Chapter 1069: No Force

After staying at Nandu Hospital for a long time, it was already very late when I got home, almost 1:00 a.m.

When Yang Ping came back, Xiao Su had been waiting for him. She fell asleep on the sofa while waiting. When she heard the door open, she immediately sat up from the sofa and rubbed her eyes: "Have you eaten?"

"Not yet, where's the child?" Yang Ping changed her shoes.

"In grandma's room, grandma is with her. The food is hot, I'll bring it." Xiao Su brought a cup of warm water to Yang Ping, and Yang Ping sat down to rest.

"Why is my father so stingy? He invited you to the consultation but didn't even give you some snacks. I'll say a few words to him next time. If he makes my husband hungry, I'll never let him go." Xiao Su said angrily.

Yang Ping knew that his wife was worried about him, so he quickly said, "Dad invited me to dinner, but I don't want to eat at the First Affiliated Hospital. The food there is not as good as the food at home."

"What case is being consulted today?"

"Rabies!"

"Why did Dad ask you to consult for rabies? My dad thought you were free, but he dragged you to the hospital until midnight."

"Because the patient is of special status and is an important talent for the country, the higher-ups attach great importance to him and ordered him to go all out to rescue him. Dad is also under a lot of pressure. No matter if he can do it or not, he will definitely call me over first, and then he will ask me to go for the consultation."

While chatting quietly, Xiao Su had already brought the steaming hot food to the table, and Yang Ping ate it in big mouthfuls.

"Don't worry about the things at home, I'm here, you can work with peace of mind, I plan not to go to work for the time being." Xiao Su chatted with Yang Ping.

Yang Ping is not short of money now. Although the house is big and the family gets along very harmoniously, it is not convenient for the whole family to live together. He bought two more houses in this community, one for his parents and one for his father-in-law and mother-in-law.

In this way, they live separately at ordinary times and gather together when they should. Each of them has their own private space, which is good.

In addition, he also bought a villa in the suburbs. On weekends, the whole family can go to the villa for vacation. Yang Ping is a person who does not wrong himself. Now that he has money, it is necessary to improve the quality of life. This money is earned by himself in an honest way. He can spend it however he wants. It is also human nature to make his family live better.

"Rabies can only be treated symptomatically. There is no point in asking you for a consultation, right?" Xiao Su is not sleepy at all now. She is very curious. Yang Ping will share with her the operations he performs and the cases he encounters every day. It may be related to Xiao Su's family background. Others may have no interest in medical topics, but she is most interested in medical topics.

"You are looking down on your husband. Let me tell you, I have been thinking that if rabies is treated with traditional methods, the final result will definitely be death. The 100% mortality rate is not a casual statement. No one has made a breakthrough so far, and there is no exception at present. But if a new method can be found, there may be some hope. Look, Sisi was hopeless at first, but now there is hope, isn't there?" After Yang Ping finished eating, he cleaned the table with Xiao Su. He wiped the table and Xiao Su was responsible for washing the dishes.

"Go take a shower and rest early."

After the two cleaned up the living room, Xiao Su saw that it was getting late.

——

That night, Yang Ping had a dream all night, and his mind was full of knowledge about rabies. From pathology, physiology, anatomy, microbiology, etc., countless knowledge flashed in his mind.

When he woke up the next morning, a bold idea came to his mind: hibernation therapy! Using hibernation therapy to put the patient's brain into a state of "pseudo-death", the virus thinks that the patient's brain is dead, and the complications it produces will not work, just like the people in martial arts novels use music to kill people. If that person does not understand music at all, this method will not work for him.

The brain's fake death deceives the virus, and then the immune system is still active and continues to kill the enemy.

The next morning, he did not go to work. He asked the driver to pick him up downstairs at around 5 o'clock and sent him to the First Affiliated Hospital of Nandu Medical University. Professor Su was also hurriedly awakened by his phone call and rushed to the First Affiliated Hospital of Nandu Medical University.

