"Director Meng, what is the outcome of your discussion in the morning?" Yi Sheng put the instruments that may be needed for surgery such as cranial drills and wire saws into the instrument belt, and said to Meng Xianyang, who was wearing a surgical gown.

Yi Sheng was called to the operating room before the end of the meeting to prepare for the operation. Today is the day of major surgery in neurosurgery, and all the instrument gauntlets are busy preparing for other complex surgeries, so Yi Sheng is not clear about the outcome of the case discussion.

Meng Xianyang observed the patient's hematoma position in front of the projection table and said: "Our Professor Li did come up with a more feasible surgical plan, but he couldn't do it, and then put the responsibility on me in front of the patient's family and asked me to do this operation." ”

"Is the surgical plan too risky?" Yi Sheng asked.

"No," Meng Xianyang took a pen to plan the surgical area after the instrument nurse finished preparing the skin: "Li Shangai does have some ability, he proposed that Liang Susu's brainstem glioma follow the surgical path of cavernous hemangioma from the lower temporal through the cerebellar tentorial, this treatment plan is indeed relatively safer than the plan we discussed earlier, and the operation time will be greatly reduced, which is a good thing for Liang Susu." ”

"Director Meng, it has been prepared, and the patient's family has also signed the informed consent form for the operation, and the operation can be performed. The little nurse gasped.

She was the only nurse in the operating room, so she had to prepare surgical instruments and communicate with her family, and her little short legs were about to break.

"Well," Meng Xianyang said without raising his head: "I can't do Li Shangai's surgical treatment plan at all, my specialty is intracranial tumors, I am not good at abnormal vascular masses such as cavernous hemangioma, and I am not familiar with the surgical path that Li Shangai said, and the effect of this operation will not be too good if I come to do it." ”

"Isn't there an expert in China who can treat brainstem tumors?" Yi Sheng said: "Since Liang Susu's surgery can't be done in the hospital, why don't you go out and find an expert to solve it?"

"You can be stoned to death when you are a current expert and a college student, there are indeed big bulls in the neurosurgery industry in the capital, but even if the big bulls do it, there is no guarantee of absolute success, and the cost of surgery alone is 20 to 300,000 yuan, which is not counting the cost of the danger period and follow-up treatment in the ICU. ”

After confirming that the patient's anesthesia signs were stable, Meng Xianyang took the scalpel and gently cut the patient's skin and said, "Liang Susu's father is called Liang Tianhua, and he was the former physician of our anesthesiology department. Liang Tianhua was in a car accident when rescuing patients, Liang Tianhua died of heart failure after 22 hours of continuous rescue, leaving them orphaned and widowed. Later, after Liang Susu got brainstem glioma, Pan Yun also quit his job to concentrate on taking care of Susu in the ward. Their family is not wealthy, and now Pan Yun has no source of income, and he can't afford to pay such a high fee just by relying on the pension given by the hospital, so he can only stay in the attached hospital. Although we can't come up with a better treatment plan, we can also lower the indicators of hormone and not make her so painful. ”

Yi Sheng was silent, in the face of this disease, people always seem so small and fragile.

Sighing, Yi Sheng focused his attention on the patient in front of him, the main task of the little doctor fairy is to let Yi Sheng start the knowledge transfer of subdural hematoma after 5 epidural hematomas last night, although the difference between subdural hematoma and epidural hematoma is only one word, but they are two completely different concepts. Taking this opportunity, Yi Sheng can just observe the surgical method of subdural hematoma and the unexpected conditions that may arise at close range, which can be regarded as accumulating experience in advance.

With Meng Xianyang, the "knife" of the attached hospital, the operation can be said to be very smooth, and the subdural hematoma is just an ordinary minor operation for a person like Shenwai.

After cleaning up the hematoma, Meng Xianyang left the operating table with both hands, apparently intending to hand over the rest of the sutures to Yi Sheng.

"Yi Sheng, at such a young age and as an intern, you can follow the directors to participate in the operation and even be authorized to perform the surgery independently, you don't know how much the residents in other departments envy you now. After Meng Xianyang left, the instrument nurse came up to find a topic and said that he had offered a reward of 20 yuan plus a KFC luxury lunch coupon on the internal forum and did not get Yi Sheng's contact information.

"Yes. The anesthesiologist behind the testing instrument poked his head out and said, "You said that whoever enters the hospital doesn't have to work for three or five years before he has a chance to get started, why do you say that your luck is so good?"

"Yi Sheng, do you have time after the operation for a while? Why don't we have a light meal together?"

"I'm not going, I'm going to study the case after the surgery. Yi Sheng glanced up at the little nurse beside him and said.

"Beep ~~~~~"

The piercing alarm sounded, and Yi Sheng hurriedly looked up at the anesthesiologist in charge of monitoring and said, "What's the situation?"

The anesthesiologist immediately turned his head to look at the ECG monitor on the side and said, "Ventricular fibrillation!Blood pressure 112/90!"

