In this case, it is very difficult to correct scoliosis, but for Yang Ping, Lu Gang’s spinal deformity can be corrected successfully. This case should not be difficult.
Professor Qin has no doubts about Yang Ping when it comes to spinal orthopedic surgery, but he has to do visceral surgery on the chest and abdominal cavity. Professor Qin has little confidence in Yang Ping. After all, this is a big cross-discipline.
The treatment of internal organs in the chest and abdominal cavity, whether it is the heart, lungs and great blood vessels, or the liver, biliary and pancreas, is extremely specialized. Even the professor of cardiac surgery and hepatobiliary and pancreatic surgery in 301, after studying the cases, felt that the risk of the operation was too high and must be abandoned. These vital organs have adhesions in many places. Once the spine is corrected, the suspension and layout of the entire organs will be affected. If the organs are not involved and twisted, cardiac arrest and organ failure will occur. This is not a joke.
Just for fun.
Besides, the patient is already eighteen years old, and it has been almost ten years since the deformity occurred. At that time, the development of the organs followed this deformity, and they have adapted. Although there are some functional impairments, they are still able to meet the needs of life. Now that the surgery interferes, the entire organ
The system cannot re-adapt to the new environment and is prone to complications, such as torsion of organ pedicles, hernia of organs, stretching and squeezing of organs, causing fatal necrosis or functional failure, etc.
To avoid these situations, the thoracic and abdominal organs must be operated on in advance to adapt to the new thoracic and abdominal cavity volumes and the new spinal sequence. How to operate and how to adapt are full of difficulties.
For this case, Professor Qin communicated with Professor August, an authority in spinal surgery in Germany. They had also encountered similar patients with severe scoliosis combined with deformity and displacement of thoracoabdominal organs. At that time, the patient had already developed
Heart failure requires surgery.
Auguste underwent surgery with the help of an artificial heart-lung machine. Unfortunately, in collaboration with cardiac surgeons and hepatobiliary and pancreatic surgeons, the surgery lasted fourteen hours.
The patient was unable to leave the artificial heart-lung machine after the operation, and was declared dead in the ICU 12 days after the operation.
In this case, the current research on the heart, lungs, liver and pancreas is far from enough, and the mortality rate of surgery is extremely high.
Listening to Yang Ping's explanation, it seemed that everything was controllable, the success rate of the operation was very high, possible complications had been thought of, and the plan to deal with it was very thorough.
Theory is theory, not to mention post-operative treatment, just the correction and re-suspension of organs. This is simply the pinnacle of medicine that is difficult to reach.
Since Yang Ping wants to do this surgery, he doesn't show any timidity, and the entire hospital supports him. Professor Qin has nothing to say. He wants to stay and see how this surgery is done.
"Dr. Yang, the cardiopulmonary and hepatobiliary and pancreatic surgeries you just described are probably too difficult. Do you want to ask someone to come over for support?" Professor Qin was very straightforward. He was willing to help, no matter which hospital he hired a heart specialist or a hepatobiliary and pancreatic surgery expert.
, it’s all easy for him.
Moreover, Professor Qin heard that a Chinese cardiac surgeon from the Cleveland Medical Center in the United States recently came to 301 to guide surgery, which could help Yang Ping. Professor Qin did this entirely out of his responsibility as a doctor.
Cleveland Medical Center's cardiac surgery department ranks first in the United States. This Chinese cardiac surgeon is the center's top expert. He is only in his early 40s and has won the appreciation of Cleveland's chief cardiologist.
Professor Qin explained the situation to Yang Ping. Yang Ping felt that it would be a good thing to have such an expert come over and discuss it together. Academic matters should be open.
"When will this professor come over? We can discuss it together and improve the surgical plan." Yang Ping agreed with Professor Qin's proposal.
Professor Qin didn't know the specific time, but it seemed to be within the next few days. He said, "I'll confirm it, but I don't know the other party's schedule."
He was not sure because he heard that after the professor came to China to guide surgery, his next stop was North Shore Hospital in Australia.
Since I'm not sure, I'll let this matter go for now. Anyway, this patient's surgery is not that urgent.
If this professor from Cleveland could come, Yang Ping would be very willing to communicate with him, learn from each other's strengths, and learn endlessly.
Several young doctors in 301 had many questions that they still didn't understand, so they asked Yang Ping a lot of questions. Yang Ping patiently explained them and showed his profound academic quality, which deeply impressed both Professor Qin and Professor An.
They felt as if Yang Ping had read all the professional books and papers, no matter how old they were or the latest ones.
There is almost no knowledge point that he does not know, and the amount of professional knowledge he has mastered is simply astonishing.
Dean Sun saw an opportunity, said hello to Yang Ping, and led Bao Yulou and his family in.
Bao Yulou knew that today was just a face-to-face meeting, and a ceremony would be held the next day to formally apologize in person.
So he was afraid of wasting Yang Ping's time, so he didn't say anything, just a few polite words. Yang Ping was very busy and responded with a symbolic nod. Mrs. Bao and Mr. Bao also followed, smiling and bowing, looking a little embarrassed.
I’m at a loss again.
In this way, after the face-to-face beating, Bao Yulou could not disturb Yang Ping. He would come back another day to apologize in person and sign a donation agreement.
After discussing this case, Professor Qin still did not mention the introduction of Yang Ping. He found out that Yang Ping had a project on the treatment of scoliosis in children with external fixators. He was very interested. Especially when he saw the design drawing of the external fixator, he knew that the project had already been completed.
