After the meeting, Dean Xia had another private matter to take care of with Yang Ping.
One of my classmates has immigrated to Canada and has been suffering from low back pain recently. The family doctor in the clinic in Canada always prescribes painkillers. There is no other way. The classmate wanted to make an appointment with a specialist. After waiting for three months, he finally saw the specialist.
The patient was examined very carefully, and after that he was advised to rest in bed and then take a few painkillers.
This classmate wanted to make an appointment with a specialist in China, but the family doctor said he had to write a letter to make an appointment. It took a month to get a reply, and the waiting time was at least half a year.
This classmate decided to fly back to his country for medical treatment, which would be more convenient.
Medical care in Europe and the United States is far less cheap and convenient than in China. This cheapness does not only refer to cost, but also includes many aspects.
For example, in China, if you want to see a certain expert, you can spend at most a few hundred yuan to register and wait for a while before you can see him.
In Europe and the United States, if you want to use medical insurance to see a doctor, you have to wait slowly for many diseases. As long as it is not a life-saving disease, you first have a private doctor write a recommendation letter and go to a specialist hospital. The specialist hospital receives the letter and then follows the appointment.
Sort the number of people and reply after they are arranged.
This kind of writing involves actually writing a letter with paper and pen, and then the post office delivers it.
This way of going back and forth, plus the time spent queuing, can range from a few months to as long as a New Year.
Not to mention, our medical system in Hong Kong SAR is similar to that in Europe and the United States. Within the scope of free medical care, it is normal to wait two to three years for a knee MRI.
If you don't want to wait, you can smuggle in medical treatment, but the consultation fees and examination fees will be very expensive.
For patients who are not particularly wealthy and have high-end medical insurance, this is a luxury.
Therefore, many Hong Kong compatriots will go to Pengcheng when they encounter magnetic resonance imaging, which is cheaper and saves time.
Why wait two or three years for a round trip.
Dean Xia met this old classmate at the scheduled time, and then took him to see Yang Ping. He met the young professor in the general surgery ward.
The old classmate was so excited that her eyes filled with tears. For no other reason than that, in Canada, there has never been such a thing as being able to go directly to the ward to see a doctor.
I wrote a letter to make an appointment and waited for several months, but the doctor I finally saw was not the one I liked.
After reading it, Yang Ping suggested an MRI of the lumbar spine. Under the leadership of Dean Xia, this old classmate returned to the ward after the MRI. Before the report came out, Yang Ping helped read the films.
The lumbar 5/sacral 1 intervertebral disc, which is the last lumbar intervertebral disc, has prolapsed and is free in the spinal canal, compressing the nerve root on the left side. Conservative treatment is of little significance. Yang Ping recommended hospitalization for minimally invasive surgery, which can be done in a few days.
Walk underground.
In fact, without the guidance of Dean Xia, this old classmate would have to run by himself. Although it is not so convenient, it can definitely be done in a few days.
It won't be so troublesome for several months.
The old classmate immediately agreed to stay in Sanbo Hospital for surgery, even if it was at his own expense. Yang Ping arranged for a trainee to help the overseas compatriot go through the hospitalization procedures.
After settling the matter with his old classmates, Dean Xia took Yang Ping to the office and chatted for another half an hour.
Check in with me, ask what kind of help you need at work, how are you doing playing basketball, what kind of one-line contact is needed, etc.
Regarding Yang Ping's new spine technology, Dean Xia also played with the spine model on his desk and asked several professional questions seriously to show that although he has been away from clinical work for many years, he still has not left the clinical team and is a technical professional.
flow.
Such a good talent has worked hard to stay here. He has just achieved results, and now 301 wants to poach him.
No matter what, Dean Xia's tone was unpleasant.
——
Harlaching Hospital, Munich, Germany.
August has been missing for almost two weeks, and now suddenly a message comes, asking Marcus to conduct a comprehensive examination of the little Duke.
In the entire department, only Marcus knew that August went to China. This was the department's top secret, and Marcus did not disclose it to anyone.
Therefore, to other staff in the department, August is missing.
In the past, when Auguste went out to give lectures, he would post a notice on the department message board, clearly stating the place and time of the visit, as well as the meetings he attended.
It's been almost two weeks since I left this time, and there are no notifications on the message board.
