Sleepless Doctor
Chapter 30
"Yuanyuan?"
"Thirty years ago, Lin Yin studied as a sophomore in Medical University and was familiar with many old professors. Later, he didn''t become a doctor and went back to laogua mountain to inherit his father''s career and become a Taoist."
"After all, he had studied medical treatment. Some people who got sick went to laogua mountain to burn incense for peace. Taoist Lin introduced them to several affiliated hospitals of Medical University and looked for specialists.
It''s a rule to come and go. Just now I saw people in Taoist robes following me. I thought it was the patient who had an emergency in laogua mountain. I wondered why they even had an ambulance. Do they make so much money as Taoists? "
"A misunderstanding."
Wu Mian didn''t explain much. He had no interest in Wei Dabao''s origin. Didn''t he think he was not troublesome enough?
"Mian Shao... Mr. Wu, what are you going to do for the operation?"
"Angiography, can bolt on the bolt, if very complex patients, I do spinal endoscopy under interventional guidance and play two clips."
Professor Sun didn''t say much. The diagnosis and treatment of this disease are clearly written in the book. How to operate depends on the patient''s situation. Even if you recite what is written in the book, the operation may not be able to be done.
Surgery is an empirical discipline and a craft. No one can practice without enough cases.
Chatting all the way, more was the physical examination and judgment of the patient before Chu Zhixi and Professor Sun said. Professor Sun didn''t ask much because he was not very familiar with Wu Mian.
……
……
In the classroom, doctors in the Department of neurointervention and neurosurgery of the second hospital of Medical University are watching the operation attentively.
The patient was carefully selected and relatively simple type 1 spinal arteriovenous malformation. Although it is relatively simple, the operation can''t be taken down by the second hospital of Provincial Medical University.
Nerve interventional surgery has been carried out in China for about 20 years. The original landmark watershed surgery of Neurosurgery - intracranial aneurysm resection has been taken down by interventional surgery, and the difficulty has been reduced by geometric levels.
However, there are not many operations involving the spine. This time, the second hospital of Medical University is also to learn and establish contact with DIDU. If we carry out business in the future, once there is anything, someone can ask for advice.
All preoperative examinations have been improved. There should be no problem in the operation, but Professor Hou encountered an accident after he took the stage.
Patients who were judged to be type I before operation found abnormalities after angiography - two thin and distorted blood supply arteries were found below the originally simple dural arteriovenous fistula, forming a hidden arteriovenous fistula.
If you find an abnormal situation, you have to do it hard. The operation originally scheduled to end in 2 hours has not come down for 8 hours.
The hidden artery was too thin. Professor Hou kept Superselecting, but the guide wire couldn''t get in at all. If you ignore these two hidden arteries, the operation is basically equivalent to not doing it.
But the intervention means can not be super selected. This is not the imperial capital. There is no way to directly find a neurosurgeon to save Taiwan.
The spine surgery of the second hospital of Medical University is done by the Department of orthopedics, and the content is only in the lumbar intervertebral disc. No one is sure to take down the surgery involving arteriovenous malformations.
So Professor Hou sat in wax. He can only wear lead clothes and carry out super selection again and again.
Even he has made a plan to go back to the imperial capital when he can''t do the operation.
Once again, the guide wire often slides at the bifurcation position of the blood vessel, and the narrow hidden artery branches can''t be super selected at all.
"Forget it." Professor Hou sighed. He repressed his anger. If the operation doesn''t go well, you can''t vent your anger on others.
Once some practitioners with bad typhoon encounter problems, they immediately lose their temper, fall and fall, and swear in various styles.
Hou Jingru was not such a person, but he was still angry. In the future, he really couldn''t believe the doctors in these grass-roots hospitals, and repeatedly warned himself in his heart. Yes, the Affiliated Hospital of provincial Capital Medical University is a grass-roots hospital in Hou Jingru''s eyes.
They can''t understand the preoperative examination. What else can they do.
But the anger was about to be suppressed. Everything in front of him, including the matching nurse in lead clothes, looked so eye-catching in Hou Jingru.
Hou Jingru felt that the lead clothes on his body were getting heavier and heavier, and the lead skirt also tended to fall off. The lead glasses he wore were all beads of water, blocking his sight.
Everything is so annoying. Everything is like dry wood added to the fire. Hou Jingru took a deep breath to suppress his fatigue and irritability. He turned out of the operating room and said in a deep voice, "rest for 5 minutes and try again."
There was silence in the operating room and operation room. Everyone present knew that the operation was not smooth and the operator was in a bad mood. At this time, there was no reason to touch the mold.
The head nurse of the operating room carries a white bench. When Hou Jingru comes out, he puts it in a comfortable place for the first time and asks Hou Jingru to sit down and rest for a while.
There is nothing to be picky about. Hou Jingru sat on the stool and prayed for better luck for the last time. After looking up at the time, it was already 8:30 p.m. and the scheduled plane certainly couldn''t catch up. The "consultation fee" had to be refunded to the patient''s family members.
This time I ran out to fly a knife. Stealing chicken can''t erode rice. Why bother.
Carrying dozens of kilograms of lead clothes, he moved bricks on the construction site for more than 8 hours. He got up early today and won''t be home until noon tomorrow. He doesn''t earn a penny... Hou Jingru is extremely angry in his heart.
But he hasn''t lost his mind yet. What he pays attention to when he goes out for surgery is a word of mouth. Gentle and elegant, this has always been Hou Jingru''s human design. Human design cannot collapse.
After taking a deep breath again, Hou Jingru was ready to calm down and took the stage to make a final attempt.
Just as I was about to close my eyes and refresh myself, I saw a flat car pushing a patient in a semi reclining position inside.
"Our hospital is also very busy. There is an emergency at this time." Hou Jingru tried to calm down and said with a smile.
"Emergency patients from bajingzi Township," said the director.
"Go to the hybrid operating room inside? What patient?"
"..." director Liao of the neurosurgery department of the second hospital of Medical University was stunned, hesitated and didn''t answer.
"Hmm?" Hou Jingru heard director Liao''s hesitation and wondered.
Director Liao said firmly, "an emergency patient with suspected intraspinal arteriovenous malformation with bleeding should have angiography."
Hou Jingru frowned.
You can invite me all the way! This is intentional?! All thought of this, and then all kinds of dirty things naturally surged up like a tide.
The patient''s hidden blood vessels, did they deliberately not check them? Although this possibility is unlikely, emergency bleeding can be done, which proves that this high-end operation has been carried out in the second hospital of Medical University. What did you say to yourself beforehand?
Hou Jingru''s face became more and more ugly.