Chapter 286: Excision
Wen Hao helped Xiao Wu do a careful examination of the cyst in her neck. Touching on multiple large and small rods... With two, the gland can move up and down with swallowing, and the massage feels smooth, soft, with unclear edges, no tenderness, and the skin color is as usual. Determined that it was a simple thyroid cyst, he said to Xiaolian: "This tumor on your neck is a gall, I can perform surgery to remove it."
Xiaolian looked at Du Wenhao puzzled. Not to mention her, few people in ancient times could understand this sentence, because the most surgical removals in the Song Dynasty were superficial tumors such as sores, and operations on important parts such as the neck. In the absence of anesthesia and knowledge of sterility, surgery is almost a sign of death. Therefore, this kind of tumor is treated with soft and hard swelling drugs, and the effect on the initial tumor is still good. However, for large cysts, the effect is not good.
Du Wenhao briefly introduced the process of the operation, Xiaolian understood, but Du Wenhao was too young, and his medical skills were not enough for her to trust. Fortunately, there are Yu Ge'er's rhetoric, and Yu Ge'er also dreams of curing this disease and winning her husband's heart, so she quickly agreed.
Wang Anshi drank a few more glasses one night. It is said that what people are most afraid of is to drink stuffy wine, and this stuffy wine is the same as the feeling of being sad with wine, which not only hurts the body but also hurts the heart. Besides, Wang Anshi and Du Wenhao, these young people can't be compared, they are old, and they can't afford to toss, they lie on the bed in the middle of the night, their heads hurt like they have exploded, and they endure it until dawn, and then they get up and prepare to go out to find some porridge to warm their injured stomachs.
Downstairs, I happened to meet Yu Ge'er who gave people a headache, was stabbed a few words, and I was very unhappy, so I went back to the house, thinking that after this little girl left, I would go to find something to eat, but I didn't expect to go out, and I met Yu Ge'er and Du Wenhao inside, and a woman followed behind.
"The king's shopkeeper is early!" Yu Ge'er bowed slightly to greet Wang Anshi who came from inside.
Wang Anshi nodded, there was no expression on his face, he didn't have a good impression of Yu Ge'er, who had been twittering tirelessly all day, in his opinion, Confucius's wise words had a source and basis, and his head was long and his knowledge was short, but he had to get along reluctantly for the emperor's face.
: 1 Lian saw Yu Ge'er saluting Wang Anshi, and he quickly bowed his head, and Wang Anshi saw that the woman next to Yu Ge'er had a grapefruit-sized sarcoma hanging around her neck, with a sad look, and she was still holding a swaddling cloth in her hand. So he casually asked, "Your relatives?".
"How could my relatives be here? It's a sick person, and the shopkeeper Du wants to see her, so let's go and say to the shopkeeper. Find her a room and get her something to eat. Small.
Wang Anshi frowned slightly, thinking to himself that this Yu Ge'er was probably the most enthusiastic of the ancient way, how could he just bring a stranger?
Du Wenhao saw Wang Anshi's face sank. Guessing what he was thinking, he stepped forward to explain: "This woman is a nearby villager, and she was crying outside the inn because she had no money to see a doctor. ”
"Whatever you want, anyway, the fifth master is in a bad mood this time, and he is too lazy to go out, and you will be idle all day." Wang Anshi said coldly, throwing his sleeves and leaving.
Yu Ge'er listened to Wang Anshi's words with thorns, and knew that he was not happy that they were in charge, so he deliberately said loudly: "Yes." Naturally, we are not as busy as you, busy is a good thing, and the most afraid is to be busy in vain. ”
Du Wenhao listened, and hurriedly wanted to stop it, who knew that Wang Anshi listened, immediately stopped, turned around and walked in front of Yu Ge'er, his eyes seemed to be about to breathe fire, raised his hand and pointed at Yu Ge'er's nose, Yu Ge'er was frightened, and couldn't help but retreat, who knew that the steps under his feet tripped, the person did not stand firm, fell backwards, and the swaddling clothes in his hands also flew out.
Du Wenhao's eyes were quick, and he flew to catch Xiaolian but sat on the ground.
