godfather of surgery

Chapter 941 Your geography was taught by your anatomy teacher, right?

With WeChat as a communication tool, Yang Ping's email box is missing a lot of emails. Unless it is a very formal communication, all other communications can be completed on WeChat.

These foreigners used to like to use email and never used WeChat, but now they are all accustomed to WeChat.

Takahashi mailed the latest batch of comics from Japan, and now these comics are popular not only among medical students, but also among young people throughout Japan.

When they heard that new comics had arrived, doctors and nurses at the Institute of Surgery rushed to read them, and several sets of comics were sold out at once.

Zhang Lin and Xiao Wu are the most active. They always want to see if their roles are increased in the comics, but they are disappointed every time. As supporting characters like Golden Hook and Silver Hook, they cannot have too many roles.

Regarding the comics, Yang Ping didn't want to find out who drew it. Anyway, he didn't slander himself. Using comics to promote doctors and medical knowledge is also a good way.

When I got home, my mother-in-law was cooking in the kitchen, and Xiao Su was seriously making a fruit platter in the living room. Her belly was getting bigger and bigger.

Yang Ping had a headache when he thought about the due date. The Hermès gold and diamond crib was already ready, and he kept asking when it would be delivered.

Yang Ping always thought he was just joking, but he didn't expect it to be true. Who would dare to accept a gift from such a rich man.

Robert said that he had contacted several American sports stars, and they all agreed to be teachers in interest classes for their children, including NBA basketball stars, Brazilian football stars, and American boxing champions. Anyway, there were a lot of them. Robert said that he would fly every month. It's no problem to come to China to teach. Robert's reputation in the sports world is very good.

The child hasn't been born yet, so Robert said that he would be given a class schedule so that he could arrange it easily.

Ivan has already bought a milk powder company in New Zealand, including the dairy farm, and he contracts the milk powder.

Originally, the milk powder belonged to August, but Ivan's generosity made August dare not even hum. He secretly worked hard to buy a milk powder company and a ranch in the Netherlands. It is said that the old duke helped.

So in the end, Ivan and August took half of the milk powder.

Takahashi grabbed the supply of diapers, but he hasn't mentioned the diapers in the group recently. He used to refresh his screen every day to tell others not to grab diapers, but now he suddenly becomes extremely low-key.

Yang Ping told Xiao Su his current troubles. Xiao Su also had a headache as she thought about it.

Let's cut the fruit first, don't worry about the headache for now.
-

When the shift was handed over the next morning, everything was normal and no different from usual.

Halfway through the shift handover, a patient's family member screamed through the silent ward: "Doctor, come quickly, he's dying-"

Hearing this sound, everyone instinctively reacted in their minds: rescue!

Yang Ping and the doctors rushed out of the office, followed by several nurses. The frightened family members of the patients screamed at the door and almost cried.

The patient's face was pale, his breathing was extremely difficult, and his airway was obviously blocked. The ECG monitoring that had not yet been evacuated showed that the blood oxygen level continued to drop, and is now only 60%. This is a patient who just had brainstem surgery yesterday, and his family members just suddenly I was horrified to find the patient like this.

The patient and family members in the next bed may also be frightened, their faces look ugly, and they feel like they are in shock.

Yang Ping immediately turned off the infusion set and stopped the infusion of liquid. Then he asked for a flashlight and a tongue depressor to pry open the patient's mouth. The uvula and throat were obviously swollen, especially the larynx, because the swelling almost blocked the air. road.

"Sore throat, edema, anaphylactic shock, just passed the fluids?"

Yang Ping said as he pulled out the infusion needle.

"That's it just after I hung up this bottle!" the family member's voice trembled.

Anaphylactic shock!

"Bedside tracheotomy, intramuscular injection of 0.5mg epinephrine."

When Yang Ping gave verbal medical orders, he was already auscultating the heart and lungs.

The doctors and nurses at the Institute of Surgery are well-trained, and the ambulance has already arrived. The nurse immediately injected the patient with intramuscular epinephrine. Song Zimo had already opened the tracheotomy bag. Yang Ping immediately put on gloves. With Song Zimo's cooperation, he worked at lightning speed. Complete the tracheotomy, insert the tracheal cannula, open the airway, and connect the oxygen tube.

The patient's chest rise and fall, which had just been barely noticeable, now become extremely noticeable as oxygen enters the lungs from the endotracheal tube.

