Chapter 441 A strong heart
Volunteers with AB and RH negative blood types gathered at Sanbo Hospital one after another. The blood collection vehicle from the blood station was specially parked near the hospital to prepare blood for this operation.
The blood station collected more than 20,000 ml of blood. Excluding the blood that may not be used due to various reasons, there are almost 20,000 ml of qualified blood.
These rare blood type volunteers come from all over the country. They know that by helping others, they are helping themselves.
In medicine, there is sometimes a thin line between life and death.
If major bleeding occurs during surgery, without adequate blood transfusion support and buffering time to stop hemorrhage, the patient will suffer from hemorrhage and shock. Vital organs will suffer from ischemia and hypoxia due to insufficient perfusion, and eventually die.
If there is enough blood transfusion support, the doctor can get rescue time and successfully stop the bleeding, life will develop in the opposite direction, and you can survive.
With these blood reserves, Yang Ping's last worry was solved and he could calmly go to the operating table.
The copy function of the system space, the copied experimental body of Zheng Baosheng, Yang Ping has already performed research surgery.
A good doctor likes taking risks the most, but at the same time he dislikes taking risks the least.
I like taking risks because I must have enough courage to challenge difficult and high-risk surgeries.
I don’t like to take risks. I never place my hope on luck in my pursuit of successful surgery. Instead, I rely on my professional knowledge and skills. I have an almost paranoid serious attitude towards surgery, strict selection of surgical indications, perfect preoperative preparation, and superb... Surgical procedures, mature postoperative management.
Despise the enemy strategically and attach importance to the enemy tactically.
Yang Ping feels that this is also the dialectical logic of excellent surgeons. The enemy of doctors is all diseases and trauma.
These days, Yang Ping performs thoracic and abdominal punctures on Zheng Baosheng every day to reduce the impact of fluid pressure on the heart, so that the heart function is at its best during surgery and can withstand the impact of surgery and anesthesia.
If too much fluid is extracted at one time, the pressure inside the chest and abdominal cavity will suddenly become unbalanced. The result of the imbalance is organ displacement, that is, the formation of visceral hernia, which is sometimes fatal.
In order to avoid such a fatal situation, Yang Ping was careful to perform extractions in batches and only stopped once the conditions required for surgery were met.
Professor Li will be present at every case analysis and treatment to observe Yang Ping's preoperative preparation of the patient.
Some of Professor Li's doubts were gradually dispelled. He hadn't seen Yang Ping perform the surgery yet, but he already recognized him a little more in his heart.
Professor Li was amazed by his almost watertight preoperative preparation, thorough understanding of the condition, handling of uncertain factors in anatomy, understanding of the structure and function of the human body, and the formulation of various accident plans.
What surprised Professor Li even more was that for this case, Yang Ping had almost mastered all the relevant knowledge, and was able to connect this knowledge and understand it from the principle, so as to draw inferences from one example and make everything clear.
Sometimes some of the bold and imaginative methods proposed by Yang Ping make Professor Li excited - it can still be done.
Professor Li really didn’t understand how this young man did it. Could it be that he had a photographic memory and didn’t have to sleep every day and spent all his time studying and thinking?
But based on the interactions these days, Yang Ping was not like this. He even finished the operation and spent his rare free time sleeping in the duty room. It seemed that he did not take the time to read various journals.
Occasionally, he would just face the computer in the office and browse papers quickly. That kind of browsing was very strange. He kept hitting the page turning button and could turn several pages in one second. How could he possibly capture information.
Professor Li couldn't figure it out, but he was certain that Yang Ping was a truly genius doctor.
Now his main job in Sanbo is to follow Yang Ping. He even compressed the few days he planned to go to Australia to one day in order to stay in Sanbo longer.
Gan Fengyi's mother recovered well after the operation. On the fifth day after the operation, the muscle strength of her limbs returned to level three, and on the seventh day, it returned to level four.
The ICU doctors tried to extubate her and take her off the ventilator. After extubation, the muscles that support respiratory movements were fully capable of working. Her blood oxygen saturation was at 95% without oxygen.
After all, her muscle strength was still worse than normal. In order to increase the efficiency of each breath, the ICU doctor still asked her to continue low-flow oxygen inhalation.
Gan Fengyi stood in the visiting corridor and saw her mother who had regained consciousness and no longer relied on a machine to maintain her breathing. She felt like she had regained her life after a disaster.
If this continues, he will soon be transferred out of the ICU and returned to the general ward to continue treatment.
Because she was intubated and put on a ventilator, Gan Fengyi's mother had a pulmonary infection. Under the control of antibiotics, the chest X-ray was reviewed and it was found to have improved. The sputum culture did not show drug-resistant bacteria, just ordinary Staphylococcus aureus.
For a long time, drug-resistant bacteria in the ICU gave doctors and hospital infectious disease department headaches. They sampled, cultured, and analyzed the bacteria in the ICU every day, and then looked for causes and countermeasures.
The white blood cell count, procalcitonin and other infection indicators on reexamination also dropped significantly.
She was transferred to a general ward and needed someone to take care of her. Gan Fengyi decided to take care of her herself. She asked the company for a month's personal leave.
After coming out of the ICU, Yang Ping was followed by Professor Qin, Professor Li, Song Zimo and Xu Zhiliang.
