Yang Ping sat down at Li Zehui's desk, and Marshall handed over the medical records. Yang Ping did not look at the paper cases, but looked at the images and pictures first.
This is a public office. In order to facilitate the exchange of information, each doctor has a desk equipped with a computer, a printer and an electronic screen for reading pictures.
On another floor, some of their doctors also have single offices, and most of the time, they prefer to stay here to work.
The doctors in the office gathered around and stood around. They were curious whether an orthopedic surgeon was really proficient in cardiac surgery.
The quality of the electronic reading screen is very good, the image is very clear, and the effect of reflection has been eliminated.
"Dr. Yang, can you interpret this patient's cardiac color ultrasound in detail?" Dodge also stood behind him at some point.
Li Ze would take a look at this senior brother. Is this a test for his guest?
There are many categories of pictures tiled on the electronic screen, including ordinary X-rays, cardiac catheterization, color ultrasound, and CT three-dimensional reconstruction.
Yang Ping's mouse rested on the category of cardiac color ultrasound pictures, and he clicked to open the picture inside, which showed the dynamic echocardiogram of the video.
The heart, great blood vessels on the right side, the mediastinum in the center, and the lungs on both sides are all clearly displayed.
Interpreting cardiac ultrasound images requires a very high professional level. Many thoracic surgeons cannot understand such images and can only rely on professional ultrasound doctors to interpret them.
But top cardiac surgeons often perform ultrasounds on their patients and interpret the images themselves.
This echocardiogram was completed in cooperation between Dodge and Li Zehui, and the image quality is very high.
Yang Ping pointed to the image and said: "This is a rare form of dextrocardia. To be precise, all its chest and abdominal organs are ectopic from left to right. On the basis of dextrocardia, the poor little guy still has...
Combined with congenital heart malformation---tetralogy of Fallot, ventricular septal defect, pulmonary artery stenosis, aortic straddling, and right ventricular hypertrophy."
Yang Ping pointed out the location and degree of the deformity one by one, and then explained the basis for the judgment.
This is a mirror-inverted heart. It is very difficult to identify these malformations.
"There is a mass under the aorta, which blocks the flow of blood. It is probably rhabdomyosarcoma. Its location is very dangerous. Blood cannot pass smoothly here and a vortex will form. If you want to open the chest and remove it,
It is impossible to perfectly correct the malformations of the heart and great blood vessels. Here, there are still adhesions, blurred anatomy, and dysplasia of the blood vessel walls, which will become a major obstacle to the operation. The quality of the images is not good, and I need to re-scan him.
Do a heart color ultrasound."
Yang Ping's interpretation was very accurate, not like an orthopedic surgeon crossing the border at all, and the last sentence aroused discussion among the doctors next to him.
This is an ultrasound performed by Dr. Dodge himself. Is there something wrong?
"Dr. Yang, can you give me a reason why we need to redo the heart ultrasound?" One doctor couldn't help but ask.
Yang Ping actually just told the truth without any intention of offending. He had no idea who performed the echocardiogram.
Since someone asked this question, Yang Ping explained: "This ultrasound does not take into account the particularity of anatomy. It still uses conventional methods to collect pictures. A lot of important information is missed, and the advantages of ultrasound are not brought into play. It is completely unable to support
Decision-making on surgical options."
"Yeah, I really want to see Dr. Yang do the color Doppler ultrasound again." Dodge continued.
Li Zehui glanced at Dodge again. This East Coast American has a very arrogant personality and often looks down on others.
However, as long as he does not embarrass his guests, Li Zehui will not stop normal discussions.
Surgery, especially cardiac surgery, requires long-term accumulation. No one can overcome the accumulation, not even geniuses.
Dodge believed that Li Ze had given Yang Ping the information in advance, so Yang Ping could interpret the echocardiogram so clearly and calmly.
Because Dodge himself, together with Li Zehui at the time, spent several days and comprehensive examinations to determine this case. It is a bit unbelievable that he was able to obtain so much information with an echocardiogram.
How could he judge all this with color ultrasound?
Later, Yang Ping also interpreted the rest of the pictures, from deep to shallow, with clear logic, which was refreshing. But it did not impress this East Coast American, whose stubbornness was beyond ordinary people's imagination.
"In this case, if he is operated in a hurry, he is bound to fail. Using conventional surgical methods, whether it is to remove the tumor or correct the deformity of tetralogy of Fallot, will undoubtedly accelerate his death. We
You can only succeed if you find a unique solution." Yang Ping let go of the mouse, raised his head and said to Li Zehui.
"Then---what should we do?"
Professor Li doesn’t understand what the uniqueness refers to.
Yang Ping thought for a while and said: "Let's see the patient first."
Under the leadership of Marshall, everyone came to a separate ward.
Considering the little guy's low immunity, Li Ze will arrange for him this single ward with isolation and negative pressure function.
