Surgery Godfather-Chapter 418 - 0387 Stable After the Operation
Chapter 418: Chapter 0387: Stable After the Operation
Chapter 418: Chapter 0387: Stable After the Operation
Yang Ping’s back was drenched in icy sweat, even he himself didn’t know when he had sweated so much.
Highly concentrated attention is greatly exhausting both mentally and physically.
Four instances of hanging by a thread with heartbeats suddenly stopping could completely drain a doctor’s confidence.
However, he remained unwavering, pushing the surgery towards success step by step.
Director Han tightly hugged Yang Ping, this young man who usually did not talk much, always managed to turn the tide at critical moments, remaining calm even when facing great danger.
“Quickly, go change your clothes, don’t catch a cold,” Director Han finally spoke.
“It’s fine, they’re almost dry,” Yang Ping said with a laugh.
Professor Feng was pushed out from the operating room, with an endotracheal tube inserted, connected to an emergency transport respirator.
On the portable electrocardiograph following the gurney, the heart rate was 80 times per minute, blood pressure was 132/85mmHg, and blood oxygen saturation was 100%.
Wen Rentao and Zeng Ran pushed the gurney, Dr. Wu held the resuscitator bag, the patrolling nurse held onto the rail, and Professor Ma followed alongside. They all escorted Professor Feng back to the ICU ward.
Professor Zhang, Director Han, Hong Zhigang, and Dean Chen immediately surrounded them.
Seeing the steady parameters on the monitor, all their anxious hearts were finally put to ease.
“The surgery was successful!” The news quickly spread.
People started to come out from the other operating rooms, watching as Professor Feng’s gurney was pushed out of the surgery room.
If there were no complications, two hours after returning to the ICU, Professor Feng’s endotracheal tube could be removed, and he could resume autonomous breathing.
The surgery room doors opened, and Professor Feng’s gurney was pushed out, heading towards the dedicated surgery elevator.
The family waiting area was surrounded by people, all of them being doctors observing from the teaching room. John Ansen, Griffin, and Woodhead were also among them.
Everyone kept quiet and didn’t interrupt the progress of the gurney. The elevator doors opened, and Professor Feng was pushed into the elevator.
Upon arrival at the ICU, the doctors and nurses were already well prepared, almost as if they were standing in a welcoming line.
They transferred him to the bed, connecting the respirator and monitor, drawing blood for dynamic monitoring of various indicators.
Professor Zhang, Han Jiangong, Hong Zhigang, and Yang Ping stayed by the bedside, while others were asked to leave.
The tumor from the upper cervical cord to the medulla oblongata was completely removed, the nerve nuclei and conduction bundles were perfectly preserved, and the minor heat damage caused by the weak laser knife head was only transient.
Next, they must be alert to the possible swelling of the medulla oblongata and spinal cord, but Yang Ping had been extra careful with the tissues during the operation, so even if there was postoperative swelling, it would be very mild.
The use of mannitol and 20% glycerin solution would be sufficient to deal with potential slight swelling.
Two hours later, Professor Feng’s endotracheal tube was removed, he was taken off the respirator and resumed autonomous breathing.
The heart rate, breathing, blood pressure, and blood oxygen saturation were all normal and very steady.
Early postoperative weaning can truly monitor the patient’s breathing status.
Sometimes, if the respiratory center is damaged, the patient cannot be weaned and must rely on the ventilator’s mechanical ventilation.
Now, Professor Feng’s breathing and heartbeat were very steady, the mobility of his limbs was normal, which indicated that the surgery did not damage the respiratory and heart centers, nor did it damage the spinal cord.
All the evidence pointed out, the surgery was very successful, not only removing the tumor, but also leaving no postoperative complications.
When the old man woke up and found out that his surgery was successful, he couldn’t believe it.
After all, he felt exhausted after general anesthesia, he also didn’t want to talk too much, only answering a few questions before wanting to rest.
“You all go eat, I’ll stay here to keep watch, there are also these ICU doctors,” Professor Zhang told Director Han, Hong Zhigang, and Yang Ping to go have their meals.
“You should also go eat, we will keep watch,” the ICU Director said to Professor Zhang.
With the patient in the ICU, there was nothing to worry about. They still had to eat after all.
Seeing that no one wanted to eat, Professor Zhang had to make an official command, “Everyone go to eat. After eating, Jiangong and Zhigang come back, and Xiaoyang return to the hotel to rest.”
Dean Deng of the Hospital Office had booked a private room in a nearby restaurant. Dean Chen led the team to accompany them, expressing the hospital’s gratitude towards Sanbo Hospital on behalf of the hospital.
During the meal, Dean Chen naturally had to give an official thank you speech.
Accompanied by Han Jiangong, Hong Zhigang felt very embarrassed and guilty as he had been led astray and had used improper means to slander his junior brother out of selfishness.
And his junior brother was aware that he was denigrating him but let him do so willingly, taking over the opportunity to succeed as department director.
Over these past ten years, he was the only one kept in the dark, foolishly congratulating himself for his small trick.
The more Hong Zhigang thought about it, the sadder he became. Back then, his teacher had taken all the responsibility, apologizing sincerely to the patient, negotiated compensation, preventing the situation from worsening.
Though not his fault in intent, Hong Zhigang’s negligence led to severe disability in the patient. He visited the patient multiple times after, explaining the situation, and gave financial compensation multiple times. He even funded the patient’s son’s tertiary education, helped him find a job in a state-owned enterprise in Shanghai after graduation. The patient not only forgave him but was extremely grateful to him.
