In the depths of the brain, there is an organ the size of a thumb lying prone deep at the base of the skull, which governs everything in human life such as breathing, heartbeat, and consciousness, and this organ is called the brain stem. Compared with other brain organs, the brainstem is known as the "no-off zone" of brain surgery due to its unique anatomical location and the staggered and dense nerve nuclei, conduction tracts and reticular structures in it.

Despite the increasing maturity of microneurosurgical technology, skull base brainstem surgery is still recognized as the most difficult field in neurosurgery, and the complexity is unimaginable: it is densely packed with important nerve conduction tracts and nerve nuclei throughout the body, and every tissue has important nerve functions from point to surface, and most of the four major blood vessels that supply blood circulation to the human brain are the "vertebrobasal artery system", which is most of the blood supply to the brainstem. Brainstem tumors are often closely adhered to brainstem tissues and neurovascular, and the surgical space is often only a fraction of a second. It is not uncommon for breathing and heartbeat to stop breathing and heartbeat, or to become a vegetative state after surgery.

This is why brainstem surgery is still one of the most difficult problems in neurosurgery in today's modern medical development.

No one is going to gamble on their future.

Li Shangai closed the medical record book and put it aside, took out the eye cloth from the pocket of his suit, took off his glasses and wiped them slowly, raised his head and looked at Meng Xianyang who was smiling, and said in a very soft but angry voice: "This medical record is a disadvantage from Director Meng to Li." ”

Meng Xianyang heard the anger in Li Shangai's words, and the smile on his face was even worse, this was the first step in his plan, this medical record was to provoke Li Shangai and let him take this case, if Li Shangai couldn't come up with a good plan, what kind of face would he have to stay in the Department of Neurosurgery of the Affiliated Hospital of Nanyao Medical College?

Even if Li Shangai can come up with a relatively good surgical treatment plan, Meng Xianyang still has a second step, that is, let Li Shangai personally perform the surgery, whether he can successfully complete the operation is still two words, Meng Xianyang has heard from many sources that the Professor Li in front of him has not had a major surgery for many years, as long as the operation fails, Li Shangai has to honestly go back to his ivory tower.

Meng Xianyang's eyes widened, looked at his colleagues around him, and said innocently: "Professor Li, where is this, although our affiliated hospital can be ranked in the province, but intracranial tumors are still a short board for our neurosurgery, and now Professor Li can make up for this shortcoming, we are too late to be happy, how can we talk about Ma Weiyi?"

Although the affiliated hospital has appointed Li Shangai as the director of neurosurgery, Meng Xianyang still calls Li Shangai Professor Li, and what he thinks in his heart is self-evident.

Yi Sheng stood aside, as a medical student, he was well aware of the dangers of brainstem tumor surgery, and couldn't help but sigh in his heart that he had always heard that the intrigue in the hospital was like those palace fighting dramas on TV. Now, it seems, even more!

Meng Xianyang is now clearly forcing the palace.

"Hehe," Li Shangai laughed angrily, put on his glasses and looked at Meng Xianyang and said, "Since that's the case, then I'll study it carefully." ”

"That's great!" Meng Xianyang was pleasantly surprised, he thought that Li Shangai would find all kinds of excuses to refuse this matter, although his plan could not be carried out at that time, but so many people watched, it would definitely greatly reduce Li Shangai's majesty. Now Li Shangai responded to this hot potato, which is exactly what Meng Xianyang wanted, Meng Xianyang kept rubbing his hands and pleading: "We have not found a satisfactory surgical plan for many internal case discussions, and the patient is unwilling to accept conservative treatment. ”

"That's right!" Meng Xianyang patted his head and said: "When the patient was first hospitalized, he could still walk on his own, but now he can only do a wheelchair, and the disease is developing rapidly, so I hope Professor Li can come up with a surgical treatment plan as soon as possible, and the patient's condition will not last long." ”

"At next week's case discussion meeting, I will come up with a reasonable plan, and I won't bother Director Meng about this. Li Shangai snorted coldly.

"Then let's take a look at the patient first?" Meng Xianyang stretched out his hand and made a "please" gesture.