''My blood pressure is not good and is still falling. Adrenaline is given intravenously! The liquid and infusion set just injected are sealed. "

"Follow-up electric dexamethasone."

Yang Ping ordered the doctor in charge.

After emergency treatment by tracheotomy and intramuscular epinephrine, the patient's face slowly turned rosy.

The frightened family members of the patient relaxed a little when they saw this situation. It was so scary just now, and it really felt like death.

This patient is only 17 years old. He just had brainstem surgery yesterday. This morning he suddenly became like this and almost passed away.

Anaphylactic shock is a dangerous emergency. Whether the patient can be saved depends on whether the rescue is correct and fast. Life and death are calculated in seconds.

Yang Ping looked at the liquid infused by the patient. It was just a regular drug. This kind of drug did not require a skin test. He had never encountered an allergy before, but it is difficult to say about allergies. Theoretically, there is a possibility of allergic reaction to any drug. Sex is hard to guard against.

Responding to this kind of rescue test not only tests the doctor's first aid skills, but also tests the department's teamwork ability to deliver the most correct treatment to the patient in the shortest possible time without wasting any time.

Therefore, for this kind of rescue, whether it is disease identification or treatment methods, one must be very skilled, so skilled that he knows what to do without thinking. Many times, life slips away amid hesitation, confusion and unfamiliarity.

Yang Ping and everyone stood at the bedside, observing changes in the patient's condition. Subsequently, intravenous epinephrine was administered, and glucocorticoids were administered. The blood oxygen slowly rose to 100%, and the blood pressure slowly rose to normal. It was really good. Go quickly.

The infusion bags, infusion tubes and needles were sealed and reserved for subsequent inspection and analysis. In case of any disputes, these are also original evidence.

"Anaphylactic shock. Observe closely for 24 hours. It shouldn't be a big problem." Yang Ping took off his gloves.

The interns, graduate students and graduate students surrounding the scene were still in fear. This rescue operation taught them a real lesson.

Theoretically, any drug may cause allergic reactions, which is related to the person's constitution.

Allergy refers to an allergic reaction produced by the human immune system. It is generally divided into four types clinically, namely type I, type II, type III and type IV. Type I allergic reaction: also known as immediate allergic reaction; type II allergic reaction: cytotoxic reaction; type III allergic reaction: antigen-antibody immune complex reaction; type IV allergic reaction: delayed allergic reaction.

The allergic reaction of the patient just now is a type I allergic reaction, so the attack speed is very fast. It usually occurs within a few seconds or minutes after the body encounters the antigen. It is commonly seen in urticaria, angioedema, and allergic reactions. Rhinitis and bronchial asthma, etc.

This patient's sore throat and edema are angioedema. Sore throat and edema can block the airway and cause suffocation. Coupled with the shock caused by allergies, if not treated promptly and correctly, the patient will usually have irreversible effects on the human body within a few minutes. Death from damage.

Allergies require an allergen, which is the substance that causes the allergy.

For example, penicillin allergy was common in the past. In fact, penicillin itself is not an allergen and rarely causes allergies. Instead, impurities in penicillin cause allergic reactions. The impurities and proteins form macromolecular chain-linked penicillinthiazole proteins. This protein is the allergen. With the improvement of drug production technology, the purity of penicillin is getting higher and higher, and allergic reactions are becoming less and less. Now many developed countries no longer need to do skin tests for penicillin, because their penicillin is very pure, and our penicillin is temporarily unavailable. To achieve that level of purity, a skin test is necessary.

The principle of skin test is mainly an immunological examination based on the reaction of antigens and antibodies in or on the skin.

That is to say, local allergic reactions are used to test whether the human body is allergic to drugs. Local allergic reactions will not cause much harm to the human body, but it can still be seen whether there is an allergy.

A skin test is equivalent to a local, small-scale trial attack to test the body's response.

Song Zimo called the patient's family to the consultation room and explained the condition to him. The family members were very understanding, because patients and family members who come to the surgical institute have great trust here. Without this trust, high-risk operations such as brainstem surgery would be difficult. Doctors don't dare to take risks during surgery.

After this near-miss rescue, the patients in the entire ward have more trust in the surgical institute. The scene just now was really like trying to snatch people away from death.

After finishing the day's operation, Ning Qi came over in the afternoon. She brought a patient's medical records and asked Yang Ping to help see if the operation could be performed.

This patient is a top rich man in Sweden and plays a decisive role in the world's materials industry. Ning Qi and his company are discussing cooperation.

