Chapter 606: The Art of Beauty
During the ten-hour flight, Yang Ping slept for about eight hours on the plane.
Auguste marveled at the professor's high-quality sleep. He could fall asleep anytime and anywhere, and the quality of his sleep was guaranteed. It was said that the professor used to stay up all night for surgeries in the Department of Orthopedics of Traumatology. He could sit on a stool with his eyes closed and fall asleep between the two surgeries. Staying up all night like this can also accumulate a small amount of sleep.
The king-size bed in the master bedroom of the aircraft was indeed comfortable, allowing Yang Ping to sleep of very high quality for eight hours.
When the plane was about to land, it was already past six o'clock in Germany. Yang Ping got up, washed up, and went to the airplane restaurant with August to enjoy a delicious breakfast.
Of course, no matter how delicious breakfast is, two round boiled eggs are indispensable for the professor's daily breakfast.
At seven o'clock, the plane landed at Munich Airport. Marcus and the Duke's butler, who had been waiting for a long time, took Yang Ping and August from the airport to Harlachen Orthopedic Hospital.
August asked Yang Ping if he still needed to rest. Yang Ping had already rested well on the plane and refused to rest any more, hoping to see the patient as soon as possible.
So, under the leadership of Marcus, Yang Ping and August rushed directly to the VIP ward.
Hearing that August's mentor had arrived, a large team of experts came out from the doctor's office to greet him.
But according to the doorman, Auguste took his tutor to the young duke's ward.
They went directly to the ward, and they were indeed pure doctors. This behavior greatly admired these dedicated German experts.
Led by Professor William, everyone came to the little Duke's ward.
At this time, young Yang Ping was already standing by the bed for physical examination, leaning over to auscultate the heart and lungs.
Is this August’s mentor? So young? Do the Chinese have a knack for beauty?
A group of German bosses were surprised by the young faces, but it was impossible to ask others' ages.
Yang Ping took a ten-hour flight across the Eurasian continent to meet this young prince from a ducal family.
He was lying on a hospital bed, connected to various tubes, and ECMO was keeping him alive.
The piece of titanium alloy was exposed, but it was sealed with a sterile medical patch to prevent infection of the surrounding skin edges.
Yang Ping's stethoscope is pressed against a titanium plate sealed with a medical film, and he auscultates the heartbeat through the titanium plate.
August stood aside with a very low posture. From this point of view, this young man with an Asian face who was leaning over to stop the consultation was undoubtedly August's mentor.
If they were not very familiar with him, it would be difficult for everyone to believe that the low-profile German in front of them was August, which was so different from his usual image.
August saw that there were already people standing on the other side of the bed, but he pretended not to see them because Yang Ping's physical examination was not over yet.
The little Duke's heart was not only compressed, but also his lungs, aorta and veins were compressed, and the entire circulation was under high load. This is why doctors predicted that he would not live to be thirty years old.
Under high load, the heart ages and is scrapped prematurely.
Yang Ping raised his head. August took the medical record handed over by Marcus and presented it to Yang Ping respectfully with both hands. He wanted to announce to the German medical elite that the person standing here was his mentor.
Yang Ping was already very familiar with the medical records of the young Duke, but he still browsed through the medical records. If he did not undergo emergency orthopedics, the heart would still not be able to survive this test. If emergency orthopedics were performed, all compression would be relieved, and the circulation would gain normal load, and the heart would still be able to survive. Some time, waiting for a possible heart transplant.
"Emergency surgery can be arranged. Before the operation, make sure the equipment is complete. You can be the first assistant, and the second assistant is free." Yang Ping said after reading the medical records, speaking in Chinese.
He always speaks Chinese when he goes abroad, so that Chinese can accurately express what he means.
"Understood, Marcus has checked the equipment and there is no problem. I will confirm it again in person later. Thank you Professor for your trust. I will definitely help." August also speaks pure Chinese.
In the German ward, the two communicated in Chinese. The experts crowded next to them couldn't understand at all and looked at each other in confusion.
The Germans showed good discipline and watched the physical examination for half an hour without making a sound.
"Hello, Professor William, hello everyone! This is my tutor, Professor Yang Ping from China." At this time, August introduced Yang Ping.
Yang Ping nodded and said hello to everyone with Chinese etiquette.
He only looked at this kind of case for half an hour and said lightly: "Arrange emergency surgery!"
