Chapter 518 Dangerous Anatomy
During this period, in order to improve his Chinese proficiency, Robert worked hard and recited a large number of idioms, poems, and good words and sentences.
But he only memorized these words and application scenarios mechanically, and could not use them flexibly at all.
For example, Robert's original intention just now was to use "meeting an old friend in a foreign land" to express the scene of encountering Yang Ping in Saudi Arabia.
As a result, I got excited and threw out a set of sentences.
As for the idiom "Cheng Men Li Xue", Robert wanted to express his teacher-student relationship with Yang Ping. He respected Yang Ping very much.
Robert knew that this word had such a meaning, but he didn't know how to use it, so he just said it bluntly.
Yang Ping gave him a thumbs up for his hard work in Chinese.
This made Robert even more happy. He had recited so many idioms during this period just to make himself speak Chinese with a touch of literary grace, rather than a dry and simple combination of words.
"After the operation tomorrow, we will have a long chat, and I just have a few questions that I want to ask without shame."
Yang Ping's encouragement made Robert more confident in the use of words.
Li Ze on the side would be very envious of Robert. He actually spoke Chinese so well. At least it was not just one tone, but he could distinguish four tones.
Americans who can speak four tones in Chinese are really not ordinary people.
This guy is here to be funny, listening to him speak Chinese is more exciting than hearing about cross talk.
Yang Ping saw that Robert became more and more enthusiastic as he talked, and he really seemed to be very cultured.
The meeting was dissolved naturally. When Robert saw Yang Ping, he naturally had no interest in competing with Dodge in fencing.
In the evening, Yang Pinghe had dinner with Li Zehui and Robert.
Li Zehui didn't invite anyone else to accompany him this time, just the three of them.
Robert was more familiar with Saudi Arabia than Li Zehui. He heard that Li Zehui was going to organize a convoy to go camping and picnicking in the desert. He was very excited. He had done this often before, and he had done something more exciting, riding a camel across the desert.
Li Ze would apologize to Yang Ping for what happened to Dodge. In fact, Yang Ping didn't care too much about it. For people like Dodge, he was too lazy to argue about meaningless things. He came to Saudi Arabia just for surgery, not to compete with Dodge. We have no interaction with each other, so he can do whatever he wants.
Robert was very familiar with Dodge. He told Yang Ping that Dodge was actually a very good person and had very high professional achievements, but he was just a bit narrow-minded and could not tolerate others.
After dinner, accompanied by Li Zehui and Robert, Yang Ping went back to the hospital to see the Yemeni baby. His breathing became more rapid and his abdomen was severely distended. This was all caused by heart failure.
This young heart may be overwhelmed at any time.
Yang Ping was glad that he did not wait until after the Spring Festival. This little guy might not be able to wait until then.
The thin little guy was still wrapped in a blue wrap, lying on the bed, very quiet.
His father was kneeling in the corner with his eyes closed. Perhaps he was praying, hoping that God would give him more luck so that tomorrow's operation would go smoothly.
Yang Ping did not disturb the Yemeni man. With the help of the nurse, he unwrapped the child, checked the child, and rewrapped him.
Sometimes Yang Ping thinks that this world is really wonderful.
If he hadn't met this child, he might have quietly left this world like the previous "Mirror Man".
He came to this world for only six months. In just six months, he left nothing behind. He left this world in a hurry before everything started.
And now, if the operation is successful, what will his future life be like? Will they grow up healthily, get married and have children?
Yang Ping found that he was thinking too much and too far ahead. His mission was simple - to keep him alive now.
In the evening, Yang Ping did not go anywhere else.
In order to let Yang Ping rest well, Li Zehui and Robert sent him back to the hotel early without arranging any programs.
In the hotel, Yang Ping chatted with Xiao Su on WeChat. Xiao Su repeatedly told him to drink more water and go home early after the operation.
Tomorrow is New Year's Eve.
It's normal for surgeons to perform surgeries outside on New Year's Eve.
Xiao Su told Yang Ping that she would make a lot of dumplings tomorrow and wait for Yang Ping to come back to eat.
Yang Ping calculated the time. Even if he caught a flight immediately after the operation, he would not be able to return to China until the first day of the Lunar New Year.
——
The next day, Yang Ping came to IMC Hospital energetically.
The operation went as planned. When the nurse sent the baby to the door of the operating room, the baby's thin little hands scratched everywhere and started crying. He seemed to be looking for his father.
The anesthesiologist was beside him, preparing to push the sedative through the indwelling needle on the scalp to put him into a sedative state.
At this time, the baby's father grabbed the little hands.
The little guy seemed sensible and stopped crying.
Yang Ping asked the anesthesiologist not to use sedatives for the time being, and he wanted to perform the last heart auscultation before surgery.
"Give me his hand!"
Yang Ping said.
The baby's father seemed to be able to read Yang Ping's eyes. He carefully let go of his hand and smiled at the baby.
