Surgery Godfather-Chapter 336 - 0319: Can’t Be Duplicated

Chapter 336: Chapter 0319: Can’t Be Duplicated

The patient is being transferred to the trauma ICU, and everyone is following along.

Liang Fatty attached a portable ventilator to her tracheal intubation, ensuring her breathing safety during the transfer.

The doors of the operating room opened, and the patient was wheeled out. Her husband and child had been anxiously waiting. Seeing the patient emerge, the husband immediately rushed forward. Their four or five-year-old boy, standing by his father’s side, was trembling, clinging onto his father’s clothes, his eyes filled with fear.

The patient’s body was covered by a white blanket from the operating room, making her missing lower half less conspicuous.

“You must be Yu Shuilian’s husband? Your wife has survived the surgery, but she is still in critical condition. I’ll explain her injuries in detail to you later.” Yang Ping didn’t want to say too much with the child present.

Seeing the emptiness beneath the blanket, the man was prepared. The doctors had explained thoroughly before the surgery that there was a high probability she wouldn’t survive, and even if she did, she would be a half-man. Now, seeing that she was alive, he was ready to accept her in any condition.

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As long as she’s alive, that’s all that matters!

Yu Shuilian’s husband, Fu Xiayang, looked at his wife. Tears fell like rain as he continuously wiped them away with his sleeve. His trembling hand tried to lift the blanket, but Song Zimo held it down, his voice soft, “The child is here!”

Fu Xiayang understood and withdrew his hand. Muscles in his face twitched, his lips trembled. Holding his wife’s pale hand tightly, he said, “The doctor said it’s okay; don’t be afraid! Don’t be afraid! I’m here–”

The husband did not know what to say and kept repeating this phrase as he followed the gurney.

“She can’t hear you!” Liang Fatty told Fu Xiayang.

Song Zimo patted the child’s head, “Your mom’s okay now. Don’t worry, don’t be afraid. So many aunts and uncles are here, she will definitely be fine.”

The little boy nodded wisely, and his scared eyes gained a little bit of calmness.

When they got to the ICU, Yang Ping explained to Director Pan that he wanted Song Zimo to take charge of this patient. According to the rules, it’s not supposed to be, a doctor from another department managing an ICU patient, but Yang Ping’s reputation had to be respected.

“Doctor Yang, no problem, let Dr. Song manage, our department’s doctors and nurses, at his disposal.” Director Pan agreed without hesitation.

The patient was transferred to the ICU bed by Song Zimo and Takahashi, aided by the others. Changing the bed sheets was a breeze with their help.

After the transfer was completed, Song Zimo pulled back the blanket and arranged more than a dozen drainage tubes, connecting all the different monitor cables. The ICU doctors and nurses finally saw the half-man patient.

All of them were shocked. The sudden visual impact caused great discomfort in some of them.

Director Pan was taken aback. No wonder Dr. Yang insisted on letting Song Zimo take charge. With such a patient, their experience would indeed be insufficient.

After connecting to the monitors, the newly measured blood pressure was 105/62mmHg. The blood pressure had risen a bit again.

“Did you use dopamine?” Song Zimo was pleased with the blood pressure reading.

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Fatty connected the ICU ventilator, “We didn’t use dopamine, it’s her natural blood pressure.”

The critical phase of hemorrhagic shock was temporarily passed, but she still had to confront the risk of infection and organ failure.

Serious abdominal contamination, as well as major trauma and surgery, could turn the patient’s immune system as fragile as thin paper, ready to break at the slightest touch. Once a severe infection sets in, it would be like an avalanche, unavoidable death.

Dealing with postoperative complications could be complicated and troublesome, especially for patients in such conditions, and these complications could last for a long time.

As the patient continued to receive blood transfusions and fluid replacements under central venous pressure monitoring, prophylactic antibiotics for aerobic and anaerobic bacteria were already in use. Now was not the time to consider the side effects of antibiotics. Saving the patient’s life was the utmost priority.

“See if you can contact the psychology department to provide psychological counseling for the child.” Song Zimo instructed Tang Fei.

He had noticed earlier that the child was not doing well. Tang Fei knew, no one could understand better how the child was feeling right now than Song Zimo.

“I’ll take care of the child. You stay here, keep it up. She must survive, she must.” Tang Fei encouraged Song Zimo.

Song Zimo stayed in the ICU. Takahashi also insisted on staying to take care of the patient, but ICU had already broken the rules by letting Song Zimo stay. Having one more person stay would be inappropriate.

“Let Dr. Song stay alone. If he needs help, then you guys can come. Little Five and Zhang Lin, go to our operating room. We have several surgeries to do today.” Yang Ping felt more at ease knowing the patient was in the trauma ICU with Song Zimo there. There were still a few surgeries to do in his department, so he couldn’t stay long.

Upon exiting the ICU, in the family waiting area, Yang Ping saw the patient’s husband again. “I’ll explain your wife’s condition to you.”

“Dear, can you let your dad talk to the doctor, and go with the nice nurse for a while?” Tang Fei gently spoke to the boy.

“Go with the nurse, son. Let your dad talk to the doctor about your mom’s condition.” Fu Xiayang told his son.

The little boy was obedient, following Tang Fei away.

