Laparotomy exploration, many general surgeries, the examination is not clear, open the stomach, many can be clarified.

For example, whether it is a problem with the appendix or other intestinal problems, open the stomach, see with your own eyes, and everything will be understood.

After all, the gases and liquids inside the abdominal cavity, like the coiled intestines of a giant python, are layered on top of each other, which can affect the results of the examination.

But the outside of the brain is different, this thing, for example, the necrosis at the bottom of the right side is degenerated, and after the onset of the disease, the signs that often show are not the lowest signs on the right side.

It is as if it is obviously the necrosis of the thalamic tract, but the signs are the patient's gibberish, as if the great god has possessed the body.

One will say that he is Sun Dasheng, and the other will have to grab his husband and say that he is the Sea Dragon King, and he will have to let him take out the hidden golden hoop stick!

Another example is some patients, who are obviously as quiet as a virgin, sitting there gentle and elegant, and their temperament is so elegant, they can be called gentlemen when they hold up a teacup.

But once the disease occurs, it moves directly like a rabbit. The brain is a very thief organ, and on weekdays, a three-meter-high wall may not be able to be climbed by ordinary people on a bench.

But at the moment of danger, when the dog opened his mouth to bite, the big fat man of two hundred pounds jumped up with a pop, so that he could not go up if he was killed again in the usual environment.

It's because of the chicken thief in the brain, this thing is also very lazy, and it is easy not to mobilize all the organs to cooperate, isn't it good to lie down and be an uncle.

After brain disease, the brain can no longer control the body, and the reserves of the whole body will sometimes burst out.

A girl is sick, and the three big men may not be able to hold it.

Doctors have no way to determine what is wrong, they can only judge it based on the examination and their own naked eyes, so the more advanced the equipment, the more favorable it is for diagnosis.

The panting doctor came to the operating room with the test results, and looked at his teacher, who stared at him like a wolf looking at a sheep, as if he was about to skin him and devour him.

The young man's heart was cold, "This guy is going to be angry with Lao Tzu again, and Lao Tzu's TN will not serve, and he will apply for a change of group when he goes out!"

Since he was not afraid, since he was out of the way, he stood in the operating room regardless of it and began to observe the operation.

The surgery begins, a craniotomy. This craniotomy, to explain it seriously, is quite boring, not to mention that he is not a doctor, even if he is a doctor, listening to the awkward terminology, breaking through the positioning of the sky, his head is big.

The frontal lobe, temporal lobe, pineal gland, hard inside, hard outside, arachnoid membrane, one movement, two smells, three hearings and hearings, almost all nouns are made by foreigners, and then after being translated into Chinese, they directly let the little tongue come to the barala.

These are some of the simplest medical terms and slips of the tongue, and doctors outside the brain have to figure out the tissues in the brain that have been forcibly named by others.

It is also necessary to understand the muscles and layers outside the brain.

To put it simply, let's say pain near the collarbone, which nerve is causing the pain in the area after the change in the discharge organ? Oh, the nerve near the clavicle is managed by the nerve that comes out of the neck.

Oh, it turns out that it is a nerve from the first lumbar vertebrae, so as the old saying goes, it makes sense that the backache chicken is useless!

And the surgery outside the brain is also quite cruel, this thing is just the opposite of ordinary surgery.

Before the general outside entered the abdomen, the doctors were like Chinese aristocrats pretending to be forced to eat Western food.

First wash the belly cleanly, not only wash it, but also smear some butter (iodine, alcohol), get the knife and fork, and feel quite tall.

Once it enters the abdomen, its nature is clear, and it runs to the fat intestine, cecum and appendix with a knife and fork, and the taste must be strong, otherwise it will not show other people's preferences.

But the outside of the brain is different, and the surgery outside the brain is the same as the nouveau riche before entering the skull.

First shave your head to the blue glow, whether you are three thousand green silk or a peach heart, I will shave it for you.

Then take an iron rack and fix it for you. What is this thing, those who have watched some disgusting videos probably know that it is the nouveau riche eating monkey brains, exactly the same.

It's like an iron frame that builds a building, how to fix the head first?

In fact, it is a fixed support, which is to fix the brain, this thing is actually three supports, and then there is a short nail on each support, and the rotating nut is directly nailed to the skull to fix it.

It was three nails that nailed the head to the cross.

Then draw a circle with gentian purple where the hole is to be opened.

Immediately after that, hammers, air drills, bone chisels, bone knives, just like orthopedic carpenters, began roughly.

First use a knife to lift the scalp for you, and even the one with the skin is called a clean, just like a pig's head with no hair, white bones.

