"Yi Sheng, come on. ”

Since Yi Sheng proposed to increase the number of surgeries last time, Li Shangai has used his connections to collect patients with subdural hematomas from hospitals all over Nanyao, and now a week has passed, and he has collected 5 patient data, and all of them are chronic subdural hematomas.

After all, acute subdural hematoma still depends on luck, and patients like acute subdural hematoma can't withstand the toss of the journey.

However, fortunately, patients with chronic subdural hematoma generally do not involve skull repair, so Yi Sheng can still complete the operation independently.

Yi Sheng picked up the cases one by one and looked at the situation of each patient in general, nodded at Li Shangai and said, "Teacher Li, these are all for me?"

"Well, they are all middle-aged and elderly patients over 50 years old, and the condition is not too urgent, you can arrange it freely for a few days. Li Shangai sat in the office holding a teacup and said happily.

"If there were no accidents, these five surgeries could have been done today. Yi Sheng continued to flip through the cases.

Li Shangai was stunned for a moment, shook his head and said: "Meng Xianyang has only done 1,500 surgeries after 10 years in the gods, and it takes 2-3 years to do one case, and you think about doing 5 cases a day?"

"Early surgery is a good prognosis for patients. Yi Shengman said indifferently.

"That being said, it normally takes more than 10 hours for 5 surgeries, and the patients are not in our hospital now, so it takes time for people to come over. Li Shangai took out two of the five medical records and said in a consultative tone: "Why don't you do two cases today and the rest tomorrow?"

Yi Sheng can be regarded as Li Shangai's baby bump now, and he can't beat or scold himself.

Since Yi Sheng took over the operation, not to mention generating income for the department, Li Shangai can be relieved by the fact that he has not had a single case of failed surgery so far.

Then there is the prognosis of the patient.

Although Li Shangai did not participate in the operation, he still knows the patient's postoperative recovery well, and there is no recurrence of hematoma after surgery in each patient, and the prognosis is basically perfect.

So it is natural for Yi Sheng to want to complete all the surgeries in one day, he has no reason to wait for the department to allocate the surgery now, but Yi Sheng thought about it and nodded in agreement, anyway, for Yi Sheng, the most important thing now is time.

"I heard that Director Meng has returned, why didn't I see him when I handed over the shift this morning?" After the business was over, Yi Sheng had no work to do for the time being, so he sat down opposite Li Shangai and chatted.

"I went to do" throwing knife ". Li Shangai explained: "I heard from the doctor in District 3 that Meng Xianyang's daughter is getting worse and needs a lot of treatment costs, so he, a father, can only contact classmates everywhere to earn some extra money." ”

"Flying knives, when can I do it?" Yi Sheng said enviously.

"Flying knives" is a unique feature of China's medical system, which is particularly famous all over the world, and it is also an important means for domestic doctors to earn extra money, but not all doctors can perform "flying knives".

Of course, the ones who can "fly the knife" will not be the little doctor or the old doctor who has no reputation, but the surgeon who can "fly the knife" is more or less a surgeon with some well-known or a fairly high level of skills.

Although according to the Law of the People's Republic of China on Medical Practitioners, doctors only have the right to prescribe in registered hospitals and medical institutions, and prescriptions in non-registered hospitals and medical institutions have no legal benefits, but surgery is not listed, so "flying knives" are considered a gray area within the rules, and it is not legal or illegal.

With the development of "flying knives", almost all surgeons are now proud to be able to perform "flying knives", after all, "flying knives" themselves are the best proof of their own medical skills.

"It's okay for you to be the image spokesperson of a certain infertility hospital with your face. Li Shangai quipped.

"Teacher Li, is it really good for you to discourage my enthusiasm like this?" Yi Sheng said speechlessly.

"A proper beating is good for you, and your tail is cocked to the sky. Li Shangai looked at the medical records, picked out two relatively simple cases from them, and handed them to Yi Shengdao: "You haven't done surgery for chronic subdural hematoma before, today you will do one of the simplest cases, and the other one will be kept first, and I will follow you if I have nothing to do today, if it is done well, you will do it yourself." ”

Yi Sheng took the two cases and returned to his desk to study the surgical plan, while Li Shangai picked up the phone and informed the operating room to arrange the operation schedule.

Four hours later, Yi Sheng showed up on time in the No. 3 operating room of the neurosurgery department.

The configuration of the operating room is still Su Jin and Hao Zhe, and the tacit understanding between the three of them is getting higher and higher, if they change to someone else, they still need to be re-polished, Li Shangai simply asked Su Jin from the emergency department, as for whether Li Shangai has the idea of adult beauty, it is uncertain.

