Due to his absence for more than half a month, Ye Yibai's work in the next few days will be extraordinarily busy, and the backlog of surgeries will be packed densely. The article "Surgical approaches to epilepsy" has been published in The Lancet.
This is the first time that a Chinese person has published an article in the "Lancet" surgery sharing category, which has caused a sensation in the domestic medical community.
Compared with the promotion and promotion of severed limb replantation with great fanfare a while ago, this kind of influence on the medical field in professional medical journals is obviously greater.
"The Lancet" is a top international medical journal, and almost all large hospitals in the world will subscribe to this journal, because the subscription fee of "The Lancet" is not affordable for ordinary individuals, so some doctors even decide whether the hospital subscribes to "The Lancet" or not. The Lancet is included in the consideration conditions for entry, which shows the status of this journal in the minds of medical professionals.
The surgical case sharing category of The Lancet is one of the most valuable categories in The Lancet, and all the people published on it are top experts in the world's medical field, and the surgical cases they share are generally the same. The most advanced and the most innovative.
Sharing cases on this platform has always been the patent of Westerners, but I never thought that a Chinese person would publish an article on it today.
Domestic doctors couldn't help asking each other who Ye Yibai was, and then news of the replantation of severed limbs and the sending of people from top foreign hospitals to study in Shanghai also spread in the medical circles across the country.If the audience of the previous report on the replantation of amputated limbs was more intellectuals and ordinary people in Shanghai and its surrounding areas, then the "Lancet" this time let the entire Chinese medical community know about Ye Yibai. the existence of the number person.
"Grandma, I see. Let's do it. I'll let you know when the operation time is confirmed. I promise."
Dr. Ye hung up the phone and let out a long sigh of relief. Ever since Zhang Su'e knew that Wei Ruxue begged Ye Yibai to operate, her whole body was like a chicken blood. She called twice a day, wishing to rush directly to the hospital to show off Wei Ruxue. , under Ye Yibai's repeated reassurance, he did not take any action.
"Laura, bring me the urine output data of the patients on the sixth bed in the past few days. I want to have a look."
"Okay, Doctor Ye, I'll get it right away."
While the two were talking, there was the ear-piercing sound of tires rubbing against the ground not far from the gate of Jihe, followed by Qiao Na's loud command at the gate and the sound of carts running. Ye Yibai knew that another emergency patient was being sent to the hospital. coming.
He saw Billy running past his office quickly, and seeing that a doctor had already come to see him, Ye Yibai lowered his head again to check the physical data of the inpatients today.
At the entrance of the Jihe Hospital building, several cars stopped one by one, and the back seat of the leading car opened. When he came out, he anxiously directed several men in suits and serious faces who got off from the two cars behind to carry the stretcher out of the car.
A young man in a Chinese tunic got off the passenger seat. He quickly went around to the other side of the car, jumped into the car on the other side of the back seat, and then bent down to lift the stretcher on one side, "Brother Qu, let's go."
Qu Mingzhi got out of the car behind, walked quickly to the rear door of the car, and lifted the other end of the stretcher.
"Zebi, it's inconvenient for you to be in the car, so be careful." Qu Mingzhi warned.
Pei Zebi nodded. Although it was daytime, the curtains were drawn in the car, and the light was a bit dim, making it hard to see the expression on his face.
The two people worked together to move the stretcher forward a little bit. After moving out a little, someone immediately came to support the middle of the stretcher, and the stretcher was quickly and smoothly moved out of the rear seat with the joint efforts of many people.
At this time, Jihe's medical staff and the push bed also appeared at the door of the building, "Very good, put it on the push bed." Billy's spoken Chinese was still a little weird, and he saw so many Chinese people with uniform clothes and special temperament. The Chinese appeared at the entrance of the hospital, frowning slightly.
After staying in this special city of Shanghai for a long time, Billy also has his own ability to distinguish people. These people have straight backs, and they even walk as if they have been measured with a ruler. Every step is almost the same size. They are all from the army.
But this is the International Settlement... Billy's brow furrowed.
"Mr. Pei?" Qiao Na directed the crowd to put the old man on the push bed, looked up and saw Pei Zebi at the front, and couldn't help calling out in surprise.