This makes the spine surgeons who have participated in the consultation and discussion of the little Duke for more than ten years extremely embarrassed.
"Let's go to the office to talk about his condition." Yang Ping washed his hands in the sink in the ward.
This is not a teaching round, and there is no need for everyone to stand by the bedside and talk about their condition.
Dozens of experts followed him to the doctor's office, everyone wanted to see who August's mentor was, who made this spinal correction surgery so easy.
Spine correction with ECMO, and this spiral spine, has proven to be too risky to operate on.
The doctor's office in the VIP ward was very spacious. August presided over the meeting. This returning boss sat next to Yang Ping and said with great aura: "Everyone, please introduce Dr. Marcus to Mr. Goldenberg's Condition.”
The return of the superior doctor made Marcus more confident, and his voice became louder.
Looking around at all the big guys here, Marcus began to report the medical records.
From the chief complaint, current history, past history, personal history, family history, etc., to physical examination, auxiliary examinations, final diagnosis, surgical indications, and proposed surgical procedures, Marcus reported the medical history in detail.
Unlike other doctors, Marcus had seen Yang Ping in Malaysia and had seen Yang Ping's surgery, so he admired his teacher's teacher very much.
"Everyone is very familiar with this case. We have been responsible for it for more than 20 years. We have discussed it countless times. In the end, it was accepted that we had to give up the operation because it could not be performed. We have been waiting. When medicine advances, there may be a way. Finally We waited until this moment. During this time, I went out to study and stayed with my instructor, and gained a lot. I used to think that this kind of case could not be operated on. After studying, I learned that not only can this case be operated on, but it can also be treated with ECMO in an emergency. With the support of the patient, the operation can completely relieve the load on the circulatory system and allow the heart to maintain its function for a while.”
As an authoritative figure in spinal surgery, August is full of aura.
Germans have always had a strong sense of discipline, so as August, the leader of spinal surgery, although others are older than him and are a little dissatisfied with him privately, in this formal occasion, everyone will treat him as August. To respect.
As August's publicly recognized mentor, Yang Ping would not question his identity because of his youth. Everyone was concerned about how to perform the operation well.
"The risk of this operation is too high. In addition to spinal correction, the entire thorax needs to be corrected. We need to know the details of the operation and have the necessary discussion on the feasibility."
Professor William did not deny the surgical plan. He felt that he could not complete it, and he could not mean that others could not complete it. August was not a brainless person, and he was not fooling around by looking to young people as his mentor.
Moreover, August himself had not done anything for more than ten years. How could he let the Chinese do it without any reason?
The rationality of the Germans was on full display at this time. "Professor, please explain it to everyone." August spoke to Yang Ping, and his aura was completely destroyed in an instant, and the two temperaments switched very smoothly.
"This is a spiral spine. It is really difficult to correct it in three-dimensional space, but it is not impossible. The operation will be a bit complicated. The osteotomy requires front and back joints, and the thorax needs to use artificial prosthesis. Dr. Ao, please release the surgical atlas." Yang Ping spoke in Chinese, and August translated Yang Ping's words into German.
August responded and connected the mobile hard drive to the computer, and Yang Ping's hand-drawn drawings were displayed on the screen one by one.
Every Chinese word on the hand-drawn drawing was marked with a German translation by August.
There are dozens of pictures. When the seventh picture is shown, no matter whether it is an orthopedic surgeon, a cardiac surgeon, a cardiologist or a respiratory physician, they can’t sit still.
Their focus was different, but they all showed obvious surprise.
These pictures are extremely beautiful, and at the same time the anatomy is very detailed.
How could the big guys who often look at anatomical atlases not know the level of drawing? Such high-level hand-drawing can be used in medical schools.
Spinal surgeons pay close attention to every step of spinal correction. The osteotomy design is simply uncanny, the anterior and posterior approaches are combined, and the steps are clear. They try to correct the spine to normal with minimal damage.
During the orthopedic process, the deformation of the spinal cord was also clearly analyzed. The osteotomy was combined with the deformation of the spinal cord to minimize the deformation of the spinal cord. The preoperative thoracoscopic and laparoscopic release was a stroke of genius.
In short, the level of spinal surgery shown in this picture puts everyone present to shame.
