"Yang Dong, let's sleep first and rest, okay?" Ye Yibai bent down and whispered to Yang Dong who was under the blue sterile cloth.
Yang Dong is mentally retarded. He is five years old this year, but actually only has the intelligence of a two- or three-year-old. It is difficult for a two- or three-year-old child to understand his mental retardation, but he knows that he is different from other children. He can't speak well, speaks and moves very slowly, and when he is over five years old, he doesn't even have the ability to dress himself.
He often sees his mother hiding and crying, and his father has not hugged him since he was three years old. The aunt said that the doctor can cure him, and he can talk and walk normally like a normal child, and his mother will not cry anymore. , Dad... Maybe Dad will hug him too.
Yang Dong wanted to cooperate, but he couldn't control himself, he was afraid, he was afraid...
"Brother, I'm afraid." A weak voice came from under the sterile blue cloth, Ye Yibai's movements paused, and a complicated look flashed across his face under the mask.
Yang Dong and him have an awkward relationship, but regardless of the feudal dregs of the concubine relationship, the father is now legally the son of his wife's elder brother in terms of blood, and in terms of kinship, he is indeed his younger brother.
The white coats in the operating room also vaguely guessed that Ms. Wei was related to Dr. Ye, but they didn't expect this little patient to call Dr. Ye's brother directly.
Ye Yibai took off the bloody glove on his hand, he lifted the blue sterile cloth, squatted down, "Don't be afraid, brother is the surgeon, everything will be fine."
Yang Dong looked at Ye Yibai, and Ye Yibai also looked at him with a smile. After a long time, Yang Dong's left hand slowly reached out to Ye Yibai. Ye Yibai froze for a moment, and then said: "Laura, gloves."
"Doctor Ye, gloves." Laura hurriedly handed a new pair of gloves to Ye Yibai.
The rubber gloves were a bit cold, but Yang Dong's hands were hot, "Brother, did you cut off my head?" Yang Dong said each word very slowly, with a slight trill.
"It doesn't count, it's just a small opening in your head, take out the sick things in your brain, and then we will close it for you." Ye Yibai looked at Yang Dong who was obviously frightened in front of him, and realized that he He made a mistake, whether it was in the previous life or now, every time he performs an operation on a child, he will put more energy on communicating and communicating with the patient's family members, rather than the patient himself.
"Sorry Yang Dong, I should have explained to you earlier. Have you seen the cups your parents drink from? Open it, pour some water out, and then cover it back. It's similar to this, the difference is that during the pouring process I I need your cooperation to know whether the water is poured too much or too little, so can you help me?" Ye Yibai said seriously.
Ye Yibai's solemn tone of begging gave Yang Dong a great sense of mission. He had never felt this way before. His mother loved him, but she always thought he could do nothing well. Whenever he tried to When he was getting dressed, his mother would scold Alan loudly. Alan was a servant who took care of him. Alan treated him very well, so he could only cry at this time, and then distracted his mother's attention. Just stop trying to do something his mother thinks he can't do.
But this time was different, he asked him to help, this feeling of being recognized and trusted was amazing, Yang Dong's eyes sparkled, he was about to agree, suddenly seemed to think of something, and asked cautiously: " My brain has been opened, can it really be closed?"
Ye Yibai saw the timidity and fear of the little guy, he smiled lightly, "Susan, scissors."
"Ah?" Susan subconsciously said "Ah", and immediately carried out the order. Although he didn't understand the use of Dr. Ye holding the scissors under the operating table, the order of the surgeon in the operating room must be carried out.
Ye Yibai took off the glove from one hand, and cut off one of the fingers of the glove under Yang Dong's suspicious gaze, "Needle holder."
"Okay...Okay, Doctor Ye."
Susan took back the scissors and handed the needle holder to Ye Yibai.
In front of Yang Dong, Ye Yibai quickly sewed back the part of his finger that he just cut off, "Is it the same as the new one?"