Pei Zebi nodded, with a smile on his expressionless face, "Hello, Miss Qiaona."
Seeing that the old man was lying down well, Qiao Na directed the little nurse to quickly push the old man in, not bothering to say hello to Pei Zebi.
"Do you need me to call Dr. Ye over?" Qiao Na asked Pei Zebi while walking quickly.
"What's going on?" Ye Yibai at the nurse's desk looked at Pei Zebi and the others coming towards him with a look of surprise on his face. He put down the documents in his hand and walked over quickly.
Jona shrugged, obviously, she didn't need to worry about it.
Ye Yibai looked at Billy, "Billy, let me take over this patient."
Billy nodded, "Okay, Dr. Ye." The patient's family members were very strong at first glance, and it would be best if the team leader was willing to take over.
"Patient's condition." Ye Yibai stepped forward to check the old man's basic signs, and as soon as he got closer, he found that the old man lying on the push bed was none other than Pei Zebi's uncle whom he met a few months ago , Zou Shengming.
"The patient is 77 years old and has a history of high blood pressure. He has been taking high blood pressure drugs all year round. Half an hour ago, his blood pressure suddenly rose and he passed out. I thought something was wrong, so he was sent to the hospital immediately." The middle-aged man wearing glasses stepped forward and Ye Yibai Explain the situation.
Pei Zebi explained from the side: "This is my uncle's personal doctor, Dr. Liu."
"blood pressure."
"202/124, heart rate 130."
"The diastolic blood pressure is almost 130. Add 100mg of sodium nitroprusside to 5ml of 500% glucose injection and instill it in the dark. Pay attention to the speed of the infusion. At the beginning, it should not exceed 25ug/min."
"Okay." Jona quickly wrote down the medicine list and handed it to Laura, who took it and ran to the ward quickly.
"Have you brought the high blood pressure medicine that the patient is taking?"
"Bring it." Dr. Liu said quickly, and at the same time took out a small brown glass bottle from his pocket and handed it to Ye Yibai.
Ye Yibai looked at it, and there was still more than half of the medicine in the medicine bottle, "Did the patient forget to take the medicine today?" It stands to reason that not taking it once or twice should not have such serious consequences.
Dr. Liu smiled wryly and shook his head, "Old Mr. Zou, I usually deliver the medicine after breakfast and watch him take it, but today the old man got sick during the meal, and I wasn't there at that time."
Ye Yibai stepped forward and opened the eyelids of Mr. Zou. There was no bleeding or oozing in the fundus of the eyes. The jugular veins were slightly dilated, but not serious. He untied the old man's coat and listened with a stethoscope, and there was no obvious abnormal sound in both lungs.
"Then who's there?" Ye Yibai straightened up and looked at the crowd.
"I'm here." Pei Zebi pursed his lips, "Probably because of my anger, the blood pressure suddenly rose."
The movements of Ye Yibai's hands paused almost invisibly, and at the same time he turned his head and said to Qiao Na: "The preliminary judgment is that the blood pressure rises rapidly due to the spasm of the surrounding small arteries caused by emotional agitation. After the blood pressure drops, go take an X-ray. See if the organs are damaged."
"Okay, Doctor Ye."
The ambulance center has its own independent pharmacy, which has spare emergency medicines. Laura brought the injections in a short time. She hung the medicine bottle on the medicine hanging place beside the bed, and then took Mr. Zou's arm and patted it gently. After patting, the needle was inserted quickly, and Ye Yibai noticed that the moment the needle was inserted, the eyeballs under Mr. Zou's eyelids seemed to move.
"Take the blood pressure every 15 minutes. If the blood pressure does not drop significantly, I will prescribe the medicine again. Is the monitor still available? Use it for the old man."
"Okay." Jona nodded.
After Ye Yibai finished speaking, he stepped forward to feel Zou Shengming's pulse. Dr. Ye, who lowered his head, raised his eyebrows a little, but he didn't speak. Instead, he put his pen in the pocket of his white coat, turned and walked out.
Pei Zebi followed him out of the ward door.
"Is my uncle okay?" Pei Zebi asked as soon as he left the ward.
