Chapter 587
Ou Lichun and Yang Ping were classmates in college, both as undergraduates and graduate students.
After graduation, Ou Lichun went to a regional tertiary-level hospital in a seventh- or eighth-tier city. As a master's student, this was already a very good destination in the medical industry that was involved.
At that time, Ou Lichun dreamed of going to the Spine Surgery Department of the First Affiliated Hospital of Nandu University for further training, but unfortunately, the hospital's Spine Surgery Department ranked among the top three in the country, and the training places were very tight, so he couldn't get in.
With Yang Ping's help, Ou Lichun's dream came true and he entered Nandu's First Affiliated School for further study.
He cherishes this opportunity very much. He goes to the department before seven o'clock every day and gets off work after ten o'clock in the evening. He takes it seriously.
Ou Lichun was one year older than Yang Ping. After graduating from undergraduate degrees, the two went to graduate school. During their graduate studies, the two used their undergraduate qualifications to take the doctor's license exam. In this way, two years after graduating from graduate school, the two were successfully promoted to attending physicians.
Ou Lichun became an attending physician at the age of 28. The promotion process was very smooth and no time was wasted. It can be said that the future is bright.
Just after being promoted to attending physician, he was offered a place in the hospital for further training. It can be said that his career is going smoothly.
Unexpectedly, his classmate Yang Ping is now an associate professor and deputy chief physician.
This kind of promotion speed is simply rocket speed. No matter whether it is an undergraduate or graduate student circle, there is no such speed of promotion.
If he hadn't known that Professor Yang was Yang Ping, Ou Lichun wouldn't have believed such a young professor even if he beat him to death.
Then I thought about myself, and was scolded by a superior doctor for a medical record.
Comparing people to each other makes people angry.
However, Ou Lichun thought that it was a blessing to have such a classmate. No, it was impossible for him to study in the First Affiliated School of Nandu.
Ou Lichun didn't say anything, and he didn't publicize that Yang Ping was his classmate.
"Professor Yang is very powerful. It is said that he developed this spinal external fixator in a few months."
"He was the one who won the Golden Knife Award last year."
"I heard that the deputy chief physician and associate professor were promoted exceptionally."
"Is it true or false? Could it be that the backstage at home is hard and packaged? Maybe the character will collapse that day,"
"I still know this. The technical content of the spinal external fixation frame is very high, and it can win the National Technology Invention Award."
"Are you familiar with Professor Yang?"
"Normally, we just had dinner together."
Everyone chatted while working and was very familiar with Yang Ping. One of them, Dr. Zeng, a PhD student, pretended to have a good relationship with Yang Ping.
Dr. Zeng is a Ph.D. student and is in Professor Fan's medical group together with Ou Lichun.
This kind of doctorate student is actually at the level of a resident doctor in the medical team, so Dr. Zeng and Ou Lichun are on the same level, but Dr. Zeng relies on his doctorate and often treats Ou Lichun as his subordinate.
Everyone was chatting, but Ou Lichun didn't say anything. He was typing and writing medical records. He must revise them today to satisfy Professor Fan tomorrow.
When Professor Fan was there, Dr. Zeng pretended to correct the medical records together. Professor Fan left because of something, and he immediately handed over all the work to Ou Lichun and chatted by himself.
Ou Li was too busy himself and had to help him correct his medical records. This time Ou Lichun ignored him and said, "We each write our own things."
You are so capable and disobedient?
Ou Lichun ignored him and continued typing.
Dr. Zeng was very angry, nodded, and thought, we'll see.
One after another, professors and associate professors of spine surgery all returned to the doctor's office.
Suddenly, the doctor at the door stood up. Before Ou Lichun could understand what was going on, someone pulled him to stand up: Dean Su is here.
All the doctors in the office stood up.
Professor Su, academician, chairman of the National Orthopedics Department, dean, first-level professor and chief physician of the First Affiliated Hospital of Nandu, walked into the doctor's office accompanied by Professor Zou.
Professor Su looks very elegant, with a slender and well-proportioned figure and a well-fitting white coat. He always smiles and is proud of himself.
Everyone both admired and feared him. Professor Su was calm and intimidating in front of everyone.
He greeted everyone kindly: "Thank you for your hard work, sit down, everyone!"
Professor Zou led Professor Su to his seat, and everyone dared to sit down.
At this time, dozens of professors, associate professors, doctors, and masters gathered together in the doctor's office.
The curtains were closed, the projector was turned on, Professor Zou made a few opening remarks, and each medical team began to report cases.
These cases are clinical trials for spinal external fixation.