Dr. Ye already has such a pure show of skill, he even chose to sew the sutures inside the glove to make the surface of the glove look better, so that the whole glove can hardly be seen from the surface as being cut of.
The light in Yang Dong's eyes became brighter, and there was a faint light called admiration coming out of his eyes.
"So, believe me, your little head will be as complete as this glove."
Yang Dong nodded vigorously, and said slowly in a shy but firm voice: "I believe in you."
Lily's eyes were also shining, she looked at Ye Yibai as if she was looking at an angel, and she said sincerely: "I believe in you too, Dr. Ye."
Ye Yibai: ...
Ye Yibai straightened up again, "Continue with the operation."
With the anesthetic in his hand, Henry asked, "No more anesthesia? What about the tranquilizer?"
Ye Yibai changed his gloves again, "No need, the little guy is very brave and can persevere. Continue with the operation."
"Knife."
The nerves of everyone in the operating room tensed up again immediately. Ye Yibai had just finished cutting off the lateral cerebral hemisphere and was undergoing a medial temporal lobe resection. The membrane and the oculomotor nerve on the other side are exposed.
"Lily, continue with the language test."
"Oh, good." Lily responded immediately, and then began to say to Yang Dong: "Brave Mr., then let's sing another song..."
Henry looked at Yang Dong's stable physical condition, and made a joke leisurely, "Now I don't have any musical talent, so I'm too embarrassed to go to the operating table." The white coats couldn't help but laugh.
The corners of Ye Yibai's mouth were also raised slightly. He gently retracted the temporal horn, and the "knife" scalpel neatly cut off the part connecting the lower end of the choroid and the insula.
"tweezers."
Susan immediately handed over the tweezers, and at the same time put the treatment tray not far from Ye Yibai's side, and a blood-red long line was taken out and placed in the treatment tray together with the tweezers.
"Lily, test writing and verbal responses and body movements..."
Ye Yibai turned his head and closed his eyes. It was very difficult to complete such a delicate skull microsurgery with a surgical magnifying glass from the 30s. Using his eyes for more than three hours continuously made Ye Yibai's eye nerves a little swollen and painful.
Seeing this, Laura immediately wiped Ye Yibai's face, "Doctor Ye, are you okay?" Because of the surgical magnifying glass, wiping sweat became a difficult task.
Ye Yibai shook his head, "It's okay, just close it for a while."
After resting for about 3 minutes, Richard and Wang Mao also completed the flushing and suction work, and the operation field became clear again.
Ye Yibai took a deep breath, "Then the corpus callosum is cut and completely cut off."
Susan immediately handed Ye Yibai a scalpel of a suitable size. The surface of the corpus callosum was pinkish-white, shining with light, like a piece of fresh jelly. The scalpel smoothed on the bloodshot "jelly "Incision on the midline, a smooth blood line appears with the movement of the tip of the knife.
"Pull it away." Ye Yibai said.
The brain tissue is delicate and fragile. It cannot be fixed with scalp clips and other tools like the scalp. It can only be pulled apart by the doctor's hand. The doctor's hand is always the most delicate and trustworthy.
The scalpel is very carefully along the anterior cerebral artery to the genus of the corpus callosum, and then continues downward until it reaches the mouth of the corpus callosum. It is not easy to peel off the mouth of the corpus callosum. It has a wide range, from the inner side of the interhemispheric fissure to the anterior skull base, Dissection should be done very carefully without disturbing any other surrounding brain tissue and blood vessels.
The long operation time is not only a great test for the white coats, but also for Yang Dong. He wakes up many times, and then immediately cooperates with the test.
If the consciousness is too active, any emotional agitation or agitation of the patient in the awake state may cause the operation to injure important blood vessels and nerves. Therefore, it is necessary to let Yang Dong cooperate and use an appropriate amount of sedatives to make his brain less active. .
This made it even more difficult for Yang Dong, who was already mentally retarded and difficult to express, to complete the test, but the little guy worked hard and cooperated, and he persisted.
When Ye Yibai finally peeled off the mouth of the corpus callosum and separated the base of the forehead, the tweezers collided with the treatment plate, making an unpleasant sound.
