During the ten-hour flight, Yang Ping slept for about eight hours on the plane.
Auguste marveled at the professor's high-quality sleep. He could fall asleep anytime and anywhere and ensure the quality of his sleep. It was said that the professor used to stay up all night in the Department of Traumatology and Orthopedics for surgery. He could sit on a stool with his eyes closed and fall asleep between the two surgeries.
Staying up all night like this can also accumulate a small amount of sleep.
The king-size bed in the master bedroom of the aircraft was indeed comfortable, allowing Yang Ping to sleep of very high quality for eight hours.
When the plane was about to land, it was already past six o'clock in Germany. Yang Ping got up, washed up, and went to the airplane restaurant with August to enjoy a delicious breakfast.
Of course, no matter how delicious a breakfast is, two round boiled eggs are indispensable for the professor’s daily breakfast.
At seven o'clock, the plane landed at Munich Airport. Marcus and the Duke's butler, who had been waiting for a long time, took Yang Ping and August from the airport to Harlachen Orthopedic Hospital.
August asked Yang Ping if he still needed to rest. Yang Ping had already rested well on the plane and refused to rest anymore, hoping to see the patient as soon as possible.
So, under the leadership of Marcus, Yang Ping and August rushed directly to the VIP ward.
Hearing that August's mentor had arrived, a large team of experts came out from the doctor's office to greet him.
But according to the doorman, Auguste took his tutor to the little duke's ward.
They went directly to the ward, and they turned out to be pure doctors. This behavior greatly admired these dedicated German experts.
Led by Professor William, everyone came to the little Duke's ward.
At this time, young Yang Ping was already standing by the bed for physical examination, leaning over to auscultate the heart and lungs.
Is this August’s mentor? So young? Do the Chinese have skills in beauty?
A group of German elders were surprised by the young faces, but it was impossible to ask others' ages.
Yang Ping took a ten-hour flight across the Eurasian continent to meet this young prince from a ducal family.
He was lying on the hospital bed, connected to various pipes, and ECMO was maintaining his life.
The piece of titanium alloy is exposed, but it is sealed with a sterile medical film to prevent infection of the surrounding skin edges.
Yang Ping's medical stopper is pressed against a titanium plate sealed with a medical film, and he auscultates the heartbeat through the titanium plate.
August stood aside with a very low posture. From this point of view, this young man with an Asian face who was leaning over to stop the consultation was undoubtedly August's mentor.
If they were not very familiar with each other, it would be difficult for anyone to believe that the low-profile German in front of them was August, which was so different from his usual image.
August saw that there were already people standing on the other side of the bed, but he pretended not to see it because Yang Ping's physical examination had not yet ended.
The little Duke's heart was not only compressed, but also his lungs, aorta and veins were compressed, putting the entire circulation in a high-load state. This is why the doctor predicted that he would not live to be thirty years old.
Under high load, the heart ages and is scrapped prematurely.
Yang Ping raised his head. August took the medical record handed over by Marcus and presented it to Yang Ping respectfully with both hands. He wanted to announce to the German medical elite that the person standing here was his mentor.
Yang Ping was already very familiar with the medical records of the young duke, but he still browsed through the medical records. If there was no emergency orthopedic surgery, the heart would still not be able to survive this test. If emergency orthopedic surgery was performed, all compression would be removed, the circulation would gain normal load, and the heart would still be able to survive.
Some time, waiting for a possible heart transplant.
"Emergency surgery can be arranged. Before the operation, make sure the equipment is complete. You can be the first assistant, and the second assistant is free." Yang Ping said after reading the medical records.
When he goes abroad, he always speaks in order to accurately express what he means.
"Understood, Marcus has checked the equipment and there is nothing wrong with it. I will confirm it again in person later. Thank you Professor for your trust. I will definitely help." August also spoke with integrity.
In the German ward, the two of them were talking to each other, but the experts crowded next to them couldn't understand at all and looked at each other in confusion.
The Germans were very disciplined and watched the physical examination for half an hour without making any sound.
"Hello, Professor William, hello everyone! This is my tutor, Professor Yang Ping from China." At this time, August introduced Yang Ping.
Yang Ping nodded to everyone with Chinese etiquette.
He only looked at this kind of case for half an hour and said casually: "Arrange emergency surgery!"
