Chapter 816: Chapter 731: What Good Comrades! Chapter 816: Chapter 731: What Good Comrades! For Orthopedics, if it were just a simple case of traumatic atlanto-occipital dislocation, Tan Boyun would try his best to manage it.
However, with the concurrent atlantal burst fracture, he had no confidence in the surgery and had to seek help from the Comprehensive Surgery Departnt.
Although Tan Boyun was prideful, he was also very honest. In the face of life, he never harbored any self-interest; he admitted that he lacked experience in this area, dared not attempt it, and hoped that Yang Ping could be the chief surgeon for this surgery.
After finishing his morning rounds, Yang Ping visited the boy in the Trauma ICU. The high school senior nad Lu Jiangbei was lying in the ICU bed, connected to various tubes and relying on a ventilator to assist his breathing.
The Trauma ICU has a total of twenty beds, and now, it was packed full, with not a single bed available.
This illustrates how busy the Trauma Ergency Center at Sanbo Hospital is; it has beco the leading center in the south, complenting the Trauma Ergency Center of Magic City Sixth Hospital, creating a national dual force.
Male nurses, usually only seen in operating rooms and ergency departnts, could be observed here, several of them, each with a robust build.
The central working area in the Trauma ICU is an oval work island; within the oval marble island surrounded by a ring, dozens of computers are busy, and looking up, one sees a circle of high-definition LCD screens, which are connected to caras for seamless 24-hour monitoring of each ward, every patient.
Doctors and nurses, wearing sterile hats and masks and dressed in blue scrubs, are constantly busy, with every word, every action revolving around the patients they are in charge of.
After passing through three doors, Yang Ping arrived at the ICU, followed by Tan Boyun, Dr. Lv from Ergency, Song Zimo, Xu Zhiliang, and several young masters and doctoral students.
The chief physician of Lu Jiangbei was a young doctoral student, his eyes full of admiration as he watched Yang Ping enter.
“Good morning, Professor Yang!”
The chief physician greeted him politely, and after greeting, there were no more words to waste, as any more would be a waste of ti.
The young doctoral student quickly pulled out a plastic case file from a stack, opened it, held it in his hands, and then led Yang Ping’s team into the ward, introducing the case status as they walked.
The pace was quick, as was the speech, but it did not hinder communication; everyone had already adapted to this speed.
“Current diagnosis: traumatic atlanto-occipital dislocation, atlantal burst fracture, atlantal bone cyst, fracture of the left 2nd to 11th ribs, bilateral pulmonary contusion, bilateral traumatic wet lungs, pneumohemothorax, comminuted pelvic fracture, epidural hematoma—, hemoglobin has been stabilized around 65, we will continue the blood transfusion today, and it should be able to reach over 70; severe bilateral traumatic wet lungs, now unable to disconnect from the ventilator; can only continue with machine-assisted breathing; the temperature of the left lower limb is two degrees lower than that of the right, but there are no obvious signs of ischemic necrosis at present; the subdural bleeding is very small, only 12 milliliters, and has not continued to increase; consciousness is clear, we used sedatives last night; muscle strength in the limbs is still maintained at level 1—”
From the hallway to the bedside in the ward, the young doctor had quickly finished his briefing. He looked a bit tired, but that did not affect his continued work. Yang Ping stood by the bed, and little by little, other doctors and nurses drew closer.
A litany of diagnoses could be headache-inducing, indicating the characteristics of a high-energy trauma patient, with car accidents and falls from heights being typical high-energy injuries.
Lu Jiangbei lay in the hospital bed, seemingly aware of soone approaching, and opened his eyes.
He had undergone a tracheostomy, and the inserted tube connected to the ventilator. Besides that, he was linked with many other tubes: closed thoracic drainage tubes, urinary catheters, several infusion tubes.
An external fixation fra for his pelvis was exposed outside the body, while a head-neck-chest brace tightly protected his already separated head and neck.
“Blood pressure and oxygen saturation are relatively stable, occasionally fluctuating but quickly stabilizing. Thanks to the perfect brace and everyone’s perfect cooperation during each turn,” August said, dressed in blue scrubs that seed a bit too small, giving a tight appearance.
Next to him, Robert’s clothes were even more ill-fitting, looking as if an adult had forcibly worn a child’s clothing, even his navel was exposed, invoking much concern that a little movent might cause the clothes to burst into pieces.
“Sorry, we don’t have scrubs that big. The storeroom said they have extra-large sizes, but they haven’t been delivered yet,” the Head Nurse apologized, as she’d never expected the nursing team to have such towering mbers.
It had been rash, only considering adding more food and not clothing.
Song Zimo felt guilty. August was managing, but for Robert to work in such attire required great perseverance and courage.
“Later, I will get a set for you from the operating room. You should be able to make do with my scrubs,” Song Zimo consoled Robert.
“Thankfully, we have Dr. Luo’s help. With him, each ti we turn the patient, it becos much easier,” the Head Nurse expressed her gratitude to Robert.
