In Director Han’s office, Professor Zhang, Director Han and Yang Ping are discussing Professor Feng’s condition.
"Xiao Yang, this is Director Han's teacher, Academician Feng Tiancheng from Mo Liu, who has been put on a ventilator for the second time." Professor Zhang told Yang Ping.
Director Han’s teacher is Yang Ping’s master.
Professor Feng Tiancheng, Yang Ping must know that, as long as they are orthopedic surgeons, everyone knows Academician Feng. He has made great contributions to my country's orthopedics.
"Five days later, there will be a consultation meeting, which may be the last time to discuss Professor Feng's condition. Director Han and I will go to the Magic City together. You should also come with us and deal with the work at hand." Professor Zhang made the decision for Director Han. He wanted to
Take Yang Ping to Magic City to participate in case discussions.
Since there is an 80% certainty, Professor Zhang must fight for Academician Feng. Sometimes Han Jiangong will not be able to do what he wants because of the awkward relationship, but Professor Zhang can have no scruples.
For the surgery in the second season, Yang Ping demonstrated all the types of surgeries with one operation. It will take two weeks until the start of the third season. He has nothing urgent at hand at the moment.
Let alone a master, even if he is an ordinary person, Yang Ping will do his duty.
This operation is too difficult. Yang Ping has done many similar cases in the system space, and cardiac arrest will occur in each case during the operation.
These sudden cardiac arrests are caused by surgical interference with the respiratory and circulatory center. Because an anesthesia machine is used for mechanical ventilation during the operation, the respiratory arrest is not reflected.
But cardiac arrest can be reflected. Some of these stopped heartbeats can be rescued, but some cannot be rescued.
Yangping has accumulated a large number of cases and conducted in-depth pathological anatomy on the fatal cases, so as to continuously improve the success rate, but there are still about 20% of cases that cannot be rescued.
What's terrible is that in these cases, the heartbeat stopped more than once during the operation, and in some cases it stopped more than ten times. That is, the heartbeat stopped once and was rescued, but it stopped again soon after and required rescue again.
The position of this surgery requires prone position. Once cardiac arrest occurs, a defibrillator is required for defibrillation. Defibrillation can only be performed in the prone position.
Normal defibrillation is performed in the supine position, and the success rate of defibrillation in the prone position is lower than in the supine position.
If the position is changed during the operation, it is easy to cause damage to the upper cervical spinal cord and medulla oblongata, and the patient will die when turning over.
When performing combined anterior and posterior surgeries on the cervical spine above the skull base, there have been cases where the patient's upper cervical spinal cord or medulla oblongata were damaged and died when turning over.
"Xiao Yang, when the time comes, I will let you speak. You can make a good draft and think about how to convince those big guys. Several Americans, Mayo, Twin Cities Spine, and Anderson Cancer Center will come." Professor Zhang told Yang.
Ping.
He does not doubt Yang Ping's 80% certainty, but is worried that he will not be able to convince many first-class experts when the time comes. After all, the success rate he said is far different from the success rate currently reported.
If we didn't get along often and know Yang Ping very well, no one would believe what he said and would think he was talking crazy.
Even Professor Zhang and Director Han, who had been with him for so long, would have been unbelievable if they hadn't seen Lu Gang's surgery with their own eyes.
"Don't worry, I will have a way to convince them when the time comes. They are all top experts in the industry, so there should be no problem with communication." Yang Ping is confident.
These are the world's top experts, and they should be the strongest team in the world today to treat such diseases.
However, Yang Ping felt that it would not have much effect on Professor Feng’s illness.
Such cases are treated as restricted areas for surgery.
If the tumor is removed and the respiratory and circulatory center is slightly damaged or stimulated, the heartbeat and breathing will stop. It is like writing on a soap bubble. If it is slightly stimulated, the soap bubble will burst.
Precisely because the risk of such cases is too high and almost impossible to succeed, operations are rarely performed, which creates an endless cycle. The fewer operations are performed, the less doctors are able to accumulate experience. If they cannot accumulate experience, they cannot improve surgical methods.
Improve surgical results.
The same goes for the world's top experts, who have too few cases to work on.
In the system space, there are a large number of experimental subjects. Yang Ping can operate without any scruples. After failure, he can also conduct anatomical research on the experimental subjects to find the cause of the failure. This is the confidence that he is 80% sure of.
Hearing Professor Zhang's words, Director Han was a little embarrassed: "Is this appropriate?"
