godfather of surgery
Chapter 1114 Humanoid Position Fixer
Chapter 1114 Humanoid Position Fixer
The emergence of tumor cell targeted apoptosis protein complex marks a new step forward for Sanbo Hospital in tumor treatment. The phase I animal experiment was successful, and the phase II and III animal experiments are on the agenda. After the animal experiments, clinical trials will be carried out. If the therapeutic effect of this new protein complex can be stable, the probability of its clinical application is very high. This is exciting news.
Dean Xia is a little anxious about the rapid development of Sanbo Hospital. He is not looking at the present, but where Sanbo Hospital will go in ten or twenty years. He wants to lay a solid foundation for Sanbo Hospital now so that it can develop steadily instead of being a flash in the pan.
These days, Director Xia has been thinking about how to establish a system for Sanbo Hospital that is suitable for the actual situation and effective. After repeated consideration, the superior leaders feel that Director Xia's suggestion is very correct. This management system based on Director Xia's personal ability is very unstable. It is established because of the person and will be abandoned because of the person. Therefore, in order to achieve stable development, it is necessary to establish a scientific management system.
Dean Xia has been focusing on hospital management in recent years, summarizing his experience over the years. Because Yang Ping has good personal relationships with many top hospitals, he has visited many top foreign hospitals and designed a system that is more suitable for China's national conditions. Although this system is a bit immature, Dean Xia is quite satisfied with it. Only a well-designed system can allow the hospital to develop stably. Dean Xia put this system into words and handed it to the head of the health department. After reading it, the head frowned and said that he would consider it carefully. This is not a small-scale reform, but a drastic reform of the hospital's management system, so he must be cautious. Hospital reform is a good thing, but it must be slow and step by step, otherwise it will easily cause chaos. Sanbo Hospital has finally become a world-class hospital and must not fall into chaos.
As Yang Ping's academic status continues to improve internationally, his influence in many areas is also increasing. For example, in the field of cancer treatment, his current research is likely to subvert the existing landscape and deal a devastating blow to the decades-long layout of some giants, so his personal security level is also constantly being strengthened.
The community where Yang Ping lives now is an ordinary commercial housing community. The security of him and his family has brought tremendous pressure to the security department. Manager Qiu has been reporting this problem to the higher-ups. In order to strengthen security without adding trouble to Yang Ping's work, the higher-ups ordered Sanbo Hospital to build a small, specialized, closed employee community near the hospital in a suitable manner to facilitate management.
Mr. Guo Jingyao in Southeast Asia has just started selling the property next to the hospital. Dean Xia wants to buy several commercial buildings next to it and then build a separate community for the hospital staff to live in, which is convenient for management. After hearing this, Mr. Guo waved his hand and said, "Do you still need to buy? Donate! Donating money is also a donation, and donating a few buildings is also a donation."
It just so happened that there were several buildings nearby that could form a separate community. They were a bit far away from most of the other buildings in the complex, separated by a community park and an internal road. Mr. Guo renovated these buildings according to the requirements of Sanbo Hospital, and then enclosed them into a closed community and donated it to Sanbo Hospital.
After Dean Xia got the building, the security department of the superior renovated the community to meet the security requirements, and then planned to move Yang Ping's family to this community. The property management company of this community is not an ordinary company, but a security department, and the people in charge of security are not ordinary security guards, but plainclothes armed police. In this way, the superiors can feel at ease. Otherwise, Yang Ping lived in an ordinary community with a mixture of people. No matter how meticulous the security work was, there would inevitably be loopholes. Yang Ping was very grateful for these arrangements made by his superiors.
When Yang Ping was performing surgery on a patient in the operating room, a phone call came in urgently. The circulating nurse answered the phone and immediately told Yang Ping: "Professor Yang, this is a call from Director He Xiangjun of the Department of Thoracic Surgery. It's urgent. Help."
The operation was almost coming to an end. Yang Ping stepped down from his position as the surgeon, and Song Zimo led his graduate students to complete the finishing work.
The circulating nurse pressed the speakerphone on the wall. Yang Ping moved closer and heard the voice of Director He Xiangjun.
"Professor Yang, this is the patient I told you about last time, a patient with a huge mediastinal tumor. We were going to have surgery on him today. However, the patient had just been sent to the operating room and before anesthesia began, he suddenly suffered cardiac and respiratory arrest. He is being rescued. The patient's condition is very special. Could you please come and help take a look?" Director He Xiangjun reported concisely and grasped the key points.