——
As advanced students, Robert, Takahashi and August are not only qualified, but also excellent.
August came to the department on time at six o'clock, reviewed the medical records of all scoliosis patients in the department, and then studied their images.
The technical instruction manual was turned out of shape by August, and the corners were smoothed and rolled up.
Especially regarding the core technology - osteotomy, August asked Yang Ping many questions almost every day.
In the laboratory of the department, that is, the training room, there are 3D models of the spine for each clinical experimental case. August studied the osteotomy of each vertebra in front of these models. When he encountered something he did not understand, he wrote it down. notebook, and then find an opportunity to ask Yang Ping in the afternoon.
Auguste took the initiative to take care of the patient himself and was responsible for the entire treatment process of the patient like a resident doctor.
Given his good Chinese proficiency, Yang Ping agreed.
Germans believe that only by personally experiencing every process from the bottom can one fully master technology.
After a tiring day, everyone took a short break and chatted together before getting off work.
Cui Xubing asked for leave to pick up his son from the hospital. He had already settled the bill. The couple packed their luggage and planned to stay at the Sanbo Hotel for one night and take the high-speed rail home early the next morning.
Before leaving, Lao Cui and his wife carried a banner and took their son everywhere to look for Yang Ping.
There are several big words written on the pennant: A wonderful hand returns to the straight line!
These words were thought and written by Lao Cui himself, so that he could make the banner according to his own template.
Head nurse Cai led the way: "The professor just entered the office."
Lao Cui was very happy. His son was the first patient of Professor Yang's new technology, the first in the world.
No matter what, being number one in the world is worthy of bragging.
In Yang Ping's office, Lao Cui found Yang Ping, and the door had just opened.
"Bow!"
Lao Cui shouted.
Xiao Cui stood at attention and bowed in gratitude in front of Yang Ping.
"Lower, lower, lower!" Lao Cui was directing from the side, but he didn't show his level.
Over the years, my son's affairs have been a burden, and now this burden has finally been lifted.
After finishing, August and Robert were very interested in the Chinese-style pennants, and they took turns holding the pennants to take photos.
Then Robert pulled up the bridge again and the three of them took a photo together.
"Teacher Zhang, does this flag represent a medal?" August asked Zhang Lin.
Zhang Lin nodded with a deep look: "This is a medal awarded by a patient. I hope you can get such a medal flag when you return to your country. This is the highest honor for a doctor. The more medal flags, the better The more respected you are by your patients.”
August secretly remembered that the medal awarded by the patient was the highest honor.
Robert remained silent and sent the photo of the pennant to his assistant Barrell.
"Make a flag like this and hang it in my office - no, make ten - twenty!"
——
Li Jun is in the ICU and is not offline yet, nor has he woken up.
He briefly regained some consciousness last time, but now he fell into coma again.
The daily medical expenses are RMB 60,000 to 70,000, of which RMB 30,000 to RMB 40,000 are paid out of pocket. There is no way, all ECMO expenses are paid out of pocket.
Without this kind of machine to keep him alive, Li Jun's breathing and heartbeat would have stopped long ago.
Yang Ping visits Li Jun almost every morning and afternoon. When the ICU director sees Yang Ping, he shakes his head: "I'm afraid I can't last long. The coagulation function is too disordered. The dose of anticoagulant is increased. Last night, there was bleeding in the upper gastrointestinal tract. Fortunately, there was bleeding." Not much. Reduce the amount of anticoagulant. Thrombosis often occurs during hemodialysis. I have never seen such a difficult patient. If conditions permit, kidney transplantation is the way out now and avoid using anticoagulant. But in this case, what? Kidney transplant? The family members are very determined that he must be rescued.”
Yang Ping remained silent, staring at Li Jun's monitoring screen for a long time before saying:
"Can you find a balance between the two?"
The ICU director nodded: "I'll try. I'm looking for this balance. I hope I can find it."
If we can find this balance, we can at least sustain it for a period of time. If there is hope of waking up and conditions permit, we can have a kidney transplant as soon as possible, so that we can get through this smoothly.
"Yesterday, the patient in the next ward was brain dead. He is currently relying on ECMO to maintain his breathing and heartbeat. He has been on ECMO for 24 days, but it still doesn't work. Even if he relies on a machine to maintain it, he can't last more than a few days." The ICU director lamented.
Yang Ping looked at the latest bedside chest X-ray and compared it with the previous CT X-ray. Li Jun should be hopeful of waking up.
The key is to find a balance between anticoagulation and coagulation, otherwise the coagulation function will easily collapse, resulting in either organ bleeding or organ embolism.
