The next day, Yang Ping went to the CCU for ward rounds to check Karen's postoperative condition.
Professor Yang's ward rounds are destined to be watched by many people, so Yang Ping has just stood beside the bed. Karen's ward is already filled with doctors on three floors, including senior chief physicians and deputy chief physicians.
, or young doctors, masters, graduate students, and interns, surrounding Yang Ping.
Xia Shu reported on Karen's condition after CCU surgery. Currently, his vital signs are stable and he does not need the support of ECMO. Stable vital signs are maintained by Karen's own heart, which is very rare for Mr. Karen.
Before that, in order to reduce the load on the heart and preserve the only cardiac function, Karen had been relying on ECMO to maintain life. Even when he was transported to China by medical plane, Karen still did not leave the support of ECMO.
Now after the operation, the tattered heart has been repaired and rebuilt, has normal functions, and can fully support Karen's life.
After listening to Xia Shu's report, Yang Ping took the tablet PC handed over by Xia Shu and began to look through Karen's latest examination results. The patient's electronic medical record information was always updated faster than the paper information, and all examination results were the same.
The first step is to upload the report to the electronic platform of the internal network, and sending the paper report to the doctor requires a tedious process: the paper report is issued, a person delivers it to the department, and the doctor in charge or the intern puts the report into the medical record. This process
Sometimes it takes several days, so the doctor prefers to read the information on the computer, which is more timely.
In intensive care units like CCU, there are a lot of various examinations every day, and often the examinations in one day can exceed the examinations in the entire hospitalization period in ordinary wards. Yang Ping carefully examined each one, focusing on various blood tests.
Blood routine, biochemistry, liver and kidney function, myocardial enzyme spectrum, procalcitonin, etc., all have been reviewed after surgery. From the examination results, it seems that the infection has been completely controlled. This kind of infection with local lesions, the effect of surgery
It has an immediate effect. After the infection focus is cleared, the general infection can be quickly controlled, and some remaining infections are quickly eliminated under the attack of antibiotics and the body's own immunity.
The most common infection with lesions is various abscesses. Surgical incision and drainage or abscess removal can quickly control the infection. Without surgical intervention, relying solely on medical treatment, no matter how high-end antibiotics are, it is difficult to obtain good curative effects.
Karen's bacterial endocarditis, infected valves, abscesses and vegetations are all infection lesions. These lesions cannot be removed and the infection cannot be controlled at all. Now the surgery has completely cleared these lesions and then replaced them.
A new valve was installed, the infection was controlled, and as long as the heart function returned to normal, Karen's condition will soon recover.
The Swedish doctor who was following him kept writing down something. This doctor made very detailed notes in the form of drawings and text. He even drew Karen’s bed in the CCU, the furnishings of various equipment in the room, and the instruments.
Various monitoring data on the Internet, etc.
Song Zimo glanced at it and saw that the entire notebook of the Swedish doctor was made like a book of miniature figures. Perhaps in order to pursue the speed of recording, the miniature figures were like the recently popular stick figure paintings, which were very concise.
Yang Ping read the electronic medical record and prepared to do a bedside echocardiogram, which is an examination that needs to be reviewed repeatedly after surgery.
Xia Shu brought in a color ultrasound machine and began to perform echocardiography on the patient. Echocardiography can make a qualitative diagnosis of some heart diseases. It can also quantitatively analyze the heart structure, valve morphology, ventricular wall motion and hemodynamic status, and evaluate the heart morphology.
Structure, including heart chamber size, ventricular wall thickness, valve opening and closing, and myocardial movement.
Therefore, color ultrasound is the most commonly used examination in cardiac surgery in many cases. In the perioperative period of cardiac surgery, that is, before, during and after surgery, color ultrasound is an essential diagnostic and evaluation tool.
In our country, echocardiography is generally performed by ultrasound doctors. Whether they are cardiologists or cardiac surgeons, few have mastered the principles and operations of echocardiography. Most doctors are laymen.
Different from our country, cardiologists and surgeons in Europe and the United States must do echocardiography by themselves. They begin to receive comprehensive learning and practice in this area from the time of residency training, so cardiac color ultrasound is a must for every cardiologist.
Skills must be mastered proficiently.
Dr. Feigenbaum from the United States, the founder of echocardiography, is not a sonographer, but a cardiologist. How can a cardiac surgeon or physician with clinical experience master the principles and use of color Doppler ultrasound on his or her own, which can help with clinical and imaging studies?
Perfect combination.
However, a doctor in the ultrasound department will never perform cardiac surgery in his life. He lacks clinical experience in heart disease and only has imaging knowledge. The combination of clinical and imaging is more conducive to the advancement of cardiac color ultrasound.
