Open the old man's abdominal cavity, sure enough, I saw the old man's small intestine volvulus, and the middle section has been mostly necrosis, only the proximal jejunum and terminal ileum are slightly normal in color, it is estimated that there is no complete necrosis, but after examination, it is found that the intestinal wall is seriously edema, and the color is dark. In this case, it is best to remove it to avoid necrosis and then a second operation.

But Yang Xianmao is not so hasty, because if all these intestinal segments are removed, the remaining intestines are too little, and the intestines are the main organs of the human body to absorb nutrients, if there is a lack of enough intestines to absorb nutrients, it will lead to the patient difficult to absorb the nutrients that need to maintain the normal function of the body, and the patient may die of multiple organ failure due to severe malnutrition in a short period of time, so it is meaningless.

Therefore, Yang Xianmao decided to keep these badly damaged intestinal segments that had the potential to be rejuvenated.

So, he removed the intestinal tube, which had been completely necrotic, and performed an end-to-end anastomosis, and made two tunnels in the intestine to intubate the ileum. The proximal catheter is mainly used to drain intestinal fluid, and the distal catheter is used for drainage first, and then can be used as an enteral nutrition channel, and the nutrient solution is directly injected into the intestine through the pipeline, so as to maintain the nutrients needed by the elderly and help the intestine recover as soon as possible.

The tunnels in these two ileums are intubated stomastomy, which can effectively reduce the internal pressure of the intestinal lumen and monitor the viability of the intestinal lumen in order to determine the next treatment plan.

Yang Xianmao's surgical movements at the moment are fast, he has dissected a large number of corpses in the past few months, and repeatedly practiced surgery on the corpses, these trainings have played an important role, so that he can carry out the relevant surgical operations in an orderly and agile manner. In the end, the surgery was successfully completed.

Yang Xianmao was very satisfied with his operation, and the vital signs of the old man were relatively stable.

But he couldn't relax yet, because he didn't know whether the severely damaged intestine that had been left behind would still be able to come back to life, and the operation could only be said to be successful until it was confirmed that this section of the intestine had been revived.

After Yang Xianmao finished the operation and bandaged the wound, he opened the door, and the old man's child came in, and he was really surprised to see that the old man's stomach was full of tubes, but he was a little relieved to see that the old father was breathing steadily and was still alive.

Yang Xianmao asked them to boil a small bowl of ginseng soup, slowly drip it into his intestines from the tube, first use the ginseng soup to hang the patient's life, and wait until a few days later to use some liquid food into the intestines to provide nutrition for the patient.

After the ginseng soup was boiled and delivered, Yang Xianmao demonstrated the speed of dripping, explained the precautions, and then prepared to leave.

The old man and the children cautiously asked Yang Xianmao how much money was paid, but Yang Xianmao said that he was not in a hurry, but he was sure that after the old man's illness was cured, they could just look at it, and they could do as much as they wanted.

Yang Xianmao now needs to reshape his influence, so he is unwilling to have disputes with patients and family members over the consultation fee, anyway, there is no need to worry about the life of the family now, and the money earned before is enough to last for a while.

After Yang Xianmao said this, the old man's children breathed a sigh of relief, because in their opinion, being able to disemboweling and disemboweling people to treat diseases is simply a technique that only immortals can master, and it will be very expensive, but Yang Xianmao said that they can give it at will, so they can rest assured. Busy to say thank you.

Seeing that Yang Xianmao really carried the box and walked out of the door, the old man's eldest son was convinced that what Yang Xianmao said was true, and his eyes were moist with emotion, so he quickly stopped him, took out a piece of silver and stuffed it in his hand and said: "This is your hard-earned money, no matter whether your father can be cured or not, I can't let you work in vain, if my father really recovers, I will reward you again." ”

Yang Xianmao didn't refuse, smiled, took the ingot of silver, and left.

Back at the Rejuvenation Hall Pharmacy, it was already completely dark.

The pharmacy was already closed, Yang Xianmao knocked on the door, and the small door opened quickly, and Hongsheng'er took the medicine box from Yang Xianmao's shoulder, and closed the small door when he came in.

Yang Mingde and Zhang were both in the lobby, Yang Mingde was sitting behind a long case, reading a medical book with a lantern, and when he saw Yang Xianmao coming back, he put down the book and asked with a straight face: "Where have you been?"

"I went to practice medicine in the streets and alleys, and the patient didn't come to the door, so I couldn't starve to death, right? The prefect just wouldn't let me open my stomach, but he wouldn't talk about me when I practiced medicine normally and extracted my teeth. Besides, sitting here and waiting, not a single patient came, not a penny came into the account, sitting and eating empty, sooner or later he would starve to death, it was better to go out, even if the yamen punished the crime, it would be a death, I don't believe that I would commit a big crime by treating people. ”

Yang Mingde listened to his words, his tense face gradually eased, and he sighed and said, "I'm not worried about getting into trouble, let's talk about it after this gust of wind first." ”

"It's been a month, and I haven't seen them do anything to us, and those apprentices from the medical bureau haven't come to make trouble anymore, and I made some money by practicing medicine today. So he put the ingots on the table.

Zhang Shi was surprised and delighted, and said: "Who did you treat the doctor? You just went for so long and earned money and came back, you won't open someone's stomach, right?"

