Surgery Godfather-Chapter 298 - 0282: Urgent Delivery

Chapter 298 -0282: Urgent Delivery

Luo Jin, the spokesperson for the Sports Medicine Center? Voluntarily participate in the promotional video shoot for the Sports Medicine Center?

The first reaction of Old Han when he received a call from Yang Ping was, which Luo Jin?

After multiple confirmations from Yang Ping, it was indeed the soccer star Luo Jin from the Chinese Super League.

Old Han had a general understanding of Luo Jin, given that he himself also played soccer and was a bold forward during his college days.

Back in Shanghai, they would always gather to drink beer and watch the World Cup during its season, cheering and swearing. He was well-acquainted with several venues in Shanghai where soccer enthusiasts could gather.

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After the age of forty, his knees would always hurt after playing soccer. Being an orthopedic doctor, he was well aware that he was suffering from patellofemoral pain syndrome. With no choice, he had to stop playing soccer, but watching matches was still okay. Even now, he would often watch matches.

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Therefore, he had some knowledge about Luo Jin. The young man had potential, was diligent, and most importantly, he had a passion for soccer. He was not comparable to those who only pretended to work and did nothing.

Good wine needs good marketing skills. A good hand must be played well. If Luo Jin could be the spokesperson for the Sports Medicine Center and his story could be made into a promotional video, it would be very inspiring and persuasive. The Sports Medicine Center would receive rapid rise opportunities just like the Minimally Invasive Trauma Orthopedics.

To prevent further complications, Old Han immediately informed the Publicity Department to establish contact with Luo Jin’s agent as quickly as possible. Luo Jin has already volunteered for this task, there’s no need to hesitate.

“A patient in the trauma orthopedics department is undergoing surgery. Director Ouyang and Dr. Jin are encountering difficulties. Director Tan was hoping you could assist,” Zhang Lin passed along an urgent phone message to Yang Ping.

“Doctor Yang, please attend to your duties. I’ll ask my agent to contact your publicity department. Leave this matter to me, you don’t have to worry.”

The old brother is very relaxed. He felt triumphant, as picking Yang Ping to perform the surgery was the correct choice.

Life is filled with choices. Looking back, you’ll find that many of these choices determine your life’s path. Growing up is not an easy journey.

Yang Ping quickly headed towards the operating room in the Surgery Building. He took the emergency elevator with a pace that was particular to doctors. It has been a long time since he last came to the surgery center.

“Doctor Yang, when will you be inviting us for a celebration drink?”

The nurses in the operating room joked with Yang Ping upon seeing him, leaving him no choice but to laugh it off. After all, this was Xiao Su’s “maternal home”.

In one of the operating rooms of the trauma orthopedics department, a patient was already lying on the operating table under surgery. Although covered in sterile drapes, Yang Ping could tell the patient’s operating bed was made by joining two orthopedic operating beds because one wasn’t big enough.

“Xiao Yang, come, look over the X-ray, then scrub in for surgery.”

“The patient weighs two hundred kilograms, with a thick thigh circumference. The fracture might have penetrated into the muscle, making it impossible to reposition it right now, and we are not willing to make an incision,” they sighed in frustration.

Director Ouyang and Dr. Jin were struggling with the Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) technique to reset and fix the fracture. The MIPPO technique is a percutaneous, minimally invasive internal fixation technique using steel plates, which doesn’t require exposure of the fracture. Using a closed reduction technique, the fracture is repositioned and then small incisions allow the surgical insertion of the steel plate. Finally, the screws are introduced under the guidance of a guidewire.

This method is a minimally invasive surgery with little trauma, and the fracture heals quickly. Very few instances of non-healing fractures occur. For long bone shaft fractures, it’s unnecessary to reposition the fractured fragments, only the restoration of length and line of force is required. But for this patient, the femoral shaft fracture was overlapping and neither length nor line of force was restored.

Two hundred kilograms, four hundred pounds is a heavy concept for Yang Ping, which meant that it barely could accommodate the patient’s massive body, even with two surgical tables joined together.