The rich Swedish man had some heart problems and had already undergone two operations. The second operation failed again. European doctors said that the third operation was difficult and risky and he did not dare to do it.

The Swedes didn't know where they heard about Yang Ping, so they wanted to find Yang Ping. By looking for ways to make an appointment with Yang Ping, they found that if they bought medical insurance from a Chinese insurance company, they could make an appointment. However, the Swedes didn't buy this insurance and couldn't go. This way, the Swedes later found out that this insurance company was a subsidiary of Anning Group.

Haven't you been discussing cooperation with Anning Group recently? The Swede immediately contacted Ning Qi, which was the right move, and Ning Qi immediately agreed to help.

The patient was lying in a Swedish hospital. Ning Qi came to Yang Ping with the information. After reading it, if the operation was possible, he decided to fly it to China on a private medical plane for surgery.

The information was copied on a CD. Yang Ping inserted the CD into his computer and read the medical records carefully. Ning Qi also held her chin and sat quietly next to Yang Ping to read.

After reading the patient's case information, Yang Ping said: "Come here! You can redo the Commando operation. This operation is indeed more difficult. Because he has already had two operations, the first operation was an ordinary aortic valve and After the mitral valve replacement, he later became infected, causing endocarditis. The infection destroyed the entire aortic valve and mitral valve. The doctor who performed the surgery was very good and was considered to be among the best in the world. The second surgeon performed the Commando surgery on him. Unfortunately, the Commando operation has completely failed, and it is still due to endocarditis. If you want to treat it, you must do a third operation. You need to remove the original operation and then do the Commando operation again, which is better than the first time. It’s much more difficult to do Commando surgery, it’s not on the same level.”

As Yang Ping talked, he discovered that Ning Qi was not a medical student, and it was useless to talk to her too much. She couldn't understand, so Yang Ping stopped immediately.

"Why are not you talking?"

Ning Qi sat next to Yang Ping, staring at the electronic screen with her beautiful eyes, listening carefully. Just as she was listening with interest, Yang Ping suddenly stopped, how could she bear it.

"You're not a medical student. I'm talking so much and you don't understand. It's a waste of my ATP."

Yang Ping said to turn off the electronic screen.

Ning Qi was slightly annoyed and said: "You are looking down on me. The full name of Commando surgery is bicuspid aortic valve expansion and reconstruction + mitral valve replacement + aortic valve replacement surgery. I'm right."

Yang Ping deliberately sneered: "You must have recited this series of medical terms for a long time."

"The aortic valve is the door between the left ventricle and the aorta, and the mitral valve is the door between the left ventricle and the left atrium." Ning Qi looked arrogant.

"Continue---it's a good recitation."

"Um--"

Ning Qi actually recited a large paragraph, and Yang Ping was convinced by her. She really recited it lucidly. It would be a pity not to study medicine.

''Okay, okay! Let me talk about it again. "

Yang Ping asked her to stop.

Yang Ping has no impression of Sweden. He used to have a Volvo XC90 which was given by his boss Cheng. The Volvo brand seems to be from Sweden. He seems to have no impression of other countries. There is no sense of existence in this country.

Oh, the Nobel Prize is also from Sweden. It seems that these two are the only ones that have an impression of Sweden. I can’t think of a third one that is linked to it.

"Let me look at Sweden!" Yang Ping picked up the globe on his desk and looked for Sweden on it.

"I suspect your geography was taught by the anatomy teacher. Sweden is a Nordic country, here."

Ning Qi pointed to Sweden on the globe with her long white fingers.

"This piece is quite big."

"The area is larger than Germany and Japan, but the population is small, only more than 10 million, but the industrial strength is quite strong. It can build aircraft, submarines, and various weapons. The steel-making technology is also top-notch in the world, especially special steel. First, the cooperation we are talking about this time is in the field of materials science, but the progress of the negotiations is slow. After all, it involves high-precision technology, and they are unwilling to cooperate," Ning Qi said a little disappointed.

Yang Ping traced his fingers from Sweden to China on the earth:

"Let him fly over. I'll think about the precautions on the plane and then send them to you. It's best to let his doctor get in touch with us. It's better for us to communicate."

"um. Thank you."

Ning Qi knew that Yang Ping was busy and stood up to leave.

"When my goddaughter is born, please remember to tell me when the time comes."

When Ning Qi left, the three of us told her that she was determined to be the godmother.

(End of this chapter)