Surgery Godfather
Chapter 500 - 456: The German Hall

Chapter 500: Chapter 456: The German Hall

After finishing the meal, Dean Cai called Doctor Wan to bring the patient to the operating room for preoperative preparation.

Yang Ping prefers to observe the patient in the operating room complete the preparations himself. He does not like walking into the operating room to see a patient already covered by a sheet, revealing only the surgical area, this makes him feel uneasy.

Both Boss Cheng and Dean Cai were aware of Yang Ping’s habit, hence they did not commence anesthesia and sterilization too early.

The patient had been moved onto the operating bed, the nurse connected the intravenous channel, hanging a 500 ml 0.9% saline drip to maintain the intravenous connection.

This was a special patient, the doctors and nurses maneuvered him carefully, afraid that he might fracture a bone.

The anesthesiologist checked the patient’s teeth, examining each one, determining if any were loose. Loose teeth that dislodge could obstruct the windpipe, causing suffocation and endangering the patient’s life.

Patients with brittle bone disease tend to lose their teeth prematurely, and this patient was no exception. Many of his teeth had become loose and fallen out and had been replaced with implants.

Confirming that there were no loose teeth, the anesthesiologist then examined his hearing aid. Due to his hearing impairment, he relied on the hearing aid for normal auditory function.

"Don’t remove it! If I can’t hear, I’ll be scared." The patient was extremely panicked.

The anesthesiologist explained, "During the surgery, we’ll put you to sleep. Isn’t that great? After a little sleep, the surgery will be finished."

Even if general anesthesia was not chosen, and instead combined spinal-epidural anesthesia was used, in order to lessen the patient’s discomfort, most anesthesiologists would use drugs to put the patient to sleep.

Otherwise, the patient would hear all the metallic noise during the surgery, which would leave an indelible traumatic memory.

The patient shook his head, "No! Absolutely not. Let me stay conscious throughout the surgery."

Yang Ping, who was sitting aside waiting for them to finish preparations, said, "Keep the hearing aid on, let him wear it. Whether he wants to stay awake or sleep, let it be his own choice."

If the patient stays awake and suddenly can’t hear the sounds around him, he will fall into a state of isolation. The entire surgical process can be very oppressive and frightening.

Keeping the hearing aid in place wouldn’t cause much of a problem. Just take care that it doesn’t fall out.

The anesthesiologist, nurse, and a few other doctors carefully turned the patient onto his side.

"Doctor, take it easy. I’ve heard that having spinal anesthesia could leave behind back pain, is that true?" The patient was quite talkative and always felt like chatting with the doctors.

"Please don’t move. Lower your head, hunch your back, bend your knees, like a shrimp. If you arch your back, it will be easier for me to give you the anesthesia." The anesthesiologist began sterilization and positioning for the spinal tap.

"I’m so anxious, yet you haven’t answered my question yet?" The patient was persistent.

"In the past, when thick needles were used for spinal anesthesia, there was such a possibility. Now, thin needles are used, the chances are extremely low." The anesthesiologist had to respond to him.

"Be careful! How old is your child? If he or she takes up painting as their special interest in the future, you should visit me. You may see my legs and arms are fragile, but when it comes to teaching painting, I’m an expert." The patient kept talking.

For patients with brittle bone disease, their long bones fail to develop properly due to disturbances in endosteal ossification. As a result, the bones are incredibly thin, especially in the thigh, which often appears very slender. Some patients’ torso and waist also become slender, with the organs inside squeezed into a long shape.

While positioning the patient, the anesthesiologist said, "My child is still young, we have a while to go."

"Ah-- doctor, do you have enough experience? Are you just an apprentice?"

"Stay still! I have a second child and the older one is already in high school!"

"Oh!"

"When I had surgery at Yunjian Hospital, a nurse kept chatting with me during the anesthesia to ease my nerves. You, however, are not doing this right." The patient complained a bit.

Boss Cheng stood up, walked over to the patient, and started chatting with him. "You want a nurse solely for chatting? No problem. We have a package that’s better than Yunjian’s service. It’s called the Ronaldo-style anterior cruciate ligament reconstruction, prices start at 600,000. Do you want it? If it’s okay, I’ll immediately call two nurses to chat with you."

"600,000? That’s too expensive. No, no." The patient shouted.

"Play some relaxing music." Boss Cheng ordered the nurses to play music.

He had completely forgotten the most crucial part; patients can listen to music during surgery, and they can even choose their own tracks.

"What type of music do you like?" The nurse listed a few songs and asked.

The patient said, "Rock and roll! Heavy metal rock and roll!"

Boss Cheng laughed, "We only play soothing melodies here to help relieve your tension. There’s no rock and roll. Can you imagine listening to rock and roll during surgery? Aren’t you afraid that the surgeon will get excited and make a rocking motion with the scalpel?"

"You’re right. Once, I got so excited while singing rock and roll that I fractured a bone." The patient really had such an experience.

For the audio system in the multi-purpose operating room, Boss Cheng had spent no small sum. It was top-class German sound equipment, costing several hundred thousand.

The excellent audio quality couldn’t be compared to ordinary systems. Once the music started, the patient immediately closed his mouth, and his mood relaxed.

"You can do it now. I’m not afraid anymore. You can give me the anesthesia whenever you like." The patient was completely relaxed.

The anesthesiologist lifted the disposable surgical towel, "It’s done!"

Together, everyone carefully turned the patient back to the supine position.