Then, the air drill opens the eye on the skull, squeak, squeak, squeak,

It can be made into a circle, it can also be made into a fan, and it can also be made into a peach heart, which is really like some people's hairstyles.

Bone meal is flying all over the sky! The fat and blood in the bones volatilized for a while, and there was a fishy smell of burning hair and roasting meat.

Sometimes, when the skull is beaten, I don't know if the doctor's technique is not good, or if the skull looks like a lid for luncheon meat, and the quality is not up to par.

Opening the eyes is like making a pull ring, but the pull that is finally done is broken! The lid is not pry open and the pull tab is broken!

That can only be played rougher, with bone forceps.

This thing is like cutting nails with nail clippers on the skull, and after biting off all the bones little by little, the brains inside are revealed.

What can a normal brain say, in fact, it is like a fat meatball, really like a big lump of bloodshot fat meatballs, slowly rolling in the hot pot.

This thing is inside the skull, slowly twitching, and like it is shrinking one by one, killing the alien brood in an alien movie.

Open the brain, the normal brain is like a big girl who has not come out of the cabinet, it will be shy, and when it sees a strange man, it will be shy, and the movement will slow down, as if it is going to hide.

And this kind of brain that causes mutation due to inhaling (a) poison, which is like Erha releasing the door, can't pull it, open the skull, and see the brain.

This thing, squirming is not only excited, but also seems to be sudden, like an explosive pill, and keeps shouting: Come on, come on, see if Lao Tzu doesn't hit you.

It's really a big fat piece of flying meat, as if there are countless parasites wriggling in it.

Zhang Fan took Xue Xiaoqiao and entered the skull quite neatly, after all, Zhang Fan was also an orthopedic surgeon, and it was quite easy to do this kind of bone window.

Lao Li sucked the green smoke from the electric drill with a suction device like soy sauce.

Lao Guo hadn't adjusted from his shame yet, and he would watch the head nurse grit his teeth for a while, and watch his junior doctor cut his teeth for a while.

I guess I fantasized that I became the dean, what happened to the head nurse, what happened to the head nurse, what happened to the doctor, and I was still trapped in endless taste.

The young doctor, who was determined to change the group, looked at it without blinking. He didn't know anything else, but one thing he could be sure of was that a doctor who could open a flying knife in a tertiary hospital in the provincial capital must have kung fu under his hands.

"Turn the fixed support!" After entering the skull, Zhang Fan looked at the wriggling brain and said softly to the itinerant nurse.

The itinerant nurse carefully rotated the angle.

"Okay! Zhang Yuan, how about this angle. Xue Xiaoqiao kept directing the roving nurse to fix it on the side.

"Yes!" Zhang Fan looked at it and nodded.

"Adjust the shadowless lamp!" After setting the position, Xue Xiaoqiao was busy instructing the nurse to make the lamp.

After everything is ready, this time is considered to be in the skull, and the original rough equipment is all down at this time.

At this point, it is the elegant, delicate and precise side of the brain surgeon that comes out.

The device, such as the suction device, the conventional suction device, is actually a large straw, just like the thick straw for drinking bubble tea.

You put your mouth on the other end of the straw and suck it violently, and you can suck out any feces and blood clots in the abdominal cavity. Sometimes, if you don't pay attention, you can suck the intestinal wall in.

And the attractor outside the brain is not good, not straight, but like the image that scares men on the anti-smoking ad in Brazil.

The suction device is hanging down, at right angles, and the suction mouth is quite thin, if it is a straw for drinking bubble tea, then the suction device outside the brain is a straw for drinking Mrs. oral liquid.

All the instruments, tweezers, forceps are at the level of mm, quite fine, and these instruments do not look narrow, but the hardness is unimaginable, it is estimated that the materials of these devices outside the brain are more difficult to manufacture than other ordinary instruments.

Carrying a Rhoton gun that was more than a dozen centimeters long, Zhang Fan began to prepare to attack the lesion.

This thing, like a long needle, is long and thin, and the 0.5mm needle has cross-shaped serrations on it, which is to prevent the excessively thin needle from creating cutting stress on the organ.

"Electrical stimulation, wake up the patient!" After getting ready, Zhang Fan began to give orders to the anesthesiologist.

"Okay, Zhang Yuan, wake up immediately!" The anesthesiologist immediately turned on the switch of the electrodes attached to the patient.

Extracerebral surgery, the wonder is here. Often, many of the organs to be removed are not functional areas of the patient's brain?

Sometimes it's really hard to say, what to do, I can only try it little by little under semi-anesthesia.