In this way, the entire organ system will enter a sequential collapse, that is, multiple organ failure.
If we can find a balance, stabilize the coagulation system, prevent fatal internal bleeding, and no longer aggravate pulmonary embolism, we can hope to survive the dangerous period.
The director of the ICU sent Yang Ping out. Yang Ping walked to the door. When the door opened, Yang Ping heard a quarrel coming from the family waiting area, and then there was pushing and shoving.
"Oh, that's an organ donation coordinator. He came over to persuade the family of a brain-dead patient last night to donate the patient's organs. The family scolded him and even slapped him in the face. He just asked the security to take care of it. Why? Are you here?" The ICU director arrived and wondered, then followed Yang Ping out.
It’s not strange to sometimes meet an organ donation coordinator near the ICU or emergency department.
Their work is easily misunderstood. When a patient is dying but not yet dead, they persuade their family members to donate their organs. In traditional Chinese culture, in many cases they are either scolded or beaten.
They are treated like vultures by their family members, staring at the organs while the person is still alive.
In fact, organ donation coordinator is an emerging profession. On January 1, 2015, China began to completely stop using organs from executed prisoners, and citizen voluntary donation became the only legal source of transplant organs.
Huang Jiefu, chairman of the China Human Organ Donation and Transplantation Committee, said at the time, "This is the first and most critical step towards fairness."
But in 2015, the number of people who volunteered to register as organ donors was only 25,959.
This means that due to various reasons such as tradition and cognition, the vast majority of people do not approve of organ donation.
Therefore, the sources of organ transplants are very limited, and many people cannot get donors.
The director of the ICU shouted loudly: "Don't make any noise. Call the security again. If you have anything to discuss, go out and don't make any noise here."
A female family member grabbed the hair of the organ donation coordinator, while another scolded: "You are targeting organs before a person is dead. Do you have any humanity?"
This coordinator was also a fool. He was slapped and then beaten again.
The director of the ICU took the hand of the patient's family: "Okay, this is his job. He also does good things and saves other people's lives. If you don't want to refuse, just don't hit them."
The woman let go and the coordinator escaped.
"Why are you here again? One beating is not enough? Leave quickly." The ICU director helped him out, and the coordinator ran away in despair.
Tan Xiaowei saw Yang Ping coming out and immediately came to greet him.
"Professor Yang!"
"I have just seen that the condition is still very critical and life is in danger at any time. We are thinking of ways and we will try our best." Yang Ping told Qin Xiaowei the latest situation.
Tan Xiaowei nodded.
"Give Arjun the best medicine and the best method, please do whatever it takes."
"We will do our best, don't worry, will you sleep here every night?" Yang Ping heard that Tan Xiaowei slept in the family waiting area every night.
"Yeah, it's okay, I'm used to it." Tan Xiaowei didn't care.
Yang Ping told him: "You must protect your body. If Li Jun wakes up and his physical condition permits, he will complete the kidney transplant operation as soon as possible. How about the kidney transplant?"
"The matching is qualified and the ethics review passed." Tan Xiaowei nodded.
I hope Li Jun can survive it!
Yang Ping bid farewell to Tan Xiaowei and returned to the department.
——
It's not appropriate or necessary to go to Fuyi for a flying knife surgery on Friday to confirm the situation. It would be inappropriate and unnecessary to bring the entire team there.
The department also has many surgeries on Friday and has too many manpower.
Xu Zhiliang and Li Guodong guarded the house, bringing assistant Song Zimo and equipment nurse Xiao Su.
Hearing that Yang Ping was going to have a flying knife, Robert and August tried hard to get Yang Ping to agree to take them out to see the world.
For them, further education requires not only learning skills, but also getting in touch with Chinese medical culture, that is, truly entering the circle of Chinese people.
Takahashi heard that they were going out to throw knives with the professor, and felt that he would be at a disadvantage if he didn't go, so he decided to go too.
Well, it's okay to go to bed and lift patients.
It is my first time to perform this kind of surgery, and I am definitely not familiar with body positioning. These guys are so tall and arrogant, so let these guys be posture therapists and experience the Chinese knife-throwing culture.
Yang Ping approved.
The three of them received Yang Ping's approval and shouted long live.
It must be interesting to follow the professor out to throw knives.
"Professor, this kind of flying knife should belong to the city. When the time comes, I will ask you to fly the knife in Germany. Is that an intercontinental flying knife?"
August asked seriously.
Yang Ping thought for a while and said: "According to your classification standard, this is what happened."
PS: I finally finished changing it, but I forgot to add a title. Forget it, it’s fine without a title.
(End of chapter)