Surgery Godfather-Chapter 484 - 441: The Strong Heart

Volunteers with AB RH-negative blood type gradually gathered at Sanbo Hospital, and the blood collection vehicles of the blood bank were specifically parked nearby to prepare blood for the surgery.

The blood bank collected more than twenty thousand milliliters of blood, minus the potential unusable due to various reasons, there were almost twenty thousand milliliters of qualified blood.

These rare blood type volunteers came from all over the country, they knew that helping others was like helping themselves.

In medicine, life and death are sometimes separated by a thin line.

If massive bleeding occurs during a surgery, and there is not enough blood transfusion support to gain a window of time for hemostasis, the patient could suffer from hypovolemic shock, and important organs could suffer from ischemia and hypoxia due to insufficient perfusion, and eventually die.

If there is enough blood transfusion support, doctors get a chance to stop bleeding, and their lives can move in the opposite direction to being able to survive.

With this reservoir of blood, Yang Ping’s last concern was addressed, allowing him to calmly take to the operating table.

Using the duplicating function of the system space, Yang Ping had already conducted experimental surgeries on the duplicated Zheng Baosheng body.

A good doctor enjoys taking risks while also dislikes it enormously.

Enjoying risk, because they must have enough courage to challenge high-difficulty, high-risk surgeries.

Disliking risk is because their pursuit of surgical success relies not on luck, but their own professional knowledge and skills, a nearly obsessive seriousness about surgery, strict selection of surgical indications, comprehensive preoperative preparation, exquisite surgical operations, and mature postoperative management.

In strategy, despising the enemy; in tactics, taking the enemy seriously.

Yang Ping felt that this was also the dialectical logic of excellent surgeons - their enemy being all diseases and injuries.

Over these days, Yang Ping performed thoracocentesis and abdominal paracentesis on Zheng Baosheng daily to relieve the pressure of the liquid on the heart, so that the heart would be in the best state during the surgery, capable of tolerating the surgery and anesthesia.

If too much liquid is drained at once, the internal pressure of the thoracic and abdominal cavity could suddenly become unbalanced, then organ displacement, or herniation of the internal organs would occur, which can sometimes be lethal.

In order to avoid such a lethal situation, Yang Ping carefully drained the fluid in multiple sessions with restraint, stopping as soon as the conditions required for the surgery were met.

During each case analysis and treatment, Professor Li was present, observing Yang Ping’s preoperative preparation for the patient.

Some of Professor Li’s doubts gradually dissipated. He hadn’t seen Yang Ping perform surgery yet, but he already approved him a bit more in his heart.

The nearly impeccable preoperative preparations, thorough understanding of the disease, treatment of uncertain factors in anatomy, understanding of human anatomical functions, the formulation of various emergency plans, all impressed Professor Li.

What surprised Professor Li even more was that Yang Ping seemed to have mastered all the relevant knowledge about this case study, and was able to connect all these pieces of knowledge together, understanding from the principles, systematizing it, from one instance deducing all others.

Sometimes the bold and imaginative methods proposed by Yang Ping excited Professor Li - it was possible to do it this way.

Professor Li didn’t quite understand how this young man managed to do all of this. Did he possess a photographic memory and did not need to sleep at all, spending all his time studying and thinking?

However, based on their interactions these days, Yang Ping didn’t seem to be like this. He even slept in the duty room during the rare free time after completing surgeries, and did not seem to spend time reading various journals.

He occasionally sat in front of the computer in the office, speed-scanning papers. His scanning style was strange, always flipping pages non-stop, flipping ten or more pages in one second. How could he possibly grasp the information?

Professor Li could not figure it out, but he was sure that Yang Ping was indeed a genius doctor.

Now his main task at Sanbo was to follow Yang Ping. He even compressed his planned visit to Australia from a few days to one day to stay at Sanbo longer.

Gan Fengyi’s mother recovered well after surgery. On the fifth day after surgery, the muscle strength on her limbs had recovered to level three, and on the seventh day, it increased to level four.

The ICU doctors tried to extubate her, let her off the ventilator. After the extubation, the muscles that supported her respiratory movements were completely capable of doing the job, her oxygen saturation remained at 95% without supplementary oxygen.

Although her muscle strength was still somewhat weaker than normal, to increase the effectiveness of each breath, the ICU doctor decided to keep her on low -flow supplemental oxygen.

Gan Fengyi stood in the visit corridor watching her mother who had regained consciousness, no longer dependent on a machine for breathing, felt the sensations of post-disaster surviving and a return to the former life.

At this rate, she could soon be transferred out of the ICU and return to the ordinary ward for further treatment.

Gan Fengyi’s mother had a lung infection due to intubation and ventilator usage. Under the control of antibiotics, a re-examined chest x-ray showed improvement, and the sputum culture turned out to be ordinary Staphylococcus aureus, not any drug-resistant bacteria.

For a long time, the drug-resistant bacteria in the ICU had given doctors and infection control staff a headache. They collected samples daily in the ICU for culturing and analyzing, and then looked for causes and countermeasures.

Upon rechecking, the leukocyte count, procalcitonin and other infection indicators had significantly decreased.

Once transferred to the ordinary ward, care is needed, and Gan Fengyi decided to take care of her mother herself, she asked for a month’s leave from the company.

Walking out of the ICU, following behind Yang Ping were Professors Qin and Li, as well as Song Zimo and Xu Zhiliang.

