Chapter 140 No Intention to Fool You

Remember in a second【】

Exploratory laparotomy, many general surgery operations, are not clear during the inspection, but many of them can be clarified when the stomach is opened.

For example, whether there is a problem with the appendix or other intestinal problems, open the stomach and see it with your own eyes, and everything will be clear.

After all, the gas and liquid inside the abdominal cavity, like the coiled intestines of a giant python, can affect the results of the examination.

But it’s different outside the brain. For example, if the lower part of the right side has necrosis and degeneration, after the onset of the disease, the signs that often appear are not the signs at the lower part of the right side.

It was like the necrosis of the thalamic tract, but the signs were that the patient was talking nonsense, as if a great god had possessed him.

Sometimes he said that he was Sun Dasheng, and sometimes he insisted on grabbing his husband and saying that he was the Sea Dragon King, and insisted on making him take out the hidden golden cudgel!

Another example is some patients, who are obviously as quiet as virgins, sitting there gentle and elegant, with such an elegant temperament, they can be called gentlemen directly when they hold a teacup.

But once the disease occurs, it will act like a rabbit. The brain is a very treacherous organ. On weekdays, ordinary people may not be able to climb a meter-high wall with a bench.

But at a critical moment, when the dog kicked his butt and opened his mouth to bite, the fat man of two hundred catties jumped up with a bang, and if he was asked to do it again under normal circumstances, he would not be able to get up even if he was killed.

It's just because of the chicken thief of the brain, this thing is also very lazy, and it will not easily mobilize all organs to cooperate. Isn't it good to lie down and be an uncle.

After a brain disease, the brain can no longer control the body, and the reserves of the whole body will sometimes burst out.

If a girl is ill, a big man may not be able to hold her back.

Doctors have no way to determine where the problem is. They can only judge by combining inspections and their own naked eyes. Therefore, more advanced equipment is definitely beneficial for diagnosis.

The panting doctor came to the operating room with the test results and looked at his teacher. Dr. Guo stared at him like a wolf watching a sheep, as if he was about to skin him and devour him.

The young man felt chilled in his heart, "This guy is going to vent his anger on me again, and I don't take care of my tn, I will apply for a change of team when I get out!"

Already planning to change jobs and change teams! Now that he was not afraid, and now that he was ready to go all out, he stood in the surgery room without hesitation, and began to observe the surgery.

surgery begins,

Craniotomy. This craniotomy, explained in a serious way, is quite boring, let alone a doctor, even a doctor, listening to the awkward terms, breaking through the positioning of the sky, the head is big.

Frontal lobe, temporal lobe, pineal gland, hard inner, outer hard, arachnoid, one movement, two smells, hearing and hearing, almost all the nouns are made by foreigners, and after being translated into Chinese, they just let the little tongue babble .

These are the simplest medical terms and jingles. Doctors outside the brain not only need to figure out the tissues in the brain that are forcibly named by others.

It is also necessary to clarify the muscles and layers outside the brain.

To put it simply, for example, there is pain near the collarbone. After the organ is mutated, which nerve is causing the pain? Oh, near the collarbone is managed by the nerves from the fifth neck.

Does it hurt near the bird? Oh, it turns out that it is the nerves from the first lumbar vertebrae, so the old saying goes, there is no need for a sore back!

And the surgery outside the brain is also quite cruel, which is just the opposite of general surgery.

Before the general surgery was performed, the doctors were like Chinese nobles pretending to eat Western food.

First wash the belly clean, not only clean, but also apply some butter (iodine, alcohol), fix the knife and fork, I feel quite tall.

Once it enters the abdomen, the nature is clearly revealed, and it runs towards the fat intestines, cecum and appendix with a knife and fork, and the taste must be strong, otherwise it will not show people's hobbies.

But it's different outside the brain. Before the brain surgery, it's the same as the nouveau riche.

First shave your head so that it looks green, no matter you are white-haired or full-bodied, I will shave it for you.

Then take an iron shelf and fix it for you. What is this thing like? Anyone who has seen some disgusting videos probably knows that it is exactly the same as the nouveau riche eating monkey brains.

Just like the iron frame of building a building, first fix the head tightly, how to fix it?

In fact, it is a fixed support, which is to fix the brain. This thing is actually a support, and then there is a short nail on each support, and the rotating nut is directly nailed to the skull to fix it.

It's like nailing your head to a cross.

Then draw a circle with gentian violet where you want to make the hole.

Immediately afterwards, hammers, air drills, bone chisels, and bone knives, just like orthopedic carpenters, began roughly.

First use a knife to peel off the scalp, even the hair and skin are clean, just like a pig's head that has lost its hair, with white bones.