Almost all the experts in the First Affiliated Hospital were called out from their beds by Professor Su. Some of them may not have had time to wash up and were disheveled.

It was still half past six when everyone rushed to the ICU meeting room.

"Hibernation therapy?"

Director Luo widened his still blurry eyes. He was an expert after all, so how could he never hear of this method, the method in that paper.

"Yes, why have you never heard of it?" Director Yuan of the infectious department also said.

Everyone was very surprised and had never heard of it. Even Professor Su, after searching his mind, felt that he had never heard of this strange treatment method.

Yang Ping said slowly: "This is the method I came up with last night. It's normal that you haven't heard of it."

"You came up with it last night?" This time, even Professor Su was surprised. It was true that his son-in-law always created miracles, but the patient's identity was a bit special. Although the mortality rate was 100%, there would be no problem as long as everything was done according to the regulations. But now this guy actually proposed a new method, and he only thought of it last night. Even if it was, he couldn't say publicly that it was thought of last night.

When everyone was stunned, Yang Ping said: "The patient has been diagnosed with rabies. There is no doubt about the diagnosis. Since there is no doubt about the diagnosis, everyone understands that the mortality rate of rabies is 100%. This disease can only be prevented, not treated. All symptomatic treatments are just a process and have no effect on the results. So why not try my new method?"

It seems to make sense, since there is no method, why not try his method, and he is a person who has created miracles one after another, and he may be able to create another miracle. Professor Su is still unpredictable about this son-in-law.

Everyone is looking at Professor Su. After all, he is the dean, principal, and academician. He has high prestige in the entire Nandu Medical University. Everyone is waiting for him to make a decision. Only he can make a decision on this kind of thing.

Professor Su looked at Yang Ping, and Yang Ping nodded. After Weng and his son-in-law looked at each other, Professor Su said: "Professor Yang is right. Since there is no other way in current medicine, why don't we try new methods? Even if the new methods fail, they are just the same as traditional methods." The results of the method are the same, which means there is absolutely no risk in using the new method in this case.”

In fact, everyone understands that for a disease with 100% mortality, the final result will be the same regardless of the method used. The risk is not medical, but outside medicine.

"I agree."

"I agree too."

"I agree."

Now that Professor Su had made the decision, everyone felt that they should support it together, so everyone agreed.

"What kind of medicine is used for hibernation?" Director Luo from the ICU asked.

"Midazolam and ketamine!"

"When does it begin?"

"Start immediately after the meeting ends."

Now that the decision has been made, what are you waiting for? Life-saving matters are running against time.

"good!"

Nowadays, the leading treatment of patients is still undertaken by the ICU, so Director Luo interacts more with Yang Ping. Director Yuan of the Department of Infectious Diseases actually didn't have much to say, and he didn't know what to say. Many treatments for rabies are symptomatic treatments, which are all ICU methods.

"Do other people have any different opinions? You can raise them now. If there are no different opinions, we will adjourn the meeting and implement Professor Yang's new plan immediately."

"Secretary of the meeting, how are the records? Do you have any questions?"

Professor Su asked the secretary again. He wanted to protect his son-in-law in case something happened. This was what everyone had discussed. He was not the only one who had his own way.

After the meeting ended, everyone immediately went to the ICU ward without any small talk. The doctors in the ICU were obviously not as skilled in the use of midazolam and ketamine as the anesthesiologists, so they invited a senior anesthesiologist to participate in the treatment.

Soon, under the influence of midazolam and ketamine, the patient entered a coma. When the drug was first used, the doctor was not very sure about the dosage. If the dose is too large, it is easy to coma too deeply; or if the dose is insufficient, the coma is not enough, hibernation is not enough, and the protection of the brain is not thorough enough.

It was also the first time for this anesthesiologist to use this method to treat rabies. He was not very precise when using the medicine, which resulted in an excessive dosage and a deep coma in the patient.