Yang Xianmao saw their nervous appearance, of course he wouldn't admit it, and said casually: "I promised my father not to disembowel, I won't go." I went to give people painless tooth extractions and moles. My friend told me that there was a patient who had a tooth ache for several days, and after I came to his door to extract his tooth painlessly, the tooth didn't hurt, and he was very grateful, so he gave me this ingot. ”

Yang Mingde said: "Someone told you that this man is going to have his teeth extracted?"

Yang Xianmao said: "That's right, otherwise how would I know that he needs to have his teeth extracted." -- When my friend saw that there were no patients in our pharmacy who came to see a doctor and buy medicine, he was also anxious, so he secretly helped me inquire about patients who needed tooth extraction or decoction treatment, so he sent someone to tell me, and I went to the door, anyway, I went to someone's house for treatment, and the government didn't know about it, and even if it did, I was not afraid. I shouldn't be breaking the law by using decoction to cure my illness. ”

Zhang's eyebrows smiled, picked up the two taels of silver, and said to Yang Mingde: "I think what the child said makes sense, it's good to send it to the hospital." ”

After this month, Yang Mingde's originally highly nervous and scared mood has eased to a great extent. He also found that the prefect did not take more suppressive measures, and seemed to have forgotten about this matter, and felt that Yang Xianmao was also reasonable, seeing that no patients came to the door, he was very anxious. Now that the child has taken this step, give it a try.

So Yang Mingde nodded and said: "You still need to be careful, don't do any disemboweling surgery, once it reaches the yamen, maybe the prefect will do something to us." ”

Of course, Yang Xianmao agreed, seeing that his father agreed to go to the clinic in the future, then he took the first step, as for what disease to treat, his father didn't know and couldn't control it.

The next morning, Yang Xianmao decocted the two sets of medicine and put them in a sand jar. This is the medicine of the old man of the silk shop and the elder Hong, he wants to send them over and return to the doctor at the same time.

He first came to the silk shop to see the old man's situation.

He went to the door of the silk shop, the silk shop was already open, the old man's son was smiling and greeting customers, and the filial piety clothes that had been placed in the shop yesterday were gone, and of course, the coffin was gone. Seeing the smile of this middle-aged man, Yang Xianmao's heart was somewhat relaxed, presumably the old man's situation was optimistic.

Yang Xianmao stepped over, and when the middle-aged man saw him, he couldn't help but be overjoyed, and hurriedly greeted him, clasped his fists and said: "You are here, my father has woken up at dawn today, and he can still speak, and he still needs to eat and drink, but according to your instructions, he can't eat for the time being, and we don't dare to give him food and drink." The old man didn't understand, and he scolded us angrily. ”

Although he was scolded by his father, the middle-aged man's face was still beaming, and he was sincerely happy that his father had shown signs of recovery.

When Yang Xianmao came to the wing, he saw that the old man was reprimanding another son in a weak voice, but the son was laughing and listening.

Seeing Yang Xianmao coming in, the old man was a little stunned, and his son hurriedly made an introduction. When the old man heard this, it turned out to be Xiao Langzhong, who had operated on him, and he was surprised and delighted, and expressed his gratitude repeatedly.

Yang Xianmao checked his pulse and found that although it was weak, it had begun to recover, and he looked at two more catheters and found that what was flowing out was dark red bloody fluid. It will take a few days to tell if the remaining bowel is rejuvenated.

He instructed the elderly to continue to drip into the ginseng soup and the antibacterial and anti-inflammatory antibacterial and anti-inflammatory soup through the catheter. Wait until you are confident that your gut has rejuvenated before giving enteral nutrition.

Leaving the silk shop, Yang Xianmao came to the small courtyard where the beggar gang rudder was.

Lord Fei personally greeted Yang Xianmao and led him to the elder's room. Elder Hong was already completely awake, and he was very happy to see Yang Xianmao, beckoned him to sit down on the edge of the bed, and said, "I have been waiting for you to come, I want to express my gratitude in person, I was injured yesterday, and I really don't have the energy to talk more, so there is a lack of etiquette, and I ask Yang Gongzi for your forgiveness." ”

Yang Xianmao said: "You're welcome. ”

Elder Hong asked, "I don't know if the information we provided is useful. ”

"Very useful, yesterday I operated on the most critically ill father of the silk shopkeeper, just now I came back from them, the old man's condition is basically stable, he has woken up, fortunately you told me this news, otherwise I really wouldn't have thought that I could be sent to the hospital. With this successful experience, I will have confidence in the future, so it should be that I thank you for giving me a new way to make money by practicing medicine. ”

Elder Hong smiled and said, "It would be good if this was the case, the brothers in the city will report the news every day, and we will tell you the news." Of course, if I find an emergency like last night, I will send someone to tell you in time, so as not to delay the person's condition. This is a great good thing to do good deeds and accumulate virtues, which is good for you and for the sick, and it should be done, and you don't need to be polite. ”

Yang Xianmao said: "If someone in your gang is injured or sick, even if they come to me, as long as you are not afraid of the prefect's yamen asking for guilt, then there is no problem." ”

Lord Fei Helm sneered and said, "The prefect is a dog thief, others are afraid of him, and we still have to find him unlucky!"