"Lily, one last test."
The operating room became very quiet, and the nerves of all the white coats tensed up. This test almost represented the success of the operation.
"Yang Dong, do you know these characters? Read them out."
"Insects are flying, dogs are chasing..." Yang Dong's speech was still slow, but to the excitement of the white coats, the pauses in his speech seemed to be much less.
The physical responses were also normal, and there were no problems with the verbal and logical responses. Regardless of the results of the operation, at least the operation succeeded in resecting the lesion to the greatest extent without damaging the functional area.
The hanging hearts of all the white coats finally fell to the ground, "God, this is really a miracle, I actually succeeded." Henry murmured, with a look of joy on his face.
Even after 90 years, intraoperative awakening is extremely difficult for anesthesiologists to master, let alone now, in the 30s, when anesthesia has not yet become a real discipline, even with Ye Yibai's hands-on guidance, This achievement is enough to make Henry proud.
This time the test is over, the general trend of the results of the operation is doomed, and the white coats are free to talk about what to eat at noon. From 07:30 in the morning to a little more than now, almost six hours of operation time, it has long been let These white coats are hungry.
"I remember that there is pig brain in the menu in the cafeteria at noon today. The pig brain looks very similar to the human brain. I can review today's operation process while eating."
"Oh, then you have to ask the master to give you a whole."
"One whole is too much, half is enough." Richard said solemnly, "Huaguo's hot pot is very good, but it's a pity that it's summer and it's too hot to eat, otherwise the raw pig's brain will be rinsed directly after reviewing. convenient."
Under the sterile blue cloth, Yang Dong's hand moved uncomfortably, Ye Yibai looked helplessly at the two assistants who were addicted to chatting about pig brains, and whispered to Yang Dong: "Okay, Yang Dong, you cooperate It's fine, you can sleep now."
"Henry, increase the dose of drunkenness and let him sleep."
Before Yang Dong lost consciousness, he saw the nurse girl named Lily giving him a thumbs up. It felt so good to be affirmed.
Yang Dong is mentally retarded. He is five years old this year, but actually only has the intelligence of a two- or three-year-old. It is difficult for a two- or three-year-old child to understand his mental retardation, but he knows that he is different from other children. He can't speak well, speaks and moves very slowly, and when he is over five years old, he doesn't even have the ability to dress himself.
He often sees his mother hiding and crying, and his father has not hugged him since he was three years old. The aunt said that the doctor can cure him, and he can talk and walk normally like a normal child, and his mother will not cry anymore. , Dad... Maybe Dad will hug him too.
Yang Dong wanted to cooperate, but he couldn't control himself, he was afraid, he was afraid...
"Brother, I'm afraid." A weak voice came from under the sterile blue cloth, Ye Yibai's movements paused, and a complicated look flashed across his face under the mask.
Yang Dong and him have an awkward relationship, but regardless of the feudal dregs of the concubine relationship, the father is now legally the son of his wife's elder brother in terms of blood, and in terms of kinship, he is indeed his younger brother.
The white coats in the operating room also vaguely guessed that Ms. Wei was related to Dr. Ye, but they didn't expect this little patient to call Dr. Ye's brother directly.
Ye Yibai took off the bloody glove on his hand, he lifted the blue sterile cloth, squatted down, "Don't be afraid, brother is the surgeon, everything will be fine."
Yang Dong looked at Ye Yibai, and Ye Yibai also looked at him with a smile. After a long time, Yang Dong's left hand slowly reached out to Ye Yibai. Ye Yibai froze for a moment, and then said: "Laura, gloves."
"Doctor Ye, gloves." Laura hurriedly handed a new pair of gloves to Ye Yibai.
The rubber gloves were a bit cold, but Yang Dong's hands were hot, "Brother, did you cut off my head?" Yang Dong said each word very slowly, with a slight trill.