For over a decade, Hong Zhigang was tormented by his conscience towards the patient and his junior brother.
Hong Zhigang did not anticipate that the teacher he respected was his biological father.
These past few days’ experiences were like a dream to Hong Zhigang.
“I’m sorry, junior brother,” Hong Zhigang raised his cup, substituting wine with tea.
Han Jiangong hugged his back, “Let’s not bring up the past. Okay, I accept your apology and let’s turn over this page.”
Though his senior brother was at fault, it wasn’t unforgivable. He had sincerely repented afterward. Under his leadership, the Orthopedics department of Magic City Sixth Hospital had greatly developed over these years. He had selected and trained a group of young people, employing the most advanced training and management approaches from hospitals around the world, forming a standard training and management system.
Yang Ping was surrounded by Wen Rentao, Zeng Ran, and Mu Jun. Remembering Takahashi Fumiya, the international Master of Trauma Surgery, Mu Jun asked, “I heard that Professor Takahashi came to China?”
He wanted to ask if he was in Sanbo Hospital.
Yang Ping said, “He has been in our hospital for several months now, do you know him?”
“He is our teacher. When we were studying in Japan, we received his training. He is very strict,” Mu Jun quickly explained.
As expected, Takahashi was in China, at Sanbo Hospital. Wen Rentao and Mu Jun’s speculation had been confirmed.
Yang Ping thought they knew about Takahashi’s further studies and wanted to inquire about his current situation. So he took a sip of tea and said, “Takahashi originally planned for a three-month study period, but now it has been extended to half a year. He is quite good, very serious and hard-working in his studies.”
Everyone looked at each other. Takahashi was further studying at Sanbo?
They all thought he was there to train them, but Takahashi was actually studying at Sanbo. This was quite awkward for the unintentionally brought up topic.
“Your Golden Knife Award Spinal Orthopedic Surgery was amazing. There are many questions I still don’t understand,” Zeng Ran quickly changed the topic to lift the awkwardness.
Speaking of the Golden Knife Award, Director Peng of the Medical Affairs Office said: “We have discussed uploading a video of Professor Feng’s surgery to the Golden Knife Award website, but according to the rules of the Golden Knife Award, the case must be from the participating hospital. Even though Dr. Yang was the chief surgeon, Professor Feng’s case is considered as belonging to Magic City Sixth Hospital. We don’t know if it can be considered Dr. Yang’s competing case. We will try our best to apply and communicate with the main committee, such a classic case is rare.”
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Director Peng has been dealing with this matter. Before the surgery, Professor Feng instructed that his own case be used for teaching. If the surgery failed, a post-mortem should be conducted for research.
Now that the surgery was successful, Director Peng and Dean Chen had been considering, as Professor Feng wished, making the surgical video public to their peers.
This surgery is an excellent teaching case for both spinal surgeons and neurosurgeons.
And the best way to disclose it is to post it on the Golden Knife Award website, which is currently the most powerful way of dissemination.
If it could be considered as Yang Ping’s competing case, that would be even better. Even if it couldn’t, creating a separate area on the Golden Knife Award website to display this surgery could benefit everyone.
“The purpose of the competition is to inspire young doctors to strive for perfection. This surgery embodies this spirit. I believe the main committee will take this into consideration,” Professor Zhang strongly recommended that this surgery be considered as a competing operation.
Dean Chen was aware that they had detained Yang Ping here for several days, and he would need to stay a few days more postoperatively, which would definitely delay his preparation for the Golden Knife Award season. If they could have Professor Feng’s surgery as a competing case, it would not only uphold Professor Feng’s intent but also make up for Yang Ping’s delayed time. So he said, “We will contact several authoritative professors in the field of orthopedics in the name of Magic City Sixth Hospital and request the main committee. We hope to get approval.”
Such a case that challenges forbidden areas and showcases doctors’ intelligence and courage, should be respected and learned from by doctors nationwide.
The third season competition is the surgery of spinal and pelvic tumors, among which, the upper cervical tumor is the focus.
Thinking of Professor Feng’s case, Yang Ping started to ponder how to simplify, standardize, and popularize this kind of high-difficulty surgery.
To make the surgery replicable on a large scale. Even though other doctors might not be able to reach his level, it was enough to take a step forward regarding the surgery of upper spinal and brain stem tumors.
Among them, Yang Ping’s experience in anatomy and pathophysiology was the most precious. Without thorough anatomical research on the brain stem, such a high success rate would not have been possible.
Without deep research into the pathophysiology of the brain stem, he wouldn’t have been as composed in the face of several sudden cardiac arrests.
Yang Ping decided to write a paper, researching the anatomy and pathophysiology of the upper spinal cord and brain stem. Based on this foundation, involving more scientific and safe surgical approaches and methods, enabling everyone to master his surgical techniques.
Everyone had almost finished their food and tea. Professor Zhang suggested that they conclude the meal.
Professor Zhang arranged for everyone to visit Professor Feng in the ICU again.
Hong Zhigang and Han Jiangong stayed overnight in the ICU, taking turns on duty.
Wen Rentao drove Yang Ping back to the hotel. He was exhausted and went back to the hotel to rest.
These past few days, his old buddy had worn out Professor Zhang. He was so exhausted that he needed to rest, otherwise, he feared he might end up in the ICU himself.