Director Han's relationship with his teachers and seniors has been very tense for more than ten years. This time when his teacher was ill, he only visited secretly, through the glass, in the visiting corridor. For more than ten years, he and Hong Zhigang had no contact.
Even if we meet at an academic meeting, we just laugh it off.
Director Han wants to save his teacher, but he has never found an entry point. Now it is a bit abrupt to suddenly ask his students to participate in Professor Feng's consultation meeting and have to speak.
"Don't worry, I will arrange this matter. As long as I am here, Hong Zhigang will not dare to have any objections." That's what Professor Zhang decided.
Director Han had no choice but to say: "Okay, we will follow your arrangement on this matter."
"Besides Xiao Yang, who else can perform this surgery now? Are you 80% sure, and are you just watching Old Feng go?" Professor Zhang spoke straightforwardly.
Yang Ping didn't know about Director Han's grievances with teachers and senior brothers, but it could be seen that Director Han respected Professor Feng very much.
Professor Feng fell ill this time. Director Han went to the Magic City several times and kept thinking of ways to help Professor Feng. This shows that the relationship between teachers and students is still there and is very deep.
Yang Ping doesn't want to care about what the grudges were back then. What he cares about is making the operation as good as possible. This is Director Han's biggest wish at the moment.
After the matter was decided, Yang Ping returned to the ward.
He entered the system space to check his points. Lu Gang's surgery rewarded him with 600,000 points, almost twice the profit, and his points now rose to more than 1 million points.
The principle of the current system is high risk and high return. For cases like Lu Gang, if the operation is successful, 600,000 points will be awarded. If the operation fails, twice the total points will be deducted.
That is to say, the original remaining 500,000 points are cleared, and the remaining 500,000 points are deducted. Without points, you can't do anything in the system. In reality, you need to continuously accumulate points to repay the debt, until the points turn negative into positive, then you can
Continue to gain purchasing power.
Yang Ping planned to simulate Professor Feng's surgery in advance, entered the system space, and spent 400,000 points to purchase 400 hours of simulated surgery.
The tumor was too deep, growing interlaced with normal tissue, and was buried inside the respiratory and circulatory center. Yang Ping turned on the simulation mode. After repeated simulations, it only improved by 10%, and the success rate of the operation was raised to 90%.
It cannot be improved any further.
The further back you go, the more stable the operation becomes. At the beginning, the experimental subject will experience cardiac arrest eighteen times, and then it gradually decreases. This number stays at five times and can no longer be reduced.
Professor Feng's surgery was destined to be a twists and turns operation. There were five cardiac arrests during the surgery, which is scary to think about.
The success of the operation must reach 90%, and the external conditions also require specific requirements. For example, the room temperature must be at 25 degrees. If it increases or decreases, the success rate of the operation will decrease.
When in the prone position, the fixed angle of the neck must be at a specific value. Any higher or lower angle will reduce the success rate of the surgery.
Yang Ping also tried to use surgical robots. Compared with traditional methods, the success rate of robot surgery is far lower than that of traditional surgery because the robot arm does not have good tactile feedback and cannot accurately control the strength.
Just like a remote-controlled surgical robot arm writing on a soap bubble, its advantages of high precision and high stability will not work. Without good tactile feedback, it will pop the soap bubble because it does not know the severity.
Almost all factors have been optimized, and the success probability of the operation is fixed at 90% and cannot be improved.
Four hundred hours of simulated surgery increased the success rate by ten percent.
Professor Zhang’s assistant Xiao Mo sent a WeChat message asking for Yang Ping’s ID number and wanted to book flights for the three of them to Shanghai.
Yang Ping went to the laboratory to find Song Zimo and told him that he was going to the Magic City in a few days and asked him and Xu Zhiliang to take care of their home.
Fujiwara Miyuki was very happy to hear that Yang Ping was going to the Magic City, and she also wanted to go with her.
Yang Ping declined tactfully. Miyuki Fujiwara is a girl. If she goes with him, even if Xiao Su is generous, it will easily arouse suspicion.
Besides, this is Director Han’s private matter, and he doesn’t want to take anyone with him.
"I can carve a letter now." Miyuki asked Yang Ping to help check whether the carving is qualified.
Yang Ping took a casual look and saw the letter L on the olive pit. It was regular and the strokes were not as crooked as before. The progress was obvious.
Song Zimo knew that Yang Ping's trip to the devil was for Professor Feng's condition, so he was reassured to follow Professor Zhang and Director Han, since they were there in the department.
In the corridor, Huang Jiahui was carrying a reusable bag and walking in a hurry. She looked more mature and sophisticated, without the youthfulness and childishness of a recent graduate.
