Ou Lichun and Yang Ping are college classmates, both undergraduate and graduate students.
After graduation, Ou Lichun went to a regional tertiary hospital in a seventh- or eighth-tier city. As a master's student, this is already a very good destination in the medical industry.
At that time, Ou Lichun dreamed of going to the Spinal Surgery Department of the First Affiliated Hospital of Nandu City for further training, but unfortunately, the hospital's spinal surgery department ranked among the top three in the country, and the number of training places was very tight, and it was impossible to get in.
With Yang Ping's help, Ou Lichun's dream came true and he entered Nandu Affiliated One for further study.
He cherishes this opportunity very much. He comes to the department before seven o'clock every day and gets off work after ten o'clock in the evening. He takes it seriously.
Ou Lichun is one year older than Yang Ping. After graduating from undergraduate degrees, the two went to graduate school. During their graduate studies, they used their undergraduate qualifications to take the doctor's license exam. In this way, two years after graduating from graduate school, they were successfully promoted to attending physicians.
Ou Lichun became an attending physician at the age of 28. The promotion process was very smooth and no time was wasted. It can be said that the future is bright.
I had just been promoted to attending physician and was offered a place in the hospital for further training. It can be said that my career is going smoothly.
Unexpectedly, my classmate Yang Ping has now become an associate professor and deputy chief physician.
This kind of promotion speed is simply a rocket speed. No matter in the circle of classmates, whether undergraduate or graduate, there is no such speed of promotion.
If he hadn't known that Professor Yang was Yang Ping, even Ou Lichun wouldn't have believed in such a young professor.
Then I thought about how I was scolded by my superior doctor for a medical record.
Comparing people with each other makes people angry.
However, Ou Lichun thought that it was a blessing to have such a classmate. No, it was impossible for him to study in the First Affiliated School of Nandu.
Ou Lichun didn't say anything, and didn't publicize that Yang Ping was his classmate.
"Professor Yang is very good. It is said that he came up with this spinal external fixator in a few months."
"He was the one who won the Golden Knife Award last year."
"I heard that the deputy chief physician and associate professor were promoted exceptionally."
"Is it true or false? Could it be that the backstage at home is hard and packaged? Maybe the character will collapse that day,"
"I still know this. The technology of the ridge-column external fixation frame is very high, and it can win the National Technology Invention Award."
"Are you familiar with Professor Yang?"
"Normally, we just had dinner together."
Everyone was chatting while working, and they were very familiar with Yang Ping. One of them, Dr. Zeng, a Ph.D. candidate, pretended to have a good relationship with Yang Ping.
Dr. Zeng is a Ph.D. student and is in Professor Fan’s medical group together with Ou Lichun.
This kind of doctorate student is actually at the level of a resident doctor in the medical team, so Dr. Zeng and Ou Lichun are on the same level, but Dr. Zeng relies on his doctorate and often treats Ou Lichun as his subordinate.
Everyone chatted, but Ou Lichun didn't say anything. He was typing and writing medical records. He must complete the modifications today and satisfy Professor Fan tomorrow.
When Professor Fan was there, Dr. Zeng pretended to correct the medical records together. Professor Fan left because of something, and he immediately handed over all the work to Ou Lichun and chatted by himself.
Ou Li was too busy himself and had to help him correct his medical records. This time Ou Lichun ignored him and said, "We each write our own."
You are so capable, but you are disobedient?
Ou Lichun ignored him and continued typing.
Dr. Zeng was very angry, nodded, and thought, we'll see.
One after another, the professors and associate professors of spine surgery all returned to the doctor's office.
Suddenly, the doctor at the door stood up. Before Ou Lichun understood what was going on, someone pulled him to stand up: Dean Su is here.
All the doctors in the entire office stood up.
Professor Su, academician, chairman of the National Orthopedics Committee, dean of the First Affiliated Hospital of Nandu, first-level professor and chief physician, walked into the doctor's office accompanied by Professor Zou.
Professor Su looks very elegant, with a slender and well-proportioned figure and a well-fitting white coat. He always smiles and is proud of himself.
Everyone both admires and fears him. Professor Su is calm and intimidating in front of everyone.
He greeted everyone kindly: "Thank you for your hard work, sit down, everyone!"
Professor Zou introduced Professor Su to the seat, and everyone dared to sit down.
At this time, dozens of professors, associate professors, doctors, and masters gathered in the doctor's office.
The curtains were closed, the projector was turned on, Professor Zou made a few opening remarks, and each medical team began to report cases.
These cases are all clinical trials of ridge external fixators.
——
As advanced students, Robert, Takahashi and August are not only qualified, but also excellent.