Yu Ge'er glared at Wang Anshi hatefully, stepped forward to help Xiaolian up, Xiaolian hurriedly took the swaddling clothes, and looked at the child to see that there was nothing wrong. That's peace of mind. Timidly looked at the old man who was pointing at Yu Ge'er, with an angry face, he couldn't help but be afraid, and said to them timidly: "Kind girl, don't quarrel for me, I think I'd better take the child away."
Seeing that Xiaolian was leaving, Yu Ge'er grabbed her sleeve, smiled and gently pushed Wang Anshi's hand away, and said softly but firmly: "Shopkeeper Wang, you go and do your job, I will give you the money for this Xiaolian's house, don't worry about it."
Du Wenhao is afraid that the two of them will be stiff, but it is not good for Yu Ge'er, after all, Wang Anshi's position in Song Shenzong's heart is very high, although you Yu Ge'er also pleases Song Shenzong, but in the eyes of these men, there will be women with the country, women are just an accessory, used to relieve worries and joy, Yu Ge'er is still young, as the so-called newborn calf is not afraid of tigers, she doesn't care what Wang Anshi or Li Anshi you are, in the end it is herself who suffers. Then he interjected: "Shopkeeper Wang, we wanted to go and tell the fifth master just now, but seeing that he hadn't gotten up yet, not only did he bother, so he made a decision first, don't be like Yu Ge'er, she has always been unintentional."
Wang Anshi snorted and put his hand down. He is not an unreasonable person, and Du Wenhao didn't provoke himself, so he had to swallow this breath into his stomach temporarily.
It was a good morning, Wang Anshi got up and opened the door, and let Yu Ge'er's little girl who didn't know the height of the sky and the height of the earth give such a sentence, if it weren't for Yu Ge'er's deep love of the emperor, Wang Anshi would have been furious with her, he angrily spared two laps in the backyard of the inn, and kept muttering in his mouth: Only women and villains are difficult to raise.
Hearing someone shouting for breakfast in the front yard, Wang Anshi walked back to the front yard with a gloomy face, and saw that Father-in-law Ning was in a hurry when he came down from upstairs, so he stepped forward: "Steward Ning is in such a hurry, is the fifth master unwell?" ”
Father-in-law Ning shook his head with a smile. pointed to Yu Ge'er's room upstairs and said, "Shopkeeper Du is going to cut the big thing on the neck of the woman named Xiaolian, I'll go prepare some things." ”
When Wang Anshi heard this, he thought that he had heard it wrong, and he didn't have such an advanced concept as surgery in his head, so he naturally couldn't understand it, thinking that it was already very bad to bring people back without authorization, how could he still use knives and guns at every turn, where was the practice of medicine, it was clearly a butcher. Human life is at stake, you can't let him do nonsense!
Seeing that Father-in-law Ning was in a hurry to leave, Wang Anshi grabbed Father-in-law Ning's sleeve and looked very surprised: "You, what did you say?" So how can it be said that the meat of a great Buddha is cut? Isn't that ridiculous? Hurry up, go to the fifth master, in case something goes out... Confessing our feelings, the first person of the family twisted us to the yamen, so it was funny to use the sail girl to drag Ning Gonggong upstairs.
Gonggong Ning lowered his voice: "Don't worry, Shopkeeper Du can even cut open the little prince's stomach to cure the disease, what is it to cut a big tumor on his neck." Besides, he's a calm person, and I don't think he will do anything he is not sure of, and I still have to be busy, so I won't accompany you. ”
The two men were talking, when they heard the door of one of the upper floors creak open. Song Shenzong stretched his waist and yawned. Stepping out of the door, he looked downstairs. The two of them just looked up.
Song Shenzong's brows furrowed slightly. Pointing at Wang Anshi and the two of them, he said, "I thought who was arguing about my good dreams, it turned out to be the two of you, who were not good at sneaking around in the house." What's noisy downstairs? ”
Wang Anshi saw that Song Shenzong got up. Hurry upstairs, who knows that after all, he is old, so he is in a hurry. I didn't have time to look at the footsteps. His foot slipped and fell, and he rolled down the stairs screaming, and returned to Grandpa Ning's side. Covering his ass and screaming.
"Look at you, what's the hurry, Steward Ning, hurry up, help the shopkeeper Wang up, and see if you have fallen." With that, Song Shenzong also walked down.
