Chapter 294 Navigation
"Arrange DSA for thoracic spinal cord blood vessels for Mr. Guo." Lin Mingyuan told Dr. Huang privately.
Now Lin Mingyuan is very clear about Guo Jingyao's next diagnosis and treatment plan, and has no doubts about Yang Ping's suggestions. His memory of the Sanbo Hospital Academic Conference is still very clear.
"Do you still have different opinions? I agree with Dr. Yang's opinion and further perform DSA examination of the thoracic spinal cord blood vessels to confirm the diagnosis." Lin Mingyuan loudly announced the results of the discussion.
"I agree and fully support Dr. Yang." August raised his hand, his face glowing red, and he seemed very excited.
Milton's facial muscles changed a few times, he hesitated to speak, and slowly raised his hand, acquiescing to this result.
A young Chinese doctor actually changed the outcome of the discussion with just a few words and negated their previous discussion. Atsushi Kobayashi was reluctant to accept this result, but he couldn't refute it. He couldn't always refute it with "lack of sufficient evidence", so he had to raise his hand.
The other doctors around the round table were all in formal attire. Some loosened their ties, some pretended to drink water, and some lowered their heads to ask the people next to them. One after another, everyone raised their hands.
"I haven't seen any patients yet?" Yang Ping remembered that he had entered the venue for discussion and had not arranged any clinical sessions to see patients.
Before the meeting, other experts were arranged to see patients in the inpatient department at about 8:30, and then came back for the meeting after seeing the patients.
However, Yang Ping and Director Zhu did not know about it and did not receive relevant notifications.
“Arrange now—” Dr. Huang immediately called the resident doctor in the ward.
After the consultation meeting, Dr. Lin and Dr. Huang accompanied Yang Ping to see Guo Jingyao, and naturally other doctors also came with them.
Although everyone has seen the patient, the analysis of the condition has completely changed.
Guo Jingyao lives in the best suite ward in Gleneagles Hospital, which is about more than 300 square meters and has very good lighting. It is divided into wards, living rooms, conference rooms, nursing rooms, guard rooms, and nurse rooms. All kinds of furniture and appliances are available in it.
The young doctor in charge of the bed was also Chinese, and the nurse was a Malay girl. They took everyone to the ward.
Guo Jingyao is sixty years old. When he was still in the prime of life in the shopping mall, his hair was a little gray, but he was energetic. He didn't have many wrinkles on his face. He looked like he was in his forties.
"Mr. Guo, this is Dr. Yang we invited from China, the top expert in orthopedics. He wants to see you now." Dr. Huang introduced Yang Ping to Guo Jingyao in English.
"Hello, Doctor Yang, I'm sorry to trouble you." Guo Jingyao shook hands with Yang Ping and said hello in Chinese.
When he was a child, he studied in a Chinese school in Malaysia and was naturally able to speak Chinese. Although he was not fluent, it was sufficient.
"Whatever you need to do, please feel free to do it. I will cooperate." Guo Jingyao switched to English again.
As always, Yang Ping carefully inquired about the medical history, performed a physical examination, and re-read the auxiliary examinations one by one.
The physical examination was in accordance with the standards of spinal surgery. Every dermatome and myotome was carefully examined. The skin sensation of both lower limbs was reduced. Most of the muscle groups had only level one muscle strength. Some muscle groups had only level zero strength. Several superficial reflexes and The deep reflexes are reduced, Babinski's sign and other pathological reflexes are not elicited, and the muscle strength is already so poor that surgery is imminent!
August, a strict German, has been standing next to Yang Ping. After Yang Ping completed the physical examination, he straightened his back and returned the percussion hammer to Dr. Huang. August immediately took it and passed it to Dr. Huang.
"How is it? Doctor Yang!" August asked carefully.
In fact, for various titles and titles, people in European and American countries prefer to call a certain doctor directly, because they believe that doctor is the most honorable title.
"I suggest that you arrange DSA immediately to obtain clear angiography images and perform surgery as soon as possible. Over time, it will cause partial blood vessel embolism and lead to spinal cord degeneration. At that time, permanent paralysis will truly come. What is even more dangerous is that the spinal cord edema will continue to increase. Spread, once it affects the respiratory muscles, it will seriously affect breathing-——.
All kinds of knowledge were organized and logically connected in Yang Ping's mind, and a map of the occurrence and development of the disease was clear in his mind.
"Doctor Huang, please follow the instructions!" August took a deep breath, thinking that he was in Munich and could give orders.
The order was issued, and August felt a strong sense of guilt in his heart. As an authority in spinal surgery, he had actually fallen into the trap of the disease and could not get out. If it hadn't been for the arrival of the Chinese doctor, the patient would have been paralyzed in a daze, permanently, and would never be seen again. Someone uncover the truth.
