Surgery Godfather-Chapter 277 - 0261: Medical Disturbance
Chapter 277 -0261: Medical Disturbance
“Director Ji, could you trouble yourself, once again, to perform another angiography for us? It’s embarrassing to keep Ms. Han waiting outside on your behalf.”
Doctor Yang was eternally polite, which adequately reflected the respect a young doctor should have for his superiors.
Director Ji felt very comfortable. Interpersonal interactions hinge on comfort.
This young man was admirable. He was humble and polite, and did not display any arrogance despite his talent. Director Ji was barely seated before he was asked to perform another angiography. His back was aching a bit because of a disc herniation diagnosed years ago.
“No problem, this is not the first time I have had to wait.”
Old Ji twisted his waist. In his haste, he had forgotten his waist support. He usually kept it in the locker room and would wear it during surgery to protect his lumbar spine.
...
“We need another Omnipaque!”
Nurse Xiao Zeng was skillful and quickly prepared everything. Just as the surgical assistant was about to administer the medicine, Old Ji stopped him. I will do it!
He carefully injected the iodinated contrast agent into the catheter. Gradually, the faded ink vasculature on the screen began to darken again. The intercostal artery between thoracic vertebrae 8 and 9 turned the color of ink. As the ink flowed, it went smoothly through all vessels at the fistula site without leaking out.
“The fistula is gone, Doctor Yang!”
Director Ji stopped administering the drug as soon as the desired result was achieved.
Doctor Yang, with his hands in his protective pouch, stared at the screen: “Job’s done!”
“When can I have you look at my back? It used to only be back pain, but now the left side of my buttock often feels numb.”
After accomplishing the final angiography, Director Ji was finally allowed to take off his lead gown. Anyone not up on the stage also began to undress.
Everyone’s surgical gowns were drenched in sweat, especially Professor Zhang’s, which looked as if it had just been pulled out of water.
An 80-year-old man, wearing a tens-of-pounds heavy lead gown, stood for six to seven hours overnight. Anyone would feel sympathetic.
Several times during the procedure, Director Han worried that the old man couldn’t bear it and advised him to go rest, promising to report back after the operation. However, he firmly declined, insisting on staying until the surgery was over for peace of mind.
The surgery ended at two o’clock in the morning.
This truly was a case of intradural arteriovenous fistula. The case had hidden itself quite well. Professor Zhang understood that even prior to his reminder, Doctor Yang had already taken action. This suggested that he had long considered this rare disease, making his diligence and meticulousness invaluable.
“Xiao Yang, great job! Everyone did great!” said Professor Zhang, emanating a fatherly warmth.
“It’s nothing. You were up all night; our efforts cannot compare to that.”
Doctor Yang helped Professor Zhang sit down against the wall, but the old man’s legs were stiff, and he couldn’t take a step forward. After a few minutes, he finally managed to take a step.
“I’m going out for a while. You guys handle the patient return, and we’ll clean up here.”
Director Ji’s wife was waiting outside. After bidding farewell to Director Han, he rushed out, looking as if he had been drenched in rain.
“Xiao Li, you stay and help clean up the operating room. Everyone else can go back.”
Director Han left a standardized training student, Xiao Li, behind.
After anesthesia revived, they all escorted the patient back to Orthopedics. The nurses had already prepared the bed.
“Put her in the emergency ward. I will assign three nurses on three shifts to watch over Fang Xiaoyun until her leg strength recovers.”
Cai Qiaojun had rushed over from home after hearing that Director Han and Professor Zhang were both performing an overnight operation. She personally arranged the nursing work.
In the ward, a few rooms nearest to the nurse station were called emergency wards. They generally housed critical patients to ensure that nurses could respond immediately in case of emergencies.
Suspicions were necessary to prevent any harm. Cai Qiaojun was an experienced nurse and gave a private order to the nurses on duty to pay particular attention to Fang Xiaoyuan’s mom.
Human hearts are deep and unfathomable. Being cautious is prudent, and Cai Qiaojun had encountered such incidents before. Some family members would, in the nurse’s momentary inattention, secretly pull out the oxygen tube. If the nurse hadn’t noticed in time, the patient would have been long gone.
Doctor Yang observed the heart rate, blood pressure, and blood oxygen displayed on the cardiac monitor for a while, then checked the urine output. Confident there was no problem, he left the ward and asked Zhang Lin to rush a set of blood tests.
Everyone had been starved to the point where their stomachs were literally tied in knots. The three ladies, Xiao Su, Zhou Can, and Tang Fei, heated up the food in the microwave and brought it to the dining room. Everyone wolfed down their portion, not caring about the taste, stuffing everything into their mouths.
