The Godfather of Surgery

The patient will be sent to the trauma ICU, and everyone will follow.

The tracheal intubation could not be pulled out, so Fatty Liang connected her to a portable ventilator to ensure the safety of breathing during the transfer.

The door of the operating room opened, and the patient came out. His husband and the child were already waiting anxiously. When he saw the patient coming out, the husband immediately greeted him. The little boy of four or five years old was hiding beside the man, shivering and pulling. The corner of Dad's clothes, his eyes have been in a state of panic.

The patient's body is covered by the white quilt of the operating room, and the missing lower body is not so dazzling.

Yu Shuilian's husband? Your wife has been rescued, but she is not out of danger. I will talk to you about her injury in detail later. Yang Ping saw that the child was there, and it was inconvenient to say too much.

The man saw that the lower half of the quilt was empty, and he was already prepared in his heart. The doctor talked with him before the operation and explained it to him very thoroughly. There is a high probability that he could not be rescued. Even if he was rescued, it would only be half. As long as a person is alive, he accepts whatever state he is in.

Live well, live well!

Yu Shuilian's husband, Fu Xiayang, looked at his wife, tears were pouring down like rain, he kept wiping the tears with his sleeves, shaking hands to lift the quilt, Song Zimo held his hand and said in a low voice, The child is here!

Fu Xiayang understood the meaning, and withdrew his hand, his facial muscles twitched, his lips trembled, and he grabbed his wife's pale hand with both hands: The doctor said it's alright, don't be afraid! Don't be afraid! I'm here—

The husband didn't know what to say, he followed the flat car and kept repeating this sentence.

She can't hear! Fatty Liang told Fu Xiayang.

Song Zimo patted the child's head: Your mother is all right, don't worry, don't be afraid, there are so many uncles and aunts here, she will be fine—

The little boy nodded sensible, and his frightened eyes regained a little peace.

When he arrived at the ICU, Yang Ping explained to Director Pan that he wanted Song Zimo to take charge of this patient. According to the rules, this was not acceptable. How could doctors from other departments take care of the patients in the ICU, but Yang Ping's face had to be given.

Dr. Yang, no problem, let Dr. Song take care of it, and the doctors and nurses of our department can be dispatched by him. Director Pan agreed.

When the patient crossed the bed, Song Zimo and Gao Qiao did the work, and the others helped, with the help of the sheets, and it was very easy to cross the bed.

After going over the bed, Song Zimo lifted the quilt, arranged more than a dozen drainage tubes, and connected the wires of various monitoring instruments. The doctors and nurses in the ICU saw this half of the person.

All are shocking, the sudden visual impact makes some people with poor tolerance, causing extreme discomfort.

No wonder Dr. Yang asked Song Zimo to supervise. This patient is indeed inexperienced, and Director Pan was also surprised.

After the monitoring equipment was connected, the blood pressure was re-measured, 105/62mmHg, and the blood pressure rose a little bit.

Have you used dopamine? Song Zimo was very satisfied when he saw this blood pressure.

The fat man is connecting to the ventilator in the ICU: Dopamine is useless, natural blood pressure.

Hemorrhagic shock is temporarily passed, but infection and organ failure will follow.

Serious contamination of the abdominal cavity, after such a large trauma and surgery, the body's immunity is like a thin piece of paper, it will be broken once it is stabbed.

The double blow of trauma and surgery, especially the liver, the main right lobe of the liver is removed, leaving the left lobe, and liver failure may occur. Once liver failure occurs, even if it does not cause multiple organ failure, the mortality rate is extremely high. Multiple organ failure, certain death.

Postoperative management is very complicated and difficult, and this state will last for a long time.

In the case of monitoring the central venous pressure, blood transfusion and rehydration should be continued. Dual preventive antibiotics have been used, and broad-spectrum antibiotics against aerobic and anaerobic bacteria are used. At this time, it is not time to consider the side effects of antibiotics. is the most important.

Let's see if I can contact the psychology department and give the child psychological counseling. Song Zimo explained to Tang Fei.

He just saw that the child's condition was very bad. Tang Fei knew in his heart that no one could understand the child's mood at this time better than Song Zimo.

Leave the child's affairs to me, you stay here, come on, she will definitely survive, definitely. Tang Fei encouraged Song Zimo.

Song Zimo stayed in the ICU, and Takahashi also insisted on staying to take care of the patient together, but the ICU's promise to Song Zimo to stay had broken the rules.

Let Dr. Song stay alone. If you need it, you can help. Xiaowu Zhanglin will go to our operating room. There are still a few surgeries today. Yang Ping felt that the patient was sent to the trauma ICU, and Song Zimo was there. Don't worry, Corey still has a few surgeries to do, so it's inconvenient for him to stay for a long time.

After leaving the ICU, Yang Ping saw the patient's husband in the family waiting area: Let me talk to you about her condition.

Children, let dad talk to the doctor, can my sister take you away for a while? Tang Fei said to the little boy gently.

Go with the doctor and sister. Dad will discuss with the doctor about mother's condition. Fu Xiayang said to his son.

The little boy was quite obedient and followed Tang Fei.

