godfather of surgery

Chapter 798 I only saw the patient once

Because Yang Ping had indeed undergone more than one operation that was more difficult than Mai Zijing's before, he did not feel as if he was facing a formidable enemy. He seemed very relaxed and treated Mai Zijing as an ordinary case.

On the contrary, this made Mai Jifu and An Yinghui uncomfortable. They felt a little uneasy in their excitement, and they were always in a state of uneasiness.

In the past, when they took their son to see a doctor, no matter which hospital or expert, they were always at a disadvantage. The experts would come several times a day, asking questions, checking up, and explaining the condition, but in the end they couldn't give a good answer. Method.

But now Professor Yang just treats Mai Zijing once and never comes again, which makes the couple very nervous.

Song Zimo is a competent assistant. He leads the bedside doctor to improve preoperative preparations and make an appointment with the extracorporeal circulation team.

This operation must stop the heart, because the heart needs to be opened during the operation and then reconstructed inside the heart. The aorta and pulmonary artery must be cut off, then exchanged and re-anastomized, so it is impossible to perform the operation without stopping the heart.

Coronary artery bypass grafting is an operation on the heart wall without opening the heart, so it can continue to beat.

Just like a house, if it needs to be demolished and rebuilt, the people living in it must move out temporarily to make the house empty; but if you just install water pipes in the walls, the people in the house can continue to live in it, and there will be little impact.

In the past, coronary artery bypass grafting also required cardiac arrest, because it was very difficult to anastomose blood vessels on a beating heart. Later, as doctors improved, they could use fixed devices to reduce the beating amplitude of the heart, and then anastomose blood vessels on the beating heart. Therefore, You can keep your heart beating.

This is why sometimes you can stop jumping and sometimes you can't.

In addition to the extremely difficult and high-risk operation, Mai Zijing’s surgery also has another huge difficulty, which is that the operation takes a long time, the heart is perfused with cardioplegia, and under hypothermia protection, the arrest time is not unlimited, usually 3-4 Hours, there are also cases where the jump can resume after stopping for 10 hours, but that is already a matter of luck.

Surgery is only a matter of chance when there is no other way. Try to control it as much as possible.

Therefore, Yang Ping wanted to shorten the operation time as much as possible to increase the probability of the heart restarting after it stops.

Medicine is a lot about probability, and improving or lowering probability is what doctors are constantly pursuing.

Because this was the first case in the world, no one wanted to miss such a precious opportunity. An Zhen and several experts from Fuwai flew to Sanbo Hospital, including Director Xin and Director Chen, and Director Chen’s mentor, Academician Wang, also followed. Get up Sanbo Hospital.

The Institute of Surgery, what a big sign!

When Academician Wang saw the door of the General Surgery Department, he couldn't help but smile and said, "There are not many hospitals in the country that dare to hang this sign."

In the outpatient department on the first floor of the General Surgery Department, Academician Wang met Professor Cao Zhenshan. They have been colleagues for decades. He heard that his old colleague came to the south to use his spare time after retirement. He was very curious and did not know how his old colleague was doing. Stop by and take a look.

The visit of a group of experts from Fuwai to Sanbo Hospital was a private act, not an official act, so Sanbo Hospital was not notified at all. Even Yang Ping did not know about it for the time being. The experts felt that there was no need to make a big fuss. Everyone came to see the surgery, so there was no need to It's better to make it as simple as coaching.Under the arrangement of Professor Cao, they went to Yu Shuilian's bakery to have something to eat.

Yu Shuilian's bakery is a hodgepodge, offering tea, coffee, milk tea, bread, steak, fried rice, sugar water, etc., as well as mainstream snacks.

Her small shop has been visited by many domestic and international medical experts. Needless to say, Robert, August, and Takahashi, who came to Sanbo for further studies, eat here every three days.

Since Yu Shuilian got the power brace, she no longer relies on her hands to walk. After putting on the power brace, she is wrapped in pants and shoes, so it is impossible to tell that she is only half a body.

A large poster at the door introduces Yu Shuilian's deeds. She is now very confident and has never been afraid of others saying that she is half human.

There is a breakfast shop next door to the bakery, which is owned by a couple. Their daughter is studying abroad, and the couple also plans to follow her abroad. Therefore, the domestic shop does not want to continue, so the shop is given to Yu Shuilian and his wife. This store is larger than the current Yu Shuilian bakery. Yu Shuilian plans to renovate it and use it as a place where doctors usually chat and discuss cases.

After several experts had snacks here, Professor Cao called Yang Ping to tell Yang Ping that several experts from Fuwai Anzhen had come to see the surgery, and then took several of them to the general surgery department.

At this time, Yang Ping was still on the operating table, and the doctor on duty was busy. Professor Cao and several experts were free to move around.