The father of echocardiography in my country is Professor Wang Xinfang of the Ultrasound Department of Wuhan Union Hospital. He has made great contributions to the ultrasound profession and is recognized worldwide as the first person to monitor fetal heart ultrasound.
In the 1960s, obstetricians in my country could only rely on listening and touching to understand the condition of the fetus in the womb, but could not hear the fetal heartbeat. In 1963, during an ultrasound examination of pregnant women, Professor Wang discovered that the ultrasound machine displayed Bodo jumped a little and speculated that this should be the fetal limb movement. He immediately thought: Since he can understand the limb movement, can he use it to monitor the fetal heartbeat? So Professor Wang began to try and used two ultrasound probes, one connected to the other. The mother's heart, one connected to the fetal heart, produced two bands of different speeds. After many observations, he discovered the fetal heartbeat reflection. That year, Professor Wang published an article in a domestic medical journal and drew the world's first Fetal heartbeat fluctuation frequency curve chart. In 2002, based on this article, the world's ultrasound community finally confirmed that China was the first to discover fetal heart ultrasound reflection.
This chapter is not finished yet, please click the next page to continue reading the exciting content! In fact, when Xia Shu was in Fuwai Hospital, he was not very familiar with echocardiography. Whether it was the principle or practical operation, he rarely had any contact with it.
He relied on the help of a sonographer to complete the echocardiogram examination. After arriving at the Surgical Research Institute of Sanbo Hospital, Xia Shu began to learn to do echocardiograms and make diagnoses by himself. Now Xia Shu has mastered the principles and operations of ultrasound, and
Very skilled in operation.
Yang Ping watched from the side while Xia Shu started to operate. The color ultrasound probe began to examine Karen's heart, making a comprehensive evaluation of the size of the heart chambers, ventricular wall thickness, valve opening and closing, myocardial movement, etc., without missing any details.
, especially the situation of valves, must be carefully evaluated to detect some subtle potential risks.
The doctors around them quietly watched Yang Ping and Xia Shu perform cardiac ultrasound. No one made a sound, they were all very focused.
The Swedish doctor continued to draw his "stick figures" while watching, because he wanted to restore the positions, postures, etc., of the doctor and the patient during this kind of examination, so that some things he didn't understand could be analyzed slowly later.
It is impossible to describe things in detail and accurately by relying on words.
Judging from the color ultrasound examination, no problems were found, indicating that Karen's operation was very successful. The cardiac color ultrasound showed that all parameters of the heart, both static and dynamic, were normal. The implanted valves were of appropriate size and had open and closed functions.
Normal, no closure or incomplete opening.
Karen's surgery involved thousands of stitches on the heart. As long as these stitches can be stopped for the healing period, there will be no problem. The fixation of the sutures is only temporary and ultimately depends on the tissue on the heart to heal.
The healing time of an incision on the heart is very short, because the heart itself has a very rich blood supply. The richer the blood supply, the stronger the healing ability. The poorer the blood supply, the worse the healing ability.
For example, wounds in diabetic patients take a long time to heal and are even prone to non-healing, because diabetes can cause changes in peripheral blood supply, leading to poor blood supply, so the wound heals slowly or does not heal.
"Extubate him today!" Yang Ping felt that Karen was in good condition and could be extubated.
Secretary Xia took note of Yang Ping's words. After the ward rounds, he would remove the tracheal intubation that Karen had inserted before yesterday's surgery and allow Karen to breathe normally.
The Swedish doctor was very surprised by Karen's recovery. He participated in Karen's entire perioperative treatment and observed the entire operation at close range, allowing him to see what the world's most powerful cardiac surgery is like. His little notebook
It recorded Mr. Cullen's entire treatment process. With permission, he copied Cullen's surgery. This information is undoubtedly valuable to Swedish doctors.
After checking the ward, Yang Ping had to rush back to the surgical institute, as there were still many surgeries waiting for him.
Outside the door of CCU, Ning Qi and Karen's family members have been waiting for a long time. Mr. Karen was introduced by Ning Qi, and his family's accommodation and life in China were all arranged by Ning Qi, so Ning Qi often comes here to see him.
Yang Ping understood the condition.
Most of Karen's family members speak Swedish. Yang Ping, with the help of a translator brought by Ning Qi, briefly introduced Karen's condition. He heard that the postoperative period was very stable. He can now be extubated and can be transferred to the general ward in a few days.
, and then slowly got out of bed to move around. Karen's family members were very excited. His wife and several children kept saying thank you.
"Thank you!" Ning Qi also looked at Yang Ping gratefully.
Yang Ping smiled and said: "I am a doctor, this is my duty."
"Whenever you are free, I'll treat you to dinner. Don't just say you're busy - I'm not just inviting you, I'm also inviting Xiao Su and my godson. You decide the time. Come to my house and I'll cook for myself." Ning
Qi said in a gentle voice.
