Four operations were completed before twelve o'clock, and each operation did not exceed one hour.
In order not to cause damage to the quadriceps, tourniquets were not used in any of the four surgeries. Low-pressure anesthesia controlled blood pressure below 90/60mmHg, and a water pump was used to maintain the water pressure in the knee joint at 120mmHg.
In this way, even without a tourniquet, the surgical field can be blood-free.
Ordinary people may not consider the damage caused by tourniquets to the quadriceps, but for professional athletes, the impact will be very serious and the recovery time will be prolonged.
The water pressure in the knee joint is maintained at 120mmHg. If the doctor is inexperienced, it can easily cause edema in the tissue space and induce compartment syndrome, leading to serious consequences.
After the operation, instrument nurse Linna and traveling nurse Jenny breathed a sigh of relief.
The operation was too fast, and they were under great pressure and were afraid of embarrassing situations. Fortunately, with Robert's help, the operation did not get stuck due to the lag in cooperation of the nurses.
The easiest one is Barrel. He only supports his legs. Every time he changes the position of the affected limb, Yang Ping does it with one hand, and he only needs to help from the side.
The glass shield was raised and retracted to the ceiling, and Barrell put the brace on the patient.
Robert helped Yang Ping take off his surgical gown. The anesthesiologist and nurse all greeted Yang Ping. The surgery was great, and he deserves to be Robert's mentor.
In the teaching room of the operating room, the doctors watched four arthroscopic surgeries and updated their understanding of multi-ligament reconstruction of the knee joint. Suddenly they discovered that they, who had been ranked first for a long time, were lagging behind.
Whether it was a skilled surgical operation or a novel curved drilling bit, this was their first time seeing it. They were very envious of Robert for having such a good teacher.
Enjoy art!
Professor Jung concluded that adjusting the balance of the knee joint is like a tuner, able to adjust the optimal balance based on feeling.
After Robert prepared for lunch, he held a question and answer session with the theme of multi-ligament knee reconstruction, allowing everyone to ask questions and interact with Yang Ping to improve everyone's understanding of this type of surgery.
The next day, a small academic meeting will be arranged, and Yang Ping will be invited to give a lecture. This is a rare opportunity, and it is not easy for Yang Ping to come to the United States.
Professor Jung, engineers from OrthoPediatricS, and many doctors refused to leave, waiting for Robert to bring Dr. Yang to meet with everyone.
Professor Jung couldn't wait any longer and decided to go to the locker room to find Robert, wanting to exchange a few words with Yang Ping in advance.
The engineer quickly reported to the company, hoping that the company would buy the patent for the curved drill bit or obtain authorization.
Yang Ping had submitted applications for Chinese patents and international patents for the device he designed before sending it to Robert, and it had passed the preliminary review. He also applied for early publication.
This legally protects one's technical achievements. Otherwise, if you encounter unscrupulous people or companies, after stealing the technical achievements, they will not only use it to make money, but will rake it up and sue the original creator for infringement. This kind of thing happens all the time. p>
In the face of interests, anything can happen. Yang Ping does not expect to rely on the consciousness of others to protect the fruits of his own labor.
Just in the United States, Indiana spine surgeon Rick Sasso is in a legal battle with medical device giant Medtronic over patent royalties for the Vertex cervical spine system.
The lawsuit lasted for five years, all the way to the U.S. Supreme Court. The U.S. Supreme Court finally ruled that Medtronic must pay US$112 million in patent fees to Dr. Rick Sasso.
So for this kind of thing, Yang Ping is just like doing surgery, he doesn’t want to take any chances.
The engineer keenly felt that this curved drill bit and this entire set of equipment would become a necessary equipment for children's sports medicine and would also be used in other surgeries. Around it, a complete equipment system could be established to dominate the field of children's sports medicine. The company quickly responded and authorized him to have preliminary negotiations with Yang Ping on the purchase or licensing of device patents. The company's negotiation team will set off as soon as possible.
