godfather of surgery

Chapter 1196 Empathy
Despite trembling, Tan Boyun still had to continue as assistant, and he had no temper at all.

"Director Tan, can you still hold on?" Yang Ping noticed that Tan Boyun's hands were trembling a little, wondering if he was feeling unwell.

Who is Tan Boyun? He's as energetic as an ox all day long, and he can perform surgeries for more than ten hours without complaining of being tired.

"It's nothing, it's nothing," Tan Boyun said somewhat awkwardly.

At this moment, Zhang Lin and Xiao Wu had already swiped their hands and entered; they were putting on their surgical gowns.

"Professor, shall we go up on stage and help with the pinky promise?" Xiao Wu asked.

Yang Ping nodded. Today, the hands of the hook pullers kept shaking, and the hands that tied knots and cut threads were also shaking. They were like people with Parkinson's disease. It was better to have Zhang Lin and Xiao Wu do it. Their hook pullers were so stable, they were practically motionless.

Although the surgery was already halfway through, going on stage at this point could be very helpful and save a lot of time. Don't underestimate the retractor; it's responsible for exposing the surgical field and is actually quite important.

The second and third assistants breathed a sigh of relief when they saw Zhang Lin and Xiao Wu come in to help. Finally, someone could replace them; they simply couldn't keep up. Luckily, Professor Yang had a good temper and wouldn't yell at people. If Director Tan had encountered this situation, the assistant would definitely have been given a severe dressing-down.

My hands tremble when I tie knots, and they tremble when I cut threads. It's no wonder I get scolded.

Now that Director Tan is an assistant, he can understand the pressure of being an assistant. At this moment, he feels the same way. In the future, he should be more understanding and tolerant of his assistants and not scold them so easily.

Professor Yang is so tolerant of his assistants now; even with his hands shaking like this, he hasn't scolded them.

But why are his hands shaking? It's not like this usually. Director Tan can't control it at all; his hands just keep shaking.

"Hurry up!" Yang Ping ordered Xiao Wu and Zhang Lin without even looking up.

They put on their surgical gowns and gloves and went to the gloves.

The other two assistants besides Director Tan immediately gave way, and Xiao Wu and Zhang Lin took over the retractors, and the surgery continued.

Putting aside other surgical techniques, just considering the retractor alone, these two are indeed top-notch, arguably world-class.

They didn't need Professor Yang to worry at all. The positions of the retractors were changed alternately, which was enough to keep up with the rhythm of the surgery. There would be no mistakes, and Yang Ping would not have to be distracted to help adjust the retractors. Xiao Wu and Zhang Lin cooperated very well, which was as smooth as flowing water and looked very comfortable.

It turns out that hooks are quite technical; Xiao Wu and Zhang Lin's achievements have been elevated once again.

The golden and silver hooks lived up to their reputation. The retractor no longer became an obstacle to the professor's surgery, and the assistant was not scolded for it. In fact, the professor did not need to remind the retractor to pay attention to the position and force, because they knew where the retractor was at any time and how much force to use.

The scholar who was able to write the world's first monograph on surgical retractors must have had an exceptional level of skill in retractor manipulation.

Director Tan had nothing to do while standing on the stage. Yang Ping was doing the wire cutting himself, and Xiao Wu Zhang Lin was doing the hooking. He realized that he, as the assistant, had been severely marginalized.

However, there is one more thing: he can help arrange the instruments and, according to Yang Ping's requirements, change the instruments in the large curved tray, thus becoming an assistant to the instrument nurse.

Director Tan took a moment to observe how Zhang Linxiaowu performed the retractor procedure. He was surprised to find that the retractor played a significant role in surgery and that it required a certain level of skill.

The title "Hook Master" is no longer a laughing stock, but a concrete manifestation of true hook-making skills.

Soon, the ruptured blood vessel on one side was repaired, while the blood vessel on the other side was only twisted, causing narrowing of the lumen. After examination, Yang Ping found that no repair was needed.

The blood supply to the patient's head has now been fully restored. In fact, the artificial blood vessel used for bridging during the emergency treatment was very important.

This temporary artificial blood vessel bridge bought precious time for emergency treatment, a procedure of great significance in some ischemic injuries.

If a blood vessel ruptures, if conditions permit, the ruptured blood vessel can be temporarily reconnected at the beginning of surgery using an artificial blood vessel or other auxiliary methods. This can minimize the impact of ischemia on the body, and sometimes this can be done in the emergency room.

Of course, this approach requires not only the concept of opening blood vessels as quickly as possible, but also the technology to do so; neither is dispensable.

Yang Ping repaired the blood vessels directly under the naked eye, and then continued to repair the muscles, tendons, ligaments and other structures. The whole operation took less than forty minutes. Including the time to close the incision, it wouldn't take more than an hour. Director Tan was dumbfounded.