His left thigh hung on the traction frame, much thicker than a normal person’s, about four to five times. The challenge of this femoral shaft fracture is not just the surgery itself. The fat and muscle is too thick, causing the fractured area to be too deep, making it very difficult to operate on.

Performing minimally invasive surgery would be slightly more convenient. If they were to resort to open surgery at this point, it would be a nightmare for the surgical team. Just retracting the hooks could exhaust a few strong men.

The X-ray hung on the view box, showing the entire length of powder-crushed femoral shaft, leaving only about five centimeters of intact bone at both ends. Intramedullary nails would not work. There’s no place for distant locking screws – only a locking plate could be used.

“Presumably, the fracture ends are inserted into the muscle, which makes it hard to achieve closed reduction. Even if repositioning is realized, fixation would still be difficult. The guidewire isn’t ideal – it’s too short in relation to the steel plate, which makes it unable to penetrate, and hence is blocked by the skin and soft tissues,” explained the challenges that Director Ouyang was facing.

It’s not that the distance between the guidewire and steel plate was too short, but rather that the thigh fat and muscles were too thick. The guidewire was designed based on the typical size of an adult, without considering the thigh circumference of a four-hundred-pound patient.

“It’s also not possible to lever or firmly move the bone back into the correct position, and I’m not willing to perform open surgery!” Dr. Jin was clearly helpless.

“Let me come up and have a look!” Yang Ping went to scrub in.

Yang Ping scrubbed in, dressed for surgery, got up on the stage, and started adjusting the guidewire: “This guidewire won’t work. It’s unusable. I’ve called the supplier to deliver a custom-made one.”

“Our device dealer has just been dialed around everywhere. There are no suitable ones.” Director Ouyang wouldn’t have sought out Director Tan if there were other options.

Director Tan was operating on the table, but he came to glimpse at the situation and felt it would be better to have Yang Ping come and help.

“We have a suitable dealer on our side, and I just made a call.”

Before scrubbing in, Yang Ping had dialed Huang Jiahui.

—

It was pitch black outside – as if it were night. The rain was pouring down heavily.

The Wuling Hongguang driven by Huang Jiacai had its rear fog light on and was moving slowly through the torrential rain. He had just returned from the medical center and, although there were many vehicles on the expressway, none of them dared to drive too fast.

The heavy rain was as if a dam had broken open the heavens. Despite having the windshield wipers on the fastest setting, the view wasn’t clear. For safety reasons, he thought about temporarily stopping at a place to wait out the rain.

But then, Yang Ping called, requiring a set of MIPPO technique’s special steel plates and guidewire suitable for a femoral shaft fracture in a four-hundred-pound patient. He was the only one who had it in G City, and he needed to deliver it immediately.

“Brother, now that it’s the New Year, should we send something to Doctor Yang?”

“No, our relationship with him is very delicate, some things might cause him trouble.”

Huang Jiacai was driving, with Jiahui in the passenger seat.

“Look, what’s that?” Jiahui saw a figure in the rain waving their hand.

Huang Jiacai slowed down and drove over to the right. Indeed, there was someone standing in the heavy rain, waving. A stalled sedan parked next to the person was flashing its headlights. Its umbrella flipped inside out, caught in the gusty wind. He surmised the car had broken down and the person was in trouble, seeking help from passing vehicles.

Huang Jiacai parked his car next to the stranded vehicle. An umbrella would be of no use in this weather; instead, he wore a raincoat and stepped out of the car. The wind was strong, the rain even stronger. His view blurred as the rain splattered on his face, stinging a little.

“What happened? Car broken down?” Huang Jiacai shouted.

“Flat tire! I’m rushing to an important meeting. Rescue services haven’t arrived yet, and I don’t know how to change a tire.” The voice belonged to a woman.

A flat tire? He thought she must have been fortunate not to be driving fast, or there could have been casualties.

Huang Jiacai glanced at the vehicle and saw that it was a BMW. He was not sure of the model, but he thought it might be a 5 Series. It was surprising that a BMW would get a flat tire when his Wuling Hongguang was doing just fine. Luxury did not always translate to reliability.