"Director Meng doesn't need to be so anxious, anyway, the patient is in the ward, and it's not too late to go when I am familiar with the situation. Li Shangai glanced at everyone in the office: "Everyone go back to their respective posts, the patient still needs you." Yi Sheng, go get me a white coat. ”

"Good. Yi Sheng nodded, walked out of the office and came to the nurse's station and said, "Is there any extra white coat?"

"Doctor Yi, have you come to neurosurgery for an internship?" The little nurse at the nurse's station raised her head and saw that it was Yi Sheng, and quickly stood up and said with a smile: "Our sisters have been looking forward to you for a long time!"

"Please advise me in the future. Yi Sheng smiled: "Help me find an extra white coat." ”

"That," the little nurse said with a sad face: "This morning, Director Meng said that in order to prevent nosocomial infection, all the doctors were asked to send the extra white coats to the hospital disinfection supply center, and there are no extra white coats for the time being." ”

Meng Xianyang has done a really good job!

Although Yi Sheng also had a surplus white coat, he put it in school, and his white coat Li Shangai did not fit well, so Yi Sheng considered where to borrow one.

Most of the doctors in the nephrology department are women, only Lin Qingguang is a man, and it seems that Director Lin is not in the hospital, and only Mr. Li is the left, and I don't know if Mr. Li has been discharged from the Department of Gastroenterology.

hurriedly ran to the emergency department and happened to run into Su Jin. Su Jin looked at Yi Sheng's breathless appearance and hurriedly stepped forward and asked, "What's wrong?"

"It's okay," Yi Sheng held his knees and gasped a few times, "What about Master Li?"

Su Jin pointed to the emergency department office and said, "He was just discharged from the hospital today and is resting in the office." ”

Mr. Li was training the resident doctor who had written the wrong medical record last time in the office, and now he had an indescribable entanglement, looking at the medical record and then at the resident doctor who was hunched in front of him.

"What do you say you're writing about?"

The resident doctor took the case and looked at it for a long time and didn't see where he wrote it badly, but he wrote this case three times, and carefully checked it several times and didn't find any omissions or mistakes. This medical record should have been handed over to Mr. Li a few days ago, but then Mr. Li was hospitalized, and it was delayed until today, but I didn't modify the medical record during this period, and no one else touched the medical record, how could it be wrong?

He was ready to be praised, imagining that the medical record he had written would be circulated by Dr. Li to all the residents as a demonstration, but Mr. Li's words made him a little blind.

"Rotten wood can't be carved!" Dr. Li glanced at the resident doctor who was stunned in place, snatched the medical record, turned to the first page and asked: "You give me a good look, what are you writing in your complaint?!"

"Chief complaint?" The resident doctor scratched his head and glanced at it, isn't the chief complaint to be as simple as possible, to avoid redundant modifiers, to use Arabic numerals for numbers, and there is no problem with seeing what he wrote!

"Teacher, I didn't find a problem!" said the resident doctor wrongly.

"Have you ever seen that medical record, the chief complaint says, "The patient pees and pees and can't pee for 3 days"?" Dr. Li said speechlessly: "You said that you have been in the hospital for two years, how can you still make such a mistake?"

The resident was silent.

The office door was pushed open, and Yi Sheng walked in and said, "Master Li, do you have any extra white coats?"

Li Zhuzhi was angry when he saw Yi Sheng now, and he didn't look back and said angrily: "What do you want to do with an extra white coat?"

"That's the case, isn't Professor Li Shangai coming to the neurosurgery department of our hospital today to serve as the director of neurosurgery......." Yi Sheng briefly told Master Li about the matter: "If you have a spare white coat, borrow me first, I'll go back and wash it at night and bring it to you tomorrow." ”

"What a show!" "Zhu Zhi Li exclaimed and then regretted: "The case of brainstem tumor is enough to be done even by the neurosurgery department of the National Medical University, it seems that Professor Li is in danger this time." ”

"Don't talk about cool words," Yi Sheng pinched his waist with his hands and said, "You hurry up and find a white coat for me." ”

"I'm sorry, but I don't have that. Li Zhizhi stood up and pointed to the white coat on his body and said, "You see, my white coat is all private custom styles, hand-sewn by Italian tailors. ”

"You'll have to find me one anyway. Yi Sheng shook his head, sure enough, there was a big dog.

"Where are you going to let me go and find you one now?" After speaking, Principal Li looked at the innocent resident doctor on the side, looked at him, and said, "How fat is Professor Li?"