Surgery Godfather
Chapter 927 - 804: A genius is either mad, crazy, or both!

Chapter 927: Chapter 804: A genius is either mad, crazy, or both!

After the surgery, Mai Zijing’s blood pressure stabilized, and his heart rhythm was regular; Mai Jifu and his wife were extremely emotional. They had truly encountered a lifesaver, and now their family could finally lead a normal life.

Mai Jifu pondered how to express his gratitude to the doctors. A pennant was definitely in order, but what else to give? After much thought and remembering the pledge he had signed upon admission not to give red packets, he still felt a red packet would be more suitable. So he surreptitiously made his way to the director’s office and gave Yang Ping a red packet containing twenty thousand Yuan as a token of his appreciation.

However, not long after he had given it, Head Nurse Cai handed him a billing statement; the twenty thousand had already been deposited into Mai Zijing’s hospital account.

But Mai Jifu was not disheartened; he always wanted to do something more. He wandered around the Comprehensive Surgery Ward, looking for things he could help purchase. As for money, spending tens of thousands was not a big concern for him.

So he asked a parent from the bed next to his, who was a straight talker, "You don’t have to keep thinking about giving things, it’s unnecessary. The doctors don’t need it. If you really want to show your appreciation, go buy a fruit basket to deliver. That’s enough if the intention is there. Choose the fruits yourself, pick some fresh ones."

Mai Jifu felt this might be too simple, yet he later thought that some things are inherently simple and that he was overcomplicating matters.

"Just give a fruit basket!" Mai Jifu decided.

However, Mai Jifu didn’t buy from the fruit shop. He put in some effort, asking around among friends until he finally found a wholesaler who dealt in fruits. With the wholesaler’s help, he purchased several types of high-quality, fresh fruits to assemble a fruit basket, which he and his wife personally carried from the car to the ward.

By giving the fruit basket, Mai Jifu felt peace of mind at having conveyed his sentiment.

As a doctorate student from Xiehe’s eight-year program, and with a recommendation from Professor Cao, Xia Shu was quickly accepted by Sanbo Hospital. The hospital was now in urgent need of such eight-year program doctors — young and highly moldable.

Academician Wang was also impatient. He urged Xia Shu to start as soon as possible, saying that each day delayed was a day less of knowledge and many surgeries missed.

With Academician Wang’s assistance, Xia Shu’s procedures at Fuwai were swiftly completed, and she arrived at Sanbo Hospital to start her job in about three days, eager to join the Comprehensive Surgery Department.

At that time, Academician Wang regarded two surgeries as unfeasible. One of them involved an infant with hypoplastic left heart syndrome, only a month old, in need of a Fontan Surgery.

Academician Wang personally sent the case information to Yang Ping, clearly stating that he was willing but not able to perform the surgery, and hoped to refer the case to Yang Ping.

Upon reviewing the case information, Yang Ping thought that if it weren’t for a reduction in the vascular wall’s elastic fibers and a deficiency in collagen fibers, such surgery would be nothing out of the ordinary for Academician Wang. Professor Chen had also handled many such cases before, but the issue of vascular development was a major obstacle for the surgery.

The child had unexplained deficiencies in vascular collagen and elastic fibers, especially in the major vessels, leading to severe fragility. Undertaking a complex Fontan Surgery under these conditions was highly risky. Even a slight tremor of the hand during suturing or a wrong angle while guiding the needle could slice through the vessel walls. Even if the anastomosis was forcibly completed, even a slight compromise in the quality of the sutures could lead to the high-pressure blood tearing open the needle holes.

A few days later, at the weekly routine case discussion meeting, this case was brought up as a difficult and complicated case.

"HLHS, hypoplastic left heart syndrome?" Song Zimo blurted out.

Any properly trained cardiac surgeon could make a preliminary diagnosis from the images.

"Correct, it’s HLHS. The infant is only a month old with severe hypoplasia of the left ventricle; an interatrial septum defect, a patent ductus arteriosus—a series of congenital heart defects," Yang Ping confirmed Song Zimo’s diagnosis.

"The Fontan Surgery is needed?" Xu Zhiliang opined.

Yang Ping nodded, "Besides the Fontan Surgery, there is no other option. The left ventricle is too small to fulfill the requirements of the systemic circulation. Without the surgery, the child might not survive much longer."

"What about a heart transplant? Since this heart is failing and there’s no way to cure it, why not consider a transplant?" Li Guodong’s knowledge may have been superficial, but he was still bold enough to ask.

Song Zimo helplessly replied, "Where do we find a heart to transplant into him? Unlike the liver and kidney, which can be taken from living donors, hearts can only be harvested from deceased donors. Where do we find a recently deceased infant of just a few months old? The ones who can provide hearts for such children are mostly brainless neonates or infants who die during childbirth; it’s virtually impossible to find one in reality."

"There’s only one option for this Fontan Surgery, no other alternatives."

"The Fontan Surgery?"

For Song Zimo and Xu Zhiliang, this was just a piece of simple foundational knowledge, but for the orthopedic graduate student Li Guodong, it was indeed a bit challenging. However, he had recently been fervently reading papers and monographs from various specialties, so he was quite familiar with the Fontan Surgery.

"Couldn’t just Fuwai perform this surgery, why was it referred to us?" Zhang Lin said with the air of a top-tier hospital’s instructing physician.

Yes, the Fontan Surgery could be done at both Fuwai and Anzhen, so why was it being referred to us? Everyone was puzzled.

"This child’s blood vessels are congenitally underdeveloped, particularly the five major vessels. There’s a deficiency in elastic fibers and collagenous tissues, making them much more fragile than normal. The Fontan Surgery requires a grand shuffling of major vessels, demanding meticulous skills in vascular anastomosis. Moreover, a one-month-old’s heart is roughly the size of a walnut, making it extremely difficult to operate on fragile vessels. Fuwai, with their extensive experience, is being very cautious. Inexperienced surgeons would go straight to the operating table, open the chest, and cut the aorta, ready to perform the translocation anastomosis only to realize that normal suturing is impossible, with no way to proceed." Song Zimo explained to everyone.

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