"Check the quality of the vascular sutures with a microscope," Yang Ping instructed Director Tan.

Director Tan had the nurse bring over the prepared microscope. When he looked through the microscope, my goodness! This guy is a genius. The quality of the suturing is even better than the suturing under the microscope. It's so neat and tidy, it's practically perfect. What kind of eyes and hands do he have?

Director Tan looked at Yang Ping and could hardly believe it. The suturing was done so quickly and efficiently, even though it seemed like a bold and rapid operation. He never expected the suturing quality to be so high.

His life was saved, but a transection of the spinal cord is irreversible. There is currently no technology in the world that can repair a transectioned spinal cord, and Professor Mainstein's research is only just beginning.

"Director Tan, should we close the incision, or should we do it?" Xiao Wu asked.

Director Tan was unsure if his hands would shake: "You guys do it, I'll just help out."

"You rest, the two of us are enough." Xiao Wu began rinsing the surgical area.

"The way you just placed the retractor is different from how we usually perform anterior cervical spine surgery," Director Tan just noticed.

Zhang Lin said casually, "Oh, this uses Zhang's hook method and Lu's hook method. If it is combined with our patented hook, the effect will be better, the exposure will be more complete, and the pressure on the tissue will be less."

That's quite the show-off!
But they have every right to be arrogant; their hook-and-loop technique is indeed excellent, and one has to admit it. The institute's reputation for gold and silver hooks is well-deserved.

"Let them do it, we're taking a break."

Yang Ping did not take off his gloves. The nurse brought over a stool, and Yang Ping sat down next to her.

Director Tan also sat down next to him.

"This patient was in a rather dangerous condition. His heart had stopped beating when he arrived at the emergency room, and he was only revived after CPR," Director Tan recalled.

"Anesthesiologist, what are the vital signs now?" Director Tan asked.

The anesthesiologist immediately reported that the vital signs were stable and it seemed that the patient could be saved for the time being. Whether the patient could be saved in the long run was hard to say, but that's how rescue work is. We have to deal with the immediate situation first and see what happens later.

"Was the artificial blood vessel implanted in the emergency department?" Yang Ping asked.

Director Tan said, "It was done by Director Ji. When he was doing the emergency CT scan, he directly punctured and implanted an artificial blood vessel on the CT machine and expanded it at the same time. This preserved some blood supply; otherwise, he wouldn't have been able to get to the operating table."

There is both bleeding and ischemia. Bleeding can cause hypovolemic shock, while ischemia can cause cerebral infarction.

"We tried many vasoactive drugs, but it was no use. We had no choice but to have Director Ji use interventional therapy to clear the blood vessels and establish a vertebral artery channel on one side to ensure blood supply to the head," said Director Tan, who was in charge of the entire rescue at the time.

In fact, his plan was excellent, and could even be considered the only correct one. If he had made just one wrong step, the situation would have been irreversible.
-
After the surgery, Yang Ping came out of the emergency room. The emergency department was still bustling; it was never quiet there. Xiong Sihai's signature voice could be heard from afar. "Over here, over here!"

"Get him to the emergency CT scan room!"

"Yes! Send them directly to the chest pain center."

"First, perform closed thoracic drainage and immediately call for a thoracic surgery consultation."

Since Yang Ping is here, let's take a look around and see if there's anything we can help with.

The emergency department seemed very busy today; the beds in the resuscitation room were already full, and Director Xiong Sihai stood in the lobby like an iron tower, directing the emergency care.

A tattooed man raised his hand and cursed, "Damn it, what kind of doctors are these? I've been waiting for half an hour and not a single one of them has paid any attention to me. Where the hell are they?"

His hand was wrapped in gauze, and there was blood on the gauze, so the injury shouldn't be serious. The bleeding had stopped, but the emergency room was very busy right now, with many people waiting for life-saving treatment. The doctors and nurses were simply too busy to pay attention to him.

Seeing that no one paid attention to him, he stopped a doctor who was passing by in a hurry and said, "Give me some stitches."

Upon seeing this, Director Xiong immediately walked over, grabbed his collar, lifted him up with one hand, and threw him aside: "Get out of here, are you blind? The doctors are busy saving lives right now. They'll deal with your injuries after they're done. You're not going to die now."

Xiong Sihai had this kind of temper and a very rough style, but it was precisely this rough style that kept the chaotic and special emergency department in check.

The tattooed guy is a gangster; he's never been treated like this before. Being picked up like a chicken and thrown aside in front of everyone is incredibly humiliating. How can he ever face anyone again? If word gets out, he'll be laughed at.

