Chapter 488 Coagulation dysfunction
The meeting on the second day was also fully booked.
Representatives from China and Japan took turns to take the stage to give speeches, and representatives from other countries were also interspersed during the period, but mainly China and Japan.
Among other countries, Australian experts have brought good scientific research results.
Australia has a small population, but its medical capabilities cannot be underestimated. Our common B-ultrasounds, pacemakers, cochlear implants, in vitro fertilization and embryo transfer technology, CPAP ventilators and other medical devices and technologies were all invented in Australia.
The discovery of Helicobacter pylori in the stomach and the cervical cancer vaccine are also Australian achievements. The discovery of Helicobacter pylori in the stomach won the Nobel Prize.
Surprisingly, Dr. Lin Mingyuan from Singapore also brought very good scientific research results-new biodegradable implants.
The implant is made from a biocompatible and non-toxic magnesium alloy that is as strong as titanium, providing excellent mechanical stability and bone support to promote the healing process. More importantly, the implant can completely decompose in the body over time, which has obvious advantages over the current traditional orthopedic titanium alloy steel plates.
In fact, it is no accident that Singapore has such achievements. Singapore General Hospital is often ranked among the top ten in the world.
Want to know which hospitals are in the top ten?
Medical giants such as Mayo Clinic, Cleveland Medical Center, and Massachusetts General Hospital.
Singapore General Hospital can join these hospitals in the top ten, so its strength is certainly not weak.
Participating in these academic conferences can help you better understand the scientific research trends in the industry and prevent information blockage and closed doors.
Therefore, Yang Ping listens to other people's speeches very seriously.
The morning meeting was over. As the host, Takahashi planned to take Yang Ping out for a walk at noon, at least to Ginza.
Yang Ping had no time to go shopping because he had to prepare for Fujiwara Tanio's surgery.
Fujiwara Miyuki invited Xiao Su, Tang Fei, and Zhou Can to go shopping together. Xiao Su couldn't bear to leave Yang Ping alone in the hotel and was unwilling to go.
Yang Ping persuaded and coaxed Xiao Su to go shopping with Miyuki.
Not long after the girls left, Fujiwara Tanio's latest test results came out one after another, and Song Zimo sent them to Yang Ping's mobile phone - coagulation disorder!
Coagulopathy is a contraindication to surgery, and it is for this reason that Fujiwara Tanio cannot operate.
Not to mention this kind of surgery, even for ordinary surgery, coagulation dysfunction is still a stumbling block.
Once the operation is performed, the compression of the medulla oblongata by the bleeding in the surgical area is more terrible than the compression by the tumor.
No one expected that the condition would change like this.
Yang Ping immediately took Gao Qiao, Huang Jiacai, and Lao Cheng to meet Fujiwara Masao in the doctor's office in the special care ward.
Masao Fujiwara was busy at both ends and looked very tired.
"I had coagulation dysfunction before, but after treatment, it has been improving, and the coagulation index has entered the normal range. You see, this is the test a few days ago, and it is already normal. Unexpectedly, it has recurred again."
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Masao Fujiwara was very worried. His younger brother had just persuaded the family elders not to interfere in medical decisions, and this kind of problem occurred here.
If it were for other reasons, it could be easily overcome, but coagulation dysfunction was simply the Achilles heel of this type of surgery.
Even the most skilled surgeon is at his wits' end.
Wait any longer?
I don’t know when the day will be better, and I can’t wait so long.
What if the surgery goes as planned?
It is almost impossible to suffer from coagulation dysfunction. An ordinary operation may put the patient in danger due to heavy bleeding. Not to mention this kind of operation on the medulla oblongata and upper cervical spinal cord, even a little bit of bleeding can be fatal.
At this critical time, changes in the condition occur.
As if facing a formidable enemy, Dongda Hospital immediately summoned experts from all walks of life to discuss the emergency condition.
Ikeda, Ito, Fujiwara, Matsui, Komori, all top professors gathered together to discuss how to deal with the next illness.
Fujiwara Masao hurried to the conference room with Yang Ping.