From the corner of his eye, Yang Ping caught a glimpse of the family consultation room. The door was ajar. It was the patient's family member again, the wife of the patient with fulminant viral myocarditis. This time, there were no other relatives around her. She faced the doctor in charge alone and seemed to be pleading with the doctor. .
Yang Ping stopped, feeling a little uncomfortable in his heart. He had encountered this situation countless times. He had tolerated it, but he had never become numb.
Everyone stopped following him, and Doctor Meng who sent them out explained again.
This is the patient's wife. The patient has been on ECMO for twenty days. The hope of saving her is very slim, as slim as a drop of ink in the ocean. The family members had different opinions on whether to continue. Both the man's and the woman's relatives advised her to give up. There was no point in spending any more and it was just a waste of money.
Now the cost of being in the ICU, including ECMO, is tens of thousands of yuan per day. Many medical insurances cannot reimburse it, so you need to pay for it yourself. A lot of this money is borrowed.
Other relatives suggested giving up and stopping ECMO, but she insisted on not giving up. She knelt down to the doctor several times and begged him to continue.
I heard that the couple has always been at odds with each other. They had a small quarrel every day and a big quarrel three days later. The woman always disliked the man for making less money and his life was too miserable.
Through the half-open door, Yang Ping looked at the patient's wife with tears in her eyes from a distance. Perhaps, now she understood something, learned how to cherish, and hoped to save something.
But——
Regardless of love or not, we will never see each other again in this life or the next life.
This is not the scope of Yang Ping's expertise, and there is nothing he can do about it.
"Can you--keep going on?"
Yang Ping asked Dr. Meng.
"It depends on the wishes of his family. If he gives up, he can only be extubated. If he persists, we will do our best. There is almost no hope."
"Please, please try again, please? Please, please--"
"We will try our best, but the hope is slim. You must be mentally prepared."
The patient's wife looked at the doctor who was leaving, couldn't help it, and began to cry. There was no one to comfort her now, because the person who usually comforted her and tolerated her was lying on the hospital bed, relying on machines to maintain life.
——
Dean Xia and Director Han personally carried the bronze medal of "Institute of Surgery" and, together with some workers, hung it to the original location of "Comprehensive Orthopedics".
A little to the left, a little to the right, up, yes, there are more, and then go down.
The workers who were sweating profusely, under the command of Dean Xia, finally hung up the bronze medal with satisfaction.
"Has the time been set?" Dean Xia raised his index finger to measure whether the bronze medal was in the right position.
Director Han also leaned back and looked at the bronze medal: "I'm going to find an auspicious time, but Xiao Yang said it would be Monday at eight o'clock."
"Eight o'clock, eight o'clock, the usual time for handover, is great." Dean Xia agreed.
"I want to invite a few people to join in the fun. Xiao Yang said no, it will be simple and there is no need to make it too complicated. But Professor Liang from Xiehe will come. Professor Qin from 301 is here. Professor Su said that he will definitely come. That's all. ?" Director Han counted the number of people.
"Well, it can't be too simple. There still needs to be a sense of ceremony. Old Han, look at this. Here is a step. When he unveils it, I will accompany him on the left and you on the right. We will accompany him to the stage to unveil the step. "The progression? Let me think about it." Dean Xia pointed, planning where they would stand when the time came, and simulated taking a few steps.
"You decide these things. I don't understand these frivolous things like ostentation." Director Han didn't care about these details.
Dean Xia frowned: "This is not fake, it is a ceremony, do you understand? There must be a sense of ceremony. When I received the award in the Great Hall of the People, the etiquette lady showed me how to walk and stand on the stage. There are certain poses for taking photos, so you can’t just do it casually.”
"Where's Xiao Yang? You were here just now, why didn't you see anyone?" Dean Xia looked around.
Director Han looked into the hall inside. They seemed to have a small class. Professor Li Zehui gave a lecture. Yang Ping invited him to give a lecture to Dr. Corey. Many young people attended.
——
While Professor Li was at Sanbo, Yang Ping asked him to give a lecture. In the future, working here will sooner or later have to face various heart problems, and those ordinary fractures will not appear here again, unless they are very special. reason.
Professor Li's research on the heart has reached its peak. He is the world's top cardiac surgery expert and is often invited to lecture and perform surgeries around the world.
"If we want to understand the heart, we must first understand its structure and working principle. Only in this way can we calmly face this living beating heart."
"It's like an engine under the hood of a car. This engine is divided into four chambers. These four chambers are like a small house with two floors and two rooms on each floor. There are four rooms in total."< br>
"The two atria recycle blood, and the two ventricles pump out blood. Pumping and recycling form a closed loop. It beats 60-100 times per minute and pumps out about 5 liters of blood, which is equivalent to 3,600 beats per hour. , beats 86,400 times a day, more than 31 million times a year, and 2.5 billion times in 80 years. The heart delivers about 6,000 liters of blood to the lungs and body every day. Look, how powerful our human heart is. If it is a car engine, With work of this intensity, it would have been scrapped long ago——"
Professor Li stood on the podium, relaxed and at ease. He would start from the most basic knowledge to young doctors.
The audience in the audience were attracted by Professor Li's interesting and simple explanations, and laughed from time to time.
Showing that the classroom was already crowded, Yang Ping sneaked in and sat down in the reserved seat in the first row.
When Professor Li saw Yang Ping, he paused his lecture, smiled, and then continued.
(End of chapter)