godfather of surgery

Chapter 1076 A Dilemma

Director Fang has made rapid progress with the help of Yang Ping. After following Yang Ping to perform an abdominal organ cluster transplant operation, it is as if his Ren and Du meridians have been opened up, and his skills have doubled.

That abdominal organ cluster transplantation was the first in Asia. Yang Ping was the lead surgeon and he was the first assistant. After the operation was successful, Director Fang took the materials of the operation to give lectures everywhere, and initially established his reputation in the academic community. Later, he followed Yang Ping to complete many tumor excision and organ autotransplantation operations, accumulating dozens of cases in this regard. There are only a few hospitals in the country that can perform this kind of operation. Director Fang completely crushed others in terms of the difficulty of the operation and the number of operations. Therefore, Director Fang became famous in the academic circles of hepatobiliary surgery, pancreatic surgery and gastrointestinal surgery with these high-difficulty operations.

With Yang Ping's help, Director Fang is like having a cheat code. He dares to perform any surgery. If a doctor has a teacher who is very capable and willing to let go, he will definitely make rapid progress. Otherwise, he will always stay where he is.

"Be careful, go slowly, don't rush, I'll take my time."

Director Fang reminded his assistant not to act rashly, as this was the critical moment of separation and any carelessness could easily cause blood to splatter on the operating table.

"Professor! Can you help me?" Now faced with a difficult problem, Director Fang could only turn to Yang Ping for help.

Yang Ping did not wash his hands or dress himself, but just sat in the audience. When she heard his cry for help, she stood one meter away and looked at the surgical field. The circulating nurse was quite clever and immediately brought a footrest for Yang Ping to stand on, so that he could look down from a high place and have a wide field of vision. Director Fang and his assistant immediately made way for observation and used a retractor to make the surgical field more clearly visible.

Yang Ping just glanced at it, and then said casually: "The order of processing the blood vessels in several liver portals is reversed. This kind of surgery needs to be personalized and cannot be done in a stereotyped way according to the book. Try to process the blood vessels in reverse now."

Do it the other way around? Director Fang didn't understand why, but he faithfully followed Yang Ping's advice and immediately changed his strategy, reversing the order of processing the blood vessels. As he was doing it, he found that it was indeed the case. After reversing the order, the difficulty was actually reduced a lot. It was no longer getting harder as it was before, but now it was getting easier as it was done.

The assistants on the stage were also amazed. Professor Yang solved the problem of the operation with just one sentence. Director Fang was also the lead surgeon. He had just been walking on a tightrope, but now it was as easy as walking on flat ground. The speed of the operation was also much faster.

What were we talking about just now?
Yes, we just talked about gastrectomy for weight loss. Director Fang wanted to find a topic that Yang Ping was interested in. Yang Ping took the initiative to bring up this topic, so he must be interested. This can prevent Yang Ping from leaving the operating room early because he feels bored. After all, Yang Ping is very busy and has a tight schedule. If he wants to stay here longer, he must think of a way.

"There are many articles online that speak ill of gastric resection surgery, as if the surgery is very scary," said the assistant doctor.

"In fact, this operation is not that scary. Many short articles on the Internet demonize this operation for the sake of sensationalism. When other weight loss methods are ineffective and obesity seriously threatens health, this method can be used to lose weight. In most cases, it is not the operation that fails, but the hospital and doctor performing the operation." Director Fang chatted while performing the operation, and during the chat he fully demonstrated his confidence and the superb skills of his gastrectomy weight loss surgery.

When a nurse in the operating room heard that Yang Ping was coming, she immediately ran over with a thick bag of CT films of her mother's lungs. She kept a safe distance from the operating table and walked around it to Yang Ping's side.

"Professor Yang, are you busy now?" the nurse asked a little embarrassedly.

It’s not too busy, as I have nothing to do sitting in the audience. It’s not too busy, as I am currently helping Director Fang to maintain the stage, and I am currently working.

Yang Ping said: "You say!"

"This is my mother's lung CT scan. Could you please take a look at it?" The nurse made her request. Yang Ping worked at the surgical institute and rarely came to the surgical building. Even if the hospital staff wanted to ask him for help, it was not easy. Now that they met, the nurse would definitely seize such a precious opportunity. She heard from Director Fang yesterday that Yang Ping was coming to help today. The nurse brought the CT scan early in the morning and was ready to ask Yang Ping to take a look at it at any time.

"Let me see!" Yang Ping stood up and walked towards the reading light.

The nurse took out the CT films. She was not familiar with them and did not know which one to look at first and which one to look at later. Yang Ping did it himself. He first looked at the CT films under the light of the film reading lamp to know the approximate chronological order, and then hung them up one by one in chronological order to read them.

