Surgery Godfather-Chapter 382 - 0361: The Reviews are also Spectacular

Chapter 382: Chapter 0361: The Reviews are also Spectacular

Lu Gang has been assigned a bed and placed under the care of Xu Zhiliang’s and Zhang Lin’s team.

With Song Zimo participating in the competition, Xu Zhiliang’s team is responsible for the routine work in the department.

Each team is complemented by several standardized training students and interns, ensuring smooth operation without peril.

Such top-notch arrangements are only seen in orthopedics, and other departments are not entitled to such privileges.

People who didn’t agree with this tried to complain to the dean but Dean Xia said: “When you achieve results like Orthopedics did, I’ll assign Ph.D. students to your bedsides to write case histories personally. How does that sound?”

The complainant had to retreat sullenly, knowing continued protests would lead nowhere.

The standardized training students pushed Lu Gang to the ward and stopped the wheelchair. They tried to lift Lu Gang onto the bed while Xu Zhiliang prepared for a detailed case history inquiry and physical examination.

But seeing the slight physique of the student, Doctor Xu worried the student might drop Lu Gang or injure his own back during the process.

“Zhang Lin!” Doctor Xu called with slight irritation.

Zhang Lin, who was standing at the side, immediately stepped in to help, having abandoned his usual defiant attitude.

As Doctor Xu asked about the case history, Zhang Lin kept his pen moving, noting every detail.

There was no room for lounging. The stuttering Doctor Xu would inspect his case records in front of the students.

Should there be any omissions or inaccuracies, he would swiftly critique him right on the spot in his stuttering speech.

This doctor may stutter, but his mind is sharp and memory exceptional. He remembers every detail.

Only once Doctor Xu finished asking about the case history, could Zhang Lin finally close his notebook.

When Doctor Xu extended his hand, Zhang Lin handed him the tape measure. Once the measurements were completed, Doctor Xu extended his hand again and readied his percussion hammer. Any miscalculation in Zhang Lin’s timing would warrant a stern glance from Doctor Xu.

After finishing all superficial and deep reflex reviews, Zhang Lin returned the percussion hammer and handed over the stethoscope.

Auscultation of the heart, lungs and abdomen had to be performed, as spinal deformities could lead to displacement of the chest and abdominal organs, causing heart, lung, and digestive function issues.

After completing a comprehensive physical examination, Xu Zhiliang stood still as Zhang Lin started to tremble, predicting incoming inquiries.

Every time Doctor Xu had finished a physical examination and started asking questions, Zhang Lin would become extremely nervous, as each question from Xu Zhiliang was like a chess move, potent and unyielding.

“Big brother, can you give me face, we have standardized training students and interns here.” Zhang Lin seemed to plead with his eyes.

Xu Zhiliang didn’t raise any queries, but simply said, “Everyone, please review the chapters on Ankylosing Spondylitis and Scoliosis in ‘Clinical Orthopedics’ and ‘Orthopedic Surgery’.”

Lu Gang’s severe deformities of the spine, hip joint, and knee joint were caused by Ankylosing Spondylitis.

Boss Xu was giving him face this time. Zhang Lin let out a sigh of relief.

——

Xu Zhiliang quickly imported the data from 3D reconstruction of Lu Gang’s CT scan into the 3D printer, and printed a model of Lu Gang’s entire skeleton. The model was already placed on Yang Ping’s desk.

Yang Ping studied the model repeatedly, formulating the surgical plan.

The spinal deformity was too severe. In addition to the Kyphotic deformity in the sagittal plane, there was rotational deformity in the cross-sectional plane and Scoliosis in the coronal plane. The surgery would be complex, as it had to correct deformities on three planes, making it much more difficult than an ordinary spinal deformity correction surgery.

The surgery needed to correct the spine and also straighten the spinal cord within the vertebral canal.

Once straightened, some parts of the spinal cord could be pulled and others compressed.

This tension and compression could damage the spinal cord, leading to death or paralysis. The tolerance limit for correction was unknown and could only be guessed based on experience.