The current of 6mA passed through the patient's body, and the girl, who had convulsions for a while, did not wake up.

"Uh!" The anesthesiologist was embarrassed, this current on ordinary people can definitely make ordinary people's eyes wide, but this girl just twitched her buttocks!

"Eh!" Zhang Fan was also embarrassed, the needles were ready, but the person didn't wake up.

"Increase the current?" Zhang Fan asked uncertainly.

In the past, most anesthesiologists were actually surgeons to work part-time, but later, as the disciplines became more and more refined, such as cranial surgery, they were not professional anesthesiologists, and they could never get the drugs down.

Therefore, there is nothing wrong with conventional anesthesia Zhang Fan, but Zhang Fan is a little uncertain about this high-level anesthesia.

"Zhang Yuan, no, if the current is increased again, it will cause abnormal heart rhythm!"

The anesthesiologist said embarrassedly, he is also a doctoral graduate, and he has really never seen this kind of patient.

"Where is the short-acting barbiturate hydrochloric acid stimulation!" "There is no way, I can only use medicine."

Compared to the current, this thing has a period of exhaustion and drug resistance, and it is not as stable as the current.

Therefore, conventional surgery generally chooses current stimulation instead of drug stimulation, which is also a no-brainer.

A little bit of medicine was dropped into the girl's lesion, and the girl's stimulation became more and more intense, and then she woke up with the tics.

"Let's start!" Zhang Fan hurriedly said when he saw that the patient had opened his eyes, and then said to Xue Xiaoqiao: "Start a conversation!"

Surgery to remove brain lesions is so troublesome. Sometimes, the doctor actually makes a tentative cut while making a confirmation.

Dialogue, what to do.

First, determine whether she can speak, second, determine whether she can think clearly, and third, whether she can move.

For example, what is your name, the other party answers correctly, which means that the stimulating area is not about thinking and language, if you ask the other person, what is your name, she says: I eat hot dry noodles.

If it's broken, this place can't be cut, and everything will be cut into fools!

Also, for example, come and move my eyes and fingers for me, but people open their eyes wide and say that they have been moving for a long time.

Zhang Fan stimulated while letting Xue Xiaoqiao talk, "What's your name!"

"Give me a bite! Quick, give me a bite!"

"Huh!" Xue Xiaoqiao looked at Zhang Fan helplessly.

Zhang Fan glanced at Xue Xiaoqiao, the meaning was obvious, quickly find a way for Lao Tzu to ask.

This kind of sick number is really difficult!

Xue Xiaoqiao rolled his eyes, like a brother Hugh, lit up!

"Okay, give you a sip, not only give you a suck, I'll also give you some Demerol, do you see, this needle is Demerol, and estazolam want to eat, you are obedient, I ask what you say, I'll give you a meal!"

"Good, good, good!" "The bone nail stared at the skull, the girl who couldn't move, the saliva flowed directly, really, pulling the silk down. It's like a clear nose with a cold, pulling the silk flow, and pulling it constantly.

Zhang Fan and Xue Xiaoqiao glanced at each other, Zhang Fan blinked his eyes, which means: Ask some conventional questions, how do you ask the doctors of the Provincial Central Hospital how to write medical records?

Could it be written: Specialists tempt patients with poison (a)?

"What's your name?"

“xxx”

"Do you have a boyfriend?"

Zhang Fan immediately glared at Xue Xiaoqiao.

This kind of privacy question is actually asked in the obstetrics and gynecology department, and generally other departments also ask whether to get married.

Xue Xiaoqiao pursed his lips, and said in his heart: "What do you ask Lao Tzu to ask, this kind of person, in addition to these few questions, what else can he ask, do you want to ask about the history and geography of China?"

"Yes, boyfriend, girlfriend. We sometimes ......"

"Ask the others!" Zhang Fan glared at Xue Xiaoqiao, Xue Xiaoqiao was sitting on wax now, he didn't expect it!

"Well, where are you in kindergarten?"

With the temptation step by step, Zhang Fan took the spear and pierced into the opponent's brain, and then cut it bit by bit.

At this time, the young doctor who observed the operation saw it.

"The level of this expert is very high!" Because Zhang Fan's surgery is done in an orderly manner, and it can also determine the patient's brain function, to be honest, this can only be seen when the experts from the capital are invited.

Although he couldn't see how high-end it was, he knew that this Zhang Yuan was very high-end.

Then, he rolled his eyes, turned around and walked out of the operating room, and didn't even look at Lao Guo when he went out.

"Teacher Wang, if you're not busy, come to the operating room and have a look!"

"What's wrong? The patient is gone?" another deputy chief physician was also paying attention to the operation.