August came to the department on time at six o'clock, reviewed the medical records of all patients with scoliosis in the department, and then studied their images.
The technical instruction manual was turned out of shape by August, and the corners were smoothed and rolled up.
Especially for the core technology---osteotomy, August asks Yang Ping many questions almost every day.
In the laboratory of the department, that is, the training room, there is a 3D model of the vertebral column of each clinical experimental case. August studied the osteotomy of each vertebra in front of these models. When he encountered something that he did not understand, he wrote it down.
on the notebook, and then find a chance to ask Yang Ping in the afternoon.
Auguste took the initiative to take care of the patient himself and was responsible for the patient's entire treatment process like a resident doctor.
In view of his good Chinese proficiency, Yang Ping agreed.
Germans believe that only by personally experiencing every process from the bottom can one fully master technology.
After a tiring day, everyone took a short break and chatted together before getting off work.
Cui Xubing asked for leave to pick up his son from the hospital. He had already settled the bill. The couple packed their luggage and planned to stay at the Sanbo Hotel for one night and take the high-speed rail home early the next morning.
Before leaving, Lao Cui and his wife carried a banner and took their son everywhere to look for Yang Ping.
There are a few big words written on the pennant: A wonderful hand returns straight!
These words were thought and written by Lao Cui himself, so that he could make the banner according to his own template.
Head nurse Cai led the way: "The professor just entered the office."
Lao Cui is very happy. His son is the first patient of Professor Yang's new technology, the first in the world.
No matter what, being number one in the world is worthy of bragging.
In Yang Ping's office, Lao Cui found Yang Ping, and the door had just opened.
"Bow!"
Lao Cui shouted.
Xiao Cui stood at attention and bowed in gratitude in front of Yang Ping.
"Lower, lower, lower!"
Lao Cui was directing from the side, but he didn't show his level.
Over the years, my son’s affairs have been a burden, and now this burden has finally been lifted.
After finishing, August and Robert were very interested in the Chinese-style pennants, and they took turns holding the pennants to take photos.
Then Robert pulled Takahashi and the three of them took a photo together.
"Teacher Zhang, does this flag represent a medal?" August asked Zhang Lin.
Zhang Lin nodded with a deep look: "This is a medal awarded by a patient. I hope you can get such a medal flag when you return to your country. This is the highest honor for a doctor. The more medal flags, the better
The more you are respected by your patients."
August secretly remembered that the medal awarded by the patient was the highest honor.
Robert remained silent on the sidelines and sent the photo of the banner just now to his assistant Barrell.
"Make a flag like this and hang it in my office—no, make ten—twenty flags!"
---
Li Jun is in the ICU and is not offline yet, nor has he woken up.
I briefly regained some consciousness last time, and now I'm in a coma again.
The daily medical expenses are RMB 60,000 to 70,000, of which RMB 30,000 to RMB 40,000 are paid for by oneself. There is no way, all ECMO expenses are paid for by oneself.
Without this kind of machine to extend his life, Li Jun would have stopped breathing and heartbeat.
Yang Ping visits Li Jun almost every morning and afternoon. When the ICU director sees Yang Ping, he shakes his head: "I'm afraid I can't last long. The coagulation function is too disordered. The dose of anticoagulant is increased. Last night, there was bleeding in the upper gastrointestinal tract. Fortunately, the bleeding was
Not much. Reduce the amount of anticoagulant. Thrombosis often occurs during hemodialysis. I have never seen such a difficult patient. If conditions permit, kidney transplantation is the way out now and avoid using anticoagulant. But in this case, what?
Kidney transplant? The family members are very firm and must rescue her."
Yang Ping remained silent, staring at Li Jun's monitoring screen for a long time before saying:
"Can you find a balance between the two?"
The ICU director nodded: "I'll try, I'm looking for this balance, and I hope I can find it."
If we can find this balance, we can at least hold on for a while, so that if there is hope of waking up and conditions permit, we can transplant a kidney as soon as possible, so that we can get through this smoothly.
"Yesterday, the patient in the next ward was brain dead. He is currently relying on ECMO to maintain his breathing and heartbeat. He has been on ECMO for 24 days, but it still doesn't work. Even if he relies on a machine to maintain it, he can't last more than a few days." The director of the ICU sighed.
Yang Ping looked at the latest bedside chest X-ray and compared it with the previous CT X-ray. Li Jun should be hopeful of waking up.
The key is to find a balance between anticoagulation and coagulation, otherwise the coagulation function will easily collapse, resulting in either organ bleeding or organ embolism.