The doctor on duty and the students moved stools for several guests to sit on, and then made several cups of tea in disposable cups.

With the permission of the doctor on duty, Professor Chen saw his old patient Mai Zijing in the ward and performed three operations on him. The fourth operation was too much to do but too much effort.

After seeing the patient, when he heard that Yang Ping had only seen the patient once, Academician Wang couldn't hold back his anger and his face was obviously unhappy.

Are today's young people so irresponsible? This kind of highly difficult and high-risk surgery is the first in the world. It is a brand-new surgery. You don't need to see the patient repeatedly, but only see it once. How can this be done?

Seeing the depressed Academician Wang, Professor Cao knew very well. He explained for Yang Ping: "Maybe this kind of case is nothing to Professor Yang?"

"It's nothing?" How could Academician Wang believe this?

If Yang Ping were his student, Academician Wang would be hard pressed to understand his hatred unless he was criticized for his attitude.

I only saw the patient once, what an attitude.

Academician Wang's anger is not without reason. As an expert of the older generation, he is dissatisfied with many of the current professional habits of young people, such as over-reliance on instrument examinations and lack of attention to physical examinations. Many cardiac surgeons cannot even auscultate heart murmurs. close.

The older generation of doctors, whether they are in cardiovascular medicine or surgery, are absolutely very meticulous in auscultating heart murmurs. Once they hear it through a stethoscope, they can distinguish various murmurs very accurately. They can use the murmur to determine where and what the problem is in the heart. It is almost the same. .

Some of today's cardiac surgeons are not even willing to put on their stethoscopes. When a patient comes, they first look at color ultrasound, CT and other imaging data.

However, the young doctor also has his own reasons: I don’t need to spend time practicing auscultation at all. It’s enough to have a basic understanding of listening. Times have changed. Nowadays, various examination methods are very advanced. Once various examinations are done, it will be clear where the heart problems are. , I don’t know how many times more accurate than the physical examination, but I still have to spend time practicing the physical examination.

Regarding the number of visits to patients, Academician Wang had to see them many times before surgery at that time, and asked repeated questions.

But today's doctors also have reasons. Academician Wang didn't have so many patients at that time, so of course he had time to see it this way. Nowadays, there are several operations a day, more than a dozen, and he sees patients like this every day, so he doesn't have time.

So there is also a generation gap among doctors.

Professor Cao introduced the situation of general surgery to Academician Wang and said: "Our general surgery is very impressive. The surgeries we complete are the most difficult in each department. The surgeries currently carried out include scoliosis correction, upper cervical spine surgery, brainstem tumors, and cardiac surgery." Surgery and all that.”

Academician Wang frowned. This was too complicated. It was the first time I heard that the hospital had such a specialty.

"Weicong knows that the last emergency rescue operation of total aortic replacement involved a very serious tear from the carotid artery to the femoral artery. Professor Yang only took two hours to complete the operation. I was at the scene at that time. That kind of The speed of surgery is really something I have never seen in my life. Why are there such fast hands in the world?"

"If you hadn't said it yourself, teacher, I wouldn't have believed it."

"Before I came, I heard that Professor Yang had already performed many heart surgeries."

"Which professor did he study under?"

Academician Wang suddenly asked after hearing so many words of praise for Yang Ping.

Who should I study under?

Professor Cao couldn't answer the question now because he didn't know and had never considered this issue before. Now he started to think about it temporarily in his mind.

Yang Ping’s former orthopedic surgeon was Han Jiangong’s doctorate, and Han Jiangong was engaged in traumatology and orthopedics, and then——
No, if you look at it this way, Yang Ping is a doctor of orthopedics, so where did he learn cardiac surgery, and under whom did he learn cardiac surgery? "Whose student is this? I have never heard of it before, and I only heard you mention it recently." Academician Wang is very interested in this question. He wonders who is so lucky to have such a good student.

According to his age, Yang Ping should be a disciple of Academician Wang, but the circle is so big, why have he never heard of such an outstanding person? It feels like it suddenly comes out of nowhere.

After much deliberation, Professor Cao really couldn't come up with an answer.

"This--I don't know either. I only know that he is Han Jiangong's doctor." Professor Cao had no choice but to answer.

Academician Wang thought for a moment: "Han Jiangong? Which hospital?"

Academician Wang is well aware of the people engaged in cardiac surgery in China, but he has never heard of such a person.

Professor Cao said: "He is from Sanbo Hospital. He used to be in the Sixth Hospital of Modu and was engaged in orthopedics. Of course you don't know him."

What's the logic behind orthopedics training such excellent cardiac surgeons?If that's the case, wouldn't it be a slap in the face to us cardiac surgeons?
"Can orthopedics train a heart surgeon?" Academician Wang is now very interested in this question and wants to get to the bottom of it.

Professor Cao couldn’t explain it clearly, because he knew the results but not the process.

