The Godfather of Surgery

The MRI of Sisi's re-examination 1 week after the operation came out. The liver metastases were slightly shrunk, and the edema shadow was more obvious than before, evenly distributed, and the edge just followed the contour of the original tumor.

This magnetic resonance performance shows that the focused ultrasound bombarded the tumor entity in all directions at that time, without omission or beyond the scope of the tumor, achieving the purpose of precise bombardment.

However, even so, there will still be residual tumor cells, these cells will divide slowly, and finally make a comeback. This is the fate of advanced malignant tumors. Once distant metastasis occurs, there is almost no way to eradicate the roots.

Therefore, the tumor advocates the three early treatment principles - early detection, early diagnosis, and early treatment. When cancer cells have not spread and gathered in a local space, they can be removed at one time.

Duan Xiaoming from the Haifu Knife Department has also been paying attention to this patient, because he also has permission to review the medical records of the operation performed by this patient in their department.

He was very curious, Yang Ping had the operation that day, bombarded it dozens of times, and adjusted the parameters carefully. The accuracy of the parameters reached the limit of the machine. Is it pretending, or is there something real?

Duan Xiaoming wanted to know the answer very much. Sisi also had an MRI that day, but just after the operation, the imaging performance was not very obvious, so he could not draw a conclusion.

Now Duan Xiaoming believes it. Before the operation, the day after the operation, and one week after the operation, three sets of MRI films were compared, and the effect was clear. No one knows the effect of this operation better than Duan Xiaoming.

From the magnetic resonance images, the liver tumors were all hit by focused ultrasound, and most of the tumor cells were killed and disintegrated and absorbed under the influence of high temperature.

As an expert in Haifu Knife, he himself has never been optimistic about this device. He applied for transfer back to the ultrasound department several times, but was rejected by the hospital.

How could the equipment that the hospital spent so much money on at that time be idle, at least now it can be used as a patient for uterine fibroids.

In this way, this department is half-dead, and Duan Xiaoming has nothing to do all day, staring at the ups and downs of stocks on his mobile phone all day.

Don't you think it's strange for Doctor Yang, an orthopaedic doctor, he can still make a sea knife?

Anyway, there are no patients now, so everyone gathered to chat a little, and one of his assistants, a resident doctor asked.

Duan Xiaoming pointed it out to him: Look, in the MRI of the little girl in their orthopedics department last time, the liver tumor was beaten so cleanly by Hai Fu Dao.

If Hai Fu Dao has such an effect, then he will have a great future, and he will not eat and wait to die like he is now.

Duan Xiaoming thought that if he could learn such a unique skill from Dr. Yang, not to mention other diseases, he could gain both fame and fortune just by having uterine fibroids.

In a situation like myself, in order to become famous, I can only take a slanted edge, focus on a subdivision field, and make it the ultimate.

It is too difficult to deal with liver cancer and lung cancer. I will make uterine fibroids famous in the future, and I will also have a place in G City.

Duan Xiaoming was thinking about how to get through the relationship, and I am afraid that he will trouble Song Zimo again.

If the machine is idle, it is also idle. If there is any patient in the future, please ask him to operate it and bring yourself with you. Don’t stare at the stock all day, and see that your eyes are swollen, or you will lose money.

To cheer up and do something serious, Duan Xiaoming touched his bald head.

——

Does it still hurt here? Yang Ping pointed to the position of the liver area on the right side of his finger.

It was a little painful on the day of the operation, but it doesn't hurt now, and I feel much better. Thank you, big brother. Sisi's complexion is much better because she got rid of the pain in the liver area.

There was a copy of Human Anatomy Atlas on her desk, the human health version, and there were some anatomical drawings on the scratch paper next to her.

This is what I asked from Sister Feifei. I also want to be a doctor. I will start preparing now. This is the liver. I drew it. Sister Feifei said that you must learn anatomy well and be good at drawing.

Sisi saw that Yang Ping noticed the book on her desk, took the initiative to explain, and showed Yang Ping her own drawing.

Although this picture is a little cute, it is well drawn. Yang Ping took a closer look and drew it quite finely: left and right halves, 5 lobes, 8 segments, gallbladder, hepatic duct, common hepatic duct, common bile duct, proper hepatic artery , hepatic portal vein, are drawn.

This little guy may be a good material for studying medicine in the future. Yang Ping's nose suddenly became a little sour.

You draw so well! Yang Ping praised her.

The little girl said proudly: I want to draw every part of the human body, and then I also want to draw a complete human anatomy.

After the operation, the pain in the liver area disappeared, which also confirmed the effect of the operation from the symptoms. The tumor was largely killed by the heat energy and began to absorb and shrink.

It is the first time to use the simulation operation function of the system space, and the effect is very good. Yang Ping has carried out a complete simulation of several tumors of Sisi. At present, only the operation of the liver is used. In the future, the tumors in other parts will be completed step by step. treat.

This simulation capability is great for difficult surgery, where replicas can be used to perform numerous studies and experimental surgeries, obtain data, and then apply the data to real cases.

This ability to replicate cases can also be used flexibly. For example, by dissecting replicated cases, lesions that cannot be detected by medical instruments can be found.

——

Fang Xiaoyun's muscle strength is still declining, and now it's down to the second level, he can only move on the bed, and he can't even lift his legs.

The parabolic span of this spinal cord edema is a bit large, which is not in line with the condition. Yang Ping asked Zhang Lin to give Fang Xiaoyun another MRI and an vascular imaging.