Blood examination results showed that the patient had metabolic acidosis and hemolysis, accompanied by autonomic nervous system disorder. Yang Ping had to call in a superb anesthesiologist - Fatty Liang. This anesthesiologist who had grown up with him was already superb in the application of anesthetic drugs.

Fatty Liang didn't dare to delay. Although he finally relaxed his relationship with the flight attendant and made an appointment with the flight attendant to watch the concert tonight, he still drove to Nandu Annex 1 without hesitation. For doctors, the condition is the highest order. , and at this time he is irreplaceable.

When he told the flight attendant that he was going to participate in the rescue operation, the flight attendant lost her temper and told him never to come to her again. Fatty Liang was inexplicably irritated. If you don't want to look for it, then look for it. The two of them are originally from different worlds. Even if they are forcibly tied together, one day the rope will not hold up and will break, and they will eventually break up.

The fat man's car was driving on the way to the First Affiliated School of Nandu Medical University when he suddenly received a call from his mother. His father had severe pain in the left side of his chest and had difficulty breathing. He called 120 but he still hadn't come.

Some things got stuck together. Just after I hung up the phone, the flight attendant called me again and asked if I was going to the concert.

There was a concert at this time and it would be fatal not to go see it. He didn't answer and was too lazy to bother with her, so he hung up the phone directly. I tried calling Song Zimo and Xu Zhiliang but couldn't get through. So he thought about it and immediately called Zhou Can in the operating room and told her that he was now going to Nandu Affiliated One to participate in the rescue. His father might have suffered a myocardial infarction and was at home now. Can you help go to his home to pick up his father? Hospital.

Zhou Can immediately said: "Leave this matter to me, you go to Fuyi, human life is at stake."

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Leave this matter to me. Fatty Liang was so moved that he almost shed tears. He really wished that the stewardess could say this. Unfortunately, that was impossible.

Zhou Can didn't know his parents' phone number or the location of his home, so he immediately called Zhou Can again. There was a familiar voice on the other side: "I found your home address from the head nurse and contacted him. "Your mother, the ambulance has left and I'm in the car."

''If any signature is needed, I give you full authority. My mother is probably extremely anxious. "

"Are you sure? Those are your parents."

"I'm sure, the recording is proof. I, Liang Jing, ID number, authorize now——"

After handling this matter, Fatty Liang wiped away his tears and stepped on the accelerator deeper. He could now go to Nandu Affiliated One with peace of mind. When he arrived, Professor Yang was analyzing the electroencephalogram on the monitoring equipment.

"The dose of the drug is too high, and the risk is very high. If you are not careful, you will become a vegetative state." Fatty Liang pulled a stool and sat next to the bed. Due to his work habits, he always likes to sit next to the patient's bed, and on the side of the head. More working status.

Everyone was standing, including Professor Yang. He actually sat. Isn't it very rude? The doctors around him were very dissatisfied.

Fatty Liang looked at everyone's eyes and understood a little bit, but he had no time to talk nonsense. He asked the anesthesia expert just now about the dosage of various drugs with a very serious face.

"I need to put his brain in a state of hibernation suppression to prevent the complications of rabies virus from affecting brain function, but not too deep to avoid serious sequelae after the treatment." Yang Ping told Fatty his purpose.

"I understand, it must be deep enough and reversible." Fatty Liang began to work attentively. His father's affairs have been entrusted to Zhou Can. Although the girl is usually a bit venomous towards him, she is smart and capable. She can Take care of everything.

Today's patients are like a small boat in the stormy sea, which may be overturned and sunk by a big wave at any time.

"The brain waves show that the suppression is too deep. If that doesn't work, use some diuretics to promote the excretion of the drugs. If this continues, I'm afraid I'll never wake up." Fatty Liang didn't notice the expression on the anesthesia expert next to him.

"Are you okay?"

"It's okay, let's learn from you."

