Chapter 379 Fifteen Years Ago
Director Fu from the Moliu Neurosurgery Department and Director Wei from the Oncology Surgery Department also raised their hands. Hong Zhigang thought for a moment and raised his hands in agreement.
Dean Chen and Director Peng saw that the three main experts of the hospital had raised their hands and expressed support, and the others could only follow.
Hong Zhigang, Director Fu and Director Wei are the main members of Professor Feng’s medical expert team.
The three are also Ph.D.s who have studied in Europe and the United States and are top domestic hospital experts. Hong Zhigang is also a new academician candidate.
Yang Ping's level can be determined not only at a glance, but also from this surgical plan.
Sanbo has been at the forefront of their surgical research on upper cervical spine and brainstem tumors, and is at the forefront of the world.
The professional level demonstrated by Yang Ping's surgical explanation just now was far superior to theirs, and they were convinced.
The old man has been asking for surgery, and now there is an 80% success rate. Three American experts also fully support it, and he must fight for it no matter what.
Professor Feng had already written a power of attorney, and Hong Zhigang was responsible for all his medical decisions. Hong Zhigang also signed the final surgery signature.
Hong Zhigang believes that although there is an 80% success probability in theory, the actual success rate is still not too high.
In terms of specific operations, who can guarantee that the entire surgical operation will not deviate from an error of 0.1 mm. If the hand holding the knife shakes slightly, the error will appear.
Several consecutive operations in which cardiac arrest occurred, occurred once, rescued once, continued the operation after success, and then occurred again, continued rescue——
If the cardiac arrest occurs several times in a row, and if the patient is not rescued once, the heart will stop beating forever.
The entire tumor not only invades the vital center, but also intertwines with the blood vessels and nerves at the base of the skull. If anything goes wrong at any point, the consequences will be disastrous.
However, no matter how high the risk is, in this situation, Hong Zhigang has to give it a try.
Hong Zhigang felt inferior to Junior Brother Han for actually cultivating such outstanding talents.
Thinking of what happened back then, Hong Zhigang couldn't help but sigh in his heart, with a dull pain in his heart.
Fifteen years ago, a surgery for cervical myeloid spondylosis was performed. Hong Zhigang was the surgeon, and Han Jiangong was an assistant. The operation was almost over. Posterior window decompression was performed, and the nail rods were installed. The position of one rod did not sink completely. , if you want to press the rod to the best position at this time, a special rod press should be used for standardized operations.
But the operation was about to end. Hong Zhigang happened to have a periosteal dissector in his hand. To save trouble, Hong Zhigang didn't think much and used the periosteal dissector to press the rod. The periosteal dissector slipped on the metal rod and directly hit the exposed cervical spinal cord. The dural sac and the force of the pressing rod instantly contusion the cervical spinal cord.
At the end of the operation, another assistant was discussing equipment issues with the equipment attendant. No one else saw this operation at that time. Only Han Jiangong saw it. He wanted to stop it, but it was too late. In desperation, Han Jiangong stretched out his hand to block Hong Zhigang. At the wrist, the downward force of the periosteal dissection was partially buffered, but the cervical spinal cord was still bruised.
Hong Zhigang was very nervous. This kind of mistake could cause paralysis of the limbs. Han Jiangong suggested reporting to Professor Feng, but Hong Zhigang refused.
After the operation, Hong Zhigang privately revealed to another assistant at the time: Han Jiangong used a periosteal stripper to contusion the cervical spinal cord on the operating table, which may have caused quadriplegia. Because Professor Feng had the intention of passing on Han Jiangong, if he reported it at this time, he would have done so intentionally. He was suspected of slander, so he chose to conceal it and not report it.
This assistant was Hong Zhigang's junior doctor. He felt that this matter was important and was quite dissatisfied with Han Jiangong because of the transfer problem. He immediately reported to Professor Feng that Han Jiangong had made a mistake in the technique and the periosteal dissection had bruised the cervical spinal cord. In order to make Professor Feng Believe it, the assistant said he saw it with his own eyes.