"It doesn't count, it's just a small opening in your head, take out the sick things in your brain, and then we will close it for you." Ye Yibai looked at Yang Dong who was obviously frightened in front of him, and realized that he He made a mistake, whether it was in the previous life or now, every time he performs an operation on a child, he will put more energy on communicating and communicating with the patient's family members, rather than the patient himself.
"Sorry Yang Dong, I should have explained to you earlier. Have you seen the cups your parents drink from? Open it, pour some water out, and then cover it back. It's similar to this, the difference is that during the pouring process I I need your cooperation to know whether the water is poured too much or too little, so can you help me?" Ye Yibai said seriously.
Ye Yibai's solemn tone of begging gave Yang Dong a great sense of mission. He had never felt this way before. His mother loved him, but she always thought he could do nothing well. Whenever he tried to When he was getting dressed, his mother would scold Alan loudly. Alan was a servant who took care of him. Alan treated him very well, so he could only cry at this time, and then distracted his mother's attention. Just stop trying to do something his mother thinks he can't do.
But this time was different, he asked him to help, this feeling of being recognized and trusted was amazing, Yang Dong's eyes sparkled, he was about to agree, suddenly seemed to think of something, and asked cautiously: " My brain has been opened, can it really be closed?"
Ye Yibai saw the timidity and fear of the little guy, he smiled lightly, "Susan, scissors."
"Ah?" Susan subconsciously said "Ah", and immediately carried out the order. Although he didn't understand the use of Dr. Ye holding the scissors under the operating table, the order of the surgeon in the operating room must be carried out.
Ye Yibai took off the glove from one hand, and cut off one of the fingers of the glove under Yang Dong's suspicious gaze, "Needle holder."
"Okay...Okay, Doctor Ye."
Susan took back the scissors and handed the needle holder to Ye Yibai.
In front of Yang Dong, Ye Yibai quickly sewed back the part of his finger that he just cut off, "Is it the same as the new one?"
Dr. Ye already has such a pure show of skill, he even chose to sew the sutures inside the glove to make the surface of the glove look better, so that the whole glove can hardly be seen from the surface as being cut of.
The light in Yang Dong's eyes became brighter, and there was a faint light called admiration coming out of his eyes.
"So, believe me, your little head will be as complete as this glove."
Yang Dong nodded vigorously, and said slowly in a shy but firm voice: "I believe in you."
Lily's eyes were also shining, she looked at Ye Yibai as if she was looking at an angel, and she said sincerely: "I believe in you too, Dr. Ye."
Ye Yibai: ...
Ye Yibai straightened up again, "Continue with the operation."
With the anesthetic in his hand, Henry asked, "No more anesthesia? What about the tranquilizer?"
Ye Yibai changed his gloves again, "No need, the little guy is very brave and can persevere. Continue with the operation."
"Knife."
The nerves of everyone in the operating room tensed up again immediately. Ye Yibai had just finished cutting off the lateral cerebral hemisphere and was undergoing a medial temporal lobe resection. The membrane and the oculomotor nerve on the other side are exposed.
"Lily, continue with the language test."
"Oh, good." Lily responded immediately, and then began to say to Yang Dong: "Brave Mr., then let's sing another song..."
Henry looked at Yang Dong's stable physical condition, and made a joke leisurely, "Now I don't have any musical talent, so I'm too embarrassed to go to the operating table." The white coats couldn't help but laugh.
The corners of Ye Yibai's mouth were also raised slightly. He gently retracted the temporal horn, and the "knife" scalpel neatly cut off the part connecting the lower end of the choroid and the insula.
"tweezers."
Susan immediately handed over the tweezers, and at the same time put the treatment tray not far from Ye Yibai's side, and a blood-red long line was taken out and placed in the treatment tray together with the tweezers.
"Lily, test writing and verbal responses and body movements..."
Ye Yibai turned his head and closed his eyes. It was very difficult to complete such a delicate skull microsurgery with a surgical magnifying glass from the 30s. Using his eyes for more than three hours continuously made Ye Yibai's eye nerves a little swollen and painful.
