Chapter 376 Twists and turns
In Director Han's office, Professor Zhang, Director Han and Yang Ping are discussing Professor Feng's condition.
"Xiao Yang, this is Director Han's teacher, Academician Feng Tiancheng from Mo Liu, who has been put on a ventilator for the second time." Professor Zhang told Yang Ping.
Director Han’s teacher is Yang Ping’s master.
Professor Feng Tiancheng, Yang Ping must know that as long as he is an orthopedic surgeon, everyone knows Academician Feng. He has made great contributions to orthopedics in our country.
"Five days later, there will be a consultation meeting, which may be the last time to discuss Professor Feng's condition. Director Han and I will go to the Magic City together. You can come with us and deal with the work at hand." Professor Zhang made the decision for Director Han. He wanted Take Yang Ping to Shanghai to participate in case discussions.
Since he was 80% sure, Professor Zhang had to fight for Academician Feng. Sometimes Han Jiangong would be unable to do what he wanted because of the awkward relationship, but Professor Zhang had no worries.
For the surgery in the second season, Yang Ping demonstrated all the types of surgeries with one operation. It will take two weeks until the start of the third season. He has nothing urgent at hand.
Not to mention a master, even an ordinary person, Yang Ping would do his duty.
This operation is too difficult. Yang Ping has done many similar cases in the system space. In each case, cardiac arrest will occur during the operation.
These sudden cardiac arrests are caused by surgical interference with the respiratory and circulatory center. Because an anesthesia machine is used for mechanical ventilation during the operation, the respiratory arrest is not reflected.
But cardiac arrest can be reflected. Some of these stopped heartbeats can be rescued, but some cannot be rescued.
Yangping has accumulated a large number of cases and conducted in-depth pathological anatomy on the fatal cases. Only in this way can the success rate be continuously improved. However, about 20% of the cases still cannot be rescued.
What's terrible is that in these cases, the heartbeat stopped more than once during the operation, and in some cases it stopped more than ten times. That is, the heartbeat stopped once, and the patient was rescued, but it stopped again shortly after, and needed rescue again.
The position of this surgery requires prone position. Once cardiac arrest occurs, a defibrillator is required for defibrillation. Defibrillation can only be performed in the prone position.
Normal defibrillation is performed in the supine position, and the success rate of defibrillation in the prone position is lower than in the supine position.
If the position is changed during the operation, it is easy to cause damage to the upper cervical spinal cord and medulla oblongata, and the patient will die when turning over.
When performing combined anterior and posterior surgeries on the cervical spine above the skull base, there have been cases where the patient's upper cervical spinal cord or medulla oblongata were damaged and died when turning over.
"Xiao Yang, when the time comes, I will let you speak. You can make a good draft and think about how to convince those big guys. There are several Americans, including people from Mayo, Twin Cities Spine, and Anderson Cancer Center." Professor Zhang told Yang. flat.
He does not doubt Yang Ping's 80% certainty, but is worried that he will not be able to convince many first-class experts when the time comes. After all, the success rate he said is far different from the success rate currently reported.
If he hadn't gotten along often and knew Yang Ping very well, no one would believe what he said and would think he was talking crazy.
Even Professor Zhang and Director Han, who had been with him for so long, would have been unbelievable if they had not seen Lu Gang's surgery with their own eyes.
"Don't worry, I will have a way to convince them when the time comes. They are all top experts in the industry, so there should be no problem with communication." Yang Ping was confident.
These are the world's top experts, and they should be the strongest team in the world today for treating such diseases.
However, Yang Ping felt that it would not have much effect on Professor Feng’s illness.
Such cases are treated as restricted areas for surgery.
Removing the tumor slightly damages or stimulates the respiratory and circulatory center, and the heartbeat and breathing will stop. It's like writing on a soap bubble. With a little stimulation, the bubble bursts.
Precisely because the risk of this kind of case is too high and almost impossible to succeed, operations are rarely performed, which creates an endless cycle. The fewer operations are performed, the less doctors are able to accumulate experience. If they cannot accumulate experience, they cannot improve surgical methods. Improve surgical results.
The same goes for the world's top experts, who have too few cases to work on.
In the system space, there are a large number of experimental subjects. Yang Ping can operate without any scruples. After failure, he can also conduct anatomical research on the experimental subjects to find the cause of the failure. This is the confidence that he is 80% sure of.
Hearing Professor Zhang's words, Director Han was a little embarrassed: "Is this appropriate?"
