Chapter 678: Chapter 607: Eighty Percent Confidence_2 Chapter 678: Chapter 607: Eighty Percent Confidence_2 Because the design of the artificial thoracic cage is very subtle, it is combined with a skin expander. After implantation, it first acquires a certain space to relieve the pressure on the heart, then gradually expands with respiration progressively until it reaches the volu of a normal thoracic cage. During this process, the skin also expands accordingly, solving the problem of insufficient skin coverage.
However, this is not enough. In order to protect the vasculature, the artificial thoracic cage is implanted in a loose manner, without disrupting the blood supply. The skin is incised, the rib periosteum is cut open, then stripped underneath. Each rib is removed one by one, to then implant the artificial rib, and suture the periosteum to encase it. Subsequently, the artificial ribs are interconnected, connected to the sternum, and the residual posterior ribs.
This sophisticated prosthesis takes three to five years to design, at the least.
Constantine concluded that the Chinese professor must have accumulated three to five years of experience in this area.
“My original plan didn’t involve doing this, it was to use new technology, combine a fixation fra with Ilizarov principles, to correct the spine and thoracic cage simultaneously. However, due to the patient’s ergency, the correction had to be done urgently, while the fatal flaw of the new technology is the slow correction process. Therefore, we had no choice but to use a backup plan. These thods were conceived of just a week ago, so even decided before boarding the plane,” Yang Ping still spoke in his calm tone.
Constantine didn’t know how to proceed with his questions. As a cardiovascular surgeon, having participated in the design of an artificial heart, he understood very well the technical content and difficulty in developing such a thoracic prosthesis.
Two exchanges of questions brought the atmosphere in the room down to freezing point again. The people around felt the temperature suddenly drop, asking questions seed to have beco a heavy burden.
“The father of Gothenburg has been waiting outside for a long ti, he wishes to et with the visiting Chinese professor.”
A doctor walked in and whispered into August’s ear.
As soon as August and Yang Ping landed, they rushed directly to the ward, followed by a pre-surgery discussion, and forgot to et with the Duke.
Leaving the bigwigs in the office staring blankly, August took his ntor to the eting room next to the doctors’ office to et the old Duke.
The old Duke handed his cane to the butler, leaned across the long table, and briskly shook Yang Ping’s hand, “Honored professor, I’m counting on you, thank you!”
Ever since August told the Duke the thrilling news, the Duke had been eager to et the Chinese doctor who was now standing in front of him, looking so young.
Yang Ping looked at this old man, it was hard to tell, this thin old man was the head of one of Europe’s super financial groups, he looked like a retired college professor.
“Don’t ntion it, it’s our duty to heal the sick and save lives,” Yang Ping humbly replied, it was their vocation.
Yang Ping always liked to use this phrase in response to patients’ or their families’ gratitude.
“Mr. Manstein predicted that my poor child would not live past thirty. Over the years, his condition has developed exactly as Manstein predicted. As he said, the heart finally collapsed. This has happened twice, and both tis it was a close call. This ti, I fear there might not be any way out, but God is rciful and led us to you,” the old Duke sat down, tears flowing with age, wiping his tears from ti to ti with his handkerchief.
“My friend, you don’t need to be too heartbroken, seated in front of you is the world’s top-notch doctor. Being heartbroken will only make you lose your decision-making ability. Let us discuss together how to help your child overco this difficult ti. We need your support and confidence right now,” August comforted his friend.
“I will do everything I can to support you, I entrust my child to you. Bring out the agreent for signing, friend. Everything is God’s arrangent. In any case, I beseech you, honorable Chinese professor, on behalf of my entire family, save him,” the old Duke was a little incoherent, reaching out to grab his cane with shaking hands.
“I will do my utmost,” Yang Ping replied with certainty.
The old Duke nodded, “Please forgive , I am a little out of sorts, for I love this child so much. He lost his mother when he was a teenager, I have failed in my duties as a father. I once thought I could help him, but I haven’t been able to. Watching him gasp for breath in his wheelchair, I feel as if my heart is being ripped apart. If I could, I would be willing to endure the suffering instead. Now, his life depends on a few tubes, it’s so pitiful–”
“My friend, take care of yourself, stay alert, and there are many decisions we need to make together. For example, signing for the ergency surgery right now,” August solemnly reminded his friend to stay in shape.
Seeing his friend in good condition, August, who knew him very well, had Marcus bring the docunts for the signature, and let the friend sign it in person.
The old Duke put away his handkerchief, regaining his composure, and began to carefully review the docunt before signing his na with earnestness.
“Mr. Manstein should be here by now, but he’s on vacation in Iceland.”
After having ntioned Manstein’s na multiple tis, August introduced to his ntor this legendary figure.
This eccentric scientist who currently focused ticulously on the research on the connection of the spinal cord and nervous bundles, specifically, the process of reconnecting them after their dissection, achieving functional restoration.
No one knows why he has such a fascination for this field, as he has abandoned all other research to concentrate on this one.
Not only is Manstein a mber of the German Academy of Sciences, but he is also a mber of many European academies, including the Royal Swedish Academy of Sciences. He’s a legend in Europe. However, this man has a flaw, his fondness of sensuality, leading to disarray in his private life. He is presumably now on a beach in Iceland, holding a model.
“It was he who opined that the heart would age prematurely under constant pressure, and determined through calculations, that the young Duke may exhaust his heart’s potential before he turns thirty, facing endangernt of life. Moreover, he predicted that spinal correction could lead to high-level paralysis, resulting in respiratory paralysis. Palliative treatnt involves thoracic correction to create space for the heart, but he could not ascertain if the heart would stop beating due to overuse once the pressure is reduced, therefore he has not laid out further plans,” August elaborated about this legendary figure after the old Duke left.
“Later, he proposed to conduct thoracic correction as well as replace the original heart with an artificial one to avoid possible postoperative exhaustion. Then, a heterologous heart transplantation would be carried out. However, given his obsession with the research on spinal nerve injury connection, he didn’t propose a concrete surgical plan after coming up with these suggestions,” August knew, that man tends to forget things easily.
He might very well forget a promise he made today by tomorrow.
Yang Ping had heard of this highly respected figure from Charité Hospital and so gossip concerning him. After dabbling in various specialties, he wrote a ton of books, published nurous papers, and casually won a Nobel Prize. He’s a legend in the dical community.
——
After the dical orders for the ergency surgery were issued, both the ward and operating room beca busy. August stayed with Yang Ping in the office for a break. They didn’t have to enter the operating room till the patient was being moved in.
The other professors also quietly stayed with Yang Ping, waiting for the patient to be moved into the operating room.
The entire office was hushed, no one spoke, nor whispered amongst themselves.
To ensure surgical safety, the ECMO team was also brought into the operating room to assist the anesthesiologist with managing the patient’s vitals.
All the customized equipnt had been sterilized, packed, and were ready in the operating room.
The level of care that German doctors put into their equipnt surpasses that of doctors from any other country.
For a single surgery, they often prepare several sets of equipnt. Sotis a surgery might only require a few pieces of equipnt, but they would prepare dozens, even hundreds of pieces, just to be prepared.
“Markus, make sure the scrub nurse prepares two sets,” being afraid that Markus might forget, August reminded him again.
“Two sets have been prepared, don’t worry,” Markus was reliable.
With the speed August operated at when in China, a single scrub nurse probably couldn’t keep up unless it was his own specialist scrub nurse.
Two should be able to keep pace with the professor.
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