He had never thought about how Professor Yang could be so powerful.

"I've only been here not long ago. I don't know the specific situation. Maybe I found out that I have a talent for cardiac surgery and sent it abroad for further study." Professor Cao responded casually.

But something was wrong. He not only performed heart surgeries, but also performed surgeries on the brain and spine. Anyway, he did the most difficult surgeries.
-
Mai Zijing's case information was posted to the international group chat. It included total cardiac reconstruction + aortic and pulmonary artery switching. It was a surgical procedure that had never been heard of and a case that had never been seen before.

Li Zehui, a cardiac surgeon, could no longer sit still. He bought a plane ticket and went on a study trip at any time. His study exchange visa gave him convenience and allowed him to set off to China at any time, and his Senior brother Dodge was not so lucky. He could only look at Li Zehui helplessly and told him to bring the video back.

When he arrived at Sanbo Hospital, he also ate snacks at Yu Shuilian's bakery before booking a room at the Sanbo Hotel.

This time, I was a student who came to observe the surgery, not an expert attending the meeting, so I was alone, carrying a travel bag, simple.

Although he grew up in the United States and has always communicated in English, his family also took him to Chinese training classes since he was a child. Although he is not very fluent, it is enough. And recently, he went to Chinese training classes to practice speaking. He improved quickly and now he can speak Be very fluent.

He booked a room at the Sanbo Hotel and then came to the General Surgery Department, where he happened to meet Director Xin, Director Chen and Academician Wang.

Li Zehui is a world-class cardiac surgery expert who often lectures in Anzhen, Fuwai. How could they not know him? He is very familiar with her.

"Professor Li?"

Xin Weicong had sharp eyes and was the first to see Professor Li Zehui.

Everyone took a closer look and found that this person was Professor Li Zehui from Cleveland Medical Center. He was unmistakable.

The world is really too small, you can meet everything here.

"Nice to meet you——"

Professor Li shook hands with everyone one by one. It turned out that Professor Li also spoke English in China. Now he speaks fluent Chinese without even a single English word.

"What are you here for?" Director Xin Weicong asked in surprise.

Professor Li said bluntly: "I came here to learn surgery. There is a very special case here, which is the first in the world."

He was talking about Mai Zijing. It turned out that everyone had the same purpose.

"Are you familiar with Professor Yang? The world is really small, and I met Professor Li here." Director Xin Weicong was a little surprised.

Professor Li has a Western mindset, so he said directly: "Professor Yang Ping is my mentor, and we must be familiar with each other."

Yang Ping is his mentor?
As soon as these words came out, everyone was shocked, especially Academician Wang, who thought he had heard wrongly.

"He is your mentor?" Professor Xin Weicong couldn't believe it.

Professor Li nodded: "Yes, Professor Yang is my mentor. I often receive Professor Yang's guidance on surgeries and I have benefited a lot. He should still be on the operating table now."

Cleveland Medical Center is the hall of cardiology in the world. Professor Li and Dodge are rising stars in Cleveland. Professor Li is actually a student of Yang Ping. This is really unacceptable. Cleveland's status as a hall of fame suddenly begins to collapse in the hearts of several professors.

Such a young Yang Ping was actually the mentor of Li Zehui, who was in his early forties. This generational hierarchy seemed a bit confusing, and Academician Wang shook his head inwardly.

He secretly observed that Li Zehui, one of the world's top doctors, came to Sanbo Hospital alone, and there was no one to greet him. He drank water from a disposable cup. Moreover, Li Zehui seemed to be very used to it. He really looked like a student and did not give lectures at all outside Fuwai. He had the demeanor of a famous professor at that time.

At this time, Yang Ping returned to the ward after the operation and saw so many doctors waiting for him.

"Professor Yang, come and introduce me. This is our Academician Wang -"

"Welcome to guide the work!" Yang Ping shook hands.

Who dares to guide you? Song Zimo cursed from the side.

When he saw Li Zehui, Li Zehui immediately held Yang Ping's hand excitedly: "Professor, he is still so handsome. We haven't seen him for several months. Dodge was stuck with a visa, and he almost cried."

When everyone sat down, of course there was no gossip, only the cases.

Academician Wang said: "Professor Yang, when are you going to arrange the surgery?"

Yang Ping said easily: "Tomorrow, I will be the first in line tomorrow."

"Have you seen the patient?"

"seen it already."

Academician Wang couldn't say that Yang Ping had only seen the patient once, which was not good. After all, Yang Ping was not his student. He still knew this, and this was not Fuwai.

"Professor Yang, would you like to see the patient a few more times? It would be better to be more cautious in this case." Academician Wang reminded.

Yang Ping disagreed: "I will check it again before the operation. The problem is not big. Just arrange the operation as usual."

(End of this chapter)