Cardiac surgeon Constantine marveled at the profound understanding of the heart shown in the drawings, including the understanding of the heart, the pathological and pathophysiological changes that will occur during long-term compression, the changes in the structure and function of the heart after the compression is relieved, and the surgical procedures. The final response measures were clearly analyzed in the pictures. There were many things that Constantine had never understood before, but now he suddenly understood them.
The design of the artificial thorax not only ensures the volume of the thorax, but also takes into account the coverage of skin and soft tissue. Even the assembly method of the artificial thorax is closely related to protecting the blood supply of the soft tissue. It is implanted in bulk and then assembled.
Every detail is almost considered, and it is rare to see every detail.
Cardiologists have never seen surgeons have such a deep understanding of the physiology of the heart, especially the sudden decompression of a diseased heart that has been under compression for a long time, resulting in a series of new problems and the resolution of new problems.
The respiratory physician is concerned about lung problems. After reading these pictures, he fully understands the condition of this patient's lungs, how he became what he is now, and where he will go in the future.
Yang Ping no longer needs to explain too much, these pictures have already explained everything.
From time to time, admiring glances were cast towards him. Not to mention the instructor's surgical ability, he had conducted such in-depth research on the little Duke's entire condition.
This should require a large number of similar cases to gain this understanding. However, as far as they know, there has not been a second case reported in the world about this rare case. Obviously, the young professor is using a single case as the research object.
But how could he study for longer than everyone present?
Everyone stared at the picture without making any sound. They were just trying to understand the knowledge in the picture.
“Can I take pictures?”
Professor Lloyd asked.
"Of course, and everyone can copy these pictures after the meeting." August was satisfied with everyone's performance.
"Are you the chief surgeon of Folding Man? I've seen this kind of osteotomy in papers, Yang's osteotomy?"
Professor Rimbaud once read a paper by a Chinese doctor, which was consistent with this principle of osteotomy, and the case in the paper was extremely difficult to perform folding surgery.
Other spine surgeons seemed to wake up and everyone knew about the paper.
"Yang?"
August nodded: Those were just the professor's early cases. Most of the cases handled by the professor were difficult cases that others had given up on. Those were classic cases of traditional surgery. If it was not an emergency surgery, the professor no longer used traditional surgery. Everyone should I have seen the professor’s masterpiece, the spinal external fixator. If it had not been an emergency surgery and the professor’s new technology was used, everything would have been even more wonderful. ”
Everyone was pulled to the spinal external fixator again. They had just understood this technology. Many magical technologies were all the work of this young man.
"In the triple-play case I told you, the doctor who successfully solved it was Professor Yang." August struck while the iron was hot.
Everyone was sighing. As a spine surgeon, possessing any one of these items is enough to make his peers look up to him. Now all these items belong to him.
Okay, don't worry about bragging and get on with business.
Yang Ping reminded August.
August immediately stopped promoting his mentor's outstanding academic achievements, coughed a few times, and returned to the topic obediently:
"Everyone, do you have any other opinions about the surgery?"
It seems that all the difficult questions that everyone is concerned about are answered in the pictures, and the surgical positions are all mentioned. According to the pictures, they have been very thoughtfully considered.
"Such a severe deformity makes surgery very difficult no matter what the position, especially when preparing for combined anterior and posterior osteotomy." Constantine was deeply affected by it, and it took a lot of effort to remove the ribs.
Yes, this kind of deformity makes many originally simple operations become complicated, let alone complicated operations.
When everyone returned to the surgical operation, they found that it was very difficult to implement the operation on the picture.
Any perfect surgical plan ultimately depends on the doctor's hands.
"So no one in the world dares to do this surgery. It is difficult in theory and even more difficult in operation. He is the crown jewel of spinal surgery." August also found it difficult.
"For example, with such a deformed chest, if you want to complete thoracoscopic release of the soft tissue structures on the front side of the spine, the heart will be squeezed together, and the operation may not be possible?" Professor Lanbo believes that this kind of release is difficult to achieve.
"The risk of microscopic release of large blood vessels is too high. Once you enter these narrow spaces, it is difficult to obtain the ideal spatial positioning, and the release will be full of risks." Constantine thought about these issues unanimously.
Germany's top experts look at problems profoundly. Indeed, these are all problems.
There is another biggest problem that no one dares to mention because it is too rude.
How old is Professor Yang?
Is it because she has good looks or is she really young?
(End of chapter)