crazy scalpel

As a resident physician in brain surgery, Wang Lei first went up to check on Tong Wenjie and rang the bed bell.

On the other hand, Xie Ke picked up the tablet computer that Wang Lei usually carries with him, clicked on the application of the case system, found the test results and films that Tong Wenjie did later, and studied them carefully.

According to the previous diagnosis, Tong Wenjie suffered from cerebral parenchymal cysticercosis.

Cerebral cysticercosis can be divided into four types according to the location of cysticercosis: brain parenchyma, ventricles, brain cisterns, and spinal canal.

The brain parenchyma is below the dura mater, including gray matter and white matter. Cysticercosis in this area is the easiest to treat. Drugs can be used to kill the insects first. If the parasites disintegrate and cause poisoning and allergies, surgery can be performed to remove the lesion.

Xie Ke glanced at Tong Wenjie who was vomiting shockingly, he took a step towards Tong Wenjie, and when his fingertips were about to touch Tong Wenjie's scalp, his heart suddenly moved.

Turning to Wang Lei, he said, "Is he having some high pressure in his head? Call his parents. It's best to have a lumbar puncture."

Wang Lei nodded after listening, "You're right. I'll have to ask Zhu Ming when he comes tomorrow. I guess he meant the same thing."

After Tong Wenjie vomited for a while, he finally calmed down, but after this gut-wrenching, he was already exhausted.His situation is an insecticidal reaction, and Wang Lei prescribed some mannitol for him.

Vomiting takes a lot of energy. After cleaning up, Tong Wenjie fell asleep in a daze after a while.

Xie Ke and Wang Lei closed the door and came out, Wang Lei sighed.

Xie Ke glanced at him and wondered, "When did you become 0.5, why didn't I know? Can you still chase girls happily?"

Wang Lei pushed him with his shoulder, "You're still laughing at me! Don't you yourself! Well, I really think this kid is cute, but I'm so unlucky to meet such parents. One is crazy, the other doesn't care. It's just pathetic."

Sheik agrees, "Yeah, it's a nice kid. But it's better to have parents than no parents."

"..." Wang Lei scratched his big head, a little sorry: "Oh, I forgot about you... It's okay, don't you still have brothers and me? My parents are your parents, don't forget when to go back Kowtow to me!"

Xie Ke rolled his eyes, "Who cares about your parents, I have father-in-law and mother-in-law."

Wang Lei didn't realize it at first, but when he understood it, he widened his eyes and opened his mouth wide.

Xie Ke admired his stupidity for a while before adding: "Quite."

Wang Lei closed his mouth manually: "Where is it?"

Xie Ke: "The two elders and one older sister are both in the United States."

Wang Lei grabbed his shoulder and shook: "Wait, wait! That must be the father-in-law! What's going on, what important thing did I miss?!"

Xie Ke raised his chin, let out a "hum", and said triumphantly with raised brows, "I just decided."

Wang Lei wanted to slap him with such a smug look, "Is this something you can decide on your own? Ah?!"

Xie Ke slapped his paw, "No one can change what I have decided. Even if I use... some special methods, I will not hesitate."

Wang Lei took an exaggerated step back, "Don't tell me you want to use force? Fuck, this is sadomasochism!"

Xie Ke gave him a contemptuous look, and said coolly: "No comment."

Even though his hands were still in plaster, Tong Wenjie was stabbed in the lower back.Fortunately, Wang Lei's touch is still good, and he found the position very accurately. Otherwise, if he hits twice more, his entire back will turn blue. This kind of thing has definitely happened.

The insecticide Tong Wenjie uses is praziquantel, which is taken orally and absorbed quickly. The blood concentration can reach the peak within 2 hours, and the transformation and excretion are also fast.It is neither easy to accumulate, but also kills insects quickly and strongly, and can be administered multiple times.

He had no allergic reactions or seizures, but his intracranial pressure was a bit high, and after taking mannitol for dehydration and lowering his blood pressure several times, he still didn't get better, and the degree of hydrocephalus tended to be serious instead.

