Chapter 402 350 kilometers
Four operations were completed before twelve o'clock, and each operation did not take more than an hour.
In order not to cause damage to the quadriceps muscles, tourniquets were not used in any of the four operations. Low-pressure anesthesia controlled the blood pressure below 90/60mmHg, and a water pump was used to maintain the water pressure in the knee joint at 120mmHg.
In this way, even without a tourniquet, the surgical field can be blood-free.
Ordinary people may not consider the damage caused by tourniquets to the quadriceps, but for professional athletes, the impact is very large and the recovery time is prolonged.
The water pressure in the knee joint is maintained at 120mmHg. If the doctor is inexperienced, it can easily cause edema in the tissue space and induce compartment syndrome, leading to serious consequences.
When the operation was over, instrument nurse Linna and circulating nurse Jenny breathed a sigh of relief.
The operation was too fast, and they were under tremendous pressure and were afraid of embarrassing situations. Fortunately, with Robert's help, the operation did not get stuck due to the nurse's lag in cooperation.
The easiest one was Barrell. He only supported his legs. Every time he changed the position of the injured limb, Yang Ping operated it with one hand, and he only had to assist from the side.
The glass shield was raised and retracted to the ceiling, and Barrel placed the brace on the patient.
Robert helped Yang Ping take off his surgical gown, and the anesthetist and nurse all greeted Yang Ping. The surgery was great, and he was worthy of being Robert's mentor.
In the teaching room of the operating room, after watching four arthroscopic surgeries and updating their understanding of multi-ligament knee reconstruction, the doctors suddenly discovered that they, who had been number one for a long time, were lagging behind.
Whether it was a skilled surgical operation or a novel curved drilling bit, this was their first time seeing it. They were envious of Robert for having such a good teacher.
Enjoy art!
Professor Jung concluded that adjusting the balance of the knee joint is like a tuner, able to adjust the optimal balance based on feeling.
After Robert prepared to have lunch, he held a question and answer session with the theme of multi-ligament knee reconstruction, allowing everyone to ask questions and interact with Yang Ping to improve everyone's understanding of this type of surgery.
The next day, a small academic meeting will be arranged, and Yang Ping will be invited to give a lecture. This is a rare opportunity, and it is not easy for Yang Ping to come to the United States.
Professor Jung, OrthoPediatricS engineers, and many doctors refused to leave, waiting for Robert to bring Dr. Yang to meet with everyone.
Professor Jung couldn't wait any longer and decided to go to the locker room to find Robert, wanting to exchange a few words with Yang Ping in advance.
The engineer quickly reported to the company, hoping that the company would buy the patent for the curved drill bit or obtain authorization.
Yang Ping had submitted applications for Chinese patents and international patents for the device he designed before sending it to Robert, and it had passed the preliminary review. He also applied for early publication.
In this way, one's own technological achievements are legally protected. Otherwise, if you encounter unscrupulous people or companies, after stealing the technological achievements, they will not only use it to make money, but also beat them and sue the original creator for infringement. This kind of thing happens all the time.
In the face of interests, anything can happen, and Yang Ping does not expect to rely on the consciousness of others to protect the fruits of his labor.
Just in the United States, Indiana spine surgeon Rick Sasso is in a legal battle with medical device giant Medtronic over patent royalties from the Vertex cervical spine system.
The lawsuit lasted for five years, all the way to the U.S. Supreme Court. The U.S. Supreme Court finally ruled that Medtronic must pay $112 million in patent fees to Dr. Rick Sasso.
So for this kind of thing, Yang Ping doesn't want to take any chances, just like doing surgery.
The engineer keenly felt that this curved drill bit and this entire set of equipment would become a necessary equipment for children's sports medicine and would also be used in other surgeries. Around it, a complete equipment system could be built to dominate the field of children's sports medicine.
The company quickly responded, authorizing him to have preliminary discussions with Yang Ping on the purchase or licensing of device patents, and the company's negotiation team will set off as soon as possible.
Professor Jung hopes to discuss the issue of knee joint replacement with Yang Ping. He is designing a new knee joint prosthesis and has encountered some difficulties and hopes to communicate with Yang Ping.
At the door of the locker room, Jung waved to Robert and whispered: "Robert, come here."
Robert saw his unhappy face and guessed what he was going to say. He explained a few words to Yang Ping and asked Barel to accompany Yang Ping. Robert followed Jung.
The two came to the small room next to the locker room. Professor Jung looked angry: "Robert, you must explain clearly why you hid your instructor. Did you go to China last time to study?"
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"You listen to my explanation, Jung, you listen to my explanation, okay-"
"You selfish guy," Jung said angrily.
"Don't get excited!"
Robert completely ignored Jung's anger and lowered his voice.
"If I hadn't seen Dr. Yang's surgery today, I would tell you that I want to learn from a young Chinese doctor. You would join me and become his disciple. Would you believe it? Would you believe it?"
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Jung was speechless for a moment, as if his explanation made sense. If he hadn't witnessed it with his own eyes today and moved forward in time, when Robert asked him to go to China with him to learn from young Chinese doctors, he would have laughed and refused.
"Do you know why I didn't say anything? Because you won't believe it at all. I know you best. You are just a pile of stubborn stones, full of arrogance and prejudice. Today I invited him to demonstrate the operation. You will see it with your own eyes. That's why you are like this. I admire you, but a few months ago, you People will definitely say, Robert, you are crazy. Robert, you need to see a psychiatrist. Just before the operation, I bet that Jung, you still have the mentality to laugh at my jokes. No matter how much proportion, you must have it. "Robert gritted his teeth, completely overpowering Jung's momentum.