Dr. Ye stuffed the stethoscope into his pocket, and instead of answering the question directly, he asked instead: "Is it because of us that the old man's blood pressure has suddenly risen because of your anger?"
Pei Zebi didn't expect Ye Yibai to be so sharp, he opened his mouth, but couldn't answer for a while.
That's right, Ye Yibai sighed lightly, looking at Pei Zebi's appearance can explain the problem.
"It was delivered in a timely manner. From the basic physical examination, it should be purely hypertensive syncope, and no irreversible organ damage has occurred. However, the specific results still depend on X-rays. The results of other examinations after the old man wakes up can be confirmed." Sure."
Pei Zebi took a deep breath, hesitated for a while, and said, "I didn't expect Uncle to react so strongly."
Ye Yibai's eyelashes trembled slightly, and he said with a wry smile: "It's just something out of the ordinary."
Pei Zebi heard the unfinished meaning in Ye Yibai's words, he frowned, stepped forward and grabbed Ye Yibai's arm, and said in a low voice, "Don't back down."
There were people coming and going in the corridor, and the two were too close. Although one of them was a doctor and the other was a family member of a patient, they still attracted the attention of many people, especially Billy.
From the very beginning, Dr. Billy felt that the identity of this patient was not simple, and those who were sent here were all of military temperament. The security team can handle it.
Billy took two quick steps and walked up to Ye Yibai, "Sir, this is a hospital, please pay attention to the occasion, or I will call security."
This time, both Ye Yibai and Pei Zebi were a little embarrassed. Ye Yibai gently broke away from Pei Zebi's hand, and smiled at Billy: "It's okay, my friend. He was worried about his family and got a little excited. Don't worry."
Billy looked suspiciously at Pei Zebi when he heard the words, "I'm sorry, team leader, if you need anything, just call me." Billy didn't seem to apologize to Pei Zebi sincerely, then turned to Ye Yibai worriedly Said.
Dr. Ye nodded, "Go ahead, don't worry."
Billy nodded and walked away step by step.
"You have a good relationship with your colleagues." Pei Zebi looked cold and serious, but the sour taste in his words couldn't be concealed at all.
Ye Yibai rolled his eyes at him, "Go to my office and talk."
Pei Zebi nodded and followed Ye Yibai into the office.
As soon as he walked into the office and closed the door, Pei Zebi repeated what he said just now, "You are not allowed to back down."
"I do not have."
"You have." As the Chief of the First Division of the Police Department, Pei Zebi is the best at discovering problems from the details, except that when the relationship between the two of them was not confirmed, he was confused by all kinds of complicated emotions and seemed a little not very smart. At other times, our Director Pei is quite wise and powerful, especially when he has a sense of crisis, his observation ability is somewhat stronger than that of a high-powered lens.
"I can tell." Pei Zebi said.
Ye Yibai: ...
Indeed, at that moment, there was indeed a flash of retreat in his mind. He didn't want others to be hurt because of his emotions, especially seeing an old man in his 70s fall in front of him because of their affairs. It’s okay, it’s just simple high blood pressure, but what if it’s a hypertensive emergency, and what if it’s accompanied by intracranial hemorrhage, hypertensive encephalopathy, or even cerebral infarction and other organ damage?
Ye Yibai was silent for a while, and said, "Okay, I have, so let's take it easy? Before the old man accepts it, don't be radical. If the relationship between the two of us is to be based on hurting others, I don't think I can afford it." rise."
There was a moment of silence in the office, and after a long time, Pei Zebi said softly: "I know the expectations of the old man. But the barbarians are not destroyed, the family and the country are restless, the great powers are watching from far away, and the evil neighbors are provoking provocations. How can we talk about protecting our family, since we are not capable of protecting it, so why bother to harm others or ourselves? If I hadn’t met you, I probably would never have thought of starting a family in my whole life.”
Pei Zebi took two steps closer, and was very close to Ye Yibai face to face. If viewed from a special angle, the two seemed to be kissing.
"So don't have any burdens. Even without you, I can't meet the expectations of my uncle and his elders. On the contrary, I think I will be lucky to find you, so that I won't be alone on this difficult road. , you are my partner and comrade-in-arms. So, Doctor Ye, your comrade-in-arms begs you, don’t back down, okay?"