So everyone classified it as a mysterious disappearance. They didn't know that this disappearance was not two weeks, but three months.
The young Duke, a young doctor from the University of Göttingen, is already a frequent visitor to the hospital. He goes to the Göttingen Hospital almost every month for a comprehensive physical examination to assess how long his endangered heart can endure.
You have to come to Harlachen Orthopedic Hospital every six months for an evaluation of your spine. This is just an evaluation. No one dares to do anything about the spine.
The little Duke not only has spinal problems, but also heart problems.
The two problems are so intertwined that the world's top doctors can only sigh. Even with the support of huge scientific research funds, no breakthrough in treatment options has been achieved so far.
Spinal problems are the initiating factor. The heart is restricted in expansion and contraction in a small squeeze space, which accumulates over time and leads to the current chronic heart failure.
Therefore, in addition to the spiral spine being an obstacle to the operation, the dying heart is also an obstacle to the operation.
The lungs, which are also compressed on both pages, are also obstacles, but compared to the heart, they are slightly better.
In view of the above high-risk factors, no one dares to attack his spine!
If the spinal problem is not solved, the heart problem will never be solved, even if the heart is replaced, so this is an unsolvable problem.
The little Duke has accepted his fate. Such a highly intelligent scholar has a clear understanding of life and death.
God's arrangement makes sense, so the young Duke faced it calmly and devoted all his time to physics research.
The sudden notification caught Marcus off guard. August's notification was to complete the examination. Marcus knew that these examinations were used to evaluate surgery. Was he planning to have surgery?
Could it be that August went out this time to prepare for the operation?
That young Chinese doctor, Marcus, as Master Ao's assistant, certainly knew what was going on. Master Ao's ability to use WeChat was also trained by Marcus. As his closest assistant, he certainly knew what August was going to do.
, and he will keep it secret for August.
The little Duke was flown by helicopter from Göttingen to Munich Haraching. Doctors and nurses took him off the helicopter. The little Duke was curled up in a wheelchair, his highly intelligent head drooping. He was unable to speak, but he still talked to the doctors and nurses.
greet.
Harlachen is a specialized orthopedic hospital, and there is also a professional imaging center in Munich, which is more suitable for the little Duke to undergo examination, so the little Duke was sent to this imaging center.
As we all know, Germany has the best medical equipment in the world.
Therefore, this professional imaging examination center integrates the world's top examination equipment.
When the world's first X-ray machine appeared in Germany, the machine that could see through the human body was regarded as an artifact.
At that time, it became a trend for everyone to meet up at the hospital to take an X-ray, as if it had no side effects.
Later, the understanding of X-ray ionizing radiation gradually increased, and this trend slowly disappeared.
When Li Hongzhang of the Qing Dynasty visited Germany, the then Prime Minister Bismarck learned that Li Hongzhang had a bullet left in his body, so he invited him to go to Berlin Hospital to experience the clairvoyance artifact. The bullet under his left eye was clearly visible on the X-ray.
Mr. Li looked at the bullet head on the X-ray and was so shocked by the fluoroscopy artifact that he could not speak.
It is said that Li Hongzhang was the first person to make X-movies in China.
Originally, MRI is better at identifying soft tissue, and CT is better at seeing bone tissue.
However, because the activity of the heartbeat and lungs during breathing will produce a large number of artifacts in magnetic resonance, the advantages of magnetic resonance cannot be used in the heart and lungs, and the only choice is CT.
The little Duke was pushed into the CT room. Although he was used to this state, it didn't mean he didn't want to change.
He himself knows that his heart is getting worse day by day, and his level 4 heart function is not as good as that of an eighty or ninety year old.
Sitting in a wheelchair, he often felt that there was insufficient oxygen, and even breathing heavily would not help. Sometimes he would occasionally feel like he was on the verge of death.
The heart is like being squeezed into a crack in the rock, without any room for maneuver. In this morbid environment, the myocardium has long been fatigued and even partially fibrotic.
The Duke has more than forty children, including twenty-six sons. He is the Duke's favorite son, but their father-son relationship is not good.
"Mr. August has found a new way to treat you, and he has personally invited the doctor."
Marcus is also an old acquaintance of the young Duke.
"Even August can't help it. I've seen all the doctors in Europe and North America. Will there be any new technology?"
