Returning to ’90s, She Became Famous in Major Surgical Fields

Back in 1996, the eldest daughter of Oldman Xie’s Family, Xie Wanying, said that she wanted to be a surgeon, to which many people laughed at her .

“ A Phoenix gives birth to a phoenix. And a ...

Chapter 640 Silence

Going a step further, as Dr. Xie Wanying continued, "The squad leader has always been a very courageous doctor."

Doctor Yue Wentong's face turned red, and he wanted to glare at Xie: You don't have to praise me like that, I can't bear it.

Thinking back to when he accompanied classmate Xie to rescue Sister Xu, he was also afraid at first.

His courage was brought out step by step by classmate Xie. How could he deserve Xie to praise him first?

Doctor Xie would say that he was not praising Sergeant Yue blindly.

Whose credit was it that enabled Sister Xu to perform the surgery? Without Squad Leader Yue's courage and support, she would not have been able to do it.

Should I praise Squad Leader Yue? Yes, I should.

Think about how difficult it is for a doctor to drill holes in a patient's head using only primitive tools in a disaster area like this, but Squad Leader Yue did not retreat.

Squad Leader Yue, who did not retreat, must have been thinking of his mother Sister Xu, Doctor Xin, and classmate Xie, and also Senior Brother Cao and Song Mao.

...

...

(Brother Huang: What about me?!)

Thinking of my mother and Sister Xu feels compassion, thinking of Dr. Xin and classmate Xie feels courage, thinking of Senior Brother Cao and Song Mao feels technical association, and what can I think of when thinking of Senior Brother Huang? After all, emergency surgeries in today's special scenarios are not simple routine surgeries and require unconventional associations.

(Senior Brother Huang: …)

At this point, we can understand the reason why Dr. Song Xuelin has a serious expression on his face: this guy thought of imitating my, Song Mao's, technology in a critical moment, but if he learns it poorly, it will be a disaster.

Since Dr. Song Xuelin was seriously considering the patient's medical problem, Dr. Xie Wanying had to temporarily explain to the anxious crowd: "Perhaps Dr. Yue speculated that Dr. Tong's condition could be treated like Sister Xu did back then."

Ms. Xu had a foramen magnum hernia and bulging brain tissue. She needed another emergency surgery after the lateral ventricle drainage was performed in the emergency room, otherwise she could not be saved. Drainage is just an emergency transitional measure.

Pay attention to the words Dr. Xie uses, they sound like Sister Xu, but they can’t be her. If so, drainage alone is useless.

On the one hand, what Dr. Xie said was to show that squad leader Yue was both brave and resourceful, and that he was not someone who acted recklessly but had the courage to do things.

If it was just a reckless act with only courage, Dr. Song would have beaten the man up at first sight. Don’t forget that in the workplace, it is Dr. Song who is leading Dr. Yue in his work and is Dr. Yue’s superior.

I have an idea, but am I on the right track?

Whether the approach is correct or not cannot be determined by whether the patient's condition improves temporarily. The patient's condition may be better or worse, and only professional experts and teachers can predict whether the treatment measures are on the right track.

A good diagnosis is only the first step. Determining that the patient's condition urgently requires neurosurgical intervention and whether or not to undergo surgery and what type of surgery to perform requires a more accurate diagnosis.

The general diagnostic direction is correct, but what about the detailed diagnosis?

It is easy to imagine that detailed neurosurgery diagnosis cannot be performed in this disaster area.

There is no CT machine.

Dr. Song Xuelin looked at Dr. Yue: Do you want to emulate me and Dr. Xie?

Looking back at Ms. Xu’s case, the first step was a CT scan, and Dr. Xie planned the puncture points based on the CT scan. Without a CT machine, no matter how talented Dr. Xie is, he would not be able to accurately plan the puncture point. Because Dr. Xie was using the CT-guided puncture method at the time.

Dr. Yue couldn’t learn the first step, so he could only go through the conventional puncture points.