This is the first time that a Chinese person has published an article in the "Lancet" surgery sharing category, which has caused a sensation in the domestic medical community.
Compared with the promotion and promotion of severed limb replantation with great fanfare a while ago, this kind of influence on the medical field in professional medical journals is obviously greater.
"The Lancet" is a top international medical journal, and almost all large hospitals in the world will subscribe to this journal, because the subscription fee of "The Lancet" is not affordable for ordinary individuals, so some doctors even decide whether the hospital subscribes to "The Lancet" or not. The Lancet is included in the consideration conditions for entry, which shows the status of this journal in the minds of medical professionals.
The surgical case sharing category of The Lancet is one of the most valuable categories in The Lancet, and all the people published on it are top experts in the world's medical field, and the surgical cases they share are generally the same. The most advanced and the most innovative.
Sharing cases on this platform has always been the patent of Westerners, but I never thought that a Chinese person would publish an article on it today.
Domestic doctors couldn't help asking each other who Ye Yibai was, and then news of the replantation of severed limbs and the sending of people from top foreign hospitals to study in Shanghai also spread in the medical circles across the country.If the audience of the previous report on the replantation of amputated limbs was more intellectuals and ordinary people in Shanghai and its surrounding areas, then the "Lancet" this time let the entire Chinese medical community know about Ye Yibai. the existence of the number person.
"Grandma, I see. Let's do it. I'll let you know when the operation time is confirmed. I promise."
Dr. Ye hung up the phone and let out a long sigh of relief. Ever since Zhang Su'e knew that Wei Ruxue begged Ye Yibai to operate, her whole body was like a chicken blood. She called twice a day, wishing to rush directly to the hospital to show off Wei Ruxue. , under Ye Yibai's repeated reassurance, he did not take any action.
"Laura, bring me the urine output data of the patients on the sixth bed in the past few days. I want to have a look."
"Okay, Doctor Ye, I'll get it right away."
While the two were talking, there was the ear-piercing sound of tires rubbing against the ground not far from the gate of Jihe, followed by Qiao Na's loud command at the gate and the sound of carts running. Ye Yibai knew that another emergency patient was being sent to the hospital. coming.
He saw Billy running past his office quickly, and seeing that a doctor had already come to see him, Ye Yibai lowered his head again to check the physical data of the inpatients today.
At the entrance of the Jihe Hospital building, several cars stopped one by one, and the back seat of the leading car opened. When he came out, he anxiously directed several men in suits and serious faces who got off from the two cars behind to carry the stretcher out of the car.
A young man in a Chinese tunic got off the passenger seat. He quickly went around to the other side of the car, jumped into the car on the other side of the back seat, and then bent down to lift the stretcher on one side, "Brother Qu, let's go."
Qu Mingzhi got out of the car behind, walked quickly to the rear door of the car, and lifted the other end of the stretcher.
"Zebi, it's inconvenient for you to be in the car, so be careful." Qu Mingzhi warned.
Pei Zebi nodded. Although it was daytime, the curtains were drawn in the car, and the light was a bit dim, making it hard to see the expression on his face.
The two people worked together to move the stretcher forward a little bit. After moving out a little, someone immediately came to support the middle of the stretcher, and the stretcher was quickly and smoothly moved out of the rear seat with the joint efforts of many people.
At this time, Jihe's medical staff and the push bed also appeared at the door of the building, "Very good, put it on the push bed." Billy's spoken Chinese was still a little weird, and he saw so many Chinese people with uniform clothes and special temperament. The Chinese appeared at the entrance of the hospital, frowning slightly.
After staying in this special city of Shanghai for a long time, Billy also has his own ability to distinguish people. These people have straight backs, and they even walk as if they have been measured with a ruler. Every step is almost the same size. They are all from the army.
But this is the International Settlement... Billy's brow furrowed.
"Mr. Pei?" Qiao Na directed the crowd to put the old man on the push bed, looked up and saw Pei Zebi at the front, and couldn't help calling out in surprise.
Pei Zebi nodded, with a smile on his expressionless face, "Hello, Miss Qiaona."