"No, no, this Zhang Yuan's level feels very powerful, but I can't see how powerful it is, I think you can see it, so I'll call you as soon as possible." ”

"Good boy, you have a heart. I'll be right away. After hanging up the phone, Dr. Wang ran to the operating room in a hurry.

There are several brain surgeries in the hospital, and there are many deputy directors in the department, and there are a lot of eyeliner.

The news came out of the operating room, and then, one by one, phone calls came in.

"Xiao Li, how is the operation? "This is the deputy head of the department.

"Director, I was just about to call you, I observed that the operation went smoothly, the patient did not appear in a coma, did not have suffocation, did not have a heart rate, and the patient's vital signs were particularly stable from the beginning to the present. ”

The doctor in charge of the bed said on the phone.

"Okay, I got it. After hanging up the phone, the deputy director couldn't figure it out, "Orthopedic surgeon?

Although I didn't seem to understand it in my heart, I didn't slow down under my feet.

One by one, the deputy directors entered the operating observation room and "turned on the camera!"

"Shhh

"That's amazing. ”

Immediately after, when the deputy directors entered the operating room one by one, the directors couldn't sit still.

"How's that, how is the other party. ”

"Amazing, not inferior to the director of the capital. ”

"Director, I think our department should communicate more with this dean!"

At this time, the directors in the office did not make excuses for the meeting, and rushed to the operating room one by one.

Lao Guo's superior, Director Chen of the Second Department of Neurosurgery, was Director Chen, who was looking for an excuse to hold a meeting, and entered the operating room with a mask and a hand wash.

He first glanced at Lao Guo, and then stood lightly opposite Zhang Fan.

"Zhang Yuan, is it going well?"

Zhang Fan's head didn't turn, and during the operation, he was never distracted!

Time, one second, ten seconds, half a minute, Director Chen was embarrassed.

Lao Li was embarrassed to death, he knew Zhang Fan's problem, he had surgery, and his six relatives didn't recognize him!

"Director Chen, it's okay, our dean is a little focused on the operation, don't think about it!"

"Hehe, it's okay, it's okay, it's the same, I'm the same. Or, or else, I'll also go on stage to help?"

Lao Li looked at Zhang Fan, thought for a while, and said, "Okay, you can take over from me! I'll rest for a while." ”

The good old man got off the stage and was replaced by Lao Chen, Director Chen. In the face of technology, to be honest, doctors are actually quite positive, especially in tertiary hospitals.

"Is Director Chen finished the meeting!" Xue Xiaoqiao watched his director get off the stage, a little angry, so he asked jokingly.

"Xiao Xue, if you have surgery, can't you learn from Zhang Yuan?"

Lao Li's heart is very warm, but for young doctors, not only to give help technically, but also to do a good job in personality, this is the old-school master's way of doing things.

"Oh!" Xue Xiaoqiao still respects this Director Li very much.

The operation continues, and this kind of operation, to put it bluntly, is actually simple.

First test to see if it is a functional area, not a functional area, and then stop the bleeding and ligate the surrounding blood vessels.

Don't look at the brain just a little bit, there is a lot of blood supply!

Once the blood vessels are ligated, the rest is simple.

First use the spear to jump off the outer membrane, and then pick up the bone scraper, this kind of thing is not the thick black of orthopedics.

This thing is like a silver ear picker, very delicate.

Use a bone scraper little by little, just like a child eating white cream strawberry ice cream, little by little dig out the lesions inside and put them in their mouths.

Looking at Zhang Fan's technique, Director Chen was envious in his heart, "MMP, being young is good, this technique is stable, too stable." How do you practice this technique~!"

"Zhang Yuan, hehe, your skills are really powerful, it seems to be a bit of a shadow of the director of the mean, and it doesn't seem to be the same, I have been in the mean's for a year, I don't know if you are ......"

This is the preparation of the relationship set almost.

"Oh, I'm just a little interested in my brain, and I usually figure it out by myself!"

The operation went well, and Zhang Fan said a word.

"Eh!" Director Chen sweated down, not only Director Chen sweated down, but a group of directors and deputy directors in the observation room, one counted one, shouted in their hearts: TN's is too capable of pretending!

Old Chen Xin said, "You might as well not speak!

The original intention of pulling the relationship is gone, and the original intention of learning some technology is gone.

He felt that this young man was too, and the proud cow went up to the sky.

To be honest, he was regarded as bragging, but who asked him to ask Zhang Fan on the operating table, Zhang Fan on the operating table could answer well!

As for other people's feelings, I'm sorry, I'm having surgery and I don't have the heart to fool you!