Chapter 913: Chapter 797 Walking Case Report_2 Chapter 913: Chapter 797 Walking Case Report_2 An Yinghui almost cried too, as after so many years of hard work, there was finally hope.
—
Mai Jifu completed the hospital admission procedures, and the nurses had already arranged the ward. The family settled in to wait for the surgery.
Professor Yang Ping was in his office reviewing Mai Zijing’s case file, and Song Zimo, who had just completed the laparoscopic training, heard about a patient from Cardiac Surgery Departnt and was very interested.
“When was this patient admitted, and what’s the situation?” Song Zimo asked curiously.
Professor Yang pointed at the screen, “The patient was referred from Fuwai. Take a look at the details yourself!”
Song Zimo imdiately went through the case file, “What happened here? The interventricular septum is completely absent, the aorta and pulmonary artery are reversed? The interatrial septum, tricuspid valve, and mitral valve are all malford—how are we going to handle this?”
“They ca to us for surgery, what else can we do?” Professor Yang said, without much patience.
“Is surgery even possible?”
Song Zimo had a very strong foundation in cardiac surgery, but he had never seen such a surgery ntioned in textbooks.
Professor Yang pulled up a drawing board on the computer, used the mouse to sketch out Mai Zijing’s heart, and said, “Total cavity reconstruction plus switching the aorta and pulmonary artery around!”
Total cavity reconstruction plus switching the aorta and pulmonary artery around?
After thinking for a mont, Song Zimo roughly grasped Professor Yang’s idea: “Reconstruct an interventricular septum, correct the deformities of the mitral valve, tricuspid valve, and interatrial septum, and then cut off the two major arteries and swap their positions for anastomosis?”
Professor Yang nodded.
Song Zimo was stunned, “That’s a massive project, like rebuilding a house from ruins. The number of stitches for the heart alone must be over a thousand, right? How long will the surgery take?”
Professor Yang tapped the desk a few tis and nodded slightly, “Legend has it that the surgery ti could exceed twenty hours.”
Song Zimo was extrely surprised, “Over twenty hours? Professor, if it takes you over twenty hours, what kind of surgery is this? If soone else did it, wouldn’t it take days and nights?”
Song Zimo had assisted Professor Yang in many surgeries for a long ti, but none had ever taken over twenty hours.
Seeing Song Zimo’s inexperienced deanor, Professor Yang said, “That’s just a legend. If I take charge, I estimate we could finish within five to six hours.”
“Professor is truly formidable!” Song Zimo gave a thumbs up.
At that mont, Xu Zhiliang knocked and ca in. Seeing that Song Zimo was also there, he relayed a ssage, “Infection control—They did their routine check—via cara—monitoring, and saw you—wearing your white gown open, with your hands in your pockets. They—asked to tell you, during teaching rounds—don’t be like that. Now several students—also—copy you, hands in their trouser pockets, white gown flapping open, looking all imposing!”
Normally, Xu Zhiliang wouldn’t like to speak such a lengthy piece, finding it troubleso, but he had no choice when it ca to matters concerning a good brother.
“Ah, it’s just habit. Don’t mind them. Co over here, take a look at this case from Cardiac Surgery. Aren’t you very fond of cardiac surgery? Take a look.”
Professor Yang said to Song Zimo, “You’ve watched too many TV dramas. In TV dramas, surgeons are often portrayed with their white gowns open to look cool.”
Song Zimo hastily defended himself, “Professor, do I even need to rely on a white gown to look cool? Wherever I stand, I naturally draw attention.”
“Alright, just be careful next ti. During teaching rounds, don’t wear it open. These students are really good at imitating. Indeed, several of them like walking around with their white gowns open, making sure it flaps as they walk.”
“Professor, if they want to imitate, that has nothing to do with . But speaking of imitation, now August and Robert, before every major surgery, sit in the changing room for a few minutes, leaning back in their chairs and closing their eyes to rest, claiming to review the procedure in their minds. Old Xu, it seems you have this habit too.”
“? It seems like I do—that’s also you, isn’t it?”
“Yeah, too, all learned from the professor. Speaking of the case, Professor, this case is quite rare, right?”
Professor Yang Ping said earnestly, “The first case in the world!”
“The first case in the world?”