Seeing that the old man was lying down well, Qiao Na directed the little nurse to quickly push the old man in, not bothering to say hello to Pei Zebi.
"Do you need me to call Dr. Ye over?" Qiao Na asked Pei Zebi while walking quickly.
"What's going on?" Ye Yibai at the nurse's desk looked at Pei Zebi and the others coming towards him with a look of surprise on his face. He put down the documents in his hand and walked over quickly.
Jona shrugged, obviously, she didn't need to worry about it.
Ye Yibai looked at Billy, "Billy, let me take over this patient."
Billy nodded, "Okay, Dr. Ye." The patient's family members were very strong at first glance, and it would be best if the team leader was willing to take over.
"Patient's condition." Ye Yibai stepped forward to check the old man's basic signs, and as soon as he got closer, he found that the old man lying on the push bed was none other than Pei Zebi's uncle whom he met a few months ago , Zou Shengming.
"The patient is 77 years old and has a history of high blood pressure. He has been taking high blood pressure drugs all year round. Half an hour ago, his blood pressure suddenly rose and he passed out. I thought something was wrong, so he was sent to the hospital immediately." The middle-aged man wearing glasses stepped forward and Ye Yibai Explain the situation.
Pei Zebi explained from the side: "This is my uncle's personal doctor, Dr. Liu."
"blood pressure."
"202/124, heart rate 130."
"The diastolic blood pressure is almost 130. Add 100mg of sodium nitroprusside to 5ml of 500% glucose injection and instill it in the dark. Pay attention to the speed of the infusion. At the beginning, it should not exceed 25ug/min."
"Okay." Jona quickly wrote down the medicine list and handed it to Laura, who took it and ran to the ward quickly.
"Have you brought the high blood pressure medicine that the patient is taking?"
"Bring it." Dr. Liu said quickly, and at the same time took out a small brown glass bottle from his pocket and handed it to Ye Yibai.
Ye Yibai looked at it, and there was still more than half of the medicine in the medicine bottle, "Did the patient forget to take the medicine today?" It stands to reason that not taking it once or twice should not have such serious consequences.
Dr. Liu smiled wryly and shook his head, "Old Mr. Zou, I usually deliver the medicine after breakfast and watch him take it, but today the old man got sick during the meal, and I wasn't there at that time."
Ye Yibai stepped forward and opened the eyelids of Mr. Zou. There was no bleeding or oozing in the fundus of the eyes. The jugular veins were slightly dilated, but not serious. He untied the old man's coat and listened with a stethoscope, and there was no obvious abnormal sound in both lungs.
"Then who's there?" Ye Yibai straightened up and looked at the crowd.
"I'm here." Pei Zebi pursed his lips, "Probably because of my anger, the blood pressure suddenly rose."
The movements of Ye Yibai's hands paused almost invisibly, and at the same time he turned his head and said to Qiao Na: "The preliminary judgment is that the blood pressure rises rapidly due to the spasm of the surrounding small arteries caused by emotional agitation. After the blood pressure drops, go take an X-ray. See if the organs are damaged."
"Okay, Doctor Ye."
The ambulance center has its own independent pharmacy, which has spare emergency medicines. Laura brought the injections in a short time. She hung the medicine bottle on the medicine hanging place beside the bed, and then took Mr. Zou's arm and patted it gently. After patting, the needle was inserted quickly, and Ye Yibai noticed that the moment the needle was inserted, the eyeballs under Mr. Zou's eyelids seemed to move.
"Take the blood pressure every 15 minutes. If the blood pressure does not drop significantly, I will prescribe the medicine again. Is the monitor still available? Use it for the old man."
"Okay." Jona nodded.
After Ye Yibai finished speaking, he stepped forward to feel Zou Shengming's pulse. Dr. Ye, who lowered his head, raised his eyebrows a little, but he didn't speak. Instead, he put his pen in the pocket of his white coat, turned and walked out.
Pei Zebi followed him out of the ward door.
"Is my uncle okay?" Pei Zebi asked as soon as he left the ward.
Dr. Ye stuffed the stethoscope into his pocket, and instead of answering the question directly, he asked instead: "Is it because of us that the old man's blood pressure has suddenly risen because of your anger?"
