godfather of surgery

Chapter 402 350 kilometers
Four operations were completed before twelve o'clock, and each operation did not exceed one hour.

In order not to cause damage to the quadriceps femoris, tourniquets were not used in the four operations. The blood pressure was controlled below 90/60mmHg under low-pressure anesthesia, and the water pressure in the knee joint was maintained at 120mmHg by using a water pump.

In this way, even without a tourniquet, the surgical field can be bloodless.

Ordinary people can ignore the damage of the tourniquet to the quadriceps, but for professional athletes, it has a great impact and prolongs the recovery time.

The water pressure in the knee joint is maintained at 120mmHg. If the doctor is inexperienced, it is easy to cause edema in the interstitial space, induce osteofascial compartment syndrome, and lead to serious consequences.

After the operation was over, Lina, the equipment nurse, and Jenny, the itinerant nurse, all breathed a sigh of relief.

The operation was too fast, and they were under tremendous pressure, for fear of embarrassing scenes. Fortunately, with the help of Robert, there was no scene where the operation got stuck due to the lag of the nurses' cooperation.

The easiest one is Barrell, who just supports his legs, and every time he changes the position of the affected limb, Yang Ping operates with one hand, and he only needs to assist from the side.

The glass shield was raised and retracted into the ceiling, and Barrell braced the patient.

Robert helped Yang Ping take off the surgical gown, and the anesthetist and nurses greeted Yang Ping one after another. The operation was awesome, and he was worthy of being Robert's mentor.

In the teaching room of the operating room, the doctors updated their understanding of multi-ligament reconstruction of the knee after watching four arthroscopic surgeries, and suddenly found that they, who had been number one for a long time, were actually lagging behind.

It was the first time for them to see whether it was a skilled surgical operation or a novel design of a curved drill bit.They envied Robert for having such a good teacher.

Art enjoyment!
Professor Jung concluded that the adjustment of the balance of the knee joint is just like a tuner, who can tune out the best balance by feeling.

After Robert prepared lunch, he held a question-and-answer meeting on the theme of multi-ligament reconstruction of the knee joint, allowing everyone to ask questions and interact with Yang Ping, so as to improve everyone's understanding of this type of surgery.

On the second day, a small academic meeting will be arranged, and Yang Ping will be invited to give lectures. This is a rare opportunity, and it is not easy for Yang Ping to come to the United States once.

Professor Jung, engineers of OrthoPediatricS, and many doctors have been refusing to leave, waiting for Robert to bring Dr. Yang to meet everyone.

Professor Jung couldn't wait, and decided to go to the locker room to find Robert, wanting to communicate with Yang Ping in advance.

The engineer hurriedly reported to the company, hoping that the company would buy the patent of the curved drill bit or obtain authorization.

Yang Ping had already submitted the application for Chinese patent and international patent for the device he designed before sending it to Robert, and he had already passed the preliminary examination, and he also applied for an early publication.

In this way, one's own technological achievements are guaranteed legally. Otherwise, after encountering unscrupulous people or companies who steal technological achievements, they use them to make money, and they beat them back and sue the original creators for infringement.

In the face of interests, anything can happen, and Yang Ping does not expect to rely on the self-awareness of others to protect the fruits of his labor.

Just in the United States, Indiana spine surgeon Rick Sasso is in a lawsuit with medical device giant Medtronic over the patent royalties of the Vertex cervical spine system.

The lawsuit lasted for five full years, all the way to the U.S. Supreme Court. The U.S. Supreme Court finally made a ruling: Medtronic must pay $1.12 million in patent fees to Dr. Rick Sasso.

So for this kind of thing, Yang Ping is the same as doing surgery, he doesn't want to have any chances.

The engineer keenly felt that this curved drill bit and this whole set of equipment will become a necessary equipment for children's sports medicine, and will also be used in other operations. Around it, a complete equipment system can be established to occupy the field of children's sports medicine.

