After staying in Nandu Affiliated One for a long time, it was already very late when I got home, almost one o'clock in the middle of the night.
When Yang Ping came back, Xiao Su had been waiting for Yang Ping and fell asleep on the sofa. When she heard the sound of opening the door, she immediately sat up from the sofa and rubbed her eyes: "Have you eaten yet?"
?”
"Not yet, where is the child?" Yang Ping changed his shoes.
"It's in grandma's room. Grandma is here with her. The food is hot, I'll bring it to her." Xiao Su brought a glass of warm water to Yang Ping, and Yang Ping sat down to rest.
"Why is my father so stingy? He invites you to a consultation without getting you some snacks. I'll tell him a few words next time. If my husband is starved, I won't be done with him." Xiao Su said angrily.
Yang Ping knew it was because his wife felt sorry for him, so he quickly said: "Dad allows me to eat, but I don't want to eat in Annex 1. The food in Annex 1 is not as delicious as the food at home."
"What case are we consulting today?"
"Rabies!"
"Why did Rabies call you for a consultation? My dad thought you were idle. Rabies even dragged people there until midnight."
"Because the patient has a special status and is an important national talent, the superiors attach great importance to it and order all-out efforts to rescue the patient. Dad is also under great pressure. No matter whether it works or not, he will definitely call me over first, and then the superiors will name me for consultation."
While chatting quietly, Xiao Su had already brought the steaming food to the table, and Yang Ping ate it with big mouthfuls.
"You don't have to worry about things at home. I'm here, so you can work with peace of mind. I plan not to go to work for the time being." Xiao Su chatted with Yang Ping.
Yang Ping is not short of money now. Although the house is large and the family gets along very harmoniously, it is not convenient for the whole family to live together. He bought two more houses in this community, one for his parents.
Live in one apartment for the father-in-law and mother-in-law.
In this way, we usually live separately, but when it's time to gather together, we can all have our own private space, which is quite good.
In addition, he also bought a villa in the suburbs. On weekends, the whole family can go to the villa for vacation. Yang Ping is a person who does not wrong himself. Now that he has money, it is necessary to improve the quality of life. All the money is for himself.
It is human nature to spend what you earn openly and however you want to make your family live a better life.
"Rabies can only be treated symptomatically, so there is no point in asking you for consultation, right?" Xiao Su is not sleepy at all now. She is very curious. Yang Ping will share with her the surgeries he will perform every day and the cases he encounters. Maybe he is the same as Xiao Su.
Because she comes from a medical family, others may not be interested in medical topics, but she is the most interested in them.
"You are looking down on your husband. Let me tell you, I have been thinking just now. If rabies is treated according to traditional methods, the final result will definitely be death. 100% mortality rate is not something to be said casually. No one has made a breakthrough so far. There is still no breakthrough.
There are no exceptions, but if we can find a new method, maybe there will be some hope. You see, Sisi had no hope at first, but now there is no hope?" After Yang Ping finished eating, he cleared the table with Xiao Su, and he wiped the table
, Xiao Su is responsible for washing the dishes.
"Go take a shower and rest early."
The two finished cleaning up the living room, and Xiao Su saw that it was getting late.
---
That night, Yang Ping had a dream all night long, and his mind was filled with knowledge about rabies. From pathology, physiology, anatomy, microbiology, etc., countless knowledge flashed through his mind.
When I woke up the next morning, a bold idea came to my mind: hibernation therapy! Using hibernation therapy to put the patient's brain into a state of "suspended animation" makes the virus think that the patient's brain is dead, and the complications it produces will unfold.
It doesn't work, just like people in martial arts novels use music to kill people. If the person doesn't understand the rhythm at all, this method will not work on him.
The brain's suspended animation deceives the virus, and then the immune system is still active and continues to kill the enemy.
The next morning, he did not go to work. Instead, he asked the driver to pick him up downstairs at around five o'clock and took him to the First Affiliated Hospital of Nandu Medical University. Professor Su was also hurriedly woken up by his phone call and rushed to the First Affiliated Hospital of Nandu Medical University.
