It snowed all night last night, the sky was gray in the early morning, and it should snow again today, Yi Sheng covered himself tightly and came to the neurosurgery office of the affiliated hospital, it was not yet the time to hand over, and the office was empty. The door of the director's office on the side showed a crack, Yi Sheng pushed the door in, and saw Li Shangai sitting in front of the computer with a pen and constantly writing and drawing on the paper.

The biggest problem in front of Li Shangai is the surgical path of this operation, how to ensure that the tumor is completely removed without damaging the blood vessels attached to the tumor and the dense neural network on the brainstem. Last night, Li Shangai also deliberately flipped through Meng Xianyang's previous information, although this person stumbled on himself, but his medical skills did not say that before he came to neurosurgery, Meng Xianyang had always been the leader of the neurosurgery department of the affiliated hospital. Meng Xianyang has no way to do it easily, and he is even more afraid to do it as a professor of the theoretical school.

"Professor Li, the body is the capital of the revolution, you better take a rest, and it's not too late to think about it when you have enough spirits. Yi Sheng handed a glass of water to Li Shangai and said.

Li Shangai waved his hand, took off his glasses and rubbed his temples and said, "Yi Sheng, I may not be able to take you for an internship these days." ”

"It's alright, Professor Lee. Yi Sheng shook his head and said: "There are other teachers in the department, and I am just an intern, mainly to increase my knowledge, it doesn't matter if I can't enter the operating room or not." ”

"It's good that you have this idea," Li Shangai stood up and looked at the clock on the wall and smiled: "Let's go, it's about to be handed over." If I'm late for the first day of work, others will think I'm playing a big game!"

When Yi Sheng and Li Shangai came to the office, some doctors and nurses in the neurosurgery department were already standing by the window and lined up in two rows waiting for the shift, and Yi Sheng walked to the back of the doctor team and waited quietly for the shift.

Meng Xianyang walked in, looked at the people in the department, and then stood silently behind Li Shangai, his waist straight.

"All hands are here, and now the shift begins. The head nurse took out last night's record book and said: "Yesterday, 6 people were newly admitted to the hospital, 7 beds, 19 beds, 56 beds, 57 beds, 104 beds, and 188 beds, and 2 people were discharged from the hospital with 154 beds and 168 beds respectively. Except for 62 patients who had difficulty sleeping at night, the rest of the patients were in stable condition and the nurse had completed the shift. ”

"Last night, Liang Susu had increased intracranial pressure due to a slightly larger position of skull base brainstem glioma, irritability, and difficulty sleeping. Meng Xianyang turned his head to Li Shangai and said: "Professor Li, Liang Susu's condition is now obviously progressive, although we can give mannitol to temporarily reduce her intracranial pressure, but after a long time, the little girl's kidneys will be damaged to a certain extent, so I still hope that Professor Li can come up with a surgical treatment plan as soon as possible." ”

"I'll do my best with this," Professor Li glanced at Meng Xianyang, turned his head and left the office.

"Yi Sheng, you stay for a while. Meng Xianyang said to Yi Sheng, who was about to leave with Li Shangai.

Yi Shengleng paused, not knowing what Meng Xianyang was going to do at this time, but he still stood beside Meng Xianyang, Meng Xianyang stared at the screen and said, "I've seen your surgery, it's not bad." Today is the day of our neurosurgery minor surgery, and there are two cases of epidural hematoma patients who need surgery. ”

"Professor Li doesn't have time to take you these days, so I'll take you. Meng Xianyang stood up and fastened his cufflinks and said, "Go and push the medical record cart over and follow me to the ward round." ”

Yi Sheng didn't know what medicine was sold in Meng Xianyang's gourd, but he still did it, anyway, he learned from whomever he could, not to mention that there was a repetitive task of epidural hematoma in the Xiaoyixian system, since there was an opportunity to earn credits, if he didn't earn it, he wouldn't earn it in vain.

The ward rounds of the surgical department will be more brief than the internal medicine rounds, especially for patients who are mostly operated on by neurosurgery, unless it is a major round, they will only ask questions such as sleep, diet, and whether there is any discomfort, and if the patient is in a stable condition, the doctor will generally say "pay attention to rest" and leave.