Fu Xiayang leaned his head on the back of the chair and said to himself: When I was young, I fell in love with her, my family was too poor, and her family did not agree. She stole the household registration book and gave me a marriage certificate. When I came to work in the south, at that time, she and I didn't have a good life. I never used any cosmetics and skin care products, and the clothes were the cheapest. I'm not afraid of your jokes. After having a meal here, the two of them worked hard for many years, and finally they have a bakery of their own. After saving a little money, they are going to buy a house. Not long ago, we were going to take wedding photos. Come down, I secretly bought a ring, and I haven't had time to tell her that the hard days are just over, I didn't expect—

Fu Xiayang burst into tears: Doctor, I beg you, let her live, no matter what the cost—

thump! The man suddenly fell to his knees.

Yang Ping hurriedly helped him up: We will definitely do our best—

When his mood calmed down, Yang Ping explained to him Yu Shuilian's condition in detail and the difficulties he might face in the future. At this time, Song Zimo and the ICU doctor also came out to sign some informed consent documents.

Takahashi has not recovered from the operation just now. In the operation just now, the steps of several operations were completely disrupted and performed in a staggered manner. He hadn't quite figured out how the surgeon could coordinate so many steps.

Just like writing an article, the author does not write word by word, but a stroke here, a stroke there, there seems to be no pattern, but when the last stroke is completed, you find that an article is actually completed, and every word is still very pretty.

Takahashi has never seen anyone who does this surgery, but it is indeed much more efficient. For example, the removal of the omentum is usually done by separation and removal. While Yang Ping is doing other operations, he is doing the separation and removal of the omentum. After the organ exploration was completed, the omentum was also separated and excised.

The reason is clear, but the actual operation, countless steps, are disrupted in such a tense situation, scientific planning, staggered combination, how powerful thinking ability does this require?

If it was done step by step, this operation would have taken three or four hours, but Yang Ping completed it in thirty-five minutes.

Yang Ping returned to the Department of General Orthopedics, and Takahashi was always by his side: Dr. Yang, just now you decomposed each independent operation into many steps. These steps were disrupted and staggered, which saved a lot of time. Can you teach me? , how can we achieve such efficiency?

Yang Ping pondered for a moment: You are very careful and noticed the details of my operation, but you can't easily try this method of operation, it's easy to panic, and it will prolong the operation time. I have a paper that will be published soon, devoted to the treatment. This kind of multiple severe trauma, to deal with such trauma, must have the concept of system engineering, start from the whole, make overall planning, and optimize the operation as a whole, but ordinary people can only optimize multiple operations, and cannot go deep into each operation The steps are optimized, so my surgery is not replicable and has no learning value.”

Takahashi's heart suddenly became cold, which meant that Dr. Yang's level, no matter how hard he tried, could not reach it, and it was very heartbreaking.

But Takahashi thought about it calmly. It was not that Dr. Yang was unwilling to teach him. He went deep into the operation steps, disrupted the steps and reorganized them. He really couldn't do it.

In my thesis, I established an engineering model of trauma treatment system. There is a set of scientific scoring formula, which is very simple. According to the model, the patient is scored. Based on the score, an optimized process can be automatically selected. This process has the shortest operation time and the highest success rate. , you can learn this decision-making model and make use of it—— Yang Ping suggested Takahashi.

A person who is good at performing surgery is not a real master. He can sublimate and simplify his own surgery, and then turn it into a set of operations with a low threshold and easy to master and popularize. He is a real master. This can benefit many doctors. Afterwards, more patients were treated.

Takahashi understands that Takahashi must work hard to learn his surgical thinking and methods, and then try his best to promote it so that the scope of his medical skills will be wider.

Takahashi was more sober, and felt that Yang Ping was right. Instead of pursuing what he could not achieve, it would be better to maximize the skills he could achieve. When he was excited, he even called Yang Ping Mr. according to Japanese custom.

Dr. Yang, I'm sorry, I was too excited just now—— Takahashi didn't know if it was appropriate for him to call Mr.

Yang Ping looked at his nervous and submissive appearance: Taoqiao, don't be so restrained, you can freely express any good opinions you have. We have academic freedom here, and you can express your opinions freely.

Thank you, Dr. Yang, please accept the sincere apology from student Takahashi. Takahashi's behavior last time was like a frog in the well--- Takahashi immediately stood up and bowed.

Xiao Wu called, and the patient had already prepared for the operation and could start the stage.

Yang Ping took Gao Qiao to the operating room. Graduate student Li Guodong had just been helping in the ICU and just came back, and went to the operating room with him.

In the locker room, Gao Qiao and Li Guodong were close to each other: Guodong, can you teach me to shop online?

Li Guodong thinks that this Japanese is easy to learn, an international professor, just like a student, this kind of learning spirit is at least worth learning, so I don't hate him.

For foreigners to register Taobao Alipay, Li Guodong really does not know the process, and it is not very clear whether to open an account in the Bank of China or not.

Do you want to buy something? Li Guodong was very curious, he had only been here for a day.

If you're not in a hurry, I'll buy it for you, what? Li Guodong asked him.

Takahashi gestured: I want to buy an electronic scale, the kind used in the laboratory, with an accuracy of 0.001 grams.

This is a good buy, I'll buy it for you? It shouldn't be too expensive, maybe three or five hundred. It will arrive in a few days. Do you have any requirements for the price? Li Guodong wondered what it was.

I don't understand, you can buy it for me. I'll transfer you 1000 via WeChat first?

No, wait until it arrives.

Li Guodong didn't understand, how could this Japanese buy an electronic scale, does he like to play with it?

An electronic scale with such high precision, or what kind of experiment is it used for, weighing pills, powder or something?

Two chapters a day will resume tomorrow, these two days have been busy, sorry!