In this way, the entire organ system will enter a sequential collapse, which is multiple organ failure.
If we can find a balance, stabilize the coagulation system, prevent fatal internal bleeding, and no longer aggravate pulmonary embolism, we can hope to survive the dangerous period.
The director of the ICU sent Yang Ping out. Yang Ping walked to the door. When the door opened, Yang Ping heard the quarrel coming from the family waiting area, and then there was pushing and shoving.
"Oh, that's an organ donation coordinator. He came over to persuade the family of a brain-dead patient last night to donate the patient's organs. The family scolded him and slapped him in the face. He just asked the security to take care of it. Why?
Are you here?" The ICU director arrived and wondered, and followed Yang Ping out.
It is not strange to sometimes meet an organ donation coordinator near the ICU or emergency department.
Their work can easily be misunderstood. When a patient is dying but not yet dead, they persuade their family members to donate organs. In traditional Chinese culture, in many cases, they are either scolded or beaten.
They are treated like vultures by their family members, staring at the organs while the person is still alive.
In fact, organ donation coordinator is an emerging profession. On January 1, 2015, China began to completely stop using organs from executed prisoners, and citizen voluntary donation became the only legal source of transplant organs.
Huang Jiefu, chairman of the China Human Organ Donation and Transplantation Committee, said at the time, "This is the first and most critical step towards fairness."
But in 2015, the number of people who voluntarily registered to donate organs was only 100,000.
This means that due to various reasons such as tradition and cognition, the vast majority of people do not approve of organ donation.
Therefore, the sources of organ transplants are very limited, and many people cannot get donors.
The director of the ICU yelled loudly: "Stop making noises. Call the security guard again. If you have anything to discuss, go out and don't make noises here."
A female family member grabbed the organ donation coordinator's hair, while another scolded: "You target organs before a person is dead. Do you have any humanity?"
This coordinator was also a stupid young man. He received a slap in the face and then came to be beaten again.
The director of the ICU took the patient's family's hand and said, "Okay, this is his job. He also does good things and saves other people's lives. If you don't want to refuse, just don't hit them."
The woman let go and the coordinator escaped.
"Why are you here again? One beating wasn't enough? Why don't you leave quickly?" The ICU director helped him out, and the coordinator ran away in a hurry.
When Qin Xiaowei saw Yang Ping coming out, he immediately came to greet him.
"Professor Yang!"
"I just saw that the condition is still very critical and life is in danger at any time. We are trying to find a way and we will go through it." Yang Ping told Qin Xiaowei the latest situation.
Qin Xiaowei nodded.
"Give Jun the best medicine and the best method, please do whatever it takes."
"We will do our best, don't worry, will you sleep here every night?" Yang Ping heard that Tan Xiaowei slept in the family waiting area every night.
"Yeah, it's okay, I'm very used to it." Tan Xiaowei doesn't care.
Yang Ping told him: "You have to protect your health. If Li Jun wakes up and his physical condition permits, he will complete the kidney transplant operation as soon as possible. How about the kidney transplant?"
"The matching is qualified and the ethics review passed." Tan Xiaowei nodded.
I hope Li Jun can survive it!
Yang Ping bid farewell to Qin Xiaowei and returned to the department.
---
It’s not appropriate to go to Fuyi’s flying knife surgery on Friday to confirm it, and it’s not necessary to bring the entire team there.
There are many surgeries in the department on Friday, and there are not many manpower available.
Xu Zhiliang, Li Guodong, and assistant Song Zimo, as well as equipment nurse Xiao Su, are enough.
Hearing that Yang Ping was going to have a flying knife, Robert and August tried hard to get Yang Ping to agree to take them out to see the world.
For them, further education requires not only learning skills, but also getting in touch with Chinese medical culture, that is, truly entering the circle of Chinese people.
Takahashi heard that they were going out to throw knives with the professor, and felt that he would be at a disadvantage if he didn't go, so he decided to go too.
Okay, I might as well have been there to lift the patient.
It’s my first time to do this kind of surgery, so I’m definitely not familiar with body positioning. These guys are so tall and tall, so let these guys be posture therapists and let them experience China’s knife-throwing culture.
Approved by Yang Ping.
The three of them received Yang Ping's approval and shouted long live.
It must be fun to follow the professor out and throw knives.
"Professor, this kind of flying knife should be classified as an urban flying knife. When the time comes, I will ask you to fly a knife in Germany. Is that an intercontinental flying knife?"
August asked seriously.
Yang Ping thought for a while and said: "According to your classification standard, this is what happened."
PS: I finally finished changing it, but I forgot to add a title. Forget it, it’s fine without a title.