“A walking case report!”
“This one is mine, Old Xu, don’t fight for it.”
“Last ti—that—you—gave it to —but I have—one less than you.”
—
After settling down, Mai Jifu made a call to Director Chen at Fuwai to share the good news that he had arrived at Sanbo Hospital and t with Professor Yang. Professor Yang didn’t say much, just that the patient would be admitted for surgery, which would take about ten hours, with an eighty percent chance of success.
Just a few simple sentences, unexpectedly frightened Director Chen. An eighty percent chance, ten hours of surgery—could there be a misunderstanding?
Professor Chen imdiately asked in the WeChat group whether what Professor Yang said was true, an eighty percent chance? Ten hours of surgery?
[Professor Yang, Mai Zijing’s father has already called , and he’s very grateful for your help. There are two things I didn’t quite catch and would like to ask here. Does the surgery require ten hours? Is there an eighty percent chance of success?]
Yang Ping thought it over, fearing that Professor Chen was worried about this surgery. Ten hours and an eighty percent chance was what he had told the patient’s family—it’s definitely necessary to be more conservative during family discussions and not to make full promises. It’s possible that Director Chen misunderstood, worrying about the risk of surgery and asking out of caution.
[Director Chen, actually, the surgery should take about five to six hours to complete, and as for the success rate, there should be no major issues.]
This ti, Yang Ping’s information to Director Chen was more accurate, closer to the reality than the information provided to the patient’s family.
Director Chen in Beijing was now speechless. He originally wanted to verify whether the family had misunderstood, how the surgery could possibly have such a high success rate and be as short as ten hours.
Either the family had heard wrong, or Professor Yang had a misunderstanding about the surgery. Director Chen thought it would be better to clarify things.
Now, Professor Yang was saying it would take about five to six hours, with basically no major issues.
[Professor Yang, have you done this kind of surgery before?]
Director Chen asked outright—technical people tend to think more straightforwardly, being direct is often better.
[Haven’t done it before! It’s also my first ti!]
After sending that reply, Yang Ping didn’t respond further because Song Zimo and Xu Zhiliang had co in one after another to discuss the case, and Yang Ping put the WeChat conversation aside for the ti being.
Seeing that Yang Ping had not replied for a while, Director Chen began to grow anxious. It was also his first ti doing this kind of surgery—how could it be so quick? Impossible.
If the surgery ti couldn’t be that short, then the cardiac arrest ti must be very long, so whether the heart could be restarted postoperatively was completely uncertain. Given the uncertainty, how could the success rate be so high?
Talking to the patient in such a way, if there was any mishap, the family might not understand, and disputes could easily arise.
Generally speaking, doctors tend to be conservative in their estimates, allowing themselves so margin. Of course, unprofessional doctors are an exception—they always beat their chests, guaranteeing one hundred percent success.
The other doctors in the group did not feel it appropriate to question openly in the group, so they discussed it over the phone with each other.
Director Chen called his ntor, Academician Wang, who asked, “Are you familiar with Professor Yang Ping? Have you ever perford surgery together?” Director Chen could only answer truthfully, “Xin Weicong recomnded him, so there definitely shouldn’t be an issue. I don’t know much about him, only that he has recently published 13 CNS articles. According to Xin Weicong, he does aortic dissections better than him and coronary artery bypass grafting better than Professor Xu from Anzhen.”
Director Chen had not been present at the last surgery by the old academician, being a specialist in pediatric congenital heart disease, and of course, he wasn’t on the invitation list, so he had not seen Yang Ping perform surgery.
Academician Wang did not affirm or deny this matter, only saying, “Still, handle it with caution, communicate more with Professor Yang. There must be so misunderstanding. You must not let Professor Yang operate under a misconception. The patient cos recomnded by us. For the patient’s sake, and for Professor Yang’s, you must keep on top of this.”
After hanging up, Director Chen felt uneasy, mainly because the surgery ti was too short; it just wasn’t possible—there had to be a misunderstanding.
At this point, Yang Ping finally replied on WeChat:
[I have done cases more difficult than Mai Zijing’s. When I have ti, I’ll show everyone.]
He had done even more challenging cases?
[Professor Yang, I’ll find ti to co and learn.]
[You are welco, let’s learn from each other.]
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