While changing the patient’s position, everyone was extremely cautious fearing the possibility of causing unintentional fractures.

This is something that such patients, whose fractures are like curses, can’t get rid of.

This patient had a fracture almost every year, caused for various reasons.

One time, he was too happy and laughed too hard, leading to a rib fracture.

Another time, he had to rush to the bathroom in the morning due to a strong urge to urinate. He moved too quickly, which twisted his ankle, leading to an ankle fracture.

When left alone, they became slightly unbridled, and he ended up with a broken femur.

When he sat down too quickly on the couch, he fractured a lumbar vertebra.

In his own words, he got a bone fracture once a year, like clockwork. Once, he was thrilled because it was already New Year’s Eve and he hadn’t broken a bone that year. He was overjoyed that he didn’t have any fractures, but amid his laughter, he suffered a sharp pain in his chest─he had fractured a rib.

He broke into a sweat every time he saw a speed bump when riding in a car, fearing that the car’s tremor would induce a fracture.

Fractures had become a part of his life. He’d gotten so used to them that he treated fractures roughly the same way most people dealt with catching a cold or the flu.

Once Doctor Wan finished sterilizing and laying out surgical drapes, Yang Ping led Su Nanchen onto the stage.

Thanks to the soothing effect of the music, the patient was no longer anxious or nervous. The surgery began.

Yang Ping was extremely gentle. He now had to operate on a fragile, diseased bone tissue that was as brittle as a dried biscuit.

During the examination of the knee joint, the probe moved within the tiny gaps without hitting anything.

The rear side of the medial joint space of the knee joint, which is the hardest to reveal, was laid wide open now, without any strain applied.

Normally, when dealing with the medial joint space of the knee joint, the knee joint has to be bent about 20-40 degrees and a certain amount of force has to be applied to cause the knee joint to abduct and rotate. This widens the medial joint space, providing enough room for the operation of the instruments.

If we were to forcefully pry open the medial space now, it could easily cause a fracture. This is why these kinds of patients are commonly referred to as "porcelain dolls".

When tunneling, he was extraordinarily careful. He’d drill a bit, then pause before proceeding. Alternating in this way and advancing steadily, he managed to avoid applying too much vibration to the bone with the rotating drill, as the vibration could also lead to a fracture.

Surgery is a process that must be approached with reverence. This attitude ensures that doctors act as carefully as possible.

If a doctor lacks reverence, it would be utterly terrifying for the patient.

"Do not do unto others what you would not want done to yourself!" This phrase applies perfectly to doctors.

Should this patient undergo surgery or not?

Is the surgical plan good or bad?

You can simply ask yourself, if the patient was you, would you choose this method?

This kind of introspective questioning goes straight to the heart.

If the doctor himself were lying on the operating table, he would want the primary surgeon to be extremely cautious, striving for a perfect process and result, rather than having a hasty, haphazard approach.

Yang Ping often asked himself this question. Every time he did, all the difficult choices naturally became clear and obvious.

Regardless of how much this patient had been deceived and tricked by others, his desire remained constant – he wanted to cure his illness.

Treating his illness was the patient’s primary need.

All other needs were secondary and stemmed from this primary need. They should not be confused with each other.

With the rhythmic drilling and pausing, the tibial tunnel was successfully made without any sign of fracture.

As for this surgery, Yang Ping was not striving for speed. Actually, he never chased speed in surgery. Speed in and of itself was not the issue, the patient’s needs and condition were what mattered.

After making the tibial tunnel, he began creating the femoral tunnel. Due to the narrow operative space, he tried his best to avoid any pressure on the surrounding bone tissue by the instruments.

The patient’s surgical lower limb hung naturally off the side of the operating table to avoid causing any shearing stress between the limb and the edge of the table.

The aseptic fluid collection bag and a bit of ooze was sucked away by the suction device. The operating room floor was spotless without a drop of water, exceedingly clean.

The femoral tunnel was also gently tunneled. The already prepared graft tendon was implanted into the bone tunnel, and the two ends were fixed in place with a button plate.

This was almost the only fixation method for this patient, as compressive fixation could cause the fragile bone tissue to crumble due to the pressure and expansion stress exerted by the screws.

Although his actions were somewhat slow, there were no repetitive or fruitless actions because the entire operation flowed seamlessly from one procedure to the next.

The operation was completed in less than half an hour.

When the sterile drape was lifted, the patient looked pale and resigned, sighing, "Did it fail again?"

"How do you know it failed?" Yang Ping asked him.

The patient replied dejectedly, "The operation just started and it’s already over. It must have failed."

Yang Ping reassured him with a smile, "The operation was successful. You will need to wear a brace later to protect the site and do your best to avoid fractures."

"Was it successful?" The patient asked.

Yang Ping asked Doctor Wan to play back the surgical video for the patient. As Doctor Wan explained the process, the patient’s face went from red to pale.

"You guys are really something. ’No man is a prophet in his own country.’ I suppose the saying is true." The patient praised.

Boss Cheng asked him, "How about writing us a service experience report afterward? Write it according to your own feelings, don’t worry about saving our face."

"Sure, that’s easy. How about I write you one every year?" The patient responded without any reservations.

After all, he pretty much broke a bone once a year.

"Your sound system is way better than Yunjian’s, and not just by a little bit. It’s really pleasant to listen to. I didn’t dare fall asleep, but if it weren’t for the music, the sound of the drill rotating would make me feel like my heart was being scratched by a cat."

The patient looked around the operating room, taking in his surroundings.

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