Gonggong Ning helped Wang Anshi up. Pat the dirt off his body and ask him if he was hurt in any way.
Wang Anshi couldn't care about the pain of his shriveled buttocks without meat, and held on to the stairs: "Fifth master, I have something urgent to find you, Du Wenhao's kid is too bold, and he dares to move casually on a woman's body."
"Ah, what did you say, what did you say Du Wenhao him, molesting the people's girl?" Song Shenzong was shocked.
Father-in-law Ning hurriedly explained: "No, no, it was Shopkeeper Du who was going to cut off a tumor on the neck of a sick woman." ”
"Oh!" Song Shenzong listened. Plugging his chest, he breathed a sigh of relief: "I mean, Ran doesn't look like that kind of apprentice, so that's the case, it's nothing." ”
Wang Anshi was anxious and walked up to Song Shenzong: "No, you don't know how big the thing on that woman's neck is, you should go and take a look." ”
"Steward Ning, what the hell is going on?" Song Shenzong saw that Wang Anshi was so anxious that he couldn't say anything, so he asked Father-in-law Ning.
Father-in-law Ning will tell the cause and effect of the incident one by one.
Song Shenzong listened to it and said, "So that's the case, since it's the best thing to cut the tumor, don't worry." I'm not going. I can trust his medical skills. When people treat others, we don't want to add to the chaos. Let's go, you two accompany me to the city for a walk, I heard that there is a kind of "what" oil in Dongming County, which is very famous early, and I am hungry. By the way, listen to what is being said on the streets. ”
Ning Gong said fairly: "I heard that the owner of the inn also said that the breakfast called the oil gourd is really good, but I haven't had a chance to eat, don't worry about the shopkeeper Wang, in fact, the things in this inn are not much better than the ones outside, Fifth Master, you wait for me for a while." I'm going to borrow something from Shopkeeper Du in the kitchen and send it over. ”
As soon as Wang Anshi heard that he was going to the kitchen to get something, he immediately became anxious again and said, "What, kitchen"
"Shopkeeper Wang, come back, don't go to make any fun, leave this matter to him." Saying that, Song Shenzong took Wang Anshi's hand and walked towards the door.
Looking at Wang Anshi who was suddenly held by Song Shenzong, he didn't react for a while, the temperature of Song Shenzong's palm was so obvious that it was on the back of Wang Anshi's shriveled hand, that bag. Wang Anshi really had mixed feelings, all the scenes of the two of them talking about state affairs and discussing changes in the law came to his heart in the past, and a tear fell on the back of Song Shenzong's hand, and Song Shenzong's hand, who was walking in front of Wang Anshi, shook slightly, and he didn't look back. It's just that there are faint tears in his eyes.
In the simple operating room, Du Wenhao was busy.
Du Wenhao went to the clinic this time, with a full set of surgical equipment, and asked Father-in-law Ning to find a long table, and a tall stool with a slightly lower long table, and raise one end of the long table higher. Place the high stool in her head, cushion it with a pillow, let Xiaolian lie on her back, rest her head on the high stool, and also put a thin pillow under Xiaolian's shoulders.
This position fully exposed her neck to be swollen. After local infiltration anesthesia of the neck, a transverse incision was made at the corresponding skin wrinkles of the two transverse fingers on the sternal jugular vein notch, and the skin, subcutaneous tissue, and platysma muscle were incised. Ligation, severing the anterior jugular vein, and freeing the upper and lower flaps allow the tumor at the upper pole to be removed under direct vision.
He then made a longitudinal incision of the neck line, bluntly separated the anterior neck muscle from the thyroid capsule space, and transsected one side of the subhyoid muscle. Retract the muscle to expose the tumor. The outside of the cyst wall is surrounded by a fibrous membrane, which is recorded close to the cyst wall, and after the cyst is separated to the base of the adenoma, the pedicle is clamped with a small curved vascular clamp and cut off.
Then, the hemostasis and residual tissue fragments in the surgical field are removed, and the residual cavity of the thyroid gland is intermittently sutured through the cavity floor, and the anterior cervical muscle, cervical linea alba, and platysma muscle are transtrashed in turn, and the subcutaneous tissue and skin incision are sutured, and drainage is placed.
