My medical skills are a billion points

Use normal saline again to rinse the brain surface and the operative field, and check again for no bleeding points.

Cover the surface of the brain with the uncovered dura mater, place a subdural drainage tube, make another incision from the left top, lead out and fix it.

This decompressive craniectomy has been considered complete.

Then count the equipment, and there are a lot of them.

The incision was sutured layer by layer.

Of course, the palm-sized skull that was removed before the operation will not be stitched back.

The patient's skull was shown to the patient's family members for review, and they would either keep it in their custody or dispose of it as medical waste.

If the patient recovers, three months later, he can use titanium plates for cranioplasty.

Otherwise, the part where the operation was performed on the left side would be sunken into a big pit.

It looks like a piece of the head is missing, which is very scary.

And that big pit, when you get closer, you can still see the fluctuations of drums and drums.

Children will be scared away when they see this kind of person.

If the patient is too old, or the family does not want to have another operation, cranioplasty is done.

Then the patient will have a big hole on his head and continue to live.

However, it should be noted that the surgical site is very fragile because there is no skull protection.

If accidentally touched, the patient may faint immediately.

Therefore, under normal circumstances, patients who undergo decompressive craniectomy will undergo cranioplasty three months later.

It is to protect brain tissue.

This decompressive craniectomy took one and a half hours.

After the operation, the dilated pupil on the left side of the patient has also retracted.

It shows that the pressure of the brain tissue has dropped, and the operation is successful.

Of course, the success of the operation does not necessarily mean that the patient is completely safe.

He will also face the possibility of complications such as intracranial infection and hypostatic pneumonia.

It also requires a doctor's best treatment.

Because the patient was very heavy, he was sent directly to the intensive care unit for treatment after leaving the operating room.

Patients with severe traumatic brain injuries may spend longer in the intensive care unit after surgery.

As short as a week, as long as the moon may be.

Therefore, it is a huge test for the financial ability of the family members.

Chapter 252

Although the patient was injured in a car accident, he was finally reimbursed by a third-party insurance company.

But during the hospitalization, if the patient does not die or is not discharged, the insurance company will not pay a penny.

All expenses must be paid in advance by family members.

Only after being discharged from the hospital will the insurance company pay compensation according to the responsibility appraisal of the traffic police department.

Patients with severe craniocerebral injuries, if they stay in the intensive care unit for a long time, some families with poor economic conditions may not be able to make advances by themselves.

In the end, if it is possible, they will choose to be discharged from the hospital automatically because they cannot advance the money.

If the patient is almost recovered, it is fine, if the condition is still critical.

Automatic discharge is actually equivalent to giving up treatment and leaving the patient to fend for himself.

Because this situation is very common.

The emergency department is a department that often deals with the traffic police department.

The patient's condition is very critical, Xiao Chu also explained the situation to the family members, so that the family members have a psychological preparation.

Patients with craniocerebral injuries may spend 30 to 50 yuan if they stay in the intensive care unit for a month.

This is not something ordinary families can afford.

If the patient has hope of treatment, it is very regrettable that he chooses to be discharged automatically because he cannot advance the payment.

Xiao Chu also often encounters this kind of situation.

But there was nothing he could do to stop it.

I can only try my best to reduce the patient's expenses, strive for the patient's early improvement and early discharge.

When Xiao Chu and Gao Yingjun returned to the doctor's office, they only saw Zhou Ziqiang, Zhao Fangshu and the others, all of them were also tired and beat their chests and legs, their backs ached.

They have just come off the operating table not long ago.

Hearing that Xiao Chu and Gao Yingjun underwent two surgeries in succession, they all gave them thumbs up.

"You're still young and powerful! Our operation took four hours at once, and I was exhausted."

Zhao Fangshu thumped her waist and said.

The patient she did was considered to have intestinal rupture caused by trauma.

Unexpectedly, after a laparotomy, it was discovered that this patient not only had intestinal rupture, but also colon cancer.

The doctors present were stunned.

I don't know whether this patient should be lucky or unlucky.

Due to an accident during the operation, Zhao Fangshu got off the operating table and had a detailed communication with the family members waiting outside the operating room.

This patient was diagnosed with colon cancer after a car accident caused intestinal rupture.

The patient didn't find it before, but now that the doctor knows about it, he must take this opportunity to treat the colon cancer as well.

Of course it needs to be discussed with the family.

