Hearing Yang Ping's statement that it was 80% sure, McGeefu was moved to tears. He visited several major hospitals, but the doctors did not dare to perform this kind of surgery and said they had never done it before.
Even Professor Chen from Fuwai has no good solution, but now the child really can't hold on anymore and must undergo radical surgery.
Professor Chen found his mentor, Academician Wang, who specializes in pediatric congenital heart disease. After convening everyone to discuss, Academician Wang felt that the operation must be performed, but the risk was very high. All the structures of the heart needed to be reshaped during this operation, and he might not be able to get off the operating table.
The success rate of the operation is at most 60%, and the operation time takes about twenty hours.
At most 60%, this only refers to completing the operation well, but does not include the ability of the heart to beat after the operation.
If we consider the possibility of the heart beating again after it stops beating, I don’t know how much it becomes from 60% to 60%.
Because the operation time was too long, the duration of cardiac arrest was also very long, so long that there was no precedent.
That is to say, even if the operation goes well, whether the heart can beat again in the end is a problem. Even Academician Wang has no confidence and can only gamble on luck.
But at most 60% - whether the heart can beat again depends on luck. This is the most promising thing McGeefu has heard.
I was feeling uneasy just now, but now Yang Ping says 80%, can I not make people happy?
Looking at the excited Mai Jifu, Yang Ping felt that it was necessary to explain the specific details of the operation objectively:
"The operation is very difficult and the risks are high, but it is not completely uncertain. I think I am 80% sure, so I can take the risk and try it. The operation takes a long time, and it takes ten hours."
"Ten hours?"
This number made Mai Jifu excited again. It seemed that Director Chen was really responsible and found a good doctor for himself.
Yang Ping saw McGifu's expression and thought he was frightened by the ten hours, so he explained: "Don't be too nervous. This is just the estimated time. In order to reduce the time of cardiac arrest, we will try to shorten the operation time as much as possible."
In this case, heart restart will no longer be a big problem?
McGeefu is now very familiar with this operation, and he also clearly understands the medical concepts of a heart that does not stop beating.
Since he was 80% sure, Professor Yang must have performed many such surgeries, but McGee was too embarrassed to ask directly, appearing not to trust the experts.
So he turned around and asked, "No wonder Director Chen recommended you. Professor Yang is very experienced in this field. Professor Yang must have done many such cases."
Yang Ping said without thinking: "This is the first time I have encountered your son's situation. This kind of surgery should be the first in the world."
This is the first case in the world. Have you never encountered it before?
The confidence he had just now was immediately extinguished by the ice water. The subtle expression on McGeefu's face was strange, trying hard to hide his disappointment.
Yang Ping smiled: "Although I have never performed an operation like your son's, I have performed many more difficult and risky cases, and none have failed so far."
It turns out that's what happened. McGeefu's confidence that had just fallen was immediately restored. This kind of emotional ups and downs is really uncomfortable. It's like wearing underpants when you start to be hot, and suddenly there is a cold wave, and you immediately put on a cotton-padded jacket. As soon as you put on the cotton-padded jacket, you immediately feel 40
High temperatures are coming.
After hearing what Yang Ping said, McGifu immediately replied: "I am willing to take the risk, yes!"
In recent years, McGeefu has either been taking his children to see a doctor or on the way to see a doctor.
Children are also undergoing surgery - taking medicine - surgery - taking medicine, and the cycle is endless. There is no good day, the whole family is shrouded in shadow, and everyone has a sad face.
Fortunately, the couple has good financial conditions and has spent more than two million yuan on medical treatment. Of course, for their current economic situation, more than two million yuan is nothing. His after-tax income per year is more than two million yuan.
More than a million.
If it weren't for such good economic conditions, this family would have collapsed long ago.
Professor Yang now says that he is 80% sure that the operation will only take ten hours. What else can he say? He can go directly to the operating table.
"If there are no problems, just go to the hospital."
Seeing that Mai Jifu had no objection, Yang Ping said.
In fact, it's that simple. I'm admitted to the hospital for surgery. It's boring to talk about it too much.
McGeefu had never been so happy. He nodded excitedly: "I'm going to go to the hospital right away. How should I go through the hospitalization procedures?"
"You go to the doctor's office, and I will find a doctor to handle the procedures for you directly. The child does not need to go with me. I will ask the nurse to arrange the bed first, and you can just go and handle the procedures." Yang Ping simply explained a few words, and the matter was confirmed.
He is worthy of being the number one cardiac surgeon recommended by Director Chen of the Imperial Capital. He is very gentle in his work and words, and he can confirm the operation in just a few words.
