Surgeons dressed as poor people in the Republic of China

The familiar voice, the familiar smell of disinfectant, and the familiar feeling of cold scalp, when Wei Rulan woke up again, looking at Lily who was squatting in front of her, a feeling of wanting to cry without tears was in her heart for a long time. Slowly toss up.

"Is the operation... over?"

When Wei Rulan woke up and spoke, the atmosphere in the operating room was relaxed. This at least shows that the craniotomy did not cause any problems with the patient's brain.

"Lily, perform the basic functional response test on the patient."

"Okay, Doctor Ye."

"Ms. Wei, please blink."

Once raw and second familiar, Wei Rulan blinked cooperatively.

Lily stared at Wei Rulan's eyes without blinking. I don't know if it was her illusion. She felt that Ms. Wei in front of her seemed to have small eyes. After careful observation for a long time, she confirmed that Ms. Wei had small eyes. , she still has high and low eyebrows, which is natural.

Lily breathed a sigh of relief, and said again: "Ms. Wei, please stick out your tongue."

"Ms. Wei, what is one plus one?"

"Two..." Wei Rulan answered this question seriously but helplessly.

"Doctor Ye, the patient's consciousness is clear and his brain is fine!" Lily said cheerfully.

Dr. Ye: ...

"understood."

"Ms. Wei, the operation has basically been completed. We will perform postoperative electrocorticography soon to check the hippocampus and amygdala, which is the epilepsy focus area we located before the operation. The discharge of your brain is the same as before. , after the placement of the lower electrode is completed, a hyperventilation test will be required, and I trouble you to cooperate again.”

Wei Rulan's heart rate on the monitor instantly jumped several digits.

It's gone... That thing is really gone, Wei Rulan couldn't tell what mood she was in at the moment, her face was tightly covered by a disinfectant towel, except for the white cloth on the operating bed, she could only see the man squatting down and following him from the corner of his eye. She talks to the little nurse.

She can feel that the doctor above seems to have put something into her brain, oh, it may be in the cerebral cortex, it is all false to say that she is not afraid or afraid, but now she is more excited, The thing that has tortured her all her life is gone...

Everyone thinks that Wei Rulan gave up on herself, became addicted to alcohol and even committed suicide because of her son Shen Ke. Only Wei Rulan knew that except for Shen Ke, when she was a child she hid outside the room with Wei Ruxue and saw the process of Wei's father's death. A huge shadow is rooted in her life.

When she found out that she had the same disease as her father, she imagined the scene of her own death more than once, trembling and convulsing, the horrified eyes of her partner and children, they watched from afar, with fear and terror in their eyes , watching her go to death.

Even if she died, she didn't want to die like this, so she indulged, and she even wanted to choose a decent way to leave before that terrible way of death came.

But now, that thing was cut off and disappeared. Her body trembled slightly, and her eyes were slightly red.

The white coats on the operating table looked at the scarf sewn around Wei Rulan's scalp fluttering slightly with Wei Rulan's movements, as well as the pink temporal lobe, perhaps because it had just been resected on the inside, and its pink color still showed A few touches of bright red came, and it also shook slightly.

Ye Yibai quickly inserted the two deep electrodes. The moment the electrodes were inserted, he could clearly feel the stiffness of Wei Rulan's body.

"Miss Wei, take it easy, it's all over." Ye Yibai said softly.

Dr. Carter also adjusted the EEG machine again. With a beep, Wei Rulan felt her scalp go numb, and the complex emotions on her face were swept away. She deeply realized... the fact that her brain is still open. fact.

"Ms. Wei, follow me, just like before, take a deep breath...inhale, exhale..."

In the entire operating room, only Lily's crisp guiding voice and Wei Rulan's deep breathing voice could be heard. The nerves of Carter, Ye Yibai, Billy, Wang Mao, Henry, and Qiao Na all tensed up. The patient successfully woke up and became conscious. Clarity is the first step and the most basic step. It can only show that the craniotomy was not done badly.

But whether it is successful or not depends on the result of the EEG after the operation. If there is no discharge, then the operation is successful. The EEG can accurately locate the epilepsy focus, and even locate it during the operation. Accurate resection, which will greatly improve the embarrassing situation of the neurology department under only X-ray examination.

In 1933, there were only a handful of independent neurological and surgical hospitals in China and even in the world. First, the brain, as the most complex organ in the human body, was difficult to study, complicated and difficult to treat. Second, neurosurgery generally had a poor prognosis. One of the reasons is that it is difficult to locate the surgical lesion.

X-rays are flat and cannot capture the structure of the brain tissue, such as the hippocampus and amygdala under the temporal lobe. X-rays cannot capture it at all. The same is true for tumors. When I got up, the X-rays couldn't show anything.

If you can't locate it, it's difficult to operate. You can't open your head and flip it casually. If you accidentally break the optic nerve and oculomotor nerve, you can't move your eyes, and even lose your sight.

As a neurologist, Carter understands the significance of this successful operation, and its significance to neurology is definitely a milestone.

The 5-minute hyperventilation test ends quickly.

Wei Rulan let out a long breath, "Doctor Ye, are you okay?" She said softly.

"It's ok. Let's be conservative and test for half an hour. If there is no abnormal discharge within half an hour, then our operation is successful."

Wei Rulan gave a heavy "hmm".

There was another silence.

Lily's ability to find words for words is really not very good. Seeing that she was going to gossip about Dr. Jihe's food from the food in Jihe's cafeteria, Billy coughed heavily.

Lily, who was talking to Wei Rulan under the bed, spread her hands helplessly, signaling that face-saving doctor Wei Rulan would not let me speak.

Wei Rulan laughed softly, probably because she was happy about getting rid of the torment of epilepsy, or maybe it was because after the amygdala was removed, her emotions seemed to be more willful. If she wanted to cry, she would just cry, and if she wanted to laugh, she would just laugh feeling.

"Doctor Ye, I remember you and Dr. Carter discussed the impact of epilepsy on the intellectual development of infants and young children when I first woke up. Do you still have any memory?" Wei Rulan asked suddenly.

The operation lasted for more than five hours, which made Ye Yibai's feet feel a little sore. Taking advantage of the EEG, he found a chair to sit on. Hearing this, he asked in surprise, "It seems to be, what's wrong?"

Wei Rulan hesitated for a moment, "My sister's child was born with mental retardation. I suspect it's the cause of epilepsy. If my operation is successful, can you perform the operation for him?"

"How old are you?"

"It's more than five years old."

"What about the specific manifestations? Apart from mental retardation, are there other manifestations?"

"He speaks very slowly, but he doesn't stutter, or he spits out every word very slowly. He has poor learning ability, but other things are fine."

Ye Yibo thought for a moment, "The negative impact of epilepsy on the brain development of infants and young children is mainly caused by long-term and repeated epilepsy. If the seizures are frequent, the abnormal electrochemical environment of the brain has been formed, which may lead to the formation of synapses or cell membranes in the cortex. Permanent abnormal development at the level. Whether you can have surgery depends on the results of the examination.”

"Is there no cure for permanent abnormal development?" Wei Rulan asked.

"That's not true, just like we try our best to save as much brain tissue as possible to reduce sequelae after your operation. The more brain tissue is preserved, the less sequelae will be. Once permanent abnormal development is formed, it is almost irreversible. Then A piece of the electrochemical environment has to be completely removed, and the brain is very complicated, and the sequelae will be severe if it is cut too much."

Wei Rulan waited to say more, but Dr. Carter had already stood up.

"It's time! I'll develop the photos and see the results!"