Yi Sheng panicked, he didn't know how to deal with this emergency, after all, this operation was not within Yi Sheng's knowledge, Yi Sheng hurriedly asked the instrument nurse to call Meng Xianyang, and then turned his head and asked the anesthesiologist: "How to deal with it?!"

"Wait a minute! I'll think about it!" The anesthesiologist also panicked, his brain was blank now, he only remembered that the risk of subdural hematoma did not include ventricular fibrillation, and he was extremely cautious when taking medication, and ventricular fibrillation was unlikely.

This situation is generally the business of the chief surgeon, and the anesthesiologist is only responsible for anesthesia and viewing the monitoring instruments, and the rest only needs to sit honestly in their own position and play with their mobile phones.

"That's right!" the anesthesiologist trembled, "CPR!" and hang a sodium bicarbonate and a dopamine!"

Yi Sheng participated in the mock exam for licensed physicians when he was in school, and one of the assessments was cardiopulmonary resuscitation, so Yi Sheng studied systematically. Hearing the anesthesiologist's words, the doctor hurriedly untied the patient's body and untied the patient's clothes to prepare for cardiopulmonary resuscitation.

Meng Xianyang hurriedly walked in, he didn't expect such a big problem to arise as soon as he left. He picked up the flashlight and shook it on the patient's pupil and said, "The pupil is dilated by 5mm, hang a sodium bicarbonate and a dopamine!"

"It's already being prepared. The instrument nurse hurriedly replied.

"Come and help!" Since the patient was already intubated at the time of the operation, Yi Sheng immediately began cardiopulmonary resuscitation after exposing the patient's chest. Performing cardiopulmonary resuscitation on a simulated dummy is completely different from that on a real person, Yi Sheng has some difficulty in mastering the strength, but he is afraid that the force is too light to be effective, so he can only use all his strength to press the patient's chest.

2 minutes of high-efficiency CPR, the sterile cap on Yi Sheng's head was already soaked with sweat, watching Yi Sheng's movements become more and more sluggish, Meng Xianyang dragged Yi Sheng back, and then took over and continued to press, and then glanced at the ECG monitor and said: "Yi Sheng, go prepare a defibrillator!"

"Blood pressure 76/16!" shouted the anesthesiologist.

"Yi Sheng!" Meng Xianyang yelled, Yi Sheng continued to come over for cardiopulmonary resuscitation, waiting for Meng Xianyang to debug the defibrillator.

"Positive Pap sign on the right side!" "With so few people in the operating room, the anesthesiologist can only temporarily act as labor, checking the patient's signs. "The patient has intracranial hemorrhage!"

"Let's save my life first!" Meng Xianyang stood in front of the patient with a defibrillator in each hand, "220J defibrillation for the first time, recharge, get out of bed!"

"Poof!"

The patient twitched under the stimulation of the electric current, and then Yi Sheng hurriedly went up to continue cardiopulmonary resuscitation.

"Director, ventricular fibrillation again!" the anesthesiologist kept an eye on the ECG monitoring, and after defibrillator defibrillation, the patient's heartbeat returned to normal, but then ventricular fibrillation occurred. No matter how Yi Sheng pressed, the patient's heart was constantly vibrating indiscriminately, and there was no way to restore sinus rhythm.

"260J second defibrillation, recharge, get out of bed!"

.......

"300J 3rd defibrillation, recharge, get out of bed!"

Five minutes later, Meng Xianyang took off his mask and said to the instrument nurse, "Go and notify the family." ”

"Yi Sheng, stop. Meng Xianyang said: "Now the patient's breathing is already a dying breath, we can only rely on the instrument to maintain his heartbeat, and as soon as the instrument is withdrawn, the person will be gone." ”

"No, no!" Yi Sheng was unmoved, and continued cardiopulmonary resuscitation, "It must be able to be rescued, it must be okay!"

"Take a hand, pull him out!" Meng Xianyang beckoned the anesthesiologist to drag the doctor off the operating table and dragged Yi Sheng to the lounge.

Meng Xianyang went out to explain his condition to his family, leaving the anesthesiologist to watch Yi Sheng to prevent him from making radical moves.

"First time?" the anesthesiologist asked, taking a cigarette from his pocket and lighting it for himself, taking two hard puffs.

Yi Sheng clenched his fists and said guiltily: "If I can know how to deal with ventricular fibrillation, if I can know how to deal with it earlier, if I can ......"

"There is no if," the anesthesiologist shook his head and comforted: "You don't have to blame yourself, even if Director Meng is at the scene, the ending will be the same." You're still too young to be in the operating room every day. We doctors are not gods, and we don't have the ability of the living dead in those novels, flesh and bones, and we have experienced this kind of thing a lot, so we look down on it. ”

After saying that, the anesthesiologist continued to smoke a few more puffs before standing up, patting the doctor on the shoulder, and walking out.

There is no need for too many words and comfort, facing the fear of death is a process that a doctor must go through, and it will be smooth sailing when you come out, and if you can't get out, you are not worthy of being a doctor.