Surgeons dressed as poor people in the Republic of China

Waiting time is always difficult, not to mention waiting for the fate to be pronounced, Wei Rulan can clearly hear the sound of the machine being dragged, the sound of the operating room door opening...

Dr. Ye seemed to be talking to two young doctors. They were speaking in English. The two young doctors were probably a little afraid of Dr. Ye. They stumbled, and Wei Rulan couldn't understand technical terms. She could only He understood the two young voices and said in frustration: "Doctor Ye, next time I will definitely memorize the brain structure map."

Wei Rulan could imagine the dejected looks of the two young doctors, and the tense facial lines softened a little.

Lily has been observing Wei Rulan's reaction. In fact, after completing the basic reaction test, Lily can come out of the operating bed and participate in the operation again.

But the little girl seemed to be rooted at the bottom of the bed, with a small mouth, regardless of whether Wei Rulan could understand it or not, mixed English and Mandarin, telling interesting stories that happened in Jihe Hospital.

"You don't know Dr. Richard's reaction at that time. It's so funny. Dr. Catherine ignored him for a whole week."

"And Dr. Taylor, let me tell you secretly that Dr. Taylor likes Laura, every time he sees Laura's face looks like a red butt, he thinks we can't see it."

"Lily!" Laura beside the operating table couldn't help but say.

"Hey, I got it, I got it." Lily winked mischievously at Wei Rulan, causing Wei Rulan to laugh softly.

Hearing Wei Rulan's laughter, a smile appeared on Ye Yibai's face under the mask. He naturally understood Lily's intention to stay under the bed and talk to Wei Rulan. A natural heart suitable for wearing this white coat.

"Bang bang bang" a sound of glass knocking rang in everyone's ears.

The white coats in the operating room turned their heads to look outside the operating room almost at the same time.

Through the glass, Dr. Carter was dancing excitedly. He pointed to himself, and then seemed to want to take something out of his arms, but maybe he was too excited, and everything in Dr. Carter's arms fell to the ground at once. While squatting down, he raised his right hand and pasted a piece of paper with writing on the glass.

"We succeeded!" The big exclamation mark expresses the writer's excitement clearly and strongly.

"Doctor Ye!" Billy and Wang Mao also became excited, and they turned their heads to look at Ye Yibai with burning eyes.

It is no secret that Dr. Carter wants to publish this surgical case in The Lancet.Dr. Carter provides the theoretical support of EEG machines and neurology, and Dr. Ye designs the surgical plan and performs the surgery. These two are naturally the protagonists, but Wang Mao, Billy and Henry, as surgical participants, will have a great impact. May appear in the second column of this article.

This is The Lancet!

Articles in the category of surgical cases have always been one of the categories with the highest gold content in The Lancet.Almost all the authors in this category enjoy a great reputation all over the world, and they, a few ordinary doctors, have the hope of appearing in the surgical case category section of "The Lancet" one day, which makes the always calm Billy couldn't help showing excited and expectant eyes, not to mention Wang Mao and Henry, the enthusiasm in their eyes was almost overflowing.

Xu Shi was infected by the excitement of the crowd, and Ye Yibai couldn't help feeling a little nervous, and he walked quickly to the door of the operating room.

When he walked to the door of the operating room, Carter had already picked up the developed photo from the floor. He waved the photo vigorously in his hand, and then firmly pasted it on the glass for Ye Yibai to watch.

Alpha waves are normal.

Beta waves are normal.

Ye Yibai let out a long breath. Although selective hippocampal amygdala resection is a relatively mature operation, there is a possibility that spikes still exist in brain waves after hippocampal amygdala resection. Wei Rulan Still relatively lucky.

Ye Yibai turned his head and looked at everyone's expectant and nervous eyes, with a gentle smile on his face.

"The operation went well and we can close the skull."

one second

two seconds

Immediately there was a burst of excited and restrained applause.As for the white coats, they are always reserved and face-saving, but their rapid breathing and the excited light in their eyes clearly express the uneasy mood of the owners at the moment.

And Lili, a young girl who has just joined the company, obviously didn't learn the "reservedness in a white coat" of her colleagues. She let out a burst of cheerful cheers, "Ms. Wei, Ms. Wei, did you hear that? The operation was successful." !Success!!"