"We went to the provincial hospital in my hometown. The doctor said it was lung cancer and recommended surgical removal." The nurse introduced the patient's medical experience for Yang Ping to refer to.

Yang Ping did not speak. He continued to read the film while listening. After reading it, he said, "No surgery for the time being. It is very likely an inflammatory nodule. First, anti-infection treatment for a month, and then recheck. If the nodule shrinks, it means it is an inflammatory nodule."

"Inflammatory nodules? Not tumors?" The nurse was very surprised.

Yang Ping nodded: "It doesn't look like a tumor, it is most likely an inflammatory nodule." No one can be 100% sure about this kind of thing. There is a possibility of error in pathological examination, not to mention imaging diagnosis, so Yang Ping left room for maneuver in his words. This is the normal way a doctor speaks.

After hearing what Yang Ping said, the nurse felt much more at ease. She didn't expect that things would take a turn for the better. She planned to call her family immediately to explain the situation and call off the operation because her family was raising money for the operation. Her brother and sister-in-law had already booked a bed for her mother with the doctor.

The nurse nodded in gratitude while packing up the CT films and walked out of the operating room happily.

The doctors and nurses in the operating room, both on and off the stage, were amazed once again, and instantly felt a surge of accomplishment as medical staff, because a top doctor like Yang Ping could save lives with just one word.

After changing the strategy, Director Fang's operation seemed to go very smoothly. The more he did, the easier it became. Soon, he succeeded in the most dangerous vascular dissection. Although the remaining steps were also difficult, Director Fang could handle them calmly compared to these dense blood vessels. Director Fang's operation had completed the key steps, and Yang Ping could withdraw. When he came out of the operating room, he met Head Nurse Jiang, who pulled her aside to ask about Xiao Su's postpartum recovery and whether the baby was easy to take care of, etc. She also asked when the full moon banquet would be held. Because Yang Ping was busy during this period, the full moon banquet was not held. Xiao Su thought that since the wedding was so grand, she could hold it together with the full moon banquet, without being bound by formalities.

Yang Ping walked around several orthopedic operating rooms, especially Tan Boyun's operating room, where he watched for more than ten minutes. Tan Boyun was quite capable, and Director Han had a sharp eye. When he was in the Second Affiliated Hospital, Tan Boyun had a quarrel with his director every day, and the quarrel was so intense that the sky was dark and the earth was collapsing.

When Director Han recruited him, many people advised him against it, saying: If you recruit Tan Boyun, he will only cause trouble for you because he has a bad temper. He will quarrel with you every day and covet your position as the director every day.

Director Zhao of the Medical Department and Director Sun of the hospital were also hesitant and voted against it, saying that bringing this person in would be like bringing in a troublemaker. Our Sanbo Hospital has a fine ethos, and everyone is harmonious and united. Bringing him in would disrupt our fine traditions.

Director Han said: Tan Boyun is a rare talent. He is only suitable to be the boss, not the second in command. If he has the ability to come to our Sanbo Hospital, I, as the director of the orthopedics department, will give it to him. It's no big deal.

Director Han also said this to Tan Boyun: "Tan Boyun, you look down on the director of the orthopedics department of your Second Affiliated Hospital every day. Come to our Third Bo Hospital, and I will give you a ward first. If you do a good job, you can take my position as director at any time. If you don't do a good job, don't talk nonsense to me all day. If you can't do a good job in one ward, how can you expect to manage several wards of orthopedics?"

Tan Boyun thought about it and realized that this was the truth, so he said, "Okay, if I do a good job, you keep your word. If I don't do a good job, I will see you stand at attention and rest in the future, and I won't say a word of nonsense to you."

In this way, Director Han introduced Tan Boyun to Sanbo Hospital and directly gave him the position of director of Trauma Orthopedics and Trauma Emergency Center, letting him do whatever he wanted and see what he could come up with.

I didn't expect that he was such a talented person. Not only was he good at management, but he was also great at surgery and first-rate in key scientific research and academics. He was not boastful and never bragged. Despite the suspicion and discussion of several orthopedic ward directors, he turned the trauma orthopedics department into the best in the country and the trauma emergency center into one of the two national leaders together with the Shanghai Trauma Emergency Center.

He is one of the few directors who can keep up with Yang Ping's pace. Unlike Director Gao and Director Fang who go to the Institute of Surgery every day, he secretly keeps in touch with Yang Ping through WeChat and often asks Yang Ping questions.