When he first came to the General Surgery Department, Mai Jifu saw several signs hanging at the door: General Surgery, Surgical Research Institute, Clinical Experimental Base for New Surgical Technology ---
Although McGeefu, who has a doctorate degree, is not a medical student, he knows that the name of the Institute of Surgery cannot be used without a few brushes.
Coming out of the interview room, An Yinghui saw an unprecedented relief on her husband's face. Even her usually frowning eyebrows relaxed, and she secretly asked her husband: "What did Professor Yang say?"
McGee couldn't restrain his excitement: "Professor Yang said that he will be admitted to the hospital immediately for surgery. The surgery is 80% sure."
"Has he had this kind of surgery?" An Yinghui asked in surprise.
McGifu lowered his voice and said: "He has never done anything like Zi Jing, but he has done something more difficult than him. The current success rate is 100%."
An Yinghui almost cried. After so many years of hard work, she finally saw hope.
---
McGeefu completed the hospitalization procedures, the nurse had already arranged the ward, and the family settled in to wait for the operation.
Yang Ping was looking at Mai Zijing's case information in the office. Song Zimo had just completed endoscopic training and heard that there was a cardiac surgery patient and was very interested.
"When was this collected and what was the situation?" Song Zimo asked curiously.
Yang Ping pointed at the screen: "For patients referred from Fuwai, you can see for yourself what's going on!"
Song Zimo immediately looked through the case information: "What's going on? There is no interventricular septum at all, and the aorta and pulmonary artery grow in opposite directions? The interatrial septum, tricuspid valve, and mitral valve are all malformed. What should I do?"
"They came to us for surgery, what else can they do?" Yang Ping said angrily.
"Can this also be operated on?"
Song Zimo now has a very good foundation in cardiac surgery, but he has never seen this kind of surgery in books.
Yang Ping brought up the drawing board from the computer, used the mouse to draw a picture of Mai Zijing's heart, and said: "Total cavity reconstruction, aorta and pulmonary artery rotation!"
Total cavity reconstruction, aortic and pulmonary artery switching?
Song Zimo thought for a while and almost understood what Yang Ping meant: "Reconstruct a ventricular septum, then correct the deformity of the mitral valve, tricuspid valve and interatrial septum, and cut off the two aorta and switch positions for anastomosis?"
Yang Ping nodded.
Song Zimo was shocked: "This is a big project. It is equivalent to rebuilding a house on the ruins. The number of suturing stitches on the heart during the entire operation is almost three thousand? How long does this operation take?"
Yang Ping tapped his fingers on the desk a few times and nodded slightly: "It is said that the operation will take more than twenty hours."
Song Zimo was extremely surprised: "More than twenty hours? Professor, it takes more than twenty hours for you to do it, so what kind of surgery is this? It won't take several days and nights for others to do it."
Song Zimo has been undergoing surgery with Yang Ping for so long. No matter how difficult the surgery is, there is no surgery that lasts more than 20 hours.
Yang Ping saw that Song Zimo looked like he had never seen the world: "This is just a legend. Professor, I will take action. I estimate that the battle can be over in five or six hours."
"Professor Shenwu!" Song Zimo gave a thumbs up.
At this time, Xu Zhiliang knocked on the door. When he came in, he saw that Song Zimo was there, so he told Song Zimo: "The hospital sense---routine inspection over there--camera---monitor, and I saw you again--open
Wear a white coat, put your hands in your pockets, they --- let me tell you, don't do this when you are teaching ward rounds. Now many students --- also --- imitate you, put your hands --- into your pants pockets
Come on, open your white coat and look majestic!"
Normally, Xu Zhiliang would not want to spend so much time talking in such a long paragraph, but there was nothing he could do about the matter of good brothers.
"Oh, I'm used to it. Ignore them. Come here and take a look at the cardiac surgery cases. Don't you like cardiac surgery very much? Take a look."
Yang Ping said to Song Zimo: "I've watched too many TV series of yours, and most of the surgeons in the TV series wear their white coats open to show off."
Song Zimo quickly defended himself: "Professor, in a situation like this, do I still need to rely on a white coat to show off? Just stop anywhere and bring your own traffic."
"Okay, be careful next time. Don't leave it open during teaching rounds. These students imitate very well. Indeed, several students like to leave their white coats open and deliberately make their white coats float when they walk."
"Professor, it's none of my business if they want to learn. Don't mention it. Speaking of imitation, now August and Robert have to sit in the dressing room for a few minutes before every major operation, leaning on the back of the chair and closing their eyes to relax.
