang's expression had softened: "Old Zhang, are you okay? What scared you just now?"

Professor Zhang said: "Just look at the news in the hospital group. It's already happening in a big way, but we don't know about it."

"What's going on?" Professor Cao squinted and looked at his phone.

After reading it, he glared at Professor Zhang: "Are you kidding? How is that possible? Nine articles? Let's publish them all at once."

Professor Cao is an old expert from Fuwai. He is a person who has seen the world. There are students who have a few CNS articles, but I have never seen anyone who has published such an article.

"I don't believe it either, but it is true. I have confirmed it. I heard that the hospital will now change the banner and the announcement on the official website from 4 articles to 13 articles." Professor Zhang said slowly.

Professor Cao sighed: "The world is changing so fast. I remember that after my country's first CNS article, it took more than 20 years for the second one to be published. Later, although there were more and more CNS articles in my country, in my impression, it seemed that publishing CNS was very It is very difficult. Many universities are still cheering for the breakthrough of zero. You said that this time 13 articles will be published, and 4 and 5 articles will be wholesaled together. Is CNS worthless? It has become a mass merchandiser? This kind of distribution method has not been seen in mass merchandise journals. "

Professor Zhang Zongshun took a sip of tea: "It's not that CNS has become a commodity, but that the waves behind the Yangtze River push the waves ahead. Young people are now better than us. This is good and there is hope."

"Yes, look at these young people. They are all full of energy and comfortable to look at." Professor Cao nodded slightly.
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Teng Xinmei's family is a farmer from the mountainous area of ​​Nandu Province and a native of Beiqiao County.

Teng Xinmei has always had difficulty breathing after exertion, which has become more and more serious in recent years. She also suffers from heart pain from time to time. She can only squat down to catch her breath before running twice in physical education class, let alone farming, which is impossible.

His father, Teng Shaokui, initially thought his child was lazy and was very annoyed. How could a rural girl behave like this? She was so sick and scolded, and the child was so frightened that he no longer dared to say anything uncomfortable to him.

So it was postponed until junior high school. When Teng Xinmei grew up and became sensible, she felt that something was wrong. She was out of breath even when climbing stairs. Sometimes she felt weak all over and her head felt dizzy, as if she had some chronic disease.

During a physical examination in junior high school, the doctor said after auscultation: "You have a heart problem. I will write you a list and ask your parents to take you to a big hospital. If you want to go to a big hospital, it is best to go to the provincial capital, our town or It’s definitely not possible in the county, so you must remember to go and don’t delay.”

The doctor repeatedly told the child and the head teacher to pay attention and remember to inform the parents.

The head teacher was also thoughtful. In addition to the doctor's notice, the head teacher printed a notice and personally delivered it to Teng Xinmei's home and handed it to her parents.

When his father, Teng Shaokui, saw that the teacher paid so much attention to her, he felt that there might be something wrong with the girl, and it wasn't just that she was lazy and didn't want to do farm work, so he also paid attention to her.

"What's wrong with her? I think she's just lazy and lazy to eat." Teng Xinmei's mother, Zeng Cuiling, scolded her naggingly.

Teng Shaokui squatted at the door and smoked a few water pipes: "I'm afraid he is really sick. The child is already 14 years old. I will take him to have a look when I have time. Don't delay the child."

"In this busy farming period, how can you have time to see a doctor, why not go to a large hospital in a provincial capital? You think you don't have to spend money." Zeng Cuiling was unwilling.

"It doesn't matter if the farm work is delayed for a few days, but the children can't be delayed." Teng Shaokui smoked hookah, feeling a little scared and regretful. Although Xinmei, a girl, is in poor health, she is very well-behaved, studies hard, and her grades have always been very good. Well, the head teacher visited the house several times and said that the child will definitely be allowed to go to high school in the future. This child will definitely be able to get into a good university.

But with her family's situation, she couldn't afford to study in high school. The consensus among the villagers was to go out to work and earn money after graduating from junior high school. This was Zeng Cuiling's idea.

"How much money do you have in your wallet? If you don't count it yourself, why do you go to a major hospital in the provincial capital?" Zeng Cuiling was very angry.

Teng Shaokui could only apologize with a smile: "Girls are so old. After graduating from junior high school, they can go out to work and earn money. It won't cost much to see a doctor."

"Are you daydreaming? How much money can't be spent? You squat in the ravines every day. I have never seen it. Big hospitals in the city spend money like water. Even if you sell your shabby house, it won't even cover one day's medical expenses. My second brother I fell down while working and fractured my spine. I spent more than 10,000 in the provincial capital. Now I can't do heavy work and can't go. I can only go to the town to visit, or at most the county."