Because of Tan Boyun's outstanding performance, Director Han happily handed over the position of director of the orthopedics department to him. Tan Boyun was extremely happy and admired Director Han very much. If Director Han had not trusted him and given him this platform, he would not be where he is today. If he were in the Second Affiliated Hospital, he would definitely still be a deputy director for life, fighting with the director every day, being disliked by the dean, and being looked down upon by everyone.

Now the orthopedics department of Sanbo Hospital has far exceeded that of the Second Affiliated Hospital. The number of beds in the trauma orthopedics department is 150, the beds in the trauma emergency center are 50, and the beds in the trauma ICU are 15, thus forming a large trauma center.

Back at the Institute of Surgery, Yang Ping went to the operating room to see that Song Zimo and Xu Zhiliang were performing surgery. He turned around and went back to the locker room.

Yang Ping habitually leaned back in the lounge chair and closed his eyes to rest, then tried to enter the system space. It was still dark around him, which meant that the system space was still in a dormant state.
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Dean Xia sat in his office chair, with a cup of steaming tea on his desk. He leaned back to take a rare break and was thinking about the hospital's development plan. The hospital's recent development speed was simply a leap. Yang Ping not only established a surgical research institute, but also established a laboratory and founded the "Medical" journal. It can be said that in a short period of time, the clinical and academic level of Sanbo Hospital has been brought to the world's first-class. He felt that the current talent team of the hospital could not keep up with the pace of development.

There is not enough time to train the young doctors who have been sent out, and the several elite backbones trained by the Institute of Surgery cannot be transferred out to set up their own offices for the time being.

However, due to the rapid development, the original talent support obviously cannot keep up. For example, many department directors have not been able to keep up with the development situation. Dean Xia knows that although these department directors took office after a wave of reforms, the situation at that time was different from now. The goal at that time was to have a place in the provincial hospital of Nandu. Now it is different. Sanbo Hospital has squeezed into the first-class domestic and international ones.

During the rapid development of Sanbo Hospital, a group of outstanding young talents have emerged, such as Wen Ruzheng from the Pathology Department. Most of these young people are in their early thirties and have now been promoted to associate senior professors.

Director Guan went to see Dean Xia several times, saying that he wanted to step down and give the position of director of the pathology department to Wen Ruzheng, a young man who had the ability to do so.

But not every department director is Director Guan. Most department directors will not step down and make way for other people. They will try every possible means to maintain their positions.

So now Dean Xia is in a dilemma. If the talent of the entire hospital is to keep up with the current development trend of the hospital, reform must be made. If reform is to happen, a group of people must be replaced. There is no way around it. But should he take it slowly and carry out natural replacement, or cut the Gordian knot and use reform to quickly complete the replacement?

Dean Xia is now in a dilemma about this issue, because if he forcefully promotes replacement and lets more outstanding younger generations take over, what will happen to the old directors? These people have been fighting with him all the way.

If there is no replacement, what will happen to these new young people? They are capable, and their thinking and abilities can keep up with the development of the hospital. For example, Wen Ruzheng from the Pathology Department, under the encouragement of Yang Ping, has devoted himself to the study of pathology knowledge. He has a high level of English, has published many papers, and has a high level of clinical skills. This level is first-class in the world, but he is young, only in his thirties, and has no fame.

If the interests of the hospital are taken as the starting point, all directors who are not in line with the development of the hospital will definitely be replaced. However, these are old brothers. If they are replaced, he will fall into a ruthless and ungrateful situation.

Sanbo Hospital is not only developing rapidly, but also has a very special status. It is jointly managed by the National Health Commission and the General Logistics Department. It is the only one in the country, equivalent to the combination of 301 and Union Hospital. It enjoys various resources from both sides, and the superiors on both sides give it the greatest independence in management. The main task of the superiors on both sides is to provide various resources, not management. Sanbo Hospital has a very large degree of freedom in management.

This particularity was designed by the superiors specifically for Sanbo Hospital. They wanted to prevent Yang Ping's creativity from being restricted due to rigid management, and also prevent the hospital from lacking resources due to its low level and not getting strong support. That's why this special management relationship was specially designed.

At that time, the General Logistics Department and the National Health Commission were both vying to recruit Sanbo Hospital, and in the end this plan also balanced the relationship between the two parties. In this way, Sanbo Hospital has two mothers, and these two mothers don't care much about you. If you have any problems, both sides will support you. If you want money, both sides will give you money. If you are bullied, both sides will protect you. Only Sanbo Hospital has such a powerful existence. Now it is not an exaggeration to say that Dean Xia is the most powerful dean in the country.

Precisely because of this special situation, President Xia would think twice when dealing with large-scale personnel adjustments. He must not allow turmoil to occur in Sanbo Hospital, but he must not let it delay its development.