Two hours later, Song Shenzong and the others finally came back from a leisurely stroll outside and entered the door of the remnant. I saw Du Wenhao sitting alone in front of the window and drinking tea leisurely.
Song Shenzong rubbed his hands, strode forward, and said with a smile: "So leisurely. Looks like the surgery was a success. ”
Du Wenhao was looking out of the window intently, but Song Shenzong had already walked in front of him, and quickly got up. But Song Shenzong gently pressed his shoulders and let him sit back in his position.
"If I went back to the fifth master, I didn't report it to you beforehand. Because you were still sleeping at the time, and later I heard from Father-in-law Ning that you already knew. That's why I didn't come upstairs."
Wang Anshi and Ning Gonggong also stepped forward and sat down, and the owner of the inn smiled and personally brought three tea bowls and carried a teapot to come forward and fill the tea one by one.
"Fifth master, this pharmacy manager of yours can't go away, the day before yesterday I told him that I haven't been able to sleep at night recently, and he only used two golden needles to prick me a few times on the top and neck. Guess what, I was able to sleep until dawn yesterday, and today that poor little lotus Shenqi met you, or if you die, it doesn't count, and the child is pitiful when he has no mother. ”
Ning Gonggong asked the innkeeper to be busy, and after the boss left, Wang Anshi couldn't help but admire: "I can't see that you kid really has two hits." What happened to the woman? ”
"I'm resting in my room, and I'll be able to recover after a day or two."
Wang Anshi thought for a while and said, "I think I'll go to the woman's house first." ”
Ning Gong
Song Shenzong pointed at Wang Anshi and said with a smile: "You old master also want to do your best? ”
Wang Anshi smiled slightly, his lips touched. said: "The fifth master doesn't want to make fun of the old man, I just think I should talk to the woman's husband well, so as not to abuse the woman by men again in the future." ”
Father-in-law Ning and Du Wenhao looked at each other and smiled, Du Jianhao poured tea for Wang Anshi, and said: "Shopkeeper Wang is still more thoughtful than I thought, I am just healing her superficial injuries, Shopkeeper Wang really wants to be able to teach his husband to change his mind, then he can really help people to get home." ”
Wang Anshi got up, Song Shenzong beckoned to Wang Anshi, pointed to the tea bowl on the table, and said, "There is no need to go now, anyway, Wen Hao said that he would leave the woman to rest for a day or two, so it doesn't hurt to let the housekeeper accompany you early tomorrow morning." Come, come, come, sit down and have tea. ”
"Fifth master, I think it's better to wait for the woman to drink the medicine and send it back quickly, a woman from a good family can't just live outside, and in the future, let the man count it, won't we hurt her?"
Du Wenhao felt that although Wang Anshi was an old antique, his heart was not bad, and what he said was also true, so he said to Song Shenzong: "I think what the shopkeeper Wang said is not wrong, I didn't think it through enough, the shopkeeper Wang took a step, and then we sent Xiaolian back." Let her recuperate at home. ”
While a few people were talking, Yu Ge'er came in from the backyard door with a smile, walked to the table and first saluted Song Shenzong, and then said happily: "Fifth Master, you don't know that the wound that Shopkeeper Du sewed up for Xiao Xiaolian is good, it is not at all like some people say, it is not a big scar at the mouth of a bowl, and after I think about it, it is at most half a finger wide." ”
Song Shenzong looked at Yu Ge'er and said with a straight face: "Who are some people you are referring to?" ”
Yu Ge'er didn't have Song Shenzong's expression, nor did she look at Du Wenhao's eyes, and said to herself: "It's not a king yet."
"Shut up!" Song Shenzong suddenly roared loudly, causing everyone present to stand up in fright. Yu Ge'er only then realized that Song Shenzong's face was not good.
"What do you say since you opened your mouth and closed your mouth, what did your father call Lienu Biography, Filial Piety Sutra, I want to ask you, do you know what respect for the old is?"
Yu Ge'er had never seen Song Shenzong give herself such a big temper, so she was stunned for a moment, and her mouth opened slightly in fright. A pair of big eyes showed a look of grievance.
"Even I have never been so rude to the shopkeeper of the king, what kind of thing are you, you dare to teach the old man to come and kneel down for me."