Although intraoperative neuroelectrophysiological monitoring can be conducted with modern instruments, their usage was limited, especially in severe cases like this.

The entire operation could be understood as breaking Lu Gang’s spine into several sections and reconstructing it.

The pelvis would be cut into several pieces and reassembled, the hip and knee joints would be sawed off and replaced with artificial joints.

This massive operation not only posed the risk of spinal cord damage, but also bleeding, infection, risks of osteotomy, and the risks of screw insertion.

Taking the risk of screw insertion as an example, due to deformity and the loss of bony landmarks, the standard pedicle screw insertion technique failed. Each pedicle screw had to be inserted uniquely.

Lu Gang’s skeleton formed in Yang Ping’s mind, then started to shift, rotate, stretch, and compress.

The soft tissue attached to the skeleton was stretched, wrinkled, and twisted accordingly.

The anterior blood vessels, nerves, and viscera also changed, starting to move.

Yang Ping mentally visualized the entire dynamic process, and based on that, started sketching the bones to be cut.

Having just finished planning Lu Gang’s surgery and looking forward to a brief rest, an old friend, Ou Lichun, unexpectedly called him.

Ou Lichun had already reported to the First Affiliated Hospital. The Spinal Surgery department warmly welcomed him and arranged for him to join the medical team led by Professor Fan Jiguang, a star pupil of Professor Zou.

The director of the medical teaching department personally escorted him to Spinal surgery, and Professor Fan was extremely courteous, making inquiries about his well-being, and asked Ou Lichun about his relationship with Yang Ping.

To express his gratitude to Yang Ping, Ou Lichun brought some local specialty products from his hometown and insisted on delivering them to Sanbo Hospital.

Yang Ping made an appointment with him to meet and catch up. Among classmates, it was common to help each other in order to make collective progress.

There was a knock at the door. Opening it, Yang Ping found Takahashi standing at the entrance, with an unusual expression.

“What’s the matter?” Yang Ping asked, seeing Takahashi’s concerned look.

Takahashi attempted to speak, but he seemed to struggle.

“Come in?” Yang Ping welcomed Takahashi into his office.

Takahashi sat down and said, “Dr. Yang, I’m sorry, Tokyo University refuses to cooperate. They’re worried about technology leaks. I’ve tried hard to persuade them.”

Takahashi had argued logically but he hadn’t been able to convince the die-hards at Tokyo University.

Yang Ping thought it would be a big deal, nonchalantly replying, “Takahashi, thank you, but it’s no big deal. Don’t stress. If we cooperate, I could save a few months. If not, it only means it’ll spend a few more months.”

Yang Ping hadn’t held many hopes for Tokyo University, he had already started to plan on his own.

Takahashi thought it’s a pity. Without working with Yang Ping, they would lose the opportunity to be leading in the field.

One could foresee that once Dr. Yang entered this field, the advantages of Tokyo University and Duke University would vanish quickly.

From Yang Ping’s expression, it was evident that he didn’t react at all, as if the matter did not exist. Tokyo University’s cooperation did not matter to him.

Just as Miyuki had said, Yang Ping was a man at the peak of the mountain.

In Takahashi’s eyes, Yang Ping was such a man: when his sword is undrawn, it remains undrawn; when he draws his sword, there is no opponent.

“Is this Lu Gang’s skeletal model? And his surgery blueprint?” Takahashi looked at the skeletal model on the table and the stack of blueprints beside it.

Takahashi hadn’t expected that Yang Ping was an all-rounder in orthopedics, not only is he unreachable in trauma orthopedics and sports medicine, even his attainments in spinal surgery are unfathomable.

Firstly, the cervical spine deformity needs to be corrected for easier intubation during surgery and for the position of the subsequent surgery.

Then the deformities of the thoracolumbar spine are corrected, followed by the rotation osteotomy of the pelvis, the osteotomy of the knee joint, and the optional hip-knee joint replacement.

