godfather of surgery

Chapter 831 Professor Yang is Sun Wukong

Yuan Yulin and Nie Shun'e ordered several snacks at the bakery, and they sat down to eat and watch slowly.

Nie Shun'e, in particular, kept her eyes on Yu Shuilian who was walking back and forth. She just couldn't figure out how a person with only the upper body could walk around.

Yu Shuilian actually knows what she means. Many customers who come here to eat have this curiosity, so she has never been taboo about being half-human. This is a fact, and she is very calm about it.

While clearing the plates on the table next to her, Yu Shuilian smiled and told Nie Shun'e: "The lower body is equipped with an electric prosthesis, so it can move around freely. It is covered by clothes and pants, so you can't tell."

As she spoke, Yu Shuilian rolled up her trouser legs to show them: "This is a mechanical leg, powered by a battery, but it looks like a real leg."

Yuan Yulin and Nie Shun'e were amazed that the technology was so high now.

"Is your surgery performed by Professor Yang from the Institute of Surgery here?" Nie Shun'e asked by the way.

Yu Shuilian nodded: "Not only was he the one who performed the surgery, but the electric prosthetic limb was also given by his American students. You can't buy it outside. The book is a product of an American laboratory."

"Professor Yang is a kind person, and he also helps with the dishes in our store. If it weren't for him, we wouldn't be where we are today." Yu Shuilian's husband brought over two pieces of toast.

Although they have not yet met Professor Yang himself when they arrived at Sanbo Hospital, the general outline of Professor Yang has been clearly sketched in Yuan Yulin and Nie Shun'e's minds. He is a kind man with superb medical skills and good medical ethics. Such a doctor Most reassuring.

"It seems that you also come to this hospital for treatment, right?"

Yu Shuilian saw that Nie Shun'e's face was not very good, and was a little yellow. In fact, the people who came here to eat were either doctors and nurses, or patients or family members. He knew almost all the doctors and nurses, and the only ones he didn't know were the patients or family members.

"Yes, I was recommended to come to Professor Yang for surgery." Nie Shun'e said, she was very happy when she said this.

Because she saw hope, real hope, hope standing in front of her.

Yu Shuilian is like a lamp, giving many desperate patients a glimmer of light and a glimmer of courage to live. Now Nie Shun'e has seen this glimmer of light.

After finishing eating, Yuan Yulin and Nie Shun'e returned to the ward. Yuan Yulin asked for a companion bed, and he planned to spend the night in the ward.
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On the second day after being admitted to the hospital, the couple finally met Professor Yang, who was famous for his medical skills, but he was too young.

There were also photos in the doctor's introduction column on the wall, but Yuan Yulin thought it was the doctor holding photos of his youth and putting them on it, or that the photos had been treated with cosmetic treatments. This is a popular procedure nowadays. Who doesn't do cosmetic treatments when taking photos these days?

But after seeing the real person, he is actually so young, exactly like a college student who is studying. He is still young, but his aura is still very strong, making people look very trustworthy.

Professor Yang's ward rounds are either carried out in large numbers, which is usually in the morning, or by one person, which is when he gets off work in the afternoon.

It's morning, and that's it.

The doctor in charge of the bed knocked on the door, and Professor Yang led the team to the bedside. Everyone took their places in an orderly manner.

There were more than 20 doctors surrounding the bed. Professor Yang stood in the C position during the ward round, accompanied by two generals.

The doctor in charge of the bed reported the medical history and reported the disease in an unscripted manner very fluently.

Nie Shun'e has also been suffering from a dull pain in her upper abdomen for the past six months. At that time, she just thought her stomach was not good, so she just tolerated it and let it go. She did not take this relatively obvious abdominal pain seriously.

Later, her eyes and skin became a little yellow, and she became thinner. Yuan Yulin felt that something was wrong with his wife, so he took her to the hospital for a check-up. Unexpectedly, she got cancer. Most people can't bear this kind of blow. It feels like the earth is falling apart. It's okay. , and later survived successfully.

The prognosis of pancreatic cancer is very poor, the degree of malignancy is very high, and the disease progresses extremely quickly, so the survival time of patients is very short. Because the onset is relatively insidious, once it is discovered, it is mostly in the late stage, and the patient will die soon after being diagnosed.

Therefore, pancreatic cancer is called the king of cancers and has a worse prognosis than liver cancer.