Professor Jung hopes to discuss the issue of knee replacement with Yang Ping. He is designing a new knee prosthesis and has encountered some difficulties and hopes to communicate with Yang Ping.
At the door of the locker room, Jung waved to Robert and whispered: "Robert, come here."
Robert saw his unhappy expression and guessed what he was going to say. He explained a few words to Yang Ping and asked Barel to accompany Yang Ping. Robert followed Jung.
The two came to the small room next to the locker room. Professor Jung said angrily: "Robert, you must explain clearly why you hid your instructor. Did you go to China to study last time?"
"You listen to my explanation, Jung, you listen to my explanation, okay---"
"You selfish guy." Jung said angrily.
"Don't get excited!"
Robert completely ignored Jung's anger and lowered his voice.
"If I hadn't seen Dr. Yang's surgery today, I would tell you that I want to learn from a young Chinese doctor. You would join me and become his disciple. Would you believe it? Would you believe it?"
Jung was speechless for a moment, as if his explanation made sense. If he hadn't witnessed it with his own eyes today and moved forward in time, Robert would have asked him to go to China with him to learn from young Chinese doctors, and he would have laughed and refused.
"Do you know why I didn't say anything? Because you won't believe it at all. I know you best. You are just a pile of stubborn stones, full of arrogance and prejudice. Today I invited him to demonstrate the operation. You will see it with your own eyes. That's why you are like this.
I admire you, but a few months ago, you would have said, Robert, you are crazy. Robert, you need to see a psychiatrist, just before the operation. I bet Jung, you still laugh at me.
Psychology, no matter how much proportion it occupies, it must be there." Robert gritted his teeth, completely overwhelming Jung's momentum.
"Okay, I won't pursue this matter. Is he good at joint replacement?" Jung didn't dare to look at Robert, changed the subject, and asked eagerly.
This chapter is not over yet, please click on the next page to continue reading!
Robert nodded: "He is good at trauma, spine, joint replacement, and arthroscopic surgery. I have seen his joint replacement surgery. I can be your mentor. If you can get his guidance, I guarantee that you will be better than what you are now."
His level is a bit higher, but his threshold for teaching students is very high."
"Can you make an introduction?" Jung asked.
Robert sneered: "Don't even think about it. If you want to be his student, you can find opportunities by yourself and work hard for it. It took me a long time to have such an opportunity. I was in Sanbo Hospital and I just had the opportunity to be on stage."
None. Later, with the help of a Chinese brother, I came to power with Dr. Yang."
"You have to help create opportunities." Jung begged.
"That's okay. Let's have lunch together later. For the dinner in the evening, I'll let you sit closer to him. As for whether he's interested in you or not, I don't care." Robert didn't want to cause trouble to Dr. Yang because of Jung, so he asked
He despises himself.
"How long will he stay in the United States?" Jung was very confident that as long as Robert helped make the connection, things would be easy to handle.
"Five days, rest on the first day, surgery on the second day, lectures on the third day, visit my clinic on the fourth day, rounds in our department on the fifth day, and return home on the sixth day." Robert clapped his fingers.<
/p>
"Then can you invite him to our department for ward rounds? Please! Robert, it was you who tripped me during that rugby match. My left tibia was fractured. There is still a dull pain here." Jung asked about how to deal with the Chinese.
Completely clueless.
"Don't do this. That happened when I was studying at Harvard Medical School. In twenty years, I have never heard you say pain." Robert couldn't laugh or cry. Jung actually threatened him with this matter.
"That's because of our friendship, I choose not to talk about it."
"I'll mention this to him tomorrow, but I'm not sure whether it will succeed." Robert backed down.
"Thank you!"
"You're welcome. When chatting with him, don't talk about how great you are or how successful you are. These are worthless in front of him. Just talk about the difficulties you are currently encountering so that he can resonate with them. What interests him the most
It's a medical problem, and he thinks about it all day long."
We can't stay here for too long. Dr. Yang is still resting in the locker room. Robert immediately returns to the locker room, followed by Jung.