Yang Ping nodded and cast an approving look at Robert, who felt a supre honor, exuding a ‘If not , who?’ attitude.
“Dr. Ao has also been a great help to us; this is a completely new case for us, lacking experience, but Dr. Ao taught us hands-on and even gave us lessons,” the Head Nurse didn’t leave anyone out.
Yang Ping’s gaze shifted to August, who puffed out his chest, aspiring not to be outdone by the Arican as a visiting scholar.
“Both of you, thank you for your hard work!” Yang Ping offered his sincere thanks.
Robert and August stood proudly, their chests puffed out, and they said in unison, “Serve the people!”
Such good comrades, not picky about their work, diligent and responsible, always maintaining a high level of enthusiasm for work, thought the Head Nurse, especially with their physique, such a find would be rare even with a lantern.
Yang Ping was stunned for a mont, then imdiately returned to the matter at hand, “Is he conscious now?”
“He should be conscious now!” the attending doctor answered.
Yang Ping leaned over and gently patted Lu Jiangbei’s face, calling his na, and then told him, “Blink your eyes if you can hear speaking.”
Lu Jiangbei’s eyes blinked a few tis, he should have been able to hear Yang Ping speaking, feeling the desire to say sothing, but unable to voice it.
From his eyes, it was evident that Lu Jiangbei had a strong desire to live; Yang Ping’s hand gently pressed on his forehead, “Rest assured, we can cure you.”
Lu Jiangbei’s eyes blinked several tis in response.
“At the scene, he could still speak initially, but now he can only blink—” Dr. Lv from the ergency departnt was also among the crowd, feeling very guilty and wondering if his on-site handling was not tily or proper.
Yang Ping smiled and said, “If the injury on-site or during transport had caused secondary damage, he wouldn’t have had the chance to survive at all. This phenonon is quite normal; the nerve symptoms show dynamic progression. The cervical spinal cord contusion can lead to swelling of the spinal cord, the swelling causes internal compression, and trauma-induced bleeding, especially from a fracture of the atlas bone, fills the vertebral canal, and due to external compression, both pressures increase gradually, which is why the paralysis intensified. We should operate as soon as possible to give the spinal cord a chance to recover.”
Dr. Lv felt much more reassured after hearing Yang Ping say this.
“As long as the hemoglobin exceeds 70, arrange the surgery, prepare enough blood products before the surgery, and prepare autologous blood transfusion equipnt.” As long as overall conditions permit, Yang Ping hoped to perform the surgery as soon as possible.
—
Ruixing dical’s 3D printing laboratory.
This laboratory’s system is connected to the Nandu University dical Digital dical Laboratory system, and the internal fixation data, processed by the digital dical laboratory, is transmitted to the host here.
The top-notch 3D printer started working. Using dical-grade titanium alloy as the raw material, the implant for securing Lu Jiangbei’s head and neck gradually took shape. Inside the transparent work chamber, the one-piece implant appeared.
Chief Engineer Chen Zhi, dressed in a white work gown, stood in front of the transparent work chamber, staring at the implant inside. The tallic implant looked like a work of art, with an exquisitely intricate, hollow sh structure all around.
The chamber door opened, and Chen Zhi, wearing white gloves, carefully removed the implant. He held it in his hands, inspected it to ensure there were no flaws, and then placed it back inside the chamber.
This sh-structured artificial atlas is only part of the equipnt; surrounding it were the necessary screws and various corresponding tools.
All the design ca from Nandu University dical Digital dical Laboratory. Based on Yang Ping’s requirents and relying on digital human technology, they used Lu Jiangbei’s CT data to continually simulate and adjust the fixation, refining data until the final product was achieved.
After being printed by the 3D printer, all the equipnt would be sterilized—all of this controlled by the powerful and intelligent “Ruixing Brain.”
Ruixing dical’s equipnt had gained a foothold in the dostic market and was beginning to expand abroad. In its product lineup, Ruixing started with orthopedic consumables and expanded to cardiovascular, neurosurgery, thoracic surgery, interventional dicine, and other fields.
Huang Jiacai had already established several institutes and laboratories, recruiting a large number of top talents—essentially all doctors from top universities, including researchers who had worked for years in major laboratories. This boss, with only a high school education, had an extraordinary vision and breadth of mind.
“How beautiful!” the assistant exclaid.
“How much would the surgery cost?” the assistant was curious.
Chen Zhi shook his head, “This project is currently free of charge. We’re not making any money from it.”
“Not making money?” the assistant didn’t quite understand.
“All of our laboratories are not making money at the mont,” Chen Zhi answered.
The assistant looked concerned, “If we don’t make money, how much are we losing every day from these laboratories?”
Inside the transparent work chamber, one screw after another was manufactured. Chen Zhi smiled and said, “You paid money to go to primary school, secondary school, and university, why didn’t you feel like you were losing money then?”
The assistant suddenly understood; although they were different matters, the principle seed to have sothing in common.
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