Who said you are Professor Yang's royal anesthetist? I can only admire you, what else can I say.

Fatty personally took the medicine, and finally, at a speed visible to the naked eye, his vital signs returned to normal, metabolic acidosis was corrected, hemolysis began to ease, and his autonomic nervous system disorder was also recovering.

One of the important skills of a drug master is accuracy, but this accuracy cannot be achieved simply by calculating a formula based on body weight. She has to consider many aspects, such as the patient's weight, metabolic level, the interaction of multiple drugs, the purpose of medication, etc. Wait, this is like a chef cooking a dish. To make the dish taste good, how much oil, salt, sauce and vinegar should be added cannot be achieved by setting up a scale in the kitchen.

Fatty Liang has been following Yang Ping for a long time. As the saying goes, a rising tide lifts all boats. His level is not comparable to that of other experts.

The Fuyi expert next to him was convinced that he might not be able to catch up with the young man's skills even if he practiced for ten more years.

After the patient here calmed down, Fatty Liang hid in the doctor's office. He just wanted to call Zhou Can to ask about the situation, but a series of voices appeared on WeChat, reporting clearly what happened.

Zhou Can found Song Zimo and Xu Zhiliang, and together with the director of the interventional department, his father had installed a stent. He has now been sent to CCU for monitoring, and his vital signs are stable. Tonight, Zhou Can will stay with her mother in the Sanbo Hotel. , his mother had also eaten something, and Zhou Can was chatting with her and comforting her.

"I'm sorry, Zhou Can. I'm sorry to trouble you. I can't leave for now. The patients here are very special. Professor Yang is also staying here. I have to stay here." Fatty Liang felt quite guilty and always quarreled with her. , I didn’t expect her to be so powerful at this critical moment.

Over there was Zhou Can's iconic hearty laughter: "Just stay calm, I'm here. I just went to see my uncle again. His vital signs were stable. The director said that he was delivered in time and there was nothing serious. He will be monitored for a few days and transferred to a general ward, and then he will be discharged with medicine."

"I'll treat you to dinner in a few days. The place can be of your choice?"

"Really, it's my choice?"

"yes!"

"Then I chose."

"Choose whatever you want, don't feel bad for me."

"I'm going to your house to eat."

"My home? No, Zhou Can, what do you mean?"

"Don't you let me choose at will? I will choose your house. If you don't agree, forget it. Who cares? You can rest assured there. I am here. Just treat me to a cup of milk tea then."

"Zhou Can, who said I disagree? Come to my house for dinner and try my mother's cooking."

"Really, you agree. Don't force yourself. A cup of milk tea will do."

"I don't have to force myself. I have to come home voluntarily."

PS: The treatment method for rabies mentioned in this chapter is actually called the "Milwaukee Therapy". It is a new method created by Dr. Willoughby of the Children's Hospital of Wisconsin in the United States in 2011. It breaks the iron law of 100% rabies mortality rate. The patient who was rescued became the first rabies patient to survive in the world. After their later summary, this method had a success rate of 7/48. They counted 48 people treated from 2011 to 2015, and 7 of them were successfully saved. Although the success rate is very low, it is compared to the 100% mortality rate. , which is a huge improvement. Medicine progresses under the promotion of these seemingly deviant and unconventional people, making the impossible possible. Without the promotion of this small group of people, medicine would always stand still. A hospital in my country once used this method to treat a rabies patient, but the patient's family members chose to give up after the patient persisted in the ICU for a month. It can be seen that this method is very costly because it requires staying in the ICU all the time. It requires a strong ICU medical team and complete drug reserves. The huge investment and low success rate make this new method controversial. In fact, I don’t think there is anything controversial about the success rate of 0 and 7/48. Those who think it is not good are just thinking that it is too expensive and too expensive for medical treatment. resources, then it may not necessarily be saved. Therefore, many things will always be constrained by reality after they are implemented.