Director Han's relationship with his teachers and senior brothers has been tense for more than ten years. This time when the teacher was sick, he only visited her secretly, through the glass, in the visiting corridor. For more than ten years, he had no contact with Hong Zhigang. Even if they met at academic meetings, they would just laugh it off.
Director Han wanted to save his teacher, but he had never found an entry point. Now it is a bit abrupt to suddenly ask his students to participate in Professor Feng's consultation meeting and have to speak.
"Don't worry, I will arrange this matter. As long as I am here, Hong Zhigang will not dare to have any objections." That's what Professor Zhang decided.
Director Han had no choice but to say: "Okay, we will follow your arrangement on this matter."
"Other than Xiao Yang, who else can perform this surgery now? Are you 80% sure and are you going to watch Old Feng go?" Professor Zhang said bluntly.
Yang Ping didn't know about Director Han's grievances with teachers and senior brothers, but it could be seen that Director Han respected Professor Feng very much.
Professor Feng fell ill this time. Director Han went to the Magic City several times and kept thinking of ways to help Professor Feng. This shows that the relationship between teachers and students is still there and is very deep.
Yang Ping didn't want to care about what the grudges were back then. What he cared about was making the operation as good as possible. This was Director Han's biggest wish at the moment.
After the matter was decided, Yang Ping returned to the ward.
He entered the system space to check his points. Lu Gang's surgery rewarded him with 600,000 points, almost twice the profit, and his points now rose to more than one million points.
The principle of the current system is high risk, high return. For cases like Lu Gang's, a successful operation can reward 600,000 points. If the operation fails, twice the total points will be deducted.
That is to say, the original remaining 500,000 points are cleared, and the remaining 500,000 points are deducted. Without points, you can't do anything in the system. In reality, you need to continuously accumulate points to repay the debt, until the points turn negative into positive, then you can Continue to gain purchasing power.
Yang Ping planned to simulate Professor Feng's surgery in advance, enter the system space, and spent 400,000 points to purchase 400 hours of simulated surgery.
The tumor was too deep, growing interlaced with normal tissue, and was buried inside the respiratory and circulatory center. Yang Ping turned on the simulation mode. After repeated simulations, it only improved by 10%, and the success rate of the operation was raised to 90%. cannot be improved further. The further back, the more stable the operation becomes. At the beginning, the experimental subject's heart will stop eighteen times, and then it gradually decreases. This number stays at five times and can no longer be reduced.
Professor Feng's surgery was destined to be a twists and turns. There were five cardiac arrests during the surgery, which is scary to think about.
The success of the operation must reach 90%, and the external conditions also require specific requirements. For example, the room temperature must be at 25 degrees. If it increases or decreases, the success rate of the operation will decrease.
When in the prone position, the fixed angle of the neck must be at a specific value, which will reduce the success rate of the surgery.
Yang Ping also tried to use surgical robots. Compared with traditional methods, the success rate of robot surgery is far lower than that of traditional surgery because the robot arm does not have good tactile feedback and cannot accurately control the strength.
Just like a remote-controlled surgical robot arm writing on a soap bubble, its advantages of high precision and high stability will not work. Without good tactile feedback, it will pop the soap bubble because it does not know the severity.
Almost all factors have been optimized, and the success probability of the operation is fixed at 90% and cannot be improved.
Four hundred hours of simulated surgery improved the success rate by ten percent.
Professor Zhang’s assistant Xiao Mo sent a WeChat message asking for Yang Ping’s ID number and wanted to book air tickets for the three of them to go to Shanghai.
Yang Ping went to the laboratory to find Song Zimo and told him that he was going to the Magic City in a few days and asked him and Xu Zhiliang to take care of their home.
Fujiwara Miyuki was very happy to hear that Yang Ping was going to the Magic City, and she also wanted to go with her.
Yang Ping declined politely. Miyuki Fujiwara was a girl and if she followed him, even if Xiao Su was generous, it would easily arouse suspicion.
Besides, this is Director Han's personal matter, and he doesn't want to take anyone with him.
"I can carve a letter now." Miyuki asked Yang Ping to help check whether the carving was qualified.
Yang Ping took a casual look and saw the letter L on the olive pit. It was regular and the strokes were not as crooked as before. The progress was obvious.
Song Zimo knew that Yang Ping's trip to the devil was for Professor Feng's condition, so he reassured him to follow Professor Zhang and Director Han, since they were there in the department.
In the corridor, Huang Jiahui was carrying a reusable bag and walking in a hurry. She looked more mature and sophisticated, without the youthfulness and childishness of a recent graduate.
"Dr. Yang!" Jiahui had sweat on her forehead. When she saw Yang Ping, she greeted him respectfully.