Sure enough, the patient developed quadriplegia after the operation. Before the operation, the muscle strength of the limbs was only slightly reduced, and now he is completely paralyzed. This is a big deal.
Professor Feng was furious and asked the surgical participants one by one to investigate what happened.
When Han Jiangong was found to talk alone, Han Jiangong did not deny or refute, and admitted that he had made a mistake.
Missed? Use periosteal dissector to remove pressure rod?
Professor Feng slapped Han Jiangong on the spot.
Without saying a word, Han Jiangong resigned and left the Magic City, and even gave up the competition for the Golden Sword Award at the time.
At that time, Hong Zhigang just wanted to use this incident to put his junior brother in trouble and lose his qualification as the director of the competition department, but he did not expect that he would resign and leave directly.
After that, Professor Feng was very disappointed with Han Jiangong, and Han Jiangong became a stranger to his senior brother.
Recalling it, Hong Zhigang felt extremely ashamed. He felt guilty for that matter, and he had been tossing and turning over these years.
"Since everyone agrees, let's decide on the surgery." Hong Zhigang made the decision.
Professor Zhang was quite satisfied with Hong Zhigang's performance, at least his personal grudges did not bring any resistance to Professor Feng's treatment.
Professor Zhang suggested: "Let's go see Professor Feng?"
Since you have decided to have surgery, you must see the patient before surgery. This is also a necessary process for consultation and review.
Director Peng immediately contacted the ICU and prepared to arrange for Yang Ping to see Professor Feng.
"Dr. Yang, can I copy your surgery video?" Woodhead immediately gathered around.
Yang Ping readily agreed, and Woodhead immediately took out a mobile hard drive from his carry-on bag and handed it to the clerk: "Hello, can you help me copy the surgery video just now to this hard drive?"
Zeng Ran and Mu Jun just finished the operation and came to see Hong Zhigang. During this period, Wen Rentao was going to compete, and Hong Zhigang needed Zeng Ran's help with many auxiliary tasks.
Yang Ping?
Zeng Ran was very surprised when Yang Ping walked out of the conference room and three American professors surrounded him.
Yang Ping was his idol. Ever since he saw Yang Ping's surgery at the academic conference, Zeng Ran had admired him. Now that he suddenly saw Yang Ping, he was even more excited, just like a fan meeting his idol on the road. "Who is this?" Mu Jun asked Zeng Ran.
"He is Yang Ping from Sanbo——" Zeng Ran walked up quickly.
"Hello, Dr. Yang." Zeng Ran greeted warmly.
Yang Ping didn't know him, but shook his hand politely: "Hello!"
"Zeng Ran from Mo Liu, I saw your surgery at the academic conference last year and benefited a lot." Zeng Ran introduced himself.
After a polite handshake, Yang Ping was pushed and pulled by three Americans, asking questions, and followed everyone to the ICU.
"Why did he come to our hospital?" Mu Jun looked at the leaving team of experts.
"I just came here too, so I don't know what's going on." Zeng Ran really didn't know, and he was still confused.
He guessed that he came with Professor Zhang and had something to do with Professor Feng's condition. This was Professor Feng's consultation meeting.
"Who is that?"
At this time, Wen Rentao also completed the operation and was ready to attend the consultation meeting.
"Yang Ping, Dr. Yang!" Zeng Ran said looking at Yang Ping's back.
Yang Ping?
Is it Yang Ping, the mysterious chief surgeon of Sanbo who stunned everyone with his twist-ball spinal deformity correction surgery? Why is he here?
Wen Rentao, who was immersed in his strong pressure, had not yet adjusted his emotions, but now Yang Ping actually appeared in front of him.
However, Wen Rentao only saw Yang Ping's back, lowering his head from time to time to chat with the American professor next to him. It could be seen from his posture that the American professor seemed to respect him very much.
Although he had made a decision, things happened suddenly and Hong Zhigang was still a little confused. He accompanied Professor Zhang and followed Director Peng to the ICU.