"You cook yourself?"
This eldest lady usually has many things to do, but she still cooks by herself?
Ning Qi said slightly annoyed: "I know how to cook when I'm ten years old. My cooking skills are very good. Don't look down on others. This is just the first time I've made cookies."
"I'll ask Xiao Su to make an appointment with you." Yang Ping replied.
Ning Qi straightened her hair in front of her forehead and nodded: "Okay, I'll make an appointment with Xiao Su."
Yang Ping was busy and had many surgeries, so it was not easy to chat with Ning Qi for too long, so he left and rushed to the operating room immediately. On the way, he heard Song Zimo say that Bao Junhao had been sentenced, and his father Bao Yulou spoke in a low-key manner.
Establishing a charity fund specifically for the education of young people. If Song Zimo hadn't mentioned it, Yang Ping would have almost forgotten about it. If it weren't for the two brothers Dashun and Ershun who were protecting him at that time, he might have hurt those bastards, or even lost him.
Such people should be punished by law. This incident also served as a warning to Yang Ping himself that he must pay attention to his own safety.
Dean Xia called and said he wanted to chat with Yang Ping. Yang Ping said, "I'll go to your office."
Dean Xia quickly said: "No, no, I'll go to the dressing room of your operating room. Let's chat for a few words in the dressing room. I won't waste your time. I'm already in the dressing room now. Why didn't I see you?"
Yang Ping immediately explained: "I just went to CCU for ward rounds, and I'm just going back now. Please wait for a while."
In the dressing room of the operating room of the Institute of Surgery, Yang Ping saw Dean Xia, who had been waiting for a long time. His tall body was so conspicuous that the bench in the dressing room seemed too small and thin. When Yang Ping came in, Dean Xia
Chang Li stood up and said: "Let's just chat here for a few words without taking up your time. You are very busy now and will have an operation soon."
"I just thought you had entered the operating room, so I found a visitor's clothes and put them on."
Dean Xia didn't need to go to the operating room to find anyone now, so he took off his visiting clothes. The visiting clothes were too small for him. It felt like an adult wearing children's clothes and it would burst immediately.
The two were sitting on the bench in the dressing room chatting. Dean Xia said: "Our hospital will soon be restructured. It will no longer be managed by the provincial department. In the future, it will be directly managed by the Imperial Capital. However, the management and employees of the entire hospital will remain unchanged.
Don’t reduce staff, don’t increase staff, don’t replace people, do whatever you have to do. I originally thought I would be acquired by Imperial City 301, but now it seems that this is a bigger deal. You see how much our country values talents. This is all for you. Do you like it?
In the southern city, I like to be in Sanbo Hospital, so Sanbo Hospital was upgraded on the spot without change. I also took advantage of it and upgraded together. With this upgrade, my administrative level as the director has also been upgraded a few levels.
The pension will definitely be higher in the future.”
This chapter is not finished yet, please click on the next page to continue reading the exciting content! Yang Ping has long heard about the acquisition by 301, and turned Sanbo Hospital into 301’s southern clinical center. This was the original plan, but now it seems
This plan was also rejected, and instead Sanbo Hospital was upgraded in place.
"This is all for you, in order to maintain the environment and vitality of the hospital without being affected, so we have upgraded in place. That's what I'm talking about today. In the future, except for a higher status and more resources, everything else remains the same. In the future, your scientific research funds will be more
It is sufficient. Not only does it allow you to raise funds by yourself, but the country will also provide strong support, so you can rest assured to carry out your research in the future. Money is not an issue. The superior leaders have said that in principle there is no upper limit. The superior leaders have also said that there is no need to feel pressure.
, there won’t be any indicators or anything like that, you can plan everything by yourself and develop freely.”
Dean Xia knew that the superior leaders fully respected Yang Ping's choice and put a lot of thought into providing Yang Ping with a good platform.
''There's nothing else but this matter. If you have any other ideas or requests, you can put them forward."
Dean Xia was afraid that Yang Ping had other demands.
"There are no requirements, everything remains the same anyway."
Yang Ping and Dean Xia chatted for a while. Dean Xia still had many things to do, and Yang Ping also had many surgeries. When Dean Xia left, he said: "I think your place is good. If I need anything in the future, this is the place for you."
It won’t waste your time, it’s better than the office.”
"Don't, please don't come here often. If you come here often, our doctors won't even dare to change clothes here."
Yang Ping reminded Dean Xia.
Dean Xia thought about it, yes, this is a place where doctors change clothes. How can it be used to talk about work? He looked around the dressing room and said, "Why don't you see anyone coming in to change clothes?"
"Seeing you here, everyone hid in the duty room to change clothes." Yang Ping said matter-of-factly.
Dean Xia looked distressed: "Am I so unpopular? So out of touch with the masses?"