Chapter 101 The Nanny's Niece's Counterattack 101...
It's not that he doesn't want to believe her, it's just that she hasn't demonstrated this skill yet, so who would dare to believe her?
But she was right. If things continued like this, the brain damage would be irreversible. In addition, she had already performed several surgeries. In the end, Director Yang still let her give it a try.
"Come here."
This thought process only took a few seconds, mainly because the bleeding couldn't be stopped immediately, so it was better to let her try.
Putting everything else aside, her hands are steady enough that she won't make any mistakes, which is based on her recent performance.
However, this still shocked everyone else. How could Director Yang believe everything she said? How could they let her try such a surgery? Even if it was just a hemostasis procedure.
However, this was an operating table, not a place to argue. The group moved their mouths, but ultimately said nothing.
What could they say? Stop her from coming? But they couldn't stop the bleeding immediately either.
Moreover, it was the director himself who spoke up; who would want to offend him at this time?
Lin Wei quickly took the electrocautery tools and blood suction device and began to operate.
Her goal was not to clear the area of blood, but to specifically locate the bleeding point, clear the area around it first, and then, through that momentary suction, briefly expose the area so she could quickly electrocoagulate the bleeding point.
All the bleeding points, totaling more than a dozen, were stopped within a few tens of seconds to a minute. She also used small hemostatic forceps to temporarily stop the bleeding from the severed blood vessels.
Only after all the bleeding points had disappeared did Lin Wei clean up the surgical field and return it to Director Yang.
It would be a lie to say that no one was not shocked at that moment.
Although they can also stop the bleeding, it's not nearly as easy as it was for her.
How did she pinpoint the bleeding point with such precision?
"Well done." Director Yang's tense heart relaxed for a moment. He was not without fear that she might make a mistake and cause greater harm to the patient, but fortunately, the person who was valued so much by Director Chen Yongyuan and Director Zheng did not disappoint him.
Actually, it doesn't seem difficult to do this on the surface; all you need is good eyesight and memory. But these two things alone are enough to stump many people.
At the very least, they couldn't possibly remember all the bleeding points after just one glance. Keep in mind, this wasn't just one or two, but more than a dozen.
The two assistant doctors glanced at Lin Wei; despite their previous dislike for her, they now showed her more respect. Capable people can always find their way around.
However, since this was not the time to talk, the surgery continued.
The assistant took over the vascular suturing work, and Director Yang rested for a while before continuing the surgery.
As he had anticipated, the dagger had severed several nerves, requiring stitches.
"Watch closely, this is a rare opportunity." This was said to Lin Wei.
She nodded, indicating that she understood.
Under the microscope, he began his procedure step by step. First, he exposed the nerve through the damaged tissue, freeing its two ends. Then, through various traction and displacement techniques, he overcame the nerve defect and sutured it back together.
It sounds simple, but it's not easy to do at all. The nerves are so tiny, and the needles and thread needed are also very fine, not to mention trying to sew them up.
This is different from ordinary vascular suturing. And intracranial nerve suturing is obviously more difficult than peripheral nerve suturing.
Director Yang moved very slowly, afraid that he might accidentally damage his nerves. Lin Wei watched very carefully, wondering what it would be like if she were to do it herself.
Her answer was that she couldn't sew it up. Although her vascular suturing skills were quite good, she had never sewn up something so delicate before, let alone tried to avoid damaging its function.
Just as carefully she performed the radiofrequency ablation procedure before, Director Yang was just as careful with the nerve suturing this time, with each nerve taking quite a long time to suture properly.
When it was time for rounds the next morning around 8 a.m., the surgery still hadn't gone well.
Even Lin Wei couldn't help but yawn, let alone the others, who were both sleepy and hungry.
This is the norm for doctors. When there are critically ill patients at the hospital, they have to rush over, but they haven't encountered such a major surgery in a long time.
After the surgery, Lin Wei didn't immediately go to the simulation room to practice. Instead, she went back to her rented room to catch up on sleep. It could be said that this was the first time she had truly stayed up all night since starting her clinical work, and it lasted the entire night. She really couldn't handle a few more of this.
After resting for a while, Lin Wei entered the operating room to simulate the procedure. She did not immediately begin nerve suturing, but instead first learned cranioplasty.
If you have a very good understanding of the tissue structure and are very familiar with the machine, you can still perform the surgery even if you haven't tried it before, it's just a bit slow.
The craniotomy involves opening the skull step by step to expose the internal tissues. Damaged areas are repaired, and diseased tissues are removed, followed by hemostasis and electrocoagulation. A titanium mesh is then used to repair any remaining tears or breaks.
The main challenge is avoiding dangerous tissues, blood vessels, and nerves.
Lin Wei failed the first time, but succeeded the second time.
"It seems this isn't as difficult as I imagined?"
If others heard this, they would probably think she was a Versailles. The main reason she could do this was because she had a deep understanding of tissue structure and a very steady hand. She could also stop bleeding quickly in the event of a major hemorrhage. These are all skills that other doctors cannot master.
