Chapter 442 is a mess
At eight o'clock in the morning on Monday, the hanging ceremony of the "Surgical Research Institute" was held on time.
Because the bronze medal hung on the top of the gate on the first floor has a certain height, a wooden step was built specifically for the unveiling.
Amid warm applause, Dean Xia and Director Han, one on the left and one on the right, accompanied Yang Ping to the steps, pulled down the red silk cloth, and then delivered a brief speech.
At this time, it was time to hand over classes, so there were not many people joining in the fun. There were only a few people in the audience, Professor Liang, Professor Qin, Professor Su, Professor Hu, and Professor Li Zehui, leaders of several functional departments of the hospital.
The whole process only took ten minutes. After the simple unveiling ceremony, there was the handover of the ward of the surgical institute, and then Zheng Baosheng's surgery.
Nothing fancy.
The purpose of a battleship is to fight, and any decoration is superfluous.
Not only several professors, but also some spine surgeons and cardiac surgeons also came to observe this surgery.
In order to comply with the principle of asepsis, the number of visitors in the operating room is limited, so everyone should watch the video, which is clear and does not violate the principle of asepsis.
Professor Su and Professor Zou from Annex 1, Professor Qin from 301, Professor Liang from Xiehe, and Professor Hu sat in the first row of the operating room demonstration classroom early, followed by a large group of doctors.
Nurse Qin from 301 heard about this complicated operation and also applied to Professor Qin, hoping to come over to observe and learn. Professor Qin had no choice but to agree to her request, and now she is sitting among the crowd.
This operation is a rare learning opportunity for everyone, regardless of success or failure.
Professor Su will naturally not miss these important moments. At critical moments, he will stand for Yang Ping. What young people sometimes lack most is the strong platform of their seniors.
They are all big guys in the industry, and it is indispensable for everyone to greet each other when meeting.
Professor Liang and Professor Qin have always found it difficult to understand Professor Su's behavior. He is usually famous for his love of talents. This time, 301 and Xiehe were having a fierce fight over the introduction of Yang Ping. Professor Su was actually very calm and stood still, with no intention of intervening.
Professor Su has his own plans. He is arranging a major event to make Sanbo Hospital a directly affiliated hospital of Nandu Medical University.
In this way, the overall strength of Sanbo Hospital will be greatly increased. Currently in China, if a hospital wants to develop vigorously, it must be backed by a strong university. It is much more difficult to operate alone.
Everything is planned and planned, without showing off the mountains or revealing the water, pushing forward step by step, and everything will fall into place. This is Professor Su's style of doing things.
Zheng Baosheng's surgery started with the supine position to complete the release and return of the internal organs and large blood vessels to restore their normal position and normal movement to adapt to the corrected shape, otherwise the heart and blood vessels would be torn apart by stretching.
Then the scoliosis correction is performed in the prone position. The surgical procedure is complicated and gives people a headache just thinking about it. If necessary, extracorporeal circulation will be used to bridge and lengthen the blood vessels to adapt to the new thoracic anatomy.
Now, it is obvious that there are not enough staff in the operating room to support the future development of the department. In the past, the comprehensive orthopedics department followed a lightweight route, so the operating room only had one anesthesiologist and two nurses. If staff were needed temporarily, staff would be seconded from the hospital's large operating room. .
In the future, the Institute of Surgery will definitely take the route of heavy weapons, and these few people are completely unable to meet the needs.
Yang Ping submitted a personnel demand list to the hospital, which also required an anesthesiologist and two nurses.
As soon as the news came out, doctors and nurses from Sanbo Hospital rushed to the surgical institute.
But getting into a surgical institute is not that easy.
Anesthesiologists must have a doctorate, a full-time doctorate with dual academic qualifications. Those who are employed or have equivalent academic qualifications are not allowed to apply for a doctorate. Nurses must have a bachelor's degree, and they are also required to have a full-time bachelor's degree. The bachelor's degree obtained through the college entrance examination is not a self-study examination, nor is it an adult education bachelor's degree.
There are still a certain number of undergraduate nurses in large hospitals along the coast, but compared to specialist nurses, they are not a large group. The majority of nurses are still specialists.
There are too few people in need and too many people signing up. There must be a high threshold. There is no way around it.
Professor Li serves as Yang Ping's assistant. He wants to witness the entire process of the operation. Even if it fails, he can learn from it. Medicine must always make progress, and progress requires sacrifice.
When cardiac surgery first emerged, doctors from many countries went to the United States for further training and then went back to hurriedly perform cardiac surgery. Most of them were skilled general surgeons before and had never performed any surgery on the heart. During their training, they only had Observation and operation are limited to implementation on models or animals.