Fu Xiayang rested his head on the back of the chair and muttered to himself, “When we were young, we were in a relationship. My family was too poor and her family disapproved. She stole her household registration and ran off with me to get married. We started working secretly in the south. During that time, she never lived a comfortable day with me. She never used any make-up or skin-care products, and her clothes were always the cheapest. It may sound ridiculous, but unless we had guests, we wouldn’t go out for a meal at a restaurant for a year. After struggling together for many years, we finally had our own bakery. We saved some money and planned to buy a house. We were recently thinking about retaking our wedding photos, but because of the price, she never agreed, and I never got to propose. I secretly bought a ring and was about to tell her. The hardships had just ended, and I wanted to make her—”

Fu Xiayang wept uncontrollably, “Doctor, I beg you, let her live, no matter the cost—”

Thud! The man suddenly fell onto his knees.

Yang Ping promptly helped him up, “We will do everything in our power—”

Once he had regained control of his emotions, Yang Ping described to him in detail Yu Shuilian’s medical condition and the possible difficulties they could face. At that time, Song Zimo and the ICU doctor also came out; some informed consent forms needed to be signed.

Takahashi had not yet recovered from the recent surgery. The steps of several surgeries were completely disrupted and conducted in a cross-over manner. He was still trying to figure out how the surgeon coordinated such steps.

It was like writing a piece of writing, the author does not write one word at a time, but rather jumps from place to place, seeming disorderly, but surprisingly, when the final stroke was done, the whole piece was complete, and every word remained beautiful.

Takahashi had never seen anyone perform surgery like that, but it was indeed much more efficient. For example, in removing the aneurysm, the typical process was to isolate and remove it separately while Yang Ping was conducting other surgeries and simultaneously separating and removing the aneurysm. By the time he had finished examining the organs, the aneurysm had been completely removed.

Although the principle was clear, the actual operation involved countless steps. To manage all these in such a tense situation required great mental capacity, didn’t it?

If executed in an orderly manner, this surgery would have taken at least three to four hours. Yet, Yang Ping astonishingly completed it in 35 minutes.

Back in General Orthopedics, Takahashi followed Yang Ping and asked, “Dr. Yang, earlier, you split each independent surgery into many steps. These steps are shuffled and performed in an interlaced manner, saving a lot of time. Can you teach me how to achieve such efficiency?”

Yang Ping pondered for a moment, “You are very attentive, noticing the particulars of my procedure. However, you shouldn’t try this method of surgery carelessly, as it can easily lead to panic and, on the contrary, prolong the surgery time. I will soon be publishing a paper discussing the management of such severe multiple injuries. In dealing with these injuries, one must have a concept of systems engineering, taking into account the whole, planning and optimizing the surgery in its entirety. However, most people can only manage multiple surgeries but are unable to delve into each step of these surgeries for optimization. Therefore, my method is not reproducible, and it is not worth learning.”

Takahashi immediately felt a chill in his heart. It meant that, no matter how hard he tried, he could never reach Dr. Yang’s level, and this hit him hard.

However, after calming down, Takahashi realized that Dr. Yang wasn’t unwilling to teach. He indeed couldn’t disrupt and reorganize the steps of a surgery.

“In my paper, I propose a trauma treatment system model and a scientific scoring method. It’s very simple. Patients are scored according to the model, and based on these scores, an optimized process can be automatically selected. This process minimizes surgical time and maximizes success rate. You can learn this decision-making model and put it to use—” Yang Ping suggested to Takahashi.

A person who performs surgery well is not truly a master. A true master can refine and simplify their own surgical techniques, turning them into a method that is easy to grasp and spread. In this way, many doctors can benefit and save more patients after receiving training.

“Takahashi understands. Takahashi will strive to learn your surgical thinking and methods, and then do his best to promote it, widening the scope of your medical skills.”

Takahashi was clear-minded. He agreed with what Yang Ping said. Instead of pursuing something unattainable, it was better to maximize the skills he could master. In his excitement, he suddenly referred to Yang Ping as his mentor, following a Japanese custom.

“Dr. Yang, I’m sorry, I was too excited just now—” Takahashi didn’t know whether calling him “mentor” was appropriate.

Yang Ping noticed his apprehensive and agreeable demeanor: “Takahashi, you don’t need to be so formal. If you have any good ideas, you’re free to express them. We have academic freedom here. You can freely express your ideas.”

“Thank you, Dr. Yang. Please accept student Takahashi’s sincere apology. Takahashi’s previous behavior was like a frog at the bottom of a well—” Takahashi immediately stood up and bowed deeply.

Little Five called to inform that the patient was ready for surgery.

Yang Ping brought Takahashi to the operating room. Graduate student Li Guodong had just returned from helping in the ICU and also entered the operating room.

In the changing room, Takahashi tried to bond with Li Guodong: “Guodong, can you teach me how to shop online?”

Li Guodong found this Japanese man to be quite keen on learning. An international professor was acting the same as a student. At least his learning spirit was worth learning from, so he didn’t dislike him.

Li Guodong wasn’t sure about the process to register on Taobao and Alipay for foreigners, or about making online payments. He wasn’t sure if a bank account in a Chinese bank was required.

“Do you want to buy something?” Li Guodong asked curiously. He had only been there for one day.

“If it’s not urgent, I can buy it for you. What do you want?” Li Guodong asked him.

Takahashi made a motion with his hands, “I want to buy an electronic scale, one that labs use, with an accuracy of up to 0.01 grams.”

“That’s easy. Do you want me to buy it for you? It should be inexpensive, maybe around three to five hundred. It will arrive in a few days. Do you have any price requirements?” Li Guodong thought it was something much more complicated.

“I don’t understand, can you buy it for me? Can I transfer 1,000 yuan to your WeChat wallet first?”

“No need for that, we’ll talk about it when it arrives.”

Li Guodong was puzzled as to why the Japanese man needed an electronic scale. Did he have fun playing with this kind of stuff?

An electronic scale with such high accuracy, could it be used for conducting experiments, weighing tablets or powder?