During this period of time, Yang Ping did not see Huang Jiacai show up and asked: "Where is your brother? Why haven't you seen anyone recently?"
"He has been very busy recently. The company wants to expand its business volume in South China. During this time, he is running outside every day." Jiahui explained for her brother.
Now, Huang Jiacai and Gan Fengyi are fighting fiercely over the market, causing chaos in the orthopedic equipment market in South China.
The president, director of the Department of Orthopedics, Chief of the Pharmacy Section, and Chief of the Instrument Section of the Municipal People's Hospital have all been replaced by new people. The suppliers of orthopedic equipment have to be reshuffled. In order to compete for this market, Huang Jiacai and Gan Fengyi each show their unique skills and compete against each other. When other equipment dealers saw this situation, they couldn't get involved.
In order to prepare for the performance before listing, Ruixing Company desperately expanded the market and placed the burden on the sales managers below. Among them, Huang Jiacai was the first to bear the heaviest task.
Huang Jiacai worked steadily and firmly secured the three largest fortresses of Sanbo, Affiliated Hospital, and Liquan Hospital. Using this as a springboard, he is now marching towards Affiliated Second Hospital, Provincial People's Hospital, Municipal People's Hospital, and various district hospitals.
Gan Fengyi used offense as defense, guarding the advantages of trauma, spine and joints, and then launched the banner of high-end sports medicine products to capture Huang Jiacai's home base - Sanbo, Fuyi and Liquan Hospitals.
Huang Jiacai's weakness was really caught by Gan Fengyi. The hospital wanted to take a high-end route. It had just passed JCI certification. Some patients requested imported equipment by name, so a certain number of imported equipment had to be prepared.
Gan Fengyi's equipment follow-up service is much better than other companies, with highly professional follow-up technicians, error-free delivery, and a long checkout cycle.
Gan Fengyi even promised that she could provide the equipment first and settle the bill three years later. If that didn't work, she could extend the billing period. After carefully studying Yang Ping, she was confident about the future of Liquan Hospital.
This three-year long cycle can alleviate Cheng Liquan's financial pressure. The actual benefits forced Boss Cheng to squeeze out the space of several other equipment manufacturers and give it to Gan Fengyi.
Because of the relationship between Huang Jiacai and Yang Ping, and at the same time, Boss Cheng also had a good relationship with Huang Jiacai. It was impossible for Lao Cheng to squeeze Huang Jiacai's space, so he had to reluctantly kick out his old partner Smith & Nephew and bring in Gan Fengyi.
The war between the two companies affected Yuchi, Smith & Nephew's market space was compressed, and other families were in danger.
For the market of Annex 1, Professor Su wants to increase the scale of the sports medicine center. In order to cooperate with Annex 1’s strategy, Gan Fengyi recruits a group of talents from across the country, all of whom are young doctors who have graduated from clinical medicine and have certain clinical experience in orthopedics. There are several Still a graduate student.
He gave these people a higher salary than his peers, and invited people from the American head office to come for training. After graduation, he worked exclusively with Fuyi, which greatly improved the quality of Fuyi's equipment.
This hit Huang Jiacai's weakness. As a small company, Huang Jiacai simply did not have the funds and ability to do this.
For strategic needs, Professor Su naturally has to compress the space of other equipment vendors and give way to Gan Fengyi. Of course, Huang Jiacai's space will be retained.
Facing the menacing Gan Fengyi, Huang Jiacai also had a clever trick. Although Gan Fengyi was powerful, it was not without loopholes. Although the American training was high-end, it lacked rusticity.
In response to this loophole, Huang Jiacai established a training department within the company and personally trained the technicians to work with certifications.
It not only trains them on professional business level, but also provides standardized and detailed training on employees' dress, service etiquette, and service procedures, so that these employees can master standardized service capabilities, which is no worse than employees from Johnson & Johnson.
For example, how to stand in the operating room, how to set up the table, and the etiquette for doctors, nurses and the janitors in the operating room are all standardized.
Professional training is also provided on some additional services, such as how to operate the C-arm machine, help nurses clean up the operating room, and clean instruments.
Overtly and covertly, the competition between the two is extremely fierce.
After chatting for a few words with Huang Jiahui, Yang Ping went to the ward alone to check the sensory strength of Lu Gang's limbs. He also checked the progress of Yu Shuilian's rehabilitation training and chatted with Sisi.
I am too busy with work today and tomorrow to break out. Starting from the day after tomorrow, I will definitely break out in a few days so that the next small climax will be hearty and enjoyable for everyone to watch. Thank you for your support!
(End of chapter)