Reaching the final stage.
Once this technology is successful, it will be extremely influential.
So Professor Qin took this as a breakthrough and suggested cooperation with 301. 301's spine surgery is one of the major centers in the country.
If the animal experiment data is good and the surgery is minimally invasive, the clinical trial of this kind of external fixator will easily pass the ethical review.
Large-scale clinical medical experiments generally require the cooperation of multiple centers, so that a large number of samples can be obtained and recognized by everyone. The credibility of one person doing the experiment is not as high as that of multiple centers.
301 and Xiehe, these are very reliable hospitals, which are very beneficial to Yang Ping's scientific research plan.
Professor Qin said that 301 could participate in clinical trials, and Yang Ping readily agreed.
After discussing the case, everyone still wanted to walk around. Unknowingly, Dean Xia, Director Han, and Yang Ping were separated.
Dean Xia was dragged to the administration building by Director Zhang Zhenglong and Director Wu Zhanli, Director Han was asked by Director An Shirong to see the orthopedic laboratory together, Professor Qin wanted to discuss project cooperation with Yang Ping, as well as arrangements for the Cleveland cardiologist, Song Zimo and others were 301
Several young doctors took me to the training room of the Department of Orthopedics.
Seeing that the time was almost up, Professor Qin formally expressed to Yang Ping that he admired Yang Ping very much after seeing Yang Ping's Golden Knife Award-winning surgery and published papers. If Yang Ping was willing to go to 301, he could be specially recruited to join the army and receive an exceptional award.
With the rank of lieutenant colonel, 301 Orthopedics will give him a ward, 50 million in scientific research funds, and 50 million in settlement expenses. His fiancée can be specially recruited into the army at the same time, and the entire team can consider joining 301. Professor Qin said, don’t rush to answer, take your time.
Think about it, the door of 301 is open to him at any time.
Professor Qin is not in a hurry. He handles things according to the sixteen-character principle of his superiors. He cannot clearly indicate that it is an order from his superiors, but he must also get things done. He must introduce Yang Ping, and Yang Ping must be willing to do so without any hint of command. Professor Qin also knows that Yang Ping has a stem cell project here, which has been approved. The country has allocated two million in funds, and the hospital is planning to allocate 20 million, which is far from enough.
With the strength of 301, it can help Yang Ping spend 70 to 80 million yuan in scientific research expenses, and it may even become a national key project, attracting more than 100 million yuan in funds.
In the operating room, Nurse Qin Peiling was already holding hands with Xiao Su, almost becoming sisters.
Nurse Xiao Qin also likes to play tennis, and she also likes to play tennis after work. The two have similar interests, and they are both operating room nurses. They have many topics in common and quickly become good friends.
She doesn't like red makeup but loves armed weapons. Nurse Xiao Qin invited Xiao Su to 301 to see if she could have the opportunity to join the army and wear military uniforms. That would be the best. In fact, some girls also have military dreams.
Director Zhang Zhenglong said something to Dean Xia, but Dean Xia was unable to refute that talents belong to the country and there is no need for local protectionism. Director Zhang did not mention these words, but the central idea was clear. In short, Director Zhang covered everything.
, taking into account not only Yang Ping, but also Dean Xia and Sanbo Hospital. Sending Yang Ping to 301 is a major event that benefits the country and the people. To obstruct this matter is to have a problem with consciousness. Director Zhang linked up with each other, occupying the commanding heights of the negotiation, and finally made a serious statement: Lao Xia, let us complete this good thing together, which can be regarded as doing our best for the country and the medical community.
If you refuse, you will not be trying your best. You will go around in a big circle and get Dean Xia in firmly.
Dean Xia had no choice but to remain unchanged in response to all changes, saying that he very much agreed with Director Zhang's opinion. He had been working hard on Yang Ping's ideological work, but Yang Ping's true thoughts in his heart were unknown. He hoped that Director Zhang would tell him personally
Let’s talk.
Director Han, Director An Shirong was very envious of the teacher-student relationship between Director Han and Yang Ping. He had just graduated from a military hospital with a master's degree. The old director at that time was very good to him, encouraged him to further his studies, and actively helped him contact him.
It took a lot of effort to get in touch with the supervisor of 301, but he did not disappoint the old director. He successfully passed the doctoral program in 301, and that’s where we are today. Every time I think of that time, I am really grateful to the old director for his help and encouragement.
Song Zimo and the others were surrounded by several young doctors from 301 in the comprehensive orthopedic training room. Intentionally or unintentionally, they got around to the painful issues of medical trouble, patient evasion of fees, etc. In their speech, they said angrily that medical trouble, evasion of fees, etc., they
Never seen it at all.
After Director Qin put forward the introduction conditions, he stopped talking about the matter and just discussed specific cooperation matters with Yang Ping. He never thought that he could achieve the goal in one go. He would boil a frog in warm water and take his time. As long as Yang Ping agreed to cooperate, he would
There is a way to make Yang Ping like 301.
This kind of thing is like falling in love, it can't be straightforward, it has to be done slowly.
Yang Ping is going to 301, and there are still many things to face, such as the kindness of his old club, Director Han’s kindness, whether he can adapt to the environment of 301 after going there, etc.
Young people are afraid of restrictions and have more worries. Let them think slowly.