The little Duke just listened quietly. The doctor always liked to use words of encouragement, often comfort, and he understood best.
"No, it's true this time. Professor August has never been out for so long. He hasn't returned home for almost two weeks. His letter said that there have been more than forty successful cases and the new technology is very mature. He personally
Tracking every detail of new technology, impeccable.”
Marcus said excitedly that this is what August said in his letter, and he was not exaggerating.
The little Duke has been hearing this kind of talk since he was a child. Every time he got new news, he always said this kind of rhetoric. Finally, he found that the new technology was still in the experimental stage and was still far away from application, and there was no claim.
So magical.
For things that have not yet seen the light of day, people like to exaggerate their technical content and add some imaginative elements.
However, the young Duke still accepted the arrangement of August's team. August has been his doctor since he was a child. This trust has been tested by the years.
"The professor said that soon, he will be able to invite the world's top doctor to Germany and straighten your spine like a silver fork."
Marcus kept talking whether he wanted to hear it or not.
"Where is this doctor?"
the little duke asked casually.
"China!"
Marcus whispered in the little duke's ear.
"Okay, you won, I feel much better now."
The young prince took his words as a balm.
The little Duke was lifted onto the CT moving table. He could only curl up and could not lie down straight at all. Moreover, this curled up position was very uncomfortable.
So having a CT scan was a torturous thing for him.
"Hold on for a while!"
Marcus encouraged him.
The little Duke looked as though he were dead: "Come on, hurry up, I have to go back to give lectures."
Thin-layer scanning acquires countless pictures, and then various reorganizations are performed. The three-dimensional spine and surrounding adjacent organs slowly appear on the screen.
Various mesangial and adhesion bands were also clearly displayed, and some parts of the heart and lungs were flattened and sunken, being squeezed by the deformed space composed of the spine, ribs and sternum.
Every time he saw this image, Marcus would sweat and worry about the patient.
How long can he last?
"Give me a copy!"
Marcus said to the imaging doctor.
He needs to process the images and pictures, such as adding Chinese annotations, and then transmit them to China. Marcus’s Chinese level is also good, thanks to August’s guidance.
“Chinese is the future!”
August always threatened him like this.
As his junior doctor and also his student, Marcus must learn Chinese well for his future.
---
The images are transmitted to Sanbo Hospital.
Yang Ping has officially begun to intervene in this case, and the three-dimensional image is displayed on the screen.
The spiral spine in the three-dimensional space, the extruded and deformed heart and lungs, the level 4 heart function, and the lungs without any compensatory ability. Can they withstand the gradual displacement and deformation during the orthopedic process, especially whether the heart will suddenly burst?
Asystole and level 4 cardiac function are a time bomb at any time.
It is like a scarred airplane, with only the last trace of connection between the various parts. They rattle and fall apart at any time during flight.
If traditional surgery is used, it can only be given up.
However, the gradual process of bone-moving orthopedics with external fixators maximizes safety and can achieve successful orthopedics.
However, there are many difficulties on the road to success and must be overcome.
"The future is bright, but the road is tortuous!" Takahashi Shuichi in Chinese.
Dr. Luo felt that these words were not Chinese enough. He said: "There is a bright future in another village!"
August asked: "Reconciliation?"
"Experience the artistic conception for yourself, do you understand the artistic conception?" Robert felt that those who did not understand Chinese poetry and idioms were half-impaired Chinese.
When discussing cases, you write poetry.
"Before plastic surgery, use thoracoscopy and laparoscopy to release the organs in the chest and abdomen. You see, these are adhesion bands of scar-like tissue. They do not have a certain degree of ductility. During the plastic surgery process, they will form a suspension phenomenon and a pulling effect.
It causes the organs to shift and form hernias. The heart is prone to arrhythmia under this effect. If it is an aorta or venous structure, there is a risk of tearing." Yang Ping pointed at the heart part of the image with a pen.
August nodded. He had not considered this step yet, because the spinal orthopedic step had already stumped him, and heart failure was the second step that he had not yet analyzed, let alone the following ones.
I have not finished the first grade, I have not yet touched the second grade, and the third grade is even further out of reach.
Takahashi and Robert were listening and did not speak yet.
When it comes to the spine, August is the top student among the three of them.
PS: The modification has been completed. I will get off work late today, so I will update less, and I will update more tomorrow.