After eating, everyone was exhausted. Their eyelids were dropping, their legs were heavy. They managed, with one foot dragging after the other, to get to the duty room.
Yang Ping and Song Zimo took a quick shower, while Zhang Lin, Little Five and a few standardized training students went to bed and fell into deep sleep right away.
After four hours of sleep, everyone woke up rubbing their eyes. A new day had begun, filled with shift change, ward rounds and surgeries.
During the morning round, Fang Xiaoyun’s mother was missing.
Strange. Her daughter just had surgery and needed care. Why would she sneak off? Was she afraid of being asked for money?
Fang Xiaoyun was being taken care of by her co-worker Chang Juan. She asked the doctor if she could feed her some hot porridge. Fatty confidently replied: “Yes, try feeding her a little first. If she doesn’t vomit, you can feed her more.”
Generally, patients should fast for six hours after general anesthesia, but Fatty had become adept at controlling the dose of anesthesia. Using the smallest dose to achieve the aim, most of his patients didn’t need to fast for that long after surgery.
Once the root cause of the problem was identified and solved, the effect was immediately visible. Fang Xiaoyun’s lower limbs found it much easier to move on the bed, and she could even try to lift them, but she still couldn’t lift them up yet.
This rare and complicated case was finally resolved through everyone’s efforts, but they shouldn’t let their guard down. Some patients’ muscle strength only recovers to level three or four and then stops, which isn’t uncommon.
For example, level four muscle strength is only one level below normal. Although it’s not complete paralysis, it’s not enough to walk normally. Recovery to level five is the goal.
There were several surgeries in the morning, including quite a few arthroscopic ones. The reputation of arthroscopic surgery was spreading, bringing in many patients.
Sisi’s dad’s ankle fracture had also subsided, so surgery was scheduled.
The surgeries were easy. After they were done, everyone continued to sleep after lunch, waking up groggily in the afternoon, not even knowing whether it was daytime or nighttime.
Su Nanchen sent a WeChat message, saying he had sent some material to Yang Ping’s QQ mailbox for him to check out when he had time. It was on a multi-ligament knee injury on a basketball player in the United States, a patient of Professor Robert.
The Professor used joint dynamic analysis to obtain a lot of data on the patient’s knee joint, even using this data to build a virtual knee joint.
Even so, he did not dare to rush into surgery, as the surgery was too complex. Once failed, there would be no chance for rework and the patient would lose their last hope.
Yang Ping has done many similar cases, one of which was done at attached Hospital One. Su Nanchen sent the details of this patient to Professor Robert. The professor couldn’t believe it was true and wanted to see in person the patient’s postoperative recovery, as well as the recovery of other knee multi-ligament injury patients treated by Yang Ping.
Professor Robert, or more accurately, Little Robert, is the head of the Sports Medicine Department at the New York Special Surgery Hospital in the United States. He is a master of international sports medicine. Both his father and grandfather were professors at the same hospital. His grandfather once participated in the development of modern artificial hip joints in the United States, while his father was a major promoter of arthroscopic surgery in the United States.
Professor Robert was eager to visit Sanbo Hospital, meet Yang Ping, and see his patients firsthand to observe the effects of the surgeries.
Without thinking too much about it, Yang Ping agreed.
Exchange is a good thing. Science requires exchange. Openness promotes progress, while closure leads to lagging behind.
On the second day after surgery, Fang Xiaoyun’s muscle strength saw improvement to level three.
On the third day, it improved to level four; her recovery was surprisingly fast.
The spinal tuberculosis was no longer affecting her spinal cord after decompression. Subsequently, the dural arteriovenous fistula became the main issue. Once resolved, the venous congestion disappeared and the oedema of her spinal cord subsided rapidly.
Fang Xiaoyun’s mother had yet to show up and she hadn’t asked about her daughter for three days.
“Trouble’s brewing!”
The standardized training student, Xiao Li, ran into the doctor’s office in a panic.
“Stay calm, what are you shouting about? What’s going on?” Zhang Lin reprimanded.
“Fang Xiaoyun’s mom has brought people to create a scene at the administration building. They’re holding up banners, crying and shouting!”
Xiao Li hurriedly closed the door to the doctor’s office as he said this.
“Damn it, I knew she was going to cause trouble. I could tell by the look on her face.” Zhang Lin cursed.
“Does Fang Xiaoyun know about this?” Little Five asked worriedly.
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“There’s no way she knows. She was thanking us during the ward round this morning,” said Song Zimo.
Everyone could tell that Fang Xiaoyun’s mother was going to cause trouble sooner or later. But they thought, since Fang Xiaoyun’s recovery was going so well, there wouldn’t be a reason for her to cause trouble.
Some incidents, however, simply defy logic.
