Surgery Godfather
Chapter 1026 - 848: This Doctor Has Magic Power

Chapter 1026: Chapter 848: This Doctor Has Magic Power

The diagnosis of Kawasaki disease-related coronary artery variations relied on coronary angiography; cardiac auscultation provided very limited information, but a physical examination was essential and could not be skipped under any circumstances.

Because only through taking medical histories and conducting physical examinations could doctors directly interact with and gather information from patients, commanding an irreplaceable status. Sometimes, these examinations could reveal details that various instruments and equipment checks could not.

Yang Ping not only performed auscultation of the heart but also conducted other detailed examinations. During the examination process, they inevitably had to turn the baby over, positioning the infant in various postures that facilitated a thorough examination. The doctors observing maintained a respectful silence, attentively watching every detail of Yang Ping’s examination.

Perhaps the "magic" of Yang God’s examination was different from others—that was what everyone thought.

Indeed, his examination was extraordinary. Several doctors had examined the little one before, and each time, the baby had wailed loudly and thrashed about.

Once, to protest, one of the babies had filled his diaper during an examination by a doctor, sending an overpowering stench of feces throughout, causing the doctor to have to abandon the examination.

However, now under Professor Yang’s examination, no matter how the baby was manipulated, he lay still on the bed, fully cooperative, not crying at all, but instead smiling sweetly at Professor Yang.

The baby’s parents were also extremely surprised. Today had indeed presented a strange sight. Not to speak of the intern doctors, even when Professor Wen had come to listen to the heart, the little one had been fussy and uncooperative. Yet today, he was surprisingly well-behaved. What magic had this intern doctor used?

The baby’s parents couldn’t help but feel a bit more fondness toward this "pseudo-professor."

"Thank you for cooperating!"

Yang Ping made a funny face at the baby, who laughed gleefully. Yang Ping put away his stethoscope, swiftly dressed the little one, and then handed him back to his mother.

"Let’s head to the doctor’s office," Yang Ping said to Doctor Chu.

The parents of the baby were still immersed in their child’s joy, and when the examination abruptly ended, they felt a bit disconcerted. All the doctors had already left the ward, and while the child lay giggling in their arms, the parents were somewhat dazed, observing the professor’s realistic examination. They chuckled involuntarily, reflecting on how today’s students were expert at posturing.

However, they understood; doctors, after all, undergo a process of growth. If everyone were unwilling to participate in teaching activities, how would young doctors evolve from novices to experts?

The baby’s mother said, "During the previous visits, whether it was Professor Wen or the intern doctors conducting the examination, our son would cry and fuss. But today, with this intern doctor listening to his heart, he didn’t cry or make a fuss, and even smiled at the doctor."

"This intern has an interesting act; his posturing was quite convincing. If not for his looks giving him away, I would have truly believed he was a leading professor. From his demeanor, one would think he’s some world-class professor," said the father of the baby, laughing. Just then, under the "pseudo-professor’s" aura, he had remained silent on the side, not daring to express any dissatisfaction, indicating he too was influenced.

The baby’s mother held her child and said, "Look, our son is still smiling. It’s interesting how he didn’t mind whatever the professor did to him, even managing to laugh foolishly."

Back in the doctor’s office, Doctor Chu pulled up the images of the child’s coronary angiography. The left anterior descending branch of the coronary artery was completely blocked, with the heart’s blood supply maintained by collateral vessels from the other two coronary arteries—an extremely dangerous condition, susceptible to sudden cardiac arrest due to myocardial ischemia at any moment.

Therefore, coronary bypass surgery was the only option.

Thanks to advances in medicine; if this had occurred in the past, this case would have been hopeless, and the child would have soon died from an acute myocardial infarction.

"The Shanghai Children’s Medical Center is relatively good at pediatric coronary bypass surgery in China, but they also only have experience with just over ten cases, the youngest on record being 14 months old. They lack experience with one-month-old patients."

This was Dr. Chu’s patient, and naturally, Dr. Chu was familiar with the case.

