crazy scalpel

After Xie Ke came to the neurosurgery department on the [-]th floor, the happiest thing was Wang Lei.

To be honest, people who perform brain surgery are either academic masters or veteran academic masters.This is a difficult and difficult department. Professor Xu likes to tell his doctors that if you want to show your brain to others, you must first train your own brain well.

There is such a famous saying about the prognosis of cerebral hemorrhage.It is impossible to test who said it, but it explained the source of the pressure: death or disability.

For many diseases outside the brain, such as ventricular hemorrhage and brain herniation, the mortality rate of conservative treatment is almost [-]%.

If you don't have surgery, you will die, but if you have surgery, you may not live.You don't necessarily wake up after you live, and even if you wake up, there will be sequelae.

This is the status quo.

In No. [-] City Hospital, the neurosurgery department is on the [-]th floor. Except for the intensive care unit, it is the closest to the operating room on the [-]th floor.In some hospitals, neurosurgery is placed on the first or second floor, because it is closest to the basement.The basement, usually where the mortuary is located.

Those who perform brain surgery must first have a heart that is tougher than other surgeons.

Wang Lei originally wanted to choose cardiothoracic surgery.His idea is that cardiothoracic surgery is very difficult, and one book can be as thick as two or three other departments combined.However, by mistake, he didn't expect that when the internship rotation was out of his mind, he would be favored by Cai Tianqiao and let him stay.

Because people know much less about the brain than the heart, research in this area has always been at the forefront.Whether it is the realization of brain function, biological cytology or the research of difficult diseases, it is the most interesting topic in the medical field in the world at present.

However, after Wang Lei became a formal doctor, he realized that these things were too far away from him.What he faced were dead people, people who were dying, people who were almost dead, and people who didn't know whether they were dying or alive.

By the time he realized that he had jumped into the fire pit, it was too late.Want to transfer?Not to mention that the procedures are extremely troublesome, even just looking at Director Cai's cold face, he couldn't say that he quit.

Ever since, Wang Lei stayed in neurosurgery.He graduated from an eight-year master's degree. When Xie Ke first came, he was still a newcomer, and now he has been out of his mind for almost two years. The former chief resident Zhang Yong has been promoted to an attending physician, and he also Soon to be the next inpatient.

For the young Wang Lei, this is quite a favorite.Among these residents in neurosurgery, there are many who are jealous of him.

Wang Lei has always liked Xie Ke very much, maybe it is simply because of his compatible personality, or maybe it is because he has always known his wish, so the intimacy among colleagues has arisen.

In short, although Xie Ke has just arrived, he is still under the cover of someone, not to mention Wang Lei who has a very good relationship, and the attending physician Zhu Ming also has a good impression of him.Zhu Ming had performed Tong Wenjie's operation on the same stage with him, so he knew that his reputation was definitely not in vain.

In a large hospital like City No. [-], there are bound to be some doctors who dawdle. Maybe their academic performance is not bad when they are in school, but when they really need it, they can't do it at all.

If this kind of person is smart enough, he won't even be jealous of Xie Ke.Because if a hospital or a department wants to survive, there must be people who can support the ceiling. If they can't do it themselves, of course they hope that there are others under the same roof.

Although this is a fact, there are really very few people who can accept this fact gracefully.When a bully meets a bully, one of them must be dismissed.

As soon as Xie Ke came, people who were jealous of Wang Lei instantly had new targets.

Dean Liu's high-profile roll call, Director Cai personally picked up the people, coupled with the halo of Professor Xu's high apprenticeship, and the bone cement storm that was set off in the orthopedics department before, all of these reminded them, especially those who had just arrived at the First Hospital of Xie Ke Those who met him on the first day, this is not the shy intern who looked unremarkable.

What's more, as many people in Corey know, Shayk also underwent bone suture reconstruction surgery for cranial stenosis.Cranial stenosis is not a very common case, and total skull closure is even rarer.At that time, Wang Lei made a lot of publicity in Corey, and many people had heard of it.

It's just that maybe it's Wang Lei's roughness and finesse, and he didn't say that the second operation was performed by Director Cai.Otherwise, no matter whether Director Cai stole Xie Ke's operation, or Director Cai became Xie Ke's assistant, it would be a bloodbath.

Even so, everyone knew that if Xie Ke didn't plan to leave Shiyi, he would almost be Cai Tianqiao's successor.

And Cai Tianqiao, in the eyes of everyone, is the most promising to be the next vice president.

So when Xie Ke stretched out a foot from the opened elevator door and stepped onto the sixteenth floor this time, everyone, including the nurses, looked at him completely differently.

Wang Lei led him around the entire floor like a king returning.

Ignoring Director Cai Tianqiao's displeased and helpless gaze, leaving Deputy Director Bian Shunyuan's probing and weighing gaze, and after being scrutinized by other curious people, Xie Ke was finally able to sit at his desk and sort things out , just spit out a foul breath.

The atmosphere of neurosurgery is completely different from that of orthopedics, which can only be felt when you really become a part of them.

However, Shayk likes this feeling.Where there is a challenge, there is a sense of accomplishment.

Rescuing more people who are mortal is his goal, and it is also his original intention of choosing neurosurgery.

Shayk twirled his finger, making it into various shapes, a knife for a while, a hook for a while.In that accident, only he miraculously survived and was endowed with such a stunt. God must have hoped that he could save more people.

Xie Ke doesn't believe in ghosts and gods, but he believes that somewhere in the dark, there must be something that is his salvation.

