Surgery Godfather

Chapter 168: Chapter 0162: Beast Trainer

The Quintuple Reconstruction raised the bar for arthroscopic surgeries in comprehensive orthopedics.

When Professor Zhang heard about the success of the quintuple reconstruction from Director Han, he intensively admitted more patients, especially those needing arthroscopy, all went into comprehensive orthopedics.

They had admitted several more patients, including cases of rotator cuff tears, glenoid labrum injuries, multi-directional shoulder instability, meniscus injuries of the knee, anterior cruciate ligament reconstruction, osteoarthritis of the knee joint. He fully cooperated with Director Han’s strategy, took small steps to achieve big gains, and concentrated on conquering the field of sports medicine and arthroscopy. Still active at the age of 80, Old Zhang stood his guard at the outpatient clinic of Comprehensive Orthopedics. Song Zimo sent an assistant to accompany Professor Zhang on his daily rounds.

After doing rounds, Little Five and Zhang Lin started to manage their surgeries. Yang Ping started studying the condition of the young girl with osteosarcoma. The little girl’s name was Tian Sisi, everyone called her Sisi.

Sisi had already completed the angiography of her primary femur tumor. The countless blood vessels were tangled and twisted, but none of them was a thick trunk.

In this case, if we tried to do vascular embolization, it wouldn’t work very well. It’s like trying to block a few of the countless roads leading to the enemy castle, it would be impossible to strategically cut off the supply lines.

“The tumor hardly has main blood vessels. How are you going to embolize?” Song Zimo didn’t understand.

Yang Ping slightly lifted his head and leaned back in his chair, thinking, “If there are no main blood vessels, we will create one.”

He had been pondering over this. Without a main blood vessel, it means all roads lead to Rome, it would be difficult to block the tumor, and impossible to cut off the blood supply to the tumor.n/ô/vel/b//in dot c//om

“Create? How to create?” Song Zimo was completely confused. He had never heard that main blood vessels could be created.

With wide-open eyes, Yang Ping asked, “Do you remember a quote from Mr. Lu Xun?”

“A path was created naturally when more people walked on it” Song Zimo blurted.

Yang Ping nodded, “You have grown well in height and intellect. The same principle applies here. Just like the delay process in the skin flap and clamp training. The human body has the ability to compensate. Let’s make use of this compensation ability and train the tumor, just like an animal trainer.”

Train a tumor? Treated a tumor like an animal? And can be trained like an animal trainer?

Several standardized training students and interns heard Yang Ping’s words and quickly gathered around, wanting to hear some exclusive insights. Everyone was familiar with what was in the textbooks, but there were always things you couldn’t learn from textbooks when at Doctor Yang’s side.

“Train the tumor?” Even with his high IQ, Song Zimo couldn’t catch up with Yang Ping’s way of thinking.

Yang Ping nodded, “Think a bit more. Broaden your mind.”

Song Zimo went back and forth over the angiography of Sisi’s primary tumor, not knowing how to train the tumor.

“Tumors rely on the human body for their existence and they have intelligence too. Otherwise, why would there be such a phenomenon as targeted drug resistance? The resistance just shows its ability to evade the attacks of targeted drugs, which is an expression of its enhanced defense capability.” Yang Ping reminded Song Zimo.

Song Zimo suddenly realized, “We embolize the peripheral blood vessels in stages. As we continue, naturally, the main blood vessels would form?”

“Yes, we should take advantage of its intelligence, slowly block its blood vessels. Although it’s impossible to block all of them, in the process of embolization, the tumor, in order to survive, will enlarge its remaining blood vessels, increasing the blood supply. As embolization continues, some blood vessels will gradually grow thicker. We leave these large blood vessels unembolized to let them continue to enlarge without worry, until one of them becomes the thickest blood vessel. We protect it and maintain embolization of the others, then–” Yang Ping stopped.

“Then, unexpectedly, we inject chemotherapy drugs through this thickest blood vessel and block it. The tumor will suddenly lose its supply. Without enough oxygen and nutrition, it will slowly shrink. Before the other blood vessels compensate and enlarge, we use Gamma Knife to kill the tumor?” Song Zimo continued.

“The intelligence of a genius is really different.” Yang Ping complimented Song Zimo.

Song Zimo raised his head proudly, then quickly corrected, “I only have 249, only aliens like you have 250.”

“This method is a bit sneaky!” a standardized training student exclaimed.

Yang Ping turned his head; this brother was quite articulate, “Well said, when fighting diseases, we have to be ruthless, bottomless, and use every means possible.”

This treatment plan must be planned for the long run, rushed action could easily fail. Every step must be carefully planned, waiting until conditions are ripe.

Initially, a lot of embolization should be done to block all the small paths. Once embolization reaches a certain degree, blood will automatically flow into a major path—that’s when the trunk blood vessel appears.

