Surgery Godfather -
Chapter 914 - 798: Actually Saw the Patient Only Once
Chapter 914: Chapter 798: Actually Saw the Patient Only Once
Because Yang Ping had indeed performed surgeries more difficult than Mai Zijing’s in the past, not just one, he didn’t feel as if facing a great enemy and appeared very relaxed, treating Mai Zijing’s case as a common one.
This, instead, made Mai Jifu and An Yinghui feel uneasy amidst their excitement, their hearts always fluctuating wildly.
In the past, when they took their son for treatment, no matter which hospital or which expert, it was always a matter of great urgency; the expert would visit several times a day, incessantly asking questions, continuously examining, and ceaselessly discussing the condition, to ultimately come up with no good solutions.
But now, Professor Yang was acting as if nothing was out of the ordinary, only seeing Mai Zijing once and then never visiting again, which made the couple very nervous.
Song Zimo was a competent assistant, leading the Physician in Charge to perfect the preoperative preparations, and scheduling a time with the extracorporeal circulation team.
The surgery must induce cardiac arrest because it involves opening the heart to rebuild the interior, while the aorta and pulmonary artery must be cut and then swapped in position for re-anastomosis, so it’s impossible to perform the surgery without stopping the heart.
Coronary bypass, however, is performed on the heart wall and doesn’t require opening the heart, so it can be done without stopping it.
It’s like a house that needs to be demolished and rebuilt from scratch; the people living inside must temporarily move out to leave it empty. In contrast, if you’re just installing pipes within the walls, the residents can continue to live inside without much disruption.
In the past, coronary bypass also required cardiac arrest because performing vascular anastomosis on a beating heart was extremely difficult. Later, as doctors’ skills improved, devices that could stabilize the movement of the heart were developed, making it possible to perform vascular anastomosis on a beating heart, so it wasn’t necessary to stop the heart anymore.
That’s why sometimes you can arrest the heart, and other times you can’t.
Mai Zijing’s surgery, besides being tremendously difficult and high-risk, presented a significant challenge due to the lengthy surgery time. The heart must be perfused with arresting solution, and under hypothermic protection, the arrest time isn’t unlimited—generally 3-4 hours. Although there have been cases where the heart resumed beating after 10 hours, that was venturing into the realm of luck.
Surgery is only a matter of luck when there’s no other option; if it can be controlled, it should be as much as possible.
Therefore, Yang Ping aimed to reduce the surgery time as much as possible to increase the probability of the heart resuming beating after arrest.
In medicine, many things boil down to probabilities, and increasing or decreasing those probabilities is an unceasing pursuit for doctors.
Because this was a world’s first, no one wanted to miss such a precious opportunity; several experts from Anzhen and Fuwai flew to Sanbo Hospital, including Director Xin, Director Chen, and Academician Wang, the mentor of Director Chen, came to Sanbo Hospital too.
Surgical Research Institute, what a big signboard!
Seeing the sign at the entrance to the Department of General Surgery, Academician Wang could not help but smile, noting that few hospitals in the country dared to hang such a sign.
At the Department of General Surgery on the first floor, Academician Wang met Professor Cao Zhenshan, a colleague of several decades. Curious about how his old colleague was doing after retiring to the south, he took the opportunity to visit.
The group of experts from Fuwai coming to Sanbo Hospital was a private matter, not official, so they had not informed the Hospital, with even Yang Ping being unaware. The experts felt there was no need for pomp and ceremony, as they were there to observe a surgery, not to supervise work; a humble visit was better. They had a bite to eat at Waterlily Bread Store arranged by Professor Cao.
The Waterlily Bread Store offered a hodgepodge of ten items including tea, coffee, milk tea, bread, steak, fried rice, sweet soups, and such, covering most mainstream snacks.
Her small store had been frequented by many domestic and international medical magnates. Robert, August, and Takahashi, who came to Sanbo for further training, didn’t need to be mentioned—they were there every other day.
Ever since Yu Shuilian got her powered orthotic device, she no longer needed to walk with her hands on the ground. Wearing the orthotic, which was covered by trousers and shoes outside, one couldn’t tell she was only "half-man".
A large poster at the entrance introduced Yu Shuilian’s story. She was now very confident and never shied away from others referring to her as "Half-Man".
Next to the bread shop, there was a breakfast store run by a couple whose daughter was studying abroad. They also planned to go abroad, so were not keen on continuing the business in China and sold the shop to Yu Shuilian and her husband. The space was larger than the current Waterlily Bread Store, and Yu Shuilian planned to remodel it into a place for doctors to casually chat and discuss cases.
Having finished their snacks, the experts were then informed by Professor Cao via phone call about the experts from Fuwai and Anzhen coming to observe the surgery, after which he proceeded to take them to the Department of General Surgery.
At that time, Yang Ping was still at the operating table, and the on-duty doctor was busy, so Professor Cao and the visiting experts were left to move freely.
The on-duty doctor and students moved stools for the guests to sit and brewed a few cups of tea with disposable cups.
With the permission of the on-duty doctor, Professor Chen met his old patient, Mai Zijing, whom he had operated on three times, and felt inadequate for the fourth surgery.
When hearing that Yang Ping had only seen the patient once, Academician Wang could hardly contain his anger; his displeasure was evident on his face.
Are young people nowadays so irresponsible? With such a difficult and high-risk surgery, the world’s first of its kind, a brand-new procedure, not to review the patient repeatedly but only once, how can this be acceptable?
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