"The biggest difference between heart bypass surgery in children and adults is the diameter of the blood vessels, which are very small, about 1 millimeter for a one-month-old infant."

Song Yun said on the side.

Then the surrounding doctors joined in, everyone chiming in, actively engaging in the discussion.

"The age is too young, we should use the beating-heart technique, which makes anastomosing such fine blood vessels on a beating heart even more difficult."

"That’s why Director Wen requested Yang Ping to join the surgery, knowing that Professor Yang’s expertise in microsurgery is profound."

"What blood vessel should be used for the bypass?"

"The internal mammary artery, perhaps?"

"The heart is constantly beating; how do you anastomose the blood vessels?"

"This requires professional training, similar to shooting at moving targets. You have to move your muzzle with the target and be able to precisely anticipate and lead the aim."

Every surgical operation is composed of numerous basic skills; vascular anastomosis is a single technique that can be used in many surgeries, such as organ transplants, coronary bypasses, etc., all of which require vascular anastomosis skills.

While everyone was still discussing the case, Director Wen hurried back from the operating room. He hadn’t changed out of his scrub gown and was wearing a white coat over it and a pair of slippers.

His surgery was scheduled until after ten in the evening. Hearing that Yang Ping had come to the department to see the patient in bed 12, he took the opportunity between two surgeries to come down and greet him.

"Professor Yang, I have several surgeries today and couldn’t accompany you. I apologize," Director Wen said as he shook hands with Yang Ping.

Everyone being doctors, how could they mind such things? Yang Ping said, "Director Wen, why did you come down yourself? Please go back to your work; don’t worry about me, I just came to have a look."

"Xiao Chu, there’s tea in my office, make a cup for Professor Yang."

Director Wen handed the keys to Dr. Chu and then sat down, pointing at the image on the digital viewer.

"Look, the opening of the left anterior descending branch is completely occluded; it can only rely on the collateral vessels of the other two coronary arteries to barely maintain the blood supply to the heart. If the surgery isn’t performed soon, sudden death could occur at any moment. I initially asked colleagues from Shanghai for help, but they also lacked experience in this area. The child is also premature, I don’t know if the vessels are even 1 millimeter. A few days ago, I met Professor Liang, and when I discussed this case, Professor Liang said, ’Find our special orthopedic professor Yang Ping. His vascular anastomosis skills are top-notch, it doesn’t matter what coronary artery or not, if you find him, it’s right.’ Director Zuo said that you and Academician Wang from Fuwai are well acquainted, and that you’ve done many coronary bypasses at 301, which greatly boosted my confidence. Now that you are at Xiehe Hospital, it’s destiny."

"Professor Yang, I really believe in the magic of medical connections."

Director Wen was eloquent, quite a talker.

"Yes, the sooner the surgery is done, the better. Please arrange the surgery as soon as possible. I can lend a hand any day this week," Yang Ping said.

Director Wen turned to look for Doctor Chu, who had just gotten some tea leaves and was brewing tea.

"Xiao Chu, the pre-surgery check-ups must be completed today or tomorrow, no problem with the surgery the day after tomorrow, right?"

While making tea, Doctor Chu said, "No problem."

Director Wen didn’t know about Yang Ping’s surgical schedule for the next few days. Inviting him so suddenly could easily disrupt the schedule in his department.

"You don’t have many surgeries scheduled for the day after tomorrow, do you?" Director Wen asked concernedly.

Song Yun took over the conversation, "About a dozen or so."

A dozen or so? Then how could he have time to help with our surgery? Director Wen immediately frowned, thinking this completely disrupted Professor Yang’s plans, as he already had a dozen surgeries.

"Oh dear, what should we do? Should we move the surgery to the evening?" Director Wen said helplessly.

Knowing Director Wen’s concern, Yang Ping reassured him, "No worries, your surgery won’t take much of my time. Just a few grafts, a matter of minutes, no need to wait until the evening."

Oh come on! Talking about grafting like it’s a few minutes’ task, as if it’s a child’s play.