In the second step, Dr. Song came to support the catheter drainage. I believe that Dr. Yue wanted to learn Dr. Song's catheter drainage technique to resolve edema, balance cerebrospinal fluid, and provide continuous drainage to maintain the patient's vital signs until he reaches the hospital for the next operation.

At this moment, Dr. Song’s eyes showed: I can do the second step well in this kind of case, but how can I do it without the first step as a foundation!

No wonder Dr. Song always says there are a lot of idiots. How can these idiots take it for granted that they can skip the first step and go directly to the second step?

Doctor Song didn't rush to scold him because he thought that he had already anticipated that the idiot's IQ could only reach this level. It was good that he had the courage to drill and drain the hematoma.

"This, this, this--" Doctor Jiang's heart began to tremble. He did not forget that he was an "accomplice" at that time and encouraged someone to have the operation.

Of course, as I just said, Dr. Song knew this.

The implication was that Dr. Xie Wanying said tactfully: Everyone knows that Dr. Song is a genius.

The genius teacher Song saw at a glance that Yue wanted to learn from Teacher Song and achieve success overnight, but in the end he only produced the most low-end technical work, which made Teacher Song so angry that he was speechless.

If you want to learn from Teacher Song, there are neurosurgery cases handled by Teacher Song on site.

Doctor Yue Wentong immediately learned from Feng and others that Gu was also a neurosurgery patient.

But Gu did not undergo surgery and received conservative treatment with medication.

According to classmates Feng and Zhao, who are very good at gathering intelligence, after Song Mao snatched the neurosurgery drugs from Dr. Xie and gave them to classmate Gu, he seemed to have taken some medical equipment and put it in his own doctor's bag, not allowing anyone to touch it. This might be a backup plan in case Gu's condition changed.

Doctor Yue Wentong's face turned a little pale, as if he remembered something.

This means that the diagnoses of Mr. Gu and Dr. Tong should be similar.

"All brain herniation?"

Everyone asks. Brother Fairy and Dr. Chang Jiawei are definitely not here to join in the fun. One is a bad boy who is smart and the other is a simple-minded but wise man.

When a non-neurosurgeon asks if it is a brain hernia, a neurosurgeon will also glance at him and say: Go back to school and retrain!

What is brain herniation? What is brain herniation? Does brain herniation occur out of nowhere?

Colleagues who asked this question immediately dug deep into the ground to bury their faces.

Now we need to discuss the detailed treatment measures. It is outrageous for you to discuss whether there is brain hernia. Brain herniation is a syndrome that is a characteristic of the development of many neurosurgical diseases. What we should discuss is what causes brain herniation so that we can provide targeted treatment.

Now that I see it, what Dr. Xie added earlier has even more profound meaning.

Professor Pei and Doctor Jiang looked at each other and felt even more ashamed: Oh my God, they were talking at cross purposes and were so happy that they didn't even realize their mistake. The neurosurgeon was going to laugh at them to death.

There are many types of head injuries. What type of patient is this? As I said, he is not like Ms. Xu. Referring to the cases mentioned in the previous article, the most likely case is the most common epidural hematoma. That’s why Dr. Yue dared to drill.

To be honest, if it was the brain stem, how could Dr. Yue dare to drill?

Brain herniation caused by epidural hematoma can also be life-threatening. This has been mentioned in previous cases, which were handled by Teacher Ren. The problem is that the child's hematoma was palpable. What about these two patients?

A group of people looked back and forth at the two injured people: This doesn't seem right.

After Gu was rescued, everyone saw that he was unconscious and guessed that he had a brain problem, but the wound on the outside of his head was not obvious.

"It should be noted that they are secondary subarachnoid hemorrhages, which are caused by ruptured blood vessels in epidural or subdural hematomas, with blood flowing through the brain tissue into the subarachnoid space." Doctor Xie Wanying said, "That's why Dr. Song said Dr. Gu's condition is more serious. If this injury is not treated properly, it will bleed repeatedly, and the mortality rate is not low, and it can reach 70% in comatose patients."

One piece: Silence, silence, silence...

Everyone understands that Dr. Song likes to be silent, and a neurosurgeon really should be silent: no one can understand the realm of a master.