"Director Zhang, you also know the matter. Just tell me what you think." Xiang Heping finally calmed down and said helplessly: "My old man, there is no need to say nice things, and there is no taboo."
"Lao Xiang..."
"Director Zhang, tell the truth. I'll think of a way. Just tell me whether I should be conservative or have surgery. Be honest." Xiang Heping said bravely.
"I estimate that there is a high probability that there will be no problem, at least there will be no complications such as paralysis." Director Zhang of the Department of Orthopedics said: "A chest CT was reviewed 2 weeks after the operation. I considered possible soft tissue swelling at the posterior edge of the 12th spinous process of the chest, etc. Complications, but no impact on function.”
"If it's surgery, how are we going to do it?" Xiang Heping asked.
Speaking of surgery, Director Zhang from the Department of Orthopedics coughed twice, and after thinking about it for a moment, the entire surgery process came to mind.
After all, if surgery is required, it is only a very minor surgery, and it is not a hugely difficult surgery like total cervical spine replacement.
"If you need surgery, make an incision, separate it layer by layer, expose the lumbar 1 lamina, drill and drill, and then bite off the right half of the lumbar 1 lamina. Clear cerebrospinal fluid should flow out, and then the catheter can be seen. The catheter is pulled out from the epidural, the postoperative time is relatively short, and theoretically there will be no adhesion or organization.”
"The next step is to repair the dura mater, repair the bone window, and stop the surrounding bleeding. It is enough to close it layer by layer."
Xiang Heping's mind buzzed at the thought of biting off the right half of the lumbar vertebrae.
He has seen vertebral body surgery performed by an orthopedic department. The blood vessels on that side are extremely rich in blood supply. After the operation, hematoma was accidentally retained, causing both lower limbs...
Thinking of this, Xiang Heping no longer dared to think about it anymore.
With his legs getting weaker and weaker, Xiang Heping leaned against the wall of the operating room and slowly squatted down.
This matter is different from ordinary medical accidents. If it is a medical accident, you have to bite the bullet and explain it clearly to the patient's family. Even if you have to bear the cost of the subsequent surgery, ask a professor from the Imperial Capital to do the orthopedic surgery, postoperative nutrition costs, mental health expenses, etc. Damage costs are included, plus compensation...
As long as the problem can be solved with money, it's okay, but this time it's his old man. Xiang Heping's mind is so dizzy that he can't move at all.
Director Zhang of the Department of Orthopedics also sighed when he saw Xiang Heping's appearance.
He and Director Ou looked at each other and asked, "Director Ou, do you have any good suggestions?"
"Uh..." Director Ou pondered for a moment, then thought about it and asked, "To be honest, this is the first time I have encountered this situation."
"I'm not sure what to do. Director Xiang is also an experienced anesthesiologist..."
The rest of the words were self-evident, but Director Ou was a little slippery.
"If I encounter a situation that cannot be solved during the operation, Director Xiang, as you know, I seem to have brought you here from home that time." Director Ou continued.
It was an operation 2 years ago. It was an extremely serious intestinal obstruction. When I opened it during the operation, I was stunned and couldn't do it at all. At this time, it is either a matter of immediate closure of the abdomen or transfer to a higher-level hospital. However, Director Ou stepped down to explain to the patient's family, but they did not agree with it. He had no choice but to invite a professor from the Imperial Capital to help save the situation.
After 9 hours, the operation was finally completed.
At that time, because he was worried about problems with anesthesia, Xiang Heping was called from home in the middle of the night to watch the operation.
A small county town has the advantage of being a small county town. Everyone can look up but not look down. There are few villains here who are easy to talk to.
"What do you mean..." Xiang Heping asked in a tone of voice.
"It's useless for us to guess here, after all, there are mountains across the street. Lao Xiang, do you know any professors in the imperial capital? Ask them and see if they have any good ideas." Director Ou suggested.
"What a good idea... is there any good idea?" Xiang Heping squatted on the ground in frustration and said sadly.
"Don't think so. The level of the masters in the Imperial City is still very high. Besides, there are a lot of surgeries there, and there are a lot of accidents. Lao Xiang, you can just ask, what if there is a way?" Director Ou advised.
It’s okay to ask, but who to ask? Xiang Heping also felt that Director Ou's suggestion was right. He took out his phone and hesitated.
Anesthesia is different from surgery.
The surgery requires big hands to operate the knife, and the doctors have close contact with each other. In addition, there is also the cost of performing the knife, so the relationship is still very good. But I have heard of surgical knives, but there is rarely anything like asking someone to do anesthesia.
Relationship... I know them all, but that's because I know them, and others may not know me.
Xiang Heping hesitated for a moment, then edited a WeChat message and sent it to all the directors of the anesthesiology department in Imperial City he knew.
…
…
"Boss Zheng, if you have time, I would like to ask you to give me some advice on minimally invasive surgery." Professor Yang raised his cup and said happily.
Just as Boss Zheng predicted, the patient woke up after the operation and got out of bed to go to the bathroom by himself in the middle of the night. Professor Yang was extremely worried, afraid of any postoperative side effects, so he stayed with her all night.
Later I found out that I was too nervous, but there was nothing I could do about it. If something happened during the operation, could the surgeon not be nervous
I had a full day of pressure the next day, and a CT scan was done on the third day. It was found that the pancreatic pseudocyst had been completely drained. I just had to wait for time to recover and take out the stent.
This matter came to an end, but the impact it had on Professor Yang would not pass for a while.
Let’s learn from Boss Zheng. This is the final sentence of thousands of words.
"Brother Yang, you're so polite." Zheng Ren said with a smile and raised the water in his glass.
"I'm not being polite, it's the truth. You don't even know that I almost scared me to death at that time. To say that I was really timid," Professor Yang said.
"Brother Yang, let's go." Su Yun clinked glasses with Professor Yang, finished the wine, and asked with a smile: "By the way, did you buy lottery tickets when you went home that day?"
"..." Professor Yang shook his head.
go home? That day I sat in the hospital all night without daring to close my eyes. How sad it is to go home.
"I went back and studied the flat knot made by the guide wire on the stent. It is really a beautiful work of art." Su Yundao said, "I studied it with Lao He for a long time, and then I sent my idea to Mayo."
"..." Professor Yang was speechless. It was not good to be connected with Mayo in this way.
"It's a pity that I didn't buy a lottery ticket, Lao He, what do you think... Hey, did your little lover send you a message?" Su Yun glanced at Lao He and saw that he was holding the phone as if he was thinking about something, so he asked.
"Brother Yun, something happened. We were undergoing an appendicitis operation at Langshan County Hospital, and the epidural catheter broke during anesthesia." Lao He said with a sigh.