At that time, all the family members were stunned, and for a while they didn't believe what Zhao Fangshu said.

Zhao Fangshu took photos and videos of the situation in the patient's stomach in advance, and then took the photos and videos to explain in detail to the family members again.

There are photos and videos, and the family members have to believe that the patient is not only injured, but also suffers from colon cancer.

Also had to sign again to agree to colon cancer surgery.

So Zhao Fangshu's operation took three to four hours at once.

Otherwise, it would have been off the operating table long ago with a simple intestinal rupture.

Of these operations, only Zhou Ziqiang received a ruptured spleen, which was relatively simple.

Hearing a few of them complaining, Gao Yingjun said proudly: "Your surgery took three or four hours, what's so special about it!"

"Director Xiao Xiao and I have performed two operations together. If the patient with subdural hemorrhage had not suffered from brain herniation and had to undergo emergency surgery, we would have left work long ago!"

"Where did it get to this point, I can't even eat a meal."

"Oh, by the way, it's all over, do you still want to eat?"

It is now around four o'clock in the afternoon.

The entire car accident rescue has lasted from shortly after work to the present, about seven or eight hours.

Doctors like them don't even have time to drink their saliva, let alone eat.

Now everyone is tired and hungry, and they don't even want to talk, they just want to have a good meal and then rest.

Xiao Chu looked at these people, all listless and listless, and said:

"It's been a long time, how can you not eat? I'm treating guests today, and I'll order takeaway for everyone. What do you want to eat?"

After a whole morning's busy work and two surgeries in a row, Xiao Chu is still full of energy.

Not only because he is young, but mainly because his body has been strengthened by the medicinal liquid rewarded by the system.

For this level of labor, it is not a problem at all.

So in the entire office, several doctors rested there silently, not even wanting to move their hands.

Only Xiao Chu doesn't feel tired!

Zhao Fangshu looked at the lively Xiao Chu, and said, "Xiao Chu, you can order whatever you want. I'll just sit here and rest for a while, I'm really tired today!"

Because of the car accident in which many people were injured, all the medical staff in the emergency department did not get off work at noon.

It's all about working overtime continuously, until now all the patients have finally stabilized.

At this time, everyone finally breathed a sigh of relief and had a short rest.

For the outpatient clinic on duty in the afternoon, of course, let the trainee doctor do it for him.

Xiao Chu ordered ten pork knuckle rice dishes on Meituan.

After all, besides the doctors in this hospital, there are also several fellow doctors who are also working overtime.

They also didn't eat, of course Xiao Chu brought them for them.

Half an hour later, the deliveryman delivered ten servings of pork knuckle rice.

After distributing it to everyone, they all gobbled it up and ate it.

I didn't eat at noon, I was really hungry.

After eating the pig's knuckle rice and resting for more than half an hour, several people finally recovered their strength slowly.

Gao Yingjun touched his general's belly, and sighed: "Oh, the pork knuckle rice that Director Xiao ordered today is really delicious. Why didn't you think it was so delicious before?"

Zhou Ziqiang picked his teeth and said, "If you starve for two more days, the bark will still smell delicious to you."

Gao Yingjun chuckled.

"I think it's still nice for someone to invite me to dinner."

Then this guy was full of wine and food, and a little frightened.

Put your hands on the back of your head and lean back on the office chair!

"It's such a free time!"

"To shut up!"

"Shut up!"

Several reprimands sounded at the same time.

Gao Yingjun felt that he had lost his word, and hurriedly covered his mouth.

However it was too late.

He hurriedly explained to everyone.

"Bah bah! I'm talking irony! It's irony."

Gao Yingjun got carried away after the meal, as a veteran in the emergency department, he committed a taboo.

Dare to talk idle in the emergency department, are you not afraid to open your mouth?

After scolding Gao Yingjun, several people also seemed very nervous.

Always dreading hearing an ambulance siren go off, or a nurse walks in yelling, "Patient admission."

Fortunately, after a few minutes, there was nothing unusual, and the few people slowly relaxed.

Then he glared at Gao Yingjun again.

"Handsome, you have a crow's mouth, you can pick up the patient in a while."

As soon as Zhao Fangshu finished speaking, he heard the siren of an ambulance coming from far and near.

"Oh, my mother!"

"My crow's mouth!"

Gao Yingjun patted his thigh, wishing he could give himself a slap in the face!