Teng Shaokui was a little angry and shouted: "Qian Qian Qian, you know Qian, whose baby is this? Is it our baby? Are you still the biological mother? I have the final say on this matter. When I go to the provincial capital, other doctors will I told you to go to the big hospital in the provincial capital, so you can’t delay.”

"Dakui, did you rebel today?" Zeng Cuiling had never seen Teng Shaokui angry with her like this. Normally, even if she pointed at her nose and scolded him, she would remain silent.

"Rebellion! What's going on? I have the final say on this matter. Help me pack my clothes. I want to take the baby to the provincial capital." Teng Shaokui stood up and banged his pipe on the door frame, causing the bamboo tube to break.Zeng Cuiling was frightened for a moment, then fell to the ground: "You Teng Shaokui, you are bullying others. My life is miserable. I married into your Teng family -"

When Teng Xinmei and her brother saw this scene, they hid in the back room and did not dare to come out, but they were used to their mother's behavior.

When her father entered the back room, Teng Xinmei came up timidly and said to her father: "Dad, let's not go to the doctor. It's okay."

"What do you know about this little girl? Don't worry about her. Dad will make preparations and leave for the provincial capital in the next two days."

So Teng Shaokui took his daughter to the provincial capital, but when he arrived, he didn't know which hospital was good.

Although Teng Shaokui has spent most of his life in the mountains and valleys, he has also worked on construction sites and has some experience.

He grabbed the money hidden in his clothes and asked all the way to the provincial government, and then asked the security office in front of the provincial government which hospital in the provincial capital was better for treating serious illnesses.

The security guards of the provincial government are not likely to lie to people, Teng Shaokui thought. They are more reliable than asking those outside.

The security guards of the provincial government are very good. They not only told me where to go for medical treatment, but also where to find cheap accommodation and some precautions.

At that time, the security guard pointed out several hospitals and said that Nandu Affiliated One and Nandu Affiliated Two were among the best. Then he said that Sanbo Hospital was also very strong and had a very good general surgery department that could treat serious diseases. He had a relative with spinal curvature. It doesn't look like it, it was straightened right there, and now it's fine.

In this way, Teng Shaokui took his daughter to Sanbo Hospital and found the General Surgery Department.
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The next morning, the two men came to the General Surgery Clinic. They were waiting at the door before the clinic opened.

Professor Cao saw the two men as soon as he got to work: "Here you go, come in. I have already communicated with my colleagues in the inpatient department. You will definitely need surgery for this disease. The risks of surgery are quite high, and the hospitalization time will be about two weeks."

"Can it be cured? Expert!" Teng Shaokui asked carefully.

Professor Cao nodded: "I found out a little late, but it's not bad at this age. If everything goes well, there will be no problem for the child to study, work and get married in the future."

Hearing that it could be cured, Teng Shaokui felt much more at ease, and then asked timidly: "How much will the entire surgery cost?"

Professor Cao thought for a while: "It's hard to say. It's not like buying something that can be priced at once. If your condition is so serious, radiofrequency ablation will definitely not work. You will need a thoracotomy, which costs about [-]. The New Rural Cooperative Medical System can reimburse part of it, but the ratio is very low. , you can ask our medical insurance department for details on how much you can claim."

One hundred thousand!

Teng Shaokui only brought more than 1 yuan, which was already all the family's savings.

"Fellow, are you okay? This disease cannot be delayed any longer. The longer it is delayed, the worse the effect will be. In the end, it will be chronic heart failure. You can only rely on heart replacement, and it is easy to die suddenly during the delay." Professor Cao said.

Teng Shaokui bit the bullet and said, "Can I pay [-] yuan first? I'll raise the rest."

No matter how much money you have, the disease will definitely be cured.

"Okay, talk to the doctor about the fees when you get to the ward. I will issue you a hospitalization notice first. Go to the service window in the lobby to check in. Don't listen to any non-staff, especially those who recommend you to other hospitals. That's all Liar, be careful about your money, there may be thieves in the hall." Professor Cao explained while placing the order.

Teng Xinmei followed her father and remained silent. When she left the clinic, Xinmei held her father's hand sensibly: "Dad, let's go back. We are dead and it costs so much money."

10 yuan, Xinmei knows, how can the family have so much money? This 1 yuan is still saved by frugality. Even if she borrows it, she can't borrow it at all. Girls are sensible early and understand in their hearts.

"It's okay, we have medical insurance, and medical insurance can reimburse a lot." Teng Shaokui comforted his daughter.

Anyway, this disease must be cured. He will think of a solution with the remaining money. There will always be a solution. He can't delay his daughter's life because of 10 yuan. According to the doctor's tone, it has been delayed for too long. It would have been better if he came earlier. I originally felt guilty. Teng Shaokui felt even more uncomfortable when he heard that his daughter was so sensible.

I didn’t even buy medical insurance. Last year, the village party secretary came to my house to urge me to buy medical insurance. My mother had a quarrel with the village party secretary and scolded the village party secretary for knowing how to make money. There was no point in buying medical insurance, so I didn’t buy it.