"Dr. Yang!" Jiahui had sweat on her forehead. When she saw Yang Ping, she greeted her respectfully.
During this period of time, Yang Ping did not see Huang Jiacai show up and asked: "Where is your brother? Why haven't you seen anyone recently?"
"He has been very busy recently. The company wants to expand its business volume in South China. During this period, he is running outside every day." Jiahui explained for her brother.
Now, Huang Jiacai and Gan Fengyi are fighting fiercely over the market, causing chaos in the orthopedic device market in South China.
The president of the Municipal People's Hospital, the director of the Department of Orthopedics, the chief of the pharmacy department, and the chief of the equipment department have all been replaced by new people. The suppliers of orthopedic equipment have to be reshuffled. In order to compete for this market, Huang Jiacai and Gan Fengyi have shown their talents and are facing each other.
When other equipment manufacturers saw this situation, they simply couldn't get involved.
In order to prepare for the performance before listing, Ruixing Company desperately expanded the market and placed the burden on the sales managers below. Among them, Huang Jiacai was the first to bear the heaviest task.
Huang Jiacai worked steadily and firmly secured the three biggest fortresses of Sanbo, Affiliated One, and Liquan Hospital. Using this as a springboard, he is now marching towards Affiliated Two, Provincial People's Hospital, Municipal People's Hospital, and various district hospitals.<
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Gan Fengyi used offense as defense, holding on to the advantages of trauma, spine, and joints, and then launched the banner of high-end sports medicine products to capture Huang Jiacai's home base---Sanbo, Fuyi and Liquan Hospitals.
Huang Jiacai's weakness was really caught by Gan Fengyi. The hospital wanted to take a high-end route. It had just passed the JCI certification. Some patients requested imported equipment by name, so a certain number of imported equipment must be prepared.
Gan Fengyi's equipment tracking service is much better than other companies, with extremely professional technicians, error-free delivery, and a long checkout cycle.
Gan Fengyi even promised that she could provide the equipment first and settle the bill three years later. If that didn't work, she could extend the billing period. After carefully studying Yang Ping, she was confident about the future of Liquan Hospital.
This three-year long cycle can reduce Cheng Liquan's financial pressure. The actual benefits force Boss Cheng to squeeze out the space of several other equipment manufacturers and give it to Gan Fengyi.
Due to the relationship between Huang Jiacai and Yang Ping, and at the same time, Boss Cheng also had a good relationship with Huang Jiacai. It was impossible for Lao Cheng to squeeze Huang Jiacai's space, so he had to reluctantly kick out his old partner Smith & Nephew and bring in Gan Fengyi.
The two families are at war, causing disaster for Yuchi. Smith & Nephew’s market space has been compressed, and several other families are in danger.
Regarding the market of Annex 1, Professor Su wants to increase the scale of the sports medicine center. In order to cooperate with Annex 1's strategy, Gan Fengyi has recruited a group of talents across the country, all of whom are young doctors who have graduated from clinical medicine and have certain clinical experience in orthopedics. There are several
Still a graduate student.
He gave these people a higher salary than his peers, and invited people from the American head office to come for training. After graduation, he worked specifically with Fuyi, which greatly improved the quality of Fuyi's equipment.
This hits Huang Jiacai's weakness. As a small company, Huang Jiacai simply does not have the funds and ability to do this.
For strategic needs, Professor Su naturally has to compress the space of other equipment manufacturers and give way to Gan Fengyi. Of course, Huang Jiacai's space will be retained.
Facing the menacing Gan Fengyi, Huang Jiacai also has a clever trick. Although Gan Fengyi is powerful, it is not without loopholes. Although American training is high-end, it lacks rusticity.
In response to this loophole, Huang Jiacai established a training department within the company and personally trained the technicians to work with certificates.
We not only train them on professional professional skills, but also provide standardized and detailed training on employees' clothing, service etiquette, and service procedures, so that these employees can master standardized service capabilities, which is no worse than employees from Johnson & Johnson.
For example, how to stand in the operating room, how to set up the table, and the etiquette for doctors, nurses and the janitors in the operating room are all standardized.
We also provide professional training on some additional services, such as how to operate the C-arm machine, help nurses clean up the operating room, and clean instruments.
Overtly and covertly, the competition between the two is extremely fierce.
After chatting for a while with Huang Jiahui, Yang Ping went to the ward alone to check the sensory strength of Lu Gang's limbs, checked the progress of Yu Shuilian's rehabilitation training, and chatted with Sisi.