Yang Ping glanced at the patient on the stage and said, "I'll be right over."
Hearing this, the person on the other end of the phone finally felt relieved: "Okay, we are rescuing the patient."
Yang Ping took off his surgical gown and quickly rushed to the operating center. At this time, a thrilling rescue was taking place in the thoracic surgery operating room. Director He, the anesthesiologist and other medical staff were performing cardiopulmonary resuscitation on the patient. Moreover, the patient was not lying flat, but in a special sitting position, sitting sideways. This position is very rare and it is impossible to adopt this position unless it is absolutely necessary.
The anesthesiologist had just completed the tracheal intubation and established mechanical ventilation. Director He personally participated in the cardiopulmonary resuscitation. The nurse was pushing the rescue medicine. Two graduate students worked together to maintain the patient's position. Other doctors and nurses were also busy. Everyone cooperated well. Everyone was busy. They had no time to report the medical records to Yang Ping. Yang Ping had to go and see it himself. The patient's chest CT film was hanging on the reading light.
The huge mediastinal tumor is obviously malignant and has eroded many surrounding organs. Director He is now very skilled and dares to perform such an operation.
"The huge tumor pressed on the heart, and the patient's heart and respiratory arrest occurred suddenly before anesthesia even started." Director He was sweating profusely and finally took some free time to talk to Yang Ping.
"It is indeed rare to see such a large mediastinal tumor." Yang Ping narrowed his eyes slightly.
After some intense CPR, the patient finally had a heartbeat and was breathing. Director He breathed a sigh of relief: "It's working! It's working!"
"Professor Yang, what do you think about doing this operation or not? Cardiopulmonary resuscitation was successful, but the vital signs are now unstable and cardiac and respiratory arrest may occur again at any time." Director He came over.
Yang Ping crossed his arms over his chest and read the film carefully: "Medical record!"
Director He then remembered that he was too busy just now and had no time to report the medical records, so he immediately stretched out his right hand: "Medical records!"
Immediately, the medical records were sent to Director He, who handed them to Yang Ping personally. Yang Ping flipped through them page by page: "Is everything here? Are there any test reports that haven't been posted yet?"
"No, it's all here, and completely synchronized with the electronic medical records." The attending physician answered for Director He.
"This mediastinal tumor is so huge. I'm afraid it has been to many hospitals, but they all don't dare to operate on it?" Yang Ping asked as he looked through the medical records.
Director He nodded and said, "Yes, I went around the country and no one dared to perform surgery on him. Someone recommended the patient to come to me, so I said, come on, I'll be the lead surgeon."
"You have courage!" Yang Ping gave a thumbs up.
Director He said embarrassedly, "I didn't dare to go on stage until I confirmed that you were in the hospital today. I was thinking of doing it alone and bothering you if I had any questions, but I didn't expect this to happen before we even started."
"How are the vital signs?" Director He chatted with Yang Ping while paying attention to the patient's condition.
The anesthesiologist replied: "Mr. He, your vital signs are unstable, your heart rate is irregular, your blood pressure fluctuates, and your breathing is disordered. I'm afraid you can't survive this operation. Let's send you to the ICU."
"How is it? Is there a heartbeat and breathing?" Yang Ping turned around calmly and stared at the screen of the monitoring device on the side of the operating bed.
"Have it!"
Professor Yang really has such a strong aura. He was so relaxed in such a dangerous situation without even blinking an eye.
After observing the numbers on the monitor for a while, Yang Ping turned around and stared at the CT scan on the reading light. "If we don't have surgery, such a large tumor will press on the heart. Even if we sit 90 degrees and lean on the left side, it won't relieve the pressure. Can we save him if we send him back like this? There's still a glimmer of hope if we take the risk of surgery. If we send him back like this, he'll die in three or four days."
Director He immediately understood the logic Yang Ping pointed out: "If we have surgery, there is hope. If we don't have surgery, there is no hope if we are sent back to the ward?"
"Yes!" Yang Ping said affirmatively.
A young doctor next to him pulled on Professor He's clothes, as if he wanted to borrow his arm to talk. This doctor was Dr. Corey Wu. He had good theoretical and practical skills and was also a good writer. He was deeply loved by Director He and could be said to be Director He's most respected talent.