Generally, patients with malignant tumors often need to keep their condition a secret to avoid causing huge mental pressure on the patient. Before the ward rounds, the bedside doctor had already communicated with Yuan Yulin. Yuan Yulin said that his wife already knew the condition, so there was no need to keep it secret.

"Don't talk about cancer. Some tumors can be cured, and some tumors can prolong survival."

Yang Ping used this case to tell everyone about malignant tumors, and it also gave Yuan Yulin and Nie Shun'e some scientific understanding of malignant tumors.

For any tumor, the tumor cells themselves are not fatal, but it can be understood that the tumor cells are inferior cells that do not have the functions of normal cells, but these inferior cells can divide and grow crazily, so they can quickly crowd out normal cells. position instead of normal cells.

Any organ is composed of cells, so the material basis for its function is normal cells. If the cells have been replaced, the basis for its function no longer exists, and the organ will fail.

Organ failure, many of which are multiple organ failures, is the main cause of death in cancer patients.

Secondly, if the tumor's own blood vessels rupture or damage other blood vessels during its growth, it will cause massive bleeding and lead to the death of the patient.

Third, tumor cells can also fall off and enter the blood circulation to form embolism. If it causes embolism in important organs, such as pulmonary embolism, it will cause death.

Fourth, the growth of tumors consumes a large amount of nutrients and causes patients to develop cachexia. In this state, the body's immunity is reduced and it is easy to develop infections and other diseases.

Therefore, the mechanism by which tumors destroy health is that inferior cells replace too many normal cells.

The process by which tumors destroy health and lead to patient death can be simulated by the collapse of a company.

Normally, important positions in a company are filled by smart and capable talents. Everyone performs their duties and cooperates with each other, so the company operates well.

But one day, a lot of mentally retarded and incompetent guys started coming into the company. Although these guys were mentally retarded and incompetent, they were particularly good at competing for the positions of smart people. Moreover, there were enough of these mentally retarded people to enter the company in a steady stream, so they began to seize various positions. For important positions, when they occupy not many positions and have not exceeded a certain critical value, the company may have difficulty operating, but it can still be maintained.If this group of abominable idiots seize a large number of key positions, and they firmly occupy the positions, but they can't work, they can only eat, drink, have fun, squander money, and end up with nothing, this company will have no choice but to collapse.For the human body, it is organ failure, and organ failure leads to death of the patient.

The current mainstream methods of treating tumors, chemotherapy, radiotherapy and surgery, all aim to eliminate tumor cells and eliminate tumor cells from the "physical body". For example, surgical resection is to use surgical methods to cut out tumors. These methods, without exception, are I want to clean up the weaklings in the company.

If the tumor is still in the early stage and has not spread, it is easier to eliminate it completely.

But after the early stage, it has metastasized, and you don’t even know where it is hidden. These tumor cells are like seeds, taking root and sprouting everywhere. Theoretically, existing methods cannot completely eliminate them.

Just like if bad guys are concentrated in a certain place, they can be eliminated at once, but if they are scattered and hidden in society, it is difficult to find them and eliminate them.

This is the reason why malignant tumors are regarded as terminal diseases. They cannot be eliminated, wildfires cannot burn them out, and they arise again when the spring breeze blows.

But there are also some malignant tumors that are different, such as thyroid cancer. Its prognosis is very good, because it is a lazy cancer and develops very slowly, like a snail, so it is easier to be completely cured, and even if it cannot be cured, the patient's survival period will be It's a long time. Some people live to old age, and the cancer is still there, but they are fine.

It's equivalent to a company that only hires one person every few years, so it won't be successful in a short period of time.

For surgical treatment of tumors, precise identification of targets is very important.

If it's like playing a game, you can open the map and see where each tumor cell is, and then kill them all, so that the tumor can be cured.

So in theory, as long as the tumor cells are completely eliminated and the normal functions of the organs can be maintained, it is cured.

If they can't be cleared away, most of them can be cleared away, and the remaining stragglers will not be able to become a force for a while.

Yang Ping not only provides science education to patients, but also teaches doctors, using cases to tell them the essence of the disease instead of just seeing the superficial symptoms.
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Once a person has confidence and hope, everything will be much easier to handle. If a person loses confidence and falls into despair, this is the worst thing.

Nie Shun'e is very confident now. She cooperates very well with the examination. After completing the preoperative examination, she finally started the surgery conversation.

This operation was very special, involving the transplantation of eight organs, so Yang Ping decided to conduct the pre-operative conversation in person.