As Yang Ping entered the venue, everyone stood up and bowed.
The huge high-definition screen displayed Fujiwara Tanio's images and various inspection reports.
Professor Yoshio Nozaki of the Department of Hematology is responsible for regulating the coagulation function of Fujiwara Tanio. He also has difficulty explaining why this situation occurs.
Fujiwara Tanio was lying in the special care ward with various pipelines connected to his body. These monitoring data were connected to the central host of the intensive care unit and then transmitted to the screen.
Through the central host, any monitoring data can be mastered.
Even the speed of the infusion pump can be carefully monitored and adjusted.
As for blood, Nozaki Yoshio has always been in charge. He once thought it was stable, but he did not expect such an accident to suddenly occur.
It is not strange that the condition changes unpredictably.
It was only when something went wrong at this level that everyone became nervous.
"What does it mean if we don't do surgery this time?" Director Ogawa of the Special Care Unit went straight to the point and broke the silence.
"It means there will be no chance in the future. The tumor will soon spontaneously bleed. If there are no effective measures, the probability of death will be 100%, and all efforts will be in vain."
Daisuke Komori answered clearly.
"What does it mean if the surgery goes ahead as planned?"
It’s Ogawa’s question again.
"Coagulation dysfunction is an absolute contraindication for this type of surgery. Forced surgery will lead to death due to bleeding, and the probability of death is 100%."
Professor Matsui took over.
Two hundred percent!
Unexpectedly, the consequences would be so serious. The Minister of Affairs looked around and then at Masao Fujiwara.
Fujiwara Masao slightly adjusted his mood and said:
"This operation is inherently a high-risk operation. Currently, only Dr. Yang is sure of its success. If everything goes normally, perhaps Dr. Yang can successfully complete the operation. But now, with such an unfortunate incident, even Dr. Yang has a chance of success. Given the precedent, I’m afraid I won’t be able to perform the surgery.”
"It's frustrating that at this point we can't find a reason for the change in condition."
Nozaki said sadly.
"Now is not the time to look for reasons. Should we make a decision and give up the operation, or continue?"
Professor Ikeda explains the focus of the meeting and prevents it from straying off topic.
As for other things, such as summarizing experiences and lessons, that is an afterthought.
"Dr. Yang?"
Professor Ikeda hopes that Dr. Yang can say something, after all, he is now being asked to be the surgeon. At this time, all we can do is make ceremonial efforts. No matter whether they are politicians or business elites, they cannot escape birth, old age, illness, and death. Many important people have died in Tokyo University Hospital. For Ikeda, this kind of thing does not make waves.
Yang Ping thought for a moment and said:
"The operation is scheduled to be ready at eight o'clock in the evening. In this state, if we wait any longer, there will be no hope at all. However, there is still a glimmer of hope for the operation tonight."
"I just don't know if you are willing to take risks with me?"
In such a predicament, we can only risk surgery, miss the opportunity, and never have another chance in the future.
Regardless of Fujiwara Tanio's identity, in Yang Ping's eyes, he is just a patient. For Yang Ping, every operation must go all out to strive for the maximum health benefits for the patient.
"You mean - even if there is coagulopathy - surgery?"
Daisuke Komori was very surprised. This was a taboo.
No one dares to do this. This is a devilish challenge for surgeons. Even a little blood leakage after the operation at this surgical site will be fatal. How can it be possible to achieve such perfect hemostasis?
Mitsui also waited for Yang Ping's answer to see if he heard wrongly.
"Dr. Yang, do you have to take risks?"
Fujiwara Masao hopes that Yang Ping will say this, but the reality is cruel, coagulation dysfunction is an absolute contraindication!
In medicine, the word "absolute" means there is no room for negotiation and no exceptions.
Surgery when there are absolute contraindications can have devastating consequences for both the doctor and the patient.
Yang Ping said solemnly: "I want to ask - do you still want to save him?"
"Of course!" Professor Ikeda said on behalf of Tokyo University Hospital.