He wanted to lash out, but when he saw Xiong Sihai, whose arms were thicker than his thighs, standing at 1.92 meters tall, with solid muscles all over his body, and who could probably kill a bull with one punch, he swallowed back his curses and didn't dare to utter a sound. He wanted to rush forward, but his legs seemed frozen, and he didn't take a single step.

"Move aside, move aside, the waiting room is over there. Why aren't you staying there? You're blocking the way."

Xiong Shihai completely ignored the tattooed man's reaction, reached out and pushed him, almost causing the tattooed man to fall. However, the tattooed man had no temper at this moment, and slunk away to the waiting room, not daring to make a sound again.

At the entrance to the emergency room, an elderly woman was pounding on the door with her fists. Not satisfied with that, she kicked it after a while when there was no response. Then she fell to the ground and wailed. After crying for a while, she got up and started pounding on the door again.

The emergency room door is a thick blast-proof door. This design was originally intended to withstand being punched and kicked by these people, because family members often rammed the door, and some even rushed into the emergency room, seriously affecting the rescue.

"What are you doing? There's a rescue going on inside!"

Xiong Shihai went over to maintain order.

"What am I supposed to do? The doctor just said he'd use electric shocks. You're treating human life like dirt. Even if I'm not dead yet, you'll electrocute me!" the old woman cursed.

"That's defibrillation. The heart has stopped beating, so defibrillation is needed. It's a standard resuscitation method, so don't worry."

“Of course I’m worried. He’s not your family, so you’re probably not worried. I know that human life is cheap in your area. He’s my only son. If anything happens to him, I will definitely not let you off the hook.”

No matter how she spoke, Xiong Sihai didn't want to pay any attention to her. Anyway, it was a blast door, so he let her hit and kick it all she wanted. In the end, she would be the one who got hurt.

"Doctor, doctor, where is the doctor?" a woman shouted as she ran out.

"What's going on?" Xiong Sihai asked.

"The person who was drunk is in stable condition and is being observed in the observation room. He has already been given an injection of naloxone."

"Ah."

"What kind of attitude is this? Why didn't you send him to the emergency room? You put him in the observation room instead. And there wasn't a single doctor watching over him. The nurses only came to check on him once and then disappeared."

"He was just drunk. His vital signs are stable now. He's just waiting to sober up. There are many people over there who need to be saved."

"Are you guys really that irresponsible?"

The woman pulled out an ID card: "I'm a reporter. You'd better send the chief physician over right now, or I'll expose you."

Damn it, showing your ID has really become the norm now, but Xiong Shihai completely ignores her.

Damn it, your great-aunt's certificate isn't enough of a deterrent, is it?
She immediately took out her phone and started recording a video.

Even after I explained, you still acted up. Xiong Shihai wasn't going to let it go: "Don't record videos. They're resuscitating you right now. You're seriously interfering with the resuscitation efforts. Let them go."

The woman wouldn't let it go.

An ambulance passed by, and she immediately grabbed it, insisting that the doctor go to the observation room to see her husband.

"Look, everyone, she's stopping the doctor from saving the patient's life. If this patient isn't saved soon, he'll die." After saying that, Xiong Shihai shoved the woman away, snatched her phone, and smashed it on the ground, stomping on it with his leather shoe.

"You go, hurry and get to the emergency room." Only then was the ambulance allowed to pass.

This woman has met her match today.

“We’ll deal with you later. If this patient dies, the responsibility will be yours. We’ll remember you. You just delayed him for several minutes. There are many videos to prove it. If I hadn’t pushed you away and smashed your phone, you would have delayed even longer.” Xiong Shihai pointed at the woman’s nose and cursed.

The woman had originally intended to cause some trouble, but seeing Xiong Shihai's words, she became genuinely frightened. She looked in the direction the cart had gone, but it was nowhere to be seen.

At this moment, the security guard came over, and Xiong Shihai said, "Write down her name, phone number and home address, call the police, and record all the witnesses around here. We'll settle accounts with her later."

Without Xiong Shihai, the emergency department would indeed be much more chaotic. Over the years, Xiong Shihai has always dealt with various disturbances in the emergency department swiftly and decisively, never dragging things out or being indecisive. Although his style is a bit rough, it is effective.

"You're with a woman..." The man next to the woman tried to speak up.

Xiong Shihai ignored him completely, and said as he walked away, "You'll settle accounts with her later for condoning her indirect murder."

The scene in the emergency room was truly spectacular.

"Professor, could you please take a look at one of our patients?"

Xiong Shihai immediately spoke upon seeing Yang Ping.

PS: This is a recent case from the Department of Cervical Spine Surgery at Shanghai Changzheng Hospital, which also made the news. I borrowed it as a case study to pay tribute to the surgical team because I felt it was truly a classic, world-class, top-notch emergency cervical spine surgery case.