Yang Ping glanced out of the corner of his eye towards the family consultation room. Its door was half-opened, and there was again the relative of that patient, the wife of the patient with fulminant viral myocarditis. This time she was alone, facing the chief physician, seemingly pleading with him. fɾēewebnσveℓ.com

Yang Ping stopped, feeling a bit uneasy in his heart. Despite having encountered this situation countless times and building up tolerance, he had never become numb to it.

The others also stopped along with him and Dr. Meng, who was seeing them out, explained again.

This is the patient’s wife. The patient has been surviving on ECMO for twenty days, the hope of survival is extremely slim, as slim as a drop of ink in the ocean.

The family members do not agree on whether to continue. Regardless of whether it’s the relatives from the husband’s side or the wife’s side, all are persuading her to give up, arguing that going on is meaningless and only a waste of money.

In the ICU now, including the cost of ECMO, it’s tens of thousands per day, much of which is not covered by medical insurance and has to be paid out of pocket, most of this money is borrowed.

Other relatives all suggest giving up, turning off the ECMO, but she alone insists, not to give up. She’s knelt down to the doctors several times, begging them to keep trying.

It is said that the couple was always quarreling, minor disputes every day and major disputes every three days. The wife was always complaining about the husband not making enough money, and how suffocating their life was.

Through the half-open door, Yang Ping looked at the teary-eyed wife from afar. Perhaps now she understands something, learns to cherish, and hopes to make amends.

But——

Regardless of love or not, they will never meet again in this life or the next.

This is not Yang Ping’s specialty, he can’t help either.

"Can—we—keep going?"

Yang Ping asked Dr. Meng.

"Depends on the will of his family. If they give up, we can only extubate. If they insist, we’ll do what we can. Yet, there’s almost no hope."

"Please, could you try again? I beg you, I beg you all—"

"We’ll give it our best, but the hope is slim. You need to be prepared."

The patient’s wife watched the departing doctors, unable to hold back her tears. Now, there is no one to comfort her because the person who usually comforted and tolerated her is lying on the hospital bed, kept alive by a machine.

——

Dean Xia and Director Han personally held up the bronze plaque of the "Surgical Research Institute", along with some workers, and hung it at the original location of the "Department of Orthopedics".

Move it a little left, a bit to the right, up, yes, too much, now a little bit down.

Under Dean Xia’s direction, the sweat-drenched workers finally hung the bronze plaque to his satisfaction.

"Is the time set?" Dean Xia held his pointing finger vertically, measuring whether the plaque was hanging straight.

Director Han also leaned back, looking carefully at the plaque, "I planned to choose an auspicious time, Xiao Yang recommended 8 o’clock on Monday."

"Eight o’clock it is. It’s our usual shift change time. How good." Dean Xia agreed.

"I want to invite a few people to celebrate. Xiao Yang said it’s not necessary. Simple arrangements won’t be too complicated, but Professor Liang from Xiehe Hospital will come, Professor Qin from 301 is here, Professor Su said he would definitely come, just a few people like that?" Director Han counted the guests.

"Hmm, we can’t make it too simple. We need to keep some ceremonial sense. Old Han, look here, we can place a step here. At the unveiling, I’ll accompany him on his left, you on his right. We’ll accompany him up the stage to unveil the plaque together. As for the number of steps, let me think." Dean Xia motioned with pointing fingers, planning where to stand at the time, even simulating the steps.

"You decide these things. I don’t understand such trivialities with a show of formality." Director Han didn’t care much about these details.

Dean Xia pulled a long face, "This is not trivial, it’s a ceremony. Get it? We need a sense of ceremony. When I received an award at the People’s Hall, there were female ushers to guide me on how to walk, stand, pose for photographs. All these are important, we can’t be careless."

"Where’s Xiao Yang? He was here just now, where did he go?" Dean Xia looked around.

Director Han took a glance inside the hall, it seems they were having a small lecture. Professor Li Zehui was giving a lecture and Yang Ping had invited him to lecture the doctors in their department, many young people had gone to attend.

——

While Professor Li was at Sanbo Hospital, Yang Ping asked him to deliver a lecture to everyone. The work here, sooner or later, would have to face various heart-related problems and those common fractures would no longer appear here unless for very special reasons.

Professor Li’s research on the heart has reached the pinnacle. He is a world-leading cardiac surgery expert and is often invited to give lectures and perform surgeries around the world.

"To understand the heart, I first need to understand its structure and how it works. Only in this way can we confidently face this lively and beating heart."

"It’s like the engine under the hood of a car, the engine is divided into four chambers. These four chambers are like a small house, two floors, two rooms on each floor, totalling four rooms."

"The two atria are for recycling blood, and the two ventricles are for pumping blood. This recycling and pumping forms a closed loop. It beats 60-100 times a minute, pumping about 5 litres of blood, roughly 3,600 beats an hour, 86,400 beats a day, over 31 million beats a year, 2.5 billion beats in 80 years. Everyday the heart sends around 6,000 litres of blood to the lungs and the body. Look, how robust the human heart is. If it were a car engine, given this intensity of work, it would have been scrapped long ago—"

Professor Li stood on the podium, at ease, starting with the most basic knowledge for the young doctors.

The audience in the teaching room was captivated by Professor Li’s interesting and straightforward explanation, from time to time breaking into laughter.

The teaching room was packed. Yang Ping quietly entered and sat down in a reserved seat in the first row.

Seeing Yang Ping, Professor Li paused his lecture, greeted him with a smile, and continued.