Yang Ping nodded:
"We have no choice but this way. In this coagulation state, the tumor will spontaneously bleed immediately. Sudden bleeding will compress the medulla oblongata and cause immediate death. Now we are operating, and we are adjusting the coagulation function while operating. There is still a glimmer of hope. .”
Tumor blood vessels are all abnormal blood vessels. The strength of the tube wall is compared with normal blood vessels and is very fragile. If the coagulation function is impaired, spontaneous tumor bleeding is likely to occur.
"I'm really sorry for causing trouble to everyone!"
Nozaki Yoshio felt guilty.
After all, something happened in the department he was responsible for.
"Professor Nozaki does not need to blame himself. The human body is complex and mysterious. Not everything changes as expected. There are unexplained consumption of coagulation factors, the body's special response to certain drugs, improper storage of coagulation factors, and some unknown negative effects of tumors. Possibly.”
I had coagulation dysfunction before, and I have been supplementing coagulation factors and platelets. It has been getting better as expected, but suddenly it dropped to such an indicator.
"Let's prepare for the surgery at 8pm!" Masao Fujiwara made the decision. He could represent the family.
Bleeding!
Terrible bleeding!
Dr. Yang's superb surgical skills will all be compromised, and the operation may even be unable to proceed.
Things were kept simple and clear, and the discussion ended in a dull manner.
Fujiwara Masao also wanted to say hello to the venue, leaving the afternoon meeting to Sasaki, and he would do his best to deal with his uncle's condition.
"I'll wait for my friend!"
After leaving the venue, Yang Ping didn't see Huang Jiacai and Lao Cheng, so he called them.
Fujiwara Masao asked Takahashi to accompany Yang Ping and hurried back to the venue.
"Dr. Yang!"
Yang Ping turned around and saw Fujiwara Miyuki standing behind him.
"Please, we must save my uncle." Miyuki also received news of her uncle's change in condition.
"I will try my best!" Yang Ping comforted Miyuki.
"He is a good man. His family-controlled pharmaceutical company, Dongdao Life, has dozens of advanced drugs. He has opened up the patents so that other countries can imitate them, so many patients can enjoy cheap drugs." Miyuki said emotionally.
"I will do my best."
Yang Ping felt that this simple girl did not realize the seriousness of the problem, coagulation dysfunction! At this time, the surgeon was the mortal enemy, and no one dared to say that he was absolutely sure.
After only one night, the condition changed like this.
"Miyuki!"
Fujiwara Soo's voice, his slender figure, approaching from a distance, without any bodyguards by his side.
"Hello, Dr. Yang!"
Fujiwara Soo-o recognized Yang Ping at a glance and greeted him in Japanese, with Takahashi helping to translate.
"I heard that my uncle's condition has changed, so I rushed over here urgently."
Tomoko Fujiwara has just been to the special care unit and communicated with the doctor.
"There is a disorder in coagulation function." Yang Ping told him.
"I was very touched when I heard that Dr. Yang still insists on surgery. In this world, I think the most respectable people are doctors and teachers, the most divine professions!"
"Excellent."
"No, that's it. Your career is sacred and inviolable. I heard from my brother that you are a rare genius doctor."
"I just like medicine, not a genius."
"The progress of this world is driven by genius, you are too modest."
"I've always considered myself an ordinary person."
"No matter what the outcome is, as family members, we are very grateful for your efforts, thank you!"
Fujiwara Soao bowed.
"Thank you for your understanding. Just try your best and have no regrets."
"Yes, it would be nice if there were no regrets. I believe that uncle thinks so too."
The biological-psychological-social medical model determines that every case is a living person, a person living in society. They have their own story, their own life, and their own background. By properly unfolding it in this way, the cases will have flesh and blood, and it will be a simple cycle of surgery. To be honest, if I write down the cases I currently have one by one, it will not be difficult to write three to four million words, but it will not be interesting. Moreover, the story is far from what some brothers imagined, some things do not exist, and this also pave the way for some subsequent plot interludes. I just had some time to browse the comments and couldn't help but explain. Once again, I wish you all a happy New Year, good health, all the best, and happiness to your family! Bow and New Year greetings! ! !
(End of chapter)