It's said to be reviewing the operation process, Lao Xu, you seem to have this problem too."
"Me? It seems---you---don't you too?"
"It seems that I am the same. I am a professor. Talk about cases. Talk about cases. Professor, this kind of case is very rare, right?"
Yang Ping said seriously: "The first case in the world!"
"The world's first case?"
"Walking Case Report!"
"This is mine, Lao Xu, don't steal it from me."
"Last time---that---you gave it to me---but I have one less than you---."
---
After McGifu settled down, he called Director Chen in Fuwai to report the good news, saying that he had arrived at Sanbo Hospital and met Professor Yang. Professor Yang did not say much, but said that he would be admitted to the hospital for surgery and that the operation would take ten hours.
80% sure.
Just a few simple words, but I didn't expect to scare Director Chen. I was 80% sure that the operation would take ten hours, so there was no misunderstanding.
Professor Chen immediately asked Yang Ping in the WeChat group if it was true, 80% sure? The operation would take ten hours?
[Professor Yang, Mai Zijing’s father has already called me. I am very grateful to Professor Yang for his help. I have two questions that I didn’t quite understand. I would like to ask here. Does the operation take ten hours? Is there an 80% chance of success?
】
Yang Ping thought for a while, I am afraid that Professor Chen is worried about this operation. After ten hours, he is 80% sure. This is what he said to the patient’s family members. He must be more conservative when talking to the family members and not talk too much. Maybe Director Chen has some concerns about this.
I misunderstood and was worried that the operation would fail, so I came here to ask specifically.
[Director Chen, in fact, this operation can be completed in about five or six hours. The success rate is good, and there is basically no problem.]
The information Yang Ping gave to Director Chen this time was more accurate and closer to reality than the information given to the patient's family.
Director Chen from Imperial Capital was speechless now. He originally wanted to confirm whether the family members heard it wrong. How could the surgery have such a high success rate and how could it take so short ten hours?
Either the family members heard wrongly, or Professor Yang had a misunderstanding about the surgery. Director Chen thought it would be better to clarify.
Now Professor Yang actually said that for five or six hours, there would be basically no problem.
【Professor Yang, have you done this kind of surgery before?】
Director Chen asked bluntly, everyone is engaged in technology, their thinking is relatively simple, it is better to go straight.
【I’ve never done it before! It’s my first time too!】
After replying this sentence, Yang Ping did not reply again. Because Song Zimo and Xu Zhiliang came in to study the case together, Yang Ping temporarily put aside the WeChat chat.
When Director Chen saw that Yang Ping had not replied, he began to feel anxious. It was the first time he had done this kind of surgery. How could it be done so quickly? It was impossible.
Since the operation time cannot be so short, the time for the heart to stop beating must be very long. Therefore, whether it can resume beating after the operation is completely unknown. Since it is unknown, how can the success rate be so high?
If you talk to a patient like this, if something goes wrong, the patient's family won't understand, and disputes will easily arise.
Generally speaking, doctors will always speak conservatively and leave a certain amount of leeway for themselves. Of course, the exception is informal doctors, who always take pride in ensuring 100% success.
Other doctors in the group were not able to question the matter for the time being, so they called each other to discuss it.
Director Chen called his mentor, Academician Wang. Academician Wang said: "Do you know Professor Yang Ping? Have you ever had an operation together?" Director Chen could only answer truthfully: "This is recommended by Xin Weicong. There must be no problem. I am right."
I don’t know much about him, I only know that he has recently published 13 CNS articles. According to Xin Weicong, he does better than him in aortic dissection and coronary artery bypass surgery better than An Zhen’s Professor Xu.”
The old academician’s surgery last time was because Director Chen was a pediatric congenital heart disease specialist, so he didn’t go. Of course, he was not on the invitation list, so he never saw Yang Ping perform surgery.
Academician Wang did not confirm or deny the matter. He just said: "It is better to handle it carefully and communicate more with Professor Yang. There must be misunderstandings. Don't let Professor Yang come to the stage with misunderstandings. The patient was recommended by us. For the sake of the patient,
And for Professor Yang’s sake, you must follow up.”
After hanging up the phone, Director Chen was a little worried. The main reason was that the operation time was too short and it was impossible. There must be a misunderstanding.
At this time Yang Ping finally replied to WeChat:
[I have done more difficult cases than Mai Zijing. I will send them to you when I have time.]
Has he done any more difficult cases than this?
【Professor Yang, I took the time to come over and study.】