Director He didn't know what urgent matter he had, so he immediately walked away a few steps. The doctor looked at Director He, meaning that he wanted to go out of the operating room to chat for a few minutes, so Director He followed him out of the operating room.
"Is there anything you can't say here? It's so mysterious."
The two came out of the operating room.
Dr. Xiao Wu said, "Boss, this kind of patient is likely to die on the operating table. If he really dies on the operating table, people will think you killed him. Transfer him to the ICU now and let him die in a few days. It won't cause us any trouble. You are on the rise now, so why bother with this trouble?"
Director He was stunned. The usually gentle and polite Xiao Wu spoke so sophisticatedly today.
"How can you be so worldly-wise at such a young age? Human lives are at stake now, is this the time to play such tricks?" Director He cursed Xiao Wu in a low voice.
Xiao Wu blushed, "Boss, I'm doing this for your own good. There's no need to take this risk now. This is a troublesome patient, and now something bad has happened before the operation. If you force yourself to go on stage, it will damage your reputation if something goes wrong. If you get away now, no one will say that you are not good at surgery. After all, he has been around the country and no one dares to perform the operation."
"Xiao Wu, the patient trusts me so much, so why would I just give up?" Director He obviously disagreed.
Seeing Director He was so insistent, Xiao Wu said, "Why don't you ask Professor Yang to come on stage with you? If it succeeds, it's yours, if it fails, it's his. I'll use his reputation to help you block it."
"What are you thinking? What do you think of Professor Yang? What do you think of me? Don't say such things next time, Xiao Wu. We doctors should be open and honest. As long as we have a good mindset and follow the right procedures, there is nothing to be afraid of. Don't be a doctor anymore and go back to selling pork." Director He was angry.
What the hell! Director He cursed in his heart, otherwise he was thinking about himself, he really wanted to kick him, why was he so thoughtful.
After returning, Director He said, "If there is a glimmer of hope, I think we should take the risk of surgery. Otherwise, Professor Yang, can you help calm the situation down from the audience?"
Director He decided to take a risk. The patient trusted him so much, how could he just give up? Once he gave up, the patient would never have a chance of survival. How could he waste the patient's only chance of saving his life for his own selfish gain?
"Okay!" Yang Ping replied.
Director He walked around the operating table and asked, "This patient can't lie down. How can we do this operation?"
"It depends on what's available. There is no fixed formula for these special cases. As long as it is conducive to the operation, any position can be used. Isn't this pretty good now?" Yang Ping believes that special situations require special treatments.
“This is not easy to fix!”
Following this line of thought, Director He had a plan for the position in mind. He called out, "Come and find a student with some strength and endurance to sit next to the operating table and push his back with your hands and body to fix him so that I can operate from the front. During the operation, the assistant will use silk thread traction to help lift the tumor to prevent it from sinking and compressing the heart."
Director He's thoughts became clearer regarding this position, and with Professor Yang by his side, he became bolder and had nothing to be afraid of.
"Xiao Zhang, come here. Don't you usually lift weights? Now is the time to put your weights to use."
The graduate student named Xiao Zhang immediately became stage frightened. This was no joke and it was extremely tiring. The operation had to be carried out for several hours and the operator could not be replaced unless it was absolutely necessary. He had no endurance. Moreover, he would be covered under the sterile sheet and it would be extremely hot and stuffy.
"I can't..." Xiao Zhang said casually.
"You're so young and you can't do it? You're already tired from lifting weights normally, and you can't do it at the critical moment. What the hell? Whoever can do it, sign up." Director He became impatient.
A skinny young man volunteered: "Director, I'll do it."
The young man was thin, but he looked energetic and not frail at all. "Can you do it?"
"How can a man not be capable? He must be able to perform at the critical moment." The young man said confidently.
"You come! Tell me if you can't hold on any longer. Give him a nasal oxygen tube. He will be prone to hypoxia when covered under the sterile sheet. The circulating nurse should remember that he is in there and ask him from time to time." Director He made arrangements immediately.
"What's your name?" Director He asked.
The graduate student immediately said, "I am Zuo Yaomen, who just came here for rotation."
The graduate student walked over to the patient as he spoke. The circulating nurse had prepared a stool, and he sat beside it, pushing the patient's back with both palms, acting as a human body position fixator for this operation.
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