That is to say, these trained doctors have never performed surgery on the human body. After they return to China, they have to independently carry out heart surgery, starting from scratch, from weak to strong. This process requires sacrifice, so their early surgical patients, Few survive.
This is a cruel fact. The special nature of medicine. Without the opportunity to practice, you will never be able to grow. If you cannot grow, you will never be able to become a skilled doctor, and you will fall into an endless cycle.
If it is a mature and popular specialty, the teachers in the department can teach it step by step. However, for an emerging discipline, there were only a few doctors in the world who could perform heart surgery at that time, and no one could teach it step by step for several years.
So after failure after failure, a skilled heart surgeon can grow up.
By Professor Li's time, it was already a very good era for cardiac surgery. Teachers could teach step by step to avoid patients having to make huge sacrifices.
As an instrument nurse with a background in orthopedics, Su Yixuan has received training in various surgical operations, but the first half of this operation was unfamiliar to Su Yixuan, but this was not a problem.
Yang Ping gave her a set of pictures of the operation process, and she simulated the entire operation process in her mind in front of the pictures. She even imagined that she was cooperating with the operation and handing out the instruments one by one like a boxer punching the air. , imagine a sudden accident, how to cooperate with the surgeon in order to avoid random delivery of instruments.
The chief surgeon is most afraid of careless delivery of instruments. Sometimes sharp instruments will pierce the gloves and injure the doctor's hands. Many surgeons have this experience, and sometimes the patients have infectious diseases such as hepatitis B.
In order to prevent this kind of accidental injury from happening, some rules of surgery have been innovated. For example, sharp instruments such as scalpels, suture needles, and syringes cannot be delivered directly to the surgeon. The nurse can only put the instruments on the intermediate turning disk, and then the surgeon turns from there. Take it from the plate.
After this reform, someone made statistics and found that the probability of the surgeon being injured by a sharp object has been greatly reduced.
Therefore, being a doctor is also a high-risk profession.
Perhaps coming from a medical family and being exposed to it since she was a child, Su Yixuan has a medical talent, and she quickly mastered the coordination of surgeries.
Moreover, Yang Ping patiently explained every detail of the operation to her, not only letting her know what it was, but also letting her know why it happened.
In order to give her a firmer grasp, Yang Ping simulated the entire operation facing an empty operating table, allowing her to simulate delivering instruments and dealing with unexpected situations.
Sometimes, Yang Ping and Su Yixuan feel that this is their unique relationship with each other.
Fatty Liang's technology is getting better and better. Following Yang Ping, his strong sense of honor and considerable economic income have made his sense of professionalism enter a positive feedback loop.
Fatty always likes to wear cropped pants that expose his ankles and hang them above his ankles. This has almost become his signature attire.
He also likes to wear washcloth pants that are one size shorter, like cropped pants, hanging around his ankles.
Yang Ping's status as the Queen's anesthesiologist has made his net worth skyrocket. There are no less than three head nurses who have taken the initiative to introduce his girlfriends to him, and there is also an aunt in the medical record room who has approached Fatty Liang many times to introduce outstanding young people to her. female. It is said that Fatty has been on several blind dates, many of which have pretty good conditions, such as civil servants, teachers, and bank employees.
In the past, Fatty would have been extremely excited and wished he could get married immediately, fearing that if he missed it, it would ruin his life.
Now, as his net worth rises, Fatty's views on mate selection have changed, and he has the initiative in his own hands. He is not in a hurry and wants to choose slowly.
When looking for a partner, since it is a blind date, the woman should choose him to see if he owns a house, how big the house is, whether it is paid in full or in installments, whether he has a car, what brand of car, how much is the loan, how much is his salary, what are his parents’ occupations, and his brothers and sisters? several.
Then fat people also have their own standards. Those whose height is less than 165 centimeters will be exempted from the discussion; those who are overweight and have body curves that do not meet the visual sense standard will not be seen for a second time; those with a master's degree will be given priority, and points will be deducted if they are lower.
The fat man's movements are skillful and beautiful. He no longer treats the technique of tracheal intubation as a simple technical exercise. He treats it as an acrobatics, which must be performed to a certain height and state.
In order to keep up with Dr. Yang's pace, he started weight loss exercises a long time ago, kept running every day, and went to the gym for at least one hour of fitness. Personal training fees have become the main item of monthly expenditure.
He wants to change himself and put a tattoo on his upper arm: Change!
Lift the jaw and press the forehead, tilt the head back, and open the airway. The fat man's endotracheal tube is gently inserted, causing almost no pressure or friction on the surrounding mucosa, and the movement is silky smooth.
The two hands quickly coordinated and completed the tracheal intubation in a few seconds.
The fat man changed his usual carefree look and looked serious. There were people watching next to him. They were all doctors from a big hospital. He couldn't be embarrassed.