The company responded quickly, authorizing him to negotiate with Yang Ping about the purchase or authorization of device patents, and the company's negotiation team will leave as soon as possible.

Professor Jung hopes to discuss knee replacement with Yang Ping. He is designing a new type of knee prosthesis and encounters some difficulties. He hopes to communicate with Yang Ping.

At the door of the locker room, Jung waved to Robert and whispered, "Robert, come here."

Seeing his displeased face, Robert guessed what he was going to say, and explained a few words to Yang Ping, asking Baler to accompany Yang Ping, and Robert to follow Jung.

The two came to the small room next to the locker room. Professor Jung said angrily, "Robert, you have to explain clearly why you hid your tutor. Did you go to China last time to study?"

"You listen to me, Jung, you listen to me, okay—"

"You selfish bastard," Jung said angrily.

"Don't get excited!"

Robert completely ignored Jung's anger and said in a low voice.

"If I hadn't seen Dr. Yang's operation today, I told you that I would learn from a young Chinese doctor, and you should also worship him as a teacher with me. Would you believe it? Would you believe it?"

Jung was speechless for a while, as if his explanation made sense. If he hadn't seen it with his own eyes today, and if time went forward, Robert asked him to go to China with him to learn from young Chinese doctors, and he would definitely laugh and refuse.

"Do you know why I don't say anything? Because you won't believe it. I know you best. You are a pile of stubborn stones, full of arrogance and prejudice. Today I invited him to demonstrate the operation. You see it with your own eyes. Admired, but a few months ago, you would have said, Robert, you are crazy, Robert, you need to see a psychiatrist, just before the operation, I bet, Jung, you still see my jokes Psychology, no matter how much it occupies, must be there." Robert gritted his teeth, completely overwhelming Jung's aura.

"Okay, I won't pursue this matter, is he good at joint replacement?" Jung asked eagerly, not daring to look at Robert, changing the subject.

Robert nodded: "He is good at trauma, spine, joint replacement, and arthroscopic surgery. I have seen his joint replacement surgery, and I can be your mentor. If you can get his guidance, I guarantee you will be better than the current one." The level is a bit higher, but the threshold for him to lead students is very high."

"Can you introduce me?" Jung asked.

Robert sneered: "Don't even think about it. If you want to be his student, you have to find the opportunity by yourself and fight for it yourself. It took me a long time to have such an opportunity. I was in Sanbo Hospital, and I just had the opportunity to be on stage. None, and with the help of a Chinese brother, I got on stage with Dr. Yang."

"You have to help create opportunities," Jung begged.

"That's fine, let's have lunch together later, and at the dinner in the evening, I'll let you sit closer to him. I don't care if he's interested in you or not." Robert didn't want to cause Dr. Yang any trouble because of Jung. He despises himself.

"How long will he stay in the United States?" Jung was very confident, as long as Robert helped to make a bridge, things would be easy.

"Five days, rest on the first day, surgery on the second day, lectures on the third day, visit to my clinic on the fourth day, rounds in our department on the fifth day, and return to China on the sixth day." Robert wrenched his fingers.

"Then can you invite him to our department for ward rounds, please! Robert, you tripped me in that rugby match. I have a fractured left tibia, and it still hurts here." Completely clueless.

"Don't come here, it's about studying at Harvard Medical School. It's been 20 years, and I've never heard you talk about pain." Robert couldn't laugh or cry, and Jung actually threatened himself with this matter.

"That's because of our friendship, which I choose not to talk about."

"I'll bring this up to him tomorrow, but I'm not sure if it will work." Robert stepped back.

"Thank you!"

"You're welcome, chat with him, don't talk about how powerful you are, and don't talk about how accomplished you are, these are worthless in front of him, just talk about the difficulties you are currently encountering, let him resonate, what he is most interested in It's medical problems, and he thinks about them all day."

Can't delay here for too long, Dr. Yang is still resting in the locker room, Robert immediately returned to the locker room, Jung followed.

"Professor Jung of the Knee Replacement Center!" Robert recommended.