Across a table, across from each other are Yuan Yulin and Nie Shun'e.

For Yuan Yulin and Nie Shun'e, they are happy to be able to undergo surgery, because surgery means hope and means they can live.

"This is a picture. It shows your abdominal organs and tumors. The red ones are tumor tissues, the blue ones are normal tissues, and the yellow ones are the mixed junctions of tumors and normal tissues. Of course, this is a schematic diagram. The actual situation is far more complicated. It’s complicated, you see, stomach, small intestine, liver, gallbladder, pancreas, spleen, inferior vena cava—this is both kidneys—”

Using graphics to express is Yang Ping's strength. Many things are difficult to understand, but with an exquisite anatomy diagram, it is easy to understand.

"The blue ones are good guys, the red ones are bad guys, and the yellow ones are a mixture of good and bad. Our goal is to eliminate the bad guys completely or as much as possible. The red ones must be eliminated. In order to completely eliminate the enemies, we have to eliminate the yellow ones as well. This is also It’s not enough, because even if it looks blue, I still need to remove part of it, which looks very radical, and it is this radicalness that can ensure that the tumor is removed to the maximum extent.”

Yuan Yulin and Nie Shun'e stared at this beautiful medical drawing with their eyes wide open. This vivid metaphor made it easy for them to understand what Yang Ping was talking about.

"It is not easy to remove them, because the structure of the organs in the abdominal cavity is complex, the relationship between the organs is also complicated, and the tumors grow irregularly, so it is like cleaning up the dust in a computer case. If you just open the case The cover, if you clean the dust from the window, you will definitely not be able to clean it. You can’t reach many places at all, and you can’t see many places.”

"So, we have to adopt a very bold and superb resection method - external resection! That is to say, we will take out all the accessories from the computer case. After I clean up all the dust outside, I will put the accessories back into the computer case."

"For you, I will cut out these eight organs, take them out of your body, and let them completely separate from your body. I will complete the tumor removal on the workbench. After the removal is clean, I will remove them. Put it back in your body.”

External excision sounds horrifying, and Yuan Yulin and Nie Shun'e are very scared. They have never heard of such an exaggerated operation, where all the organs in the stomach are cut out and then put back again. The thought of it is scary.

"Professor Yang, if you take out so many things from your stomach, will it be difficult to put them in?"

This is what Nie Shun'e is worried about. It will be troublesome if she can't put it back. After all, her husband once helped his children repair a model car. After taking it all apart, it was never restored, and finally a bunch of parts were thrown away.

"In Journey to the West, Sun Wukong fought with monsters, chopped off his head and flew around in the sky, but didn't he put it back on again in the end?" Yuan Yulin gave an example.

"But the monster's head was taken away by the eagle, and it was not put back on in the end." Nie Shun'e also remembers this story.

"Professor Yang is Sun Wukong, not a monster." Yuan Yulin argued.

"The situation you just mentioned is theoretically possible, but for me, this problem does not exist." Yang Ping said firmly.

Ordinary doctors would never be able to speak so confidently, but Yang Ping was different. Especially for this kind of patient, Yang Ping had to give her confidence.

As long as she can put it back, Nie Shun'e will feel more at ease.

"Look, the left kidney has been severely invaded by tumors and has no function. It must be removed. A normal human body has two kidneys. Look, these are your kidneys, one on each side, but the human body only needs one kidney. You can do your job, so removing this kidney will have no impact on your body. Its impact is that you lose the ability to back up. Normal people have two kidneys. If one kidney has a problem, the other one can work normally. After the operation, you only have One kidney, if there is a problem with this kidney, there is no room for maneuver." Yang Ping said, pointing to the left kidney on his hand drawing.

Nie Shun'e thought for a moment: "There's nothing we can do about it. If it wasn't necessary, Professor Yang wouldn't have planned it like this."

"Yes, all resections are helpless and must be done," Yang Ping continued.

"Part of the stomach, small intestine, liver, pancreas, and spleen will be removed. We currently estimate that the resection will have little impact on function, especially the liver, which has good plasticity. However, this is only a prediction. If there is a certain organ failure after surgery, We must perform targeted treatment for dysfunction, and it is possible that organ transplantation or artificial organ assistance may be needed, but the possibility is very small." Yang Ping explained every detail to the couple so that they could fully understand the operation.

Because this operation is very big, it is a super big operation, and even a complete kidney and some other organs need to be removed.

(End of this chapter)