After listening to Wang Lei's report, Xie Ke asked him: "I looked at your electronic medical records the other day, and found on the film that there is only one cysticercus cephalon, and it is close to the cortex. It is reasonable to say that this will not cause hydrocephalus, will it? Wouldn't there be other places?"

Wang Lei: "Mr. Zhu has also considered this possibility. I have done MRI several times, but I couldn't find it."

Xie Ke thought about it and hesitated, "Not everything can be seen on MRI. If it is in the ventricle, it may not be displayed."

Wang Lei: "That's right... If his hydrocephalus has been so serious, he probably needs a craniotomy. Even if he doesn't have cysticercosis, he needs to have a cerebrospinal fluid shunt. It would be great if the cause can be found, and he can be treated accordingly. "

Xie Ke: "I still think it may be polycysticercosis. Will another one flow into the ventricle? This may cause blockage, and MRI is not easy to show."

Wang Lei: "This Tong Wenjie is really pitiful. There are twists and turns. My heart aches."

After a while, when the plaster plaster on Tong Wenjie's hand was removed, his insect-resistant treatment was also in its second course.

During this period, his condition not only did not improve, but worsened.

Sometimes there will be tinnitus and visual impairment. At first, he didn't dare to tell the doctor. It was only when Xie Ke discovered something unusual that he asked about it.

For this reason, Wang Lei wailed for a long time, complaining that Tong Wenjie didn't regard himself as a best friend.

Therefore, craniotomy has almost become a foregone conclusion.Otherwise, if you continue to delay, the consequences may be very serious.

When Tong Wenjie knew that a hole was going to be drilled into his head, he was very scared, but finally agreed to cooperate.But when he knew he was going to shave his head, he tearfully went to beg Shayk.

Tong Wenjie burst into tears: "Dr. Xie, for the sake of so many good articles I have pushed for you, don't let them shave my hair, okay? How can I seduce Tan Yilin if I become bald? Who would think that the monk is very seductive?" people?"

Xie Ke thought for a while and snapped his fingers: "I remember a monk Wen..."

"..." Tong Wenjie: "That's a novel, it's all fake, woo woo woo."

Xie Ke: "..." So you know it's all fake.

But the hair must be shaved, this is not negotiable.

In the end, Tong Wenjie turned to the next best thing: "Then where did you make the hole? Can you save the middle one for me, I can make a mohawk, although I don't think I am very suitable for this kind of thing, but I do it occasionally. Can."

Xie Ke replied coldly: "No. Stop haggling. Instead of doing useless work here, it is better to think of ways to impress Tan Yilin."

Seeing that there was nothing to do, Tong Wenjie had no choice but to go back.

That night, Xie Ke saw such a scene at the door of Tong Wenjie's ward.

Tan Yilin: "You take a good rest these days, you will have an operation soon."

Tong Wenjie grabbed the corner of his clothes: "Don't go, I'm afraid."

"..." Tan Yilin's face twitched, "Then you sleep, and I'll leave when I fall asleep."

Tong Wenjie suddenly became excited: "No! Don't go! I'm going to die, can you stay with me?"

"You won't die." Tan Yilin: "Besides, I don't want to die with you either."

Tong Wenjie: "I'm not asking you to die with me, just sleep with me."

Tan Yilin: "..."

Seeing his hesitation, Tong Wenjie immediately said, "Okay, please! Surgery is risky, I know! This may be my last request!"

"Okay." Tan Yilin moved the folding bed to the side of his hospital bed, and the two beds were close together, lying down and covered with a blanket.

The folding bed was a little lower than the hospital bed, and Tong Wenjie's fracture had healed long ago, so he stretched out his hand and began to touch the side.

"..." Tan Yilin: "If your hands are dishonest, I will leave."

The fumbling hands quickly retracted.

Tan Yilin: "Take a good rest. After the operation is successful and your illness is completely cured, I will take you to climb the mountain."

Tong Wenjie: "Just the two of us?"

"Ah."

Seeing that the atmosphere in the room was so good, Xie Ke didn't go in.In fact, there was nothing wrong with it, the main reason was that it was useless to talk to Tong Wenjie about it, he had to talk to his father, Tong Shouye.

Director Cai was unwilling to perform this operation on him.