Yi Sheng followed behind Meng Xianyang to check on more than 20 patients, but it only took less than an hour.

At ten o'clock in the morning, Yi Sheng followed Meng Xianyang to the exclusive operating room of surgery, compared with the simplicity of the spare operating room where Yi Sheng did surgery, this operating room has all the instruments and equipment, Yi Sheng roughly calculated, the value of this operating room is more than 50 million, and it is a beautiful knife.

Yi Sheng was a little nervous now, he didn't expect that Meng Xianyang would choose to let him do today's surgery, and it was two!

After disinfection in the automatic clean room, Yi Sheng followed Meng Xianyang into the operating room. The lights in the operating room were all turned on, and the lights were brighter than the lights in the spare operating room, and Yi Sheng couldn't help but straighten his waist.

The nurse on duty hung the CT image on the projection table, and Yi Sheng stepped forward to observe the location of the patient's hematoma.

"Is there any problem?" asked Meng Xianyang after putting on his gloves.

"A typical epidural hematoma, if there is no unforeseen condition, should be done before lunchtime. Yi Sheng said after taking a closer look at the CT image.

"It's a good thing to have confidence," Meng Xianyang nodded and said, "But don't be careless because of this." ”

Disinfect, spread drapes, and confirm patient matters.

The patient's operating area has been prepared, and the instrument nurse handed the scalpel to Meng Xianyang, who glanced up at Yi Sheng and said, "Give it to him." ”

Yi Sheng took the scalpel and didn't say anything, slowly cutting through the skin on the patient's body according to the surgical path that had been designed long ago.

With a knife down, the incision was smooth, Meng Xianyang glanced at it and praised: "With this knife technique, if you want to tell me that this is your second operation, I really don't believe it." ”

"I practiced with pigskin after that surgery. Yi Sheng put the scalpel aside and said, "Scalp clamps." ”

"Do you know why I called you over for surgery?" After Meng Xianyang assisted Yi Sheng to pull open the flap, he took the wet gauze to cover it and was done, picked up a stool and sat on the operating table to watch Yi Sheng continue the operation.

Yi Sheng didn't know how to answer, this kind of thing involving the power struggle within the department, it would be better for an intern to be less involved.

Seeing that Yi Sheng didn't speak, Meng Xianyang said to himself: "I don't think it's a wise choice for a theoretical university professor to come to our neurosurgery department as the director, he doesn't have much experience in the treatment of difficult cranial surgery. ”

"Bipolar coagulation forceps. After Yi Sheng stopped the bleeding point of the patient's arterioles, he looked up at Meng Xianyang and said, "Director Meng, I'm just an intern, and I don't want to get involved in such a thing as the power struggle in the department." ”

"You're going to have to go through it sooner or later, it's inevitable. Meng Xianyang sighed and said.

"For me, as a doctor, all I need to do is heal and save people, and as for the rest, I never want to. Yi Sheng pressed the switch of the cranial drill, and the sound of the electric drill echoed in the operating room.

"When you actually become a doctor, you won't feel that way. Meng Xianyang chuckled: "The director of the department is the biggest leader of a department, every word he says is an order, as a subordinate, you must carry it out, you should understand this." ”

Yi Sheng didn't want to continue to discuss this issue with Meng Xianyang, he said while using gauze to stop the bleeding: "Director Meng, is there a way to treat Susu's disease?"

"If you're talking about surgery, I can do it, but it's too risky, and if the tumor recurs after surgery, there will be no way to have a second operation. Meng Xianyang said frankly: "At present, there is no breakthrough in the gene targeted therapy for brainstem glioma in China, and if conservative treatment with chemoradiotherapy is used, Susu should not live to adulthood." ”

After Yi Sheng handed the bone flap to the instrument nurse, he looked at the patient's epidural hematoma and sighed: "Director Meng, what is the success rate of the operation?"

"Ten percent. Meng Xianyang pondered for a moment and said.

"I hope that Professor Li can come up with a credible plan. After Yi Sheng cleaned up the hematoma, he began to suture the skull.

"I also hope that if he really has this ability, what will the director give him?" Glancing at the patient's vital signs, Meng Xianyang stood up and walked slowly towards the operating room.