Various soft tissue relaxation and balance surgeries are interspersed in between.

The steps of the surgery are clear and interlinked. The osteotomy on each part is extremely precise and ingenious. With all the osteotomies combined, the skeletal deformity would be completely corrected—an aesthetic of surgery presents before the eyes.

Being able to learn from such a person, it is a rare opportunity in life!

“Dr. Yang, you are about to create another miracle,” Takahashi said with admiration.

“No, I’m just doing my job,” Yang Ping replied calmly, leaning back in his chair.

——

Song Zimo is preparing a patient for thoracolumbar fracture surgery.

In the southern competition region, those who are maintaining full marks are still Song Zimo, Su Nanchen, and Lin Hao.

Teams from each competition region, like several powerful torrents, are gradually taking shape and rushing towards the national competition area.

In every region, the early frontrunners are still those old-fashioned hospitals; Jishuitan in Beijing, Beijing Medical University Third Hospital and 301 Hospital are still firmly leading with full scores.

Magic City Sixth Hospital, Huashan, and Long March are standing out, other hospitals are gradually falling behind.

Huaxi and Xi Jing are outperforming all the others, other hospitals can only watch them lead.

Xiangya and Tongji Hospital are standing out uniquely. Their brother hospitals can still compete, others don’t have the slightest hope to win.

Except for Magic City Sixth Hospital and Nandu Affiliated Hospital One, no one cares about Sanbo Hospital. Even Magic City Sixth Hospital is only paying a little attention out of curiosity.

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Only Su Nanchen of Nandu Affiliated Hospital One knew that Sanbo was the real championship team but he couldn’t say much. It would be useless even if he did.

Yang Ping glanced at the leaderboard, Song Zimo had remained high-scoring and he didn’t have much to worry about for the time being.

If he couldn’t remain strong, he wouldn’t be Song Zimo. His robust fighting ability greatly satisfied Yang Ping.

For this Golden Knife Award, if it weren’t for the chance to win the system-rewarded laboratory, for fulfilling Director Han’s wish, and to fuel the passions of his peers, Yang Ping would really have no interest in it. The time spent on this could be used to do a lot of things.

The next round of surgery is the posterior thoracolumbar fracture surgery, there are comparatively fewer accidents. If there are any, most of them happen during the pelvic acetabular fracture surgery.

As long as Song Zimo can hold steady, advancing with a full score wouldn’t be a problem.

Indeed, whether it was surgical skills or mentality, Song Zimo was thoroughly reliable.

The Golden Knife Award’s website was exceptionally bustling, fans of the large hospitals formed groups spontaneously.

For example, those who like Magic City Sixth Hospital, those who once practiced in Magic City Sixth Hospital, graduate students who came out of Magic City Sixth Hospital, naturally become fans of Magic City Sixth Hospital.

While another group became fans of Huashan, these fans engaged in ferocious battles in the comments section.

However, these are academicians, even the battles were like case discussions, academicians start battles in an academic way.

No cursing, coarse language, or personal attacks, all the fighting passion has turned into tightly-knit, paper-like comments.

Sanbo Hospital also gained a lot of fans, they were active in the comments section of Sanbo Hospital.

Most of the people in this group are doctors who have personally attended the academic conferences of Sanbo Hospital.

“The chief surgeon hasn’t appeared yet, has he chickened out? Letting an assistant all the way?”

“Joke! Killing a chicken with a bull’s knife?”

“If your so-called great god doesn’t come out, I’m afraid there won’t be much for him later. Look what surgeries are in the national competition? If all the surgeries Sanbo has done over the years are given to him, would they be able to feed him? It’s good to have passion, but intelligence is also needed. Who can be spared by the learning curve?”

“Without considering efficiency, discussing the learning curve is just mischievous. Factor in efficiency, and the difference in curvature appears. With the same surgery, one person produces ten times the effect, while another only produces the effect once—this disparity makes the learning curve unfair.”

The competition is exciting and the comments were also brilliant.