This makes the spine surgeons who have participated in the Little Duke’s consultation and discussion for more than ten years extremely embarrassed.
"Let's go to the office to talk about his condition." Yang Ping washed his hands in the sink in the ward.
This is not a teaching round, there is no need for everyone to stand beside the bed and talk about their condition.
Dozens of experts followed him to the doctor's office. Everyone wanted to see who August's instructor was, who could make this spinal orthopedic surgery so easy.
Wear ecmo to perform ridge correction, and this kind of spiral ridge has been proven to be too risky to be operated on.
The doctor's office in the VIP ward was very spacious. August presided over the meeting. This returning elder sat next to Yang Ping and said with great aura: "Everyone, please introduce Dr. Marcus to Mr. Goldenberg's
Illness."
The return of the superior doctor made Marcus more confident, and his voice became louder.
Looking around at all the elders present, Marcus began to report his medical records.
From the chief complaint, current history, past history, personal history, family history, etc., to physical examination, auxiliary examinations, final diagnosis, surgical indications, and proposed surgical procedures, Marcus reported the medical history in detail.
Unlike other doctors, Marcus had seen Yang Ping in Malaysia and had seen Yang Ping's surgery, so he admired his teacher's teacher very much.
"Everyone is very familiar with this case. We have been in charge of it for more than 20 years. We have discussed it countless times. In the end, it was agreed that we had to give up the operation because it could not be performed. We have been waiting. When medicine advances, there may be a way. Finally
We have been waiting for this moment. During this time, I went out to study and followed my instructor, and I gained a lot. I used to think that this kind of case could not be operated on. After studying, I learned that not only can this case be operated on, but it can also be treated in the emergency department at ECMO.
With the support of the patient, the operation can completely relieve the load on the circulatory system and allow the heart to maintain its function for a while."
This chapter is not over yet, please click on the next page to continue reading!
As an authoritative figure in spinal surgery, August is full of aura.
Germans have always had a strong sense of discipline, so as August, the head of spinal surgery, although others have more senior qualifications than him and are a little dissatisfied with him privately, in this formal occasion, everyone will treat him as August.
Special respect.
As Yang Ping is August's publicly recognized mentor, no one will question his identity because of his youth. What everyone is concerned about is how to perform this operation well.
"The risk of this operation is too high. In addition to the ridge correction, the entire thorax needs to be corrected. We need to know the details of the operation and conduct necessary discussions on the feasibility."
Professor William did not deny the surgical plan. He felt that he could not complete it, and he could not mean that others could not complete it. August was not a brainless person, and he was not acting randomly when he worshiped young people as his mentor.
Moreover, he was the surgeon for the young Duke. August himself had not done it for more than ten years. How could he let the Chinese do it without any reason?
The rationality of the Germans is on full display at this time.
"Professor, could you please explain it to everyone." August spoke to Yang Ping, and his aura was completely destroyed in an instant, and the two temperaments switched very smoothly.
"This is a spiral ridge. It is really difficult to correct it in three-dimensional space, but it is not impossible. The operation will be a bit complicated. The osteotomy requires front and back joints, and the thorax needs to use artificial prosthesis. Dr. Ao, please release the surgical atlas."
What Yang Ping said was that August translated Yang Ping's words into German.
August responded and connected the mobile hard drive to the computer, and Yang Ping's hand-drawn drawings were displayed on the screen one by one.
Every word on the hand-drawn drawing was marked with a German translation by August.
There are dozens of pictures, and when the seventh one is shown, no matter orthopedic surgeons, cardiac surgeons, cardiologist, or respiratory physicians, they can’t sit still.
Their focus was different, but they all showed obvious surprise.
These pictures are extremely exquisite, and at the same time the anatomy is very detailed.
How could the elders who often look at anatomy atlases not know the level of drawing? This kind of high-level hand drawing can be used in medical schools.
The spine surgeon focuses on every step of the spine correction. The design of the osteotomy is simply amazing. The anterior and posterior approaches are combined. The steps are clear. They try to correct the spine to normal with minimal damage.
During the correction process, the deformation of the spinal cord was also clearly analyzed. The osteotomy was combined with the deformation of the spinal cord to minimize the deformation of the spinal cord. The preoperative thoracoscopic and laparoscopic release was a stroke of genius.
In short, the level of spinal surgery shown in this picture puts everyone present to shame.