Is the spinal artery embolized again? Or there is hematoma compression? The operation interferes with the blood supply of the spinal cord?

Surgery interferes with spinal cord blood supply? impossible!

Yang Ping was very confident in his operation. He didn't break a single intercostal artery, so how could he damage the blood supply?

Hematoma can also be ruled out, if there is a hematoma, it is impossible not to show on MRI.

It is entirely possible that the artery is re-embolized, and the diagnostic accuracy of MRI for these subtle lesions is 95%, which means that there is still a 5% chance of missed diagnosis and misdiagnosis.

For others, there is a 5% possibility, but Yang Ping does not have such a high error.

He recently carried out auxiliary inspection training in the system space, and the reading ability of MRI has improved several realms. He can identify artifacts, interference, imaging deviation, etc. If there is any doubt, he can conduct further inspection, or supplement with other inspection to identify.

The peak of edema should have passed, why does it continue for so long and the muscle strength is getting worse? Song Zimo was puzzled.

There will be no problem in the recognition of edema by magnetic resonance imaging. This patient is very strange. Why does the edema have no sign of subsidence, and it has entered a plateau. Yang Ping was also a little puzzled.

If it's just caused by spinal cord edema, it doesn't matter much. It doesn't matter if you wait, I'm afraid there are other reasons. Professor Zhang also came up.

Doctor Yang, Fang Xiaoyun's mother came up and was brought up by the security guard. She wants to see her daughter. The security guard asked if she would allow it? Head nurse Cai Qiaojun came over to report.

The two security guards took Fang Xiaoyun's mother. She didn't make any noise this time, she didn't make trouble this time, she was quiet and seemed to be very honest, and she couldn't stop apologizing: Last time I was too emotional, this time I want to understand , I just want to see my daughter, isn't she hospitalized for surgery? I'm her mother, and I want to take care of her.

There is no reason not to let her take care of her daughter if she is not noisy or noisy, Yang Ping said to Head Nurse Cai, Ask the patient's own wishes, and if she agrees, let her in.

There is no time to entangle with her, everyone is busy analyzing the condition, this kind of case, if not careful, may lead to permanent paraplegia, so once there are signs of abnormality, it must be analyzed and dealt with in time.

I have used methylprednisolone and 20% mannitol, but the edema has not been relieved. Is there any reason?

Zhang Lin, the doctor in charge of the bed, also participated in the discussion.

There are only two reasons, one is related to the condition of thoracic vertebra tuberculosis, and the other is not related to the condition, and there are other reasons. Although the diagnostic approach emphasizes unity, try to use one disease to explain the symptoms, but when the unified explanation does not make sense, just To consider diversification, will this patient have other problems. Yang Ping analyzed.

The doctor's analysis of the disease is a process of logical reasoning. Using his own knowledge and experience, he integrates the patient's medical history, physical examination and auxiliary examinations, so as to get to the truth.

However, in many cases, the truth cannot be revealed at all, and they can only be treated according to the symptoms.

It's just like the TV's image is always unclear. You take a picture and it will become clear. I don't know why.

There is no ischemia in the spinal cord. Don't worry too much. You can wait. If you can't recover, you can check in other areas. It's too early to start the examination now, and the patient can't afford it financially. Professor Zhang suggested that Wait a minute.

Yang Ping thought for a while, and went through the possible reasons in his mind. Fang Xiaoyun's magnetic resonance did not show spinal cord ischemia at present, and there was no embolism in the arteries supplying the spinal cord.

At least in the main arteries that can be seen on MRI, no embolism is seen; arteries that are not visualized have little effect on blood flow, and even embolism does not pose a threat.

The D-dimer was re-examined several times, and it also showed a downward trend, which did not support the embolism of the spinal artery, indicating that the blood clot in the body was only formed by a small amount of bleeding caused by the operation.

It is indeed a bit premature to roll out inspections now, because investigations require a lot of inspections, and some inspections have certain side effects.

Professor Zhang is right, you can wait and observe closely, I agree. Yang Ping made a decision.

I'm going to see her too! Professor Zhang took everyone to a ward round.

Fang Xiaoyun was sitting on the bed, very calm. She believed in the doctor very much. Her colleagues were helping her massage the muscles of her lower limbs. Fang Xiaoyun's mother, Teng Guihua, sat on the escort's chair, smiling a little reluctantly at everyone.

Her attitude has changed, and everyone is still a little uncomfortable. Could it be that her conscience has discovered it? I owe my daughter, now I have to make up for it.

You may deal with objective illnesses every day. When analyzing your illnesses, you will not carry any emotions. One is one, and two is two. You will not hate one, and one will become two. It is also possible that after staying in the system space for a long time, people's dispositions have also changed.

In short, Yang Ping didn't quite believe that this shrew changed so quickly, but he didn't have to deal with her, just treat Fang Xiaoyun seriously.

Professor Zhang's physical examination showed that his muscle strength is currently Grade 2, which is also Grade 2, which is slightly worse than yesterday's Grade 2. Yesterday, he moved his limbs faster on the bed, but today he is very slow and weak.

Now it is a progressive decline, Professor Zhang frowned, and decades of experience told him that the situation was not optimistic.

Professor, my daughter was able to walk before the operation, but why can't she walk now? She's paralyzed? Teng Guihua asked carefully.

Professor Zhang glanced at her: We are closely observing, if necessary, further inspection.

Surgery? Teng Guihua blurted out.