Then, the air drill opened the eyes in the skull, creak! Squeak! At the edge of the circle, start drilling along the line.

It can be made into a circle, fan-shaped, or heart-shaped, just like some people's hairstyles.

Bone meal is flying all over the sky! The fat and blood in the bone volatilized for a while, and there was a foul smell of singeing and roasting meat.

Sometimes, when the skull is cut, it is not known whether the doctor's technique is not good, or the skull looks like the lid of luncheon meat, and the quality is not up to standard.

Opening the eyes is like making a pull ring, but it was finally broken and pulled off! The lid is broken without prying it open!

That can only be played with a rougher, rongeur.

This thing, against the skull

^0^ Remember in a second【】

Just like cutting a nail with nail clippers, after bit by bit all the bones are bitten off, the brain inside is revealed.

How should the normal brain say, it is actually like a fat meatball, really like a big lump of bloodshot fat meatball, rolling slowly in the hot pot.

This thing is inside the skull, it seems to be twitching slowly, and it seems to be contracting once and for all, like the alien brood of some kind of alien movie.

Open the brain, the normal brain is like a big girl who has not been out of the court, she will be shy, and she will be shy when she meets a strange man, and her movements will slow down, as if she wants to hide.

And this kind of mutated brain caused by smoking (a) drugs is like Erha released the door, and he can't pull it back. When he opens the skull and sees the brain.

This thing wriggled not only excitedly, but also seemed to swell, like exploding small balls, and kept clamoring: Come on, come on, let me see if I don't hit you.

It is really a piece of fatty big flying meat, as if there are countless parasites wriggling inside.

Zhang Fan led Xue Xiaoqiao, and he went in very quickly. After all, Zhang Fan was also an orthopedic surgeon. It was very easy to do this kind of bone window opening.

Lao Li sucked the smoke from the electric drill with an aspirator on the side like soy sauce.

Lao Guo hadn't recovered from his embarrassment yet, he watched the head nurse gnash his teeth for a while, and watched his junior doctor gnash his teeth for a while.

I guess I imagined myself as the dean, what happened to the head nurse, and what happened to the doctor when I became the director, and I was still stuck in endless feelings.

The young doctor who was determined to switch groups looked at him without blinking. He doesn't know about other things, but one thing he can be sure of is: a doctor who can prescribe a knife-throwing doctor in Hospital A of the provincial capital must be skilled.

"Turn the retainer!" After entering the cranium, Zhang Fan looked at the wriggling brain, and said softly to the itinerant nurse.

The itinerant nurse carefully turned the angle.

"Okay! Yuan Zhang, how about this angle?" Xue Xiaoqiao kept ordering the roving nurse to fix it from the side.

"Yes!" Zhang Fan looked at it and nodded.

"Adjust the shadowless lamp!" After setting the position, Xue Xiaoqiao was busy ordering the nurse to adjust the lamp.

After everything is ready, it is considered to have entered the skull at this time, and all the crude instruments are off the stage at this time.

At this point, the elegant, refined and precise side of the brain surgery doctor comes out.

Apparatus, such as a suction device, a conventional suction device is actually a large straw, just like a thick straw for drinking pearl milk tea.

You put your mouth on the other end of the straw and suck hard, and all feces and blood clots in the abdominal cavity can be sucked out. Sometimes if you don't pay attention, you can also suck in the intestinal wall.

And the attractor outside the brain will not work, it is not straight, but a picture like the one that scares men in the Brazilian anti-smoking advertisement.

The aspirator hangs down and is at right angles, and the suction mouth is quite thin. If the ordinary one is a straw for drinking pearl milk tea, then the extracerebral aspirator is a straw for drinking the wife's oral liquid.

All instruments, tweezers, and pliers have a level of width and narrow units, which are quite fine, and these instruments may look thin and narrow, but their hardness is unimaginable. It is estimated that the materials used for these equipment outside the brain are more difficult to manufacture than other ordinary instruments. high.

Holding more than a dozen rhtn guns, Zhang Fan started to attack the lesion.

This thing is like a long needle, long and thin, and the 05 needle has cross-shaped serrations on it, which is to prevent the cutting stress of the too thin needle on the organ.

"Electric stimulation, wake up the patient!" After getting ready, Zhang Fan began to give orders to the anesthetist.

"Okay, Zhang Yuan, wake up right away!" The anesthesiologist immediately switched on the electrodes attached to the patient.

Brain surgery, the wonderful work is here. There are often many organs to be removed. Are they the functional areas of the patient's brain?

Sometimes it's really hard to say, what to do, I can only try it bit by bit under semi-anesthesia.