Director Wen had just taken a sip of the tea Doctor Chu handed him when he heard Yang Ping’s remark, and he almost spurted it out. "Xiao Chu, why is this tea so hot? Is it boiling water?"

Doctor Chu was confused. Didn’t making tea require boiling water, not just warm water? Director Wen flicked a few tiny drops from his pants and handed the cup back to Doctor Chu.

The other doctors were also shocked by Yang Ping’s statement, looking at each other, hoping someone would provide an explanation, whether he was bragging or serious.

Even performing multiple grafts in adult coronary bypass takes more than a few minutes, not to mention pediatric non-stop coronary bypass, and you say it’s a matter of minutes?

"Professor Yang? You can complete such grafting in just a few minutes?" Director Wen asked, adhering to the principle of seeking the truth from facts.

Yang Ping realistically replied, "Yes, it won’t take much time, just a few minutes."

Yang Ping’s answer aimed to put Director Wen at ease, assuring that the surgery could be scheduled flexibly without time constraints. However, hearing this, Director Wen swallowed hard. How audacious could a young man be? He was actually curious to see how the surgery could be finished in minutes. A few minutes seemed far-fetched.

Director Wen wanted to chat more with Yang Ping, but then the operating room called him urgently. The surgery had started and they were waiting for the chief surgeon to come in.

"That Xiao Chu, let’s schedule this bed 12’s first case the day after tomorrow and communicate with the anesthesia department beforehand. Have them come by today to review the patient if possible."

Director Wen hurriedly gave a few instructions, then shook hands with Yang Ping and said goodbye.

A few minutes?

This question buzzed in the minds of several doctors. This is Xiehe, after all. God, are these few minutes real? Do you follow the same time standards as we do?

Men often exaggerate certain figures, usually reporting higher numbers, but this way of reporting clearly contradicts the mainstream.

Even as the crowd dispersed, they were still pondering this simplistic yet complex issue in their minds.

In the evening, to check on how well the technique of peeling lobsters with chopsticks had been learned, Song Yun took Yang Ping and the others for a lobster meal.

Of course, it was Lu Xiaobao who picked up the tab because the restaurant owner had become his prospective father-in-law.

Seeing the doctors from Xiehe arriving again, the restaurant owner was overjoyed, especially with Doctor Lu Xiaobao in the group, whose lobster peeling skills hadn’t improved, yet he had begun dating the owner’s daughter.

The owner had always desired a son-in-law from Xiehe. It seemed that the matter was nearly settled as the owner’s daughter was a graduate student at Capital Medical University, currently in her second year, and would often help out in the restaurant, making her familiar with the doctors from Xiehe.

Lu Xiaobao had already spoken with the restaurant owner in advance, who had reserved the best table for them.

"Lu Xiaobao, aren’t you going to help out? Your in-laws are so busy," Song Yun joked as they just seated themselves.

Lu Xiaobao genuinely rolled up his sleeves ready to help, but his "father-in-law" stopped him: "Just stay and enjoy the meal with your colleagues, and remember to take some goodies home before you leave."

The father-in-law had prepared some nutritious goods for them, understanding the hardship of being a doctor.

Several waiters were serving, but the father-in-law only roamed around the place, stepping in to help when the waiters were overwhelmed. The mother-in-law oversaw the cash register.

Upon hearing of the arrival of "Yang God," Lu Xiaobao’s girlfriend, the restaurant owner’s daughter, insisted on coming from school to meet the legendary Emperor CNS.

Lu Xiaobao boasted, "That’s easy. Yang God is my bro, my close friend, and I’ll bring him straight to the restaurant for some lobster."

His girlfriend thought Lu Xiaobao was joking, only to find out it was true.

She came to help order food as a waitress while Lu Xiaobao shyly ducked his head, to which Song Yun commented, "Look at you, getting all scared like this, what will you do later?"

"There, it’s a family tradition to fear the wife," Lu Xiaobao defended himself, prompting the young lady’s face to instantly turn beet red.

After she left, Kong Weiquan said, "Lu Xiaobao, I suspect you’re dating her just for free lobster, aren’t you?"