Cardiac surgeon Constantine marveled at the profound understanding of the heart shown in the drawings. His understanding of the heart, the pathological and pathophysiological changes that would occur during long-term compression, the changes in the structure and function of the heart after the compression is relieved, and the surgical procedures
The final response measures are clearly analyzed in the pictures. There are many things that Constantine never understood before, but now he suddenly understands them.
The design of the artificial thorax not only ensures the volume of the thorax, but also takes into account the coverage of skin and soft tissue. Even the assembly method of the artificial thorax is closely related to the protection of soft tissue blood supply, and is implanted in bulk and then assembled.
Every detail is almost considered, and it is rare that every detail is watertight.
Cardiologists have never seen surgeons have such a deep understanding of the physiology of the heart, especially the sudden decompression of a sick heart that has been under compression for a long time, resulting in a series of new problems and the resolution of the new problems.
The respiratory physician is concerned about lung problems. After reading these pictures, he fully understands the condition of this patient's lungs, how he became what he is now, and where he will go in the future.
Yang Ping no longer needs to explain too much, these pictures have explained everything.
From time to time, admiring glances were cast towards him. Not to mention the instructor’s surgical ability, he had conducted such in-depth research on the entire condition of the little Duke.
This should require a large number of similar cases to gain this understanding. However, as far as they know, there is no second case reported in the world about this rare case. It is obvious that the young professor is using a single case as the research object.
But how could he spend more time researching than everyone present?
Everyone stared at the pictures without making any sound. They were just trying to understand the knowledge in the pictures.
"Can I take pictures?"
Professor Luo Yinde asked.
"Of course, and everyone can copy these pictures after the meeting." August was satisfied with everyone's performance.
"Are you the chief surgeon of Folding Man? I've seen this kind of osteotomy in papers, Yang's osteotomy?"
Professor Rimbaud once read a paper by a Chinese doctor, which was consistent with this osteotomy principle, and the folding human surgery case in the paper was extremely difficult.
Other spine surgeons seem to have woken up and everyone knows about this paper.
"Yang?"
August nodded: Those were just the professor's early cases. Most of the cases handled by the professor were abandoned by others. If it was not an emergency surgery, traditional surgery is no longer used in the classroom. Everyone should have seen the professor's masterpiece, the ridge external fixator.
,If it were not an emergency operation, everything would be even more wonderful using the professor's new technology."
Everyone was pulled to the spinal external fixator again. They had just understood this technology. Many magical technologies were all the work of this young man.
"The doctor who successfully solved the triple-combination case I told you was Professor Yang." August struck while the iron was hot.
Everyone was sighing. As a spine surgeon, having any one of these items is enough to make his peers look up to him. Now all these items belong to him.
Okay, don’t worry about bragging and get on with business.
Yang Ping reminded August.
August immediately stopped talking about his mentor's outstanding academic achievements, coughed a few times, and returned to the topic obediently:
"Everyone, do you have any comments about the surgery?"
It seems that all the difficult questions that everyone is concerned about are answered in the pictures, and the surgical positions are all mentioned. According to the pictures, they have been very thoughtfully considered.
"With this severe deformity, surgery is very difficult no matter what the position, especially when preparing for combined anterior and posterior osteotomy." Constantine was deeply affected by it, and it took a lot of effort to remove the ribs.
Yes, this kind of deformity makes many originally simple operations become complicated, let alone complicated operations.
When everyone returned to the surgical operation, they found that it was very difficult to implement the operation on the picture.
Any perfect surgical plan ultimately depends on the doctor's hands.
"So no one in the world dares to do this surgery. It is difficult in theory and even more difficult in operation. He is the crown jewel of spinal surgery." August also found it difficult.
"For example, with such a deformed chest, if you want to complete thoracoscopic release of the soft tissue structure on the front side of the ridge, the heart will be squeezed together, and the operation may not be possible?" Professor Rimbaud believes that this kind of release is difficult to achieve.
"If you perform microscopic release of large blood vessels, the risk of this operation is too high. Once you enter these narrow spaces, it is difficult to obtain the ideal spatial positioning, and such release will be full of risks." Constantine thought about these issues unanimously.<
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Germany's top experts look at problems profoundly. Indeed, these are all problems.
There is another biggest problem that no one dares to mention because it is too rude.
How old is Professor Yang?
Is it because she has good looks or is she really young?