When the main blood vessel accounts for an absolute proportion of the blood supply, then stage a sudden attack, block the main blood vessel and simultaneously perform intra-tumor perfusion chemotherapy. This will cause the tumor to shrink, and then it is bombarded with a therapeutic ultrasound knife to kill the cancer cells with thermal energy.

The greatest advantage of this plan is that it can be used repeatedly without causing side effects to the patient. Unlike radiotherapy and systemic chemotherapy, which have severe side effects and can destroy a person’s immune capacity if used excessively.

Yang Ping was anxious now. Sisi’s cancer cells were spreading day by day, and his advancement in sports medicine had not been completed yet. According to the system’s route, only after completing sports medicine could he enter the stage of bone diseases, and only then was bone tumor surgery training possible.

To carry out this plan, it is necessary to have a foundation in interventions like surgery and gamma knife therapy. Those are the ones I’m lacking in. I need to go through training in System Space

After listening to him, Song Zimo was thrilled. What a challenging plan! Only someone with an outlandish mind like Yang Ping would dare to think such a thing.

“The biggest weakness of the gamma knife is that the positioning is not very accurate and lacks precise navigation. Combining it with infrared navigation could visualize blood vessels and lymph nodes with indocyanine green, but the value to visualize the tumor itself is not significant,” Song Zimo elaborated following Yang Ping’s train of thought.

“I haven’t found a good solution to this problem yet, but I will eventually,” Yang Ping, resting his chin in his hand, pondered.

Song Zimo had no doubt about Yang Gauss’s capability. Countless times had proved that he is a miracle worker!

After discussing the case with Song Zimo, he went to check on Sisi alone. Her parents were sitting by her bed. Her father brought a hot chicken leg, and her mother was feeding it to her. As she nibbled at the chicken leg, she held a Rubik’s cube in the other hand, manipulating it with one hand.

Sisi’s father was wearing a yellow Meituan delivery uniform. He had taken on many jobs, not just delivering food, but also packages.

“Sisi!” Yang Ping knocked on the door and went in.

“Big brother!” Sisi wiped her mouth with a napkin.

“When you do rounds, I call you Doctor Yang. Otherwise, I call you big brother. They said you are big brother and the tall one is second brother.”

“You can manipulate the Rubik’s cube with one hand?”

“Yes, a few more days of practice, and I’ll officially challenge second brother.”

“Good, show him no mercy, and don’t be considerate.”

“Doctor Yang, please have a seat!” Sisi’s father brought over a chair.

“Doctor Yang, thank you.” Sisi’s parents expressed their gratitude.

Yang Ping smiled, “It’s nothing!”

They were referring to Huang Jiahui’s support for Sisi. Huang Jiahui had talked to them about helping Sisi to apply for the company’s charity quota. The chances of success were high, but it couldn’t be guaranteed 100% because it depended on the company’s approval. They should prepare some documents.

After checking on Sisi, her father came along and, in the office, Yang Ping explained Sisi’s condition and the next steps in her treatment plan.

“Doctor Yang, I am deeply grateful. This is a huge favor; I’ll keep it in mind! I’m such a useless father–” the muscular man was unexpectedly teary-eyed.

Sisi’s father was a former soldier. After retiring, he became a taxi driver and then a Didi driver. Moving to G City from a mountainous county in Nandu, he provided for his family and bought a second-hand sixty-square-meter flat through hard work.

After his daughter got sick, he sold his house and car. He couldn’t be a Didi driver anymore. To make ends meet, he delivered food for Meituan during the day and parcels at night, earning money with his stamina, keeping his family going.

He chose his job not only because of the flexible schedule but also because he made a little more money than with other jobs if he worked hard enough.

Since he’d sold his house and was now renting one, hours away from the hospital, he quit the first apartment and rented a room closer to the hospital in an urban village, which made it easier for him to care for his daughter.

“Thank you all. Anyway, we will fully cooperate with your plan. Some people have advised me to give up, saying it’s meaningless to continue like this. However, I think it’s meaningful to let her stay in this world a little longer, to love her a little more. I’ll do everything I can to figure out the money issue. I owe you a favor–” said Sisi’s father, his spirit unbowed.

“No need to mention it. Sisi is very sensible. Everyone likes her and is willing to help her!” Yang Ping wasn’t sure how to comfort such a man.

As he left, Sisi’s father said, “I’ve put in another three thousand. I’ll continue to do so.”

“He’s a good man. He put another thirty-five hundred in last night. He made several payments before, hundreds at a time. So far, he’s paid over six thousand,” Little Five said.

Life depends on one’s spirit. With Sisi’s father, Yang Ping saw that spirit. Life may be tough, but he had enough faith!

“Dr. Yang, hello!”

At the door there was Director Gao from sports medicine, accompanied by several people.