Chinese medicine: from rural hospitals to top three hospitals in Kyoto

When Chen Yang opened his eyes, it was already past six o'clock the next morning.

Chen Yang slept very soundly.

After all, yesterday's surgery, which lasted more than twelve hours, was indeed very mentally taxing. Although Chen Yang did not personally perform the surgery, overseeing the overall operation was more tiring than personally performing the surgery and being responsible for a specific area.

"woke up?"

When Chen Yang opened his eyes, he saw Wen Manlu sitting on the edge of the bed.

"How did you come?"

As Chen Yang spoke, he casually hugged Wen Manlu and placed one hand on her stomach.

"Mom got up this morning and made you breakfast and some soup. I'm bringing it to you."

As Wen Manlu spoke, she reached out and touched Chen Yang's cheek: "Why don't you sleep a little longer?"

"I'm not sleeping anymore, I've had enough sleep."

As Chen Yang spoke, he sat up, picked up his phone, and checked the time; it was not yet 6:30.

"It's so early, why don't you sleep a little longer?" Chen Yang asked Wen Manlu.

"I went to bed early last night, but he kicked me awake this morning," Wen Manlu said with a smile, touching her stomach as she spoke.

"The little one is being naughty!" Chen Yang said with a smile, patting Wen Manlu's belly.

As they were talking, Chen Yang got up and washed up. When he came out, Wen Manlu had already set out breakfast.

"No one disturbed us all night, so the patient should be fine."

Chen Yang said while eating.

"I met Director Gao when I arrived."

Wen Manlu said, "Director Gao said there was a problem last night, but they dealt with it promptly, and the patient's condition has stabilized."

As she spoke, Wen Manlu looked at Chen Yang and said, "The center is full of talented people now, it's not like it can't function without you."

"Haha, you're right." Chen Yang smiled.

Although the Kyoto International Medical Center is not very large, it is full of elites.

Since September of last year, the Kyoto International Medical Center has been established for seven or eight months, and the skills of Zhong Dongyang and He Yonghua have improved.

In the Traditional Chinese Medicine department, everyone is making rapid progress. They are a group of geniuses with already good talent, and with Chen Yang following along, it's no wonder they are progressing quickly.

In particular, Wen Haodong and Xun Jiahong have made rapid progress recently. The second brother is now third on the Qingyun Ranking, second only to Lin Yi.

Because of her pregnancy, Wen Manlu has had less clinical contact recently, but her progress has not been slow. She is currently ranked fifth on the Qingyun List, only behind Xia Hongliang.

It has to be said that Xia Hongliang's talent is indeed very high. He is among the top five on the Qingyun Ranking. The first is Chen Yang, the second is Lin Yi, the third is Wen Haodong, and the fourth is Xia Hongliang. The two people ahead of him are simply overpowered.

If it weren't for Chen Yang and Wen Haodong, Xia Hongliang would already be ranked second. You have to understand, Xia Hongliang did it all on his own.

Gao Anliang has made significant progress recently, rising from 78th on the list of famous doctors to 69th.

It should be noted that Chen Yang's master, Wu Yaolin, was only ranked seventy-first, and was a well-known traditional Chinese medicine practitioner in Shanxi Province.

The list of famous doctors is a national ranking, and Gao Anliang is ranked sixty-ninth, which is quite impressive. Moreover, Gao Anliang is only forty-nine years old this year, not even fifty.

Chen Yang had just finished breakfast when Gao Anliang knocked on the door and came in.

"Director Chen."

"Director Gao, please have a seat."

While greeting him, Wen Manlu brewed tea for Gao Anliang.

"Director Gao, have you eaten? Would you like something to eat?" Chen Yang asked.

"Ate."

Gao Anliang smiled and said, "I just came from the cafeteria."

"Didn't Director Gao sleep all night?" Chen Yang asked.

"I took a nap."

Gao Anliang said, "The patient suddenly developed a high fever in the middle of the night. I went to check on him, prescribed some medicine, and the fever has subsided by now."