"Okay, I won't pursue this matter. Is he good at joint replacement?" Jung didn't dare to look at Robert, changed the subject, and asked eagerly.
Robert nodded: "He is good at trauma, spine, joint replacement, and arthroscopic surgery. I have seen his joint replacement surgery. I can be your mentor. If you can get his guidance, I guarantee that you will be better than what you are now." His level is a bit higher, but his threshold for teaching students is very high.”
"Can you make an introduction?" Jung asked.
Robert sneered: "Don't even think about it. If you want to be his student, you can find opportunities by yourself and work hard for it. 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. Later, with the help of a Chinese brother, I came to power with Dr. Yang.”
"You have to help create opportunities." Jung begged.
"That's okay. We'll have lunch together later. I'll let you sit closer to him for the dinner in the evening. As for whether he's interested in you or not, I don't care." Robert didn't want to cause any trouble to Dr. Yang because of Jung. He despises himself. "How long will he stay in the United States?" Jung was very confident that as long as Robert helped make the connection, things would be easy to handle.
"Five days, the first day is rest, the second day is surgery, the third day is lectures, the fourth day is a visit to my clinic, the fifth day is ward rounds in our department, and the sixth day is back home." Robert clapped his fingers.
"Then can you invite him to our department for ward rounds? Please! Robert, it was you who tripped me during that rugby match. I fractured my left tibia and it's still aching here." Jung asked about how to deal with the Chinese. Completely clueless.
"Don't do this. That happened when I was studying at Harvard Medical School. In twenty years, I have never heard you say pain." Robert couldn't laugh or cry. Jung actually threatened him with this matter.
"That's because of our friendship, I choose not to talk about it."
"I'll mention this to him tomorrow, but I'm not sure whether it will succeed." Robert backed down.
"Thank you!"
"You're welcome. When chatting with him, don't talk about how great you are or how successful you are. These are worthless in front of him. Just talk about the difficulties you are currently encountering so that he can resonate with them. What interests him the most? It’s a medical problem, and he thinks about it all day long.”
We couldn't stay here for too long. Dr. Yang was still resting in the locker room. Robert immediately returned to the locker room, followed by Jung.
"Professor Jung from the Knee Replacement Center!" Robert recommended.
Yang Ping shook hands with him: "Well-known, Depuy is the designer of the latest generation of knee prostheses."
"We are currently encountering a big problem and hope Dr. Yang can give us some guidance." Jung got straight to the point.
Robert was almost stunned by Jung's bluntness and asked him to find resonance, which was not how he found it.
After coming out of the operation, doctors who had been waiting for a long time also gathered around. Robert blocked everyone: "Dr. Yang needs to take a rest at noon. We will meet in the hospital conference room at three o'clock in the afternoon for a question and answer session. Dr. Yang will answer all your questions."
Only in this way did everyone agree to disperse. These people had many questions in their minds that they wanted to ask Yang Ping.
When he was free, Yang Ping took out his mobile phone and received a text message from Johannessen, who was planning to fly to New York tomorrow.
Yang Ping asked him not to come over. The doctors were very busy and a phone call was enough.
Johannessen insisted on coming over and said that he had already booked a flight and could arrive at noon.
——
Johnathan Office, Department of Neurosurgery, Mayo Medical Center, Rochester, MN.
Johannessen has kept in touch with Yang Ping, and his online community is progressing smoothly. It has grown to twelve members, but currently they are all doctors in his department or friends in the industry, and they are all neurosurgery and spine surgeons.
He learned that Yang Ping had come to New York, USA, and was preparing to choose a time to visit Yang Ping in New York.
"Sir, as you requested, the flight to New York has been booked for 6:08 tomorrow morning." 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 of Houston, has been in touch with me a lot recently.
Longoria exited the office knowingly and gently closed the door.
"I sent you a piece of information, Steven's routine physical examination report. Take a look. Things are a little bad. I may ask you to come to Houston tomorrow to participate in the discussion." Collins' tone contained a hint of urgency.
"No, I have already arranged to meet an important friend tomorrow. It is very important and I can't miss the appointment." Johannesson was very unhappy.
"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 this." Johannessen hung up the phone temporarily.
He turned on the computer and retrieved the information in the encrypted mailbox.
The electrocardiogram showed sinus rhythm, and the heart rate was too brady, only 52 beats/min. Compared with the previous stable 70 beats/min, it had dropped by 18 beats/min. However, the electrocardiogram found no other problems except the slowed heart rate. The cardiac color ultrasound showed No problem.
Indeed, this is a bad phenomenon, but what does it portend?
As an experienced neurosurgeon, many differential diagnoses ran through his mind.
Extrapolating the clinical symptoms backwards, the knowledge in my head created a huge network.
A simple slowing of the heart rate. This has never happened before. This is the first time. Could it be that the myocardium is affected in some way? Is there something wrong with the central nervous system?
Is there something wrong with the nerve 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. For doctors, nothing is more important than people'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'll catch the earliest flight tomorrow. No, I'll take off today." Johannesson dialed Collins' number and spoke concisely.
"Longoria, help me see if I can book a ticket to Houston today. Yes, it's an emergency. Cancel the ticket to New York tomorrow." Johannesson called Longoria and urged her to get it done right away. .
After making the call, Johannesson's heart was pounding and he wished he had worried more.
He walked to the window and looked up at the sky outside the window.
Steven, this gentleman, God bless him, he is now 350 kilometers above the ground.
The first climax of the book will unfold slowly. This climax cannot be finished in less than 100,000 words. I must try to write it well. I am very grateful to everyone for your support all the way. For you, I must write it well!
(End of chapter)