Almost all the experts in the attached 1st class were woken up from their beds by Professor Su. Some of them might not have had time to wash up and were disheveled.
It was still half past six when everyone rushed to the ICU conference room.
"Hibernation therapy?"
Director Luo's eyes widened and blurred. He was an expert after all, but he had never heard of this method or the method in that paper.
"Yes, why have you never heard of it?" Director Yuan of the Department of Infectious Diseases also said.
Everyone was surprised and had never heard of it. Even Professor Su thought that he had never heard of this strange treatment method after searching his mind.
Yang Ping said slowly: "This is the method I came up with last night. It's normal that no one has heard of it."
"Did you come up with it last night?" Even Professor Su was surprised this time. It's true that his son-in-law always performs miracles, but the status of this patient is a bit special now. Although there is a 100% mortality rate, as long as everything is done according to the standards, there will be no problem.
There will be problems, but now this guy actually came up with a new method. He only thought of it last night. Even if it was, he couldn't say publicly that he came up with it last night.
While everyone was stunned, Yang Ping said: "The patient has been diagnosed with rabies. There is no doubt about the diagnosis. Since there is no doubt about the diagnosis, everyone understands that the mortality rate of rabies is 100%. This disease can only be prevented, not treated. All
Symptomatic treatment is just a process and has no impact on the results, so why not try my new method?"
It seems to make sense. Since there is no method, why not try his method? Moreover, he is a person who has created miracles one after another. He may be able to create another miracle. Professor Su is still elusive about this son-in-law.
Everyone is looking at Professor Su. After all, he is the dean, the principal, and an academician. He has a high prestige in the entire Nandu Medical University. Everyone is waiting for him to make a decision. Only he can make a decision on this kind of thing.
Professor Su looked at Yang Ping, and Yang Ping nodded. After Weng and his son-in-law looked at each other, Professor Su said: "Professor Yang is right. Since there is no way to do it in current medicine, why don't we try something new?"
What about the method? Even if the new method fails, the result will be the same as the traditional method. In other words, there is no risk at all in using the new method in this case."
Everyone actually understands that for a disease with a 100% mortality rate, the final result will be the same regardless of the method used. The risk is not medical, but outside medicine.
"I agree."
"I agree too."
"I agree."
Now that Professor Su had made the decision, everyone felt that they should support it together, so everyone agreed one after another.
"What drugs are used for hibernation?" Director Luo from the ICU asked.
"Midazolam and ketamine!"
"When does it begin?"
"Start immediately after the meeting ends."
Now that the decision has been made, what are you waiting for? Life-saving matters are running against time.
"good!"
Nowadays, the leading treatment of patients is still provided by the ICU, so Director Luo interacts more with Yang Ping. Director Yuan from the Department of Infectious Diseases actually doesn’t have much to say, and he doesn’t know what to say. Many treatments for rabies are symptomatic, and they are all in some ICUs.
means.
"Do other people have any different opinions? You can put them forward now. If there are no different opinions, we will adjourn the meeting and implement Professor Yang's new plan immediately."
"Secretary of the meeting, how are the records? Do you have any questions?"
Professor Su asked the secretary again. He wanted to protect his son-in-law, in case something happened. This was something that everyone had discussed. He was not the only one who had his own way.
After the meeting ended, everyone went to the ICU ward immediately without any small talk. The doctors in the ICU were obviously not as skilled in the use of midazolam and ketamine as the anesthesiologists, so they invited a senior anesthesiologist to participate in the treatment.
Soon, under the influence of midazolam and ketamine, the patient entered a coma. When he first started using the drug, the doctor was not very sure about the dosage of the drug. If the dose is too large, it is easy to cause a deep coma; or if the dose is insufficient,
The degree of coma is not enough, hibernation is not sufficient, and the protection of the brain is not thorough enough.