"Director Gao, you've worked hard."

"Director Chen, you're right. Right now, the entire medical center is relying on you. You're the one who's working the hardest," Gao Anliang said with a smile.

Chen Yang is undoubtedly the core of the entire medical center. Whether it is traditional Chinese medicine or Western medicine, when encountering difficult and complicated diseases, Chen Yang is needed to take charge. Without Chen Yang, Kyoto International Medical Center is really nothing special.

At least compared to some top-tier tertiary hospitals like Peking Union Medical College Hospital and Kyoto Hospital, it doesn't have much of an advantage.

"Director Gao is too kind."

As Chen Yang spoke, he glanced at Wen Manlu and winked at her.

It's as if to say, "Look, even Director Gao said he can't do without me."

Wen Manlu couldn't help but laugh.

"Director Gao, you've had a long night, go and get some rest. I'll keep an eye on things during the day," Chen Yang said to Gao Anliang.

"Alright, I'll go take a nap then." Gao Anliang drank two cups of tea, stood up, and said with a smile.

......

Inside the intensive care unit, the various monitoring instruments emitted a regular ticking sound, and the numbers and waveforms jumping on the screens tugged at everyone's hearts. The child's small body was covered with tubes, and the ventilator operated rhythmically, replacing his fragile breathing function.

Although the heart defect was perfectly corrected, the trauma of the twelve-hour surgery, the huge wound after the lymphangioma was removed, and the systemic inflammatory response caused by extracorporeal circulation all hung like swords of Damocles over Jack's head.

After lunch, Chen Yang went to the intensive care unit, where He Yonghua, Xun Jiahong, and others were checking on the patient.

"On the first day after surgery, the biggest threats come from bleeding and lymphatic leakage."

He Yonghua said to Chen Yang, "Although we have tried our best to stop the bleeding and repair the wound during the operation, the extensive dissection of the wound, coupled with the inherent fragility of the lymphangioma tissue, still resulted in a continuous outflow of light blood and light yellow fluid from the chest drainage tube. Although the amount was not huge, it was stubbornly present."

"Coagulation function indicators are low, and fibrinogen consumption is significant."

Holding the latest lab results, the ICU director reported to Chen Yang with a furrowed brow, "Continuous transfusions of plasma, cryoprecipitate, and platelets are needed."

"Continue to replenish, maintain the target value."

As Chen Yang looked at the contents, he said, "Pay attention to the color and amount of the drainage fluid. Monitor the abdominal circumference every two hours and be alert for intra-abdominal bleeding or lymph fluid accumulation."

As he spoke, Chen Yang walked to the bedside and carefully observed Jack's condition. The child was pale, breathing slightly rapidly, and on the monitor, his blood pressure and blood oxygen saturation were barely maintained at the critical level with the support of vasoactive drugs and a ventilator.

"Director Chen, your temperature has gone up again, 38.5°C," the nurse next to him reported.

Postoperative fever is a common complication, but in this vulnerable child, any infection could be fatal.

"A complete blood count, procalcitonin, and blood culture were all performed."

Chen Yang conducted a detailed examination: "Strengthen physical cooling and upgrade the antibiotics to meropenem combined with vancomycin to cover all possible bacterial groups."

Then Chen Yang asked Xun Jiahong, "What do you think from your side?"

Xun Jiahong said, "The child's vital energy was severely depleted after the surgery, and both qi and blood were extremely deficient. The pulse was weak and thready, and the tongue was pale with no coating. This is a sign of 'collapse syndrome,' and we must urgently restore yang and reverse the collapse, replenish qi and consolidate the body's defenses!"

"After discussing with Director Lin, we felt that we should use large doses of red ginseng and aconite as the main ingredients, combined with astragalus, angelica, ophiopogon, and schisandra to form the 'Ginseng and Aconite Nourishing Decoction' with modifications, and decoct it urgently for nasal feeding. This formula aims to strongly replenish vital energy, warm yang and consolidate the body, and turn the tide."