This patient's expenses were all paid by the Red Cross, so there was no money problem.
The little guy was lying on the bed, wrapped in a hospital baby wrap. He was too small. Lying on the bed, he didn't look like a six-month-old baby with an oxygen tube connected to his nostrils and an infusion tube connected to his body.
In the corner, a man squatted on the ground, his eyes were a little dull, and he looked like he must be Arab.
"This is the father of the child!" Professor Li introduced the man in the corner.
"Does he understand English?"
Yang Ping asked.
Professor Li shook his head: "He is mute, but he has good hearing and understands Arabic. This lady can help translate."
An Asian lady stepped forward and said she could translate.
Yang Ping looked at the man slightly. He was very thin, like a person who has been hungry for a long time. His body was covered with gauze in many places. There was a thick callus on the tiger's mouth of his right hand. The right side of his large T-shirt was a little open, and his collarbone was
There are also traces of a wide cocoon.
This person should have held a gun and fought in a war. Yang Ping felt this way.
"He and his wife came from Yemen with their children. He passed through the war zone, crossed the desert, and then sneaked across the border and entered Saudi Arabia. His wife was shot and killed while crossing the war zone. His condition has been
Not very good." Professor Li said sympathetically.
Yang Ping stretched out his hand: "Hello, I am a doctor from China. Maybe I can help this little guy."
The translator immediately translated Yang Ping's words and he seemed to understand. He immediately stood up from the ground, wiped his hands on his body a few times, and then shook hands with Yang Ping. He looked very nervous when shaking hands.
"It's okay, I'm a doctor." Yang Ping comforted him.
The man just nodded and said nothing.
"Let me take a look. Can I check him now?"
The man nodded, then walked to the bed to untie the swag. His movements were very gentle and skillful, more skillful than the average young mother. He made an inaudible sound in his throat, as if he was coaxing a child.
When the wrap was completely opened, Yang Ping was extremely shocked by the scene in front of him.
The child's body is very thin, really skinny, like a baby's skeleton covered with a layer of skin.
If you are not a doctor, you will definitely feel extremely uncomfortable when you see this scene.
People living in a peaceful and comfortable environment will never see such a baby, which is just a skeleton.
Poor guy!
His lips were blue and purple, and he squinted his eyes, not knowing what kind of danger he was in.
Perhaps human beings are born with compassion for similar people. Facing this strange little guy, Yang Ping's eyes were misty and a little blurry, and his heart ached.
He worked hard to adjust himself to stabilize his mood, then walked closer to the bed and kept rubbing his hands to generate heat.
The clavicle, sternum, ribs, pelvis, limbs, every bone is clear, and the limbs are like small dry firewood. Even if you take a breath, you will worry about breaking his bones.
In the abdomen, the peristaltic waves of the intestines are clearly visible. It is just under the skin, and the spine can be easily touched from the abdomen.
Professor Li handed over a stethoscope, a stethoscope specially used for auscultation of infants. Yang Ping was careful and extremely gentle, for fear of breaking his bones with just a little force, and placed the stethoscope on the right side of his chest, at the position of his heart.
The second heart sound of the pulmonary valve was significantly weakened, there was a systolic ejection murmur at the left sternal edge, and the blood flow from the left ventricle impacted the tumor, making a snapping sound.
And if weak crackles were heard in both lungs, he already had a lung infection.
During the auscultation, suddenly, the child's eyes opened and he stared at Yang Ping. He seemed to be begging, please help me.
Yang Ping took a deep breath, took off the stethoscope and handed it to Li Zehui, and then completed some physical examinations.
After completing the physical examination, Yang Ping signaled the man to wrap the child in a towel. The man lowered his head and wrapped the towel silently. He smiled at the child who woke up.
Li Zehui said calmly: "After his wife died, the child had no breast milk. In the war zone and desert, there was no milk powder at all. He chewed some rough food and mixed it with cold water to feed the child. A Red Cross helicopter found him at the border.
At that time, there was only half a bottle of water around him. The water was mixed with unknown food scraps and was already smelly. There were also several suppurating gunshot wounds on his body. He handed a note to the Red Cross people and said:
Bring your children here to see a doctor."
It’s hard to imagine how he insisted on coming to this hospital with his child.
"Have you seen him in Yemen?" Yang Ping asked.
"Yes, that's the Red Cross hospital. He and his wife came to me with their children. I couldn't do anything. That hospital didn't have the conditions to do this kind of surgery. It could only do some trauma surgeries. I wrote him the address here and my name.
I called him and told him that I would come here every month. Unexpectedly, he actually came here. I have no reason to give up -" Li Zehui talked about the origin of this patient with deep emotion.
"Can I have surgery?" Li Zehui looked expectantly.
Yang Ping looked at the child's father again. He squatted back in the corner, but kept looking here, as if he was also waiting for some news.