“Got the tools? I’ll help you change it?”

“Yes!”

They communicated by shouting at one another, virtually face-to-face.

Huang Jiacai glanced at the ground next to the BMW. The spare tire was lying on the ground; probably trouble pinpointing where to place the jack to lift the car since they had yet to start. Tools scattered around the area.

Just a tire replacement? Simple.

His raincoat impeded his movements, so Huang Jiacai took it off and tossed it over the woman. He rolled up his sleeves and knelt down to change the tire. His sister, Huang Jiahui, wanted to help, but he waved her off, telling her to stay in the car.

Huang Jiacai gathered up the scattered tools. His movements were deft as he swiftly changed the tire while the woman used the raincoat to shield him from the rain.

After removing the flat tire, Huang Jiacai placed it into the vehicle’s trunk and tidied up the tools. Only when everything was in order did he feel relieved.

“You’re good to go. Drive slow because of the heavy rain. The spare tire can’t tolerate high speed or long distances. You need to find a store to get a new tire.”

“I understand, thank you!”

Due to the heavy rain, their visibility was poor. They were both soaked to the skin. Huang Jiacai frowned; he should have recognized her. Wasn’t this Gan Fengyi from Johnson & Johnson?

“Gan Fengyi?”

“Yes, who are you?”

“Huang Jiacai, Ruixing!”

Gan Fengyi was taken aback. Upon closer look, she saw that it was that rogue, Huang Jiacai. She wanted to give him a cold look, but didn’t.

The rescue she had called earlier hadn’t arrived, and she had been frantically waving at passing vehicles for help. While others ignored her, he stopped to help and got to work changing her tire without a word. She had to be reasonable and could no longer be harsh to him.

“Thank you!” Gan Fengyi was truly grateful.

“No worries. Change your clothes; you’re soaked. I must go now; I have a delivery to make. Be careful—”

“Yes.”

Huang Jiacai quickly got back into the car; he couldn’t afford to waste too much time.

“Brother, what happened? Who was that?” Jiahui handed a towel to her brother.

“What a small world. That was Gan Fengyi from Johnson & Johnson. Her BMW had a flat tire. She doesn’t know how to change a tire, so I did it for her.” Huang Jiacai dried his face and hair.

“Gan Fengyi? The intimidating woman?”

“Right. We need to hurry and deliver the items. They are waiting for us in the operating room.”

The Wuling Hongguang lived up to its reputation. It drove steadily in the heavy rain, even through turns. The high-quality suspension system ensures a great riding experience in such adverse weather.

They finally arrived safely at their destination. Jiahui hastily selected sterilized surgical instruments from the warehouse and rushed to the operating room of Sanbo Hospital. Doctor Yang Ping had finished setting the bone and was awaiting the arrival of the instruments.

Director Ouyang and Dr. Jin had struggled for a while but were unable to reset it. Then Dr. Yang Ping got onto the stage and made a shift: he inserted a dissection device into the small incision already made and, with a quick flick of his wrist, the bone was reset. The length and direction of force were restored, and the other disfigured parts wouldn’t matter much; the bone fragments would hardly make a wave.

As expected, the specific set of instruments is suitable for a patient who weighs four hundred pounds. The operation went smoothly.

After the heavy rain, the looming dark clouds slowly dispersed, and Huang Jiacai changed into dry clothes.

“Manager Huang, this is Gan Fengyi — thank you!”

“No problem at all!”

Gan Fengyi called him. Because of the heavy rain and their tight schedules, they hadn’t exchanged phone numbers, so Huang Jiacai was unsure how she obtained his.

“When you’re free, let me treat you and your sister to a meal. Also, I’m sorry about what happened at the academic conference.”

Gan Fengyi was somewhat embarrassed.

“Don’t worry about it. I’ve already forgotten. Which academic conference are you referring to? Have we had any issues between us?”

Huang Jiacai feigned surprise.

From the other end of the phone line came giggling.