Ever since Han Jiangong left Mo Liu, Professor Zhang has always felt that there was something wrong with the matter. He thought that Hong Zhigang was causing trouble inside, so he didn't feel good about it to Hong Zhigang, and Hong Zhigang had to suffer.
Professor Zhang and Junior Brother Han's students have all arrived, and Junior Brother should have arrived in the Magic City. Hong Zhigang is not easy to ask.
Professor Zhang asked Hong Zhigang: "Did Professor Feng say anything to you?"
Hong Zhigang was stunned and hesitantly said: "Teacher Zhang, what do you mean?"
"You still want me to tell you?" Professor Zhang glared at him, and Hong Zhigang's face turned red instantly.
The group arrived at the ICU. Because the number of people entering the ICU must be controlled, Professor Zhang, Yang Ping, Hong Zhigang, Director Fu, Director Wei, and three American professors entered. Dean Chen, Director Peng and others were waiting in the ICU doctor's office.
Professor Feng is in a sedated state, requires ventilator assistance for breathing, and his heartbeat can still be maintained at about 50 beats/minute.
If you don't use sedatives, it will be very uncomfortable to be awake with a tracheal intubation and a ventilator. Using sedatives will reduce the already slowed heart rate, so you have to be very careful when using medications. It seems that the doctors in the ICU have very good control over the medication mix.
Professor Feng was covered with a quilt because he was thin, his Adam's apple and facial contours were very prominent.
This respectable old man who has devoted his life to medicine is now lying in the ICU. Professor Zhang holds the old brother's hand: "He knows that the success rate of surgery is close to zero, but he has always strongly advocated surgery. He asked that if the surgery failed, he should be treated Anatomical research allows everyone to accumulate surgical experience. He has long disregarded life and death and completely turned himself over to everyone as an experimental subject. ”
This was Director Han's mentor. This respectable senior was already very thin and emaciated. His body was connected to various tubes, and the positive pressure ventilation of the ventilator drove his chest up and down.
Yang Ping took the tablet handed to him by the director of the ICU and looked at the various examination results one by one. Although Johannessen could not understand Chinese, he could understand the English abbreviations of the examination indicators: "The respiratory and circulatory centers have been disordered, and the compensatory ability has been compromised." It’s exhausted, I’m afraid it will be difficult to get off the ventilator this time.”
"We can still go offline this time. This is a tug-of-war between compensation and decompensation in the life center. After using the ventilator for a few days, the feedback mechanism of the respiratory center is re-established, and we can go offline again and survive the second danger. The only regulatory capacity of the respiratory and circulatory centers is exhausted. If it happens for the third time, I am afraid that I will not be able to get out of the machine. At that time, the heartbeat will gradually slow down until it stops. "Yang Ping's opinion is different from Johannesson's.
These data, which come from his pathological anatomy research in the system space, are very accurate, so accurate that they can predict the number of days to go offline.
"Twenty-four to forty-eight hours after weaning off the machine, the patient has the greatest tolerance for surgery, which is the golden opportunity for surgery."
When Yang Ping simulated surgery, he simulated different conditions. Twenty-four to forty-eight hours after going offline was the golden opportunity for surgery. The success rate of surgery was highest during this period.
"It makes sense, just like a battery is exhausted, but as long as it is charged with even a little bit of power, it can still last for a while." Johannessen agreed with Yang Ping's point of view.
The director of the ICU said to Hong Zhigang: "I don't know if I can go offline this time. Even if I go offline, no one knows how long it will last. You should make a decision as soon as possible."
Hong Zhigang looked at his emaciated mentor, whose chest was passively rising and falling as he was being put on the ventilator. He was heartbroken: "We have decided to operate. You must be prepared. Once conditions exist, we will operate immediately after 24 hours of being offline."
Unexpectedly, in the end, it was the junior brother who could help at this time.
Back then, he insisted on competing for the position of department director. He was so obsessed with it that he framed his junior brother. Now he really has no face to face his junior brother.
(End of chapter)