This was the first time for this anesthesiologist to use this method to treat rabies. He was not very precise when using the medicine, which resulted in an excessive dosage and a deep coma in the patient.
The blood test results showed that the patient had metabolic acidosis and hemolysis, accompanied by autonomic nervous system disorder. Yang Ping had to call in a superb anesthesiologist, Fatty Liang, who had grown up with him.
The application of anesthetic drugs has been amazing.
Fatty Liang didn't dare to delay. Although he finally relaxed his relationship with the flight attendant and made an appointment with the flight attendant to watch the concert tonight, he still drove to Nandu Annex 1 without hesitation. For doctors, the condition is the highest order.
, and at this time he is irreplaceable.
When he told the stewardess that he was going to participate in the rescue, the stewardess got angry and told him never to come to her again. Fatty Liang was inexplicably irritable. If he doesn't look for her, then he won't look for her. The two of them are in different worlds.
Even if people are forcibly tied together, one day the rope will fail and break, and they will eventually fall apart.
The fat man's car was driving on the way to the First Affiliated Hospital of Nandu Medical University when he suddenly received a call from his mother. His father had severe pain in the left side of his chest and had difficulty breathing. He called 120 and still didn't come.
Some things got stuck together. Just after I hung up the phone, the flight attendant called me again and asked if I was going to the concert.
There was a concert at this time, and it would be fatal if she didn’t go to see it. He didn’t answer, and was too lazy to bother with her, so he hung up the phone directly. He called Song Zimo and Xu Zhiliang, but couldn’t get through. So he thought about it and called the surgery immediately.
Zhou Can from the room told her that he was now going to Nandu Affiliated One to participate in the rescue. His father might have suffered a sudden myocardial infarction and was at home now. Could you help go to his home and take his father to the hospital?
Zhou Can immediately said: "Leave this matter to me, you go to Fuyi, human life is at stake."
Leave this matter to me. Fatty Liang was so moved that he almost shed tears. He really wished that the stewardess could say this. Unfortunately, that was impossible.
Zhou Can didn't know his parents' phone number or the location of his home, so he immediately called Zhou Can again. There was a familiar voice on the other side: "I found your home address from the head nurse and contacted him.
Your mother is here. The ambulance has already set off and I'm in the car."
''If any signature is needed, I give you full authority. My mother is probably extremely anxious."
"Are you sure? Those are your parents."
"I'm sure, the recording is proof. I, Liang Jing, ID number, authorize now ---."
After handling this matter, Fatty Liang wiped away his tears and stepped on the accelerator deeper. He could now go to Nandu Affiliated One with peace of mind. When he arrived, Professor Yang was analyzing the electroencephalogram on the monitoring equipment.
"The dose of the drug is too high, and the risk is very high. If you are not careful, you will become a vegetative state." Fatty Liang pulled up a stool and sat next to the bed. Due to his work habits, he always likes to sit next to the patient's bed, and on the side of the head.
More working status.
Everyone was standing, including Professor Yang. He actually sat down. Isn't it very rude? The doctors around him were very dissatisfied.
Fatty Liang looked at everyone's eyes and understood a little bit, but he had no time to talk nonsense. He asked the anesthesiologist just now about the dosage of various drugs, with a very serious face.
"I need to put his brain in a state of hibernation suppression to prevent the complications of rabies virus from affecting brain function, but not too deep to avoid serious sequelae after the treatment is completed." Yang Ping told Fatty his purpose.
"I understand, it must be deep enough and reversible." Fatty Liang began to work attentively. His father's affairs have been entrusted to Zhou Can. Although the girl is usually a bit venomous towards him, she is smart and capable. She can
Take care of everything.
Today's patients are like a small boat in the stormy sea, which may be overturned and sunk by a big wave at any time.
"The brain wave shows that the suppression is too deep. If it doesn't work, use some diuretics to promote the excretion of the drugs. If this continues, I'm afraid I will never wake up." Fatty Liang didn't notice the expression on the anesthesia expert next to him.
"Are you okay?"