Wei Rulan looked at the excited little girl in front of her, with gratitude and excitement in her eyes, she nodded vigorously, "Well, it worked!"

The moment she nodded, the disinfectant towel sewn on her scalp shook rapidly, pulling back the rationality of the excited white coats.

"Ms. Wei, we are going to start the cranial closure now. The closure process is very fast, so we will not give you a second anesthesia. Please keep your body still and emotionally stable during this process. Of course, if you are really scared, we will also It can be anesthetized again, and the anesthesia will take effect after 10 minutes before closing the skull." Ye Yibai walked to the chief surgeon's position.

Jihe did not have a separate neurosurgery department, and neither Wang Mao nor Billy had a neurosurgery background, so Ye Yibai had to do it himself.

Wei Rulan glanced at the little nurse named Lily in front of her. The little nurse was secretly pressing her calf that was numb and sore from squatting for a long time.

"Doctor Ye, I can do it without anesthesia." Wei Rulan heard herself say so.

"Okay, let's close the head now."

"The surgical field is clear, there is no cotton residue and no bleeding." Billy said softly.

Ye Yibai nodded, and said at the same time: "Press the jugular vein, and check the bleeding point again."

Wei Rulan felt something pressed against her ear, but she couldn't clearly feel where it was because of the anesthesia.

After compressing the jugular vein for tens of seconds, Ye Yibai nodded to Billy after confirming that there was no bleeding point in the surgical field.

"rinse."

The surgical field was quickly flushed with normal saline, and then quickly sucked clean.

"Needle holder, with fine silk thread."

"Okay, Doctor Ye."

Wei Rulan could feel the pulling sensation coming from her brain. The brain is a very sensitive part of the human body. Even with an anesthesia machine, Wei Rulan could still feel the coolness and shivering from her scalp.

"Ms. Wei, you haven't eaten since 24 o'clock last night, and now it's past [-] o'clock the next night, and it's been more than [-] hours. Are you hungry?" Lily sensed Wei Rulan's fear, and asked Start talking to divert her attention.

Wei Rulan understood Lily's intentions, and she tried her best to cooperate, "I'm fine now, I don't feel anything."

"Oh, yes, you are still under anesthesia. After the anesthesia is over, you will definitely be hungry, but after the operation, you can only eat liquid food. Does the Chinese porridge cook deliciously... Ye Doctors always recommend patients to drink porridge and rice soup."

"It's delicious, I can probably drink bone porridge, but don't eat bones..."

The white coats next to the operating table listened to the conversation between the two people under the operating table, with strange expressions on their faces, and a strange sound of "gurgling" rang in everyone's ears.

Immediately there was one after another of "response", an elegant intestinal symphony sounded in the operating room full of the smell of disinfectant. The people in white coats watched their eyes, noses, noses, and hearts, and their faces were hidden behind masks. Know their expressions at the moment under the masks.

"Doctor Ye, there is still a part of the dura mater missing."

"It's okay, cut a little fascia."

The needle holder quickly shuttled through the dura mater with a thin thread, Wei Rulan did not need intracranial decompression, so Ye Yibai could suture her dura mater finely.

"After the craniotomy, the intracranial pressure in the patient's brain will decrease, so after suturing the dura mater, suture it around the periosteum to avoid the formation of an epidural hematoma after the intracranial pressure decreases."

While talking, Ye Yibai quickly shuttled the needle holder in his hand between the periosteum and dura mater.

After more than six hours of "special training", the two young doctors finally had some ability to distinguish key points, and they quickly recorded it in their notebooks.

"Rinse." After suturing the dura, Ye Yibai said softly to Wang Mao.

Wang Mao nodded, and immediately rinsed the dura mater with saline.

"Drain strip."

After flushing, Ye Yibai took the drainage strip from Qiao Na and placed it outside the dura mater, and then sutured the periosteum, temporalis muscle, and aponeurosis of the niece.

"When suturing the periosteum, be careful not to press the drainage strip, otherwise it will be left in vain."