The 6a current passed through the patient's body, and the girl convulsed for a while, but she didn't wake up.

"Um!" The anesthetist was embarrassed. The electric current on ordinary people would definitely make ordinary people's eyes widen, but this girl just twitched her buttocks!

"Eh!" Zhang Fan was also embarrassed, the needles were all ready, but he didn't wake up.

"Increase the current?" Zhang Fan asked uncertainly.

In the past, most anesthesiologists were actually part-time surgeons. Later, as the disciplines became more and more refined, such as cranial surgery, non-professional anesthesiologists would never be able to get medication.

Therefore, conventional anesthesia is fine for Zhang Fan, but this kind of high-level anesthesia, Zhang Fan is a little uncertain.

"Zhang Yuan, no, if the current is increased, it will cause abnormal heart rhythm!"

The anesthesiologist said in embarrassment that he also graduated with a Ph.D. He had never seen this kind of patient.

"Short-acting barbiturate hydrochloric acid stimulation!" I had no choice but to use medicine.

Compared with the current, the drug has a failure period and drug resistance, and there is no current stability.

Therefore, conventional surgery generally chooses electric current stimulation instead of drug stimulation, which is also hopeless.

A little bit of medicine dripped into the girl's lesion, the girl's stimulation became more and more severe, and then she woke up with twitching.

"Start!" Seeing the patient's eyes opened, Zhang Fan hurriedly said,

^0^ Remember in a second【】

Then he said to Xue Xiaoqiao: "Start the conversation!"

Excision of brain lesions is such a hassle. Sometimes, the doctor is actually trying to cut while confirming.

Conversation, what to do.

First, determine whether she can speak, and second, determine whether she can think clearly and move.

For example, what is your name, and the other party answered correctly, which means that the stimulating area is not related to thinking and language. If you ask the other party, what is your name, she said: I eat hot dry noodles.

If it's so bad, this place can't be cut, and everything will be cut into fools!

Also, for example, come to move my eyes and fingers for me, but people opened their eyes and talked about moving for a long time.

While stimulating Zhang Fan, he asked Xue Xiaoqiao to talk, "What's your name!"

"Give me a bite! Quick, give me a bite!"

"Eh!" Xue Xiaoqiao looked at Zhang Fan helplessly.

Zhang Fan glanced at Xue Xiaoqiao, his meaning was obvious, so he quickly figured out a way for me to ask.

This kind of illness is really difficult!

Xue Xiaoqiao rolled his eyes, just like Brother Yixiu, they lit up!

"Okay, I'll give you a breath. Not only will I give you a breath, but I'll also give you some Demerol. Do you see that there is Demerol in this needle, and there is also Estazolam? Do you want to eat it? Be good, what do I ask? What do you say, I will eat it for you!"

"Okay, okay, okay!" The bone nail stared at the skull, and the girl who couldn't move was drooling, really, dripping down. Just like the clear snot from a cold, it flows in a thread, and it keeps pulling.

Zhang Fan and Xue Xiaoqiao glanced at each other, and Zhang Fan blinked his eyes, meaning: Ask something routine, your way of asking, how do doctors in Worry-Saving Hospital write medical records?

Could it be written: Experts lure patients with drug(a) products?

"What's your name?"

"xxx"

"Do you have a boyfriend?"

Zhang Fan immediately glared at Xue Xiaoqiao.

This kind of private question is actually asked in the obstetrics and gynecology department, and generally other departments also ask whether they are married.

Xue Xiaoqiao curled his lips and said in his heart: "What do you want me to ask? This kind of person, besides these few questions, what else can he ask? Could it be asking about Huaguo history and Huaguo geography?"

"Yes, there are boyfriends and girlfriends. We sometimes..."

"Ask about other things!" Zhang Fan stared at Xue Xiaoqiao as if Xue Xiaoqiao was sitting on wax, he didn't expect it!

"Um, where did you go to kindergarten!"

Following the step-by-step probing, Zhang Fan stabbed the opponent's brain with a long spear, and then cut bit by bit.

At this time, the young doctor in charge of the bed who was watching the technique saw it.

"This expert's level is very high!" Because Zhang Fan's surgery is done in an orderly manner, and he can also determine the brain function of the patient. To be honest, this can only be seen when experts from the capital are invited.

Although he couldn't tell how high-end it was, he knew that this Zhang Yuan was very high-end.

Then, with a roll of his eyes, he turned around and left the operating room, without even looking at Lao Guo when he went out.

"Teacher Wang! If you are not busy, come to the operating room to have a look!"

"What's wrong? The patient is dying?" Another deputy chief physician is also paying attention to this operation.

"No, no, the level of this Zhangyuan feels very good, but I can't see how good it is. I think you can see it, so I will call you as soon as possible."