"Professor Jung of the Knee Replacement Center!" Robert recommended.
Yang Ping shook hands with him: "The famous designer of Depuy's latest generation knee prosthesis."
"We are currently encountering a big problem, and we hope Dr. Yang can give us some guidance." Jung got straight to the point.
Robert was almost stunned by Jung's bluntness and asked him to find resonance, which was not how he found it.
After coming out of the operation, doctors who had been waiting for a long time also gathered around. Robert blocked everyone: "Dr. Yang needs to take a break at noon. We will meet in the hospital conference room at three o'clock in the afternoon for a question and answer session. Dr. Yang will answer all your questions."
This is why everyone is willing to disperse. These people have many questions in their minds and want to ask Yang Ping.
When he was free, Yang Ping took out his mobile phone and received a text message from Johannessen, saying that he was planning to fly to New York tomorrow.
Yang Ping asked him not to come over. The doctors were very busy and a phone call was enough.
Johannessen insisted on coming over and said that he had already booked a flight and could arrive at noon.
---
Johnathan Office, Department of Neurosurgery, Mayo Medical Center, Rochester, Minnesota.
Johannessen has always kept in touch with Yang Ping, and his online community building is progressing smoothly. The number of members has grown to twelve, but currently they are all doctors in his department or friends in the industry, and they are all neurosurgery and spine surgeons. p>
He learned that Yang Ping had arrived in New York, USA, and was preparing to choose a time to visit Yang Ping in New York.
"Sir, as per your instructions, the flight to New York has been booked for 6:08 tomorrow morning." Miss Longoria is Johannesson's secretary, and she handles these daily affairs.
"Thank you——" Johannesson's cell phone rang, and he looked at it.
Collins' phone number, this good friend of Houston has been in contact with me a lot recently.
Longoria exited the office knowingly and gently closed the door.
"I sent you a piece of information, Steven's routine physical examination report. Take a look, things are a bit bad. I may ask you to come to Houston tomorrow to participate in the discussion." Collins' tone contained a hint of urgency.
"No, I have already arranged to meet an important friend tomorrow. It is very important and I can't miss the appointment." Johannesson was very unhappy.
"Please, please read the report first. This matter is also very important. We are waiting for you to discuss the next step. Your opinion is very important to us." Collins requested.
"Okay, I'll contact you after reading this." Johannessen hung up the phone temporarily.
He turned on the computer and retrieved the information in the encrypted mailbox.
The electrocardiogram showed sinus rhythm, and the heart rate was too slow, only 52 beats/min. Compared with the previous stable 70 beats/min, it had dropped by 18 beats/min. However, the electrocardiogram found no other problems except the slowed heart rate. The cardiac color ultrasound showed
No problem.
Indeed, this is a bad phenomenon, but what does it mean?
As an experienced neurosurgeon, many differential diagnoses run through his mind.
Based on this clinical symptom, the knowledge in the head has compiled a huge network.
A simple slowing of the heart rate. This has never happened before. This is the first time. Could it be that the myocardium is affected in some way? Is there something wrong with the central nervous system?
Is there something wrong with the nerve nuclei in the brainstem, or the neural pathways connected to them?
The keenness of top experts made Johannesson tremble.
Indeed, this is a big deal. For doctors, nothing is more important than people's health and life.
Even if you miss the appointment, Dr. Yang, who is also a doctor, will definitely understand.
"Things are very bad. I'll catch the earliest flight tomorrow. No, I'll take off today." Johannesson dialed Collins' phone number and spoke concisely.
"Longoria, help me see if I can book a flight to Houston today. Yes, it's an emergency. Cancel the flight to New York tomorrow." Johannesson called Longoria and urged her to do it right away.
.
After making the call, Johannesson's heart was pounding and he really wished he had worried more.
He walked to the window and looked up at the sky outside the window.
Steven, this gentleman, I hope God bless him, he is now 350 kilometers above the ground.