The two little doctors nodded vigorously like chickens pecking rice, Wang Mao and Henry also nodded, and Qiao Na gave him a strange look. Henry silently turned his eyes away and turned his head back to the direction of the monitor. Still kept glancing towards the operating field, Wang Mao smiled embarrassingly, but he didn't think there was anything shameful about it. Neurosurgery is also a very unfamiliar field for him, and it's not normal to learn it.

There is no shame in learning!Medicine is a subject that requires continuous learning and continuous improvement. After doing a good job of psychological construction for himself, Wang Mao continued to nod and continue to take notes with peace of mind. Hey, it would be great if he could take notes...

"Remove the hemostat." Ye Yibai raised his hand to signal Billy to remove the hemostat from the patient's scalp incision.

Billy nodded instantly, and carefully removed the hemostat.

While removing the hemostatic forceps, Ye Yibai quickly stopped the bleeding with electrocoagulation, and then sutured the galeal aponeurosis and skin under his hand.

"Gauze." After cleaning the wound, he immediately covered it with gauze, fixed the drainage strips, and Ye Yibai took off the gloves on his hands.

"Ms. Wei, our operation is over and the operation is going well. The nurse will help you remove the drainage strip on your head after 24 hours, and the sutures will be removed after one week. Other postoperative precautions will be taken out of the operating room. Let me explain to you in detail."

Compared with the craniotomy and surgery process, the suturing process was actually less than an hour, but this hour seemed like a whole day to Wei Rulan. She heard Ye Yibai's words, "The operation is over, and the operation went well." After speaking, I felt that the tense nerves of the whole person were relaxed.

"Is the operation over?"

"Yes."

"The operation went well."

"Yes, Ms. Wei, there are no epileptic waves in your postoperative electrocorticogram. There will be a one-year observation period after the operation. If there is no seizure after one year, then you can stop taking the drug. Of course, because For your special situation, we will carefully consider the dosage of your postoperative medication, and we will try our best to let you stop the medication early."

"Thank you...really, thank you." Wei Rulan finally couldn't hold back the tears, and she kept saying thank you.

The white coats could hear the patient's sincere thanks, and felt that the stomach was not so uncomfortable after being hungry all afternoon. The elegant bowel sounds continued, but the laughter and jokes successfully covered them up.

Lily wiped Wei Rulan's tears with gauze, "Ms. Wei, it's a good thing, don't cry."

"Lily, come out, tidy up the equipment."

"Okay, okay, got it."

Lily wiped Wei Rulan's tears again, then put gauze under Wei Rulan's eyes, and then slowly crawled out from under the bed, because her calf was sore and numb after squatting for too long, so she crawled very slowly.

With the help of one of the little doctors, she stood up slowly, and at the same time kept her hands on, helping Qiao Na organize the disinfectant towels.

She pulled it, huh?Do not move?

She pulled again...

Strange, why can't it be pulled?

Then she exerted a little force, and then she noticed that Wei Rulan's head moved...

Lily shifted her gaze to the unmovable disinfectant towel, and then...

"Doctor Ye... Dongjin..." She resisted the numbness of her calf and said in a strange voice.

At this time, Qiao Na had almost finished tidying up the equipment, and Ye Yibai also lowered his head and was talking to Henry about the awakening during the operation. When he heard Lily's cry, he looked over suspiciously.

Lily suppressed her strange emotions and pointed to the scarf on Wei Rulan's head.

Several white coats looked over.

Then there was a sound of metal collisions, and Qiao Na reopened the instrument panel...

A dry cough sounded in the solemn and quiet operating room, and the professional white coats showed serious expressions again.

Dr. Ye silently walked back to the chief surgeon's position, and said softly, "Scissors..."

Qiao Na handed the scissors that had been prepared to Ye Yibai with a serious expression, and the scissors "clicked" sounded in the operating room.

"Doctor Ye, isn't the operation over?" Wei Rulan hesitated for a moment, but still asked the question in her heart.

Doctor Ye's cutting hand paused strangely, and the professional white coats looked at each other carefully without saying a word.

Lily looked at Dr. Ye, who was a little embarrassed even wearing a mask, and felt that this genius-like figure suddenly seemed to be more down-to-earth. No, geniuses can make mistakes...

The author has something to say: Dr. Ye: The operation is over.

Wei Rulan: Why do I feel something floating next to my head when I move?