"Good boy, I'm determined. I'll be right there." After hanging up the phone, Dr. Wang rushed to the operating room in a hurry.

There are several brain surgeries in the hospital, and there are many deputy directors in the department, and there are many eyeliners.

The news spread from the operating room, and then calls came in one by one.

"Xiao Li, how is the operation doing?" This is the deputy director of the department.

"Director, I was about to call you just now. My observation operation went very well. The patient did not appear comatose, suffocated, or had a heartbeat. From the beginning to now, the patient's vital signs are very stable."

The bed doctor said on the phone.

"Okay, I see." After hanging up the phone, the deputy director couldn't figure it out, "Orthopedic doctor? General surgeon? Is it the same name?"

Although he didn't seem to understand in his heart, he didn't slow down under his feet.

The deputy directors entered the surgical observation room one by one, "Turn on the camera!"

"Hiss!" It was like a toothache sucking in air-conditioning, and it kept coming out between them.

"That's great."

Immediately afterwards, when the deputy directors entered the operating room one by one, the directors couldn't sit still anymore.

"How is it, how is the other party?"

"Excellent, not inferior to the director of the capital."

"Director, I think our department should communicate more with the dean!"

This time, the directors in the office stopped making excuses for the meeting, and rushed to the operating room one by one.

Lao Guo's superior, Director Chen of the Second Department of Neurosurgery, who was looking for an excuse to hold a meeting, entered the operating room wearing a mask and laundry.

He glanced at Lao Guo first, then gently stood opposite Zhang Fan.

"Zhang Yuan, is everything going well?"

Zhang Fan didn't even turn his head, Shu, he was never distracted!

Time, one second, ten seconds, half a minute, Director Chen was embarrassed.

Lao Li is embarrassed

^0^ Remember in a second【】

Death, he knew Zhang Fan's faults, he performed the surgery, and his relatives refused to recognize him!

"Director Chen, it's okay. Our dean is a little focused on performing surgery, so don't think too much about it!"

"Hehe, it's okay, it's okay, it's the same, and I'm the same. Or, or, I'll help you too?"

Lao Li looked at Zhang Fan, thought for a while, and said, "Okay, you can replace me! I'll take a break."

The good old man got off the stage and replaced him with old Chen, Director Chen. In the face of technology, to be honest, doctors are quite active, especially Hospital A. In this line of work, it is like sailing against the current.

"Has Director Chen finished the meeting?" Xue Xiaoqiao asked jokingly as he watched his director get off the stage, feeling a little annoyed.

"Xiao Xue! You are doing surgery, can't you learn from Zhang Yuan?"

Lao Li is very warm in his heart, but for young doctors, he not only needs to help them technically, but also checks their character and temperament. This is how old-school masters behave.

"Oh!" Xue Xiaoqiao still respects Director Li very much.

The technique continues, this kind of technique, it breaks the sky, but it is actually simple.

First try to see if it is a functional area or not, then stop the bleeding and ligate the surrounding blood vessels.

Although the brain is so small, it has a lot of blood supply!

Once the blood vessels are ligated, the rest is simple.

First use a long spear to jump out of the outer membrane, and then pick up a bone scraping spoon. This kind of thing is not the thick black of orthopedics.

This thing is like a silver ear pick, very delicate.

Bit by bit with a bone scraping spoon, just like a child eating white cream strawberry ice cream, digging out the lesion inside bit by bit and putting it into his mouth.

Looking at Zhang Fan's method, Director Chen felt envious, "mmp, it's good to be young, this method is stable, too stable. How did you practice this technique~!"

"Yuan Zhang, hehe, your skills are really good. You seem to be a shadow of Director Yong, but it seems to be different. I have stayed in Yongye for a year. I don't know if you are..."

This is to prepare for a close relationship.

"Oh, I'm just a little interested in things outside my head, and I usually try to figure it out on my own!"

The operation went well, so Zhang Fan said a word.

"Ah!" Director Chen was sweating, not only Director Chen, but also a group of directors and deputy directors in the observation room, one by one, shouting in their hearts: TN is too good at acting!

Old Chen Xin said, "You might as well not talk! This is awesome!"

The thought of building a relationship is gone, and the thought of learning some technology is gone.

He felt that this young man was too stupid, and the proud cow went to the sky.

To be honest, he was regarded as bragging, but who asked him to ask Zhang Fan on the surgery table, Zhang Fan on the surgery table, it is not bad to be able to answer!

As for other people's feelings, I'm sorry, I'm doing surgery, and I don't have the intention to fool you!

Dear, this chapter is over, I wish you a happy reading! ^0^