As the saying goes, if you master the basics, you have nothing to fear. Her success on her second attempt was undoubtedly due to her strong foundation, especially considering her extensive surgical experience.
In fact, her specialization was quite unreasonable. Normal people should start learning from the simplest departments when they go to clinical practice. However, she immediately entered the most difficult cardiac surgery and neurosurgery. If she could learn the surgeries in these two departments, then there is no reason why she wouldn't be able to learn the surgeries in gastrointestinal surgery and biliary and pancreatic surgery.
On the contrary, it will be easy to understand at a glance.
The other participants in the talent development program are not like her.
In City A, Fu Shuhui was quite lucky. Both of her first and second internships were at the affiliated hospital of her alma mater. The first department was gastrointestinal surgery, where she learned appendectomy and gastrointestinal perforation repair. This time, the department was obstetrics, where she learned something relatively simple: delivery.
Even her teachers thought she was very smart and praised her from time to time. Even if she didn't show it on her face, she was secretly pleased with herself.
She will definitely be able to pass the talent development program that others cannot.
So when she heard Yang Mingjie say that there were people even more capable than her, she didn't actually believe it; she just pretended to believe it on the surface.
"Really? I'd like to see what this person you're talking about is capable of." It was fortunate that Yang Mingjie didn't mention Lin Wei's name, otherwise she would have known that she was the person who took the exam with him.
Yang Mingjie watched her walk away haughtily and shook his head. "If you saw her, you'd realize how insignificant you are." He knew she would only be stronger now.
It was quite a coincidence that the hospital where he continued his internship was the affiliated hospital of University A, where he would be interning for the next eight months.
I heard Lin Wei is a student at University A. Maybe I'll get to meet her?
Lin Wei was unaware of all this. She was currently struggling with nerve suturing because the last time Director Yang demonstrated nerve suturing inside the brain, which was the most difficult surgery, so she also chose this surgery. However, although the suturing was done well, the final result was not very good.
Even though she prescribed mecobalamin and various neurotrophic drugs to reduce intracranial pressure and took various measures, the results of the simulated indoor fast-forward were not ideal.
"As expected, it's not as simple as it seems on the surface."
Although the review reached E, what she wanted was the nerve recovery effect, not whether the person would die or not, so in her eyes there was no difference between E and F.
So in the end, Lin Wei lowered the difficulty a bit and started peripheral nerve suturing, which was a level three surgery, and the surgical site was chosen to be the ulnar nerve.
In fact, the human body has so many nerves. Compared to other parts of the body, she prefers superficial surgeries, whether it's the arm or the hand, as long as it's not the internal organs or nerves.
The suturing itself is not the most important thing; what matters is the effectiveness of nerve recovery after the suturing. That's what she most wants to know, see, and improve.
Clearly, this isn't something that can be determined with just one or two surgeries; it requires countless surgeries. Only through experimentation can we identify where our shortcomings lie.
Lin Wei gradually improved the technique through these surgeries. If the suturing effect was not good, she would change the suturing method and the connection method. If the suturing was fine, she would then focus on the postoperative drug treatment.
At this time, the repair cream produced by Chi Boyan came in handy. Anything that exists in reality can be transformed in the simulation room, which greatly facilitated her experiments.
This study investigates the effect of this ointment on nerve recovery.
After a control group was completed.
Lin Wei frowned as she looked at the final result. Clearly, it had some effect, but it was still not ideal.
"Looks like we'll have to wait for the second generation to come out."
Perhaps because she hasn't found the trick yet, although she can now locate the nerve and suture the two ends together, the effect is still not good even with the addition of repair cream.
Because of this, she temporarily stopped and studied the surgical videos she had watched earlier, as well as her understanding of nerve function.
What went wrong?
Was it a miscommunication, or did she overlook something?
Because she couldn't figure it out in the short term, Lin Wei had no choice but to give up and continue going to work.
However, Director Yang didn't think she could learn anything from this surgery. He originally wanted to find a nerve suturing technique in the hand for her to learn from, but who would have thought that she would start with such a heavyweight case?
He comforted her, saying, "I'll explain it to you in detail when we have a suitable case later." The last surgery was a bit urgent, and he didn't have time to explain it to her then.
Lin Wei expressed her understanding, knowing how busy that surgery was, and that it was good enough that it could be completed.
If at this point the group of people still didn't realize anything was wrong with the last surgery, then when they encountered major surgeries during the following night shifts, the group of people looked at Lin Wei with a strange gaze, and even Director Yang didn't dare to schedule her for work anymore.
I feel like she's cut out for neurosurgery.
When she's not scheduled for night shifts, everything is fine in neurosurgery, but when she is, something always goes wrong, to the point that Director Yang doesn't even want to schedule her for night shifts anymore.
But he couldn't skip the screening, so he went to the hospital with other doctors to avoid having to travel back and forth.
Lin Wei touched her nose, refusing to admit it was her fault. It was clearly a coincidence, although the coincidence seemed a bit too much.
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