Some famous doctors, no matter which hospital they go to, will bring patients to that hospital.Although Xie Ke has not yet become a famous doctor of that level, he has indeed brought a patient to the neurosurgery department of the city, and that is Zhong Liangquan.

What surprised others was that this was a patient with spinal disease.

Most patients with this disease will habitually go to the orthopedic department for medical treatment, so even if the doctors outside the brain have studied and are familiar with this disease out of business needs, but they have actually encountered and diagnosed it. But not many.

It's worth mentioning that Zhao Hua wasn't unhappy that Xie Ke had taken away Zhong Liangquan, a patient.After all, for him, this is a "curable" person.

Of course, he never thought that Xie Ke could cure Zhong Liangquan.In his heart, he felt that this must be a failed attempt.In general, the more spinal surgery is done, the worse it is for the patient.

Many people underwent surgery again and again because they could not bear the pain. One disc after another was removed, and one nerve after another was severed.But if it succeeds once, it’s fine. People who have undergone multiple operations almost all have poor feedback.

Xie Ke is a young boy, young and vigorous.Newborn calves are not afraid of tigers, but this spinal failure syndrome is fiercer than tigers.Fortunately, he got rid of the patient Zhong Liangquan, and even if Zhong's condition worsened in the future, he would not need to look for him anymore.

This also made Xie Ke's arrival without the slightest bit of embarrassment, he stepped from the bone to the outside of the brain, and there was no need to adjust to the front and back departments.

Xie Ke asked Zhong Liangquan to be hospitalized first for observation and to do some necessary examinations.Now that he has obtained a license to practice, he can manage patients independently.It stands to reason that he should be under the command of a certain attending physician.But I don't know what Cai Tianqiao was thinking, but he missed this step.

It doesn't matter to Xie Ke, it doesn't matter whether Cai Tianqiao wants to show him off, or thinks highly of him.Anyway, if he can let him do it freely, it's too late for him to be happy.Of course, Xie Ke is not so arrogant that he thinks he knows everything. He can ask people if he doesn't understand. Isn't there Wang Lei and Zhu Ming?

Another ten thousand steps back, should he ask Cai Tianqiao, Cai Tianqiao is embarrassed not to teach him?

Who said, "In Tianhai City, if you still want to learn about surgery, where else can you go besides following me?"

In terms of learning, Xie Ke can also have a thick skin.

After finishing the department, the problem before Xie Ke's eyes was Zhong Liangquan's surgery.

No matter from which aspect, he must be cured to the best.Firstly, Uncle Zhong was his father's old friend, a patient he took the initiative to take over.Secondly, he had to make the first shot in the new department and make a word of mouth.

However, Zhong Liangquan's illness has three difficulties.

First, his cervical intervertebral disc was removed, resulting in spinal instability and compression of the spinal cord and nerve roots. At present, it seems that apart from spinal fusion, it cannot be improved.The fundamental purpose of spinal fusion is fixation.The human spine is born with so many segments just for movement. Once it is fixed, it will inevitably cause inconvenience and even cause other diseases.Moreover, there are many options for the fixation method of spinal fusion, and it is also a problem to choose which one is the most suitable.

Second, in addition to iatrogenic diseases, among the pathogenic factors of Zhong Liangquan's failed surgery syndrome, there are also problems with central regulation and psychological regulation.Iatrogenic diseases refer to poor operation results and physical damage caused by repeated operations.Central regulation refers to the aforementioned central sensitization, which causes the brain to respond disproportionately to the true source and severity of pain.As for psychological adjustment, the most important thing is Zhong Liangquan's worry about his illness and his doubts about the doctor.For the latter, Xie Ke believes that he has initially gained the trust of patients.

Thirdly, it was Xie Ke who discovered the flaws in Zhongliang that hadn't been detected before.Ribs are a kind of problem that you can't feel at all when you don't have an attack.But once it flares up, it's also the type that hurts and kills people.In fact, it is a syndrome characterized by numbness, weakness, and muscle atrophy in the neck, shoulders, and arms caused by compression of the brachial plexus at the thoracic outlet and subclavian blood vessels for various reasons.

Generally speaking, ribs are considered to be a congenital disease.However, Xie Ke, after carefully studying Zhong Liangquan's film, felt that his rib shape is a very small nodule protruding outside the transverse process of the seventh cervical vertebra, which is harmful to nerves and blood vessels. There is no oppression.So, where do those pains that meet the symptoms of the ribs come from?

This has to remind Xie Ke not to draw conclusions prematurely.

Of course, according to CT and EMG examinations, Zhong Liangquan did have a congenital deformity, with prominent ribs.However, in the past few decades, this protruding nodule has never caused him any pain.Now that the nerves and blood vessels are not compressed, how can there be pain symptoms?

If Zhong Liangquan knew that he had this problem, it would cause psychological pressure and make him feel pain.But before that, he didn't know that he still had this disease.

Xie Ke crossed out the anterior neck approach from his operation plan.

He originally planned to cut the platysma muscle from the upper side of the sternoclavicular joint upwards below the skin incision, find and cut off the clavicle insertion end of the sternocleidomastoid muscle, and find the external jugular vein and scapular muscle in front of the anterior scalene muscle. The transverse artery and transverse carotid artery were ligated separately.Then the scapular hyoid muscle was cut off, the phrenic nerve was freed, the anterior scalene muscle was separated, and the rib fiber bundle was removed.

But now he feels that if the nodule is not the cause of the pain, maybe doing this is a kind of damage instead, but it cannot solve the problem.

Xie Ke crossed his fingers and held his chin. Perhaps, this is a new disease that has never been summed up before?