Paralysis due to spinal cord injury caused by surgery will be written into the final case discussion record and become an iron-clad diagnosis. The surgeon in charge will also be questioned and investigated to see if he made any mistakes. The conclusion that everyone took for granted two hours ago seems so ridiculous now.
He had no idea whether he had made similar mistakes before, and August shuddered in his heart.
"Do no harm!"
This is the first rule for doctors, which is to use medical skills to help patients and not to use medical skills to harm patients. August felt that although he did not harm the patient, he almost delayed the patient because of his ignorance.
If everyone had just been stubborn and denied the young Chinese doctors with a arrogant attitude, harm might have been caused.
It’s true, the more knowledge you have, the more you understand your ignorance.
"Dr. Yang, thank you!" August said involuntarily.
"Save time, assess the anesthesia risks immediately, and send the patient to the radiology and diagnostic imaging department for DSA." Dr. Huang heard what Dr. Yang said and understood the stakes.
"It is very difficult to superselect those mutated arteries. I will always be by your side to provide anatomical navigation for the surgeon." Yang Ping solemnly proposed.
Without his guidance, the interventionalist would simply ignore these arteries and only perform angiography one by one based on the standard anatomy of the arteries supplying blood to the spinal cord.
Milton was still doubtful. He didn't have much idea about this so-called triple game case. How could Dr. Yang study it so thoroughly? It was unreasonable. Is China's medical technology so advanced?
The British are more conservative than imagined. Many ordinary British elderly people have never gone abroad in their lives. Their impression of China is limited to pigtails and foot binding. The influence of the glory of the empire on which the sun never sets is deeply rooted.
Prejudice can obscure vision and prevent people from seeing things as they really are. Milton is now troubled by prejudice.
Xiaolin Atsushi felt that Yang Ping was making a farce from beginning to end, waiting for him to decide how it would end. But now, how could it be a farce.
If the speech is made in the conference room, it can be considered as a farce. Anyway, it is just a mouthful. Now he is personally involved in guiding interventional doctors to super-select blood vessels. Which doctor would dare to treat a patient as a farce? Xiao Lin Du was also shaken and began to think about Guo Jingyao's condition.
Dr. Huang doesn't care what these big guys think, he only listens to Lin Mingyuan.
After coming out of the ward, Yang Ping has unknowingly become the center of everyone's attention. This is the characteristic of the technology industry. You can tell whether he is good or not by showing his hand.
"Everyone, please forgive me for waiting. There can't be too many people in the interventional operating room. There are only a few places. Dr. Yang, Dr. August, Dr. Milton, and Dr. Atsushi Kobayashi will enter the interventional operating room with me. The other doctors will be accompanied by Miss Li. , waiting in the conference room of the Imaging Diagnostic Department, I'm very sorry!" Dr. Huang announced to the people who were allowed to enter the interventional operating room.
The number of people visiting the operating room is limited and must comply with the requirements of hospital infection regulations. Hospitals such as Gleneagles Hospital, which is certified by the international JCI, have stricter standards.
Once, British Prime Minister Cameron visited patients in a London hospital. The doctor in charge thought that they did not comply with the hospital's inspection procedures, and roared them out of the ward. Knowing that he was the Prime Minister, he told them in front of reporters, "Get out!" ”
It's so heroic. I have the final say on my territory. You have violated the rules and are prohibited from entering.
The process at Gleneagles Hospital was very smooth, and Guo Jingyao was quickly sent to the interventional operating room.
"Doctor Yang, just tell us what we need to pay attention to."
Dr. Lin took Yang Ping into the operating room of the interventional department. Director Zhu sent Yang Ping to the door of the operating room and waited outside.
"Let the best interventional doctors take the stage!" Yang Ping had only one sentence.
"Dr. Zhou from our hospital is a student of American interventional master Raymond Nolan——" Dr. Huang introduced.
Everyone changes into slippers, clothes, washes hands, wears masks, hats, and lead suits before entering the operating room.
This interventional operating room is a standard 100-level hybrid operating room with very high specifications.
After satisfactory anesthesia, positioning, routine disinfection and draping, Dr. Zhou performed femoral artery puncture with skillful and standardized movements.
Dr. Zhou's skills are indeed good. These doctors earn very high incomes. They all work alone to support the whole family, live in villas and drive luxury cars. In private hospitals like Gleneagles Hospital, doctors and hospitals are not in an employment relationship, but a cooperative relationship.
When a doctor performs an operation, all the operating fees belong to the doctor, while the hospital only earns the fees for beds, nursing care, examinations, etc. Therefore, the doctors who can treat patients in private hospitals are very skilled. They are not short of money and only focus on studying medical skills.
"Should I start super-selection on a regular basis?" Dr. Zhou asked.
"Well, let's follow the rules first!" Yang Ping agreed.
(End of chapter)