Yang Ping took the hand from the little guy. The little guy didn't cry anymore. He just opened his eyes and stared at Yang Ping.
This was the second time Yang Ping was stared at.
The baby's father took Yang Ping's hand and said nothing, his eyes full of expectation.
Yang Ping patted his hand and said, "We will do our best!" The translator passed the words over.
The father let go of his hand and took a few steps back. The nurse picked up the baby and put it on the flat cart in the operating room to complete the handover.
Accompanied by Li Zehui and Robert, Yang Ping changed into wash clothes when he entered the operating room.
The weak little guy was lying naked on the operating bed, and the anesthesiologist had completed tracheal intubation and general anesthesia.
The heart-lung machine is already on display in the operating room. After the baby's heart is taken out, his life will depend on this artificial heart-lung machine.
The perfusionist and his assistant wait beside the heart-lung machine, and the anesthesiologist delivers the anesthetic into the baby's lungs bit by bit.
The instrument nurse is from Australia. She once performed a "mirror man" surgery on Dodge.
Li Ze would disinfect the drapes himself, while Robert, as an outsider, would sit in the corner of the operating room and watch.
Marshall is the second assistant. The young man is a little excited and has been looking forward to participating in this operation for a long time.
By the time Yang Ping came on stage, the little guy's body was completely covered by a blue disposable sterile drape, exposing his chest and upper abdomen.
Under the shadowless light, the little guy is too small and thin.
After completing the preoperative check, Yang Ping used the No. 15 round knife in his hand to carefully cut the skin.
In order to fully expose the patient, he used a wide open and closed midline sternal incision.
The scalpel cuts the skin of the baby's chest vertically, reaching the sternum. The thin skin is a little shiny due to edema, and there is almost no fat under the skin. The blade cuts directly to the surface of the sternum.
The skin attached to the periosteum was separated on both sides, and some cool liquid seeped out and was sucked away by the suction device in Li Zehui's hand.
The thin tissue under the knife seemed to be soaked in water, which showed that the heart failure was very serious.
Next, you need to open the sternum from the middle and split the entire chest into two sides.
The surgical instruments are all specifically designed for pediatric surgery, and the micro sternum saw is great for drawing a straight line across the midline of the sternum.
With Salsa's voice, the mist formed by bone marrow particles rose up, and protective glasses prevented the mist from reaching his eyes.
The sternum is stretched open, and the saw is not too much or too little, just enough to cut through the sternum without a millimeter more.
The sternum is stretched open and the entire chest cavity is exposed.
The pink lungs became abnormally swollen due to edema. They were already close to the inner wall of the sternum. If the electric saw had penetrated even one millimeter deeper, it would have damaged the lungs.
The suction device goes deep into the chest and a large amount of fluid is sucked out.
The diaphragm had been lifted up, squeezing the organs in the chest. Yang Ping used a sharp knife to make a small incision in the abdomen, and used a suction device to suck out the fluid in the abdominal cavity. The diaphragm slowly descended and returned to its original position.
In this way, the space in the chest appears larger, and the lungs, mediastinum and heart will not appear crowded.
The fragile little heart lay on the right side of the chest, beating rhythmically. It was warm and kept holding on until it could go to the operating table.
This is a right-sided heart.
A large number of adhesions have formed in and around the pericardium and large blood vessels, so that the original gaps no longer exist, and everything becomes blurry and unfathomable.
Maybe it's an inflammatory reaction, maybe it's dysplasia, maybe it's other reasons, adhesions are right in front of you.
A right-sided heart, a deformed heart, and a large number of adhesions made the operation extremely dangerous.
Li Zehui raised his head and saw Yang Ping's confident eyes.
Seeing this scene before him, Li Zehui was sweating from behind, but Yang Ping was very calm.
"I'm going to separate the heart from the great blood vessels, then cut off the great blood vessels and take out the heart. Are you ready?"
Yang Ping reminded the assistant and anesthesiologist.
Next, he has to continue operating in this dangerous anatomical environment.
——
This rare operation attracted a large number of doctors. Almost all doctors at the cardiac surgery center gathered in the conference room to watch the operation via video.
The shadowless lamp in the operating room is equipped with a camera that can directly shoot the operating area.
Does he really want to take out the heart, remove the tumor and correct the deformity outside the body?
The heart and large blood vessels in the field of vision are now full of adhesions, which is more difficult than the previous surgery.
Dodge stared at the screen and swallowed. If he was the surgeon, he would have no choice but to continue.
As the world's top cardiac surgeon, he was actually very interested in the surgery itself, but pride and prejudice dominated his brain.
"Man, is this guy really going to do that?"
Odorelli also saw something.
Dodge nodded: "He seems to be in such a rhythm!"
"It's full of adhesions? Deformity plus adhesions. I've never seen such a dangerous anatomy."
Odorelli was terrified.
"It's like walking through a minefield in the dark."
Dodge murmured that if the previous operation had been like this, he might not be able to safely access the tumor.
(End of chapter)