When connected to the anesthesia machine, the anesthetic enters the alveoli with breathing, and the patient begins to enter an anesthesia state.
The fat man made an OK gesture, looking very handsome.
Since there are so many people around, today, at this moment, let you see the level of Dr. Yang’s Queen’s Anesthesiologist. Fatty Liang, a Ph.D. graduate from West China University of Medicine, sat on the side of the patient’s head and started recording. All kinds of data were clear in his mind. .
As for these cropped pants, Zhang Lin and Xiao Wu also advised him that they looked a bit casual and not serious.
But I'm used to wearing them. If the pants are longer, my ankles will feel uncomfortable, so I can only make do with them. Three hundred and sixty-five days a year, unless there are any special circumstances, I can only wear cropped pants, which is standard.
Professor Li serves as an assistant, and Song Zimo and Xu Zhiliang pull hooks. The two hook pulling experts have no place this time and can only do odd jobs in the audience.
As retractor experts, Dr. Lu Xiaowu and Dr. Zhang Lin are planning to collaborate and write a book called "Surgical Retractology". They have carefully searched and found that there is currently no such monograph. If such a monograph is released, it will definitely cause a sensation. , which established the two brothers’ status in the medical community.
Even the publishing agency has been contacted, and the two doctors have begun to accumulate information. They plan to write about the historical development of the retractor, basic knowledge, working principles, training, surgical practice, how to pull without damaging blood vessels and nerves, and where to place the hook. Position, the correct posture of the hand, how to save effort and last long.
In practice, a lot of fragmented knowledge about retractors has been very backward. Dr. Lu and Dr. Zhang want to study retractors as a systematic knowledge. This book will be rich in pictures, texts and cases.
Indeed, retracting a hook is a matter of knowledge. Otherwise, the person responsible for retracting the hook on the stage would always pull the hook continuously and be scolded intermittently!
When the operation encountered difficulties, the retractor inevitably took the blame and the performance was poor.
"The spine will be done later, you go on stage to pull the hook!"
Dr. Yang looked at the disappointed brothers and said.
The two doctors immediately cheered up, raising troops for a thousand days and using them for a while. It would be uneasy for their consciences not to go to the stage to pull the hook at this time.
After the surgery on the heart and great blood vessels, there is the treatment of the liver, gallbladder, spleen and pancreas, and finally the spinal correction.
When performing spinal surgery, Song Zimo or Xu Zhiliang's assistant is naturally the assistant. So, who will pull the hook, of course, is a professional.
The sterile drape has been covered, and the last layer of large hole drape has been put on. The entire patient is covered under the sterile drape. The doctor can only see a small area called the "operative area", which is the site where the incision is made.
Everyone is in their place, performing a ritual pre-operative check.
A major operation begins. This operation will open the chest and abdominal cavity, exposing the heart, great blood vessels, liver, gallbladder, pancreas and other organs.
The living and beating heart will turn over and over in the palm of the hand, and the adherent large blood vessels will be separated under the knife. If there is a rupture, the blood will spurt out and rush to the operating lamp or someone's face.
The sharp scalpel was placed on the steering wheel. Yang Ping reached out and picked up the handle.
In order to obtain the fullest exposure, the most invasive approach had to be used, the median sternal approach, which was a straight incision from the midline of the chest, and then the sternum was split and the two sides were pulled apart to expose the chest.
Just like opening the hood of a car, the engine and various pipes and wires are exposed to the engineer's view.
"Thorax saw!"
The sound of Shasha's chainsaw swinging at high speed, along with the rising blood mist, caused the sternum to evenly split into two halves from the middle.
Then Yang Ping used curved tissue scissors to gently peel off the inner surface of the sternum. It turned out that the heart had been closely attached to the sternum, causing adhesions.
The opening and closing of the scissors safely separates the heart from the sternum.
"Spreader!"
The expander is inserted into the chest and expanded to both sides, exposing the heart, great blood vessels, and two lobes of the lungs.
Through the protective glasses, the heart is pulsing. This pulsation is more like peristalsis. Life is driven by this rhythm.
The suction device was used to remove the liquid inside, and sure enough, it was a mess inside, with severe adhesions.
"They are like collapsed earth houses, which have been mixed with many rains and are all stuck together, making it impossible to distinguish anything."
Professor Li shivered.
Even as the world's top cardiac surgeon, seeing this situation, he has to shrink back, unless he has no regard for the patient's life or death.
Professor Li raised his head and made eye contact with Yang Ping: It's more serious than imagined. Can the operation continue?
But Yang Ping had no intention of stopping.
"Sharp knife!"
The round knife was replaced by a sharp knife, and the messy adhesions began to be separated.
(End of chapter)