Surgery Godfather
Chapter 2025 - 1364: Incognito Investigation (Part 2)
Two young doctors stood by, waiting for his explanation.
"Look at this," Dr. Jin circled on the 3D reconstruction image with the cursor, "severe scoliosis, Cobb angle of seventy-eight degrees. The patient is fifteen, a girl, right in her growth and development phase. Without intervention, her thoracic development will be restricted and her heart and lung functions will be affected, shortening her expected lifespan."
A young doctor asked, "Director, can surgery be performed at such an angle?"
Dr. Jin looked up at him: "Yes, but conventional posterior corrections can’t be used; it’s too traumatic, causes too much blood loss, and has a high risk of complications. I plan to use Yang’s osteotomy technique combined with segmental internal fixation to complete the correction in one procedure."
The young doctor hesitated: "Yang’s osteotomy? Director, isn’t this too risky? A slight mishap could damage the spinal cord."
Dr. Jin moved the cursor to the vertebra apex area of the spine: "Precisely because it’s demanding, it must be used. Look, this patient’s scoliosis is rigid; traditional methods can’t maneuver it. The essence of Yang’s osteotomy technique is that it doesn’t forcibly ’straighten’ the spine, but uses multiple segments of asymmetric osteotomy to make the spine ’follow its course’ during correction. This technique is most suited for such severe deformities because it disperses the tension of correction on the spinal cord, minimizing the risk of nerve injury."
When he said these words, his tone was calm. Because during his time at the institute, he followed Professor Yang Ping in performing a large number of such surgeries, from initially handling retractors and passing clamps to later becoming the first assistant and chief surgeon, every step taught hands-on by Yang Ping.
Dean Xia stood at the door for a while and finally knocked gently.
Dr. Jin looked up, saw him, and quickly stood up: "Dean Xia!"
Dean Xia waved his hand: "Sit, sit. I’m just passing by, taking a look."
He went inside and sat down next to Dr. Jin, glancing at the 3D reconstruction image on the screen.
"This girl, how much confidence do you have?"
Dr. Jin thought for a moment: "About eighty percent."
Dean Xia was somewhat surprised: "Such high confidence?"
Dr. Jin froze for a moment, realizing the dean had misunderstood, quickly explained: "Dean, I said eighty percent, actually it’s a general term. If we really calculate probability, according to our follow-up data from the past few years, Yang’s osteotomy technique has a ninety-seven point three percent nerve function retention rate and ninety-two point eight percent correction satisfaction rate for similar cases. But these figures placed on specific patients don’t mean much. Every patient’s anatomical variations, bone quality, and soft tissue conditions are different, so I said eighty percent, it’s a relatively conservative clinical judgment."
Dean Xia nodded, patted his shoulder: "Good, being cautious is good." He got up and left.
After leaving the spinal surgery department, Dean Xia went to the cardiac surgery department.
The cardiac surgery department is one of the most changed departments in the entire hospital. This change is reflected not only in the hardware equipment; the extracorporeal circulation machine is the newest model, intraoperative transesophageal ultrasound is the best in the hospital, and the hybrid operating room is equipped with the most advanced DSA, but also in the staff composition.
Department Director Li Zehui, forty-six years old, Chinese-American. He stayed at Cleveland Medical Center for twenty years.
What kind of place is Cleveland? The top-ranked cardiovascular specialty in the United States for over twenty years, the world heart surgery sanctuary. Li Zehui started there as a resident, climbed to chief surgeon, clinical professor, trained over a dozen fellows, published more than forty top journal papers, and received the American Society of Thoracic Surgeons Young Investigator Award. He is a top expert in heart surgery.
With such a resume, one could live very well in the United States. A respectable income, a respected social status, an advanced research platform, and ample research funding. But he recently made a decision that left everyone puzzled: return to China, join Sanbo.
At that time, many peers advised him, saying he was crazy. Domestic medical conditions were not as good as the United States, incomes were not as good as the United States, research environment not as good as the United States, what is he after by returning?
He said, following Professor Yang Ping, he had the chance to challenge those true "Mount Everests."
So he resigned, took his wife and children, and flew back to China.
After Li Zehui came, Sanbo’s cardiac surgery department changed dramatically. He systematically brought over the Cleveland setup. From preoperative assessment processes to seamless connection in the operating room, from postoperative monitoring standardization to outpatient follow-up data management, all were restructured according to international top medical center standards.
Now, Li Zehui is the "golden signboard" of Sanbo’s cardiac surgery department. Patients from all over the country specifically ask for him to perform their surgeries. Last month, a businessman from Northeast China, aortic root aneurysm with aortic valve insufficiency, had visited major hospitals across the country and finally came to Sanbo Hospital.
When Dean Xia entered the cardiac surgery department, Li Zehui was making rounds. He wore a neat white gown, held a case file, stood by the bedside, bent over, and used a stethoscope to listen to the patient’s chest. The family members stood beside, not daring to breathe heavily.
Li Zehui finished listening, straightened up, showed a smile, and said to the family members, "Recovering well, artificial valve functions normally, heart function has significantly improved. You can be discharged next week; after discharge, take anticoagulant medications regularly and come for checkups periodically."
The family members were so excited their eyes turned red, bowing repeatedly: "Director Li, thank you!"
Li Zehui waved his hand, using Mandarin with a slight accent: "No need to thank, it’s our job."