Pei Zebi didn't expect Ye Yibai to be so sharp, he opened his mouth, but couldn't answer for a while.
That's right, Ye Yibai sighed lightly, looking at Pei Zebi's appearance can explain the problem.
"It was delivered in a timely manner. From the basic physical examination, it should be purely hypertensive syncope, and no irreversible organ damage has occurred. However, the specific results still depend on X-rays. The results of other examinations after the old man wakes up can be confirmed." Sure."
Pei Zebi took a deep breath, hesitated for a while, and said, "I didn't expect Uncle to react so strongly."
Ye Yibai's eyelashes trembled slightly, and he said with a wry smile: "It's just something out of the ordinary."
Pei Zebi heard the unfinished meaning in Ye Yibai's words, he frowned, stepped forward and grabbed Ye Yibai's arm, and said in a low voice, "Don't back down."
There were people coming and going in the corridor, and the two were too close. Although one of them was a doctor and the other was a family member of a patient, they still attracted the attention of many people, especially Billy.
From the very beginning, Dr. Billy felt that the identity of this patient was not simple, and those who were sent here were all of military temperament. The security team can handle it.
Billy took two quick steps and walked up to Ye Yibai, "Sir, this is a hospital, please pay attention to the occasion, or I will call security."
This time, both Ye Yibai and Pei Zebi were a little embarrassed. Ye Yibai gently broke away from Pei Zebi's hand, and smiled at Billy: "It's okay, my friend. He was worried about his family and got a little excited. Don't worry."
Billy looked suspiciously at Pei Zebi when he heard the words, "I'm sorry, team leader, if you need anything, just call me." Billy didn't seem to apologize to Pei Zebi sincerely, then turned to Ye Yibai worriedly Said.
Dr. Ye nodded, "Go ahead, don't worry."
Billy nodded and walked away step by step.
"You have a good relationship with your colleagues." Pei Zebi looked cold and serious, but the sour taste in his words couldn't be concealed at all.
Ye Yibai rolled his eyes at him, "Go to my office and talk."
Pei Zebi nodded and followed Ye Yibai into the office.
As soon as he walked into the office and closed the door, Pei Zebi repeated what he said just now, "You are not allowed to back down."
"I do not have."
"You have." As the Chief of the First Division of the Police Department, Pei Zebi is the best at discovering problems from the details, except that when the relationship between the two of them was not confirmed, he was confused by all kinds of complicated emotions and seemed a little not very smart. At other times, our Director Pei is quite wise and powerful, especially when he has a sense of crisis, his observation ability is somewhat stronger than that of a high-powered lens.
"I can tell." Pei Zebi said.
Ye Yibai: ...
Indeed, at that moment, there was indeed a flash of retreat in his mind. He didn't want others to be hurt because of his emotions, especially seeing an old man in his 70s fall in front of him because of their affairs. It’s okay, it’s just simple high blood pressure, but what if it’s a hypertensive emergency, and what if it’s accompanied by intracranial hemorrhage, hypertensive encephalopathy, or even cerebral infarction and other organ damage?
Ye Yibai was silent for a while, and said, "Okay, I have, so let's take it easy? Before the old man accepts it, don't be radical. If the relationship between the two of us is to be based on hurting others, I don't think I can afford it." rise."
There was a moment of silence in the office, and after a long time, Pei Zebi said softly: "I know the expectations of the old man. But the barbarians are not destroyed, the family and the country are restless, the great powers are watching from far away, and the evil neighbors are provoking provocations. How can we talk about protecting our family, since we are not capable of protecting it, so why bother to harm others or ourselves? If I hadn’t met you, I probably would never have thought of starting a family in my whole life.”
Pei Zebi took two steps closer, and was very close to Ye Yibai face to face. If viewed from a special angle, the two seemed to be kissing.
"So don't have any burdens. Even without you, I can't meet the expectations of my uncle and his elders. On the contrary, I think I will be lucky to find you, so that I won't be alone on this difficult road. , you are my partner and comrade-in-arms. So, Doctor Ye, your comrade-in-arms begs you, don’t back down, okay?"
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