Li Shangai arrived later, but when he came, he also took three young people who were wearing clothes and brushing their hands and standing in a very restrained posture, and the three of them kept looking at the layout in the operating room.

"These three children are trainees at the hospital, so I took them for a tour. ”

The three trainees bowed 90 degrees in unison and shouted, "Hello teacher!"

Hao Zhe was a little flattered, this world is really wonderful, the interns give the interns a hand, and there are apprentices around to visit.

If Hao Zhe knew that Yi Sheng was already an employee of the affiliated hospital, he would not cry to death in the toilet?

The gap between people is so big.

Li Shangai asked the three trainees to stand far away from the operating table, moved a small bench to sit aside, crossed Erlang's legs, and swayed.

Li Shangai said that it was with surgery, but in fact, he didn't plan to do it, because he was a theoretical school, if you let him really do it to teach surgery, he really couldn't do it, and secondly, with Yi Sheng here, he was still more relieved.

"Did any of the three of you faint blood?" Although medical students rarely faint blood, for the sake of insurance, Su Jin still has to ask, she doesn't want to be distracted by taking care of other people during the operation.

The three interns quickly shook their heads.

After the anesthesia was over, Yi Sheng began the operation.

The three trainees stretched their necks for fear of missing any of Yi Sheng's movements, and they were a little nervous while excited. Unfortunately, the three trainees were barely visible from the operation.

Yi Sheng only cared about his own operation and did not pay attention to meeting the trainees, after all, he had never encountered such a situation, and he did not know what to say.

Hao Zhe is also conscientious because Li Shangai is by his side.

"You three don't have to be so nervous, you can come over and take a closer look at the end of the operation. Yi Sheng said after glancing at the three of them.

comforting the trainees, Yi Sheng's hand movements were not slow, because the surgical plan had already been considered, so Yi Sheng drew a line in the surgical area where the patient had prepared the skin almost without thinking, and then placed the patient in the lateral decubitus position with Hao Zhe.

Yi Sheng didn't say anything after he finished speaking, so the responsibility of adjusting the atmosphere in the operating room fell on Li Shangai, after all, Li Shangai had nothing else to do except sitting, so Li Shangai simply picked up his old job as a professor at the National Medical University and asked questions.

"Who among you can tell me why this chronic subdural hematoma is more common in middle-aged and elderly people over 50 years old?" asked Li Shangai.

The three of you, look at me, I'll look at you, after eye contact, a little girl wearing glasses who looked like a scholar replied: "Chronic subdural hematoma is a hematoma that occurs between the dura mater and the arachnoid two layers of reticular structures, middle-aged and elderly people due to age causes brain atrophy, the space between the two layers of reticular structures becomes larger, there are some bridging veins in the middle of the gap, and minor trauma will lead to bleeding and form a subdural hematoma." ”

Li Shangai continued to ask, "That's right, do you have anything else to add?"

One of the remaining two thinner boys whispered: "There is also the sclerosis of the arteries caused by various reasons in the middle-aged and elderly, which makes the flexibility of the blood vessels worse and more likely to rupture, and because the space gap caused by brain atrophy is not conducive to the self-repair and hemostasis of the broken blood vessels, the amount of bleeding will be relatively large." ”

Li Shangai nodded, he was quite satisfied with the answers of the trainees, he looked up at Yi Sheng, Yi Sheng had already exposed the patient's skull and was ready to open the skull.

Li Shangai stood up, came to thank him and observed Yi Sheng's movements, and nodded in agreement from time to time, the surgical field itself was narrow, and the three trainees couldn't see it clearly.

An hour later, Yi Sheng completed the removal of the hematoma, and the three trainees finally had the opportunity to get a closer look at the patient's surgical area.

Seeing a living person's skull for the first time was quite surprising to the three trainees, but after comparing the skull taken from the patient and the skull gap on the patient's head, the female trainee asked, "Teacher, how to deal with such a big gap?"

"Of course you use titanium steel plates!" Hao Zhe skillfully took out a titanium steel plate and cut it, and then fixed it on the outer plate of the skull with screws, fixing it while shaping it.

"Director, do you need to check it?" Yi Sheng pushed back to make way out of the space.

"No, I'll go out and contact the patient's family for you. Li Shangai waved his hand and walked out satisfied.

Without the coercion of the director, Hao Zhe also relaxed, showing great enthusiasm for his younger brothers and sisters, Hao Zhe, and laughter came from the operating room after a while.

Yi Sheng watched Hao Zhe do the final suturing treatment, came to Su Jin's side and said, "There will be an operation for a chronic subdural hematoma in a while, you can prepare." ”

"What?!" Hao Zhe suddenly raised his head and asked, "Why is there another one?"