Yang Ping shook hands with him: "Big name, the designer of Depuy's latest generation of knee prosthesis."

"We are currently encountering a big problem, and I hope Dr. Yang can give me some advice." Jung cut to the point.

Robert was almost stunned by Jung's bluntness, and told him to find resonance, which is not how he did it.

After the operation, the doctors who had been waiting for a long time also gathered around. Robert blocked everyone: "Dr. Yang needs to rest at noon. See you in the hospital conference room at [-] p.m. for a Q&A session. Dr. Yang will answer all your questions."

Everyone was willing to leave like this. These people had many questions in their minds and wanted to raise them with Yang Ping.

When he was free, Yang Ping took out his mobile phone, and Johannesson sent a text message saying that he was going to fly to New York tomorrow.

Yang Ping told him not to come, the doctors are very busy, so a phone call is enough.

Johannesson insisted on coming over, saying that he had already booked a ticket and could arrive at noon.
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Mayo Clinic Neurosurgery, Johannesson's Office, Rochester, MN.

Johannesson has been keeping in touch with Yang Ping. His online community building is progressing smoothly, and the number of members has grown to twelve, but currently they are all doctors in his department or friends in the industry, and they are all neurosurgeons and spine surgeons.

He learned that Yang Ping had come to New York, USA, and was planning to choose a time to visit Yang Ping in New York.

"Sir, according to your instructions, the ticket to New York has been booked for tomorrow morning at [-]:[-]." Miss Longoria is Johannesson's secretary, and she handles these daily affairs.

"Thank you—" Johannesson's cell phone rang, and he looked at it.

Collins' phone number, this good friend in Houston, has been in touch with himself a lot recently.

Longoria exited the office knowingly and closed the door gently.

"I sent you a document, Steven's routine medical examination report, look, something is a little bit wrong, I may trouble you to come to Houston tomorrow to participate in the discussion." Collins' tone contained a hint of urgency.

"No, I've already made arrangements to meet an important friend tomorrow. It's very important. I can't miss the appointment." Johannesson was very upset.

"Please, please read the report first. This matter is also very important. We are waiting for you to discuss the next step. Your opinion is very important to us." Collins requested.

"Okay, I'll contact you after reading it." Johannesson hung up the phone temporarily.

He turned on the computer and called up the data in the encrypted mailbox.

The electrocardiogram showed sinus rhythm, the heart rate was too slow, and it was only 52 beats/min. Compared with the previous stable 70 beats/min, it had dropped by 18 beats/min. no problem.

Indeed, this is a bad phenomenon, but what does it portend?
As an experienced neurosurgeon, he had many differential diagnoses running through his mind.

Inversely deduced from this clinical symptom, the knowledge in the head weaves a huge net.

Simple heart rate slowing down, this has never happened before, this is the first time, could it be that the heart muscle is affected in some way? Something wrong with the central nervous system?
Something wrong with the nuclei in the brainstem, or the neural pathways connected to them?
The keenness of the top experts made Johannesson tremble.

Indeed, this is a big deal, and nothing is more important to a doctor than a person's health and life.

Even if the appointment is missed, Dr. Yang, who is also a doctor, will definitely understand.

"Things are very bad. I will catch the earliest flight tomorrow. No, I will take off today." Johannesson called Collins on the phone, succinctly.

"Longoria, help me see if I can book a ticket to Houston today. Yes, it's urgent. Cancel the ticket to New York tomorrow." Johannesson called Longoria and urged her to do it immediately .

After the phone call, Johannesson's heart pounded, and he wished he hadn't worried much.

He walked to the window and looked up at the sky outside the window.

Steven, this gentleman, God bless him, he is now at an altitude of 350 kilometers above the ground.

　The first big climax of the whole book will unfold slowly. This climax can’t be finished without 10,000+ words. I must strive to write it well. I am very grateful to everyone for their support all the way. For you, I must write it well!
　　
　
(End of this chapter)