These were just comforting words from her father. Xinmei knew it in her heart. She lowered her head and had tears in her eyes.

Teng Shaokui and his daughter squeezed into the crowd and queued for a long time. Finally, they completed the hospitalization procedures, paid 1 yuan, and then went to Sanbo Hotel to pack their things and prepare to go to the ward for hospitalization.

The Sanbo Hotel is very strange. The rooms are divided into three grades: high, medium and low. The upper floors are high-end rooms. The rooms are several times more expensive than outside, but the low-cost rooms below are very cheap. The cheapest ones cost dozens of yuan a night.

These rooms are very small, with just a bed and a table, and even the toilet and bathroom are shared at the end of the corridor.

This was Dean Xia's idea. In order to facilitate the accommodation of patients' families, he specially arranged this. He said that it is not easy for ordinary people, and it is much more convenient to have a place to live in the hospital.

The father and daughter lived in a low-cost room that could accommodate a bunk bed. The table was foldable and could be recessed into the wall.In addition to public restrooms and bathrooms, there is also a public kitchen where you can cook; a public laundry room where you can wash your own hands and hang clothes on the roof.

For the father and daughter, they are satisfied to have a cheap place to live. As for the size of the room, it doesn't matter.

Xinmei also came to the provincial capital for the first time. Teng Shaokui bought two chicken drumsticks for her daughter for breakfast.

Xinmei remained silent and lowered her head. Teng Shaokui knew that his daughter was worried about money. He comforted his daughter: "You still have to pee and pee to death? It's okay. Dad has many ways. Don't think that your dad can't use anything. Look, , I have already paid 1 yuan, and the remaining money can be reimbursed a lot by medical insurance."

"I haven't bought any medical insurance for several years. Last year, when the village party secretary came to our house, my mother scolded her and sent her away." Xinmei said in a hoarse voice.

After being exposed, Teng Shaokui didn't panic and sighed: "You can buy it as a supplement. Even if you don't buy medical insurance, don't be afraid. Isn't it just 9 yuan? What a big deal. Boss Li, whose father worked on the construction site back then, Nian called me and asked me to work with him. He is currently building a highway and needs to rush the work. He is short of manpower and the salary is 500 yuan a day. I can go to him to advance tens of thousands, no problem, and then find someone to help. It was solved, and then I helped Boss Li work for two or three years. I have everything. My child, as long as you are in good health, you have nothing to fear. Your illness cannot be delayed any longer. My father was not good before and he didn’t take it to heart—— "

Xinmei didn't speak and kept sobbing. After a long time, she raised her head and said, "Dad, I will make a note for you and mom. I will pay back the money later. I will go work after graduating from junior high school and use the money from my part-time job to pay back."

"What do you know, a little girl? What kind of money do you want to pay back? How do you talk? Believe it or not, I will slap you. I tell you, study hard and don't believe what your mother says. She has long hair and short knowledge. She graduated from junior high school and went out to work. What's your future? You can't do anything without education these days. You have to go to high school or college. Do you understand? Don't be like your father, who spends your whole life nestling in this ravine with no hope. You have to go out. The teacher said you have a good chance of getting into college. , don’t think about it, you know? Don’t worry, dad has plenty of ideas. Look, dad is in good health and has plenty of strength—"

"Don't listen to the nonsense of those people in the village. It's useless for girls to study. It doesn't matter for rural people. If you can't find a job, it's useless to study. Dad tells you, it's just a part-time job. It's different if you have education or not. On the construction site, there is no difference. Culture is a matter of building bricks. Educated people blow air conditioners and draw blueprints. Who said it is useless for girls to study? Look, you saw a lot of female doctors in the hospital just now. They are so impressive. You will also come to work in the provincial capital in the future. People, go back several generations, some of them are not farmers from the ravines, those people in the village are just ignorant, don’t listen to their nonsense, if you listen to them and don’t want to study, I will break your legs.”

Xinmei's eyes shone brightly, and then she said helplessly: "Mom won't let me go to high school -"

"When will it be her turn to make the decision?" Teng Shaokui said angrily.

Xinmei looked at her father, and Teng Shaokui looked at his daughter's expression and knew that she was not confident in her position in the family: "Why are you looking at me? Don't look at me. I don't say anything at all. I just don't want to quarrel with your mother. If you really mean it, A slap can stop her from getting out of bed for three days - don't worry, your father will make the decision for you. As for your mother, don't blame her. She is uneducated and ignorant, but she usually works hard for the sake of the family. Eat frugally and don’t take things to heart, you know?”

Xinmei nodded: "I know, dad!"

"Pack up your things, let's go to the hospital."

Teng Shaokui urged his daughter in a cheerful voice.