Du Wenhao saw that Yu Ge'er's eyes changed from grievances to another thing, this kind of thing is very complicated, there is resentment and hatred, but it is more perseverance.
Yu Ge'er bit her lip and slowly knelt down.
"Fifth master, Yu Ge'er is still young, I think it's okay, I'm not right, I don't know the situation, I just talk nonsense without understanding the situation." Wang Anshi saw that Song Shenzong had already given himself anger, so he wanted to calm things down.
"Serve tea to the king's shopkeeper and ask for sin." Song Shenzong motioned for everyone to sit down, and then said coldly to Yu Ge'er.
Father-in-law Ning got Yu Ge'er help along the way, and the two of them got along quite well, but at this time, they didn't dare to open their mouths to invite her, so they had to quickly hand her a bowl of tea and let her hand it to Wang Anshi.
"The king's shopkeeper, the slave and the maid don't know what to do, and they shouldn't be disrespectful, please always look at the slave and maid's first offense of ignorance, drink this cup of tea to ask for sin, forgive the slave and maid's mistakes, and the slave and maid promise not to commit it again in the future, if it is done again, the slave and maid will voluntarily cut off their tongues and necks."
Everyone can hear that this slave on the left and a slave on the right, it is clear that Yu Ge'er is angry in his heart, but his expression is respectful, but his words are not offended, even if he wears the gods, he is not good at saying anything, and Wang Anshi can be regarded as pretending to intercede with Yu Ge'er, and quickly took the tea bowl in Yu Ge'er's hand, and motioned to Ning Gonggong to help Yu Ge'er up.
"The slave and the maid don't dare, the slave and the maid are guilty." Yu Ge'er was stubborn, and it seemed that he was no worse than Wang Anshi, a stubborn old man, and Father-in-law Ning personally went to help. I can't even get up.
"Alright, alright, you get up. Steward Ning's face always has to be given. "Song Shenzong is still a little unbearable, after all, Yu Ge'er is still a fifteen or sixteen-year-old child, and he was also the treasure of his parents' hearts before, so he is naturally a little casual.
Yu Ge'er stood up after hearing Song Shenzong's words, and stood there without saying anything, and several people looked a little embarrassed.
"Shopkeeper Wang, aren't you still going to Xiaolian's house? I'll go find a guy to follow you, we still don't feel at ease when you're alone. Du Wenhao broke the deadlock and said.
"Just let Yu Ge'er follow. She's young, and she can do some three-legged cat kung fu. ”
No one thought that Song Shenzong would come up with such a bad idea, even Wang Anshi and Yu Ge'er were stunned, everyone looked at Song Shenzong with surprised eyes, only to see Song Shenzong slowly pick up the tea bowl, gently put aside the tea leaves on the face with the tea lid, took a sip closer, and then looked at everyone with a smile.
Father-in-law Ning came back to his senses at this time, and said with an exaggerated laugh: "Oh, yes, yes, what the fifth master said is, I think you should leave now, and I will send her back with Shopkeeper Du later."
Yu Ge'er saw that Song Shenzong had the meaning of joking with himself, he bit his pigtail and flicked his teeth, and stretched out a hand to make a gesture of invitation to Wang Anshi, Du Wenhao and Ning Gonggong couldn't help laughing, seeing that Wang Anshi was a little embarrassed at first, and then calmed down. gave Song Shenzong a dry laugh, and then walked out of the door with his hands behind his back and pacing slightly.
Wang Anshi and Yu Ge'er first went to ask Xiaolian where she lived and her man's name, and then went on the road, but the old and the young on the faces of the travelers did not show a little happy expression, one hunched and opstrich walked in front of him, and the other followed with a small face holding a wicker stick, and from time to time stuck out his tongue at the back in front and made a grimace. I walked for an hour, and finally came to Lijia Village.
Wang Anshi finally stopped at the entrance of the village, he didn't look back, hoping that the people walking behind would come forward and talk to him, even if it was a nonsense like this is Lijia Village, but he was wrong, Yu Ge'er saw him stop and stopped a few steps away.
There is a big elm tree at the entrance of the village, the growth of elm money seems to be good, the green green land spits out the stamen, and the wind blows in bursts. Yu Qian'er screamed, and the two people under the tree were also deadlocked.