"It's okay, I'll learn from you."
Who said you are Professor Yang's royal anesthetist? I can only admire you, what else can I say.
Fatty personally took the medicine, and finally, at a speed visible to the naked eye, his vital signs returned to normal, metabolic acidosis was corrected, hemolysis began to ease, and his autonomic nervous system disorder was also recovering.
One of the important skills of a drug master is accuracy, but this accuracy cannot be achieved simply by calculating a formula based on body weight. She has to consider many aspects, such as the patient's weight, metabolic level, the interaction of multiple drugs, the purpose of medication, etc.
Wait, this is like a chef cooking a dish. To make the dish taste good, how much oil, salt, soy sauce and vinegar should be added cannot be achieved by setting up a scale in the kitchen.
Fatty Liang has been following Yang Ping for a long time. As the saying goes, a rising tide lifts all boats. His level is not comparable to that of other experts.
The Fuyi expert next to him was convinced that he might not be able to catch up with the young man's skills even if he practiced for ten more years.
After the patient here calmed down, Fatty Liang hid in the doctor's office. He just wanted to call Zhou Can to ask about the situation, but a series of voices appeared on WeChat, reporting clearly what happened.
Zhou Can found Song Zimo and Xu Zhiliang, and together with the director of the interventional department, his father had installed a stent. He has now been sent to CCU for monitoring, and his vital signs are stable. Tonight, Zhou Can will stay with her mother in the Sanbo Hotel.
, his mother has also eaten something, and Zhou Can is chatting with her and comforting her.
"I'm sorry, Zhou Can. I'm sorry to trouble you. I can't leave for now. The patients here are very special. Professor Yang is also staying here. I have to stay here." Fatty Liang felt quite guilty and always quarreled with her.
, I didn’t expect her to be so powerful at this critical moment.
Over there was Zhou Can's iconic hearty laughter: "Just stay calm, I'm here. I just checked again and found that my uncle's vital signs were stable. Director Guan said that he was delivered in time and it was nothing serious.
He will be monitored for a few days and transferred to a general ward, and then he will be discharged with medicine."
"I'll treat you to dinner in a few days. The place can be of your choice?"
"Really, it's my choice?"
"yes!"
"Then I chose."
"Choose whatever you want, don't feel bad for me."
"I'm going to your house to eat."
"My home? No, Zhou Can, what do you mean?"
"Don't you let me choose at will? I will choose your house. If you don't agree, forget it. Who cares? You can rest assured there. I am here. Just treat me to a cup of milk tea then."
"Zhou Can, who said I disagree? Come to my house for dinner and try my mother's cooking."
"Really, you agree. Don't force yourself. A cup of milk tea will do."
"I don't have to force myself. I have to come home voluntarily."
PS: The treatment method for rabies mentioned in this chapter is actually called "Milwaukee Therapy". It is a new method created by Dr. Willoughby of the Children's Hospital of Wisconsin in the United States in 2011. It breaks the iron law of 100% rabies mortality rate.
The patient who was rescued became the first rabies patient to survive in the world. This method has been used frequently.
According to their subsequent summary, the success rate was 7/48. They counted 48 people treated from 2011 to 2015, and 7 were successfully saved. Although the success rate is very low, compared to the 100% mortality rate, this is
Huge progress. Medicine is progressing under the impetus of these seemingly deviant and unconventional people. It will be impossible.
It has become possible. Without the promotion of this small group of people, medicine will always stand still. A hospital in my country once used this method to treat a rabies patient, but the patient’s family members chose to give up after a month in the ICU. It can be seen that this This method requires staying in the ICU all the time, so the cost is very high and requires a strong ICU medical team.
And complete drug reserves, etc. The huge investment and low success rate make this new method controversial. In fact, I don’t think there is any controversy when comparing the success rate of 0 to 7/48. Those who think it is bad are just thinking
If you spend too much money and medical resources, you may not be able to save your life. Therefore, after many things are implemented, they will always be constrained by reality.