Seeing this, Laura immediately wiped Ye Yibai's face, "Doctor Ye, are you okay?" Because of the surgical magnifying glass, wiping sweat became a difficult task.
Ye Yibai shook his head, "It's okay, just close it for a while."
After resting for about 3 minutes, Richard and Wang Mao also completed the flushing and suction work, and the operation field became clear again.
Ye Yibai took a deep breath, "Then the corpus callosum is cut and completely cut off."
Susan immediately handed Ye Yibai a scalpel of a suitable size. The surface of the corpus callosum was pinkish-white, shining with light, like a piece of fresh jelly. The scalpel smoothed on the bloodshot "jelly "Incision on the midline, a smooth blood line appears with the movement of the tip of the knife.
"Pull it away." Ye Yibai said.
The brain tissue is delicate and fragile. It cannot be fixed with scalp clips and other tools like the scalp. It can only be pulled apart by the doctor's hand. The doctor's hand is always the most delicate and trustworthy.
The scalpel is very carefully along the anterior cerebral artery to the genus of the corpus callosum, and then continues downward until it reaches the mouth of the corpus callosum. It is not easy to peel off the mouth of the corpus callosum. It has a wide range, from the inner side of the interhemispheric fissure to the anterior skull base, Dissection should be done very carefully without disturbing any other surrounding brain tissue and blood vessels.
The long operation time is not only a great test for the white coats, but also for Yang Dong. He wakes up many times, and then immediately cooperates with the test.
If the consciousness is too active, any emotional agitation or agitation of the patient in the awake state may cause the operation to injure important blood vessels and nerves. Therefore, it is necessary to let Yang Dong cooperate and use an appropriate amount of sedatives to make his brain less active. .
This made it even more difficult for Yang Dong, who was already mentally retarded and difficult to express, to complete the test, but the little guy worked hard and cooperated, and he persisted.
When Ye Yibai finally peeled off the mouth of the corpus callosum and separated the base of the forehead, the tweezers collided with the treatment plate, making an unpleasant sound.
"Lily, one last test."
The operating room became very quiet, and the nerves of all the white coats tensed up. This test almost represented the success of the operation.
"Yang Dong, do you know these characters? Read them out."
"Insects are flying, dogs are chasing..." Yang Dong's speech was still slow, but to the excitement of the white coats, the pauses in his speech seemed to be much less.
The physical responses were also normal, and there were no problems with the verbal and logical responses. Regardless of the results of the operation, at least the operation succeeded in resecting the lesion to the greatest extent without damaging the functional area.
The hanging hearts of all the white coats finally fell to the ground, "God, this is really a miracle, I actually succeeded." Henry murmured, with a look of joy on his face.
Even after 90 years, intraoperative awakening is extremely difficult for anesthesiologists to master, let alone now, in the 30s, when anesthesia has not yet become a real discipline, even with Ye Yibai's hands-on guidance, This achievement is enough to make Henry proud.
This time the test is over, the general trend of the results of the operation is doomed, and the white coats are free to talk about what to eat at noon. From 07:30 in the morning to a little more than now, almost six hours of operation time, it has long been let These white coats are hungry.
"I remember that there is pig brain in the menu in the cafeteria at noon today. The pig brain looks very similar to the human brain. I can review today's operation process while eating."
"Oh, then you have to ask the master to give you a whole."
"One whole is too much, half is enough." Richard said solemnly, "Huaguo's hot pot is very good, but it's a pity that it's summer and it's too hot to eat, otherwise the raw pig's brain will be rinsed directly after reviewing. convenient."
Under the sterile blue cloth, Yang Dong's hand moved uncomfortably, Ye Yibai looked helplessly at the two assistants who were addicted to chatting about pig brains, and whispered to Yang Dong: "Okay, Yang Dong, you cooperate It's fine, you can sleep now."
"Henry, increase the dose of drunkenness and let him sleep."
Before Yang Dong lost consciousness, he saw the nurse girl named Lily giving him a thumbs up. It felt so good to be affirmed.
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